RIP, full time GP
It is the end of the line for the full-time GP. Everywhere around me I see evidence of GPs struggling to cope with the pressures of the workload.
When I first joined my practice in 1980, there...
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My vote for RCGP president
The President of the RCGP is a figurehead role. It is a recognition of a career in General Practice and is the person who is the visible ceremonial leader of our college.
The President is...
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In five years' time all that will be left will be the NHS logo
Several years ago, all hospitals in the UK were instructed to use only the NHS logo on headed notepaper, and it didn’t matter if the letter was from Inverness or Exeter, the notepaper was the same....
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How long do you need to train to be a GP?
I started my career in an era where you could become an independent GP just 12 months after qualifying. Full registration with the GMC and becoming a principal on the same day. I could have done...
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Nobody really likes a bad loser.
I get very disheartened when I watch football, when the players surround the referee, and complain about decisions (which are more often right than wrong). Football managers constantly carp at...
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We've lost the art of letter-writing
They don’t like letters, do they?
Time was when I used to write consultants a letter, naming them (Dear Norman, Dear Michael etc), detailing the presenting complaint, the findings on...
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Stop messing around with medical education
Medical education has been radically changed over the last few years. In a series of top-down changes we have had huge changes in the way that junior doctors are taught and gain the experience to...
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Complaints, a gift? Don't make me laugh
It is my experience that complaints are being made more and more, and the threshold for tolerance is less and less.
One of my patients fell ill when on a foreign holiday.
It serious enough...
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Course organising's changed over three decades - though the consultants haven't
The Jobbing Doctor has also been a Jobbing Course Organiser for 21 years.
A course organiser is a person who is responsible for the overseeing of the training, experience and education of those...
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Like many drugs, benzodiazepines have their uses
Once upon a time I was a medical student. I was, I think, the youngest student in my year. One of the best decisions I made was not to work too hard, but get through medical school on a modest...
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If I had my time again, would I still be a GP?
Would I do it again?, I ask myself. Would I become a General Practitioner if I had my time over again? Would I choose to work in the area that I now work in?
I ask these questions, as we...
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Standards are slipping amongst qualifying GPs
Much of my educational time seems to be taken with sitting on panels and looking (in laboriously length) at the ePortfolio of hundreds of doctors working in my region. It really is challenging, but...
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Three cheers for Twitter
The Jobbing Doctor seems to be a dying breed, if you look at the evidence.
I wear a tie and a suit at work. I do not wear scrubs, and am not bare below the elbow. My favourite Cross fountain...
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This week is the most important in NHS history - so unite and resist
Caesar said 'Divide et Imperare': Divide and Rule.
This technique is as old as history, and continues to be used to this day. I suppose the opposite is Unite and Resist.
This current week...
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It's time multidisciplinary team meetings bit the dust
Some fads come and go in medicine. I can remember advising a patient to put a spare front door under his mattress to help with his back pain (it didn’t). Others continue, on the basis that not...
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Good riddance to 2011
So, goodbye to 2011.
And, good riddance. It has been a bleak year for many in the NHS .
Sitting in my consulting room, I note that some things have improved, but most things have...
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Endless Government surveys obscure the bigger picture
There have been a number of reports from various organisations coming out recently. They are generally critical of what is going on in our hospital sector.
The latest report is about the care...
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Making a mess of the NHS
I wonder if the wheels are beginning to fall off the current plans to change the NHS radically.
The policy and the bill is, for those who are interested, a dog's dinner. The cost of this change...
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No, no no
Over the last few decades, GPs have been at the heart of people’s daily experience of the NHS. At the last count, some 800,000 people attended their doctors’ surgery each weekday. The calculation...
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Why do they despise us?
I have never known such antagonism in all the years I have been a Jobbing Doctor. It is beginning to irritate me, and I’m not a man who is easily irritated.
I don’t think we should, as a...
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