I’m going to sound a bit mad here. But I’ve been warning everyone about this, and no one has been listening to me. It’s nearly too late. They know where you live. And they’re coming to get you – the PCN, the CQC, the GMC.
It’s that shared decision-making thing. It’s there, in the PCN DES: ‘By 30 September 2022, a PCN must ensure all clinical staff complete the Personalised Care Institute’s 30-min e-learning refresher training for Shared Decision Making (SDM) conversations.’ All clinical staff: that means us. So when I read the DES I told everyone.
You won’t believe me, I said, but we’ve all got to do something called training for Shared Decision Making (SDM) conversations. I tried to convince them that we should run, run for our lives. But they said no, that’s ridiculous, that’s insane: shared decision making conversations are what we’ve done every day, for years, in literally every consultation. We have nothing to learn. No one’s going to make us do that. It’s like insisting politicians do a refresher course in lying. Bonkers.
Then the emails started coming. Reminding me that I had to do it, and that the deadline was drawing near. And the more I realised it was real, the more deranged I got. Partly because general practice really is increasingly a place where you don’t have to be mad to work here, etc. But mainly because I find the concept of mandatory Shared Decision Making Conversations Training for a GP with 34 years’ experience arbitrary, insulting, deprofessionalising, patronising, infuriating, demoralising, demeaning, timewasting, unrealistic, pathetic and potentially hysterically funny.
I decided that the only way I could cope was to subvert the whole thing, perhaps by giving away the answers to the five pre- and post-assessment questions through this blog, in coded form. But I wouldn’t do that because:
1 That would be a) puerile b) dangerous c) unkind e) immoral
2 The idea that sharing (ha!) it with readers would be a delicious irony is ‘False’
3 It’s as easy as a,b,c,d anyway
4 The idea that it might be hysterically funny, as suggested above, unfortunately proved also to be ‘False’
5 I thought I should just let it be (b)
And we’re left with the delicious perversity that the concept of shared decision making training must be in the PCN DES because of imposition rather than mutual agreement.
Never mind. I’ve got a sustificate now, I understand there is software available that can edit pdfs, and you know where I live. If not, just follow the mad laughter.
Dr Tony Copperfield is a GP in Essex. Read more of Copperfield’s blogs here