The British Medical Association
During a busy Saturday morning on the medical assessment unit, a daughter came up to me and asked how her mum was doing.
Tags: junior doctors, secondary care, hospital practitioners, doctor-patient relationships
A middle-aged woman comes to see me in surgery. She tells me that she has had the sensation of a foreign body in her left eye for the past two and a half weeks.
Tags: doctor-patient relationships, disclosure of information
Working on-call as a medical foundation doctor 1, I clerked a woman in her late 60s who had been referred by her GP with ‘shortness of breath, query cause’. I began with the usual history taking: she had been walking in town the previous day when she became acutely short of breath. This was associated with a feeling of leg weakness but no other symptoms, and the incident had resolved itself spontaneously.
Tags: general practitioners, foundation programme year 1, secondary care
The anaesthetist was a relatively new SHO learning her trade on the
minor ops list. The surgeon was a surly locum. The patient was 12 years
old with learning difficulties.
Tags: elective surgery, consultant, anaesthetics
It is that time of year, when all the paper work goes flying in the air, and you spend sleepless nights in front of the computer, sharing, scanning, uploading and submitting the documents for the ARCP (annual review of competence progression) before the deadline.
Tags: junior doctors, psychiatry, competency-based assessment
‘I’ll be OK, won’t I? This won’t shorten my life?’
Tags: junior doctors, medical education and training, medical oncology, cancer
Confidentiality: in the form of gossip, a great deal of recreation derives from its flouting. For doctors, in contrast, it’s second nature to protect information, and piously reinforce the sixth pillar of clinical governance.
Tags: public health, primary care, patient confidentiality, custodial settings
Recently I started my GP specialty training. My first teaching session, with fellow trainees from my scheme, included a team-building exercise. Our initial response? Groans all round.
Tags: junior doctors, medical education and training, general practitioners
I once had a house officer who I found crying in the linen cupboard. We had just put an elderly patient with end-stage renal failure and recurrent bowel cancer on the Liverpool Care Pathway, and this junior doctor was devastated.
Tags: junior doctors, doctors for doctors, end of life issues
‘I’ve got an output,’ called my colleague, his fingers on the femoral.
My eyes turned to the monitor. The patient was back in sinus rhythm, and had started to make some respiratory effort. But the anaesthetist had left, and the rest of the crash team had disappeared. Our sense of victory was short-lived.
Tags: Ethics and professional responsibility, end of life issues, do not resuscitate, resuscitation