Is It Advantageous For Student Doctors To See Patients Earlier In Their Careers?
I’m asking this for a friend.
I asked Google AI the question in the title of this post and received this answer.
Yes, it is advantageous for student doctors to see patients earlier, as it can increase motivation and confidence, provide a better theoretical understanding, and help them develop clinical and communication skills earlier. Early patient contact also helps students build professional identity, gain comfort with patient encounters, and better understand the realities of being a physician, which can also improve patient experiences and facilitate the transition to becoming a junior doctor
That all sounds pretty sensible to me.
These are some thoughts.
Could The Same Philosophy Be Used For Other Health Professionals Like Nurses, Pharmacists And Radiographers?
I don’t see why not!
I actually feel, this philosophy might be already being used by the City University, who train radiographers at Homerton Hospital in Hackney.
I Was Used By University College For Interview Practice
A few years ago, I spent four nights in University College Hospital.
- I had my own single room.
- They wanted to do a few more tests.
- So one of the Senior Tutors asked if I’d mind being interviewed by student doctors for practice.
As I said, I wouldn’t mind, I was interviewed by four student doctors over two nights.
It certainly relieved some of my boredom and at least two of the students had never met a coeliac before.
Conclusion
I believe this patient/student interaction could be used very much to the advantage of both groups.
£20 Per Hour Is A 43 % Pay Increase Over £14 Per Hour
The BBC has just reported on the Junior Doctors Strike from outside University College Hospital.
- Banners were showing that their current pay rate is £14 per hour.
- In an interview, a strike leader said that junior doctors need an offer of £20 per hour.
That would be a pay increase of forty-three percent.
I’m sure we’d all like a pay or pension increase of that amount.
My First Real Telephone Consultation With A GP
Last Monday, I had my three-monthly B12 injection, as I have since I was diagnosed as a coeliac around twenty years ago.
I said that I needed to see my GP, or at least talk to him, as it was time for my Warfarin review, where we check my dose and order more tablets, as appropriate.
The receptionist said, she’ll get him to give me a call and professionally checked that they had my correct telephone number.
I’d been home about thirty minutes, when the GP phoned and we review the Warfarin and he said, he’d sent a prescription to Boots. I also told him, that my hand would need a proper examination after we’d got rid of the menace of COVID-19.
The call took about five minutes and I suspect that we’d both rate the outcome with at least four stars.
I find it strange, that in my seventy-two years, I’ve never before had a telephone consultation with a GP.
Even, when my wife and son, were dying of cancer, I never spoke to my GP at the time by phone. I did occasionally send messages by FAX to the surgery, as that was the only way to leave a message, as e-mail and text wasn’t an option.
Surely, though simple systems could be developed, so that everybody can have a telephone or video consultation with their GP, if the patient has the technical knowledge.
With my Warfarin review, I might send a message, by phone, e-mail or text, saying I need the review.
- The GP’s system might then text me to say, my phone appointment was at 14:00 on the 17th, in much the way it does now!
- I would be able to use a simple reply system to say that was OK or not!
- The doctor would hopefully be able to phone at the appropriate time.
All sorts of systems would be possible. I’m sure Zoom has something suitable.
If COVID-19 means that GP capacity is increased because of the need to social distance, so be it!
There is also the benefit, that on a wet and windy day, walking to the GP, might not be what I want to do.
Liverpool Calls In Volunteer Student Doctors
BBC Breakfast has just run a report about how student doctors at Liverpool University are going to be used to help out in local hospitals.
According to the BBC report, two hundred students have volunteered.
The BBC also interviewed a senior Professor, who was very happy about it all.
I suspect other medical schools will volunteer and there are reports, that Cambridge already has, but I do think that this is the way to get better doctors.
A Personal Story
A few years ago, I was in a teaching hospital after suffering a collapse.
A senior tutor approached me and asked, if I would mind, if I was used for interview practice by final year students.
I hope the students benefited as much as I did, whilst they sorted out what was wrong with me!
Conclusion
We should look upon COVID-19, as something that will make us all better people and doctors.
Is COVID-19 for my generation and those younger than myself, our Second World War?
Good And Bad Doctors
I’m listening to a program on BBC Radio 5 called How Do You Cope?, which is discussing doctors. And what makes a good one!
I am reminded of the story of the birth of our first son.
He was born in a London teaching hospital and delivered by a student doctor, who obviously didn’t do a bad job and made no mistakes.
The next time I saw C, she told me, that she’d had a visit from the Professor, who asked after her and her experience.
He told her, that the doctor was a problem for the Medical School, in that they felt he had shown the ability to make a very good surgeon, as he had the right attitude and physical skills. But he was having difficulty in passing exams.
I sometimes wonder, if that would-be doctor became a brilliant surgeon or left the medical profession early.
Does The NHS Need Physician Associates?
There have been reports about using these in the NHS over the last few days. One article in the Independent is entitled, NHS patients to be seen by doctors on the cheap. It starts with.
Patients will increasingly be seen by “physician associates” rather than doctors under Government plans despite fears they are “doctors on the cheap”, according to a report.
I have seen a lot of doctors and hospitals over the last ten years, what with the death of my wife and son to cancer and my stroke. What is different now, to what I remember of the NHS in the 1960s and 1970s, is that nurses now play a larger role.
Does anybody bother?
Some might, but I’ve never heard anybody complain, that the nurse did a job, that a doctor might have not delegated forty years ago.
So when it comes to physician associates, I have an open mind.
Or I did until I read the letters page of The Times today, where four serious letters from eminent medical professionals were very much supportive of physician associates.
Now I’ve changed my open mind to one that is totally in favour!
Not Annoyed By Students
As UCH is a teaching hospital, I was always being visited by students, who obviously needed to examine real patients.
I don’t mind this, but others might. But they’ve obviously got to practice somewhere.
I chatted with one all evening, as she only left at about half past eleven. It was certainly a better experience, than watching the dreadful TV system.
7/7 Inquest Reporting
This article entitled “Doctors truggled after 7/7 bomb” is almost unfair. It criticises the fact that no medical equipment was available outside the BMA, where the bomb was detonated on the number 30 bus.
Doctors at the British Medical Association struggled to treat victims of the 7/7 bus bombing because there was no medical equipment at their headquarters, the inquests have heard.
Instead they used table cloths, jackets and ties as bandages for the wounded.
The hearings were told the doctors utilised “bits of bus” including windows as makeshift stretchers.
So should we ask suicide bombers to explode their devices in approved places, where doctors, paramedics and equipment are all readily available?
I don’t know how I’d react in such a situation, but I suspect all those doctors who struggled, are now much better doctors!
Doctors Working Alone
This post was suggested by some of the comments to my post about Changing Doctors. But in my experience of doctors in the last couple of years, increasingly specialists are working alone and doing much more of the donkey work themselves.
I’ll give three examples.
- In Hong Kong, I had a consultant speech therapist, wh0 did the X-rays himself to check that I could swallow properly. He even gave me a VHS video of it.
- My cardiologist in Cambridge, did the eectrocardigram on me, himself. Whereas the in most hospitals this is delegated.
- When I had the ENT examination after my episode with A&E, the consultant did everything himself.
I have a feeling that this approach is getting more common, as it obviously is more efficient and the doctor an modify his examination depending on what he finds. There is also no communication problem.
I’ve also been told that INR tests are done by the doctor, at my new surgery, so it’s not just at the consultant level. I’ve also had two specialist x-rays recently, where the radiologist worked alone.
To me it’s seems the way medicine is going for relatively simple procedures and some specialist complicated ones too. Obviously modern medical equipment helps, as in many cases it de-skills the actual examination and lets the doctor do what he does best, the analysis of the problem.
But what are the knock on effects in the number of anciliary staff that aren’t needed? headlines such as nurses made redundant are never good publicity, even if the downside is that there were so many more patients treated.
The Anonymous Widower 