Simon
Thanks for the interesting scenario in 'conflict
resolution'. On the last occasion where I was faced
with a similar situation of a refusal to agree to a
time critical access to diagnostics, my approach was
to :
a) Review the case again with the radiologist making
absolutely sure he understood his and my position.
b) Thanking him for his time
c) Informing him of my plan to....
d) Contact the Medical Director or Chief Exec of the
imminent clinical risk being imposed on the Trust as
well as raising my concerns about the radiologist's
abilities and the risk HE might pose to the Trust now
or in the future.
e)Informing him that I would also be contacting my
defence union.
Needless to say we moved rapidly back to (a) and
reached an amicable endpoint.
Of course the art is to say it all very pleasantly but
CLEARLY :-)
regards
Taj
--- [log in to unmask] wrote:
> I've just had the most staggering conversation with
> a radiologist. I was requesting an urgent CT scan
> on a young patient with acute onset of headache,
> left sided hemiplegia and a history of previous SAH
> secondary to an AVM. The radiologist smiled and
> said:
>
> "Has this lady been seen by a clinician yet?"
>
> When I suggested that I was the clinician dealing
> with this patient (and to imply I was not a
> clinician was somewhat insulting) he refused to
> accept my standing and insisted that she be seen by
> "a clinician".
>
> It would appear that five years of general training,
> five years of specialist training, three
> postgraduate exams and a consultant job in waiting
> is not enough to be classed as a clinician.
>
> Besides this general insult was the opinion that a
> CT for a ?sub arachnoid was urgent and not an
> emergency as it would make no difference to the
> immediate outcome. Now within reason I can just
> about understand this. I don't request CT scans at
> 5am for 95 year olds with acute hemiplegias but at
> 16.35 for a lady in her 30s?
>
> Am I completely out of touch with reality?
>
> Dr Simon McCormick
> SpR Emergency Medicine (on of the last clinical
> specialties left)
>
>
>
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