>He says the
>> surroundings are luxurious compared to hospital, the work load very light
>> and trivial,
It is my experience that those who find any sort of GP work 'light and trivial' are not doing a good job. Such as a colleague of mine who 'never saw a depressed patient' and another who thought that PND happened to women who couldn't cope with motherhood and should be told to put their baby into daycare, it is possible to see in GP as much as you want to see and ignore an awful lot.
Just because you are an OOH GP it does not absolve you from the principles of consultation - exploring patient fears, beliefs and expectations, asking questions about work and social environment etc etc. The OOH attender whose headache is a response to domestic violence, the child with abdo pain who is terrified of failure at school, the request for emergency contraception from a woman who has been raped...you never find out these things if you don't ask, and failure to give someone the opportunity to tell you what they really want to will reduce the likelihood of them confiding in the next doctor they meet, who they will assume is equally uninterested.
In GP it's not the regulars who are likely to startle you with this, it's the one-off, 'acute' attenders, who are also going to be a significant part of the OOH attendance.
FW
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