I am going to forward some of these postings to ENP colleagues around
the country so I will be interested to hear what they think... so you
need to ask yourself are you feeling lucky eh? Do I know any ENPs in the
department where YOU work? Oops sorry slip of the keyboard there...
RL
Robin,
I do sincerely hope that you are joking about this. Whilst I am sure
that many of the people who express their views on here are big enough
and nasty enough to have them aired publicly (and I suppose the forum is
technically open) there is a degree of freedom associated with being
able to talk openly with colleagues in a way one wouldn't necessarily do
in face to face discussions with an individual/group. You may feel this
is hypocritical, but how would you like every/any conversation you have
had with fellow staff about patients to be handed over to the
individuals concerned?
There are many people who I work with who I don't like, don't agree with
or think have dubious morals and I reserve the right to talk about my
opinions of them outside their earshot. I also assume there are people
who feel the same way about me. Total honesty between people is NOT a
good thing, we all get on with each other because we learn to hide our
dislikes/prejudices from each other and when someone upsets this social
balance it causes trouble. This is especially true if what you are
doing is deliberately trying to cause trouble and unrest.
Simon
-----Original Message-----
From: Accident and Emergency Academic List
[mailto:[log in to unmask]] On Behalf Of Doc Holiday
Sent: 15 August 2006 06:01
To: [log in to unmask]
Subject: Re: I think we have this all wrong
>But that's simply because I can't think of a single advantage of an ENP
>over a doctor. Not one.
--> ENPs stick around long enough for me to learn their name ENPs get
--> less complaints from patients When I arrive to start a shift at 8/9
--> am and some crap's just happened
during the past 24 hours that I need to pick up and fix, it was NOT an
ENP who made it happen...
--> ENPs do not complain to me that they are spending too much time in
minors
--> ENPs can be left in minors for 100% of their clinical time and, at
--> the
end of the year they have not deskilled at all - do that with a
consultant and he/she will have a bad appraisal after 12 months in
minors.
--> ENPs do not call GPs and insult them.
--> ENPs can be appointed if you like them at interview, not "sent" by
--> some
centralised appointing mechanism without you having a say about it
--> If an ENP arrives on day 1 to work, it is extremely likely that this
--> is
the job he/she wants to be in, while your SHO may well be doing any
4-month job he/she can get paid for in order to keep the visa or bread
on the table or both.
>I've nothing against ENPs, but to my mind they fulfil a similar
>function to
>an SHO or junior middle grade, but are less adaptable, less autonomous
>and often much slower.
--> Slower? You've hired the wrong ENPs then, or you've somehow managed
--> to
find SHOs who see significantly more than 1-2 patients per hour.
>Don't get me wrong, I like working with my ENP colleagues, but only in
>the same way I like working with my junior doctors.
--> We wouldn't "get you wrong" if you avoided some of the
generalisations... If your ENPs colleagues had seen your one previous
posting in this thread, you may well find you like working with them
less after that...
>Fascinating that there has been essentially zero positive comment
>(actually
>zero comment at all other than the various gripes below) to my question
>regarding the advantages, disadvantages and general usefulness of ENPs.
--> I am away at a conference abroad at the moment. I'll have many
--> positive
comments for you when I return, perhaps off-list
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