In-Reply-To: <[log in to unmask]>
I am very sorry to hear about Peter's experience and alarmed that the
registrar (trainee) couldn't recognise a sick child; clearly there are
problems in this practice (doesn't surprise me at all that its
a'respected rural teaching practice' I'm afraid).
I admire the honesty of those who admit their practices are stretched to
the limit and feel they may well make the same mistakes - in the 'wrong'
circumstances, wouldn't we all? However we are actually in control of our
working lives (don't all scream at once), and we can choose how we cope
with patient demand. We can do longer surgeries, start earlier in the
morning, employ assistants, take on an extra partner (and earn less
money) or find employment elsewhere. My inner city practice with three
partners has reduced the pressure from the barely tolerable to the
generally manageable by taking on assistants for five sessions a week;
costs us 6K each a year before tax but life is tolerable and even
enjoyable sometimes. You can make what you want of General Practice
(that's its great strength); if you don't like the way things are in your
practice, change them. You really do have power to do this.
Dr. Huw Morgan GP&Course Organiser, Bristol
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Fax 0117 9555402
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