On 08-Mar-98, Toby Lipman 7, Collingwood Terrace, Jes wrote:
>In message <[log in to unmask]>, Bradley Cheek
><[log in to unmask]> writes
>> Most of the people who slag off the RCGP
>>don't actually CONTRIBUTE - so it's not surprising perhaps that they see no
>>benefits.
>>
>Well I've done a fair amount of college slagging since 1990 although I
>was keen enough before that to be a member of a Faculty Board. The NEED
>for the RCGP is as great as it's ever been, and I do think it's
>beginning to recover some of its sense of purpose (which it lost amid
>power politics and arrogance in the 80s).
>However there is still some way to go, and I'd have to say that the
>activities which most turn me on (professionally speaking and
>educationally you understand) don't have particularly close links with
>the college. These activities are NoReN (the Northern Research Network),
>which was started as a result of a college initiative but is now semi-
>detached,
Meaning semi-connected? I'm a half-full person (as opposed to half-empty)
;-)
>>PS: Balint is just as valid as it ever was - I wonder if those that think
>>otherwise have actually read it? ;-)
>>
>Well...he is and he isn't, I think. His work was of fundamental
>importance in establishing the consultation as general practice's "own"
>specialty and in making subsequent generations of GPs aware of the need
>to be skilled at picking up, interpreting and using the emotional
>content of consultations - in making us aware of patients as people
>rather than just "cases" in fact. He was also important in that he made
>the idea of non-directive small group learning acceptable and it became
>an important part of GP vocational training. Even now, GPs tend to be
>more skilled in small group learning than hospital doctors.
>However I think you can overemphasise the centrality of the emotional
>aspects of the consultation to the detriment of the biomedical.
The solution: run the psychosocial and the biomedical in parallel. Do the
blood tests, but diversify your thought and the consultation into the
psychosocial AT THE SAME TIME...
Often doctors will do the tests and then say "Well I can't find anythin
physically wrong: I wonder if..." How about introducing this approach earlier
in the scenario? That way you can't be wrong!!!
--
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* | | ___ __ * Bradley Cheek *
* | | | | |__ * email: [log in to unmask] *
* |_|_| |___ __| * web: http://www.wcsquare.demon.co.uk *
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