>There ARE solutions -
>Reduce the hours ( job share/part time/full time but less sessions )
Tick - 9 weeks holiday
>Delegate some of the "woman doctor" stuff to the practice nurse - smears
>contraception HRT. Delegate other stuff too, BPs, asthma etc. Increase
>nursing hours if needed. If nurses get overloaded, think of delegating to
Tick
>other staff ( we have a phlebotomist, who we are now training to do other
>tasks eg ECG taking. )
Tick
>Become known as the doctor who DOESN'T hand out sleeping pills, antibiotics,
>sick notes etc.
Tick
>Say NO sometimes - hard, but it works.
Tick - not that hard ;-)
>See "extras" only if they really are emergencies - or save time by advising
>the nurse over the phone!
Aha! How? Who perceives it as an emergency? The patient of course!
>Do less blood tests!
Tick
>Not all work is patient generated, much is doctor generated, how many of
>your consultations are return appointments? Phone before all home visits,
Tick
>review by phone rather than revisiting some of the housebound.
Tick
>Some of this involves partnership policy, may be hard to change, but worth
>finding time to discuss if every one is working equally hard, and more so if
>you're doing more than your share of the work!
>Took me too long to learn much of the above ... but now I have time to read
>GP UK - and much more :)
>Gwen
So do I! :-)
Excellent email!!! Love it!!!!
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* | | ___ __ * Bradley Cheek *
* | | | | |__ * email: [log in to unmask] *
* |_|_| |___ __| * web: http://www.wcsquare.demon.co.uk *
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