In article <[log in to unmask]>, D Young
<[log in to unmask]> writes
>Might be a danger there. Coal face sloggers complain about academia
>preaching idealised practice which cannot function within the constraints
>of fast full time consulting fatigue.
All too often the operative word is _preaching_. The profession still
suffers unduly from self-righteous superiority. However, the tide may be
turning. Small pockets of resistance are beginning to appear. ;-)
>I think, for instance , that GP
>Tutors need to FEEL that fatigue to maintain a realistic educational
>agenda; so they remain full time and do their share of OOH..
They can do that for a few years at the start. Then all they have to do
is retain their sensibilities and common sense. What I can see though is
that the newly-minted doctors are much more ready to avoid getting into
that situation than we were, the problem is that they ignore it rather
than try to change it.
>Look at SMAC and antibiotics again - the guidelines will make surgeries
>run late or increase night fatigue, and therefore will frequently be
>ignored.
As do most guidelines that offer pain and no gain. There still seems to
be a tradition that it is a priviledge to be able to study medicine when
in fact its requirements are somewhat more practical than that.
>Your tutor, dominating by overhead and flipchart, needs to know
>that!
Ah, but you do, as do most of the troops. Its the generals that need
convincing and perhaps we can best do that by blowing away the cobwebs
of inertia. Or mixing metaphors. ;-)
Regards
George
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