It isn’t unusual for a third person to be in the room when I’m consulting. It may be a partner, friend, parent, or adult offspring of the patient, or on occasion it’s a whole family, with children of various ages perched along my examination couch. People are brought in for moral support, as an extra pair of ears, or, in the case of children, because there’s no one else to look after them while a parent attends to their own medical needs.
Dividing your attention appropriately keeping the focus on the patient while not ignoring relatives’ contributions, as well as being ready to curtail the exploration of your …
Good Medical Practice is a guide produced by the General Medical Council (GMC) that sets out the standards expected of doctors. A new version, coming into force next month, contains some substantial changes.1 The first is that, in anticipation of the GMC’s suggested future role as regulator of physician associates and anaesthetic associates, the guidance is no longer aimed solely at doctors indeed, the word “doctor” is almost entirely absent, having been replaced by the more ambiguous “medical professionals.” The second change is the inclusion, for the first time, of a “duty to be kind,” which has already sparked debate …
There’s been much discussion in the press and on social media about the role of physician associates and anaesthetic associates.123 Who exactly are they, and how are they trained? The Department of Health and Social Care says that they’re “trained in the medical model” but what does this actually mean?4 Among many possible meanings, an early paper on physician associates from 2005 defines it as “the flexible application of knowledge and skills to needs of the individual patient rather than working to predetermined protocols.”5
The medical model I know is the one I experienced and have also taught. It involves learning …
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