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Ethics - June 2011
Facing your first ethical dilemma
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Insomnia -
May 2011
The first time a patient complains of poor sleep ask four simple
questions
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Conflict -
April 2011
How to say no to angry patients
Australian and UK surveys reveal that between 33 and 64
per cent of GPs report at least one incidence of violence occurring
at their workplace every year.
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Drug Imposition
- March 2011
Drug abuse in New Zealand is a major cause of disability for
individuals, their families and the whole of society.
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podcast |
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Getting to grips with cultural competence -
February 2011
The key to cultural competence lies in being genuinely interested
in what is important to other people; being open enough to hear and
respect the values and preferences of the person you are
with.
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Your first patient sexual attaction - 1 December
2010
Social scientists exploring relationships between providers and
customers talk about "emotional labour" - the work involved in
making people feel comfortable and welcomed.
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It takes planning to survive a disaster -
3 November 2010
"The difference between panic and performance is planning."
"Readiness, Response, Recovery, Risk Reduction." Civil defence
information is full of such vacuous aphorisms, but when tectonic
push comes to shove, as it did on 4 September in Canterbury,
"people with a plan perform".
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to podcast -
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Pick up the
pieces at a road accident 6 October
2010
Driving is dangerous, although it is usually the stopping bit that
causes most problems, particularly if it is not planned. There are
around 11,000 injury crashes a year in New Zealand and it is almost
inevitable you will be the first on the scene of one at least once
in your medical career.
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Giving treatment on a wing and a prayer - 8
September 2010
With more than two billion people flying every year on commercial
airlines, it is surprising more of us have not had that sinking
feeling when the steward's voice asks "is there a doctor on the
plane?" So, it is worth being prepared for the call of duty.
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Asking the
questions of life and death 11 August
2010
One of the joys of general practice is that you never know what
the next patient will bring in through the door...
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Pass on
knowledge with satisfaction 14 July
2010
If your practice has never taken students, it is time to ask why.
Teaching is not only rewarding professionally, it is part of the
fundamental definition of being a professional...
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more
Plan your journey
and your destination 16 June 2010
If you don't know where you are going, it really doesn't matter
what direction you choose to travel in - it is likely you won't get
anywhere very far. The journey certainly is more important than the
destination, but as a journey implies moving from one place to
another it is helpful to plan how you are going to get where you
want to go....
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Taking on first
leadership role 19 May 2010
Clinical leadership is not just a current buzzword, but an
essential part of the role of the doctor within healthcare. As
medical training moves forward, there is a progressive increase in
responsibility for the emerging practitioner. This allows the
gradual development of essential skills needed to become a good
team member, and, eventually, a leader. Whether we like it or not,
we are the leaders in our clinical teams....
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From questions to
first research 21 April 2010
The idea of doing a "research project" seems daunting, but anyone
who has been to medical school has at some stage been driven by an
inquiring mind, and for all of us (not just me I hope) questions
continue to arise in the course of every patient encounter. These
can be clinical (when to use warfarin in atrial fibrillation?);
patient focused (what is the best way to connect with a reticent
teenager?); or problem driven (how can I improve the way our
practice relates to palliative care services?)...
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First complaint:
action carefully 24 March 2010
To begin with, if you receive a complaint - don't panic! If your
practice never hears a complaint, you are not the best GP in the
world; it means you are not listening. People complain about
services for many reasons and it is rare to find someone who simply
enjoys complaining; mostly it is a hard decision which takes a lot
of courage...
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First home
death leaves impression 24 February
2010
Patients die all the time, it is one of the few guaranteed life
events. Despite this, there is something about the first time this
happpens to a patient you are caring for, that fundamentally
changes most of us.....
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more
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