Don’t treat junior doctors the way you wished you had been treated

A good read…and very thought provoking.

Senior moments by Sean Ninan

My first consultant was a charming white haired Irish man who was one of those doctors that seemed to make patients better with his very presence. When people talk of a “good bedside manner” I think he was the kind of doctor they refer to. He was not shy in praising us, his junior doctors, usually in front of the patients. I was also terrified of him, and in retrospect he had a profound influence on my style as a doctor, although it has been difficult for me to match his charm and Irish accent (sadly, I used to have one, but try being the only Asian kid in a school in Aberdeen who said “tirty tree and a turd.”)

Over the years, magpie-like, I have observed the best and worst of consultants, registrars and other junior doctors, and borrowed the behaviours of those I liked, whilst trying to avoid…

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The daunting revalidation dilemma

Just a thought, my 2c.

Deloittes require their partners to retire at 62, KPMG, I believe, at 57.

Clinton (69) and Trump (70) would be younger High Court Judges…or Popes.

We respect Aboriginal Elders yet apparently our GP Elders must have the AHPRA of Damocles over them.

Revalidation just seems a well intentioned idea that will go the wrong way, to the wrong destination, badly.

Doctor's Bag


The Medical Board of Australia is well aware of the daunting revalidationdilemma: how to identify underperforming doctors without subjecting the rest to time-consuming and needless procedures?

The percentage ofunderperforming doctors is low. Nevertheless, in the UKall doctors undergo regular appraisals and are ‘revalidated’ every five years if they are deemed up to date and fit to practice.

The UK revalidation system has received its fair share ofcriticism.A common complaint is that the collegiate appraisal process has been ‘dumbed down’ as it changed from a formative to a summative process.

Other criticism includesthe heavy time burden and paperwork, the negative impact on doctors’ wellbeing (while the profession already works in a highly stressful environment), the creation of a tick-box mentality, and a situation where some doctors are avoiding complicated situations and high-risk patients that could get them into trouble.

The good news is that the Australian Medical Board…

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