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Trainee GP concerns?

(118 Posts)
DancingDuck Tue 20-Aug-24 16:14:11

Been to see the GP today regarding GI problems which have not been resolved yet following initial appointment 8 months ago.
Was given an appointment with a trainee GP who basically just used a flow chart on the computer and prescribed a month worth of medication to see if it helped, no examination or discussion about previous GP appointments even though I told them the history.
I know everyone has to learn but feel a bit annoyed that I've just been given some pills and sent away with no further investigation because it wasn't on the flow chart of what to do - is this what we now have to expect of our GP service ?
I don't want to knock the trainee but feel like there probably should have been a more experienced person there as well as just reading off a chart did not give me any confidence that I'm even getting an appropriate treatment.

Jane43 Wed 21-Aug-24 14:12:52

I saw a trainee doctor a few years ago, he was very thorough, very efficient. The next time I wanted an appointment I asked for him but he had only been at the surgery for a year, they were sorry to lose him.

TopsyIrene06 Wed 21-Aug-24 15:43:24

Mirren

At last the truth. Thank you.

Made In Yorkshire

Absolutely this. Thank you.

oodles Wed 21-Aug-24 16:15:18

Had I I own what one GP failed to act on at the time I'd have complained about him!
I had some t St results which weren't improving and the trainee gp sent me for a scan which picked up a couple of other things which could have led to issues down the line, as well as what he was looking for.
Had aforementioned GP seen the test results I imagine he would have ignored them as he did the previous ones, fortunately the docs at the hospital picked up in the other things, so glad I got referred

sunglow12 Wed 21-Aug-24 16:20:13

My son is a GP and did 5 years at medical school , 2 years in hospitals as a trained doctor working different wards ( F1 and F2) then a year working in charge of a hospital on a Scottish Island with 20,000 people and then 3 years further training to be a GP . He has always been well liked and respected by his patients . How on earth do they become GP ‘s without treating people then ? It’s not as if they have just finished A levels is it ?

Indigo8 Wed 21-Aug-24 16:27:10

MadeInYorkshire

Trainee GP's are qualified doctors, but are doing General Practice training.

Of much more concern are the Physician Associates and Anaesthetic Associates that the last government deliberately deskilled our NHS with, and the current government is doing little to address!

This unfolding #PAScandal has absolutely nothing to do with improving healthcare access or outcomes.
& everything to do with increasing PROFIT & making it easier to privatise the NHS bit by bit.

These PA/AA's do a 2 year allegedly 'no fail' course and are being used in hospitals to replace qualified doctors (Junior Doctors ARE QUALIFIED, these aren't)

Our qualified doctors are raising red flags for patient safety, but the press are saying that there is a lot of support for them to reduce the waiting lists.

This policy is also affecting the employment of registered nurses (with an accredited nursing degree) where people who have done relatively short courses are employed instead as they are cheaper. We now have the situation where fully qualified GPs and RGNs are unable to find work in general practice.

RosiesMaw2 Wed 21-Aug-24 16:58:55

TopsyIrene06

Mirren

At last the truth. Thank you.

Made In Yorkshire

Absolutely this. Thank you.

Not exactly “at last” though is it?
Throughout the thread people have been saying this but there’s none so deaf as those who just won’t hear

Marydoll Wed 21-Aug-24 17:07:23

I believe Mirren is a GP, who better informed to clarify.

RosiesMaw2 Wed 21-Aug-24 17:30:26

Not arguing fir a moment Marydoll, but SueDonim is I believe the mother of a GP, as perhaps many others are, I am the sister in law of another and you don’t have to necessarily have personal “lived” experience to know a fact.

Marydoll Wed 21-Aug-24 17:37:52

I think you may have misunderstood, Maw.
I wasn't meaning to offend you or anyone else. If I have offended, I apologise.
Why are people so tetchy?

We had a colleague, whose son was a consultant and a DIL, who was a GP. She thought she was a medical expert, by association. 😉

RosiesMaw2 Wed 21-Aug-24 17:41:25

Sorry Marydoll, I was being over sensitive.

Just felt that all the previous posts stating the facts were either not being read (possible) or discounted. flowersflowers

Marydoll Wed 21-Aug-24 18:17:08

PAX!

Iam64 Wed 21-Aug-24 19:48:17

Go marydoll and rosiesmaw 💖🙏🏿🫰

valdavi Wed 21-Aug-24 20:27:13

I don't get why nurses, who (depending on their age) will have done a nursing degree then had years of specialist experience in one area to become specialist nurses, are not by law allowed to make a diagnosis whereas Physician Associates are & they could have done a biochemistry degree / physics degree & then 2 years' post-grad training (2 years to cover anatomy, physiology, pharmacology, microbiology, pathology, medicine as background & then a generalist familiarity with about 20 different specialist areas such as cardiology & gastroenterology, then an overview of mental health practice, then the different considerations in paediatric medicine then actually meeting patients & history taking & NHS structures, safeguarding etc!!). They couldn't do it without relying on computer alogrithms & I do believe medicine is still art as well as a science so experience/ depth of knowledge is needed to safely use those. Not a fan of the PA model here.There's a danger some don't even know how much they don't know (as when they tell patients they are the equivalent of a GP)

Maggieanne Wed 21-Aug-24 20:38:54

I personally know of one person who has benefitted from being seen by a "trainee", she had been ignored by all at her surgery, it was the trainee that found out what was wrong with her. Another trainee diagnosed what was wrong with a patient, unfortunately the diagnosis was too late and the patient died because he was being treated for the wrong illness.

RosiesMaw2 Wed 21-Aug-24 20:52:47

Marydoll

PAX!

Pax 🙏😇

SueDonim Wed 21-Aug-24 20:58:20

Trainee GP, Rosiesmaw, for clarification. smile

Iam64 Wed 21-Aug-24 21:10:01

I read this week that some PA courses are accepting as students, people whose first degree isn’t a relevant science type but could be English or Geography. Im not dissing non science degrees but if this is true it’s clearly wrong

Marydoll Wed 21-Aug-24 21:19:59

SueDonim

Trainee GP, Rosiesmaw, for clarification. smile

Clarification abounds on this thread and harmony! 🤣

4allweknow Wed 21-Aug-24 21:30:07

My experience in March this year of a trainee GP was very similar. Looked up sites on computer mainly Mayo Clinic,, got all her info from them inspite of the details I gave . Trainee recommendation just take some pain killers. Could have co-codamol, but she wouldn't recommend it as can cause problems. Came out bewildered. Felt you'd maybe get a fair diagnosis if you went in with blood spurting all without referring to a computer site, yes, I can see you are bleeding!

RosiesMaw2 Wed 21-Aug-24 22:34:24

SueDonim

Trainee GP, Rosiesmaw, for clarification. smile

Let's not start all that again! gringrinwink

Marydoll Thu 22-Aug-24 08:11:34

I came across this and was shocked to read that the PA course was only two years long.

www.bbc.co.uk/news/articles/c9qgxxxpggyo

M0nica Thu 22-Aug-24 08:29:51

But they do have to have an apporpriate degree first, so the total training time is 5 years.

Remember 'doctors' are so called because their training is up to doctorate level, so 3 years fortheir first degree and three years for their 'doctorate.

Marydoll Thu 22-Aug-24 09:32:02

I stand corrected Monica. I found the entry requirements.

Applicants must be graduates with at least a 2:2 degree classification (or equivalent overseas qualification) in a life science or health-related subject (which must contain significant elements of basic medical sciences), normally obtained within the last five years.

sadnona Thu 22-Aug-24 10:43:38

Thank you Monica. I’m fed up with PAs being slagged off in the press, TV and on SM. My daughter is a PA, she worked very hard to gain 2 degrees to enable her to become a PA. She currently works in a very busy London A&E Dept, she frequently stays well over her 12 hour shift, worked throughout the pandemic and is often put open by senior doctors and consultants because they can see she is very capable. Please do not tar everyone with the same brush. There is good and bad amongst doctors and consultants too.

Marydoll Thu 22-Aug-24 11:15:36

sadnona, well done your daughter and thank you to those, who have enlightened us about P.As and trainee G.Ps.

Another group, who I think are undervalued are nurse specialists. The R.A specialist nurses I am in frequent touch with are amazing.
A few months ago, I left a message on their answer machine, because I was very unwell and ten minutes minutes later, my consultant phoned dme.