Trainee GP concerns?

Are you confused? I have never discussed estate agents with you.
True- I think it was M0nica -I used the term “we” loosely meaning “we” on GN.

Why have you picked me out to reply to? If you don’t like what you read just move on 🙂
Um, what happened to the concept of “discussion” ?
I commented on a post expressing my opinion. Isn’t that what we do?

Oh no, I hate that. At our surgery last week a nurse called me “hun” and I really detest that. On the way out I moved aside for a cleaner and she said the same.
They sent a feedback request and I complained on there
Oh dear and some people complain about waiting weeks for a face2face.
Why must there be this intolerance? You may not like a term such as “hun” but it is not unkindly meant. What happened to live and let live?
I find myself increasingly alienated by judgemental and critical attitudes by my (as I thought) peers on Gransnet. No wonder tempers flare up sometimes in RL if we cannot swallow our sense of entitlement in the face of the looks or language of others.

RosiesMaw2

^I recently saw a trainee doctor and was not impressed. She was very unfriendly and hurried me. She was a big girl with a huge backside and a very short skirt. When she bent over to adjust the couch you could see her knickers^
Oh FFS, are we back to judging peoples professional competence by the size of their arse?
We have had this conversation before , I think in the context of Estate Agents and being “ professionally” dressed.
I really CBA to reiterate the various arguments expressed then, but professional expertise has to come at the top of my list. A good bedside manner is wonderful and highly desirable but a good physician should not be judged on their knickers.

Reread my post. I wasn’t judging her by her knickers or size of backside. I started off by saying I felt hurried and she was unfriendly. I also said I got the referral I wanted.

Bearing in mind the post from GNHQ today regarding trying to get along with others, I can’t believe you are already trying to have a go at me rather than just giving your opinion to the OP.

If someone turned up at a wedding dressed like a bride, or all in white,or draped OTT in black at a funeral where we were asked to wear bright colours, we would take exception and consider them unsuitably dressed and I feel like that in any situation, whether talking tradesmen working on my house, or doctors, nurses or lawyers. I f they look scruffy and untidy, I cannot but have concerns about their professionalism.

Attention to detail, whether someone is painting the outside of my house or diagnosing my health problems, is something that goes through everything someone does, and will be reflected in how they dress.

Yes, I know all about mad geniuses, but they are few and far between and are unlikely to be GPs.

RosiesMaw2

^I recently saw a trainee doctor and was not impressed. She was very unfriendly and hurried me. She was a big girl with a huge backside and a very short skirt. When she bent over to adjust the couch you could see her knickers^
Oh FFS, are we back to judging peoples professional competence by the size of their arse?
We have had this conversation before , I think in the context of Estate Agents and being “ professionally” dressed.
I really CBA to reiterate the various arguments expressed then, but professional expertise has to come at the top of my list. A good bedside manner is wonderful and highly desirable but a good physician should not be judged on their knickers.

Are you confused? I have never discussed estate agents with you.

Why have you picked me out to reply to? If you don’t like what you read just move on. 🙂

ronib

RosiesMaw2 how about judging a doctor on their BMI? Or is that now not considered important?

Are you judged?
Should any professional - or indeed anybody - be judged on your opinion of their appearance?
Oh dear, back to Angela Rayners trouser suit it seems.

Primrose53

I recently saw a trainee doctor and was not impressed. She was very unfriendly and hurried me. She was a big girl with a huge backside and a very short skirt. When she bent over to adjust the couch you could see her knickers. She did do a referral for me though. Overall opinion, not very professional.

Oh dear.
I have lost count of the number of ‘ists’ that could be applied to this post.

Glad she made a referral for you and hope that that had a happy outcome.

petra

I wish everyone could see the trainee Dr I saw.
It was an emergency appointment, I was with him for over 30 mins.
He tested absolutely everything, including an ECG. Then he phoned the hospital to tell them to expect me. Wonderful man.

This happened at a recent appointment I took my daughter to, too

RosiesMaw2 how about judging a doctor on their BMI? Or is that now not considered important?

I recently saw a trainee doctor and was not impressed. She was very unfriendly and hurried me. She was a big girl with a huge backside and a very short skirt. When she bent over to adjust the couch you could see her knickers
Oh FFS, are we back to judging peoples professional competence by the size of their arse?
We have had this conversation before , I think in the context of Estate Agents and being “ professionally” dressed.
I really CBA to reiterate the various arguments expressed then, but professional expertise has to come at the top of my list. A good bedside manner is wonderful and highly desirable but a good physician should not be judged on their knickers.

lixy

Trainee GPs are qualified doctors doing extra training to be gps. They are allowed extra time for each consultation and have a qualified go mentor within the practice to refer to if unsure. I hope your treatment is effective and you feel better soon.

Are you aware of this?
These are not medical students but qualified doctors
DH spent a lot of time in the Royal Free in London over the years before and after his transplant, and was often “taught over” to students as he was quite unusual in his various conditions.
He lapped it up and always said he was happy to be a Guinea pig for students as they might be his consultants of the future and the more they could learn now, the better.

Freya5

I'd be quite happy to be seen by a PA. They have to have a science or biomedical science degree, then undergo intensive training for 2 years as well as undertaking regular updates which are compulsory, same as GPs, Nurses, or anyone for that matter. in the medical profession .
Very interesting to read what they go through training wise to achieve their role.
University of Birmingham Medical School.

That's as may be, but they are not doctors. When I saw a PA for something potentially quite serious, she told me she was qualified and able to do everything a doctor could. Those were her exact words. That is a lie, or delusional, whichever way you want to look at it. The rise of PA's is generally detrimental to patients, no doubt about it.

It's like saying that classroom assistants are exactly the same as teachers or draftsmen are exactly the same as civil engineers. The whole thing is a cost cutting measure which in my vast experience (in any field you care to name) is never for the benefit of the recipient.

Primrose53

I recently saw a trainee doctor and was not impressed. She was very unfriendly and hurried me. She was a big girl with a huge backside and a very short skirt. When she bent over to adjust the couch you could see her knickers. She did do a referral for me though. Overall opinion, not very professional.

I’ll be honest, I couldn’t care less whether the GP I see is 80 years old, a trainee, a large fat woman, or a thin tall man, so long as they deal with my medical issues properly

Judy54

I am more concerned about the Physician Associates who have 2 years training and are not qualified Doctors. Their role is to assist Doctors not take their place. It is very concerning that they are being allowed to do things that only trained Doctors should be doing. They are soon to be recognised by the General Medical Council Why? The problem is we are not told when visiting our GP's whether we are seeing an actual Doctor or a Physician Associate. This cannot and should not be acceptable to Patients.

I agree

Nannarose

I started this before M)nica's post - so sorry to hear this.

Me too - awful

petra

I wish everyone could see the trainee Dr I saw.
It was an emergency appointment, I was with him for over 30 mins.
He tested absolutely everything, including an ECG. Then he phoned the hospital to tell them to expect me. Wonderful man.

Me too!

I had been back and forwards and fobbed off with a heart problem.
I went back again and saw a trainee GP, who decided to phone the consultant directly, because she was so concerned. (She told me that she would probably get into trouble for being so bold.)

Fortunately, she caught him on his way to a clinic.
The consultant changed my medication and a few days later in the evening, I received a phone call to say that I was being admitted to Coronary Care and not to waste time going to admiussions.
That trainee saved my life too.

M0nica

Nobody has yet mentioned Nurse Practioners, or have they been subsumed into Physician Assistants.

We have one in our practice. I was put off when i saw her because all through the consultation she kept saying 'Ah, bless' in that tone of voice kept specially for children and the elderly.

Oh no, I hate that. At our surgery last week a nurse called me “hun” and I really detest that. On the way out I moved aside for a cleaner and she said the same.

They sent a feedback request and I complained on there.

I'd be quite happy to be seen by a PA. They have to have a science or biomedical science degree, then undergo intensive training for 2 years as well as undertaking regular updates which are compulsory, same as GPs, Nurses, or anyone for that matter. in the medical profession .
Very interesting to read what they go through training wise to achieve their role.
University of Birmingham Medical School.

Nobody has yet mentioned Nurse Practioners, or have they been subsumed into Physician Assistants.

We have one in our practice. I was put off when i saw her because all through the consultation she kept saying 'Ah, bless' in that tone of voice kept specially for children and the elderly.

DH saw a Physician Assistant although she didnt introduce herself as one. She was excellent and very thorough. GPs and PAs seem to have to go through a clear protocol while trying to refer a patient to hospital for further tests.
I too am waiting for a GI appt. While waiting the GP requested 2 pooh tests and a further blood test to check for some things not covered in the Full blood count.
No medications have been prescribed. Probably because the go-to Buscopan is not suitable for those with glaucoma.
I was pleased to see this GP as she quickly sent me for a ct scan in 2020 which highlighted problems with lymph nodes resulting in a later diagnosis of a blood cancer. So I have no complaints about my current treatment.
I think you ought to raise your concerns in writing with the practice about your current situation and ask if your current "treatment" can be reviewed.

I recently saw a trainee doctor and was not impressed. She was very unfriendly and hurried me. She was a big girl with a huge backside and a very short skirt. When she bent over to adjust the couch you could see her knickers. She did do a referral for me though. Overall opinion, not very professional.

Did you tell the doctor that you weren’t happy to be prescribed more of the same meds, Dancingduck? Did you ask for further investigation? The NHS model now seems to be that the patient is the one who leads the process, unlike in the ‘olden days’ when the doctor would simply say you’ve got ABC, take this XYZ medicine, which is now seen as patrician.

There’s also the possibility that the doctor was having to conform to protocols laid down by the surgery or Health Board, in that you can’t proceed to the next step until you’ve taken all the previous steps.

Whatever the situation, I think as you’re unhappy you should request another appointment with someone who can explain the decision-making to you and where you can state what you want to happen.

I would prefer to see a qualified nurse rather than a Physician Associate; in fact I would trust a nurse over some of the Junior doctors I encountered recently.

Judy54:

I have worried about this for some time now. Thank you for raising it.

True excellence, providing outstanding care, thoughtful diagnoses and management requires skilled hands, trained in medical school for 5/6 years. There surely are no short cuts to attain this level of knowledge.

Nannarose

I do think that it is difficult without further information. This is what I think is relevant:
I am presuming they had access to information from your previous appointments
Has this medication been tried before, and if so did you tell them?
Depending on the situation, a month could be a reasonable trial of this medication - do you have any reason to think it shouldn't be tried?
Have you been given follow-up information - such as 'come back in a month's time to discuss how the trial has worked' or 'if you see no improvement by [a certain time] please make an appointment'.

These flow charts / algorithms are very useful. They are a way of ensuring that things are not missed, and as a nurse practitioner I used them a lot.

I would consider why you don't feel you have been heard properly by the doctor. Is it because you have a feeling that this medication isn't the right thing for you? Think about why.
Is it because these are worrying times in the NHS and we are all a bit on edge?
Did you not feel comfortable with this doctor - because they are a 'trainee' or some other reason?

8 months is quite a long time - is your problem worsening or not going away? Or i it one of those intermittent issues?

In this situation you do have a right to discuss with someone else, you also (IMHO) have the responsibility to consider the use of NHS resources. If you do ask to see someone else, I would try to pinpoint what you feel the problem is. Sometimes when we are upset and anxious that is difficult

I do hope this is helpful and that you can resolve it.

The medication given is just a double dose of the OTC treatment I have been using so there is unlikely to be any tangible benefit (I am a pharmaceutical scientist by training).
The issue is worsening and I feel that now they should be investigating a possible underlying cause rather than just continuing treating the symptoms.
I have no issue with trainees - we all have to learn our jobs at some point - feel like the receptionist should have mentioned this when I made the appointment so I had an option to see the GP I saw if I preferred to wait to another day.