A competent clinical decision maker

A NEW KIND OF PERSON

Read this and think about it.

In October 2007 a document on acute medical care was produced by The Royal College of Physicians in London.

“ACUTE MEDICAL CARE – THE RIGHT PERSON, IN THE RIGHT SETTING – FIRST TIME”

Report of the Acute Medicine Task Force

October 2007

A new kind of healthcare practitioner has been introduced.

“The Competent Clinical Decision Maker”

Here is the extract:

“Clinical Decision Makers

Two key requirements that underpin many of our recommendations are the need to provide earlier and extended access to competent clinical decision makers, supported by extended access to diagnostics which enable rapid and competent clinical assessment first time – avoiding the need for duplication and in many cases, avoiding the need for acute hospital admission.

We recommend that patients with acute medical illness should get access as soon as possible to a competent clinical decision maker at the front line of acute medical services.

A senior clinical decision maker is a medical practitioner who has the competences and experience to make a prompt clinical diagnosis and decide the need for specific investigations and treatment, the mode of treatment, and the most appropriate setting for that treatment and ongoing care.

A competent clinical decision maker has undertaken a period of specific training to use the various tools of clinical assessment combined with the appropriate use and interpretation of investigation. This facilitates the development of a rational differential diagnosis followed by prompt, safe and effective treatment of the patient. These skills are subject to assessment by more senior members of the team who have already developed these specific competencies.”

Yes, think about this.

Very carefully.

a red apple ……………………

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