Posted by: Witch Doctor | April 20, 2007

What is an independent medical practitioner?

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IN MEDICAL PRACTICE INDEPENDENCE CONCERNS A GREAT DEAL

It concerns ultimate responsibility.
It concerns judgement.
It concerns experience.
It concerns recognition of a wide knowledge base often with a deeper more specialised knowledge base superimposed.
It concerns an independent practitioner to independent practitioner route of referral.
It concerns appropriate leadership of teams.
It concerns confidence and trust by even the most discriminatory of patients.
It concerns the ability to distinguish the important from the unimportant.
It concerns the ability to prioritise the important.
It concerns the ability to confront those who try inappropriately to impose the unimportant.
It concerns the ability to confidently confront and solve problems that have never been met before.
It concerns the ability to question, question, question.
It concerns the ability to ask new questions that have never been contemplated before and to seek answers.
It concerns the ability to ignore carrots.
It concerns the ability to ignore sticks.
It concerns genuine morality.
It concerns integrity.
It concerns probity.
It concerns the ability to disregard the personal and professional consequences of saying “no” in the interests of patient care.

It concerns putting the patient first.

Above all, regarding the patient, it concerns:
1. Standing in the witness box
2. Taking the blame
3. Living with the consequences of that blame.

THAT, AND MUCH MORE, IS WHAT INDEPENDENT MEDICAL PRACTICE IS ALL ABOUT.

It means the patient is in no doubt about who is taking the ultimate reponsibility for their medical care

This responsibility, within the NHS, is becoming blurred and will eventually disappear.

Do patients know this?

Is this what patients want?

Soon, will they have any choice?

There are no perfect independent medical practitioners, but those identified as such should exhibit most of the above.

These are attributes, and cannot be easily measured.

These attributes are over and above the gathered competencies.

With loss of practice, and loss of need, the competencies can be lost.

The attributes remain.

The Witch Doctor – Link to a random page


Responses

  1. […] has been said before, “independent” carries some very specific connotations that have not been satisfied by the present review. She insisted the government now had “the […]

  2. […] The vanishing Independent Medical Practitioner Posted by witchdoctor Filed in Department of Health, MTAS, Modernising Medical Careers, […]

  3. […] Ah… The vanishing Independent Medical Practitioner […]


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