@mancunianmedic @UshaGrieve Apologies if I sounded if I was blaming Drs, which was not my intention - quite the opposite. I appreciate your defence of GPs, and was trying to support you by saying that this is system-wide issue bc clinicians are not properly supported.
@mancunianmedic @UshaGrieve As a COE specialist, I'm sure you do, but I often see the two used interchangeably. However I don't think it = paternalism (usually). Very few HCPs get proper medico-legal training & support, & they are understandably (& rightly!) wary of getting such a momentous issue wrong.
@mancunianmedic @UshaGrieve Also, confusion about the difference between advance directives and DNACPR is rife throughout healthcare. It's definitely not a primary care-only issue.
@mgtmccartney@VictoriaTzB@carlheneghan I'm neither pro- nor anti- appraisal, but I don't understand why appraisal & training are apparently exempt from having to evidence value/benefit.
If every UK GP spends just 3 hours on appraisal activity, instead of seeing pts, that's 135,000 hours lost - >800k appointments.
@Jopo_dr Ah, I used to find re-writing drug charts/writing up CDs oddly soothing. Like wasting an hour the night before an exam, colour-coding my revision plan.
@zackferguson ...where, mysteriously, ITU PTWRs can be run safely & effectively without the assistance of the living dead from the preceding night shift. I guess that must mean intensivists are just...better than physicians? 🤷♀️