Kindle Notes & Highlights
by
Deen Mirza
You can’t be completely safe, keep all the patients happy, document everything AND run to time.
health care delivery should not be at the expense of the health care professional. It is like killing the goose that lays the golden eggs.
if you are not willing to do anything about an adverse situation you find yourself in, then you just need to accept that status quo as it is.
The problem is that the GP literature we have been trained on is based on an understanding of general practice that no longer exists.
to have a partly doctor centred consulting style which is time focused and employs clear boundaries, whilst being as pleasant and friendly as possible.
What we do is abnormal – the number of tasks we have to achieve, the weight of the decisions we make, the rapid turnover we need to achieve just to get through. It is not something that other people, or even doctors in other specialties, can easily understand.
it becomes apparent that this being late is not actually a problem. The reception staff are used to it and warn the patients about this when they are booked in. The patients are used to it, and many don't mind waiting longer to see that doctor because they know all their issues will be dealt with fully on that day. Other GPs are okay with it as long as they feel the late GP is still shouldering their fair share of the overall work.
What this GP has is an environment that has adapted to and accepted his tardiness.
But ultimately if it is not broken, don't fix it.
The key message of this book is one that many of us don’t often hear: that ultimately being efficient will compromise different aspects of our patient centred communication.
Our career today is more about coping than excellence.
