Dr Pam Rachootin GP in Adelaide , SA . |
AT age four , my grandson started attending full-day public school in Canada because that ’ s how it ’ s done there . |
almost everything now .”
I am , of course , amazed by my grandson ’ s abilities , but when I examine the reality , things do not exactly stack up .
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Eventually , they figured out he had been sitting in a semi-circle at school .
As I pondered his mental world , it dawned on me that it is relevant to
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I think GPs have a great advantage over other health professionals who are being lured into our roles because we have a much better apprecia- |
He ’ s been going to school for six |
For instance , for weeks , he has |
our current professional situation : |
tion of what we don ’ t know . |
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Ignorant pretenders playing doctor won ’ t solve the GP shortage . |
months now .
Recently , my daughter told him he was clever when he had remembered something important , to which he replied : “ Yes , I know
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been telling his parents about how he sits in a “ sesame circle ”.
What was he talking about ? Was he communing with the agricultural fertility gods ?
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one of devolution of GP duties to all and sundry .
Yes , you can train almost anyone to write a script or make a diagnosis , but will it be correct ?
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And having that greater uncertainty makes us ponder our actions , re-evaluate our assessment and treatment , consider our patients in the |
context of their family history |
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and social situation , reconsider |
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differential diagnoses and seek |
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further advice . |
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We may consult journal articles |
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, our colleagues and spe- |
Write-off here and ideally three lines if possible please , thankyou Obitius molupienime quat im num nume sust , simus doluptas |
cialists , and we practise with care because we know that all is not as it may seem .
In studies of the Dunning – Kruger effect , which is about not knowing the extent of your own ignorance , it seems people
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with less knowledge overestimate | ||||
how much they know , | ||||
whereas people with more | ||||
knowledge underestimate how | ||||
much they know . | ||||
So perhaps that is why | ||||
many doctors — even after | ||||
decades of practice — still feel | ||||
like imposters , while the true | ||||
imposters are confident about | ||||
their abilities . | ||||
Think of Trump , presumably | ||||
passing an MMSE and then | ||||
declaring he ’ s a genius . | ||||
Now , if only government | ||||
decision-makers fully appreciated | ||||
the Dunning – Kruger effect | ||||
and how it could potentially act | ||||
to compromise our healthcare | ||||
system . | ||||
The abbreviated educational | ||||
courses to upskill allied | ||||
health professionals may backfire | ||||
by releasing an army of | ||||
confidently ignorant practitioners | ||||
who do not have the benefit | ||||
of knowing either their subject | ||||
matter or their customers as | ||||
family GPs do . | ||||
The stopgap measure | ||||
diverts attention away from |
Pull Quote here Si odi totatiatem faccusa erovid magnimus , sitatum asitiis eariatio es qui cuptiorDolupid quam , sunt . Nis ne as recto et facia qui ut quiam , quis ma nullorest inctum ligendaerum |
supporting general practice to provide holistic and personal care , which is exactly what makes the profession so satisfying to both patients and doctors .
These short-sighted solutions proffered to fix the current shortage of GPs only further destroy any inclination
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of doctors to become | ||||
GPs ( or remain in the profession | ||||
) as the specialty spirals | ||||
into oblivion . | ||||
So just beware when my | ||||
grandson places a washcloth | ||||
over your hand and tells you he | ||||
is taking an X-ray . | ||||
He ’ s just a child playing at | ||||
being a doctor , as opposed to | ||||
our government , which is casting adults to play the role of a | ||||
doctor . | ||||
Meanwhile , I will celebrate , | ||||
with greater appreciation , the | ||||
very useful doubts I entertain | ||||
over my perceived knowledge | ||||
working as a GP . |