Australian Doctor 14th June Issue | Page 16

16 OPINION

16 OPINION

14 JUNE 2024 ausdoc . com . au
Insight

A case of imposter syndrome ?

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 .
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
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 .
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
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 ?
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 ?
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
and social situation , reconsider
differential diagnoses and seek
further advice .
We may consult journal articles
, 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
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
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 .