Australian Doctor Australian Doctor 15th December 2017 | Page 26

Gut Feelings Kindness is the glue that holds general practice together A GP’s waiting room is a strange place. We spend our lives simultaneously adjacent to it, but separate Guest Editorial Dr Jon Fogarty 26 | Australian Doctor | from it. The exception is when we find ourselves in someone else’s waiting room, checking the time, flicking through out-of-date magazines, and hearing the conversations of those who gather to wait. The mood can be jolly, with new babies to goo over, or neighbours meeting by chance. Or it can be grim. People are sick. Some are demanding, some agitated. Sometimes the wait is too long, the consult too short, or the hoped-for outcome not forthcoming. Dealing with all this are our recep- tionists and practice managers. It is not an easy gig. It is their role to try to keep most of the people happy, most of the time. To them falls the three-card trick of triage, diplomat and accounts received. What makes this work well is com- plex but not mystical: clear systems, clear guidelines, reasonable expecta- tions. And kindness. Kindness is a bit of a gooey word. It conjures up rescuing kittens more than general practice. It lacks the drama of resuscitation and the cleverness of a smart diagno- sis. But it is the glue that can hold the place together. It is the stuff that can keep good 15 December 2017 staff. It can calm scared kids and comfort scared grown-ups. It is a magic potion for doctors who feel a bit overdone and for receptionists who feel done over. It is the not-so-secret ingredient that can make dealing with an acute or chronic illness just manageable. This has been borne out by the work of Victorian clinician Dr Cath- erine Crock, who practises in paedi- atric haematology, a field where the giddy combination of kids, pain and to provide su