Compulsory reading for anyone who says they are concerned for others, about general practice medicine, but so much applies to living, and living well.
(Notes for my lecture to the North and East London GP Educators’ conference)
At my last appraisal, I was criticised for not having more clinical conditions in my CPD (Continuing Professional Development) – “where” my appraiser asked, “was kidney disease, asthma, Diabetes, and Heart Failure?” I couldn’t think of an answer, it wasn’t that I was short of CPD, it’s just that my learning needs, the things I struggled with most as a GP were my difficulties in trying to help people with chronic pain, anxiety and depression, loneliness, severe obesity, shame, self-loathing and self-harm – the consequences of deprivation and adverse childhood experiences. It wasn’t that the weren’t also suffering from heart and lung disease and the rest – they were, to a huge extent, it’s just that managing that these diseases wasn’t half as challenging as the rest. And most of the time it didn’t seem to be…
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