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- Page navigation anchor for Resilience training, really?Resilience training, really?
Isn't "resilience training"1- to include yoga and mindfulness - one reason we despair of the RCGP2? The qualitative explanation of a good consultation3 and a brief exploration of empathy4 - both published in the same BJGP issue - provide insight into why there is a built-in hazard that good GPs burn-out or leave.5 Learning detached compassion; empathy without feeling, interpretive consultations without transference - they would give me resilience.
Clare Gerada’s New Kind of Doctor6 offers another, practical solution. Pick jobs where your time and capacity are respected. Move on! Avoid continuity and the relentless ten minutes.
We baby-boomers need not worry how healthcare will survive without us. The July editorial7 of BJGP describes dividing primary care into quarters, to re-assign within new models of care. Run by hospital ACOs,8 this will dismantle both the internal market and primary-care based in practices. The RCGP as well as our LMCs have understood this direction of travel for some time, another reason for our distrust.2
Nurses and physician assistants will see many, if not most, patients. There will be improved, patient-led care for those with chronic disease, offered by the specialist nurse. Complex polypharmacy will be overseen by pharmacists. Community based, multi-disciplinary teams will in...
Competing Interests: Working within the NHS as salaried doctor until November 2017 in Bedfordshire. Left partnership and CCG role in Hertfordshire during 2016. Ongoing roles outside the NHS as hospice officer (Luton) and out of hours GP (Care UK).