Difficult decisions: Choosing a practice

2017 ◽  
Vol 10 (8) ◽  
pp. 448-451
Author(s):  
Kathryn Harrison

With the Clinical Skills Assessment successfully completed, focus shifts to the completion of training and starting work as an independent GP; it is both an exciting and unnerving time. The myriad of opportunities open to newly qualified GPs is one of the specialty’s strengths, offering scope for personal and professional development. Opportunities can be diverse and include working overseas, teaching, developing a special interest, pursuing academic research, media roles, working with the RCGP, and many more. Most of these roles can be undertaken alongside clinical practice as part of a portfolio career, each complementing and enhancing the other. Whether pursuing wider opportunities, or gaining more experience in clinical practice, choosing the right practice with like-minded colleagues in the early stages of your career can be a difficult, daunting prospect. This article aims to offer guidance for those searching for the right practice.

2018 ◽  
Vol 12 (1) ◽  
pp. 30-32
Author(s):  
Claudia Newbegin

Working for the Clinical Skills Assessment (CSA) can feel like trying to jump through the proverbial ‘hoop’; like being a circus dog training to jump higher and higher. I prepared for my CSA with two friends on a similar schedule. For months, my consulting style was scrutinised. They commented on my facial expressions, my body position and my tone of voice. I learned that graphs do not help patients understand preventative medicine, and that I sound patronising when trying to empathise. I learned how to break bad news, explain contraception, work with interpreters, and assess a young person’s Gillick competence. We progressed through cards, books and online resources. My acting skills became prodigious. I became more confident in conducting a certain kind of consultation. Eventually, we all jumped through the hoop. However, what of the consultation once you land on the other side? Do you forget how to read emotional temperature and to involve patients in decision making? Do you revert to a paternalistic approach in bashing through the volume of patients and paperwork? Do you accept everything patients say, and give them exactly what they want in order to get them out of the room? Hopefully, this is far from the case.


2012 ◽  
Author(s):  
Bruno Rushforth ◽  
Valerie Wass ◽  
Adam Firth

2004 ◽  
Vol 23 (1) ◽  
pp. 71-81 ◽  
Author(s):  
Trey Fitch ◽  
Lenoir Gillam ◽  
Michael Baltimore

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