I'm Too Hot Now: Themes and Variations from General Practice by Roger Neighbour

By Roger Neighbour

Tomorrow's basic practitioners will inhabit an international of ever higher sophistication and complexity. New abilities might be demanded to regulate the altering expectancies of sufferers and governments. In an age of data overload, new styles of inventive, clever operating might want to advance. This publication presents a framework, illustrated via sensible examples, for this type of profession route to advance and be supported. It examines a few cutting edge schemes which spotlight different methods ahead, either for education and private enrichment. It addresses not just the necessity of modern-day younger medical professionals, but in addition the query of the way to equip all basic practitioners for the demanding situations of the longer term.

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You’re under-achieving, so sign up for another course. Poor self-image? – find yourself a new role. The fact is, we’re always feeling motivated in one direction or another. While the world as a whole contains abundance of opportunity for all, no one person ever admits for long to having enough. To the individual’s way of thinking, there always seems to be an excess of need over provision, an excess of entitlement over resources, of ambition over opportunity, of restraint over freedom, of unfairness over justice.

Is it deducible from first principles? What are ‘first principles’, the ones that have to be acknowledged as true a priori? Does contemplative research have its own axioms and laws and theorems, capable of reaching the parts that matter in professional life without our having to abandon the comfort of our own armchairs for the tiresomeness of actual experimentation? And well, yes it does. Simple questions – sadly – tend to have complicated answers, and simple solutions – foolishly – tend to get applied to complicated problems.

But he was on the staff at one of the city’s main hospitals, and he had a white coat and a space with his name on in the parking lot. I was there at a conference, strutting my stuff as the consultation know-all from the Old Country. In the bar after my session, we got talking about patient autonomy, which in the USA is synonymous with the ability to pay for treatment and in the UK with the right not to. And then his bleep went off. He carried a bleep. Dr Reisenschein was the on-call clinical philosopher.

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