#CutTheCrap so we can do Diagnosis and Treatment both more safely and more swiftlyhttps://www.dropbox.com/s/3ddiw1lww13x3iq/Clinically%20Lean.pdf?dl=0 …
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For the record, I don't believe in shared decision making. I believe it's my decision and mine alone. A clinician's role is to guide me in that decision using their specialist knowledge. Always more likely we'll defer to 'expertise' in an emergency situation though. Me included.
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But so often we Doctors make the decisions ‘You will have these blood tests, these X rays and scans’ with no or little explanation
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Doctors hold so much power in the Patient Doctor Consultation that we greatly influence the patient’s decisions
@trishgreenhalgh@JohnLauner -
#doctors are powerful so we must never misuse that power and use it always for the#patients benefit and not our benefit. Doctor and leader is simply serving humanity with sincerity honesty and integrity@willcpowell@GarethR08754256@didoharding@RobBehrens1884@RameshMehta15 -
Put an 85y patient with end stage renal failure before 2 renal Physicians, one will persuade patient to have dialysis and the other persuade patient to not have dialysis such is the power of the Doctor We should at least know the power of our position
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And then be mindful of that power when it comes to a patient's consent being voluntary? Perhaps this list should explicitly include doctors, rather than just implying it with 'others'? https://www.gmc-uk.org/ethical-guidance/ethical-guidance-for-doctors/consent/part-2-making-decisions-about-investigations-and-treatment#paragraph-41 …pic.twitter.com/3DAlIP0S6h
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Absolutely right. That's why the power of MH 'professionals' terrifies me. I only have the luxury of taking my current stance as long as I have capacity. WHOLE other game emerges once you cross over that line, I accept.
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