Sometimes on twitter you stumble across conversations about what doctors really think about each other & patients. Paternalism lives.
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Replying to @Sectioned_
@Sectioned_ Paternalism is easier and less frightening than shared decision making. It's how many of us were 'brought up' sadly.4 replies 0 retweets 2 likes -
Replying to @elinlowri
@elinlowri Yes, it seems central to doctor training pathways to gradually take more responsibility - ie learn to take autonomous decisions.3 replies 0 retweets 0 likes -
Replying to @Sectioned_
@Sectioned_ Partly because I've realised, the older I get, that most of medicine is grey, not black and white. So decisions must be shared.3 replies 1 retweet 1 like -
Replying to @elinlowri
@elinlowri@Sectioned_ Never quite sure about shared. Doc decides what options are clinically appropriate but pt makes the decision, surely?1 reply 0 retweets 0 likes -
Replying to @C7RKY
@elinlowri@Sectioned_ ...patient capacity assumed, of course.2 replies 0 retweets 0 likes -
Replying to @C7RKY
@C7RKY@Sectioned_ I guess the information is shared and then the decision is discussed. It's a complex thing, power not always balanced.1 reply 0 retweets 0 likes -
Replying to @elinlowri
@elinlowri@Sectioned_ I have to be honest, since I learned the rules of consent, I make sure the balance tips firmly in my direction. :)1 reply 0 retweets 0 likes -
Replying to @C7RKY
@C7RKY@Sectioned_ That's good. But (as I'm sure you know) hard for some patients to do with some doctors.1 reply 0 retweets 1 like
@elinlowri @Sectioned_ Absolutely. Tho I think that may have a lot to do with people not realising what they ought to expect when consenting
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