Then let’s share and stop people suffering. Too many physicians, patients, and families are suffering and dying for lack of an honest conversation. I’d love to spend time on the hotline.
I know it depends on the discipline, but not all doctors work alone, surely? Surgical teams spring to mind for starters
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The vast majority of us don’t.
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But like any regulated environment, there must be adequate supervision, no? Somebody with eyes on every now and then to make sure all is well?
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Er, yes. That’s what consultants do.
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And who supervises them and their work?
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My belief is that most organizations (across most industries) don’t offer meaningful supervision to supervisors. I’d be delighted to be proven wrong!
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I can only speak knowledgeably of 1 regulated industry and that was pretty good up to 2nd line, but fell fairly flat once you ventured higher. All too common to find specific supervision skills are not well trained at best, wrongfully assumed to be obvious at worst.
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Not at all, but real redundancy isn't a given just because you work in a team. You need sufficient overlap of roles from a sufficiently familiar perspective as well as the space to be able to appraise the actions of another without too many distractions & other responsibilities.
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I guess the ultimate redundancy boils down to candour again. Both self-reporting and being candid about your colleagues. Whatever happens next, candour will be a non negotiable for patients, imho.
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I work on a ward with another consultant. We do board round reviews together, if he thinks something different needs doing for my patient he will say.....
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I tell my juniors to call me Mark, they find this hard, I point out if thy can’t call me Mark how the hell can they tell me if they think I have got something wrong
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So colleagues are watching each other? Sounds sensible day to day. And I like the approach with the juniors - makes a good point. Is there also any formal supervision from above Mark? Wherever 'above' may be in this context. Any checks done to ensure continued competence?
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OK...I have aprailsal .... trust gives me data on mortality. LOS, readmissions etc, I have to record and reflect on number and nature of complaints. All my deaths (I am Care of Older, so a fair number) are reviewed by my clinical partner....I expect him to be frank with me
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As head of department I look at the same data for my colleagues. When worked alongside locus, if less than ideal (I have very high standards/expectations) they go PDQ, if serious concerns I discuss with trust management so they can take further if they think needed
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