Me too! Many people have waited years for a moment of this sort to arrive. The conversation finally has real meaning and is being taken seriously, rather than being dismissed with platitudes. We all have a responsibility to ensure the opportunity to improve things isn't lost now.
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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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Do you observe conversations between consultants and juniors, and advise consultants on how to be more effective?
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No... but consultants have to do education based CPD. One came back from session and chided me for some banter was having with trainee. Colleague was taking the Micky but without knowing my relationship with trainee it might have appeared to outsider tha I was unfair to trainee
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Often consultants are only seen at work by juniors, nurses, patients & families, those in the weakest position to challenge poor behaviours. They all need to be part of the review of consultants & not the ones a consultant chooses to involve.
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