You know what?...that's one of my favourite phrases that I give on my feedback comments.
Problem is.....the emphasis now is on covering your back, risk assessing, warning patients that they might cock it up, heading off medico-legal problems at the pass.
If you do all that you spend a lot less time carrying out the practical clinical aspects of dentistry.
You can tick all the boxes to cover your back...or do a load of dentistry & gain lots of practical experience...but you can't do both.
It's a self-fulfilling prophecy.
Hey, we might cock it up but at least we warned you that we might cock it up
This is the reality...when I qualified 40 years ago I left dental school having done about 150 fillings (one of my colleagues thought about 200). We were half decent dentists when we left dental school. Now they have to have done a minimum of 12 fillings. That's eff all....& after 5 years of study!
The downside is that we never did a risk assessment. Didn't have any 'tick boxing' to complete. Didn't get the patient to decide the best option. "you're the bloody dentist FFS' Many a time I'm crossing my fingers hoping that the clueless patient makes the correct choice....I wouldn't dare to override my landscape gardener....he's the damned expert in his field....albeit in a miniature scale to my own...but even so...
We wrote 3 lines max in the notes....we wrote the important stuff...not a load of 'stating the bleeding obvious' crap.
Things have got to change....
Last edited by trident-7; 26th April 2024 at 22:27.
You've touched upon the growing need to act as your own advocate when interacting with the NHS...if it seems kinda strange, jarring to you* , imagine being in your 80's and caring for a loved one, their mindset is one of absolute trust that the state in the person of the Dr's, nurses will always know- do what is best, will always provide good care efficiently...bloody distressing when they discover the ´´system´´ is far removed from this.
*I touched upon this phenomenon when discussing our situation with miscarriage, the wife´s GP´s only advice ´´keep trying´´ and then ´´Well you do your own research, tell me what you need- want´´...but, but you are supposed to be the highly trained medical person, you got all the notes, tasked- responsible with providing oversight, no?
Last edited by Passenger; 27th April 2024 at 11:19.