doc2doc at the Junior doctors: agents for change event 10/11/2010
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doc2doc at the Junior doctors: agents for change event 10/11/2010
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Luisa is at the King's Fund in London today for the Junior doctors: agents for change conference For some of the talks, I will be attending virtually as Sabreena Faintree. Are any of you the
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doc2doc at the Junior doctors: agents for change event 10/11/2010
posted at 10/11/2010 10:20 AM GMT
on bmj.com
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Luisa is at the King's Fund in London today for the Junior doctors: agents for change conference For some of the talks, I will be attending virtually as Sabreena Faintree. Are any of you there virtually or in person? A bit about the conference ... About the event Providing high quality care for patients needs a strong partnership between junior doctors and managers. The King’s Fund in London is bringing junior doctors and senior managers together to improve how to collaborate for quality in the future.
The virtual event is extended to doctors and managers globally. Join us for a day of high profile speakers, discussion on how junior doctors and senior managers can work better together, and contribute your experience of how managers and doctors work in your country. There is no need to register for the virtual events. Simply join us at 10:00GMT. If you are attending in Second Life please ensure you have downloaded and tested your software in advance and Teleport to this location: http://tinyurl.com/agents4change Note: If this is your first event in Second Life please refer to this information in advance: |
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Re: doc2doc at the Junior doctors: agents for change event today
posted at 10/11/2010 12:33 PM GMT
on bmj.com
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First: 17/11/2008 Last: 24/5/2013 |
A junior doctor from King's College goes into a cubicle to see a patient with a suspected MI. "Hello, I'm a junior doctor" he says. " F off I want to see the consultant" says the patient. To Tim Smart, chief executive of King's College Hospital, this is more evidence that telling patients you're a junior doctor is not a great idea. What about specialist or consultant in training? In fact he goes so far as to say junior doctor is a derogatory term. Some people at the conference agree but others say you have to be honest with patients so they know what level of expertise to expect. One delegate suggests using the US terminology of residents and interns but I think the public knows what these mean in the US and probably say " F off I want to see the Attending". Some one in the audience, a locum consultant says that patient trust comes from professionalism and competency not re-branding. Junior doctors, she said, should not wear tatty trousers and trainers. To which Tim Smart replied that there were some consutlants at Kings who shouldn't be wearing these things either. A young woman doctor complained that if she loooked too smart people mistook her for a secretary. Ho hum. No change there then. |
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Re: doc2doc at the Junior doctors: agents for change event today
posted at 10/11/2010 12:43 PM GMT
on bmj.com
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*Moderator*
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First: 17/11/2008 Last: 24/5/2013 |
Who doesn't love Waitrose and John Lewis. For anyone overseas these are the best shops in the world. Fiona Godlee, editor of the BMJ admits, as she introduces the director of personnel at Waitrose that she and her husband can think of a couple of branches they would want to live in. Waitrose is lots of things the NHS isn't. Its staff always smile and will almost take you by the hand to show you where the tin of organic happy tuna is. Could this be related by any chance to the fact that they own the business? That the business will pay half of the cost of them taking up any new hobby? That the John Lewis partnership (the clue is in the last word of the name) has six yachts for its staff to borrow should they want to learn to sail? As employees become more satisfied, so customers become more satisfied and so profits rise, explains Rob Collins. It's a quality circle. Simple isn't it? The partners ie anyone who works for John lewis Partnership take responsiblity for the business. They have a waitrose council where one person from each shop (300) goes to a meeting of the board for two days and tells the board what is going well and what isn't. A junior doctor puts up her hand and says she worked for the partnership as a medical student and now still misses their reward system. So how does this apply to the NHS? Hospitals should make sure they can hear from their junior doctors as they will know what is going on. Collins, like Smart referred to the intellectual capability of junior doctors. But as one said to me in the coffee break- juniro doctors spend their time talking about patients and other people they work with- not how to change things in their hospitals. Although she reassured me that now hours are shorter than in my day she does have friends. And can see them. I forgot to mention that Tim Smart told us that in Wolverhampton Hospital (can't remember exact name of institution) they haven't had a acse of MRSA in over 500 days. |
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Re: doc2doc at the Junior doctors: agents for change event today
posted at 10/11/2010 12:50 PM GMT
on bmj.com
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First: 17/11/2008 Last: 24/5/2013 |
I love Waitrose but I may love Liz Saunders from the King Fund even more. What an energetic person- she had everyone enthusiastic and believing they, lowly juniors, have the power to influence. Name a powerful person she said. The guy in front of me ( a manager) wrote HItler. The doctor next to me (specialty psychiatry) wrote Ghandi. Others put forward Joanna Lumley (who knows how to use the media for her Ghurka campaign), Simon Cowell (money and influence and he can get you a record contract whereas no one says Louis Walsh because he doesn't seem so powerful. Liz's main points are that to influence someone you have to speak their language. know what matters to them, what you have in common, how they like to get information (maybe not a 50 page written document), and who they listen to. She talked about how the supermarkets know all about us through our loyalty cards and markets to influence what we buy based on what they know. It hits me (oh it's so obvious and the doctor next to me confrims it) that doctors don't know the organisational chart of the organisation they work for. They know how the hierachy works in doctor land but not in the land of managers. And as someone pointed out in the discussion - hospitals are full of tribes and they don't talk to each other. They don't even think of talking to each other. Help, Liz. |
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Re: doc2doc at the Junior doctors: agents for change event today
posted at 10/11/2010 2:54 PM GMT
on bmj.com
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First: 17/11/2008 Last: 24/5/2013 |
We are in a workshop session- six managers and two junior doctors and there is a genuine desire to work together. No one slags eahc other's tribe off. There is a giggle about how consultants get interested in the business side/financials of medicine when they get interested in private practice but generally the recommendations are that there are structures for junior docs and managers to talk to each other, feedback on what happens to ideas and some managerial/business skills taught at med school onwards. Doctors don't usually go into medicine thinking it is a business. Managers might want to get to know the business of medicine as much as they would the business of anything else they were managing.All good stuff. I come out of the group and see a TV showing SKY news and students demonstrating against increases in fees. It is so long since I have seen a UK police/demonstrators full scale battle that it feels alien and then I feel all militant again like I did when I was a student and think I should show solidarity and rush down to Millbank. |
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Re: doc2doc at the Junior doctors: agents for change event today
posted at 10/11/2010 11:07 PM GMT
on bmj.com
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Posts: 888
First: 12/11/2008 Last: 2/5/2012 |
In Response to Re: doc2doc at the Junior doctors: agents for change event today: A junior doctor from King's College goes into a cubicle to see a patient with a suspected MI. "Hello, I'm a junior doctor" he says. " F off I want to see the consultant" says the patient. To Tim Smart, chief executive of King's College Hospital, this is more evidence that telling patients you're a junior doctor is not a great idea. What about specialist or consultant in training? Hmmm...Did nobody in the audience suggest that there are more important things to discuss than the semantics of what junior doctors call themselves? Was there a wider point to this? |
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Re: doc2doc at the Junior doctors: agents for change event 10/11/2010
posted at 11/11/2010 10:51 AM GMT
on bmj.com
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*Moderator*
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First: 17/11/2008 Last: 24/5/2013 |
Someone did say that re naming wasn't important. The arguement was that junior doctor is demeaning as a term and doesn't encourage patients to feel secure when treated by one, or managers to think junior doctors have anything much to offer in the intellectual stakes when in fact they could help very much in restructuring services etc. Do junior docs feel demeaned by the term? |
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Re: doc2doc at the Junior doctors: agents for change event 10/11/2010
posted at 11/11/2010 11:22 PM GMT
on bmj.com
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Posts: 888
First: 12/11/2008 Last: 2/5/2012 |
I don't feel demeaned by the term junior doctor, and there's nothing wrong with telling a patient what your level of seniority is. You can explain your seniority more sensitively for instance, by explaining that you will see them and discuss the case with the senior member of the team who will see them is necessary. I think the wrong message to give to juniors, especially at a conference about patient safety, is that they should embelish their level of experience or try in any way to deceive the patient as to their seniority. |
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Re: doc2doc at the Junior doctors: agents for change event 10/11/2010
posted at 12/11/2010 12:16 PM GMT
on bmj.com
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First: 10/9/2009 Last: 21/5/2013 |
I don't think it is demeaning to be referred to as a junior doctor, and, as above, I'd rather patients were aware of my level of experience from the start. "Junior" and "senior" are universally comprehended terms unlike "attending", "intern" and "residents". If a patient asks to see a more senior doctor I might ask why while explaining my capabilities. If he insists and it's feasible, I'd have to oblige |
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Re: doc2doc at the Junior doctors: agents for change event today
posted at 12/11/2010 12:35 PM GMT
on bmj.com
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Posts: 193
First: 24/9/2010 Last: 27/10/2011 |
In Response to Re: doc2doc at the Junior doctors: agents for change event today: the John Lewis partnership has six yachts for its staff to borrow should they want to learn to sail? Posted by luisad Amazing perk! Almost tempting enough for a career change 
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