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What do I do to prevent suspension/exclusion.. Well I try to be a good doctor , to listen actively to my patient. I work very hard. I belong to the Medical defense union although it costs £6,000 pounds a year, I would not be allowed to work without medical insurance such as the MDU. I try to work within my competence and know the limits of my competence. I am aware that I am a 'high referrer' to secondary care, although our practice now does some internal referrals and we do peer review of referrals. How does one cope with suspension? I don't know, you try to keep physically and mentally active. If you you are able to get back on the Medical register that would be best , if it is not possible then one would need to look for an alternative career. Legal proceeding tend to take a very long time, it sometimes seems that lawyers live with a different notion of time to most people. In perhaps a lesser way than suspension/exclusion it is also difficult for Medical Student who start a medical education but do not complete it and have to find another career and may have life long regrets about not qualifying.