What’s the theory of everything?

#GPFUQ  160  What’s the theory of everything  ‘The need to seeks causes has been put into the soul of man’ Tolstoy

#GPFUQ 161 How do you get the balance of care right? In practice the dual provision of care by a personal GP and a chronic disease management focussed nurse gives a tension to provide balanced care for both a person and their disease.

#GPFUQ 162 Why do patients always come at the wrong time?  Its impossible for them to come at the right time its always going to be either too early or too late. A paradox is that whilst GPs and hospitals are overwhelmed by patients who have minor self limiting conditions, we are told that patients with clear signs of early cancers either don’t seek help or are under treated.

#GPFUQ 163 Why does it take three years to train a GP but more than three to train any other speciality? General Practice can either be considered too easy because you don’t need to know too much about anything or too difficult because you do need to know something about everything. The NHS funding for a three year training scheme simply reflects reluctance of Government and the NHS to move on from the old models of training of specialist doctors.

#GPFUQ 164 Why does working abroad for 2 years enhance your reputation in hospital medicine but trigger remedial training in general practice? If you work abroad for more than 2 year then before you can return to work as an NHS GP you have to prove your competence by being supervised working in a general practice until your competence is assured. Is this because GP is too easy or too difficult?

#GPFUQ 165 Why is it important to plan sabbaticals in your career?  We all work best doing the jobs we enjoy and feeling like a volunteer rather than a conscript. A sabbatical gives you a chance to review where you are in your career and either change it or continue it and stay a volunteer