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Old 10-08-2021, 08:45 AM
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Originally Posted by Unregistered View Post
If u are local trained then u know the reason for the referral are

1. Patient wants it
2. For a lot of junior non trained Dr, esp those cmi rp from India, Philippines, it's easier to refer because that's the easiest thing to do Vs say, full examination, teaching self physio, explaining analgesia regime, activity moderation to the patient and then still them saying they want a referral for standby at the end.
As a resident unfortunately u have to do the full works for learning purpose. As a trained FM, I ask them quite upfront how I can help them..do you

A. Want 2 days to rest
B. Want a referral or X ray
C. Want me to manage you.

Delivering babies? When obgyn are running away from it due to the the malpractice no tail end cover situation , u as a gp want to deliver babies? Sure.

The fact of it is that gp help patient navigate the healthcare system and provide a lot of reassurance. The sooner you come to terms with it, the easier it is for you to like your job. The reality is as a gp ur skillset is flexible enough to cover a lot of ground if patient lets u. If not, move on and refer.
What you like, u can actually find in the setting of a&e. U can try NZ where urgent care is actually a speciality too.
Summarize your above into

Do what patient wants. Most patients want GP refer to specialist for the things the patient think is complicated and patients think many things all complicated.
Thats why so many referrals. Dont refer tio complaint. Best case is patients tell you what they wa t. Worst case is patient shy to say expect you to read their mind do what they want. So always ask. Can tell who is old bird GP.
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