Quote:
Originally Posted by Unregistered
got a gdfm many years ago. And prolly your senior kae.
My english no good coz i went to a lousy sch.
My era a lot of ppl go to that lousy sch.
Gp 就是gp. Why want to make it to specialist.
Even though im fp, we still call ourselves gp.
Coz gp got pride.
But the $150 bucks per fp specialist consult?
Back pain? U can do op? U can tens? U can physio?
-tbh i just nsaids and mc nia.
Hypertension u know how to investigate for secondary causes? You know how to interpret aldo renin?
-i just try 1-2 anti htn. If need 3 or more or hypoK i send out alr to investigate
Dm u know how to manage type 1? Insulin pump? U know how to counsel for glp1?
-brittle type 2 and type 1 i will refer out
So i dont understand why we need so many qualifications and fm specialist coz gp is supposed to be for the masses.
For the people and keep care accessible
Ideas concern and expectation can only work so far.
1mile wide, 1inch deep. Cannot be helped
I always refer out when it is neccessary.
But just fearing the $150 consult for gp will worsen the situation and access to care
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not sure why you keep harping about the $150 consult.
no one say that FP specialist is charging $150.
it's about recognition of the skills and subject matter expertise.
everything else remains the same.
yes at the basic GP / MBBS / GDFM level you can practise referrology.
treat simple conditions and refer away everything.
but you should try your hand at managing all the complex chronic patients getting discharged from hospitals nowadays (they are still mostly in the public sector because they ain't gonna afford taking 10 chronic meds from GPs). it's not so simple anymore. and the number of patients who are like that are only going to keep increasing.
no need to be so ganzhiong about FPs going for higher qualifications.
beauty of FM / GP is you can choose what level you want to stay at.
you want to prac at MBBS / GDFM level by all means go ahead.
the higher qualifications are for those who want more. they also need to train younger FPs.
cannot be GDFM holders training GDFM trainees right?