The “Good” Intern

The October issue of the South African Medical Journal (SAMJ) published an article, ‘Going the extra mile: Supervisors’ perspective on what makes a ‘good’ intern (De Villiers, Van Heerden, Van Schalkwyk). The paper assesses the opinions of supervisors on interns’ practice readiness, which differs from most research on the subject, which has predominantly researched the interns’Continue reading “The “Good” Intern”

Stop telling your depressed friend to go for a run

First, you must get out of bed. Then, you must get dressed. You must put on shoes. You must (preferably) eat something. You must unlock the door. You must step into the sun. You may have to greet the neighbour. You must put one foot in front of the other. Then you must do it faster, and remember to breathe. 

Finally had my “magical paeds moment”

The little girl had come in hurt and bleeding. No too bad, a small gash that was easily approximated and taped (gosh, I love steri strips). Next: the Tet tox. She doesn’t know about it yet. For a moment I consider not telling her at all, but she is old enough to feel betrayed. SoContinue reading “Finally had my “magical paeds moment””

The Best GP Advice I’ve Received: Part 1

  The night before my first shift in general practice, I frantically messaged one of my doctor-heroes on Twitter (@sindivanzyl). I think I was hoping for a cheat sheet, something about hypertension and diabetes, but the one thing she emphasised was, “Please, please, always examine your patients.” For medical students that would probably sound absurd.Continue reading “The Best GP Advice I’ve Received: Part 1”

Doctor. Counsellor. Freedom Fighter.

She was a healthy young woman who came to see me for a “complete check-up” before a holiday overseas. Although I tend to think “complete” check-ups are somewhat overkill, they do present a good opportunity for health promotion and disease prevention. As one does, I asked about sexual history and family planning. She hesitated justContinue reading “Doctor. Counsellor. Freedom Fighter.”

This one time, at badEMfest18…

Remember that time I went to a little town (village??) called Greyton, with some friends, and had a blast? It happened again. This time, not as a student, but as a doctor. Then, Greyton enriched me. This time, it may well have changed my life. Or at least, my career. (Are they really two differentContinue reading “This one time, at badEMfest18…”

General Practice is not exciting, but it is fulfilling

The best thing I can do for an “exciting” patient is recognise their condition and keep them alive until transfer. Give me patients that don’t need hospital admission and I can make them feel better now, and try to affect at least one health-related decision about their future.