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”

Questions on Blogging for Readers Past/Present/Future

I’m not really sure what my place is, these days. And whether it still is with this blog. I will forever be Barefootmeds, but will I continue to tread my footprints here? 

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”

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.

GP Work is Hard

One week of some GP locums and I am exhausted. I can spend 10 minutes per consultation if people have straight-forward tonsillitis or gastroenteritis. But what about the parents who are hesitant about vaccinating? I need more than ten minutes to make an impact. What about the woman whose pregnancy test was unexpectedly positive, and needsContinue reading “GP Work is Hard”

Are We Secretly Our Own Worst Enemies?

Maybe if we dropped some of those balls – dropped them so they clattered across the floors, and people stepped on them and tripped over them and they became a real nuisance – maybe then something would change.