Back(-stabbing) Bacon or the glorious CMO - who do YOU trust?

Now I know we’re not a ‘medical blog’, but somethings a-stir lately amongst the medics.

That Neil Bacon fellow (essentially an inadequate doctor who pretends he was a renal specialist but decided to go for the dot.com fortune instead with doctors.net.uk) has started something most annoying to the medical fraternity. I won’t link to any of it (except Shrink’s post on the subject and 360 degree feedback - but only cos he’s an honorary nurse*). You know where the rest of it is.

So what’s up? Well in a nutshell he’s started a ‘rating’ site for doctors (Bacon - not Shrink) - with anonymous submissions from.. well, anyone. It’s a bit crass - actually it’s extremely crass - and I sympathise with the medics - (in the same way they might sympathise over nurses pay).

But wait! Cue the cavalry bounding over the hill - Sir Liam Donaldson, Chief Medical Officer has another idea.

The Independent reports it here:

Doctors will face annual assessments so licences can be removed from poor performers, under proposals to be outlined by the Chief Medical Officer today.

He’s changing the way doctors maintain their licenses:

A new revalidation system is being established in response to concerns raised by the Shipman inquiry, and the inquiries into the conduct of a number of other doctors. In future, doctors will be required to demonstrate to the General Medical Council that they are up-to-date, and fit to practise medicine. Doctors who take part in revalidation will be granted a license to practise, and will be reassessed every five years.

Instead of sitting and waiting for someone to get caught after killing 215 patients over 23 years - they’ve decided they should go do some self-checking and peer review. Doctors will be required to regularly provide evidence that they’re actually good at their job.

Now there’s a good idea.

* - Dr “Senior Nurse” Shrink - is currently still without biscuit privileges

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What about 360 on the Prime Minister (before the next election) and the Health Secretary and others. Also, hospital managers whilst we are at it.

The Cockroach Catcher

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Not sure if they sorted out Treaty of Rome as doctors from other EU countries do not have such re-validation and may in fact slip through and be allowed to work here unless someone heard anything different. That means if you have a Dublin medical degree…..

The Cockroach Catcher

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I was (slightly) tempted to post on Dr Bacon’s ratemydoc site with regard to my own consultant, who affectionately think of as “Dr Cretin”. If I had done so, it would have gone something like this:

“Dr Cretin is a consultant in child and adolescent psychiatry who has not the slightest understanding of children or adolescents. He has regular habit of completely alienating patients thus utterly destroying therapeutic relationships that some under-appreciated junior nurse has worked hard to build up. Kids hate him. Parents hate him even more. He’s fundamentally entrenched in the medical model and has no comprehension at all of the psychosocial aspects of child and adolescent mental health. He prescribes drugs with the wilful abandon of a dealer at Kings Cross station. I trust his SHO’s clinical judgement more than his. In conversations with colleagues, he’s shown himself to be an anti-semite and a homophobe. I’ve raised concerns about his practice on more than one occasion, and it’s only the fact that he’s now taking early retirement that’s stopped me raising more. May he piss off to some beach where he can spend the rest of his retirement spending the proceeds of being ridiculously overpaid for doing a job he manifestly does not have the skills for.”

So yes, I would have been mildly critical.

However, I think medics are right to be upset about that particular site. Dr Cretin may be a clueless numpty, but I feel even clueless numpties are entitled to due process and a right of reply. Any complaints or concerns about a doctor’s (or any other health professional’s) conduct should be addressed through the proper channels, not broadcast on the internet as a naming-and-shaming exercise.

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That last sentence was almost word-for-word what senior consultant Dr Whatever Karma said to me regarding my blog sketches about Dr Gorgeous and Mental Nurse Lurch. Suitably chastised, I gave an undertaking that my new Shrink Dr Julio Julio-Julio would not be starring in a sketch entitled “I Didn’t Study For 15 Years To Become a Consultant, To Be Made Your Personal Slave To Avoid Litigation - Do You Take Sugar In Your Coffee?”

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He prescribes drugs with the wilful abandon of a dealer at Kings Cross station.
That had me laughing out loud; fantastic :)

* - Dr “Senior Nurse” Shrink - is currently still without biscuit privileges
Erm, don’t people need to complete the 3 weekends training that you need to do to qualify as an RMN and maintain registration with then NMC? I’m sure that’s what nursing students have to do, isn’t it? 8)

And I want my biccies, ’specially the chocolate digestive ones. Mmmmm.

I started to reply to this but it became a bit of a tirade rather than a comment, so I’ve spared you my waffle and squirrelled away my ramblings here

Socartes, I’m nobody’s personal slave. Nowadays, the NHS has made it all wholly impersonal 8)

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Why are we all avoiding the fact that it was Doc Crippen who first alerted us to the presence of this website, via his own blog (which we all read, much as we don’t like his anti-nurse antics)? And for once, I agree with Crippen . . . these poor doctors (a phrase I never thought I’d hear myself use in passing passing conversation) are not given any chance to respond. Additonally, how do we know that it isn’t their snubbed ex-lovers posting these reviews as opposed to a genuine patient.

However, is anyone else a little bored of it all now? Like with Dr Dominic Briffa, Crippen is like a dog with a done - just won’t let it go until people sit up and take notice. Which I know is a good thing, but I would like to read about something else now please

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“Erm, don’t people need to complete the 3 weekends training that you need to do to qualify as an RMN… And I want my biccies, ’specially the chocolate digestive ones.”
Yes, but for biscuit privileges you have to fill out a separate 24 page form and send to the Catering Manager who will decide if you are elite enough for the Custard Creams - or just the Rich Tea. (The process is obviously a lot more complicated than this involving several layers of DoH directive and local PCT decision making board which has to consult widely with the local community at a meeting where chocolate digestives are to be found a-plenty).

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Indeed, Crazy Nurse, Dr Crippen does deserve credit for being first to draw attention to this particular issue, and on this issue at least, I do agree with Dr Crippen.

And that’s something you don’t hear me saying all that often.

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Well I’m not particularly avoiding the fact as who found it and I agree - it started to get a little OTT. JC gets enough links out of me already and I just couldn’t be bothered to source the links and I wasn’t going to link to the IWGC site (wish I’d though of not linking to some other websites a week ago.. but anyhooos…tick tock )

I see the medical blogosphere is already putting up argument. One day someone is going to offer them a 4 day week and extra holidays and they’ll find fault with it.

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