Very Interesting to read. Despite GPs all having broadly similar medical and GP training, after the gruelling apprenticeship of working as a GP for a few years, we all start drifting away from the rote training and gradually develope our own individual consulation styles, based on our experience and personality. Training in Consulation Skills just stops, and we are left to be continually bombarded with rules and insructions and guidelines on clinical medicine, all ignoring the importance of understanding and building strong enough relationships in minutes that will encourage strangers to make huge changes in their Lifestyles and health. Our training may be a decade or more out-of-date, Society itself and medicine may have greatly changed, and the medicine we learnt and prescribe is constantly being updated and reviewed, but the Core clinical human skills of Consulting are left to fade away and be forgotten or rust with time.
This book is a unique chance to look and compare ourselves with, and learn from, the experiences and lessons learned from other experienced GPs, particularly those who have made a success of the Holy Grail of General Medicine- that of Time Management.
This isn't something we get a chance to do.
I found it fascinating, and it gave me a few ideas on how I might improve my clinical practice.
The only criticism I might have, is that it gave in-depth interviews of 5 very different Fast GPs. I wish it could have been a larger collection of 10, as that might have revealed more reoccurring themes.
I purchased this book as I had recently received the results of my patient satisfaction questionnaire, and my time keeping was commented on as an area for improvement. I frequently run late in my surgeries, and whilst I was pleased with my abilities as an empathic, listening and caring doctor, I hadn't realised how much keeping patients waiting was a cause of frustration and annoyance! In truth, I was also becoming fatigued by the length of my surgeries and wanted to improve my timekeeping.
The book has some great insights from fast GPs on how to speed up the consultation, without necessarily reducing quality of care. In particular, tips such as touch typing whilst listening, using keyboard short cuts, kindly but firmly making patients aware of their allotted time slots and being physically more organised are suggestions I will take forward in my practice.
It was noticeable (and I'm happy to be corrected), that all the GPs interviewed were male. As Dr Mirza has previously pointed out, female GPs do seem to take longer to consult - I wonder what explanations there could be for this? Is it inherent to female GPs to take longer as they are more empathy focussed than problem focussed, or could it be that patients with more complex or emotional problems seek out female GPs preferentially? This wasn't covered by the book. As it stands, the GP workforce is increasingly female and part-time. Obviously many female GPs work part time because of child care commitments but I suspect that there is another group who work less than full time because of the exponential emotional drain of increasing their consulting hours. Efficient Consulting from Five Fast Female GPs would be an excellent addition to the series that I would be most interested in reading!
Secondly, with such an emphasis on maximising the potential of the software system to improve speed, it would seem that all the GPs interviewed were using EMIS web or SystemOne. Unfortunately many of us GPs are using Vision which is technically entirely different to EMIS in its usability and functionality. It would be great to hear the perspectives of others who have made this system work for them.
Overall a great book and thank you to Dr Mirza for sticking your head above the parapet and declaring that there is another way to practice primary care against the tides of both patient demand and collegiate expectation.
I read this after being recommended and reading Dr Mirza's companion book regarding 'Slow GPs'. I believe this is the first time in a long time anyone has attempted to analyse GP consultation methods and put them into a succinct and easy-to-read format. There are useful time management tips here, as well as ideas on how to use technology to your advantage in completing all parts of the consultation. Plus the interviewees explain how they use the techniques to improve speed in dealing with admin, referrals etc. Some doctors may feel that some of the techniques are a little 'aggressive' for their tastes, but as a GP I find that we need to curb the insatiable thirst for our time from patients who think that 'free' equates to 'limitless'. I'm thankful for any material that lets me get home on time.
A good read ...have just started reading . I am delighted that you wrote this and would loved to have been involved ! Can't wait to read tips on how to safely reduce my consuls ...at this time I fear and feel the pressure from people waiting to see me .I just cannot slacked my safety net for them , or . me . My consultations are excellent compared to gp"s , so I get upset to think I have to be quicker. .....to what cost ,I say .
Over the years, the traditional paradigm of what constitutes a GP consultation has been overwritten by time constraints imposed upon us by external factors. GPs will need to evolve and adapt mechanisms by which we can keep to time, avoid frustration and burn out. Dr Mirza, once again, offers practical solutions to timekeeping issues faced by most GPs. Through optimisation, enhancing ones IT skills, multitasking and familiarising ourselves with our consulting environment, he highlights several ways in which one can improve time management within a consultation. I certainly will be taking many of these ideas onboard and is a must read for trainees and established clinicians alike.
I read this book during a morning surgery in between patients and then at the end of the session. I recognised in these personal accounts certain traits that underpin how I consult as well but also some useful tips (especially regarding touch typing and EMIS templates) that I will look into. This book forms a valuable addition to this series which, as I said in my last review, I hope will achieve the author's aim to stimulate a discussion about how we approach consulting as GPs in the 21st century and how we are teaching the next generation of GPs to consult.
If you're a GP who often finds you run late, you'll find this book invaluable. Staying on time can often feel like an impossible task - the experienced GPS in this book will show you how they manage to stay on time without compromising patient care.
Excellent analysis of the inner workings of a cohort of GPs working within their limits to balance the demands of general practice with everyday life. A great read alongside the "slow GPs" companion book in the series to provide detailed practical and realistic tips.