England: 10 years to save the Lettuce

Ironically, Celtic won the 1953 Coronation Cup. It competed by special invitation and beat Hibernian for the Cup, after knocking out Arsenal on the way.

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A view on the results

The Tory Chairman is however well on top of things.

Some further good news:

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The only reason any passengers should be gobsmacked would be if Harry had traveled economy sardine class with the plebs.

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A friend in England said the only way to see her local GP is to ring at 9.ooam on Monday to get an appointment for the following week. All the appointments are gone by 9.15 and you donā€™t get a choice of times.

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Thatā€™s been routine where l live in regional victoria for years. An appointment with your regular gp needs to be booked weeks in advance and they donā€™t take new patients. There may be a stray open appointment with an unestablished doctor (new to clinic) if you get in early.

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Same problem in rural France, which are called medical deserts. Itā€™s a particular problem for the aging populations in those regions. Doctors have come out of retirement to work part time in group practices. Macron has announced plans for GPs to be on the Government payroll.

I donā€™t get it, do we not have enough people wanting to study medicine? Or not enough courses?

We make Medicine so hard to get into that only super high achievers make it. Those same high achievers want to be specialists or surgeons at big city hospitals earning crazy money and having careers for the ego. Itā€™s hard to attract them to be a rural GP.

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No. NOt enough graduates who want to work outside the cities.

They even put in medical schools in places like JCU thinking they could get country kids going to a country campus and they go on to then be country doctors, but has not been that successful.

And yet we have so many dumb GPs. For example I have heard in last few weeks from different people: antibiotics prescribed for a viral infection, which the GP acknowledged was a viral infection; acute appendicitis misdiagnosed as indigestion,. Even surgeons overlook trying pharmaceutical interventions before going the knife.

What if, instead of only accepting people on exam results, there was some evaluation of communication skills, and compassion (give people extra weighting if they have a history of community volunteering, for example).

Sure, thereā€™s got to be a base level of academic aptitude, but how much more do people appreciate it when they find a doctor with people skills.

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Yes, they do that too. At least the G8 ones I know about do.

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Thatā€™s good, I didnā€™t realise that.

I wanted to do medicine initially, and had the undergrad marks easily covered, but I was not sitting a five and a half hour exam (at a cost of something like $500) to get the chance to be interviewed for a spot in the course.

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No one wants to be a GP.

The AMA has effectively always opposed expanding spots so there wages stay high. Cuba funds doctors training and has heaps.

AMA used to be the most reluctant of professional organisations to entertain mutual recognition of qualifications or of accepting shorter term upskilling of well trained foreign doctors.
At my group practice, 99% of the GPs are foreign born, mostly from the Indian sub continent or Sri Lanka.
At Sunshine hospital, apart from ED, Ward doctors and specialists are predominantly non Caucasian, foreign born, highly skilled.
Butler has recently hinted at reviewing the current prescriptive conditions for the entry of foreign health professionals, including in regard to the length of some of the courses and examinations.

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We haver 12 GPā€™s covering Port Fairy, Koroit and Macarthur.

2 Kiwis, 2 Canadians ( one born in Romania), 1 Zimbabwean, 7 Australian and most from rural areas.