Are GP Federations the answer for General Practice?
This week’s sketch is inspired by the return of TNG to Netflix.
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You may have been noticing people acting rather strangely this week. Why are that couple walking on the patch of grass next to the Tesco that leads no where? Why are those teenagers hanging around outside the church next to the surgery? Are there more families walking around together in the sun? And why are they all holding mobile phones in their hands
Fortunately, it seems nearly everyone knows the answer. My 60 year old parents, my eight year old nephew, the practice manager and and the patients all know.
They are all playing Pokemon Go.
A new and addictive mobile game which has taken the world by storm. It is giving us all one of those rare shared cultural moments when everyone, young and old, have something in common to talk about.
Pokemon Go has had more active users than Twitter, and replaced “porn” as the most searched term on Google, this week.
A patient told me about Pokemon Go in clinic this Tuesday. “My autistic son wanted to get up and go out of the house. He never wants to do that.”
Interestingly, Pokemon Go is also receiving praise for having a positive impact on people’s mental and physical health.
So what is Pokemon Go and why am I excited?
Ask Practice Managers and GP Partners to list the challenges currently facing their practices and GP recruitment will poll high on the list.
Practices are facing a perfect storm of factors making it difficult to find and keep salaried and partner colleagues. Senior GPs are making an early dash for the exit and juniors are looking to other specialities or to more work-life balance friendly overseas or locum roles.
The issues almost roll off the tongue. Pension caps, insurmountable workloads, business uncertainty and risk, premises issues, increasing patient demands, more regulation, higher indemnity costs, the recent GP bashing mood of the media, and active recruitment by sunnier parts of the world. It’s enough to make even the most dedicated partner consider their position.
In many areas, even finding locum GP cover means using expensive agencies to find someone to drive across counties to the practice. It is not unusual for vacant sessions to go unfilled adding to the pressure on remaining staff.
Fresh thinking and innovation can throw up novel ideas and solutions to complex problems and turbulent times.
In 1439 Johannes Gutenberg combined the wine press and the coin punch to create movable type and the printing press. He revolutionised the world.
In March this year the the RCGP Vale of Trent Faculty applied an innovative idea to the problem of GP recruitment and retention in the East Midlands. Perhaps not quite in the same league as the printing press, but exciting none the less.
The worlds of speed dating and GP recruitment, together at last!
No, this is not Dr Puddle’s usual trip to the local Tesco Metro to pick up a ready meal after evening clinic. I’m playing a game. My old student penchant for computer role playing games, RPGs, has not entirely left me. I should probably be doing something more productive, like preparing for my appraisal next month. But then again, isn’t it important to unwind from time to time?
It would be nice to think that all those hours exploring dungeons and slaying orcs were not wasted. And, perhaps they weren’t.
Continuing Professional Development, CPD, is an essential part of life as a modern professional. Here in the UK, demonstrating ongoing development is a compulsory part of all doctor’s revalidation process. Over 50 hours of development activity must be demonstrated every year in order for us to be allowed to continue to practice medicine. As I reflect on how I plan to improve myself as a professional, it strikes me that RPGs have some powerful lessons to teach us about personal and professional development.
That RPGs incorporate elements relevant to CPD is not surprising. A big appeal of the RPG genre is the experience of improving your character’s skills and abilities as you engage with increasingly difficult but rewarding stories and quests within the game world.
All RPGs incorporate a system to model the accumulation of experience, skills and abilities. For example, the Fallout series quantifies a player’s abilities using the S.P.E.C.I.A.L. system. Player “stats” are rated 1 to 10 in the attributes of Strength, Perception, Endurance, Charisma, Intelligence, Agility and Luck. Your character starts the game weak and ordinary, but experience points earned through playing the game are spent improving your basic stats, and training in special abilities. Currency can be earned and exchanged for equipment and clothing, which further enhance “stats” and abilities.
So what can RPGs teach us about improving ourselves in the real world?
Continue reading “Levelling up! Six lessons about professional development from the world of role playing games…”