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Published 6 October 2008, doi:10.1136/bmj.a1974
Cite this as: BMJ 2008;337:a1974
| The first 150 words of the full text of this article appear below. |
There is a big difference between the knowledge, skills, and abilities of doctors and nurses.1
I trained as a state registered nurse/registered sick childrens nurse (SRN/RSCN) for four years and worked as staff nurse, research nurse, and ward sister for the following seven years. This gave me considerable clinical experience and knowledge of nursing and some medical knowledge. I then went to medical school and found I knew about 10% of the course already. The only exemption I was given was not to attend the one weeks nursing experience. My clinical interest enhanced my training and I got distinctions in physiology and pharmacology. However anatomy, pathology, and diagnostics were completely new.
As a GP I still believe that the knowledge and diagnostic skills I have now are not possessed by nurses. I do not always agree with diagnoses made in the walk-in centre, where district nurses may dress a wound
Elaine R Carter, general practitioner principal
1 Bridge Road Medical Centre, Liverpool L21 6PH
elaine.carter2@virgin.net