Views & Reviews From the Frontline

Doctor centredness

BMJ 2010; 341 doi: (Published 14 July 2010) Cite this as: BMJ 2010;341:c3755
  1. Des Spence, general practitioner, Glasgow
  1. destwo{at}

    I have at least tried to read many of the scriptures on “the consultation”—a topic rightly treated with reverence in general practice. There are many “models of the consultation,” and each generation of general practitioners has its own fads, silly phrases, and hand signs. Such self reflection is now spreading across the medical profession, and even surgeons are expected to ask, “Do you want a hug?” and to actually listen to patients. (Obviously they still ignore their answers.) We have replaced the functional and gruff paternalism of …

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