Ask me when the music was greatest and I would say the 80s.
Ask me when people had a real good time and I would say the 70s.
Ask me when medical students were educated properly and I would say till just before 2000
Call me old... and I will sue for discrimination. That should make you think twice before making accusations of me being outdated. I was tempted to do a survey on this, but like most other things in the NHS, you do surveys on things you already know the answer to. Then you get the wrong responses and you have to explain why the outcome did not match your hypothesis. I have been critically appraising too many journals me thinks.
Ask any senior doctor and they will point out how educational standards have deteriorated and continue to deteriorate. Ask any junior and they can give you the reasons why the old method of education is outdated and not fit for purpose for the wider NHS. So, how do we reconcile the new and the old approaches and deliver the best education possible? (sorry, I know that sounded like a question from somebody in management). For me the question is akin to asking how can we as good people live in harmony with the terrorists? Sell our souls, betray our profession, accept lower standards, condone poor practice, tolerate mediocrity, temper aspirations, avoid passion; all scenarios fleet through my mind's eye. Instances of all these are now abundant in daily clinical life. So was it not the case before, I hear you asking. Maybe, but I doubt it was so rampant. But even if I were to be biased in that view, it is not the fact that it is present more frequently that bodes ill for the profession, but instead the inability to set it right in the bigger scheme of things. Inability to set it right? I could hear you do an incredulous sigh and show the proverbial eyebrow wiggle. I see that you dont understand what inability stops experienced clinicians from setting things right for upcoming generation of medical trainees. "Let me explain....". No, I wont try to explain because I could be here till I sustain an RSI of my wrist or the proverbial cattle come home. Instead I will merely state the obvious sign of the times. Responsibility without power for supervisors and Power without responsibility for trainees. If I have to elaborate further for you to understand what this means, it means you have never filled out the new generation CBD on the eportfolio, never had to supervise a trainee and sign him off anyway against your own better judgement, never stifled honest comments and instead clicked on "unable to comment radio button" so that it becomes someone else's problem, never felt that your trainees looked at you as if you were a dinosaur with ridiculous expectations of the medical profession, never had a trainee tell you that despite no doctors on the ward she had to go to the generic training day come what may, and it is even more likely that you never had a trainee tell you "why dont you feed that back to my educational supervisor since you are only my clinical supervisor".........Trainee 1 , Supervisor 0.
p.s: By the way, 60s was also good. There was no intention to offend senior citizens, merely that I had no experience of it.