{"id":32358,"date":"2014-09-19T13:07:18","date_gmt":"2014-09-19T12:07:18","guid":{"rendered":"https:\/\/blogs.bmj.com\/bmj\/?p=32358"},"modified":"2014-09-19T13:08:30","modified_gmt":"2014-09-19T12:08:30","slug":"samir-dawlatly-a-case-of-semantics","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bmj\/2014\/09\/19\/samir-dawlatly-a-case-of-semantics\/","title":{"rendered":"Samir Dawlatly: A case of semantics"},"content":{"rendered":"<p><a href=\"https:\/\/blogs.bmj.com\/bmj\/2013\/07\/05\/samir-dawlatly-times-have-changed-for-me\/attachment\/27570\/\" rel=\"attachment wp-att-27570\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-full wp-image-27570\" src=\"https:\/\/blogs.bmj.com\/bmj\/files\/2013\/07\/samir_dawlatly.jpg\" alt=\"\" width=\"160\" height=\"160\" srcset=\"https:\/\/blogs.bmj.com\/bmj\/files\/2013\/07\/samir_dawlatly.jpg 160w, https:\/\/blogs.bmj.com\/bmj\/files\/2013\/07\/samir_dawlatly-150x150.jpg 150w\" sizes=\"auto, (max-width: 160px) 100vw, 160px\" \/><\/a>The problem lies in semantics. GP. General practitioner. Could one be more vague than that? There\u2019s an argument that since, on the whole, we provide general medical services (in medical centres) we should be called general medical practitioners. After all, my undergraduate training was in medicine and surgery, not simply everything in general.<\/p>\n<p>Around the time I completed my training to become a G(M)P, I became very downhearted by what I expected to be the likely outcomes of the Health and Social Care Act. I hadn\u2019t been particularly politically aware in the lead-up to the passing of the bill, as I was too busy trying to cram consultations into 10 minutes and learn all the red flags that I was supposed to know.<!--more--><\/p>\n<p>When I expressed my concerns about the future, a rather well known GP told me, \u201cBut it\u2019s a vocation, isn\u2019t it? Being a GP.\u201d\u00a0And that\u2019s the second word that causes me problems: vocation. To qualify as a GP, I had to complete a Vocational Training Scheme. The word comes from the Latin verb vocare, which means \u201cto call.\u201d It more than implies that general practice is a career which is a calling, an almost spiritual destination.<\/p>\n<p>The issue with referring to it as such is that for something to be a calling, it must become a labour of love, which\u00a0demands above and beyond what is normally expected or remunerated\u2014something which seems unattainable and impossible. It implies that, despite all the political and media attacks, we will continue to do the good work. And, despite the seemingly endless bureaucratic hoops that we are required to jump through, we are still expected to put patients first and show them that their GP cares\u2014because it has been ordained so.<\/p>\n<p>I propose that we get rid of the term \u201cVocational Training Scheme,\u201d replacing it with something that is more realistic, and which describes what it actually does: something like \u201cCore General Practice Training.\u201d I don\u2019t claim that it will fill all the vacancies that currently exist, but at least it won\u2019t give the impression that this particular specialty is after the whole of your life and will wring out every last drop of your energy\u2014even if it does sometimes.<\/p>\n<p>As I\u2019m having my three wishes from the renaming genie, perhaps it is time to rename ourselves as general medical practitioners, or family doctors, as well? And my final wish? That patients would cotton on to the idea.<\/p>\n<p>\u201cActually Ms Davison, I am not qualified, nor paid, to write a letter with an opinion on whether your current residence is unsuitable for you. Is there anything medical I can help you with today?\u201d<\/p>\n<p><em><strong>Samir Dawlatly<\/strong> is a GP partner at Jiggins Lane Surgery in Birmingham. He combines clinical practice with being a part time house husband and an interest in social media, as well as publishing poems, essays, and blogs.\u00a0He can be found on Twitter as <a href=\"https:\/\/twitter.com\/SDawlatly\">@sdawlatly<\/a>.<\/em><\/p>\n<p>I have read and understood the BMJ policy on declaration of interests and declare the following interests:\u00a0secretary of the Royal College of General Practitioners (RCGP) Adolescent Health Group, and a member of the RCGP online working group on overdiagnoisis.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>The problem lies in semantics. GP. General practitioner. Could one be more vague than that? There\u2019s an argument that since, on the whole, we provide general medical services (in medical [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/bmj\/2014\/09\/19\/samir-dawlatly-a-case-of-semantics\/\">More&#8230;<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[236],"tags":[],"class_list":["post-32358","post","type-post","status-publish","format-standard","hentry","category-nhs"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Samir Dawlatly: A case of semantics - The BMJ<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/bmj\/2014\/09\/19\/samir-dawlatly-a-case-of-semantics\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Samir Dawlatly: A case of semantics - The BMJ\" \/>\n<meta property=\"og:description\" content=\"The problem lies in semantics. GP. General practitioner. Could one be more vague than that? 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