“The good physician treats the disease, the great physician treats the patient who has the disease” (William Osler 1849 -1919)
The last fifty years have seen an explosion in medical technology and intervention techniques and therapies. These new opportunities have significantly altered the prognosis and management of many diseases which our parents’ generation often faced with resolve and a sense of hopelessness.
The doctor engaged in clinical practice today has options which his teachers could not have imagined possible. The CT and MRI scanners give detailed analyses of hitherto invisible disease or disorders.
With increasing use of technology and sophisticated investigations there is a danger that we forget the patient whom we are treating. Often our attention is focused entirely on the disease that he or she may have. Our interest is absorbed by some shadow on a scan or by some unusual immunological marker or changing biochemical result.
During this conference we hope to explore some of the aspects of modern medical practice that we all face each day when consulted by anxious patients. Doctors are often accused of pursuing their own agenda with patients. Our aim is to demonstrate that there is an alternative way to manage patients that provides opportunity for the patient to express personal concerns while not abdicating our responsibility to provide the most up-to-date methods of investigation and treatment for their disorder.
Our conference will use a variety of styles of presentation including lectures, audience participation and small group discussion. There will also be time for personal reflection. A selection of notes will be provided at the end of the conference with certificates of attendance.
We look forward to meeting you and would encourage you to participate. The more you contribute the more benefit you will get from these study days.
With best wishes,
Dr Katy Daniels, Dr Anthony Clarke, Dr Douglas Robertson and Dr David Butler
Day 1 Tuesday 11th June
- Session One: “Treating the patient as a whole person”
- What is Whole Person Medicine? – an overview
- Whole Person Medicine applied to Cardiac disease, the assessment of both Physical and Psychosocial complications
- Diabetes – Management, Patient Education and Adherence to treatment
- Session Two: “Doctor Patient Relationship: Part 1”
- Communication Skills – general and specifi
- The angry patient, the patient with a list of problems, the demanding patient
- What sort of doctors are we aiming to be?
Evaluation forms and Summary of the day
Day 2 Wednesday 12th June
- Session One: “Becoming and staying a Good Doctor”
- Qualities of a good doctor
- Lifelong learning and professional development in UK and Romania
- Session Two: “Aspects of Palliative Care”
- Clinical, psychosocial and spiritual care – striving for excellence
- Breaking Bad News – applying the principles in practice
- Session Three “The Doctor-Patient Relationship Part 2”
- What does the Patient Think?
- Relating to our patients as a Team – the UK and Romanian experience
Evaluation forms and Certificates
Dr Douglas K Robertson
Qualified from Glasgow University in July 1977 MB ChB, DRCOG (1982), MRCGP (1986).
Douglas spent six years working in the West of Scotland gaining experience in General Medicine & General Surgery, Accident & Emergency at the Glasgow Royal Infirmary combined with Anatomy Demonstrating and research at Glasgow University, Anaesthesia, Obstetrics and Gynaecology, Orthopaedics, Paediatrics, GP Training and Infectious Diseases.
In September 1983 he joined the African Inland Mission and spent 1983 – 1986 in Northern Kenya as a mission doctor providing general medical services in three isolated Medical Centres.
Douglas returned to the UK in 1986 with his wife Margo and their eldest child who was born in Kenya. He commenced his present practice in September 1986, as a single-handed GP. The practice has grown a little over the years and now has three doctors, equivalent to 1.75 full-time doctors.
In 1987 he became a University teacher with a group of undergraduates visiting the practice on a regular basis. This work continued and he became an Honorary Senior Lecturer in 1997. In 2001 he became a GP Trainer with a steady flow of GP Registrars through the practice since then. He was an executive member of the Local Health Care Cooperative from 1999 to 2005 and a member of the Glasgow Local Medical Committee from 2001 to 2007, representing the doctors of his locality. He has also worked as GP Appraiser for 44 doctors, from 2006 to 2009, having introduced the concept of “Appraisal” to his colleagues.
Most of Douglas’ leisure time has been taken up with responsibilities in his church where he is an elder. He tries to keep fit and still enjoys most active sports. When he has the opportunity he gets out hill walking with friends or goes windsurfing in a local loch. In an attempt to keep up with his children he took up the violin as his millennium project in 2000. He still attends music lessons but has struggled with the higher grades (7 & 8). He enjoys playing the violin in his church orchestra each month.
Dr Anthony Clarke
MA (Cambridge) MBBS 1981 (London)
FP cert 1985
Certificate in Practical Palliative Care for GPs 2007
Anthony Clarke qualified in medicine from Cambridge University and Westminster Medical School in 1981. Following a foundation year of medicine and surgery in London he trained as a GP on the Oxford Vocational Training Scheme for GPs between 1982 and 1986, gaining experience in General Medicine, Accident Service/Orthopaedics, Paediatrics, Dermatology, Psychiatry, Obstetrics, Gynaecology and General Family Practice. He worked as a GP in Cowley, Oxford from 1986-1996. His practice population was socially varied and included workers from the Austin-Rover car factory. He has subsequently been a GP for 17 years in Bridlington, Yorkshire, which has included being a GP Trainer for 6 years as part of the Scarborough GP Training Scheme and sessional work as a Clinical Assistant in Obstetrics. He is currently a full time GP and his interests include minor surgery, palliative care and supporting PRIME’s work in Romania.
Anthony is married to Penny and they live close to Bridlington beach, a popular seaside attraction. They have four sons. Anthony relaxes by playing his violin in an orchestra and at church, conducting a choir and playing tennis.
Dr Katy Daniels
MBChB (hons), MRCGP, DFSRH, PGCert Med Ed
I graduated from medical school in Scotland in 2005. After 2 years of various hospital and community jobs I chose to train as a General Practitioner (family doctor) and completed this training in 2010.
I chose to become a family doctor because I enjoy: being able to provide continuity of care for a group of patients; the uncertainty and variety that every day holds; the management of both acute and chronic health problems as well as being able to look after the whole person not just the medical problem. In amongst every day clinical practice I also do a lot of work in contraception and sexual health and am involved in teaching at both undergraduate and postgraduate levels.
Romania has had a place in my heart since I first got involved with a children’s project in Galati in 1998. In August 2011 I moved to Galati for a year but have now returned to both clinical and teaching work in Scotland though I am looking forward to being able to spend the summer back in Romania.
Dr David Butler
M.B., B.S., London 1978, MRCGP. 1982, DRCOG 1982, Diploma in Palliative Medicine, University of Wales 1992, FRCGP 2004, FRCP 2005.
David Butler qualified from Cambridge University and the London Hospital Medical College. He trained as a GP on the Oxford training Scheme, overlapping with Anthony, from 1980 to 1983 gaining experience in a number of areas including Palliative Care. He became a GP in Buckinghamshire from 1983 but continued to have an interest in Palliative Care.
In 1990 while continuing as a GP he began part-time work in the local palliative care service and was involved in a national project to provide education to GPs in Palliative Care.
In 1993 he left General Practice to work full-time in Palliative Care and having undergone additional training was appointed a Consultant in Palliative Medicine in 1995.
In 1998 he moved to take up a post as Consultant in Southampton, a large palliative care unit and part of the Southampton Medical School. He worked in a clinical role and provided education in palliative care within the Southampton Medical School.
In 2011 he retired from Southampton partly, to spend more time working with PRIME but has continued to work almost full-time since then as a locum, mainly within two nearby palliative care services.
David met Rachel his wife when she worked as a nurse at the London Hospital. They have 3 children. The oldest, James married Iva from Slovakia on April 6th 2013 and are planning a wedding for their daughter, Lucy in 2014. David is involved in his local church and enjoys gardening, walking and photography in any spare time.