{"id":579,"date":"2019-10-17T20:35:07","date_gmt":"2019-10-17T19:35:07","guid":{"rendered":"http:\/\/generic.wordpress.soton.ac.uk\/medicallyspeaking\/?p=579"},"modified":"2019-10-17T20:35:14","modified_gmt":"2019-10-17T19:35:14","slug":"what-do-the-public-require-from-21st-century-medical-graduates-by-professor-karen-morrison","status":"publish","type":"post","link":"https:\/\/generic.wordpress.soton.ac.uk\/medicallyspeaking\/2019\/10\/17\/what-do-the-public-require-from-21st-century-medical-graduates-by-professor-karen-morrison\/","title":{"rendered":"&#8220;What do the public require from 21st century medical graduates?&#8221; By Professor Karen Morrison"},"content":{"rendered":"\n<p>In September, several of us in the Faculty were sent a \u2018Call for Evidence\u2019 document by Health Education England (HEE) in which advice was sought from key stakeholders and partners to establish \u2018what the NHS, patients and the public require from 21<sup>st<\/sup> century medical graduates\u2019.\u00a0 We were asked to consider what the expectations of patients and the public will have of future doctors.\u00a0 <\/p>\n\n\n\n<figure class=\"wp-block-image\"><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" width=\"755\" height=\"504\" data-attachment-id=\"549\" data-permalink=\"https:\/\/generic.wordpress.soton.ac.uk\/medicallyspeaking\/2019\/07\/18\/and-now-you-can-dare-to-dream-by-professor-diana-eccles\/graduation-ladies-hugs-6\/\" data-orig-file=\"https:\/\/i0.wp.com\/generic.wordpress.soton.ac.uk\/medicallyspeaking\/wp-content\/uploads\/sites\/97\/2019\/07\/Graduation-ladies-hugs-6.jpg?fit=5200%2C3467&amp;ssl=1\" data-orig-size=\"5200,3467\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;6.3&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;NIKON D850&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;1532037870&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;150&quot;,&quot;iso&quot;:&quot;800&quot;,&quot;shutter_speed&quot;:&quot;0.0005&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"Graduation ladies hugs (6)\" data-image-description=\"\" data-image-caption=\"\" data-large-file=\"https:\/\/i0.wp.com\/generic.wordpress.soton.ac.uk\/medicallyspeaking\/wp-content\/uploads\/sites\/97\/2019\/07\/Graduation-ladies-hugs-6.jpg?fit=755%2C504&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/generic.wordpress.soton.ac.uk\/medicallyspeaking\/wp-content\/uploads\/sites\/97\/2019\/07\/Graduation-ladies-hugs-6.jpg?resize=755%2C504\" alt=\"\" class=\"wp-image-549\" srcset=\"https:\/\/i0.wp.com\/generic.wordpress.soton.ac.uk\/medicallyspeaking\/wp-content\/uploads\/sites\/97\/2019\/07\/Graduation-ladies-hugs-6.jpg?resize=1024%2C683&amp;ssl=1 1024w, https:\/\/i0.wp.com\/generic.wordpress.soton.ac.uk\/medicallyspeaking\/wp-content\/uploads\/sites\/97\/2019\/07\/Graduation-ladies-hugs-6.jpg?resize=300%2C200&amp;ssl=1 300w, https:\/\/i0.wp.com\/generic.wordpress.soton.ac.uk\/medicallyspeaking\/wp-content\/uploads\/sites\/97\/2019\/07\/Graduation-ladies-hugs-6.jpg?resize=768%2C512&amp;ssl=1 768w, https:\/\/i0.wp.com\/generic.wordpress.soton.ac.uk\/medicallyspeaking\/wp-content\/uploads\/sites\/97\/2019\/07\/Graduation-ladies-hugs-6.jpg?w=1510 1510w, https:\/\/i0.wp.com\/generic.wordpress.soton.ac.uk\/medicallyspeaking\/wp-content\/uploads\/sites\/97\/2019\/07\/Graduation-ladies-hugs-6.jpg?w=2265 2265w\" sizes=\"auto, (max-width: 755px) 100vw, 755px\" \/><figcaption>What is expected of 21st century medical graduates?<\/figcaption><\/figure>\n\n\n\n<p>I am not sure that these expectations will change greatly from now.\u00a0 I anticipate that patients will still expect to be treated with respect and dignity by a competent, kind clinician who has empathy with them and establishes confidence and trust.\u00a0 While there may be a more multidisciplinary team working, ultimately most clinical decisions will continue to be made following discussion between an individual doctor and a patient. This is still likely to be face-to-face, either in a consulting room or via Skype, maybe in the evenings or at a weekend.\u00a0 More patients may come armed with a Google print out, maybe also with the sequence of their whole genome.\u00a0 Doctors will still need skills on sourcing appropriate evidence-based guidelines; critical appraisal of the available data and literature will be as important as ever.<\/p>\n\n\n\n<p>There was an excellent book review in the Lancet last month by Michael Marmot, that I warmly recommend to you entitled <em>\u2018Winners take all\u2019<\/em>.<sup>1<\/sup> In the article two books are compared. \u00a0In \u2018The Business of Changing the World\u2019, by Raj Kumar, the author details how \u2018billionaires, tech disrupters and social entrepreneurs are transforming the global aid industry\u2019.<sup>2<\/sup>\u00a0 In the other, \u2018Winners Take all\u2019, Anand Giridharadas describes the future billionaire philanthropists using market principles to change the world not as the solution, but a symptom of the broken system that allowed them to be created.<sup>3<\/sup> \u00a0One figure quoted in this article particularly struck me, namely that in 2018, <strong><em>26 billionaires had the same net worth as the poorest half of the global population, 3.8. billion people.<\/em><\/strong> \u00a0\u00a0We know that the world\u2019s resources are not evenly divided; the gap between rich and poor is getting bigger; unequal societies are not healthy societies. <\/p>\n\n\n\n<p>In thinking of what we expect from our doctors of the future, I am challenged to also consider how we can, and must, also take steps to reduce the global burden of disease.\u00a0 Reducing the causes of disease, reducing the huge inequalities within societies, including our own, must go hand in hand with us training and delivering doctors to meet future clinical needs.<\/p>\n\n\n\n<p>1. M Marmot, \u2018Winners take all\u2019, Lancet 394: 819 \u2013 820, Sept\n7, 2019<\/p>\n\n\n\n<p>2. The Business of Changing the World: How Billionaires,\nTech Disrupters, and Social Entrepreneurs &nbsp;are Transforming the Global Aid Industry. &nbsp;Raj Kumar&nbsp;\nBeacon Press, 2019&nbsp; ISBN\n9780807059579<\/p>\n\n\n\n<p>3.&nbsp; Winners Take All:\nThe Elite Charade of Changing the World.&nbsp;\n&nbsp;Anand Giridharadas&nbsp; Allen Lane, 2019&nbsp;&nbsp; ISBN 9780241400722<\/p>\n","protected":false},"excerpt":{"rendered":"<p>In September, several of us in the Faculty were sent a \u2018Call for Evidence\u2019 document by Health Education England (HEE) in which advice was sought from key stakeholders and partners to establish \u2018what the NHS, patients and the public require<\/p>\n","protected":false},"author":3796,"featured_media":129,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2},"jetpack_post_was_ever_published":false},"categories":[3],"tags":[],"class_list":["post-579","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-education"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/generic.wordpress.soton.ac.uk\/medicallyspeaking\/wp-content\/uploads\/sites\/97\/2017\/01\/Karen_Morrison3.jpg_SIA_JPG_fit_to_width_INLINE.jpg?fit=400%2C336&ssl=1","jetpack_shortlink":"https:\/\/wp.me\/p8r5I4-9l","jetpack-related-posts":[],"jetpack_sharing_enabled":true,"jetpack_likes_enabled":true,"_links":{"self":[{"href":"https:\/\/generic.wordpress.soton.ac.uk\/medicallyspeaking\/wp-json\/wp\/v2\/posts\/579","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/generic.wordpress.soton.ac.uk\/medicallyspeaking\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/generic.wordpress.soton.ac.uk\/medicallyspeaking\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/generic.wordpress.soton.ac.uk\/medicallyspeaking\/wp-json\/wp\/v2\/users\/3796"}],"replies":[{"embeddable":true,"href":"https:\/\/generic.wordpress.soton.ac.uk\/medicallyspeaking\/wp-json\/wp\/v2\/comments?post=579"}],"version-history":[{"count":1,"href":"https:\/\/generic.wordpress.soton.ac.uk\/medicallyspeaking\/wp-json\/wp\/v2\/posts\/579\/revisions"}],"predecessor-version":[{"id":580,"href":"https:\/\/generic.wordpress.soton.ac.uk\/medicallyspeaking\/wp-json\/wp\/v2\/posts\/579\/revisions\/580"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/generic.wordpress.soton.ac.uk\/medicallyspeaking\/wp-json\/wp\/v2\/media\/129"}],"wp:attachment":[{"href":"https:\/\/generic.wordpress.soton.ac.uk\/medicallyspeaking\/wp-json\/wp\/v2\/media?parent=579"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/generic.wordpress.soton.ac.uk\/medicallyspeaking\/wp-json\/wp\/v2\/categories?post=579"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/generic.wordpress.soton.ac.uk\/medicallyspeaking\/wp-json\/wp\/v2\/tags?post=579"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}