Thanks Dr Schroeder. I often also feel that patients leave the consultation satisfied if they’ve been given a rough prognosis even if the diagnosis is vague, or the patient is given a non-specific, umbrella diagnosis like ‘musculoskeletal pain’. I suppose the challenge here is to make the patient as comfortable with the uncertainty as you are.

I actually think the MRCGP is an excellent diploma, by far the most pragmatic, realistic and thorough post graduate qualification that I know of. But the lack of emphasis on physical examination is a glaring omission which means that doctors can finish their training as GPs without having had their examination skills scrutinised in any meaningful way since medical school.