Clicky

You have made some pertinent observations and I congratulate you on achieving MRCP(UK). I too work as a GP and hold MRCP(UK) and , having worked in GP land for over 10 years, I am of the opinion that it is the process of acquiring MRCP which engenders enduring good habits which, sadly, are not instilled to anywhere close to the same degree by MRCGP. Moreover, to pass MRCP(UK) one needs to have done an array of medical disciplines whereas I have encountered GPs with MRCGP whose general medical experience consists of their house job (?FY1) and a 6 month stint which comprised of 3 months Care of the Elderly and 3 months Rehab only.On a weekly basis I see patients whose results have been ignored or misinterpreted (such as labelling a patient as being in AF because the computer interpretation of a trace says so when clearly P waves are present); correspondence which ignores medication changes or other points of action; physical signs which are evaluated shoddily (eg patients labelled as having aortic stenosis because of a systolic sound at the aortic area-with no consideration to pulse character/apex beat/second heart sound/BP); inappropriate referrals because signs are misinterpreted; poor investigative pathways (eg the buck stops when an anaemic patient has normal haematinics)- the list goes on.
An analogy, if you will:a layman when inspecting a painting may comment on the colours whereas the devoted art critic will infer emotional content. When presented with a patient, the holder of MRCP will see, and extract, much more cogent information than that obtained by a superficial analysis of the information. I accept the GPs role is not to be the same as the hospital physician, but it is dis-spiriting to see such superficial medicine being practised daily; when pointed out to the purveyors of such practise they do actually (when pushed) have much of the knowledge but they lack the afore-mentioned approach which the MRCP so beautifully bestows.