It’s the best of A Few Words for 2021

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+Summer Hiatus
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It’s the best of A Few Words for 2021

Few Words

A few words

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We are on our summer break and the editorial office is closed until 17 January. In the meantime, please enjoy our Summer Hiatus series, an eclectic mix from our news and clinical archives and articles from The Conversation throughout the year.

This article was first published in the 15 December Summer edition

In every issue of New Zealand Doctor Rata Aotearoa, we convince a member of the general practice team to provide us with A Few Words abut their world – loves, loathes and everything in between. Here’s a selection of responses from throughout the year

Funniest moments in practice
  • My funniest moment from my hospital days was in Australia, where I once went to work as a locum at the wrong hospital. I was cauterising a patient with epistaxis in the emergency department when the correct hospital rang to find out where I was. Geraldine Wilson
Geraldine Wilson
  • When a lady once came in and asked for a referral to bariatric surgery as she was bloated. Sobia Imran
Sobia Imran
  • Without a doubt my funniest moment as a GP was when I met fellow GP Ken Young. He’s a massively strong Scotsman. When he turned up at my practice 20 years ago, I said “Ken, I need to move that cabinet over there.” Before I could say anything else he bellowed at me, “I’ll do it!” He tried lifting it, he was huffing and puffing and going all red and I yelled, “Ken, it’s screwed to the floor!” Dave Baldwin
Dave Baldwin
  • Matire isn’t a common name, so when I heard my name being called in the waiting room and told to sit still, it took me a while to click that we had a two-year-old patient named Matire, too. Matire Harwood
Matire Harwood
  • The time I was gifted a single bar of Palmolive soap (unwrapped). Another time I received a regifted hand and body lotion set (opened bottles and complete with gift card to the original recipient). Linda Lum
Linda Lum
  • My funniest moments as an academic: sadly, it’s not funny there very often. As a strong extrovert I think I am a misfit in academia! Jenny Carryer
  • After an IT upgrade, I removed the keys on a colleague’s keyboard and replaced them in different places. Chris Fawcett
Chris Fawcett
  • As a paramedic many years ago, I was having a wee play in an off-road ambulance buggy while on duty and accidentally rolled it in front of management. I was very lucky to have kept my job! Carlton Irving
Carlton Irving
  • My funniest moment as a doctor was the female Congolese patient in Belgium passionately trying to convince me (in French with a musical African accent) to keep trying for a boy when I told her I had four daughters. Wim Ruelens
Wim Ruelens
  • My funniest moment was when we employed a new staff member also named Mark. By the first morning tea, he was known as Nice Mark. Mark Eager
Mark Eager
  • As a GP registrar I was performing a home visit on a river boat, harboured by the Thames in west London. The patient’s cat suddenly erupted in a fit of hisses and leaps, trying to catch what looked like a rat. So, my funniest moment was when, to my patient’s delight, I managed to capture the large, furry creature by prising it away from the ginger tom unharmed. I released it outside only to then realise it was a water vole – an endangered species endemic to the area. Reza Jarral
Reza Jarral
  • One morning when I had to man the reception desk and some patients couldn’t figure out why the “receptionist” was playing doctor as well. Munanga Mwandila
Munanga Mwandila
  • My funniest moment at general practice is when a staff member responsible for social media accidentally posted an “eyebrow rant” (anyone over 35 may need to Google this) on the Feilding Health Care Facebook page. We got a few likes before it was taken down! Nicky Hart
Nicky Hart
  • My funniest moment as a practice nurse was when someone asked me if I had come out of retirement to help with the COVID response. I was born in the 1990s! Tyla Sorensen
Tyla Sorensen
What about change?
  • I think general practice, unfortunately, is dying from the sad imbalance between expectations and funding. While it was a great thing to be doing in my parents’ day, it can no longer attract many of the smart young ones. Really dispiriting for those who would really like to do it and do it well, but just can’t achieve the lifestyle they deserve as New Zealand GPs. Peter Boot
Peter Boot
  • Three things about general practice that I would like to see changed are that all patients should have a completed medical history summary in their records; general practice should be fully funded so it is free of charge to patients; and GPs should be salaried. Richard McCubbin
Richard McCubbin
  • Three things I’d like to see changed about midwifery practice are: fair and reasonable working conditions for all midwives; enhanced primary care sector networking; improved infrastructure for midwifery practice support (locum, education, business costs etc.) Violet Clapham
Violet Clapham
  • Better models of care, developed and led by Māori; time being made available for clinic teams to have a say in planning and quality improvement activities; and technology, hard and software, that works all day, every day without fail. Matire Harwood
  • In the 2018 Census, 28 per cent of Aucklanders identify as Asian, yet this group barely features in the medical education curriculum, so I would like to see the cultural competence in the RNZCGP’s CPD programme recognise the Asian population. Linda Lum
  • Three things I would like to see changed in nursing are the need to constantly remind decision-makers that they need nurses around the table; a greater recognition of the huge, as-yet-untapped potential in nursing; and I am always greatly troubled by reports of bullying. It seems so antithetical to who we are. Jenny Carryer
Jenny Carryer
  • The three things I’d like to see changed about general practice are more funding, more time, more resources for rural, more NPs, better understanding of the NP role, NPs not working like GPs or, if they are, having pay parity – oops that’s more than three. Kate Stark
Kate Stark
  • Three things I’d like to see changed about general practice are: true interoperability of our software systems; improved access, particularly for high-needs groups; and better funding throughout. Reza Jarral
  • The three things I’d like to see changed about general practice are: a service that truly reflects the needs of the patients and produces equitable outcomes; recognition and remuneration of general practice as a specialty, with appropriate funding, professional development and career progression; a national IT system that works. Chris Fawcett
  • People with bigger brains than mine are dealing with the many changes needed in general practice but, off the top of my head, the three things I would like to see changed are: DHBs removed from the equation – they don’t know enough about our community, it’s not all statistics; better records-sharing; and better integration of associated services. Kiwa Raureti
Kiwa Raureti
  • Three things I would like to see changed about general practice are: I’d like it to be supported by artificial intelligence to reduce the paperwork, I’d like it to be free of charge for everyone and I’d like to have more time to spend per patient. Wim Ruelens
  • Three things I would like to see changed about general practice are changes to the funding structure to allow more flexibility in how we see our patients; making general practice the specialty training scheme of choice for junior doctors; and expanding the general practice team to include a wider variety of roles, so that GPs can focus on seeing patients and spend less time doing paperwork. Dayna More
Dayna More
Thanks to all our “Few Worders”

Specialist GP Sobia Imran, Auckland; specialist GP Peter Boot, Auckland; specialist GP Richard McCubbin, Waikari; specialist GP Dave Baldwin, Bulls; midwife Violet Clapham, Christchurch; GP Matire Harwood (Ngāpuhi), Auckland; specialist GP Linda Lum, Auckland; nursing professor Jenny Carryer, Palmerston North; registered paramedic Carlton Irving (Te Whakatōhea), Dunedin; nurse practitioner Kate Stark, Roxburgh; specialist GP Reza Jarral, Auckland; specialist GP Chris Fawcett, Kāpiti; specialist GP Wim Ruelens, Gisborne; Mobile Health boss Mark Eager, Christchurch; chief executive Kiwa Raureti (Ngāti Raukawa, Ngāti Rangitihi), Ōtaki; specialist GP Amar Saasan, Picton; specialist GP Munanga Mwandila, Christchurch; specialist GP Geraldine Wilson, Christchurch; specialist GP Dayna More, Invercargill; chief executive Nicky Hart, Feilding; and practice nurse Tyla Sorensen, Auckland.

Amar Saasan
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