Being mindful of 
medical hierarchy

18th July 2019 by Rachel Birch

Being mindful of 
medical hierarchy

Medical hierarchy may present a challenge, and at times a possible reluctance, to open discussions about patients. Dr Rachel Birch, medicolegal consultant at Medical Protection, discusses possible reasons for this and provides helpful strategies to overcome this.

Most doctors would agree that a medical hierarchy exists in the hospital setting, with junior doctors and specialist registrars making up most consultants’ teams. In many ways, in general practice, once a GP has qualified and completed their training, they may be considered as equal as any other GP. However, few would disagree that newly-qualified GPs can, and do, still learn a lot from more experienced GPs. As such, there exists a more subtle form of medical hierarchy within general practice.

It is important that sessional GPs are aware of this, especially when there may be disagreement about a patient’s care.

Case scenario

Join

Join to view the rest of this content, as well as access all the benefits of joining NASGP.

Join

Login

Already a member? Login to view this content.

Login

Related content

"I started using LocumDeck as one of our locums used it. It was easy to see her availability and when bookings are made I get confirmation of the booking and can view them on the calendar too. When invoices are sent, I can see it on the site, and digitally sign the pension form (this is one of the best bits!). It would be good if all locums used it, as then it would be so much easier for me to track my bookings and check their availability without emailing or texting them, waiting for a reply and then emailing back to confirm. It’s a great place for their documents to sit also. I can access it from home or my mobile which is useful as when I am not in surgery is when I usually need a locum!"

Debbie, Practice Manager in St Ives

See the full list of features within our NASGP membership plans

Membership