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With people living longer and developing more complex conditions, having GPs who understand end of life care, and do not shy away from difficult but necessary conversations with patients about death and dying, is more important than ever.
Given this, you may be surprised to hear that it is not mandatory for GPs to gain experience within hospice care as part of their training. Rather, it is an option they can select as one of the three rotations they are required to complete on their way to becoming qualified.
Recently, we spoke to Dr Malik Dinata, a trainee GP who has chosen to spend four months on rotation with St Luke’s, to see our service through his eyes and find out how his experience with us will help to prepare him for his career in general practice.
Based within our multidisciplinary clinical team at Turnchapel, Dr Malik has been particularly struck that the time he spends with patients on the ward is unhurried. This means he is able to focus on more than their physical symptoms, getting to know them and their history and finding out about their hopes, expectations and concerns – something that would not be possible within the very pressured environment of acute care.
Dr Malik said: “It is very precious to be able to work with St Luke’s. I get to sit with my patient and practice medicine as it is supposed to be.”
Dealing with death, dying and someone’s last days of life can be one of the most stressful parts of a doctor’s role, and Dr Malik credits the support he receives from his supervisor,
St Luke’s Lead Consultant Dr Jeff Stephenson, and other colleagues, for ensuring he feels ‘safe and comforted’ in a setting many would find very challenging.
He said: “We always touch base before I see a patient so that we can discuss the approach that’s most appropriate for them, and then afterwards colleagues check in with me to ask how it went and how the patient responded.”
On average, a GP surgery has 2,000 patients, with around 20 of them – one per cent – living with terminal illness. To help them be as comfortable and as at ease as possible as they approach the end of their lives, they need the specialist care and support of hospices like St Luke’s, where the help they receive is holistic and tailored specifically to them.
Trainee GPs like Dr Malik, who spend time gaining valuable experience in a hospice setting, are not only more equipped to diagnose accurately and prescribe accordingly, they are more confident having the sensitive yet necessary open conversations about death and dying that help their patient fulfil their wishes about their last months, weeks and days of life.
Dr Jeff said: “Being on rotation with us is a wonderful opportunity for future GPs to gain intensive exposure to looking after people who are terminally ill.
“Importantly, while they’re with us, trainees also learn when to admit a patient to hospital and when it’s more appropriate for them to receive care at home, which is key to avoiding unnecessary admissions.”
Listening to Dr Malik, it is clear that our organisation has made a positive and lasting impression on him that he will carry forward into practice.
He said: “St Luke’s is such a unique environment where people, including the patients themselves, learn to become more accepting of their mortality.
“It’s so important for GPs to know how things should be done. At St Luke’s I’ve seen the ‘gold standard’ and it will benefit my future practice – it will be my point of reference and remind me what I need to do for my patients.
“You don’t gain this type of valuable experience from reading about it in textbooks or hearing about it in lectures. You get it from practice at St Luke’s.”
Christmas is just around the corner, and with so many of you choosing to don your festive knit for St Luke’s Festive Friday, we thought we’d trawl online for some of the best (and craziest) 2018 has to offer!
For gamers, geeks and nerds – check out these courtesy of techadvisor.co.uk
Fancy rocking a festive super hero – check out these courtesy of mirror.co.uk
Whether you’re part of a business, school or community group, Festive Friday fundraising is a great way to gather together, have fun and help support our care for over 300 patients during the Christmas period.
Whatever your event, big or small, every penny counts when it comes to the compassionate care we give at Christmas.
It’s not to late to register for your free fundraising pack!
Excitement is building about Elmer the Elephant and his friends trooping into Plymouth for Elmer’s Big Parade next summer, giving our city a mammoth boost that will benefit us all.
The enchanting trail across Plymouth will feature 40 bright and unique elephant sculptures each painted by a talented emerging or established artist. Brought about in partnership between St Luke’s, Andersen Press and Wild in Art, the Parade is set to attract over 200,000 visitors to the city and its surrounding areas – that’s more than the annual Firework Championships, making it Devon and Cornwall’s biggest mass-participation event for 2019.
On average, trails such as this draw an extra 30 per cent footfall to shops and visitor attractions, and it’s estimated that ours will boost Plymouth’s economy by £5 million. Not only that, the increased profile will help raise awareness of our city’s creative community and all manner of businesses big and small.
Here at St Luke’s, we’re speaking to companies about getting behind our charity and this amazing opportunity for our city by sponsoring one of our elephant sculptures, which will eventually be auctioned off in aid of us when the Parade closes. Recently, we were delighted to welcome accountants PKF Francis Clark on board, the firm having recognised the potential to make a difference to our patients and their families while also boosting Plymouth as a whole.
Duncan Leslie, Partner at PKF Francis Clark, said: “We are delighted to support Elmer’s Big Parade Plymouth in support of St Luke’s, who do such wonderful work caring for the families of the city affected by life-limiting illness. We look forward to tracking down our Elmer around the streets of Plymouth soon!”
The opportunity to be a sponsor is an exciting way to be involved in a major tourist attraction and be part of Plymouth’s portfolio of events for 2019. So, if there’s anyone in your networks who might welcome getting involved in this way, please help us spread the word.
Likewise, if you know an artist who’d like to get on board and use their talent to paint one of our lovely elephants, or you’re aware of a school or youth group who could benefit from being part of the trail’s education programme, we’d appreciate your help. Please put them in touch with Emma Milford, Project Manager for Elmer’s Big Parade 2019, on 01752 964429 or at firstname.lastname@example.org