
Generalism is a speciality but it can be done badly.
One of the southland GPs (not one that teaches us) has a reputation for sending patients into the hospital with next to no history or clinical details, simply saying "they're crook."
Legend has it that a few years ago he sent someone in with the note- "Patient crook. Probably terminal."
He was admitted, a better (!) history taken, a full overview done. Nursing and medical officer consensus was that, actually, the guy was probably doing just fine. Nothing stood out.
The patient died the next day.
Again- it's legend- and i guess indicative of the whole skill of 'gut instinct' / years and years of experience knowledge that people build. This GP could be considered adequete, even maybe good or brilliant, if he was willing to communicate.
Being crook - it's a wide spectrum disorder :)
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