Haven't read the article yet so just responding to some comments here.
Or without as much compassion as you would like to show to everyone at everytime.
Hmm, I don't find it very easy to always show as much compassion and care as I would like when i'm busy & I don't really think this is due to training but logistics or what you think are the 'compassionate' aspects of your specific job & how long they take!
An obvious example has been preadmissions clinics which we do as FY1. So what should be a few hours of 6-9 patients being seen prior to their operation. The operational aim pretty much seems to be to: flag up any anaesthetic issues that need specialist pre-operative investigations or input & prepare the drug chart. The patients' desire seem to be to chat through every aspect of their medical and social health ever & to discuss the operation more - which essentially should have been done when the decision was made that they were for an operation i.e. when they were with the surgical specialty spR/Consultant!
The caring/compassionate thing is to be all patient focussed & let it be driven by their ideas, concerns, expectations & all that jazz. This takes forever. My record was essentially a 'whole' working day (8 hours) of this list = on something the powers that be thought should have been done in time for me to attend my teaching (3 hours!). It was interesting in that even though it was clearly running late & each time I framed at the beginning what the purpose of the clinic was each successive patient seemed more keen on getting their doctors worth & going over everything repeatedly...
Anyhow, that day I could do this because I'd been in early - things were sorted with the ward patients & my Consultant didn't have a theatre list. On others days I've had other commitments &
had to finish this clinic on time. If I hadn't - there would have been cross Consultants & theatre lists not starting (no one there with a BCh qualified to hold a vital retractor
) & nurses going bleep mad because ward patients that I am responsible for are having chest pain/desaturating/have gone oliguric/have no IV access for their vital meds etc. all of which would have been unprofessional & perhaps neglectful if you like that word.
Although I think I've been professional in both types of clinic I really strongly suspect that the patients I was
able to give more time to would have thought me more caring and compassionate than those that I had to try & continually refocus/remind what the purpose of the clinic was.