(Female, third year, P1)" Factors that were seen as barriers to self-regulation were time pressure, the absence of certain types of patientsdifficulties in planning learning activities, " "…and I didn't see all that many because most of the gynaecological cases are seen by the female GP, and I mostly get patients from my [male] supervisor, so I do not get to place all that many IUDs.
I suppose, as an Indigenous doctor, you often get (patients saying) "I'm happy to talk to you about this, but I wouldn't really want to talk to the GP down the road about it… If it's something to do with emotional, cultural, spiritual stuff, then that really does need to be addressed.
Is it difficult to get patients to agree to a treatment as difficult as dialysis?
This was particularly noted by ward managers and matrons, who had responsibilities for allocating resources on ward level: Ward manager (interview): 'If I've got patients who [need] ventilating so they need more one-to-one nursing care, I can increase my nursing team.
"I've got patients dying up there!" Robert Kuhn, a hospital worker, recalled the nurse calling out.
"I've got patients who've not eaten solid food for four years.
"Back home in Doncaster I'm getting patients who are saying their children are actively looking to get involved in sport," he said.
So … I've got patients that you know don't want to take sometimes the medication they're prescribed because they want to use herbal stuff, and sometimes things are sent over from for example Africa.
I don't know how I knew, but that helped me get PATIENT where I'd had P _ T _ E N _, and CANNES just sort of fell into place.
