Jim Sherifi

Opinionated British GP

Graduated in medicine from St Andrews and Dundee University in 1975. After 5 years in hospital specialities joined a busy general practice where I worked for 20 years before deciding to take a break by becoming an executive search consultant- ‘head-hunter’, returning to general practice after 4 years.
Restless for any new experience, my career has covered undergraduate and postgraduate training, private health screening, occupational health, GP appraisal, medical journalism and rearing gerbils. Well OK-perhaps not the gerbil bit.
Milestone or

Milestone or Millstone?

A milestone is defined as a significant stage or event in the development of something. NG23 is not a milestone document but another millstone around the neck of a profession that is trying to maintain the trust that patients have in it.. NICE needs to choose its words carefully. A 'sound bite' can often bite you back.
16/11/2015 16:55 GMT
Three Strikes and You're

Three Strikes and You're In

Over the 40 years that I have been a doctor I have noticed that 'textbook' presentations of disease are becoming rarer. For example we have all come across stories of the healthiest of people succumbing to heart attacks whilst on the squash court. The same applies to cancer.
06/08/2015 00:12 BST
Cancer Survival Rates in the UK - Mea

Cancer Survival Rates in the UK - Mea Culpa?

I am a typical NHS GP so let's start by getting something straight about the latest article in the national press about how useless I am at diagnosing cancer. No adult ever attends my surgery without a potential diagnosis of cancer being at the forefront of my mind. Every pain is cancer. Every cough is cancer. Every lump is cancer. Likewise every chest pain is a heart attack. Every childhood rash is meningitis. I defer to the worst case scenario for everyone and everything I see.
03/06/2015 09:55 BST
Parallel

Parallel Practice

I honestly do not know what is going to happen to NHS General Practice in the UK. What is even more worrying is that neither do my colleagues, both high and low, ivory tower or coal face, working or retired.
22/05/2015 10:43 BST
Have Doctors Become

Have Doctors Become Drones?

Just why do doctors retire early? After all the role of a doctor, to all outward appearance, would seem to be one to die for. There's the prestige to start with. And the money's not bad. The hours have certainly improved since the removal of 24 hour responsibility for patients in 2004...
23/04/2015 12:42 BST
Aspire or

Aspire or Expire?

We need to get things right because we are accountable directly to the human being in front of us. We deal with the individual on a personal level.
10/03/2015 12:10 GMT
Predicting

Predicting Pratfalls

Leave the politicians to pluck millions from thin air. Let everyone else play the predictor game. We doctors are far too canny to join in. We know that whatever happens, the only thing that we can predict will be that Monday morning surgeries will always be a nightmare.
13/02/2015 12:42 GMT
Crossword

Crossword Solutions

There are thousands of recently retired or soon to retire GPs, mainly doing so before 65 years of age, who, like myself, still enjoy clinical medicine but can't be bothered with all the rest of the guff clogging up primary care.
06/02/2015 14:52 GMT
Set My Doctors

Set My Doctors Free

Scrap the regulations, unshackle the profession and watch those queues vanish in a brave new year.
31/12/2014 13:13 GMT
Amorous

Amorous Appraisals

Since GP annual appraisals were slowly encroaching into every other area of my professional life, even to the Kafkaesque lev
19/12/2014 05:39 GMT
The Costa

The Costa Caviar?

So there I sat spooning syllabub listlessly into my mouth whilst some conker-coloured convict was gently haranguing me about the qualities of the marvellous Spanish health system and how the NHS could learn a thing or two from our continental neighbours when my thoughts began to drift to a consultation I had had earlier that day.
29/10/2014 15:33 GMT
Vaping-No Spliffs or

Vaping-No Spliffs or Butts

I confess. I have a vice. I should have a dunce's hat placed on my head and be paraded in public before a jeering crowd of the righteous and worthy. I have battled my demons and failed. I am a smoker.
20/10/2014 14:13 BST
Antibiotics- Why Aren't We Asking the

Antibiotics- Why Aren't We Asking the Patient?

Yet patients, and that is you and me, are supposed to be at the heart of every GP consultation. We GPs are repeatedly urged to put the patient's wishes above everything else. So why has no one ever asked patients' what those wishes actually are?
13/10/2014 13:55 BST
Doctors Need to be

Doctors Need to be Human

We are currently in an professional environment where research-driven process is not being balanced by common sense. Even with all its failings there should always be a place for the dissenting voice born through experience to keep in check the march of the technocrat born through academic research.
03/09/2014 13:35 BST
Why I Can't Stop Being a Useless

Why I Can't Stop Being a Useless Doctor

So GPs are once again to blame for encouraging the spread of antibiotic resistant bacteria which will eventually annihilate all mankind. Well- mea culpa. However before you tar and feather me let me take you through a typical GP consultation and then you can draw your own conclusions.
01/09/2014 12:24 BST
Help - We've Run Out of

Help - We've Run Out of GPs

The current situation is not unique. GP recruitment goes through cycles although why this should be so is little understood. It is facile to suggest that graduates are moving abroad, taking up hospital careers or just giving up on medicine altogether
19/08/2014 13:01 BST
Forty Million

Forty Million Dis-Appointments

Maybe instead we should just accept that no system is perfect and in one with nearly 400million documented contacts between human beings; that 10 million dysfunctional ones ain't that bad after all.
29/07/2014 11:12 BST
All We Are Saying Is... Give GPs a

All We Are Saying Is... Give GPs a Chance

I am an apologist for general practice. There, I have declared my bias. Despite having been a GP for over 30 years I remain in awe of my colleagues and the way that they continue to carry out an incredibly difficult job in an increasingly onerous environment. Almost without question, all my peers entered a career in medicine driven by a vocation to help their fellow man...
04/07/2014 12:40 BST
A Tipping

A Tipping Point

I resent being made to feel responsible and guilty for my waiter's dire straits and for providing him/her with a living wage. It makes the good food stick in my craw to be put in this invidious position. Surely some of the blame should be shared with his/her employer.
17/06/2014 13:53 BST