Report on performance
Scenario 9
Male 77-year-old patient from Fiji.
Transcript of part of the discussion with the practitioner reads:
Chair Well, why then would you not have done routine pathology on this patient?
Practitioner I can't answer that.
Chair Well, I would like you to answer it.
Practitioner Well, I don't have an answer I am sorry, Doctor.
Chair How would you - could you just give us an idea of how you would normally treat your type 2 diabetics, what would be your procedure for routine care of type 2 diabetic patients? Could we run through that perhaps?
Practitioner I would ask him for the booklet that he keeps a record of his daily blood sugars.
Chair And is that recorded anywhere?
Practitioner No.
Chair Why not?
Practitioner I don't have an answer.
Chair And what else would you do?
Practitioner If he was coming to see me more regularly I would certainly organise some local pathology.
Chair Well, why did you not organise it on this patient?
Practitioner I don't have an answer.
Chair Doctor, you are doing a health assessment on this patient. This patient is type 2 diabetic and you don't - you are telling us you don't know what his HBA1C is which is a very simple, basic piece of pathology ---