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Dear Ms Henderson Despite numerous lightweight editorials in Modern Medicine by Bridget Maher, I have refrained from commenting. However, her most recent offering, Oct 04, cannot be ignored. It displays much about Dr Maher's character. There is more to caring for patients than having good manners and answering their questions. It involves engaging with the patient, judgement and concern for the sick individual. She claims that 570 pointers can be caring doctors; my experience of many of them is the opposite; many refuse to roll up their sleeves and work, or help elderly patients to sit up in bed -- such work they consider beneath them. This doesn't mean that 450 points will be caring; there is no perfect way to select medical students. However, there is an elitist attitude among the 570 pointers which is not a good starting point. Dr Maher seems to think that the only thing a surgeon has to do is cut out an organ skilfully -- wrong -- the most important thing is to do the correct operation. It is much better to do the right operation reasonably well than do the wrong operation brilliantly. Dr Maher may not have a vocation for medicine or for caring for patients, but that does not mean that other doctors do not. I know many doctors who are well balanced people who have a true vocation for looking after sick people. Professor Denis O'Sullivan, retired Professor of Medicine at UCC, was notable for this characteristic and most of the best doctors I know practising today would not get into Medical School if the points system was in operation in their day. I think Dr Maher is trying to stir things up, while in fact she is insulting members of her own profession. P GAFFNEY MCH FRCS Consultant Surgeon Co. Cork.
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