Self regulation at work: a case study

A chance meeting, a blurted out request, and a few tears set the process in train, followed by a proper meeting to establish ground rules NB contacted the GMC health section and a specialist in occupational medicine, and this resulted in some practical suggestions These included documenting the problem areas for WH, and how they could be compensated for; considering engaging a stenographer at practice meetings for real time transcription; and informing the health authority of the measures taken so far. NB made notes specifically on the impact of WH's deafness on each consultation We then identified patients he might find particularly difficult: very elderly people, depressed people, those with a speech impediment, and those with a mental handicap. A general practitioner whose performance has been questioned would not be directly assessed in a joint surgery, yet our circumstances allowed us to apply such a discriminating, albeit threatening, test Self regulation has strengths.