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Here - Surrey and Borders Partnership NHS Foundation Trust

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Editorial<br />

– the outcome of that crucial encounter<br />

may have already been partly <strong>and</strong><br />

significantly determined by what the<br />

patient experienced in the waiting room.<br />

Something the doctor may not just be<br />

unaware of, but may be usually beyond<br />

their control.<br />

Qualitative research has a long <strong>and</strong><br />

respectable history in Anthropology <strong>and</strong><br />

Sociology, though it may be sniffed at by<br />

medical colleagues; it’s just an example<br />

that other methodologies are available<br />

to us as research tools. You don’t need a<br />

high tech brain scanner to accomplish<br />

something meaningful. It should not be<br />

forgotten.<br />

<strong>Here</strong> are some possible research<br />

questions that I would be interested in<br />

assisting any staff member with<br />

conducting some kind of project, or<br />

which I believe others in the <strong>Trust</strong> may<br />

want to pick up.<br />

Why do patients complain <strong>and</strong> what is<br />

their experience of the complaints<br />

process? What leads to higher patient<br />

satisfaction after a complaint? What is<br />

the experience of the staff members<br />

who have been the subject of a<br />

complaint? What is the impact on them<br />

psychologically or in terms of the way<br />

they practice medicine afterwards?<br />

What is found most helpful by GPs in<br />

letters from Secondary Care clinics.<br />

What do they dislike the most in our<br />

letters to them? What impact do our<br />

letters have on care? What about a trial<br />

of different kinds of letters?<br />

When a patient first hears that a GP is<br />

thinking of referring them to a<br />

psychiatric services – what is their initial<br />

reaction? How does the encounter with<br />

services alter that?<br />

When trainees start psychiatry what are<br />

their expectations? How does doing a<br />

psychiatry placement alter this?<br />

Part of the new <strong>Trust</strong> journal could be<br />

devoted to throwing out research ideas<br />

<strong>and</strong> seeing who wants to collaborate<br />

over conducting. Part of the week could<br />

be set aside for doctors in the <strong>Trust</strong> to<br />

meet in order to discuss <strong>and</strong> assist with<br />

research projects.<br />

Remember as well that publishing<br />

doesn’t have to be restricted to<br />

publishing research – letters to journals<br />

can often be surprisingly influential. A<br />

good place to start in your research<br />

career is by submitting some letters. For<br />

that you must be aware of the literature<br />

<strong>and</strong> eventually dialogues <strong>and</strong><br />

collaborations may develop. before you<br />

critique it <strong>and</strong> then eventually dialogues<br />

<strong>and</strong> collaborations often develop out of<br />

such initial correspondence.<br />

Colleagues could get together <strong>and</strong><br />

submit more letters to journals - drawing<br />

attention to the implications of various<br />

research findings on clinical practice<br />

where we work?<br />

These are just questions – I don’t<br />

pretend to have the answers.<br />

But all great research at least starts with<br />

a good question.<br />

This is not as good a paper as I had<br />

hoped. It was done rather quickly <strong>and</strong><br />

under difficult circumstances. But it<br />

might stimulate you to think of doing<br />

research.<br />

Remember, if you predict you’ll do, you<br />

are more likely to do it.<br />

8 <strong>Surrey</strong> <strong>and</strong> <strong>Borders</strong> Online Journal www.sabp.nhs.uk/journal

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