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an obstetrician they would have picked up on some subtlety that I may have missed. All I had was the report of an obstetrician telling me to wait a few more days, alongside a well woman and a live baby.It;s one of the problems with having such a transient workforce here, there is little by means of continuity of care. I picked up her notes and read a scan report suggesting that she was 39 weeks, examined all parameters within my capabilities and reassured the patient. There is no option to bleep the doctor who assessed or scanned the patient and say: to double check, is this what you meant? are all reliant on the skills, expertise and documentation of other professionals who we have never met or had the opportunity to gauge against our normal expectations. I know of consultants back home who remain dubious about the opinion of other senior, highly trained specialists after working alongside them for many years. I'm not sure how to approach a situation in which I can't form an opinion of the professional upon who I am relying to provide me with essential information. Should I trust no one? As I am unable to double check foetal ultrasounds, should I not take responsibility for antenatal patients? There is a discrepancy between my skills from back home and my responsibilities here. It is a challenge to care for patients knowing that I cannot provide the same service that they should receive.We've talked about it plenty since and amongst all the doctors here there is a feeling of always having to work outside of your experience, and do things that you would never do unsupervised back