In reply to Removed Usersimonridout:
> First, providing such a certificate is not a NHS service, so your GP is likely to charge for it.
Your asking for a consultation with your doctor so that he/she can advise you whether or not you should undertake a form of exercise - I thought this was encouraged? That
is an NHS service (unless things are now worse than I thought) - signing the form is just a formal reflection of that. As a medical professional would you want to encourage the public not to seek medical advice before embarking on physical activity?
> Second, it may be seen as transferring any liability for any incident onto the GP's medical defence organisation's insurance, which the GP pays for personally.
It might be seen that way, but that is just ignorance of what the form is used for - this is in no way transferring liability to anyone. It is simply showing the race organiser that you've taken medical advice before racing.
> Third, very few GPs are trained in (extreme) sports medicine and may well decline to undertake a non NHS service, that could potentially provide lots of hassle for very little reward.
Again, the certificate simply asks to state that you are not aware of any contra-indications for competitive running (I use the same form for 10Ks and ultras). It is fairly simple and is not asking GPs to do anything for which they're not medically trained. French GPs do this all the time.
> If, when practising, I was asked to provide such a certificate, I would alter the wording to read: 'I have reviewed X' s medical records and undertaken a limited assessment, I have found no reason to suggest that X should not undertake the activity'. Alternatively, I would ask the patient to contact the organiser to request their medical standard for participation.
And I wouldn't have thanked you for that, especially if you'd charged me extra for the privilege. The wording on the certificate is specific so you can't change it and expect it to be accepted. There isn't a 'medical standard' for participation as such, just a request that you confirm via a doctor, that there's no obvious reason why you should be excluded from competing.
I think this topic usually gets blown out of all proportion. Yes, I agree that the whole thing is ridiculous French bureaucracy but those are the rules of competing.
Post edited at 09:29