In the land of the blind…

Leadership is one of those areas of medical training that is increasing in prevalence, and the number of schemes to ensure that medical leaders are available within the workforce is ever expanding. Some in our profession feel that the ‘leaders’ who are ‘trained’ seem to have few leadership qualities, and even less legitimacy to lead […]

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Service, safety and training – a tricky trio.

The National Health Service is more than a health service, is is perhaps one of the biggest postgraduate universities in the world.  Within the corridors, operating theatres, and wards of the hospitals in the UK, healthcare professionals are learning. They are taught by example every day, and increasingly are allocated time out of the service […]

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What’s important to you?

Patient centred, patient focused, patient oriented, co-design, co-production, co-creation, and so on… The medical world is abuzz with the desire to make patients the central focus of all of our efforts. It is almost so blindingly obvious that patients should be at the centre of everything that we do that very often clinicians feel somewhat […]

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Medicine – a team sport

  Medicine could once be practised in isolation – indeed, young doctors often found themselves working alone – a situation evocatively described by Bulgakov in his ‘Country Doctor’s Notebook.’  Nowadays, it is almost impossible to work in isolation, and team working is the norm.  Atul Gawande wrote about the different approaches of Cowboys and Pit […]

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Proper preparation and planning…

There is a basic assumption that medical schools prepare medical students to become doctors. One might expect that medical schools prepare medical students to broadly similar standards, and that by extension, their students would be broadly prepared for practice when they emerge blinking onto the wards each August. In a fascinating paper, Goldacre, Lambert and […]

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