Under the microscope.
This is a personal account of life in the United Kingdom National Health Service by a pathologist who has worked there for 25 years. The principles of clinical governance are embraced by the medical profession, but their application is often insensitive, governmental and bureaucratic. A doctor's working life is now less autonomous, less centred on the patient and less fun. Medical humanities are a balm for the sore spots but not, I think, used consciously so by management, likely suffering from the same bureaucratic governmentality that sees value in nothing-unless it can be measured.
Institute of Clinical Education, Peninsula College of Medicine and Dentistry, Truro, Cornwall TR1 3HD, UK. rjmarshall@pms.ac.uk
Robert
R
Marshall
D000739:Anecdotes as Topic; D006739:Hospital Administration; D018578:Hospital-Physician Relations; D006779:Hospitals, Public; D006809:Humanities; D006801:Humans; D007588:Job Satisfaction; D013222:State Medicine / Q000458:organization & administration; D006113:United Kingdom