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Under the Microscope
Authors:Robert Marshall
Institution:Institute of Clinical Education, Peninsula College of Medicine and Dentistry, Truro, Cornwall TR1 3HD, UK. rjmarshall@pms.ac.uk
Abstract: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.
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