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Irresistible and immovable values

The thread that runs through the debate, however, seems to be a genuine desire on both sides to help people who are suffering, and the conflict between opposing views reflects not a greater or lesser degree of care, but rather the familiar
8 January 2025
4 mins read
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Unheard: the medical practice of silencing

The practice of silencing is unjust and unfair, but probably universal in medicine. Trisha Greenhalgh reflects on a 'powerful' new book that is packed with compelling patient stories and accessible summaries of the academic literature. And for the teachers and trainers among
22 June 2024
3 mins read
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Medicine, patients, and the law

Andrew Papanikitas reviews and reflects on a good critical sourcebook on the law for GP trainers and trainees looking to flesh out a case-based discussion or tutorial, as well as for the GP looking for reading in response to a patient unmet
13 June 2024
3 mins read

Is it cruel to be kind? An open letter.

Kindness is a disposition that can’t be policed and which grows out of care, attention and connection. To suggest it can be enforced and regulated for is a mistake, explain Rupal Shah and colleagues.
29 May 2024
2 mins read
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‘Normal worries’ or mental illness? (Sick note Culture)

What are 'Ordinary' worries? Elke Hausmann reflects in the light of recent announcements by the prime minister about taking sick note prescribing away from GPs, with the argument that 'normal worries' are being wrongly medicalised as mental illness, also using that to
16 May 2024
2 mins read
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Sick notes and ‘Culture’

To be fit for work, a person must be capable of more than simply carrying out in isolation the tasks required by their role: they must be able to do so repeatedly, to a consistent standard, and in a way that represents
15 May 2024
4 mins read
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What makes science possible?

...an apparent paradox makes science possible. At least two conditions are necessary, and they appear deeply contradictory. The first is that the universe must be governed by consistent physical laws, the second is that humans in general, and scientists in particular, must
10 May 2024
3 mins read

A Necessary Kindness

The author strongly supports a woman’s right to choose, arguing for the decriminalisation of abortion in the UK, suggesting that it should be regulated as a part of healthcare. She describes recent cases where women have been given custodial sentences which have
6 April 2024
1 min read
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The risks of medical investigation are often overlooked

Investigations themselves can throw up results that are difficult to interpret, and they may reveal abnormalities of uncertain significance. To highlight these issues to our patients would constitute more ethical practice, would foster greater patient empowerment, and could result in a frame
22 March 2024
6 mins read
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The real Doc Martin

Notwithstanding the corny connection to a fictional character, and the 'old school' approach to confidentiality, this is a charming and authentic memoir. An anecdote is by definition an unpublished story - and Martin Stagg has converted his anecdotes into 'ecdotes.'
9 March 2024
3 mins read
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Framing the debate: Race-based requests in medicine

...requests for race-based concordance is a complicated area of medicine, and it is one that is not easily dealt with through formulised policies. Instead, well-reasoned judgements by the care team through a deliberative process, that begin with ethical frameworks, might provide a
10 December 2023
7 mins read

Gender justice requires gender amnesty

'When reading the spread of articles in this issue it struck me that we need diversity to be better clinicians, colleagues, and citizens.' Andrew Papanikitas reflects this month's Life and Times articles, discussing gender, diversity, narrative and queer bioethics.
30 June 2023
4 mins read

The Oxford handbook of medical ethics and law

It is a brief and easily searchable quick reference. and it covers key ethical tools to think through a case and it covers key aspects of the law as well as a variety of practice specific situations, but has an interesting flaw...
24 June 2023
3 mins read
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Why we must stop “consenting the patient”

Slight changes in phraseology can dramatically alter the central meaning of a vitally important principle.  By “consenting the patient” instead of “seeking meaningful consent,” the right of our patients to be involved in choices about their treatment and care... is exchanged with
30 April 2023
7 mins read

The cliff and the bog

You need to keep going, but stray too far to the left and you’ll be over the cliff edge before you know it; go too far to the right and you’ll be bogged down, and who knows what state you’ll be in
11 November 2022
4 mins read
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