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On Decision Fatigue

7 November 2025

Tasneem Khan is a GP in Bradford, and a primary care researcher at the University of Leeds. Her Instagram handle is @dr.tasneem.khan

Morning. What should I wear? I’ll go with scrubs.
Tea, car, podcast, hello, sign in, log in.

75 blood results – 41 times ‘okay’. 32 times ‘must do something’. 2 times ‘oh #&%*$’.

Clinic starts:
-help her in or not – I don’t want to patronise
-examination or not – maybe I should
-chaperone or not – running late but I need to
-antibiotics or not – well that’s an unhappy patient
-ask him to leave or not – she’s old enough to be seen alone
-safeguarding or not – Yes I cannot shrug off that feeling
-call an ambulance or not – it may be quicker if she drove
-follow-up or not – just for my piece of mind
-panic or not – I can do this
-intervene or not – is it my place to
-be persistent or not – I need her to do this
-repeat myself or not – did he understand
-is this dodgy or not – I’m not happy
-tell them or not – they need to hear it
-Let him cry or not – his kids are watching
-interrupt or not – I’m running out of time
Urgent call – do I take this or not – I’m sorry can this wait?
-break rapport or not – I have to leave you a patient has collapsed in the waiting room
-call the hospital or not – this needs admission
-follow guidelines or not – this doesn’t fit the mould
-take a loo break or not – no time
-home visit or not – ok well just this time
-sick note or not – yes I think this is warranted
-disapprove or not – it IS my place to say something
-call it out or not – you cannot talk to me like that
-ask for help or not – please can I get a member of staff to sit in with me
-take a breather or not – that was hard but I have 4 more patients to see
-finish my tasks or not – can this wait until tomorrow?
-stay past home time or not – I’ll just quickly finish this last bit off.
Log out, sign out, car, podcast, home.

What’s for dinner?
Should I read a book?
What time should I go to bed?
Somebody. Else. Please. Decide.

Morning.
I’ll go with scrubs.
Tea, car, podcast, hello, sign in, log in.
Let the decision-making begin.

 

Featured image by Peter Chiykowski on Unsplash

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The British Journal of General Practice and BJGP Open are bringing research to clinical practice. BJGP Life is where we add the debate and opinion to help ensure everyone benefits from that research.

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