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Opinion

How doctors learn not to listen

Students learn that ambiguity is risky, uncertainty should be resolved, and experience must be rendered legible through diagnosis. They learn to apply the gaze, filtering out the “noise” of life to find the signal of disease.
21 January 2026
3 mins read

When normal tests end care too early

Medicine is remarkably effective at identifying disease. Yet when symptoms persist without a clear diagnosis, it often falters—not because knowledge is lacking, but because legitimacy quietly evaporates.
13 January 2026
3 mins read

Monty Hall for doctors

Three doors are visible to the audience, behind one of which is a car; behind the others are two goats, presumably sedated to stop them giving themselves away...
12 January 2026
5 mins read

Every gap is an educational gap

"Recently I saw Ted and Rachel. They were living temporarily in a share house as they had recently been made homeless. Ted is a happy man despite his current circumstances, but has diabetes that is not well controlled. He takes his medication,
9 January 2026
2 mins read

Seeing double

Alongside them is another person, invisible and nameless. This is the person shaped by fear, experience, and memory; by what they have learned it is safe to say, and what it costs to say more.
8 January 2026
2 mins read

The three-body problem

The physics of Cixin Liu’s alien world make it a hazardous place to live, and the consultation can sometimes also feel like a minefield of hidden agendas, competing interests, and impossible choices.
5 January 2026
5 mins read

The machine that goes ping

But who cares? Well, it is a distraction, an overload of trivial alarm signals from a built in buffoon while I am trying to drive a car on a dark winter evening in the rain.
3 January 2026
3 mins read

A ‘wassail’ for the new year!

"'Wassail’ is an apt greeting to a medical journal community — it derives from the Old English was hál, meaning ‘be hale’ or ‘be in good health’. ... As we wassail 2026 ... [w]hether you are a reader or writer, let’s face
2 January 2026
4 mins read

Dwelling in uncertainty: the GP’s expertise

Expertise in general practice blends knowledge, skill, judgement, and relationships. It’s less about certainty than managing uncertainty with care. True expertise integrates evidence, intuition, reflection, and empathy; it develops through both formal training and the hidden curriculum. Ultimately, it’s a dynamic, lifelong
30 December 2025
3 mins read
1

A Christmas wish from BJGP Life

Merry Christmas from BJGP Life. This year I'd like to focus on the idea that medicine, and general practice in particular, might be an engine of peace, and instrument of health and wellbeing. 'Thoughts and Prayers' embodied in meaningful professional activity. 
25 December 2025
2 mins read

Why face-to-face still saves lives

Remote consulting is excellent for repeat prescriptions, routine results, straightforward infections in the young and well, and selected mental health follow-ups. But general practice is not primarily populated by the young and well..
15 December 2025
2 mins read
1

Doctor, heal thyself

In general practice, we often prescribe the advice we fail to follow: to rest, to take time away from work, to protect boundaries. Small acts of humanity can blunt the edges of an unforgiving system. But lasting change will depend on the
11 December 2025
3 mins read

Fragmented care: a hidden cost of diabetes management

If general practice is to remain the cornerstone of chronic disease management, we need to be part of efforts to reconnect care - not by taking on more work, but by having a clearer voice in how systems are designed around patients.
10 December 2025
3 mins read

Schrödinger’s consultation

Let us imagine for a moment a consultation involving such a box, whose contents are not merely unknown, but as yet undetermined. It would perhaps be easier ... if we could look inside, although neither wants to be responsible for sealing poor
25 November 2025
4 mins read

I have a stammer

I still have days where I come out of my clinic into the waiting and turn back around because the patient’s name is stuck in my throat and I need a minute to compose myself. But that’s my journey. I don’t choose
21 November 2025
5 mins read

Balance, Boundaries, and Burnout

Burnout. A small word with huge emotive connotations and, at times, stifling stigma. Like any health condition, it seems to me that burnout does not discriminate.
17 November 2025
4 mins read
1

Making Mosaics

I have learned something crucial about the experience of being listened to and been able to talk about and reflect on the patients I find hardest to care for.
14 November 2025
7 mins read
2

Are we no better than a pigeon?

These rookies in the California experiment were not learning listening skills but rather just a very specific interpretation of pathology slides. To some doubters particularly those in the medical field it may seem no surprise that they were doing so well...
12 November 2025
8 mins read
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