"Menedżerowie nie rozumieją ogromu pracy jaką jest opieka nad pacjentem- przemyślenia rezydentki z UK na forum BMJ
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Life as a doctor: the small print in the job description
Authors: Yasmin Akram
Publication date: 28 maj 2013
Managers seem to have little understanding of the workload involved in caring for patients. Yasmin Akram considers the pressures of day to day working life for junior doctors
A couple of years ago, a consultant told me to attend a lecture given by a hospital manager. Many of the details are now blurred, but one image from his slides that I will vividly remember, even when I develop dementia, is that of a dustbin.
The manager pointed to the bottom of the dustbin and said, “That is where you doctors are. You need to deal with your problems when they are down there. You need to take more responsibility and work harder. I will sort out your mess when it gets to me. But you need to stop it getting that far. I am the handle on the dustbin lid.” And then he snorted. “What a nerve,” I thought.
Junior doctors already do everything that is demanded of us, and more, but somehow everything is our responsibility. We leave work hours after our shift has ended, skip lunch, compromise our private lives, and ignore our own sickness to deliver the service we promised ourselves we would.
At night, a lone junior doctor is expected to do the work done by several teams during the day, even though patients’ illnesses do not suddenly stabilise during the hours of darkness.
I remember onc
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