Change in psychological agreement makes doctors unhappy

One major reason why doctors are unhappy seems to be a change in the relationship between the profession, employers, patients, and society, so that the job is now different to what doctors expected. Workload and pay, although important, do not fully explain the problem. In response to Richard Smith's editorial (BMJ 2001;322:1073-4[Full Text]), Edwards and colleagues (p 835) report on the reasons discussed at seminars on the subject of doctors' unhappiness held in Massachusetts and London last year. They also looked at literature from around the world. They propose that a new agreement that is more acceptable to the profession is needed and that clinical leaders have a crucial role in developing it.

(Credit: PAXTON/FARROW/SPL)

(Credit: WWW.SHOUTPICTURES.COM)

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Unhappy doctors: what are the causes and what can be done?

Nigel Edwards, Mary Jane Kornacki, and Jack Silversin
BMJ 2002 324: 835-838. [Extract] [Full Text] [PDF]