Do you admit to working within the system?BMJ 2000; 321 doi: https://doi.org/10.1136/bmj.321.7263.768/a (Published 23 September 2000) Cite this as: BMJ 2000;321:768
Culture of not telling tales has to end
- Patrick Bower, clinical governance lead (PJBOWER@aol.com)
- Balham, Tooting and Wandsworth Primary Care Group, London SW18 4EA
- University of London, St George's Hospital, London SW17 0QT
EDITOR—Richard wonders if he should admit to being a doctor when the casualty officer misses his daughter's fracture and, even after seeing the x ray film, gets the diagnosis and treatment wrong.1 There is no dilemma. The casualty officer is a poorly performing doctor. He is not only lacking in knowledge but, seemingly, unaware of his own ignorance.
Do his seniors know this? What help does he need to become a better doctor? Does the department provide proper training for its senior house officers? Do they have guidelines for use of radiography?
If the NHS is ever to be a first class service we need to learn to use such incidents constructively. The accident …