Good medical practice

BMJ 2003; 327 doi: (Published 20 November 2003) Cite this as: BMJ 2003;327:1213
  1. Rahij Anwar (, registrar in orthopaedics
  1. Royal London Hospital, London

    I was appointed as a senior house officer in general surgery at a remote district general hospital. The post would have suited someone with more surgical experience, but my career prospects depended on this job. On occasions, there was no middle grade cover, and I had to manage all the surgical emergencies and take consultant advice as necessary.

    Having worked for years in orthopaedics, my thoughts were often focused on bones, even while examining a patient's abdomen. As a general surgical trainee, I had performed a couple of appendicectomies and a few other supervised operations, but I was certainly not ready to do anything as major as opening …

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