Negotiating the power gradient

doi:10.1136/bmj.b4063

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Anna Sobel, ST3 psychiatry1,
Farhana Mann, ST3 psychiatry2

¹St Ann’s Hospital, London N15 3TH
²Margarete Centre, London NW1 2LS

a_sobel{at}hotmail.com

Although we have something to learn from the death of Michael Jackson,1 such extreme examples seem far from everyday practice.

Medical education includes occasional vignettes or objective structured clinical examinations (OSCEs) featuring difficult patients, but as doctors we are left to negotiate the power gradient and appropriate boundaries …