Views & Reviews From the Frontline

Undoing diagnoses

BMJ 2011; 342 doi: (Published 15 June 2011) Cite this as: BMJ 2011;342:d3751
  1. Des Spence, general practitioner, Glasgow
  1. destwo{at}

I was labelled a bigmouth at school. “Desmond would do better if he occasionally shut up.” Those were the days of honest school reports. Not today: four pages of rambling report cards full of educational jargon. I read them intently to show that I care, even if I find them incomprehensible and meaningless. Education has changed. In the 1980s, BBC at A level would secure a medical school place, but relentless grade inflation means that students today need AAA. The authorities insist that this simply reflects better education. …

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