Intended for healthcare professionals


The enigma

BMJ 2006; 332 doi: (Published 15 June 2006) Cite this as: BMJ 2006;332:1449
  1. Samuel A Collins, paediatric house officer (
  1. Whittington Hospital NHS Trust, London

    I'm a new doctor and have just arrived into the world of work. I have spent my first four months as a paediatric house officer and have been thrust into the world of hospital medicine, one, I may add, so different from that of medical school that it is scarcely worth linking the two. I am slowly coming to terms with the drudging uncertainty of many patients' diagnoses and the lack of textbook precision. Daily there is bronchiolitis, asthma, and viral induced wheeze (or was it viral exacerbation of asthma? I can't remember). Many times there is that disappointing lack …

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