Views & Reviews Starting Out

Life at the sharp end

BMJ 2008; 336 doi: (Published 06 March 2008) Cite this as: BMJ 2008;336:562
  1. Kinesh Patel, junior doctor, London
  1. kinesh_patel{at}

Just as we’ve got used to excuses about the wrong types of leaves on the line and even the wrong type of snow when we wait for a train, we’ve also now become so accustomed to the wrong type of bureaucracy in the NHS that almost any form of management is resented.

Take venous cannulas, for example—a deeply unglamorous topic, admittedly, and the bane of many junior doctors’ lives. A new batch arrived on our ward a couple of months ago, a special safety model that looked pretty much the same as any other cannula. …

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