Intended for healthcare professionals

Letters How patients make us feel

Negotiating the power gradient

BMJ 2009; 339 doi: (Published 05 October 2009) Cite this as: BMJ 2009;339:b4063
  1. Anna Sobel, ST3 psychiatry1,
  2. Farhana Mann, ST3 psychiatry2
  1. 1St Ann’s Hospital, London N15 3TH
  2. 2Margarete Centre, London NW1 2LS
  1. a_sobel{at}

    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 …

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