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Views & Reviews The Bigger Picture

Survival of the fittest?

BMJ 2010; 340 doi: (Published 24 February 2010) Cite this as: BMJ 2010;340:c1090
  1. Mary Black, public health physician, Belgrade, Serbia
  1. drmaryblack{at}

    There is an assumption that when we are doctors, and especially when we are senior, we can and should take whatever is thrown our way: blood, bureaucracy, bullshit, and even bullying. There is an assumption that we are grown up enough, paid well enough, and mature enough to just take it, to weather the abuse and survive power struggles—to tend our wounds alone and live on, scarred but stronger, to fight another day. There is an assumption that such macho battles are a necessary part of proving our true worth and …

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