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Views & Reviews

Continuity is never out of fashion

BMJ 2012; 344 doi: (Published 08 February 2012) Cite this as: BMJ 2012;344:e957
  1. Des Spence, general practitioner, Glasgow
  1. destwo{at}

Fashion changes (unless you’re a chemistry teacher). Looking at photos, we cringe at what we once wore, but marvel at how much hair we had. Medicine is faddishly fickle, with trendy diagnoses, buzz words, tomahawk tendon hammers, and bow ties. In general practice we once talked of “burnout”—the sense that you become an emotional husk (like being a parent but at work), so overworked that you ceased to function or care. In the 1990s work stress was so intense that it took physical form. We are …

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