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Sir David who?

BMJ 2013; 347 doi: (Published 15 November 2013) Cite this as: BMJ 2013;347:f6899
  1. Kinesh Patel, junior doctor, London
  1. kinesh_patel{at}

“Have you met our senior manager?” The question was put to the veteran consultant, as an entourage of important looking people swept through the department. “He’s been here for years.”

A polite handshake and the customary pleasantries ensued, and both parties asserted how lovely it was to meet each other. I melted obsequiously into the background a couple of metres away, knowing my place as a junior doctor. A minute later and the encounter was over.

“I’ve never heard of him,” said the consultant turning to me, with a slightly puzzled look. “I’ve been …

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