Doctors’ behaviour is as important as their clinical skills, say medical leadersBMJ 2018; 360 doi: https://doi.org/10.1136/bmj.k665 (Published 09 February 2018) Cite this as: BMJ 2018;360:k665
All rapid responses
Henrietta Hughes, the national “freedom to speak up” guardian said that doctors should be judged on both their competence and their conduct.(1) This deserve robust comments as several administrators strongly supported this view.(1)
First, while skills can be assessed with reliable endpoints (process or outcome), judging behavior is more complex and may be a slippery slope.
Second, using "team sport" as a beacon and, specifically New Zealand rugby teams, is clumsy: a) All Blacks captain Kieran Read was the first player to break the $1 million salary barrier in 2016 ( https://www.foxsports.com.au/rugby/all-blacks-captain-kieran-read-poised... ), without endorsements and sponsorship packages; b) the New Zealand rugby doping scandal is only one among a frequent “behavior” in sport ( https://www.rugbypass.com/news/nz-rugby-cant-rule-blacks-doping-scandal-... ), c) last, much of the rugby game involves tackling an opponent head on and using sheer force to move them out of the way; data from the Rugby Players Association shows that during the 2011-12 Premiership League season an average of 1.61 players per team suffered some kind of injury per match ( https://www.bmihealthcare.co.uk/health-matters/mens-health/rugby-injuries ).
In my humble opinion, first of all, we need fewer health care administrators.(2)
1 Rimmer A. Doctors’ behaviour is as important as their clinical skills, say medical leaders. BMJ 2018;360:k665
2 Braillon A. Give the Sahara desert to a health care administrator and a few weeks later he will have to import sand. Am J Med Qual 2008;23:404.
Competing interests: No competing interests