Intended for healthcare professionals

Letters How long does induction take?

Dystopian levels of bureaucracy distract us from treating patients

BMJ 2019; 365 doi: (Published 06 June 2019) Cite this as: BMJ 2019;365:l2334
  1. Christopher A Efthymiou, consultant cardiac surgeon
  1. Glenfield Hospital, Leicester LE3 9QP, UK
  1. c_efthymiou{at}

How long does induction take? Much longer than you think.1 How has it become that doctors rotating through new posts are subjected to dystopian levels of bureaucracy, in some cases having to repeat the process every four months?

At a time of major medical staff shortages, trainees are required to spend vital hours, and in some cases days, away from clinical practice to complete procedural, administrative, and often irrelevant …

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