Intended for healthcare professionals

Letters Surviving medical training

The NHS is a tough place to work for all of us

BMJ 2021; 372 doi: (Published 14 January 2021) Cite this as: BMJ 2021;372:n89
  1. Graham Smith, consultant paediatric nephrologist and honorary senior lecturer
  1. Children’s Kidney Centre, University Hospital of Wales, Cardiff CF14 4XW
  1. smithgc{at}

McLachlan and Fleming make valid points about the struggles of medical training.1 But they are wrong to blame the “in my dayers” for “telling current trainees that they will never be as good as those who have gone before them.” We sympathise with current trainees, as many of the changes resulting from the reduction in hours have removed the support mechanisms that kept us sane—working in firms, living together in …

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