During an evening locum A&E shift recently, I referred a child for an orthopaedic opinion. An FY2 doctor discharged her home, after discussion with his registrar. The child was subsequently recalled to hospital the following morning following...
At present while 40% of doctors are female, only 28% hold consultant posts and only 8% of all consultants are female surgeons (Elston, 2009). This raises interesting questions about the nature and future of clinical leadership in surgery....
This evidence scan describes how junior doctors have been engaged in quality improvement and factors that help and hinder their involvement. It also describes how junior doctors have been engaged in quality improvement and factors that help and...
In this editorial from the BMJ,Stephen Gillam (director, public health teaching) argues that new frameworks help but old obstacles hamper progress when teaching doctors in training about management and leadership.
The article discusses the five...
Over the past year I have been fortunate enough to work on the North West Leadership Schools pilot, an initiative funded by the Strategic Health Authority and supported by the National Leadership Council. It involved trainee-led leadership schools...
Left disappointed by Robert S Kaplan and Michael E Porter‘s 'rather simplistic' approach in How to Solve the Cost Crisis in Health Care, Suparna discusses the problems in their discussion and explains why the NHS is radically different in its...
Published in the Harvard Business review, this video and sound clip with Robert S. Kaplan (Baker Foundation Professor at Harvard Business School) and Michael E.Porter (Bishop William Lawrence University Professor at Harvard) looks at US health ...
I am known at my hospital for having worked at the National Patient Safety Agency. People approach me frequently with queries about the surgical safety checklist. Nearly all questions I can answer easily, but last week I was posed a problem that I...
Reflections on readings and experiences this month are three:
Bureaucracy
Strategy
The lean startup
In Economy and Society, Max Weber claims 'bureaucracy' may be characterised by six central elements:
The principle of jurisdictional areas
The...
A friend of mine suffers from bouts of anterior uveitis, a painful condition of the eye. She was on holiday in America recently when it flared up, and she saw a local ophthalmologist. On finding out my friend was from the UK the ophthalmologist...