Personal reflective practice can lead to change

This week The BMJ provides plenty of ideas for readers to improve patient care or to create better systems. Some lessons are personal and moving. Partha Kar describes difficult experiences as an international medical graduate (doi:10.1136/bmj.o2360).1 Kindness and time to chat, play computer games, and share dinner with colleagues served to combat his loneliness in ways that even the best formal induction programmes can’t. After learning that England has the second highest income inequality in Europe, Helen Salisbury considers whether she could better allocate time to prioritise patient need over demand and tackle inequality in her practice’s service (doi:10.1136/bmj.o2375).2 Her practice will try by contacting patients with long term conditions who are rarely seen.As more people opt for private healthcare services, Sally Howard explores some of the unintended consequences (doi:10.1136/bmj.o2115).3 People may turn to the private sector to be seen quickly when the NHS is under pressure. But private providers…
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