Scarlett McNally: Reversing the catastrophic effect of “ȷust one more” on retention of doctors

The stress-strain curve is a stalwart of orthopaedic exams. Its principles guide how implants behave, but they now seem to be applied increasingly to people working in healthcare. We know that the backlog for elective procedures in the NHS is at a record level. Suddenly, there are whole days when the morning’s operating list spills over into the afternoon clinic. The notion of “just one more” can be catastrophic for the physical and mental wellbeing of staff and poses a risk for patient safety. Once you’re caught in a downward spiral of apologising for being overworked and cutting corners, something will go wrong.Senior doctors are resigning or retiring early, in large numbers. This is catastrophic for patient care, as they’re the ones able to decide what tests to avoid, when to avoid admitting a patient, which patients are safe for discharge, and what the natural history is likely to be….
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