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The myth of the autonomous clinician

29 April 2026
We work through constant interaction with patients, reception staff, nurses, colleagues, and managers. Moral agency is not exercised in isolation but through negotiation, shared responsibility, and emotional labour. Ethical models that ignore this fail to describe the world in which general practice happens.
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Opinion and Clinical

Speaking power to suffering

...there is a language barrier between the specialist, who thinks in terms of technical problems and how to solve them, and the lay person, who is more concerned with their own experience and how to make sense of it. Anyone working in
23 April 2026

The surgery that thinks

General practice is not a solo cognitive act but a distributed system of people, tools, and spaces thinking together. Safety and fairness depend less on individual reasoning than on how this network aligns.
20 April 2026

Thresholds

The consultation ends. The next one has not yet begun. In between, there are a few seconds. These are thresholds. We rarely notice them. We probably should.
17 April 2026

The first clinical decision of the day

"The phones start ringing before the shutters are fully up. On line three, a woman tries to sound calm but keeps losing her breath mid-sentence. The receptionist tilts their head, listening more to the rhythm than the words. Something isn’t right. The
15 April 2026

Doing it right, and doing it well

For us, perfection is not just an unachievable goal, but a false one, and perfectionism can never, even under ideal conditions, deliver the validation it promises us. Ben Hoban tackles perfectionism.
14 April 2026

Book Reviews

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28 Years Later: The Bone Temple

In many respects, Kelson embodies the idealised GP of cultural consciousness: an easy-to-talk-to, principled eccentric... Set against the film’s graphic, meandering violence, Kelson’s permanence echoes reassuring familiarity.
1 min read
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Icarus Plummeting

Zigmond mercilessly describes the ways in which our healthcare systems have made us less able to listen to the patient’s experience, less able to see their experience in the context of their life, their family and their social circumstances.
2 mins read

Book review: How Animals Heal Us

"How Animals Heal Us is a deeply heartfelt work from an author with lived experience of both devastating mental ill health and the restorative power of animal friendship. It contains uplifting and joyful anecdotes of animal companionship and ministration. It is also, at times, a
2 mins read

International

Long Read

We need to talk about dying

"Taking dying and death out of the solely medical domain, becoming joint partners in caring for the dying patient in the broadest sense, facilitates personalised and holistic care, and creates opportunity for a more relational and compassionate interaction ..."
15 mins read

Trainees and students

Are we judging GP registrars on their outfits?

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Professionalism may not be a discrete domain on the mark scheme, yet it shapes how registrars are assessed, creating a standard that remains open to personal interpretation. And when that interpretation is shaped by assumptions about religion, culture, gender, or identity, attire can become an
3 mins read
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BJGP Interviews

BJGP Interviews Podcast

BJGP TV | Research

BJGP News and Editorial Comment

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