ThisisGoingtoHurt - (EPUB全文下载)

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Adam Kay
This is Going to Hurt
Secret Diaries of a Junior Doctor
PICADOR
To James
for his wavering support
And to me
without whom this book would
not have been possible

A NOTE REGARDING FOOTNOTES
Read the fucking footnotes.

To respect the privacy of those friends and colleagues who might not wish to be recognized, I have altered various personal details. To maintain patient confidentiality, I have changed clinical information that might
identify any individuals, altered dates
1

and anonymized names.
2

Although fuck knows why – they can’t threaten to strike me off any more.

Contents
Introduction
1.  House Officer
2.  Senior House Officer – Post One
3.  Senior House Officer – Post Two
4.  Senior House Officer – Post Three
5.  Registrar – Post One
6.  Registrar – Post Two
7.  Registrar – Post Three
8.  Registrar – Post Four
9.  Senior Registrar
10.  Aftermath
An Open Letter to the Secretary of State for Health
Acknowledgements

Introduction
In 2010, after six years of training and a further six years on the wards, I resigned from my job as a junior doctor. My parents still haven’t forgiven me.
Last year, the General Medical Council wrote to me to say they were taking my name off the medical register. It wasn’t exactly a huge shock, as I hadn’t practised
medicine in half a decade,
3

but I found it a big deal on an emotional level to permanently close this chapter of my life.
It was, however, excellent news for my spare room, as I cleared out box after box of old paperwork, shredding files faster than Jimmy Carr’s accountant. One thing I did rescue from the jaws of death was my training portfolio. All doctors are recommended to log their clinical experiences, in what’s known as ‘reflective practice’. On looking through this portfolio for the first time in years, my reflective practice seemed to involve going up to my hospital on-call room and writing down anything remotely interesting that had happened that day, like a medical Anne Frank (only with worse accommodation).
Among the funny and the mundane, the countless objects in orifices and the petty bureaucracies, I was reminded of the brutal hours and the colossal impact being a junior doctor had on my life. Reading back, it felt extreme and unreasonable in terms of what was expected of me, but at the time I’d just accepted it as part of the job. There were points where I wouldn’t have flinched if an entry read ‘swam to Iceland for antenatal clinic’ or ‘had to eat a helicopter today’. ............

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