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[Perspectives] The pressures of medical practice

Caroline Elton is a chartered psychologist who has had an unusual career. She worked to challenge outdated models of medical education by observing doctors at work, and then went on to become Head of the Careers Unit for trainee doctors at the London Deanery. She now works for a private counselling company specialising in medical and dental careers. Also Human: the Inner Lives of Doctors draws on her more than two decades of work with physicians. Elton’s book is a frequently angry and shocked response to the tools used for selection for medical school, the induction into and nature of medical training, and the management of doctors who find themselves, for whatever reason, in some kind of difficulty.