Journal of Medical Humanities

, Volume 29, Issue 1, pp 61–66 | Cite as

Under the Microscope

  • Robert Marshall


This is a personal account of life in the United Kingdom National Health Service by a pathologist who has worked there for 25 years. The principles of clinical governance are embraced by the medical profession, but their application is often insensitive, governmental and bureaucratic. A doctor’s working life is now less autonomous, less centred on the patient and less fun. Medical humanities are a balm for the sore spots but not, I think, used consciously so by management, likely suffering from the same bureaucratic governmentality that sees value in nothing–unless it can be measured.


Clinical governance Medical humanities Guidelines Inspection 

Copyright information

© Springer Science+Business Media, LLC 2007

Authors and Affiliations

  1. 1.Institute of Clinical EducationPeninsula College of Medicine and DentistryTruroUK

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