{"id":36736,"date":"2016-05-24T15:54:02","date_gmt":"2016-05-24T14:54:02","guid":{"rendered":"https:\/\/blogs.bmj.com\/bmj\/?p=36736"},"modified":"2017-02-17T12:12:12","modified_gmt":"2017-02-17T11:12:12","slug":"burnout-shops-are-bad-for-health","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bmj\/2016\/05\/24\/burnout-shops-are-bad-for-health\/","title":{"rendered":"Tessa Richards: \u201cBurnout shops\u201d are bad for health"},"content":{"rendered":"

\"Tessa_richards\"<\/a>Burnout is a pervasive problem. Its high prevalence among health professionals is well recognised. But the\u00a0extent of its impact on the quality, safety, and cost of patient care needs more scrutiny, agreed participants at the WELL-Med conference in Greece last week.<\/p>\n

\u201cFixing toxic workplaces rather than fixing the people\u201d who suffer from working in them should also be a priority, said the guru of burnout research, Christina Maslach, professor of psychology at the University of California. She went on to warn that \u201cthe number of organisations\u201d whose policies seem designed to make them \u201cburnout shops\u201d is rising.<\/p>\n

Maslach\u2019s Burnout Inventory is seen as the gold standard self-assessment tool. It\u2019s based on three main components: exhaustion, cynicism, and professional inefficacy. Burnout is not classified as a disorder, she said, and is distinct from, and should not be equated with, depression. \u201cBut there is a move to put a diagnostic label on it.\u201d It helps people get benefits and treatments for what countries variably describe as \u201cburnout, work related strain, or vital exhaustion.\u201d The problem with this is that it shifts the focus to individuals, and the systemic and cultural problems of the organisation are not addressed.<\/p>\n

Most burnout research has focused on its frequency and ways to treat and prevent it, and these were well aired at the meeting. Burnout in up to 50-60% of\u00a0the health workforce was reported in many settings, with the highest rates among junior staff and students. Medical education and training programmes should put more emphasis on self-care, dealing with uncertainty and ambiguity (inevitable components of healthcare), and teach resilience, it was agreed. Reducing the stigma that prevents people admitting to problems was also flagged as important.<\/p>\n

Although there is no consensus on the \u201cbest treatment\u201d for burnout, access to timely psychological and social support, and \u201ctaking leave not drugs,\u201d were emphasised. While workplaces have got better at thinking about employees’ physical health, little is being done about their mental health. Preventive measures discussed included setting aside time for team discussions and looking at \u201cpositive deviance.\u201d This prioritises\u00a0finding examples of where things are going well and working out why, rather than always dwelling on mistakes and who is to blame for them.<\/p>\n

Bryan Sexton, director of the Patient Safety Center at Duke University in the US, advocated recording \u201c3GS.\u201d \u201cWriting down three good things that happen during your day for 15 consecutive days\u201d has more impact on wellbeing than taking antidepressants, he said.<\/p>\n

Reasons for why working in the healthcare sector has become more stressful, participants agreed, include the obsession with measurement, loss of professional autonomy, poor team work, poor leadership, and widespread tolerance of bullying. The mantra was repeated that \u201cwhat gets permitted gets promoted.\u201d<\/p>\n

David Hillis, CEO of the Royal Australian College of Surgeons, talked about the response his college is leading in the wake of \u201cAustralia\u2019s equivalent of the Mid Staffordshire scandal.\u201d Last year the media ran\u00a0a story which suggested that bullying, discrimination, and sexual harassment in the workplace were widely tolerated\u00a0in surgical practice. Following this expos\u00e9 the college did a survey of its members, which confirmed the story’s findings.<\/p>\n

Essential steps to improve the culture of healthcare, identified by speakers, include teaching respect, empathy, communication, \u201crelationality,\u201d team building, conflict management, leadership, and what constitutes professional good conduct. But the \u201ccommand and control\u201d approach to management and \u201cobsession with safety\u201d should be countered too, argued Aneez Ismail, professor of general practice in Manchester.<\/p>\n

The massive investment in patient safety research (and response to it) has largely failed to make care appreciably safer, he said. The health profession must be more open with patients and the public about \u201cmedical fallibility,\u201d and admit that \u201csuffering and death cannot be prevented or indefinitely postponed.\u201d\u00a0He also deplored the trend for \u201csafety netting,\u201d which, he suggested, meant passing the responsibility for ongoing care on to someone else.<\/p>\n

Anthony Montgomery, associate professor of work and organisational psychology at the University of Macedonia, ended the meeting on a deliberately provocative note.<\/p>\n

Complex healthcare organisations seemed \u201cdesigned to fail,\u201d he said. \u201cIt was invidious for doctors to [work] in systems that destroy morale and block their creativity.\u201d But as the impact of burnout on the quality and safety of patient care is explored further, he warned that \u201ca big risk for patients may turn out to be healthcare professionals themselves.\u201d<\/p>\n

Tessa Richards<\/strong>\u00a0is senior editor\/patient partnership, <\/em>The BMJ.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"

Burnout is a pervasive problem. Its high prevalence among health professionals is well recognised. But the\u00a0extent of its impact on the quality, safety, and cost of patient care needs more […]<\/p>\n

More…<\/a><\/p>\n","protected":false},"author":1,"featured_media":38421,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1751],"tags":[],"class_list":["post-36736","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-tessa-richards"],"yoast_head":"\nTessa Richards: \u201cBurnout shops\u201d are bad for health - The BMJ<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/bmj\/2016\/05\/24\/burnout-shops-are-bad-for-health\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Tessa Richards: \u201cBurnout shops\u201d are bad for health - The BMJ\" \/>\n<meta property=\"og:description\" content=\"Burnout is a pervasive problem. Its high prevalence among health professionals is well recognised. But the\u00a0extent of its impact on the quality, safety, and cost of patient care needs more [...]More...\" \/>\n<meta property=\"og:url\" content=\"https:\/\/blogs.bmj.com\/bmj\/2016\/05\/24\/burnout-shops-are-bad-for-health\/\" \/>\n<meta property=\"og:site_name\" content=\"The BMJ\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/bmjdotcom\/\" \/>\n<meta property=\"article:published_time\" content=\"2016-05-24T14:54:02+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2017-02-17T11:12:12+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/blogs.bmj.com\/bmj\/files\/2017\/02\/Tessa_richards2.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"540\" \/>\n\t<meta property=\"og:image:height\" content=\"350\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"BMJ\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@bmj_latest\" \/>\n<meta name=\"twitter:site\" content=\"@bmj_latest\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"BMJ\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"4 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2016\\\/05\\\/24\\\/burnout-shops-are-bad-for-health\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2016\\\/05\\\/24\\\/burnout-shops-are-bad-for-health\\\/\"},\"author\":{\"name\":\"BMJ\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#\\\/schema\\\/person\\\/ba3da426ed20e8f1d933ca367d8216fe\"},\"headline\":\"Tessa Richards: \u201cBurnout shops\u201d are bad for health\",\"datePublished\":\"2016-05-24T14:54:02+00:00\",\"dateModified\":\"2017-02-17T11:12:12+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2016\\\/05\\\/24\\\/burnout-shops-are-bad-for-health\\\/\"},\"wordCount\":744,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2016\\\/05\\\/24\\\/burnout-shops-are-bad-for-health\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/files\\\/2017\\\/02\\\/Tessa_richards2.jpg\",\"articleSection\":[\"Tessa Richards\"],\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2016\\\/05\\\/24\\\/burnout-shops-are-bad-for-health\\\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2016\\\/05\\\/24\\\/burnout-shops-are-bad-for-health\\\/\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2016\\\/05\\\/24\\\/burnout-shops-are-bad-for-health\\\/\",\"name\":\"Tessa Richards: \u201cBurnout shops\u201d are bad for health - The BMJ\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2016\\\/05\\\/24\\\/burnout-shops-are-bad-for-health\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2016\\\/05\\\/24\\\/burnout-shops-are-bad-for-health\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/files\\\/2017\\\/02\\\/Tessa_richards2.jpg\",\"datePublished\":\"2016-05-24T14:54:02+00:00\",\"dateModified\":\"2017-02-17T11:12:12+00:00\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2016\\\/05\\\/24\\\/burnout-shops-are-bad-for-health\\\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2016\\\/05\\\/24\\\/burnout-shops-are-bad-for-health\\\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2016\\\/05\\\/24\\\/burnout-shops-are-bad-for-health\\\/#primaryimage\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/files\\\/2017\\\/02\\\/Tessa_richards2.jpg\",\"contentUrl\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/files\\\/2017\\\/02\\\/Tessa_richards2.jpg\",\"width\":540,\"height\":350},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2016\\\/05\\\/24\\\/burnout-shops-are-bad-for-health\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Tessa Richards: \u201cBurnout shops\u201d are bad for health\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#website\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/\",\"name\":\"The BMJ\",\"description\":\"Helping doctors make better decisions.\",\"publisher\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"},{\"@type\":\"Organization\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#organization\",\"name\":\"The BMJ\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#\\\/schema\\\/logo\\\/image\\\/\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/files\\\/2018\\\/05\\\/The-BMJ-logo.jpg\",\"contentUrl\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/files\\\/2018\\\/05\\\/The-BMJ-logo.jpg\",\"width\":852,\"height\":568,\"caption\":\"The BMJ\"},\"image\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#\\\/schema\\\/logo\\\/image\\\/\"},\"sameAs\":[\"https:\\\/\\\/www.facebook.com\\\/bmjdotcom\\\/\",\"https:\\\/\\\/x.com\\\/bmj_latest\"]},{\"@type\":\"Person\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#\\\/schema\\\/person\\\/ba3da426ed20e8f1d933ca367d8216fe\",\"name\":\"BMJ\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/b4d8f39281bcae118348a1c027347b8e53b82d42520e774a8b50dd9a6ac6c01d?s=96&d=mm&r=g\",\"url\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/b4d8f39281bcae118348a1c027347b8e53b82d42520e774a8b50dd9a6ac6c01d?s=96&d=mm&r=g\",\"contentUrl\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/b4d8f39281bcae118348a1c027347b8e53b82d42520e774a8b50dd9a6ac6c01d?s=96&d=mm&r=g\",\"caption\":\"BMJ\"},\"sameAs\":[\"https:\\\/\\\/blogs.bmj.com\\\/\"],\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/author\\\/admin\\\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Tessa Richards: \u201cBurnout shops\u201d are bad for health - The BMJ","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/blogs.bmj.com\/bmj\/2016\/05\/24\/burnout-shops-are-bad-for-health\/","og_locale":"en_US","og_type":"article","og_title":"Tessa Richards: \u201cBurnout shops\u201d are bad for health - The BMJ","og_description":"Burnout is a pervasive problem. Its high prevalence among health professionals is well recognised. But the\u00a0extent of its impact on the quality, safety, and cost of patient care needs more [...]More...","og_url":"https:\/\/blogs.bmj.com\/bmj\/2016\/05\/24\/burnout-shops-are-bad-for-health\/","og_site_name":"The BMJ","article_publisher":"https:\/\/www.facebook.com\/bmjdotcom\/","article_published_time":"2016-05-24T14:54:02+00:00","article_modified_time":"2017-02-17T11:12:12+00:00","og_image":[{"width":540,"height":350,"url":"https:\/\/blogs.bmj.com\/bmj\/files\/2017\/02\/Tessa_richards2.jpg","type":"image\/jpeg"}],"author":"BMJ","twitter_card":"summary_large_image","twitter_creator":"@bmj_latest","twitter_site":"@bmj_latest","twitter_misc":{"Written by":"BMJ","Est. reading time":"4 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/blogs.bmj.com\/bmj\/2016\/05\/24\/burnout-shops-are-bad-for-health\/#article","isPartOf":{"@id":"https:\/\/blogs.bmj.com\/bmj\/2016\/05\/24\/burnout-shops-are-bad-for-health\/"},"author":{"name":"BMJ","@id":"https:\/\/blogs.bmj.com\/bmj\/#\/schema\/person\/ba3da426ed20e8f1d933ca367d8216fe"},"headline":"Tessa Richards: \u201cBurnout shops\u201d are bad for health","datePublished":"2016-05-24T14:54:02+00:00","dateModified":"2017-02-17T11:12:12+00:00","mainEntityOfPage":{"@id":"https:\/\/blogs.bmj.com\/bmj\/2016\/05\/24\/burnout-shops-are-bad-for-health\/"},"wordCount":744,"commentCount":0,"publisher":{"@id":"https:\/\/blogs.bmj.com\/bmj\/#organization"},"image":{"@id":"https:\/\/blogs.bmj.com\/bmj\/2016\/05\/24\/burnout-shops-are-bad-for-health\/#primaryimage"},"thumbnailUrl":"https:\/\/blogs.bmj.com\/bmj\/files\/2017\/02\/Tessa_richards2.jpg","articleSection":["Tessa Richards"],"inLanguage":"en-US","potentialAction":[{"@type":"CommentAction","name":"Comment","target":["https:\/\/blogs.bmj.com\/bmj\/2016\/05\/24\/burnout-shops-are-bad-for-health\/#respond"]}]},{"@type":"WebPage","@id":"https:\/\/blogs.bmj.com\/bmj\/2016\/05\/24\/burnout-shops-are-bad-for-health\/","url":"https:\/\/blogs.bmj.com\/bmj\/2016\/05\/24\/burnout-shops-are-bad-for-health\/","name":"Tessa Richards: \u201cBurnout shops\u201d are bad for health - The BMJ","isPartOf":{"@id":"https:\/\/blogs.bmj.com\/bmj\/#website"},"primaryImageOfPage":{"@id":"https:\/\/blogs.bmj.com\/bmj\/2016\/05\/24\/burnout-shops-are-bad-for-health\/#primaryimage"},"image":{"@id":"https:\/\/blogs.bmj.com\/bmj\/2016\/05\/24\/burnout-shops-are-bad-for-health\/#primaryimage"},"thumbnailUrl":"https:\/\/blogs.bmj.com\/bmj\/files\/2017\/02\/Tessa_richards2.jpg","datePublished":"2016-05-24T14:54:02+00:00","dateModified":"2017-02-17T11:12:12+00:00","breadcrumb":{"@id":"https:\/\/blogs.bmj.com\/bmj\/2016\/05\/24\/burnout-shops-are-bad-for-health\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/blogs.bmj.com\/bmj\/2016\/05\/24\/burnout-shops-are-bad-for-health\/"]}]},{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/blogs.bmj.com\/bmj\/2016\/05\/24\/burnout-shops-are-bad-for-health\/#primaryimage","url":"https:\/\/blogs.bmj.com\/bmj\/files\/2017\/02\/Tessa_richards2.jpg","contentUrl":"https:\/\/blogs.bmj.com\/bmj\/files\/2017\/02\/Tessa_richards2.jpg","width":540,"height":350},{"@type":"BreadcrumbList","@id":"https:\/\/blogs.bmj.com\/bmj\/2016\/05\/24\/burnout-shops-are-bad-for-health\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/blogs.bmj.com\/bmj\/"},{"@type":"ListItem","position":2,"name":"Tessa Richards: \u201cBurnout shops\u201d are bad for health"}]},{"@type":"WebSite","@id":"https:\/\/blogs.bmj.com\/bmj\/#website","url":"https:\/\/blogs.bmj.com\/bmj\/","name":"The BMJ","description":"Helping doctors make better decisions.","publisher":{"@id":"https:\/\/blogs.bmj.com\/bmj\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/blogs.bmj.com\/bmj\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-US"},{"@type":"Organization","@id":"https:\/\/blogs.bmj.com\/bmj\/#organization","name":"The BMJ","url":"https:\/\/blogs.bmj.com\/bmj\/","logo":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/blogs.bmj.com\/bmj\/#\/schema\/logo\/image\/","url":"https:\/\/blogs.bmj.com\/bmj\/files\/2018\/05\/The-BMJ-logo.jpg","contentUrl":"https:\/\/blogs.bmj.com\/bmj\/files\/2018\/05\/The-BMJ-logo.jpg","width":852,"height":568,"caption":"The BMJ"},"image":{"@id":"https:\/\/blogs.bmj.com\/bmj\/#\/schema\/logo\/image\/"},"sameAs":["https:\/\/www.facebook.com\/bmjdotcom\/","https:\/\/x.com\/bmj_latest"]},{"@type":"Person","@id":"https:\/\/blogs.bmj.com\/bmj\/#\/schema\/person\/ba3da426ed20e8f1d933ca367d8216fe","name":"BMJ","image":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/secure.gravatar.com\/avatar\/b4d8f39281bcae118348a1c027347b8e53b82d42520e774a8b50dd9a6ac6c01d?s=96&d=mm&r=g","url":"https:\/\/secure.gravatar.com\/avatar\/b4d8f39281bcae118348a1c027347b8e53b82d42520e774a8b50dd9a6ac6c01d?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/b4d8f39281bcae118348a1c027347b8e53b82d42520e774a8b50dd9a6ac6c01d?s=96&d=mm&r=g","caption":"BMJ"},"sameAs":["https:\/\/blogs.bmj.com\/"],"url":"https:\/\/blogs.bmj.com\/bmj\/author\/admin\/"}]}},"_links":{"self":[{"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/posts\/36736","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/comments?post=36736"}],"version-history":[{"count":0,"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/posts\/36736\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/media\/38421"}],"wp:attachment":[{"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/media?parent=36736"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/categories?post=36736"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/tags?post=36736"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}