{"id":36738,"date":"2016-05-25T17:05:48","date_gmt":"2016-05-25T16:05:48","guid":{"rendered":"https:\/\/blogs.bmj.com\/bmj\/?p=36738"},"modified":"2016-05-25T17:05:48","modified_gmt":"2016-05-25T16:05:48","slug":"suzanne-gordon-what-we-call-healthcare-professionals-matters","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bmj\/2016\/05\/25\/suzanne-gordon-what-we-call-healthcare-professionals-matters\/","title":{"rendered":"Suzanne Gordon: What we call healthcare professionals matters"},"content":{"rendered":"<p><a href=\"https:\/\/blogs.bmj.com\/bmj\/files\/2015\/04\/suzanne_gordon.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-33921\" src=\"https:\/\/blogs.bmj.com\/bmj\/files\/2015\/04\/suzanne_gordon-150x150.jpg\" alt=\"suzanne_gordon\" width=\"150\" height=\"150\" srcset=\"https:\/\/blogs.bmj.com\/bmj\/files\/2015\/04\/suzanne_gordon-150x150.jpg 150w, https:\/\/blogs.bmj.com\/bmj\/files\/2015\/04\/suzanne_gordon.jpg 160w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/a>The other day I attended a patient safety workshop at a major US hospital. The physicians and nurses, IT, and other quality and safety staff in the room were deeply concerned about <a href=\"http:\/\/www.bmj.com\/content\/353\/bmj.i2139\">the latest report in <em>The BMJ<\/em><\/a> documenting that 250,000 patients a year die from preventable errors, making this the third leading cause of death in the US. Almost all the attendees agreed that learning concrete teamwork skills and flattening hierarchies is critical to patient safety as well as job satisfaction, employee engagement, and staff retention. And yet, as the attendees shared their concerns and experiences, almost all of them used terms that are inherently anti-team and reinforce the steepest healthcare hierarchies.<!--more--><\/p>\n<p>When, for example, the physician participants talked about nurse practitioners (NPs), physician assistants (Pas), and certified registered nurse anesthetists (CRNAs) as a group, they referred to them as \u201cmid-level providers\u201d or \u201cmid-levels.\u201d When talking about this group of clinicians as well as pharmacists, social workers, or physical therapists (PTs), the conglomerate became \u201callied health professionals\u201d or \u201callied health.\u201d When some doctors talked about nurses, or \u201cmid-levels,&#8221; the latter were also described as \u201cphysician-extenders, \u201c or sometimes \u201cthe doctors\u2019 eyes and ears.\u201d<\/p>\n<p>This was hardly an isolated example. This language is rife in North American health care. Nurses, who hate these terms in private, use them in public and academic discourse and cheerfully deploy their own status reinforcing terminology. Nurses who have a masters (or now sometimes doctorate) degree and who are licensed as nurse practitioners or CRNAs who do what physicians have traditionally done\u2014are referred to and licensed as \u201cadvanced practice\u201d nurses (APRNs). Nurses and other \u201callieds,\u201d PTs for example, also use the term \u201cextender\u201d (nurse-extender, PT extender) to describe those who work with them to care for patients.<\/p>\n<p>Why are these terms problematic? Because they don\u2019t tell us who people are as professionals or what they do, they tell us where people are located on the healthcare ladder, what their status is in regard to someone on a higher rung and how much better they are than someone lower down in the pecking order.<\/p>\n<p>Consider the term \u201cadvanced practice nurse.\u201d To use the term \u201cadvanced practice\u201d to define a group of nurses who have learned and are\u2014now licensed\u2014to perform activities over which physicians have held a traditional monopoly, i.e. diagnose, treat, and prescribe, suggests advancement lies in mastering medical rather than nursing activities. Additionally\u00a0this term implies that registered nurses who do not have an APRN but who may have worked for decades do not\u2014and cannot\u2014have an advanced practice but are instead, as the antonym of advanced makes clear\u2014behind, or backward (and thus inferior) in their practice.<\/p>\n<p>Or what about the term mid-level? Again, the term does nothing to describe what an NP, PA, or CRNA does.\u00a0This term is a powerful message to the bedside nurse. If an advanced practice nurse is not really at an advanced\u2014but actually at a mid-level then the registered nurse is a \u201clow-level\u201d professional. (As for the nursing assistant, or licensed practical or vocational nurse\u2014she, or he, isn\u2019t even on the ladder at all.)<\/p>\n<p>Not only does this language send a message to those who work in healthcare, it also sends a message to patients. As a patient, your health, even your life, may well depend on the knowledge and skill of a nurse, nursing assistant, or NP, PA or CRNA (as well as many others who work in healthcare.) Yet, we, as patients, are constantly being told that these professionals are either mid to low\u2014inferior to the physician. But not to worry, all of these healthcare workers are \u201callied to medicine\u201d and some are even the \u201cdoctor\u2019s eyes and ears\u201d\u2014attached not to their own, but to the physician\u2019s brain (or if they are extenders, to the RNs, PTs.) How very reassuring!<\/p>\n<p>This language has an impact on patient care and safety in another important way. Patient safety depends on an environment in which all staff feel psychologically safe to speak up, raise an issue, prevent a mistake, share an insight or idea, and, most importantly, challenge a superior, without fear of being humiliated, dismissed, or reprimanded. <a href=\"http:\/\/qualitysafety.bmj.com\/content\/23\/9\/709.abstract\">As Jones and Kelly\u2019s 2014 article on Deafening Silence<\/a>\u00a0so eloquently argued\u2014people do not speak up when organizational \u201cleaders\u201d do not listen to and heed their concerns, and when those they work with do not support them when they express concerns. In an environment in which people are viewed as highs, mids, and lows, will the lows or mids feel safe to speak up to the highs? Will the highs listen to, much less invite, input from the mids and lows? Will the mids support the lows, and the lows support each other? I doubt it.<\/p>\n<p>These Adams rib definitions of different healthcare professionals or healthcare workers persists no matter how staunchly and vociferously academics, administrators, and clinical staff profess their committment to interprofessional education and practice, as well as to patient safety and teamwork. If the latter are to become a reality rather than an aspiration, we will need to invent or utilize new terms to replace the old. If you want to talk about non-physician professionals, how about referring to NPs, PAs, and CRNAs? If you want to talk about a nurse or a nursing assistant don&#8217;t attach the term extender to the higher ranking professional. (And please, ditch the eyes and ears, since they are pretty useless without a brain). As for advanced practice nurses, I\u2019ve thought long and hard about a replacement term and have failed to come up with one. Somebody should sponsor a contest.<\/p>\n<p><em><strong>Suzanne Gordon<\/strong> is a healthcare journalist and co-editor of <\/em>The Culture and Politics of Healthcare Work Series<em> at Cornell University Press. Her latest book is <\/em>Collaborative Caring: Stories and Reflections on Teamwork in Healthcare<em>, which she co-edited and she is co-author of Beyond the Checklist: What Else Healthcare Can Learn from Aviation Teamwork and Safety. Most importantly she is a patient.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>The other day I attended a patient safety workshop at a major US hospital. The physicians and nurses, IT, and other quality and safety staff in the room were deeply [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/bmj\/2016\/05\/25\/suzanne-gordon-what-we-call-healthcare-professionals-matters\/\">More&#8230;<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[223],"tags":[],"class_list":["post-36738","post","type-post","status-publish","format-standard","hentry","category-guest-bloggers"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Suzanne Gordon: What we call healthcare professionals matters - 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\/25\/suzanne-gordon-what-we-call-healthcare-professionals-matters\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Suzanne Gordon: What we call healthcare professionals matters - The BMJ\" \/>\n<meta property=\"og:description\" content=\"The other day I attended a patient safety workshop at a major US hospital. The physicians and nurses, IT, and other quality and safety staff in the room were deeply [...]More...\" \/>\n<meta property=\"og:url\" content=\"https:\/\/blogs.bmj.com\/bmj\/2016\/05\/25\/suzanne-gordon-what-we-call-healthcare-professionals-matters\/\" \/>\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=\"2016-05-25T16:05:48+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/blogs.bmj.com\/bmj\/files\/2015\/04\/suzanne_gordon-150x150.jpg\" \/>\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=\"5 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\\\/25\\\/suzanne-gordon-what-we-call-healthcare-professionals-matters\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2016\\\/05\\\/25\\\/suzanne-gordon-what-we-call-healthcare-professionals-matters\\\/\"},\"author\":{\"name\":\"BMJ\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#\\\/schema\\\/person\\\/ba3da426ed20e8f1d933ca367d8216fe\"},\"headline\":\"Suzanne Gordon: What we call healthcare professionals matters\",\"datePublished\":\"2016-05-25T16:05:48+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2016\\\/05\\\/25\\\/suzanne-gordon-what-we-call-healthcare-professionals-matters\\\/\"},\"wordCount\":1012,\"commentCount\":1,\"publisher\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2016\\\/05\\\/25\\\/suzanne-gordon-what-we-call-healthcare-professionals-matters\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/files\\\/2015\\\/04\\\/suzanne_gordon-150x150.jpg\",\"articleSection\":[\"Guest writers\"],\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2016\\\/05\\\/25\\\/suzanne-gordon-what-we-call-healthcare-professionals-matters\\\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2016\\\/05\\\/25\\\/suzanne-gordon-what-we-call-healthcare-professionals-matters\\\/\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2016\\\/05\\\/25\\\/suzanne-gordon-what-we-call-healthcare-professionals-matters\\\/\",\"name\":\"Suzanne Gordon: What we call healthcare professionals matters - The BMJ\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2016\\\/05\\\/25\\\/suzanne-gordon-what-we-call-healthcare-professionals-matters\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2016\\\/05\\\/25\\\/suzanne-gordon-what-we-call-healthcare-professionals-matters\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/files\\\/2015\\\/04\\\/suzanne_gordon-150x150.jpg\",\"datePublished\":\"2016-05-25T16:05:48+00:00\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2016\\\/05\\\/25\\\/suzanne-gordon-what-we-call-healthcare-professionals-matters\\\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2016\\\/05\\\/25\\\/suzanne-gordon-what-we-call-healthcare-professionals-matters\\\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2016\\\/05\\\/25\\\/suzanne-gordon-what-we-call-healthcare-professionals-matters\\\/#primaryimage\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/files\\\/2015\\\/04\\\/suzanne_gordon.jpg\",\"contentUrl\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/files\\\/2015\\\/04\\\/suzanne_gordon.jpg\",\"width\":160,\"height\":160},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2016\\\/05\\\/25\\\/suzanne-gordon-what-we-call-healthcare-professionals-matters\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Suzanne Gordon: What we call healthcare professionals matters\"}]},{\"@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":"Suzanne Gordon: What we call healthcare professionals matters - 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\/25\/suzanne-gordon-what-we-call-healthcare-professionals-matters\/","og_locale":"en_US","og_type":"article","og_title":"Suzanne Gordon: What we call healthcare professionals matters - The BMJ","og_description":"The other day I attended a patient safety workshop at a major US hospital. The physicians and nurses, IT, and other quality and safety staff in the room were deeply [...]More...","og_url":"https:\/\/blogs.bmj.com\/bmj\/2016\/05\/25\/suzanne-gordon-what-we-call-healthcare-professionals-matters\/","og_site_name":"The BMJ","article_publisher":"https:\/\/www.facebook.com\/bmjdotcom\/","article_published_time":"2016-05-25T16:05:48+00:00","og_image":[{"url":"https:\/\/blogs.bmj.com\/bmj\/files\/2015\/04\/suzanne_gordon-150x150.jpg","type":"","width":"","height":""}],"author":"BMJ","twitter_card":"summary_large_image","twitter_creator":"@bmj_latest","twitter_site":"@bmj_latest","twitter_misc":{"Written by":"BMJ","Est. reading time":"5 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/blogs.bmj.com\/bmj\/2016\/05\/25\/suzanne-gordon-what-we-call-healthcare-professionals-matters\/#article","isPartOf":{"@id":"https:\/\/blogs.bmj.com\/bmj\/2016\/05\/25\/suzanne-gordon-what-we-call-healthcare-professionals-matters\/"},"author":{"name":"BMJ","@id":"https:\/\/blogs.bmj.com\/bmj\/#\/schema\/person\/ba3da426ed20e8f1d933ca367d8216fe"},"headline":"Suzanne Gordon: What we call healthcare professionals matters","datePublished":"2016-05-25T16:05:48+00:00","mainEntityOfPage":{"@id":"https:\/\/blogs.bmj.com\/bmj\/2016\/05\/25\/suzanne-gordon-what-we-call-healthcare-professionals-matters\/"},"wordCount":1012,"commentCount":1,"publisher":{"@id":"https:\/\/blogs.bmj.com\/bmj\/#organization"},"image":{"@id":"https:\/\/blogs.bmj.com\/bmj\/2016\/05\/25\/suzanne-gordon-what-we-call-healthcare-professionals-matters\/#primaryimage"},"thumbnailUrl":"https:\/\/blogs.bmj.com\/bmj\/files\/2015\/04\/suzanne_gordon-150x150.jpg","articleSection":["Guest writers"],"inLanguage":"en-US","potentialAction":[{"@type":"CommentAction","name":"Comment","target":["https:\/\/blogs.bmj.com\/bmj\/2016\/05\/25\/suzanne-gordon-what-we-call-healthcare-professionals-matters\/#respond"]}]},{"@type":"WebPage","@id":"https:\/\/blogs.bmj.com\/bmj\/2016\/05\/25\/suzanne-gordon-what-we-call-healthcare-professionals-matters\/","url":"https:\/\/blogs.bmj.com\/bmj\/2016\/05\/25\/suzanne-gordon-what-we-call-healthcare-professionals-matters\/","name":"Suzanne Gordon: What we call healthcare professionals matters - The BMJ","isPartOf":{"@id":"https:\/\/blogs.bmj.com\/bmj\/#website"},"primaryImageOfPage":{"@id":"https:\/\/blogs.bmj.com\/bmj\/2016\/05\/25\/suzanne-gordon-what-we-call-healthcare-professionals-matters\/#primaryimage"},"image":{"@id":"https:\/\/blogs.bmj.com\/bmj\/2016\/05\/25\/suzanne-gordon-what-we-call-healthcare-professionals-matters\/#primaryimage"},"thumbnailUrl":"https:\/\/blogs.bmj.com\/bmj\/files\/2015\/04\/suzanne_gordon-150x150.jpg","datePublished":"2016-05-25T16:05:48+00:00","breadcrumb":{"@id":"https:\/\/blogs.bmj.com\/bmj\/2016\/05\/25\/suzanne-gordon-what-we-call-healthcare-professionals-matters\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/blogs.bmj.com\/bmj\/2016\/05\/25\/suzanne-gordon-what-we-call-healthcare-professionals-matters\/"]}]},{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/blogs.bmj.com\/bmj\/2016\/05\/25\/suzanne-gordon-what-we-call-healthcare-professionals-matters\/#primaryimage","url":"https:\/\/blogs.bmj.com\/bmj\/files\/2015\/04\/suzanne_gordon.jpg","contentUrl":"https:\/\/blogs.bmj.com\/bmj\/files\/2015\/04\/suzanne_gordon.jpg","width":160,"height":160},{"@type":"BreadcrumbList","@id":"https:\/\/blogs.bmj.com\/bmj\/2016\/05\/25\/suzanne-gordon-what-we-call-healthcare-professionals-matters\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/blogs.bmj.com\/bmj\/"},{"@type":"ListItem","position":2,"name":"Suzanne Gordon: What we call healthcare professionals matters"}]},{"@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\/36738","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=36738"}],"version-history":[{"count":0,"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/posts\/36738\/revisions"}],"wp:attachment":[{"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/media?parent=36738"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/categories?post=36738"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/tags?post=36738"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}