{"id":39943,"date":"2017-09-08T11:15:40","date_gmt":"2017-09-08T10:15:40","guid":{"rendered":"https:\/\/blogs.bmj.com\/bmj\/?p=39943"},"modified":"2017-09-11T19:57:20","modified_gmt":"2017-09-11T18:57:20","slug":"sara-caterina-orourke-when-the-cogwheels-of-nhs-medicine-work-at-their-best","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bmj\/2017\/09\/08\/sara-caterina-orourke-when-the-cogwheels-of-nhs-medicine-work-at-their-best\/","title":{"rendered":"Sara Caterina O&#8217;Rourke: When the cogwheels of medicine work at their best"},"content":{"rendered":"<p style=\"text-align: left\"><a href=\"https:\/\/blogs.bmj.com\/bmj\/files\/2017\/08\/Orourke-photo.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-39945 alignleft\" src=\"https:\/\/blogs.bmj.com\/bmj\/files\/2017\/08\/Orourke-photo.jpg\" alt=\"\" width=\"150\" height=\"150\" \/><\/a>It is not often that medics are faced with incidents as frightening as the terror attack in Manchester earlier this summer. I arrived at the Royal Manchester Children\u2019s Hospital anticipating commotion and high emotional charge. Instead, the hospital was calm, quiet, and lacked the usual crowds of families and children navigating its corridors.<\/p>\n<p>Representatives from a multitude of the hospital\u2019s medical teams shared their expertise, and clinicians from nearby hospitals trickled through the doors offering assistance. Existing inpatients and their families were remarkably flexible and empathic in order to help.<\/p>\n<p>As you go through medical school, or even before you get there, it is common to have ideas about what it will be like to work in a hospital\u2014ideas that are largely coloured by a sense of ambition and excitement or by a general ignorance about the realities of working as a doctor.<\/p>\n<p>That day, I witnessed precisely what textbooks and motivational talks had described. Individuals and teams supported one another and performed with great synergy. There was a level of calm, control, organisation, and cooperation that was exactly the way I imagined it should be. This sort of work was what all that our training had been about\u2014the cogwheels of NHS medicine were working at their best.<\/p>\n<p>The reinvigoration of my clinical aspirations was just a small speck of the bright light cast on the wider lessons learnt from that day. Too often conditioned to retreat in the face of real, high stake clinical scenarios, as a student I was grateful to have been an extra pair of hands, an extra sounding board for the doctors, and an extra set of ears for the patients.<\/p>\n<p>As days passed, the ripple effect of the attack started to merge into the hum of a typical working week. Noise levels began to rise and families slowly refilled the corridors. Staff resumed their usual duties and medical students returned to their projects. Yet, just as the people of Manchester have forever been changed by the events of 22 May 2017, so has the doctor that I will soon become.<\/p>\n<p><strong><em>Sara Caterina O\u2019Rourke: <\/em><\/strong><em>Year 5 medical student working at the Royal Manchester Children&#8217;s Hospital, University of Manchester.<\/em><em>\u00a0<\/em><\/p>\n<p><strong><em>Competing interests<\/em><\/strong><em>: none declared.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>It is not often that medics are faced with incidents as frightening as the terror attack in Manchester earlier this summer. I arrived at the Royal Manchester Children\u2019s Hospital anticipating [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/bmj\/2017\/09\/08\/sara-caterina-orourke-when-the-cogwheels-of-nhs-medicine-work-at-their-best\/\">More&#8230;<\/a><\/p>\n","protected":false},"author":1,"featured_media":40044,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[223],"tags":[],"class_list":["post-39943","post","type-post","status-publish","format-standard","has-post-thumbnail","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>Sara Caterina O&#039;Rourke: When the cogwheels of medicine work at their best - 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\/2017\/09\/08\/sara-caterina-orourke-when-the-cogwheels-of-nhs-medicine-work-at-their-best\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Sara Caterina O&#039;Rourke: When the cogwheels of medicine work at their best - The BMJ\" \/>\n<meta property=\"og:description\" content=\"It is not often that medics are faced with incidents as frightening as the terror attack in Manchester earlier this summer. 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