{"id":40723,"date":"2017-11-28T15:16:44","date_gmt":"2017-11-28T14:16:44","guid":{"rendered":"https:\/\/blogs.bmj.com\/bmj\/?p=40723"},"modified":"2017-12-04T14:20:49","modified_gmt":"2017-12-04T13:20:49","slug":"nishma-manek-and-david-haslam-denigration-of-general-practice-is-still-rife","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bmj\/2017\/11\/28\/nishma-manek-and-david-haslam-denigration-of-general-practice-is-still-rife\/","title":{"rendered":"Nishma Manek and David Haslam: Denigration of general practice is still rife\u00a0"},"content":{"rendered":"

We must confront systematic denigration within medical training, and foster mutual respect between specialties<\/p>\n

\u00a0<\/span>\u201cIf you students don\u2019t start working harder, you risk ending up as paediatric cardio-thoracic surgeons.\u201d\u00a0<\/span><\/p>\n

Can you imagine anyone ever saying those words? It would be quite ridiculous.<\/span><\/p>\n

However, replace those last four words with “GPs,” and the scenario will\u00a0sound more familiar.\u00a0<\/span><\/p>\n

When we were students, derogatory phrases like this were said to both of us\u2014two doctors at the opposite ends of our careers. We\u00a0were both furious.\u00a0Fortunately, it didn\u2019t stop\u00a0either of us\u00a0becoming GPs, and we might have hoped that such attitudes were dying out.\u00a0<\/span><\/p>\n

However, all too little seems to be changing. The RCGP has just published a survey<\/a> of just under 3700 medical students, and it confirms that denigration of general practice is still rife\u00a0behind medical school and hospital doors.\u00a0\u00a0<\/span><\/p>\n

The\u00a0report is\u00a0littered with disheartening\u00a0statistics.\u00a0For example,\u00a076% of students\u00a0said that they\u2019ve encountered negativity towards general practice from academics, clinicians, or educational trainers\u00a0by their final\u00a0year, and\u00a070% of these were in a clinical setting.\u00a0Some of the\u00a0comments\u00a0cited\u00a0in the report (such as \u201ca lot of\u00a0[GP]\u00a0consultations aren\u2019t proper medicine\u201d and\u00a0\u201cdon\u2019t you dare think about going into general practice\u2014have some aspiration for God\u2019s sake!\u201d)\u00a0shows just\u00a0how deep the prejudice still runs\u00a0in places. Yet many of these consultants won\u2019t have stepped foot in general practice since their student days.<\/span><\/p>\n

Consider the total amount of time a student spends in a hospital setting compared to general practice in their training. Very quickly these off-the-cuff remarks add up, leaving general practice tarnished with a reputation that\u2019s hard to undo. <\/span><\/p>\n

Disparaging remarks about GPs carry another implication: that their patients shouldn\u2019t expect the best and the brightest doctors. Yet as patients, much of our own NHS contact will be through our GPs, who we would probably like to be the best and the brightest. It\u2019s hard to reconcile those two observations. <\/span><\/p>\n

The report also found that students are strongly influenced by each other, and 91% perceive their peers to be negative about general practice. The potential ripple effect of one student\u2019s misconception to the rest of their peer group makes remarks like those cited above even more worrying. <\/span><\/p>\n

We\u2019ve all been there. Temporarily adopted by a specialty in your training, it\u2019s easy to get caught up in the casual rebukes. The sheer strain of the job lends itself to scapegoating and defensiveness. Muttering snide remarks about GPs and their “inappropriate” referrals may seem fleetingly satisfying and seemingly harmless.<\/span><\/p>\n

Except\u2014as this report shows\u2014it\u2019s not harmless at all. \u00a0\u00a0<\/span><\/p>\n

This isn\u2019t just about secondary care: we as GPs need to be equally mindful. The survey also found that\u00a0GPs interacting with students on placements are the most influential group on\u00a0their\u00a0perceptions of\u00a0the career. Mostly these were positive, but\u00a0there were some examples of negativity coming from GPs themselves.\u00a0\u00a0<\/span><\/p>\n

Some will argue that if we were to <\/span>fix the job, these archaic perceptions will fix themselves<\/span><\/a>. Articulating the pressures on primary care certainly has its time and place\u2014but perhaps we should pause to consider who else is listening. Our attitudes are influencing the very people who might be able to help. And frankly, efforts to improve patient care will be futile without the future workforce to deliver it.
\n<\/span>
\nLet\u2019s be clear, this isn\u2019t about censorship. Nor is it about eliminating banter. It is about confronting systematic denigration within medical training, and fostering mutual respect between specialties. <\/span><\/p>\n

Choosing a specialty is one of the most important decisions a student will make. Those decisions are modelled by their view of the world. With so little exposure, that view is heavily shaped by what is projected onto them. This report is a critical reminder of the part all of us play in that projection, especially in secondary care. And once that seed is sown, it spreads through their peers to leave a cohort of clinicians looking at primary care through a distorted lens.<\/span><\/p>\n

This matters more than ever before, because multimorbidity is becoming the new norm. We need to be training a workforce with the needs of our future patients in mind: a workforce of generalists.<\/span><\/p>\n

Nishma Manek<\/strong> is a GP trainee in Cambridge. She was on the FMLM National Medical Director’s Clinical Fellowship Scheme 2016\/17 at NHS England. She tweets at @nishmanek<\/a>.<\/em><\/p>\n

David Haslam<\/strong> is Chair of NICE. He is past-president and past Chairman of Council of the Royal College of General Practitioners, and was a GP in Cambridgeshire for many years.<\/em><\/p>\n

Competing interests<\/strong>: None declared.<\/p>\n","protected":false},"excerpt":{"rendered":"

We must confront systematic denigration within medical training, and foster mutual respect between specialties […]<\/p>\n

More…<\/a><\/p>\n","protected":false},"author":1,"featured_media":40726,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[236],"tags":[],"class_list":["post-40723","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-nhs"],"yoast_head":"\nNishma Manek and David Haslam: Denigration of general practice is still rife\u00a0 - 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\/11\/28\/nishma-manek-and-david-haslam-denigration-of-general-practice-is-still-rife\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Nishma Manek and David Haslam: Denigration of general practice is still rife\u00a0 - The BMJ\" \/>\n<meta property=\"og:description\" content=\"We must confront systematic denigration within medical training, and foster mutual respect between specialties [...]More...\" \/>\n<meta property=\"og:url\" content=\"https:\/\/blogs.bmj.com\/bmj\/2017\/11\/28\/nishma-manek-and-david-haslam-denigration-of-general-practice-is-still-rife\/\" \/>\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=\"2017-11-28T14:16:44+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2017-12-04T13:20:49+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/blogs.bmj.com\/bmj\/files\/2017\/11\/GP_unhappy.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\\\/2017\\\/11\\\/28\\\/nishma-manek-and-david-haslam-denigration-of-general-practice-is-still-rife\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2017\\\/11\\\/28\\\/nishma-manek-and-david-haslam-denigration-of-general-practice-is-still-rife\\\/\"},\"author\":{\"name\":\"BMJ\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#\\\/schema\\\/person\\\/ba3da426ed20e8f1d933ca367d8216fe\"},\"headline\":\"Nishma Manek and David Haslam: Denigration of general practice is still rife\u00a0\",\"datePublished\":\"2017-11-28T14:16:44+00:00\",\"dateModified\":\"2017-12-04T13:20:49+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2017\\\/11\\\/28\\\/nishma-manek-and-david-haslam-denigration-of-general-practice-is-still-rife\\\/\"},\"wordCount\":789,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2017\\\/11\\\/28\\\/nishma-manek-and-david-haslam-denigration-of-general-practice-is-still-rife\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/files\\\/2017\\\/11\\\/GP_unhappy.jpg\",\"articleSection\":[\"NHS\"],\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2017\\\/11\\\/28\\\/nishma-manek-and-david-haslam-denigration-of-general-practice-is-still-rife\\\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2017\\\/11\\\/28\\\/nishma-manek-and-david-haslam-denigration-of-general-practice-is-still-rife\\\/\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2017\\\/11\\\/28\\\/nishma-manek-and-david-haslam-denigration-of-general-practice-is-still-rife\\\/\",\"name\":\"Nishma Manek and David Haslam: Denigration of general practice is still rife\u00a0 - The BMJ\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2017\\\/11\\\/28\\\/nishma-manek-and-david-haslam-denigration-of-general-practice-is-still-rife\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2017\\\/11\\\/28\\\/nishma-manek-and-david-haslam-denigration-of-general-practice-is-still-rife\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/files\\\/2017\\\/11\\\/GP_unhappy.jpg\",\"datePublished\":\"2017-11-28T14:16:44+00:00\",\"dateModified\":\"2017-12-04T13:20:49+00:00\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2017\\\/11\\\/28\\\/nishma-manek-and-david-haslam-denigration-of-general-practice-is-still-rife\\\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2017\\\/11\\\/28\\\/nishma-manek-and-david-haslam-denigration-of-general-practice-is-still-rife\\\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2017\\\/11\\\/28\\\/nishma-manek-and-david-haslam-denigration-of-general-practice-is-still-rife\\\/#primaryimage\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/files\\\/2017\\\/11\\\/GP_unhappy.jpg\",\"contentUrl\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/files\\\/2017\\\/11\\\/GP_unhappy.jpg\",\"width\":540,\"height\":350},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2017\\\/11\\\/28\\\/nishma-manek-and-david-haslam-denigration-of-general-practice-is-still-rife\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Nishma Manek and David Haslam: Denigration of general practice is still rife\u00a0\"}]},{\"@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":"Nishma Manek and David Haslam: Denigration of general practice is still rife\u00a0 - 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\/2017\/11\/28\/nishma-manek-and-david-haslam-denigration-of-general-practice-is-still-rife\/","og_locale":"en_US","og_type":"article","og_title":"Nishma Manek and David Haslam: Denigration of general practice is still rife\u00a0 - The BMJ","og_description":"We must confront systematic denigration within medical training, and foster mutual respect between specialties [...]More...","og_url":"https:\/\/blogs.bmj.com\/bmj\/2017\/11\/28\/nishma-manek-and-david-haslam-denigration-of-general-practice-is-still-rife\/","og_site_name":"The BMJ","article_publisher":"https:\/\/www.facebook.com\/bmjdotcom\/","article_published_time":"2017-11-28T14:16:44+00:00","article_modified_time":"2017-12-04T13:20:49+00:00","og_image":[{"width":540,"height":350,"url":"https:\/\/blogs.bmj.com\/bmj\/files\/2017\/11\/GP_unhappy.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\/2017\/11\/28\/nishma-manek-and-david-haslam-denigration-of-general-practice-is-still-rife\/#article","isPartOf":{"@id":"https:\/\/blogs.bmj.com\/bmj\/2017\/11\/28\/nishma-manek-and-david-haslam-denigration-of-general-practice-is-still-rife\/"},"author":{"name":"BMJ","@id":"https:\/\/blogs.bmj.com\/bmj\/#\/schema\/person\/ba3da426ed20e8f1d933ca367d8216fe"},"headline":"Nishma Manek and David Haslam: Denigration of general practice is still rife\u00a0","datePublished":"2017-11-28T14:16:44+00:00","dateModified":"2017-12-04T13:20:49+00:00","mainEntityOfPage":{"@id":"https:\/\/blogs.bmj.com\/bmj\/2017\/11\/28\/nishma-manek-and-david-haslam-denigration-of-general-practice-is-still-rife\/"},"wordCount":789,"commentCount":0,"publisher":{"@id":"https:\/\/blogs.bmj.com\/bmj\/#organization"},"image":{"@id":"https:\/\/blogs.bmj.com\/bmj\/2017\/11\/28\/nishma-manek-and-david-haslam-denigration-of-general-practice-is-still-rife\/#primaryimage"},"thumbnailUrl":"https:\/\/blogs.bmj.com\/bmj\/files\/2017\/11\/GP_unhappy.jpg","articleSection":["NHS"],"inLanguage":"en-US","potentialAction":[{"@type":"CommentAction","name":"Comment","target":["https:\/\/blogs.bmj.com\/bmj\/2017\/11\/28\/nishma-manek-and-david-haslam-denigration-of-general-practice-is-still-rife\/#respond"]}]},{"@type":"WebPage","@id":"https:\/\/blogs.bmj.com\/bmj\/2017\/11\/28\/nishma-manek-and-david-haslam-denigration-of-general-practice-is-still-rife\/","url":"https:\/\/blogs.bmj.com\/bmj\/2017\/11\/28\/nishma-manek-and-david-haslam-denigration-of-general-practice-is-still-rife\/","name":"Nishma Manek and David Haslam: Denigration of general practice is still rife\u00a0 - The BMJ","isPartOf":{"@id":"https:\/\/blogs.bmj.com\/bmj\/#website"},"primaryImageOfPage":{"@id":"https:\/\/blogs.bmj.com\/bmj\/2017\/11\/28\/nishma-manek-and-david-haslam-denigration-of-general-practice-is-still-rife\/#primaryimage"},"image":{"@id":"https:\/\/blogs.bmj.com\/bmj\/2017\/11\/28\/nishma-manek-and-david-haslam-denigration-of-general-practice-is-still-rife\/#primaryimage"},"thumbnailUrl":"https:\/\/blogs.bmj.com\/bmj\/files\/2017\/11\/GP_unhappy.jpg","datePublished":"2017-11-28T14:16:44+00:00","dateModified":"2017-12-04T13:20:49+00:00","breadcrumb":{"@id":"https:\/\/blogs.bmj.com\/bmj\/2017\/11\/28\/nishma-manek-and-david-haslam-denigration-of-general-practice-is-still-rife\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/blogs.bmj.com\/bmj\/2017\/11\/28\/nishma-manek-and-david-haslam-denigration-of-general-practice-is-still-rife\/"]}]},{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/blogs.bmj.com\/bmj\/2017\/11\/28\/nishma-manek-and-david-haslam-denigration-of-general-practice-is-still-rife\/#primaryimage","url":"https:\/\/blogs.bmj.com\/bmj\/files\/2017\/11\/GP_unhappy.jpg","contentUrl":"https:\/\/blogs.bmj.com\/bmj\/files\/2017\/11\/GP_unhappy.jpg","width":540,"height":350},{"@type":"BreadcrumbList","@id":"https:\/\/blogs.bmj.com\/bmj\/2017\/11\/28\/nishma-manek-and-david-haslam-denigration-of-general-practice-is-still-rife\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/blogs.bmj.com\/bmj\/"},{"@type":"ListItem","position":2,"name":"Nishma Manek and David Haslam: Denigration of general practice is still rife\u00a0"}]},{"@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\/40723","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=40723"}],"version-history":[{"count":0,"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/posts\/40723\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/media\/40726"}],"wp:attachment":[{"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/media?parent=40723"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/categories?post=40723"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/tags?post=40723"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}