大卫-奥利弗我们需要医生发挥领导作用，为什么要把他们拉下马？

The BMJ Pub Date : 2024-10-23 DOI:10.1136/bmj.q2299

David Oliver

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引用次数: 0

摘要

最近有关国民医疗服务系统（NHS）医生工作条款和条件的争议有时会引出 "螃蟹心态 "1 ，螃蟹的表情符号也经常出现在竞选医生的社交媒体资料中。这是一种人们试图阻止他人获得有利地位的心态，即使这对试图阻止他们的人没有任何影响。水桶里的其他螃蟹会把试图离开的其他螃蟹拉回来，这意味着没有一只螃蟹能逃脱自己的命运。然而，健康基金会最近对英美两国医疗卫生服务领域临床领导力文献2 进行了回顾，尽管讨论了文化和结构上的障碍，但还是列出了确保更多高级管理和领导职位人员拥有临床资格和背景所带来的一系列益处。作为医生，我们可以

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David Oliver: We need doctors to take on leadership roles—so why do we bring them down?

Recent disputes about terms and conditions for NHS doctors have sometimes cited the “crab mentality,”1 and crab emojis frequently feature on social media profiles of campaigning doctors. This is a mindset where people try to prevent others from gaining a favourable position, even if it has no effect on those trying to stop them. The other crabs in the bucket will pull back any other crab that tries to leave, meaning that none can escape their lot. Yet a recent Health Foundation review of the literature on clinical leadership in health services,2 in both the UK and the US, set out a range of benefits from ensuring that more people in senior management and leadership roles have clinical qualifications and backgrounds, even if it did discuss the cultural and structural obstacles. As doctors we can …

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The BMJ

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