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Keeping Clean




Editor - Matthew Jackson makes one good point in his letter in the March issue - namely, that students should be more aware of infection control procedures. 1 unfortunately, the remaining points have been a source of amusement to me and my colleagues.

It is suggested that medical students should "politely challenge" staff who do not follow procedure, and should get to know domestic staff. I have experienced hospital life as a medical student and as a hospital domestic. The two roles are completely unrelated. It is simply inappropriate for medical students to "politely challenge" domestics at work. It is not embarrassing as suggested, but insulting. how can untrained students criticise trained employees of a hospital? I would be equally insulted if a domestic criticised my history taking skills. Domestics have to answer to their own supervisors and not to students or even consultants. Indeed, students need to put their own house in order - time after time I have seen students go from patient to patient without washing their hands, potentially spreading infection.

Certainly, "politely challenging" would only give medical students a bad name and destroy any ethos of teamwork that Matthew jackson claims to cherish.

I confess that I do not know the ward cleaner's name. But I am sure that 99$ of my clinical student colleagues do not either. Students are expected to be on the wards, at tutorials, at lectures, in clinics, and in the operating theatre. That gives little time to socialise with domestic staff. I will also be impressed on the day when extremely pressured consultants, junior doctors, and nurses can find enough time in the day to get to know the hospital domestic staff or any of the many other types of hospital employee.

Amit Bidwai, fourth year medical student, University of Manchester
Email: bidwai2000@yahoo.co.uk


studentBMJ 2001;09:171-216 June ISSN 0966-6494

  1. Jackson M. keeping clean. studentBMJ 2001;3:78. (March.)


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