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Arrogance




"What do you think of my Rolex?" My eyes wanted to roll and my eyebrows wanted to rise, but I tried desperately to stop them. The result was a bizarre grimace and an appointment with an ophthalmologist. This had been going on all the morning. The wristwatch in question had been displayed to almost every patient while the orthopaedic surgeon (you could have guessed) grinned at their reluctant compliments.

Meanwhile, in a lab at the other end of the hospital, a consultant who shall remain nameless (Matt) is doing his party piece again. Sitting calmly at a table, he pauses as the tension builds. It starts with the noise. Not so much a cough as a shout - a huge explosion from the back of the throat. Then he suddenly stands, launching the chair from under him. People desperately grab their mugs of coffee as the table wobbles. He hitches his trousers up, gives another cough/bellow and strides out of the room, barging into anyone who gets in the way. The audience cheer yet another performance of "a consultant leaving a meeting."

So what is it with medics? All the patients think that, although occasionally acceptable on an individual basis, as a group we are an arrogant bunch of money grabbing megalomaniacs who would rather line our own pockets than help an old lady in distress. Our non­medic colleagues think the same, while among the researchers, who have to work with us, we are generally disliked. The worst part is that the majority of us act in such a way as to reinforce these opinions.Why?

Perhaps because we are trained to seem knowledgeable and confident. Perhaps because we dole out advice to strangers on a daily basis. Perhaps the medical school application process selects the arrogant and neurotic or perhaps we merely act the part that is expected of us. It may well be all of the above. I like to think, however, that it does not apply to me. That I remain salt of the earth, in touch with all levels of society, and never forget the trust that patients put in me.

But then that's what all the arrogant medics say, isn't it?

James Thomas, fourth year medical student, University of Southampton
Email: jdt296@soton.ac.uk


studentBMJ 2001;09:217-260 July ISSN 0966-6494



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