The universal GP Training website for everyone, not just Bradford.   Created in 2002 by Dr Ramesh Mehay

The culture of doctors needs to change

We ran a ‘fitness to practice’ session at our weekly Half-Day Release session recently.  Fitness to practice is the doctor’s awareness of when his or her own performance, conduct or health (or that of others) might put patients at risk and the action taken to protect patients.

The current culture of doctors doesn’t promote talking about mistakes in order to learn from them and make things better.  The current culture (especially in hospitals) is often focused on protecting the bigger organisation and laying blame and shame elsewhere (often on the individual).

We live in a world where mistakes are going to happen.   That’s not to say we simply accept that they happen and take a laissez-faire approach but rather that we need to talk about these mistakes openly with our colleagues in order to be able to learn from them and make things better.  In the current climate, someone is blamed, that person feels ashamed and falls into a cycle self-deprecation whilst the bigger organisation just moves on.  That’s not good for anyone!

One of our trainees found this video clip.   In it, Brian Goldman (an emergency physician in the US) says every doctor makes mistakes and that medicine’s culture of denial (and shame) keeps doctors from ever taking about those mistakes, or using them to learn and improve.

Click here to read the discussion pages about this video

 I hope this clip helps illuminate the true spirit behind things like Significant Event Analysis rather than the formulaic and mechanical ways in which they are often played out.


Leave a Comment

Your email address will not be published. Required fields are marked *

This site uses Akismet to reduce spam. Learn how your comment data is processed.

Scroll to Top


Bradford VTS was created by Dr. Ramesh Mehay, a Programme Director for Bradford GP Training Scheme back in 2001. Over the years, it has seen many permutations.  At the time, there were very few resources for GP trainees and their trainers so Bradford decided to create one FOR EVERYONE. 

So, we see Bradford VTS as  the INDEPENDENT vocational training scheme website providing a wealth of free medical resources for GP trainees, their trainers and TPDs everywhere and anywhere.  We also welcome other health professionals – as we know the site is used by both those qualified and in training – such as Associate Physicians, ANPs, Medical & Nursing Students. 

Our fundamental belief is to openly and freely share knowledge to help learn and develop with each other.  Feel free to use the information – as long as it is not for a commercial purpose.   

We have a wealth of downloadable resources and we also welcome copyright-free educational material from all our users to help build our rich resource (send to bradfordvts@gmail.com).

Our sections on (medical) COMMUNICATION SKILLS and (medical) TEACHING & LEARNING are perhaps the best and most comprehensive on the world wide web (see white-on-black menu header section on the homepage).