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Medicine: a performing art

Many clinical acts are performances—and we should think of that as a strength, not a weakness, writes Roger Kneebone

I think of medicine as a performing art, although to many people the word “performing” sounds suspect, almost insulting. It smacks of inauthenticity, of putting on a mask and presenting something that is not the “real you.” This is a fundamental misunderstanding. Whenever we engage with other people, we select from multiple authentic selves. Whether it is dinner with parents, an evening out with friends, a job interview, or a clinical consultation, we are constantly making choices about how we present ourselves and gauging how those choices are perceived. Within medicine, instead of asking “when are we performing?” clinicians might ask “when are we not performing?”

Theatre, music, dance, and public speaking—as with medicine—are rooted in a protracted grind of rehearsal, memorisation, and preparation. You spend endless hours in practice rooms and rehearsal spaces. You pluck up the courage to go out and do something in front of other people, putting your credibility on the line and taking responsibility for what happens next. You must connect with your audience, keep their attention, and remain vigilant in case things go off track. You learn to respond to the unexpected and to improvise. You develop courage and confidence to make radical decisions in the heat of the moment and cope with the consequences. If things go wrong, you do what you can to resolve the situation. Afterwards you “come down” as the adrenaline rush subsides. You may experience loneliness, isolation, and a sense of anticlimax. It is a relentless and demanding process that can lead to long term problems such as exhaustion and burnout, so you must find ways to sustain your energy and build resilience.

Clinicians experience these things too. I have …

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Knife crime: 'We're treating stabbed children in blood-soaked uniform'

Doctors have been teaching school pupils in London about what it is like to treat stab victims.

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Tackling knife crime through simulation

London students are being shown how their lives could change if they are involved in a stabbing.

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Medics suffering in the world of anhedonia need to take a time-out to heal themselves

The sexy, dancing, tattooed, gaming, musical Chris Luke got his freak on at dotMD – and discovered that seeking and maintaining pleasure is an important

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Imperial showcase AI, health and zero pollution work to German science leaders

Imperial scientists presented the latest innovations in AI, health and zero pollution initiatives to German science leaders. Academics at Imperial gave updates to leaders from the Committee for Culture and Science of the Bavarian State Assembly on some of Imperial’s flagship Academic Strategy Projects as London and Bavaria R&D collaborations continue to grow. I-X: Driving transformation in artificial intelligence, data science and digital technologies

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Imperial College London: Imperial showcase AI, health and zero pollution work to German science leaders

Imperial scientists presented the latest innovations in AI, health and zero pollution initiatives to German science leaders.Academics at Imperial gave updates to leaders from the Committee for Culture and Science of the Bavarian State Assembly on som

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Imperial showcase AI, health and zero pollution work to German science leaders

Imperial showcase AI, health and zero pollution work to German science leaders
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