Abstract

In his book Equanimitas, written in 1904, Sir William Osler laments that very few doctors go into public life to help advise and manage the delivery of health care. “As a rule,” he says “doctors make bad citizens taking little or no interest in civic, state or national politics”. Most of us do not like leaving the comfort zone of clinical medicine and entering the more robust arena of medical politics.

Highlights

  • In his book Equanimitas, written in 1904, Sir William Osler laments that very few doctors go into public life to help advise and manage the delivery of health care

  • There are systems for enabling health care workers to act as agents for change that are being included in medical school curricula as well as by the HPCSA (Advocacy for Health)

  • I have devised a module to be included in the curriculum and a question paper for the final MB examination. It is in my new discipline which is called Strategies for the Management of Health Care Services, and I have seven magnificently subversive questions on the exam paper: 1. You are working in a suburban clinic

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Summary

Introduction

The Patient who cannot afford the bus fare to the clinic In his book Equanimitas, written in 1904, Sir William Osler laments that very few doctors go into public life to help advise and manage the delivery of health care. We teach students how to use an asthma inhaler so that the lung functions stay normal and explain the management of diabetes to achieve normal blood glucose levels.

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