As an occupational physician, in some respects my role differs from that of the GP but, fundamentally, it is the interests of the patient that remain paramount.
When management is behaving or asking me to behave unethically it must be resisted.
Employers of doctors need to realise that we have two masters and, of the two, loyalty to our professional integrity is paramount.
Increasingly this is a personal perspective as our leaders in politics or business fail to stand firm as examples of good practice, and buckle under financial and/or political pressure.
In all areas of practice those at the coal face have to stand up and be counted, not only to protect their health and self respect but also that of the general public and the profession.
Dr Richard Colman