Patients Are Not Collateral Damage

Patients Are Not Collateral Damage

Would you ask a tailor to stitch you up during surgery because of "sewing experience"?


Incompetence is not a term to be thrown around lightly; it is the breeding ground for errors, especially within the intricate web of healthcare. In the realm of healthcare, where precision and expertise are paramount, incompetence can be a hazardous companion.

Why am I—a relatively inexperienced Physiotherapist—talking about incompetence? You see, the difference between me and your roadside bone setter is not just a degree. It is skill, competence, and science. The distinction between me now and me in five years is the guaranteed growth to come.

The fine print is that growth has to be constructive and not destructive.


Hanlon's razor, a widely accepted adage, urges us not to attribute malice to what can be explained by stupidity. However, in the healthcare sector, the cost of such "stupidity" is too high. I challenge the notion that being ignorant is benign; in healthcare, it is malicious not to acknowledge one's limitations and seek assistance.


It is malice to be stupid because, in healthcare, the ability to say "I don't know" should be celebrated, not condemned. In an industry where decisions can be life-altering, assuming competence where it lacks can have dire consequences. The humility to admit uncertainty and the courage to seek guidance are virtues that safeguard patients.


Incompetence often finds a cozy spot next to ego, and they dance hand in hand across all industries. Acknowledging that failures and mistakes are inevitable, the key lies in distinguishing between honest errors and the persistent lack of capability. In some situations, it can be the difference between life and death.

In healthcare, patients should never be treated as collateral damage. Mistakes are as sure as death, but the line between honest errors and incompetence must be drawn with accountability. Rain and taxes may be inevitable, but when it comes to the well-being of patients, accountability should be non-negotiable.

Let us cultivate a culture where acknowledging limitations is not a sign of weakness but a testament to dedication to patient welfare. Patients' health is not an experiment.

Run from incompetence

Incompetence should not be tolerated, and the healthcare industry must strive for continuous improvement, ensuring that the twin sisters of ego and incompetence find no refuge in the sanctity of patient care.

In the realm of physiotherapy, the battle against incompetence demands a multifaceted approach. The journey begins with fostering a culture of continuous learning, where professionals commit to ongoing education to stay abreast of advancements. Mentorship programs play a pivotal role, with seasoned practitioners guiding their younger counterparts to instill accountability and responsibility. Interdisciplinary collaboration, open communication about limitations, and rigorous quality assurance measures collectively contribute to maintaining high standards and catching potential mistakes early. Professional accountability must be championed, urging physiotherapists to hold each other responsible for their actions. Embracing technology for skill enhancement ensures practitioners stay at the forefront of best practices.

By actively pursuing these strategies, physiotherapy can transcend the shackles of incompetence. It necessitates a collective effort from individual practitioners to regulatory bodies, all working towards a shared goal of excellence. Only through this concerted approach can we assure patients that their well-being will never be compromised in the pursuit of healthcare quality.


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