| Doctors promised | New imperatives |
| •Reasonable work/life balance | • Greater accountability (eg guidelines) |
| •Autonomy | • Patient centred care |
| •Job security | • Be more available to patients, provide personalised service |
| •Deference and respect | • Work collectively with other doctors and staff to improve quality |
| • Evaluation by non-technical criteria and patients' perceptions | |
| • A growing blame culture | |
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