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Two people share a simple meal of pap and shebo at a wooden table, seen from the diner's point of view, illustrating a piece on holding on in emergency medicine.

The limits of holding on to realism and hope alone

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Great review from Stevan.

Emergency medicine clinicians are increasingly asked to balance brutal realities with hope for a better future. Drawing on the Stockdale paradox, NHS Staff Survey data, moral injury research and personal experience, this reflective article explores burnout, leadership, crowding and why surviving difficult systems depends not only on resilience, but on having colleagues who have our back.

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