The service/teaching tension: a window into the soul of a hospital

Abstract

Editor – Cleland and colleagues are to be applauded for their elegant qualitative study of responses to tensions between service delivery and training in general surgery.1 The study is elegant because the authors’ use of management theory helps to unravel the complexities of the tension. Management theories, such as paradox theory, hold much promise if they are used as lenses through which to explore the cultural barriers that stifle medical education delivery.