ASH Clinical News ACN_4.10_FULL ISSUE web | Page 18

Pulling Back the Curtain Angela Thomas, OBE, PhD In this edition, Angela Thomas, OBE, PhD, talks about defying expectations and mixing politics and medicine. Dr. Thomas is vice chair of the U.K.’s Commission on Human Medicines. She is a fellow of the Royal College of Physicians of Edinburgh, where she also is the director of heritage and honorary librarian. Dr. Thomas recently retired as a consultant pediatric hematologist at the Royal Hospital for Sick Children in Edinburgh, Scotland, and is a former president of the British Society for Haematology. Dr. Thomas boarding a train, headed off on another adventure. When did you first realize that you wanted to be a doctor? When I was younger, my mum had a subscription to Woman’s Own magazine. At the back of each issue, there always was a column in which people would pose medical questions and ask for health advice. That was my favorite part of the magazine to read each week. I can recall, very clearly, reading one of the articles and thinking, “If something like that ever happens, I really, really want to know what to do.” Becoming a doctor would mean I would have the answers. It was around that time, when I was 12 or 13 years old, that I started thinking I could have a career as a doctor. How- ever, I attended a relatively conservative girls’ school and becoming a doctor wasn’t the sort of career suggested to many of us. I can think of only one or two other girls who had gone on to be- come doctors, so it wasn’t a natural path to follow. One teacher – who I didn’t particu- larly like – encouraged me to study histo- ry or music instead, so I adamantly told her I wanted to be a neurosurgeon. Of course, I didn’t actually think I wanted to be a brain surgeon, but, as a 14-year-old student set on becoming a doctor, I told her the type of doctor I thought would shock her most. this issue and recognized that to understand these issues and create policies to address them, they had to listen to the junior doctors around the country about what they were experi- encing. We were the ones who could communicate the importance of these problems to politicians at the senior level, who would eventually be able to effect change. When I was on the British Medical Association’s Junior Doctors Commit- tee, we interacted with several officials, including Kenneth Clarke, who was the secretary of state for health at the time. From those experiences, I saw that as a physician you can make changes in the lives of your patients directly, but to make a step change in how doctors work, we needed to work with politicians. I was proud to play a part in that. I don’t think politics would ulti- mately have been a good fit for me, and this is confirmed every year when the U.K.’s long-running “Veracity Index” is released. Each year, a research company asks people about the trustworthiness of various professions and doctors are routinely among the most-trusted pro- fessions, while politicians always fall somewhere at the bottom of the list. I love organizing parties, too, so per- haps that would have been a fun career. If you had followed her advice and pursued another career, what do you think you would have chosen? Most of my family were lawyers or bar- risters, so, I suppose becoming a barris- ter would have been quite interesting. As a junior doctor, I participated in quite a lot of medical politics and I might have liked to become a politician, as well. What other career accomplishments are you proud of? I am happy to have worked in a small subspecialty within hematology and to have launched quite a few careers in this field. Pediatric hematology is a particularly difficult area to practice in because treating children with hemato- logic conditions can be demanding and distressing. When trainees start their rotation in pediatric hematology, they tend to be very anxious. But, by the end of their six-month rotation, many admit that they enjoyed it and some of them choose to convert to specializing in pediatric hematology. That’s been heartening to see, because I feel that we have managed to instill in them the importance, the excitement, and the reward of practicing pediatric hematol- ogy. I take pride in knowing that young What appealed to you about politics? And, how did medicine and politics intersect? During my training at London’s St. Bar- tholomew’s Hospital Medical College, there was great anxiety about the num- ber of hours junior doctors were work- ing; people realized the long hours were not good for us or for patients. Politi- cians started paying more attention to 16 ASH Clinical News “Chart your own career map; don’t do what somebody else says because they think it would be good for you. If you want to do something, then go for it.” August 2018