62 pages 2-hour read

This Is Going to Hurt: Secret Diaries of a Junior Doctor

Nonfiction | Autobiography / Memoir | Adult | Published in 2017

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Essay Topics

1.

How does Kay’s use of diary entries and footnotes affect the storytelling in This is Going to Hurt? Discuss how this format enhances or limits the reader’s understanding of Kay’s experiences.

2.

Analyze the role of personal sacrifice in Kay’s career as a junior doctor. How does the book illustrate the impact of medical work on his personal relationships and mental health?

3.

Examine how Kay portrays the medical profession’s hierarchy in This is Going to Hurt. How does his experience as a junior doctor highlight the challenges and disadvantages of the NHS’s career structure?

4.

Analyze the memoir’s critique of long working hours and understaffing in the NHS. How does Kay use specific anecdotes to illustrate the consequences of these issues for both staff and patients?

5.

In what ways does Adam Kay humanize doctors in his memoir? How does this challenge common stereotypes or perceptions about medical professionals?

6.

Explore the blend of comic anecdotes and human tragedy in This is Going to Hurt. How does the author use humor to cope with the challenges of working in the NHS, and how do the book’s comedic moments reflect the broader culture of medicine?

7.

Discuss the portrayal of the NHS in This is Going to Hurt. How does Kay highlight the strengths and institutional failures of the healthcare system? What arguments does he make for systemic reform?

8.

Discuss the memoir’s use of real-life patients’ cases to build its narrative. How do these stories contribute to the reader’s understanding of the complexities of working in the NHS, and what ethical considerations arise from sharing these cases?

9.

What does This is Going to Hurt suggest about the importance of self-care and boundaries in high-pressure professions? How might Kay’s experiences inform workplace policies in healthcare?

10.

Compare This is Going to Hurt to Complications by Atul Gawande. Analyze how both texts fulfill or subvert readers’ expectations of medical memoirs.

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