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In Jumpha Lahiri’s Pulitzer prize winning book The Interpreter of Maladies Mr Kapasi is a driver and tour guide who also works as a medical translator. Kapasi’s duty in the doctor’s clinic is to translate without passing judgment. His passenger describes Kapasi’s translation job as “romantic,” something that surprises him and would equally surprise most people working in today’s healthcare environment of systemwide maladies.
Taking a less romantic slant, Helen Salisbury says that “others in the consulting room” bring their own benefits and challenges (doi:10.1136/bmj.q35).1 “Interpreters of maladies” are part of the medical team and the nature of that medical team is being redefined. Rammya Mathew describes how rising demand in primary care is increasingly met by clinical support staff, meaning that practices need fewer locum doctors (doi:10.1136/bmj.q15).2 …