ABSTRACT
The perfect system for delivering healthcare has yet to be found, and from a political perspective, the medical profession is seen as having a high degree of power and influence, which doctors sometimes wield in order to show leadership and to influence arrangements in terms of how healthcare systems operate. While there may be good reason for apparent inconsistencies, such as differences in legal systems or agreed ethical codes, differences can also serve to highlight weaknesses in local or national systems for addressing unprofessional conduct. Doctors often move from one country to another, and there are plenty of doctors in training whose primary education occurred in a different country to the one in which they currently work and train. Mitigating circumstances: sometimes cases present with plausible explanations that could count as mitigation; doctors in training may try to explain their actions, but they may not have insight into why their behaviours were considered inappropriate.
