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Ara Darzi: Workload fears over online patient records

16 Aug, 16 | by BMJ Group

AA Lord Darzi-9991364 Head ShotEngland was the first country in the world to enable patients to book GP appointments, order prescriptions, and access their medical records online 

Since April 2016, all practices have been required to give patients online access to a summary of their medical history, including information on drugs they are taking, the illnesses, allergies, immunisations, and test results.

By March 2018, the aim is to give patients full access to their GP and hospital record. For the first time patients will be on an equal footing with their doctors. more…

Narinder Kapur: Name badges and job titles to keep Kate Granger’s legacy alive

16 Aug, 16 | by BMJ Group

0The campaign by the late Kate Granger helped to raise the profile of staff introducing themselves to patients by saying their name. Words used in healthcare matter. Communication lapses are one of the major sources of error in patient safety. Confusing drug labels can be fatal. Yet we often fail at the simplest level of using names and titles correctly. more…

John Davies: Treating patients at the Rio Olympics

15 Aug, 16 | by BMJ

After several days when I could tourist around the Games and Rio, while the Olympic stadium was converted from a football to a track and field venue, I was back with the medical team this weekend, keeping a close eye on the high jump part of the women’s Heptathlon. Team GB had two competitors, Jessica Ennis-Hill, the Olympic champion in 2012, and her challenger, Katerina Johnson-Thompson, so there was real strength in depth in this event.

But what has been happening in the medical centre? We too have strength in depth as my colleagues include a paediatrician and a GP, as well as the expected sports-related specialities. They are very necessary, as I have seen many families travelling to events with small children, even babes-in-arms, and the conditions that we have been consulted on are those a GP must often see. more…

Miriam Fine-Goulden: How we talk about women leaders

15 Aug, 16 | by BMJ

miriam_fine_gouldenIt feels like there has never been a better time to be a woman in leadership: we have a female prime minister following a two-woman contest; a female Scottish first minister; the first woman in US history to be nominated for president by any major party; women heading up the most influential economy in Europe and the IMF, and Rome has elected its first female mayor in almost 3,000 years.

Yet women are consistently typecast and caricatured, judged by how closely we live up to ideals and expectations of achievement in family life, appearance, and femininity. Until we are able to feel that these factors have as much impact on our careers as they do on those of our male counterparts, we will not have genuine parity, no matter how many leadership positions we occupy. more…

Niall Dickson: Planned changes to the UK medical register

12 Aug, 16 | by BMJ

niall_dicksonA study commissioned by the General Medical Council (GMC) last year found that the current UK register provides limited information compared with those in other countries.

This is not surprising. The first UK register, introduced in 1859, was a hardback tome for patients to check whether practitioners in medicine and surgery had the qualifications and competence to treat them. more…

Thomas Oliver: Rare sarcomas—improving awareness among junior doctors

12 Aug, 16 | by BMJ

Thomas OliverThe National Sarcoma Awareness Project was launched in 2013 by a team from the Royal Liverpool and Broadgreen University Hospitals NHS Trust (funded by the Bone Cancer Research Trust) to raise sarcoma’s profile among medical students and junior doctors. Four years in, it has caught the imaginations of over a thousand participants—a new generation of potential sarcoma clinicians and researchers, which now includes me since I participated in the funded fellowship last year.

I recently discussed my involvement in the project, believing that any drive to improve sarcoma patient care must address the relative ignorance we, as a profession, have about sarcoma.

This is, perhaps, of no great surprise. more…

Jeffrey Aronson: When I use a word . . . Narcissism

12 Aug, 16 | by BMJ

jeffrey_aronsonIn Metamorphoses Ovid tells us about Echo and Narcissus. He seems to have invented the tale, although the legends from which he weaves it were already parts of Greek mythology.

The story starts with a dispute between Jupiter, king of the gods, and his wife Juno. Jupiter claims that women get more pleasure from sex than men do. Juno disagrees. Tiresias is the obvious person to ask, having been both a man and a woman in his time. Transgender is no new thing. Tiresias agrees with Jupiter. Juno, annoyed with the reply, strikes Tiresias blind. Jupiter, in compensation, gives him the power of prophecy. more…

Michael Moran: How to define a junior doctor

12 Aug, 16 | by BMJ

michael_moranIt was a rude awakening for me when a new registrar colleague exclaimed with glee: “your GMC number begins with a 6!”

I hadn’t the heart to tell her that it’s actually a “61…” GMC number, and so there must have been around 100,000 doctors who qualified between my graduation day and hers. And so, you must understand, on any given day, I don’t feel very “junior.” With a Masters and PhD under my belt, as well as 11 years of work as a doctor, I wonder about the job title that is bandied about for so many of us: junior doctor. more…

Rosamund Snow: What to call junior doctors—a patient’s perspective

12 Aug, 16 | by BMJ

rosamund_snowThe Royal College of Surgeons of Edinburgh have recently called for a change in the way we refer to junior doctors–“junior” and “trainee” sounds too pejorative and affects the morale of these “highly skilled and dedicated professionals.”

I’m not convinced that this kind of change would make a lot of difference to doctors’ morale or burn-out rate, which seems to stem from slightly more complex causes than job titles, but if it helps, fine. All I ask is that you remember the patient while thinking of an alternative. more…

The Sick of the Fringe: Edinburgh 2016

11 Aug, 16 | by BMJ

8617903_american-live-artist-brian-lobel-questions_t55de6985The Edinburgh festivals are in full flow, and there is a wealth of wonderful health and medicine related events to see and do. From a show about incontinence that will gain you CPD points for attending, to a one-to-one performance in darkness that explores the science of seeing, to comedies about bodies, and plenty of work about mental health, ageing, disability, heartbreak and more, one project at the Fringe aims to bring it all together.

The Sick of the Fringe is the brainchild of artist, performer, and Wellcome Engagement Fellow Brian Lobel, and is led by him and producer Tracy Gentles from In Company Collective. Commissioned by Wellcome, it’s a mini-festival within the Fringe that runs events for and with theatremakers, as well as the public. It also involves a team of writers “diagnosing”—rather than reviewing—shows and building an online resource of material that examines and connects themes, topics, and people.  more…

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