Can do, or should do?

Modern medicine is advancing at an eye-watering pace, and treatments are being utilised for ever-widening patient groups, who might not have been offered similar therapies even a few short years ago.  In this context, it is increasingly important to know that these remarkably effective, expensive, and life-changing treatments are aligned with the wishes of our […]

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Proper preparation and planning… part 2

I have blogged previously about the readiness of medical students to take on the role of a doctor when they exit medical school. The previous paper I looked at highlighted that a significant proportion of medical students felt unprepared for the jobs they were ostensibly trained for, and that this proportion was variable across the […]

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Medicine – a team sport

  Medicine could once be practised in isolation – indeed, young doctors often found themselves working alone – a situation evocatively described by Bulgakov in his ‘Country Doctor’s Notebook.’  Nowadays, it is almost impossible to work in isolation, and team working is the norm.  Atul Gawande wrote about the different approaches of Cowboys and Pit […]

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Exercise in older adults – time for a New Year’s Resolution?

Exercise is good for you – but then we sort of know that already – The Earl of Derby had it right back in 1873 pointing out that ‘Those who think they have not time for bodily exercise will sooner or later have to find time for illness.’   Take a look at this brilliant […]

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Is that a smartphone in your pocket?

Smartphones are almost ubiquitous on the wards nowadays.  In a departmental meeting the other day a question popped up about the commonest reason for admission to hospital acute medical services. Out came my smartphone, and after a search, and a tweet – almost instantly (and quickly enough to furnish an answer by the end of […]

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Proper preparation and planning…

There is a basic assumption that medical schools prepare medical students to become doctors. One might expect that medical schools prepare medical students to broadly similar standards, and that by extension, their students would be broadly prepared for practice when they emerge blinking onto the wards each August. In a fascinating paper, Goldacre, Lambert and […]

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