Whatever the rights and wrongs of the standoff between the government and junior doctors, failure to reach agreement on a new contract is bad for patients and for staff. The […]
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Paul Hodgkin: The dogs that don’t bark are the most difficult to hear
For at least the last 70 years patients have been regularly gathered in crowded outpatient clinics and left to sit in silence. Decade after decade, country after country, health systems […]
Richard Lehman’s journal review—18 April 2016
NEJM 14 April 2016 Vol 374 Fixing spinal stenosis 1413 Magnetic resonance imaging was like magic when it first appeared. Suddenly structures in the back that could only be guessed […]
Jeffrey Aronson: When I use a word . . . Mechanisms and evidence
To recap: my definition of a pharmacological mechanism, slightly expanded from before, is “one or more entities and activities organised spatially and temporally to interact in such a way as […]
Vivekanand Jha: National dialysis programme in India—how to get it right
With the announcement of a National Dialysis Service, India is set to join the growing list of nations that provide free or highly subsidised treatment to patients with end-stage kidney […]
Neville Goodman’s Metaphor Watch: Flashes, flies, and spanners
Knowing the vicissitudes of medical research, I expected a fair number of flashes in the pan and flies in the ointment, but neither is a common metaphor in PubMed. I […]
The 7th Global Patients Congress: Patient engagement in innovation for health
Sitting in the Edward Heath Room at the 7th Global Patients Congress at the Selsdon Park Hotel, Croydon, discussing universal health coverage (UHC) for all by 2030 (a target in […]
Desmond O’Neill: HIP medicine
In the last month I have had two wonderful musical experiences in Dublin, each causing me to reflect on one of the key challenges of medicine, that of getting to […]
Tara Lamont: How was it for you? Reflections on patient experience research
“Expect to see blood in your semen.” This was the shouted afterthought from the clinician to a middle aged patient with prostate cancer across a crowded waiting room as he […]
Kamal R Mahtani: Evidence based mentoring for “aspiring academics”
There are times in our careers when we are not sure what to do next, whoever we are. We may lack experience or the confidence to decide what to do; […]