{"id":31414,"date":"2014-04-23T11:29:18","date_gmt":"2014-04-23T10:29:18","guid":{"rendered":"https:\/\/blogs.bmj.com\/bmj\/?p=31414"},"modified":"2014-04-23T11:29:18","modified_gmt":"2014-04-23T10:29:18","slug":"the-bmj-today-consent-discrimination-and-the-liver","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bmj\/2014\/04\/23\/the-bmj-today-consent-discrimination-and-the-liver\/","title":{"rendered":"The BMJ Today: Consent, discrimination, and the liver"},"content":{"rendered":"<p><a href=\"https:\/\/blogs.bmj.com\/bmj\/files\/2013\/11\/navjoyt_ladher.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-30228\" src=\"https:\/\/blogs.bmj.com\/bmj\/files\/2013\/11\/navjoyt_ladher-150x150.jpg\" alt=\"navjoyt_ladher\" width=\"150\" height=\"150\" srcset=\"https:\/\/blogs.bmj.com\/bmj\/files\/2013\/11\/navjoyt_ladher-150x150.jpg 150w, https:\/\/blogs.bmj.com\/bmj\/files\/2013\/11\/navjoyt_ladher.jpg 160w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/a>What\u2019s the matter with care.data? &#8220;It\u2019s consent, stupid,&#8221; says Margaret McCartney in her latest <a title=\"No Holes Barred\" href=\"http:\/\/www.bmj.com\/content\/348\/bmj.g2831\" target=\"_blank\">No Holds Barred<\/a> column. A leaflet is not sufficient to convey the complex issues around data extraction and potential re-identification. The same applies for screening, where leaflets are often posted to inform people about the benefits and harms of breast and aortic screening. But as Margaret points out: &#8220;This isn\u2019t good enough\u2014we all need two way communication with another human being&#8221; to offer a more nuanced discussion and check understanding.\u00a0<!--more--><\/p>\n<p>Margaret joined <em>The BMJ<\/em> as a regular columnist in March. You can find the previous No Holds Barred columns on <a href=\"http:\/\/www.bmj.com\/comment\/views-and-reviews\">bmj.com<\/a>:<\/p>\n<ul>\n<li><a href=\"http:\/\/www.bmj.com\/content\/348\/bmj.g2447\">Why The Sun\u2019s breast check campaign may actually harm women <\/a><\/li>\n<li><a href=\"http:\/\/www.bmj.com\/content\/348\/bmj.g2519\">Fed up with forms<\/a><\/li>\n<li><a href=\"http:\/\/www.bmj.com\/content\/348\/bmj.g2706\">Paying to see a specialist: welcome to a two tier NHS<\/a><\/li>\n<\/ul>\n<p>Hot on the heels of last week\u2019s two <a href=\"http:\/\/www.bmj.com\/content\/348\/bmj.g2621\">research<\/a> <a href=\"http:\/\/www.bmj.com\/content\/348\/bmj.g2622\">papers<\/a> comparing the educational outcomes of UK graduates and international medical graduates in the UK comes this feature from BMJ Careers editor<a title=\"Tom Moberly\" href=\"http:\/\/www.bmj.com\/content\/348\/bmj.g2838\" target=\"_blank\"> Tom Moberly<\/a> on the history of ethnic discrimination in the NHS.<\/p>\n<p>There is evidence that both UK and international doctors of black and minority ethnic origin face discrimination throughout their medical careers, affecting everything from entry to medical school, career progression, and recognition in awards.<\/p>\n<p>How can we work to change this situation? As Krishna Kasaraneni, chair of the BMA\u2019s Equality and Diversity Committee, says in the article \u00a0&#8220;It\u2019s about equity of training provision, rather than equality of training provision. It\u2019s not about race, country, or origin, or where they graduated from. Whoever scores at the lower end of the entry criteria should be identified and provided with extra support.&#8221;<\/p>\n<p>Finally, a trio of liver related articles.<a title=\"Adrian O'Dowd\" href=\"http:\/\/www.bmj.com\/content\/348\/bmj.g2852\" target=\"_blank\"> Adrian O\u2019Dowd<\/a> reports news of a hepatitis A outbreak in Europe. The European Food Safety Authority are conducting a trace-back investigation of the 240 confirmed cases in this current outbreak. The culprit is thought to be a contaminated batch of frozen berries.<\/p>\n<p>The latest article in the <a title=\"Rational Testing\" href=\"http:\/\/www.bmj.com\/content\/348\/bmj.g2522\" target=\"_blank\">rational testing series<\/a> is on ordering and interpreting hepatitis B serology. Hepatitis B is a major public health concern and testing should be considered in people with abnormal liver function tests or where there is a high clinical suspicion due to other risk factors.<\/p>\n<p>Serology identifies people with acute infection, people with previous exposure, and those who have been vaccinated, but the array of tests and outcomes can sometimes be confusing. If you don\u2019t know your HbsAg from your anti-Hbc, or if you\u2019re just in need of a refresher, this article is for you.<\/p>\n<p>This week\u2019s clinical review is about <a title=\"Gallstones\" href=\"http:\/\/www.bmj.com\/content\/348\/bmj.g2669\" target=\"_blank\">gallstones<\/a>. Kurinchi Gurusamy outlines the diagnosis and management of this common condition. The review also describes the common risk factors for developing gallstones, which include obesity, a refined carbohydrate diet, and a high calorific diet.<\/p>\n<p>It\u2019s something to ponder if you, like me, have eaten rather too much egg-shaped confectionary over the Easter weekend.<\/p>\n<p><em><strong>Navjoyt Ladher<\/strong> is assistant editor, The BMJ<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>What\u2019s the matter with care.data? &#8220;It\u2019s consent, stupid,&#8221; says Margaret McCartney in her latest No Holds Barred column. A leaflet is not sufficient to convey the complex issues around data [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/bmj\/2014\/04\/23\/the-bmj-today-consent-discrimination-and-the-liver\/\">More&#8230;<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[5750],"tags":[],"class_list":["post-31414","post","type-post","status-publish","format-standard","hentry","category-the-bmj-today"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>The BMJ Today: Consent, discrimination, and the liver - The BMJ<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/bmj\/2014\/04\/23\/the-bmj-today-consent-discrimination-and-the-liver\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"The BMJ Today: Consent, discrimination, and the liver - The BMJ\" \/>\n<meta property=\"og:description\" content=\"What\u2019s the matter with care.data? &#8220;It\u2019s consent, stupid,&#8221; says Margaret McCartney in her latest No Holds Barred column. 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