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I really liked this quick response letter to an anonymously authored piece recently published in the BMJ. The subject is the lack of teaching for junior docs.  I had to reproduce it in full.
 
Do we have the appetite for a Medical Reformation?
Christoph C Lees, Consultant Obstetrician ... Read More »
Yesterday was the ‘Climate Week’ stakeholder reception; through inspiring talks from a panel including former UK secretary of state for environment - John Gunner, Lord Deben - plans were laid out for climate week activities (March 12-18 th 2012).   Doc2doc did a poll recently: Should doctors care more about ... Read More »
The work of Michael Marmot and of the BMA on the Social Determinants of Health are a model and inspiration for many in the US. ... Read More »
This video of Abraham Verghese is now relevant to junior doctors in the UK as much as it is in the USA. The easy availability of after hours CT scanning has unfortunately led to many doctors opting for that before they make an full clinical assessment and applied some thought to their findings.  The ability to lay our ... Read More »
In recent years, there have been a number of technological developments in the management of patients with cardiovascular disease. PCI (percutaneous coronary intervention) with insertion of stents into dilated diseased coronary arteries has arisen as a possible alternative to the coronary artery bypass operation. Patients ... Read More »

Predicting and communicating prognosis in palliative care -- Glare 343 -- bmj.com
The author of this editorial, published in a recent British Medical Journal writes about the difficulty of communicating prognosis in patients with terminal cancer. This article made me think of my specialty - Cardiac Surgery. Why? ... Read More »
Kevin Pho was kind enough to post a piece I wrote several months ago and which I originally posted here on my blog. It has provoked alot of interest and comment most of which has not quite been complimentary!
I was pleased that two experts on Shared Decision making were able to leave comments - one unflattering ... Read More »

 
This recent piece on BBC news about an article in the Lancet brought back vivid memories. During my cardiothoracic surgical training in the early 1990s, I spent three years at Papworth Hospital in Cambridge.  Eighteen months of these three years were spent as Senior Transplant Fellow.
My mentor ... Read More »
Time to think again? ... Read More »

We know from studies that healthcare professionals most often significantly underestimate both the intensity of a patient’s pain and the impact of the pain on the patient’s quality of life. But why and what can we do to improve ?

 ... Read More »
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