Collusion, illusion, or delusion?

Fending Off Death 1 by wiebkefesch on DeviantArt Doctors are – in the main – trained to prevent death.  Modern medicine has made huge advances, and life expectancies continue to rise.  However, there remains only one certainty in this life – that we are all going to die. Patients in the last year of life […]

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All in a day’s work

Becoming a doctor is a long and arduous process.  It involves many years of study and more of practice.  It is inconceivable that this process leaves those who go through it untouched.  This process is called professional socialisation.  It confers values, and behaviours on the participants, and these help to mark our profession out from […]

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Hidden in plain sight.

  Patients do not come with diagnoses attached to their foreheads.  If only they did,  huge numbers of hospital visits and admissions could be avoided. To overcome the ever increasing number of potential diagnoses, and the rising tide of illness encountered by our ageing populations, we rely ever more heavily on investigations to guide us […]

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Did you choose them, or did they choose you?

  Medical stereotypes are a well known, ranging from the hippy-esque GP, to the man-mountain of an orthopaedic surgeon, via the suave and sophisticated plastic surgeon.  I’m not entirely sure what the stereotype of a chest physician is, but I would be grateful if you could let me know… These stereotypes, and perceptions of who goes […]

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Aiming for ‘normal’

Normal ranges are papered to the door of almost every clinical medical student’s lavatory door or fridge, inside the cover of every notebook in the wards – accompanying every result on the EHR – everywhere we are told confidently what normal is. But as this paper studying the laboratory findings of several thousand inpatients at a […]

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If a job’s worth doing…

Image via WM Jas on Flickr Competency based curricula have largely replaced purely knowledge-based curricula in medical education.  As assessment of competency has become a seemingly endless task, the participants in medical education have often complained that learning and development has been reduced to a series of hoops to jump through or, even worse, a […]

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Service, safety and training – a tricky trio.

The National Health Service is more than a health service, is is perhaps one of the biggest postgraduate universities in the world.  Within the corridors, operating theatres, and wards of the hospitals in the UK, healthcare professionals are learning. They are taught by example every day, and increasingly are allocated time out of the service […]

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The beauty of the written word?

Of the essential skills for doctors, writing has to be up there as one of the most important.  Doctors writing has been the butt of many jokes ove the years – justifiably, and written prescriptions remain a significant source of error in hospitals up and down the land. The medical notes are another area where […]

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It’s good to talk…

When I think about my work on the acute medical unit, or my clinics, it is almost mind boggling, the number of interactions I have with other humans – trainees, consultant colleagues, radiographers, radiologists, professionals from other hospitals, biochemists, nurses, physios, therapists, and of course – patients.  As Atul Gawande points out in this splendid […]

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The great game…

The PMJ editors met recently, and it was a pleasure to meet up with a range of engaged, eloquent, educated and motivated individuals who all share a passion for Postgraduate Medical Education.  It was therefore a little bit of a surprise when a reference to an article on the gamification of medical education proved to […]

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