When I visited the clinical ethics department at Washington Hospital Center some years back, I was impressed by how acute ethical dilemmas, once resolved, led to presentations in the affected department to reflect on the problem and find ways to minimise its recurrence. These ways included imparting factual knowledge, whether medical, ethical, or legal, or […]
Rebecca Rosen: What value should be attributed to professional judgement when it is pitted against customer expectations?
We need to find a way to deal with the touch-point between professional judgement and consumer sovereignty […]
Samar Betmouni: Time for a new digital pathology strategy and re-imagined diagnostic service in the UK
An evaluation of the UK’s pathology capacity by Cancer Research UK (CRUK) has identified that over the next 5-10 years “there is likely to be a severe crisis.” The report highlights a 4.5% year-on-year increase in the number and complexity of histopathology requests since 2007/08; the majority of which are for the investigation of cancer. […]
Rediscovering humanitarianism in the wake of the aid agencies scandal
As the reverberations of the recent scandal regarding sexual exploitation in the aid sector continue to ricochet around the world, hogging headlines, and eliciting the inevitable (belated) response of “never again,” millions of desperately in need people in unimaginably appalling situations continue to suffer—unheard, unseen, and largely forgotten. The antithesis of humanitarianism, the idea of […]
Treatment or surveillance for CIN2: when less is more
Over the course of a day, a gynaecologist will care for patients with a wide range of presentations—from a premature baby who doesn’t survive beyond the first nights whose young mother has had previous treatment for precursors of cervical cancer, to the stress of another woman in a colposcopy clinic worried about the management of […]
Sharon Roman: My doctors, my placebo effect
An excellent patient-doctor relationship is capable of doing much good, even when medicine no longer can […]
Jay Berry: Unsung heroes of peer review
Think for a moment about all the scientific articles you’ve peer reviewed throughout your career. Do you ever find it challenging to make time to perform the review? Do you worry about your reviews being too picky or lenient? Have authors brushed over your comments without really tackling them? Do you ever wonder why you […]
Derek Summerfield: NHS antidepressant prescribing—what do we get for £266 million per year?
The Royal College of Psychiatrists and the media routinely state that there is an “epidemic” of mental disorder—1 in 4 people in the UK, with 3 in 4 said not to get the treatment they need. These disease-mongering assertions have been recycled for so long that they have become unexamined societal truisms. We are apparently […]
Richard Smith: Spreading innovation in the NHS through social franchising
It is comparatively easy to find funding for the randomised trials that may or may not show the effectiveness of innovations, but much harder to fund scale-up […]
Matt Morgan and Peter Brindley: Medical conference emojis—which one are you?
Matt Morgan and Peter Brindley have been studying human doctors in their native conference environment […]