Daniel Sokol: A database of medical, ethical, or legal cases with valuable lessons for clinicians

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 […]

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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. […]

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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 […]

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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 […]

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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 […]

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