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Case report 14/11/2017

A limping child

A limping child

Time to read article: 3 mins
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Three-year-old Matthew was brought to the local A&E department by his mum, Mrs U. She told Dr M, the attending doctor, that Matthew had fallen from a chair three days ago and, although he seemed unharmed at the time, he was now refusing to walk.

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Case report 14/11/2017

The importance of living wills

The importance of living wills

Time to read article: 1 mins
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Patient B, a 70-year-old female, with a history of dementia, stroke and pneumonia, was admitted to the emergency room of a private hospital in a coma. She had advanced lung cancer and was well-known to the physician, Dr Y, who was called to see her.

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Case report 25/10/2017

Living up to expectations

Living up to expectations

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Mr G was a 62-year-old office worker; he was overweight (BMI 29) and suffered from exercise-related angina. Mr G had several risk factors for ischaemic heart disease including smoking, diabetes mellitus and hypercholesterolaemia. Following a positive exercise test, a coronary angiography confirmed triple vessel coronary artery disease with a left ventricular ejection fraction of 45%. He was referred to Mr F, a consultant cardiothoracic surgeon, for consideration of coronary artery bypass graft (CABG) surgery.

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Case report 20/10/2017

Chain Reaction

Chain Reaction

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A patient presents with a sore wrist after a fall. This was followed by a complaint against the doctor.

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Workshop

Mastering difficult interactions with patients

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Mastering difficult interactions with patients

This workshop helps you identify and utilise a range of different skills in difficult clinical interactions with patients. These skills can help you and your patients reach a more favourable outcome and still preserve the integrity of the important doctor-patient relationship.

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20/09/2017

An essential guide to consent - Voluntariness

An essential guide to consent - Voluntariness

Time to read article: 11 mins
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Patients overtly coerced into undergoing treatment they do not want can rightly claim that their “consent” was not given freely and is therefore not valid. Cases of overt coercion are rare, but there are circumstances in which patients may feel that they have been covertly pushed into accepting treatment they would prefer not to have had. For example, in some circumstances patients may find it very difficult to say “No” to the proposed treatment, or to challenge the doctor’s assumption that they would have no objections to going ahead.

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Mastering your risk

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Time to read article: 1 mins
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Mastering your risk

This workshop gives you a thorough grounding in the issues surrounding managing risk through communication. It introduces proven preventative skills and techniques you can implement immediately to reduce your exposure to litigation and complaints, improving patient safety.

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Casebook 30/08/2017

Opinion: Failure to test for HIV infection: A medicolegal question?

Opinion: Failure to test for HIV infection: A medicolegal question?

Time to read article: 5 mins
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Dr Michael Rayment and Dr Ann Sullivan, Department of Sexual Health and HIV Medicine, Chelsea and Westminster NHS Foundation Trust (on behalf of the British Association for Sexual Health and HIV, and the British HIV Association).

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Casebook 29/08/2017

The worst of times

The worst of times

Time to read article: 6 mins
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Unemployment reduces wellbeing. Recession raises the demands on healthcare systems and makes it harder to pay for them. Doctors worldwide are having to adapt and change to cope with these additional pressures, says Sarah Whitehouse

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Articles and features 25/08/2017

Day in the life of… Dr Pixie McKenna

Day in the life of… Dr Pixie McKenna

Time to read article: 4 mins
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I wake up bolt upright at 5.30am. I look in the mirror and realise I’ve inadvertently left my false eyelashes on from the previous day’s telly. They hang rather precariously from my upper lids – my mascara is half way down my cheeks and my hair is doing a good impersonation of Jedward. My husband rolls over and states that I look like a drag queen and promptly falls back to sleep.

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Articles and features 25/08/2017

General confidentiality principles as advised by medical defence orga...

General confidentiality principles as advised by medical defence organisations

Time to read article: 2 mins
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All doctors know that maintaining confidentiality is an important part of building up trust with patients. Here, Dr Stephanie Bown examines the medicolegal aspects of confidentiality

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