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Content ArticleJoint meeting with the British Medical Journal on establishing a register of financial and non-pecuniary interests for doctors.
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Content ArticleNine out of 10 medical professional bodies think patients have a right to know if their doctor had financial or other links with pharmaceutical or medical device companies. Abi Rimmer considers the next steps towards implementing a mandatory register of doctors’ interests in the UK.
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Content Article
You ok doc? Supporting doctors' mental health
Patient Safety Learning posted an article in Staff safety
How often do we visit our doctor for guidance on our health, however, who asks after the doctor's health? When faced with life or death situations on a daily basis, that demands scrupulous attention to detail, across unsocial shift patterns; the option of ‘normal’ life seems unimaginable. In the last decade alone we have seen a rise in mental health issues for those working in healthcare. A recent study by the British Medical Association identified that almost 80% of all doctors are at high risk of burnout. An issue that used to arrive at the maturity of one's career, is now common in its nascency and is equating to growing rates of suicide. With a growing crisis around a serious issue, there is an urgent need to tackle the cultural taboos, training and opinions that are associated with mental health in our industry. 'You ok doc' is committed to not only supporting doctors' mental health through services like 'The Huddle', but also empowering doctors' wellbeing through bespoke mental and emotional health aids. -
Content ArticleWhen COVID-19 struck, many doctors helped out by willingly changing the way they worked. The BMJ hears some of their stories, including from Michael Farquhar, Paediatric sleep consultant at the Evelina London Children’s Hospital, and Alice Findlay, Retired former emergency medicine consultant at Dartford and Gravesham NHS Trust.
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Content ArticleLindsey's doctor was so focused on the 52 pounds she'd gained during her third trimester, she missed a pregnancy disorder that could have killed Lindsey and her unborn child. Watch Lindsey's video where she talks about her experience and why it is important to find a doctor who respects you and who you can trust.
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Content ArticleThis article in The BMJ discusses the consequences for practising doctors of the 2015 Montgomery v Lanarkshire Case. The case was brought by Nadine Montgomery, a woman with diabetes and of small stature, after she delivered her son vaginally and experienced complications during the birth which resulted in her son having cerebal palsy. Her obstetrician had not disclosed the increased risk of this complication in vaginal delivery, despite Montgomery asking if the baby’s size was a potential problem. The Supreme Court ruling in her favour established that a patient should be told whatever they want to know, not what the doctor thinks they should be told.
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Content ArticleEarly-years, primary and secondary education services have been severely affected by the global Covid-19 pandemic. As a result, school healthcare services have also been affected in terms of accessibility and the flow of services. In this blog, Dr Ahmed Khalafalla looks at the effects of this disruption to education-based health services.
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Content ArticleAn article* from Ehi Iden, hub topic leader, discussing the Nigerian healthcare workforce crisis.
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Content ArticleThis study in Patient Education and Counseling aimed to systematically review parental perceptions of shared decision-making (SDM) in neonatology, and identify barriers and facilitators to implementing SDM. The study identified the following key barriers to SDM: Emotional crises experienced in the NICU setting Lack of medical information provided to parents to inform decision-making Inadequate communication of information Poor relationships with caregivers Lack of continuity in care Perceived power imbalances between HCPs and parents. It also identified the following key facilitators for SDM: Clear, honest and compassionate communication of medical information Caring and empathetic caregivers Continuity in care Tailored approaches that reflected parent’s desired level of involvement.
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Content ArticleThis article, published in The Joint Commission Journal on Quality and Patient Safety, discusses the role of teamwork in the professional education of physicians. The Institute of Medicine (IOM) has recommended that organisations establish interdisciplinary team training programs that incorporate proven methods for team management. Teamwork can be assessed during physician medical education, board certification, licensure and continuing practice. Team members must possess specific knowledge, skills and attitudes (KSAs), such as the ability to exchange information, which enable individual team members to coordinate.
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Content ArticleMedical expertise is fundamental to the practice of medicine. But other skills and knowledge are important too. Doctor Informed gives the inside story on the evidence about giving the best care and having positive relationships with patients and colleagues.
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Event
An enhancing junior doctors working lives (EJDWL) event
Sam posted an event in Community Calendar
An enhancing junior doctors working lives (EJDWL) event hosted by NHS England for: Doctors in training Guardians of Safeworking National guidance encourages the use of e-rostering for medics and it is increasingly likely that doctors in training will encounter an e-rota while working in secondary care. However, doctors’ knowledge of e-rostering is often limited to previous experience, which can make it difficult to know whether they are benefiting from all the features available. This lunchtime webinar aims to educate doctors on the range of features available, and empower them to engage with and improve e-rostering at their workplace. As well as an introductory talk from doctors in training in the EJDWL team, hear real world examples from doctors on how they have engaged with and improved e-rostering, and learn how you can do the same at your workplace and nationally. Speakers: Professor Robert Galloway - Helping to solve NHS challenges with a workforce first approachED consultant championing annualised rotas with self-preferencing, University Hospitals Sussex. Dr Daniel BarryAnaesthetic trainee and co-founder of dbrotas, Wessex School of Anaesthetics. Dr Mark Johnson - Personalised Pay - Proving the 'impossible' is possibleMedical registrar and Board Affiliate, championed personalised rotas and pay at Buckinghamshire Healthcare NHS Trust. Dr Nicholas Turner, Dr Jack Haywood, Dr Kavir MatharuNational Medical Director's Clinical Fellows EJDWL working group members. Register -
Content ArticleThe UK has a transparency problem with doctors’ conflicts of interests; this summer a public consultation will revisit the issue. But, behind the scenes, declaring and managing conflicts is a complex business that can lead to more questions than answers, finds Margaret McCartney.
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Content ArticleIn this blog post, Kath Sansom, founder of the Sling the Mesh campaign, looks at the issue of payments being made to doctors and lobby groups by pharma and medical tech companies. She argues that these payments are a patient safety concern as it can lead to doctors displaying bias in advising treatments, with benefits being overstated and risks downplayed. This is especially concerning when industry money is given to consultants or researchers trialling new treatments. Kath highlights an investigation carried out by the Observer into the issue and explains why Sling the Mesh have lobbied the UK Government for a UK Sunshine style payment act, which would allow the public to look up the names of doctors, surgeons and researchers to see if they have taken money from industry.
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Content ArticlePatient satisfaction surveys rely largely on numerical ratings, but applying artificial intelligence (AI) to analyse respondents’ free-text comments can yield deeper insights. AI presents the ability to reveal insights from large sets of this type of unstructured data. The authors’ analysis here presents AI-enabled insights into what different racial and ethnic groups of patients say about physicians’ courtesy and respect. This analysis illustrates one method of leveraging AI to improve the quality and value of care.
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Content ArticleAs a doctor, receiving a letter from the GMC confirming that a complaint has been raised against you by a patient, and the GMC are now investigating that complaint, can be a frightening experience. This blog by solicitor Nicola Wheater, looks at how communication failings can lead to GMC complaints and describes what to expect from the process. She also highlights support available for doctors facing a GMC complaint.
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Content ArticleA significant number of doctors and other healthcare workers have developed post-acute COVID, including a large number who developed it as a result of workplace exposure to Covid-19. This paper examines the impact post-acute Covid symptoms have had on the medical workforce, personally and professionally. It provides a unique and valuable insight into the experience of UK doctors suffering from post-acute Covid. It has been informed by a UK survey of over 600 doctors suffering from the continuing effects of an infection with Covid-19, as well as wider research of the issues. The survey was undertaken by the British Medical Association (BMA) in partnership with Long COVID Doctors for Action. This is the first comprehensive survey of doctors with post-acute Covid health complications. This paper should inform the support needed by current sufferers of post-acute COVID in the NHS workforce, and help protect services and patients now and in the future.
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Content ArticleThe state of medical education and practice in the UK 2023 is published at a time when the UK health systems face extensive challenges. This report from the General Medical Council (GMC) shares concerning data about the experiences of doctors and the challenges to providing adequate care to patients. In this context, careful and constructive exploration of the practical, evidence-based steps that can be taken to improve the situation is critical – to protect both patients and the doctors who care for them.
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Content ArticleThere has been growing concern about doctors’ conflicts of interests (COIs) but it is unclear what processes and tools exist to enable the consistent declaration and management of such interests. This study in the Journal of the Royal Society of Medicine mapped existing policies across a variety of organisations and settings to better understand the degree of variation and identify opportunities for improvement. The analysis of organisational policies revealed wide variation in what interests should be declared, when and how. This variation suggests that the current system may not be adequate to maintain a high level of professional integrity in all settings and that there is a need for better standardisation that reduces the risk of errors while addressing the needs of doctors, organisations and the public.
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Content ArticleDesigned by the Inpatient Diabetes Team at University Hospital Southampton (UHS), the DiAppBetes app for healthcare professionals aims to provide easy access to clinical guidance on managing patients with diabetes in hospital. It allows all healthcare professionals—including non-specialists—to quickly check up to date guidance on: the basics of diabetes. screening and diagnosis. type 1 diabetes guidance notes. patient assessment. complications of diabetes. patients with diabetes in a variety of scenarios, including pregnancy, about to have surgery, new to insulin, using an insulin pump and at the end of life. diabetes treatments. The app is freely available and content is generic apart from a few hospital-specific contact details. Hospitals using the Microguide platform for antibiotic guidance can reconfigure the format of the app—if they do this, hospitals should ensure that UHS is acknowledged as the original provider of the app.
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Content ArticleThis letter is a resource for patients to help GPs identify the complications of pelvic mesh. It explains signs and symptoms of women presenting with pelvic mesh-related conditions and if required, where to signpost them for further help. It has been issued by the Patient Safety Commissioner for England, developed in partnership with the patient campaign groups Sling the Mesh and the Rectopexy mesh victims and support.
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Content Article
Why are doctors so unhappy? (BMJ, 5 May 2001)
Patient Safety Learning posted an article in Culture
Doctors are unhappy. They are not all unhappy all the time, but when doctors gather, their conversation turns to misery and talk of early retirement. The unhappiness has been illustrated in a plethora of surveys and manifests itself in talk of a mass resignation by general practitioners from the NHS. The British government is rattled by the unhappiness of doctors, recognising that a health service staffed by demoralised doctors cannot flourish. It has responded by trying to hand more control of the service to frontline staff. But is this the right treatment, asks the BMJ's Editor Richard Smith. -
Content ArticleThis KevinMD podcast discusses with family physician Lisa Baron the pervasive issue of medical gaslighting, particularly in women seeking care for chronic illnesses. We’ll delve into the consequences of dismissing symptoms and the importance of validating patient concerns. We’ll also explore the role of social media in connecting patients with support and treatment options, as well as steps doctors can take to improve their bedside manner and rebuild trust with patients who have been gaslit in the past.
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Content ArticleTo support patients to understand the risks of taking sodium valproate during pregnancy, NHS England has launched two new shared decision-making tools. This is part of an NHS-wide effort to reduce the use of valproate in people who can get pregnant, and to help those that do continue with valproate to prevent pregnancies.
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Content ArticleA new report presents the preliminary findings of the Care Post-Roe Study, and shows how US healthcare providers have been unable to provide the standard of care in states with abortion bans since the Supreme Court struck down Roe v. Wade ten months ago, leading to harm and negative health outcomes for patients. The report shows that healthcare providers have seen increased morbidity, exacerbated pregnancy complications, an inability to provide time-sensitive care, and increased delays in obtaining care for patients in states with abortion bans. This has impacted both patients and providers and has deepened the existing inequities in the health care system for people of colour.
