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Touch

9 June 2020

I was taught that history and examination was the foundation of ninety-five percent of clinical diagnosis.  Indeed, all the syndromes cited at the back of the Oxford Handbook of Medicine are descriptions of astute clinical acumen.  The character of Sherlock Holmes was based on observations of Professor Joseph Bell – he had a holistic approach to su…

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Invite, Include and Involve…

25 May 2020

I can think of a few profound occasions where my decision making was fundamentally changed by inviting, involving, and including the patient or trainee. Patient I instituted a Fit to Admit clinic to consent and set expectations for elective admissions – this resulted in significant clinical and operational benefits that have since been published. I…

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Training in the Infected Era

21 May 2020

Recent programmes on radio are talking about surgeons on the frontline. They are saying things about COVID-19 changing the way we conduct surgery for a long time to avoid transmission of the virus to patients and surgical staff. Procedures are being restricted in many disciplines to emergencies only and some procedures are being avoided. What will …

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Identity

18 May 2020

My parents taught me as a child that every door has a handle and to open that door you must use the handle. This was their metaphor for insisting that we always use the proper names of all the neighbours and friends that came around to our house for drinks or dinner parties. It is this ‘handle’ or name that acknowledges and respects a person’s iden…

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Trust

11 May 2020

The relationship between the trainer and trainee is founded on trust in that we are in it together and share the same purpose.   Traditionally and colloquially people often cite that trust needs to be earned i.e. you do the right things and I will trust you and ‘do right by you’?    The training system is designed to assess COMPETENCY and CONSISTEN…

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System Disruptions: 19th August 2017

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