What is this?This week’s talks were about diarrhoea. If you want to read more, UpToDate has overviews or acute and chronic diarrhoea. For next week the two minute tutorials will be on Neuropathy:
Acute DK
Chronic CS
Investigation SS
Treatments FY1
Diabetic JT
Alcohol related Dr R
Two minutes please . Keep if concise yet precise. Make a one page handout and quote your sources.
The reading was Clinical decision-making: Coping with uncertainty. A F West; R R West. The paper 's conclusion is :Improving scientific knowledge is clearly a laudable objective, although it may reduce clinical uncertainty less than expected. Pretending that the clinical predicament can be reduced to a series of certainties by the recruitment of "evidence" will not work and unrealistic expectations of that stratagem may make the situation worse. Some degree of uncertainty was always here to stay and evidence, even of the highest quality, is only evidence. There will always be judgments to be made by responsible, informed, and compassionate people. They may not be able to perform these broader roles, in communication, holding anxieties and managing uncertainty, unless trained for and supported in them.
The reading for next week is Clinical diagnostic strategies. Sackett DL et al. Chapter 1 of Clinical Epidemiology. I have put a copy on the ward.
Interesting topics
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