RANDOMISED TRIAL OF INTRAVENOUS STREPTOKINASE, ORAL ASPIRIN, BOTH, OR NEITHER AMONG 17 187 CASES OF SUSPECTED ACUTE MYOCARDIAL INFARCTION: ISIS-2.
The Lancet, Volume 332, Issue 8607, Pages 349 - 360, 13 August 1988
Why have I chosen this paper.
MJM
Wednesday, August 25, 2010
Monday, August 16, 2010
16viii10
The reading for Tuesday 24th will be Assessing a learning disabled patient's capacity to manage his own care and make important decisions. Read the material and share your thoughts with the team.
Friday 2oth two minute talks are on the topic of cellulitis: epidemiology; diagnosis; treatment (uncomplicated case); complicated cellulitis; recurrent cellulitis. Keep it concise yet precise. Quote your sources.
Pre-warning for Friday 27th because it might take a little more work...
Thucydides described of the plague of Athens, in 431BC in The History of the Peloponnesian War. If you click on the link it will take you to a copy of the piece. The web page begins with chapter VI, but you can skip down to chapter VII (unless you would like to read about the war). If you cannot find the right section, press ctrl-F and type in plague. The challenge is to make a diagnosis. You will have two minutes to make your case for the diagnosis of your choice. We will then have a chat about how you would manage the situation.
MJM
Friday 2oth two minute talks are on the topic of cellulitis: epidemiology; diagnosis; treatment (uncomplicated case); complicated cellulitis; recurrent cellulitis. Keep it concise yet precise. Quote your sources.
Pre-warning for Friday 27th because it might take a little more work...
Thucydides described of the plague of Athens, in 431BC in The History of the Peloponnesian War. If you click on the link it will take you to a copy of the piece. The web page begins with chapter VI, but you can skip down to chapter VII (unless you would like to read about the war). If you cannot find the right section, press ctrl-F and type in plague. The challenge is to make a diagnosis. You will have two minutes to make your case for the diagnosis of your choice. We will then have a chat about how you would manage the situation.
MJM
Wednesday, August 11, 2010
Wardround 11viii10
The read and think for Tuesday is Communication discrepancies between Physicians and Hospitalized patients. DP Olsen, DM Windish. Arch Intern Med 2010: 170 (15); 1302-1307.
Two minute talks for Friday: Reducing adverse effects from:
NSAIDs
Glucocorticoids
Anticoagulants
Antibiotics
Statins
Pilot Audit for Monday:
DVT prophylaxis; standard=handbook.
Interesting Topics:
MJM
Wednesday, August 04, 2010
Welcome to ward 10
Welcome to your attachment on Ward 10
Farewell to the old guard and welcome to the new batch. Get ready to gorge yourself on fruit from the tree of knowledge.This blog will be a reminder of your training assignments each week. In addition to the departmental teaching sessions we have three ward based events:
1. Read & think :Each Tuesday there is a discussion of a subject or paper. I will usually set a paper but if you come across something which you believe we should read, I am happy to include it. Give yourself time to think.
2. Two Minute talks: each Friday you will give the team a talk on a subject you have researched that week. Again I will set the topics unless you come up with one yourselves. I am strict about the time and will not allow more than two minutes. Don't waste time telling us things that are obvious. Your talk can be illustrated with an A4 size handout which should be info-graphic rather than prose.
3. Morbidity and mortality meeting: monthly, I will give more info nearer the meeting.
Do read regularly and check your management against protocols and guidelines.
The paper to read for next Tuesday is Clinical craft: a lesson from Liverpool. DM Gore. Med. Humanit. 2001;27;74-75
The two minute talks this Friday will be medical emergencies: choose between yourselves from the following topics...
Anaphylaxis
Hyperkalaemia
Sudden loss of consciousness
If any other doctors are taking part they can choose from...
Sudden hypotension
Sudden hypoxia
Practice your talk, get the timing right, make it illuminating and tell us your sources. Have a look at this example handout... Anaphylaxis by Dr Hannah Gunn, or this slightly busier one on aspiration pneumonia by YT. The talk is more important than the handout so use your time appropriately. The trust blocks access to images but if you have internet access elsewhere you should be able to see them.
Next week we will start an audit of ..... HIV testing. Have a look at BHIVA guidelines for HIV testing 2008.
MJM
Farewell to the old guard and welcome to the new batch. Get ready to gorge yourself on fruit from the tree of knowledge.This blog will be a reminder of your training assignments each week. In addition to the departmental teaching sessions we have three ward based events:
1. Read & think :Each Tuesday there is a discussion of a subject or paper. I will usually set a paper but if you come across something which you believe we should read, I am happy to include it. Give yourself time to think.
2. Two Minute talks: each Friday you will give the team a talk on a subject you have researched that week. Again I will set the topics unless you come up with one yourselves. I am strict about the time and will not allow more than two minutes. Don't waste time telling us things that are obvious. Your talk can be illustrated with an A4 size handout which should be info-graphic rather than prose.
3. Morbidity and mortality meeting: monthly, I will give more info nearer the meeting.
Do read regularly and check your management against protocols and guidelines.
The paper to read for next Tuesday is Clinical craft: a lesson from Liverpool. DM Gore. Med. Humanit. 2001;27;74-75
The two minute talks this Friday will be medical emergencies: choose between yourselves from the following topics...
Anaphylaxis
Hyperkalaemia
Sudden loss of consciousness
If any other doctors are taking part they can choose from...
Sudden hypotension
Sudden hypoxia
Practice your talk, get the timing right, make it illuminating and tell us your sources. Have a look at this example handout... Anaphylaxis by Dr Hannah Gunn, or this slightly busier one on aspiration pneumonia by YT. The talk is more important than the handout so use your time appropriately. The trust blocks access to images but if you have internet access elsewhere you should be able to see them.
Next week we will start an audit of ..... HIV testing. Have a look at BHIVA guidelines for HIV testing 2008.
MJM
Tuesday, February 09, 2010
What's the diagnosis?
The reading for Friday is a description of the plague of Athens, written in 431BC by Thucydides in The History of the Peloponnesian War. If you click on the link it will take you to a copy of the piece. The web page begins with chapter VI, but you can skip down to chapter VII (unless you would like to read about the war). If you cannot find the right section, press ctrl-F and type in plague. The challenge is to make a diagnosis. You will have two minutes to make your case for the diagnosis of your choice. We will then have a chat about how to manage the situation.
MJM
MJM
Tuesday, January 05, 2010
Something to read 5i10
Medical Care for the Final Years of Life: "When You're 83, It's Not Going to Be 20 Years"
JAMA. 2009;302(24):2686-2694 (doi:10.1001/jama.2009.1871)
David B. Reuben
This is the first in a series....
JAMA. 2009;302(24):2686-2694 (doi:10.1001/jama.2009.1871)
David B. Reuben
This is the first in a series....
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