Conclusions Study participants had high levels of substance misuse and anxiety. Some students’ fitness to practice may be impaired as a result of their substance misuse or symptoms of psychological distress. Further efforts are needed to reduce substance misuse and to improve the mental well-being of students.. To read the full article, log in using your NHS OpenAthens details.
An overall shortfall in the number of medical graduates for current service demand and the desire for more flexibility, coupled with more rigid postgraduate medical training pathways, have emphasised the need to improve careers guidance at undergraduate and postgraduate level. Decision-making in medical careers has become of growing interest particularly with current and anticipated future shortages of doctors in some areas of medical practice.. To read the full article, log in using your NHS OpenAthens details.
This report from the Royal College of Physicians fracture liaison service outlines the finding of a wide-scale audit of physiotherapy in the UK. It argues that frail and older people recovering from a hip fracture require multidisciplinary rehabilitation, with personalised therapy that isn't disrupted as patients move away from the acute ward.
It seems safer to reduce the dose of biological drugs, rather than to stop them if people with rheumatoid arthritis and their doctors want to avoid relapse.
André Tomlin on a new study comparing the efficacy and acceptability of 21 antidepressants for the acute treatment of adults with major depressive disorder.