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.
Longitudinal studies have repeatedly shown an increase in cognitive decline many years before clinical diagnosis of dementia. This decline is cited to accelerate closer to the time of diagnosis. Reported estimates of the timing of the trajectory change point (ie, the acceleration of decline) vary significantly between studies depending on the population and measure of cognition used.
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The Short Life Working Group report makes recommendations for a programme of work to tackle medication error and improve medicine safety.
The Department of Health and Social Care also asked the Policy Research Unit in Economic Evaluation of Health and Care Interventions (EEPRU) to review the evidence on medication errors in England. You can find out more on the EEPRU website.
This patient group direction (PGD) template supports the administration of typhoid Vi polysaccharide vaccine to overseas travellers at risk of exposure to Salmonella enterica serovar typhi (S. typhi) in accordance with recommendations from the National Travel Health Network and Centre (NaTHNaC).
PGD template to support the provision of hepatitis A/typhoid (HepA/Typhoid) vaccine, for travel or in accordance with PHE hepatitis A temporary recommendations.
Section 2 of the Children and Social Work Act 2017 requires each local authority to consult on and publish a local offer for its care leavers. This guidance provides information for local authorities on the development of the local offer and an illustrative local offer.
The Children and Social Work Act 2017 introduced a new duty on local authorities, to provide PA support to all care leavers up to age 25, if they want this support. This document provides information to local authorities to assist them in implementing the new duty.