{"title":"The emperor's new clothes.","authors":"W F Cunningham","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76057,"journal":{"name":"Journal of the Royal College of Physicians of London","volume":"34 5","pages":"501-2"},"PeriodicalIF":0.0,"publicationDate":"2000-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/b8/e6/jrcollphyslond146954-0093b.PMC9665498.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21902973","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Controversy in thyroid disease.","authors":"A J Krentz","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76057,"journal":{"name":"Journal of the Royal College of Physicians of London","volume":"34 5","pages":"502"},"PeriodicalIF":0.0,"publicationDate":"2000-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/50/36/jrcollphyslond146954-0094a.PMC9665504.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21902975","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A single consultation cerebrovascular disease clinic is cost effective in the management of transient ischaemic attack and minor stroke.","authors":"A Blight, A C Pereira, M M Brown","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Aim: </strong>We examined the cost effectiveness of a single consultation strategy to manage patients referred with TIA or stroke to our cerebrovascular disease (CVD) clinic, where all relevant investigations (blood tests, CT brain scan and carotid Dopplers) were obtained prior to the clinic appointment.</p><p><strong>Design: </strong>Retrospective study of patients referred to the CVD clinic at St George's Hospital, London between October 1995 and 1996.</p><p><strong>Results: </strong>Of 211 new patients seen in the clinic, 73% had CVD; 146 (68%) patients had imaging studies prior to clinic attendance. Of these, 132 (90%) were managed with a single consultation. This strategy cost 5,700 Pounds less than if these patients had been followed up.</p><p><strong>Conclusion: </strong>Performing all relevant investigations prior to clinic attendance allowed a fully informed discussion with the patient at a single consultation and was cost effective.</p>","PeriodicalId":76057,"journal":{"name":"Journal of the Royal College of Physicians of London","volume":"34 5","pages":"452-5"},"PeriodicalIF":0.0,"publicationDate":"2000-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/ef/a3/jrcollphyslond146954-0044.PMC9665520.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21903082","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The potential role of IT in supporting the work of junior doctors.","authors":"M Aitken","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76057,"journal":{"name":"Journal of the Royal College of Physicians of London","volume":"34 5","pages":"502"},"PeriodicalIF":0.0,"publicationDate":"2000-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/8b/2d/jrcollphyslond146954-0094b.PMC9665513.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21904724","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Risk management and substandard clinical care.","authors":"J Ward","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Physicians must now openly demonstrate their competence and ability to perform their role as consultants. Measures have been developed which allow early identification of problems and provide procedures to examine in detail where and when problems arise. A number of organisations will be involved and efforts must be made to co-ordinate the various initiatives. One note of caution, however. Assuming that regular peer review is accepted, that CHI carry out a four-year cycle of visits to every trust in the land, that all visitors in such procedures have to be trained to do the job, that the visitors must be engaged in active clinical practice, that at home appraisal audit and assessment are in progress, the question inevitably arises as to where all the personnel will come from and what happens to clinical work in our under-doctored country? Change certainly stimulates excitement about the future.</p>","PeriodicalId":76057,"journal":{"name":"Journal of the Royal College of Physicians of London","volume":"34 5","pages":"478-80"},"PeriodicalIF":0.0,"publicationDate":"2000-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/92/4b/jrcollphyslond146954-0070.PMC9665503.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21902964","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Pathophysiology and management of meningococcal septicaemia.","authors":"N Pathan, S Nadel, M Levin","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76057,"journal":{"name":"Journal of the Royal College of Physicians of London","volume":"34 5","pages":"436-44"},"PeriodicalIF":0.0,"publicationDate":"2000-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/4f/41/jrcollphyslond146954-0028.PMC9665499.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21903079","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The research plans of specialist registrars: the RCP SpR questionnaire survey.","authors":"H M Mather","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76057,"journal":{"name":"Journal of the Royal College of Physicians of London","volume":"34 5","pages":"456-7"},"PeriodicalIF":0.0,"publicationDate":"2000-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/7e/c7/jrcollphyslond146954-0048.PMC9665514.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21902961","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Update on revalidation.","authors":"D Irvine","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76057,"journal":{"name":"Journal of the Royal College of Physicians of London","volume":"34 5","pages":"415-7"},"PeriodicalIF":0.0,"publicationDate":"2000-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/7c/21/jrcollphyslond146954-0007.PMC9665509.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21903075","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Clinical academic trainees.","authors":"I Beales","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76057,"journal":{"name":"Journal of the Royal College of Physicians of London","volume":"34 5","pages":"502-4"},"PeriodicalIF":0.0,"publicationDate":"2000-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/e4/d6/jrcollphyslond146954-0094c.PMC9665512.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21904732","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Alcohol abuse and the burden on the NHS.","authors":"J Donkin, H Mitchison, S Cowlam","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76057,"journal":{"name":"Journal of the Royal College of Physicians of London","volume":"34 4","pages":"402"},"PeriodicalIF":0.0,"publicationDate":"2000-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/b1/e9/jrcollphyslond146953-0082a.PMC9665480.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21837906","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}