Clin Med
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The coalition government has set out its stall in a cluster of white paper consultation documents. One theme to emerge is a commitment to monitoring outcomes. ⋯ Clinicians have a duty to improve patient care and measurement and comparison is one of the tools at their disposal. Clinical involvement in the development of metrics and quality indicators is essential for meaningful results and it is vital that clinicians now take ownership of the quality of the clinical data captured on their patients.
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Chest drain insertion in inexperienced hands carries a significant morbidity and mortality. The royal colleges, recognising this, stipulated that chest drain insertion be included as one of the core competences for all core medical trainees. ⋯ There have been a number of attempts to find the ideal simulator for chest drain insertion with varying success. This article describes a model which is practical and affordable in all clinical skills labs, using porcine ribs mounted on a resin cast of a human thorax, and the data about the validation of the porcine-thorax model for chest drain insertion presented.
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Biography Historical Article
The Iatroversalia (doctor poems) of William Carlos Williams.