Clin Med
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The Department of Health Stroke Strategy (2007) recommends that post stroke patients are reviewed within 6 weeks of discharge. Historically, a 6-week outpatient appointment was offered. This was primarily a medical review and not a full assessment of health, social care status and secondary prevention needs. ⋯ This form of integrated partnership working seems to promote seamless life after-stroke care, while enhancing patients' understanding. It includes the provision of secondary prevention and self-management strategies. This 'one-stop shop' approach would warrant formal evaluation.
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Newly qualified Certificate of Completion of Training (CCT) holders may be deficient in a range of skills relevant to the work of a consultant physician, often due to a lack of adequate career planning. Good clinical skills and a patient-centred approach are extremely important, but there is work to suggest that the non-medical aspects of consultant work are not sufficiently addressed during higher specialist training.