British journal of hospital medicine
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Intermittent positive-pressure ventilation through a nasal mask is an effective, simple, non-invasive method of domiciliary ventilatory support in patients with chronic respiratory disease. It has recently been used in other situations, including intensive care, and can considerably improve the management of patients with chronic respiratory failure.
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Registrars form a heterogeneous group of doctors with different functions. The difficulties in forecasting and recruiting the correct number of doctors to the grade and the problems of reforming their training and of creating an improved career structure were discussed at a meeting of the University Hospitals Association.
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The regulations establishing NHS trusts make specific provision for a medical director on the board of every trust, although no guidance is issued on the responsibilities associated with such a post. This paper explores the possible roles and relationships facing the medical director.