Hospital medicine (London, England : 1998)
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Trusts, deaneries and Royal colleges use different questionnaires to measure satisfaction with hospital training. A case is made for a standardized national questionnaire. This could be the first step towards a more coordinated system of training evaluation and approval.
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To resolve severe constipation or faecal impaction requires the induction of a large increase in faecal water content that hitherto has only been achieved with enemas. A novel iso-osmotic laxative has been shown to achieve a similar effect from oral dosing.
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The quality agenda in the NHS has many parts. For the medical profession the means of enhancing standards and consistency will be revalidation. This article outlines progress to date in defining how doctors will demonstrate they are 'up to date' and 'fit to practice'.