Hospital medicine (London, England : 1998)
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There have recently been important changes in the procedures for handling performance issues among medical and dental employees. The author explains the background, explores the practicalities, and discusses the challenges and unresolved issues for medical managers.
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Streaming in emergency departments reduces waiting times and stress, and removes the causes of most violent attacks against staff. In spite of this some people will still attack staff. Staff must be protected by a sound trust policy and effective and realistic training, monitored by a good reporting system.
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The use of human patient simulators in UK health-care training is increasing. These devices are educational tools for imparting knowledge, teaching technical skills, drill training and human factors training for single or multidisciplinary groups. This article explores some of the ways in which they are used, illustrated with examples of simulation training at Barts and the London Medical Simulation Centre.