Journal of the Royal Naval Medical Service
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The practice of clinical medicine involves performing a large number of practical procedures so that psychomotor function is of considerable importance, particularly to trainees mastering new skills. Performance of motor skills by trainees is usually assessed by faculty in a random, unorganised, subjective manner without clearly stated criteria of satisfactory performance. This review discusses objective assessment of motor skills utilising psychometric principles in anaesthesia and surgery. In addition, the role of simulators will be discussed within the context of learning new motor skills.
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Lisfranc injury is rare and the diagnosis maybe easily missed. This study reviews the experience of a single centre. ⋯ Injury to the Lisfranc joint should be excluded in any foot injury. Early diagnosis and internal fixation appears to result in an earlier return to work when compared to non-operative management.