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.
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The aim of National Anaesthesia Day on 25 May 2000 was to inform the public about the role and training of anaesthetists. We carried out two surveys of patients attending Derriford Hospital, Plymouth to assess the local impact of National Anaesthesia Day and to assess the public's expectation of the preoperative visit. The first survey was held one month prior to National Anaesthesia Day and was completed by 93 patients. ⋯ We conclude that the level of ignorance about our profession has not changed since 1978 and the impact of National Anaesthesia Day was not significant. This may be as a result of the anaesthetist's portrayal on television, which is known to be an important source of public information on other areas of medicine. If these statistics are to change in the next 22 years new methods of public education need to be found.
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Biography Historical Article
Health in the Royal Navy during the Age of Nelson. Nelson's illnesses.
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Biography Historical Article
Health in the Royal Navy during the Age of Nelson. Nelson and his surgeons.