Practitioner CPD prompts
Immediate CPD prompts
These handy templates*, associated with all articles, prompt drafting of personal learning, reflection and planning.
Save your record straight into your personal development folder on your device or cloud storage system.
*Adobe fillable PDFs. Adobe reader needed for iPad
Comment or question
If you, or your peer group, would like to comment on an article or have a question for the authors, write to:
A hundred years ago
23 Jun 2016
WITH SIR CLIFFORD ALLBUTT as its high priest, bleeding, with restraint, is in the process of coming by its own again. I first heard Sir Clifford Allbutt speak in praise of blood-letting in 1907, and I find this view confirmed in his recently published book. Blood letting has been advocated during the last fifteen years by those best qualified to speak of it from experience, namely, the general practitioners. However, they speak furtively, shamefacedly, and in the fear of the pseudo-scientific superman. These gentle counsellors have been assailed with such vociferous energy by the pseudo-scientist, that their timid voices have scarcely been heard.
23 May 2016
As soon as the acute stage has passed off, usually in a week or two, it is inadvisable to prolong the Weir-Mitchell treatment. The course usually prescribed is six weeks, but this is, in very many cases, harmful. The ennui and monotony are prejudicial, and will engender a feeling of helplessness, feebleness, and dependence upon others. I believe the majority would be far better to begin in a fortnight or three weeks to interest themselves in some pursuit or hobby. It is an interest in life that these people need. This will prevent them from drifting into the chronic stage from which it is so difficult to remove them. In neurasthenia, it is the person rather than the disease that demands treatment.
Giving up alcohol early on improves survival in cirrhosis
21 May 2009
Stopping drinking a month after the diagnosis of cirrhosis is the most important predictor of survival, a British study has found. The severity of cirrhosis found on biopsy had little impact on survival. The study followed 100 patients consecutively diagnosed with biopsy proven alcohol-induced cirrhosis at Southampton General Hospital. Patients with additional disease processes which were non-cirrhotic and patients without accurate mortality data were excluded from the study. Biopsies were scored for severity of cirrhosis by two independent observers. Data on drinking 30 days after diagnosis were available on all but four subjects.'This study clearly confirms that the single most important determinant of long-term prognosis in alcohol-induced cirrhosis is for the patient to stop drinking. For patients with cirrhosis, it is never too late.'