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= Paid-up subscribersCPD frameworks
These frameworks, associated with all articles, prompt drafting of personal learning, reflection and planning.
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Word frameworks - for reflective practice
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Reflection on a journal article
Stages of reflection on a situation
Reflection of a team, practice or group
External reference on reflection
Reflective practice in health care and how to reflect effectively
Koshy K, Limb C et al. International Journal of Surgical Oncology. 2017 2:e20
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Gastroenterology
Articles are complemented with links to external websites. These enable instant access to the current evidence base. They include:
- Links to the results of pre-defined search requests made to PubMed
- Links to the results of pre-defined search requests made to 'NHS Evidence', the database of evidence provided by the UK's National Institute for Health and Care Excellence
- For articles related to lung cancer there are links to the US National Cancer Institute's database of peer-reviewed, regularly updated evidence-based summaries
Symposium articles on gastroenterology
|Tailor treatment to the patient with gallstone disease
24 Jul 2020
Gallstones affect around 15% of adults in the UK. Between 50 and 70% of patients with gallstones are asymptomatic at diagnosis and only 10-25% of these individuals will go on to develop symptomatic gallstone disease. The vast majority (90-95%) of gallstones are cholesterol stones. Obesity is associated with an increased risk of symptomatic gallstones. Patients with symptoms suggestive of gallstones should be offered liver function tests and an abdominal ultrasound.
|Early treatment can arrest or reverse cirrhosis
24 Jul 2020
Around 60,000 people in the UK are estimated to have cirrhosis. It is now the third most common cause of premature death. Decompensation represents a watershed moment for patients with cirrhosis, with the median survival falling from > 12 years for compensated cirrhosis to approximately two years. Patients with cirrhosis should undergo six-monthly ultrasound to screen for the early development of primary hepatocellular carcinoma. They should also undergo an initial upper gastrointestinal endoscopy to screen for varices.
