Abstract

Sir: Kareem & Ashby ( Psychiatric Bulletin , March 2000, 24 , 109-110) moot the possibility of a definite Mental State Examination (MSE) format in order to decrease the chances of important items being unexamined or unrecorded. This seems reasonable, but there may be difficulties as our experience

Highlights

  • Sir:There may be benefit in the approval and funding of pre-registration posts in specialities other than general medicine and surgery

  • At a recent mental health review tribunal, due to the fact that a patient had consistently tested negative for olanzapine it was accepted that the patient was not adherent with treatment, contrary to their assertion

  • A recent report by the Royal College of Physicians of London (2000), published on-line, describesshortening formal training of medical students to four years, and extending pre-registration training to two years'', and that thesenior house officer grade should be better linked to opportunities for training in primary care''

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Summary

Introduction

Sir:There may be benefit in the approval and funding of pre-registration posts in specialities other than general medicine and surgery. Urinary detection of olanzapine -- an aid to compliance confirmed At a recent mental health review tribunal, due to the fact that a patient had consistently tested negative for olanzapine it was accepted that the patient was not adherent with treatment, contrary to their assertion. I believe that urinary detection of olanzapine has been confirmed as an aid to adherence.

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Conclusion

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