Practice Of Hospital Medicine Research Articles

A History of Britain's Hospitals and the Background to the Medical, Nursing and Allied Professions

A History of Britain's Hospitals and the Background to the Medical, Nursing and Allied Professions

Cardiac anaesthesia: the last 10 years.

Cardiac anaesthesia: the last 10 years.

Development of guidelines for the use of complementary medicines in public hospitals. An ethical approach

The extensive community use of complementary medicine (CM) can no longer be overlooked in the practice of hospital medicine. Protocols need to be developed and implemented so that health professionals can deal with the issues surrounding the use of CM. Policy development has generally focussed on the supply of CM in hospital but another approach, which is based on consideration of the ethical and legal context, is presented here. Such an approach demands clarification of institutional policy for individuals who are competent and those who are incapable of self-administration or non-competent.

House Staff Supervision and Working Hours

To the Editor.— As chairman of the committee that made the recommendations that led to reforms in the working conditions and supervision of residents in New York, 1 I can state that the article by Kenneth E. Thorpe, 2 House Staff Supervision and Working Hours: Implications of Regulatory Change in New York State, must be read with an important caveat. Thorpe's article, including the methodology and cost estimates, is based on the presumption that graduate medical education will not change. This is not the case. The Bell Committee recognized that while the practice of hospital medicine has radically changed since World War II, the format and concept of residency training has hardly changed. The committee's recommendations were made to help facilitate change in graduate medical education that would improve the quality of care and the quality of medical education. The committee found that many program directors were unaware and did