Call log
These cases are based on actual advice calls made to MDDUS advisers and are published in the magazine to highlight common challenges within practice management. Details have been changed to maintain confidentiality
Diary
Random absurdities in primary care medicine and beyond.
Employment law: indignity at work
Practices can be held vicariously liable for bullying and harassment of employees at work.
Case study: a tragedy in four acts
This scenario takes place over the course of a week and involves one patient and eight different members of a practice staff. There are 10 attempted and actual patient contacts. Can you see how the outcome could have been prevented?
Resource prioritisation in flu pandemic
How should doctors prioritise vaccinations among vulnerable patient groups should demand outstrip supply?
Unsightly side-effect - medical case study
...Due to a systems error, the patient was maintained on twice the prescribed daily dose of acne medication for three years which caused staining to her teeth...
Avoid unwarranted disclosure in referrals
There is much to digest in the new revised GMC guidance on patient confidentiality, and MDDUS encourages members to read the document carefully. One common pitfall in this area was highlighted in a recent call to our advice line.
Pholcodine reaction - medical case study
...The patient suffered a severe reaction to the medication that required several days of hospital treatment, including time in intensive care...
Charcot foot
A GP might see one active case in a career but failure to diagnose Charcot foot can lead to significant deformity