The effects of poor medication compliance are well documented and include increased morbidity, early mortality, and financial costs to the society. According to national guidelines, when a competent patient refuses medication, the doctor on duty has a responsibility to ensure the patient understands their proposed course of action. The aims of this audit were to evaluate whether this consultati...

BACKGROUND Overwork, fatigue, and sleep deprivation due to night duty are likely to be detrimental to the performance of medical residents and can consequently affect patient safety. OBJECTIVE The aim of this study was to determine the possibility of deterioration of cerebral function of sleep-deprived, fatigued residents using neuroimaging techniques. DESIGN Six medical residents were inst...

© 2007 Canadian Medical Association or its licensors 599 When the physician’s role of caring for patients collides with the duty of societal protection, a dramatic and controversial dynamic occurs that often strains the doctor–patient relationship. Nowhere is this more salient than in the case of a patient with mild dementia who the physician thinks may be an unsafe driver. In most Canadian pro...

[This article examines whether trust or fiduciary law provides potential ‘stolen wages’ plaintiffs with a strong basis for a claim over money in bank accounts that previous governments held on the plaintiffs’ behalf. It also considers the broader issue of whether governments owed a fiduciary duty flowing from their obligations under general ‘protective’ legislation to prevent such workers from ...

OBJECTIVE Rising U.S. asthma prevalence will be reflected in military applicants. We studied retaining mild asthmatics on active duty. METHODS A cohort study at Great Lakes Naval Training Center from 2000 to 2002 compared recruits diagnosed during basic training with mild asthma to matched comparison recruits on outpatient visits, hospitalizations, and discharge through August 2003. RESULTS...

A doctor has a duty to give his patient what he believes to be the best treatment. An ethical prerequisite of recommending her to enter a randomised clinical trial (RCT), in which his patient will be randomly allotted to one of two or more treatments, is, as Michael Baum in his chapter stresses, that he is ignorant about their relative efficacy and, hence, justifiably indifferent as to which sh...

Data examining sexuality and substance use among active duty and military-dependent youth is limited; however, these psychosocial factors have military implications. Adolescents and young adults aged 12-23 were recruited from an active-duty trainee clinic (n = 225) and a military pediatric clinic (n = 223). Active duty participants were more likely to be older, male, White, previous tobacco use...

HYPOTHESIS Surgical faculty and residents have significantly different attitudes regarding work hour restrictions. SETTING All general surgery residencies approved by the Accreditation Council for Graduate Medical Education (ACGME). PARTICIPANTS All voluntarily participating surgical faculty and residents. MAIN OUTCOME MEASURES Current hours worked, days off per month, and attitudes and o...

BACKGROUND The Swedish resident duty hour limit is regulated by Swedish and European legal frameworks. With a maximum average of 40 working hours per week, the Swedish duty hour regulation is one of the most restrictive in the world. At the same time, the effects of resident duty hour limits have been neither debated nor researched in the Swedish context. As a result, little is known about the ...