To be found guilty of serious professional misconduct is dreadful for any doctor. It is also a chilling moment when one doctor watches another being found guilty of the charge. On the morning ofMonday 6 March I sat in the public gallery at the General Medical Council and watched as Dr James Mills was found guilty of serious professional misconduct. The gravity of the moment stuck terror into me...

BACKGROUND Parents of six children are facing a trial on charges of aggravated manslaughter in the care a 5 1/2 month old infant who died suddenly and neglect of their four older children for causing them to be malnourished by feeding them all an exclusively raw foods vegan diet. Both parents declined plea bargains and plan to defend themselves in court. CASE PRESENTATION The fifth child born...

South Ockendon subnormality hospital in Essex has had its unfair share of bad publicity recently. An allegation of cruelty by a nurse and the manslaughter of one patient by another led to news reports?some of which have been angled to hurt the staff?and, predictably, morale within the hospital has suffered badly. The outburst of righteous indignation which followed the Ely Hospital Report made ...

© 2000 Canadian Medical Association or its licensors Public concern regarding medication errors was heightened by the recent death of infant Trevor Landry from a narcotic overdose in a Toronto-area hospital. This case involved the mistaken administration of morphine instead of meperidine postoperatively. A colleague and I reported a near-fatal medication error during general anesthesia that res...

ed away from such contingencies. For present purposes, we need not resolve any of these issues.Mypoint is simply that, in terms of its substance, the rule is far from simple or clear. There are also significant questions about what we might call the procedural aspects of the Golden Rule*that is, about who is supposed to apply the rule and in what circumstances. For example, is it a rule that or...

P atient-centered care is now the goal for virtually all health-care systems, but what is it, and how is it measured? The Institute of Medicine (IOM) considers care to be patient centered if it, is " respectful of and responsive to individual patient preferences, needs, and values and ensures that patient values guide all clinical decisions. " 1 The IOM further separates patient-centered care i...

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White has been considerably augmented by several editions of their works. The catalogue also lists over two dozen copies of the works of Franqois Mauriceau in several languages, and other additions to the writings of French and German authors. The library is now well provided with books of the seventeenth and eighteenth centuries, covering the formative years of modem obstetric practice. More r...