QU AR TER ONE / 2017


Editor Dr Barry Parker


Managing editor Jim Killgore


Associate editor Joanne Curran


Editorial departments Medical Dr Richard Brittain Dental Mr Aubrey Craig Legal Simon Dinnick


Design and production Connect Communications 0131 561 0020 www.connectmedia.cc


Printing and distribution L&S Litho


Correspondence Insight Editor MDDUS Mackintosh House 120 Blythswood Street Glasgow G2 4EA


jkillgore@mddus.com I N SI GH T


QU AR TER ONE / 2017 A QU AR TERL Y PUBLIC A TION F OR MEMBERS


4 MDDUS news 6 News digest


8 Briefing Can we reduce overtreatment?


9 Risk Free will in consent


DR FIONA GODLEE


Profile of the BMJ editor and campaigning medical journalist


DEMENTIA DENTISTRY


A new toolkit offers guidance on providing dental care to dementia patients


ON MAKING AN APP


What goes into the development and testing of a medical app?


FRIENDING DILEMMA


Is it ever okay to accept a Facebook Friend request from a patient?


COVER IMAGE Nor any drop to drink, Gail Lemasurier Screenprint, 1993 Gail studied fine art printmaking at Manchester Metropolitan University and graduated in 1990. She moved to Edinburgh and joined Edinburgh Printmakers, working on community arts projects. She is now an art psychotherapist and works full time in the NHS.


Art in Healthcare works with hospitals and healthcare communities across Scotland to encourage patients, visitors and staff to enjoy and engage with the visual arts. For more information visit www.artinhealthcare.org.uk Scottish Charity No SC 036222.


10 The accidental editor Adam Campbell meets Dr Fiona Godlee, the forthright BMJ editor not afraid to take a stand


12 Making a medical app Matt Wickenden describes how an innovative medical app was custom created for use by respiratory specialists


14 Dementia friendly dentistry Dental care for patients with dementia presents some obvious challenges – but also opportunities


16 Case files Decade of neglect, Google gaffe, Transgender records, Recurrent cancer, Out of scope, He said, she said


20 Dilemma Do I accept a “Friend” request from a patient?


21 Ethics A vice-like grip on virtue


22 Addenda Book choice: A is for arsenic, Object obscura: Laennec stethoscope, Crossword and Vignette – Dame Cicely Saunders, innovator in palliative care


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Insight is published quarterly by The Medical and Dental Defence Union of Scotland, registered in Scotland No 5093 at Mackintosh House, 120 Blythswood Street, Glasgow G2 4EA. Tel: 0333 043 4444 • Fax: 0141 228 1208 • Email: General: info@mddus.com • Membership services: membership@mddus.com • Marketing: marketing@mddus.com • Website: www.mddus.com The MDDUS is not an insurance company. All the benefits of membership of MDDUS are discretionary as set out in the Articles of Association. The opinions, beliefs and viewpoints expressed by the various authors in Insight are those of the authors alone and do not necessarily reflect the opinions or policies of The Medical and Dental Defence Union of Scotland.


MDDUS INSIGHT / 3


Photograph: Magda Rakita


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