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QU AR TER TWO / 2017


Editor Dr Barry Parker


Managing editor Jim Killgore


Associate editor Joanne Curran


Editorial departments Medical Dr Richard Brittain Dental Mr Aubrey Craig Legal David Holmes


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


4 MDDUS news 6 News digest


8 Briefing An endless weekend effect


9 Risk Can reflective practice be “incriminating”?


10 Doctor at the deep end Jim Killgore meets Dr Peter Cawston – a GP at the coalface of health and social care integration in Scotland


Cover image Warm Summer Day, Caroline Wright Oil on canvas, 1997.


Art in Healthcare (formerly Paintings in Hospitals Scotland) 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.


12 Is human tissue data? Can our tissue be owned or traded? Allan Gaw considers an ethical and legal conundrum


14 Being upfront Doug Hamilton draws the distinction between duty of candour and raising concerns over patient safety in dental practice


16 Case files Telephone triage, Rough treatment, Date of knowledge, Norovirus differential, Car park CCTV, Unwanted chemistry


20 Dilemma How do I respond to a non-compliant patient wanting a repeat prescription?


21 Ethics Asking why – motivation and explanation in ethics


22 Addenda Book choice: I contain multitudes, Object obscura: Chinese surgical set, Crossword and Vignette: Sir Archibald Edward Garrod, discoverer of inborn errors of metabolism


12


10


16


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: Shannon Tofts


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