QU AR TER F OUR / 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 9


19


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4 MDDUS News 6 News Digest


8 Briefing The state of indemnity


9 Risk Altering patient notes


Cover image Lengthy Shadows Over Frosty Grass, Tom Davidson Linocut, 1994 Having studied graphic design, Tom tried printmaking in the early 80s. His subject matter tends to focus on rivers and trees, and he loves exploring the interplay of light and shade.


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.


10 An eventful year Professor Helen Stokes-Lampard talks to Adam Campbell about her first 11 months as Chair of the RCGP and what keeps her going


12 Diagnosis unforthcoming How do you approach patients with medically unexplained symptoms? Professor Chris Burton offers some insights


14 Dentistry for the whole patient Professor Nairn Wilson looks at the opportunities and challenges for


dentistry in the shift toward holistic healthcare


16 Case files Loose fillings, Missed gallstones, Anonymous complaint, Non-compliant diabetic, Bad tattoo and Impacted wisdom tooth


20 Dilemma Disputed consent in a minor


21 Ethics Unexpected field work


22 Addenda Book choice: Your life in my hands: a junior doctor’s story, Object Obscura: Hypodermic syringe, Crossword and Vignette: Charles Stent, English surgeon who gave his name to the medical device


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


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