Photograph: Press Association


QU AR TER ONE / 2018


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 Notice Board 6 News Digest


8 Briefing Can we achieve a self-care revolution?


9 Risk Antibiotics – damned if you do…


Cover image


Maalula, Sheila Carnduff Screenprint, 1996 Sheila Carnduff studied printmaking at Edinburgh College of Art. Her work is inspired by her extensive travels throughout Europe and especially the middle east. The subject matter in this work is based on a town near Damascus in Syria.


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 Winter all year round Q&A with Dr Tajek Hassan, president of the Royal College of Emergency Medicine


12 My child, my choice Allan Gaw recounts the famous Gillick case and events leading up to a landmark decision on medical consent in children


14 Getting the most from dental CPD


How can dentists maximise benefit from the GDC’s new enhanced CPD requirements?


16 Case files Sudden decline, Elderly visit, Notifiable disease, Failed extraction, Abusive patient, Lidocaine reaction


20 Dilemma Burnout imminent


21 Ethics Under pressure 22 Addenda Book choice: Admissions: a life in brain surgery, Object Obscura: Napoleon’s toothbrush, Crossword and Vignette: Henry Norman Bethune, physician, innovator and political activist


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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