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Biomedical subjects

J M Last

Publications and source records attributed to J M Last.

At least 37 records · Page 2Linked to original sources

Management of primary bladder cancer by a multidisciplinary team.

Results of management of a closed series of primary bladder carcinoma over a 20-year period by a multidisciplinary team are presented. Patients were classified by the TNM method before treatment. These experiences indicate that stage and grade are relevant to prognosis and treatment. The TNM classification can be precise and practical when used diligently by a treatment team. Although no new methods of treatment are offered, the treatment now available may be utilized to better effect if programmed to allow care of the patients by a team, especially if the team explores the limits of radiation and surgery in their hands.

Adenocarcinoma↗

Further careers of young British doctors.

After surveys in 1961 and 1966, further questionnaires were sent in 1969 to those who had responded in 1966. These showed that wastage due to emigration and unemployment of married women doctors was nearly 20%. Compared with 49% of all qualified for three to four years in 1966, 73% had definitely decided on their future career seven to eight years after qualifying in the 1969 survey, the choice tending to be for specialties less popular among more junior doctors. Responsibility for patient care seemed not to be related directly to seniority or to performance in medical school examinations.

Attitude of Health Personnel↗

Young doctors aiming to enter different specialties.

Specialty preferences were explored in relation to personality, sex, and examination performance of recent graduates at Edinburgh. Potential surgeons were almost exclusively male, and were not academically outstanding. They were more decided about their future career than any other group, and they were relatively low in anxiety level.Many of the future hospital specialists (excluding surgeons) were women. They were the group least decided about their careers. Potential general practitioners tended to be more anxious in personality. They had failed more professional examinations than any other group. They read less than other groups, the few women among them being particularly non-studious.Women doctors in general were less anxious, more impulsive and sociable, and less studious than the men. The impulsive and sociable doctors of either sex were less decided about their career plans than their relatively unsociable colleagues.

Anxiety↗

Community demand for doctors in the next 10 years.

The demand for doctors has increased despite improved community health, because the prevalence of chronic disease has increased, and because affluence, better education, and the growth of specialization have all stimulated demand.Most authorities have recommended an increase in the supply of doctors to meet the increasing demand. Nevertheless, a supply which preserves the present ratio of doctors to population might be adequate if medical productivity were raised. Moreover, an increase of the supply stimulates further demand; perhaps demand would fall if the supply were reduced, and community health might not deteriorate as a result of this.Other social institutions besides medicine have a claim on the available pool of talent from which doctors are recruited. It is possible that medicine already receives its fair share.

Australia↗