This joint conference of the Royal College of Physicians of London, the Royal College of Surgeons of England and the Royal Society of Medicine took place on 1 November 1999 at the Royal Society of Medicine in London.
This joint conference of the Royal College of Physicians of London, the Royal College of Surgeons of England and the Royal Society of Medicine took place on 1 November 1999 at the Royal Society of Medicine in London.
Specialist palliative care is now widely available and there are many good textbooks of palliative medicine. But some patients still suffer pain needlessly. Clinicians may not know how to use analgesia appropriately or may be anxious about giving an adequate dose of strong opioids such as morphine. This brief outline is intended to make the principles of pain control readily available to all clinicians who look after terminally ill patients. It applies to patients with non-malignant disease as well as to those with advanced cancer.
The increasing overlap between the disciplines of medical microbiology and infectious diseases prompted the Joint Royal Colleges Committee on Infection and Tropical Medicine to set up a working party to examine how trainees could obtain certification in both subjects. Following widespread consultations, a scheme was developed that entails six years of training and leads to the award of CCSTs in both microbiology and infectious diseases. Both Royal Colleges and the Specialist Training Authority have approved the scheme. Joint training will be demanding and will not be suitable for everyone; it represents an alternative approach to training in the infection disciplines that will run alongside the existing monospecialty training programmes.
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