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The BMJ’s new “practical prescribing” series aims to improve decision making Written prescriptions for medicinal products can be traced back over 4000 years.1 Little is known about the clinical efficacy or patient acceptability of formulations in use at that time, but it is thought that prescriptions were recorded on clay tablets, and included details of the condition, the formulation of plant and animal products, and dosing instructions. Prescribing continues to be one of the most fundamental parts of medicine and one of the most common interventions in health care. In the UK, the Briti...

Overseas doctors on an England-wide trainee scheme are being paid less than trainees employed by trusts and face reduced benefits, finds Madlen Davies English hospital trusts have been accused of using doctors from overseas as “cheap labour” as part of fellowship schemes in which they can be paid less than doctors employed by trusts and sent home if they become pregnant, The BMJ has found. Foreign doctors come to English hospital trusts as “fellows” as part of the Academy of Medical Royal Colleges’ medical training initiative (MTI) scheme.1 They work for two years in the NHS to gain...

Demand to return wages to 2008 levels ‘too naive and poorly advised’