Within the broad criteria of the current private practice fee-for-service medical system, the present paper attempts to produce definitive concepts for dermatological training posts and numbers within Australia. The suggested dermatologist: population ratio of 1:80,000, adopted as a guideline in 1973, was based upon our own experience, together with comparative figures from other countries with similar economic systems and standards. Experience since that time suggests that this recommended ratio may already need upwardThe present pattern of full-time training, usually undertaken in the first five years after graduation, can result in inordinate difficulties for females -a steadily increasing proportion of medical graduates. Together with the possible reduction in governmental funding of training posts, there would seem to be an urgent need for introducing flexibility into the current training programme including the acceptable alternatives of a greater component of accredited overseas training and the establishment of part-time and shared training posts.
Multiple primary malignancies are defined as two or more primary malignant tumors diagnosed in one individual; they are further classified to synchronous or metachronous based on the period between each cancer diagnosis and the other. The diagnosis of four synchronous cancers is exceedingly rare. We report a case of a 72-year-old man, diagnosed with synchronous quadruple cancers, Hurthle cell carcinoma and papillary carcinoma of the thyroid, as well as squamous cell carcinoma and carcinoid tumor of the lung.
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