Junior doctors' understanding of alcohol units remains poorA survey of 586 trainee doctors in Yorkshire was undertaken to ascertain current junior doctors' knowledge and understanding of alcohol units. Approximately 18% of trainees had no knowledge of alcohol units despite the fact that 82% believed they had a good knowledge. Once again, those who did not drink alcohol knew less about alcohol units than those who did. Little progress seems to have been made on this important subject since our previous survey 7 years ago. Further steps must be taken to ensure that junior doctors are taught about alcohol units during the course of their training so that they are able to counsel patients appropriately.
Patient involvement in shaping the face of modern medicine is increasing. Patient representatives -local and from the Patient and Carer Network -are now an integral part of shaping the work of the Future Hospital Programme through their direct involvement in the development sites. The path to a successful partnership between clinicians, managers and representatives is not easy but is worthwhile as illustrated in two stories from the Royal College of Physicians' phase 1 development sites in north Wales and Wakefield. Each trust is different, as are the viewpoints of clinicians and representatives. However, shared learning and partnership working is a very powerful catalyst in promoting change for the benefit of both patients and staff.
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