the legal proceedings over the difference between accreditation within the United Kingdom and specialist certification in the European Community. The joint committee had correctly advised Dr Goldstein that he had fulfilled the training requirements of the medical directives of the European Community, and could apply to the General Medical Council for the certificate of specialist training, a qu...

OBJECTIVES To evaluate the prevalence of methylphenidate (MPH) use among 5th and 6th year medical students, to discriminate MPH use with and without medical indication, and to correlate MPH use with alcohol intake. METHODS This is a cross-sectional study in which medical students were invited to answer a questionnaire to evaluate academic and socioeconomic status, MPH use patterns, and attitu...

OBJECTIVE To assess the meaningfulness of a year's worth of audit data relating to all the inpatients of one consultant general surgeon and to question the usefulness of certain outcome measures. DESIGN Analysis of records entered on to audit computer (Dunnfile) and relating to inpatient episodes for one consultant general surgeon over one year. Data obtained were compared with ward records a...

In 1976, two years after the introduction of mandatory quality assurance in the United States healthcare system' and at a time of growing debate about the benefits of that investment,2 Charles Phelps, an American economist, wrote: "The evidence used to justify these various regulations of quality has been, to be generous, sparse. The primary justification for many of these programs is that the ...

In Greek mythology the song of the Sirens was of such beauty and promise that no sailor could resist steering his ship towards them. Instead of the promised heaven, however, the route led to disaster upon the rocks. Audit has developed rapidly over the past three years in Britain from an activity carried out by only a few enthusiasts'4 to one in which all doctors are enjoined to take part.5 Pro...

Objective: Thisresearch has studied the effect of five main factors including competence of internal audit department, size of internal audit department, relationship between internal and external audit, management support for internal audit, and independence of internal audit on the internal audit effectiveness in companies that listed in the Tehran Stock Exchange in 2017. Methods: Data was c...