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After the first death there is no other


Discussion at case conferences often returns to the difficulties of effective communication and deficiencies in training of students in the necessary skills. On this occasion we record a discussion about the problems encountered at three levels in a doctor's training: that of a medical student in his first weeks of ward work; of a student about to become a doctor and take clinical responsibility, and of a trainee general practitioner nearing the end of his year's attachment to a group practice. The problems are discussed among a general practice team involved in teaching. Those present are: a final year medical student, a trainee medical practitioner, a health visitor, an attached social worker and three general practitioners, one a lecturer at the nearby teaching hospital, one a trainer in the practice, and a third partner.

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