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\par 
\par }\pard \ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\b\f1 Clinical Ethical Problems
\par 
\par }{\f1 Enclosed are copies of 4 articles posing dilemma\rquote s which are relevant to the modern NHS.  Some relate to the process, others to the individual patient needs.
\par 
\par Please read them all.  Each group are allocated one article and should prepare a presentation which should last 15 minutes.  The presentation should address the following topics:-
\par 
\par What is the dilemma?
\par 
\par How ids it relevant to GP?
\par 
\par How should it be solved?
\par 
\par Each presentation will be followed by a 15 minute discussion of the issues raised.  Please come prepared to air your views and to contribute to a lively positive discussion at the conclusion of which there may be no \lquote right answer\rquote .
\par 
\par Nigel Bateman
\par Honorary Lecturer
\par Retired Consultant Physician
\par 
\par Presentations:-
\par 
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Care of the unresponsive patient with a poor prognosis
\par }\pard \ql \li1080\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin1080\itap0 {\f1 New England Journal Medicine 2009 360 527-531
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\par }\pard \ql \li1080\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin1080\itap0 {\f1 New England Journal Medicine 2009 360 1174 \endash  1177
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Denial}}}{\f1 
\par 
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\par }\pard \ql \li1080\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin1080\itap0 {\f1 New England Journal Medicine 2008 359 2748 \endash  2751
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\par 
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\'85. 
\par }\pard \ql \li1080\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin1080\itap0 {\f1 New England Journal Medicine 2009 360 1592 \endash  1595
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\par 
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\par }\pard \ql \li1080\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin1080\itap0 {\f1 
\par }\pard \ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\f1 \lquote Tiredness\rquote  group please present on number 1
\par \lquote Downs syndrome\rquote  group please present on number 2
\par \lquote Dyspepsia\rquote  group please present on number 3
\par \lquote Diarrhoea\rquote  group please present on number 4
\par 
\par Please ring me if there are any problems, thanks, Wendy 62523
\par }}