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Less than full time training: the best of both worlds!

1 March 2018 | | ENT
Every one of us can feel the pressures of competing interests of everyday life and commitment to our careers. This can be even more difficult when bringing up a young family, especially when we have had to move away from...

Salivary duct clipping for drooling

1 November 2017 | | Head and Neck
Drooling can be a challenging problem to manage in paediatric ENT. The variety of medical and surgical treatments suggests that there is no gold standard treatment. Nicola Stobbs and Ravi Thevasagayam describe an approach to ligating the salivary ducts. Drooling...

In conversation with Harvey Coates

1 November 2016 | | Paediatric ENT, ENT
Indigenous health would remain a Cinderella part of our speciality were it not for the work of a few outstanding pioneers. Kelvin Kong speaks to one of them: Professor Harvey Coates AO. Harvey Coates is a paediatric otolaryngologist and clinical...

Changing behaviour with a human factors approach

1 January 2014 | | ENT
The Francis Report (2013) identified multiple problems relating to the safety culture of Stafford Hospital in the period 2005 – 2009, as well as serious failings in the supervisory and regulatory systems of the NHS. Particular criticism was directed at...

Philosophy and reality of entrepreneurship

1 March 2014 | | ENT
Before you take the time to read this article, be informed that it is indeed hard to be an entrepreneur. It warrants passion, sacrifice, total commitment and willingness to spend day and night (even in your sleep) thinking and working...

Entrepreneurial aspirations for the otolaryngologist

1 March 2014 | | ENT
Entrepreneurship is a process of identifying an idea and starting a business venture with this idea. It requires generation of a business model or plan that emphasises the value proposition for the customer. The model must identify the partners, resources,...

The big ask – maintaining the entrepreneurial spirit in academic facial plastic surgery in the USA

1 March 2014 | | ENT
en·tre·pre·neur, noun a person who organises and operates a business and who has qualities of leadership, initiative and innovation. In the United States, facial plastic surgery (FPS) services are divided among private and academic practices. The vast majority of academic...

Clinical management: 
a personal view

1 September 2014 | | ENT
When Nigel Beasley approached me to write on my experience of clinical management, I was a little surprised. I see myself as primarily a clinician, but have had increasing involvement with clinical management within my Trust. I am now in...

The role of the respiratory physician in sleep medicine

1 May 2015 | | ENT, Rhinology / Sinus
ENT surgeons may feel that they are the first point of referral for the majority of patients with snoring and possible obstructive sleep apnoea, but in reality a significant number of patients with sleep-disordered breathing (of any cause) are seen...

The common frontal sinusotomy (Lothrop) and chronic rhinosinusitis

1 July 2016 | | ENT, Rhinology / Sinus
As our understanding of the pathophysiology of CRS evolves, so do our treatment strategies. It is accepted that in many cases, the main role of surgery is to allow better penetration of topical therapies to the sinus cavities. What, then,...

Ultramarathons, frostbite and running with wolves

1 November 2016 | | ENT, Head and Neck
“I could just keep going when most sane people would stop”- the secret to success in head and neck surgery? In August 2015 I crossed the finish line of La Ultra - The High. A small camp of tents and...

Cochlear implant care: putting patients in charge

1 September 2017 | | Audiology - Adult, Audiology - Diagnostic, Auditory Implants, Otology
Should patients take charge of their own cochlear implant care? Helen Cullington presents a compelling case that will provoke discussion in implant centres. Around 1400 people receive a cochlear implant in the UK each year. Patients require lifetime annual follow-up...