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BMJ 2005;331:352 (6 August), doi:10.1136/bmj.331.7512.352-b
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EDITORI assume that the survivalists of the profession will get into revalidationbetter to be reporting on people than being reported on.1 The authorities need to look at practice in terms of how much daily evidence based peer review is going on in a team.
In our medium sized (non-training) practice journal articles are sent around the email system every day for discussion. Any interesting article results in an email to our audit clerk to search on our patients to see how we are performing with reference to it. The results are circulated and so practice is influenced. The audits are collected and presented at the weekly practice meeting for further action. Many clinical cases and much experience are shared by email to ensure that one doctor's experience is disseminated.
We rarely have set meetings for education and peer review because so much is going on all the time.
Graeme M Mackenzie, general practitioner
Whitehaven CA28 7RG g.mackenzie@eidosnet.co.uk
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