Rapid responses are electronic letters to the editor. They enable our users to debate issues raised in articles published on thebmj.com. Although a selection of rapid responses will be included online and in print as readers' letters, their first appearance online means that they are published articles. If you need the url (web address) of an individual response, perhaps for citation purposes, simply click on the response headline and copy the url from the browser window. Letters are indexed in PubMed.
I fully agree with Dr Smith's letter on this subject. Last summer,
my 20 year old grandson, a Maths student at Nottingham, spent several
weeks summarising medical records at a practice near his home. He had
virtually no training and has no clinical knowledge or experience.
I summarise letters at my former practice and find that many letters
take a great deal of thought and time in order to identify and enter the