Equus

last night I went to see the highly publicised play 'Equus' currently showing at the Gielgud Theater in London. The play is not for the fainthearted. It concerns the case of a teenage boy, Alan Strang, who savagely and inexplicably blinds six horses. He is sent to the psychiatrist Martin Dysart (widely thought to be based on RD Laing). Dysart is a frustrated Hellenist, dreaming of Ancient Greece and increasingly disillusioned with psychiatry. As Alan gradually reveals the lead-up to the shocking attack on the horses, it becomes that a bewildering conflation of consumerism, iconology, upbringing and a need to worship are implicated in Strang's actions. Dysart envies Strang's passion, and ends up denouncing a profession which seeks to 'cure' emotional extremes of which Dysart is in awe. It's a dark play, but also very funny in places. More ideas about the depiction of psychiatry in the play can be read here.

Much has been made of Daniel Radcliffe (famous for playing Harry Potter) stripping off and (very nearly) simulating sex. Not to mention him smoking on stage! But what about Radcliffe's acting ability? It's good, but not great. He veers between obstreperous teenager and vulnerable kid with not much to offer in between. I think he should have had long hair to lose the clean-cut schoolboy look. Also, his 'stare' is central to the play. Sitting up in the Grand Circle, this was lost on us -- he needed to use his head and neck more to emphasise his gaze. Yet he coped very well with the physically and mentally demanding second act. Richard Griffiths is outstanding as Dysart. The horses, played by dancers in masks and on stilt-like hooves, were excellent. They showed just the right combination of majesty and menace. For anyone with an interest in psychiatry, the play is well worth the ticket price.

Women 'left alone during labour'

Thanks to Ruvandhi for this:

The BBC website carries a story regarding women's perceptions of their childbirth experiences within the NHS. Half the three thousand women said they were left alone during labour, prompting us to ask why on earth weren't they accompanied by a medical student? A perfect opportunity to provide support and company, as well as learning and taking some of the burden from midwives, whose numbers the same article claims will need to increase to the tune of ten thousand over the next few years.
Still, this doesn't allow for women not wanting a medical student present during their labour, some of the issues are discussed in this previous post.

Art in medical curriculum

Interesting news...

http://www.cnn.com/2007/HEALTH/03/02/arts.and.medicine.ap/index.html

SCIENCE VERSUS ART!

You may remember me telling you about making new plays with almost a dozen surgeons - it's the first time professional London theatre has attempted such a collaboration. We open at The Old Operating Theatre, Britain's oldest operating theatre, in April. In the face of pressure from funders to make more art from science, we've decided to turn our venture on its head and launch with a debate at The Royal College of Surgeons (followed by a drinks party, natch) at 6.45 pm, 22nd March.

Aren't Science and Art different but equal? Does adding them up only dumb them down? Can the new medium of 'sci-art' produce high art or good science or weaklings that are neither? Author Don McRae ('Every Second Counts' is the story of the race for the first heart transplant), scientific playwright Jack Klaff, TLS editor Michael Caines and philospher Hilary Lawson will argue against the public, surgeons and artists. If you fancy adding your brain to the mix, get tickets at www.metalandbone.org (EVENTS).

Medical Humanities Society - Get Involved

The Medical Humanities Society is Imperial College School of Medicine's only book and film club. Although not a Union Club, we are recognised by the Medic’s Clubs and Socs Committee. We are an informal free book and film club that meets monthly to watch films and discuss books of medical relevance. We aim to provide access to Medical Humanities for all, whether medical or not.
An AGM will be held on Thursday 5^th April along with the Medical Humanities Society’s next film showing, The Motorcycle Diaries. The meeting will be room S303A in the new Humanities area, Sherfield Building, Imperial College London, South Kensington Campus, at 7:30 pm. Refreshments will be provided.
We will decide next year’s committee and any suggestions you have for the Society – please come along!

The human touch

An ESRC-funded study called Bodies Online looked at how people access health information on the Internet. The story was covered by BBC News online.
The study found that participants developed trust in web material over several stages and quickly dismissed poorly designed sites, sites with ads and general portals. While people looked for credible and impartial information, they were also highly influenced by personal stories to which they could relate.
In common with other studies, the participants used the Internet to prepare for visits to their GP. Yet the results also suggested that legitimate sources of information - such as NHS sites - were less likely to be used because they were hard to access and lacked input from others sharing similar concerns.
As the Internet is not going to go away, and is likely to be accessed increasingly by those seeking medical advice, I believe this report underlines the importance of providing health information in an understandable way as well as in specialist terms - putting the humanity into medicine, so to speak.

Doctor's Protest March

On Saturday 17th March there is an organised march in protest of the national shortfall of jobs for doctors at ST (Specialist Training) level orchestrated by the new application system 'Modernising Medical Careers'.

RemedyUK, the organiser of the march, is 'A movement of doctors which has lost complete confidence in the implementation of training reform and in employment strategy in the NHS.
We aim to reclaim strength in voice and in action which has been lacking in recent years.'

Their stated aims are:

• Immediate independent review of NHS workforce planning in the next 2 years.
• Removal of barriers for any doctor to apply for any ST post regardless of experience in the future.
• Expansion of training post numbers.

Doctors and medical students intend to march from the Royal College of Physicians in St Andrew's Place, London, to the Royal College of Surgeons in Lincoln's Inn Fields between 11am - 12:30pm, wearing white coats and accompanied by a marching band.

There has been much debate about the system on sites such as Doctors.net and Facebook by medical students and doctors alike. There has also been confusion regarding the aim of the march - with some believing the march is about the way doctors apply for jobs (via MTAS, the Medical Training Application System), rather than being about the shortage of jobs for those entering Specialist Training.

You can read this article in Medical Student newspaper, written by a representative from RemedyUK that explains the problems - namely that for 28,000 doctors there are only 22,000 jobs, and with each doctor costing £250,000 to train, it represents a cost of £1.5 billion in wasted medical education, not to mention the personal issues for those involved.

This schematic from the MMC website shows the training routes for doctors. More information can be found here.