You are on your own on call at night. Your senior colleagues are busy elsewhere or on the end of a phone at home. A patient under your care is deteriorating—what do you do? In the final article in our on-call series Steven Alderson and Naomi Abbt provide a systematic approach to how to investigate and manage a patient who becomes seriously unwell. A resounding message from this series is that there are simple but effective things you can do that can make a big difference before senior help is at hand (doi:10.1136/sbmj.h247).
How confident do you feel about prescribing? According to research published by the General Medical Council, 9% of NHS prescriptions written by newly qualified doctors included some kind of error. Some of these could have minor consequences but others could cause serious patient harm. To deal with this need a new exam, the Prescribing Safety Assessment, has