Andy M Wearn

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BACKGROUND Dyspepsia can be managed by initial endoscopy and treatment based on endoscopic findings, or by empirical prescribing. We aimed to determine the cost effectiveness of initial endoscopy compared with usual management in patients with dyspepsia over age 50 years presenting to their primary care physician. METHODS 422 patients were recruited and(More)
AIMS To review whether current New Zealand (NZ) medical student selection policies are likely to result in specialists prepared to work in areas of greatest health need in the future. METHOD This paper describes approaches used to select medical students, with some details about NZ medical student cohorts. It then discusses the evidence linking selection(More)
OBJECTIVE To determine the cost effectiveness of a strategy of near patient Helicobacter pylori testing and endoscopy for managing dyspepsia. DESIGN Randomised controlled trial. SETTING 31 UK primary care centres. PARTICIPANTS 478 patients under 50 years old presenting with dyspepsia of longer than four weeks duration. INTERVENTIONS Near patient(More)
BACKGROUND Progress Tests (PTs) draw on a common question bank to assess all students in a programme against graduate outcomes. Theoretically PTs drive deep approaches to learning and reduce assessment-related stress. In 2013, PTs were introduced to two year groups of medical students (Years 2 and 4), whereas students in Years 3 and 5 were taking(More)
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