Sharmila Menon

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has been subjected to radical changes. Workplace-based assessment (WPBA), introduced as part of Modernising Medical Careers, is now an essential element of the assessment framework for trainees. The Royal College of Psychiatrists’ competency-based curriculum was implemented in August 2007, since when all trainees must maintain a competency-based portfolio.(More)
A 57-year-old man was admitted to a psychiatric ward in a confused state. He had a 30-year history of lately stable schizophrenia and antipsychotic medication had recently been reduced. The clinical picture was characterised by confusion, agitation, autonomic instability, muscle rigidity and elevated creatine kinase. Despite no other identifiable cause,(More)
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