ABSTRACT
Sarcomatoid carcinomas are a rare type of prostate cancer and are associated with a poor prognosis. We present the case of an 80-year-old gentleman who presented with rectal bleeding and his CT scan revealed an incidental pelvic cystic mass. He initially underwent attempted ultrasound-guided drainage and transurethral resection for this. Definitive management was a radical surgery. Histological findings confirmed that the morphological features favoured a sarcomatoid prostate cancer rather than a primary sarcoma, as was thought. Unusual presentations of pathologies may be encountered during our practice and present a challenge. A methodological approach is required to ensure positive outcomes.
ABSTRACT
Entrepreneurship and innovation are important skills doctors must be equipped with to face the economic crisis engulfing the NHS. The £30 billion funding gap the NHS will face by 2020 requires doctors who are able to face these upcoming financial and organizational difficulties. Frontline staff are uniquely placed to identify inefficiencies in the health care system and develop solutions to them, so changing the medical school curricula to provide entrepreneurship and innovation development will benefit the NHS. Students can opt into this on an optional basis. The NHS is starting to recognize the importance of developing entrepreneurship and innovation as it has already introduced the Clinical Entrepreneur Programme in 2015. Offering entrepreneurship teaching in medical schools will not only diversify the skills of future health care professionals, but will also empower them with the right mindset to tackle the problems facing the health care system and sustain the NHS.
ABSTRACT
This is a supplementary letter in response to Kurtz and colleagues' recent publication exploring the creation of assessments for active learning, with the aim of discussing some of the important points raised by the authors and improvements based on our experience as final year medical students.