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Dear All,
I'm in a similar position to Mark but at St George's. I also am sent  
many from other Schools. Firstly I completely agree with Mark. Schools  
are increasely treating anorexia - but not bulimia - in exactly the  
same way as alcohol abuse. I believe it's inappropriate



Prof Hubert Lacey
Sent by iPhone.


On 22 Jun 2010, at 07:05, Mark Berelowitz <[log in to unmask]>  
wrote:

> This is a difficult problem.  I was for several years a sub-dean at  
> ucl, with responsibility for mental health of medical students. I  
> did not think that the problem was well handled.
>
> In no particular order, and possibly out of date:
>
> 1.  There is (was) no penalty for making a false declaration about  
> health during the application process. Not helped if gp is close  
> family relative.  Schools often stunningly dishonest in references  
> (mentioning positives, hiding negatives
>
> 2. It was hard to find the right balance between compassion and  
> discipline
>
> 3.  Level of functioning more nb than diagnosis.
>
> 4. Working with occupational health was not easy.
>
> 5.  Accessing treatment v difficult for students with chronic  
> conditions generally, because you can only be registered with one gp  
> at a time.  Not helped by the brutally strict catchmenting of adult  
> MH services, and by confidentiality issues within teaching hospitals.
>
> 6.  Is it in the interests of students to be honest?  Where do the  
> responsibilities of their treating doctors lie?
>
> 7.  Proportionality - would you rather your dr was anorexic or a  
> binge drinker (endemic at med school)?
>
> Given my previous experience as sub-dean, I would be happy to have a  
> role on behalf of the section, if appropriate.
>
> Mark Berelowitz
>
>
> Sent from my iPad
>
> On 21 Jun 2010, at 21:51, Patricia Macquire-Samson <[log in to unmask]>  
> wrote:
>
>>
>> Dear All ..A GP from our local student health practice has asked  
>> for a meeting with me to discuss fitness to practice issues  
>> regarding doctors with ED's ...she is due to have a meeting with  
>> the GMC next week who is looking into this and trying to come up  
>> with some guidelines ..apparently anorexia is an increasing problem  
>> amongst medical students and now of course junior doctors ...The GP  
>> is interested in my views on this ...I am wondering if anyone else  
>> has been asked to give an opinion on what seems to me to be an  
>> extremely important subject ...I am seeing a number of medical  
>> students with anorexia ...three are due to qualify this summer ...I  
>> have discussed fitness to practice with them but as there are no  
>> definate guidelines I am basing my advice purely on my own views ...
>> Are there any specific guidelines that I'm not aware of (ie minimum  
>> BMI etc)?
>> Does anyone have any specific views they think I should discuss  
>> with this GP (who sees a number of medical students with  
>> anorexia ..we are a university city)?
>> I would be grateful for any advice!!
>>
>> Best wishes
>> Cilla Macquire-Samson
>> Consultant Psychiatrist
>> Eating Disorder Unit
>> Priory Hospital Bristol
>> 0117-9525255