Quality improvement project aiming to reduce inappropriate use of abdominal x-rays in the ED.

Background: There is compelling evidence that AXRs have limited clinical value in the acute setting. Despite this, they are frequently used in many EDs. This quality improvement project (QIP) aimed to reduce unnecessary AXR use in a single-centre ED.

Recruitment into psychiatry: quantitative myths and qualitative challenges.

Recruitment into psychiatry is perceived as problematic in the UK but the paper by Goldacre and colleagues in this issue of the Journal shows that recruitment of new UK graduates has altered little over 35 years. Sources of psychiatry's malaise should be sought in its changing focus and the quality, rather than quantity, of its recruits.

A survey of the teaching and assessment of undergraduate psychiatry in the medical schools of the United Kingdom and Ireland.

Background: Individual medical schools currently decide on the content and delivery of their undergraduate psychiatry curriculum, so there is probably significant variation in the students' experience of the speciality during the medical course and in the extent to which they develop the appropriate skills and knowledge base.

Aim: To ascertain how the teaching of undergraduate psychiatry differs across UK and Irish medical schools.

Methods: The educational lead for psychiatry at each medical school in the United Kingdom and Ireland completed a questionnaire providing factual information on the teaching structure, contents and assessment methods in their current psychiatry curriculum.

Psychiatric referral rates and the influence of on-site mental health workers in general practice.

Psychiatric referral rates vary widely between different general practices. To increase our understanding of this variation, we conducted a one-year prospective observational study of outpatient psychiatric referrals made by all general practices (622 referrals from 29 practices) within the catchment area of one inner-city psychiatric service. Contrary to our hypothesis, practices with higher allocations of on-site mental health workers did not have lower psychiatric referral rates.