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Is major ear surgery financially viable?

It is difficult to ignore the present reality in the NHS that understanding clinical coding is perhaps of more relevance to the practising clinician than the human genome! Clinician engagement is becoming more essential to protect patient care and maximise...

The applicability and reliability of SHIMP, a new vestibular test, in adolescents

The video head impulse (now called the head impulse paradigm – HIMP) is now a routine test battery in neuro-otological practice. Few will be familiar with the new suppression head impulse paradigm (SHIMP) test. The key difference is that, in...

How effective are our two-week-wait guidelines in picking up head and neck cancer?

With a 30% increase in the incidence of head and neck cancer since 1999 in the UK, it is important that the two-week wait referral guidelines safely encompass all risk factors but also render these urgent referrals based on signs...

Sing it, say it, sort it: singing for Parkinson’s disease

Parkinson’s disease (PD) occurs in 1% of the population aged over 60. Changes in voice and speech are among the earliest and most prevalent symptoms of PD; reduced vocal intensity, monopitch, monoloudness, breathy and hoarse voice quality, imprecise articulation, vocal...

Migration and training: a British-Nigerian surgeon’s perspective

Less than 4% of doctors on the UK’s medical register describe their ethnicity as African or part African, yet there are myriad driving forces behind the migration of medical trainees from Africa to the UK and other developed countries. Ekpemi...

OTC hearing aids

The potential for the deregulation of hearing aid technology, through the Over-The-Counter Act has led to a tremendous amount of opinions and views from all stakeholders in the US. You don’t have to go far on the internet, social media...

The use of social media to drive practice growth

Cliff Olson is the most successful user of social media in the hearing care industry as of the date of this publication. His videos have been viewed worldwide, and he has more YouTube followers than all the major hearing aid...

AOT President, Manish George, highlights the many issues COVID-19 has created for trainees

It is clear that COVID-19 has created multiple wide-reaching issues for trainees as a whole. Whilst an earlier preoccupation of mine has been to...

Bullet Points in ENT: Postgraduate and Exit Exam Preparation

This book adds itself to half a dozen similar publications for trainees preparing for postgraduate exams in otolaryngology. Three hundred pages of facts laid out in five sections with 105 coloured illustrations. Each section has been nicely put together covering...

Roshna Rose Paul: interview between trainee and senior surgeon

Professor Paul has been heavily involved with training and educating multiple cohorts of ENT trainees over the years, since 2010. In this article, Mr Reid (a current ENT registrar from the West Midlands) picks her brains. Prof Roshna Rose Paul....

The Chronic Ear

For me, the title of this book conjures up an historical image. I imagine an early 20th century consulting room, an otologist with a head mirror and bull’s eye lamp. A pre-antibiotic era in which a patient’s otorrhoea is meticulously...

World’s oldest recipient of a cochlear implant

What do you ask for on your birthday when you are 103 years old? Leslie Hodgson (above) knew exactly what he wanted: his hearing back. And clinicians at South Tees Hospitals NHS Foundation Trust were happy to help, breaking two...