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Cut out the middleman

November 2016 Br J Cardiol 2016;23:127 doi:10.5837/bjc.2016.035

Cut out the middleman

Terry McCormack

Abstract

Terry McCormack (Spring Vale Medical Centre, North Yorkshire) It was, therefore, with great interest that I read the paper by Coughlan et al. (see pages 138–40). The authors raise very important points regarding both the importance of adequate discharge information and the poor delivery of appropriate up-titration of medicines when the patient has arrived home post-ST-elevation myocardial infarction (STEMI). They cite the failure of junior doctors to give adequate instructions to GPs on how to up-titrate medications and how educating the juniors improved performance. But they raise more questions than they answer. Why not have a pre-printed

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