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COLLEGE NEWS ANNUAL SYMPOSIUM tails, as soon as they are known, to the Orals: In Edinburgh and London during 13 November 1981. 'The Disabled- Business Travel Executive, British Rail the week ending 12 December 1981. Who Are They? Caritas at Work.' Im- Travel Centre, 4-12 Regent Street, Lon- Closing date: 3 September 1981. perial College, Exhibition Road, Lon- don SW1Y 4PQ, stating how many peo- don SW7. Further details from Miss ple are expected to attend. (The number May/luly 1982 Elizabeth Monk, The Royal College of must be not less than 10, but these can be from different points of departure). Written papers: Tuesday, 11 May 1982. General Practitioners, 14 Princes Gate, Orals: In Edinburgh during the week London SW7 lPU. The College can arrange reduced rates for accommodation in London at a ending 26 June and in London during number of hotels nearby. The discount- the week ending 3 July 1982. Closing date: Thursday, 11 March 1982. NIGHT TELEPHONE NUMBERS ed rates (1.6.81) are as follows: The College switchboard is now normal- Single £12.80 October/December 1982 ly open from 08.30-20.00, Monday to Single with bath £18.00 Friday. Calls after 20.00 are automati- (£22.50, luxury rooms) Written paper: Tuesday, 26 October cally received by Ansaphone. Members Twin £21.00 1982. staying in the College can receive calls Twin with bath £27.00 Orals: In Edinburgh and London during through these public callboxes: Ground/ (£32.50, luxury rooms) the week ending 11 December 1982. First floor, 01-589 8710; Third floor, 01- Extra bed £ 8.00 Closing date: 2 September 1982. 584 7766; Fourth floor, 01-584 8143. Rates are inclusive of service and conti- The written papers will be held in Lon- The telephones on the third and fourth nental breakfast and exclusive of VAT. don, Birmingham, Leeds, Manchester, floors ring on the landings in the bed- Bookings should be made through the Exeter, Newcastle, Edinburgh, Aber- room areas, and it would therefore be Accommodation Secretary, RCGP, 14 deen, Cardiff, Belfast and Dublin. appreciated if they were not used late at Princes Gate, London SW7 IPU. These and other centres may be used as night except in emergency. The same group of London hotels required, subject to a minimum (and in For members attending meetings, a offers discounted rail travel for guests some centres maximum) number of can- special line-01-584 2678-will be in- staying two or more nights. Again, didates. stalled shortly, with extensions in: Jeph- bookings should be made through the It may be necessary to limit the total cott Room; Administrative Secretary's Accommodation Secretary, allowing at numbers, and candidates are therefore Office; President's Flat; Penthouse. The least seven days for the issue of rail advised to apply well in advance of the bells can be switched off at each exten- tickets. closing dates. The application fee is as sion. follows: CONCESSIONARY RAIL MRCGP EXAMINATIONS Application fee £125.00 TRAVEL AND HOTEL RATES The dates for the next MRCGP exami- Re-application fee £ 93.75 British Rail offer special reduced rates nations are as follows: Candidates withdrawing from the ex- for those attending educational events amination after the closing date for ap- which take place outside London and October/December 1981 plications forfeit 40 per cent of the full last for more than one day. This offer fee. Application forms may be obtained saves 30 per cent on fares. Course and Written papers: Tuesday, 27 October from the Examination Administrator at conference organizers should send de- 1981 the College. MEDICAL NEWS PREVENTION OF APPOINTMENTS he has now joined a teaching practice in PSYCHIATRIC DISORDERS Dr Bernard Reiss, who is in practice in Cambridge. The College's report on The Prevention Cambridge and is Director of Studies in of Psychiatric Disorders in General General Practice at Cambridge, has Practice (February 1981) is being fol- been elected a Fellow of Hughes Hall. lowed up by the Mental Health Founda- SIMG-JANSSEN PRIZE tion, which is to hold a conference in The SIMG-Janssen Prize is an annual Oxford on 12 and 13 September. The award granted to assist the successful conference was advertised in our June Dr Chester White has been re-elected a applicant to carry out a research project. issue, and full details and application Fellow of Darwin College, Cambridge. The competition is open to European forms can be obtained from Mrs Deirdre Originally elected after his appointment general practitioners. Applicants should Laing, 8 Wimpole Street, London WIM as a senior assistant in research in the submit (in English, German or French) a 8HY. Department of Medicine at Cambridge, research proposal of no more than 1,000 502 Journal of the Royal College of General Practitioners, August 1981 Letters to the Editor words describing the significance, aims, tariat: 4th Floor, 70 Jolimont Street, General Practitioners, 14 Princes Gate, hypotheses and methods of the project Jolimont, Victoria 3002, Australia. London SW7 lPU. which they propose to carry out. The value of the award is 30,000 Belgian The Sick Doctor francs with a further 20,000 Belgian MEETINGS AND COURSES Royal College of General Practitioners, francs to be made available on comple- 7 October 1981. Further from tion of the research, which should be The Future of General Practice - details within two years. Applicants should European Trends Miss Elizabeth Monk, address as above. submit their research proposals by 31 Norwich, 1-3 September 1981. Jointly October 1981 to the Secretary of the sponsored by the University of East PSORIASIS AND CANCER Jury, SIMG-Janssen Prize, SIMG Sec- Anglia and the Norfolk and Norwich The Department of General in retariat, A9020 Klagenfurt, Bahnhof Institute for Medical Education. Further Practice Str., 21/VI, Dundee tell us that two weeks after their Austria. details from Miss D. Rutherford, NAN- article appeared in our May issue, 15 IME, Norfolk and Norwich Hospital, practices, representing at least 42 doc- Brunswick Road, Norwich. WONCA tors, expressed an interest in the project. CONFERENCE, 1983- Since the department aims to recruit 100 CHANGE OF DATE Transactional Analysis individual doctors, further applications The date of this conference has had to Royal College of General Practitioners, should be made without delay to De- be changed, and is now 20-24 May 1983. 6, 13, 20, 27 October 1981. Further partment of General Practice, West Details will be available later in this details from Miss Elizabeth Monk, Gate Health Centre, Charleston Drive, Journal, or from the Office of the Secre- Courses Secretary, The Royal College of Dundee DD2 4AD (Tel: 0382-66313). LETTERS TO THE EDITOR CHILD HEALTH PROBLEM DRINKERS AND THEIR PROBLEMS Categories of problem drinkers Sir, I was very interested to read the corre- Sir, Patients with spondence between Professor Court and I enjoyed the original article 'Problem multiple 'at-risk' Dr Donald (March Journal, p.182). I drinkers and their problems' (March characteristics, spent two years in hospital paediatrics Journal) by clinical staff members of the including at least before becoming a general practitioner. Howden Health Centre. Their findings one of the factors I have also worked as a Community provided much useful new observation listed Male Female Medical Officer in Well Baby clinics. and information. However, their study Diagnosed alcoholic It is very difficult in general practice did not attempt to define identified (by psychiatrist to find time for routine screening. problem drinkers, apart from noting and/or physcian) 52 11 About 120 babies are born each year in that "the doctors used a variety of terms Alcoholic symptoms our practice. It takes me an afternoon a to describe problem drinkers". (black-outs/DTs/ week to examine them all routinely three In our practice, over the past five shakes, etc) 10 3 times in the first 18 months and to years we have established a confidential Patient or relative complete their immunizations. Follow- register of patients with drinking prob- has asked for help up of special problems, pre-school ex- lems, based on the Shetland Practitioner with problem aminations and boosters take up further Survey check list of at-risk categories. drinking 18 1 time. To date, we have identified 99 pa- Patient smelling of I am certain that for screening and tients (see Table) out of a practice popu- drink at a prevention, it is better seeing the babies lation of 5,434 as having a drinking consultation and/ with their parents in the surgery than in problem (cf. Howden study: 106 pa- or drink-related a community or hospital clinic. The tients out of a practice population of conviction and/or general practitioner, working with the 9,763). We also have our clinical suspi- family of health visitor, knows far more about the history cions about a number of other patients abnormal drinking 4 - family and their medical history than the (not included in our register). Interest- Total 84 15 community or hospital doctor does. ingly, the male:female ratio is broadly I hope if it is envisaged that communi- similar in both lists, but our known ty mtnedical officers will work as general prevalence rate of drinking problems is practitioners that money will be made 4.5 per cent in males over 18 years and available for routine screening in their 0.7 per cent for females over 18 (cf. their spouses but less than half of our own practices. Howden study: males 3.3 per cent, fe- female problem drinkers are in compa- males 0.5 per cent). rable domestic circumstances. Further- R. A. P. STOTT The Howden study noted that separa- more, over three quarters of our tion from spouse (or co-habitee) was identified female problem drinkers have 50/52 High Street relatively uncommon in problem drink- other known psychiatric problems (in- Epsom ers.