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Any news organization's web site can get a story picked up by popular sites such as Drudge Report, Huffington Post, Digg, or even Fark, resulting in a bump in page views. But that's a traffic anomaly. A key metric media companies want to grow is their local audience, because local traffic is where the money is.

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Recently, a commercially available system for the real time assessment of retinal vessel diameters in vivo has been introduced (Zeiss Retinal Vessel Analyzer, Oberkochen, Germany). The average age of appointment to consultant is no higher than for other surgical specialties,1 because streamlining of training from specialty trainee (ST) 3 compensates for the time taken to become dual qualified.

Furthermore, as competition for jobs intensifies, trainees in other surgical disciplines are increasingly encouraged to obtain higher degrees that may not be relevant to their career. OMFS offers the opportunity to study for another degree with the benefit that it is a recognised part of training (box 2).

Box 2: Working in oral and maxillofacial surgery (OMFS)A typical week for an OMFS senior house officerYou can work in OMFS as a singly qualified medic, and it is one of the most hands on specialties for junior doctors.

There is ample opportunity to hone your practical skills in minor oral surgery and theatre lists, and within a few months you will be removing teeth, suturing wounds, and taking biopsies independently.

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