Month: September 2015

The CSA examination: learning to be a fox again

Khalil Hassanally is a First5 GP and student of bioethics. Twitter: @asuitabledoctor Coming from an immigrant community there has always been huge pressure on not losing one’s roots. Many apocryphal tales, anecdotes and fables are told in this regard, and one in particular that sticks in my mind is that of the fox who lost his walk. The story, as it goes, was of fox who used to be the envy of the other animals for his unique walk. One day, fox saw man who rather than walk on four legs walked on just two. Keen to maintain his reputation of being the best walker, fox attempted to walk on two legs, though try as he might fox could not replicate the walk of man.  Defeated, the fox tried to return to his own walk only to realise he had forgotten what it looked like and that is why fox today has the funniest walk of all the animals. Many of us whose neighbourhoods are plagued with vulpes vulpes see nothing funny about how fleet of foot the fox is, or how deftly he empties poultry from the garden; nevertheless the story of the fox’s walk rang particularly resonant having finally completed the Clinical Skills Assessment (CSA). When we started off practising as trainees, we were individuals with our many voices and ways of consultation but by the end...

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Yonder: diabetes, orofacial pain, screening tests, and pharma

Ahmed Rashid is an academic clinical fellow in general practice at the University of Cambridge. He writes the regular monthly column “Yonder” in the BJGP: a diverse selection of primary care relevant research stories from beyond the mainstream biomedical literature. Twitter: @Dr_A_Rashid You can download the PDF here at BJGP.org. Diabetes In recent years, improving care coordination and the interface between primary and secondary care have been particularly important targets for those designing diabetes services. A recent Australian study sought to investigate patients’ experiences of two GP-led integrated diabetes care services in Brisbane.1 They found that although patients listened to...

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