Month: April 2016

General practice in meltdown: it’s not just funding

You can download the PDF and comment on this article in the May issue of the BJGP available at bjgp.org. General practice is in crisis. One in three training posts are empty, 10% of GP positions are unfilled and this is worsening daily.1,2 Practices are closing their lists but this is merely deflecting the pressures elsewhere. And with 25% of male GPs (many who work full time) over 55, the pressure is set to get a whole lot worse.3 The more pressure, the less attractive GP is becoming. But there is no cavalry over the horizon, for unlike crises...

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GP Journal Club: the primary care–secondary care battleground

Sampson R, Barbour R and Wilson P. The relationship between GPs and hospital consultants and the implications for patient care: a qualitative study. BMC Fam Pract 2016. 17:(1): 1-12 The next GP Journal Club is on the 8th May at 8pm. You can download the paper here. Rammya Mathew is an academic GP at UCL and is chairing the next GP Journal Club. Sampson et al have done a fantastic job of characterising the somewhat strained relationships that exist across the primary care-secondary care interface. On reading the paper, I couldn’t help but feel that so much of the...

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Bridging the gaps in care: are charities the way forward?

Ashika Sequeira trained on the Bromley GP Scheme and is a Locum General Practitioner. Alexandra Grove is an ST2 trainee in General Practice in the Tower Hamlets training scheme, East London. Vanessa Oo is a GPST2 in the UCLH GP training scheme. Work can sometimes feel like a battle: a daily struggle to engage with our ever increasing list of patients and their complex co-morbidities. One of the challenges we face is a society which promotes unhealthy practices. Despite a growing awareness of the negative impact of poor diet and sedentary lifestyles on health, effective preventative care is increasingly difficult...

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Hearing crackles: reflections on PACES and prejudice

Rachel Brettell is an Academic Clinical Fellow GP Trainee in the Oxford Deanery. As a GP registrar, the MRCGP Clinical Skills Assessment (CSA) exam is currently at the forefront of my mind. VTS teaching focuses on how to pass, evenings are spent revising, and my bank account, now £1700 lighter, still makes me shudder. And yet, perhaps naively, it was still a shock to me to find out that at no point in the CSA exam am I expected to accurately detect real clinical signs. Of course, the CSA assesses many other important skills, including problem solving skills, person-centred care...

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GP Journal Club – April 2016

The April GP Journal Club is now on Storify. The paper discussed was: Lorgeril M, Rabaeus M. Beyond confusion and controversy, can we evaluate the real efficacy and safety of cholesterol-lowering with statins? JCBMR 2016;1(1):67 The next GP Journal Club will be in May – you can follow @GPjournalclub and #gpjc on Twitter. Click here for the GP Journal club blogposts. [View the story “GP Journal Club – April 2016” on...

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