Author: BJGP Life

The Bravest Decision

Chloe Webster is a 4th year medical student, a yogaholic, creative writing enthusiast, and an aspiring future GP. I was just absentmindedly skimming through some patient notes, pushing paperwork for a research study, and there it was. In black and white – an advanced directive. My mind just stopped. I re-read the words as if my eyes were playing tricks on me, but the words still remained. An often unspoken part of the world of medicine. The end of life. I was shocked, to say the least, to see this documented in the notes of a young and well...

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E-consultations are redefining the clinical landscape

Murray Ellender is a GP in south London, a partner in The Hurley Group and co-founder of eConsult. To mark the 100th anniversary of the invention of the telephone, the Lancet in 1977 published a discussion paper on the use of telephony in health care. The paper reminds us that the first words uttered by Alexander Graham Bell were for medical assistance as Bell, talking to Watson, had just spilt sulphuric acid (necessary to power the telephone battery) over himself and said “Mr Watson, come here, I want you” (Aronson, 1977). Notwithstanding that doctors were the first profession required...

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Managing ‘medic mum guilt’ as a GP

Mehwish Sharif is a salaried GP in West Bromwich and does locum sessions in the Black Country. I recall thinking about a 5 year plan after completing GP VTS. The plan was quite simple, achieving a good work-life balance between personal and professional life. I started my GP journey as a salaried GP at a practice I had trained; nice familiar safe environment, always a smiley face and always a door to knock for reassurance or a second opinion. The plan was going as I thought it should. About a year later I discovered I was pregnant, exciting times....

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Bright Ideas: Support for GP trainees in Northern Ireland

Bright Ideas is an online portal for innovative practice run by the RCGP Clinical Innovation and Research Centre (CIRC). The GP Specialty Training Department – Northern Ireland Medical and Dental Training Agency (NIMDTA) submitted this entry and it was one of the 2017 Bright Ideas Award Winners. The problem: We recognised from talking to the current ST3 doctors and to First5 GPs in Northern Ireland (NI) that there was a desire for additional support in their first year after completing their CCT. Although the ST3 training programme specifically covers areas such as “life as a locum” and managing finances,...

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Babylon and smartphone consultations – dream or nightmare?

Martin Roland is an Emeritus Professor of Health Services Research at the University of Cambridge. Professor Roland was a practising GP for 35 years. So NHS patients are going to be able to deregister with their practice and reregister with a practice offering instant smartphone consultations. Apparently 80% of problems can be dealt with by phone, but surgery consultations will be offered for those who need to be seen. In an interview with The Times, Ali Parsa, founder of Babylon – the firm providing the service – is quoted as saying “I think this is the beginning of the...

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The British Journal of General Practice and BJGP Open are bringing research to clinical practice. This is where we add the debate and opinion to help ensure everyone benefits from that research.

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