Tag: burnout

General practice in Scotland and Australia: the experience of two GPs

Jane Gall and Derek Wooff, are both general practitioners who worked in Stranraer, Scotland for 26 years and have been working in Shepparton Medical Centre for the last 6 years. General practice is a good job. It uses knowledge, experience, judgement and intuition to provide appropriate care and this complex process is both stimulating and rewarding. Currently with rising patient expectations and decreasing investment, solutions to workload issues may benefit from broader thinking and looking to other models of care. We wish to reflect on our experience of translating care from the NHS in Scotland to Medicare in Australia....

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BJGP Open: adapting primary care for migrants

The aim of this paper was to provide some insight into how primary care is managing to offer care to migrants. In particular they were interested in looking at the challenges and the ways in which practices and practitioners were adapting to meet this need. The first phase was an online survey. During this they surveyed 70 primary care practitioners. They then used responses to select eight case studies for a further qualitative phase. They had a mix of mainstream GP practices as well as specialist services that offered tailored services to refugees, asylum seekers and other migrants. There...

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“Too big to talk about”: Organisational momentum and its paralytic wake

David Zigmond was a small practice GP in south London 1977-2016. You can read Obituary for St James Church Surgery here. Corporatism often enlarges and entrenches itself by increasing demands for compliance. Eventually though, unchecked, this will sicken any organisation. Such is now evidently ailing our NHS. A brief glimpse from a small conference provides a sample. November 2016, London. A small conference of (mostly junior) doctors. The brief: to better survive the increasing stresses of their work. They are being mentored, guided, enabled and reassured by evidently concerned and sympathetic senior clinicians and cohort managers. Supportive, ventilatory and...

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Time for the old guard to join the social media fray?

The news is everywhere. I don’t mean this in the way that I might if I were a dewy-eyed aspiring journalist, seeing fascination and potential scoops in everything around me. I mean that news coverage seems to be literally everywhere; on the TV, on the radio, on the computer, on the phone in my pocket, on a big screen in Waterloo train station. It’s inescapable. And when it comes to health news, or more particularly doctor news, it never seems to be good news. Headlines such as: “1 in 4 cancer cases missed: GPs send away alarming number of...

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The merits of time off from practice

Although we would otherwise think and hope it, there remains a culture within medicine that disincentivises time off for anything, from parental leave to sabbaticals. The reasons for this are myriad, from concerns about de-skilling to the fear of the unknown and coming off the conveyor belt of speciality training. There is, of course, security and contentment in knowing where you are heading and following a chosen and well-trodden path, weathered by many before us. But what are we denying ourselves by racing to the end without exploring the diverse options available to us? Despite being a motivated, intelligent...

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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.

BJGP Conference – 23 March 2018

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