Tag: Des Spence

Casting down the pseudo-religion of clinical examination

The glass bounced off my back and smashed into the drinks gantry shattering a whisky bottle. All I remember is the glass, the blood and that terrible screaming. Glass fights are dangerous, especially as barman, and for $1.80 an hour I often wondered if it was worth it. But it had its compensations for it was the best practical module on communication skills I ever had and I have used my experiences everyday of my medical career. Teaching undergraduates for the last 10 years I have enjoyed regaling them with my ‘pub communication’ stories. I am convinced of the...

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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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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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