"So there I was, wondering what to do, when I noticed the shop next door. It had a flaking hand-painted sign announcing it as Imaginary Medical Solutions, and a window display that invited deep cleaning rather than curiosity."
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"I couldn’t understand, however, no matter how much I trained, how much I addressed my diet (within the realms of my understanding at the time), and how much I addressed other lifestyle factors such as sleep, why I was the
"It is a humbling, funny, graphic, lewd, and humane account of the enduring will to live and to thrive." – Maryam Naeem reviews Shattered by Hanif Kureishi
These cautionary tales are steeped in cultural lore and parental wisdom. However, they may not always be based in truth. We have lightly explored the evidence, underscoring that while such traditions hold value, a dose of scepticism often helps separate
How we understand our story makes a difference to how we go about the job, how effectively we do it, and how it leaves us feeling when we go home... One of these proto-narratives is especially relevant to us as doctors: Overcoming
Rebalancing Medicine can seem an impossible task. This book describes, often from personal experience, how the political fashions of the last decades first facilitated and then debilitated the essential workings of the NHS. Richard Lehman reviews.
There is no doubt that general practice now is very different in almost every way compared to 20 years ago. But has enough been done over this period to ensure its longevity as a profession? Sarah Rishi makes the case for a
NHS, please help me to bring the energy not to cry but sing, Courage where there is fear, Hope in the face of all the sugar, fags and beer. Giles Dawnay gets lyrical.
The idea was simple: a short walk in the park to clear our heads, engage in light-hearted conversation, and bond with colleagues. Over the years, this practice has not only endured but flourished...
Mike Thirlwall fears that patients and family doctors may be steadily drifting apart and something very precious may be lost for ever.
Research and Clinical
Yonder is a diverse selection of primary care relevant research stories beyond the mainstream biomedical literature.
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"There has been recent media coverage around appropriate hormone replacement therapy (HRT) dosing, and subsequent focus in medical journals. The debate has become polarised and women's health is being impacted. I want to provide an explanation so we can all
Identifying the mind as a source of the body's pain can help a patient make great strides towards taking control of their health and reducing the impact chronic illness has on their day to day lives. Paul McNamara and Ella
Yonder: a diverse selection of primary care relevant research stories from beyond the mainstream biomedical literature
One of the first questions my GP supervisor asked was “What did you notice on the way here?” ... Her question appeared simple at first but revealed, what I thought to be, the greatest skill in being a GP; the
Re-reading my review, I can tell that I was very careful even then not to present this approach as a 'cure' for Long Covid, but as a promising approach to manage symptoms better while waiting for a cure ... However, I have learnt so much since I wrote this review.
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"People living with long COVID symptoms should be encouraged to seek support from primary care, and primary care clinicians must be responsive to patient need." - Carolyn A Chew-Graham and colleagues provide a summary and analysis of long COVID patient
"Nexus is a powerful, brilliantly acted film [...] about the impact of COVID-19 on young people's mental health, eating-related coping strategies, and the power of social connection. I recommend sharing it with colleagues, patients, and their families."
Naomi Craft and Sue Morrison trained in end of life coaching in 2015, delivering workshops between 2016 and 2020 exploring loss, mortality, and the self in both personal and healthcare contexts. Here, they describe the effect of the COVID-19 pandemic
"I was very impressed by all those professionals working hard to make a difference for other people. I recognised myself in so many of the patient experiences described." – Elke Hausmann provides an overview of the 'Long COVID: what needs
"In the dynamic landscape of healthcare delivery, South Asia stands at the forefront of transformative change, particularly in the realm of family medicine. This article explores and elucidates the diverse models of family practice emerging across the region ... "
In Japan, there is a saying that deities disguise themselves as difficulties and offer trials to those who have true courage and strength. My supervisors taught me that when we are overwhelmed and troubled by complex problems, we should respond with sincerity as if the
Against a backdrop of armed conflict and geo-political instability, medical education becomes a daunting challenge. Safiya Virji highlights a web-based resource which can be used offline.
General practice plays a particularly important role in people's lives, supporting the health, livelihoods and lifestyles of individuals and communities. To fulfil this role effectively, GPs must embrace the idea that experience and learning are never wasted.
'In medical education; those with less support needs have better training environments, while those who are most in need of support end up training in the most challenging, deprived areas.' Frances Wedgwood reflects on a plausible narrative.
"I couldn’t understand, however, no matter how much I trained, how much I addressed my diet (within the realms of my understanding at the time), and how much I addressed other lifestyle factors such as sleep, why I was the heaviest I had ever been
How we understand our story makes a difference to how we go about the job, how effectively we do it, and how it leaves us feeling when we go home... One of these proto-narratives is especially relevant to us as doctors: Overcoming the Monster.
Aldabra Stifiuc-Andronic and colleagues reflect on the health implications of the cosmetics industry and public awareness of cosmetic ingredients.
"Reducing the carbon footprint of primary care has the potential to improve the health of our patients and communities, while decreasing workload and saving resources ..." – Michael Naughton and colleagues outline what GPs, partners, and local primary care leaders can do to reduce the carbon
There is of course no nationwide prostate cancer screening programme for asymptomatic men at present; rather, men over the age of 50 are advised that they can request a prostate-specific antigen (PSA) test from their GP at any time. Paul McNamara and Scott Wylie consider
Trainees and students
Aldabra Stifiuc-Andronic and colleagues reflect on the health implications of the cosmetics industry and public awareness of cosmetic ingredients.
One of the first questions my GP supervisor asked was “What did you notice on the way here?” ... Her question appeared simple at first but revealed, what I thought to be, the greatest skill in being a GP; the art of noticing. Janani Lambotharan
My first go at introducing stories into my own teaching was through the work of Rita Charon. But when I tried to introduce some of these concepts to my teaching, I was less successful. Family therapist and GP John Launer offers an alternative way for
Richard Armitage reminds GPs to think about medications prescribed outside the primary care setting especially when thinking about new symptoms, changes to medication or medication reviews.
Fraser Barratt says a lyrical farewell to hospital medicine as he moves into the community for the final phase of GP training
BJGP Interviews
We're taking a break over Christmas - have a great holiday!
In this episode, we talk about why hybrid working isn't always as efficient or accessible as it's meant to be.
In this episode, we talk about working in the Deep End network in Northern Ireland.
BJGP Interviews Podcast
BJGP TV | Research
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Hybrid general practice and its challenges to quality
Deep End GPs
Candidacy as a way to understand access
Psychosis prediction model
Testing in children with non-specific symptoms
Assessing acutely ill children
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BJGP News and Notices
Yonder is a diverse selection of primary care relevant research stories beyond the mainstream biomedical literature.
"Seasons greetings, dear readers! One of my favourite Christmas traditions is the miscellany, often found in little piles at the cashier’s desk in a bookshop. We have a suitably seasonal miscellany for you this December in a variety of genres! Some will
Yonder: a diverse selection of primary care relevant research stories from beyond the mainstream biomedical literature