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Mind the gap

10 November 2025
"There was a collective sigh, and a silence as everyone contemplated once again the gap between the good idea and its implementation."

On Decision Fatigue

75 blood results - 41 times ‘okay’. 32 times ‘must do something’. 2 times ‘oh #&%*$’.
7 November 2025

How do we know if what we know is true?

As GPs, our professional journey is defined by continuous learning, not only gaining knowledge and skills but also in shaping our attitudes and beliefs. Professional practice requires the integrated use of several types of knowledge. John Goldie explains.
6 November 2025

The value of time

How often have you exclaimed that you ‘wish there were more hours in the day’, lamented where the ‘day has gone’, or complained about how some activity has ‘robbed you of time’ you will ‘never get back’. ...time... has value and worth.
29 October 2025
2

Investigating uncertainty

This has always been part of a doctor’s repertoire, although the frequency with which patients are investigated in general practice is rising, and the need to deal with large numbers of results at the end of a long working day is recognised
27 October 2025

Book review: Breathe: How to Win a Greener World

"Something remarkable has happened that will improve the health of thousands in London, and it doesn’t require a GP review. For the first time since legal limits were introduced in 2010, London’s nitrogen dioxide levels have dropped within legal thresholds ..."
4 mins read

Book review: The Elements

"As GPs we are the naturalists of the human jungle. This is where we practice, not the controlled and tidy spaces of the secondary care zoo. Our jungle has dark and hidden thickets. How are we to help those caught up in such pain, such
2 mins read

Book review: Intervals

"... I found this an inspiring account of what it means to care and to be cared for by a loving relative. Brooker’s brilliant book blends care ethics, philosophy, grief, and practical wisdom, offering GPs and primary care teams a different perspective on end-of-life care."
1 min read

Where continuity is key: Primary care in Norway

Patients know their doctor well, benefit from consistency of approach and are understanding if they have to wait slightly longer ... knowing from years of experience that their GP is there for them. This feels like a more traditional primary care model, one which is
4 mins read

Shaking hands again

"We tended to turn door knobs with our elbow or to press elevator’s buttons using our house keys. As time passes, these somehow obsessive behaviours have been gradually abated, but I feel some subconscious concern still remains. In my personal experience, I decided not to
3 mins read
3

Are we judging GP registrars on their outfits?

Professionalism may not be a discrete domain on the mark scheme, yet it shapes how registrars are assessed, creating a standard that remains open to personal interpretation. And when that interpretation is shaped by assumptions about religion, culture, gender, or identity, attire can become an
3 mins read
1

Trainees and students

Are we judging GP registrars on their outfits?

Professionalism may not be a discrete domain on the mark scheme, yet it shapes how registrars are assessed, creating a standard that remains open to personal interpretation. And when that interpretation is shaped by assumptions about religion, culture, gender, or identity, attire can become an
3 mins read
1

Knocking for help: a hidden strain of GP-training

In clinical scenarios that are unfamiliar or require in-person review, trainees are often forced to leave their patients mid-consultation to seek help. The act of “door knocking” i.e interrupting a colleague who is themselves consulting - can feel burdensome. Hana Esack reflects.
2 mins read

BJGP Interviews

BJGP Interviews Podcast

BJGP TV | Research