In this episode, we talk to Niro Siriwardena about differential attainment in GP licensing exams.
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Now imagine, that for the majority of cases being presented, the consultant condescendingly - and unnecessarily - adds, at the end of the majority of cases, that they had been diagnosed and managed wrongly by the 'incompetent' GP prior to
...After a long day being your child’s GP, I come home. I get a few tantrums, followed by a cuddle 10 minutes later. I am a mum, just like you.
Shem is a pseudonym for an American psychiatrist who adopted his daughter with his wife. Whilst his book is fictional, I could feel his real-life experience in the sensitivity of his insights. Adoptive parents can have a feeling of inadequacy
Are GP practices equipped to respond to the current mental health crisis? Here, Jonathan Coates and Nick Hartley reflect on a recent pilot of the role of GP clinical psychologists in primary care - "an experienced, senior clinician independently handling undifferentiated presentations
Inhaler prescribing alone accounts for approximately 3% of the NHS’s carbon footprint. Unsurprisingly, this has been targeted by Greener NHS as a priority area. Here, Emma Radcliffe describes a number of success stories of practices reducing their metered dose inhaler (MDI) prescribing,
The first planned strike action will take place for 72 hours in mid-March and will see junior doctors stepping away from their wards, surgical theatres, outpatient clinics, and indeed, for GP registrars, their practices. How do junior doctor strikes impact on general
They are billed as digital solutions, but they simply offer a locum GP, restricted to video. My experience over the last 3 years leading a GP federation has opened my eyes to the long-term perils of short-term solutions such as this.
My parents being immigrants, enforced into us to keep our heads down and work hard, to adopt a ‘don’t cause trouble’ attitude... Being called these occasional names I still performed well academically at school, it never placed limits. Life was good …
With the COVID-19 pandemic there has been a shift to digital technology that has necessitated both GPs and their patients to adapt rapidly. There is concern that older adults will struggle to adapt to this shift due to their low technology usage
Research and Clinical
Adnan Saad and colleagues provide an easy-to-use 'crib sheet' for commonly issued disease-monitoring drugs in general practice ...
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Ask any doctor, and they’ll tell you that talking to patients can be difficult. Mind you, ask any patient and they’ll tell you that talking to doctors can be really difficult too. Ben Hoban discusses how we address the problem.
Imagine having to relive the moment you are told that you have a life-limiting illness every time you need support; every time you feel vulnerable because of a physical or mental complaint that needs attention. Emilie Couchman argues for meaningful
Cyclothymia, a mood disorder, can result in significant impairment in personal, family, social, educational, occupational, or other important areas of functioning. Here, Carolyn Chew Graham and colleagues define the illness and outline how best to identify, diagnose, and manage cyclothymia
When someone asks you whether you’re telling them it’s all in their head, the most accurate answer is: Yes, but isn’t everything?
Richard Armitage highlights a selection of issues in tension with public health and respiratory communicable diseases both pre and post the outbreak of COVID-19.
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Uptake of national screening programmes suffered during the COVID-19 pandemic, but how are uptake numbers faring post-pandemic? Richard Armitage presents the data ...
Mark Pearson and colleagues present a number of powerful poems submitted by participants of long COVID support groups exploring their experience of long COVID.
In 2020, Sir Michael Marmot and his team at the Institute of Health Equity published ‘Build Back Fairer’ to examine how the Covid pandemic affected health inequalities in England. Nada Khan discuss a grim but inspiring document.
Jeremy W Tankel discusses how previously successful approaches to telephone and in person GP consultations are proving problematic in the COVID-19 era - what's the answer?
In response to recent earthquakes, the UK Emergency Medical Team (UKEMT) is currently providing a variety of clinical services from a field hospital in a heavily-damaged town located around 50 kilometres from Gaziantep in Kahramanmaraş Province. Richard Armitage is there.
Timothy Snyder kept a diary whilst in hospital in the US where he was finally treated, the experience of which forms the basis of his reflections. Much of what he writes about is clearly written about and for the American context, but we would be
The Canadian Centre on Substance Use and Addiction (CCSA), in new guidelines endorsed by Health Canada, recommend that Canadians should have no more than two alcohol-containing drinks per week. Nada Khan explores alcohol advice in primary care.
As the latest cohort in the Oxford International Primary Care Research Leadership Programme, we present the ‘10 things we wish we had known’ for anyone considering a career in academic primary care.
Apichai Wattanapisit reminds us that lifelong learning is a crucial element to maintain the standard of practices and develop the future career.
"Who has been in charge of the processes of change in the last 20 years? What ingredients must be restored now that we have a full-blown factory farm model of primary care medicine? Is it too late to save family medicine 70 years on? It
Foell and colleagues argue that assembly-line approaches in manufacturing rely on accurately measuring the time it takes to perform tasks in a digitalised workplace. They juxtapose this with the concept of time as the time it takes in the mystery of General practice.
The worsening relationship between primary and secondary care if this NHS is to be saved, argues Edin Lakasing
So, is the description of the GP as a ‘gatekeeper’ outdated? I would argue it is. GPs are not trying to block access to specialists. Rather, through their distinct expertise, they provide a safety net for patients who could risk further harm by stepping through
All four countries in the UK are devising methods/models to enable healthcare professionals by way of multidisciplinary teams (MDTs) to work with GPs thereby reducing the workload & enhancing the patient experience, but such changes may not bring about these desired outcomes. Peter McNelly &
Trainees and students
Now imagine, that for the majority of cases being presented, the consultant condescendingly - and unnecessarily - adds, at the end of the majority of cases, that they had been diagnosed and managed wrongly by the 'incompetent' GP prior to coming to him. Noor Amar
The first planned strike action will take place for 72 hours in mid-March and will see junior doctors stepping away from their wards, surgical theatres, outpatient clinics, and indeed, for GP registrars, their practices. How do junior doctor strikes impact on general practice?
How might American political economists Rawls and Nozick have viewed Julian Tudor Hart's inverse care law? Ayu Takayanagi explores two types of self-interest.
My love for those who could not help themselves was fuelled by passion,
As medicine became my way of helping them with care and compassion.
To help patients to live well with long-term conditions, Megan Coverdale proposes that there are 3 levels of change that must be targeted within primary care to collectively reform the management of chronic illness
BJGP Interviews
In this episode, we talk to Niro Siriwardena about differential attainment in GP licensing exams.
In this episode, we talk to Joe Kai about women's experiences of heavy menstrual bleeding and the management options available in primary care.
In this episode, we talk to Kelly Lloyd about what influences GPs to prescribe, or not prescribe aspirin to prevent colorectal cancer in Lynch syndrome.
BJGP Interviews Podcast
BJGP TV | Research
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Ethnicity and the MRCGP assessment
Aspirin for cancer prevention in Lynch syndrome
COPD post-exacerbation care
Home monitoring with pulse oximetry for COVID-19
Non-pharmaceutical interventions for mental health
Cancer risk in patients with fatigue
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BJGP News and Notices
The editor, Euan Lawson, with the links relevant to the Editor's Briefing articles for June, July and August.
The editor, Euan Lawson, with some comments and links relevant to the May '22 Editor's Briefing.
Assistant Editor Nada Khan discusses the Ockenden Report -safe and effective maternal and postnatal care involves general practice.