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AiT

AiT/BJGP Long Read/Opinion

We should be offering GP registrars screening for specific learning differences (SLDs)

Despite the legal and professional requirements to treat individuals with SpLDs without disadvantage, alongside evidence supporting earlier diagnosis & supportive strategies, the Committee of General Practice Education Directors (COGPED) still do not recommend screening of GP Registrars (GPRs) at the commencement of

5 February 2025
16 mins read
1
AiT/Book review/Opinion

What do I say next? Everyday mental health conversation in primary care: a practical guide by Sophie Jadwiga Ball and Liz Moulton

Perhaps it is my patient population, my personality or perhaps it is true of all General Practice, but I notice that nearly all my consultations touch on mental health in some way. Whilst reading the book, I have managed to accept the

11 January 2025
5 mins read
AiT/BJGP Long Read/Stories

Narrativity and the teaching of consultation skills: Godwin’s story

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

30 October 2024
14 mins read
AiT/BJGP Long Read/Clinical/Opinion

Medicines prescribed elsewhere – don’t forget to record them in the GP record!

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.

19 September 2024
7 mins read
AiT/Arts/Opinion

A farewell to hospital medicine

Fraser Barratt says a lyrical farewell to hospital medicine as he moves into the community for the final phase of GP training

29 August 2024
2 mins read
AiT/Bright Ideas and Innovation/Clinical

Minimising health disparities in dermatology through cultural competence

Hana MO Elhassan argues we should minimise health disparities through cultural competence. A good starting point is developing better awareness of common skin and hair care practices within various ethnic minority populations, and appreciating their clinical significance.

22 August 2024
7 mins read
AiT/BJGP Long Read/Opinion

In conversation with a new GP

Newly-qualified GP John McCullough seeks wisdom from established GP and rural medicine lecturer Tim Sanders. It feels like a tough time to enter General Practice – has it always been this way?

19 August 2024
7 mins read
1
AiT/Clinical/Opinion

“Unlucky” patients

Hannah Milton reflects on the neuroscience of trauma and Adverse Childhood Experiences (ACEs) and how this can lead to what is termed ‘latent vulnerability’.

17 May 2024
6 mins read
AiT/Opinion

Diving in at the Deep End?

Alex Burrell reflects on the moral agonies of planning an early GP-career

10 February 2024
6 mins read
AiT/Clinical/International

Reflections for general practice from an Asylum Seeker and Refugee (ASR) GP clinic

Mavin Kashyap shares key practice insights from a specialist community healthcare service for asylum seekers and refugee (ASR) adults.

9 February 2024
7 mins read
AiT/International/Opinion

GP Education amid the conflict in Myanmar

Myanmar should not be forgotten in the conversation around the ongoing failure to protect hospitals and health workers in conflict zones. Jim Brockbank reminds us.

5 February 2024
16 mins read
1
AiT/BJGP Long Read/International/Opinion

Moving on: Recommendations from a conversation with young family doctors from around the world

At the most recent WONCA global conference in October 2023, the WONCA Women’s Working Party on Women and Family Medicine (WWPWFM) met with young doctors movements from all world regions, to discuss common themes and possible ways to work together. Amanda Howe

17 January 2024
10 mins read
AiT/Arts/Opinion

Alone: General Practice

...while the risk of bear attacks or frostbite is substantially lower than in the popular namesake television series, GP trainees face a range of similar challenges as their TV counterparts – isolation, uncertainty, a steep learning curve, and genuine fear.

21 December 2023
9 mins read
AiT/Opinion

The smoking ban – an intervention too far?

The Prime Minister has proposed new legislation to end cigarette sales to those born on or after 1 January 2009. Is the proposed smoking ban as good an idea as it seems?

1 November 2023
8 mins read
AiT/BJGP Long Read/Clinical

Maladaptive Daydreaming In General Practice: An Emerging Challenge

Maladaptive daydreaming is a relatively new concept in the field of psychology experienced by an estimated 2.5% of the population. Sara Noden analyses this proposed mental disorder and the implications for clinicians.

13 October 2023
11 mins read
1
AiT/BJGP Long Read/Opinion

Doctor who?

In clinic last week, a patient called me by my first name – this was the first time I have experienced this in primary care, and for some reason I found it quite jarring. ...there seems to be very little evidence on

21 September 2023
7 mins read
AiT/Clinical/Opinion

Problem lists – the forgotten tool

Pablo Millares Martin considers whether the problem list has become a problem (or remains a useful clinical tool).

18 September 2023
9 mins read
1
AiT/Book review/International

‘Side effects’: Using a movie about pharmaceutical representatives to discuss professionalism with primary care residents

Bassem Saab and Beatrice Khater use a series of movies used to teach and discuss professionalism with family medicine residents in Lebanon. Here they focus on relationships with the pharmaceutical industry.

16 September 2023
4 mins read
AiT/News/Opinion

Too high a cost? Profiteering from medical college exams

Doctors.net.uk recently reported that some colleges, including the Royal College of Surgeons, the Royal College of Psychiatrists and the Royal College of Physicians did more than break even on exam costs. Nada Khan investigates.

7 September 2023
11 mins read
AiT/BJGP Long Read/Research

Do Zola’s triggers need re-evaluating for 21st century primary care?

Why do people consult medial opinion? Alex Burrell looks at a classic paper on the the 5 triggers to seeking medical advice.

28 August 2023
5 mins read
AiT/Stories

My number one learning-point as a GP registrar

A wise piece of advice helped enormously. “You don’t have to solve every problem in a single consultation,” advised my father.

24 August 2023
7 mins read
AiT/Bright Ideas and Innovation/Opinion

Is it me or GP? Notes for a profession in difficulty

The people factors are the strongly positive aspects of the job. But the logistical working conditions must improve for the future of the specialty to be sustainable. Five academic clinical fellows itemise the issues and set out a manifesto for change.

17 May 2023
9 mins read
1
AiT/Random/Stories

Health warning to a young clinician

My heart goes out to all of us, who have been 'set up to fail'. Take heart and glove up - the work must go on... A poem by Rebecca Quinn

21 April 2023
2 mins read
AiT/Opinion

General practice allies

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

20 March 2023
10 mins read
AiT/Opinion

Junior doctor strikes – what does it mean for general practice?

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

13 March 2023
7 mins read
AiT/Arts/International/Stories

The Long Road

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.

23 December 2022
14 mins read
1
AiT/BJGP Long Read/Opinion

Should we be teaching doctors to be better patients?

Increased dialogue about the unique nuances of physicians adopting the role of ‘patient’ should be supported throughout medical training, argues Isabella de Vere Hunt.

15 October 2022
8 mins read
AiT/Opinion

The MRCGP Recorded Consultation Assessment: a perspective from three inner-city trainees

There inner city trainees share their experience of the MRCGP recorded consultation assessment (RCA) and highlight some key issues for future iterations of the MRCGP assessment.

12 October 2022
8 mins read
AiT/BJGP Long Read

Planetary health and sustainable primary care: What does this mean for a GP curriculum?

For today's and tomorrow's general practitioners to be able to engage with climate-related health threats in partnership with their patients, medical curricula must shape teaching and learning now. RCGP curriculum lead for planetary health Suchita Shah discusses what this mean for GP

25 August 2022
14 mins read
AiT/Opinion

Foundation programme training and the primary care workforce: a time to reflect?

At the beginning of my foundation training I had very limited awareness of the diversity of the clinical workforce and was only familiar with 'traditional' doctor roles. However, I was surprised to find myself in the midst of a large, multiskilled dynamic

15 July 2022
11 mins read
AiT/Arts/Book review/International

The Last King of Scotland: Using a movie to explore family medicine residents’ understanding of professionalism

Movies allow health care professionals to immerse themselves in “near-true” experiences that challenge their values and principles. Beatrice Khater and Bassem Saab discuss using The Last King of Scotland in family medicine training at the American University of Beirut

29 June 2022
7 mins read
1
AiT/Opinion

Increasing capacity to teach medical students in general practice in the UK: there’s a will, is there a way?

Capacity for undergraduate GP placements is a serious challenge and one that is predicted to become harder in the near future. Here, Simon Thornton, part of the national working group set up to investigate the issue of teaching capacity in general practice

9 June 2022
10 mins read
AiT/Arts/Opinion

This is Going to Hurt: Reflections for medical training

Yathu Maheswaran reflects on what TV 'This is going to hurt' might teach medical trainees

7 April 2022
7 mins read
AiT/Arts/Opinion

Operatic reflections: Mozart’s ‘Magic Flute’, #MeToo, & families in primary care.

John Launer muses on what Mozart's Magic Flute can teach us about family medicine

15 January 2022
6 mins read
2
AiT

InnovAiT: Education and inspiration for general practice

InnovAiT has been sent out to Associates in Training (AiTs) since January 2008, but it seems to be a bit of an open secret. It’s a secret that Richard Draper is keen to share.

25 March 2021
6 mins read
AiT/Clinical

A different kind of ‘safety net’ for the new members of our primary care workforce

With COVID-19 forcing a shift to predominantly remote consulting, how do we ensure that physician associates are fully supported in their role in primary care? The Sheffield Physician Associate (PA) Preceptorship scheme may be one way, offering a formalised support package for

16 February 2021
9 mins read
AiT

An innovative post in Clinical Genetics and General Practice

With the mainstreaming of genomics, GPs are likely to encounter genetic conditions more frequently. Samuel Edwards, a GPST1, shares their insights and skills gained while completing an innovative post in Clinical Genetics and General Practice.

9 February 2021
6 mins read
AiT/Coronavirus

Here is how we prepare the next generation of GPs for remote consulting

We anticipate that after the pandemic, the modus operandi of general practice will be changed, for the better. Once the dust has settled, the lessons learnt from remote consultations should be communicated to the next generation.

4 May 2020
6 mins read
AiT/Opinion

Why do you want to be a GP? The one question we don’t ask

The first question to practise before a job interview; the one we all know will make an appearance…right?
Well, not if you’ve chosen to pursue a career in general practice. Whilst my colleagues were preparing evidence of their accomplishments and practising expected questions,

18 May 2018
5 mins read
4
AiT/Opinion

Is it time we reflect on the true value of reflection?

It is a Sunday evening. I look across at my GP ST1 wife and see her feverishly tapping the keyboard. I enquire what she is doing. “I have to do a couple of reflections, I’ve only done one this week.” Reflection has become

31 August 2016
6 mins read
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