BJGP Life – Page 12

Avoiding hospital admissions this winter – the challenge for general practice

As we gear up for winter, should we be identifying and trying to proactively manage patients to prevent unplanned hospital admissions? Nada Khan examines the NHS England guidance.

17 October 2024

7 mins read

1

Opinion

Reclaiming holistic medicine

Somewhere along the line holistic medicine has been claimed as a special expertise in addition to what we, as mere GPs, do. Tim Senior asks whether and how we should be holistic!

16 October 2024

2 mins read

1

Podcast·Videos

Episode 185: The triple whammy effect: Why people from ethnic minorities may not get adequate care for Long Covid

In this episode, we talk to Professor Carolyn Chew-Graham about Long Covid care amongst ethnic minority people.

15 October 2024

1 min read

BJGP·Research

Yonder: improving connections, AI in reflective practice, lung cancer diagnosis, and euthanasia aftercare

Yonder is a diverse selection of primary care relevant research stories from beyond the mainstream biomedical literature.

14 October 2024

3 mins read

Book review·Random

Beast in the Shadows: a masterpiece of Japanese suspense

John Launer had had never heard of Edogawa Rampo until he bought “Beast in the Shadows” on impulse in an airport bookshop.

12 October 2024

2 mins read

BJGP Long Read·Research

The potential role of Alzheimer’s disease plasma biomarkers in primary care

Putting aside the questions of who will do this additional work... and where the money to enable it will come from, there appears to be a potential role for AD plasma biomarkers in primary care...

10 October 2024

4 mins read

Book review·Opinion

Safe care in paediatrics

I am immensely grateful that I was fortunate enough never to have made any major blunders with children’s care in my career. But I would have slept better had I read this book.

9 October 2024

2 mins read

Podcast·Videos

Episode 184: Healthcare avoidance during Covid – the increased mortality risk and the reasons why

In this episode, we talk about healthcare avoidance and its impact during the Covid pandemic.

8 October 2024

1 min read

BJGP Long Read·Opinion

Swiss cheese & the power of saying sorry

The idea that we can learn from our mistakes until we eventually stop making them is beguiling and clearly contains some truth. It also obscures a larger truth, however...

7 October 2024

4 mins read

Book review

The Hospital by Barbara O’Hare

This book is a moving, autobiographical account of prolonged childhood abuse.... It tells us that we must listen to the voices of children and young people, take their concerns seriously, and respond appropriately.

5 October 2024

2 mins read

BJGP Long Read·Research

RCGP Research Paper of the Year – lessons for the next generation

The winning papers reporting research utilising a range of methods, highlight a range of clinical problems (insomnia and IBS) and highlight important system phenomena (patient safety and continuity), providing learning for the next generation of doctors, including GPs.

4 October 2024

6 mins read

Bright Ideas and Innovation·Opinion

Reverse mentoring enhances learner integration in general practice placements

Reverse mentoring benefits not only the student experience but also alleviates some of the pressures on GP tutors, who are held accountable for meeting both patient and systemic expectations.

3 October 2024

3 mins read

Opinion

How to unlock your personal health span?

Nigel Masters extols the virtues of a run (or a walk) for longevity

2 October 2024

2 mins read

Podcast·Videos

Episode 183: Prescribing beta-blockers for patients with anxiety – GP views on increasing use in practice

In this episode, we talk to Dr Charlotte Archer about beta-blocker prescribing behaviours from the perspective of GPs.

1 October 2024

1 min read

Opinion

Heart-based medicine

Gabriella Day reflects on general practice in 2024. Advances in clinical medicine are of great benefit, but their value is diminished when implemented without heart.

30 September 2024

3 mins read

BJGP Long Read·Book review·Opinion

The political economy of health care, by Julian Tudor Hart

Tudor Hart’s warnings of what might happen in the health system from 2010 reach us in 2024 in the form of accurate predictions. Read this book if you’re interested in better clinical care, better health policy and a better society, even if

28 September 2024

4 mins read

2

BJGP Long Read·Bright Ideas and Innovation

Introduction of online workplace-based assessments for practicing primary care physicians in countries lacking structured primary care

"... this platform of online case-based discussion allows doctors a safe space to develop and discuss cases seen by them in their clinical practice, thereby obtaining constructive feedback from experienced educators as well as peers."

26 September 2024

4 mins read

1

BJGP Long Read·Bright Ideas and Innovation·Opinion

Automation, machine learning and artificial intelligence: considerations for commissioners, providers, and recipients, of healthcare

What do I need to understand to commission and work with systems for healthcare that involve automation, machine Learning and artificial intelligence, in an ethical and trustworthy way? This briefing outlines some key principles for healthcare stakeholders.

25 September 2024

8 mins read

Podcast·Videos

Episode 182: What predicts unplanned hospital admissions in older adults, and what can we do about it?

In this episode, we talk to Dr Jet Klunder about predicting unplanned hospital admissions and how to prevent these in the future.

24 September 2024

1 min read

BJGP·Opinion

Trust

Again and again we learn — when trust fails, systems fail ...

23 September 2024

3 mins read

Book review·Opinion

Oxford specialist handbooks: Prison Medicine and Health

This book is intended to fill a gap for health and social care practitioners working in prisons, and cites current evidence to back up much of the narrative and recommendations – but does it try to do too much?

21 September 2024

2 mins read

BJGP Long Read·Opinion

“The Fellowship is breaking, it has already begun”*

Amongst the changes, you may have missed the decision to cease funding the newly qualified GP fellowship program.

20 September 2024

3 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

3 mins read

Opinion

Standing up for the wisdom of general practice

People just don’t understand what General Practice, as a medical discipline, is. Meaning that people are creating solutions to our capacity issues based on a misunderstanding of what we do. Joanne Reeve channels her indignation into a rallying cry for advanced generalist

18 September 2024

3 mins read

Podcast·Videos

Episode 181: The first 100 days after childbirth – what do women need in general practice?

In this episode, we talk to Dr Holly Smith about women's health in the early postnatal period.

17 September 2024

1 min read

BJGP·Research

Yonder: Sit-stand desks, gallstones, student interest in general practice, and family healthcare patterns

Yonder: a diverse selection of primary care relevant research stories from beyond the mainstream biomedical literature.

16 September 2024

3 mins read

Book review·Opinion

Book review: John Berger: Ways of Learning

Phil Whitaker reviews 'John Berger: Ways of Learning' by Iona Heath, a "[compilation of] letters, quotations, and reminiscences from her 20-year friendship with John Berger" ...

14 September 2024

3 mins read

BJGP Long Read·Opinion

Seeing the timber and the trees

Ben Hoban reflects on the necessity and risks of reductionism in medicine. The tension between parts and the whole is a necessary part of whole person medicine

13 September 2024

3 mins read

Opinion

Do I know you? (well enough to complete your multisource feedback…)

UK GPs have to do a multi-source feedback survey (MSF) across their scope of practice every five years. Should you give feedback if asked by a colleague? Paula Wright opens the discussion

12 September 2024

5 mins read

1

Opinion·Stories

Were you Dad’s Doctor?

When does a GP attend a patient’s funeral? Emma Ladds writes about how it is such a privilege to be a family doctor, and about grief when losing a patient.

11 September 2024

4 mins read

Podcast·Videos

Episode 180: Early intervention in psychosis and overcoming the lost connection in general practice

In this episode, we discuss early intervention in psychosis services and primary care.

10 September 2024

1 min read

Opinion

General practice should tackle healthcare inequalities but not health inequalities

"If we focus on using a healthcare service to improve health outcomes we cannot be surprised when our health worsens or our staff become overwhelmed. Imagine putting the hopes of a nation winning a football match on a tired and injured goalkeeper

9 September 2024

4 mins read

BJGP Long Read·Clinical

Is pre-eclampsia the new Cinderella of cardiovascular disease? Or should that be Rose (of Titanic fame), given that pre-eclampsia may be an iceberg waiting to be hit?

What can we do in primary care to prevent cardiovascular complications of pre-eclampsia? Rebecca Wheater provides a number of suggestions ...

6 September 2024

5 mins read

Podcast·Videos

Episode 179: Taking a trauma-informed care approach in women’s health

In this episode, we talk to Jen MacLellan about a trauma-informed approach to women's health.

3 September 2024

1 min read

Opinion·Stories

Archery, noodles and general practice

Appeals to tradition represent a desire to preserve the evanescent, to build a clear narrative that tells us who we are and how we should go about things, even if its historical basis is shaky. We project our thinking onto ... general

2 September 2024

3 mins read

1

Book review·Opinion

Book review: The Lady’s Handbook for her Mysterious Illness

The author tells us that 'mysterious illnesses' are complex and complicated, very individual, definitely not in the patient's head (though attention to one's psyche can be beneficial), but in her body, and, importantly, in the culture she lives in...

31 August 2024

4 mins read

1

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

1 min read

1

Opinion

A democratic deficit in healthcare

Can we design a healthcare system that is safer, fairer and more sustainable, without patient representation?

28 August 2024

2 mins read

1

Podcast·Videos

BJGP interviews summer break

We're on a summer break until 3 September 2024.

27 August 2024

1 min read

Book review

Book Review: Just a GP Diaries from a Career in General Practice by Denis Pereira Gray

Anyone currently working in general practice who is, or aspires to be, an effective influencer should read this to learn what it takes to make the changes to improve health care. It also explains what has often been lost from the institutional

26 August 2024

3 mins read

1

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