In this episode, Mr Ashu Gandhi talks through the findings from a large prospective cohort study showing that there was no association between breast pain alone and breast cancer.
Primary care clinicians need to be confident business and healthcare management leaders soon after qualification. It's about time this becomes an educational priority to those with the power to shape the educational future of general practice.
We are joined by Dr Hassan Awan who runs through the findings from a qualitative systematic review that offers insight into how to help people with emotional distress, anxiety and depression from South Asian ethnicities.
Basem Saab and colleagues from the American University of Beirut illustrate the complexity of COVID-19 requirements and air-travel, for which patients may attend their family doctor for advice and documentation.
Jason Heath, Sangeetha Sornalingam, and Max Cooper highlight the problems the #newnormal is causing to medical education and argue that recognition of this effect is needed before there is lasting damage to the future of the medial profession
What comes to mind when you hear the word bully? Most likely the stereotype of an older child picking on a younger child. But it's important to think of other forms, like the bullying that occurs in our workplaces. Joel Brown explores
RCGP Past President, Terry Kemple, reviews Keefe's 'Empire of Pain: The Secret History of the Sackler Dynasty'.
Steven Walker gives a sobering introduction the history of child abuse
In this episode we talk to Dr Joāo Delgado about a recent Exeter study that shows higher continuity of care with a GP is associated with important clinical outcomes in people with dementia.
Samar Razaq shares a parable of travellers in search of health and in fear of disease
As a practising GP, I have come to see myself as a fixer of problems. But does this problem-oriented approach to consultation squander the opportunity we have when we engage our patients in that narrow window? What if we were to re-configure
Louise Hyde argues that we could be doing a lot more to protect children from COVID in the UK
Gwenllian Wynne-Jones and Carolyn Chew-Graham outline the societal and personal impacts of supporting people back to work, and the effective role of primary care in the UK
We are joined by Professor Jeremy Horwood who tells us more about a qualitative study into the unintended consequences of online consultations.
Michael Poplawski shares five hot tips for starting a medical YouTube channel
The breadth of the scope of clinical care in general practice has often left the rather tragically lingering stereotype that GPs are the medical variety Jack of all trades and master of none. Joel Brown, family physician, combats this stereotype and offers
Maybe the human connection be used as a strength when it comes to health motivation. Mariam Sohail is inspired by a new father.
Lloyd Hughes looks at plans for an integrated Scottish National Care Service and considers the strategic challenges for general practice it poses.
We talk to Dr Gail Hayward about a randomised controlled trial that has shown no reduced contamination with urine collection devices in urine samples of women with uncomplicated UTIs.
Jack Monahan reflects on an elective in homeless medicine and reminds us that general practice can help address the cumulative disadvantages that put a person on the street.
Richard Armitage takes a critical look at the shift to offering more urgent than planned general practice appointments, and finds it is a complicated trade off between competing priorities
Ayesha Siddqui shares a clinical case to remind GPs why it is vital to heed clinical cues and check patient vital signs
In this episode we talk to Dr Stephen Bradley about the variation in the use of CXRs between practices and the implications for early diagnosis of lung cancer.
Stephen Opare-Sakyi argues that GPs should see patients as whole people, but should be seen as whole people as well - by governments, patients, and each other.
John Launer muses on what Mozart's Magic Flute can teach us about family medicine
Marion Brown reviews Michael P. Hengartner'a critique of the pharmaceutical evidence for antidepressant use and underlying disease models.
Arthur Kaufman reflects on intergenerational tensions from the older British citizen's perspective. It is easy to see these being implicit or even explicit in the consultation.
Richard Armitage argues that COVID-19 booster campaigns are a golden opportunity for health promotion, which could decrease COVID-19 effects and have wide benefits as well. Commissioners take note!
Consultations about relationships prompt Bhupinder Goraya to reflect on the consultation relationship - could 'beginner's mind be the answer?'
Austin O'Carroll argues that the label of personality disorder is inappropriate and harmful to patients who have suffered adverse social environments in childhood. By simultaneously ignoring social causation and denying the possibility of therapy the diagnosis perpetrates a systematic injustice against those
As notice-boards overflow with helpful advice, are we entering an age of extreme wallpapering? Madge McClary argues we should stem this tide for the sake of all!
Afsana Bhuyia and colleagues give us a de-mystifying introduction to dashboards and registries, digital public health tools which they are using in their work on the management of cancer.
Dr Anita Lim talks about a trial that found offering older women non-speculum sampling with their clinician can improve uptake for cervical screening.
As workload pressures squeeze the consultation times, Rubia Usman writes an open letter asking patients to remember that their GP is human too
Media images of mask-wearing healthcare staff rarely depict primary care. A facet of the existential crisis facing general practice is that of identity. As it stands, it feels as if GPs have been judged in pseudo-absentia. Sati Heer-Stavert calls us all
Over the last 18 months, anyone with any opinion, be it a politician or a journalist, has had something to say about general practice. Samar Razaq considers the roller coaster ride of unreason.
Are at least 50% of jobs in the industrialised world pointless and unnecessary? Emma McKenzie-Edwards reviews "Bullshit jobs – the rise of pointless work and what we can do about it", by David Graeber.
Andrew Papanikitas and colleagues show us that reflection on our professional lives can be as easy as child's play.
Yvette Pyne has taken a tour of the beautiful city of Paris just before Christmas. No, not the Avenue des Champs-Élysées and shopping, but refugee squats as a medic for a charity providing medical assistance to asylum seekers in France.
Why on earth would a GP read a textbook of radiology? John Launer finds wisdom for all doctors in an unexpected place.