'Knowledge work' is the work that clinicians do to find, create, and use knowledge in everyday clinical practice. Annabelle Machin and her colleagues explain the role of the WISDOM project.
Krishnakant Buch's GP exploded a telephonic bomb shell: ‘You have type 2 diabetes'. Here he tells us what he did about it, and how he conquered the Diabetes UK, one million step challenge.
Hannah Milton reviews "What Happened to You?" by Bruce D. Perry and Oprah Winfrey. The The book seeks to shift conversations away from “what is wrong with you?” to “what happened to you?”
Are we now facing increasing discrimination and prejudice against the elderly? Madge McClary speaks out for a generation.
Dr Iona Heath talks about the GP crisis and offers a rewilding approach for the future direction of general practice.
Generally speaking, we like to consider medical practice as a matter of hard science rather than opinion. Bhupinder Goraya also invites us to treat disagreement with kindness.
Increasing money and training to refuel our weakening and unstable NHS healthcare workforce may be necessary, but it is certainly not sufficient. David Zigmond tells us why.
Medicine is the discipline of uncertainty, and this is true of GP training. Koki Kato suggests managing these uncertainties in the same way that we do in consultations.
The Financial Times appears to suggest that family doctors may no longer be needed. Nick Berry probes the realities behind the headline.
It is 50 years since The Lancet published Julian Tudor Hart’s seminal paper describing the inverse care law. Stewart Mercer and colleagues report on the Scottish Deep End Group's half day online conference.
Dr Jordan Moxey and Dr Carol Sinnott come on the podcast to tell us about research that directly observed what consumes GPs’ time and what disrupts their ability to complete tasks.
The last 2 years have demonstrated that disease and mortality does discriminate by postcode, but some argue the ‘inverse care law’ is an ideological stance rather than a medical issue. Daniel Butler and Nigel Hart add to the debate over the question
This week is National Grief Awareness Week. Daniel Knights and Catherine Millington-Sanders signpost some useful resources, to help us to support bereaved patients.
GPs have important roles of backstop and referral, and continuity of care for patients with long-covid. Nicola Spiers reviews the current evidence.
Have you ever looked at a cloud and seen the likeness of a cartoon character? This phenomenon is known as pareidolia. Laura Amarin and Camille Gajria tell us about pareidolia in medicine.
GPs are often the first and last healthcare contact for those who die by suicide. Maria Michail shares news of an excellent resource to support both GPs and their patients.
Dr Claire Friedemann Smith talks about the patient perspective on GPs who use gut feelings to help facilitate diagnosis.
How many times a day are we hearing the ‘R’ word in our lives? The request of healthcare staff to be r*******t at a time when primary care is assaulted daily by the British media and those in power is an insult.
Being able to connect to others, to find joy and meaning in a common purpose, is not an added extra but is the very stuff of human life. But what of the effects of the Covid pandemic? Johanna Reilly discusses her concerns.
If only there were interventions that reduce morbidity and frailty in the elderly! Helen Burn reminds us that there already are: exercise and social interaction.
Hannah Milton shares her experience of compassion fatigue following being both a mum and a GP at the same time. She shares how she not only recovered, but how her recovery has left her now better able to empathise with patients.
We value patient autonomy, but how free are we, how free are our patients? Will Mackintosh considers how constraints on freedom contribute to health inequalities.
The climate and ecological emergency is nothing less than the biggest challenge humanity has ever faced. With the meat industry being the world's largest producer of greenhouse gases could the best option to save our planet be the mass transition to a
The intense pressure GPs are constantly facing can at times feel like a landslide ready to take us under. Awais Ahmad reviews "The Doctor Will See You Now", which lifts the lid on it all.
The pandemic has given us all a taste of what socially isolated and lonely patients must experience year-in-year-out. Paul Beaney and Ruth Chambers describe a pilot project to see if Alexa Echo Show smart speakers could provide companionship for the lonely.
Giles Hazan reflects on his experience of high dose opiates following surgery.
The development of multi-disciplinary teams working as part of the primary care team alongside GPs in Northern Ireland is both new and untested anywhere else in the UK. Peter McNelly tells us about Northern Ireland's experience.
Professor Helen Snooks tells us about a study exploring why a risk prediction tool (PRISM) in general practice actually increased emergency and hospital admissions and we discuss the importance of evaluating interventions before they are introduced as policy.
Why does France seem to be so much better at protecting its population than the UK? Peter Toon reflects on his experience, and advises the Government to put some cheese as well as eggs in its basket.
Could the mistreatment of women by men be linked to how these men behaved towards other boys when they were youngsters themselves? Arthur Kaufman, a clinical psychologist, considers this hypothesis.
Rebecca Mawson reviews Unwell Women by Elinor Cleghorn. Her verdict - it is worth a read for anyone who lives as a woman, lives with a woman, or lives a life where they look after women!
Hybrid conferences offer a reduction in environmental impact, allow those who cannot attend in person to attend virtually, and look more likely to be the dominant form of future conferences worldwide. Fraser Birrell, Terry Kemple, and Rob J Lawson review the effectiveness
Cutting the doctor out of the diagnostic loop is often not such a good idea. Chris Ellis reminds us of some basic truths......
Dr Lucy Martin tells us about her research into mid-career resilience. Resilience is often discussed and, as a concept, it is not generally well understood but with GPs under severe pressure it is now more important than ever for us to explore
What can a doctor offer to a patient who has lost three first degree relatives within three weeks? Sajitha Rahman reflects on the role of doctor as witness, in the midst of grief.
Amar Rughani reflects on the opportunities offered by retirement. A lifetime of service to the community has shaped who we are, so this is an opportunity to embrace that. The life to come could be the best yet.
Case presentations based on a problem-oriented system can function as a medium through which medical students gain a disease-focused viewpoint. Koki Kato and Junichiro Miyachi suggest that to change our viewpoint we should change our language.
Whilst COP26 storms above our heads, all we can do is buy electric and put out the recycling - right? No! Shireen Kassam and Laura Freeman give us compelling evidence of a win-win for ourselves and the planet.
Zakariya Goga reminds us that our legacy, wherever we work is woven in the fabric of our community and will be palpable for generations to come. So do not validate yourself by external references. Validate yourself from within.
Dr Patrick Highton talks us through a RCT that promoted physical activity in people with multimorbidity. Unfortunately, no benefit was seen and we discuss the challenges of trials and future avenues to explore.