BJGP Life – Page 9

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

6 mins read

Podcast·Videos

Episode 187: What’s behind decisions to do a diagnostic test in a child in general practice? Lessons from the Netherlands

In this episode, we discuss GP perspectives on diagnostic testing in children.

29 October 2024

1 min read

Bright Ideas and Innovation

Confusion between avoidant restrictive food intake disorder, restricted intake self-harm, and anorexia nervosa: developing a primary care decision tree

Clare Ellison and Ursula Philpot introduce The Children and Young Peoples Eating Disorder Decision Tree tool, which aims to assist time-poor clinicians with patients presenting with restricted oral intake, crucially differentiating between patients with body dysmorphia and those without.

28 October 2024

3 mins read

Book review·Opinion

Coping with Psychosis and Schizophrenia: Family Stories of Hope and Recovery

“Language is so important – and this is a thread throughout the book. Philippa describes the relief of her son being given a diagnosis of schizophrenia – this highlights what we all understand – that a label or diagnosis can be so

26 October 2024

2 mins read

BJGP Long Read·Opinion

High dose prescribing of oestrogen in the menopause and the BBC Panorama spotlight

there is a lot of conflicting information about menopause, its treatments, and how GPs will or won’t support women through this stage. With menopause ‘influencers’ and messaging from some specialists inconsistent with guidelines, sifting through the different options and safety profiles can

25 October 2024

6 mins read

BJGP Long Read·Opinion

Narrative and Numbers

We walk a tightrope in medicine, balancing every day the unique and complex needs of individual patients with the standardised requirements of the rule-book that governs their care. There is danger in tipping too far in either direction. Ben Hoban makes us

24 October 2024

4 mins read

1

Opinion

What you see is what you get? What are the limits of scientific medical observation? A critical realist view

We must accept that medical knowledge is progressing, and science is still discovering, and therefore our knowledge is incomplete at any given moment. So how are we best to understand the relationship between empirical medical science and what remains to be known,

23 October 2024

5 mins read

2

Podcast·Videos

Episode 186: Why current clinical scoring systems don’t work when assessing acutely ill children in general practice

In this episode, we talk about the use of clinical scoring systems in general practice.

22 October 2024

1 min read

Bright Ideas and Innovation·Research

Multisensory research outputs: lessons from a community project

GPs across the country will be no strangers to the impact of the cost-of-living crisis on health. In areas of deprivation already suffering from health inequalities, we wanted to understand the additional burden from the recent cost-of-living crisis and how this affected

21 October 2024

2 mins read

BJGP Long Read

Beyond critique: searching for ways to encourage a healthy fighting culture in oncology

Should we be talking and thinking about ‘fighting’ cancer? An answer may lie in distinguishing a ‘healthy’ fighting culture …

19 October 2024

11 mins read

BJGP Long Read·Opinion

The ‘Nanny state’ – a fine balance of public pressures and free will

The concept of ‘choice’ and how people are exposed to risk factors for illness is not as simple as those crying, 'Nanny state!' would suggest.' Nada Khan gives food for thought...

18 October 2024

7 mins read

BJGP Long Read·Clinical·Opinion

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

Submitted

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

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