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BJGP Long Read - Page 4

BJGP Long Read/Opinion

The promise of shared leadership in primary care

With the potential dismantling of the GP partnership model and the drive for a multiprofessional workforce in primary care, is this the right time to look at shared leadership as a facilitator of positive change?

27 September 2023
16 mins read
BJGP Long Read/Clinical

Supporting the ‘Multi’ in Multi-agency working for child safeguarding

Sharon Dixon and colleagues contend that a deeper understanding of safeguarding practices (and how these look and feel on the front-line of multi-agency encounters) is needed if future child safeguarding tragedies are to be avoided.

27 July 2022
16 mins read
1
BJGP Long Read/Opinion

What makes a public health problem?

How and why do we define something as a public health problem? Richard Armitage reflects on the complexities.

25 July 2022
14 mins read
BJGP Long Read/International/Opinion

War in Ukraine and moral distress: experiences of a British GP

Healthcare professionals deploying to and practicing in conflicts and catastrophes can experience a plethora of negative emotions due to perceived or actual transgressions of their core ethical principles. In his final Ukraine report, Richard Armitage gives a powerful personal reflection.

11 July 2022
14 mins read
2
BJGP Long Read/Clinical/Undergraduate

To what extent is a total diet replacement programme effective in sustained weight loss and remission in people with Type 2 diabetes?

TDR programmes consist of a low calorie (around 800 kcal/day) formula diet alongside a stepped food reintroduction as well as regular behavioural support. Yusuf Ben-Tarifite examines the evidence for TDR in Type 2 Diabetes Mellitus.

8 July 2022
20 mins read
BJGP Long Read/Bright Ideas and Innovation

General practitioners as ‘eco-warriors’

Although the GPs may well be aware that the ‘climate emergency’ is also a ‘health emergency, many of us do not make the connection with clinical practice when it comes to taking action. We often fail to realise that the majority of

1 July 2022
12 mins read
1
BJGP Long Read/Opinion/Random

The problem with order

Bhupinder Goraya muses on the concepts of order and randomness in relation to health and primary healthcare. We’ve worked 'bloody hard' to make a random mechanical universe work, in doing so we have ordered our leisure.

30 June 2022
17 mins read
BJGP Long Read/News/Opinion

Where I end and you begin: Additional roles in British general practice

Nada Khan explores the roles of and our perceptions about primary care multidiciplinary teams, in light of the recent BBC Panorama investigation

28 June 2022
10 mins read
1
BJGP Long Read/International

War and antimicrobial resistance: coexisting threats in Ukraine

Antimicrobial resistance (AMR) is a significant and well-recognised threat to human health in Ukraine. Richard Armitage discusses how this is further complicated by the war.

27 June 2022
5 mins read
BJGP Long Read

A short history of general practice: The changing gaze

Over forty years ago, Nicholas Jewson coined the term ‘medical cosmology’ as shorthand for the prevailing theories and practices that defined the nature of medical discourse at that time. Stephen Gillam examines the changing gaze of British GPs in this final part

25 June 2022
21 mins read
4
BJGP Long Read/Opinion

Abuse against healthcare staff: what’s happening, so what and what now?

General practices and staff have been facing violent behaviour or aggression from members of the public -a global phenomenon now an UK issue. Vasumathy Sivarajasingam asks, what's happening, so what, and what now?

24 June 2022
11 mins read
BJGP Long Read/International

Palliative care needs and war in Ukraine

For as long as the war in Ukraine continues, the country’s existing substantial unmet need for palliative care and pain relief will increasingly intensify, and ever greater numbers of people with life-limiting conditions will experience intolerable yet preventable suffering at the most

20 June 2022
9 mins read
BJGP Long Read

A short history of general practice: Consumerist medicine

By the 1980s, general practice was a self-confident discipline with a burgeoning research base and enviable training standards able to attract those from the highest rungs of Moran’s infamous career ladder. Yet all was not well. Stephen Gillam's biography of the profession considers

18 June 2022
20 mins read
4
BJGP Long Read

A short history of general practice: Servants of the state

There is a tendency to assume that the National Health Service Act was the culmination of a single clear idea, realized in a glorious post-war dawn; the reality was messier. There was growing consensus in the years leading up to the Second

11 June 2022
20 mins read
4
BJGP Long Read

A short history of general practice: The coming of family practice

Many doctors in the early nineteenth century felt they were held in low regard by a public happy to employ the practitioner charging the lowest fee. Status came to rest on acquired standards of behaviour rather than superior knowledge. Part two of

4 June 2022
18 mins read
5
BJGP Long Read

A short history of general practice: Professional roots

The commonest misconception is that general practice, the ‘jewel in its crown’, is largely a product of the NHS. This short series of articles hopes to inform, stimulate and provoke. Stephen Gillam starts with the journey from apothecary to general practitioner.

28 May 2022
16 mins read
5
BJGP Long Read/International/Opinion

Abortion in Northern Ireland: could conscientious objection impact patient care?

Richard Armitage asks if the prevalence of conscientious objection among clinicians could compromise the provision of abortion services in Northern Ireland.

27 May 2022
7 mins read
BJGP Long Read/Book review

Against the grain: a celebration of general practice

Roger Jones reviews 'A fortunate woman' by Polly Morland. At a very difficult time for general practice and for the medical profession as a whole, this book comes as a most welcome affirmation of the central importance of a respectful, reciprocal relationship

22 May 2022
11 mins read
BJGP Long Read/Book review/Bright Ideas and Innovation

Why it’s so hard to be a good global citizen in the 21st century: A review of Doughnut Economics by Kate Raworth

Ivy Mitchell and Andrew Papanikitas review Doughnut Economics - an attempt to rewire economic thinking to take account of both social deprivation and environmental sustainability.

21 May 2022
9 mins read
BJGP Long Read/International/Opinion

Continuity and the tension between patient-safety and person-centredness

Koki Kato reflects on the tension between patient safety and patient centered-ness with a hypothetical case that will be familiar to many. Does it have to be one or the other?

1 May 2022
8 mins read
BJGP Long Read/International

Primary care in Ukraine – an international fellowship perspective

Orest Mulka and Philip Evans discuss the development of general practice in Ukraine and the role of international collaboration in the development of primary care

25 April 2022
8 mins read
1
BJGP Long Read/Coronavirus/Opinion

Recognising the value of a bunch of tulips in general practice

Emma Ladds reflects on being 'at home' as a GP, in response to a bunch of tulips and an article in a national newspaper

23 April 2022
14 mins read
BJGP Long Read/Opinion

Reflections and reminiscences

Madge McClary remembers how things were at the beginning of the NHS and reflects on how they are now... especially automated phone systems...

16 April 2022
18 mins read
BJGP Long Read/Opinion/Stories

A visit to the dentist…

For Arthur Kaufman, a visit to the dentist inspired a literary journey in creative writing. Could you be inspired to do better?

10 April 2022
8 mins read
BJGP Long Read/Opinion

What does the future hold for the relationship between a patient and their GP in the UK? (Kieran Sweeney Prize runner-up)

Giles Dawnay considers practitioner, patient, culture and politics in his reflections on the present and relationship between GP and patient

31 March 2022
21 mins read
BJGP Long Read/Opinion

Therapeutic relating across the colour lines

Narinder Bansal and colleagues argue that clinicians should be sensitive to how experiences of poor listening and relating can replicate and trigger wider experiences of marginalisation.

28 March 2022
9 mins read
BJGP Long Read/Opinion

The stoic GP

Stoic philosophy was based on the recognition that we cannot escape what is destined for us. An acceptance of inevitability has a number of implications for working as a GP. Austin O'Carroll wrestles with fate.

26 March 2022
12 mins read
BJGP Long Read/Opinion

Random acts of joy — Fingernails

'Perhaps a psychoanalyst would coax out of me that growing my nails is an act of quiet liberation; I can decide how long I want my nails to be, I can decide what I want to next choose for myself. taking control

12 March 2022
9 mins read
BJGP Long Read/Opinion

Ethics and toxic high-workload work environments

Martin Hewett argues that because of their understanding of their “duty of care”, doctors make micro-adjustments to their behaviours and work practices to cope with the increased work. This acceptance of the increased workload has two main effects: it sets a new

10 March 2022
15 mins read
3
BJGP Long Read/Opinion

Southgate’s Sign

When you are with a patient and you get a sinking feeling in the pit of your stomach, accompanied by a wish that you were somewhere else, then you are probably facing an ethical problem, writes Peter Toon

9 March 2022
8 mins read
BJGP Long Read

Women at the heart of general practice: the curator’s view

Briony Hudson gives a curator's view of the RCGP 'Women at the heart of General Practice' exhibition, now open online and in person at 30 Euston Square

7 March 2022
15 mins read
BJGP Long Read/Opinion

Breaking the silence around ‘the menopause’

Vasumathy Sivarajasingam argues that we need to talk about, and manage, the menopause much better, and reminds us about key aspects that make a huge difference to women's health

6 March 2022
8 mins read
2
BJGP Long Read/Bright Ideas and Innovation/Coronavirus/International

“Tell me about that colleague”: Long Covid, narrative medicine, and a remarkable conversation

Maria Victoria Bovo and John Launer give an account of a remarkable conversation they had in December 2021 during an online workshop in narrative medicine, about Long-COVID and a colleague.

28 February 2022
15 mins read
1
BJGP Long Read/Bright Ideas and Innovation

Primary care staff at the ‘Deep end’: Experiences from Lincolnshire’s East Coast

In November 2021 the First Coastal Primary Care Network (FCPCN) hosted an event to understand 'Deep End' practice. This short article intends to inform readers as well as providing a record of the day’s events.

24 February 2022
14 mins read
BJGP Long Read/International

How can we understand illness? Phenomenology and the pillar of person-centred care

Koki Kato introduces us to phenomenology as an approach to understanding patient-centred care, using his own illness-experience as a worked example.

19 February 2022
15 mins read
1
BJGP Long Read/Opinion

Physician-assisted dying and why general practitioners all need to take a view

Helen Burn explains that because legalised physician-assisted dying would likely involve GPs, GPs should think about their views on the issue.

17 February 2022
10 mins read
1
BJGP Long Read/International/Opinion

Moral distress and euthanasia: what, if anything, can doctors learn from vets?

Felicitas Selter, Kirsten Persson, and Gerald Neitzke discuss the similarities and differences in animal and human euthanasia as a source of moral distress for the practitioner.

16 February 2022
13 mins read
1
BJGP Long Read/Opinion

A note on the ethics of the ordinary in primary healthcare

Andrew Papanikitas, Peter Toon, Paquita De Zulueta, David Misselbrook and John Spicer launch the Ethics of the Ordinary column and reflect on the field of primary care ethics and its relevance

14 February 2022
11 mins read
BJGP Long Read

Children forsaken: A brief introduction to the history of child abuse

Steven Walker gives a sobering introduction the history of child abuse

9 February 2022
7 mins read
1
BJGP Long Read/Coronavirus/Opinion

Our children are sitting ducks *Corrected Article with FullFact link*

Louise Hyde argues that we could be doing a lot more to protect children from COVID in the UK

3 February 2022
9 mins read
15
BJGP Long Read/Bright Ideas and Innovation

How to start a medical YouTube channel

Michael Poplawski shares five hot tips for starting a medical YouTube channel

29 January 2022
19 mins read
2
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