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Bright Ideas and Innovation - Page 2

Bright Ideas and Innovation/Opinion

Prompt injection attacks: an inherent vulnerability of healthcare AI agents

Richard Armitage worries that a successful attack on an AI agent in general practice could expose entire practice databases of highly sensitive information.

8 July 2025
6 mins read
BJGP Long Read/Bright Ideas and Innovation/Opinion

How LLMs will transform general practice

Richard Armitage predicts how AI can transform clinician-patient consultation.

22 January 2024
17 mins read
BJGP Long Read/Bright Ideas and Innovation/Opinion

Generative AI in medical writing: co-author or tool?

The Lancet declares that “generative AI is not an author”, and dictates that “these tools should only be used to improve language and readability”. But are these statements – the first a factual claim, the second a normative assertion – entirely true?

8 January 2024
11 mins read
Bright Ideas and Innovation/Clinical

Yonder: Wait and see, identity loss, data failures, and patient organisations (December 2023)

Ahmed Rashid curates a selection of useful and interesting papers. This month: Wait and see, identity loss, data failures, and patient organisations.

30 November 2023
5 mins read
BJGP Long Read/Bright Ideas and Innovation/Opinion

Do GPs benefit from having mental health practitioners as part of the practice?

Peter McNelly is a mental health nurse and David Fowler is a practice manger in Northern Ireland. They argue that mental health practitioners can be a valuable addition to the multidisciplinary team, if sensibly recruited and deployed.

17 November 2023
11 mins read
Bright Ideas and Innovation/Coronavirus/Stories

Coaching conversations at end of life

Naomi Craft and Sue Morrison trained in end of life coaching in 2015, delivering workshops between 2016 and 2020 exploring loss, mortality, and the self in both personal and healthcare contexts. Here, they describe the effect of the COVID-19 pandemic on the

16 November 2023
10 mins read
Bright Ideas and Innovation

Introducing Claude and the Good Medical Practice updates

Richard Armitage tasked Claude-2 (an AI chatbot) with summarising the updates in the General Medical Council's Good Medical Practice 2024. Within 10 seconds Claude had provided a concise, extensive, and reliable summary ...

13 November 2023
8 mins read
Bright Ideas and Innovation/Research

Three AIs sit the GP SelfTest

Richard Armitage pits three AIs against each other to see which performs the best when subjected to MRCGP-style examination questions ...

6 November 2023
10 mins read
Bright Ideas and Innovation/Clinical

Yonder: Ethnic minority maternity experiences, colorectal resection, foreign medical aid and weight stigma

Ahmed Rashid explores: Ethnic minority maternity experiences, colorectal resection, foreign medical aid, weight stigma and the lives of billionaires

25 October 2023
5 mins read
BJGP Long Read/Bright Ideas and Innovation/Undergraduate

Can nature prescriptions work for the most marginalised in society?

As a GP and medical student... we wanted to see whether patients experience experiencing homelessness could also reap the benefits of nature prescriptions.

16 October 2023
9 mins read
Bright Ideas and Innovation/Opinion/Research

Yonder: a diverse selection of primary care relevant research stories from beyond the mainstream biomedical literature (October 2023)

Pregnancy for deaf women, prison mental healthcare, sexual health non-attendance, and compassion

28 September 2023
5 mins read
BJGP Long Read/Bright Ideas and Innovation/Opinion

ChatGPT prepares for the AKT, and does rather well

"I firstly prompted GPT-4 to “Answer the following as if you were a GP trainee in the UK.” I then asked [it] each of the 45 text-only questions ...from the RCGP AKT practice paper"

7 August 2023
12 mins read
2
Bright Ideas and Innovation/Opinion

Lazarus: working together to re-claim general practice

'More of the same won’t fix general practice.' So, what should we be doing differently? The Lazarus project is designed to take GPs out of ‘usual care’ to a different space for professional practice ...

12 July 2023
8 mins read
BJGP Long Read/Book review/Bright Ideas and Innovation

“More of the same won’t fix general practice”

Professor Joanne Reeve applies a new book on Mindlines and finds hope for UK primary healthcare

17 June 2023
7 mins read
1
BJGP Long Read/Bright Ideas and Innovation

All things bright and beautiful …

"Morale in general practice has never been lower, and I can say that having been a GP for 37 years. In all this adversity and negative press, the care has carried on regardless, even allowing pockets of brilliance to shine through. We

28 May 2023
23 mins read
AiT/Bright Ideas and Innovation/Opinion

Is it me or GP? Notes for a profession in difficulty

The people factors are the strongly positive aspects of the job. But the logistical working conditions must improve for the future of the specialty to be sustainable. Five academic clinical fellows itemise the issues and set out a manifesto for change.

17 May 2023
9 mins read
1
Bright Ideas and Innovation/Opinion

ChatGPT: a threat to medical education?

ChatGPT threatens to significantly harm the educational attainment, as well as the intellectual life, of students of medicine and the subjects that compliment it.  This poses a serious threat to the ability of such students to deliver safe and effective care once

11 May 2023
9 mins read
2
BJGP Long Read/Bright Ideas and Innovation

Going Greener! The story of our success

Vasumathy Sivarajasingam showcases how GP practices in Ealing (NW London) worked towards ‘greener practice’ and sustainable healthcare.

10 May 2023
8 mins read
1
BJGP Long Read/Bright Ideas and Innovation

Interviewing Hippocrates: a conversation with the father of Western medicine

Richard Armitage uses ChatGPT to interview an AI simulation of the 'Father of Western Medicine.'

4 May 2023
19 mins read
3
BJGP Long Read/Bright Ideas and Innovation

The ripple effect of triple E: Expectations, Explanations and Empathy

Rabia Aftab advocates that exercising these three Es (Expectations, explanation and empathy) in our consultations offers a path to better satisfaction for GP and patient alike.

26 April 2023
9 mins read
Bright Ideas and Innovation/Opinion/Stories

Clinical psychologists as GPs for mental health?

Are GP practices equipped to respond to the current mental health crisis? Here, Jonathan Coates and Nick Hartley reflect on a recent pilot of the role of GP clinical psychologists in primary care - "an experienced, senior clinician independently handling undifferentiated presentations

16 March 2023
6 mins read
Bright Ideas and Innovation/International/Opinion

Ten things I wish I had known about academic primary care

As the latest cohort in the Oxford International Primary Care Research Leadership Programme, we present the ‘10 things we wish we had known’ for anyone considering a career in academic primary care.

1 February 2023
10 mins read
Bright Ideas and Innovation/Opinion

Being bothered about Billy’s oral health

It is well known that the life expectancy of people with severe mental illness (SMI) is reduced by 15–20 years compared to the general population, but what is less well known is that people with SMI also experience serious inequalities in oral

25 January 2023
8 mins read
Bright Ideas and Innovation/Opinion

How to be a triple bottom line (TBL) general practice – working for profit, the people, and the planet

For 30 years advocates1 for social justice and the environment (have called for full cost accounting with a triple bottom line2 where all the consequences of a business are made transparent. These are its social, environmental and economic impacts and outcomes.

1 January 2023
7 mins read
BJGP Long Read/Bright Ideas and Innovation

Could the properties of metals and animal peptides be harnessed to reduce infection and antimicrobial resistance?

Antimicrobial resistance is developing rapidly and threatens to outstrip the rate at which new anti-infective agents are introduced. There are now, however, more than 250 antibacterial compounds isolated from natural sources. Here, Simran Patel and colleagues examine some of the leading contenders.

7 December 2022
17 mins read
Bright Ideas and Innovation/Undergraduate

Goldilocks Medicine: Reforming the management of chronic illnesses within primary care.

To help patients to live well with long-term conditions, Megan Coverdale proposes that there are 3 levels of change that must be targeted within primary care to collectively reform the management of chronic illness

2 December 2022
10 mins read
Photo of two phones on a desk. One with Mastodon front page on screen and the other with a blurred social media feed.
Bright Ideas and Innovation/Opinion

Mastodon for GPs: embrace the features and the future

The editor, Euan Lawson, discusses Mastodon, the new elephant in the social media room.

30 November 2022
11 mins read
2
BJGP Long Read/Bright Ideas and Innovation

Reflections of implementing social prescription community groups

Social prescribing: Fiaz A Hussain and Feryad A Hussain present the experiences of a group facilitator with extensive experience of running community groups, offering patient feedback, highlighting the challenges of implementation at the coalface, and offering a number of considerations for GPs

23 November 2022
25 mins read
Bright Ideas and Innovation

The cliff and the bog

You need to keep going, but stray too far to the left and you’ll be over the cliff edge before you know it; go too far to the right and you’ll be bogged down, and who knows what state you’ll be in

11 November 2022
9 mins read
1
Bright Ideas and Innovation/Opinion

How GPs can collaborate with charitable organisations to help trans people in the community

Trans people face multiple barriers to health care from various healthcare providers. Here, Kamilla Kamaruddin describes how working with charities can improve services and residence workload.

21 October 2022
12 mins read
Bright Ideas and Innovation

Environmentally friendly inhalers: issues for the general practice consultation

Medicines make up 25% of the NHS’ carbon footprint, with some metered-dose inhalers (MDIs) being 3320 times more powerful than CO2. How then can primary care help to reduce emissions caused by inhalers? Joshua Parker explores some options, such as reducing reliability

1 September 2022
14 mins read
Bright Ideas and Innovation

Frome’s contribution to wellbeing, biodiversity and closing the loop

The Staff Wellbeing Garden at Frome Medical Practice shows the value of local green spaces, enriching the local biodiversity while providing a relaxing environment for both staff and patients. Here, Charlotte Carson, Green Health Connector, describes recent developments to the garden, including

30 August 2022
6 mins read
BJGP Long Read/Bright Ideas and Innovation/Opinion

Finding meaning, locating hope

What Rupal Shah & colleagues are proposing is not whimsical or theoretical. We need to address the broader context or practice so that connection, meaning & values can flourish. The next generation of GPs needs to be inspired & adequately resourced to

23 August 2022
13 mins read
Bright Ideas and Innovation/Opinion

Bridging the child health gap between primary and secondary care

Lisa Broom, Frances Dutton (GPs), and Chris Bird (Paediatric A&E Consultant) reflect on a fellowship that allowed both GPs to have one foot in Birmingham Children's Hospital's busy emergency department and the other in primary care in the city, with time to

10 August 2022
6 mins read
Arts/Bright Ideas and Innovation

Found poetry: a creative approach to illuminate the findings of qualitative research

Found poetry is created by taking words and phrases from other sources and reframing them - the literary equivalent of a collage. Jessica Watson and Fiona Hamilton demonstrate how the approach can be applied to qualitative research to capture and share experiences

30 July 2022
7 mins read
Bright Ideas and Innovation/Opinion

Medical Semantics – What’s in a word?

One of medicine’s great strengths is the precise use of language it employs to describe what and where it is diagnosing the issue in hand. This, of course, would be fine if we only spoke amongst ourselves in a professional capacity.

29 July 2022
7 mins read
Bright Ideas and Innovation/International/Opinion

The levels of generalist practice

There are three levels of general practice: generalist practice approach, general generalist practice and expert generalist practice. Koki Kato explains how they can help GPs explain what they do.

23 July 2022
4 mins read
2
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
Bright Ideas and Innovation

Learning to live with cognitive bias

You are probably familiar with the idea of cognitive bias: a trick of the mind that stops you seeing what’s in front of you or thinking clearly, something that’s a recognised cause of diagnostic error. Ben Hoban introduces the psychological menagerie...

23 June 2022
6 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
Bright Ideas and Innovation/Coronavirus/Opinion

COVID-19, appointment systems and workload in general practice – Answers wanted!

Jeremy W Tankel discusses how previously successful approaches to telephone and in person GP consultations are proving problematic in the COVID-19 era - what's the answer?

20 May 2022
7 mins read
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