Clicky

The home of general practice and family medicine

Suggestions

  • ‘Pop out’ implant removal
  • A BJGP Christmas Carol Downloads
  • About
  • BJGP Interview podcast
  • BJGP TV
  • BJGP Webinars
  • Consultas por vídeo – um guia prático (Brazil)
  • Consultas por vídeo – um guia prático (Portugal)
  • Consultations vidéo: informations pour les médecins en cabinet
  • Contribute
  • Cookie policy
  • How to opt in to get the BJGP print journal
  • Submit an article to BJGP Life
  • Submit your appreciation
  • Thank You
  • Una guía para pacientes sobre consultas por video en la práctica general
  • Videoconsulten: een praktische handleiding
  • Home
  • About
    • The BJGP journals
    • Contribute
    • How to opt in to get the BJGP print journal
    • Cookie policy
  • Opinion
    • Book reviews
    • International
    • BJGP Long Read
  • Research
  • Clinical
  • COVID-19
  • Podcast

Clinical - Page 2

Clinical/Opinion

Clinical Curiosity: an antidote to medical arrogance.

David Jeffrey argues that clinical curiosity is an essential part of a doctor’s empathy and clinical decision-making. It promotes reflective practice, critical thinking and stimulates lifelong learning.

15 November 2023
6 mins read
1
Bright Ideas and Innovation/Clinical

Fibromyalgia and chronic pain: Are we asking about (and auditing) psychological trauma or traumatic events?

Karen Nicholson highlights possible connections between psychological trauma fibromyalgia and chronic pain syndromes - and suggests an audit

5 May 2022
10 mins read
2
Clinical/International/Opinion

Providing responsive primary care for Ukrainian refugees

Aaron Poppleton, Dennis Ougrin, and Yana Maksymets give a responsive overview of the health needs of Ukrainian refugees and provide a list of useful resources for GPs

29 April 2022
9 mins read
Clinical/News/Opinion

Hormone replacement therapy – why are we running short?

Nada Khan considers how to approach HRT shortages in general practice

14 April 2022
6 mins read
2
Clinical/News/Opinion

Supporting primary healthcare in Ukrainian migrants

Nada Khan discusses practical aspects of supporting migrants from Ukraine in UK primary care.

8 April 2022
6 mins read
Clinical/Opinion

Bereavement care: a toolkit for finding connection and compassion in consultation

Drs Laura Heath and Sheena Sharma present their bereavement toolkit, designed to aid healthcare practitioners navigate this potentially difficult space by providing real-world consultation ‘tools’.

4 April 2022
16 mins read
Clinical

Vitals are vital

Ayesha Siddqui shares a clinical case to remind GPs why it is vital to heed clinical cues and check patient vital signs

19 January 2022
4 mins read
1
Clinical

Experiential learning: my one million step challenge, summer 2021

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.

17 December 2021
7 mins read
Clinical

A multifactorial approach to improve immunity

The immune-system is complex and is interconnected with the central nervous and endocrine systems. Regina Ford discusses a wide range of scientific research that looks at diet, supplements, exercise, sleep quality and stress/mental health, to give us a holistic overview of health

6 October 2021
21 mins read
Clinical

The metamorphosis of disease presentation

Making a diagnosis is like detecting the correct clues to solve a crime. But Samar Razaq reminds us that in general practice the crime scene seems to keep on changing......

17 August 2021
14 mins read
Clinical

Paediatric respiratory viral infections post COVID restrictions; Be prepared

Data suggests that the interventions put in place to control the pandemic may have reduced the childhood population’s resistance to normal endemic diseases leading to a ‘build-up of susceptibility’. Roshni Mistry and James Hibberd warn us to be prepared for a possible

5 August 2021
3 mins read
Clinical

Palliative care is increasing, but curative care is growing even faster in the last months of life.

The good news is that palliative care is reaching more people with cancer, organ failure and frailty and dementia, and is starting earlier. But Scott Murray and Jordi Amblas question why planned and emergency medical care continues to expand even more for

15 July 2021
7 mins read
Clinical

Evaluation of newborn screening for severe combined immunodeficiency

Severe combined immunodeficiency (SCID) affects approximately 14 infants a year in England. The condition is usually fatal by 12-18 months of age without bone marrow transplantation. Public Health England will be performing a two year evaluation of newborn screening for SCID in

17 June 2021
12 mins read
Clinical

Learning from death – the medical examiner system in England and Wales

The UK Government announced its intention to introduce a national system of medical examiners in England which will result in the scrutiny of all deaths not referred to the coroner. Frances Cranfield explains what we need to know.

16 June 2021
10 mins read
Clinical

The place of GP training in the wider context of population health and community orientation

From this year GP registrars will be spending two years of their training in the community. Rachel Roberts and her colleagues share their findings from a pilot scheme.

10 June 2021
6 mins read
Clinical

GPDPR vs GDPR

GPDPR is a new initiative from NHS Digital to collect data held in GP medical records, to be available to third parties for research and planning. Unlike most other projects, patients have to actively opt out if they do not want their

4 June 2021
6 mins read
1
Clinical

Safety planning: A simple and effective intervention that can save lives: “How can we work together to keep you safe?”

Most of those who die by suicide contact primary care in the year or months prior to the suicide. GPs are a trusted and valued source for help-seeking among those who are at-risk of suicide. So how can we help? Maria Michail

27 May 2021
7 mins read
2
Clinical

Childhood trauma

Most children removed from their birth family have experienced multiple traumas. Hannah Milton finds that when talking to patients about anxiety, depression, addiction, relationship problems and difficulties with their own children’s behaviour, one her most useful history taking techniques is a simple

26 May 2021
3 mins read
Clinical

Using Motivational Interviewing techniques in Primary Care

Preventing ill health requires an emphasis on the behaviours. Changing patient behaviour can take years and necessitates sustained resources. Vasumathy Sivarajasingam introduces us to the basics of motivational interviewing.

24 May 2021
8 mins read
Clinical

“The 4 W’s + 1” An easy primer for having difficult or advance care planning discussions.

Advance care planning conversations for people likely to be in the last year of life are often not easy. Charles Daniels offers us “the 4 W’s + 1” - a straightforward tool for having difficult advance care planning discussions.

27 April 2021
7 mins read
Clinical

Approach to New Patient Registration – ‘The Bonding Consultation’

Not many of us expect to be working for the NHS for 50 years. Zarmina Rayaz reports on a remarkable colleague, and tells us what what keeps him going.

22 April 2021
15 mins read
Clinical

The four research papers I wish my doctor had read before prescribing an antidepressant

The "Defeat Depression" campaign of the 1990s told us that anxiety and depression were caused by a “chemical imbalance in the brain”, and that SSRIs were safe, effective and non-addictive. We now know that virtually every part of that narrative is untrue.

20 April 2021
13 mins read
2
Clinical

Integrating palliative care as health promotion in Primary Care consultations: the exceptional potential in each primary care consultation

We cannot prevent dying, but we can certainly prevent much unnecessary suffering and overtreatment. Scott Murray shows us how we can incorporate "Anticipatory Care" into the ordinary GP consultation.

5 April 2021
7 mins read
Clinical

Tapering antidepressants: Why do tens of thousands of people turn to Facebook groups for support?

After experiencing severe antidepressant withdrawal in 2017, Edward White writes on the failure of healthcare services to recognise symptoms of, and correctly diagnose, antidepressant withdrawal, causing many to turn from primary care to antidepressant withdrawal Facebook groups.

23 March 2021
8 mins read
1
Clinical

Confronting the urinalysis tyrant

As GPs we know a lot about recurrent urinary tract infections. James Malone-Lee is Emeritus Professor of Medicine, University College London. His research suggests that most of what we think we know is wrong. Here he explains the evidence.

19 March 2021
11 mins read
5
Clinical

How we proactively identify and support our victims of domestic abuse in our practice

Vasumathy Sivarajasingam describes how we can proactively identify and support victims of domestic abuse.

11 March 2021
19 mins read
1
Clinical/Submitted

Using coaching techniques to improve the patient and clinician experience

A crash course in the methodology behind health coaching studies, covering: presense, goal definition, self-awareness, practical application, and the growth mindset. Known to benefit both the consultation process and the clinician, health coaching has the potential to improve outcomes for patient choice

8 March 2021
12 mins read
Clinical

Asking about suicide and self harm: moving beyond clinician discomfort

"I ask them - but I'm not asking them in a way that invites a 'yes'" - It can be difficult to broach the subject of self-harm or suicidal thoughts during a consultation. After altering her practice since reading Ford et al's

1 March 2021
7 mins read
1
Clinical

Non-biopsy diagnosis of coeliac disease: increased diagnosis and how dietitians can help

With the incidence rate of coeliac disease in the UK increasing four-fold between 1990 and 2011, it is essential that patients with coeliac disease continue to receive appropriate support and management during the COVID-19 pandemic. Here, Yvonne Jeanes et al. outline how

22 February 2021
10 mins read
AiT/Clinical

A different kind of ‘safety net’ for the new members of our primary care workforce

With COVID-19 forcing a shift to predominantly remote consulting, how do we ensure that physician associates are fully supported in their role in primary care? The Sheffield Physician Associate (PA) Preceptorship scheme may be one way, offering a formalised support package for

16 February 2021
9 mins read
Clinical

Diabetes: Is it time to flatten the curve?

Half of patients with elevated blood sugars, with an HbA1c greater than 42, are not clinically obese. As well as the usual measures Sarah Blake asks whether we need to pay more attention to post prandial blood sugar spikes - is it

12 February 2021
5 mins read
Clinical

Physical health checks for people with severe mental illness in England during COVID-19

People living with severe and prolonged mental illness in England die 15-20 years earlier than the general population. Richard Armitage alerts us to the fact that there has been a marked decrease in the proportion of such patients who have had a

10 February 2021
5 mins read
Clinical

Antipsychotic Medication Reviews in Primary Care – Searching for best practice.

How should antipsychotic medication be reviewed when patients no longer have access to a psychiatrist? In the UK, little guidance is available. Lisa Grünwald and her colleagues are reflecting on the issues and asking for our help.

10 February 2021
8 mins read
Clinical

Drugs for chronic pain — we still need them

Chronic primary pain is a relatively new concept. Ensuring its definition is consistent within new guidelines is key. Here, members of the National Advisory Committee for Chronic Pain provide a number of observations on the use of drugs in chronic pain management,

2 February 2021
8 mins read
4
Clinical

Safety netting – a proposed definition

Safety netting is essentrial in primary care but there is no one accepted definition. Peter Lindsay fixes this for us!

18 November 2020
6 mins read
Clinical/Research

Are we safer cycling?

We know that cycling makes for a healthier commute for all, but GPs need evidence to help them allay patient's concerns if we are to incorporate active travel into our standard health promotion toolkit. Bethan Jones gives us the evidence.

19 October 2020
7 mins read
Clinical/Opinion

Everybody Hurts Sometimes

30 years ago we were told we were not treating pain adequately. There was a push to give people more analgesia. So, armed with our opioids and gabapentinoids we went and we medicated. But peoples' pain got worse. Katie Barnett examines what

9 October 2020
8 mins read
Clinical/Coronavirus/Research

End-of-life care during COVID-19: The central role of primary care must not be overlooked

It has been well reported that those in the community and end-of-life care have been hardest hit by the COVID-19 pandemic, but little attention has been given to GPs and district nurses working in end-of-life care and the positive stories they have

6 October 2020
6 mins read
Clinical

Lessons in Adversity

Doctors are not strangers to adversity, both in the lives of our patients and sometimes in our own. Judith Dawson examins two inspirational accounts to tell us how we can practically help.

1 October 2020
6 mins read
Bright Ideas and Innovation/Clinical

How I use drawing and creative processes within the GP consultation

Holly Quinton describes the use of metaphor and drawing in consultations to improve understanding, compliance and rapport. This can help the GP to explain medical terms to a patient, but it can also help the doctor to understand the patient's experience.

30 September 2020
5 mins read
1
Clinical

Green Fingers, Pink Puffers? A speculative view on hypersensitivity pneumonitis and domestic garden waste

Hypersensitivity pneumonitis is a form of interstitial lung disease caused by the repeated exposure and immune sensitisation to organic dusts and certain industrial agents. The circumstances of lockdown may increase the exposure of the public — and waste management workers in particular

21 July 2020
8 mins read
Previous 1 2 3 4 Next
  • Facebook
  • Twitter
  • YouTube
  • Spotify
  • RSS
  • Home
  • Email

© 2022 - ALL RIGHTS RESERVED.

  • About
  • Contribute
  • Podcast
  • BJGP.org
  • Cookie policy
  • Home
  • About
    • The BJGP journals
    • Contribute
    • How to opt in to get the BJGP print journal
    • Cookie policy
  • Opinion
    • Book reviews
    • International
    • BJGP Long Read
  • Research
  • Clinical
  • COVID-19
  • Podcast
We use cookies on our website to give you the most relevant experience by remembering your preferences and repeat visits. Click on 'Accept' to consent to the use of ALL the cookies. Click on 'Cookie Settings' to adjust cookie permissions. Read More
Do not sell my personal information.
Cookie SettingsAccept
Manage consent

Privacy Overview

This website uses cookies to improve your experience while you navigate through the website. Out of these, the cookies that are categorized as necessary are stored on your browser as they are essential for the working of basic functionalities of the website. We also use third-party cookies that help us analyze and understand how you use this website. These cookies will be stored in your browser only with your consent. You also have the option to opt-out of these cookies. But opting out of some of these cookies may affect your browsing experience.
Necessary
Always Enabled
Necessary cookies are absolutely essential for the website to function properly. These cookies ensure basic functionalities and security features of the website, anonymously.
CookieDurationDescription
cookielawinfo-checkbox-analytics11 monthsThis cookie is set by GDPR Cookie Consent plugin. The cookie is used to store the user consent for the cookies in the category "Analytics".
cookielawinfo-checkbox-functional11 monthsThe cookie is set by GDPR cookie consent to record the user consent for the cookies in the category "Functional".
cookielawinfo-checkbox-necessary11 monthsThis cookie is set by GDPR Cookie Consent plugin. The cookies is used to store the user consent for the cookies in the category "Necessary".
cookielawinfo-checkbox-others11 monthsThis cookie is set by GDPR Cookie Consent plugin. The cookie is used to store the user consent for the cookies in the category "Other.
cookielawinfo-checkbox-performance11 monthsThis cookie is set by GDPR Cookie Consent plugin. The cookie is used to store the user consent for the cookies in the category "Performance".
viewed_cookie_policy11 monthsThe cookie is set by the GDPR Cookie Consent plugin and is used to store whether or not user has consented to the use of cookies. It does not store any personal data.
Functional
Functional cookies help to perform certain functionalities like sharing the content of the website on social media platforms, collect feedbacks, and other third-party features.
Performance
Performance cookies are used to understand and analyze the key performance indexes of the website which helps in delivering a better user experience for the visitors.
Analytics
Analytical cookies are used to understand how visitors interact with the website. These cookies help provide information on metrics the number of visitors, bounce rate, traffic source, etc.
Advertisement
Advertisement cookies are used to provide visitors with relevant ads and marketing campaigns. These cookies track visitors across websites and collect information to provide customized ads.
Others
Other uncategorized cookies are those that are being analyzed and have not been classified into a category as yet.
SAVE & ACCEPT
Skip to toolbar
  • About WordPress
    • WordPress.org
    • Documentation
    • Learn WordPress
    • Support
    • Feedback