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International

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/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
International/Opinion

War in Ukraine and health worker density

Richard Armitage investigates the impact of the war in Ukraine on the country’s health worker density.

4 July 2022
8 mins read
International/Opinion

BJGP letter: Are World Health Organization cut-off values appropriate for the diagnosis of anaemia?

Anaemia is a serious public health concern globally, yet WHO's cut-off values for Hgb were established in 1968 using predominantly White populations in Europe and North America. Is it time to update to population specific cut-offs?

30 June 2022
4 mins read
International/Opinion

Bandaging our own wounds: how do we support each other when a colleague dies by suicide?

How do we support each other when a colleague dies by suicide? A reflection by Louise Stone.

29 June 2022
6 mins read
AiT/Arts/Book review/International

The Last King of Scotland: Using a movie to explore family medicine residents’ understanding of professionalism

Movies allow health care professionals to immerse themselves in “near-true” experiences that challenge their values and principles. Beatrice Khater and Bassem Saab discuss using The Last King of Scotland in family medicine training at the American University of Beirut

29 June 2022
7 mins read
International

Medical education and war in Ukraine

The Ukrainian system of medical education is considered to be both one of the highest quality and relative affordability in the world. Richard Armitage reports how things are affected by the war in Ukraine.

27 June 2022
5 mins read
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/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
International/News

The toll of attacks on health care during conflict

As of day 70 of the Ukraine–Russia war there have been 186 attacks on health care. Drawing comparisons to Russia's involvement in the Syrian Civil War, Hareen De Silva BEM describes the devastating and long-term tolls these attacks have on civilians.

15 June 2022
9 mins read
International/Opinion

The realities of hypertension management in Ukraine

General public concern over the adequate control of blood pressure is notably high within Ukraine, possibly due to the concerning prevalence of hypertensive disease, public awareness of its associated risk factors, and successful health promotion by primary care and public health professionals.

13 June 2022
9 mins read
International/News/Opinion

Vaccine-preventable diseases and war in Ukraine

Richard Armitage discusses how the management of vaccine-preventable diseases has been affected by the conflict in Ukraine

6 June 2022
5 mins read
International/News/Opinion

War in Ukraine: exacerbating the health impacts of human trafficking

Richard Armitage discusses many Ukrainian families have been separated, meaning the vast majority of refugees are women, children, and elderly people, who are often unaccompanied. These vulnerable individuals are exposed to substantially increased risks of being affected by modern slavery, sexual and

30 May 2022
9 mins read
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
International/Opinion

A letter from Ukraine – challenges for primary care

Oleksii Korzh writes from the Kharkiv Medical Academy of Postgraduate Education, Ukraine, to describe the effect of the conflict on primary healthcare.

24 May 2022
5 mins read
International/News/Opinion

War in Ukraine: the impacts on child health

Richard Armitage reminds us that, while they play no part in geopolitical games, it is children – in particular the maintenance of their health and wellbeing – that pay one of the largest and most deeply unjust costs for the accident of

23 May 2022
12 mins read
Coronavirus/International/News/Opinion

Battlefronts in Ukraine: Russian invasion and COVID-19

Richard Armitage discusses the interaction of battlefront conditions and COVID-19 in Ukraine

16 May 2022
5 mins read
International/Opinion

Open letter to BJGP Life: A response to RCGP Chair’s ‘Just Saying’ on refugees to the UK being deported to Rwanda

In an open letter to BJGP Life, Roghieh Dehghan and members of the Medact migrant solidarity group argue that deporting refugees to Rwanda is an uncomplicated moral wrong and note the frequent silence of healthcare leadership when these wrongs are mooted by

13 May 2022
4 mins read
1
International/News/Opinion

War in Ukraine and the inverse care law: refugees, socioeconomic status, and burden of disease

Richard Armitage uses the inverse care law to discuss the health inequalities affecting Ukrainian civilians who have been unable to flee the country.

9 May 2022
9 mins read
1
International/News/Opinion

War in Ukraine: internally displaced people and primary healthcare

Richard Armitage is usually a GP in Nottingham but is currently providing primary care to internally displaced people in the east of Ukraine. He discusses issues for primary care in the region.

2 May 2022
6 mins read
1
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
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
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
International/Opinion

International community of practice

Koki Kato reflects on learning from an RCGP 'training the trainers' course in Japan, and finds a community of practice.

22 April 2022
5 mins read
Coronavirus/International/Opinion

The glories of centralisation –might smaller be more beautiful?

Peter Toon reflects on registering overseas vaccinations in the UK and asks if there are lessons for the NHS as a whole

18 March 2022
10 mins read
Coronavirus/International/Opinion

Vaccinate the world

Kath Brown argues that although Covid has exposed our long-standing domestic drivers of poor health, we simply cannot ignore global health inequalities during a global pandemic. Vaccinating the world also in all of our interests.

17 March 2022
9 mins read
Book review/International

Book Review: ‘Go, went, gone’ by Jenny Erpenbeck

Paquita De Zulueta reviews 'Go, went, gone' by Jenny Erpenbeck, a novel tackling themes of asylum and involuntary displacement

5 March 2022
7 mins read
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/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/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
Coronavirus/International/Opinion

Reflections on COVID-19 PCR and the inconvenience of international air-travel

Basem Saab and colleagues from the American University of Beirut illustrate the complexity of COVID-19 requirements and air-travel, for which patients may attend their family doctor for advice and documentation.

13 February 2022
13 mins read
International

How to deal with uncertainty in GP teaching

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.

10 December 2021
4 mins read
International

Two epidemics revisited

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.

16 November 2021
9 mins read
International

Doctor – I got it out of love and affection

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.

9 November 2021
12 mins read
International

Migrants in vulnerable circumstances: not a quick fix.

Do you feel confident in meeting the needs of Afghan asylum seekers and refugees? The issues are not new. Emily Clark and Rebecca Farrington give us some valuable guidance.

29 October 2021
8 mins read
1
International

The dilemma of civil disobedience at a time of Covid

My country was trying to cultivate the tree of democracy and freedom when on the 1 February 2021 the military coup took us back to the dark days of military rule ...

3 September 2021
6 mins read
1
International

Join or die

John Frey updates us on the state of family medicine in the US as doctors have reacted to the Covid pandemic. A lot of it sounds familiar..........

2 September 2021
8 mins read
International

Relaying financial aid to Myanmar

BJGP Life has sought to keep us all informed about the medical and humanitarian crisis following on from the coup in Myanmar. Jim Brockbank tells us about a current initiative to get financial aid to Myanmar.

13 August 2021
4 mins read
International

Separated by distance but never in heart; Covid-19 in India

For so many of us this has been a hard, even a heartbreaking time. But let us also remember the people of India, and especially our colleagues in the UK who have family there and are seeking creative ways of helping them.

27 July 2021
7 mins read
International

Director of Myanmar’s Covid vaccination programme tests positive for Covid whilst in prison

Dr Htar Htar Lin, the Director of Myanmar Immunisation Program who led Myanmar’s COVID Vaccination Campaign, has been found to be positive for COVID infection whilst in prison. This article highlights the ongoing concerns around the arbitrary arrests of our colleagues in

20 July 2021
5 mins read
1
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