Whilst medicine exists as social science on a socio-political level, it also has deep roots in interpersonal relationships. Medicine as social science is public and political, but it is personal too. In general practice this is widely understood and must not be
The development of multi-disciplinary teams working as part of the primary care team alongside GPs in Northern Ireland is both new and untested anywhere else in the UK. Peter McNelly tells us about Northern Ireland's experience.
Cutting the doctor out of the diagnostic loop is often not such a good idea. Chris Ellis reminds us of some basic truths......
Case presentations based on a problem-oriented system can function as a medium through which medical students gain a disease-focused viewpoint. Koki Kato and Junichiro Miyachi suggest that to change our viewpoint we should change our language.
Whilst COP26 storms above our heads, all we can do is buy electric and put out the recycling - right? No! Shireen Kassam and Laura Freeman give us compelling evidence of a win-win for ourselves and the planet.
Zakariya Goga reminds us that our legacy, wherever we work is woven in the fabric of our community and will be palpable for generations to come. So do not validate yourself by external references. Validate yourself from within.
Rubia Usman is a female GP from an ethnic minority. Her message is simple: "If you work hard and you are a woman you have the power. More power to you. This is (y)our time!"
Irresponsible journalism creates a false narrative with the public. We are seeing patients! Kasun Theivendran questions whether we need to introduce a “how to deal with unfair blame” module into the GP curriculum.
Social media uses "persuasive technology" that has real effects on mental health and social wellbeing. Richard Armitage calls us to identify this as an urgent public health problem
A significant percentage of GP2GP transfers are not being successfully completed. Nigel Masters explains that a failure to get this right soon will see significant degradation of primary care medical notes.
Under the Additional Roles Reimbursement scheme, 26 000 roles are being funded to create bespoke multidisciplinary teams in primary care. But is there a risk that these new roles will only exasperate those for whom they were set to rescue?
The Work Capability Assessment (WCA) is not a medical assessment, an incorrect assumption often claimed by politicians. Mo Stewart discusses the negative and sometimes catastrophic consequences for the disabled.
Has a reduction in face to face appointments meant a change of vision for UK General Practice? Richard Pratt argues that our vision is unchanged, it is our methods that have had to change.
Being a GP is a great vocation. But what if we have two vocations that may conflict? Anupma Parihar reflects on juggling her work and family commitments.
Last year the Lancet predicted ‘Substantial increases in the number of avoidable cancer deaths in England’ as a result of diagnostic delays due to the pandemic in the UK. Jenny Stephenson discusses some of the issues involved.
Is the concept of the patient as an 'inconvenience' a pernicious aspect of the hidden curriculum of medical school and postgraduate training? Nathaniel Aspray tells us his story.
Following the BMA vote to withdraw opposition to physician assisted suicide the possibility of doctors being expected to be involved in hastening their patients' deaths looks closer. Claud Regnard and his colleagues discuss some of the practical issues involved.
Why is the General Medical Council's ‘Good Medical Practice' like eating plate after plate of chips? No, it's not the first line of a joke - let Bhupinder Goraya explain all.
Time for a bit of mind bending together with a trip to the seaside? Nigel Masters reviews an exhibition entitled "Big Medicine" in the new art gallery in Bournemouth.
In consultations there is an emotional “exchange” between the doctor and the patient. Usually the patient comes to see us in a state of anxiety, ill health, sometimes frustration and anger and then projects this onto the GP. The GP will then
Positive experiences on GP placements make undergraduates more likely to pursue GP training later on. Jack Amiry found that GPs who enjoy teaching have numerous opportunities to get involved.
It takes great commitment, responsibility and dedication to save lives at the coal-face of the NHS. Yet we are seeing sharp increases in the abuse, violence and discrimination of our NHS staff. Carter Singh reflects on the way that the Euro 2020
COVID-19 has forced many conferences to be held virtually in 2020 and 2021, but in a post-COVID world should conferences continue to be held virtually? Dr Niha Mariam Hussain discusses positives and negatives to virtual conferencing, providing primary research and insights into
During this pandemic we have sometimes been so overwhelmed by the obvious information that we overlook what is hidden in plain sight. Samar Razaq advises us to avoid premature enumeration.
Dr Sooyoung Lee describes her own experience of the misunderstanding and dismissal of patients with chronic fatigue syndrome (CFS) evidenced in primary care. Is it time to reconsider our attitudes?
There is a cash crisis in the NHS and Social Care. As there has been for the last decade. Arthur Kaufman suggests that a government issue of Health & Social Care Bonds could raise a substantial amount of finance without imposing further
NHS England-led changes to the way we deliver primary care to our care home residents were accelerated due to the Covid pandemic. Deirdre Walsh and Domini James report on their own local feedback.
"There is something immensely grounding about working with the earth and weathering the seasons. Gardening is immersive. It slows you down and can be a humbling experience." Charlotte Sidebotham takes us back to the soil.
We know that information gathering in the medical consultation is through both verbal and non-verbal communication. But there is also that which goes unsaid. Chris Ellis offers his reflections on the importance of accessing that which is unsaid.
We are given reassurances that the MRCGP exams are fair and unbiased. But Laura Emery, an Academic Clinical Fellow at the University of Sheffield, challenges us to ask whether this is correct.
Euan Mackinnon and colleagues sound the alert that COVID-19 lockdowns have reduced head and neck cancer referrals to secondary care, and now primary tumour size is significantly larger at presentation. We need to reverse this worrying trend. Cancer hasn't gone away.
Funding for online consultation services varies across the UK. Kris McLaughlin argues that online consultations will remain a vital part of future general practice, and will in fact improve access for all patients, not just the young or digitally savvy.
Pimary care is undergoing a seismic restructuring such that the nature of the job has changed beyond recognition. Nigel Masters reflects on the role played by the electronic health record which tethers doctors to the computer screen.
During training, we learnt that a doctor either ‘has’ or ‘lacks’ empathy. But we ALL have empathy in various forms. Rabia Aftab shows us how we can learn to have empathetic consultations.
The recent conflict has led to the Palestinian Ministry of Health offices being bombed and the main Palestinain COVID-19 laboratory being targeted also. Our medical colleagues are overwhelmed and struggling for resources. Abdullah Albeyatti gives us a glimpse as to the conditions
The pressure is building up in General Practice and Primary Care. Will things get better? Will things get even worse? Will General Practice have a future as the greatest of all the medical professions? David Mummery gives us his take on problems