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Opinion - Page 14

Why barbers have ‘an edge’ on GPs

"When a patient who happens to be a barber comes to see me for a consultation, that is precisely what – and only what – he gets.  When I go to see my barber for a haircut, however, not only do I
23 January 2023
5 mins read
2

Be lucky

Ask yourself ‘Do I feel lucky?’ This often-misquoted line from Dirty Harry, said by Clint Eastwood in role, serves to introduce the notion of moral luck. Gratifyingly, we do not often find ourselves staring down the barrel of a violent cop wielding
20 January 2023
6 mins read
1

General practice cannot be piecework

Piecework is advantageous for production where output volume is a reliable proxy for productivity and monitoring and incentivising output volume does not compromise quality. Lara Shemtob and colleagues argue this is inappropriate for general practice.
19 January 2023
5 mins read

Flag-waving and learning to dance

Ben Hoban suggests that GPs can keep track of more in the consultation by not worrying about keeping track of so much, but instead choosing what to focus on.
13 January 2023
3 mins read

A world without general practice

Tim Senior argues that without GPs we systemically remove the part of the health system that has researched and trained in handling relationships and complexity, and is capable of doing this well. We need to be able to describe what health systems
12 January 2023
2 mins read

Scientists after all

...despite all that science has to tells us in general terms about people and how to care for them, it is often harder to pin down on specifics...
5 January 2023
5 mins read
1

A small step towards a greener GP practice…

Ayesha Siddiqui has compiled a list of a few basic steps each member of GP practice staff (clinical and non-clinical) can adopt in our day to day working lives towards reducing our carbon foot print.
4 January 2023
2 mins read
1

Addressing discrimination among medical students in primary care

Over the last 50 years society has become progressively diverse as the needs of the population continue to change. As these diversities become increasingly recognised, it has resulted in differences becoming more pronounced and the possibility of discrimination thus becoming more prominent.
3 January 2023
3 mins read
1

ChatGPT: what it means for general practice

ChatGPT is an online program allowing a user to ask any question and receive an answer, which can be incredibly detailed, in under 10 seconds. However, what does this mean for primary care? Richard Armitage investigates and puts ChatGPT to the test,
2 January 2023
2 mins read

Avoiding Death

The idea of excess deaths is of course just an attempt to make sense of what’s happening in a complex system with a view to allocating resources appropriately.
30 December 2022
3 mins read

A radioactive chalice?

Seeing patients once and referring them for imaging offers advantages to busy GPs and busy patients alike, but given the tendency of any test to throw up results of unclear significance, wouldn’t we simply be delegating the management of uncertainty en masse
28 December 2022
3 mins read

It’s the sun wot won it

Occasionally, the worlds of media and healthcare can clash in a way that has pronounced consequences in the real world. Whilst the media may intend to inform, they invariably end up influencing a somewhat frenzied, albeit predictable, behaviour in the public.
21 December 2022
3 mins read

3 years on…

Today is my third “Cancerversary..." I am so lucky to be working in a great practice. With a supportive team – clinicians who truly care. But I just don’t know if this is enough...
14 December 2022
4 mins read

Internet shutdowns: a threat to public health

Internet shutdowns are government interventions motivated to intentionally disrupt access to, and the use of, online information and communication systems. These measures pose a novel and growing threat to various elements of global public health.
12 December 2022
2 mins read

There’s something about menopause…

We attend reputable GP-training events and feel confident that the training delivered will be up to date and relevant. And yet, there's something about menopause where all this somehow falls apart.
1 December 2022
6 mins read
5

Mind the gate on the way out

In my early years of practice, I thought the very act of named diagnosis was a victory. As time has progressed ... I have grown to realise that this semantic box does not in itself contain the cure, and sometimes, can contain
25 November 2022
2 mins read

Papering over the cracks

"On my clinical days, I focus on the micro-level of health care. Thinking about the macro-level of things, including the politics of it all, tends to send my heart rate up when I am in the thick of clinical practice. Am I
24 November 2022
3 mins read

Fragmented

I’d imagine that a fair few of my colleagues can relate to the fact that most days, I feel like a walking, talking pie chart, cut up into colour-coded segments. Are we so lost in the political drive to provide access, that
18 November 2022
3 mins read

SAS doctors – the solution to the GP workforce crisis?

The growing SAS workforce, and the stalling growth of the GP workforce, combined with warnings of a mass exodus from the profession, has clearly got people thinking.  The GMC report suggests that the solutioninvolves shifting the SAS workforce into general practice.
10 November 2022
4 mins read
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