Opinion – Page 17

The Cynefin framework and general practice consultations: a sense-making framework

The Cynefin framework is believed to encourage the perception of existing structures with new eyes, aiding decision making and simplifying complex concepts. Can this framework help to make sense of challenging GP consultations that may leave GPs feeling inadequate or ineffective?

16 June 2022

3 mins read

1

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

4 mins read

2

Opinion

To talk or to tweet? The power of individual conversations versus the media

As we’ve emerged from various lockdowns, large parts of the media have intensified a negative rhetoric against GPs. Annabelle Machin argues that there is still a powerful hope from... talking to each other!

10 June 2022

3 mins read

AiT·Opinion

Increasing capacity to teach medical students in general practice in the UK: there’s a will, is there a way?

Capacity for undergraduate GP placements is a serious challenge and one that is predicted to become harder in the near future. Here, Simon Thornton, part of the national working group set up to investigate the issue of teaching capacity in general practice

9 June 2022

5 mins read

Arts·Opinion·Stories

Heroes with bifocals

Ben Hoban reflects on general practice as a 'Hero's journey,' but argues that this must be reconciled with the patient narrative. Don your narrative bifocals!

8 June 2022

2 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

2 mins read

Opinion

Social media- a double edged sword?

The COVID-19 pandemic has shone a light on the importance of social media in keeping people connected and informed worldwide. Annabelle Machin reviews the good, bad and ugly aspects of a useful but potentially dangerous tool.

3 June 2022

2 mins read

Opinion·Stories

Retrospectoscopy

How is it that something can seem so obvious in hindsight, when at the time it was anything but obvious? Ben Hoban shows us his retrospectoscope!

2 June 2022

2 mins read

1

Opinion

A new perspective on the Calgary–Cambridge model

"... you must first assess the behaviour of the patient and then analyse the patient history." - Clinical observation, argues Henk de Vries, is key to assessing patients with complex personality disorders, offering a new perspective on the Calgary-Cambridge model.

1 June 2022

4 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

4 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

3 mins read

News·Opinion

The ‘Davina’ effect, menopause and general practice responses to celebrity stories

Part of the increased demand for HRT has been attributed to a TV documentary about the menopause released a year ago by Davina McCall, which has led to what some call the ‘Davina effect’. Nada Khan examines the effect of celebrity narratives

26 May 2022

4 mins read

1

Opinion

A new perspective on Deep End practices

Could Deep End practices assess and treat complex patients in deprived settings to help psychiatric services feel less overwhelmed? Henk de Vries offers a new perspective on the role of Deep End practices in caring for patients with personality disorders.

25 May 2022

5 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

2 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

5 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

3 mins read

News·Opinion

The cost of living crisis – how can we tackle fuel poverty and food insecurity in practice?

Nada Khan asks how can we tackle fuel poverty and food insecurity in practice, offering some solid tips for practice

19 May 2022

4 mins read

1

Book review·Opinion

On ‘On Bullshit’ and the removal of nutrition from words

Can a statement be a lie if if its author does not know (or want to know) that they are lying? John Spicer reviews an intriguing little book 'On Bullshit.'

17 May 2022

3 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

2 mins read

Opinion

Soil Extinction, Climate Crisis and Population Health

Pallavi Devulapalli reminds us that learning about what is happening to soil and engaging with policymakers to reverse its loss and degradation is of primary importance to all responsible citizens.

14 May 2022

2 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

2 mins read

1

Opinion·Undergraduate

Tackling the GP recruitment crisis using student selected components

Paul McNamara 'never wanted to be a GP' but now argues that undergraduate self selected components in general practice could help with recruitment and retention.

12 May 2022

4 mins read

Bright Ideas and Innovation·Opinion

Patient and carer perceptions and advice on the integration of paramedics into the GP practice workforce

Whilst efforts are being made to develop the paramedic role within primary care, what is often missing from research and policy informing practice is the voice of patients. An NIHR patient and public group discuss this and offer practical advice for primary

11 May 2022

3 mins read

Bright Ideas and Innovation·Early View·Opinion

Rethinking generalist healthcare: opportunities from challenges

Joanne Reeve explores three misconceptions about medical generalist and highlights the work of the WISEGP and CATALYST programmes.

10 May 2022

3 mins read

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

4 mins read

1

Opinion

Naming things

Ben Hoban reflects on the power of naming a thing in medicine. But with great power comes great responsibility...

8 May 2022

2 mins read

Book review·Opinion

Book review : The five health frontiers, a new radical blueprint

Robert MacGibbon reviews a new radical blueprint for health which examines ‘five frontiers of health’; social justice, economic, social care, sustainability and a public health new deal.

7 May 2022

2 mins read

Opinion

A rose by any other name: Would re-branding help general practice?

Paul McNamara and Tanvi Cheetirala argue that UK general practice is suffering as a profession and as a 'brand.' But will re-branding or specialist status help?

6 May 2022

4 mins read

Bright Ideas and Innovation·Opinion

Wisdom of a wise GP

Rafia Aftab shares practical wisdom about doing things 'just right' gained on the Catalyst Programme

4 May 2022

4 mins read

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

3 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

4 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

4 mins read

News·Opinion

Taking stock of the GP workforce crisis in the UK – a call to action

Nada Khan investigates research into the causes of the UK GP workforce crisis and finds plenty of issues to address.

27 April 2022

5 mins read

4

BJGP Long Read·Coronavirus·Opinion

Recognising the value of a bunch of tulips in general practice

Emma Ladds reflects on being 'at home' as a GP, in response to a bunch of tulips and an article in a national newspaper

23 April 2022

7 mins read

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

2 mins read

News·Opinion

The Intergovernmental Panel on Climate Change and primary care – our final warning

It’s our ‘final warning’; the world is failing to limit the impacts of climate change and primary care can help. Nada Khan highlights resources, aided by our planetary primary care column.

21 April 2022

3 mins read

Opinion

The ‘inverse climate law’: a call for health equity and climate justice

Drs Farah Bede and Emma Radcliffe describe an ‘inverse climate law’, where those at greatest risk of the climate crisis lack resources and are least resilient to it due to pre-existing societal inequality.

20 April 2022

4 mins read

Opinion·Stories·Undergraduate

Finding primary care in the surgical ICU

Aldis H. Petriceks finds a sense of primary care at an unsuccessful resuscitation in the surgical ICU

17 April 2022

3 mins read

BJGP Long Read·Opinion

Reflections and reminiscences

Madge McClary remembers how things were at the beginning of the NHS and reflects on how they are now... especially automated phone systems...

16 April 2022

8 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

3 mins read

2

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Opinion - Page 17