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Opinion - Page 2

Clinical/Opinion

Making it real

When someone asks you whether you’re telling them it’s all in their head, the most accurate answer is: Yes, but isn’t everything?

3 February 2023
10 mins read
Opinion

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
7 mins read
Opinion

I’m a GP… get me out of here! Should doctors become stars of reality TV shows?

While no GPs or other celebrity doctors have featured on the cast of any previous I’m a Celeb series, it seems far from impossible for such an event to transpire. Richard Armitage ponders...

21 November 2022
12 mins read
BJGP Long Read/Opinion

Turning the clocks back an hour: extra time in bed or maybe something more?

The clocks going back as we descend into winter each year generates an additional hour that we generally choose to spend asleep.  A poignant philosophical reflection on time.

20 November 2022
12 mins read
Opinion

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
7 mins read
BJGP Long Read/Opinion

Manufacturing doctors is one thing; sustaining working communities is quite another

In an age of mass-production and commodification it is not surprising that the governmental response to our increasing losses of doctors is to recurrently and rhetorically press for greater production and wider recruitment. But in doing so are we avoiding deeper human

17 November 2022
18 mins read
BJGP Long Read/Opinion

‘The bird is freed’: the role of Twitter in today’s general practice

Twitter has undoubtedly become the world’s digital town square, and provides the soapbox upon which contemporary issues and political dialogue are played out in real time. Richard Armitage explores the Twittersphere in the wake of Elon Musk's takeover.

14 November 2022
12 mins read
Opinion

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
9 mins read
2
Arts/Opinion/Research/Undergraduate

Primary care since John Fry: a research odyssey (The Royal Society of Medicine John Fry Prize winner)

The winning submission of the Royal Society of Medicine John Fry Prize by Salwa Ahmad.

9 November 2022
25 mins read
International/Opinion

Relationships in healing

Although the doctor-patient relationship works in favour of promoting healing, it may not be sufficient. 

5 November 2022
5 mins read
BJGP Long Read/Opinion/Stories

A tyranny of nouns

Doctors are inordinately fond of nouns. By and large, patients come to us not just with nouns, but with stories which include them but are driven along by verbs, words of action, backed up by adverbs, pronouns, and so on...

4 November 2022
9 mins read
BJGP Long Read/Opinion

Healthcare workers balloting for strike action – no easy choice

Should healthcare professionals ever strike?  For some healthcare professionals, going on strike crosses a professional and moral line. Nada Khan explores the debate.

3 November 2022
11 mins read
Opinion

Social media and young people: a dilemma

Social media has transformed the ways we live as a society, forever altering the ways in which we communicate and relax. And this abrupt change to social discourse which has gradually developed over thousands of years is having implications for young people.

2 November 2022
4 mins read
Opinion

The future of general practice: consulting in the Metaverse

What is the Metaverse? What does it do? How does it work? Richard Armitage offers answers to these questions and presents what a consultation in the Metaverse may look like in the future.

31 October 2022
13 mins read
Opinion

SNOMED CT: working smarter, not harder

General practice needs to become more efficient while improving care quality and safety. How can we do this? SNOMED CT holds some of the answers, but many practices are unaware of its full potential ...

28 October 2022
7 mins read
BJGP Long Read/Opinion

‘Hidden’ no more – the real work of the ‘part-time’ GPs working full-time hours

How is it that 'part time' GPs are working 'full time' hours? Nada Khan investigates!

27 October 2022
10 mins read
2
BJGP Long Read/Opinion

‘Agents,’ not ‘patients,’ as the beneficiaries of general practice

Richard Armitage suggests it is right for GPs to primarily regard their beneficiaries as ‘agents’ rather than ‘patients’ in the majority of general practice consultations.

24 October 2022
11 mins read
Bright Ideas and Innovation/Opinion

How GPs can collaborate with charitable organisations to help trans people in the community

Trans people face multiple barriers to health care from various healthcare providers. Here, Kamilla Kamaruddin describes how working with charities can improve services and residence workload.

21 October 2022
12 mins read
BJGP Long Read/Opinion

What are the health impacts of cryptocurrencies?

Digital currencies, otherwise known as blockchain-enabled cryptocurrencies, have made unmissable impacts on the global economy. But what are they, how do they work and, most importantly for us, what are their effects on human health and wellbeing?

17 October 2022
16 mins read
2
Opinion

Greener Practice’s 5th birthday: a suitably sustainable celebration

Rumina Önaç gives the rundown on Greener Practice's 5th birthday meet up, where among the meditation, craft, and poetry reading sessions, volunteers shared ideas and discussed what steps could be made to best help the NHS accomplish its goal of achieving net

16 October 2022
5 mins read
AiT/BJGP Long Read/Opinion

Should we be teaching doctors to be better patients?

Increased dialogue about the unique nuances of physicians adopting the role of ‘patient’ should be supported throughout medical training, argues Isabella de Vere Hunt.

15 October 2022
8 mins read
Clinical/Opinion

Depression in older adults: why medication review should not be just a tick in the box

As depression in older people can present with somatic and cognitive symptoms, it is often attributed to normal ageing and may be overlooked by the clinician and the older adult. Carolyn Chew-Graham and colleagues share insights from the latest NICE guidance.

14 October 2022
13 mins read
Opinion

Musical musings: GPs should be the orchestra

Of course the GP has always in a way been a 'conductor' between different hospital specialists, co-ordinating treatments and providing holistic care, but the unique role of the GP is rapidly being broken up into its constituent parts, through the PCN system

13 October 2022
7 mins read
AiT/Opinion

The MRCGP Recorded Consultation Assessment: a perspective from three inner-city trainees

There inner city trainees share their experience of the MRCGP recorded consultation assessment (RCA) and highlight some key issues for future iterations of the MRCGP assessment.

12 October 2022
8 mins read
BJGP Long Read/Opinion

E-scooters: how safe are they?

In England over the last two years, you are likely to have seen people whizzing around on brightly coloured electric scooters. While they might be a fun, practical, and relatively cheap mode of transport, just how safe are they for their users

10 October 2022
13 mins read
Opinion

Where to find a disease

Where do diseases live? It seems an odd question, but perhaps an important one, because we need to find a disease in order to treat it ... If we don’t recognise the location correctly, we end up treating poverty with statins.

9 October 2022
5 mins read
1
Opinion

Burnout, patient and physician safety

With increasing pressures, targets and expectations, and a higher risk of workforce burnout, it seems that both patient, and physician safety remain at risk argues Nada Khan

6 October 2022
8 mins read
BJGP Long Read/Opinion

Are some kinds of patient-data too sensitive to be digitally recorded?

The recent cyber-attack on NHS systems, on the background of zero-days and zero-day exploit markets, raise concern for the safety of digitised patient data – those that are often used in primary care settings – are they too sensitive to be digitally

3 October 2022
18 mins read
1
Opinion

The USP of General Practice

'GPs are not good at relational care or managing complexity and uncertainty because of any inherent aptitude for these things, but because our role places us into an environment in which they are unavoidable,' argues Ben Hoban.

2 October 2022
5 mins read
Opinion

‘Who am I?’ The health care equivalent of Zoolander’s identity crisis

With or without leopard-print boots, physician associates work regularly in general practice, but what does the day-to-day work of a PA look like? How do you qualify as a PA? And how can they benefit a primary care team? Ria Agarwal, lead

30 September 2022
12 mins read
Opinion

‘D’ is for doctors and dentists

The Covid-19 lockdowns exacerbated wait times for dental treatment. Where does all of this leave GPs (and our emergency department colleagues) who are faced with potentially increasing numbers of dental presentations?

29 September 2022
8 mins read
BJGP Long Read/International/Opinion

Nuclear power plants in conflict settings: a public health concern

Richard Armitage argues that the abuse or neglect of nuclear facilities in conflict settings represents an international public health concern

26 September 2022
10 mins read
BJGP Long Read/Opinion

Too cold at home: the challenge of fuel poverty and long-term health outcomes

This winter, several long-term issues are coming to a head to create a perfect storm: high fuel prices, poor housing quality, a lack of sustainable energy strategies, and families sliding into low income during a cost of living crisis. Nada Khan reviews

23 September 2022
8 mins read
BJGP Long Read/Opinion

Show me the money! What’s really going on with reported GP earnings?

A British newspaper has argued that GPs were given 'record pay rises in Covid pandemic'. Richard Armitage unpicks the truth and the implications of GP earnings and productivity over the last two and half years.

22 September 2022
13 mins read
Opinion

The soul, the heart, the breath of Great Britain

Rabia Aftab reflects on coming to the UK and growing up in the second Elizabethan age with emblems of national pride

19 September 2022
5 mins read
1
Book review/Opinion

Book review: ‘Side effects – How our Healthcare lost its way and how we fix it.’ by David Haslam

Terry Kemple finds that David Haslam is uniquely placed to reflect on the important questions of modern healthcare. 'Side Effects' calls for clarity about what the focus of healthcare should be, and attempts to describe and address many of the problems of

17 September 2022
6 mins read
Opinion/Undergraduate

Opioid prescribing and medical education… Can primary care fill in the gaps?

With 43% of adults currently living with a degree of chronic pain in the UK, It is likely that overprescribing of opioids will continue. An audit of opioid prescribing in general practice inspired me to reflect on how medical education fails to

16 September 2022
8 mins read
Clinical/Opinion

Nitrous oxide use and health risks: no laughing matter

Nitrous oxide is a popular recreational drug that produces transient but intense feelings of euphoria and disassociation. Nada Khan considers what GPs should know.

15 September 2022
6 mins read
Opinion/Random

Choose your own adventure: The GP workforce crisis

Mark Steggles frames the GP workforce crisis as a 'Choose your own adventure'

14 September 2022
3 mins read
1
BJGP Long Read/Opinion

Switching to imperial: a ton of problems for healthcare

Richard Armitage explores the health implications of adopting imperial units, and finds the prospect quite alarming!

12 September 2022
11 mins read
1
Appreciation/Opinion

Ode to primary care

'One does not love breathing.' says Scout from To Kill A Mockingbird. 'Primary care to me is the lungs or heart of the NHS,' Rubia Usman reflects.

11 September 2022
3 mins read
2
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