Combined hormonal contraception

This is an update from the FSRH on the use of combined hormonal contraception (CHC). There are a couple of elements in here that are new. I shall list these, then give the check-list of what they think we should be covering in the initial consultation. For me, the biggest single learning point was that…
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Confused by Type-2 Self-Assessment forms?

With the deadline for completion of Type 2 certificates by the end of February, we thought we’d cover some of the questions we’ve been asked recently. Why do we have to fill in a form? The intention of the certificate is to check that the right tier rate has been applied and to provide a…
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Podcast | The Sessional GP magazine February 2019

Richard reviews the latest edition of The Sessional GP. In this 105th edition, Sara concludes her article on a fresh pair of eyes; Judith would rather we didn't eat each other; Rachel has some news on medical indemnity; Liz answers your Type-2 queries; Eva and Nicky have both explored specialties outside of primary care that…
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Dis-continuity; putting 
care into context

Much is made of continuity of care, but little time is spent examining its weaknesses and exploring the alternatives. In the first of a two-part series, Dr Sara Chambers helps put continuity into context. I was recently asked a question by an eminent GP and academic researcher: “How often does a “fresh pair of eyes”…
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CPD | Post-traumatic stress disorder (PTSD)

This is an updated guideline from NICE on Post-Traumatic Stress Disorder PTSD. The last guideline came out in 2005. I don't think this really changes our management much (i.e. watch and wait for 1 month and then refer for most patients), but I will summarise the symptoms we should be looking out for and also…
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Podcast | Saying farewell to social media

Scroll down to the bottom of the page to listen to our podcast with  Zoe in conversation with Richard Fieldhouse on her journey to a destination that's almost completely free of social media. I was an early adopter of social networking, in the days when dial-up was it. I had to phone switchboard when I…
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Bronchial thermoplasty for severe asthma

This is a new guideline on bronchial thermoplasty from NICE on bronchial thermoplasty for severe asthma. NICE advise that it can be used. This procedure reduces the smooth muscle mass lining the airways, making them less able to constrict. It is done under sedation or under GA. A catheter is inserted into the lungs and…
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CPD | Contraception in the over 40s

This was an updated guideline from the FSRH on contraception in the over 40s. It came out in Nov 17, but as it is so useful, I thought it worth doing a summary. There were a few things that were new for me: If women over 50 are amenorrheic AND using a progesterone only method…
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Podcast | The Sessional GP magazine December 2018

In our 104th edition, Judith has been visiting some plastinated bodies, Zoe has given up Facebook, Louise has been reviewing contraception for the over-40s, Sara's been reflecting on continuity, Liz is offering advice on how to claim tax for CPD and Rachel has been looking into your doctor's bag. Scroll down to hear the podcast.…
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