Podcast | The Sessional GP magazine August 2019

In our 108th edition, Judith makes a noise about being quiet, Liz summarises everything a newly qualified GP needs to know about getting their tax in order, Nigel helps us plan for when our offspring go off to university, Louise has been making sense of LFTs and Rachel has something to teach us about learning.…
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Stroke and TIA – initial management

This is an updated guideline from NICE on the management of stroke and TIA in over 16s. It was first published in 2008 and this update is from May 19. The most important change for us in this guideline is that they recommend that all patients with a suspected TIA now be seen by a…
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Being mindful of 
medical hierarchy

Medical hierarchy may present a challenge, and at times a possible reluctance, to open discussions about patients. Dr Rachel Birch, medicolegal consultant at Medical Protection, discusses possible reasons for this and provides helpful strategies to overcome this. Most doctors would agree that a medical hierarchy exists in the hospital setting, with junior doctors and specialist…
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Making stress your friend

With ever mounting workload, increasing patient complexity and rising patient expectations and complaints, work is becoming increasingly stressful in the NHS. Life outside work is more stressful too. Notwithstanding stresses that we may have in our home life, we are now living in a 24/7 on-demand, fast-paced culture that lacks stop cues as we consume…
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Podcast | Now wash your hands

In post-war Italy TB was still rife and notices in buses commanded “No Spitting”. In Britain in 1946 the message “Coughs and sneezes spread diseases” promoted the use of handkerchiefs to catch the germ-laden droplets. Presumably a reasonably successful public health campaign, although if you are trapped like a sardine in a rush-hour tube train,…
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Tax FAQs for salaried GPs and GP locums

Let’s have a look at a selection of questions we’ve been asked in the last few weeks: Can you send me proof of earnings for my mortgage? Simple question, not necessarily a simple answer! If we have prepared your tax return for at least the last three years, we can produce a copy of the…
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Meet the locum GP specialist

For years, we've been calling for recognition that locuming involves performing in a specialised environment requiring at least a mention in formal GP training. We brought that together in a one-day GP locum masterclass with the BMJ in October 2015. Ask any locum GP who’s worked in a few different surgeries over a period of…
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e-Learning | COPD diagnosis and management

This is an updated guideline from NICE on the diagnosis and management of COPD, published in Dec 18. It's a pretty mammoth guideline, first written in 2004. There is a useful flow chart on management. One for the wall... There is a separate guideline on antibiotic prescribing in COPD, which I have done another post…
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Podcast | June 2019 ‘The Sessional GP’ magazine

NASGP chairman Richard Fieldhouse reviews the latest edition of The Sessional GP magazine. In our 107th edition, Louise has not one but two COPD-related e-learning articles; Judith has been washing her hands, Liz has been answering your tax questions, Rachel has some advice about medical hierarchy, and Kate has been making stress her friend, all…
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Burnout and how 
to avoid it

Burnout among GPs can be an occupational hazard and is believed to be increasingly common. Dr Rachel Birch, medicolegal consultant at Medical Protection, discusses burnout and the steps that sessional GPs can take to avoid it. Case scenario Dr A is a locum GP undertaking 5-6 sessions per week in different practices. She has chosen…
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