Podcast | The Sessional GP Magazine February 2020

In our 111th edition, Louise provides a roundup of Nice's clinical guideline on management of thyroid disease, Liz gives some more advice on returning to work after maternity leave, Rachel goes through some scenarios when locums give feedback to practices, and Judith takes a look at antibiotic resistance. Scroll down to hear the podcast. Click…
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Cluster headaches and gammaCore

This is a new guideline from NICE on the use of gammaCore for cluster headaches. It was published in Dec 19. It should be used by specialists. Why is a new treatment important? About 5 people a year in the UK commit suicide because of cluster headaches. The side-effects from conventional medications and the monitoring…
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Doctors under siege

In 2011, Hamza was a young Syrian doctor learning German in the hope of going abroad for specialist training. Then the civil war broke out and he opted to stay in Aleppo, operating in makeshift hospitals on the people wounded by collapsing buildings, by barrel bombs, by snipers. Five years later government forces, backed up…
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e-learning | Hypertension in pregnancy

This is an updated guideline from NICE on managing hypertension in pregnancy. It was first published in 2010 and has been updated in June 19. I will do a summary of the bits of the guideline that are relevant to us, but the following are some of the key changes: Choice of medications. This has…
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Parental benefits

The New Year seems an appropriate time to think about new babies, so here we consider some money matters you might need to think about. Statutory maternity pay v maternity allowance Eligibility for statutory maternity pay (SMP): Earning at least £118 a week Give appropriate notice to employer with proof of pregnancy Have worked for…
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My journey to life as a locum

Like many highly skilled professions, a career in general practice can be a journey with obstacles to overcome, barriers to navigate and choices to make. NASGP member Tina Sumner describes how she came to be working as a GP locum and how NASGP has helped her in that journey. Like most GPs, I entered medical…
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Have yourself a merry 
risk-free Christmas

With seasonal cheer building and the countdown to the holidays drawing near, it is important that sessional GPs are well-prepared for possible challenges during Christmas and New Year. Dr Rachel Birch, Medicolegal Consultant at Medical Protection, offers practical advice on how to make this year as safe and enjoyable as possible. “Let it snow! Let…
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Podcast | The Sessional GP Magazine December 2019

Richard Fieldhouse reviews the latest edition of The Sessional GP magazine. In our 110th edition, Rachel has some seasonal advice, Tina loves LocumDeck, Claire has some warming paintings for us, Judith unmasks a ruthless dictator, Louise gives a comprehensive rundown of hypertension in pregnancy and Liz has some great tips if you're in the process…
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Working 
until i’m 67

Many of us are looking down the barrel of our ‘normal retirement age’ being 67. A chilling thought. One that drops to freezing when you think about how you’re going to finance the gap between when you want to retire and when you can actually afford to retire. With the seemingly ever-reducing lifetime and annual…
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Breaking the rumination trap

Have you ever been stuck in a swirl of negative thoughts, rehashing things that you should or shouldn’t have said or done? Most of us will recognise this circular self-battering, a process known as rumination. Rumination, or 'chewing the cud', refers to the way that certain mammals - ruminants - eat, storing their partially-digested food…
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e-learning – Fever in under 5s

This guideline has been updated in Nov 19. It was first published in 2007, then updated in 2013, when I first did this blog. The main update this year is around Kawasaki disease. It used to be that Kawasaki disease was diagnosed if children had 4 out of 5 features. However it has now been…
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