Getting a good nights sleep

Dr Kate Little talks about the links between sleep and health, the consequences of poor sleep, and how we can get better sleep. I was asked at my last appraisal if I was sleep deprived. When considering our health and fitness to practise, the Leicester Health Structured Reflective Template (SRT) suggests asking about sleep, along…
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I, Robot BM BCh (Oxon)

How long before machines are cleverer than us? The first robots were clockwork novelties. Now robots – named for the Russian word robotnic, meaning worker – can outperform humans at ever more tasks. But robots are specialists. They don’t have our versatility – yet. They can’t yet do what every child can do – transfer…
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Why set career goals?

Many people fail in life, not for lack of ability or brains or even courage, but simply because they have never organised their energies around a goal. Elbert Hubbard - philosopher and writer This article follows on from goal setting part 1 where I outlined the importance of goal setting as one of many career…
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Podcast | April edition of The Sessional GP

In our 94th edition, Kate helps you to get a good night's sleep, Liz has the latest on IR35, Sonia has more on goal-setting, Judith's intelligence is far from artificial, Rachel on GMC's latest on confidentiality and Louise on what's probably the last thing on anyone's mind after just having had a baby. [The Sessional…
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Post pregnancy contraception

This is a new guideline from the FSRH on contraception after pregnancy. There is nothing particularly new about specific methods, but there are a few new interesting points (including a reminder that the COC can be used when breastfeeding from 6 weeks after delivery). Contraceptive options should be discussed antenatally. Ideally the chosen method of…
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Delays outside your control

As a GP, you're part of a system. So what happens when the system is failing? You only have to pick up a newspaper to read about the widespread effects of funding cuts on the NHS. Long waits in A+E, delays in ambulance response times and frequent cancellations of operations. This leads, inevitably, to patient…
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IR35 and public sector employment for GP locums

The above phrase is striking fear into the hearts of locum GPs and practice managers. First of all let’s discuss what hasn’t changed Individual locums who are genuinely ‘standing in the shoes’ of a GP absent due to illness, holiday or other leave are normally accepted by HMRC as being self-employed but we cannot guarantee they will continue to…
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Could physical activity be
 our miracle cure?

Dr Kate Little has recently been appointed as a GP Clinical Champion for Physical Activity for SE England. She discusses the health benefits of physical activity and the health risks of being sedentary, sharing some ideas around how we as clinicians could have conversations with our patients to encourage them to be more active and…
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Setting career goals as a sessional GP

In the career review workbook I use as mandatory preparation for all career discussions, one page is all about goal-setting. Yet I don't call it 'the goal-setting page'. Sneaky huh? Why have it there at all, and why not call it what it really is? Latter question first... why do I avoid calling it anything…
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New health service for GPs with mental health problems

Mental ill-health in doctors is a global phenomenon. Doctors experience more mental ill health and addiction than other professional groups. The numbers in the UK are high. A recent survey of 600 doctors by the Medical Protection Society (MPS), reported high levels of stress (75%), anxiety (49%), depression (32%) and suicidal feelings (13%). There are higher rates…
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