Performance

e-learning | Indoor air quality

This is a new guideline on improving the air quality in people's homes. It was published in Jan 20. The crux of this is that there is an increasing awareness that indoor air pollution (think cooking fumes, damp, sprays, fires etc) can be damaging to health. What do we have to do as GPs? Spot…
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Giving effective feedback to a GP colleague

Locum GPs are in a challenging yet rewarding position, in that they frequently review patients that have been seen by other GPs. However, many locum GPs may be concerned, if they were to come across a clinical error, what would be the most appropriate way to provide feedback to those GPs? Dr Rachel Birch, Medicolegal…
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e-learning | Thyroid Disease

This is a new guideline from NICE, published in Nov 19, on thyroid disease. Much of this guideline supports our current practice. There were a few new bits for me and I have listed these below, then summarised the guideline. The guideline covers both children and adults, but as we mainly deal with adults with…
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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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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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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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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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Off duty dilemmas

As doctors, we may sometimes feel that we are never off duty. Even when we are not at work, those close to us may seek our advice on medical matters, or even request for emergency medical assistance. Dr Rachel Birch, Medicolegal Consultant at Medical Protection, addresses this issue in more detail, presenting two examples of…
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e-learning | Hypertension in adults

This is an updated guideline from NICE on managing hypertension in adults. It was published in Aug 2019. So what is new? The meat and bones of management is the same. There are a few small differences, which I'll list below. The biggest difference is that they encourage us to have much more of a…
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