Primary Care Knowledge Boost 공개
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Working in General Practice can be challenging at the best of times, but needless to say has been more challenging of late. Lisa and Sara are joined by Dr Rachel Morris; GP, coach and host of You are not a Frog Podcast. She talks us through her top tips for looking after yourself in general practice. These include: the importance of framing this di…
 
Back by popular demand, Consultant Neurologist Dr Matt Jones joins us to share his approach to assessing patients with peripheral paraesthesia. Patients don’t present with textbook terms. Dr Matt Jones takes us through how to de-code tingling, numbness and burning, and take a structured approach to these often difficult presentations. We cover the …
 
Lisa and Sara are joined again by the lovely Dr Rachel Hilton, who is a speciality doctor in Dermatology. In this episode she takes us through psoriasis - what it is, differentials to consider and associated triggers and comorbidities. She then systematically talks about the management of psoriasis, how this might need to be amended for pregnant pa…
 
Speciality Doctor Rachel Hilton joins us on the podcast to talk about eczema. You’ll hear from the episode that she is passionate about getting the basics right as a way of providing vastly better care to our patients. In the episode we cover: what eczema is, types of eczema and some important differentials, before focusing on the management of ato…
 
Originally recorded in January 2020 and released in August 2020... Early diagnosis of cancer is a huge priority in order to try to improve our cancer survival rates in the UK. Lisa and Sara took the opportunity to speak to Dr Sarah Taylor, GP in Fallowfield and Cancer Research UK Cancer Diagnosis Lead for Greater Manchester about this important sub…
 
Lisa and Sara talk to GP and Professor of General Practice Research Carolyn Chew Graham about Long COVID. We discuss what Long COVID is, its prevalence, and how to assess and manage those presenting with symptoms of possible Long COVID in primary care. We also talk about the condition in children, Long COVID clinics, and how to support patients on …
 
This episode is another of our lovely chats with wider members of the primary care team. Today Lisa and Sara speak to Laura Butroid, a pharmacy technician who is working in primary care. She gives insights into the varied roles of a pharmacy technician within primary care, and how this differs from a pharmacist. She also discusses what the training…
 
Lisa and Sara are joined by Dr Amar Rughani and Dr Joanna Bircher to discuss team working in the context of leadership. We focus on specific examples of some potential conflicts within the primary care team such as when members of a team do not get on and how to manage interruptions of a surgery. ___ Amar Rughani and Joanna Bircher (2020): The Lead…
 
Lisa and Sara talk to practice managers Amanda Ormesher and Karen Bradshaw about the role of the practice manager in general practice. This is a great episode to find out more about the role and how varied it is. We go through what a practice manager is, the different remits of practice managers and some learning points about the role for new staff…
 
Lisa and Sara talk to Occupational Therapist and Advanced Clinical Practitioner Payal Wilson about the role of occupational therapists in primary care. She talks about how to become an occupational therapist, the training involved, and how occupational therapists might work in primary care (their remit and the roles they could take on). She also di…
 
Lisa and Sara talk to Geriatrician Dr Emma Vardy & GP Dr Helen Martin all about Delirium. If we pick delirium up early and treat the right cause it can make a world of difference to patients and families. They share some great tips on how to diagnose and remember the list of causes. We also discuss the Greater Manchester delirium toolkit which was …
 
In this episode Lisa and Sara discuss the topic of Primary Care Networks with Vicky Tolliday (Nurse, Director of the social enterprise “Better Health Manchester”, and Clinical Director of a Primary Care Network), and Dr Girish Patel (GP and Clinical Director of a Primary Care Network). They explain some of the basics about Primary Care Networks; wh…
 
By popular demand we are delighted to share this talk about managing peri-menopausal symptoms in general practice! Dr Jacquelyn Gatenby joins us to discuss her approach; starting with common symptoms, alternatives to HRT, who she feels we should be offering HRT to, and the pros and cons of HRT. We talk about the contraindications, her process for d…
 
Dr Amar Rughani returns to the podcast today to share some great leadership and life skills. We spoke to him in a previous episode about the big picture of leadership skills and why they matter. In this episode we take a dive into the specifics around getting to know ourselves and how this can be useful both in leadership as well as our everyday li…
 
We are joined by Paediatric Consultant Dr Christos Zipitis to discuss a great overview of infant feeding issues. It was fabulous to go over definitions, presentations and management of colic, gastro oesophageal reflux and reflux disease, lactose intolerance and cow's milk protein allergy. We later touch on the resource ICON designed to help parents…
 
In this episode, we speak to safeguarding nurse lead Sarah Khalil, and adult safeguarding GP lead Dr Rebecca Marchmont about managing self-neglect in adult patients. We discuss the difference between neglect and self neglect, the importance of recognising both, the fundamentals of capacity, where other teams can fit in, and practical tips to help m…
 
Lisa and Sara talk to senior physiotherapists Judith Dawson and Joanne Roberts about how they became involved in physiotherapy in primary care and the roles of physiotherapists in this setting, including First Contact Practitioners. Having been part of enhancing primary care access to physiotherapy throughout the years, it’s great to get their pers…
 
The COVID pandemic caused an upheaval to the endoscopy services for suspected upper and lower gastrointestinal malignancies. To talk us through the changes in how referrals are managed and what that means for us in general practice and our patients, we’re joined by GPwSI in Gastroenterology Dr Sophie Nelson and Consultant Gastroenterologist Dr Alis…
 
The next in our series talking about additional roles in primary care is all about paramedics in general practice. Lisa and Sara speak to Scott Murray, who has been working as a paramedic within primary care for some time now, having transitioned through acute care and urgent care. He talks us through his journey, why he chose to move to primary ca…
 
Lisa and Sara are joined by Dr Amar Rughani to discuss his approach to leadership. We talk about the importance of considering our influence, place in the world and how to achieve our goals. We consider our motivations for doing what we are doing in life; the importance of taking that step back to really consider why, how and what we are doing in t…
 
As part of their mini-series in Primary Care New Roles, Lisa and Sara spoke with Physician Associate Ricky Staniland to get an idea of how he became a Physician Associate in General Practice and what his role includes at present. Definite learning points were just how varied and useful Physician associates can be in practice. As part of her role as…
 
To teach us more about the New Roles in primary care, as well as the development of existing roles in general practice, Dr Ali Lea and Primary and Community Nurse Lead Lesley Royal-Price join us. The plans for Primary Care Work Transformation are described as ‘making sure we have the right team to deliver the best care looking after people the righ…
 
Lisa and Sara talk to Dr Adam Abbs about remote consulting. Dr Abbs is a GP who has written a handbook about remote consulting which has been accredited by the RCGP. Remote consulting has been in our lives for quite some time now, and this doesn’t look likely to change anytime soon so we thought it was worth getting some more hints and tips to make…
 
Lisa and Sara are joined by Dr Uma Marthi (GP with a Special Interest in Gynaecology) to discuss some common gynaecological presentations in young girls up to teenage years. She takes us through her approach to vaginal bleeding in neonates, vaginal itch in toddlers, breast development and vaginal discharge in teenagers. The British Society for Paed…
 
Primary Care Knowledge Boost has teamed up with the Greater Manchester GP and GP Nurse Fellowship schemes as well as the Additional roles in General Practice scheme to incorporate episodes related to these topics into our schedule. Here to explain what fellowships are is GP and GM training hub Clinical Lead Dr Gill Tonge. It was really interesting …
 
In this episode, Lisa and Sara speak to consultant neurologist, Dr Matt Jones about headaches. The discussion has a focus on the diagnosis and categorisation of common headaches with a touch of management at the end. We talk through where Dr Jones starts when taking a headache history and how he categorises them. We also discuss features that would…
 
Lisa and Sara are joined by GP and HIV lead for Greater Manchester Dr Marlon Morais and Yvonne Richards, an inspiring positive speaker from George House Trust to talk about HIV in Greater Manchester. We cover what it is, it’s prevalence and opportunities for testing. We then go on to speak about the importance of early diagnosis and effective treat…
 
In this episode Lisa and Sara talk to Dr Avril Danczak, a GP with an interest in managing uncertainty in medicine which led to her co-authoring the RCGP published book called Mapping Uncertainty in Medicine. We cover what uncertainty is, and why it is important to address this within medicine and general practice. We talk about ‘what to do when you…
 
This week’s podcast episode is all about Polycystic Ovarian Syndrome with Tameside Consultant Obstetrician & Gynaecologist Dr Mahshid Nickkho-Amiry. It’s a detailed look at the subject using an example case, following this from diagnosis to management. Useful resources: Royal College of Obstetricians and Gynaecologists - Patient Leaflet on Polycyst…
 
Managing the common palliative symptoms of nausea, vomiting and constipation can make a world of difference to the quality of life of our patients. This week, Lisa and Sara are joined again by Drs Liam Hosie and Anna Murray to continue their discussion about managing palliative patients in general practice. We cover important features in a history …
 
To help us brush up on managing palliative patients with pain, Lisa and Sara speak to Dr Anna Murray (Palliative Care Specialist, WWL) and GP Lead Dr Liam Hosie (Palliative Care and GP, WWL). We start with a general approach to pain and then move on to consider the causes, discuss opioid titrations as well as adjuvant therapies. We also touch on ag…
 
Early diagnosis of cancer is a huge priority in order to try to improve our cancer survival rates in the UK. Lisa and Sara took the opportunity to speak to Dr Sarah Taylor, GP in Fallowfield and Cancer Research UK Cancer Diagnosis Lead for Greater Manchester about this important subject. It was recorded pre-Covid-19 and so some of the information g…
 
Good consultation skills can hone diagnosis, management plans, safety-netting and safety thereby really affecting patient outcomes. GP and Primary Care Educator Dr Avril Danczak shares her insights into teaching GP trainees and trainers about consultation skills with Lisa and Sara. Useful resources: Health Education North West Advanced Communicatio…
 
As part of her role as Associate Dean in Health Education North West, Dr Alison Caldwell looks after GP trainees who sit the AKT and those that may fail. In this episode she shares her pearls of wisdom for preparing and sitting the AKT. It has lots of useful information for trainees and trainers including how to break down the curriculum and where …
 
Lisa and Sara bring back Dr Joanna Bircher and Dr Viren Mehta for this last episode in the COVID-19 series to reflect on all of the positives that have come from the outbreak in general practice, the personal and professional learning that they have had and some focus on staff wellbeing with a few simple ideas on how to support each other. Thank yo…
 
Now that the Greater Manchester Enabling Safe Certification of Death in the Community service is being stood down, we take the opportunity to talk through the new legislation (from the Coronavirus Act 2020) and how this applies in practice. Dr Aamna Khan (GP and Clinical Lead for the Enabling Safe Certification of Death in the community service) an…
 
At the moment with increased isolation, anxiety and loneliness, social prescribing has become more important than ever. Sara and Lisa speak to GP Dr Jaweeda Idoo (clinical champion for personalised care in Greater Manchester) and Sophie Glinka (social prescribing lead for people and communities in Greater Manchester) about the role of social prescr…
 
Staff risk assessments in primary care during COVID-19 are generating many questions such as; Which tool? How should they be carried out? What are the advantages and disadvantages of doing them? How does Vitamin D fit in? What does this mean for practice? GPs Sara and Lisa talk to Greater Manchester based GP Dr Jaweeda Idoo and Practice manager Gin…
 
Recorded in January 2020, this is the long awaited second part of Lisa and Sara’s conversation with Professor Anthony Jones and Consultant Physiotherapist William Gregory from Salford Royal Foundation Trust. In Part 1 we covered diagnosis and in Part 2 we look at management of fibromyalgia including: The role of targeted CBT and physiotherapy Group…
 
With so much changing in how we work in general practice at the moment, assessing and investigating patients for suspected cancer symptoms can be a challenge. To help talk us through the current situation, Lisa and Sara speak to: Dr Sarah Taylor: GP in Fallowfield and Cancer Research UK Cancer Diagnosis Lead for Greater Manchester Dr Viren Mehta: G…
 
Yesterday was international nurses day and so we wanted to highlight the great work that is being done by our community nurses during COVID-19. Our guests are: Lesley Royle-Pryor: Primary and Community Nurse Lead for Greater Manchester Health and Social Care Partnership Moira Ogunsakin: Greater Manchester Training Hub Lead Nurse, Lead Nurse for Pra…
 
Lisa and Sara talk to doctors involved in primary care research to give an overview of what developments are happening in COVID-19 research in the community at the moment. Our guests are: Professor Philip Evans - GP, Associate Professor of General Practice at The University of Exeter, National Speciality Lead for Primary Care at NIHR, Cluster Lead …
 
Lisa and Sara take a short break from full recording this week. They give an update on what to hopefully expect from episodes over the next few weeks as well as sharing a couple of useful links and information from listeners. Useful resources: Bereavement helpline number: 0800 2600 400 Centre for Evidence Based Medicine, Oxford: https://www.cebm.ne…
 
There have been a lot of questions within primary care regarding shielding and vulnerable patients. Sara and Lisa speak to Dr Joanna Bircher and Dr Viren Mehta about the confusion and get their thoughts on the subject. In the episode we cover: Demystifying all of the terminology and putting it into simpler terms. What has been asked of primary care…
 
A current concern for primary care clinicians is how to manage end of life care in the context of the COVID-19 pandemic. Lisa and Sara are joined by Dr Liam Hosie, Dr Adam Firth and Dr Viren Mehta who have sifted through the key information and guidelines that are available on this topic. We talk about: Advanced care planning Common symptoms for pa…
 
Lisa and Sara are joined by GPs Dr Viren Mehta and Dr Joanna Bircher who summarise new guidelines and evidence relevant in primary care this week. Covered this episode: Clinically recognised natural courses of COVID-19 infection Remotely assessing and risk stratifying COVID-19 patients Learning points from the updated standard operating procedures …
 
In this, our second of the COVID-19 specific episodes, GPs Lisa and Sara are joined electronically by Dr Dan Bunstone (GP and Clinical Director of Warrington CCG and Chief Medical Officer at Push Doctor) and Dr Joanna Bircher (GP partner, clinical director for GPExcellence and Pandemic Lead for her PCN). We discuss: Advantages of telephone and vide…
 
We have decided to take a break from our normal release schedule to do a special, weekly series about the COVID-19 situation which is unfolding. Our hope is that we can provide some useful and practical information for everyone within primary care during this difficult time. In this first episode we talk to Dr Joanna Bircher (GP partner, clinical d…
 
In this week’s episode Lisa and Sara speak to Professor Anthony Jones and Consultant Physiotherapist William Gregory from Salford Royal Foundation Trust to learn more about Fibromyalgia. In part 1 we cover what the condition involves, the central sensitisation theory, useful examination tips and differentials to consider. We also talk about simple …
 
Bronchiectasis can sometimes be overlooked amongst the other, more common lung conditions such as COPD. Because of this, it can be difficult for primary care clinicians to be fully aware of how to comprehensively diagnose and manage patients who have this condition. Lisa and Sara talk to respiratory consultant Dr Ashish about bronchiectasis. We lea…
 
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