Changes to the Two Week Wait Lower GI Pathway
Primary Care Knowledge Boost
by Primary Care Knowledge Boost
3d ago
Doctors Lisa and Sara talk to Dr Sarah Taylor about the changes being made to how Primary Care Clinicians refer patients for Suspected Lower Gastrointestinal Cancers. These changes are discussed in the context of referring in the Greater Manchester area, but you can view the  joint guideline from the Association of Coloproctology of Great Britain and Ireland (ACPGBI) and the British Society of Gastroenterology below.  This will change the way we manage patients. To help, we go through some potential cases. Good tips for how to mitigate potential risks with the changes included. We ho ..read more
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An Approach to Rare Diseases in Primary Care
Primary Care Knowledge Boost
by Primary Care Knowledge Boost
2w ago
Doctors Sara and Lisa talk to GP Dr David Bartlett who works with the Neuroendocrine Cancer UK charity and GP Dr Will Evans who is a researcher specialising in rare diseases. We wanted to discuss how they  approach finding rare diseases in General Practice whilst balancing this with the risk of over investigating. We start with definitions and classifications before discussing where neuroendocrine cancers fit into this landscape. Their pearls of wisdom could help us keep our antenae up, referrals helpful and resources for clinicians and patients well stocked.  You can use these podca ..read more
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Managing Weight in General Practice
Primary Care Knowledge Boost
by Primary Care Knowledge Boost
1M ago
Doctors Sara and Lisa talk to Dietician Charlotte Cockman about managing weight for patients who are overweight or obese in General Practice. This includes a discussion around the definitions of overweight and obesity, risk factors, and what terms are less stigmatising when discussing weight with patients. Charlotte talks to us about her approach to weight, eating and health, and how this approach can encourage long term behavioural changes that focus on health and nutrition rather than weight. We discuss management options including what tier two and three NHS services do, as well as where so ..read more
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How Coaching and Mentoring can work in General Practice
Primary Care Knowledge Boost
by Primary Care Knowledge Boost
1M ago
Doctors Sara and Lisa speak with Christopher Lewis, Operations Learning and Development Manager for Greater Manchester Training Hub. His non-pretentious, passionate approach to coaching and mentoring was infectious. We hope you get a flavour of how coaching and mentoring might help in General Practice. The episode was designed with GP fellows in mind but anyone working in Primary Care may benefit. You can use these podcasts as part of your CPD - we don’t do certificates but they still count :) Useful resources:  Greater Manchester Training Hub with Links to the Fellowship Programme and ..read more
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Vertigo
Primary Care Knowledge Boost
by Primary Care Knowledge Boost
1M ago
Doctors Lisa and Sara talk to Consultant Otolaryngologist Ms Emma Stapleton and Clinical Scientist David Jay about Vertigo. We discuss the definition, differentials, and how to use information around timing and triggers to differentiate between the likely causes of vertigo. We get their take on the important details in the examination that can help identify the diagnosis, and talk options for managing the most common types of peripheral vertigo. The resources section of the episode description contains excellent resources to help, including examples of how to perform and interpret the Head Imp ..read more
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Health Inequalities in General Practice with Dr John Patterson
Primary Care Knowledge Boost
by Primary Care Knowledge Boost
1M ago
Doctors Sara and Lisa speak with Dr John Patterson about Health Inequalities. This is the second of our two talks on Health Inequalities, please check out Dr Laura Neilson’s talk before this one. Dr John Patterson is a GP and Medical Director of Hope Citadel, as well as their Focused Care Lead and the Chief Clinical Officer for Oldham CCG. We discuss the social determinants of health and a working definition of health inequalities. He talks to us about his journey into tackling health inequalities, his projects, and others of interest. He makes a compelling case as to the importance of health ..read more
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Health Inequalities in General Practice with Dr Laura Neilson
Primary Care Knowledge Boost
by Primary Care Knowledge Boost
1M ago
Doctors Sara and Lisa talk to Dr Laura Neilson the founder of Hope Citadel who is passionate about tackling Health Inequalities. She talks to us about the importance of addressing them, what the inverse care law is, and skills that people will find useful working in areas of deprivation. We ask her about her projects which include helping create Hope Citadel; a growing group of practices working in areas of deprivation in Manchester, Focused Care; a project that facilitates this, and the Shared Health Foundation. We ask what we in general practice can do to help, and talk about coping with the ..read more
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Endometriosis
Primary Care Knowledge Boost
by Primary Care Knowledge Boost
1M ago
Doctors Lisa and Sara speak with GP Dr Uma Marthi about Endometriosis; a topic she is passionate about due to the common delay in diagnosis, coupled with the impact this condition has on peoples’ lives.  We talk through a hypothetical case and explore differential diagnoses for dysmenorrhoea, examination tips, investigations and management. We discuss the importance and impact of this condition, fertility and the need to think about and treat this as soon as we can. You can use these podcasts as part of your CPD - we don’t do certificates but they still count :) Useful resources:  ..read more
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How to use Consultation Skills to Improve Time Management
Primary Care Knowledge Boost
by Primary Care Knowledge Boost
1M ago
Doctors Lisa and Sara are joined by Dr Avil Danczak to talk about how we can use consultation skills to improve our time management in General Practice. She takes us through first principles and core skills before talking about common pitfalls and how to avoid them. The principles of all we discuss are elaborated on in the ‘Teaching and Learning Consultation Skills’ (TALC) resources that are available for all to access online in the link below.  Useful resources:  Teaching and Learning Communication Skills Resources: https://www.gmthub.co.uk/talc Mapping Uncertainty in Medicine ..read more
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Neurodevelopmental Disorders in Children (focus on FASD)
Primary Care Knowledge Boost
by Primary Care Knowledge Boost
1M ago
Doctors Sara and Lisa speak with Consultant Psychiatrist Dr Raja Mukherjee about neurodevelopmental disorders in children. He has an interest in Foetal Alcohol Spectrum Disorder (FASD) and this is the focus of the talk. We cover what neurodevelopmental disorders are, discuss neurodiversity, common disorders such as Autism, ADHD, Dyspraxia aka Developmental Coordination Disorder and Foetal Alcohol Spectrum Disorder.  Useful resources:  NICE Foetal Alcohol Spectrum Disorders: https://www.nice.org.uk/guidance/qs204 My FASD and Me (Foetal Alcohol Spectrum Disorder resource): https ..read more
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