Primary Care Knowledge Boost

Primary Care Knowledge Boost

All things General Practice! Join doctors Sara and Lisa as they interview specialists from around Greater Manchester with the aim of improving the confidence and knowledge of local primary care clinicians. The podcast has been made possible due to the support of Wigan CCG and GP Excellence in Greater Manchester. read less

An Approach to Rare Diseases in Primary Care
1w ago
An Approach to Rare Diseases in Primary Care
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 podcasts as part of your CPD - we don’t do certificates but they still count :) Useful resources:  British Journal of General Practice Article: Rare diseases in General Practice: Recognising the Zebras among the Horses. Evans, W & Rafi I (Vol 66, 2016): https://bjgp.org/content/66/652/550 Rare Disease UK: https://www.raredisease.org.uk/ Neuroendocrine Cancer UK: https://www.neuroendocrinecancer.org.uk/ Royal College of GPs eLearning on Neuroendocrine Cancers (search here): https://www.rcgp.org.uk/learning-resources/courses-and-events/elearning-courses Medics for Rare Diseases: https://www.m4rd.org/ Information on Beckwith Wiedemann Syndrome: https://www.gosh.nhs.uk/conditions-and-treatments/conditions-we-treat/beckwith-wiedemann-syndrome-bws/ Inattentional Bias Studies with Radiology: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3964612/ https://pubmed.ncbi.nlm.nih.gov/17412097/ Mnemonic Family GENES Reference: Genetic red flags: clues to thinking genetically in primary care practice. Whelan et al. Primary Care: Clinics in Office Practice (Sept 2006): https://pubmed.ncbi.nlm.nih.gov/15331244/ Resource with helpful leaflets for Chromosomal Diseases: https://rarechromo.org/ OMIM: An Online Catalogue of Human Genes and Genetic Disorders: https://www.omim.org/ Gene Reviews: https://www.ncbi.nlm.nih.gov/books/NBK1116/ Orphanet Rare Disease Platform with Search Engine: https://www.orpha.net Rare Disease Search Engine: https://www.findzebra.com/https://www.ndr-uk.org/browse ___ We really want to make these episodes relevant and helpful: if you have any questions or want any particular areas covered then contact us on Twitter @PCKBpodcast, or leave a comment on our really quick anonymous survey here: https://pckb.org/feedback ___ This podcast has been made with the support of GP Excellence and Wigan CCG. Given that it is recorded with Greater Manchester clinicians, the information discussed may not be applicable elsewhere and it is important to consult local guidelines before making any treatment decisions.  The information presented is the personal opinion of the healthcare professional interviewed and might not be representative to all clinicians. It is based on their interpretation of current best practice and guidelines when the episode was recorded. Guidelines can change; To the best of our knowledge the information in this episode is up to date as of it’s release but it is the listeners responsibility to review the information and make sure it is still up to date when they listen. Dr Lisa Adams, Dr Sara MacDermott and their interviewees are not liable for any advice, investigations, course of treatment, diagnosis or any other information, services or products listeners might pursue as a result of listening to this podcast - it is the clinicians responsibility to appraise the information given and review local and national guidelines before making treatment decisions. Reliance on information provided in this podcast is solely at the listeners risk. The podcast is designed to be used by trained healthcare professionals for education only. We do not recommend these for patients or the general public and they are not to be used as a method of diagnosis, opinion, treatment or medical advice for the general public. Do not delay seeking medical advice based on the information contained in this podcast. If you have questions regarding your health or feel you may have a medical condition then promptly seek the opinion of a trained healthcare professional.
Managing Weight in General Practice
Jan 4 2023
Managing Weight in General Practice
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 some medications and surgery fit into this picture. You can use these podcasts as part of your CPD - we don’t do certificates but they still count :) Useful resources:  NICE Clinical Knowledge Summaries Obesity (Sept 2022): https://cks.nice.org.uk/topics/obesity/ Waist to Height Ratio: https://www.nice.org.uk/guidance/cg189/chapter/Recommendations Greater Manchester Diabetes My Way: Healthy Living Support for People with Diabetes: https://diabetesmyway.nhs.uk/ The Association of UK Dieticians Resources: https://www.bda.uk.com/food-health/workplace-health-work-ready/what-we-do/resources.html Giles Yeo Webinar: https://mynutriweb.com/why-calories-dont-count/ Giles Yeo ‘Why Calories don’t count’ Book: https://www.betterworldbooks.com/search/results?q=Giles%20Yeo Giles Yeo: ‘Let’s consider the type of food we eat, not fixate on calories’ The Guardian. David Cox (Jun 2021): https://www.theguardian.com/science/2021/jun/20/giles-yeo-why-calories-dont-count-diet-interview British Dietetic Association Food Resources: https://www.bda.uk.com/food-health/food-facts.html Resources on Weight Stigma: https://www.bda.uk.com/news-campaigns/campaigns/managing-and-preventing-obesity/eliminating-weight-stigma-comms-guidelines.html https://www.worldobesity.org/what-we-do/our-policy-priorities/weight-stigma For Healthcare Professionals interested in more Nutritional Knowledge: https://mynutriweb.com/ Nutrition information leaflets: https://www.ndr-uk.org/browse ___ We really want to make these episodes relevant and helpful: if you have any questions or want any particular areas covered then contact us on Twitter @PCKBpodcast, or leave a comment on our really quick anonymous survey here: https://pckb.org/feedback ___ This podcast has been made with the support of GP Excellence and Wigan CCG. Given that it is recorded with Greater Manchester clinicians, the information discussed may not be applicable elsewhere and it is important to consult local guidelines before making any treatment decisions.  The information presented is the personal opinion of the healthcare professional interviewed and might not be representative to all clinicians. It is based on their interpretation of current best practice and guidelines when the episode was recorded. Guidelines can change; To the best of our knowledge the information in this episode is up to date as of it’s release but it is the listeners responsibility to review the information and make sure it is still up to date when they listen. Dr Lisa Adams, Dr Sara MacDermott and their interviewees are not liable for any advice, investigations, course of treatment, diagnosis or any other information, services or products listeners might pursue as a result of listening to this podcast - it is the clinicians responsibility to appraise the information given and review local and national guidelines before making treatment decisions. Reliance on information provided in this podcast is solely at the listeners risk. The podcast is designed to be used by trained healthcare professionals for education only. We do not recommend these for patients or the general public and they are not to be used as a method of diagnosis, opinion, treatment or medical advice for the general public. Do not delay seeking medical advice based on the information contained in this podcast. If you have questions regarding your health or feel you may have a medical condition then promptly seek the opinion of a trained healthcare professional.
How Coaching and Mentoring can work in General Practice
Dec 14 2022
How Coaching and Mentoring can work in General Practice
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 the GP Supporting Mentors Scheme: https://www.gmthub.co.uk/our-programmes If you’re based in Greater Manchester and interested in signing up for coaching/mentoring, you can go to: https://www.gmthub.co.uk/our-programmes or email: rob.harris4@nhs.net GROW model for Coaching: https://www.performanceconsultants.com/grow-model Videos of Sir John Whitmore Coaching in action: https://www.coachingcultureatwork.com/sir-john-whitmore/ The Golf coaching video we discussed: https://www.youtube.com/watch?v=Ncb1jjRZyNU Looking After You Too, NHS Wider Primary Care Workforce Coaching Offer: https://www.england.nhs.uk/supporting-our-nhs-people/support-now/looking-after-you-confidential-coaching-and-support-for-the-primary-care-workforce/looking-after-you-too/ How to use a Wheel of Life Coaching Tool: https://www.inside-out-coaching.com/how-to-use-the-wheel-of-life-coaching-tool-to-create-a-balanced-life/#:~:text=The%20Wheel%20of%20Life%20is,and%20I%20mean%20really%20know. Dr Rachel Morris Hosts the You are not a Frog Podcast for GPs and other professionals. The Episodes and her Shapes Toolkit and other resources Involve Coaching: https://youarenotafrog.com/ ___ We really want to make these episodes relevant and helpful: if you have any questions or want any particular areas covered then contact us on Twitter @PCKBpodcast, or leave a comment on our really quick anonymous survey here: https://pckb.org/feedback ___ This podcast has been made with the support of GP Excellence and Wigan CCG. Given that it is recorded with Greater Manchester clinicians, the information discussed may not be applicable elsewhere and it is important to consult local guidelines before making any treatment decisions.  The information presented is the personal opinion of the healthcare professional interviewed and might not be representative to all clinicians. It is based on their interpretation of current best practice and guidelines when the episode was recorded. Guidelines can change; To the best of our knowledge the information in this episode is up to date as of it’s release but it is the listeners responsibility to review the information and make sure it is still up to date when they listen. Dr Lisa Adams, Dr Sara MacDermott and their interviewees are not liable for any advice, investigations, course of treatment, diagnosis or any other information, services or products listeners might pursue as a result of listening to this podcast - it is the clinicians responsibility to appraise the information given and review local and national guidelines before making treatment decisions. Reliance on information provided in this podcast is solely at the listeners risk. The podcast is designed to be used by trained healthcare professionals for education only. We do not recommend these for patients or the general public and they are not to be used as a method of diagnosis, opinion, treatment or medical advice for the general public. Do not delay seeking medical advice based on the information contained in this podcast. If you have questions regarding your health or feel you may have a medical condition then promptly seek the opinion of a trained healthcare professional.
Vertigo
Nov 30 2022
Vertigo
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 Impulse test, as well as vestibular rehabilitation resources for patients.  You can use these podcasts as part of your CPD - we don’t do certificates but they still count :) Useful resources:  HINTS to diagnose stroke in the acute vestibular syndrome: three-step bedside oculomotor examination more sensitive than early MRI diffusion-weighted imaging. Kattah JC, Talkad AV, Wang DZ, Hsieh YH, Newman-Toker DE . Nov 2009, Stroke: https://pubmed.ncbi.nlm.nih.gov/19762709/ A summary of HINTS by David Jay: Developments in diagnostic approaches for acutely dizzy patients: (Feb 2020 ENT & Audiology News): https://www.entandaudiologynews.com/features/audiology-features/post/developments-in-diagnostic-approaches-for-acutely-dizzy-patients TiTrATE: A Novel Approach to Diagnosing Acute Dizziness and Vertigo. Newman-Toker and Edlow J A. Neurology Clinics (Aug 2015)  https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4522574/ The Five Deadly D’s of Dizziness (red flags to remember): EM Resident, Unravelling the Mystery of Dizziness in the ED: A Guide for the Student Clerkship, Oct 2018 Wilcox K, Shafer K: https://www.emra.org/emresident/article/dizziness/ BMJ Vertigo: Dix-Hallpike Video: https://www.youtube.com/watch?v=8RYB2QlO1N4 BMJ Vertigo: Epley Manoeuvre Video: https://www.youtube.com/watch?v=jBzID5nVQjk&t=44s Examples of how to perform the Head Impulse Test for Peripheral Vestibular Dysfunction:             https://www.youtube.com/watch?v=psyPED6anPo             https://www.youtube.com/watch?v=XpghlvnrREI Professor Lucy Yardley: Retraining your Balance: https://www.menieres.org.uk/files/pdfs/balance-retraining-2012.pdf VeDA Vestibular Disorders Association USA Resources for Clinicians and Patients:  Main Page: https://vestibular.org/ VeDA Vestibular Disorders Association USA Resources for Clinicians and Patients:  Type of Vestibular Disorders Page: https://vestibular.org/article/diagnosis-treatment/types-of-vestibular-disorders/ Meniere’s Society UK: https://www.menieres.org.uk/ The Migraine Trust: https://migrainetrust.org/ ___ We really want to make these episodes relevant and helpful: if you have any questions or want any particular areas covered then contact us on Twitter @PCKBpodcast, or leave a comment on our really quick anonymous survey here: https://pckb.org/feedback ___ This podcast has been made with the support of GP Excellence and Wigan CCG. Given that it is recorded with Greater Manchester clinicians, the information discussed may not be applicable elsewhere and it is important to consult local guidelines before making any treatment decisions.  The information presented is the personal opinion of the healthcare professional interviewed and might not be representative to all clinicians. It is based on their interpretation of current best practice and guidelines when the episode was recorded. Guidelines can change; To the best of our knowledge the information in this episode is up to date as of it’s release but it is the listeners responsibility to review the information and make sure it is still up to date when they listen. Dr Lisa Adams, Dr Sara MacDermott and their interviewees are not liable for any advice, investigations, course of treatment, diagnosis or any other information, services or products listeners might pursue as a result of listening to this podcast - it is the clinicians responsibility to appraise the information given and review local and national guidelines before making treatment decisions. Reliance on information provided in this podcast is solely at the listeners risk. The podcast is designed to be used by trained healthcare professionals for education only. We do not recommend these for patients or the general public and they are not to be used as a method of diagnosis, opinion, treatment or medical advice for the general public. Do not delay seeking medical advice based on the information contained in this podcast. If you have questions regarding your health or feel you may have a medical condition then promptly seek the opinion of a trained healthcare professional.
Health Inequalities in General Practice with Dr John Patterson
Nov 16 2022
Health Inequalities in General Practice with Dr John Patterson
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 inequalities, and how ‘the right thing is always the smart thing to do’. You can use these podcasts as part of your CPD - we don’t do certificates but they still count :) Useful resources:  Book: Tackling Causes and Consequences of Health Inequalities: A Practical Guide (2020) Edited By James Matheson, John Patterson, Laura Neilson: https://www.routledge.com/Tackling-Causes-and-Consequences-of-Health-Inequalities-A-Practical-Guide/Matheson-Patterson-Neilson/p/book/9781138499867 Hope Citadel Resources: https://hopecitadel.org.uk/ Focused Care (service model to work with the most vulnerable families in communities): https://focusedcare.org.uk/ The Shared Health Foundation: https://sharedhealthfoundation.org.uk/ Greater Manchester Deprivation GP training programme: https://www.docsindepgpst.org.uk/ The Marmot Review 10 Years On: https://www.health.org.uk/publications/reports/the-marmot-review-10-years-on?gclid=Cj0KCQjwkt6aBhDKARIsAAyeLJ28cEVgCnGVUAgk9SflEGZnM-Q0iZ76by6yxw7R-T0CktbmSGIqllkaAg9CEALw_wcB Doctors John Patterson and Laura Neilson both mention the Eden Project: https://joineden.org/ Maslow’s Hierarchy of Needs (discussed as an approach to Health): https://www.gp-training.net/communication-skills/communication-skills-theory/maslows-hierarchy-of-needs Professor Steve Fields (Previously NHS England’s Deputy National Medical Director, with the lead responsibility for addressing health inequalities): http://www.homelessnessandhealth.co.uk/events/2017/professor-steve-field/ Interesting Paper Mentioned: North and South: addressing the English health divide, Clare Bambra, Ben Barr, Eugene Milne (2014): https://academic.oup.com/jpubhealth/article/36/2/183/2901779 Related Blog: What can German reunification teach the UK about levelling up? UK policymakers can learn lessons from the German experience to help level up the UK economy Kathrin Enenkel (2021): https://www.centreforcities.org/blog/what-can-german-reunification-teach-the-uk-about-levelling-up/ Common-Wealth health Inequalities Global Research: https://www.common-wealth.co.uk/ David Buck Kings Fund Focused Secondary Prevention in Primary Care is the fastest way to close health inequalities: https://www.kingsfund.org.uk/blog/2011/04/incentivising-public-health-primary-care-learning-qof The Black Report on Health Inequalities in 1980: https://navigator.health.org.uk/theme/black-report-health-inequalities NHS Health Inequalities Oversight Group: https://www.england.nhs.uk/about/equality/equality-hub/national-healthcare-inequalities-improvement-programme/our-approach-to-reducing-healthcare-inequalities/strategic-drivers/ Core20PLUS5 A national approach to reducing health inequalities explained: https://www.england.nhs.uk/about/equality/equality-hub/national-healthcare-inequalities-improvement-programme/core20plus5/ Bentley C and Leaman J Health Inequalities: National Support Team Priority actions based upon best practice that could impact inequalities in mortality and life expectancy in the short term  (accessed Oct 2022): https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/215329/dh_130949.pdf ___ We really want to make these episodes relevant and helpful: if you have any questions or want any particular areas covered then contact us on Twitter @PCKBpodcast, or leave a comment on our really quick anonymous survey here: https://pckb.org/feedback ___ This podcast has been made with the support of GP Excellence and Wigan CCG. Given that it is recorded with Greater Manchester clinicians, the information discussed may not be applicable elsewhere and it is important to consult local guidelines before making any treatment decisions.  The information presented is the personal opinion of the healthcare professional interviewed and might not be representative to all clinicians. It is based on their interpretation of current best practice and guidelines when the episode was recorded. Guidelines can change; To the best of our knowledge the information in this episode is up to date as of it’s release but it is the listeners responsibility to review the information and make sure it is still up to date when they listen. Dr Lisa Adams, Dr Sara MacDermott and their interviewees are not liable for any advice, investigations, course of treatment, diagnosis or any other information, services or products listeners might pursue as a result of listening to this podcast - it is the clinicians responsibility to appraise the information given and review local and national guidelines before making treatment decisions. Reliance on information provided in this podcast is solely at the listeners risk. The podcast is designed to be used by trained healthcare professionals for education only. We do not recommend these for patients or the general public and they are not to be used as a method of diagnosis, opinion, treatment or medical advice for the general public. Do not delay seeking medical advice based on the information contained in this podcast. If you have questions regarding your health or feel you may have a medical condition then promptly seek the opinion of a trained healthcare professional.
Health Inequalities in General Practice with Dr Laura Neilson
Nov 2 2022
Health Inequalities in General Practice with Dr Laura Neilson
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 challenges. You can use these podcasts as part of your CPD - we don’t do certificates but they still count :) Useful resources:  Book: Tackling Causes and Consequences of Health Inequalities: A Practical Guide (2020) Edited By James Matheson, John Patterson, Laura Neilson: https://www.routledge.com/Tackling-Causes-and-Consequences-of-Health-Inequalities-A-Practical-Guide/Matheson-Patterson-Neilson/p/book/9781138499867 Hope Citadel Resources: https://hopecitadel.org.uk/ Focused Care (service model to work with the most vulnerable families in communities): https://focusedcare.org.uk/ The Shared Health Foundation: https://sharedhealthfoundation.org.uk/ Policy and Advocacy advice from Shared Care Foundation; how to get involved with their projects: https://sharedhealthfoundation.org.uk/policy-and-advocacy/ Greater Manchester Deprivation GP training programme: https://www.docsindepgpst.org.uk/ The Marmot Review 10 Years On: https://www.health.org.uk/publications/reports/the-marmot-review-10-years-on?gclid=Cj0KCQjwkt6aBhDKARIsAAyeLJ28cEVgCnGVUAgk9SflEGZnM-Q0iZ76by6yxw7R-T0CktbmSGIqllkaAg9CEALw_wcB The Inverse Care Law explained: https://www.kingsfund.org.uk/publications/articles/inverse-care-law Lives on the Line: Life Expectancy at Birth & Child Poverty as a Tube Map: https://life.mappinglondon.co.uk/ All Party Parliamentary Group for improving the lives of people in Temporary Accommodation across England:  https://householdsintemporaryaccommodation.co.uk/ ___ We really want to make these episodes relevant and helpful: if you have any questions or want any particular areas covered then contact us on Twitter @PCKBpodcast, or leave a comment on our really quick anonymous survey here: https://pckb.org/feedback ___ This podcast has been made with the support of GP Excellence and Wigan CCG. Given that it is recorded with Greater Manchester clinicians, the information discussed may not be applicable elsewhere and it is important to consult local guidelines before making any treatment decisions.  The information presented is the personal opinion of the healthcare professional interviewed and might not be representative to all clinicians. It is based on their interpretation of current best practice and guidelines when the episode was recorded. Guidelines can change; To the best of our knowledge the information in this episode is up to date as of it’s release but it is the listeners responsibility to review the information and make sure it is still up to date when they listen. Dr Lisa Adams, Dr Sara MacDermott and their interviewees are not liable for any advice, investigations, course of treatment, diagnosis or any other information, services or products listeners might pursue as a result of listening to this podcast - it is the clinicians responsibility to appraise the information given and review local and national guidelines before making treatment decisions. Reliance on information provided in this podcast is solely at the listeners risk. The podcast is designed to be used by trained healthcare professionals for education only. We do not recommend these for patients or the general public and they are not to be used as a method of diagnosis, opinion, treatment or medical advice for the general public. Do not delay seeking medical advice based on the information contained in this podcast. If you have questions regarding your health or feel you may have a medical condition then promptly seek the opinion of a trained healthcare professional.
Endometriosis
Oct 19 2022
Endometriosis
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:  NICE Clinical Knowledge Summaries, Dysmenorrhoea: https://cks.nice.org.uk/topics/dysmenorrhoea/ NICE Clinical Knowledge Summaries, Endometriosis: https://cks.nice.org.uk/topics/endometriosis/ All Parliamentary Group on Endometriosis: https://www.endometriosis-uk.org/all-party-parliamentary-group-endometriosis Endometriosis UK: https://www.endometriosis-uk.org/ European Society of Human Reproduction and Embryology Endometriosis Guidelines: https://www.eshre.eu/Guideline/Endometriosis Guardian Article: Endometriosis took my fertility, and part of my self Hilary Mantel (Sept 2015): https://www.theguardian.com/commentisfree/2015/sep/28/endometriosis-fertility-hilary-mantel All Party Parliamentary Group (APPG) on Endometriosis Inquiry Report 2020: https://www.endometriosis-uk.org/sites/default/files/files/Endometriosis%20APPG%20Report%20Oct%202020.pdf British Society for Gynecological Endoscopy, includes links to Specialist Endometriosis Centres around the UK: https://www.bsge.org.uk/ ___ We really want to make these episodes relevant and helpful: if you have any questions or want any particular areas covered then contact us on Twitter @PCKBpodcast, or leave a comment on our really quick anonymous survey here: https://pckb.org/feedback ___ This podcast has been made with the support of GP Excellence and Wigan CCG. Given that it is recorded with Greater Manchester clinicians, the information discussed may not be applicable elsewhere and it is important to consult local guidelines before making any treatment decisions.  The information presented is the personal opinion of the healthcare professional interviewed and might not be representative to all clinicians. It is based on their interpretation of current best practice and guidelines when the episode was recorded. Guidelines can change; To the best of our knowledge the information in this episode is up to date as of it’s release but it is the listeners responsibility to review the information and make sure it is still up to date when they listen. Dr Lisa Adams, Dr Sara MacDermott and their interviewees are not liable for any advice, investigations, course of treatment, diagnosis or any other information, services or products listeners might pursue as a result of listening to this podcast - it is the clinicians responsibility to appraise the information given and review local and national guidelines before making treatment decisions. Reliance on information provided in this podcast is solely at the listeners risk. The podcast is designed to be used by trained healthcare professionals for education only. We do not recommend these for patients or the general public and they are not to be used as a method of diagnosis, opinion, treatment or medical advice for the general public. Do not delay seeking medical advice based on the information contained in this podcast. If you have questions regarding your health or feel you may have a medical condition then promptly seek the opinion of a trained healthcare professional.
How to use Consultation Skills to Improve Time Management
Oct 5 2022
How to use Consultation Skills to Improve Time Management
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: What to Do When You Don't Know What to Do? Book By Dr Avril Danczak:  https://uk.bookshop.org/books/mapping-uncertainty-in-medicine-what-to-do-when-you-don-t-know-what-to-do/9780850844054?gclid=CjwKCAjwpqCZBhAbEiwAa7pXeVpSuq3GXdSwdGdHeebuLcrVd0WlMwnAV6qIgQPz9i7ZU2EhKmTk1hoCANIQAvD_BwE You are not a Frog Episode 74: Managing your Time in a System Which Sucks with Dr Ed Pooley: https://youarenotafrog.com/episode-74/ ___ We really want to make these episodes relevant and helpful: if you have any questions or want any particular areas covered then contact us on Twitter @PCKBpodcast, or leave a comment on our really quick anonymous survey here: https://pckb.org/feedback ___ This podcast has been made with the support of GP Excellence and Wigan CCG. Given that it is recorded with Greater Manchester clinicians, the information discussed may not be applicable elsewhere and it is important to consult local guidelines before making any treatment decisions.  The information presented is the personal opinion of the healthcare professional interviewed and might not be representative to all clinicians. It is based on their interpretation of current best practice and guidelines when the episode was recorded. Guidelines can change; To the best of our knowledge the information in this episode is up to date as of it’s release but it is the listeners responsibility to review the information and make sure it is still up to date when they listen. Dr Lisa Adams, Dr Sara MacDermott and their interviewees are not liable for any advice, investigations, course of treatment, diagnosis or any other information, services or products listeners might pursue as a result of listening to this podcast - it is the clinicians responsibility to appraise the information given and review local and national guidelines before making treatment decisions. Reliance on information provided in this podcast is solely at the listeners risk. The podcast is designed to be used by trained healthcare professionals for education only. We do not recommend these for patients or the general public and they are not to be used as a method of diagnosis, opinion, treatment or medical advice for the general public. Do not delay seeking medical advice based on the information contained in this podcast. If you have questions regarding your health or feel you may have a medical condition then promptly seek the opinion of a trained healthcare professional.
Neurodevelopmental Disorders in Children (focus on FASD)
Sep 21 2022
Neurodevelopmental Disorders in Children (focus on FASD)
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://fasd.me/ Foetal Alcohol Syndrome Spectrum Disorder (FASD) Awareness Month Resources including information on the Campaign #Drymester: https://www.drymester.org.uk/resource/fasd-awareness-month-assets/ National FASD trust: https://nationalfasd.org.uk/about-us/who-we-are/ National FASD CPD accredited e-Learning and their website provides expert led advice for GPs and other health care professionals: https://nationalfasd.org.uk/learn-more/training/e-learning/ Greater Manchester based support group for FASD: https://fasdgreatermanchester.co.uk/ Prevention, Recognition and Management of Fetal Alcohol Spectrum Disorders Hardcover – 1 Aug. 2021 by Raja A. S. Mukherjee (Editor), Neil Aiton  (Editor) https://searchworks.stanford.edu/view/13976811 The National Autistic Society: https://www.autism.org.uk/ FASD Book: Strategies not solutions: https://edmontonfetalalcoholnetwork.org/wp-content/uploads/2019/02/strategies_not_solutions_handbook.pdf The Time Is Now Book about Foetal Alcohol Spectrum Disorder: https://nationalfasd.org.uk/wp-content/uploads/2022/03/National-FASD-RT-Report-v004-INTERACTIVE-singles-2.pdf ___ We really want to make these episodes relevant and helpful: if you have any questions or want any particular areas covered then contact us on Twitter @PCKBpodcast, or leave a comment on our really quick anonymous survey here: https://pckb.org/feedback ___ This podcast has been made with the support of GP Excellence and Wigan CCG. Given that it is recorded with Greater Manchester clinicians, the information discussed may not be applicable elsewhere and it is important to consult local guidelines before making any treatment decisions.  The information presented is the personal opinion of the healthcare professional interviewed and might not be representative to all clinicians. It is based on their interpretation of current best practice and guidelines when the episode was recorded. Guidelines can change; To the best of our knowledge the information in this episode is up to date as of it’s release but it is the listeners responsibility to review the information and make sure it is still up to date when they listen. Dr Lisa Adams, Dr Sara MacDermott and their interviewees are not liable for any advice, investigations, course of treatment, diagnosis or any other information, services or products listeners might pursue as a result of listening to this podcast - it is the clinicians responsibility to appraise the information given and review local and national guidelines before making treatment decisions. Reliance on information provided in this podcast is solely at the listeners risk. The podcast is designed to be used by trained healthcare professionals for education only. We do not recommend these for patients or the general public and they are not to be used as a method of diagnosis, opinion, treatment or medical advice for the general public. Do not delay seeking medical advice based on the information contained in this podcast. If you have questions regarding your health or feel you may have a medical condition then promptly seek the opinion of a trained healthcare professional.
Dealing with Uncertainty in General Practice - Summer Replay
Aug 3 2022
Dealing with Uncertainty in General Practice - Summer Replay
*Recorded in June 2020 - Summer Replay* 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 don’t know what to do’, how to classify and identify different forms of uncertainty and then think about how you can go about addressing and managing this uncertainty in a structured way. Useful resources:  Book: Mapping uncertainty in medicine, what to do when you don’t know what to do; Avril Danczak, Alison Lea and Geraldine Murphy (2016): https://www.amazon.co.uk/Mapping-Uncertainty-Medicine-What-When/dp/0850844053 Paper: Varieties of uncertainty in medicine; Paul Han, William Klein and Neeraj Arora (2011): https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3146626/ Paper: Dealing with uncertainty in general practice: an essential skill for the general practitioner; Margaret O’Riordan et al: https://pubmed.ncbi.nlm.nih.gov/21781433/ Bradford VTS Resources on decisions, diagnoses and uncertainty: https://www.bradfordvts.co.uk/clinical-skills/decisions-diagnoses-uncertainty/ ___ We really want to make these episodes relevant and helpful: if you have any questions or want any particular areas covered then contact us on Twitter @PCKBpodcast, or leave a comment on our really quick anonymous survey here: https://www.surveymonkey.co.uk/r/YLN6GKT ___ This podcast has been made with the support of GP Excellence and Wigan CCG. Given that it is recorded with Greater Manchester clinicians, the information discussed may not be applicable elsewhere and it is important to consult local guidelines before making any treatment decisions.  The information presented is the personal opinion of the healthcare professional interviewed and might not be representative to all clinicians. It is based on their interpretation of current best practice and guidelines when the episode was recorded. Guidelines can change; To the best of our knowledge the information in this episode is up to date as of it’s release but it is the listeners responsibility to review the information and make sure it is still up to date when they listen. Dr Lisa Adams, Dr Sara MacDermott and their interviewees are not liable for any advice, investigations, course of treatment, diagnosis or any other information, services or products listeners might pursue as a result of listening to this podcast - it is the clinicians responsibility to appraise the information given and review local and national guidelines before making treatment decisions. Reliance on information provided in this podcast is solely at the listeners risk. The podcast is designed to be used by trained healthcare professionals for education only. We do not recommend these for patients or the general public and they are not to be used as a method of diagnosis, opinion, treatment or medical advice for the general public. Do not delay seeking medical advice based on the information contained in this podcast. If you have questions regarding your health or feel you may have a medical condition then promptly seek the opinion of a trained healthcare professional.
Management of Diabetes Mellitus in Primary Care
Jul 6 2022
Management of Diabetes Mellitus in Primary Care
This week’s episode is designed for primary care clinicians wanting an overview of current diabetes management. Doctors Lisa and Sara are joined by Dr Marlon Morais and Nicola Milne to talk first about Type 1 diabetes briefly (from the GP point of view) before going on to discuss the recent changes to the NICE guidelines for management of Type 2 Diabetes Mellitus. We cover useful ways of sifting through the options for medicines and the importance of a holistic approach and the NHS low calorie programmes. The resource list is incredibly useful. You can use these podcasts as part of your CPD - we don’t do certificates but they still count :) Useful resources:  Visual Summary of NICE Guidelines (Feb 2022): https://www.nice.org.uk/guidance/ng28/resources/visual-summary-full-version-choosing-medicines-for-firstline-and-further-treatment-pdf-10956472093#page=2 Diabetes UK Emotional Wellbeing Module CPD: https://www.diabetes.org.uk/professionals/training--competencies/courses/emotional-wellbeing-module Diabetes on the Net Six Steps to Insulin Safety Module for Healthcare Professionals (based on key recommendations by NICE in 2017): https://diabetesonthenet.com/diabetes-news/six-steps-to-insulin-safety-e-learning-module/ Trend Diabetes Injection Technique Matters: https://trenddiabetes.online/injection-technique-matters/ NICE Clinical Knowledge Summaries: Type 2 Diabetes Mellitus Management for Adults: https://cks.nice.org.uk/topics/diabetes-type-2/management/management-adults/ Diabetes in Control, When and When Not to use an SGLT2 Inhibitor (traffic light system): http://www.northoftyneapc.nhs.uk/wp-content/uploads/sites/6/2021/12/SGLT-2-Top-Tips-V7.pdf SGLT2 inhibitors: Indications, doses and licences from Diabetes & Primary Care: https://diabetesonthenet.com/wp-content/uploads/Brown_Need-to-know-SGLT2is.pdf Diabetes drugs and renal impairment: Updated GPnotebook Shortcuts (Nov 2021): https://diabetesonthenet.com/journal-diabetes-nursing/diabetes-drugs-and-renal-impairment-updated-gpnotebook-shortcuts/ Diabetes on the Net At a Glance Factsheets: https://diabetesonthenet.com/tag/at-a-glance-factsheet/ Diabetes UK: What is a Healthy, Balanced Diet for Diabetes: https://www.diabetes.org.uk/guide-to-diabetes/enjoy-food/eating-with-diabetes/what-is-a-healthy-balanced-diet The DiRECT Trial: Weight Management Interventions in Type 2 Diabetes Mellitus (informing the Low Calorie Diet Pilots): https://www.thelancet.com/journals/landia/article/PIIS2213-8587(19)30068-3/fulltext Sick Day Rules for Type 1 Diabetes Mellitus Leicester: https://static1.squarespace.com/static/5c2ccb867c93271f5edc9718/t/5ed7a143ee2bfa731b017aac/1591189828264/Sick_Day_Rules_T1_Infographic_V4%5B1438%5D.pdf Sick Day Rules for Type 2 Diabetes Mellitus Leicester:  https://static1.squarespace.com/static/5a6439bab7411c94f2ebe216/t/6000117d2a88fe77419f655a/1610617215447/Sick_Day_Rules_T2DM.pdf NHS Very Low Calorie Diets: https://www.england.nhs.uk/diabetes/treatment-care/low-calorie-diets/https://preventing-diabetes.co.uk/know-your-risk-dtc/ ___ We really want to make these episodes relevant and helpful: if you have any questions or want any particular areas covered then contact us on Twitter @PCKBpodcast, or leave a comment on our really quick anonymous survey here: https://pckb.org/feedback ____ This podcast has been made with the support of Greater Manchester Health and Social Care Partnership, GP Excellence, Greater Manchester Training Hub and the GP Fellowship Programme, as well as Wigan Borough CCG. Given that it is recorded with Greater Manchester clinicians, the information discussed may not be applicable elsewhere and it is important to consult local guidelines before making any treatment decisions.  The information presented is the personal opinion of the healthcare professional interviewed and might not be representative to all clinicians. It is based on their interpretation of current best practice and guidelines when the episode was recorded. Guidelines can change; To the best of our knowledge the information in this episode is up to date as of it’s release but it is the listeners responsibility to review the information and make sure it is still up to date when they listen. Dr Lisa Adams, Dr Sara MacDermott and their interviewees are not liable for any advice, investigations, course of treatment, diagnosis or any other information, services or products listeners might pursue as a result of listening to this podcast - it is the clinicians responsibility to appraise the information given and review local and national guidelines before making treatment decisions. Reliance on information provided in this podcast is solely at the listeners risk. The podcast is designed to be used by trained healthcare professionals for education only. We do not recommend these for patients or the general public and they are not to be used as a method of diagnosis, opinion, treatment or medical advice for the general public. Do not delay seeking medical advice based on the information contained in this podcast. If you have questions regarding your health or feel you may have a medical condition then promptly seek the opinion of a trained healthcare professional.
Diagnosing Diabetes Mellitus
Jun 22 2022
Diagnosing Diabetes Mellitus
Doctors Lisa and Sara are joined by Diabetes Lead for Manchester CCG GP Dr Marlon Morais and Diabetes Support Lead and Diabetes Specialist Nurse Nicola Milne to discuss diagnosis of Diabetes Mellitus. We go through the types of Diabetes Mellitus, touching on MODY and LADA and get advice on avoiding common pitfalls in making a new diagnosis of Diabetes in General Practice. We talk about the prevalence and importance of this diagnosis, both for patients and the NHS and red flags to look out for. We then cover impaired fasting glucose and the current management options for this including the NHS Diabetes Prevention Programme.  You can use these podcasts as part of your CPD - we don’t do certificates but they still count :) Useful resources:  Diabetes UK: types of Diabetes Mellitus explained: https://www.diabetes.org.uk/diabetes-the-basics/types-of-diabetes WHO Classification of Diabetes Mellitus (2019): https://www.who.int/publications/i/item/classification-of-diabetes-mellitus GP Notebook Clinical Classification of Diabetes Mellitus (2021): https://gpnotebook.com/en-gb/simplepage.cfm?ID=-26542064 What is MODY Maturity-Onset Diabetes of the Young?: https://www.diabetesgenes.org/what-is-mody/ NICE guidelines: When to suspect Type 2 Diabetes Mellitus (April 2022): https://cks.nice.org.uk/topics/diabetes-type-2/diagnosis/diagnosis-in-adults/ NICE CKS Guidelines Type 1 Diabetes Mellitus (Nov 2020): https://cks.nice.org.uk/topics/diabetes-type-1/ Language Matters in Diabetes: https://www.england.nhs.uk/publication/language-matters-language-and-diabetes/ Diabetes UK Information Prescriptions: https://www.diabetes.org.uk/professionals/resources/resources-to-improve-your-clinical-practice/information-prescriptions-qa Finish Diabetes Prevention Study (2003): https://diabetesjournals.org/care/article/26/12/3230/21849/The-Finnish-Diabetes-Prevention-Study-DPS National Diabetes Prevention Programme: https://www.england.nhs.uk/diabetes/diabetes-prevention/ Flatbush Diabetes information on GP Notebook:  https://gpnotebook.com/en-gb/simplepage.cfm?ID=x20160928141517439169 Effects of Diet and Exercise in Preventing NIDDM in People With Impaired Glucose Tolerance: The Da Qing IGT and Diabetes Study (Apr 1997): https://diabetesjournals.org/care/article/20/4/537/22408/Effects-of-Diet-and-Exercise-in-Preventing-NIDDM The Da Qing IGT and Diabetes Study 30 year follow up: Morbidity and mortality after lifestyle intervention for people with impaired glucose tolerance: 30-year results of the Da Qing Diabetes Prevention Outcome Study. Lancet Diabetes Endocrinol. Jun 2019: https://pubmed.ncbi.nlm.nih.gov/31036503/ NHS Diabetes Prevention Programme: Know Your Risk Patient Calculator: https://preventing-diabetes.co.uk/know-your-risk-dtc/ ___ We really want to make these episodes relevant and helpful: if you have any questions or want any particular areas covered then contact us on Twitter @PCKBpodcast, or leave a comment on our really quick anonymous survey here: https://pckb.org/feedback ____ This podcast has been made with the support of Greater Manchester Health and Social Care Partnership, GP Excellence, Greater Manchester Training Hub and the GP Fellowship Programme, as well as Wigan Borough CCG. Given that it is recorded with Greater Manchester clinicians, the information discussed may not be applicable elsewhere and it is important to consult local guidelines before making any treatment decisions.  The information presented is the personal opinion of the healthcare professional interviewed and might not be representative to all clinicians. It is based on their interpretation of current best practice and guidelines when the episode was recorded. Guidelines can change; To the best of our knowledge the information in this episode is up to date as of it’s release but it is the listeners responsibility to review the information and make sure it is still up to date when they listen. Dr Lisa Adams, Dr Sara MacDermott and their interviewees are not liable for any advice, investigations, course of treatment, diagnosis or any other information, services or products listeners might pursue as a result of listening to this podcast - it is the clinicians responsibility to appraise the information given and review local and national guidelines before making treatment decisions. Reliance on information provided in this podcast is solely at the listeners risk. The podcast is designed to be used by trained healthcare professionals for education only. We do not recommend these for patients or the general public and they are not to be used as a method of diagnosis, opinion, treatment or medical advice for the general public. Do not delay seeking medical advice based on the information contained in this podcast. If you have questions regarding your health or feel you may have a medical condition then promptly seek the opinion of a trained healthcare professional.
Easy Bruising and Bleeding
Jun 8 2022
Easy Bruising and Bleeding
Doctors Lisa and Sara welcome Consultant Haematologist Dr Chris Gregory back to the podcast to discuss bruising and bleeding issues. We go through history, examination and differentials including patterns of bleeding more associated with different causes. We cover what constitutes excessive/concerning bleeding and blood test values that would lead to on the day/urgent referrals. At the end of the episode, you will hear our learning points. You can use these podcasts as part of your CPD - we don’t do certificates but they still count :) Useful resources:  Clinical Knowledge Summaries: Bruising (March 2021) https://cks.nice.org.uk/topics/bruising/ BMJ article Survey, Vitamin C deficiency as a cause of bruising: https://www.bmj.com/content/375/bmj.n2511.full NICE Suspected Cancer Referrals for Haematological Malignancies (as of Dec 2021): https://www.nice.org.uk/guidance/ng12/chapter/Recommendations-organised-by-site-of-cancer#haematological-cancers Greater Manchester Safeguarding Guidelines for Bruising in Non-mobile Children: https://greatermanchesterscb.proceduresonline.com/chapters/pr_bruising_babies_child.html British Society for Haematology Guidelines: https://b-s-h.org.uk/guidelines/ Non UK based Information: American Family Physician Feb 2016 ‘Clinical evaluation of bleeding and bruising in primary care’. Includes a helpful breakdown of normal vs excessive bleeding etc: https://www.aafp.org/afp/2016/0215/p279.html ___ We really want to make these episodes relevant and helpful: if you have any questions or want any particular areas covered then contact us on Twitter @PCKBpodcast, or leave a comment on our really quick anonymous survey here: https://pckb.org/feedback ____ This podcast has been made with the support of Greater Manchester Health and Social Care Partnership, GP Excellence, Greater Manchester Training Hub and the GP Fellowship Programme, as well as Wigan Borough CCG. Given that it is recorded with Greater Manchester clinicians, the information discussed may not be applicable elsewhere and it is important to consult local guidelines before making any treatment decisions.  The information presented is the personal opinion of the healthcare professional interviewed and might not be representative to all clinicians. It is based on their interpretation of current best practice and guidelines when the episode was recorded. Guidelines can change; To the best of our knowledge the information in this episode is up to date as of it’s release but it is the listeners responsibility to review the information and make sure it is still up to date when they listen. Dr Lisa Adams, Dr Sara MacDermott and their interviewees are not liable for any advice, investigations, course of treatment, diagnosis or any other information, services or products listeners might pursue as a result of listening to this podcast - it is the clinicians responsibility to appraise the information given and review local and national guidelines before making treatment decisions. Reliance on information provided in this podcast is solely at the listeners risk. The podcast is designed to be used by trained healthcare professionals for education only. We do not recommend these for patients or the general public and they are not to be used as a method of diagnosis, opinion, treatment or medical advice for the general public. Do not delay seeking medical advice based on the information contained in this podcast. If you have questions regarding your health or feel you may have a medical condition then promptly seek the opinion of a trained healthcare professional.
Social Prescribing in Primary Care
May 25 2022
Social Prescribing in Primary Care
Drs Lisa and Sara were thrilled to welcome Professor Dame Helen Stokes-Lampard onto the podcast to talk about one of her passions within medicine - social prescribing. They discuss what social prescribing is and why it matters. They talk about the National Academy of Social Prescribing, and its current roles and remit. There are some great examples shared about social prescribing in action, and resources highlighted where people can find out more information about getting involved and having social prescribing link workers in practice. Useful resources:  Greater Manchester Primary Care Careers: https://gmprimarycarecareers.org.uk/jobs/ Greater Manchester Training Hub: https://www.gmthub.co.uk NHS England - Social Prescribing: https://www.england.nhs.uk/personalisedcare/social-prescribing/ Academy of Medical Royal Colleges: https://www.aomrc.org.uk/ National Academy for Social Prescribing: https://socialprescribingacademy.org.uk/ National Academy for Social Prescribing Twitter: https://twitter.com/NASPTweets Global Social Prescribing Alliance: https://www.gspalliance.com/ Men’s Sheds: https://menssheds.org.uk/ The Money and Pensions Service: https://moneyandpensionsservice.org.uk/ Park Run: https://www.parkrun.org.uk/ English National Opera - Breathe: https://www.eno.org/eno-breathe-3/ Campaign to End Loneliness: https://www.campaigntoendloneliness.org/ Football Association - Walking Football: https://thewfa.co.uk/ ___ We really want to make these episodes relevant and helpful: if you have any questions or want any particular areas covered then contact us on Twitter @PCKBpodcast, or leave a comment on our really quick anonymous survey here: https://pckb.org/feedback ____ This podcast has been made with the support of Greater Manchester Health and Social Care Partnership, GP Excellence, Greater Manchester Training Hub and the GP Fellowship Programme, as well as Wigan Borough CCG. Given that it is recorded with Greater Manchester clinicians, the information discussed may not be applicable elsewhere and it is important to consult local guidelines before making any treatment decisions.  The information presented is the personal opinion of the healthcare professional interviewed and might not be representative to all clinicians. It is based on their interpretation of current best practice and guidelines when the episode was recorded. Guidelines can change; To the best of our knowledge the information in this episode is up to date as of it’s release but it is the listeners responsibility to review the information and make sure it is still up to date when they listen. Dr Lisa Adams, Dr Sara MacDermott and their interviewees are not liable for any advice, investigations, course of treatment, diagnosis or any other information, services or products listeners might pursue as a result of listening to this podcast - it is the clinicians responsibility to appraise the information given and review local and national guidelines before making treatment decisions. Reliance on information provided in this podcast is solely at the listeners risk. The podcast is designed to be used by trained healthcare professionals for education only. We do not recommend these for patients or the general public and they are not to be used as a method of diagnosis, opinion, treatment or medical advice for the general public. Do not delay seeking medical advice based on the information contained in this podcast. If you have questions regarding your health or feel you may have a medical condition then promptly seek the opinion of a trained healthcare professional.
Assertiveness in General Practice
May 11 2022
Assertiveness in General Practice
Today Lisa and Sara welcome Dr Rachel Morris back onto the podcast. Rachel is a former GP who has previously worked in GP education. She is now an executive coach and host of the wonderful podcast You Are Not a Frog. The discussion in this episode is all about assertiveness - we chat about what assertiveness is, general tips, frameworks and models for how to approach assertiveness, as well as showcasing how these can work with a few examples. Useful resources:  Looking after Yourself in General Practice (previous Primary Care Knowledge Boost episode): https://www.pckb.org/e/looking-after-yourself-in-general-practice/ To Sign Up to the Shapes Toolkit mailing list and get a free Zone of Power handout as well as being notified when their brand new mini video series is released in a couple of weeks: https://www.shapestoolkit.com/zone-of-power Check out the You Are Not A Frog podcast: www.youarenotafrog.com Find out more about Rachel’s CPD community for doctors: www.permissiontothrive.org Find out more about the Resilient Team Academy online membership for busy leaders in healthcare: https://www.shapestoolkit.com/resilient-team-academy Get in touch with Rachel: rachel@shapestoolkit.com Find out more about her training: www.shapestoolkit.com Sign up for your FREE mini video series training from Rachel, all about setting boundaries and saying no https://www.shapestoolkit.com/boundaries Thomas–Kilmann Conflict Mode Instrument: https://kilmanndiagnostics.com/overview-thomas-kilmann-conflict-mode-instrument-tki/ NonViolent Communication Model by by Marshall B. Rosenberg: https://www.nonviolentcommunication.com/learn-nonviolent-communication/4-part-nvc/ Dr. Rangan Chatterjee Podcast, Feel Better Live More: How to Build Exceptional  Relationships and Why You Should with David Bradford and Carole Robin: https://drchatterjee.com/how-to-build-exceptional-relationships-and-why-you-should-with-david-bradford-and-carole-robin/ Connect: Building Exceptional Relationships with Family, Friends and Colleagues by David L. Bradford and Carole Robin: https://www.penguin.co.uk/books/314/314545/connect/9780241986868.html ___ We really want to make these episodes relevant and helpful: if you have any questions or want any particular areas covered then contact us on Twitter @PCKBpodcast, or leave a comment on our really quick anonymous survey here: https://pckb.org/feedback ____ This podcast has been made with the support of Greater Manchester Health and Social Care Partnership, GP Excellence, Greater Manchester Training Hub and the GP Fellowship Programme, as well as Wigan Borough CCG. Given that it is recorded with Greater Manchester clinicians, the information discussed may not be applicable elsewhere and it is important to consult local guidelines before making any treatment decisions.  The information presented is the personal opinion of the healthcare professional interviewed and might not be representative to all clinicians. It is based on their interpretation of current best practice and guidelines when the episode was recorded. Guidelines can change; To the best of our knowledge the information in this episode is up to date as of it’s release but it is the listeners responsibility to review the information and make sure it is still up to date when they listen. Dr Lisa Adams, Dr Sara MacDermott and their interviewees are not liable for any advice, investigations, course of treatment, diagnosis or any other information, services or products listeners might pursue as a result of listening to this podcast - it is the clinicians responsibility to appraise the information given and review local and national guidelines before making treatment decisions. Reliance on information provided in this podcast is solely at the listeners risk. The podcast is designed to be used by trained healthcare professionals for education only. We do not recommend these for patients or the general public and they are not to be used as a method of diagnosis, opinion, treatment or medical advice for the general public. Do not delay seeking medical advice based on the information contained in this podcast. If you have questions regarding your health or feel you may have a medical condition then promptly seek the opinion of a trained healthcare professional.
Overactive bladder and continence issues in women
Apr 27 2022
Overactive bladder and continence issues in women
This is another episode with a focus on Urology. Doctors Lisa and Sara invited Professor Ian Pearce back to speak about overactive bladder and urinary incontinence in women. They discuss the types of lower urinary tract symptoms in women (drilling down into the definitions of commonly used terms), before looking at the red flags to consider. They then use fictional cases to illustrate how to approach overactive bladder and incontinence in terms of assessment, investigation and management options.  Useful resources:  NICE CKS: Urinary incontinence in women: https://cks.nice.org.uk/topics/incontinence-urinary-in-women/ GMMMG Guidelines for assessment and treatment of overactive bladder in adults: https://gmmmg.nhs.uk/wp-content/uploads/2021/08/Management-of-OAB-in-adults-v3-0-approved-Aug-2019.pdf Conservative management tips: Bladder and Bowel Community UK: https://www.bladderandbowel.org/bladder/bladder-treatments/urinary-tract-infection-treatments/ Guidelines in Practice: Top tips: urinary incontinence in women: https://www.guidelinesinpractice.co.uk/urology/top-tips-urinary-incontinence-in-women/455577.article Anticholinergic Burden resource 2: Anticholinergic Burden Calculator: http://www.acbcalc.com/ ___ We really want to make these episodes relevant and helpful: if you have any questions or want any particular areas covered then contact us on Twitter @PCKBpodcast, or leave a comment on our really quick anonymous survey here: https://pckb.org/feedback ____ This podcast has been made with the support of Greater Manchester Health and Social Care Partnership, GP Excellence, Greater Manchester Training Hub and the GP Fellowship Programme, as well as Wigan Borough CCG. Given that it is recorded with Greater Manchester clinicians, the information discussed may not be applicable elsewhere and it is important to consult local guidelines before making any treatment decisions.  The information presented is the personal opinion of the healthcare professional interviewed and might not be representative to all clinicians. It is based on their interpretation of current best practice and guidelines when the episode was recorded. Guidelines can change; To the best of our knowledge the information in this episode is up to date as of it’s release but it is the listeners responsibility to review the information and make sure it is still up to date when they listen. Dr Lisa Adams, Dr Sara MacDermott and their interviewees are not liable for any advice, investigations, course of treatment, diagnosis or any other information, services or products listeners might pursue as a result of listening to this podcast - it is the clinicians responsibility to appraise the information given and review local and national guidelines before making treatment decisions. Reliance on information provided in this podcast is solely at the listeners risk. The podcast is designed to be used by trained healthcare professionals for education only. We do not recommend these for patients or the general public and they are not to be used as a method of diagnosis, opinion, treatment or medical advice for the general public. Do not delay seeking medical advice based on the information contained in this podcast. If you have questions regarding your health or feel you may have a medical condition then promptly seek the opinion of a trained healthcare professional.
ARRS Roles Clinical Supervision - Your Questions Answered
Apr 13 2022
ARRS Roles Clinical Supervision - Your Questions Answered
Doctors Lisa and Sara speak to Judith Dawson to learn all about the ins and outs of supervising the Additional Roles Reimbursement Scheme members as the landscape stands at the moment. They discuss who can be a supervisor, the training involved and what that might mean for the day job.  Useful resources:  Greater Manchester Primary Care Careers: https://gmprimarycarecareers.org.uk/jobs/ Greater Manchester Training Hub: https://www.gmthub.co.uk A Roadmap to Practice: https://www.hee.nhs.uk/sites/default/files/documents/A%20Roadmap%20to%20Practice.pdf GP mythbuster 106: Primary care first contact practitioners (FCPs), Care Quality Commission: https://www.cqc.org.uk/guidance-providers/gps/gp-mythbuster-106-primary-care-first-contact-practitioners-fcps Integrating additional roles into primary care networks, The King's Fund: https://www.kingsfund.org.uk/publications/integrating-additional-roles-into-primary-care-networks ___ We really want to make these episodes relevant and helpful: if you have any questions or want any particular areas covered then contact us on Twitter @PCKBpodcast, or leave a comment on our really quick anonymous survey here: https://pckb.org/feedback ____ This podcast has been made with the support of Greater Manchester Health and Social Care Partnership, GP Excellence, Greater Manchester Training Hub and the GP Fellowship Programme, as well as Wigan Borough CCG. Given that it is recorded with Greater Manchester clinicians, the information discussed may not be applicable elsewhere and it is important to consult local guidelines before making any treatment decisions.  The information presented is the personal opinion of the healthcare professional interviewed and might not be representative to all clinicians. It is based on their interpretation of current best practice and guidelines when the episode was recorded. Guidelines can change; To the best of our knowledge the information in this episode is up to date as of it’s release but it is the listeners responsibility to review the information and make sure it is still up to date when they listen. Dr Lisa Adams, Dr Sara MacDermott and their interviewees are not liable for any advice, investigations, course of treatment, diagnosis or any other information, services or products listeners might pursue as a result of listening to this podcast - it is the clinicians responsibility to appraise the information given and review local and national guidelines before making treatment decisions. Reliance on information provided in this podcast is solely at the listeners risk. The podcast is designed to be used by trained healthcare professionals for education only. We do not recommend these for patients or the general public and they are not to be used as a method of diagnosis, opinion, treatment or medical advice for the general public. Do not delay seeking medical advice based on the information contained in this podcast. If you have questions regarding your health or feel you may have a medical condition then promptly seek the opinion of a trained healthcare professional.
Dieticians in Primary Care
Mar 30 2022
Dieticians in Primary Care
This is another episode in the series looking at all of the different roles that exist within primary care. Doctors Lisa and Sara speak to Charlotte Cockman who is a Dietician working in Primary Care in South Manchester.  They discuss what a Dietician is and what the role can look like in Primary Care. It’s a new role and can be tailored to best suit the community. They also cover what the training consists of, what the day job looks like and advice for clinicians in Primary care around brief discussions with patients on nutrition. The discussion ends with some quick fire questions around supervision, opportunities for further professional development and registration requirements Useful resources:  Greater Manchester Primary Care Careers: https://gmprimarycarecareers.org.uk/jobs/ Greater Manchester Training Hub: https://www.gmthub.co.uk A Roadmap to Practice: https://www.hee.nhs.uk/sites/default/files/documents/A%20Roadmap%20to%20Practice.pdf ___ We really want to make these episodes relevant and helpful: if you have any questions or want any particular areas covered then contact us on Twitter @PCKBpodcast, or leave a comment on our really quick anonymous survey here: https://pckb.org/feedback ____ This podcast has been made with the support of Greater Manchester Health and Social Care Partnership, GP Excellence, Greater Manchester Training Hub and the GP Fellowship Programme, as well as Wigan Borough CCG. Given that it is recorded with Greater Manchester clinicians, the information discussed may not be applicable elsewhere and it is important to consult local guidelines before making any treatment decisions.  The information presented is the personal opinion of the healthcare professional interviewed and might not be representative to all clinicians. It is based on their interpretation of current best practice and guidelines when the episode was recorded. Guidelines can change; To the best of our knowledge the information in this episode is up to date as of it’s release but it is the listeners responsibility to review the information and make sure it is still up to date when they listen. Dr Lisa Adams, Dr Sara MacDermott and their interviewees are not liable for any advice, investigations, course of treatment, diagnosis or any other information, services or products listeners might pursue as a result of listening to this podcast - it is the clinicians responsibility to appraise the information given and review local and national guidelines before making treatment decisions. Reliance on information provided in this podcast is solely at the listeners risk. The podcast is designed to be used by trained healthcare professionals for education only. We do not recommend these for patients or the general public and they are not to be used as a method of diagnosis, opinion, treatment or medical advice for the general public. Do not delay seeking medical advice based on the information contained in this podcast. If you have questions regarding your health or feel you may have a medical condition then promptly seek the opinion of a trained healthcare professional.
Recurrent UTIs in non-pregnant women
Mar 16 2022
Recurrent UTIs in non-pregnant women
Drs Sara and Lisa tackle another urology topic today - recurrent urinary tract infections (UTIs) in non-pregnant women. They speak to Ian Pearce who is a consultant urologist at Manchester Royal Infirmary. They discuss what UTIs are, and what makes them recurrent vs relapsing. They also chat through how to assess someone with recurrent UTIs and highlight some of the risk factors, before talking about the red flags for more sinister causes. The management options for recurrent UTIs are also covered, from conservative options to medications, including a detailed dive into antibiotic prophylaxis. They also get Ian’s opinions on who to refer to urology. Useful resources:  Conservative management tips: Bladder and Bowel Community UK: https://www.bladderandbowel.org/bladder/bladder-treatments/urinary-tract-infection-treatments/ NICE Recurrent UTI Guidelines (Published Oct 2018): https://www.nice.org.uk/guidance/ng112 Guidelines in Practice: The diagnosis and management of uncomplicated recurrent urinary tract infection (March 2019): https://www.guidelines.co.uk/urology/uncomplicated-recurrent-uti-guideline/454623.article GMMMG Antibiotic Prescribing Guidelines (last updated Oct 2021): https://gmmmg.nhs.uk/wp-content/uploads/2021/10/GM-Antimicrobial-guidelines-OCT-2021-v10.0.pdf BMJ article: Methenamine hippurate for recurrent urinary tract infections, published on 9/3/22 (after episode was recorded): https://www.bmj.com/content/376/bmj.o533 ___ We really want to make these episodes relevant and helpful: if you have any questions or want any particular areas covered then contact us on Twitter @PCKBpodcast, or leave a comment on our really quick anonymous survey here: https://pckb.org/feedback ____ This podcast has been made with the support of Greater Manchester Health and Social Care Partnership, GP Excellence, Greater Manchester Training Hub and the GP Fellowship Programme, as well as Wigan Borough CCG. Given that it is recorded with Greater Manchester clinicians, the information discussed may not be applicable elsewhere and it is important to consult local guidelines before making any treatment decisions.  The information presented is the personal opinion of the healthcare professional interviewed and might not be representative to all clinicians. It is based on their interpretation of current best practice and guidelines when the episode was recorded. Guidelines can change; To the best of our knowledge the information in this episode is up to date as of it’s release but it is the listeners responsibility to review the information and make sure it is still up to date when they listen. Dr Lisa Adams, Dr Sara MacDermott and their interviewees are not liable for any advice, investigations, course of treatment, diagnosis or any other information, services or products listeners might pursue as a result of listening to this podcast - it is the clinicians responsibility to appraise the information given and review local and national guidelines before making treatment decisions. Reliance on information provided in this podcast is solely at the listeners risk. The podcast is designed to be used by trained healthcare professionals for education only. We do not recommend these for patients or the general public and they are not to be used as a method of diagnosis, opinion, treatment or medical advice for the general public. Do not delay seeking medical advice based on the information contained in this podcast. If you have questions regarding your health or feel you may have a medical condition then promptly seek the opinion of a trained healthcare professional.
Working with the Marginalised with Dr Austin O Carroll
Mar 2 2022
Working with the Marginalised with Dr Austin O Carroll
****DISCLAIMER - CONTAINS STRONG LANGUAGE**** Doctors Lisa and Sara talk with GP Dr Austin O'Carroll. Austin works in Inner-City Dublin with marginalised and homeless/rough sleeping communities. He is co-founder of Safetynet Ireland, North Dublin City GP Training, and GPCareForAll. He talks to us about his take on how unhelpful the label of personality disorder is for patients in his care, about his take on the situation: the Triple F**k syndrome, and how medicine contributes to the systemic oppression of people born into poverty. We talk about trauma informed care and examples of outcomes for patients in his care.  Useful resources:  Dr Austin O'Carroll's TED talk about developing health services for homeless people (July 2017): https://www.youtube.com/watch?v=GiwRSPY_JqI Safetynet Ireland Charity: https://www.primarycaresafetynet.ie/ GPCareForAll: https://www.gpcareforall.org/our-story BJGP Article: The Triple F**k Syndrome: How medicine contributes to the systemic oppression of people born into poverty (Jan 2022): https://bjgplife.com/the-triple-fk-syndrome-how-medicine-contributes-to-the-systemic-oppression-of-people-born-into-poverty/ ___ We really want to make these episodes relevant and helpful: if you have any questions or want any particular areas covered then contact us on Twitter @PCKBpodcast, or leave a comment on our really quick anonymous survey here: https://pckb.org/feedback ____ This podcast has been made with the support of Greater Manchester Health and Social Care Partnership, GP Excellence, Greater Manchester Training Hub and the GP Fellowship Programme, as well as Wigan Borough CCG. Given that it is recorded with Greater Manchester clinicians, the information discussed may not be applicable elsewhere and it is important to consult local guidelines before making any treatment decisions.  The information presented is the personal opinion of the healthcare professional interviewed and might not be representative to all clinicians. It is based on their interpretation of current best practice and guidelines when the episode was recorded. Guidelines can change; To the best of our knowledge the information in this episode is up to date as of it’s release but it is the listeners responsibility to review the information and make sure it is still up to date when they listen. Dr Lisa Adams, Dr Sara MacDermott and their interviewees are not liable for any advice, investigations, course of treatment, diagnosis or any other information, services or products listeners might pursue as a result of listening to this podcast - it is the clinicians responsibility to appraise the information given and review local and national guidelines before making treatment decisions. Reliance on information provided in this podcast is solely at the listeners risk. The podcast is designed to be used by trained healthcare professionals for education only. We do not recommend these for patients or the general public and they are not to be used as a method of diagnosis, opinion, treatment or medical advice for the general public. Do not delay seeking medical advice based on the information contained in this podcast. If you have questions regarding your health or feel you may have a medical condition then promptly seek the opinion of a trained healthcare professional.