Declining resources, an ageing population, multi-morbidity and rising demands are just some of the reasons adding to an unsustainable workload in general practice. As the RCGP point out in their discussion paper, there is an urgent need to develop strategies that can successfully reduce the workload on general practice while minimising the risk to patients. … More General practice clinical pharmacists: an opportunity to be innovative or cynical?
Faced with increasing work loads, reduced funding, a recruitment crisis and plans to run routine services across 7 days despite limited additional support, it is no wonder that morale in GP is low. However, I’m keen to support innovations that try new ideas to overcome some of these challenges – which is why I liked the #whyGP campaign. Created and … More #whyGP? How about #whyacademicGP?
Neat pic posted on twitter by Prof Ieuan Ellis. Useful picture for teaching. Sadly an all too common misunderstanding.
In 2013 two students from Lithuania, studying medicine at Oxford, approached us at CEBM asking for our support to hold an outreach workshop in their home town of Vilnius, Lithuania. Their vision was to stimulate more evidence-based thinking for the medical students there who, they felt, were not exposed to enough teaching of critical thinking … More Supporting the first Centre for Evidence Based Medicine in Lithuania
How long you should carry out home blood pressure monitoring (HBPM) to aid a diagnosis of hypertension? Current NICE guidance states: When using HBPM to confirm a diagnosis of hypertension, ensure that: for each blood pressure recording, two consecutive measurements are taken, at least 1 minute apart and with the person seated and blood pressure is … More Home blood pressure monitoring to diagnose hypertension in primary care
Over coagulation with warfarin is associated with an increased risk of bleeding, while under coagulation with an increased risk of thrombosis. Maintaining patients on warfarin within their target INR range reduces this risk, and one way of monitoring this is by calculating their % time in therapeutic range (%TTR). Ideally you would want this to … More Low dose vitamin K to improve INR control
There is always a lot of debate on the effects of diet on our health. The amount of salt we consume, and the potential adverse effects of that consumption, is never too far from that debate. The World Health Organisation “Sodium intake for adults and children Guideline (2013)” summarises much of the evidence base on this topic … More Channel 4 Dispatches – Salt: Are You Eating Too Much?