A quickie,
Just listened to the final episode of Mark Porter's excellent Radio 4 program Case Notes. So, the final topic- bowels! poo!
But seriously, the program looked at 'the latest in gastroenterology research' to make more palatable the subject matter- faecal transplants mainly. I like the matter-of-fact delivery, lack of obvious jokes and way that the subject is handled, talking to a wide range of experts from across the planet who are interested in this area. Some are looking into IBS/ treating infections such as C.Difficile and others looking to see if obesity could be treated this way.
I can't think of any other broadcast which handles the material so intelligently and is so informative.
There was a request at the end of this show, asking for ideas for the next series in 6 weeks time.
I'm going to make a list at work and let them know what I need next!
Saturday 19 March 2011
Tuesday 22 February 2011
Half term week
I'm back to the cleaning/podcast CPD approach and with the aded challenge of all3 kids being home as it's half term!
I don't know about RCGP doubling credits for proving you have applied your learning practically, doing ANY CPD in half term is surely worth double!
2 weeks ago, after the initial honeymoon period, the being back at work and not sleeping really began to bite and I had a rotten week. I fretted and fretted and on a friday afternoon spoke to a senior partner who has been really helpful. Last week with a few extra gaps in each surgery made all the difference (and super early bed time for me!) now I have a long half term for a bit of recovery.
Also at work, hunting the elusive formula to beat QoF- PHQ targets are my remit. Having gone through all the patients we've not hit the target for the 2nd questionnaire the annoying thing is that we are following these people and seeming to give good care, we just aren't recording it so well. Still mulling over how to approach this one and shall be discussing it at the next practice meeting.
So, the podcasts. BMJ on 'nudging' (in fact the excellent radio 4 food program was on yesterday, again with Andrew Landsley defending his nudge approach.) and Case notes on pancreatitis and pancreatic cancer. Great to have up to date info on the situation for these 2 conditions. Especially as a personal friend was diagnosed last year and is going through chemo at present. I also learnt something entirely new; there is a form of heredity chronic pancreatitis which is hard to diagnose but can be present from an early age. Important to pick up as well as chronic pancreatitis is a strong risk factor for pancreatic c.a.
Finally started to read my 1st year Student's Community Attachment projects in draft before they submit. Always interesting to see their perceptions of my patients and also leran something about patients I'd not spotted before.
Time to go and preside over the brothers 3 !
Byeee!
Wednesday 19 January 2011
Back to Basics
A quickie!
I don't know if I'm alone, I probably am! But having waded through my BJGP I feel inspired to try something. It's nothing new and nothing clever, but like alot of good things in life very simple. I'm going to try weighing and measuring children when they come to see me. The article was by Eduaordo Cervoni, an Italian Doctor who came over here a few years ago and was shocked to find no one was measuring children. He comments also that advice from the GP that your child is overweight/obese is not often welcome! I'll have to see how it goes down and might be out of my comfort zone!
Second thing, Case Notes is back on radio 4. This is an excellent series with Dr Mark Porter, aimed at ley audience but with lots of info for medics about what's going on around the country. Listened to the 1st of the series based in Southampton Emergency Dept as apparently A&E as a term is out.
http://www.bbc.co.uk/programmes/b006th1n
I don't know if I'm alone, I probably am! But having waded through my BJGP I feel inspired to try something. It's nothing new and nothing clever, but like alot of good things in life very simple. I'm going to try weighing and measuring children when they come to see me. The article was by Eduaordo Cervoni, an Italian Doctor who came over here a few years ago and was shocked to find no one was measuring children. He comments also that advice from the GP that your child is overweight/obese is not often welcome! I'll have to see how it goes down and might be out of my comfort zone!
Second thing, Case Notes is back on radio 4. This is an excellent series with Dr Mark Porter, aimed at ley audience but with lots of info for medics about what's going on around the country. Listened to the 1st of the series based in Southampton Emergency Dept as apparently A&E as a term is out.
http://www.bbc.co.uk/programmes/b006th1n
Thursday 6 January 2011
Happy New 2011
Phew, time to catch a breath after a hectic December and Christmas etc. So being back at work has been quite pleasant, loads of patients glad to see me, I feel like I've slotted back in easily and apart from the usual day to day foibles all is well.
I remember from previous returns to work the pleasant feeling that nothing has really changed! While the politicians and managers argue about what GPs should and shouldn't be doing, people still come through the door every 10 minutes with the same problems they had before I left, medical social and psychological.
I'm enjoying the Oxford handbook as a companion, so nice to have a good reference book and not be searching round the internet!
I've signed for the RCGP e-portfolio and even done one of their learning modules, which was good too about ways of managing URTIs to both the doctor and the patients satisfaction. I was quite happy with the NHS toolkit and it's a bit of a pain having to get used to a new platform but at least there is a program there, my next task is to get used to using it! Not too impressed with this idea of gaining extra credit for showing how you have integrated a specific bit of learning into your own practice. My mental picture is off lots of info going in being computed in a variety of ways and then being applied as necessary. perhaps it's the RCGPs way off getting us to be more systematic in recording our learning. Seems a bit too reductionist to me, just in the same way judging children's learning at primary school in tests does.
Back to the RCGP for a good article about a NICE guidance- again a common but often frustrating consultation -transient loss of consciousness. This article highlights this guidance which states all people presenting should have an ECG, a marked change in practice. Another good article for me was about new and emerging treatments for diabetes. I've still got some articles to go, including one on screening for AF which is of personal interest at the moment.
I was going to put a link on for these articles but I've just found the RCGP website publishes the last issue, not the most current on it's website-unlike the BMJ. So in a months time look up http://www.rcgp.org.uk/bjgp.aspx
Podcasts- BMJ had an item before Chrismas looking at variations in referral rates but apart from that nothing else really stuck in my mind. A bit behind on the podcasts now, as that was an activity when all was quiet and i was pottering around the kitchen while on maternity leave. New plan is to get the podcasts into the ipod and listen while in the car on the way to work!
I remember from previous returns to work the pleasant feeling that nothing has really changed! While the politicians and managers argue about what GPs should and shouldn't be doing, people still come through the door every 10 minutes with the same problems they had before I left, medical social and psychological.
I'm enjoying the Oxford handbook as a companion, so nice to have a good reference book and not be searching round the internet!
I've signed for the RCGP e-portfolio and even done one of their learning modules, which was good too about ways of managing URTIs to both the doctor and the patients satisfaction. I was quite happy with the NHS toolkit and it's a bit of a pain having to get used to a new platform but at least there is a program there, my next task is to get used to using it! Not too impressed with this idea of gaining extra credit for showing how you have integrated a specific bit of learning into your own practice. My mental picture is off lots of info going in being computed in a variety of ways and then being applied as necessary. perhaps it's the RCGPs way off getting us to be more systematic in recording our learning. Seems a bit too reductionist to me, just in the same way judging children's learning at primary school in tests does.
Back to the RCGP for a good article about a NICE guidance- again a common but often frustrating consultation -transient loss of consciousness. This article highlights this guidance which states all people presenting should have an ECG, a marked change in practice. Another good article for me was about new and emerging treatments for diabetes. I've still got some articles to go, including one on screening for AF which is of personal interest at the moment.
I was going to put a link on for these articles but I've just found the RCGP website publishes the last issue, not the most current on it's website-unlike the BMJ. So in a months time look up http://www.rcgp.org.uk/bjgp.aspx
Podcasts- BMJ had an item before Chrismas looking at variations in referral rates but apart from that nothing else really stuck in my mind. A bit behind on the podcasts now, as that was an activity when all was quiet and i was pottering around the kitchen while on maternity leave. New plan is to get the podcasts into the ipod and listen while in the car on the way to work!
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