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Primary Care Knowledge Boost has teamed up with the Greater Manchester GP and GP Nurse Fellowship schemes as well as the Additional roles in General Practice scheme to incorporate episodes related to these topics into our schedule. Here to explain what fellowships are is GP and GM training hub Clinical Lead Dr Gill Tonge. It was really interesting …
 
In this episode, Lisa and Sara speak to consultant neurologist, Dr Matt Jones about headaches. The discussion has a focus on the diagnosis and categorisation of common headaches with a touch of management at the end. We talk through where Dr Jones starts when taking a headache history and how he categorises them. We also discuss features that would…
 
Lisa and Sara are joined by GP and HIV lead for Greater Manchester Dr Marlon Morais and Yvonne Richards, an inspiring positive speaker from George House Trust to talk about HIV in Greater Manchester. We cover what it is, it’s prevalence and opportunities for testing. We then go on to speak about the importance of early diagnosis and effective treat…
 
In this episode Lisa and Sara talk to Dr Avril Danczak, a GP with an interest in managing uncertainty in medicine which led to her co-authoring the RCGP published book called Mapping Uncertainty in Medicine.We cover what uncertainty is, and why it is important to address this within medicine and general practice.We talk about ‘what to do when you d…
 
This week’s podcast episode is all about Polycystic Ovarian Syndrome with Tameside Consultant Obstetrician & Gynaecologist Dr Mahshid Nickkho-Amiry. It’s a detailed look at the subject using an example case, following this from diagnosis to management. Useful resources: Royal College of Obstetricians and Gynaecologists - Patient Leaflet on Polycyst…
 
Managing the common palliative symptoms of nausea, vomiting and constipation can make a world of difference to the quality of life of our patients. This week, Lisa and Sara are joined again by Drs Liam Hosie and Anna Murray to continue their discussion about managing palliative patients in general practice. We cover important features in a history …
 
To help us brush up on managing palliative patients with pain, Lisa and Sara speak to Dr Anna Murray (Palliative Care Specialist, WWL) and GP Lead Dr Liam Hosie (Palliative Care and GP, WWL). We start with a general approach to pain and then move on to consider the causes, discuss opioid titrations as well as adjuvant therapies. We also touch on ag…
 
Early diagnosis of cancer is a huge priority in order to try to improve our cancer survival rates in the UK. Lisa and Sara took the opportunity to speak to Dr Sarah Taylor, GP in Fallowfield and Cancer Research UK Cancer Diagnosis Lead for Greater Manchester about this important subject. It was recorded pre-Covid-19 and so some of the information g…
 
Good consultation skills can hone diagnosis, management plans, safety-netting and safety thereby really affecting patient outcomes. GP and Primary Care Educator Dr Avril Danczak shares her insights into teaching GP trainees and trainers about consultation skills with Lisa and Sara. Useful resources: Health Education North West Advanced Communicatio…
 
As part of her role as Associate Dean in Health Education North West, Dr Alison Caldwell looks after GP trainees who sit the AKT and those that may fail. In this episode she shares her pearls of wisdom for preparing and sitting the AKT. It has lots of useful information for trainees and trainers including how to break down the curriculum and where …
 
Lisa and Sara bring back Dr Joanna Bircher and Dr Viren Mehta for this last episode in the COVID-19 series to reflect on all of the positives that have come from the outbreak in general practice, the personal and professional learning that they have had and some focus on staff wellbeing with a few simple ideas on how to support each other. Thank yo…
 
Now that the Greater Manchester Enabling Safe Certification of Death in the Community service is being stood down, we take the opportunity to talk through the new legislation (from the Coronavirus Act 2020) and how this applies in practice. Dr Aamna Khan (GP and Clinical Lead for the Enabling Safe Certification of Death in the community service) an…
 
At the moment with increased isolation, anxiety and loneliness, social prescribing has become more important than ever. Sara and Lisa speak to GP Dr Jaweeda Idoo (clinical champion for personalised care in Greater Manchester) and Sophie Glinka (social prescribing lead for people and communities in Greater Manchester) about the role of social prescr…
 
Staff risk assessments in primary care during COVID-19 are generating many questions such as; Which tool? How should they be carried out? What are the advantages and disadvantages of doing them? How does Vitamin D fit in? What does this mean for practice? GPs Sara and Lisa talk to Greater Manchester based GP Dr Jaweeda Idoo and Practice manager Gin…
 
Recorded in January 2020, this is the long awaited second part of Lisa and Sara’s conversation with Professor Anthony Jones and Consultant Physiotherapist William Gregory from Salford Royal Foundation Trust. In Part 1 we covered diagnosis and in Part 2 we look at management of fibromyalgia including: The role of targeted CBT and physiotherapy Group…
 
With so much changing in how we work in general practice at the moment, assessing and investigating patients for suspected cancer symptoms can be a challenge. To help talk us through the current situation, Lisa and Sara speak to: Dr Sarah Taylor: GP in Fallowfield and Cancer Research UK Cancer Diagnosis Lead for Greater Manchester Dr Viren Mehta: G…
 
Yesterday was international nurses day and so we wanted to highlight the great work that is being done by our community nurses during COVID-19. Our guests are: Lesley Royle-Pryor: Primary and Community Nurse Lead for Greater Manchester Health and Social Care Partnership Moira Ogunsakin: Greater Manchester Training Hub Lead Nurse, Lead Nurse for Pra…
 
Lisa and Sara talk to doctors involved in primary care research to give an overview of what developments are happening in COVID-19 research in the community at the moment. Our guests are: Professor Philip Evans - GP, Associate Professor of General Practice at The University of Exeter, National Speciality Lead for Primary Care at NIHR, Cluster Lead …
 
Lisa and Sara take a short break from full recording this week. They give an update on what to hopefully expect from episodes over the next few weeks as well as sharing a couple of useful links and information from listeners. Useful resources: Bereavement helpline number: 0800 2600 400 Centre for Evidence Based Medicine, Oxford: https://www.cebm.ne…
 
There have been a lot of questions within primary care regarding shielding and vulnerable patients. Sara and Lisa speak to Dr Joanna Bircher and Dr Viren Mehta about the confusion and get their thoughts on the subject. In the episode we cover: Demystifying all of the terminology and putting it into simpler terms. What has been asked of primary care…
 
A current concern for primary care clinicians is how to manage end of life care in the context of the COVID-19 pandemic. Lisa and Sara are joined by Dr Liam Hosie, Dr Adam Firth and Dr Viren Mehta who have sifted through the key information and guidelines that are available on this topic. We talk about: Advanced care planning Common symptoms for pa…
 
Lisa and Sara are joined by GPs Dr Viren Mehta and Dr Joanna Bircher who summarise new guidelines and evidence relevant in primary care this week. Covered this episode: Clinically recognised natural courses of COVID-19 infection Remotely assessing and risk stratifying COVID-19 patients Learning points from the updated standard operating procedures …
 
In this, our second of the COVID-19 specific episodes, GPs Lisa and Sara are joined electronically by Dr Dan Bunstone (GP and Clinical Director of Warrington CCG and Chief Medical Officer at Push Doctor) and Dr Joanna Bircher (GP partner, clinical director for GPExcellence and Pandemic Lead for her PCN). We discuss: Advantages of telephone and vide…
 
We have decided to take a break from our normal release schedule to do a special, weekly series about the COVID-19 situation which is unfolding. Our hope is that we can provide some useful and practical information for everyone within primary care during this difficult time. In this first episode we talk to Dr Joanna Bircher (GP partner, clinical d…
 
In this week’s episode Lisa and Sara speak to Professor Anthony Jones and Consultant Physiotherapist William Gregory from Salford Royal Foundation Trust to learn more about Fibromyalgia. In part 1 we cover what the condition involves, the central sensitisation theory, useful examination tips and differentials to consider. We also talk about simple …
 
Lisa and Sara talk to GPwSI, Dr Rachel Hilton about Generalised Itching. She talks us through how to approach a patient presenting with generalised itching, the common and important causes, useful investigations and the management that we can try in primary care for these patients. ____ Useful resources: BATHE Study, BMJ 2018: https://www.bmj.com/c…
 
Lisa and Sara talk to Dr Rebecca Baron from Health Education England about Resilience.This is part two of a two-part series about Resilience. In this episode we continue the theme of exploring resources available to healthcare professionals around resilience; books and research that have advanced the field. Rebecca gives us her learning points from…
 
Lisa and Sara talk to Dr Rebecca Baron from Health Education England about Resilience. This is part one of a two part series about Resilience. In this episode we talk about what Resilience is and how it started as a concept in general and in healthcare. We also hear about the neuroscience behind Resilience and Rebecca goes through some resources th…
 
Lisa and Sara talk to Consultant Haematologist Dr Chris Gregory about Immunoglobulins. The subject is approached from the point of view of primary care clinicians ordering immunoglobulin blood tests. We get Dr Gregory's opinion on when it is useful to order an immunoglobulins blood test and go through the possible meaning of all the different types…
 
Lisa and Sara talk to Consultant Haematologist Dr Chris Gregory about B12 and folate deficiency. In this episode we talk about B12 and folate deficiency; How to investigate further and manage these results as well as touching on other causes of macrocytosis including haemolytic anaemia. ____ Useful resources: British Society for Haematology guideli…
 
Lisa and Sara talk to Consultant Haematologist Dr Chris Gregory about anaemia and iron deficiency. In this episode we talk generally about anaemia, how to interpret full blood count results and iron deficiency anaemia. ____ Useful resources: Blood Journal article 'So you know how to treat iron deficiency anemia': click here http://www.bloodjournal.…
 
Lisa and Sara talk to GP Dr Gatenby about contraception. In this episode we talk about when contraception becomes effective when starting or swapping contraception types, quick starting pills, post-natal/breast feeding considerations for contraception as well as contraception around peri-menopause. ____ Useful resources: FSRH up to date guidance fo…
 
Lisa and Sara talk to GP Dr Gatenby about contraception. In this episode we talk about why contraception is so important, types of contraception, the new ways to take the COCP, the differences between preparations of pills, different bleeding patterns on hormonal contraception and options to manage these. ____ Useful resources: FSRH up to date guid…
 
Lisa and Sara talk to Consultant Cardiologist Dr Karthikeyan about palpitations and atrial fibrillation. ____ Resources mentioned in the episode: BMJ best practice article about pheochromocytoma: click here (requires login) NICE CKS, anti-coagulation: click here NICE CKS atrial fibrillation: click here ____ Have feedback or suggestions? You can hel…
 
Lisa and Sara talk to Consultant Cardiologist Dr Karthikeyan about cardiac causes for blackouts. ____ Resources mentioned in the episode: - GMC guidance on reporting driving concerns: click here - DVLA fitness to drive guidance: click here ____ Have feedback or suggestions? You can help us know how we are doing with our 5 minute survey: click here …
 
Lisa and Sara talk to Consultant Cardiologist Dr Arya about Heart failure. Have feedback or suggestions? You can help us know how we are doing with our 5 minute survey: https://www.surveymonkey.co.uk/r/YYQ763C ------------------------- This podcast has been made with the support of Wigan CCG. Given that they are recorded with Wigan clinicians, the …
 
Lisa and Sara talk to Consultant Gastroenterologist Dr Bliss about Irritable Bowel Syndrome. ***THIS EPISODE HAS BEEN RE-UPLOADED WITH ADDITIONAL INFORMATION ABOUT CA125 BLOOD TESTS*** Have feedback or suggestions? You can help us know how we are doing with our 5 minute survey: https://www.surveymonkey.co.uk/r/YYQ763C ------------------------- This…
 
Lisa and Sara talk to Consultant Gastroenterologist Dr Bliss about abnormal liver function tests. Here is a link to the NAFLD score calculator Have feedback or suggestions? You can get in touch by either emailing us directly at primarycarepodcasts@gmail.com or on Twitter @PCKBpodcast You can help us know how we are doing with our 5 minute survey: h…
 
Lisa and Sara talk to Consultant Gastroenterologist Dr Bliss about acid reflux. Have feedback or suggestions? You can get in touch by either emailing us directly at primarycarepodcasts@gmail.com or on Twitter @PCKBpodcast You can help us know how we are doing with our 5 minute survey: https://www.surveymonkey.co.uk/r/YYQ763C -----------------------…
 
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