Primary Care Knowledge Boost

By Primary Care Knowledge BoostScience Education

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Primary Care Knowledge Boost episodes

December 16, 2019Generalised Itching (Wigan based)
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.
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Useful resources:
BATHE Study, BMJ 2018: https://www.bmj.com/content/361/bmj.k1332
Skin Support Website (pruritus page): http://skinsupport.org.uk/conditions-details/pruritus
British Association of Dermatologists (pruritus leaflet): http://www.bad.org.uk/for-the-public/patient-information-leaflets/pruritus
NICE CKS Widespread Itching Causes: https://cks.nice.org.uk/itch-widespread#!backgroundSub:1
____
Have feedback or suggestions? You can help us know how we are doing with our 3 minute survey: https://www.surveymonkey.co.uk/r/YYQ763C
____
This podcast has been made with the support of Wigan CCG and GP Excellence in Greater Manchester. Given that they are 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.
29 min
November 25, 2019 Resilience (Part 2)
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 these.
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Resources mentioned in the episode:
• When “resilience” becomes a dirty word - BMJ article by David Oliver July 2017
https://www.bmj.com/content/358/bmj.j3604
• 'eGPLearning PodBlast' podcast - episode about Wellbeing with Dr Helen Garr:
https://www.podbean.com/eu/pb-w2jut-c480f4
• 'You are not a frog' podcast by Dr Rachel Morris all about Resilience:
https://shapesfordoctors.com/podcasts/
• NHS Practitioner Health Programme
https://php.nhs.uk/ or call 020 3049 4505
• Positivity book by Barbara Fredrickson
https://amzn.to/2OFrOcw
• Rainy Brain, Sunny Brain book by Elaine Fox
https://amzn.to/2DfE6D2
• Building Physician Resilience Canadian Family Physician May 2008
https://www.nwpgmd.nhs.uk/resources/building-physician-resilience
• Foundation for Positive Mental Health
http://www.foundationforpositivementalhealth.com/
• Thinking, Fast and Slow book by Daniel Kahneman
https://amzn.to/2XO3Pfo
• The New Leaders book by Daniel Goleman
https://amzn.to/2KP8Miy
• The 7 Habits of Highly Effective People book by Stephen R. Covey
https://amzn.to/34jcOHM
• Health Education North West Resilience resources:
https://www.nwpgmd.nhs.uk/taxonomy/term/6
• Why We Sleep book by Matthew Walker
https://amzn.to/35ugNkW
• The Business of Sleep book by Vicki Culpin
https://amzn.to/37AINoV
• The Body Keeps a Score book by Bessel van der Kolk
https://amzn.to/2XIuVEw
• Eat that Frog book by Brian Tracy
https://amzn.to/33jNaBc
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We would love your feedback & suggestions…Let 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 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.
35 min
November 04, 2019Resilience (Part 1)
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 that she has found particularly helpful herself.
____
Resources mentioned in the episode:
BMJ article by David Oliver - When “resilience” becomes a dirty word:
https://www.bmj.com/content/358/bmj.j3604

'eGPLearning PodBlast' podcast - episode about Wellbeing with Dr Helen Garr:
https://www.podbean.com/eu/pb-w2jut-c480f4

'You are not a frog' podcast by Dr Rachel Morris all about Resilience:
https://shapesfordoctors.com/podcasts/

NHS Practitioner Health Programme
https://php.nhs.uk/ or call 020 3049 4505

The Body Keeps the Score book by Bessel van der Kolk:
https://amzn.to/34wKpxp

The Chimp Paradox book by Professor Steve Peters:
https://amzn.to/2JKIlKm

Blink: The Power of Thinking Without Thinking book by Malcolm Gladwell:
https://amzn.to/2C7Dizl

Flourish book by Martin Seligman:
https://amzn.to/2NGJvrH

Health Education North West Resilience resources: https://www.nwpgmd.nhs.uk/taxonomy/term/6
____
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 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.
30 min
October 14, 2019 Immunoglobulins
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 of results. We discuss raised immunoglobulin tests and the difference between monoclonal and polyclonal rises. We discuss the diagnosis of MGUS (monoclonal gammopathy of undetermined significance) and myeloma.
____
Have feedback or suggestions? You can help us know how we are doing with our 3 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 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.
21 min
September 23, 2019B12 and Folate Deficiency
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 guidelines 'Diagnosis of B12 and Folate Deficiency': click here
(https://b-s-h.org.uk/guidelines/guidelines/diagnosis-of-b12-and-folate-deficiency/)
____
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 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.
29 min
September 02, 2019Anaemia and Iron Deficiency
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.org/content/126/17/1971?sso-checked=true
____
Have feedback or suggestions? You can help us know how we are doing with our 5 minute survey: click here
____
This podcast has been made with the support of Wigan CCG. Given that they are recorded with Wigan 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.
46 min
July 17, 2019Contraception (Part 2)
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 for all contraception matters: click here
Stockley's interactions checker (requires subscription): click here
____
Have feedback or suggestions? You can help us know how we are doing with our 5 minute survey: click here
____
This podcast has been made with the support of Wigan CCG. Given that they are recorded with Wigan 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.
25 min
July 12, 2019Contraception (Part 1)
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 guidance for all contraception matters: click here
____
Have feedback or suggestions? You can help us know how we are doing with our 5 minute survey: click here
____
This podcast has been made with the support of Wigan CCG. Given that they are recorded with Wigan 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.
32 min
June 26, 2019Palpitations and Atrial Fibrillation
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 help us know how we are doing with our 5 minute survey: click here
____
This podcast has been made with the support of Wigan CCG. Given that they are recorded with Wigan 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.
27 min
June 19, 2019 Cardiac Causes of Blackouts
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
____

This podcast has been made with the support of Wigan CCG. Given that they are recorded with Wigan 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.
24 min

About Primary Care Knowledge Boost

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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…