The Medic's Mic GP Podcast

Episode 7 introduces the area of Quality Improvement in Practice, and features Dr John Brennan, GP and member of the Quality Improvement Faculty at Royal College of Physicians in Ireland.

John provides an overview of quality improvement, highlighting its importance in clinical practice and giving some tips on how to get started in undertaking quality improvement projects in your practice.

As usual, hotlinks to resources and further reading can be found in the show notes, which you can access by tapping or swiping on the show icon on your smart device.

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Music courtesy of Boost Music: http://boostmusic.com/

Episode 7 Selected Websites & Resources (Mentioned during the show):

RCPI Quality Improvement Programmes::

https://www.rcpi.ie/quality-improvement-programmes/

W Edwards Deming Biography:

https://en.wikipedia.org/wiki/W._Edwards_Deming

BMJ Editorial 2007 – Batalden and Davidoff:

http://qualitysafety.bmj.com/content/16/1/2:

Deming's System of Profound Knowledge:

http://ihub.scot/2020-framework-for-quality-efficiency-and-value/improve/deming-s-system-of-profound-knowledge/

UK Health Foundation:

http://www.health.org.uk/

HSE Quality Improvement Competence Guide:

http://www.hse.ie/eng/about/Who/QID/Improvement-Knowledge-and-SkillsGuide/

RCGP Quality Improvement Guide for GPs

http://www.rcgp.org.uk/clinical-and-research/our-programmes/~/link.aspx?_id=114D1D623F88497A9E0379AED7CA3C85&_z=z

Episode 6 focuses on Adherence to Treatment, and features Professor Richard Costello, Associate Professor of Medicine at The Royal College of Surgeons in Ireland, and Consultant Respiratory Physician at Beaumont Hospital, Dublin, Ireland.

Richard breaks adherence down into three components: Initiation, Implementation and Persistence, and highlights the complexity of the issue, involving not only the patient, but also the physician and the healthcare system.

Throughout our discussion, Richard highlights the central role of the GP in establishing and maintaining patient adherence, and the value of our work in contributing towards our patients’ long-term health.

Richard also reviews some of the factors affecting the three components of adherence, and gives practical tips that can help increase adherence levels.

Please spread the word to colleagues, subscribe via your podcast player, and leave a rating or written review in iTunes or Apple podcasts – it really helps!

Feedback and suggestions:

Email: [email protected]

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Twitter: @themedicsmic

Website: www.themedicsmic.com

Music courtesy of Boost Music

http://boostmusic.com/

Episode 6 Selected Websites:

Prof Costello Research – Adherence

http://www.jaci-inpractice.org/article/S2213-2198(16)30066-6/abstract

Supplementary Research Articles:

http://www.jaci-inpractice.org/issue/S2213-2198(16)X0005-0

EU Ascertaining Barriers for Compliance (ABC) Project:

http://abcproject.eu/index.php?page=project

WHO Adherence for Long-term Terapies: Evidence for Action:

http://www.who.int/chp/knowledge/publications/adherence_report/en/

Atul Gawande – New Yorker Primary Care Article

https://www.newyorker.com/magazine/2017/01/23/the-heroism-of-incremental-care

Episode 5 focuses on Homeless and Inclusion Health, and features Dr Nigel Hewett, OBE, founder and Medical Director of the charity Pathway, which provides healthcare for homeless people. We discuss a broad range of topics relevant to all doctors working in clinical practice, including:

• The importance of research
• The concept of Proportional Universality and its use as a model to deliver care to those in greatest need
• The emergence of social prescribing and its potential to improve care

As well as some practical tips for managing patients with complex needs.

Please spread the word to colleagues, subscribe via iTunes or your podcast player, and while you’re there, leave a rating and quick written review – it really helps!

Feedback and suggestions:

Email: [email protected]

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Twitter: @themedicsmic

Website: www.themedicsmic.com

Music courtesy of Boost Music

Episode 4 Selected Websites:

Pathway Charity:

http://www.pathway.org.uk/

Pathway Research & Publications:

http://www.pathway.org.uk/publications/faculty/

Sir Michael Marmot – WHO Profile:

http://www.who.int/social_determinants/thecommission/marmot/en/

Dr Gary Bloch - Health Providers Against Poverty

https://healthprovidersagainstpoverty.ca/

A two-minute update explaining my plans for the show going forward. Thanks!

Please spread the word to colleagues, subscribe wherever you get your podcasts, and leave a review on Apple Podcasts – it really helps!

Apple Podcast Page:

https://itunes.apple.com/ie/podcast/the-medics-mic-gp-podcast/id1289068862

Feedback and suggestions:

Email: [email protected]

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Twitter: @themedicsmic

Website: www.themedicsmic.com

Music courtesy of Boost Music

http://boostmusic.com/

Episode 4 is the final of our four-part series on contraception for women featuring Dr Deirdre Lundy, Coordinator of Reproductive and Sexual Health Courses for the Irish College of General Practitioners.

This episode reviews three common GP cases:

• Crisis Pregnancy and Emergency Contraception
• Tubal Ligation
• Management considerations around termination of pregnancy

Please subscribe, spread the word to colleagues, subscribe via iTunes and leave a rating and quick written review – it really helps!

New content on a wide range of topics coming soon...

Feedback and suggestions:

Email: [email protected]

Facebook: www.facebook.com/themedicsmic

Twitter: @themedicsmic

Website: www.themedicsmic.com

Music courtesy of Boost Music

Episode 4 Selected Websites:

HSE Crisis Pregnancy Website:

http://www.positiveoptions.ie/

Think Contraception Website:

http://www.thinkcontraception.ie/Emergency-Contraception.4.1.aspx

Patient.info Guidance on Emergency Contraception:

https://patient.info/doctor/emergency-contraception-pro

RCOG Tubal Ligation Consent:

https://www.rcog.org.uk/en/guidelines-research-services/guidelines/consent-advice-3/

Episode 3 continues our four-part series on contraception for women featuring Dr Deirdre Lundy, Coordinator of Reproductive and Sexual Health Courses for the Irish College of General Practitioners.

This episode reviews three common GP cases:

• The woman planning to stop contraception with a view to starting a family;
• The woman who wants to restart contraception post-pregnancy;
• The woman who would like a definitive form of contraception as she moves towards menopause.

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Feedback and suggestions:

Email: [email protected]

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Twitter: @themedicsmic

Website: www.themedicsmic.com

Episode 3 Selected Websites:

FSRH Contraception After Pregnancy Guideline 2017: https://www.fsrh.org/news/new-fsrh-guideline--contraception-after-pregnancy/

Patient.info guide to postpartum contraception: https://patient.info/doctor/postpartum-contraception

Episode 2 continues our four-part series on contraception for women featuring Dr Deirdre Lundy, Coordinator of Reproductive and Sexual Health Courses for the Irish College of General Practitioners.

This episode reviews two common GP cases:

• The late teen seeking oral contraception for the first time
• The woman in her early 20s seeking a switch from oral contraception to a longer-acting reversible form (LARC) - implanon

As usual, Deirdre offers lots of useful clinical pearls, focusing in particular on breakthrough bleeding (BTB) including:

• Initial consultation counseling and proactive steps
• Management of persistent BTB including use of adjunct hormonal contraception
• Differential considerations

I hope you enjoy this episode - Please subscribe, tell your colleagues, and leave an iTunes rating and written review – it really helps to spread the word!

Feedback and suggestions:

Email: [email protected]

Facebook: @themedicsmic

Twitter: @themedicsmic

Episode 2 Selected Websites:

Irish Family Planning Association: https://www.ifpa.ie/

HSE Contraception Website: http://www.thinkcontraception.ie/Contraception-Choices.2.1.aspx

Wellwoman Website: http://wellwomancentre.ie/

NICE Breakthrough Bleeding Guidelines: https://www.nice.org.uk/guidance/cg44

RCOG Advice for Heavy Menstrual Bleeding: https://www.rcog.org.uk/en/guidelines-research-services/audit-quality-improvement/national-hmb-audit/

Thanks for listening to this new podcast for General Practitioners (GPs), trainees, family physicians, hospital doctors and medical students.

Episode 1 is the first in a four-part series on contraception for women featuring Dr Deirdre Lundy, Coordinator of Reproductive and Sexual Health Courses for the Irish College of General Practitioners.

This episode focuses on the general approach to the woman attending for contraception advice for the first time, and includes:

• Focused History-taking
• Initial Prescribing Considerations
• Side Effect Management

I hope you enjoy - Please subscribe, and better again, please leave an iTunes review!

Feedback and suggestions:

• Email: [email protected]
• Facebook: @themedicsmic
• Twitter: @themedicsmic

Selected Websites:

• Patient.info COCP Options Website: https://patient.info/doctor/combined-oral-contraceptive-pill-first-prescription
• HSE Contraception Website: http://www.thinkcontraception.ie/Contraception-Choices.2.1.aspx
• FSRH MEC: https://www.fsrh.org/ukmec/
• WHO Interactive MEC Wheel: http://srhr.org/mecwheel/
• NICE STI Guidelines: https://www.nice.org.uk/guidance/ph3
• Consilient Health COCP Desktop Guide: http://www.knowyourcontraceptives.ie/patient-management-guide