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The National Review of Asthma Deaths (NRAD) was a groundbreaking publication which reviewed 195 UK asthma deaths, adult and child, that took place over one year. In this podcast, Dr Toni Hazell talks to Dr Shuaib Nasser who contributed to the report. They cover the different phenotypes of asthma, how this is relevant for clinical management, the fi…
 
In this podcast, Dr Emma Nash talks with consultant paediatric gastroenterologist Peter Gillett to examine common presentations in general practice and paediatric outpatient departments that can be attributed to functional GI disorders. Recognition and diagnosis are considered, along with management, and the important conditions to exclude are touc…
 
In this podcast, Professor Pali Hungin and Dr Emma Nash discuss functional gastrointestinal disorders. The podcast explores the nature of functional GI disorders, the evolving understanding of the pathophysiology behind them, and how this knowledge can help GPs manage the conditions. There is a focus on irritable bowel syndrome, including how it ma…
 
Primary care clinicians need a clear and structured approach to the diagnosis and treatment of people with gastroesophageal reflux disease (GORD). This can help clinicians to identify the small proportion of people who need urgent investigation or long-term surveillance, whilst offering holistic treatment aimed at symptom improvement for the larger…
 
In medicine we talk about the upper and lower airway, but in fact these two tracts are continuous with each other, lined with the same epithelium and affected by the same disease processes. In this podcast, Dr Toni Hazell and Professor David Price discuss how this knowledge affects the management of asthma and allergic rhinitis. Patients with asthm…
 
In this podcast, Dr Toni Hazell and Dr Nicola Weaver discuss the use of tamoxifen and some other drugs in the primary prevention of breast cancer for women who are at a moderate or high risk due to their family history. The podcast discusses the evidence behind the use of these drugs, as well as how to work out which women should be referred, refer…
 
Lung cancer is common and the cause of a fifth of all cancer deaths. Early detection in primary care is key in improving survival rates by enabling curative treatment. In this podcast, Dr Sally Higginbottom and Dr Steve Holmes discuss the role of imaging and screening for lung cancer. An educational grant was received by AstraZeneca for the product…
 
GPs and other NHS clinicians are often pressed for time, but there is a lot to talk about in the first consultation for a patient with eczema. In this podcast Dr Toni Hazell talks to Dr Angelika Razzaque about what should ideally be covered, whether in one appointment or split over more than one. This includes how to break the news of a chronic con…
 
Eczema is often seen as purely a skin disease, but it is associated with other allergic conditions and can cause significant stress for patients and their families. In this podcast, Dr Toni Hazell and Dr Angelika Razzaque discuss the links between eczema and other allergic illnesses, the management of hand eczema, psychological stress due to eczema…
 
In this podcast, Dr Toni Hazell discusses the diagnosis and management of heart failure with Ahmet Fuat, honorary professor of primary care cardiology at Durham University, and Sarah Worsnop who shares her experiences of being diagnosed with heart failure at an early age. They cover the importance of the use of NT-proBNP test in patients with sympt…
 
There have been big changes in flu vaccination in the last few years, with the offer of universal vaccination to those aged 50 or over, as well as to more children in secondary school. In this podcast, Dr Toni Hazell and Dr Uy Hoang discuss the future of flu vaccination. What factors will the JCVI have to consider when deciding who to vaccinate nex…
 
Over 900,000 people in the UK are living with heart failure, and 3 million have chronic kidney disease (CKD). The prevalence of both of these diseases is rising in part due to increasing obesity and type 2 diabetes, as well as an aging population. In this podcast Dr Sam Robinson talks to Professor Ahmet Fuat, a GP Partner and immediate past preside…
 
Every year approximately 2% of adults seek medical attention for moderate to severe dizziness. In this podcast, Dr Thomas Round, EKU Clinical Lead, talks to Dr Devina Maru, a GP Speciality Registrar in Greenwich with a special interest in ENT and audiology and RCGP National Clinical Champion for hearing loss, about sudden onset dizziness and vertig…
 
The passing of the years in general practice often seems to be marked by the annual flu vaccination season; recently it has been more complex with the need to social distance and the simultaneous running of the COVID-19 vaccination programme. In this podcast, Dr Toni Hazell and Professor Simon de Lusignan discuss some of the issues which will affec…
 
There are many urban myths which circulate in the world of allergy. In this podcast, Dr Toni Hazell and Professor Adam Fox attempt to put the record straight regarding some of them. We will cover vaccination and egg allergy, progression of allergic reactions, the use of adrenaline auto-injectors and allergy tests which are available to buy online.…
 
In the UK over 3 million people are estimated to have osteoporosis and there are estimated to be over 500,000 fragility fractures that occur in the UK each year. In this podcast Dr Thomas Round, EKU Clinical Lead talks to Dr David Stephens, a locum and OOH GP in Scotland, and a member of the SIGN Guideline Development Group, concerning osteoporosis…
 
Approximately 4 million people in the UK have an autoimmune disease, many of whom have been affected by COVID-19, by either contracting the disease itself or negotiating the rapidly changing rules regarding shielding. In this podcast Dr Sam Robinson talks to Dr Kevin Barrett about the interaction between COVID-19 and autoimmune diseases, the concer…
 
Coeliac disease affects 1% of the population, however it remains under diagnosed. In a disease which is mainly managed by diet, why do we need to investigate and make a formal diagnosis? In this podcast Dr Sam Robinson talks to Professor David Sanders, Professor of Gastroenterology at the University of Sheffield and a consultant at The Royal Hallam…
 
Since April 1st 2021 the GP contract agreement regarding the provision of routine vaccination and immunisation in England has changed. In this 30 minute podcast, Dr Dirk Pilat talks to Dr George Kassianos, the National Immunisation Lead of the RCGP. Dr Kassianos explains the new contractual standards and the new vaccination and immunisation domain …
 
Alzheimer’s disease is the commonest cause of dementia. In this podcast, GP Sally Higginbottom interviews Dr Clare Wadlow, Consultant in old age psychiatry on practical tips in assessing and managing patients with Alzheimer’s disease.RCGP eLearning Podcast による
 
In this RCGP podcast, Dr James Matheson, RCGP Chair of the Health Inequalities Standing Group talks to Christiana Melam, CEO of the National Association of Link Workers about how those in primary care can best work with Social Prescribing Link Workers. They discuss the what a Social Prescribing Link Worker is, their role in addressing health inequa…
 
As of early June 2021, 1.5% of the population were experiencing self-reported long COVID. In this podcast, Dr Sally Higginbottom talks to Dr Gail Allsopp, Clinical Policy Lead at RCGP leading on Long COVID, a GP and Long COVID Clinic GP in Derbyshire about the Long COVID including its definition, people who are affected, common symptoms, investigat…
 
Global incidence of venous thromboembolism (VTE) is between 1 and 2 per 1,000 adults annually. In this podcast Dr Thomas Round, EKU Clinical Lead discusses with Dr Nicholas Jones, a salaried GP, GP Cardiologist and a Wellcome Trust Doctoral Research Fellow at the University of Oxford, the diagnosis, management and thrombophilia testing of venous th…
 
Rheumatoid arthritis is a chronic inflammatory condition, but if treated early with disease modifying drugs then it can sometimes be put into long-term remission. In this podcast, Dr Toni Hazell and Dr Danny Murphy discuss the need to treat rheumatoid arthritis at an early date as well as some of the less commonly covered areas of management, inclu…
 
This podcast features a discussion between Dr Kevin Barrett, a GP in Hertfordshire and Maralyn Druce, a Professor of Endocrine Medicine. Topics include: The diagnosis of autoimmune hypothyroidism and how to interpret borderline results When it is appropriate to screen for thyroid disorders Prescribing levothyroxine and what to tell our patients The…
 
Pollen food syndrome is a common allergy, characterised by a very rapid onset of mild symptoms which resolve quickly. Serious reactions such as anaphylaxis are rare. In this podcast, Dr Toni Hazell and Dr Isabel Skypala discuss the interaction between pollen food syndrome and hayfever and how to differentiate between pollen food syndrome and primar…
 
Allergic rhinitis and asthma are common conditions which affect a single airway and are therefore inextricably linked. In this podcast, Dr Toni Hazell and Dr Glenis Scadding discuss the links between asthma and allergic rhinitis, when to suspect that a rhinitis may be non-allergic, the importance of trigger factors and the use of immunotherapy for …
 
Acne is one of the most common skin conditions in the UK leading to 3.5 million primary care visits every year. In this EKU2020.3 podcast Dr Thomas Round, a GP and RCGP Essential Knowledge Update (EKU) Clinical Lead discusses the condition of acne vulgaris with Dr Angelika Razzaque, a GP partner and trainer in South East London and Executive Chair …
 
Syncope is defined as transient loss of consciousness due to cerebral hypoperfusion; it is a common problem which will affect an estimated 15-20% of children before the end of adolescence. The cause is usually benign, but it is important not to miss syncope due to a cardiac cause. In this podcast, Dr Toni Hazell talks to Professor Lesley Kavi about…
 
In this podcast, Dr Kevin Barrett talks to Dr Danny Murphy about osteoarthritis (OA) and how to diagnose and manage the condition in primary care. They also discuss what can be done to help patients who have been diagnosed and the useful resources available to support them. Financial support for the design and development of this Osteoarthritis Lea…
 
In this podcast Dr George Kassianos discusses ways of managing mass vaccination with Jackie Reeve, Dr Ivan Aloysius and Dr Anish Kotecha. The circulation of the SARS-Cov-2 virus in our communities during the current influenza season has made it necessary to change the ways we carry our influenza vaccinations. One solution is to carry out mass vacci…
 
In this podcast, Dr Toni Hazell talks to Dr Liz Angier about presentations of allergy and how the presentation is related to the underlying mechanism of the allergy, whether IgE mediated or non IgE mediated. The podcast covers history taking, referral, the interpretation of allergy tests and the use of community services such as dietetics to help i…
 
In this podcast the Dr Dirk Pilat chats with RCGP’s Honorary Secretary Dr Jonathan Leach about staying well in these stressful times. Topics include workload overload, how to relax after work and how to look after our colleagues. An educational grant was received by CHSA (COVID-19 Healthcare Support Appeal) for the production of this podcast. Edito…
 
In this podcast, we talk to Dr Kevin Barrett, a GP in Hertfordshire and Chair of the Primary Care Society of Gastroenterology. about autoimmune hepatobiliary disease. The discussion focuses on primary biliary cholangitis and autoimmune hepatitis, including when to consider them as diagnoses and what the next steps should be for a GP. Risk from COVI…
 
Eczema is a common, chronic, relapsing inflammatory skin condition which mainly occurs in childhood but can persist into or start in adulthood.In this EKU2020.2 Dr Dirk Pilat, a GP and RCGP Medical Director for eLearning discusses atopic eczema, dermatitis and emollients for eczema in children with Dr Matthew Ridd, a GP and Reader in Primary Health…
 
In this RCGP podcast on peanut allergy Dr Toni Hazell talks to Dr Helen Brough, Consultant in paediatric allergy at the Evelina children’s hospital. They discuss the prevalence of peanut allergy and how to deal with a patient who presents with a possible allergy, including the question of whether to give an adrenaline auto-injector while they are w…
 
While we are experiencing a second wave of COVID-19 in the United Kingdom, preparations have begun to protect our patients from seasonal influenza. In this podcast Dr George Kassianos CBE - the National Immunisation Lead for the RCGP - addresses co-infection, immunosenescence, symptoms of COVID-19 vs flu and the experience of the Southern Hemispher…
 
The prevalence of diverticular disease is up 65% by 85 years of age. In this EKU2020.2 podcast we explore the diagnosis and management of diverticular disease with Dr Patricia Mcnair, an interface geriatrician with an interest in gastroenterology who currently works in palliative care in Farnham.RCGP eLearning Podcast による
 
Irritable bowel syndrome (IBS) is a common medical condition which is usually managed in primary care. In this podcast we interview Dr Kevin Barrett, chair of the Primary Care Society for Gastroenterology and discuss the diagnosis and management of IBS. The discussion will include when to suspect IBS, what tests need to be done routinely, managemen…
 
Patients with suspected inflammatory arthritis benefit significantly from swift assessment by secondary care. If disease modifying drugs are started soon after presentation, the likelihood of full remission is greatly improved. This has always been challenging within the NHS and the COVID-19 pandemic has made prompt specialist review much harder. I…
 
In this podcast Dr Tom Kneale, a GP and Faculty Educator from North Wales and Dr Jessica Watson, a GP from Bristol and a NIHR Research Fellow at the University of Bristol talk to Dr Barbara Noble about how we can distinguish between flu and COVID-19. Drawing on his clinical experience, Tom talks about the common symptoms of COVID-19, which can help…
 
Thrombocytosis is associated with a higher risk of solid tumour malignancy. In this EKU2020.1 podcast we discuss with Professor Willie Hamilton, GP and Professor of Primary Care Diagnostics at the University of Exeter, the causes, investigations, differential diagnosis and referral of thrombocytosis.…
 
Around 40% of adults have hypertension. It is a key risk factor for a range of prevalent diseases including ischaemic heart disease, stroke, heart failure, atrial fibrillation and chronic kidney disease. In this EKU2020.1 podcast we explore with Dr Kevin Barrett, a GP in Hertfordshire and RCGP Clinical Lead, the NICE Guideline on Hypertension, in p…
 
This podcast is a follow-up to the first, very well received podcast on coeliac disease. This time we are talking to Dr Charlie Andrews who is a GP in Clevedon and part of the committee for the Primary Care Society of Gastroenterology. The podcast covers scenarios in which coeliac disease might be overlooked, multi-system manifestations of the cond…
 
The COVID-19 pandemic has caused many NHS services to pause and contraception has not been an exception to this. It is important that we continue to provide contraceptive services to reduce the risk of unwanted pregnancy. In this podcast, Dr. Toni Hazell and Dr. Anne Connolly discuss the FSRH guidance on contraception in the time of COVID-19. Topic…
 
Dr Ollie Hart, GP, PCN Clinical Director, Clinical Commissioning Lead for Person Centred Care at Sheffield CCG and passionate exponent of personalised care, discusses the benefits for individual patients, health professionals and the whole system. Resources mentioned in the podcast NHS England (2019) Universal Personalised Care Implementing the Com…
 
Dr Nicky Turner, GP in Buckinghamshire and Clinical Director for the Chalfonts PCN reflects on her personal leadership journey, and discusses some of the opportunities and challenges facing all clinical directors. This podcast was recorded prior to the COVID-19 pandemic. Resources mentioned in the podcast. BMA PCN site Ockham Healthcare The King's …
 
Developing a coaching mindset at your PCN Dr Tim Williams GP, coach and author discusses the value of coaching for leadership development both for individual PCN leaders, teams and the whole organisation. Resources mentioned in the podcast Kline, N. (1999). Time to think. London: Ward Lock. Kline, N. (2009). More time to think. Pool-in-Wharfedale: …
 
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