Opening opportunities for GP trainees and allied health professionals to get into research: the PACT ‘Why test?’ study

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by Dr Jessica Watson, NIHR Clinical Lecturer in General Practice, Centre for Academic Primary Care, University of Bristol

Have you ever found yourself looking at blood test results and wondered why the test was done in the first place?

Why Test? – It seems like a simple question. Yet despite increasing access to research databases such as Clinical Practice Research Datalink (CPRD), which contain millions of test results, there is no easy way to find out why these tests are being performed in the first place. How many are for monitoring, screening or diagnosis? Which symptoms trigger testing? To explore this, we are launching the Why Test study using the Primary Care Academic CollaboraTive (PACT).

Currently, only a tiny proportion of primary care clinicians have a formal academic contract with a University. PACT aims to open up opportunities for non-academic primary care clinicians to get … Read more

Developing academic writing skills for researchers with English as a second language

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by Beatriz Kalichman, Researcher, University of São Paulo, Brazil and Centre for Academic Primary Care, University of Bristol, UK

Beatriz Kalichman, an early career researcher (ECR) on the Healthcare Responding to Violence and Abuse (HERA) international research project at the University of São Paulo and, honorarily, at the Centre for Academic Primary Care, University of Bristol, reflects on the National Institute for Health Research (NIIHR)-funded writing workshop, ‘Writing for Global Health: developing academics of the future’, in Summer 2021. The workshop was co-developed by ECRs and delivered by the University of Bristol’s Centre for Academic Language and Development.

Academic English writing is very important for career progression and was identified as an issue that ECRs on the HERA project who don’t have English as a first language wanted to work on. HERA, funded by the Medical Research Council Global Challenges Research Fund and NIHR Global Health … Read more

Twists, turns and persistence: my path from nursing to research

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by Dr Cindy Mann, Research Fellow, Centre for Academic Primary Care, University of Bristol

Cindy Mann, a former nurse and now Research Fellow at the Centre for Academic Primary Care, University of Bristol, shares the twists and turns in her career, and encourages nurse colleagues to consider research as a future path and not be put off by setbacks.

A long and varied career

I have had a long career, starting in 1975, when I did my nurse training at Leeds General Infirmary. In 1977 I got married and after completing training followed my husband to Oxford where I took a job as a staff nurse at John Radcliffe Hospital in Oxford. I then decided to do a Philosophy degree in Oxford, and really enjoyed the peace and quiet of working in a library, in contrast to ongoing shifts for the nurse bank. In the following years, up … Read more

Curiosity and imagination: building blocks on my path to research

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by Alastair Hay, Professor of Primary Care, Centre for Academic Primary Care, University of Bristol

I became a GP in 1997 and was appointed professor of primary care at the University of Bristol in 2013.

As a child, I was an avid Lego® player and reader of ‘how things work’ books. I was state-educated and did not enjoy school until my ‘A’ levels. I enjoyed the conceptual challenge of mathematics and, in 1985, was offered a place at Birmingham University to study maths and psychology. My results were better than I expected, so I withdrew and applied for medicine, securing a place at Sheffield.

I was initially disappointed by the course because of the lack of conceptual challenges. I was expected just to absorb lots of knowledge. Later, as I took responsibility for patient care, the application of knowledge became the interest. I did not intercalate … Read more

Point-of-care tests to inform antibiotic prescribing

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by Alastair Hay, Professor of Primary Care, Centre for Academic Primary Care, University of Bristol

This article was first published in the BMJ.

The tests have potential but more evidence is needed. 

Given the global concerns(1) about antibiotic resistance, antimicrobial stewardship is essential to preserve the future effectiveness(2) of antibiotics. Healthcare practitioners must balance public and patient health, ensuring that only patients who need antibiotics receive them, and that they receive an antibiotic to which their infection is susceptible, at the optimum time, dose, and duration. Whether to prescribe an antibiotic is a key issue for clinicians treating respiratory infections in the community.

Point-of-care tests provide results in time to inform treatment. For respiratory infections, the tests can identify the presence of a microbe(3-5) or measure markers of a host’s response to a microbe, such as C reactive protein or procalcitonin, in finger prick quantities … Read more

The aim of general practice: can it be explained in one sentence?

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by Professor Alastair Hay, Centre for Academic Primary Care, University of Bristol

This article was first published in the British Journal of General Practice.

As a teacher and researcher, I have learned that, unless my aim is clear, I will confuse myself, my students, my clinical colleagues, and my co-investigators. And yet, as a GP I often wonder, ‘Can I summarise my objective?’

The June edition of the UK’s British Journal of General Practice included articles describing an existential crisis in primary care (asking ‘What is the essence of general practice?’), a novel study describing some of the most complex work undertaken by GPs (largely invisible to most people most of the time), and other articles asking how we should deliver care post-COVID. However, the common thread for me was: ‘What is our aim?’

And why is it important to be able to explain our … Read more

Conference reflections from a basement

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by Dr Rupert Payne, Consultant Senior Lecturer in Primary Health Care, Centre for Academic Primary Care, University of Bristol

Dr Rupert Payne reflects on the highlights of the two-day Society for Academic Primary Care (SAPC) Annual Scientific Meeting, which was held virtually this year from 30 June to 1 July. This blog was first published on the SAPC website.

Another year, another conference! The last time I attended a SAPC conference was the regional South-West one that we hosted in Bristol – about a week before the first lockdown kicked in, and normality abruptly ended. Indeed, I suspect it was actually the last big face-to-face meeting many of us attended. This time, Leeds beckoned. But rather than jumping on the train to the “grim north”, I descended the stairs to my rather grimmer basement (yes, my wife has kicked me out the dining room), for … Read more

Is there value in GPs diagnosing an anxiety disorder?

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by Charlotte Archer, Senior Research Associate in Primary Care Mental Health, and Katrina Turner, Professor of Primary Care Research, Centre for Academic Primary Care, University of Bristol

Research has shown that fewer people in primary care are now being diagnosed with anxiety than in the past, despite reports that rates of anxiety have increased in the general population. Individuals with anxiety may be reluctant to seek help for their symptoms. They may also find it difficult to talk to their GP about their mental health or may normalise their symptoms.

Although most anxiety is managed in primary care by GPs, we know very little about whether GPs and patients think it is important to diagnose and manage anxiety disorders. Knowing this might help us identify possible reasons for the decline in their recording, and the potential impact of this on patient care and … Read more