Tag: General practice

Getting involved in research for the first time: reflecting on my student choice project in academic primary care

Posted on by capcbristol

Alejandra Bonwick

 

 

by Alejandra Bonwick, Second Year Undergraduate Medical Student, Bristol Medical School, University of Bristol

“If you devote yourself to being the best practitioner you can be, you will improve the lives of thousands of patients in your working lifetime.

If you teach students and young doctors, you will help to improve the lives of hundreds of thousands of patients.

If, through research, you change the way we all practise, you will help to improve the lives of millions.”

Paul Freeling

High quality research is a cornerstone of our healthcare system: it ensures that evidence-based medicine underpins patient care. We are surrounded by it from the moment we start medical school, yet academic general practice is often more invisible than research in secondary care. Academic GPs are scattered across the country in smaller practices, rather than being concentrated in the hospitals where we spend the majority of placement … Read more

Caring for children with cough: co-designing information that parents really need

Posted on by capcbristol

By Dr Christie Cabral, Senior Lecturer, Centre for Academic Primary Care, University of Bristol

When a child develops a cough, parents often find themselves in a whirlwind of worry and uncertainty. Is this normal? Should I call the doctor? Could it be something serious? These questions are common and understandable.

Infectious illnesses, like respiratory infections that cause coughs, are among the most frequent reasons for childhood visits to the GP. While the vast majority of coughs in children get better without the need for any medical treatment, a very small number could be serious.

The challenge lies in helping parents distinguish between what’s normal and what needs to be checked by a GP. This is what we set out to do when creating the Caring for children with coughs materials.

Why we needed better information

Parents said they found most of the existing NHS resources on what to … Read more

What was it like attending the RCGP Annual Conference as an early career GP academic?

Posted on by capcbristol

Dr Molly Dineen

 

 

by Dr Molly Dineen, ST2 Academic Clinical Fellow in General Practice, Centre for Academic Primary Care, University of Bristol

I was so pleased to receive a bursary from the Royal College of General Practitioners (RCGP) Severn Faculty, which enabled me to attend this year’s RCGP Annual Conference in Liverpool. I am an ST2 Academic Clinical Fellow in General Practice, and this was my first RCGP Annual Conference, as well as my first time in Liverpool!

Attending the conference was an incredible experience. I have created a short montage of my trip so that, if you haven’t been before, you can get a real taster of what it was like.

I would summarise my experience with the word ‘diversity’ and hopefully you get a sense of that from the video – diversity of experiences, diversity of sessions, diversity of people, and diversity of our profession.

There … Read more

Why do GPs prescribe benzodiazepines in young adults with anxiety?

Posted on by capcbristol

Dr Charlotte Archer

 

 

 

By Dr Charlotte Archer, Research Fellow in Primary Care Mental Health, Centre for Academic Mental Health and Centre for Academic Primary Care, University of Bristol

Why did we do the research?

Benzodiazepines like Valium can be used to help manage the symptoms of anxiety. Research has found that the number of new prescriptions of benzodiazepines for patients with anxiety decreased between 2003 and 2018. It is likely that this is because there are some concerns in the medical community about prescribing benzodiazepines, such as dependency. However, although numbers have declined overall, rates of prescribing actually increased in young adults (those aged 18-34) from 2008 onwards.

Further, the clinical guidelines for the management of anxiety state benzodiazepines should only be used on a short-terms basis, around two to four weeks. Despite this, in 2017, just under half of the prescriptions for benzodiazepines were issued for … Read more

A global journey into primary care: insights from the NAPCRG Conference

Posted on by capcbristol

Chloe Gamlin

 

 

 

by Chloë Gamlin, GP Academic Clinical Fellow, Centre for Academic Primary Care, University of Bristol

Attending the North American Primary Care Research Group (NAPCRG) conference for the first time proved to be an enriching experience, offering a diverse array of presentations and discussions at the forefront of primary care. Held at the Hilton in downtown San Francisco, the conference brought together healthcare providers and researchers from across the globe.

Plenaries

The opening plenary by Professor Ed Maibach underscored the role of primary care physicians in addressing climate change, emphasizing their potential to provide unbiased information. Another plenary, led by Professor Diana Greene Foster, delved into the intersection of politics and healthcare, focusing on the recent changes to US abortion law. The emotional session highlighted the resilience of healthcare professionals in supporting women’s health issues, despite differing opinions.

Distinguished papers presented in the morning sessions covered … Read more

Key insights from social science research for antibiotic stewardship interventions

Posted on by capcbristol

 

 

By Christie Cabral, Senior Lecturer, Centre for Academic Primary Care , University of Bristol

As a social anthropologist, I’ve been investigating why antibiotics are overused for over a decade and using the insights gained to develop antibiotic stewardship interventions. For World Antimicrobial Resistance (AMR) Awareness Week, I am writing about three key insights from my research.

1. The role of ‘Explanatory Models’ for illness and treatment: the influence on consulting and prescribing behaviours

Explanatory models are the set of linked ideas or theories that we each have in our minds about an illness and the possible treatments. These inform what we do as a patient, deciding whether to consult, or as a clinician deciding whether to prescribe.

The (simplified) biomedical model for the infections is of two types: viral or bacterial. Antibiotics treat bacterial infections but are ineffective for viral infections. So, it’s simple, no one … Read more

Why Test? The power of collaboration in primary care research

Posted on by capcbristol

 

By Dr Ola Abdellatif, Primary Care Academic Collaborative (PACT) and Dr Jessica Watson, Centre for Academic Primary Care, University of Bristol

Rates of blood testing in general practice have increased over the past two decades in the UK. The reasons why are not entirely clear. Researchers from the University of Bristol, led by Dr Jessica Watson, joined forces with PACT – a collaborative of GP clinicians interested in research – to investigate who requests tests and why, and what the outcomes are. Why Test? Is their first study, which benefited from the unique access to clinical records facilitated by PACT. In this blog, Dr Ola Abdellatif, a GP trainee at the time of the study (now a salaried GP) and PACT member, together with Dr Jessica Watson, a GP and NIHR Clinical Lecturer in General Practice at the Centre for Academic Primary Care, University of Bristol and … Read more

What do we know about how GPs are used in emergency medical services?

Posted on by capcbristol

 

 

 

By Dr Alex Burrell, NIHR Academic Clinical Fellow in General Practice, Centre for Academic Primary Care, University of Bristol

CAPC researchers, Dr Alex Burrell, Dr Grace Scrimgeour and Dr Matthew Booker have conducted a systematic review and narrative synthesis to assess the evidence on how GPs are used in emergency medical services.

Emergency medical services in the UK are under significant pressure. A considerable proportion of their workload relates to problems that could be dealt with by a GP. Using GPs in emergency medical services, such as the ambulance service, might reduce the number of people being taken to Accident and Emergency (A&E) and may more appropriately meet these patients’ needs. This could also free up ambulances and paramedics to respond to life-threatening emergency calls.

Different roles

GPs have been used in emergency medical services in a number of countries. In some countries, … Read more

Festival of Teaching 2023

Posted on by capcbristol

 

 

 

 

 

By Dr Simon Thornton, GP Engagement Lead, Centre for Academic Primary Care, University of Bristol (left) and Professor Trevor Thompson, GP and Head of Primary Care Teaching, Centre for Academic Primary Care, University of Bristol (right)

For the last two years the teaching arm of the Centre for Academic Primary Care (CAPC) have been doing something a little different when it comes to Continuing Professional Development (CPD): a Teaching Festival, a day of activities that aims to celebrate and entertain as well inform and train.

This year our destination was Clevedon Hall, a stone’s throw from the marine lake on the shore at Clevedon. On display throughout the day was a collection of artwork produced by our medical students as well as photography by a local GP, Dr Jon Rees. The grounds are an absolute delight as was our programme of … Read more

Arts and Sciences – researching the history of antibiotics in primary care

Posted on by capcbristol

Dr Barbara Caddick
Dr Barbara Caddick

 

 

This article was originally published by the Elizabeth Blackwell Institute for Health Research. Reproduced here with kind permission.

 

The prevalence of antibiotic use in modern society is well established. Antibiotics have revolutionised medicine and how society sees – and deals with – disease. Along with concerns regarding the rise of antibiotic resistant bacteria, thought to be exacerbated by their over-use in many areas, there is a need to understand the history of their adoption and use, especially in primary care. Comprehending the many-tendrilled circumstances and behaviours that led to this point might help to inform future choices, and give some insight into future best practice.

Dr Barbara Caddick, Senior Research Associate at the Centre for Academic Primary Care (CAPC) at the University of Bristol, is well qualified for such an undertaking, with a PhD in History and extensive experience in research in … Read more