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.
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
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
Dr Alex Burrell has led a study exploring the relationship between Altmetric scores and citations in primary care research journals as part of his Editorial Fellowship at the British Journal of General Practice (BJGP) and BJGP Open.
The number of times a research article is cited has traditionally been used to assess its impact and quality. Altmetric score is an alternative measure of article impact which assesses the broader societal impact of articles and includes social media, blogs, and news mentions.
Number of citations, and other measures which are based on citation count, are still most often used by researchers and universities, and are tied to financial rewards. However, academic journals and authors increasingly use parts of the Altmetric score to share and promote research.
by Loreta Valatka, Third Year Pharmacy Student, University of Bath
My internship experience
The Carry Naloxone Somerset project, led by Dr Jenny Scott, was the main focus of my 2023 research summer internship at the University of Bristol’s Centre for Academic Primary Care (CAPC). The aim of the project is to encourage people in Somerset who may experience or witness an overdose to carry naloxone – a first aid medicine that can be supplied without prescription to prevent an opioid overdose from being fatal.
Before the launch of the campaign, I analysed survey data to write a report about the possession and carriage of naloxone, as well as overdose experiences amongst Somerset Drug and Alcohol Service (SDAS) users. Post launch, I was responsible for follow-ups with the 23 pharmacies that had signed up so far. This was to ensure all participating members of the pharmacy teams … Read more
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
by Dr Denize Atan, Associate Professor in Neuro-opthalmology, Neuroscience and Genetics, University of Bristol
Papilloedema is nerve swelling at the back of the eyes. It is caused by increased pressure inside the head and can be the first sign of a brain tumour or other serious health problems.
As half the people with a brain tumour have no symptoms, optometrists (trained eye care professionals who work at optician practices) may be the first to notice nerve swelling in someone during a routine eye test.
The importance of detecting papilloedema has been highlighted by recent high profile cases in the media.
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.
GPs have been used in emergency medical services in a number of countries. In some countries, … Read more
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
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.
“I think everyone’s been in the situation where they go to a doctor to talk about something that they find hard to talk about or they might find it difficult to voice their concerns.”
“I just couldn’t get a word in edgewise, sometimes you find you’ve just arrived and the GP is writing the prescription you know?”
These are some of the things patients said to us when we interviewed them for the Consultation Open and Close (COAC) study. Patients felt that, in the 10-minute consultation, particularly when it was by telephone, the GP did not always have time to get to the root of their problems.