In article <000001bd826b$7cfcdd60$44c4dec2@skye>, a GP writes
>I might be interested, but like my colleagues am a little concerned about
>the workload implications. Please tell me more :
We all have particular areas in General practice where we are "up to
speed", aware of relevant EBM guidelines, good practice etc. I do an
endoscopy list and have always liked the mathematical preciseness of
neurology. I am our practice's GP trainer and audit man, and always
research (medline) before audit and tutorials (generally to catch up
with trends which haven't got into the books yet - I only really bother
with review articles, systematic reviews EBM, Bandolier etc).
having done this (an evening or two's work) I am generally in a position
to go a pretty good article full of the practical things GP's need to
know when facing patients or patients' family with so-and-so
condition,,, eg
How common, aetiology- simplistically, family history, likelyhood of
someone else getting it, likely investigations and Diff diagnosis,
operations, what the consultant is likely to do and say, staging ,
prognosis etc. the fancy stuff can be left to extensive textbooks.
Or "how to manage anaemia in GP" - what to do if a patient presents with
TATT and the Hb comes back as 10.3 ??
I would hope to keep the areas fairly small, but the author must
undertake to keep it up to date. His output would be peer reviewed by
GP's before inclusion. There may be one article on month and 5 the
next... depending what comes up in the journals. I would anticipate an
evening a week on average - and would hope to pick the chunks small
enough so this is realistic.....but I do need a good response from the
profession??
regards
huw
--
Huw Thomas
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