Early diagnosis: Ovarian cancer
Dr Alison Wint highlights the risk factors and symptoms of ovarian cancer, common misdiagnoses and provides advice on referral. (Source: GP Online Education)
Source: GP Online Education - March 12, 2019 Category: Primary Care Tags: 10.1 Women's Health Source Type: news

Red flags and chronic disease were most popular on MIMS Learning in 2018
A top 10 listing reveals the most popular MIMS Learning membership modules of 2018, including red flag symptoms, life-threatening conditions and chronic disease. (Source: GP Online Education)
Source: GP Online Education - December 21, 2018 Category: Primary Care Tags: MIMS Learning Source Type: news

New vitamin D guidelines aim to provide clarity on testing and prescribing
Dr Terry Aspray explains what the National Osteoporosis Society's new clinical guidelines on vitamin D and bone health mean in practice for GPs. (Source: GP Online Education)
Source: GP Online Education - December 6, 2018 Category: Primary Care Tags: Osteoporosis and bone disorders Source Type: news

How we improved end-of-life care in our practice
Dr Victoria Middleton explains how her practice has increased the number of patients on its palliative care register, reduced avoidable hospital admissions and increased the number of people able to die at home by a third. (Source: GP Online Education)
Source: GP Online Education - December 5, 2018 Category: Primary Care Tags: 12 Care of People with Cancer and Palliative Care Source Type: news

MIMS Learning's top 25 modules in 2018: which topics were the hottest?
Discover the hottest topics in primary care learning, with a top 25 listing of the most popular membership modules on MIMS Learning in 2018. (Source: GP Online Education)
Source: GP Online Education - December 3, 2018 Category: Primary Care Tags: MIMS Learning Source Type: news

What the NICE chronic heart failure guideline means for frontline GPs
NICE's updated chronic heart failure guideline, published on Wednesday, spells out the latest advice for GPs on diagnosis and management in primary care. Dr Clare J Taylor, a GP, researcher and guideline committee member, highlights the key points for GPs. (Source: GP Online Education)
Source: GP Online Education - September 12, 2018 Category: Primary Care Tags: 15.1 Cardiovascular Problems Source Type: news

GP dilemma: An intimate examination during a home visit
How should GPs proceed if they are required to undertake an intimate examination unexpectedly during a home visit? Dr Gabrielle Pendlebury from Medical Protection advises. (Source: GP Online Education)
Source: GP Online Education - August 30, 2018 Category: Primary Care Tags: Medico-legal Source Type: news

Preventing suicide in children and young people: What can GPs do?
Dr Maria Michail and Dr Faraz Mughal provide some practical tips that GPs should bear in mind when consulting with a young person at risk of suicide. (Source: GP Online Education)
Source: GP Online Education - August 16, 2018 Category: Primary Care Tags: 13 Care of People with Mental Health Problems Source Type: news

Medico-legal: Declaring patients fit to fly
GPs can often find they are asked to declare patients 'fit to fly'. Dr Rachel Birch from Medical Protection presents two case scenarios, illustrating what GPs can do to support patients while minimising potential risks. (Source: GP Online Education)
Source: GP Online Education - July 30, 2018 Category: Primary Care Tags: Medico-legal Source Type: news

Medico-legal: Declaring patients fit to fly
As we hit peak holiday season, GPs may find themselves asked to declare patients 'fit to fly'. Dr Rachel Birch from Medical Protection presents two case scenarios, illustrating what GPs can do to support patients while minimising potential risks. (Source: GP Online Education)
Source: GP Online Education - July 30, 2018 Category: Primary Care Tags: Medico-legal Source Type: news

GP dilemma: An online service issues an unnecessary prescription to my patient
A patient has received an unnecessary prescription from an online prescribing system. What should I do as their GP? Dr Marika Davies offers advice. (Source: GP Online Education)
Source: GP Online Education - July 16, 2018 Category: Primary Care Tags: Prescribing Source Type: news

Improving learning log entries in GP training: a clinical encounter
This first article in a three-part series looks at a typical e-portfolio learning log entry (LLE) and discusses how the trainee could improve its quality. (Source: GP Online Education)
Source: GP Online Education - June 25, 2018 Category: Primary Care Tags: WPBA Source Type: news

GP dilemma: A patient on a repeat prescription fails to attend
What should GPs do if a patient on a repeat prescription fails to attend for monitoring? Dr Susan Gibson-Smith from MDDUS offers some advice. (Source: GP Online Education)
Source: GP Online Education - June 4, 2018 Category: Primary Care Tags: Medico-legal Source Type: news

Cauda equina syndrome: Changes to NICE CKS red flags
Failure or delay in diagnosis of cauda equina syndrome can be catastrophic and leave GPs open to costly negligence claims. Dr Philip White from MPS explains changes to NICE Clinical Knowledge Summaries' red flag symptoms for this condition, which should support earlier referral. (Source: GP Online Education)
Source: GP Online Education - May 11, 2018 Category: Primary Care Tags: 15.9 Rheumatology, Musculoskeletal and Trauma Source Type: news

GP dilemma: A patient from overseas expects me to prescribe antibiotics
A temporary patient visiting her family from overseas came to see me to request antibiotics for a cold. When I refused to do so, she threatened to make a complaint about me to the GMC. These types of request for inappropriate antibiotics are a frequent problem for me and my colleagues, how should we respond? (Source: GP Online Education)
Source: GP Online Education - April 6, 2018 Category: Primary Care Tags: GP Practice Source Type: news

Hip pain in adults - red flag symptoms
Dr Pipin Singh explores presentations of hip pain in adults and red flag symptoms that may alert you to potentially serious conditions. (Source: GP Online Education)
Source: GP Online Education - March 28, 2018 Category: Primary Care Tags: 15.9 Rheumatology, Musculoskeletal and Trauma Source Type: news

Widespread joint pain - red flag symptoms
Dr Pipin Singh discusses presentations and red flag symptoms that may alert you to potentially serious conditions. (Source: GP Online Education)
Source: GP Online Education - March 21, 2018 Category: Primary Care Tags: 15.9 Rheumatology, Musculoskeletal and Trauma Source Type: news

Which patient with dyspepsia should you refer?
In this short audio clip, Dr Toni Hazell asks GPs to identify one of four patients with dyspepsia for whom two-week wait referral is recommended by NICE. (Source: GP Online Education)
Source: GP Online Education - March 8, 2018 Category: Primary Care Tags: GI - Dyspepsia Source Type: news

How to handle aggressive patients
MDU medico-legal adviser Dr Ellie Mein offers some advice for GPs on how to deal with aggressive and violent behaviour in patients. (Source: GP Online Education)
Source: GP Online Education - March 2, 2018 Category: Primary Care Tags: GP Practice Source Type: news

How to handle aggressive patients
Dr Edward Farnan from the MDU offers some advice for GPs on how to deal with aggressive and violent behaviour in patients. (Source: GP Online Education)
Source: GP Online Education - March 2, 2018 Category: Primary Care Tags: GP Practice Source Type: news

GP dilemma: Dealing with a patient's aggressive relative
I recently conducted a consultation with a patient who brought a relative in with her. The relative was very aggressive and disruptive during the consultation. What is the best approach in a situation like this? (Source: GP Online Education)
Source: GP Online Education - March 2, 2018 Category: Primary Care Tags: GP Practice Source Type: news

How to reduce the risk of prescribing errors
Dr Naeem Nazem from the MDDUS highlights some common prescribing pitfalls and steps GPs can take to minimise the risk of mistakes occurring. (Source: GP Online Education)
Source: GP Online Education - February 28, 2018 Category: Primary Care Tags: GP Practice Source Type: news

Guidance update: latest NICE guidelines on chest pain
Dr Ivan Benett and Dr Toni Hazell offer a free module on how to implement NICE guidance on chest pain of recent origin. (Source: GP Online Education)
Source: GP Online Education - January 10, 2018 Category: Primary Care Tags: 15.1 Cardiovascular Problems Source Type: news

GP dilemma: Safeguarding a vulnerable elderly patient
The dilemma: I am worried that the son of an elderly patient may be preventing his mother from accessing appropriate treatment - what should I do and what are my safeguarding obligations? (Source: GP Online Education)
Source: GP Online Education - January 4, 2018 Category: Primary Care Tags: 9 Care of Older Adults Source Type: news

Guidance update: NICE guidelines on depression in adults
Dr Toni Hazell explains NICE guidance on depression in adults. (Source: GP Online Education)
Source: GP Online Education - December 12, 2017 Category: Primary Care Tags: 13 Care of People with Mental Health Problems Source Type: news

Parental responsibility and consent
MDU medico-legal adviser Kathryn Leask explains the law surrounding parental responsibility and uses three scenarios to outline how this can impact on GPs in practice. (Source: GP Online Education)
Source: GP Online Education - December 7, 2017 Category: Primary Care Tags: GP Practice Source Type: news

Movement disorders clinical Q & A
Dr Nick Lance describes his role and answers questions on diagnosis and management of Parkinson's disease and other movement disorders in primary care. (Source: GP Online Education)
Source: GP Online Education - December 6, 2017 Category: Primary Care Tags: 9 Care of Older Adults Source Type: news

Medico-legal: The legal status of clinical guidelines
Dr Sally Old discusses the legal status of guidance from national and local organisations, and how to apply it in clinical practice. (Source: GP Online Education)
Source: GP Online Education - November 28, 2017 Category: Primary Care Tags: CPD credits Source Type: news

End-of-life care: CQC briefing
Dr Devin Gray discusses how CQC inspectors assess a practice's approach to end-of-life care. (Source: GP Online Education)
Source: GP Online Education - November 27, 2017 Category: Primary Care Tags: 12 Care of People with Cancer and Palliative Care Source Type: news

GPs need more than 10 minutes per consultation, warns RCGP
GPs need more than 10 minutes per appointment to manage increasingly complex patients the RCGP has warned, after research linked shorter consultations with lower-quality care. (Source: GP Online Education)
Source: GP Online Education - November 9, 2017 Category: Primary Care Tags: Practice News Source Type: news

Acute skin problems in children
Dr Catriona Maybury and Dr Alya Abdul-Wahab review the diagnosis and management of common paediatric dermatology presentations needing urgent treatment. (Source: GP Online Education)
Source: GP Online Education - October 31, 2017 Category: Primary Care Tags: Dermatology Source Type: news

GPs refuse to collect data on patients' immigration status
GPs are crossing out the supplementary questions section of new GMS1 forms because they do not want to be involved with gathering information on patients' immigration status, a medical charity has said. (Source: GP Online Education)
Source: GP Online Education - October 31, 2017 Category: Primary Care Tags: Practice News Source Type: news

New treatments for psoriasis
Dr Elizabeth Roberts and Dr Shanti Ayob give an update on new treatment options for patients with psoriasis. (Source: GP Online Education)
Source: GP Online Education - October 25, 2017 Category: Primary Care Tags: Psoriasis Source Type: news

Eye pain - red flag symptoms
Dr Pipin Singh discusses the red flag symptoms to be aware of in patients presenting with eye pain. (Source: GP Online Education)
Source: GP Online Education - October 25, 2017 Category: Primary Care Tags: Ophthalmology Source Type: news

Diagnosis of common hair loss conditions
Hair loss can severely affect patients. Dr Anton Alexandroff describes the most common types of alopecia. (Source: GP Online Education)
Source: GP Online Education - October 18, 2017 Category: Primary Care Tags: Dermatology Source Type: news

Management of contact dermatitis
Dr Graham Johnston gives an overview of evidence-based recommendations for the management of contact dermatitis. (Source: GP Online Education)
Source: GP Online Education - October 18, 2017 Category: Primary Care Tags: Eczema Source Type: news

How should GPs address concerns about a colleague's performance?
GPs have a duty to act if they believe a colleague's poor performance could compromise patient safety. MDU medico-legal adviser Dr Beverley Ward explains how to go about reporting concerns. (Source: GP Online Education)
Source: GP Online Education - September 26, 2017 Category: Primary Care Tags: Medico-legal Source Type: news

Skin reaction after progestogen implant case study
Dr Rajiv Ghurye, Dr Suma Sreeshyla and Dr Simon Giles describe an unusual cause of Koebner's phenomenon. (Source: GP Online Education)
Source: GP Online Education - September 19, 2017 Category: Primary Care Tags: 15.10 Skin Problems Source Type: news

Genetic information and confidentiality
In the latest in our series on the GMC's new confidentiality guidance, MDU medico-legal adviser Dr Kathryn Leask explores confidentiality and genetics. (Source: GP Online Education)
Source: GP Online Education - September 14, 2017 Category: Primary Care Tags: 3.3 Ethics and Values Based Medicine Source Type: news

Antiphospholipid syndrome: diagnosis and management
Dr Anisur Rahman and Dr Salma Ahmed discuss the diagnosis and management of antiphospholipid syndrome (APS). (Source: GP Online Education)
Source: GP Online Education - September 13, 2017 Category: Primary Care Tags: Autoimmune disorders Source Type: news

Nicotine addiction: clinical review
Jennifer Percival outlines the key elements of smoking cessation and how these can be applied in primary care. (Source: GP Online Education)
Source: GP Online Education - September 6, 2017 Category: Primary Care Tags: 5 Healthy People Source Type: news

Trauma: Illustrated
Pictures of trauma, including dog bite, corneal abrasion and burns, are highlighted in this article. (Source: GP Online Education)
Source: GP Online Education - September 6, 2017 Category: Primary Care Tags: Clinical images Source Type: news

Menopause and migraine
Dr Louise Newson describes a case of migraine linked with menopause. The case highlights the association between menopause and migraine and the role of HRT in symptom reduction. (Source: GP Online Education)
Source: GP Online Education - August 23, 2017 Category: Primary Care Tags: 10.1 Women's Health Source Type: news