Royal College of General Practitioners Research This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.

The scientific basis of medical Generalism.
This article summarises three research studies showing that psychosocial factors affect the body and influence whether patients live or die. They all occur in the home, family or community and are much more likely to be known to family rather than hospital doctors. Generalist doctors can best see the social determinants of illness, to understand why many diseases occur, and to be able to intervene helpfully. Research clarifies the central role of medical generalists. Both the Royal College of General Practitioners and the Health Select Committee of Parliament have called for this material to be taught in medical schools an...
Source: Education for Primary Care - October 1, 2017 Category: Primary Care Tags: Educ Prim Care Source Type: research

There is a clear demand for pharmacists, says RCGP in GP Forward View assessment
The Royal College of General Practitioners has said that good progress has been made in the roll-out of practice-based pharmacists (Source: The Pharmaceutical Journal)
Source: The Pharmaceutical Journal - August 1, 2017 Category: Drugs & Pharmacology Source Type: research

Pharmacist professor Christine Bond made fellow of Royal College of General Practitioners
Christine Bond, an emeritus professor (primary care) at the Institute of Applied Health Sciences at the University of Aberdeen, was awarded an honorary fellowship at the Royal College of General Practitioners on 12 May 2017. (Source: The Pharmaceutical Journal)
Source: The Pharmaceutical Journal - May 18, 2017 Category: Drugs & Pharmacology Source Type: research

Lifetime cancer risk and combined oral contraceptives: the Royal College of General Practitioners ’ Oral Contraception Study – Authors reply (ref L17-040AR1)
(Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - May 11, 2017 Category: OBGYN Authors: Lisa Iversen, Philip C. Hannaford, Shona Fielding, authors Tags: Letter to the Editors Source Type: research

Reply
We thank Dr Grant for her continued interest in our study. The Royal College of General Practitioners ’ (GP) Oral Contraception (OC) Study has prospectively followed up women forward in time, with information about OC exposure collected often many years before the diagnosis of cancer. Follow-up was initially via 6-monthly GP reports of any hormones prescribed (including hormone therapy [HT] in lat er years), all new episodes of illness, surgery, and deaths. In the mid-1970s we flagged women still under GP observation at the National Health Service (NHS) Central Registries for subsequent notification of cancers and/or dea...
Source: American Journal of Obstetrics and Gynecology - May 11, 2017 Category: OBGYN Authors: Lisa Iversen, Philip C. Hannaford, Shona Fielding Tags: Letter to the Editor Source Type: research

Attitudes of newly qualified doctors towards a career in general practice: a qualitative focus group study.
CONCLUSION: This study has gathered the opinions of doctors at a critical point in their careers, before they choose a future specialty. Findings highlight areas of concern and potential deterrents to a career in general practice, together with recommendations to address these issues. PMID: 28360072 [PubMed - in process] (Source: The British Journal of General Practice)
Source: The British Journal of General Practice - April 1, 2017 Category: Primary Care Authors: Merrett A, Jones D, Sein K, Green T, Macleod U Tags: Br J Gen Pract Source Type: research

Sodium-Glucose Co-transporter 2 (SGLT2) Inhibitor: Comparing Trial Data and Real-World Use
ConclusionsThe EMPA-REG trial results are applicable only to a small proportion of people with T2DM and a smaller proportion of those currently treated with SGLT2 inhibitors. Additional data are required to identify any cardiovascular benefit in people with lower cardiovascular risk.FundingAstraZeneca. (Source: Diabetes Therapy)
Source: Diabetes Therapy - March 20, 2017 Category: Endocrinology Source Type: research

Experiences of simulated patients and candidates in the Membership of the Royal College of General Practitioners Simulated Surgery examination.
Authors: Denney ML, Wakeford R, Hawthorne K, Bewick M Abstract WHAT IS ALREADY KNOWN IN THIS AREA • Simulated patients (SPs) experience stress related to their performance as SPs. • SPs' consistency is maximised by regular training for them and the examiners. • The likelihood of stress may be related to role type and SP acting style. WHAT THIS WORK ADDS • Some quantification of the problems surrounding SPs undertaking continuous effective role playing: (1) this is acceptable to them for a three-day period; (2) by the end of this period, a third of the SPs report stressful symptoms. • That almost ...
Source: Education for Primary Care - March 1, 2017 Category: Primary Care Tags: Educ Prim Care Source Type: research

Lifetime cancer risk and combined oral contraceptives: the Royal College of General Practitioners ’ Oral Contraception Study
Oral contraception users do not have an increased overall lifetime cancer risk; reductions in colorectal, endometrial and ovarian cancer persist at least 30 years. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - February 7, 2017 Category: OBGYN Authors: Lisa Iversen, Selvaraj Sivasubramaniam, Amanda J. Lee, Shona Fielding, Philip C. Hannaford Tags: Original Research: Gynecology Source Type: research

Sodium-Glucose Co-Transporter-2 (SGLT2) Inhibitors: Comparing Trial and Real World Use (Study Protocol)
AbstractBackgroundSodium-glucose co-transporter-2 (SGLT2) inhibitors (gliflozins) are the newest class of medication available to treat type 2 diabetes (T2DM). Recent findings from the first complete cardiovascular safety trial in SGLT2 inhibitors, the Empagliflozin, Cardiovascular Outcomes, and Mortality in type 2 diabetes (EMPA-REG OUTCOMES) trial, demonstrated reduced cardiovascular outcomes in people with high cardiovascular risk. How to apply these findings to clinical practice remains unclear, with questions remaining on who will reap this cardiovascular benefit.AimTo describe the proportion of people in the real wor...
Source: Diabetes Therapy - January 29, 2017 Category: Endocrinology Source Type: research

[Correspondence] Opportunities and challenges of a World Serum Bank
The recent publication by Jessica Metcalf and others (Aug 13, p 728),1 calls for the establishment of a World Serum Bank; something we feel should be titled a World Serology Bank given its emphasis on monitoring changes in the immune response to infections. A possible rapid and cost-effective way of setting this up would be to use existing primary care sentinel networks such as the Royal College of General Practitioners (RCGP) Research and Surveillance Centre (RSC).2 (Source: LANCET)
Source: LANCET - January 20, 2017 Category: Journals (General) Authors: Simon de Lusignan, Ana Correa Tags: Correspondence Source Type: research

RCGP Research and Surveillance Centre Annual Report 2014-2015: disparities in presentations to primary care.
CONCLUSION: The RCGP RSC database provides insight into the content and range of GP workload and provides insight into current public health concerns. Further research is needed to explore these disparities in presentation to primary care. PMID: 27993900 [PubMed - as supplied by publisher] (Source: The British Journal of General Practice)
Source: The British Journal of General Practice - December 18, 2016 Category: Primary Care Authors: de Lusignan S, Correa A, Pathirannehelage S, Byford R, Yonova I, Elliot AJ, Lamagni T, Amirthalingam G, Pebody R, Smith G, Jones S, Rafi I Tags: Br J Gen Pract Source Type: research

Real-world evidence studies into treatment adherence, thresholds for intervention and disparities in treatment in people with type 2 diabetes in the UK
Purpose The University of Surrey-Lilly Real World Evidence (RWE) diabetes cohort has been established to provide insights into the management of type 2 diabetes mellitus (T2DM). There are 3 areas of study due to be conducted to provide insights into T2DM management: exploration of medication adherence, thresholds for changing diabetes therapies, and ethnicity-related or socioeconomic-related disparities in management. This paper describes the identification of a cohort of people with T2DM which will be used for these analyses, through a case finding algorithm, and describes the characteristics of the identified cohort. Pa...
Source: BMJ Open - November 23, 2016 Category: Journals (General) Authors: McGovern, A., Hinton, W., Correa, A., Munro, N., Whyte, M., de Lusignan, S. Tags: Open access, Health informatics, Public health, Diabetes and Endocrinology Cohort profile Source Type: research

Understanding patient safety performance and educational needs using the 'Safety-II' approach for complex systems.
Abstract Participation in projects to improve patient safety is a key component of general practice (GP) specialty training, appraisal and revalidation. Patient safety training priorities for GPs at all career stages are described in the Royal College of General Practitioners' curriculum. Current methods that are taught and employed to improve safety often use a 'find-and-fix' approach to identify components of a system (including humans) where performance could be improved. However, the complex interactions and inter-dependence between components in healthcare systems mean that cause and effect are not al...
Source: Primary Care - October 31, 2016 Category: Primary Care Authors: McNab D, Bowie P, Morrison J, Ross A Tags: Educ Prim Care Source Type: research

An evidence synthesis of the international knowledge base for new care models to inform and mobilise knowledge for multispecialty community providers (MCPs)
DiscussionThe aim of this synthesis is to provide decision makers in health and social care with a practical evidence base relating to the multispecialty community provider (MCP) model of care.Systematic review registrationPROSPEROCRD42016039552. (Source: Systematic Reviews)
Source: Systematic Reviews - September 30, 2016 Category: Global & Universal Source Type: research