<?xml version="1.0" encoding="iso-8859-1"?>
<!-- generator="FeedCreator 1.7.2" -->
<rss version="2.0">
    <channel>
        <title>MedWorm Tags: general practice</title>
        <description>MedWorm provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest medical blog items that have been tagged with 'general practice'.</description>
        <link><![CDATA[http://www.medworm.com/rss/search.php?qu=%22general+practice%22&t=%22general+practice%22&r=Exact&o=d&f=tag]]></link>
        <lastBuildDate>Sat, 03 Sep 2011 02:17:52 +0100</lastBuildDate>
        <item>
            <title>Brilliant Broome Docs</title>
            <link>http://www.medworm.com/index.php?rid=4934174&amp;cid=t_106211_88_f&amp;fid=38129&amp;url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Flifeinthefastlane%2FWZHV%2F%7E3%2FwtkDNQWHJKA%2F</link>
            <description>I&amp;#8217;ve always thought &amp;#8216;GP proceduralist&amp;#8217; is a very understated term for people who should really be considered the &amp;#8216;MacGyvers of medicine&amp;#8217;. GP proceduralists in remote Australia are what most doctors were maybe eighty years ago &amp;#8212; and what most of us dreamed of being when we went into medical school: having a baby? They&amp;#8217;ll deliver [...] (Source: Life in the Fast Lane)</description>
            <author>Life in the Fast Lane</author>
            <type>blogs</type>
        <comments>http://www.medworm.com/rss/comments.php?id=4934174</comments>
            <pubDate>Sun, 12 Jun 2011 00:00:45 +0100</pubDate>
            <guid isPermaLink="false">4934174</guid>        </item>
        <item>
            <title>Acupuncturists show that acupuncture doesn’t work, but conclude the opposite:  journal fails</title>
            <link>http://www.medworm.com/index.php?rid=5159034&amp;cid=t_106211_90_f&amp;fid=36413&amp;url=http%3A%2F%2Fwww.dcscience.net%2F%3Fp%3D4439%26utm_source%3Drss%26utm_medium%3Drss%26utm_campaign%3Dacupuncturists-show-that-acupuncture-doesnt-work-but-conclude-the-opposite-journal-fails</link>
            <description>Conclusion
The addition of 12 sessions of five-element acupuncture to usual care resulted in improved health status and wellbeing that was sustained for 12 months.
	





How on earth did the authors manage to reach a conclusion like that?
The first thing to note is that many of the authors are people who make their living largely from sticking needles in people, or advocating alternative medicine. The authors are Charlotte Paterson, Rod S Taylor, Peter Griffiths, Nicky Britten, Sue Rugg, Jackie Bridges, Bruce McCallum and Gerad Kite, on behalf of the CACTUS study team. The senior author, Gerad Kite MAc , is principal of the London Institute of Five-Element Acupuncture London. The first author, Charlotte Paterson, is a well known advocate of acupuncture. as is Nicky Britten. 

The conflict...</description>
            <author>DC's goodscience</author>
            <type>blogs</type>
        <comments>http://www.medworm.com/rss/comments.php?id=5159034</comments>
            <pubDate>Tue, 31 May 2011 15:12:26 +0100</pubDate>
            <guid isPermaLink="false">5159034</guid>        </item>
        <item>
            <title>The role of GP consortia and public health in improving health andwellbeing and delivering effective health care: Final report of a national colloquieum, February 2011</title>
            <link>http://www.medworm.com/index.php?rid=4532165&amp;cid=t_106211_86_f&amp;fid=36669&amp;url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2011%2F02%2F28%2Fthe-role-of-gp-consortia-and-public-health-in-improving-health-andwellbeing-and-delivering-effective-health-care-final-report-of-a-national-colloquieum-february-2011%2F</link>
            <description>Title: The role of GP consortia and public health in improving health andwellbeing and delivering effective health care: Final report of a national colloquieum, February 2011
Skinny: Report from Solutions for Public Health, Right Care and NHS Alliance that identifies the following key messages:


The agenda, systems, approach are all new and require a new response – simply responding as we have in the past will not work.

GP commissioners will need to engage with and understand the value of public health.
There is a risk that public health in local authorities will not engage effectively with GP consortia. Pathfinder GP consortia and pathfinder Health &amp; Wellbeing Boards need to develop effective ways of joint working.
The public health (professional) workforce will be smaller and mo...</description>
            <author>Fade Library</author>
            <type>blogs</type>
        <comments>http://www.medworm.com/rss/comments.php?id=4532165</comments>
            <pubDate>Mon, 28 Feb 2011 13:51:19 +0100</pubDate>
            <guid isPermaLink="false">4532165</guid>        </item>
        <item>
            <title>Mental Health in Family Medicine (Vol. 5 No. 4)</title>
            <link>http://www.medworm.com/index.php?rid=4464454&amp;cid=t_106211_86_f&amp;fid=36669&amp;url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2011%2F02%2F11%2Fmental-health-in-family-medicine-vol-5-no-4%2F</link>
            <description>This article investigates the view that general practitioners ought to detect early signs of suicidal tendencies in their patients 
(Print subscription held at Fade Library)


Filed under: Depression, General Practice, Primary Care, Suicide Tagged: Depression, General Practitioners, Patients, Primary Care, Risk Assessment, Suicide (Source: Fade Library)</description>
            <author>Fade Library</author>
            <type>blogs</type>
        <comments>http://www.medworm.com/rss/comments.php?id=4464454</comments>
            <pubDate>Fri, 11 Feb 2011 14:37:35 +0100</pubDate>
            <guid isPermaLink="false">4464454</guid>        </item>
        <item>
            <title>2011</title>
            <link>http://www.medworm.com/index.php?rid=4318285&amp;cid=t_106211_85_f&amp;fid=34924&amp;url=http%3A%2F%2Fwww.baggas.com%2Fposts%2F2011%2F01%2F06%2F2011%2F</link>
            <description>Happy 2011 to all! Hope this is a fruitful year for everyone!
some facts about 2011 :

it is the year of the Rabbit, in the Chinese calendar
it is also the international year of truth about Islam, according to the counter-Jihad calendar (Yikes! don&amp;#8217;t think I&amp;#8217;ll be subscribing to that one&amp;#8230; lots of nutty stuff hitting my email lately)
it is the year of the Cricket World Cup, to be held in South Asia (yay!) &amp;#8211; my brother will no doubt be supporting the Canadian national cricket team eh? And with the current Australian team, that might not be as crazy as it sounds.
according to the Ethiopian calendar, we are currently in 2003, until New Year on September 12.
U2 will be taking their 360 tour to South Africa, South &amp; North America&amp;#8230; and if I won the lottery my fir...</description>
            <author>Baggas' Blog</author>
            <type>blogs</type>
        <comments>http://www.medworm.com/rss/comments.php?id=4318285</comments>
            <pubDate>Thu, 06 Jan 2011 06:41:43 +0100</pubDate>
            <guid isPermaLink="false">4318285</guid>        </item>
        <item>
            <title>Attractive Opportunities in Southern California</title>
            <link>http://www.medworm.com/index.php?rid=4139302&amp;cid=t_106211_111_f&amp;fid=34911&amp;url=http%3A%2F%2Fnurseanesthetist.org%2Fattractive-opportunities-in-southern-california%2F</link>
            <description>The Keck School of Medicine of the University of Southern California has immediate openings for GRNAs or CRNAs interested in becoming an integral part of an expanding University based Anesthesia Department with clinical academic, research and administrative opportunities.  Clinical service responsibilities include the Los Angeles County General Hospital and USC University Hospitals.  Nurse Anesthetists participate in all clinical areas including trauma, neurosurgery, interventional neuroradiology, hepatobiliary, urology, pediatric, ENT, and orthopedic surgery.  The Nurse Anesthetist performs preoperative and postoperative assessments, provides general, regional, and monitored anesthesia care.  Teaching responsibilities include didactic and clinical instruction for student registered nu...</description>
            <author>Nurse Anesthetist</author>
            <type>blogs</type>
        <comments>http://www.medworm.com/rss/comments.php?id=4139302</comments>
            <pubDate>Sat, 06 Nov 2010 04:08:00 +0100</pubDate>
            <guid isPermaLink="false">4139302</guid>        </item>
        <item>
            <title>Moving On</title>
            <link>http://www.medworm.com/index.php?rid=3607435&amp;cid=t_106211_85_f&amp;fid=34924&amp;url=http%3A%2F%2Fwww.baggas.com%2Fposts%2F2010%2F05%2F28%2Fmoving-on%2F</link>
            <description>Well today was my last day at work in the place I&amp;#8217;ve spent the last 5 and a half years, which I think is about the longest I&amp;#8217;ve worked anywhere (except perhaps my part time petrol station job when I was at uni?) &amp;#8211; and no that&amp;#8217;s not because I&amp;#8217;m flaky, it&amp;#8217;s purely a product of the medical training system that had me moving between various hospitals and practices for the first 5 years of my medical career. They gave me a nice send-off and I was a little sad to leave some of the familiar faces behind.
Anyway I start work at the brand new surgery on Tuesday. Reception opens Monday and I&amp;#8217;ll pop down then to start getting my office organised. I had first choice of room, so I think I&amp;#8217;ve picked the best one in the place. It&amp;#8217;s going to be quite ...</description>
            <author>Baggas' Blog</author>
            <type>blogs</type>
        <comments>http://www.medworm.com/rss/comments.php?id=3607435</comments>
            <pubDate>Fri, 28 May 2010 15:27:23 +0100</pubDate>
            <guid isPermaLink="false">3607435</guid>        </item>
        <item>
            <title>Practice Management 2009 (Vol. 19 No. 10)</title>
            <link>http://www.medworm.com/index.php?rid=3193664&amp;cid=t_106211_86_f&amp;fid=36669&amp;url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F01%2F21%2F8597%2F</link>
            <description>Title: Swine flu and employment
Skinny: Discusses the impact of swine flu (H1N1) on employment. The pandemic has raised some challenging issues in the workplace and the article addresses some of these issues. Most practices will have issues maintaining a service, and article encourages practice managers to carry out a staff audit to minimise the chances of being caught out by staff absences. Includes a background history to the outbreak of swine flu.
Posted in Emergency Planning, General Practice, Influenza, Journals, Management Tagged: Audit, H1N1, Influenza, Practice Management, Swine Flu, Workforce Planning (Source: Fade Library)</description>
            <author>Fade Library</author>
            <type>blogs</type>
        <comments>http://www.medworm.com/rss/comments.php?id=3193664</comments>
            <pubDate>Thu, 21 Jan 2010 11:11:46 +0100</pubDate>
            <guid isPermaLink="false">3193664</guid>        </item>
        <item>
            <title>Practice Management 2009 (Vol. 19 No. 9)</title>
            <link>http://www.medworm.com/index.php?rid=3189090&amp;cid=t_106211_86_f&amp;fid=36669&amp;url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F01%2F20%2Fpractice-management-2009-vol-19-no-9%2F</link>
            <description>Title: Improving mental care
Skinny: Approximately 2.75 million people a year of working age consult a GP for a mental health condition and 80 per cent go no further. Practice nurses also report that their consultations contain many people with a range of mental health problems. From 2006, the Improving Access to Psychological Therapies (IAPT) programme started to support PCTs in increasing capacity to implement NICE guidance.
(Print subscription held at Fade Library)
Posted in Access, General Practice, Journals, Mental Health Tagged: Access, GP Practices, Mental Health, NICE, Psychological Therapies (Source: Fade Library)</description>
            <author>Fade Library</author>
            <type>blogs</type>
        <comments>http://www.medworm.com/rss/comments.php?id=3189090</comments>
            <pubDate>Wed, 20 Jan 2010 16:22:19 +0100</pubDate>
            <guid isPermaLink="false">3189090</guid>        </item>
        <item>
            <title>Conservatives Draft Manifesto 2010 Chapter One Our Reform Plan for the NHS</title>
            <link>http://www.medworm.com/index.php?rid=3142485&amp;cid=t_106211_86_f&amp;fid=36669&amp;url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F01%2F04%2Fconservatives-draft-manifesto-2010-chapter-one-our-reform-plan-for-the-nhs%2F</link>
            <description>Title: Conservatives Draft Manifesto 2010 Chapter One Our Reform Plan for the NHS 
The Skinny: First shot in the general election campaign as the Conservative Party issue Chapter 1 of their draft manifesto which details proposed NHS Policy.  Widely presaged in the mass media over the weekend.  If elected they plan to:

Scrap process targets
Ensure innovation by ensuring NHS Providers become autonomous NHS Foundation Trusts
Make NHS data on performance freely available to all
Focus on key areas such as cancer/stroke survival and infection control
Enable patient rating of the quality of services
Ensure patients have choice of providers meeting NHS standards
Putting patients in charge of their own records and which providers they wish to share them with
Open up the NHS to private and third ...</description>
            <author>Fade Library</author>
            <type>blogs</type>
        <comments>http://www.medworm.com/rss/comments.php?id=3142485</comments>
            <pubDate>Mon, 04 Jan 2010 21:48:24 +0100</pubDate>
            <guid isPermaLink="false">3142485</guid>        </item>
        <item>
            <title>British Journal of General Practice 2009 (Vol 59 No 569)</title>
            <link>http://www.medworm.com/index.php?rid=3075454&amp;cid=t_106211_86_f&amp;fid=36669&amp;url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2009%2F12%2F10%2Fbritish-journal-of-general-practice-2009-vol-59-no-569%2F</link>
            <description>Contents Page
Title: The present state and future direction of primary care: a qualitative study of GPs&amp;#8217; views
Skinny: A qualitative study exploring the views of GP principals and salaried doctors on current working practices and the future of primary care in England. Study uses semi-structured interviews including questions on motivations for working in primary care and descriptions of working lives.
(Print subscription held at Fade Library)
Posted in Competition, Employment, General Practice, Journals, Motivation, Primary Care Tagged: Competition, GP Principals, GPs, Motivation, Primary Care, Salaried GPs, Workforce (Source: Fade Library)</description>
            <author>Fade Library</author>
            <type>blogs</type>
        <comments>http://www.medworm.com/rss/comments.php?id=3075454</comments>
            <pubDate>Thu, 10 Dec 2009 10:11:39 +0100</pubDate>
            <guid isPermaLink="false">3075454</guid>        </item>
        <item>
            <title>Bye bye drug pens</title>
            <link>http://www.medworm.com/index.php?rid=3056579&amp;cid=t_106211_85_f&amp;fid=34924&amp;url=http%3A%2F%2Fwww.baggas.com%2Fposts%2F2009%2F12%2F04%2Fbye-bye-drug-pens%2F</link>
            <description>So it seems that the days of the ubiquitous drug company pens, paper, and post-it notes are coming to an end.
It surely is a sad time for doctors throughout Australia, except of course for those losers who brought this fate upon us &amp;#8211; the pedantic, paternalistic, killjoy #!#@ (insert your own expletive here) who feel that doctors are so naieve and easily corruptible that we need heavy handed protection agaist the wiles of the evil pharmaceutical companies. Why is it that other industries (including pharmacy) don&amp;#8217;t need this sort of protection? Why are we poor doctors so bad that we need to be singled out?
I still deny that these pens etc make any difference in my prescribing &amp;#8211; I will pick which drug I think is the best for my patient and with which I am familiar with. I do...</description>
            <author>Baggas' Blog</author>
            <type>blogs</type>
        <comments>http://www.medworm.com/rss/comments.php?id=3056579</comments>
            <pubDate>Fri, 04 Dec 2009 04:00:19 +0100</pubDate>
            <guid isPermaLink="false">3056579</guid>        </item>
        <item>
            <title>Self Diagnosis in General Practice</title>
            <link>http://www.medworm.com/index.php?rid=3003846&amp;cid=t_106211_109_f&amp;fid=38950&amp;url=http%3A%2F%2Fwww.shockmd.com%2F2009%2F11%2F18%2Fself-diagnosis-in-general-practice%2F</link>
            <description>With the Internet many patients visit the GP after extensive searches on the Internet. They usually have an idea about what&amp;#8217;s wrong with them. In a recent publication in the British Medical Journal I found a recent article on this subject. In visits to a GP patients the self diagnosis (also called self labelling) was responsible for initiating a diagnosis in 18% of consultations.
Few studies have been done on the accuracy of self diagnosis. These studies suggest that recurrent urinary tract infection, recurrent anterior uveitis, schistosomiasis, and head lice can all be self diagnosed correctly.
There are also studies suggesting that certain conditions are often misdiagnosed by patients. Examples from the literature search include pregnancy, vaginal candidiasis, and scabies.
Patients...</description>
            <author>Dr Shock MD PhD</author>
            <type>blogs</type>
        <comments>http://www.medworm.com/rss/comments.php?id=3003846</comments>
            <pubDate>Wed, 18 Nov 2009 08:11:41 +0100</pubDate>
            <guid isPermaLink="false">3003846</guid>        </item>
        <item>
            <title>BMJ 2009 (Vol 339, No 7727)</title>
            <link>http://www.medworm.com/index.php?rid=2930915&amp;cid=t_106211_86_f&amp;fid=36669&amp;url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2009%2F10%2F27%2Fbmj-2009-vol-339-no-7727%2F</link>
            <description>content page
Fade Fave: Doctors’ leaders question accuracy of rating general practices
Fade Skinny: Doctors’ leaders have claimed that the new ratings for general practices that were launched in England this week will not paint an accurate picture of the quality of services provided.
(NHS Athens is required to access this article online)
Posted in Athens Password, Current Awareness, E-Journals Tagged: Athens Password, Current Awareness, E-Journals, General Practice, Quality (Source: Fade Library)</description>
            <author>Fade Library</author>
            <type>blogs</type>
        <comments>http://www.medworm.com/rss/comments.php?id=2930915</comments>
            <pubDate>Tue, 27 Oct 2009 11:00:04 +0100</pubDate>
            <guid isPermaLink="false">2930915</guid>        </item>
        <item>
            <title>BMJ 2009 (Vol 339, No 7723)</title>
            <link>http://www.medworm.com/index.php?rid=2875976&amp;cid=t_106211_86_f&amp;fid=36669&amp;url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2009%2F10%2F09%2Fbmj-2009-vol-339-no-7723%2F</link>
            <description>content page


Fade Fave: Health secretary announces end to GP catchment areas
Fade Skinny: A plan to do away with the boundaries of general practices in England over the next 12 months and to allow patients to choose where they register was announced on 17 September by the health secretary, Andy Burnham.
(NHS Athens is required to access this article online)


Posted in Athens Password, Current Awareness, E-Journals Tagged: Athens Password, catchment areas, Current Awareness, E-Journals, General Practice (Source: Fade Library)</description>
            <author>Fade Library</author>
            <type>blogs</type>
        <comments>http://www.medworm.com/rss/comments.php?id=2875976</comments>
            <pubDate>Fri, 09 Oct 2009 09:51:19 +0100</pubDate>
            <guid isPermaLink="false">2875976</guid>        </item>
        <item>
            <title>Practice Management 2009 (Vol. 19 No. 8)</title>
            <link>http://www.medworm.com/index.php?rid=2846310&amp;cid=t_106211_86_f&amp;fid=36669&amp;url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2009%2F09%2F30%2Fpractice-management-2009-vol-19-no-8%2F</link>
            <description>Title: Flu-pandemic preparedness
Skinny: A light-hearted account of a practice manager finding out that the World Health Organization had declared a pandemic in relation to the H1N1 strain of influenza in the Summer of 2009; narrated by the &amp;#8216;atypical&amp;#8217; practice manager known only as Roger. The story is &amp;#8216;to be continued&amp;#8217; in future issues.
(Print subscription held at Fade Library)
Posted in Emergency Planning, General Practice, Influenza, Journals, Pandemic, Public Health Tagged: General Practice, H1N1, Influenza, Pandemic, Swine Flu, Vaccination Programme, World Health Organization (Source: Fade Library)</description>
            <author>Fade Library</author>
            <type>blogs</type>
        <comments>http://www.medworm.com/rss/comments.php?id=2846310</comments>
            <pubDate>Wed, 30 Sep 2009 18:01:22 +0100</pubDate>
            <guid isPermaLink="false">2846310</guid>        </item>
        <item>
            <title>Health Service Journal 2009 (20th August)</title>
            <link>http://www.medworm.com/index.php?rid=2724795&amp;cid=t_106211_86_f&amp;fid=36669&amp;url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2009%2F08%2F21%2Fhealth-service-journal-2009-20th-august%2F</link>
            <description>Title: Listen closely to what deaf patients want
Skinny: Argues that deaf patients have worse health than the general population and that deaf patient’s healthcare can be greatly improved by services tuning in to better ways of communicating with hearing impaired individuals. Discusses the difficulties facing deaf patients when going to the GP, from booking an appointment to getting a diagnosis. Includes &amp;#8216;top tips&amp;#8217; for assisting deaf patients and a case study regarding a deaf patient’s experiences when visiting his GP surgery.
(Print subscription held at Fade Library)
Posted in Access, Appointment Systems, Equal Opportunities, General Practice, Journals Tagged: Deafness, Hearing Impairment (Source: Fade Library)</description>
            <author>Fade Library</author>
            <type>blogs</type>
        <comments>http://www.medworm.com/rss/comments.php?id=2724795</comments>
            <pubDate>Fri, 21 Aug 2009 14:58:37 +0100</pubDate>
            <guid isPermaLink="false">2724795</guid>        </item>
        <item>
            <title>Postgraduate Medical Journal 2009 (Vol. 85 No. 1006)</title>
            <link>http://www.medworm.com/index.php?rid=2709085&amp;cid=t_106211_86_f&amp;fid=36669&amp;url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2009%2F08%2F18%2Fpostgraduate-medical-journal-2009-vol-85-no-1006%2F</link>
            <description>Contents page
Fade Fave: Towards an understanding of the flourishing practitioner
Fade Skinny:Paper reflecting upon what makes GPs flourish in terms of virtues, innate characteristics and environmental factors.
(NHS Athens is required to access this article online)
Posted in Access from Home, Access from Work, Access in the Library, Athens Password, Current Awareness, E-Journals, Electronic Resources Tagged: Athens Password, Current Awareness, E-Journals, Ethics, General Practice, Job Satisfaction, Primary Care (Source: Fade Library)</description>
            <author>Fade Library</author>
            <type>blogs</type>
        <comments>http://www.medworm.com/rss/comments.php?id=2709085</comments>
            <pubDate>Tue, 18 Aug 2009 09:02:18 +0100</pubDate>
            <guid isPermaLink="false">2709085</guid>        </item>
        <item>
            <title>British Journal of General Practice 2009 (Vol. 59 No. 565)</title>
            <link>http://www.medworm.com/index.php?rid=2695316&amp;cid=t_106211_86_f&amp;fid=36669&amp;url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2009%2F08%2F12%2Fbritish-journal-of-general-practice-2009-vol-59-no-565%2F</link>
            <description>Title: Front desk talk: discourse analysis of receptionist-patient interaction
Skinny: An analysis of communication styles of GP receptionists when dealing with patients. Addresses the important role of GP receptionists in the delivery of primary care. The background to the study is based on evidence that GP receptionists are often perceived as impersonal, insensitive or officious. Ethnographically situated discourse analysis of audio recordings of 283 encounters between 16 receptionists and 283 patients. Concentrates on 3 main communication styles used by the receptionists: task centred, conventionally polite, and rapport building.
(Print subscription help at Fade Library)
Posted in Communication, General Practice, Journals Tagged: Communication, Ethnography, GP Practices, GP Receptionis...</description>
            <author>Fade Library</author>
            <type>blogs</type>
        <comments>http://www.medworm.com/rss/comments.php?id=2695316</comments>
            <pubDate>Wed, 12 Aug 2009 23:16:16 +0100</pubDate>
            <guid isPermaLink="false">2695316</guid>        </item>
        <item>
            <title>Services for people with rheumatoid arthritis</title>
            <link>http://www.medworm.com/index.php?rid=2601925&amp;cid=t_106211_86_f&amp;fid=36669&amp;url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2009%2F07%2F15%2Fservices-for-people-with-rheumatoid-arthritis%2F</link>
            <description>Title: Services for people with rheumatoid arthritis (Executive Summary)
The Skinny: Identifies that too many people with rheumatoid arthritis are not being diagnosed or treated quickly enough, and some services for people with the disease are not coordinated enough. Better coordinated services would lead to earlier identification of new cases, productivity gains for the economy, and improved outcomes for patients. The NHS does not consistently provide support for people with the disease to remain in, or get back into, work, with a lack of local links between the NHS and Jobcentre Plus services.
Early diagnosis is key (ideally within three months of symptom onset), but public awareness of the disease is low. Between half and three quarters of people with rheumatoid arthritis delay seeking ...</description>
            <author>Fade Library</author>
            <type>blogs</type>
        <comments>http://www.medworm.com/rss/comments.php?id=2601925</comments>
            <pubDate>Wed, 15 Jul 2009 09:57:19 +0100</pubDate>
            <guid isPermaLink="false">2601925</guid>        </item>
        <item>
            <title>Strategic Health Authorities and GP Registrar (Amendment) Directions 2009</title>
            <link>http://www.medworm.com/index.php?rid=2601937&amp;cid=t_106211_86_f&amp;fid=36669&amp;url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2009%2F07%2F14%2Fstrategic-health-authorities-and-gp-registrar-amendment-directions-2009%2F</link>
            <description>Title: Strategic Health Authorities and GP Registrar (Amendment) Directions 2009 
The Skinny: Directions on the payment of allowances to GP trainers
Publisher: DH
Size of Publication: 6p.
Published:
Posted in Grey Literature, Medical Education, Medical Staff, Primary Care Tagged: Education, General Practice, Grey Literature, Pay, Primary Care, Regulations (Source: Fade Library)</description>
            <author>Fade Library</author>
            <type>blogs</type>
        <comments>http://www.medworm.com/rss/comments.php?id=2601937</comments>
            <pubDate>Tue, 14 Jul 2009 14:46:20 +0100</pubDate>
            <guid isPermaLink="false">2601937</guid>        </item>
        <item>
            <title>Primary care and community services: improving GP access and responsiveness</title>
            <link>http://www.medworm.com/index.php?rid=2576507&amp;cid=t_106211_86_f&amp;fid=36669&amp;url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2009%2F07%2F07%2Fprimary-care-and-community-services-improving-gp-access-and-responsiveness%2F</link>
            <description>Title: Primary care and community services: improving GP access and responsiveness 
The Skinny: Practical guides that build on existing good practice within the NHS to support PCTs in improving the accessibility and responsiveness of local GP services.
Publisher: DH
Size of Document: 70p.
Published: 07/07/2009
Posted in Grey Literature, NHS, Primary Care, Quality Tagged: Access, General Practice, Good Practice, Grey Literature, Primary Care (Source: Fade Library)</description>
            <author>Fade Library</author>
            <type>blogs</type>
        <comments>http://www.medworm.com/rss/comments.php?id=2576507</comments>
            <pubDate>Tue, 07 Jul 2009 12:09:18 +0100</pubDate>
            <guid isPermaLink="false">2576507</guid>        </item>
        <item>
            <title>Science and Technology Committee: 2nd Report of Session 2008–09: Genomic Medicine: Volume I: Report</title>
            <link>http://www.medworm.com/index.php?rid=2576509&amp;cid=t_106211_86_f&amp;fid=36669&amp;url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2009%2F07%2F07%2Fscience-and-technology-committee-2nd-report-of-session-2008%25e2%2580%259309-genomic-medicine-volume-i-report%2F</link>
            <description>Title: Science and Technology Committee: 2nd Report of Session 2008–09: Genomic Medicine: Volume I: Report (Volume II)
The Skinny: Makes recommendations in the following areas:

The framework for translational research in the UK
Funding and translational research
Making the conduct of clinical trials less burdensome
Promoting collaborative translational research
Research to demonstrate the clinical utility and validity of genomic tests within the NHS
Evaluation of the clinical utility and validity of genomic tests for use within the
NHS
Evaluation and regulation of genetic and genomic tests developed outside of the NHS
Incentives to develop stratified uses of medicines
Intellectual property rights
Co-development and evaluation of stratified uses of medicines and genetic tests
Encouraging...</description>
            <author>Fade Library</author>
            <type>blogs</type>
        <comments>http://www.medworm.com/rss/comments.php?id=2576509</comments>
            <pubDate>Tue, 07 Jul 2009 10:52:54 +0100</pubDate>
            <guid isPermaLink="false">2576509</guid>        </item>
        <item>
            <title>H1N1 Flu Resource Centre</title>
            <link>http://www.medworm.com/index.php?rid=2408446&amp;cid=t_106211_86_f&amp;fid=36669&amp;url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2009%2F05%2F15%2Fh1n1-flu-resource-centre%2F</link>
            <description>The Lancet&amp;#8217;s H1N1 Resource Centre is the result of a collaborative effort by the editors of over 40 Elsevier-published journals and 11 learned societies who have agreed to make freely available on this site any relevant content.
Clinical:
H1N1 Clinical Medical References &amp; Guidelines @ MDConsult.com
Leading medical reference books, journals, clinics, peer-reviewed practice guidelines, and news 
H1N1 Clinical Nursing References &amp; Guidelines @ MosbysNursingConsult.com
Scientific: 
Search Journal &amp; Book Literature @ ScienceDirect.com
Posted in General Practice, Guidance, Influenza, Pandemic, Primary Care, Public Health Tagged: E-Books, E-Journals, Influenza, Pandemic, Primary Care, Public Health, Swine Flu (Source: Fade Library)</description>
            <author>Fade Library</author>
            <type>blogs</type>
        <comments>http://www.medworm.com/rss/comments.php?id=2408446</comments>
            <pubDate>Fri, 15 May 2009 06:16:08 +0100</pubDate>
            <guid isPermaLink="false">2408446</guid>        </item>
        <item>
            <title>Management of acute diarrhoea and vomiting due to gastoenteritis in children under 5</title>
            <link>http://www.medworm.com/index.php?rid=2367337&amp;cid=t_106211_86_f&amp;fid=36669&amp;url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2009%2F04%2F25%2Fmanagement-of-acute-diarrhoea-and-vomiting-due-to-gastoenteritis-in-children-under-5%2F</link>
            <description>Title: Management of acute diarrhoea and vomiting due to gastoenteritis in children under 5
Source: NICE
The Skinny: Applies to children younger than 5 years who present to a healthcare professional for advice in any setting. It covers diagnosis, assessment of dehydration, fluid management, nutritional management and the role of antibiotics and other therapies. It provides recommendations on the advice to be given to parents and carers, and also considers when care should be escalated - from home management through to hospital admission.
The guideline will assume that prescribers will use a drug&amp;#8217;s summary of product characteristics to inform their decisions for individual patients.
Documents For healthcare professionals:

CG84 Diarrhoea and vomiting in children under 5: NICE guidelin...</description>
            <author>Fade Library</author>
            <type>blogs</type>
        <comments>http://www.medworm.com/rss/comments.php?id=2367337</comments>
            <pubDate>Sat, 25 Apr 2009 05:59:32 +0100</pubDate>
            <guid isPermaLink="false">2367337</guid>        </item>
        <item>
            <title>Rehabilitation after critical illness</title>
            <link>http://www.medworm.com/index.php?rid=2367349&amp;cid=t_106211_86_f&amp;fid=36669&amp;url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2009%2F04%2F15%2Frehabilitation-after-critical-illness%2F</link>
            <description>Title: Rehabilitation after critical illness
Source: NICE
The Skinny: NICE guideine on the care of:

adults who, as a result of critical illness, have stayed in critical care and need rehabilitation.

 It doesn&amp;#8217;t look at the care of:

adults who are having treatment for symptoms and pain in the final stages of a terminal illness
adults whose rehabilitation needs are already routinely assessed and delivered as part of their care, for example, patients who have brief stays in critical care units for immediate postoperative care after major elective surgery, and patients with conditions for which published guidelines already exist – such as head injury, heart attack and stroke.

Documents For healthcare professionals:

CG83 Critical illness rehabilitation: NICE guideline (91p, 496.21 ...</description>
            <author>Fade Library</author>
            <type>blogs</type>
        <comments>http://www.medworm.com/rss/comments.php?id=2367349</comments>
            <pubDate>Wed, 15 Apr 2009 09:40:05 +0100</pubDate>
            <guid isPermaLink="false">2367349</guid>        </item>
        <item>
            <title>Core interventions in the treatment and management of schizophrenia in primary and secondary care (update)</title>
            <link>http://www.medworm.com/index.php?rid=2367352&amp;cid=t_106211_86_f&amp;fid=36669&amp;url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2009%2F04%2F15%2Fcore-interventions-in-the-treatment-and-management-of-schizophrenia-in-primary-and-secondary-care-update%2F</link>
            <description>Title: Core interventions in the treatment and management of schizophrenia in primary and secondary care (update)
Source: NICE
The Skinny: Updates and replaces:

Schizophrenia: core interventions in the treatment and management of schizophrenia in primary and secondary care. NICE clinical guideline 1 (2002)
Guidance on the use of newer (atypical) antipsychotic drugs for the treatment of schizophrenia. NICE technology appraisal guidance 43 (2002)

Documents For healthcare professionals:

CG82 Schizophrenia (update): NICE guideline (41p, 256.26 Kb)
CG82 Schizophrenia (update): NICE guideline (MS Word format) (41p, 605 Kb)
CG82 Schizophrenia (update): full guideline (399p, 3.16 Mb)
CG82 Schizophrenia (update): full guideline - clinical evidence summary tables (194p, 2.54 Mb)
 CG82 Schizophren...</description>
            <author>Fade Library</author>
            <type>blogs</type>
        <comments>http://www.medworm.com/rss/comments.php?id=2367352</comments>
            <pubDate>Wed, 15 Apr 2009 09:38:28 +0100</pubDate>
            <guid isPermaLink="false">2367352</guid>        </item>
        <item>
            <title>Medicines adherence: involving patients in decisions about prescribed medicines and supporting adherence</title>
            <link>http://www.medworm.com/index.php?rid=2367358&amp;cid=t_106211_86_f&amp;fid=36669&amp;url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2009%2F04%2F15%2Fmedicines-adherence-involving-patients-in-decisions-about-prescribed-medicines-and-supporting-adherence%2F</link>
            <description>Title: Medicines adherence: involving patients in decisions about prescribed medicines and supporting adherence
Source: NICE
The Skinny:  Guidance about enabling patients to make informed choices by involving and supporting them in decisions about prescribed medicines. It explains guidance (advice) from NICE (the National Institute for Health and Clinical Excellence) to the NHS in England and Wales.
Documents For healthcare professionals:

CG76 Medicines adherence: NICE guideline (30p, 204.99)
CG76 Medicines adherence: NICE guideline (MS Word format) (30p, 659.5 Kb)
CG76 Medicines adherence: full guideline (364p, 1.27 Mb)
CG76 Medicines adherence: quick reference guide (12p, 348.46 Kb)
CG76 Medicines adherence: full guideline, appendix A (9p, 100.32 Kb)
CG76 Medicines adherence: full guid...</description>
            <author>Fade Library</author>
            <type>blogs</type>
        <comments>http://www.medworm.com/rss/comments.php?id=2367358</comments>
            <pubDate>Wed, 15 Apr 2009 09:35:42 +0100</pubDate>
            <guid isPermaLink="false">2367358</guid>        </item>
        <item>
            <title>Amantadine, oseltamivir and zanamivir for the treatment of influenza (review of existing guidance No. 58)</title>
            <link>http://www.medworm.com/index.php?rid=2367373&amp;cid=t_106211_86_f&amp;fid=36669&amp;url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2009%2F04%2F15%2Famantadine-oseltamivir-and-zanamivir-for-the-treatment-of-influenza-review-of-existing-guidance-no-58%2F</link>
            <description>Title: Amantadine, oseltamivir and zanamivir for the treatment of influenza (review of existing guidance No. 58)
Source: NICE
The Skinny: Recommendations about oseltamivir and zanamivir should not reduce efforts to give vaccination (also called the flu jab) to people for whom it is recommended in national guidelines.
The guidance does not cover widespread epidemics.
Oseltamivir and zanamivir are recommended as possible treatments for people with flu if all of the following apply:

the person is in an &amp;#8216;at-risk&amp;#8217; group
the person has a &amp;#8216;flu-like illness&amp;#8217; and can start treatment within 48 hours (36 hours for zanamivir treatment in children) of the first sign of symptoms.
the flu virus is known to be going around and it is likely that a flulike illness has been caused by...</description>
            <author>Fade Library</author>
            <type>blogs</type>
        <comments>http://www.medworm.com/rss/comments.php?id=2367373</comments>
            <pubDate>Wed, 15 Apr 2009 09:31:54 +0100</pubDate>
            <guid isPermaLink="false">2367373</guid>        </item>
        <item>
            <title>Malaysian Family Physician</title>
            <link>http://www.medworm.com/index.php?rid=1770478&amp;cid=t_106211_87_f&amp;fid=34935&amp;url=http%3A%2F%2Fmedicine.com.my%2Fwp%2F%3Fp%3D4369</link>
            <description>Added the Malaysian Family Physician to the MMR&amp;#8217;s links to Malaysian Medical Journals
The Malaysian Family Physician is a peer-reviewed open-access journal of family practice and primary care research. It is published three times a year and distributed free of charge to all members of the Academy of Family Physicians of Malaysia
a
Malaysian Family Physician (Source: Malaysian Medical Resources)</description>
            <author>Malaysian Medical Resources</author>
            <type>blogs</type>
        <comments>http://www.medworm.com/rss/comments.php?id=1770478</comments>
            <pubDate>Sat, 06 Sep 2008 04:00:00 +0100</pubDate>
            <guid isPermaLink="false">1770478</guid>        </item>
        <item>
            <title>A day’s work</title>
            <link>http://www.medworm.com/index.php?rid=1652347&amp;cid=t_106211_85_f&amp;fid=34924&amp;url=http%3A%2F%2Fwww.baggas.com%2Fposts%2F2008%2F07%2F25%2Fa-days-work%2F</link>
            <description>Haven&amp;#8217;t done this for a while so here&amp;#8217;s a snapshot of a day&amp;#8217;s general practice clinic for me. In view of patient privacy I&amp;#8217;ll mix this up and not go into much detail but here&amp;#8217;s a list of the consults today :

Antenatal checkup 32 weeks
Child immunisations
Antenatal checkup 29 weeks
Abdominal pain - postnatal
Baby immunisations
Antenatal checkup 36 weeks
Hormone implant
Quick walk over to the hospital for a ward round to see a couple of post-op patients and their babies, and to check on my patient in labour. Narrowly avoided getting caught in the rain on the way back.
Neonatal check-up
Baby immunisations
Child immunisation
Antenatal checkup 24 weeks
Antenatal checkup 35 weeks
Child immunisation
Child immunisations
Antenatal checkup 20 weeks
Antenatal checkup 37...</description>
            <author>Baggas' Blog</author>
            <type>blogs</type>
        <comments>http://www.medworm.com/rss/comments.php?id=1652347</comments>
            <pubDate>Fri, 25 Jul 2008 06:00:48 +0100</pubDate>
            <guid isPermaLink="false">1652347</guid>        </item>
        <item>
            <title>Productive use of time?</title>
            <link>http://www.medworm.com/index.php?rid=1411773&amp;cid=t_106211_85_f&amp;fid=34924&amp;url=http%3A%2F%2Fwww.baggas.com%2Fposts%2F2008%2F05%2F01%2Fproductive-use-of-time%2F</link>
            <description>Well I&amp;#8217;m back to working slightly longer days this week after doing half days for the school holidays. For the second half of the holidays it didn&amp;#8217;t seem all that slack though as I still had babies being born almost every day which meant early mornings and late nights and other hospital visits in between. This week has been a little quieter on the baby front although I&amp;#8217;ve got my second one on the way today (no idea what time she will deliver though) and work here in the surgery is reasonably sedate. I do have a smallish pile of paperwork to get through but rather than doing that I&amp;#8217;ve been putting my time to us catching up with some episodes of the Amazing vlog show on YouTube. This is an almost daily video blog produced by Mr Internet and his compadres. The episodes...</description>
            <author>Baggas' Blog</author>
            <type>blogs</type>
        <comments>http://www.medworm.com/rss/comments.php?id=1411773</comments>
            <pubDate>Thu, 01 May 2008 03:08:10 +0100</pubDate>
            <guid isPermaLink="false">1411773</guid>        </item>
        <item>
            <title>A postcard from Germany</title>
            <link>http://www.medworm.com/index.php?rid=1402974&amp;cid=t_106211_85_f&amp;fid=34924&amp;url=http%3A%2F%2Fwww.baggas.com%2Fposts%2F2008%2F04%2F28%2Fa-postcard-from-germany%2F</link>
            <description>Just got a postcard from Germany from a patient. She had an attack of severe arthritis in her knee a week before they were due to travel to Europe, and 2 days before I injected it with cortisone. Well the injection worked and now she is enjoying her trip. Stuff like that makes me feel good about this job, and it was nice of her to let me know (Source: Baggas' Blog)</description>
            <author>Baggas' Blog</author>
            <type>blogs</type>
        <comments>http://www.medworm.com/rss/comments.php?id=1402974</comments>
            <pubDate>Mon, 28 Apr 2008 02:06:09 +0100</pubDate>
            <guid isPermaLink="false">1402974</guid>        </item>
        <item>
            <title>Still here</title>
            <link>http://www.medworm.com/index.php?rid=1253236&amp;cid=t_106211_85_f&amp;fid=34924&amp;url=http%3A%2F%2Fwww.baggas.com%2Fposts%2F2008%2F02%2F25%2Fstill-here%2F</link>
            <description>Thought I&amp;#8217;d better update after a few days away from the blog. We&amp;#8217;re all still here - baby still well ensconced inside Jenni&amp;#8217;s tummy although hopefully she&amp;#8217;ll come some time soon. I&amp;#8217;m cutting back my work hours a little in preparation for the birth. Basically I&amp;#8217;m booking my mornings and then deciding on a day by day basis if I&amp;#8217;m going to work in the afternoon. That way if Jen goes into labour and I need to take days off it only means cancelling half a day&amp;#8217;s worth of patients. I had the whole day off on Friday though, since Jen was sick and I was exhausted after spending almost the whole night at the hospital in one of the most awful experiences of my medical and obstetric career. Sometimes this job is one of the best in the world, other times...</description>
            <author>Baggas' Blog</author>
            <type>blogs</type>
        <comments>http://www.medworm.com/rss/comments.php?id=1253236</comments>
            <pubDate>Mon, 25 Feb 2008 02:06:30 +0100</pubDate>
            <guid isPermaLink="false">1253236</guid>        </item>
        <item>
            <title>Letter of the week : the death knell of general practice</title>
            <link>http://www.medworm.com/index.php?rid=1241856&amp;cid=t_106211_87_f&amp;fid=34595&amp;url=http%3A%2F%2Fnhsblogdoc.blogspot.com%2F2008%2F02%2Fletter-of-week-death-knell-of-general.html</link>
            <description>&quot;It is a myth to think that the patient doctor relationship is prevalent throughout practices. Yes they most certainly were for many years but this has been diminished. The amalgamation of practices and failure to provide 24 hour cover has contributed to the breakdown.Many of us live in small market towns with the nearest hospital some 16 miles away. Polyclinics would be a boon in providing routine procedures - those that surgeries in this area do not provide. Why should one have to go to a huge hospital for minor procedures? The whole business of attending a hospital, finding the appropriate department, spending over an hour travelling is a nightmare. I have moved around the country and I can honestly say it is alarming the difference between practices and levels of medical competence. Th...</description>
            <author>NHS Blog Doctor</author>
            <type>blogs</type>
        <comments>http://www.medworm.com/rss/comments.php?id=1241856</comments>
            <pubDate>Tue, 19 Feb 2008 19:23:00 +0100</pubDate>
            <guid isPermaLink="false">1241856</guid>        </item>
        <item>
            <title>Is it a kidney stone or is my pain Crohn’s-related?</title>
            <link>http://www.medworm.com/index.php?rid=1213373&amp;cid=t_106211_129_f&amp;fid=36036&amp;url=http%3A%2F%2Fblog.healthtalk.com%2Flife-with-crohns%2Fkelly%2Fis-it-a-kidney-stone-or-is-my-pain-crohns-related%2F</link>
            <description>Now I am really confused and frustrated. I still have this terrible pain in my right side, and it feels exactly like a kidney stone, but the urologist said today that my kidneys looked good and that the pain was not coming from there. Two weekends ago, I went to the urgent care facility because of this pain and they did a CT scan. The doctor there was a bit wishy-washy and told me that there was a stone in the kidney but there shouldn’t be any pain. He diagnosed me with a kidney stone, gave me a prescription for the pain and sent me on my way. And as usual, I left and then thought of all the questions that I should have asked, for example, how big was the stone? They said that there was blood in my urine and thought that one might have already passed. But the pain kept up, so on Friday I...</description>
            <author>Life with Crohn's</author>
            <type>blogs</type>
        <comments>http://www.medworm.com/rss/comments.php?id=1213373</comments>
            <pubDate>Wed, 06 Feb 2008 23:47:18 +0100</pubDate>
            <guid isPermaLink="false">1213373</guid>        </item>
        <item>
            <title>Getting Organized</title>
            <link>http://www.medworm.com/index.php?rid=1156778&amp;cid=t_106211_85_f&amp;fid=34924&amp;url=http%3A%2F%2Fwww.baggas.com%2Fposts%2F2008%2F01%2F17%2Fgetting-organized-2%2F</link>
            <description>This week&amp;#8217;s been a little quieter at work - no babies born so I&amp;#8217;ve managed to keep well away from the hospital. Taking advantage of the odd bit of free time I&amp;#8217;ve been working on getting my office a bit tidier and better organised. Now my office is by no means that bad - some of the other doctor&amp;#8217;s rooms are incredibly messy. Even so, it&amp;#8217;s been good clearing out the shelves and drawers and getting rid of all manner of odds and ends - mountains of drug company post-it notes, pens, out-dated drug samples, old books, drug information sheets, referral pads for services/specialists I&amp;#8217;ve never used, various useless gizmos and other drug company paraphenalia, amazon.com boxes, and much more. Some of this stuff was 5 or 6 years old, from doctors who are long gone....</description>
            <author>Baggas' Blog</author>
            <type>blogs</type>
        <comments>http://www.medworm.com/rss/comments.php?id=1156778</comments>
            <pubDate>Thu, 17 Jan 2008 01:35:51 +0100</pubDate>
            <guid isPermaLink="false">1156778</guid>        </item>
        <item>
            <title>Busted by Facebook</title>
            <link>http://www.medworm.com/index.php?rid=1025381&amp;cid=t_106211_85_f&amp;fid=34924&amp;url=http%3A%2F%2Fwww.baggas.com%2Fposts%2F2007%2F11%2F14%2Fbusted-by-facebook%2F</link>
            <description>Your Privacy Is An Illusion: Bank intern busted by Facebook
As a doctor and facebook user, I found the above story interesting when I read it in a medical newsletter I subscribe to. Basically this bank intern in the US took time off work for &amp;#8220;family reasons&amp;#8221; but was busted by his employer when they found photos of him at a party that day on his facebook page. There&amp;#8217;s copies of the photo, and related emails posted on the link above. So Facebook users, bloggers, and anyone with an online presence beware - big brother might be watching&amp;#8230; Maybe I need to consider Googling people after I&amp;#8217;ve written them a sick note (Source: Baggas' Blog)</description>
            <author>Baggas' Blog</author>
            <type>blogs</type>
        <comments>http://www.medworm.com/rss/comments.php?id=1025381</comments>
            <pubDate>Wed, 14 Nov 2007 04:10:25 +0100</pubDate>
            <guid isPermaLink="false">1025381</guid>        </item>
        <item>
            <title>Rudd vows to fix doctor shortage</title>
            <link>http://www.medworm.com/index.php?rid=926236&amp;cid=t_106211_85_f&amp;fid=34924&amp;url=http%3A%2F%2Fwww.baggas.com%2Fposts%2F2007%2F10%2F04%2Frudd-vows-to-fix-doctor-shortage%2F</link>
            <description>| The Australian
KEVIN Rudd is promising to pay to fill a shortfall of doctors across the nation after a comprehensive audit of how many are needed.
Once again Kevin Rudd is sticking to his two main vote winning techniques. One is promising inquires, commitees, investigations, audits. And the second is throwaway slogans saying that he&amp;#8217;s going to fix whatever problem it is he&amp;#8217;s addressing. But always the promises lack any real detail.
The problem in this case is that you can&amp;#8217;t pay to fix a doctor shortage. No matter how much money you spend you can&amp;#8217;t magically make doctors appear out of thin air to fill a void. There is only a finite number of doctors to go around. Sure he could spend money to pay the existing doctors more (and I&amp;#8217;m certainly in favour of that ...</description>
            <author>Baggas' Blog</author>
            <type>blogs</type>
        <comments>http://www.medworm.com/rss/comments.php?id=926236</comments>
            <pubDate>Thu, 04 Oct 2007 02:17:02 +0100</pubDate>
            <guid isPermaLink="false">926236</guid>        </item>
        <item>
            <title>Cut off from the world</title>
            <link>http://www.medworm.com/index.php?rid=896053&amp;cid=t_106211_85_f&amp;fid=34924&amp;url=http%3A%2F%2Fwww.baggas.com%2Fposts%2F2007%2F09%2F25%2Fcut-off-from-the-world%2F</link>
            <description>I feel a bit like Robinson Crusoe or Gilligan at work at the moment - cut off from the rest of the world. Since Thursday we have had no internet access and it&amp;#8217;s driving me crazy being unable to check my email, blog, or browse the net between patients (though I&amp;#8217;m keeping even better to time than I usually do). We got a call from head office saying there&amp;#8217;s a virus and to unplug the net on Thursday and they have not done anything to fix it since. This is quite typical of the company that owns our practice - nothing ever gets done in a hurry, especially IT stuff. Any time we need anything sorted out we have to wait for ages. There&amp;#8217;s been plenty of negative aspects to having had our practice bought out a couple of years ago but I struggle to think of a single positive. T...</description>
            <author>Baggas' Blog</author>
            <type>blogs</type>
        <comments>http://www.medworm.com/rss/comments.php?id=896053</comments>
            <pubDate>Mon, 24 Sep 2007 23:47:52 +0100</pubDate>
            <guid isPermaLink="false">896053</guid>        </item>
        <item>
            <title>A Ton of babies</title>
            <link>http://www.medworm.com/index.php?rid=886279&amp;cid=t_106211_85_f&amp;fid=34924&amp;url=http%3A%2F%2Fwww.baggas.com%2Fposts%2F2007%2F09%2F20%2Fa-ton-of-babies%2F</link>
            <description>Well yesterday, if my rough adding up is correct, I attended my 100th birth for the year. My previous best was about 98 last year so cracking the century in September is a pretty good effort, especially considering I was away for 5 weeks in July/August. This level of obstetrical busyness is quite a good place to be. Between two and four births a week but I still probably only get called to the hospital after hours an average of one time a week which means not too many sleepless nights or interrupted dinners (like last night&amp;#8217;s). But delivering babies is not only a great and rewarding job in itself, it also has the added bonus of filling my GP clinic days with lots of pregnant mums and their kids, which is a quicker, more efficient, and more enjoyable sort of medicine than the geriatri...</description>
            <author>Baggas' Blog</author>
            <type>blogs</type>
        <comments>http://www.medworm.com/rss/comments.php?id=886279</comments>
            <pubDate>Thu, 20 Sep 2007 05:05:29 +0100</pubDate>
            <guid isPermaLink="false">886279</guid>        </item>
        <item>
            <title>Slow day</title>
            <link>http://www.medworm.com/index.php?rid=861818&amp;cid=t_106211_85_f&amp;fid=34924&amp;url=http%3A%2F%2Fwww.baggas.com%2Fposts%2F2007%2F09%2F11%2Fslow-day%2F</link>
            <description>Slow afternoon today. Every time I walk out and check my box there&amp;#8217;s no patients waiting. I haven&amp;#8217;t checked the appointment book but I don&amp;#8217;t think it&amp;#8217;s because of no-shows - rather a couple of families where they book 4 appointments for all their kids but it only takes 5 minutes each. Oh, and my 2:20 appointment didn&amp;#8217;t show up but I&amp;#8217;ll let her off because she was in hospital delivering her baby at almost exactly that time - pretty impressive timing!
So I&amp;#8217;ve been keeping busy with miscellaneous things, paying bills, reading blogs, updating my medical board registration, reading the latest political news, and drinking far too much coffee and Coke. Yesterday I was in Perth attending a course on Neonatal Resucitation - it was actually a pretty worthwhi...</description>
            <author>Baggas' Blog</author>
            <type>blogs</type>
        <comments>http://www.medworm.com/rss/comments.php?id=861818</comments>
            <pubDate>Tue, 11 Sep 2007 07:00:08 +0100</pubDate>
            <guid isPermaLink="false">861818</guid>        </item>
        <item>
            <title>Health Battleground</title>
            <link>http://www.medworm.com/index.php?rid=830954&amp;cid=t_106211_85_f&amp;fid=34924&amp;url=http%3A%2F%2Fwww.baggas.com%2Fposts%2F2007%2F08%2F30%2Fhealth-battleground%2F</link>
            <description>Allow me to get a little bit political for a few moments &amp;#8230; It&amp;#8217;s good to see that health has finally opened up as a bit of a battleground for the upcoming election, after a couple of fairly quiet years on the health policy front. This was sparked off by Kevin Rudd&amp;#8217;s headline grabbing &amp;#8220;policies&amp;#8221; of a federal takeover of state hospitals and something called GP &amp;#8220;super clinics.&amp;#8221; There&amp;#8217;s been plenty written about the former idea and all the potential problems associated with it (including maybe an increased GST) but not much press on the Super Clinics. Like most of Rudd&amp;#8217;s policies to date, it seems to be a flashy title designed to beguile the public and make Rudd seem like a sensible man of action, yet has very little substance behind it. As ...</description>
            <author>Baggas' Blog</author>
            <type>blogs</type>
        <comments>http://www.medworm.com/rss/comments.php?id=830954</comments>
            <pubDate>Thu, 30 Aug 2007 09:08:41 +0100</pubDate>
            <guid isPermaLink="false">830954</guid>        </item>
        <item>
            <title>Weekend building</title>
            <link>http://www.medworm.com/index.php?rid=819540&amp;cid=t_106211_85_f&amp;fid=34924&amp;url=http%3A%2F%2Fwww.baggas.com%2Fposts%2F2007%2F08%2F24%2Fweekend-building%2F</link>
            <description>Glad to be coming to the end of the working week. It hasn&amp;#8217;t been too bad a week, lots of colds and flus, lots of minor procedures today for some reason, only one life and death emergency the other day which all worked out okay. But it&amp;#8217;s my first full 5 day week for around 2 months so I&amp;#8217;m glad to be approaching the weekend.  Next weekend is my first on-call since being back, which may not be a bad thing to help pay the bills, and to start saving for my time off in October on the next Uganda trip. Have had a few emails over the last day or so from various people regarding the medical team which is a timely reminder that I need to start thinking about it and getting organised. Especially I need to start brushing up on my tropical medicine again - I might get out the cool Af...</description>
            <author>Baggas' Blog</author>
            <type>blogs</type>
        <comments>http://www.medworm.com/rss/comments.php?id=819540</comments>
            <pubDate>Fri, 24 Aug 2007 07:37:08 +0100</pubDate>
            <guid isPermaLink="false">819540</guid>        </item>
        <item>
            <title>Answering the call</title>
            <link>http://www.medworm.com/index.php?rid=702099&amp;cid=t_106211_85_f&amp;fid=34924&amp;url=http%3A%2F%2Fwww.baggas.com%2Fposts%2F2007%2F06%2F28%2Fanswering-the-call%2F</link>
            <description>It&amp;#8217;s good to see political announcements being followed by real, and fast, action.
I just received an email from the AMA calling for doctors to be involved in the outreach to Aboriginal children in the Northern Territory, following the Prime Minister&amp;#8217;s recent announcement of an action plan to address the serious problems of abuse and other health issues in these communities. They are looking for doctors to head to the NT in the second week of July - just 2 weeks from now.
Obviously I can&amp;#8217;t take part since I&amp;#8217;ll be in Uganda then, but it is really pleasing to see that this call has gone out. I hope that our medical profession can show leadership in this matter by giving a strongly positive reponse to the call. (Source: Baggas' Blog)</description>
            <author>Baggas' Blog</author>
            <type>blogs</type>
        <comments>http://www.medworm.com/rss/comments.php?id=702099</comments>
            <pubDate>Thu, 28 Jun 2007 09:27:36 +0100</pubDate>
            <guid isPermaLink="false">702099</guid>        </item>
        <item>
            <title>Babies, Tax, and a Photo Shoot</title>
            <link>http://www.medworm.com/index.php?rid=702100&amp;cid=t_106211_85_f&amp;fid=34924&amp;url=http%3A%2F%2Fwww.baggas.com%2Fposts%2F2007%2F06%2F28%2Fbabies-tax-and-a-photo-shoot%2F</link>
            <description>Well today I&amp;#8217;ve been too busy to use twitter but it&amp;#8217;s been an eventful day so I thought I&amp;#8217;d just do a regular blog post now that I&amp;#8217;ve finally got a lull.
This morning was pretty flat out with patients - I&amp;#8217;ve got one in labour and was called to assist at another emergency delivery but fortunately didn&amp;#8217;t really have to do anything.
The weirdest experience was at lunchtime when I was interviewed by a guy from Canberra who&amp;#8217;s doing marketing for the outer metro grant (basically a payment aimed at getting doctors to work in outer metro areas - I got mine last year which partially financed our first trip to Africa - the timing was most providential). Basically he&amp;#8217;s putting together some advertorials to go in all the major medical magazines in Austra...</description>
            <author>Baggas' Blog</author>
            <type>blogs</type>
        <comments>http://www.medworm.com/rss/comments.php?id=702100</comments>
            <pubDate>Thu, 28 Jun 2007 06:48:14 +0100</pubDate>
            <guid isPermaLink="false">702100</guid>        </item>
        <item>
            <title>The Drug Pushers</title>
            <link>http://www.medworm.com/index.php?rid=651001&amp;cid=t_106211_85_f&amp;fid=34924&amp;url=http%3A%2F%2Fwww.baggas.com%2Fposts%2F2007%2F06%2F01%2Fthe-drug-pushers%2F</link>
            <description>-
This is a very interesting article from The Atlantic online about pharmaceutical company representatives, better known to us as &amp;#8220;drug reps.&amp;#8221; Far from being a scandal driven expose the article presents a balanced, almost resigned, portrait of this industry and how it has changed over time, culminating in a sobering look at American medical care in general (and to think I&amp;#8217;m giving thought to working in such as system?) :
We simply live in a country that has decided that the traditional figure of the doctor is not worth preserving in the face of modern economics. Instead, we put our trust in the market.
Perhaps we are right to do so. We can get used to a world without doctors. As Lantos points out, we have gotten used to a world where we have shoes but no cobblers. We can...</description>
            <author>Baggas' Blog</author>
            <type>blogs</type>
        <comments>http://www.medworm.com/rss/comments.php?id=651001</comments>
            <pubDate>Fri, 01 Jun 2007 05:38:36 +0100</pubDate>
            <guid isPermaLink="false">651001</guid>        </item>
        <item>
            <title>Diabetes or Depression</title>
            <link>http://www.medworm.com/index.php?rid=602864&amp;cid=t_106211_85_f&amp;fid=34924&amp;url=http%3A%2F%2Fwww.baggas.com%2Fposts%2F2007%2F05%2F11%2Fdiabetes-or-depression%2F</link>
            <description>Was just talking to a drug rep and she asked whether I saw more diabetes or depression (since she had drugs to treat both!) - and I had to answer that I see way more depression. I just assumed that was true for most doctors but according to her, she gets an even mix of GPs who say they see a lot of depression and those who see hardly any. Now part of me wishes I fell into that second group as I really don&amp;#8217;t much like mental health (when I was a surgical trainee I was ashamed to admit to the fact that I won the Psychiatry medal in med school). But unfortunately (for me anyway) patients with these problems seem to keep coming to see me, which I guess must mean I am at least doing something right? I could never be a psychiatrist though, it must be depressing listening to all these terri...</description>
            <author>Baggas' Blog</author>
            <type>blogs</type>
        <comments>http://www.medworm.com/rss/comments.php?id=602864</comments>
            <pubDate>Fri, 11 May 2007 04:37:04 +0100</pubDate>
            <guid isPermaLink="false">602864</guid>        </item>
        <item>
            <title>On why it’s so difficult to get a doctor’s appointment</title>
            <link>http://www.medworm.com/index.php?rid=592642&amp;cid=t_106211_85_f&amp;fid=34924&amp;url=http%3A%2F%2Fwww.baggas.com%2Fposts%2F2007%2F05%2F07%2Fon-why-its-so-difficult-to-get-a-doctors-appointment%2F</link>
            <description>Common comments I hear from my patients :
&amp;#8220;It&amp;#8217;s getting so hard to get an appointment with you&amp;#8221;
&amp;#8220;I had to wait a week for an appointment&amp;#8221;
&amp;#8220;I phoned five different medical centers to get an appointment&amp;#8221;
The usual answer to this is that we have a doctor shortage - not enough doctors to service our population. And while this is definitely true let me give you some statistics that point to another major reason why people can&amp;#8217;t get appointments :
This morning I have had 15 appointment slots thus far - 6 of these patients have not turned up. 
Now to be fair one of those 6 actually had a baby at 8am this morning and I saw her then in the hospital, so we&amp;#8217;ll let her off the hook. But even so that&amp;#8217;s 5/14 that didn&amp;#8217;t turn up, didn&amp;#82...</description>
            <author>Baggas' Blog</author>
            <type>blogs</type>
        <comments>http://www.medworm.com/rss/comments.php?id=592642</comments>
            <pubDate>Mon, 07 May 2007 03:25:28 +0100</pubDate>
            <guid isPermaLink="false">592642</guid>        </item>
        <item>
            <title>Welcome to my World</title>
            <link>http://www.medworm.com/index.php?rid=493257&amp;cid=t_106211_85_f&amp;fid=34924&amp;url=http%3A%2F%2Fwww.baggas.com%2Fposts%2F2007%2F03%2F08%2Fwelcome-to-my-world%2F</link>
            <description>Another quiet day at work today, although I have a patient in labour at present so it&amp;#8217;ll probably get busier.
Thought I&amp;#8217;d play around with my mobile and YouTube to give you a sneek peak into the place where I spent most of my day&amp;#8217;s - my consulting room. The quality isn&amp;#8217;t perfect as it was filmed using my Palm Treo, but I hope it&amp;#8217;s clear enough to get a bit of an idea of what my room looks like. And it&amp;#8217;s relatively tidy at the moment too! (Source: Baggas' Blog)</description>
            <author>Baggas' Blog</author>
            <type>blogs</type>
        <comments>http://www.medworm.com/rss/comments.php?id=493257</comments>
            <pubDate>Thu, 08 Mar 2007 04:11:03 +0100</pubDate>
            <guid isPermaLink="false">493257</guid>        </item>
        <item>
            <title>Wednesday What’s Up VI</title>
            <link>http://www.medworm.com/index.php?rid=493259&amp;cid=t_106211_85_f&amp;fid=34924&amp;url=http%3A%2F%2Fwww.baggas.com%2Fposts%2F2007%2F03%2F07%2Fwednesday-whats-up-vi%2F</link>
            <description>Yesterday was a super hot Tuesday here in Perth with the temperature hitting 42 degress Celsius. Luckily for me I had pre-arranged the day off to get my car serviced and for the Foxtel man to come and so I ended up being home most of the day, of which a lot was spent in the pool. Today is forecast to be just as hot but I haven&amp;#8217;t been outside since I got to the surgery this morning so I can&amp;#8217;t verify that. Will be jumping straight back in the water when I get home though.
For now, let me give you my weekly round-up of what&amp;#8217;s happening in my world&amp;#8230;
READING : for some reason I haven&amp;#8217;t had much time to read over the last week or so, but the book I&amp;#8217;ve started most recently is Jeffrey Sach&amp;#8217;s The End of Poverty - this is a book on global poverty and the ec...</description>
            <author>Baggas' Blog</author>
            <type>blogs</type>
        <comments>http://www.medworm.com/rss/comments.php?id=493259</comments>
            <pubDate>Wed, 07 Mar 2007 04:16:59 +0100</pubDate>
            <guid isPermaLink="false">493259</guid>        </item>
        <item>
            <title>Most days…</title>
            <link>http://www.medworm.com/index.php?rid=493276&amp;cid=t_106211_85_f&amp;fid=34924&amp;url=http%3A%2F%2Fwww.baggas.com%2Fposts%2F2007%2F02%2F23%2Fmost-days%2F</link>
            <description>&amp;#8230; in this job are easy and light &amp;#8230; but then once in a while the realities of death, grief and crisis hit you in the face. Those days are not so easy&amp;#8230; (Source: Baggas' Blog)</description>
            <author>Baggas' Blog</author>
            <type>blogs</type>
        <comments>http://www.medworm.com/rss/comments.php?id=493276</comments>
            <pubDate>Fri, 23 Feb 2007 00:14:36 +0100</pubDate>
            <guid isPermaLink="false">493276</guid>        </item>
        <item>
            <title>A day in the life</title>
            <link>http://www.medworm.com/index.php?rid=493279&amp;cid=t_106211_85_f&amp;fid=34924&amp;url=http%3A%2F%2Fwww.baggas.com%2Fposts%2F2007%2F02%2F16%2Fa-day-in-the-life%2F</link>
            <description>Periodically in the past I&amp;#8217;ve given a snapshot of my day at work as a GP, and it&amp;#8217;s about time I did it again (partly cos I felt the urge to blog and couldn&amp;#8217;t think of anything else to say). So here it is, a day in the life of me :
0830 - arrive at work. Startup computer. Check Email. Answer blog comments. Plug my iPod in to the PC and start playing some Bright Eyes (Album : I&amp;#8217;m Wide Awake It&amp;#8217;s Morning). Go through paperwork. Sign about 20 pathology results and some hospital attendance faxes (for patients of mine who have been seen in Emergency in the last couple of days). Check the same path results on the computer so they will be stored in the patient&amp;#8217;s computer files (we have this incredibly inefficient hybrid paper/computer system here)
Visit the hosp...</description>
            <author>Baggas' Blog</author>
            <type>blogs</type>
        <comments>http://www.medworm.com/rss/comments.php?id=493279</comments>
            <pubDate>Fri, 16 Feb 2007 03:59:43 +0100</pubDate>
            <guid isPermaLink="false">493279</guid>        </item>
    </channel>
</rss>

