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International Primary Care Association

Clinical Focus Volume 2 N2


‘Modernising Medical Careers’, otherwise known as ‘MMC’, is the umbrella under which all junior doctors’ training is currently being reorganised nationally. The government has been open about it’s commitment to primary care, which it sees as the cornerstone of the future NHS. Clinical work continues to be shifted from secondary to primary care, and with the numbers of Hospital Speciality training posts set to decline, we are led to believe that General Practice training posts will be maintained. Mr Martin Dennis, Consultant Vascular Surgeon at Leicester Royal Infirmary, makes reference to the increasing sub-specialisation of hospital consultants in his article (page 55), and the opportunities that could arise from this for primary care practitioners. He gives a good argument for the development of more GPwSIs in vascular disease, not only in dealing with coronary heart disease, stroke and hypertension which contribute a large proportion of any practice’s QOF points, but also with peripheral vascular disease, aortic aneurysm screening, carotid artery scanning and varicose vein management. This sounds an interesting area to be explored and developed by GPs and local commissioning groups.

Also in this issue:Dr David Rout bravely tackles ‘dizziness’, giving a clear overview on a subject that makes most of us vertiginous just at the thought of managing such patients! Dr Mohammed Karim attempts to demystify autoantibody testing, stating how straightforward it is to understand, contrary to popular belief. And Dr Azhar Farooqi provides a simple approach to managing good glycaemic control in Type 2 diabetes, an area in which many GPs are de-skilling. And new to this issue is the first of Dr Jonathan Botting’sMedical Nuggets. For those of you involved in minor surgery, we are shown a simple but effective way of creating“DIY Skin Hooks”which enables specimens of skin to be removed free of crush artefact. This will make you very popular with your local histopathologist!

If you haven’t already done so, then please visit the new improved website for all the latest news and stories that will be affecting you and your other fellow practitioners with special interests. Our collection of clinical and non-clinical resources is ever expanding, and there are CPD assessments that can be completed online. Our interactive forum is in the process of being launched and this promises to be an exciting development. And of course you can access previous issues of this journal too.

Dr Alexander Watson
Professor Ram Dhillon

Additional Info

Read 1808 times Last modified on Tuesday, 03 May 2016 14:32
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