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18.03.2025 20:54 โ ๐ 0 ๐ 0 ๐ฌ 0 ๐ 0@drpoco.bsky.social
Academic GP with interest in care of older people and EOL care. Wife, mum of ND child, rock chick, socialist. She/her.
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18.03.2025 20:54 โ ๐ 0 ๐ 0 ๐ฌ 0 ๐ 0www.bmj.com/content/387/...
Chris Hoy and cancer screening: is celebrity campaigning a bad way to make policy?
HT @mgtmccartney.bsky.social
Excellent job explaining complex stuff simply
Leeds has a fully funded scholarship program for undergraduate and Masters study for Gaza students.
**Tell Everyone**
www.leeds.ac.uk/masters-scho...
#CivilitySavesLives
21.11.2024 07:32 โ ๐ 109 ๐ 40 ๐ฌ 2 ๐ 5Weโre looking for a doctor in any training programme (ST1-5) to join us as the 1st ever pan-London Foundation School Simulation Fellow!
A 100% non-clinical role for someone interested in driving change+improvement in sim education for all London Foundation docs
Fantastic OOPE!
shorturl.at/jv38U
We had our first palliative liver MDT today ๐
Several months in the planning, thanks to the residents who challenged their seniors at an m&m for delayed recognition of dying
Iโm not sure where Iโm fitting in the extra work generated, but these patients can really benefit from pall care so I will
Key messages from #chriswhitty
Older adults are ageing well
But we have a responsibility to manage multimorbidity & lifestyle adaptations
Get more geriatricians in research
Tackle the prejudices around involving older adults in research
#BGSconf
@gerisoc.bsky.social
@jkdhesi.bsky.social
โCPR mannequins with no breasts are emblematic of healthcare practices being optimised for the white male body; with detrimental and sometimes deadly implications for anyone who doesnโt fit this mould.โ
www.theguardian.com/australia-ne...
Not sure where/who this came from, but it seems apt this weekโฆ
20.11.2024 20:43 โ ๐ 1 ๐ 0 ๐ฌ 0 ๐ 0Prognosticationโฆ an art not a science.
How often is this also shared with the patient and their family too?
๐๐ปtruth talking
@drpoco.bsky.social
@lucyselman.bsky.social
As a GP, I initiate conversations about limited life expectancy when appropriate. They are less initiated by secondary care teams and patients sometimes disagree with me- โmy consultant is trying to build me upโ. An important topic for discussion particularly for secondary/primary care interface.
19.11.2024 18:06 โ ๐ 17 ๐ 6 ๐ฌ 4 ๐ 04. Further research required to understand why this info isnโt shared more frequently, what the info needs of primary care clinicians are, and to capture patientsโ views and experiences. Find out more here: ships.blogs.bristol.ac.uk
19.11.2024 18:59 โ ๐ 3 ๐ 0 ๐ฌ 0 ๐ 03. Secondary care clinicians should be supported and encouraged to share info regarding prognosis with primary care.
19.11.2024 18:59 โ ๐ 2 ๐ 0 ๐ฌ 1 ๐ 02. We suggest that a review by the #pallcare team during an admission should always be communicated in the discharge summary.
19.11.2024 18:59 โ ๐ 1 ๐ 0 ๐ฌ 1 ๐ 0TL:DR -
1. Communication of poor prognosis from secondary to primary care doesnโt routinely occur, but GPs value it.
Read the full paper: What helps or hinders the communication of poor prognosis between secondary and primary care? A systematic review with narrative synthesis:
bjgp.org/content/earl...
#GPSky #PrimaryCare #MedSky
Hospital teams rarely share information about patients' limited life expectancy with GPs, even though GPs find this very helpful in planning patient care.
Research by Lucy Pocock & @lucyselman.bsky.social
et al. published in @bjgp.bsky.social & covered in
Pulse:
pulsetoday.co.uk/news/clinica...
Uncomfortable and important article by Prof Mark Taubert around what an assisted dying death actually looks like. For many it is worse than the natural death the vast majority have now. These peaceful undramatic deaths have been lost in the polarised rhetoric.
www.spectator.co.uk/article/the-...
Happy Saturday from Max!
16.11.2024 13:09 โ ๐ 3 ๐ 0 ๐ฌ 0 ๐ 0Thanks ๐คฉ
16.11.2024 13:01 โ ๐ 1 ๐ 0 ๐ฌ 0 ๐ 0Canโt get an appt with a GP?
Yet there are 1000s of GPs out of work or struggling to find work
NHS England have cut the equivalent of 2 full-time GPs in funding from an average practice, whilst funding โadditionalโ roles via ARRS
ยฃ2bn cut in real term
Not additional then๐คท๐ปโโ๏ธ youtu.be/tI69wqP1_3g?...
#GeneralPractice
16.11.2024 12:45 โ ๐ 24 ๐ 16 ๐ฌ 1 ๐ 0Hi ๐๐ป I finally made the move!
16.11.2024 12:51 โ ๐ 1 ๐ 0 ๐ฌ 0 ๐ 0The communication of poor prognosis from secondary to #PrimaryCare is highly valued by GPs, but rarely occurs due to cultural and systemic challenges doi.org/10.3399/BJGP...
14.11.2024 13:15 โ ๐ 7 ๐ 3 ๐ฌ 1 ๐ 2My first post on here and I am shamelessly promoting my work!
This is the first output from my @nihr.bsky.social funded PhD. Watch this space to find out how this information-sharing can be improvedโฆ
#medsky