The Royal College of General Practitioners is the professional membership body for family doctors in the UK and overseas. This podcast is produced by the RCGP eLearning and Essential Knowledge Update teams and features discussions with clinical experts about a range of key topics in primary care.
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In this podcast Dr Toni Hazell and Dr Kamilla Kamaruddin discuss the issue of disclosure of LGBT status, including reasons why patients may not feel comfortable sharing their status. Legal issues are covered, as well as general good practice around language and communication with secondary care. This episode was launched in January 2020. Reviewed: September 2023
It is important that all patients feel welcome at their GP and survey data suggests that this is not always the case for LGBT patient. In this podcast Dr Toni Hazell and Dr Kamilla Kamaruddin discuss how you can make your practice inclusive and welcoming for LGBT patients, starting from when they walk through the door into the waiting room. They also discuss the use of pronouns for transgender patients and how GPs can be supportive of LGBT staff. This episode was launched in January 2020. Review...
There are approximately 1.2 million patients with COPD in the UK with 115,000 new cases each year. However most people are diagnosed in their 50’s or older and a large number remain undiagnosed. This EKU2019.2 podcast explores the symptoms, investigations, referral, treatment and management of people with COPD with Dr Steve Holmes, a GP in Somerset and Education Lead with the Primary Care Respiratory Society.
Prostate cancer is the commonest cancer in men and is the third commonest cause of cancer death in the UK, causing more deaths than breast cancer. This Essential Knowledge Update (EKU2019.2) podcast discussed prostate cancer screening and the prostate-specific antigen (PSA) test with Dr Sam Merriel a GP in North Somerset and a Clinical Senior Research Fellow at the University of Exeter.
Patients with allergy commonly present to GPs – some can be treated in primary care, whilst others will need referring to a hospital clinic or a GP with an interest in this area. In this podcast, Dr. Susan Leech, clinical lead for the paediatric allergy service at King’s hospital, discusses issues such as how to treat in primary care, when to refer and who should have an adrenaline auto-injector. The podcast also covers cows’ milk protein allergy and how to advise a patient who feels that they h...
In this podcast, Dr Charlie Andrews, committee member of the Primary Care Society of Gastroenterology and Clinical Champion for West of England for inflammatory bowel disease, discusses various aspects of coeliac disease, from when it should be considered through to longer term management. He offers hints to diagnostic clues which should prompt testing, and guidance on the process of testing, including consuming enough gluten in the run-up to investigating. Patients need support and information ...
There are approximately 1.5 men and 3.6 women per 10,000 people who develop rheumatoid arthritis each year. This EKU2019.1 Podcast discusses the management of rheumatoid arthritis in adults with Dr Barbara Noble, a GP in Wolverhampton, a CSA assessor, appraiser and EKU Programme Author.
Contraception is a rapidly changing field, with new devices becoming available and new guidelines being issued. RCGP Clinical Champion for Menstrual Wellbeing, Dr Anne Connolly, talks to Dr Toni Hazell about a variety of subjects in the area of contraception. She starts by discussing emergency contraception and how to choose between the two oral methods available and then goes on to discuss the UKMEC which is the main reference guideline for contraception safety. The podcast then covers the diff...
While deaths from other common conditions are falling, mortality from liver disease is increasing. There has been a 400% increase in deaths from liver disease between 1970-2010. This is higher in patients under the age of 65. This Essential Knowledge Update (EKU2018.3) podcast discussed the management of abnormal liver blood tests.
Studies report that between 4-51% of women are affected by heavy periods. This Essential Knowledge Update (EKU2018.3) podcast explores the assessment and management of heavy menstrual bleeding.
Endometriosis is associated with infertility and is also associated with a lower quality of life with women taking more sick days because of the condition. This Essential Knowledge Update (EKU2018.2) podcast explores the diagnosis and management of endometriosis in primary care.
The National Review into Asthma Deaths in 2014 found that 46% of asthma deaths may have been avoidable if guidelines were followed. This Essential Knowledge Update (EKU2018.2) podcast discusses the diagnosis, treatment, monitoring and chronic asthma management in primary care.
Axial spondyloarthritis is often misdiagnosed as mechanical back pain. There is an average delay of 8.5 years between symptom onset and diagnosis. This Essential Knowledge Update (2018.1) podcast provides an overview of spondyloarthritis and offers information and guidance on its diagnosis, investigations and (pharmacological and non-pharmacological) management in primary care.
The point prevalence of dermatitis in the UK is estimated to be about 20%, with atopic/endogenous dermatitis making up the majority of cases. This Essential Knowledge Update (EKU2017.3) podcast discusses the 2017 British Association of Dermatologists guideline on contact dermatitis and how the condition is diagnosed and managed in primary care. It explore the irritant and allergic responses and the assessment and treatment/therapies for patients presenting with the condition.
5.4 million people in the UK are currently receiving treatment for asthma - 1.1 million children (1 in 11) and 4.3 million adults (1 in 12). This Essential Knowledge Update (EKU2017.2) podcast discusses the management of asthma in primary care including the criteria for assessing and diagnosing asthma in both children and adults, allergy testing, treatments (both non medication such as breathing exercises and medical treatments) and occupational asthma.
About 20% of adults have chronic non-cancer pain, and approximately 25% of those will benefit long-term from prescription opioids. This Essential Knowledge Update (EKU2017.2) podcast discusses two papers (from the European Pain Federation and the New England Journal of Medicine) with different views on the use of opioids in chronic pain and how this evidence can be translated into primary care.
Non-alcoholic fatty liver disease (NAFLD) presents as a disease spectrum. Fatty change is a common and frequently benign condition, present in 20-30% of the population and up to 90% of the morbidly obese. This Essential Knowledge Update (EKU2017.1) podcast explores the NICE guideline on non-alcoholic fatty liver disease. It discusses epidemiology of the condition as well as assessment, diagnosis (including severity) and management in primary care.
The mean age of women who have a natural menopause is 51 years, although there is wide variation between women. This Essential Knowledge Update (EKU18) podcast explores the diagnosis, treatment and management of the menopause. It also discusses the peri-menopause, primary ovarian insufficiency (POI), symptoms of the menopause and more.
Alcohol use disorders are most common among those in young adulthood (18-29 years), a group that are relatively low at consulting primary care. This Essential Knowledge Update (EKU18) podcast discusses the global burden of the disease and the main groups at risk of alcohol use disorder. It explores the diagnostic terms, identification, investigations, interventions and management in primary care and also highlights the area of driving and the DVLA.
Statistics for England in 2011 showed approximately 320,000 adults with epilepsy were receiving anti-epileptic drugs (AED), but it is estimated that only two thirds of these adults have it adequately controlled. This Essential Knowledge Update (EKU17) podcast explores history taking including eye witness accounts of seizures, differential diagnoses, support from and referral to secondary care including diagnosis in hospital settings. It also discusses the treatment of seizures, driving and epile...
Recent research (Ahmad 2015) has shown an increase in lifetime cancer risk from approximately 1 in 3 for those born in 1930 to 1 in 2 for those born after 1960. This Essential Knowledge Update (EKU17) podcast provides information on the NICE guideline in which the EKU module was based including the recommendations for site specific cancers and also by symptom/findings of primary care investigations in both adults and children. It also discusses the referral criteria and how to explain the reason...
Multiple Sclerosis (MS) is the most common disabling neurological disease of young adults in the UK. Over 100,000 people in the UK have MS and it effects over 2,000,000 more. It is not considered a terminal illness and it is not contagious. This Essential Knowledge Update (EKU16) podcast discusses the prevelance, presentation and assessment, symptom relief, relapses and exacerbations, referral and management (including ongoing information, advice and support) of MS. It also highlights MS in preg...
It is estimated that patients with MUPS represent up to 20% of GP contacts, and 30% of patients presenting with physical symptoms. This Essential Knowledge Update (EKU16) podcast explores the pharmacological and non-pharmacological interventions for somatoform disorders and medically unexplained physical symptoms (MUPS).
