General Practitioner Prescribing Trends among Pediatric Patients in the United Kingdom: 1998‐2018

Author(s):  
Reem Masarwa ◽  
Claire Lefebvre ◽  
Robert W. Platt ◽  
Kristian B. Filion
2016 ◽  
Vol 69 (7) ◽  
pp. 655-660 ◽  
Author(s):  
P Hancock ◽  
B J Woodward ◽  
A Muneer ◽  
J C Kirkman-Brown

Post-vasectomy semen analysis (PVSA) is the procedure used to establish whether sperm are present in the semen following a vasectomy. PVSA is presently carried out by a wide variety of individuals, ranging from doctors and nurses in general practitioner (GP) surgeries to specialist scientists in andrology laboratories, with highly variable results.Key recommendations are that: (1) PVSA should take place a minimum of 12 weeks after surgery and after a minimum of 20 ejaculations. (2) Laboratories should routinely examine samples within 4 h of production if assessing for the presence of sperm. If non-motile sperm are observed, further samples must be examined within 1 h of production. (3) Assessment of a single sample is acceptable to confirm vasectomy success if all recommendations and laboratory methodology are met and no sperm are observed. Clearance can then be given. (4) The level for special clearance should be <100 000/mL non-motile sperm. Special clearance cannot be provided if any motile sperm are observed and should only be given after assessment of two samples in full accordance with the methods contained within these guidelines. Surgeons are responsible both preoperatively and postoperatively for the counselling of patients and their partners regarding complications and the possibility of late recanalisation after clearance. These 2016 guidelines replace the 2002 British Andrology Society (BAS) laboratory guidelines and should be regarded as definitive for the UK in the provision of a quality PVSA service, accredited to ISO 15189:2012, as overseen by the United Kingdom Accreditation Service (UKAS).


Author(s):  
Simon Noble ◽  
Nicola Pease

Within the United Kingdom, the general practitioner (GP) will manage the care of the majority of patients with life-limiting and terminal disease. The need for effective communication is recognized in the general practice curriculum and college examinations. The opportunity to review and critique one’s own communication skills allows considerable opportunity for self-directed learning and reflection. The development of a reflective portfolio of learning has been developed as a user-friendly and cost-effective way for the general practitioner to commit to lifelong learning in the context of communicating with palliative care patients. This chapter describes several models that can help deliver an evidence-based template of training, supported by a simple toolkit with which to empower GPs to enhance their communication skills throughout their professional careers.


eJHaem ◽  
2020 ◽  
Vol 1 (1) ◽  
pp. 293-296
Author(s):  
Aisling M. Flinn ◽  
Sheba Macheka ◽  
Mary Slatter ◽  
Anna‐Maria Ewins ◽  
Brenda Gibson ◽  
...  

1972 ◽  
Vol 2 (2) ◽  
pp. 183-191
Author(s):  
J. P. Horder

Despite recent trends toward specialization, general practice will continue as an important branch of medical care in the United Kingdom. The role of the general practitioner is briefly discussed in this article and it is emphasized that physicians must be specifically and urgently instructed for this role as young postgraduates. This requires that some teaching of undergraduates take place in the setting of general practice; the limited aims of this teaching are listed. The main purpose of the article is to describe the aims and the outline syllabus for the training of general practitioners in the early postgraduate period. These aims have begun to be achieved in the last few years in this country. The present state of three–year postgraduate training schemes is reviewed and problems yet unsolved are discussed.


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