Course: WISDOM - Tomorrow’s Doctor, Today: Supporting Today’s Expert Generalist GP

Now, we have a new case study to help us think about how we can take a quality improvement idea from practice into a model for change that other practices …

Let’s return to a previous case study to see how we might use these ideas to put our scholarship skills into practice. We will use the example of Margaret to …

Throughout the course, we will return to a selection of case studies. The individuals below will appears in future steps and weeks: Margaret is a 37 year old woman who …

And so we come to the end of out time together. As such, here are some final thoughts… In this final week of the course, we have explored how you …

Reflect on what you have learned this week. Has it helped you set some of your own goals? What do you think you will prioritise? Which example did you find …

How does evidence-based medicine fit in to the knowledge work framework? If you went to medical school in most countries since around the 1990s the dominant paradigm, or way in …

In this video Johanna Reilly describes research highlighting barriers faced by GPs when they attempted to practice as expert generalists. There are also some additional resources in this step you …

The word ‘gatekeeping’ is often used to define part of the GP role but how do we see this? It could be quite a negative part of our job, with …

So we’ve just learned that Brian, the 81 years old man with chronic knee pain is feeling low in mood. However, should we jump to a diagnosis of depression, or …

Throughout this week’s learning we have been discussing Brian, the 81 years old man who attended for a review of his medication. He has returned today to discuss his chronic …

Hopefully through our discussion about polypharmacy, it has become clear that knowledge work is an integral part of tailored de-prescribing. Figure 1: 4 Elements of Knowledge Work We use knowledge …

An expert generalist conducting a medication review would likely have two main steps to their approach.: To identify a list of health problems, taking time to consider why a person …

Patients might be prescribed a large number of medicines, but it doesn’t mean that those medications are inappropriate. As a consequence, polypharmacy may be defined as appropriate or inappropriate1. APPROPRIATE …

Brian is an 81 years old man who books a GP appointment to discuss knee pain. He is requesting some stronger analgesics as his current medications, including co-codamol 30/500 and …

Let’s start by literally thinking about ‘too much medicine’, by considering the problem of overprescribing. A recent review into overprescribing, suggested that we need culture change to reduce our reliance …