eGPlearning Podblast

Contact us and share your opinionSitting is the new smoking. Staying sedentary for several hours a day increases your risk of diabetes. So should you stand as a GP?I remember visiting my GP as a child. Sit in the waiting room normally sullen and low because of yet another episode of tonsillitis. Then I was called into the doctor’s office. I would enter a room that CQC would now shut down in a heartbeat with mosaic rugs, plush furry chairs, and a beautiful mahogany desk.And there was the GP….sitting behind his desk. I remember him moving in his chair to get some forms from a cabinet. I remember him asking me to stand as he examined me sitting in his executive chair, and I remember him always sitting behind a desk. Fast forward to a couple of years ago. I remember finishing work with my shoulders feeling tight, my lower back aching for a stretch, as I scooted in my chair to get a form from my cabinet next to my desk. It was at that point I realised I had been sitting in my chair for over four hours. I wanted to change this sedentary life. I had a chat with my partners and highlighted I would be changing my room. Shortly after I got a rising desk (Yoyo-90). I love it. The build quality is excellent with significant heft. The hydraulic risers are simple to clip and push my whole station upwards to allow me to stand. Initially I could only manage an hour or so before my legs tired out and I had to sit again. A further investment in a standing mat helped there. Within a month I was standing while doing all my admin. Then I took the plunge and stood while consulting with patients.  Some will feel less happy about standing while consulting. I know in sharing my story I have heard several criticisms such as:It means you are trying to rush the patientTo stand over a patient is to exert a power dynamic in the consultationIt means you are trying to hide the screen from the patientOver the past year, I have not found any of these to be true. In my clinic, patients sit while I stand (see the chairs above). If a patient feels uncomfortable I will sit, however, I have only been asked this twice in the past 18 months.When there is a need for additional empathy, I often sit next to the patient. I actively share my screens when needed with the patients. Patients often comment on the desk, about seeing similar in the media and how positive such changes are. Sounds encouraging and even our Secretary of State for Health and Social Care – Matt Hancock is very pro-standing desks. However, it is important to recognise that standing desks on their own is not enough.  This is a useful article and another here that comments on the opposing view. This includes complications of standing for long periods (tiredness, varicose veins, musculo-skeletal pain from adjusted positions of screens etc.)Encouraging our patients to be more active is important. So for Self-care week, I am showing how it works in my practice.  Watch the video below and feedback your thoughts on should you stand as a GP?#TipThursday    

Contact us and share your opinionHi #eGPlearnersWelcome to the weekly showcase of Technology-enhanced primary & learning resources from eGPlearning.When should I worry? This is a common question for parents when looking after an unwell child. In primary care, this can often be a challenge for clinicians to manage due to parental anxiety, the expectation of treatments like antibiotics, concerns about antibiotic resistance and growing demand. A helpful resource which can be used with and for patients is the When should I worry booklet found at www.whenshouldiworry.com.This short booklet provides clear and helpful advice on managing common conditions that can be self-managed by parents, with advice on self-care options, symptom management and importantly clear guidance on when to see further advice. The website even offers training on how to use the booklet effectively, and it is available in a variety of languages. Taking it one step further, you may choose to send parents the weblink for the booklet and for the English version: use this helpful case-sensitive shortlink: bit.ly/eGPlearningWSIWFor proactive practices, you could send this as a public information message to all registered parents or share via practice social media channels. Watch the video guide below and free to share your thoughts on this resource and as always:Comments, share and keep eGPlearning. #TipThursday

Contact us and share your opinioneGPlearning PodBlast - Introducing the NHS AppWelcome to our deep dive episode on the upcoming NHS app - which we cover multiple areas of primary care and patient care. A highly opinionated episode which we encourage your comments and feedback on. 1.00 Thank you Sponsor - HTN The Health Tech Newspaper (HTN)- an innovative daily news and opinion website for the health tech network. 1.40 Thank you to our followers: @SonaliKinra  @NottsLMC @NCGPANottm @Jacey_Melody @JThambyrajah @KalindiKrishna  @RcgpFaculties @2GPs_in_a_Pod , @DME_Health, @BenXGowland , @EvilGP and @drNickHarvey -creator of Digitalis 2.25 Andy has had a cold and been on a cruise2.40 Gandhi has also had a holiday, working on TipThursday especially the Kardia Alivekor episode with a free resource on the episode available here. 3.30 Today we are talking about the upcoming NHS app We are going to talk about the app. This was inspired by a great article by our friends at Gizmodo. http://www.gizmodo.co.uk/2018/08/exclusive-heres-what-the-new-nhs-app-will-look-like-and-why-it-could-have-been-so-much-worse/ The intentions behind the app are exactly what you might expect: Make it easier for patients to access healthcare services, cut down on administrative burden, and eventually provide a means to connect with other health apps, like Fitbit and Apple’s Health app.  Jeremy Hunt set out “8 challenges” for the app(7.20) Symptom checking and triage (i.e. figuring out if you’re just being a hypochondriac or whether you should be in an ambulance right now)- eConsultation, webGP, babylon AI(13.00) Access to your medical records and security issues. (23.10) GP appointment booking(28.20) Repeat prescription ordering(29.50) Changing data sharing preferences(31.38) Changing organ donation preferences(33.38) Changing end of life care choices - DNAR medical decision(38.50) Promoting “approved apps” to patients - see the NHS app library and @OrchaUK(42.50) Summary of our views (including a compliment for Jeremy Hunt!!!!) including the issue of photo ID verification to use the app. These are discussed in turn during the show...(49.00) Sign off and next episode spoilersDo let us know what you think? Click

Contact us and share your opinionHi #eGPlearnersWelcome to the weekly showcase of Technology-enhanced primary & learning resources from eGPlearning.This week TipThursday covers a resource from the eGPlearning platform –  the eGP DRAMA planeGP DRAMA (eGPlearning General Practice Disaster Record And Management Action) plan is a fail-safe document used as an adjunct to you practice business continuity plan. It identifies and helps record pertinent practice-related information that if not available at key times can lead to significant stress and impact on the business of running a practice. Particularly with larger scale working, such information needs safeguarding and access at appropriate times. To store the document ensure either keeping a hard copy in a safe location or preferably store on an encrypted USB stick or password protected part of the practice intranet. This document is free for all eGPlearners via signing up below as part of the eGPlearner induction.However, for the first week of this video, it is accessible directly via this link: www.egplearning.co.uk/gp-productivityAs always, comment, share and keep eGPlearning.#TipThursday

Contact us and share your opinioneGPLearning PodBlast Digitalis & AliveCor AppsShow Notes Welcome listeners  In this episode we will be reviewing and test driving two exciting apps. Digitalis - CPD and appraisal app developed by Dr Nick Harvey is a GP partner and trainer with the help of his team..AliveCor - AF detection app and hardware Mentioned in today’s episode@health1tech@NCGPANottm@Confetti_ICT@Notts_TV@Digitalis_Tech@AliveCor@SonaliKinra@BenXGowland @jacey_melodyHost introductionsDr Husain Gandhi, @DrGandalf52 , www.egplearning.co.uk/ Dr Andy Foster, @DrAWFoster , www.avoidingpuddles.com Episode Sponsor:HTN - Health Tech Newspaper, an innovative daily news and opinion website for the health tech network. www.thehtn.co.uk What have your hosts been up to since last episode?www.signpsotinghealth.com https://confetti.ac.uk Portfolio career survey conducted by GPDQ shout out…. ,  https://www.gpdq.co.uk Digitalis review What is the Digitalis AppContinuing Professional Development (CPD) App for iOS & Android, allowing recording of CPD activity using your mobile phone http://digitalistechnology.co.uk . Synchronises with Clarity Appraisal Toolkit, https://appraisals.clarity.co.uk , or export entries as .pdf file.Currently Free of Charge. Who made it?Dr Nick Harvey is a GP partner and trainer and his team http://digitalistechnology.co.uk/about-us/ App features and observations discussed:Quickly add CPD entry, capture photos, documents, audio and video. Entries can be linked to CPD Curriculum and learning domains or PDP.Free text search of your entriesPersonalised my feed - Guidelines, HTN - our sponsor, BBC health news, Cochrane Database and many more. These can read and added directly to CPDNotification & MessagesShare CPD activity, Ask questions, Link to other professionals, Abili

Contact us and share your opinionShownotes0.22- A shout out to our new sponsor- The Health Tech Newspaper (HTN)- an innovative daily news and opinion website for the health tech network. 1.10- How Amazon and the Blue Yeti make our podcast possible.1.50- The interview begins.2.40 DrGandalf's favourite clinical apps- MDCalc3.20- Star Realms - an awesome game4.40- The return of Captain Jean-Luc Picard5.00- The dawn of eGPlearning7.40 How to keep momentum9.00- DrGandalf's current activities (hats)9.40- GPSurvival9.50- S1 FBUG (Systm One Facebook User Group)10.00 RCGP work11.50 How Andy and Gandhi met12.30 Joining Nottingham LMC13.40 Representation of the profession15.00 Getting into health tech15.50 Artificial Intelligence in Primary care19.40 DrGandalf's paradox to fix UK healthcare22.20 Failing and how to handle it25.20 Podmedics27.10- DrGandalf's role in advancing health tech28.30- TipThursday29.40- Keybr30.20- DrGandalf's heroes33.10- productivity and how to be good at it35.10 GDPR........35.50 How to get into health tech37.20 another shout out to our sponsors- HTN37.50 Another podcast to listen to The General Practice Podcast by Ben Gowland38.30- How would you spend £100 million on health tech if you had the chance? - ATM doctors40.50- Telemedicine43.20 Singing off and contact. To obtain your free certificate of engagement click here. 

Contact us and share your opinioneGPLearning Podblast: Artificial Intelligence - Shownotes This is a themed episode where we talk about Artificial Intelligence (AI) in primary care - the applications, risks and benefits to patients and clinicians.eGPlearning Podblast is a health tech talk by two Nottingham based GPs covering recent topics, useful clinical apps, and interviews with primary care health tech innovators.Hosted by Dr Hussain Gandhi (@drGandalf52) and Dr Andrew Foster (@drawfoster).  Disclaimer  - We are not experts, but we are interested GPs, we are merely discussing our impressions, ideas and concerns and optimism in the hope that you may find this interesting. Thank you:@SonaliKinra @NottsLMC @NCGPANottm @jacey_melody @kalindikrishna @rcgpfaculties @2GPs_in_a_pod @mededbot @dme_health @karthikrishna86 @dr_zoUpdate:Andy: (1.15) - @ANorrisMP attended the practiceGandhi: (1.38)Thank you for electing me as @RCGP National Council representative200 Followers on eGPlearning Facebook page: https://www.facebook.com/Egplearning/#TipThursday - https://egplearning.co.uk/tag/tipthursday/What is AI? (5.12)Artificial intelligence (AI) in healthcare: is the use of algorithms and software to approximate human cognition in the analysis of complex medical data. Specifically, AI is the ability for computer algorithms to approximate conclusions without direct human input. When thinking about A lot of people think of Artificial General Intelligence, an artificial agent that thinks like a human, but this is thought to be a long way off. https://www.youtube.com/watch?v=qDrDUmuUBToHAL 9000 from 2001 A Space Odysey is a (rather sinister) example of Artificial General Intelligence. AI is a combination of key technologies…  Key terms, definitions and technologies: The 4th industrial revolutionDeep learning, algorithms, fast processing, storage capacity and ability to collect large amounts of data are the foundations of the 4th industrial revolution - AI. Logic and rules based AI… “Top down approach”- system designers provide the rules for computer to followSimpler than more modern approaches, but this can be very powerfulExamples include: Automatic tax return software, Qrisk, FeverPain, FRAX (7.16)Already used for prescription safety like OptimizeRX (7.30) and advice, flagging investigation resultsCould be useful for automating simple tasks like processing some blood results Pattern based AI... Machine Learning (7.53) - see our episode with Jon Brassey

Contact us and share your opinioneGPLearning Podblast Personal Genomics Special Shownotes In this episode, Andy describes his experience of using the 23andme’s personal genetics service. We discuss his impressions, both positive and not so positive as well as privacy concerns and what the future might hold for personal genetics and how General Practice might be involved. We also explore the use of the BNF clinical app.eGPlearning Podblast is a health tech talk by two Nottingham based GPs covering recent topics, useful clinical apps, and interviews with primary care health tech innovators.Hosted by Dr Hussain Gandhi (@drGandalf52) and Dr Andrew Foster (@drawfoster). Shout outs:@sonaliKinra, @ncgpaNottm, @nottsLMC Gandhi update (1.50)Fasting in Ramadan is not easyPodcasting for innovait - the @rcgp AiT journal - check out the latest episode shortly with @doctormayur and @dr_zoThank you to all the #eGPlearners for helping with rebranding of @egplearning  Andy update (3.00)On @nottstv talking about GP plus extended GP services in Nottingham. App review: BNF Smartphone App (4.00)https://www.bnf.org/products/bnfbnfcapp/HANDI (Handbook of Non-drug interventions) website (10.00)A useful collection of non-drug resources for clinicians and patients.  Down to our Personal Genomics (10.30) Definition: “Personal genomics or consumer genetics is the branch of genomics concerned with the sequencing, analysis and interpretation of the genome of an individual” Who are 23andMe?US based startup founded 2006.Direct to consumer personal genome testingCEO Anne Wojcicki used to be married to google’s Sergy Brin, google an early investorSpit in a tube and they will analyse your genetic material, mitochondiral and chromosomal and present the resultsThey give you the opportunity to:See an ancestory reportFind genetic relations (who want to be found)See a report about inherited traits - baldness, unibrow….Be aware of genetics risks for serious health problems The process?Order the kit - £79 Ancestory, £149 full serviceRegister accountSpit in a tube and post backWait 2-3 weeksHumanOmniExpress-24 format chip - partial SNP (single nucleotide polymorphisms) looks at parts of the genome known to vary between individuals.Get an email saying results are readyLook at results.Can seeSee an ancestry reportFind genetic relations (who want to be found)See a report about inherited traits - baldness, unibrow….

Contact us and share your opinioneGPlearning Podblast is a health tech talk by two Nottingham based GPs covering recent topics, useful clinical apps, and interviews with primary care health tech innovators.Hosted by Dr Hussain Gandhi (@drGandalf52) and Dr Andrew Foster (@drawfoster).In this episode, Dr Hussain Gandhi talks to Jon Brassey (@JRBtrip) of Trip DatabaseTrip Database is the UKs key evidence-based medicine search engine. We talk about Jon's journey to develop a unique and effective clinical evidence search engine that is free for all NHS staff (on contacting Jon via jon.brassey@tripdatabase.com) , how failed ventures can sometimes need resurrecting ( #bringBackTILT) , how AI and machine learning is changing the searching for clinical information and Jon's own advice for new health tech entrepreneurs. Additionally, listeners are also able to download a free certificate of engagement for their appraisal portfolios. Click here to download. 

Contact us and share your opinioneGPlearning Podblast is a health tech talk by two Nottingham based GPs covering recent topics, useful clinical apps, and interviews with primary care health tech innovators.Hosted by Dr Hussain Gandhi (@drGandalf52) and Dr Andrew Foster (@drawfoster).This is a themed episode where we cover the new General Data Protection Regulations (GDPR) and how we feel they will impact primary care. A must listen episode for GDPR wary clinicians.  Shout outs:Ben Gowland : @BenXGowland and owner of General Practice Podcast which we will feature on shortly.Jacey Meloday @jacey_melody -can not wait to list- after physical exercise- consider Welltory Likes: Moodpath @moodpathShubs Upadhyay (@2GPs_in_a_pod)Todd Berner @tberner_mdKeck Graduate institute @keckgrad March episode: Twitter: @digitalpharmacist Mohammed said he will have to listen@drjongriffiths thanked us for the mentionHope regular subscriber @sonalikinra and her husband enjoyed listening to us on the drive away Podcast feedback:Markado Escano of young entrepreneur lifestyle 2.0 wrote positive comments and asked about shownotes - well we have them https://itunes.apple.com/au/podcast/young-entrepreneur-lifestyle-2-0/id1105756640?mt=2Jules Hannaford of hong kong confidential wrote how interesting and informative she found the podcast, particularly episode 2 and she will pass on to her students aiming for med school. https://itunes.apple.com/hk/podcast/hong-kong-confidential/id1321295078?l=en&mt=2 Do feel free to leave a review as well if you enjoy our episodes. Updates: (2.45)To try the Facebook quiz click hereGDPR - (4.22)What is GDPR, how it affects primary care.BMA GDPR page: https://www.bma.org.uk/advice/employment/ethics/confidentiality-and-health-records/general-data-protection-regulation-gdprICO GDPR page: https://ico.org.uk/for-organisations/guide-to-the-general-data-protection-regulation-gdpr/Nottingham LMC GDRP page: https://www.nottinghamshirelmc.co.uk/guidance/resource/gdpr/ App reviews:(29.20)Cupris: (33.10) http://www.cupris.com/cupris-platform/Forward (33.35) https://forwardhealth.co/Siilo (35.35) https://www.siilo.com/