Five Minutes to Change Your Practice

Meaningful learning which provides deep understanding of a topic is difficult to achieve in modern general practice. While we used to be able to utilise the lunch or coffee break or a rare CPD session for some uninterrupted learning, the current reality of time between patients is more likely one of getting to grips with hundreds of unanswered emails, urgent referrals, checking of results and DES and NIS audits. So a major challenge for general practitioners remains to find time to stay up to date when their temporal resources are severely limited. For those weeks when you’re not able to sit down and do a full RCGP e-learning module on its own, the Online Learning Environment Team has devised a 5 minute, bite sized presentation that will take a current topic – often debated in the popular press and therefore familiar to patients – and give you just one or two ideas how to change your practice and improve patient outcomes.

The eLearning Team.

Latest Five Minutes

Malaria is a serious infection, transmitted by mosquitoes. Although the UK is malaria free, cases are still seen in travellers from endemic areas. In 2015, 85% of patients who had travelled abroad from the UK and contracted malaria had not taken chemoprophylaxis. This screencast looks at which areas are the highest risk for malaria, issues with prevention, and the approach to possible malaria in primary care.

Tuberculosis is common – England has the second highest prevalence in Western Europe. It is more common among migrants, with 73% of new cases in 2015 being in those who were born abroad, but many of those patients had lived in the UK for years and so we should always have a high index of suspicion. This module covers latent TB and is a reminder of who might benefit from a BCG.

Obsessive Compulsive Disorder is common, but patients are often embarrassed to tell us about their symptoms. The risk of OCD is high in patients with eating disorders and also in the perinatal period. This 5 minutes to change your practice will provide useful information to detect and manage OCD.

Obesity rates in the UK are the highest in Europe. It costs the NHS £3 billion per year to treat obesity and its complications, which include diabetes, cardiovascular disease, liver disease and cancer. This screencast gives an outline of how we can help patients to lose weight and describes available treatments.

Antibiotic prescribing has increased drastically since 2000 and it is estimated that antibiotic resistance causes 700,000 deaths worldwide each year. This screencast looks at evidence based options for the treatment of some common primary care conditions and provides written information that can be given to patients who don’t need antibiotics.

It is not uncommon for patients to wait anxiously for an appointment for days before they can consult their GP. They may have to take time off work to attend this appointment and may, in desperation/frustration turn to out of hours or emergency services to seek help and advice. In many cases, patients may have been able to self care, if they had the appropriate resources and confidence to do this. Promoting self care in patients has a multitude of benefits for patients, individual practices, the NHS and the economy! This screen cast gives an outline of some ways that individuals and practices can support patients self care. It highlights resources that may help and how a practice can work together to promote self care.

Moderate to severe visual loss affects nearly three quarters of million people in the UK. This screencast offers advice on promoting good eye health and considers identification and immediate management of the main threats to vision. The module was written by Dr Emma Nash and is presented by Dr Khyati Bakhai.

Every year primary care organises influenza vaccination for large numbers of patients. Many myths about the "flu jab" exist and this "5 minutes" module will explain the evidence on flu vaccination, particularly thinking about the routine roll out of the programme to pre-school children and pregnant women. The module was written by Dr Jo MacIver and is presented by Dr Sally Higginbottom.

Superficial thrombophlebitis is a reasonably common presentation in primary care. This screencast looks at the evidence based treatment options and considers how concerned we need to be about the risk of concurrent deep vein thrombosis.

The government has set targets to reduce salt intake to just 3g/day by 2025, from the current average of 8g. This screencast will highlight the evidence driving this target, and help you guide your patients towards the cardiovascular benefit which can be achieved through this reduction.

Traditionally, inhaler therapy for asthma is a combination of "preventer" and "reliever" medications. There is, however, an alternative: Single Inhaler Therapy. This module will explain what this is and how to use it.

Increasingly, patients are being diagnosed with non-alcoholic fatty liver disease. This module aims to change your practice on monitoring and management for these patients based on their risk of disease progression. It outlines the need to calculate a "fibrosis score" and offers specific guidance on lifestyle changes these patients can be supported to make in order to avoid complications.

HIV has a much better prognosis when it is diagnosed early. Testing can be done in primary care with no need for extensive pre-test counselling. This module aims to change practice by increasing the number of HIV tests requested in primary care and also gives a brief update on issues relating to patients who have already been diagnosed.

Recent research indicates that abstaining from alcohol for even one month has significant health benefits - for weight, blood pressure, insulin resistance and liver fibrosis.

Last modified: Tuesday, 11 April 2017, 2:52 PM