RCGP-2014-poster-abstracts

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P388 GP referral letters-‐are they fit for purpose Ayesha Mahmud, University Hospital Coventry & Warwickshire P389 Austrian training initiative 'Cross-‐cultural competencies for general practitioners' Wolfgang Spiegel, Center for Public Health, Departmend of General and Family Medicine, Medical University Vienna P390 Mapping uncertainty in medicine; a pragmatic approach, identifying strategies for managing uncertainty in general practice Avril Danczak, North West Deanery, NWHEE P391 Understanding uncertainty Hannah Gaynor, Southampton GP Education Unit P392 First5 -‐ resilient or resigned Elizabeth Alden, School of Primary Care, Severn Postgraduate Medical Education P393 Fostering resilience: a workshop for GPs Julie Chinn, Southampton GP Education Unit P394 Do GP trainees suffer burnout Identification and evaluation of trainees at risk Bryony Sales, Wessex School of General Practice P395 Supporting GP trainees who are ‘out of sync’ Samantha Scallan, Health Education Wessex P396 Recognising and reducing stress in the transition from medical student to foundation trainee Kerry Ball, University of Winchester P397 Reflections on transitioning a career from primary to secondary care Liam Piggott, Peninsula Deanery P398 Put your own oxygen mask on before helping your patient; the tension between ensuring clinician fitness and wellbeing, and the provision of patient care Emma McKenzie-‐Edwards, Bury Knowle Health Centre, Oxford P399 Doctors with dyslexia: a systematic review of effective workarounds Samantha Scallan, University of Winchester P400 Compassion and resilience in community based medicine Kirsty Shires, University of Birmingham P401 Tools of the trade: poetry for new doctors Lesley Morrison, Scottish Poetry Library P402 Medical humanities teaching – using art as a catalyst for teaching GP specialty trainees Kathryn Harrison, Nottingham General Practice Specialty Training Programme P403 Teaching social sciences to medical students; overcoming the barriers Kamila Hawthorne, Cardiff University P404 Finding mindful spaces in training for general practice Duncan Still, School of Social & Community Medicine, University of Bristol Other P405 Delivery of TeamSTEPPS into the UK primary care setting Will Murdoch, The Hollier Simulation Unit; Health Education West Midlands P406 Expanding the number of nurse mentors in general practice using educational bursaries Craig Dobson, East Riding of Yorkshire Clinical Commissioning Group P407 Go green for 2015 Sara Vogan, Severn Deanery P408 Can clinical commissioning groups and academic departments work together to enrich primary care Rachel Friel, Department of Primary Care and Population Health, University of London 16
Clinical P001 The role of central sensitization syndrome in the etiology of medically unexplained symptoms JP Errico; C Maguire; J Humphries; J Day; A Vance; S Davis; J Blake electroCore, USA; Interface Clinical Services Ltd UK; Kapur Family Care, Oldham The challenge of managing patients with multiple medically unexplained symptoms remains an important unsolved problem, with soaring costs and dissatisfaction spread across the patient and provider populations within NHS. Treating the patient, rather than a list of diagnoses, is a worthwhile goal. The multiple complaints may not be separate conditions, but symptoms of an underlying condition (or susceptibility). Central Sensitization Syndrome (CSS) comprises an overlapping and similar group of syndromes without peripheral causal pathology -‐ such as migraine, fibromyalgia, post traumatic stress disorder, depression and irritable bowel syndrome. In order to study the CSS subset of multi-‐morbid patients we reviewed pseudo-‐anonymized electronic medical records for the entire active adult patient populations of four participating GP practices (28,877 patients). The population was stratified into groups according to diagnostic codes. The condition-‐specific and total number of Read codes received within each group (patients with diagnoses in more than one category existing in both categories) was calculated. The 10% of the population who ever received a diagnosis for Primary Headache, for example, had an associated total of 75,874 codes, 4,479 of which were for the Primary Headache condition. For all diagnostic categories, the number of codes more than double as compared to those in the group that was free of the 8 diagnostic categories linked to CSS. Referrals and prescriptions were also at least doubled. CSS represents an important new concept that may explain multi-‐morbidity, not as a plurality of separate conditions, but as a unifying pathology that leads to greater susceptibility to seemingly disparate symptoms. P002 Asthma: can it be predicted Ibrahim Arosi; Hasan Ali Khan; Saleem Akhter University of Manchester; Chadderton Town Health Centre Aims: We aimed to investigate whether we could predict whether a child under the age of four would go on to develop asthma. Content: We searched for all the asthmatic children between the ages of 8-‐12 who have been registered with the GP since birth. We searched for how many times they presented with respiratory symptoms (coughs, colds, URTI, and bronchiolitis) before the age of four. We compared these children with non-‐asthmatics, and tried to see if there was a statistically significant difference. Relevance: Asthma poses a large burden on the NHS, and can cause a reduction in the patients’ quality of life. Early intervention and management might reduce the large asthma burden, and improve patients’ quality of life. Outcomes: The mean number of presentations of asthmatic children was 13.1, compared to 4.8 for the none-asthmatics. With a standard deviation of 8.3 and 3.6 respectively, it might be assumed that the larger standard deviation indicates a varying severity of asthma amongst children affected. Taking p=0.05, confidence intervals for asthmatics were 10.4-‐15.8, and for none asthmatics 3.6-‐6. The T value was 5.44 showing statistical significance, thus the two sets of data were significantly different from each other. Discussion: Asthmatic children are much more likely to present to their GP with respiratory symptoms than non-asthmatics. The results show a large statistical significance, and thus we advise a high index of suspicion for asthma is exercised in any child who has nine or more respiratory presentations before the age of four. P003 A project in primary care reviewing newer drug prescribing for patients with Type 2 Diabetes Mellitus in accordance with clinical guidelines Georgina Hatton Eastville Medical Practice, Bristol, Avon Aim: The aim of the project was to review the management of patients with Type 2 Diabetes in an inner city GP practice and specifically that GLP-‐1 mimetics and DDP-‐4 inhibitors were being prescribing appropriately. The NICE 17
Page 2 and 3: Clinical P001 The role of Cent
Page 4 and 5: P061 Sharing treatment informati
Page 6 and 7: P117 Bisphosphonate holiday -
Page 8 and 9: P171 Audit of the initial mana
Page 10 and 11: P221 Professional interventions
Page 12 and 13: P270 The academic fellows progr
Page 14 and 15: P329 Sociolinguistic factors aff
Page 18 and 19: standard is that 100% of these
Page 20 and 21: Discussion: Knowledge of practic
Page 22 and 23: Conclusion: There was success i
Page 24 and 25: Aims: To help understand the r
Page 26 and 27: P022 General practitioners’ vi
Page 28 and 29: Quality assured content and nav
Page 30 and 31: There is an imperative for GPs
Page 32 and 33: P035 Re-‐prescribing regular
Page 34 and 35: • No patient had tried to ob
Page 36 and 37: Community identified needs inclu
Page 38 and 39: • The index of suspicion amon
Page 40 and 41: Conclusion: In Lambeth, removing
Page 42 and 43: Extraskeletal primary myxoid cho
Page 44 and 45: P060 Referrals to children’s
Page 46 and 47: Discussion around barriers to v
Page 48 and 49: Conclusion: A significant propor
Page 50 and 51: IHA's were carried out with su
Page 52 and 53: their Caucasian counterparts. NI
Page 54 and 55: Background: PCOS is an endocrin
Page 56 and 57: shown to have better coping me
Page 58 and 59: age, as indicated by higher up
Page 60 and 61: Relevance/impact: By conducting
Page 62 and 63: University of Birmingham Backgro
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• Prior sputum MC&S suggested
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Conclusion: Recommendations for
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anticoagulation and the assessme
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Content: The presentation will
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Aims & objectives: To assess h
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[2] Wood DA, Wray R, Poulter
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made to update schizophrenia po
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150 patients were included with
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evidence of Centor symptoms, an
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Pulmonary rehabilitation is a n
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I found there were 26 paediatr
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Aims/objectives: To analyse pati
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• The DMS should maintain a
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A literature review and audit
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The commonest sites for lesions
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• GPs' confidence in their ab
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severe hypoglycaemic events were
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Discussion: Reception staff’s
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Outcomes: GPs lacked confidence
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identified as major challenges
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Aims: To investigate challenges,
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percentage change (p
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improved glycaemia, blood pressu
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Division, Mount Sinai Medical C
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egarding circulation. Prior to
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P224 ‘One size doesn’t fit
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Results: Year 13 students have
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Aim: To systematically review t
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eathers in sleeping time (MBS)
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Discussion: ‘Evidence flowers
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Aims and objectives: This surve
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Relevance: Medical education sup
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• Patient, Doctor, and Consult
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onset of cardiovascular disease
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this is kept as a reward and
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P270 The academic fellows progr
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in the system especially in pa
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diagnosis can represent a 'teac
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Results: The study found that
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The findings showed that averag
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with other doctors can be very
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• Map existing quality and sa
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• A reduction in non-‐elec
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It is imprtant to learn lesson
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• Deliver teaching on; literat
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Toby Holland; Colette Davey; Lo
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Aims/objectives: i) Gain insight
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model or negative peer percepti
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Anecdotal feedback suggests that
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Background: There is much debat
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Summary of work: A short surve
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Content: The planning, delivery
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practice in a primary care uni
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P358 “When should I worry" G
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tool; initial cohort was patien
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educational network to provide
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P372 Clinical induction workshop
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to 5 (fully achieved). Marks f
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P382 Primary care ethics: a Li
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length for this learning experi
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Method: The aim of the study
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Summary of work: Participants a
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Lesley Morrison; John Gillies S
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Aim: To increase the involvemen
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