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Viewpoint: Fine balance needed with remote consultations
MDDUS chief medical officer Dr John Holden offers a viewpoint on how Covid-19 has changed the way GPs interact with patients and the risks these changes pose.
A range of common - and not so common - queries from GPs and practice managers.
Practice matters: Staff refusing Covid-19 vaccination
Employment law adviser Liz Symon considers the difficult question of what to do when practice staff choose not to be vaccinated against coronavirus
Data protection: Covert recording in a time of Covid
It’s important to understand the reasons why a patient may want to listen again to what has been said in a consultation.
Domestic abuse and remote consulting
HOUSEHOLD isolation measures during the pandemic have increased risks for those under threat from domestic abuse. A majority of clinical interactions now being undertaken remotely means reduced opportunities to recognise and act on cases
Professionalism: Social media risks
MDDUS medical adviser Dr Roopinder Brar looks at the pitfalls doctors face in engaging with patients and colleagues using social media
Nothing but the truth
MDDUS solicitor Joanna Jervis offers advice for doctors considering a role as expert witness
Profile: Volunteer vaccinator
Insight chats with Dr Clive Barker – a GP who has come out of retirement to help with Covid-19 vaccinations at Bamber Bridge near Preston
“A responsible body of medical men”
Courts often rely on the Bolam test when considering claims of clinical negligence. But who was Mr Bolam and how did his legal case change medical practice?
Case study: RTA disclosure
A few months later Ms G writes to the practice complaining that Dr T has breached doctor-patient confidentiality by disclosing her full medical record instead of only the section relating to the RTA injuries
Case study: Dizzy episodes
...Immediate surgery around the time of the first consultation would not have made a difference to Mr K’s long-term prognosis, as (on the balance of probabilities) the tumour would still not have been completely resected given its diffuse nature..
Case study: Patient warning letter
...Ms G warns Mr L that any further abusive behaviour would leave them with no choice but to de-register him from the practice...
MDDUS medical adviser Dr Caroline Osborne-White provides some helpful FAQs on reflective practice
Ethics: On moral distress
Professor Deborah Bowman asks what is “moral distress” in the context of healthcare staff caring for patients in a national emergency and how can it be addressed
Book choice: Intensive care
Book review by Dr Greg Dollman
Vignette: Baldev Kaushal (1906-1992)
Punjabi-born East End GP honoured for his war services
View previous issues of Insight Primary
Insight Primary is published quarterly and distributed to MDDUS members through the UK who work in primary care