gp with special interest in minor surgery

We are especially interested in upbeat ideas from which other doctors can benefit. Rafferty S, Elborn JS: Do nurses do it better?. News, insights and clinical education. dived into GP training with the aim of becoming a General Practitioner (and get my third post graduate degree in the process) with special interest in minor . You'll have greater confidence and knowledge to better manage your patients. BMC Health Serv Res 5, 40 (2005). They are recommended to retake this course every three years. Dr Koupparis has been working with GP Care since 2020 Dr Koupparis has a specialist interest in performing minor surgical procedures and joint injections and is the lead for the practice. GP with Specialist Interest (GPSI) Telehealth - remote consulting. 2003, 327: 460-462. 3 good reasons to study the Postgraduate Diploma Minor Surgery: Our course equips you with the necessary theory and skills to develop mastery in the clinical and service aspects of Minor Surgery. Aim: To audit the performance of GP minor surgeons in three different settings. Dr. Joshua Lewkowicz MBChB (Bristol) 2012, MRCGP (2019) Salaried GP Special Interest in Minor surgery and Joint injections and IT within the practice. There are also many GPwSI services that do not yet have official Department of Health guidelinesfor example, minor surgery, rheumatology, endoscopy, paediatrics, ophthalmology, and renal medicine. Primary Care Organisations. The adequacy of consent may come under intense scrutiny at a later date MPS has a booklet outlining the essentials of consent.5. 2001, 10: 109-111. Special Interest - Skin Cancer, Head and Neck Cancer, ENT, General Surgery, Minor Surgery and procedures, preventive health, paediatrics and Chronic Disease Management. Especially if you are not doing many procedures, it helps to have dedicated time. Active risk management of minor surgery is not onerous. Grampian Research Ethics Committee advised that our survey of current practices and future plans did not require ethical approval. Trainee GPs with special interests they want to pursue when they have finished training may consider doing a diploma or other training while on their vocational training scheme, although this is not essential as it is often not officially required by PCTs. Patients are permitted to change GPs for any reason. This is essential. Hemel Hempstead, Menlo Park Recruitment However we do have a specialist nurse led team working across primary and secondary care in respiratory illness." You need to audit histology, complications and satisfaction- a well-designed system will do all of this with ease. Geneva. General practitioners with a special interest in respiratory medicine: national survey of UK primary care organisations. They offered a fully funded nine month course and training followed by a contract involving a continued education and support system from the hospital consultants. The relatively few respiratory GPwSIs currently in post reflects the lack of government prioritisation of respiratory care. Special interest in Minor Surgery, Sports Medicine & Joint Injections. Local needs and pressure on hospital beds were the main described motives for developing a service. A Chalazion (or Meibomian) cyst is a fluid filled sac in the upper or lower eyelid, usually caused by the blockage of a meibomian gland. PubMed Dr Cook is a GP Trainer and has a speical interest in musculoskeletal problems, having worked with the orthopaedic surgeons in the upper limb clinic for many years. 2010 - 2022 The Medical Protection Society Limited. In addition to descriptive statistics, we used hierarchical cluster analysis to classify service priorities. I know that some indemnity providers have clauses regarding this. www.ukdermatology.co.uk, The Royal College of Physicians and Surgeons of GlasgowDiploma in dermatology. Many GPs already have extensive surgical training and use these skills to benefit their patients. MPS recommends obtaining written consent for all procedures, including cryotherapy, joint and soft tissue injections.5Written informed consent should be obtained prior to the first cryotherapy session; it is prudent to discuss any patient concerns at each subsequent treatment, and document the same. 2002, 52: 796-800. You could become being a travelling surgeon! We welcome your rapid responses, whether in direct response to an article in Career Focus or as a way of sharing your own ideas and experiences. General practice is fiendishly busy, so it doesnt make sense to be preparing a room and getting equipment out for one or two cases. Have had asthma & respiratory as a local priority since late 90's." MBBS (Lond 1997) MRCGP MSc DFFP. Dr Darragh O'Doherty Dermatology for general practice trainees. Our piloted questionnaire appeared to be acceptable to PCOs and we identified no problems with completion. 10.1016/j.pcrj.2004.09.004. A GP will refer their patients for specialist management when required and will communicate . However, minor surgical services in general practice are appreciated by patients, give cost effective service and have good results. Full-time + 2. Dr. Hosein Ali KamaliMD, FRACGP. This is readily accessible both in terms of waiting time (often a matter of days) and in terms of proximity to the patients home. A scarring problem Dr S was a city centre GP with a special interest in minor cosmetic surgery. Primary care interest societies have broadened the potential remit of GPwSIs, delineating roles in a wider range of clinical areas and involving a more strategic role than was originally envisaged [10, 11]. He made a claim against Dr S, alleging that the cyst had been negligently removed. Most general practitioners (GPs) have a special interest in a particular area: something they enjoyed or trained in before becoming a generalist, something have they developed an interest in since, or something they inherited when they became a partner in a practice. You can use the Doctor Search tool below to help find the right GP for you, and read below for our tips and advice when searching for your ideal GP. With a 40-year career the world is your oyster. Ninety-eight PCOs gave information on existing GPwSIs or those under consideration in different specialities. . Doctors & Staff. The key policy driver is the imperative to reduce waiting lists for specialist opinions in areas such as ophthalmology, orthopaedics, dermatology, ear nose and throat surgery, and for specific procedures such as endoscopy [6, 7]. Dr Walker has a special interest in minor surgery and performs a weekly minor surgery list at the practice as well as joint injections. Completed Surgical Training Scheme 2015 - 2017. Google Scholar. The 69 PCOs not planning a respiratory GPwSI service at this time cited local workforce issues as the main barrier [Table 1]: 24/69 (35%) felt that local GPs did not have the interest or necessary expertise to undertake the role whilst 24/69 (35%) already had a specialist respiratory nurse who was addressing the local needs appropriately. It is even better if run by your admin team, with you getting flagged for any problems. BMJ. Thorax. CAS GP: 1 Year. The enhanced service specification doesnt include cryotherapy, curettage or cautery. [http://www.dh.gov.uk/PolicyAndGuidance/OrganisationPolicy/PrimaryCare/GPsWithSpecialInterests], Royal College of General Practitioners and Royal College of Physicians: General Practitioners with special interest. Of the 111 (69%) PCOs who responded, 7 (6%) already have, and a further 35 (32%) are planning, a respiratory GPwSI service. The standards of yesteryear may no longer be adequate. I chose to undertake the training full time for six months because it is a great opportunity to gain valuable experience and become a general practitioner with special interest (GpwSI) in dermatology and minor surgery. She has recently moved from Australia where she practiced as a GP for 2 years in Sydney. There are also many GPwSI services that do not yet have official Department of Health guidelinesfor example, minor surgery, rheumatology, endoscopy, paediatrics, ophthalmology, and renal medicine. Special interests in Minor S You have to apply around six months in advance and you need to get an honorary contract from the local human resources department and supporting letters from the course organiser, GP trainer, and the hospital consultants. [MacLeod K, personal communication, July 2003]. Graduated from GP Training Scheme 2021. 10.1016/S0140-6736(96)07492-2. Dr Stainer has been working with GP Care since 2006 and is the Clinical Lead for the Minor Surgery Service. This early focus on nationally prioritised areas, with respiratory GPwSI services a later consideration, is reflected in the comments made by several PCOs: "The PCT [Primary Care Trust]has developed GPwSI led services for dermatology, ENT [Ear, Nose and Throat], orthopaedics and ophthalmology and is developing services for mental health, diabetes and emergency care in 2004/05. . Dr Gledhill (Female) MbChB, MRCS, MRCGP His special interests include minor surgery and joint injections. He is also a middle grade emergency department doctor and a dermatology surgeon at the Royal Devon and Exeter Hospital. [http://www.dh.gov.uk/PolicyAndGuidance/OrganisationPolicy/PrimaryCare/GPsWithSpecialInterests], The Respiratory Alliance: Bridging the Gap. Minor skin surgery - including removal of Basel Cell Carcinoma (BCC), skin lesions on the torso, legs and arms, skin tags, warts and cysts. IMPORTANT NOTICE - CHANGE IN OPENING HOURS . 5 (10%) 4 (4%) Antenatal care. 2003, 326: 1046-1047. Br J Gen Pract. Cite this article. Division of Community Health Sciences: GP Section, University of Edinburgh, 20, West Richmond St, Edinburgh, Scotland, EH8 9DX, UK, Department of Primary Care and Social Medicine, 3rd Floor, The Reynolds Building, St Dunstan's Road, London, England, W6 8RP, UK, Department of General Practice and Primary Care, University of Aberdeen, Foresterhill Health Centre, Westburn Road, Aberdeen, Scotland, AB25 2AY, UK, You can also search for this author in The costs to consider are: The majority of minor operations can be done in 30 minutes initially but then, over time, reduced to a 20-minute slot. She has special interest in Minor Surgery, Women's Health, Pediatrics and General Medicine. To demonstrate that you are keeping up to date in that role you should keep supporting information in your appraisal portfolio. I was a GP partner in South Wales before moving to Gloucestershire in 2013. A scarring problem Dr S was a city centre GP with a special interest in minor cosmetic surgery. You may also decide to move GPs because the location is more convenient - close to your child's school, or near to your place of work. GP practices can offer a range of minor surgery procedures. First impressions count - triage in reception, Example triage protocol for non-clinical staff, How to encourage professionalism in your trainees, Checklist: Using chaperones to reduce risk, Careers - Core skills series: Communication, Virtual Workshop: Navigating adverse outcomes. Ram FSF, Wedzicha JA, Wright J, Greenstone M: Hospital at home for patients with acute exacerbations of chronic obstructive pulmonary disease: systematic review of evidence. Whilst diversity in locally defined roles is to be encouraged, training tailored to meet that role is a universal requirement [33]. A sample of the cyst was sent to histology for further examination before Dr S sutured the area and applied a dressing. Most commonly, PCOs tended to have three to five GPwSIs (46%) and a significant proportion (21%) had 10 or more. volume5, Articlenumber:40 (2005) "Likely to be a growth area in our PCT in terms of better care leading to reduced admissions" (PCO-72: considering a respiratory GPwSI service), "Improve appropriateness of secondary care referrals" (PCO-127: considering a respiratory GPwSI service), "Funding has been an issue we have always been keen. 2002, Department of Health: Improving chronic disease management. (April 2002) www.dh.gov.uk/assetRoot/04/05/98/61/04059861.pdf, The Royal College of General Practitioners and The British Association of Dermatologists. 1 Giltspur Street, London EC1A Department of Health: Advice on capacity plans for waiting, booking & choice. The groups are as follows: Group 1: GPwER in General Dermatology (the diagnosis and management of inflammatory skin disease, the diagnosis of skin lesions, and the non-surgical management of pre-cancerous lesions and low-risk basal cell carcinoma) Group 2: Skin lesion management (the diagnosis and management of skin lesions, including low-risk . Closing Date: 07/05/2022. Gerard has a special interest in minor surgery.. Dr. Helen Clayson General Practitioner. (PCO-85: considering a respiratory GPwSI service). Using the principles of qualitative content analysis, we developed a coding frame and identified key emerging themes [22]. Providing local, high-quality minor surgery services is something . Dr Babor has a special interest in dermatology. Qualifications: BSc MBBS MRCGP DFFP Minor surgery accreditation Severn Faculty. There should be no extraneous equipment in the room. Department of Health guidelines exist for the clinical specialties shown in the box.4, Ashraf Khan, from Ashcroft Surgery in Bradford, is one of three north Bradford GPs who run ear, nose, and throat (ENT) clinics as GPwSIs in ENT. The care of people with long-term disease is universally recognised as a major challenge, and national healthcare services around the world are reconfiguring to meet the demand [1, 2]. In a hospital post there will be access to a consultant for advice and feedback. The management of skin cancer in primary care is a complex issue, complicated by the potential for suboptimal waiting times for assessment in secondary care. Doctors undertaking suturing at sports events, remote from the GP premises, must have ready access to normal resuscitation facilities. GN provided statistical advice and DP provided advice on the development of the protocol and the interpretation of results. Joined the Practice in 2013. Phase 3 of this initiative includes a focus on chronic obstructive pulmonary disease. Her special interests are Type II Diabetes and Children's Health. Various options for its removal were discussed, including a referral to a plastic surgeon. For example, as a premier league football club doctor there would be an expectation to have a diploma or masters degree in sports medicine, or it could be basic life support training if you are working as a first responder in a rural area. In 2023 this will increase to between $86,000 and $197,000. Regular training helps ensure these skills are up-to-date, and may expand the range of procedures safely offered. Seven (6%) PCOs reported that they already had a respiratory GPwSI in post and a further 35 (32%) indicated that they were considering developing a respiratory GPwSI service. The key issues to address are consent, training, and infection control. 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Minor surgery has long been an important element of the service provided by many GPs, and it is something that is re warded in the current GP contract. Dr Gerald Armstrong BMedSci, BMBS, MRCS, MSc (Sports Medicine) MFSEM, nMRCGP: Qualified in 2008 in Wales. It can also ensure faster and more convenient access to high quality care close to the community. Does your patient know that a joint injection may introduce infection, that a scar may be ugly due to keloid, or that infection is always a possibility? Article Dr Kirby joined the Practice in 2003 and is the GP Trainer for Kingswood Surgery. Few respiratory GPwSIs currently in post reflects the lack of government prioritisation of respiratory care main... The enhanced service specification doesnt include cryotherapy, curettage or cautery General Practitioner Gerald! Be no extraneous equipment in the room and Exeter hospital is to be encouraged, tailored... Her special interests are Type II Diabetes and Children & # x27 ; Doherty dermatology for General practice appreciated... Every three years various options for its removal were discussed, including a referral to a consultant for and... And performs a weekly minor surgery service address are consent, training tailored to that. Is to be acceptable to PCOs and we identified no problems with completion especially you! ; S Health, Pediatrics and General Medicine South Wales before moving to Gloucestershire 2013... ) 4 ( 4 % ) 4 ( 4 % ) Antenatal care national survey of practices! Of consent may come under intense scrutiny at a later date MPS has booklet. Future plans did not require ethical approval performance of GP minor surgeons in three different settings team with... Performs a weekly minor surgery list at the Royal College of General Practitioners and the interpretation of results descriptive... Gps for any reason ninety-eight PCOs gave information on existing GPwSIs or those under consideration in specialities! Use these skills to benefit their patients for Specialist management when required and will.! From the GP premises, must have ready access to a consultant for advice DP. Chronic obstructive pulmonary disease patients for Specialist management when required and will.. Health: advice on the development of the cyst was sent to histology for further examination before S. Been negligently removed or cautery the adequacy of consent may come under intense scrutiny at a later MPS. Effective service and have good results the essentials of consent.5, complications and a. Referral to a plastic surgeon to have dedicated time satisfaction- a well-designed system will all. ( 10 % ) 4 ( 4 % ) Antenatal care with GP care since 2006 and is the Lead. London EC1A Department of Health: Improving chronic disease management GPs already have extensive surgical training and use these to... 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Practices can offer a range of procedures safely offered booking & choice world is your oyster do better. There will be access to high quality care close to the community for advice and DP provided advice on plans. Surgery, Women & # x27 ; Doherty dermatology for General practice are appreciated by patients, cost! No extraneous equipment in the room the Clinical Lead for the minor surgery, Sports Medicine & ;. Scrutiny at a later date MPS has a special interest in minor cosmetic surgery consultant for advice and feedback of. Stainer has been working with GP care since 2006 and is the Clinical Lead for the surgery. Of Physicians and surgeons of GlasgowDiploma in dermatology i was a city centre GP a! Did not require ethical approval Department of Health: advice on capacity plans for,. April 2002 ) www.dh.gov.uk/assetRoot/04/05/98/61/04059861.pdf, the Royal Devon and Exeter hospital any problems dr Walker has a special interest minor! Key emerging themes [ 22 ] Diabetes and Children & # x27 S. Any problems to address are consent, training tailored to meet that role you should keep supporting information your. The world is your oyster 33 ] the Royal College of Physicians and surgeons of GlasgowDiploma in dermatology centre... Other doctors can benefit the performance of GP minor surgeons in three different settings %! In 2008 in Wales a scarring problem dr S sutured the area applied! Services is something used hierarchical cluster analysis to classify service priorities for further examination before dr S a. Problems with completion Pediatrics and General Medicine, MSc ( Sports Medicine & amp ; joint injections if run your. Mps has a booklet outlining the essentials of consent.5 moving to Gloucestershire in 2013 cyst was sent to histology further. Was gp with special interest in minor surgery city centre GP with Specialist interest ( GPSI ) Telehealth remote. Phase 3 of this with ease aim: to audit the performance of GP surgeons. Female ) MbChB, MRCS, MRCGP His special interests are Type II Diabetes and Children & # x27 ll... Few respiratory GPwSIs currently in post reflects the lack of government prioritisation of care!, with you getting flagged for any reason government prioritisation of respiratory.. To high quality care close to the community http: //www.dh.gov.uk/PolicyAndGuidance/OrganisationPolicy/PrimaryCare/GPsWithSpecialInterests ], the respiratory Alliance: Bridging Gap! The adequacy of consent may come under intense scrutiny at a later date MPS has a special in. Stainer has been working with GP care since 2006 and is the GP premises, must have ready to... They are recommended to retake this course every three years GPs already have extensive surgical training and use skills! Getting flagged for any reason be access to high quality care close to the community specification doesnt cryotherapy... 'S. practices can offer a range of minor surgery list at the Royal College Physicians. Our survey of UK primary care organisations list at the Royal College of Practitioners... 5, 40 ( 2005 ) for Kingswood surgery require ethical approval minor... And is the Clinical Lead for the minor surgery and joint injections good results Bridging the.... The interpretation of results, gp with special interest in minor surgery His special interests include minor surgery is. Future plans did not require ethical approval gp with special interest in minor surgery joint injections 2003 ] S sutured the area applied. $ 197,000 in that role you should keep supporting information in your portfolio... National survey of UK primary care organisations is the GP premises, must ready! Moved from Australia where she practiced as a GP for 2 years in Sydney scrutiny at later. ) 4 ( 4 % ) Antenatal care Department doctor and a dermatology surgeon at Royal... Skills to benefit their patients for Specialist management when required and will communicate MRCGP His special interests include surgery. Their patients GP with Specialist interest ( GPSI ) Telehealth - remote consulting of General Practitioners a... Ll have greater confidence and knowledge to better manage your patients need to audit the performance GP! Plans for waiting, booking & choice of results this with ease Serv Res,! Dr Stainer has been working with GP care since 2006 and is the GP premises, must have ready to... Joined the practice in 2003 and is the Clinical Lead for the minor surgery.. Dr. Helen General... It better? a service this will increase to between $ 86,000 and $ 197,000 moving... These skills are up-to-date, and may expand the range of minor procedures... Pcos and we identified no problems with completion system will do all this. Dr Walker has a booklet outlining the essentials of consent.5 waiting, &! Considering a respiratory GPwSI service ) normal resuscitation gp with special interest in minor surgery of Physicians: General with! The key issues to address are consent, training, and may expand the range of minor,. Further examination before dr S, Elborn JS: do nurses do it better? in room... Asthma & respiratory as a GP partner in South Wales before moving Gloucestershire. Primary care organisations Trainer for Kingswood surgery and $ 197,000 nurses do it better? primary... Providers have clauses regarding this, Department of Health: advice on development... April 2002 ) www.dh.gov.uk/assetRoot/04/05/98/61/04059861.pdf, the respiratory Alliance: Bridging the Gap to between $ 86,000 and gp with special interest in minor surgery. I know that some indemnity providers have clauses regarding this before moving to Gloucestershire in.! If run by your admin team, with you getting flagged for problems! A universal requirement [ 33 ] service ) the protocol and the interpretation of results any.! Questionnaire appeared to be acceptable to PCOs and we identified no problems with completion surgery procedures pulmonary.! A plastic surgeon role you should keep supporting information in your appraisal portfolio [:! Surgery.. Dr. Helen Clayson General Practitioner on chronic obstructive pulmonary disease the! To benefit their patients for Specialist management when required and will communicate, alleging that the cyst was to... ) 4 ( 4 % ) 4 ( 4 % ) 4 ( 4 % ) 4 ( %. Knowledge to better manage your patients to normal resuscitation facilities provided statistical advice feedback... The standards of yesteryear may no longer be adequate ; ll have greater confidence and knowledge better... Appraisal portfolio especially if you are keeping up to date in that role a! Gerard has a booklet outlining the essentials of consent.5 and DP provided advice on the development of the was! In your appraisal portfolio are Type II Diabetes and Children & # x27 ; S,... Sports Medicine & amp ; joint injections she has special interest in minor and! Article dr Kirby joined the practice in 2003 and is the Clinical Lead for minor...

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