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Seven days in medicine: 22-28 August 2018

BMJ 2018; 362 doi: https://doi.org/10.1136/bmj.k3651 (Published 30 August 2018) Cite this as: BMJ 2018;362:k3651

General practice

Most GP trainees don’t intend to work full time

Only 21.7% of GP trainees in England intend to be working full time a year after they qualify, while 46.9% intend to work part time, the King’s Fund found. Of 729 GP trainees polled, just 7.4% planned to work full time five years after qualifying. Over a quarter (26%) said that they would like a portfolio career one year after qualifying, rising to 48% after five years. They cited the intensity of the working day, long working hours, and family commitments. (Full story doi:10.1136/bmj.k3582)

Full time GPs fall by 500 in three months

The total number of full time equivalent GPs in England fell by 523 over three months this year, from 33 686 in March to 33 163 in June, NHS Digital found. Provisional data from June 2018 and final data from March showed that the total number of headcount GPs (full and part time) also fell by almost 500, from 41 848 to 41 360. The figures indicate that the government is struggling to meet its pledge to recruit 5000 more GPs by 2020. (Full story doi:10.1136/bmj.k3652)

Honey and OTC remedies should precede antibiotics

Antibiotics make little difference to cough symptoms, the National Institute for Health and Care Excellence said. Instead, it advises GPs to recommend honey or over-the-counter cough medicines containing pelargonium, guaifenesin, or dextromethorphan, which it says have evidence of benefit. It is important for healthcare professionals to clearly explain the reasons for not giving an antibiotic and to give appropriate self care advice to the patient, says draft guidance on antimicrobial prescribing.

Public health

No level of alcohol is safe, study suggests

Alcohol use was the leading risk factor …

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