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Views And Reviews Primary Colour

Helen Salisbury: Did you save any lives today?

BMJ 2019; 364 doi: (Published 02 January 2019) Cite this as: BMJ 2019;364:k5039
  1. Helen Salisbury, GP
  1. Oxford
  1. helen.salisbury{at}
    Follow Helen on Twitter: @HelenRSalisbury

Did you save any lives today? “Not obviously,” most doctors would usually answer. But a recent study on continuity of care found that maybe we did,1 just by being in the same outpatient clinic or GP surgery over time, seeing the same patients.

Sometimes I feel like a dinosaur, clinging to traditional general practice while the meteorite of new care models approaches. But what’s at stake here is not just the patient’s longevity but the quality of care and—dare I say it?—the possibility of enjoying my work and avoiding burnout.

I recently visited an elderly patient who is in the late stages of …

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