Life in primary care can be complex. Deep Breath In explores the highs and lows of being a GP, offering a space to reflect on the grey areas of general practice.
The Deep Breath In team are (L-R) Navjoyt Ladher, Tom Nolan, Jenny Rasanathan.
Navjoyt Ladher trained in London, and is now a locum GP, and head of education at The BMJ. She Tweets at @NavjoytLadher
Tom Nolan is a GP partner at Brockwell Park Surgery, in London and clinical editor at the BMJ. You can follow him on Twitter at @tnolan
Jenny Rasanathan is a primary care doctor, public health consultant and clinical editor for The BMJ based in Phnom Penh, Cambodia. She completed residency in Family and Social Medicine in The Bronx, New York, and tweets very rarely at @jjk84
Music for the podcast by Childcare
In this week’s episode, we discuss bystander guilt, convergence, brain hacks and “how you can sneeze on someone’s brain from anywhere in the world”. How can GPs cope with the myriad worries around treating patients during the current pandemic, both on the frontline and in general practice? How do we recognise and break unhelpful anxious behaviour habits and stop fixating on the news?
• Monica Schoch-Spana is a medical anthropologist and a Senior Scholar at Johns Hopkins Center for Public Health. She specialises in crisis and risk communication, community resilience to disaster, public engagement in policy-making and public health emergency preparedness.
• Jud Brewer is an addiction psychiatrist and neuroscientist, specialising in anxiety and habit change. He is the Director of Research and Innovation at Brown University’s Mindfulness Center, an associate professor of behavioural and social sciences at the School of Public Health at Brown, as well as of psychiatry at the university’s medical school.
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Monica's blog on the psychological impacts of covid-19 blogs.scientificamerican.com/observatio…l-impacts/
Youtube animation . Jud also does a daily video on dealing with corona virus anxiety. He has also created a GP course
This week, our topic is fear: we try to get a better understanding of fear, how it affects all of us as clinicians for better or for worse, and the impact that fear has on the ways in which we approach our patients & practice. Does fear distort our judgement, and increase the likelihood of blundering, or does a healthy dose of fear help to keep us grounded?
• Iona Heath is a former GP and president of the Royal College of GPs, a writer and a essayist.
• Danielle Ofri is an internist at Bellevue Hospital in New York, and Clinical Professor of Medicine at NYU School of Medicine. She has written several books on topics such as medical error and how doctors’ emotions affect their practice.
The Deep Breath Out - The bees of Brockwell Park Surgery
Read Iona Heath's Iona's classic essay from 2014, Role of fear in overdiagnosis and overtreatment
Watch Danielle Ofri's TED talk Fear: a necessary emotion, and you can find out more about her latest book When We Do Harm on her website.
In our first episode, we discuss the highs and lows of video consultations, and how coronavirus has altered the landscape of business as usual for GPs. How will this change affect our relationships with our patients? How do we cope with frustrating technical issues? Are we more likely to miss a crucial diagnosis if we can’t rely on physical examinations? And, finally, are teleconsultations the future of GP practice?
• Trish Greenhalgh is a former GP of 30 years who is now Professor of Primary Care Health Sciences at the University of Oxford. Trish is a leading researcher on video consultations.
• Fiona Stevenson is a medical sociologist and researcher based at UCL. She is the co-director of their e-health unit.
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Trish Greenhalgh's discussed her BMJ article, Covid-19: a remote assessment in primary care.
Fiona Stevenson talked about embodiment: knowledge sensed through and with the body. She recommends this paper for those who want to delve more deeply into this.