A free to register NHS appraisal & revalidation toolkit for UK Doctors. Intuitive and easy to use with mobile app and free patient survey.
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Fit notes are doing more work than they were designed for. This BMJ piece asks whether certification for mental health-related work absence needs redesign, not just stricter GP gatekeeping. https://t.co/GNxJa5VMjk #appraisal#revalidation
BJGP cohort data on gout care: starting urate-lowering therapy early was linked with better long-term serum urate control, a useful reminder to treat #gout proactively in primary care. https://t.co/L0ueLY1FF4 #appraisal#revalidation
NEJM: early human data for subretinal RS1 gene therapy in X-linked #retinoschisis (n=12). scAAV8-hRS1 sub retinal with no treatment related serious AEs reported and early retinal/visual benefit signals. #revalidation#appraisal#xlrs
https://t.co/P6qc6MRsc4
Useful BMJ practice piece for UK primary care: when suicidal ideation is disclosed, ask directly about intent, means and supports; safety planning and timely follow-up matter. https://t.co/scu3IHsV7f #appraisal#revalidation
BMJ review of 30 UK high-street self-tests found limited support for informed use: only 27% gave who/when guidance on the box, and use for 58% of conditions was judged contrary to guidance. https://t.co/UNzkDNdJLl #appraisal#revalidation
BMJ Medicine review of 29 RCTs: interventions for multimorbidity with depression/anxiety gave small short-term gains. Effects often faded; collaborative care had sustained depression benefit. https://t.co/70dsxUM0EO #appraisal#revalidation
In 54,422 pregnancies, BMJ Medicine modelling suggests treating mildly raised early-pregnancy BP could reduce pre-eclampsia, but needs a definitive RCT before practice changes. https://t.co/VSEpK8ljaJ #appraisal#revalidation
BMJ Medicine review: pulmonary fibrosis drugs can slow decline but do not reverse disease; nerandomilast looks promising, though it is not yet licensed in the UK. Useful for appraisal. https://t.co/bCAn81ttzY #appraisal#revalidation
Useful BMJ Practice Pointer for primary care: oral ulcers and patches need structured mucosal exam, risk assessment, and clear red-flag referral when lesions persist or malignancy is possible. https://t.co/Y6KEMiu86m #appraisal#revalidation
In a BMJ Medicine RCT, initial antibiotics for simple appendicitis in children did not prove non-inferior to surgery, so it looks like a shared-decision option rather than a new default. https://t.co/Kedz7v0xTE #appraisal#revalidation
UK BMJ RCT: proactive peer support plus usual care did not improve lactation at 8 weeks (69.8% vs 68.8%; adjusted RD 0.01, 95% CI -0.03 to 0.04). Test support models in context. https://t.co/xHcK8TIqdD #appraisal#revalidation
BMJ Medicine: in 16.3m UK primary care records, advice & guidance use rose 19-fold from 2015-23, but 86% still had a direct referral within ±4 months. Reform needs equity scrutiny. https://t.co/ZAyTYXRFiR #appraisal#revalidation
BMJ Medicine review: in 29 RCTs, care for multimorbidity with depression/anxiety gave small short-term mental health and QoL gains; collaborative care had the clearest sustained benefit.
https://t.co/70dsxUM0EO
#appraisal#revalidation
BMJ Medicine review of 140 primary care RCTs: de-implementation strategies reduced targeted low-value care by about 10-35%, with larger effects when patient education was included. https://t.co/MYUbHwumW8 #appraisal#revalidation
BMJ Medicine cohort study: HRT prescribing in UK primary care varied by ethnicity, deprivation, and region, suggesting menopause care access is still unequal. https://t.co/4Hz7V1rKdK #appraisal#revalidation
BMJ: a 6-factor BLISS score may help GPs identify COPD patients at higher risk of respiratory admission within 2 years. In the derivation cohort, a 10% risk threshold covered 81% of admissions. https://t.co/XMILysX6UK #appraisal#revalidation
New BMJ meta-analysis suggests calcium, vitamin D, or both do little to prevent fractures or falls in most older adults. For broad fall prevention, strength, balance, and environmental measures may matter more. https://t.co/jLA2e1vGOd #appraisal#revalidation#BMJ#VitaminD
BMJ qualitative study from England: digital access and service redesign can improve convenience, but patients and practices still prize continuity and risk fragmentation if reforms are poorly implemented. https://t.co/kA1JBwIp9l #appraisal#revalidation
Pembrolizumab is being rolled out on the NHS in England as a 1-minute injection for 14 cancers, replacing some IV sessions that can take up to 2 hours. #appraisal#revalidation https://t.co/B6xFBo6dO4
Low-intensity ultrasound for kidney stones could offer a less invasive way to reposition stones and aid passage, according to data presented at AUA. An approach that could reduce the need for more burdensome interventions. #appraisal#revalidation https://t.co/5miZXdqf4z