GP ST2 August 2020 – Feb 2021

In ST2, teaching takes place on alternate Tuesday afternoons. These sessions would usually take place in the Education Centre, but will be held using Zoom until further notice.

Trainees in a GP or GP+ placement should attend the Communication Skills course. This is run by GPs at Oaks Family Practice, and would normally take place at Crompton Health Centre; due to the pandemic, these will run using Zoom or MS Teams until further notice.

Links to sessions will be emailed out in advance, and will appear here the day before teaching is scheduled.

to avoid unwelcome visitors, participants will be verified in the waiting room so please ensure your display name matches with one of the ST2 list!

If the speaker has provided session handouts, they will be linked to from the session itself, or click here.

DateTimeVenueSessionTutor
1st Sept2-4ZoomST2 Education Session Intro and how programme works
session materials
Seb/Kat
8th Sept2-4ZoomCommunication Skills for the Consultation
(email for Zoom link)
 Julian Tomkinson
15th Sept2-4ZoomST2 Education Session AKT & Remote Consulting
session materials
Seb Pillon
22nd Sept2-4ZoomCommunication Skills for the Consultation
(email for Zoom link)
 Julian Tomkinson
29th Sept2-4  ZoomST2 Education Session
Type 2 Diabetes
session materials
Seb Pillon
6th Oct2-4ZoomCommunication Skills for the Consultation
(email for Zoom link)
 Julian Tomkinson
13th Oct2-4 ZoomST2 Education Session Public Health Session: Physical Activity
resources
Jessicarr Moorhouse
20th Oct2-4ZoomCommunication Skills for the Consultation
(email for Zoom link)
 Julian Tomkinson
27th Oct2-4ZoomST2 Education Session : Genomics
resources
Glenda Beaman
3rd Nov2-4ZoomCommunication Skills for the Consultation
(email for Zoom link)
 Julian Tomkinson
10th Nov2.30-5Zoom/MS TeamsST2 Education Session Respiratory Problems
Andrew Thurston
17th Nov  2-4ZoomCommunication Skills for the Consultation
(email for Zoom link)
 Julian Tomkinson
24th Nov2.30-4.30Zoom/MS TeamsST2 Education Session: Psychosomatic and Chronic Pain
resources
Damien Herron
1st Dec2-4ZoomCommunication Skills for the Consultation
(email for Zoom link)
 Julian Tomkinson
8th Dec2-4ZoomST2 Education Session:
Chronic Disease
Seb Pillon
15th Dec2-4ZoomCommunication Skills for the Consultation
(email for Zoom link)
 Julian Tomkinson
12th Jan2-4ZoomST2 Education Session:
Lifestyle Medicine
https://us02web.zoom.us/j/88558115358?pwd=RUttQW5PTjRWVm1VZGdRU0VyQVpjUT09

Meeting ID: 885 5811 5358
Passcode: 554626
Sandra Chemney
19th Jan2-4Crompton Health Centre
(maybe)
Communication Skills for the Consultation
(email for Zoom link)
 Julian Tomkinson
26th Jan2-5Zoom
ST2 Education Session:
Palliative Medicine needs to be delayed
Seb
Pillon

Session Handouts

GPST2 Elephant Logo Introduction, AKT & Remote Consulting

Speaker: Seb Pillon, 15/09/2020

GPST2 Elephant Logo Type 2 Diabetes

Speaker: Seb Pillon, 29/09/2020

ADA/EASD Type 2 Diabetes Pharmacological Therapy Guidance

Link to downloadable image: https://diabetologia-journal.org/2018/10/05/new-easd-ada-consensus-guidelines-on-managing-hyperglycaemia-in-type-2-diabetes-launched-at-easd-meeting-new-recommendations-include-specific-drug-classes-for-some-patients-and-enhancing-medication-a/

ADA/EASD Glucose-Lowering Medication in Type 2 Diabetes

Original Paper: https://care.diabetesjournals.org/content/diacare/early/2019/12/18/dci19-0066.full.pdf

SIGN Type Diabetes Guidance

https://www.sign.ac.uk/our-guidelines/pharmacological-management-of-glycaemic-control-in-people-with-type-2-diabetes/

SUPIODPP4SGLT2GLP1Insulin
EfficacyHighHighIntermediateIntermediateHighHighest
Hypo RiskModerateLowLowLowLowHigh
WeightGainGainSteady/LossLossLossGain
Side EffectshypoOedema, HF, ?bladder cancerrareGU, DKAGIhypo
Costs££££££££££££-£££
RenaleGFR >15Not dialysisDose adjusteGFR >60*eGFR >30Dose adjust
ExamplesGliclazide GlimepiridePioglitazoneAlogliptin LinagliptnCanagliflozin EmpagliflozinSemaglutide DulaglutideLots!
Summary of SIGN Type 2 Diabetes Advice

Diabetes Advice, Lifestyle Advice and Health Trainers

Physical Activity

Speaker: Dr Jessicarr Moorhouse 13/10/2020

Guidance document here: https://www.gov.uk/government/publications/physical-activity-guidelines-uk-chief-medical-officers-report

Downloadable posters here: https://basem.co.uk/wp-content/uploads/2020/02/RCGP.RCN_.CSP_.Basem_.M2M.Factsheet_01_UK_P.A_CMO.Guidelines_02.20_FINAL.pdf

Summary of guidance here: http://www.sportandphysicalactivity.nhs.uk.iw-temp.co.uk/cmoguidelines.asp

Genomics

Speaker: Glenda Beaman

Manchester Genomics Centre, includes referral advice and contact information: https://www.mangen.co.uk

RCGP Genomics Toolkit: https://www.rcgp.org.uk/clinical-and-research/resources/toolkits/genomics-toolkit.aspx

RCGP Position Statement on use of Direct to Consumer Genetic Tests: https://www.rcgp.org.uk/policy/rcgp-policy-areas/genomic-position-statement.aspx

Taking & Drawing a Pedigree: https://www.genomicseducation.hee.nhs.uk/taking-and-drawing-a-family-history/

Gateway C: Free RCGP-accredited Cancer online learning modules: https://www.gatewayc.org.uk/

100000 Genomes Project: https://www.genomicsengland.co.uk/about-genomics-england/the-100000-genomes-project/

Bolton Breast Screening Services: https://www.boltonft.nhs.uk/services/breast-unit/information/services-offered/breast-screening/

Functional Illness

Speaker: Dr Damien Herron

Medically unexplained symptoms—GPs’ attitudes towards their cause and management https://academic.oup.com/fampra/article/18/5/519/664885

Medically unexplained symptoms: An epidemiological study in seven specialities https://www.sciencedirect.com/science/article/abs/pii/S0022399901002239

Somatoform Disorders and Medically Unexplained Symptoms in Primary Care https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4442550/

Suzanne O’Sullivan “It’s All In Your Headhttps://wellcomebookprize.org/book/its-all-your-head

Psychotherapy in Primary Care: The BATHE Technique https://www.aafp.org/afp/1998/0501/p2131.html

Safe (1995) – film that the clip came from: https://www.imdb.com/title/tt0114323/

Doctors and Empathy: https://abetternhs.net/2013/12/20/empathy/

Wired into Pain: https://criticalphysio.net/2018/07/04/wired-into-pain/