RCGP eLearning Podcast

By RCGP eLearning Podcast

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Description

The Royal College of General Practitioners is the professional membership body for family doctors in the UK and overseas. This podcast is produced by the RCGP eLearning and Essential Knowledge Update teams and features discussions with clinical experts about a range of key topics in primary care.

Episode Date
Guidelines for prescribing cannabinoid-based medicines
1151
Cannabinoid based medicines are prescribable on the NHS for certain indications, including spasticity in multiple sclerosis and use in children with intractable epilepsy. In this podcast, Dr Toni Hazell and Dr Rachel Farrell discuss how these medicines are commonly used and some of the practicalities of prescribing, including consultant initiation and then sometimes ongoing prescribing in primary care with the use of written shared care guidelines. They also touch on the use of cannabinoids on an over the counter basis. Dr Farrell is a neurologist with a particular interest in this area who sat on the NICE guideline committee and carries out research in this area. 

Funding was received from Jazz Pharmaceuticals for the production of this podcast. Jazz Pharmaceuticals reviewed the content for scientific accuracy and full editorial control remains the sole responsibility of the RCGP.
Sep 26, 2022
Menopause
1101
The menopause marks the permanent end to the reproductive phase of life and happens at an average age of 51. Symptoms can be significant and affect many body systems. In this podcast, Dr Anne Connolly discussed contraception in the perimenopausal years, the management of a woman who has had some relief with HRT but continues to have symptoms of the menopause, and when the use of testosterone might be indicated. 
Sep 21, 2022
Flu vaccination in pandemic times
1421
There continues to be questions raised around flu vaccination during pandemic times, including eligibility and whether multiple vaccinations can be given at the same time. In this podcast, Dr Dirk Pilat talks to Dr George Kassianos about the latest guidance for the 2022/2023 flu season. They cover eligibility for different age groups, vaccine hesitancy and the guidance around co-administration. 

CSL Seqirus has funded these podcasts and has been involved in discussion for the topic of this podcast. The content has been prepared independently by the RCGP without any input from CSL Seqirus. This podcast is intended for healthcare professionals and is disseminated by media determined by the RCGP.
Sep 20, 2022
The practicalities of flu vaccination
524
The 2022/23 flu season is fast approaching, bringing with it all the usual questions about who gets which vaccine and how to best organise a vaccination programme. In this podcast, Dr Toni Hazell talks to Dr. Sally Higginbottom, author of our eLearning module on influenza. Sally will delve into some of the practicalities of running a successful vaccination programme including which vaccine for which patient, what to do if patients are concerned about egg allergy or have religious concerns and which vaccines can be given at the same time as the flu vaccination. 

CSL Seqirus has funded this podcast and has been involved in discussion for the topic of the podcast. The content has been prepared independently by the RCGP without any input from CSL Seqirus. These podcasts are intended for healthcare professionals and are disseminated by media determined by the RCGP.
Aug 23, 2022
Why asthma still kills - National Review of Asthma Deaths
962
The National Review of Asthma Deaths (NRAD) was a groundbreaking publication which reviewed 195 UK asthma deaths, adult and child, that took place over one year. In this podcast, Dr Toni Hazell talks to Dr Shuaib Nasser who contributed to the report. They cover the different phenotypes of asthma, how this is relevant for clinical management, the findings of the NRAD and how we can apply these in practice to make asthma care safer. 
Aug 08, 2022
Paediatric gastrointestinal issues
1158
Jul 06, 2022
Functional gastrointestinal disorders – irritable bowel syndrome
980
In this podcast, Professor Pali Hungin and Dr Emma Nash discuss functional gastrointestinal disorders. The podcast explores the nature of functional GI disorders, the evolving understanding of the pathophysiology behind them, and how this knowledge can help GPs manage the conditions. There is a focus on irritable bowel syndrome, including how it may be positively differentiated from other conditions, rather than made as a diagnosis of exclusion.
Jun 08, 2022
EKU2021.2: Gastroesophageal Reflux Disease
1360
Primary care clinicians need a clear and structured approach to the diagnosis and treatment of people with gastroesophageal reflux disease (GORD). This can help clinicians to identify the small proportion of people who need urgent investigation or long-term surveillance, whilst offering holistic treatment aimed at symptom improvement for the larger population with symptomatic but benign GORD. In this podcast, Dr Thomas Round, a GP and EKU Clinical Lead, talks to Dr Kevin Barrett, a GP and member of the Primary Care Society of Gastroenterology about the advances in the diagnosis and management of gastroesophageal reflux.
May 06, 2022
Asthma, allergic rhinitis and one airway
662
In medicine we talk about the upper and lower airway, but in fact these two tracts are continuous with each other, lined with the same epithelium and affected by the same disease processes. In this podcast, Dr Toni Hazell and Professor David Price discuss how this knowledge affects the management of asthma and allergic rhinitis. Patients with asthma are more likely to have allergic rhinitis than the general population, and vice versa. By proactively asking about symptoms of allergic rhinitis in those with asthma, and vice versa, we can personalise our care and help patients to gain better control of both conditions. 
May 03, 2022
Primary prevention of breast cancer
913
In this podcast, Dr Toni Hazell and Dr Nicola Weaver discuss the use of tamoxifen and some other drugs in the primary prevention of breast cancer for women who are at a moderate or high risk due to their family history. The podcast discusses the evidence behind the use of these drugs, as well as how to work out which women should be referred, referral pathways and the practicalities of prescribing for this purpose. 

An educational grant was received by Health Innovation Manchester for the production of this podcast.  Editorial and content decisions were made solely by the RCGP.
Mar 23, 2022
Detection of lung cancer in primary care
1220
Lung cancer is common and the cause of a fifth of all cancer deaths. Early detection in primary care is key in improving survival rates by enabling curative treatment. In this podcast, Dr Sally Higginbottom and Dr Steve Holmes discuss the role of imaging and screening for lung cancer.

An educational grant was received by AstraZeneca for the production of this podcast.  Editorial and content decisions were made solely by the RCGP.
Feb 28, 2022
The first eczema consultation
988
GPs and other NHS clinicians are often pressed for time, but there is a lot to talk about in the first consultation for a patient with eczema. In this podcast Dr Toni Hazell talks to Dr Angelika Razzaque about what should ideally be covered, whether in one appointment or split over more than one. This includes how to break the news of a chronic condition, whilst still giving some hope for effective management, how to manage steroid phobia and how to safely deal with a patient who wishes to use alternative medicine to manage their eczema. 

An educational grant was received by Sanofi for the production of this podcast.  Editorial and content decisions were made solely by the RCGP.
Feb 23, 2022
The holistic approach to eczema
1045
Eczema is often seen as purely a skin disease, but it is associated with other allergic conditions and can cause significant stress for patients and their families. In this podcast, Dr Toni Hazell and Dr Angelika Razzaque discuss the links between eczema and other allergic illnesses, the management of hand eczema, psychological stress due to eczema and how to manage children with disturbed sleep due to eczema. 

An educational grant was received by Sanofi for the production of this podcast.  Editorial and content decisions were made solely by the RCGP.
Feb 23, 2022
Primary care aspects of heart failure
1582
In this podcast, Dr Toni Hazell discusses the diagnosis and management of heart failure with Ahmet Fuat, honorary professor of primary care cardiology at Durham University, and Sarah Worsnop who shares her experiences of being diagnosed with heart failure at an early age. They cover the importance of the use of NT-proBNP test in patients with symptoms such as fatigue and shortness of breath, and of keeping an open mind if a patient presents at a younger age than would usually be associated with heart failure. The podcast goes on to cover the basics of heart failure management and the issues that are important to patients, including different consultation styles and open access to heart failure nurses when needed.

This podcast was funded by Roche Diagnostics Limited. Final editorial and content decisions were made by the RCGP. The views and opinions expressed in this podcast are those of the podcast participants and do not necessarily represent the views of Roche Diagnostics Limited.

Feb 22, 2022
Flu vaccination in the post-COVID era
769
There have been big changes in flu vaccination in the last few years, with the offer of universal vaccination to those aged 50 or over, as well as to more children in secondary school. In this podcast, Dr Toni Hazell and Dr Uy Hoang discuss the future of flu vaccination. What factors will the JCVI have to consider when deciding who to vaccinate next year, and how much vaccine efficacy and uptake affect the decision making process?

Funding was received via sponsorship from Seqirus to cover education on influenza. Seqirus has had no input in the content or been part of any reviews thereof. Editorial and content decisions were made solely by the RCGP.
Feb 21, 2022
Heart Failure & CKD
1915
Over 900,000 people in the UK are living with heart failure, and 3 million have chronic kidney disease (CKD). The prevalence of both of these diseases is rising in part due to increasing obesity and type 2 diabetes, as well as an aging population.  In this podcast Dr Sam Robinson talks to Professor Ahmet Fuat, a GP Partner and immediate past president of the Primary Care Cardiovascular Society, about HFrEF versus HfpEF, the barriers to diagnosing and managing heart failure, and what we can do in Primary Care in regards to prevention.  They then go on to discuss chronic kidney disease, including how this relates to cardiorenal metabolic syndrome, how to prevent acute kidney injury, including sick day rules, and what the future may bring to the management of CKD. 
Jan 28, 2022
EKU2021.1: Onset dizziness and vertigo
1238
Every year approximately 2% of adults seek medical attention for moderate to severe dizziness. In this podcast, Dr Thomas Round, EKU Clinical Lead, talks to Dr Devina Maru, a GP Speciality Registrar in Greenwich with a special interest in ENT and audiology and RCGP National Clinical Champion for hearing loss, about sudden onset dizziness and vertigo. Their discussion includes the definition of dizziness and its associated symptoms, how common it is, causes of dizziness and vertigo, testing (such as the HINTs, Dix Hallpike, Romberg's, Weber's and Rinnes tests and the Epley manoeuvre) and management.
Jan 20, 2022
T2D Podcast
1731
In this podcast Dr Sam Robinson talks to Dr Sarah Jarvis MBE, a GP with a special interest in diabetes and a Visiting Professor of General Practice at Huddersfield University , about typ2 2 diabetes and how it interconnects with cardiac and renal pathophysiology.
Jan 19, 2022
Flu vaccination – remains important in the time of COVID-19
920
The passing of the years in general practice often seems to be marked by the annual flu vaccination season; recently it has been more complex with the need to social distance and the simultaneous running of the COVID-19 vaccination programme. In this podcast, Dr Toni Hazell and Professor Simon de Lusignan discuss some of the issues which will affect this years flu vaccination season, as well as wider issues of social distancing and management of viral infections. The podcast also touches on COVID-19 vaccination in pregnancy.

As mentioned in this episode, if you are interested in joining The RCGP Research and Surveillance Centre (RSC) you can email practiceenquiries@phc.ox.ac.uk or visit the website at https://orchid.phc.ox.ac.uk

Funding was received via sponsorship from Seqirus to cover education on influenza. Seqirus has had no input in the content or been part of any reviews thereof. Editorial and content decisions were made solely by the RCGP.
Dec 16, 2021
Allergy mythbusting
1197
There are many urban myths which circulate in the world of allergy. In this podcast, Dr Toni Hazell and Professor Adam Fox attempt to put the record straight regarding some of them. We will cover vaccination and egg allergy, progression of allergic reactions, the use of adrenaline auto-injectors and allergy tests which are available to buy online. 
Nov 08, 2021
EKU2021.1: Osteoporosis and the prevention of fragility fractures
1308
In the UK over 3 million people are estimated to have osteoporosis and there are estimated to be over 500,000 fragility fractures that occur in the UK each year. In this podcast Dr Thomas Round, EKU Clinical Lead talks to Dr David Stephens, a locum and OOH GP in Scotland, and a member of the SIGN Guideline Development Group, concerning osteoporosis and the prevention of fragility fractures including the challenges faced by GPs, changes in the latest guidelines, the importance of diagnosis, the use of FRAX and QFracture tools, treatment recommendations and ongoing management.
Oct 18, 2021
Autoimmune conditions and COVID-19
1543
Approximately 4 million people in the UK have an autoimmune disease, many of whom have been affected by COVID-19, by either contracting the disease itself or negotiating the rapidly changing rules regarding shielding. In this podcast Dr Sam Robinson talks to Dr Kevin Barrett about the interaction between COVID-19 and autoimmune diseases, the concerns these patients may have regarding COVID vaccination, and whether there could be any positive outcomes from the COVID-19 pandemic.   
Oct 06, 2021
Dermatology Podcast: Skin of Colour
860
Further listening

Sep 08, 2021
Why bother diagnosing coeliac disease?
1485
Coeliac disease affects 1% of the population, however it remains under diagnosed. In a disease which is mainly managed by diet, why do we need to investigate and make a formal diagnosis? In this podcast Dr Sam Robinson talks to Professor David Sanders, Professor of Gastroenterology at the University of Sheffield and a consultant at The Royal Hallamshire Hospital, about why a diagnosis is important, which non-gastroenterological symptoms patients may present with, and what the future of coeliac disease might look like.  
Sep 06, 2021
New GP contract in England for vaccinations 2021-22
1878
Since April 1st 2021 the GP contract agreement regarding the provision of routine vaccination and immunisation in England has changed. In this 30 minute podcast, Dr Dirk Pilat talks to Dr George Kassianos, the National Immunisation Lead of the RCGP. Dr Kassianos explains the new contractual standards and the new vaccination and immunisation domain in the Quality and Outcomes Framework (QOF).

Funding was received via sponsorship from Seqirus to cover education on influenza. Seqirus has had no input in the content or been part of any reviews thereof. Editorial and content decisions were made solely by the RCGP.
Aug 31, 2021
Practical tips for general practice in the diagnosis and management of Alzheimer’s disease
1791
Alzheimer’s disease is the commonest cause of dementia. In this podcast, GP Sally Higginbottom interviews Dr Clare Wadlow, Consultant in old age psychiatry on practical tips in assessing and managing patients with Alzheimer’s disease.
Aug 19, 2021
Health Inequalities Podcast on Social Prescribing
1715
In this RCGP podcast, Dr James Matheson, RCGP Chair of the Health Inequalities Standing Group talks to Christiana Melam, CEO of the National Association of Link Workers about how those in primary care can best work with Social Prescribing Link Workers. They discuss the what a Social Prescribing Link Worker is, their role in addressing health inequalities, specialist roles evolving from Link Workers working with particular groups of people e.g. vulnerable patients, the challenges facing individual Link Workers as well as the Link Worker profession, the do’s and don’ts of how primary care teams can best welcome and support Link Workers and what needs to happen to ensure that the Link Worker role is sustainable.
Jul 29, 2021
Long COVID
1480
As of early June 2021, 1.5% of the population were experiencing self-reported long COVID. In this podcast, Dr Sally Higginbottom talks to Dr Gail Allsopp, Clinical Policy Lead at RCGP leading on Long COVID, a GP and Long COVID Clinic GP in Derbyshire about the Long COVID including its definition, people who are affected, common symptoms, investigations, diagnosis and prescribing for patients with Long COVID as well as the differences in the model and focus of Long COVID clinics. 
Jul 22, 2021
EKU2020.3: Venous thromboembolic diseases
1502
Global incidence of venous thromboembolism (VTE) is between 1 and 2 per 1,000 adults annually. In this podcast Dr Thomas Round, EKU Clinical Lead discusses with Dr Nicholas Jones, a salaried GP, GP Cardiologist and a Wellcome Trust Doctoral Research Fellow at the University of Oxford, the diagnosis, management and thrombophilia testing of venous thromboembolic diseases including the changes in the approach to assessment recommended by NICE and how the new guidelines have adjusted their recommendations around anticoagulation treatment.
Jul 12, 2021
Holistic care for patients with RA – beyond the basics
1151
Rheumatoid arthritis is a chronic inflammatory condition, but if treated early with disease modifying drugs then it can sometimes be put into long-term remission. In this podcast, Dr Toni Hazell and Dr Danny Murphy discuss the need to treat rheumatoid arthritis at an early date as well as some of the less commonly covered areas of management, including psychological issues, contraception and fertility and drug monitoring during COVID. 

Supported by an independent education grant from Pfizer Inc. Pfizer has had no involvement in the content.
Jul 08, 2021
Autoimmune thyroid disease
2713
This podcast features a discussion between Dr Kevin Barrett, a GP in Hertfordshire and Maralyn Druce, a Professor of Endocrine Medicine. Topics include:
 
  • The diagnosis of autoimmune hypothyroidism and how to interpret borderline results
  • When it is appropriate to screen for thyroid disorders
  • Prescribing levothyroxine and what to tell our patients
  • The impact of thyroid disorders on pregnancy
  • How to deal with queries about liothyronine
  • The May 2021 MHRA guidance for switching levothyroxine manufacturers
Jul 06, 2021
Pollen food syndrome
750
Pollen food syndrome is a common allergy, characterised by a very rapid onset of mild symptoms which resolve quickly. Serious reactions such as anaphylaxis are rare. In this podcast, Dr Toni Hazell and Dr Isabel Skypala discuss the interaction between pollen food syndrome and hayfever and how to differentiate between pollen food syndrome and primary food allergy. They also cover the immediate treatment of pollen food syndrome, when to refer to an allergy clinic and which patients might need an adrenaline auto-injector. 
Jun 09, 2021
Allergic rhinitis and asthma
901
Allergic rhinitis and asthma are common conditions which affect a single airway and are therefore inextricably linked. In this podcast, Dr Toni Hazell and Dr Glenis Scadding discuss the links between asthma and allergic rhinitis, when to suspect that a rhinitis may be non-allergic, the importance of trigger factors and the use of immunotherapy for the treatment of allergy. 
May 04, 2021
EKU2020.3: Acne Vulgaris
1675
Acne is one of the most common skin conditions in the UK leading to 3.5 million primary care visits every year. In this EKU2020.3 podcast Dr Thomas Round, a GP and RCGP Essential Knowledge Update (EKU) Clinical Lead discusses the condition of acne vulgaris with Dr Angelika Razzaque, a GP partner and trainer in South East London and Executive Chair of the Primary Care Dermatology Society (PCDS) Executive Committee.
Apr 01, 2021
Syncope and PoTS in children and young adults
1136
Syncope is defined as transient loss of consciousness due to cerebral hypoperfusion; it is a common problem which will affect an estimated 15-20% of children before the end of adolescence. The cause is usually benign, but it is important not to miss syncope due to a cardiac cause. In this podcast, Dr Toni Hazell talks to Professor Lesley Kavi about the different causes of syncope in children and young adults. They also discuss how to diagnose and manage the condition in primary care.
Mar 02, 2021
Osteoarthritis
1667
In this podcast, Dr Kevin Barrett talks to Dr Danny Murphy about osteoarthritis (OA) and how to diagnose and manage the condition in primary care. They also discuss what can be done to help patients who have been diagnosed and the useful resources available to support them. 

Financial support for the design and development of this Osteoarthritis Learning Hub is provided by Pfizer Ltd as a Medical and Educational Goods and Services grant, an arm’s length educational grant. Pfizer has had no involvement in the content.
Jan 25, 2021
Achieving high influenza vaccination rates
1420
In this podcast Dr George Kassianos discusses ways of managing mass vaccination with Jackie Reeve, Dr Ivan Aloysius and Dr Anish Kotecha. The circulation of the SARS-Cov-2 virus in our communities during the current influenza season has made it necessary to change the ways we carry our influenza vaccinations. One solution is to carry out mass vaccinations in large premises that offer space and car park facilities. The group discuss logistics when carrying out such mass vaccinations, as well as effective practice in organising the practice influenza vaccination clinics. 
Jan 11, 2021
IgE and non-IgE mediated allergy
2130
In this podcast, Dr Toni Hazell talks to Dr Liz Angier about presentations of allergy and how the presentation is related to the underlying mechanism of the allergy, whether IgE mediated or non IgE mediated. The podcast covers history taking, referral, the interpretation of allergy tests and the use of community services such as dietetics to help in both diagnosis and management. 
Dec 21, 2020
How to keep yourself well during the pandemic
875
In this podcast the Dr Dirk Pilat chats with RCGP’s Honorary Secretary Dr Jonathan Leach about staying well in these stressful times. Topics include workload overload, how to relax after work and how to look after our colleagues. 

An educational grant was received by CHSA (COVID-19 Healthcare Support Appeal) for the production of this podcast. Editorial and content decisions were made solely by the RCGP.
Nov 26, 2020
Autoimmune hepatobiliary disease
1039
In this podcast, we talk to Dr Kevin Barrett, a GP in Hertfordshire and Chair of the Primary Care Society of Gastroenterology. about autoimmune hepatobiliary disease. The discussion focuses on primary biliary cholangitis and autoimmune hepatitis, including when to consider them as diagnoses and what the next steps should be for a GP. Risk from COVID-19 is also touched on, along with how we can support remote monitoring in primary care, when this is needed.
Nov 26, 2020
EKU2020.2: Atopic eczema/dermatitis and emollients for eczema in children
1851
Eczema is a common, chronic, relapsing inflammatory skin condition which mainly occurs in childhood but can persist into or start in adulthood. In this EKU2020.2 Dr Dirk Pilat, a GP and RCGP Medical Director for eLearning discusses atopic eczema, dermatitis and emollients for eczema in children with Dr Matthew Ridd, a GP and Reader in Primary Healthcare at the Centre for Academic Primary Care at the University of Bristol. Dr Ridd's research interests include skin and allergy problems diagnosed and managed in primary care, mainly focusing on childhood eczema.
Nov 12, 2020
Peanut allergy
1231
In this RCGP podcast on peanut allergy Dr Toni Hazell talks to Dr Helen Brough, Consultant in paediatric allergy at the Evelina children’s hospital. They discuss the prevalence of peanut allergy and how to deal with a patient who presents with a possible allergy, including the question of whether to give an adrenaline auto-injector while they are waiting to see a consultant. They also cover the LEAP study, the results of which have allowed paediatricians to confidently recommend that the early introduction of peanut into the diet from 4-11 months of age can prevent the development of peanut allergy in at-risk children (severe eczema or egg allergy). Dr Brough discusses how this can be implemented in primary care.
Nov 09, 2020
Management of flu in the context of COVID-19
1238
While we are experiencing a second wave of COVID-19 in the United Kingdom, preparations have begun to protect our patients from seasonal influenza. In this podcast Dr George Kassianos CBE - the National Immunisation Lead for the RCGP - addresses co-infection, immunosenescence, symptoms of COVID-19 vs flu and the experience of the Southern Hemisphere over the last few months. Dr Kassianos is being interviewed by Dr Dirk Pilat, the RCGP’s director for eLearning. 

The podcast was funded by an educational grant from Seqirus to cover education on influenza and the role of vaccines as a prevention. Seqirus has not had any input in the content or been part of any reviews thereof. Editorial and content decisions were made solely by the RCGP. 
Oct 19, 2020
EKU2020.2: Diverticular disease - diagnosis and management
907
The prevalence of diverticular disease is up 65% by 85 years of age. In this EKU2020.2 podcast we explore the diagnosis and management of diverticular disease with Dr Patricia Mcnair, an interface geriatrician with an interest in gastroenterology who currently works in palliative care in Farnham.
Oct 19, 2020
Irritable bowel syndrome (IBS)
1480
Irritable bowel syndrome (IBS) is a common medical condition which is usually managed in primary care. In this podcast we interview Dr Kevin Barrett, chair of the Primary Care Society for Gastroenterology and discuss the diagnosis and management of IBS. The discussion will include when to suspect IBS, what tests need to be done routinely, management in primary care, how to explain a diagnosis of IBS to a patient and when to consider referral to secondary care. 
Oct 15, 2020
Rheumatoid arthritis
2046
Patients with suspected inflammatory arthritis benefit significantly from swift assessment by secondary care. If disease modifying drugs are started soon after presentation, the likelihood of full remission is greatly improved. This has always been challenging within the NHS and the COVID-19 pandemic has made prompt specialist review much harder. In this podcast, Dr Toni Hazell speaks to Dr Danny Murphy about the basics of making a diagnosis of inflammatory arthritis, when to refer and what investigations to carry out, as well as talking about the specific issues that have been raised by the COVID-19 pandemic. 
Sep 28, 2020
Flu and COVID-19
1293
In this podcast Dr Tom Kneale, a GP and Faculty Educator from North Wales and Dr Jessica Watson, a GP from Bristol and a NIHR Research Fellow at the University of Bristol talk to Dr Barbara Noble about how we can distinguish between flu and COVID-19. Drawing on his clinical experience, Tom talks about the common symptoms of COVID-19, which can help differentiate it from flu as well as some of the more unusual presentations of COVID he has seen in his practice. Jess talks about the importance of testing and also its limitations and Tom highlights the at-risk groups to develop complications of COVID and the red flags we should look for in patients with COVID-19 and flu.

The podcast was funded through an educational grant from Seqirus to cover education on influenza and the role of vaccines as a prevention. Seqirus has had no input in the content or been part of any reviews thereof. Editorial and content decisions were made solely by the RCGP.
Sep 10, 2020
EKU2020.1: Investigating thrombocytosis
828
Thrombocytosis is associated with a higher risk of solid tumour malignancy. In this EKU2020.1 podcast we discuss with Professor Willie Hamilton, GP and Professor of Primary Care Diagnostics at the University of Exeter, the causes, investigations, differential diagnosis and referral of thrombocytosis.
Aug 06, 2020
EKU2020.1: Hypertension in adults
900
Around 40% of adults have hypertension. It is a key risk factor for a range of prevalent diseases including ischaemic heart disease, stroke, heart failure, atrial fibrillation and chronic kidney disease. In this EKU2020.1 podcast we explore with Dr Kevin Barrett, a GP in Hertfordshire and RCGP Clinical Lead, the NICE Guideline on Hypertension, in particular blood pressure (BP) readings (including those taken at home, in clinic and ambulatory readings), changes in BP targets, the different stages of hypertension, treatment and referral.
Jul 09, 2020
Body systems - Coeliac disease
1634
This podcast is a follow-up to the first, very well received podcast on coeliac disease. This time we are talking to Dr Charlie Andrews who is a GP in Clevedon and part of the committee for the Primary Care Society of Gastroenterology. The podcast covers scenarios in which coeliac disease might be overlooked, multi-system manifestations of the condition and why they arise, and issues with diagnosing coeliac disease in children.

Jul 01, 2020
Contraception and COVID-19
1257
The COVID-19 pandemic has caused many NHS services to pause and contraception has not been an exception to this. It is important that we continue to provide contraceptive services to reduce the risk of unwanted pregnancy. In this podcast, Dr. Toni Hazell and Dr. Anne Connolly discuss the FSRH guidance on contraception in the time of COVID-19. Topics include a discussion of when LARC methods can be used for longer than their licensed time, when it is safe to prescribe the pill remotely, and the use of the self-administered depot injection Sayana Press.

Since this podcast was recorded, there have been lots of discussions about how we restart contraceptive provision. Please see the following two links for further information’ and then link to the FSRH and PCWFH documents on this. 
Jun 04, 2020
Embedding personalised care in PCNs (PCD Podcast)
879
Dr Ollie Hart, GP, PCN Clinical Director, Clinical Commissioning Lead for Person Centred Care at Sheffield CCG and passionate exponent of personalised care, discusses the benefits for individual patients, health professionals and the whole system.

Resources mentioned in the podcast
Jun 02, 2020
Being a Clinical Director in 2020- the highs and lows (PCD Podcast)
1112
Dr Nicky Turner, GP in Buckinghamshire and Clinical Director for the Chalfonts PCN reflects on her personal leadership journey, and discusses some of the opportunities and challenges facing all clinical directors.  This podcast was recorded prior to the COVID-19 pandemic.
 
Resources mentioned in the podcast.
Jun 02, 2020
Developing a coaching mindset at your PCN (PCD Podcast)
975
Developing a coaching mindset at your PCN
Dr Tim Williams GP, coach and author discusses the value of coaching for leadership development both for individual PCN leaders, teams and the whole organisation.
 
Resources mentioned in the podcast
Jun 02, 2020
Getting To Grips With Population Health (PCD Podcast)
1452
A brief introduction to population health for Primary Care Networks (PCN) from Dr Kathrin Thomas a GP and Consultant in Public Health.  The discussion includes a clear explanation of what a population health approach means, how it can address health inequalities and improve the health of your PCN population, and some practical suggestions as to how this might be achieved.
 
Resources mentioned in the podcast
Jun 02, 2020
Allergy and COVID-19
1454
In this podcast, Dr Helen Howells, a GP with a special interest in Allergy, and Dr Dirk Pilat discuss aspects of atopy management during lockdown. Topics include hayfever, anosmia, weaning, adrenaline auto-injectors and service provision.

This podcast was produced in collaboration with Thermo Fisher Scientific.
Jun 01, 2020
Obesity and COVID-19
1283
This podcast is hosted by Dr Emma Nash, a GP and RCGP eLearning Development Fellow and Dr Barbara McGowan, a Consultant and Honorary Reader in Endrocrinology.

The podcast topic is overweight and obesity. It focuses on the illnesses in the context of COVID-19, but also explores their importance in the context of other health conditions and their impact on the health care system and population needs.

Novo Nordisk has fully funded all costs for the development of this podcast. Novo Nordisk has had no influence on the content and full editorial control remains the sole responsibility of the RCGP.

May 28, 2020
4. Managing health anxieties regarding COVID-19
461
Many of our patients are very anxious at the moment; in the worst case scenario this anxiety can manifest as apparent shortness of breath and affect your clinical assessment. In this episode we discuss how to address these issues, what we can say to patients to help and the use of communication skills and empathy in these difficult consultations.

This is episode 4 in a series about telephone triage during COVID-19.
Apr 03, 2020
1. Introduction to telephone triage
748
This introductory episode discusses telephone triage from the perspective of a doctor who is new to it. We discuss how to set up a session of telephone triage to maximise success, how to structure and document the call and how to safety net. Some groups of patients can be particularly challenging and we talk about how to manage these challenges and how to know when triage won’t work and the patient has to be seen. 

This is episode 1 in a series about telephone triage during COVID-19.
Apr 03, 2020
2. Refresher on how to triage
394
Aimed at those coming back to triage after a break, this episode discusses new technology such as video calls and techniques to get started again, such as the golden minute. We also talk about the adaptation of basic communication skills to the triage call and how to handle the patient’s ideas, concerns and expectations. 

This is episode 2 in a series about telephone triage during COVID-19.
Apr 03, 2020
3. How to triage a potential COVID-19 case
442
This episode focuses specifically on triaging a patient with possible COVID-19, including a discussion about how to carry out a verbal examination and what red flags to look for. It also discusses how to assess shortness of breath on the phone, which is a particular challenge for patients who may have COVID-19. 

This is episode 3 in a series about telephone triage during COVID-19.
Apr 03, 2020
EKU2019.3: Combined hormonal contraception
1514
This EKU2019.3 explores the recent Faculty of Sexual and Reproductive Healthcare on Combined hormonal contraception with Dr Anne Lashford, a GP in Wiltshire, Vice President of the FSRH and an Assessor for EMBRACE, which audits maternal and perinatal morbidity and mortality combined hormonal contraception.
Mar 09, 2020
EKU2019.3: Ulcerative colitis & Crohn's disease
1137
In the UK, there are approximately 146,000 people with a diagnosis of ulcerative colitis and at least 115,000 people with Crohn’s disease. 

This EKU2019.3 podcast discusses the symptoms, causes, diagnosis and treatment of people with ulcerative colitis and Crohn’s disease with Dr Kevin Barrett, a GP in Hertfordshire, Chair of the Primary Care Society for Gastroenterology and RCGP Crohn's and Colitis Spotlight Clinical Lead.
Mar 09, 2020
Parents of LGBT kids
544
In this podcast Dr Toni Hazell and Dr Kamilla Kamaruddin discuss the skills needed to manage a consultation in which a child or adolescent presents as transgender, accompanied by their parent or guardian. We will talk about how to support the parent and cover issues such as referral and which organisations we can signpost to for further support. 

This episode was launched in January 2020. 
Jan 16, 2020
Improving your practice to be more inclusive
418
It is important that all patients feel welcome at their GP and survey data suggests that this is not always the case for LGBT patient. In this podcast Dr Toni Hazell and Dr Kamilla Kamaruddin discuss how you can make your practice inclusive and welcoming for LGBT patients, starting from when they walk through the door into the waiting room. They also discuss the use of pronouns for transgender patients and how GPs can be supportive of LGBT staff. 

This episode was launched in January 2020. 

With thanks to Dr Mike Farquhar for giving us permission to use the NHS Badge image from the @RainbowNHSBadge Twitter page.
Jan 16, 2020
Sharing vs disclosure
448
In this podcast Dr Toni Hazell and Dr Kamilla Kamaruddin discuss the issue of disclosure of LGBT status, including reasons why patients may not feel comfortable sharing their status. Legal issues are covered, as well as general good practice around language and communication with secondary care. 

This episode was launched in January 2020.
Jan 16, 2020
EKU2019.2: Chronic obstructive pulmonary disease
1236
There are approximately 1.2 million patients with COPD in the UK with 115,000 new cases each year. However most people are diagnosed in their 50’s or older and a large number remain undiagnosed.

This EKU2019.2 podcast explores the symptoms, investigations, referral, treatment and management of people with COPD with Dr Steve Holmes, a GP in Somerset and Education Lead with the Primary Care Respiratory Society. 
Dec 02, 2019
EKU2019.2: Prostate Cancer Screening & the PSA Test
954
Prostate cancer is the commonest cancer in men and is the third commonest cause of cancer death in the UK, causing more deaths than breast cancer. 
 
This Essential Knowledge Update (EKU2019.2) podcast discussed prostate cancer screening and the prostate-specific antigen (PSA) test with Dr Sam Merriel a GP in North Somerset and a Clinical Senior Research Fellow at the University of Exeter.
Oct 28, 2019
Food allergy
1369
Patients with allergy commonly present to GPs – some can be treated in primary care, whilst others will need referring to a hospital clinic or a GP with an interest in this area. In this podcast, Dr. Susan Leech, clinical lead for the paediatric allergy service at King’s hospital, discusses issues such as how to treat in primary care, when to refer and who should have an adrenaline auto-injector. The podcast also covers cows’ milk protein allergy and how to advise a patient who feels that they have an intolerance to certain foods. 

This podcast was produced as part of the Allergy Education app, which will be available on the RCGP Online Learning Environment from October 2019.
Sep 27, 2019
Coeliac disease
1042
In this podcast, Dr Charlie Andrews, committee member of the Primary Care Society of Gastroenterology and Clinical Champion for West of England for inflammatory bowel disease, discusses various aspects of coeliac disease, from when it should be considered through to longer term management. He offers hints to diagnostic clues which should prompt testing, and guidance on the process of testing, including consuming enough gluten in the run-up to investigating. Patients need support and information once the diagnosis is made, and Charlie explains what you can do as a GP and who else may need to be involved in their ongoing care.

This podcast was produced as part of the Autoimmunity Education app, which will be available on the RCGP Online Learning Environment from October 2019.
Sep 27, 2019
EKU2019.1: Rheumatoid arthritis in adults
704
There are approximately 1.5 men and 3.6 women per 10,000 people who develop rheumatoid arthritis each year. 

This EKU2019.1 Podcast discusses the management of rheumatoid arthritis in adults with Dr Barbara Noble, a GP in Wolverhampton, a CSA assessor, appraiser and EKU Programme Author.
Jul 05, 2019
Contraception
1015
Contraception is a rapidly changing field, with new devices becoming available and new guidelines being issued. RCGP Clinical Champion for Menstrual Wellbeing, Dr Anne Connolly, talks to Dr Toni Hazell about a variety of subjects in the area of contraception. She starts by discussing emergency contraception and how to choose between the two oral methods available and then goes on to discuss the UKMEC which is the main reference guideline for contraception safety. The podcast then covers the different hormonal intrauterine systems available, contraception in the peri-menopause and the use of extended pill taking.

Apr 26, 2019
EKU2018.3: Abnormal liver blood tests
890
While deaths from other common conditions are falling, mortality from liver disease is increasing. There has been a 400% increase in deaths from liver disease between 1970-2010. This is higher in patients under the age of 65.

This Essential Knowledge Update (EKU2018.3) podcast discussed the management of abnormal liver blood tests.
Nov 26, 2018
EKU2018.3: Heavy menstrual bleeding
922
Studies report that between 4-51% of women are affected by heavy periods. 

This Essential Knowledge Update (EKU2018.3) podcast explores the assessment and management of heavy menstrual bleeding.
Nov 16, 2018
EKU2018.2: Endometriosis
790
Endometriosis is associated with infertility and is also associated with a lower quality of life with women taking more sick days because of the condition.

This Essential Knowledge Update (EKU2018.2) podcast explores the diagnosis and management of endometriosis in primary care. 
Aug 07, 2018
EKU2018.2: Asthma
909
The National Review into Asthma Deaths in 2014 found that 46% of asthma deaths may have been avoidable if guidelines were followed.

This Essential Knowledge Update (EKU2018.2) podcast discusses the diagnosis, treatment, monitoring and chronic asthma management in primary care.
Aug 01, 2018
EKU2018.1: Spondyloarthritis
788
Axial spondyloarthritis is often misdiagnosed as mechanical back pain. There is an average delay of 8.5 years between symptom onset and diagnosis. 

This Essential Knowledge Update (2018.1) podcast provides an overview of spondyloarthritis and offers information and guidance on its diagnosis, investigations and (pharmacological and non-pharmacological) management in primary care.
Apr 16, 2018
EKU2017.3: Chronic Obstructive Pulmonary Disease
1579
Chronic Obstructive Pulmonary Disease (COPD) is the fifth leading cause of death in the UK.

This Essential Knowledge Update (EKU2017.3) podcast explores the 2017 GOLD (Global initiative for Obstructive Lung Disease) guidelines and the Cochrane review of Long-acting muscarinic antagonist (LAMA) plus long-acting beta-agonist (LABA) versus LABA plus inhaled corticosteroids (ICS). Its provides information on the diagnosis of COPD, including history, chest x-ray and spirometry, and treatment (including long-term oxygen therapy). It also highlights the COPD value pyramid which shows the cost effectiveness of different treatments for COPD.
Mar 23, 2018
EKU2017.3: Contact Dermatitis
676
The point prevalence of dermatitis in the UK is estimated to be about 20%, with atopic/endogenous dermatitis making up the majority of cases.

This Essential Knowledge Update (EKU2017.3) podcast discusses the 2017 British Association of Dermatologists guideline on contact dermatitis and how the condition is diagnosed and managed in primary care. It explore the irritant and allergic responses and the assessment and treatment/therapies for patients presenting with the condition. 
Nov 23, 2017
EKU2017.2: Asthma
850
5.4 million people in the UK are currently receiving treatment for asthma - 1.1 million children (1 in 11) and 4.3 million adults (1 in 12).

This Essential Knowledge Update (EKU2017.2) podcast discusses the management of asthma in primary care including the criteria for assessing and diagnosing asthma in both children and adults, allergy testing, treatments (both non medication such as breathing exercises and medical treatments) and occupational asthma. 
Aug 23, 2017
EKU2017.2: Opioid use in chronic pain
846
About 20% of adults have chronic non-cancer pain, and approximately 25% of those will benefit long-term from prescription opioids.

This Essential Knowledge Update (EKU2017.2) podcast discusses two papers (from the European Pain Federation and the New England Journal of Medicine) with different views on the use of opioids in chronic pain and how this evidence can be translated into primary care. 
Jul 27, 2017
EKU2017.1: Non-alcoholic fatty liver disease
692
Non-alcoholic fatty liver disease (NAFLD) presents as a disease spectrum. Fatty change is a common and frequently benign condition, present in 20-30% of the population and up to 90% of the morbidly obese.

This Essential Knowledge Update (EKU2017.1) podcast explores the NICE guideline on non-alcoholic fatty liver disease. It discusses epidemiology of the condition as well as assessment, diagnosis (including severity) and management in primary care. 
Apr 24, 2017
EKU2017.1: Sepsis
729
Sepsis is responsible for 44,000 deaths per year and 150,000 hospital admissions. At present the UK mortality from sepsis is 30%.

This Essential Knowledge Update (EKU2017.1) podcast highlights the definition and mortality of sepsis and provides information and guidance on the recognition, diagnosis and early management of the condition. 
Mar 20, 2017
EKU18: Menopause
1172
The mean age of women who have a natural menopause is 51 years, although there is wide variation between women.

This Essential Knowledge Update (EKU18) podcast explores the diagnosis, treatment and management of the menopause. It also discusses the peri-menopause, primary ovarian insufficiency (POI), symptoms of the menopause and more. 
Jan 31, 2017
EKU18: Alcohol Use Disorder
970
Alcohol use disorders are most common among those in young adulthood (18-29 years), a group that are relatively low at consulting primary care.

This Essential Knowledge Update (EKU18) podcast discusses the global burden of the disease and the main groups at risk of alcohol use disorder. It explores the diagnostic terms, identification, investigations, interventions and management in primary care and also highlights the area of driving and the DVLA.
Jan 05, 2017
EKU17: Epilepsy
741
Statistics for England in 2011 showed approximately 320,000 adults with epilepsy were receiving anti-epileptic drugs (AED), but it is estimated that only two thirds of these adults have it adequately controlled.

This Essential Knowledge Update (EKU17) podcast explores history taking including eye witness accounts of seizures, differential diagnoses, support from and referral to secondary care including diagnosis in hospital settings. It also discusses the treatment of seizures, driving and epilepsy and epilepsy in pregnant women and people with learning disabilities. 
Jul 25, 2016
EKU17: Suspected Cancer
729
Recent research (Ahmad 2015) has shown an increase in lifetime cancer risk from approximately 1 in 3 for those born in 1930 to 1 in 2 for those born after 1960. 

This Essential Knowledge Update (EKU17) podcast provides information on the NICE guideline in which the EKU module was based including the recommendations for site specific cancers and also by symptom/findings of primary care investigations in both adults and children. It also discusses the referral criteria and how to explain the reasoning for the referral to a patient.
Jun 27, 2016
EKU16: Multiple Sclerosis
588
Multiple Sclerosis (MS) is the most common disabling neurological disease of young adults in the UK. Over 100,000 people in the UK have MS and it effects over 2,000,000 more. It is not considered a terminal illness and it is not contagious.

This Essential Knowledge Update (EKU16) podcast discusses the prevelance, presentation and assessment, symptom relief, relapses and exacerbations, referral and management (including ongoing information, advice and support) of MS. It also highlights MS in pregnancy.
Feb 02, 2016
EKU16: Somatoform disorders
706
It is estimated that patients with MUPS represent up to 20% of GP contacts, and 30% of patients presenting with physical symptoms.

This Essential Knowledge Update (EKU16) podcast explores the pharmacological and non-pharmacological interventions for somatoform disorders and medically unexplained physical symptoms (MUPS).
Jan 15, 2016
EKU15: Bipolar Disorder
1003
Bipolar disorder (BPD) is a potentially life long condition characterised by episodes of mania or hypomania, and episodes of depressed mood. The peak age of onset is 15-19 years, and life time prevalence is about 2% of adults. 

This Essential Knowledge Update (EKU15) podcast discusses the recognition, assessment and management (including prescribing of medication) of Bipolar Disorder in adults, children and young people. It also highlights the prevelance of the condition.
Nov 23, 2015
EKU15: Dyspepsia & Gastro‑oesophageal Reflux Disease
844
Dyspepsia is common, affecting about a fifth of people at some point in their lives and is estimated to cost the UK more than £1bn each year.

This Essential Knowledge Update (EKU15) podcast explores the topic of Dyspepsia and Gastro‑oesophageal Reflux Disease (GORD). It discusses the assessment (including the testing for H Pylori), treatment and management within primary care and referral to a specialist service.
Oct 26, 2015
EKU14: Chronic Pain
786
Chronic pain is a major clinical problem with nearly 1 in 5 people in Europe currently being affected by moderate to severe chronic pain. 

This Essential Knowledge Update (EKU14) podcast provides an overview of chronic pain in primary care such as individualised clinical assessment for patients, treatment/therapies and management (including self-management - providing support/written information) for chronic pain.
Sep 25, 2015
EKU13: Familial Breast Cancer
751
There are around 55,200 new breast cancer cases in the UK every year, that's around 150 every day (2014-2016).

This Essential Knowledge Update (EKU13) podcast explores family history, classification and care of people at risk of breast cancer. It also discusses advice for patients as well as the key messages guideline in which the EKU module was based.
Aug 28, 2015
EKU13: Depression in Children & Young People
773
Approximately 1% of children and 3% of young people are estimated to be depressed. Adolescent girls are more than twice as likely to be depressed as boys. 

This Essential Knowledge Update (EKU13) discusses the diagnostic criteria and tools for assessing the symptoms/severity of children and young people with regards to depression. It also explores the treatment/referral of children and young people with depression. 
Nov 27, 2014
EKU12: Assessment & Management of Psoriasis
975
Most episodes of psoriasis can be managed in primary care however, up to 60% of patients will need referral at some point. 

This Essential Knowledge Update (EKU12) podcast on the Assessment & Management of Psoriasis provides information on the diagnosis and assessment of patients with psoriasis, approaches to first and second-line treatments and referral. It also discusses the NICE Guideline further.
Mar 12, 2014
EKU12: Psychosis & Schizophrenia in Children & Young People
553
Psychosis and Schizophrenia in children and young people is an unusual condition in primary care. 

This Essential Knowledge Update (EKU12) podcast provides information concerning the identification, investigation and follow up of young patients presenting with this condition. It not only highlights the key learning points and take home messages from the module and the related guideline but also offers recommendations on how to engage with patients and possible sources of support.
Jan 30, 2014
EKU11: Chronic Pelvic Pain
680
Chronic pelvic pain is a symptom not a diagnosis. It is common and affects around one in six adult women in the UK. 

This Essential Knowledge Update (EKU11) podcast discusses the signs and symptoms of chronic pain, the investigations that can be completed for diagnosis and possible treatment.
Nov 11, 2013
EKU11: Suspected Bacterial UTIs in Adults
659
Urinary tract infections are common, they account for 1-3% of all GP consultations and are the second commonest indication for empirical antibiotic treatment. 

This Essential Knowledge Update (EKU11) podcast discusses the key points from the module and how they can be implemented within practice e.g. typical symptoms of a UTI and the diagnosis and treatment in women (including pregnancy) and men.
Sep 19, 2013
EKU10: Complex Regional Pain Syndrome
690
In 15% of cases of patients suffering from complex regional pain syndrome still have unrelenting pain and functional impairment more than 5 years after onset of symptoms. 

This Essential Knowledge Update (EKU10) podcast examines the causes, symptoms, diagnosis and pain management/treatment of complex regional pain and the risks concerning those who go on to develop chronic pain. 
Apr 09, 2013
EKU10: Quality & Safety in Prescribing
911
Prescribing errors are common, affecting between 1% and 40% of prescriptions depending on the definition used. 

This Essential Knowledge Update (EKU10) podcast reviews the two source documents in which the EKU module was based as well as the take home messages for implementation in practice e.g. recommendations for reducing prescribing errors.
Feb 26, 2013
EKU10: Perinatal Mental Health
934
Mental illness is a significant factor in maternal mortality. 

This Essential Knowledge Update (EKU10) podcast talks about best practice in the management of antenatal and postnatal mood and anxiety disorders including the assessment and treatment of depression. 
Dec 20, 2012
EKU9: Stable Angina
730
The prevalence of angina is increasing, with approximately two million people in the UK being diagnosed with the condition, affecting 14% of men and 8% of women.

This Essential Knowledge Update (EKU9) podcast discusses the epidemiology and treatment of stable angina as well as information and support for patients and referral. This podcast also provides an overview of the methods concerning the creation of the Updates. 
Sep 06, 2012
EKU9: Long-term Benzodiazepine Withdrawal
630
The total number of prescription items dispensed in 2017 was 1,105.8 million, an increase of 0.2 per cent, (1.7 million) on the number of items dispensed in 2016. Interventions to reduce the number of long term users of Benzodiazepines would have both clinical and economical benefits. 

This Essential Knowledge Update (EKU9) podcast discusses the issues of Benzodiazepines use in primary care and ways in which it can be reduced. 
Jun 27, 2012
EKU9: Older persons' substance misuse
640
Alcohol and illicit drugs are in the top ten risk factors for morbidity and mortality in Europe. 

This Essential Knowledge Update (EKU9) podcast discusses the growing number of older persons with substance misuse, how to identify those at risk and highlights what GPs could do within their practices to treat the problem. 
May 23, 2012
EKU9: HIV in Primary Care
530
In 2017, it was estimated that there are 101,600 people living with HIV and: 92% of these people are diagnosed - this still means that around 1 in 12 people living with HIV in the UK do not know that they have the virus.

This Essential Knowledge Update (EKU9) podcast looks at the screening and 
diagnosis of HIV within primary care and explores the role of the GP e.g. highlighting the risks of HIV with patients, working to prevent its transmission and developing their skills within chronic disease management. 
May 11, 2012
EKU8: Medically Unexplained Symtpoms
651
People with medically unexplained symptoms are common, and these symptoms can be very difficult and frustrating for both patient and clinician.

This Essential Knowledge Update (EKU8) podcast discusses consultations with patients with medically unexplained symptoms including the role of the GP, safety netting etc. and explores the treatment of these patients including psychological therapies and medication.
Mar 06, 2012
EKU8: Atopic Eczema
803
15-20% of school-age children and 2-10% of adults will be affected at some stage by atopic eczema. 

This Essential Knowledge Update (EKU8) podcast explores the assessment, diagnosis (including severity) and management of atopic ezcema and dermatitis. 
Dec 02, 2011
EKU8: Gestational Diabetes
513
Gestational diabetes occurs in 3-5% of all pregnancies (1 in 20 pregnant women will develop gestational diabetes).

This Essential Knowledge Update (EKU8) podcast highlights the risks associated with gestational diabetes and discusses the screening, diagnosis and management of the condition. 
Dec 02, 2011
EKU8: Harmful drinking and alcohol dependence
598
In the UK in 2017 there were 7,697 alcohol-specific deaths.

This Essential Knowledge Update (EKU8) podcast looks at hazardous and harmful drinking and alcohol dependence and explores the thresholds of alcohol use, the impact on mental health/addiction and how to raise potential issues within primary care with patients regarding their alcohol use.
Dec 02, 2011
Essential Knowledge Update 7 Podcast
877
This Essential Knowledge Update Podcast explores a variety of important primary care topics including self-harm, suicide and risk, psoriasis and psoriatic arthritis, lower urinary tract symptoms in men and chronic obstructive pulmonary disease.

Dec 02, 2011
Essential Knowledge Update 6 Podcast
991
This Essential Knowledge Update Podcast explores a variety of important primary care topics including giant cell arthritis, dementia and people with learning disabilities, vitamin D, neuropathic pain in adults in non-specialist settings and chest pain of recent onset.
Dec 02, 2011