GP Skills

GP Skills

rogers1Politeness in the Consultation
Gary Rogers (GP)

A lecture on politeness theory as applicable to the GP consultation. Politeness is the behaviour people use when they cooperate together.
Gary Rogers looks at the concepts of face, face threatening acts and positive and negative politeness and how these can be understood within the framework of a GP consultation.
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Pam Cushing (Senior Resuscitation Officer)The Management of Airways & Defibrillators
Pam Cushing (Senior Resuscitation Officer)

Pam Cushing is the Senior Resuscitation Officer at the James Paget Hospital, where she leads a comprehensive resuscitation teaching programme to ensure that all staff are provided with the necessary skills to undertake resuscitation in a safe and competent manner.

Pam Cushing provides an excellent couple of lectures here that will update your understanding of resuscitation. The first lecture deals with managing the airway in cardiac arrest. Simple and concise advice is given with clear instructions and a demonstration, which is provided in close-up. You will find yourself replaying this talk over and over again, and coming back to it at regular intervals.

The second lecture deals with using a defibrillator, again in clear and concice terms, and with the benefit of close-up camera work to help you gain an intimate understanding of "how to do it".

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James HeathcoteCSA Examination
James Heathcote (GP & Examiner)

The aim of the CSA is to test a doctor’s ability to gather information and apply learned understanding of disease processes and person-centred care appropriately in a standardised context, make evidence-based decisions, and communicate effectively with patients and colleagues. Being able to integrate these skills effectively is a key element of this assessment

The validity of the CSA resides in its realistic simulation of real-life consultations. Patients are played by trained and calibrated role-players, and cases that are written and assessed by working GPs. The format of the assessment also allows for systematic sampling from the curriculum, using a selection blueprint.

Each candidate is allocated a consulting room and has 13 ten minute consultations ( RCGP Website). James Heathcote is a GP from Bromley and an MRCGP CSA examiner.

This talk by James is an excellent introduction to the CSA exam. He discusses how the exam is undertaken and how you should prepare for it. The information and helpful tips in this talk are invaluable.

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James HeathcoteConsulting Crimes
James Heathcote (GP & Examiner)

In 15 years as a trainer and RCGP examiner, Bromley GP Dr James Heathcote has watched more than a thousand GPs consulting. Most consultations are like the curate's egg - 'good in parts', but over the years he has seen some behaviour that, if not strictly criminal, normally requires further investigation. James Heathcote targets 10 generic types of consulting behaviours that can cause problems in practice.

An essential guide for the CSA candidate and a reminder for GPs generally.

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Maria KordowiczLeadership in Primary Care
Maria Kordowicz (Director, Akord People)

Maria is currently studying towards a King's College London doctorate exploring general practice performance and regularly lectures in aspects of healthcare management. This lecture of Maria's is about leadership and attendance will provide you with:

  • An increased awareness of the theoretical and policy contexts of leadership in primary care
  • An ability to define leadership, as well as an understanding of the limitations of the concept
  • Some practical tools to lead individuals and organisations in primary care
  • An increased understanding of the impact leadership can have on others
  • more reflective approach to your own leadership practice


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Salmon OmokanyeChaperone Training
Salmon Omokanye (Consultant & Lead Clinician in Contraception & Reproductive Healthcare)

Salmon Omokanye is a consultant and lead physician in contraceptive and reproductive healthcare in Sheffield. He is the training program director who has led the chaperone training program at the Central Health Clinic in Sheffield. The recording here is intended to enable practices to operate their own in-house chaperone training program and to enable participants to play a role as a chaperone and to meet the needs of patients and clinicians for a chaperone service.

The best way to achieve this is for a GP in the practice to become au-fait with the content recorded here, and to use it to lead a training exercise in the practice. A large plasma screen or projector would be helpful, so that all participants can view the recording.

The lecture is split up into 4 parts (3 of which are here, the 4th on a separate page)

Part 1 is a straightforward informative lecture that benchmarks the subject, outlining the essential knowledge everyone should be aware of about chaperoning.

In Part 2 Salmon uses a simple technique of pausing at certain points in the talk, to ask the audience questions. The GP leading the exercise in-house can pause the recording at these points and ask the participants to discuss the issues raised. This section of the lecture can be used as the basis for an interactive discussion.

In Part 3 Salmon gives a demonstration is given on performing genital, breast and rectal exams.

There is a Part 4 to this lecture which is available (Chaperone Training- Role Play)

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Salmon OmokanyeChaperone Training (Role Play)
Salmon Omokanye (Consultant & Lead Clinician in Contraception & Reproductive Healthcare)

Consultant & Lead Clinician in Contraception & Reproductive Healthcare
Salmon Omokanye is a consultant and lead physician in contraceptive and reproductive healthcare in Sheffield. He is the training program director who has led the chaperone training program at the Central Health Clinic in Sheffield. The recording here is intended to enable practices to operate their own in-house chaperone training program and to enable participants to play a role as a chaperone and to meet the needs of patients and clinicians for a chaperone service.

This (4th) section of the lecture provides the opportunity for some role play. Good clinician with bad chaperone and good clinician with good chaperone. There is also facilitated a discussion on how breaches of confidentiality can occur, and when confidentiality can be breached. Finally there is a discussion on "what to do about untoward incidents".

It is advised that the GP leading this training in-house controls this section of the talk by pausing at suitable points and facilitating discussion amongst the participants.

Finally there are some documents to download that can be used by chaperones to organise and record their activity in chaperoning afterwards.

(If you want to see the whole lecture you must be logged in and have a current paid subscription.)


Andy SumpnerAdult Basic Life Support
Andy Sumpner (Emergency Medical Technician & Resuscitation Trainer)

Andy Sumpner is a former emergency medical technician and is an experienced Resuscitation Trainer. His talk, recorded here, is an excellent resource to refresh your skills.

Part 1 deals with the diagnosis of cardiac arrest. We live in an age where defibrillators are becoming commonplace. Defibrillators are relatively easy to operate, indeed they have been designed to be so, yet it is the diagnosis of cardiac arrest in the first place that can cause resuscitators more difficulty. In Part 2 Andy deals with the usage of defibrillators themselves. This is a detailed lecture by a skilled practitioner.

These two lectures are a useful revision for GPs. Moreso, they are important for practice staff.

If you would like your practice staff to view this lecture then you could subscribe them to the GPLectures service. However you do not have to do this. We understand that practices would benefit from having their staff view this ( and other "essential" lectures we publish) - all we ask you do is for your Practice Manager to subscribe to our service, and then use that account to watch lectures jointly on a large plasma or projector screen.

(If you want to see the whole lecture you must be logged in and have a current paid subscription.)