RCGP eLearning Podcast

RCGP eLearning Podcast

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.

  1. Oct 22

    EKU Podcast: Rational testing in primary care

    Estimates have suggested that 25% of primary care laboratory tests might be ‘unnecessary’, with research demonstrating unwarranted variation and overuse of specific tests including thyroid function tests, liver function tests, prostate- specific antigen tests, and vitamin D tests. In this podcast Dr Thomas Round talks to Dr Jessica Watson, GP and Consultant Senior Lecturer at the University of Bristol with an interest in evidence based rational testing, about rational testing in primary care. They explore why testing is undertaken in medicine and general practice, when doctors should use blood tests, how to share information about tests with patients, manage patient queries and demand and when to retest. They discuss the increase in testing demand, the science behind testing and what the evidence shows us regarding over testing. In addition, they review recent research and guidance e.g. accessible results practical toolkits and the PITSTOP project. They also offer top tips for everyday practice and signpost to useful resources. RCGP Podcast FeedbackYour feedback plays a crucial role in helping us improve the CPD products and services we offer. We would be grateful if you could please complete our short RCGP Podcast Survey, which will take no more than 5 minutes to complete. Transcript References & Further Reading: Watson J, Burrell A, Duncan P, et al. Exploration of reasons for primary care testing (the Why Test study): a UK-wide audit using the Primary care Academic CollaboraTive. British Journal of General Practice 2024; 74 (740): e133-e140. Buss L F, Spitzer D, Watson J C, et al. Can I have blood tests to check everything is alright? BMJ 2023; 382: e075728. Smellie W S A. Spurious hyperkalaemia. BMJ 2007; 334 :693. McCormack J P, Holmes D T. Your results may vary: the imprecision of medical measurements. BMJ 2020; 368: m149. University of Bristol. Accessible Results: Accessible Results – Enabling patients with diverse needs to access and understand their blood test results online. (Toolkit will be published in November 2026). Watson J. PITSTOP: Project 823 | Using Routine Primary Care Data and Co Production to Reduce Potentially Inappropriate Testing (PITSTOP): A Mixed Methods Study. NIHR School for Primary Care Research (SPCR). Learn evidence-based methods to make more accurate diagnosis. Testing Wisely O'Sullivan J W, Stevens S, Hobbs F D R, et al. Temporal trends in use of tests in UK primary care, 2000-15: retrospective analysis of 250 million tests. BMJ 2018; 363: k4666.

    EKU Podcast: Rational testing in primary care
  2. Jul 1

    EKU Podcast: HIV in primary care

    In 2024 there were 3,043 new HIV diagnoses in the UK, this is a 4% decrease from 3,169 diagnoses in 2023; while in England, new HIV diagnoses decreased by 2% from 2,838 in 2023 to 2,773 in 2024. In this podcast Dr Thomas Round talks to Dr Shrey Mathur, an academic GP in East London and researcher at Queen Mary University of London with an interest in HIV early diagnosis, about HIV and the role of primary care. They reflect on what HIV is, its historical context and the changes in diagnosis, treatment and management and the need to move away from potential bias within specific populations/at risk groups for testing and ways to reduce the stigma.  They discuss when to test in primary care including thresholds and managing positive results, transfer of care to specialist services and communication between the two, coding patient records accordingly around medications, the use of Post exposure prophylaxis (PEP) and Pre-Exposure Prophylaxis (PrEP) and long-acting injectables. They also offer top tips for everyday practice and signpost to useful resources. RCGP Podcast FeedbackYour feedback plays a crucial role in helping us improve the CPD products and services we offer. We would be grateful if you could please complete our short RCGP Podcast Survey, which will take no more than 5 minutes to complete. References: People First Charter HIV Lens Liverpool HIV Drug Interactions Tool British HIV Association (BHIVA) NICE Clinical Knowledge Summary: HIV infection and AIDS NICE Clinical Knowledge Summary: HIV infection - treatment. Resources: RCGP eLearning course on Contraception RCGP eLearning course on Sexual health RCGP eLearning course on Sexual and reproductive needs of the LGBTQ+ community.

  3. May 5

    EKU Podcast: Updates in detecting cancer in primary care

    It is estimated that there are almost 3.5 million people living with cancer in the UK and on average someone is diagnosed with cancer at least every 75 seconds (UK). In this podcast Dr Thomas Round talks to Professor Willie Hamilton, a Professor of Primary Care Cancer Research about the updates to cancer detection in primary care. They reflect on why primary care is so important in this area, the changing epidemiology in cancer and cancer in younger people including the increase in colorectal cancer. They discuss the changes in cancer screening e.g. cervical cancer (introduction of home screening) and bowel cancer (age reduction and Faecal immunochemical test (FIT) thresholds), Positive Predictive Value (PPV), symptomatic presentations, difficult to diagnose cancers and atypical presentations. They also offer top tips for everyday practice and signpost to useful resources. RCGP Podcast FeedbackYour feedback plays a crucial role in helping us improve the CPD products and services we offer. We would be grateful if you could please complete our short RCGP Podcast Survey, which will take no more than 5 minutes to complete. References Best4: Screening for oesophageal health problems NHS Galleri Trail: Detecting cancer early Jess’s Rule: Three strikes and we rethink ERICA Study. Prof. Willie Hamilton Save T, Neal R D, Round T. A multi-cancer early detection (MCED) test: clinical update for GPs. British Journal of General Practice 2024; 74 (745): 380-382.  Wiering B, Mounce LTA, Price SJ, et al. The impact of morbidity burden on cancer diagnosis; a retrospective cohort study in England. Cancer Epidemiol. 2026 Feb 27;102:103027.  Further readingRCGP eLearning courses on: Behaviour change and cancer prevention Bloating and Other Abdominal Symptoms: Could it be Ovarian Cancer? Breast Cancer Screening - The Essentials Cancer detection in primary care Colorectal Cancer Early diagnosis of cancer in young adults Lung Cancer Pancreatic Cancer: Early Diagnosis in General Practice Primary cancer care toolkit Prostate Cancer: Early Diagnosis in General Practice Cancer care | One Day Essentials | REWIND (available until 26.05.26)

    EKU Podcast: Updates in detecting cancer in primary care
  4. Mar 2

    EKU Podcast: Respiratory tract infections

    Respiratory disease, including infections, affects one in five people in England and is the third biggest cause of death, with around 68,000 annual deaths. In this podcast Dr Thomas Round talks to Professor Paul Little, a GP and Professor of Primary Care Research at the University of Southampton about respiratory tract infections. They provide a discussion on the common presentations to primary care including symptoms and their duration, natural history, assessment (triage), red flags, treatment including best practice for the use of antibiotics (NNT and NNH, TARGET toolkit), point of care testing (CRP), the use of nasal sprays, encouraging at risk groups to receive vaccinations, continuation of hand washing, and the impact of stress on illness. They also offer top tips for everyday practice. RCGP Podcast FeedbackYour feedback plays a crucial role in helping us improve the CPD products and services we offer. We would be grateful if you could please complete our short RCGP Podcast Survey, which will take no more than 5 minutes to complete. Further reading: RCGP Essential Knowledge Update Hot Topic: Nasal sprays and behavioural interventions compared with usual care for acute respiratory illness in primary care RCGP TARGET antibiotics toolkit hub Little P, Vennik J, Rumsby K, et al. Nasal sprays and behavioural interventions compared with usual care for acute respiratory illness in primary care: a randomised, controlled, open-label, parallel-group trial. Lancet Respir Med. 2024 Aug;12(8):619-632.  Little P, Stuart B, Andreou P, et al. Primary care randomised controlled trial of a tailored interactive website for the self-management of respiratory infections (Internet Doctor). BMJ Open. 2016 Apr 20;6(4): e009769.

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About

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.

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