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CONTENTS FEBRUARY 2016 THIS MONTH


46


6 8


News digest


Special LMC Conference GP leaders vote on emergency measures


50


Big Interview GMC’s independent expert Professor Louis Appleby


Nabi Are we selling ourselves short?


52 Opinion 54


Editor of the Year (Business)


Best of blogs


56 Through the K Hole 106


CLINICAL 58


14 16


24 27


30 34


Clinical round-up


Cover story Rescue bid too little, too late for struggling practices


Data lowdown Under-50s leaving general practice over burnout fears


Analysis Pregabalin patent dispute could have cost NHS £54m


Sick notes


Update Only six PAs imported from US


VIEWS 23 37


Copperfi eld Seeing a GP is no longer safe


Editorial


38 Your letters 42


Debate Was Professor Field right to say general practice has ‘failed’?


Business Magazine


of the Year 2014, 2015


66 70 73 80


Five-minute refresher COPD


Casebook Lipid modifi cation 1.5 CPD HOURS


Picture quiz Dermatitis


Travel medicine guide 97 Pulse GP Jobs 63


Key questions Menopause 1.5 CPD HOURS


Obscure diagnosis Sphincter of Oddi dysfunction


86


Norris How to solve a problem like acopia?


88 91 93


YOUR PRACTICE


82


Ten ways to Get to grips with online records access 1 CPD HOUR


Q&A Why you should be recording patient communication needs


Dilemma Do I have to record drug taking in a patient’s notes?


Case history How we reduced appointments for socially isolated over-75s


Practice diary Shared Parental Leave: what you need to know


GP JOBS


94 Working life A day in the life of a GP and personal trainer


All the clinical calculators a GP needs… at a swipe


Free For Apple and


Android. Search for Pulse Toolkit


in the app store 4 February 2016 Pulse


COVER IMAGE: BEN JENNINGS. CHARLES MILLIGAN/SCIENCE PHOTO LIBRARY/PAUL STUART


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