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One is ensuring that GPwSIs have access to adequate and appropriate facilities and investigations, such as magnetic resonance imaging, electrophysiology and orthotics. This working party is also addressing how the attainment of both general and specialist competencies should be assessed. Rosen R, Stevens R, Jones R. General practitioners with special clinical interests. For full access to this pdf, sign in to an existing account, or purchase an annual subscription. Developing intermediate care provided by general practitioners with a special interest: the economic perspective. What needs no debate is the fact that musculoskeletal problems are common, are a major reason for pain and disability at the individual level, and have a major impact on society in terms of health service utilization and payments for incapacity benefit. GP interview - A GP with a special interest in sport. An often-heated debate, which started many decades ago, continues to address such fundamental issues as how best to diagnose (lump or split); which patients to treat (are we really ‘inflammationologists’? Are you seeking an opportunity to enhance a special interest in musculoskeletal medicine, whilst having a greater opportunity to work closely with secondary care specialist colleagues and services? If you have a special interest in Musculoskeletal Medicine, and are a member of NZAMM a listing can be made available for your practice. One thing that is very clear from this document and from subsequent statements from the RCGP is that GPwSIs are to remain very much general practitioners. Published by Oxford University Press on behalf of the British Society for Rheumatology. The RCGP has a working party addressing the issue of general competencies. Please check for further notifications by email. Royal College of General Practitioners, Londom. 22 May 2019. Musculoskeletal Health (MSK) Special Interest Group MSK Programme Vision “Help maintain and improve the musculoskeletal health of the population in England (across the life-course), supporting people to live with good lifelong MSK health and freedom from pain and disability (e.g. A passion for sport is integral to Dr Marwan Al-Dawoud's medical career and led to a role at the London 2012 Olympic Games. Despite these problems, it is now obvious that GPwSIs are here to stay as part of the National Health Service (NHS) workforce [2, 3], and we need to try to draw order out of the chaos. He works as a GP in Nottinghamshire with a special interest in musculoskeletal medicine. Please complete a membership application form to ensure you are informed about training opportunities. There are a lot of unanswered questions remaining about the contribution that GPwSIs, and other extended scope practitioners, might make to innovative musculoskeletal services. During a weekend workshop, progress was made in terms of agreeing core competencies for musculoskeletal GPwSIs and detailing the appropriate knowledge, skills and attitudes required. This will include, At a national level, there are a number of regular ongoing activities to which GPs are welcome including, To access these, go to the Events and Conferences page and contact the relevant organiser. All of our doctors have some interest in this but Dr Catherine Swanson has a special interest in Musculoskeletal Medicine. It makes explicit that a GPwSI service should not operate in isolation but should rather be part of an integrated service across primary and secondary care. If you have a special interest in Musculoskeletal Medicine, and are a member of NZAMM a listing can be made available for your practice. We need to work together to develop new ways of working that ensure patients with musculoskeletal problems receive timely, appropriate care within the limits imposed by limited resources. Summary of Background Data. Overall, it is time for the rheumatology profession to adopt a united and optimistic approach with respect to the future of our important speciality. Musculoskeletal Peer Review:- Regular such meetings are planned with one or two specialists being present as required. A recent survey of GPs carried out by the Arthritis Research Campaign (ARC), the Primary Care Rheumatology Society (PCR) and Keele University confirmed that there is wide variation across the country in what GPwSIs do, their working relationships with secondary care and their contractual arrangements. His main areas of interest is musculoskeletal and sports medicine, including writing programs specifically for rehabilitation of patients suffering from musculoskeletal pain. Once again, the aim is to seek a degree of flexibility whilst ensuring that there is confidence by all stakeholders in the competency assessments themselves. Rheumatology seems peculiar amongst all the medical specialities in having an ongoing identity crisis about what the speciality represents. Read more. As a GP with over 25 years' experience and a special interest in musculoskeletal medicine, I can confidently assert that this series of training modules is an excellent resource for clinicians working in this field. Consequently, accountability and monitoring could be either with the Primary Care Trust (PCT) Board or with a local NHS Hospital Trust, depending upon the configuration of the service. Members only. Much of the time is spent on clinical discussion, peer review and case presentation. Alternatively, you can contact us at. Questions also arise about the accountability, monitoring and clinical governance arrangements for musculoskeletal GPwSIs. There is no shortage of work for all in the diagnosis and management of patients with musculoskeletal conditions. Role: General Practitioner & Lecturer in the Dept of General Practice, UCD School of Medicine Expertise: I am a GP with an interest in medical education and pre-hospital care. ording to whether they have a special interest in back pain, musculoskeletal, or occupational medicine; and whether these beliefs are modified by having had continuing medical education (CME) about back pain in the previous 2 years. Micobiao modulation therapy. NZAMM is actively involved in the Education of its members, General Practitioners and Allied Health Professionals in all aspects of Musculoskeletal Medicine. Required fields are marked *. E. M. Hay, A. Adebajo, Musculoskeletal general practitioners with special interests: where are we up to?, Rheumatology, Volume 44, Issue 10, October 2005, Pages 1210–1211, https://doi.org/10.1093/rheumatology/kei030. Practical Workshops:- These have always been successful in the past and more are planned. Happily, we are ahead of the game here. General Practitioners with a Special Interest in Musculoskeletal Medicine, Listed on another page of the website are the current members, their geographical location, and qualifications. Haywood Hospital, Stoke on Trent and Primary Care Sciences Research Centre, Keele University and 1Department of Rheumatology, Barnsley District General Hospital, Barnsley, UK, Oxford University Press is a department of the University of Oxford. This framework (www.doh.gov.uk/pricare/gp-specialinterests) sets out the rationale for a GPwSI service and the core activities a musculoskeletal GPwSI might undertake. Listed on another page of the website are the current members, their geographical location, and qualifications. Your email address will not be published. As an FY2 I asked one of the Aberdeen FC doctors if I could “look over his shoulder” at a match. However, the alternative of simply transferring the workload from secondary to primary care will not work, as this will just turn our problem into their problem. General practitioners (GPs) with special clinical interests in rheumatology/orthopaedics are nothing new. Although understandable, such debates can draw attention away from our united goal: to improve the care of patients with musculoskeletal pain across diagnostic categories, across organizational boundaries and across professions. Download : Download high-res image (251KB) Download : Download full-size image; Figure 2. CMATS (Centre) GPwER Job Advert Are you a dynamic GP looking for your next challenge? The framework acknowledges that there are a number of issues still to be worked through with respect to GPwSIs. The short answer to all these questions is that nobody knows. Your comment will be reviewed and published at the journal's discretion. Conditions such as Osteoarthritis, Rheumatoid arthritis and Osteoporosis create a huge socioeconomic burden of disease and disability. Contribution to the Programme: I am responsible for coordinating the development of the curriculum, keeping the modules updated and liaising with contributors to the course. General practitioners with a special interest are general practitioners with special experience or training that enables them to take referrals which would normally be seen by specialists. He commenced GP practice with his wife Dr Sue Scott, in Cleveland in 1981. The New Zealand Association of Musculoskeletal Medicine, Message from Dr Peter McKenzie CPD Convenor December 2020, Faculty of Pain Medicine Clinical Care Standard 2020, Global Alliance For Musculoskeletal Health ( G-Musc). Framework to support the governance of GPwERs NZAMM is a registered CME provider for the RNZCGP. Yearly Practical Workshop to enhance manual and rehabilitation skills. He enjoys all aspects of medicine and in particular child health, aged care and chronic disease management. GPs with a special interest in outpatient clinics: a pilot program ... GPs were required to hold vocational registration with their specialty college and have a minimum of 5 years’ general practice experience. The key to improving the management of common musculoskeletal problems is to ensure that the appropriate patients are seen by an appropriate person in an appropriate setting. With respect to the speciality competencies, the RCGP have made it clear that the remit for this lies with relevant primary care societies in close liaison with the RCGP and secondary care speciality organizations. This is clearly a tall order! It is also responsible for training it’s members in treatments which are safe, and where possible, evidence-based. E-mail: Search for other works by this author on: The NHS Plan: a plan for investment; a plan for reform, © The Author 2005. Jason graduated from the University of Otago Medical School and has recently been working as a GP in Christchurch. Musculoskeletal Course for GPs/GPSTs This one-day course is aimed at General Practitioners (GPs), Physiotherapists, trainees and Advanced Nurse Practitioners with an interest in MSK. Musculoskeletal disease accounts for a large proportion of a general practitioner’s (GP’s) workload. General Practice Symposium articles | Education the key to improving outcomes in gout. Roberts C, Dolman EA, Adebajo AO, Underwood M. A National qualitative survey of community based musculoskeletal services in the UK. Subclinical synovitis in arthralgia: how often does it result in clinical arthritis? The term GPwER includes those previously referred to as GPs with Special Interests (GPwSIs). Special interest: Emotional problems, travel medicine and gynaecology. We have a yarn about many topics revolving around MSK conditions, with a general focus on back pain, including: 1. From this database, it is possible to find the medical practitioners in your area involved in Musculoskeletal Medicine. The Association uses Zoom via the Internet. General practitioner with special interest in Musculoskeletal Medicine MBBCh, DRCOG, Dip SEM Soon after my graduation from medical school, I decided to pursue a career in Trauma and Orthopaedics surgery where I started my training in Cairo-Egypt. General Practitioners with Extended Roles GPs with Extended Roles (GPwERs) undertake roles that are beyond the scope of GP training and the MRCGP and require additional training. These competencies will, broadly speaking, fall into two categories: general competencies relevant for GPwSIs from all specialities, and specific competencies relevant to the given clinical interest. The training of a new cadre of general practitioners with special interest was a key part of the UK government's 2000 NHS Plan. Dr Steffensen's interest in Musculoskeletal Medicine began to develop in 1985 and he was awarded a Postgraduate Diploma in Musculoskeletal Medicine from Otago University and subsequently a Fellowship from the Australian College of Physical Medicine. This has included input from the British Society for Rheumatology (BSR). The overall pathway of the MSc is flexible, and so it supports continuing professional development in musculoskeletal practice at all stages. The prevailing view is that such facilities should be available, but usage should be consistent with the relevant national and local protocols. General Practitioner with a special interest in Musculoskeletal Medicine will re-certify through RNZCGP using any training and peer group work NZAMM provides as part of their MOPS submission and professional development plan. Dr Paul Ellis is originally from the UK and has worked in Australia for over 15 years. Your email address will not be published. Musculoskeletal medicine and treating and management of acute and chronic conditions. “GP with special interest,” also known as “GPwSI” or “gypsy,” replaces the expression “specialist GP,” which devalued the fact that all GPs are specialists in the field of family medicine. Fully experienced in all aspects of General Practice. He is also qualified to provide medical examinations for the Civil Aviation Authority. ... UK, low back pain is the most common cause of disability in young adults and every year 6-9% of adults consult their GP about back pain. Correspondence to: E. M. Hay, Primary Care Sciences Research Centre, Keele University, Newcastle under Lyme ST5 5BG, UK. About the British Society for Rheumatology, https://doi.org/10.1093/rheumatology/kei030, www.doh.gov.uk/pricare/gp-specialinterests, Receive exclusive offers and updates from Oxford Academic, Copyright © 2020 British Society for Rheumatology. Nutritional medicine for all aspects of health including adult and children mental health. General Practitioners with a Special Interest in Musculoskeletal Medicine NZAMM is actively involved in the Education of its members, General Practitioners and Allied Health Professionals in all aspects of Musculoskeletal Medicine. Welcome to the Primary Care Rheumatology and Musculoskeletal Medicine Society The PCRMM welcomes all doctors and all allied health professionals of all grades, including trainees, who are involved in the care of patients with rheumatological and musculoskeletal conditions in primary care. The strong steer from the framework is that the bulk of a musculoskeletal GPwSI's workload will be concerned with diagnosing and treating common non-inflammatory problems, such as regional pain and osteoarthritis. Dr Sheila Loughman. His special interest is in sports medicine, and since 2006 he has worked as a GP with special interest in musculoskeletal injuries. My main job is as a GP partner in Aberdeen and I’m developing a special interest in musculoskeletal medicine. Annual Musculoskeletal Conference (alternately NZ and Australia) Usually associated with workshops and a “Retreat”. Jason has a special interest in musculoskeletal medicine. Nigel Sellars GP + GP with Special Interest Sports/Musculoskeletal Medicine Woking, Surrey, United Kingdom 105 connections He also has a special interest in musculoskeletal medicine and minor skin surgery. Sep 2016 – Present 4 years 3 months. The framework also acknowledges that the exact makeup of the service will vary from place to place and will need to be responsive to local needs. Reflecting on starting points for disease-modifying anti-rheumatic drug treatment, Flares in patients with systemic lupus erythematosus, Comorbidities, pain and fatigue in psoriatic arthritis, psoriasis and healthy controls: a clinical cohort study, Ten-year analysis of the risk of severe outcomes related to low-dose glucocorticoids in early Rheumatoid Arthritis. In taking this remit forward, the RCGP has endeavoured to have representation from a wide range of stakeholders. We are encouraged by this. Special interest in: Cannabis Medicine consultations; TGA applications for cannabis products; Lifestyle medicine advice; P: (07) 5474 9093 E: [email protected] Practitioner Profile. Dr Anna Gilmour MBChB, DCH, PGDipGP, FRNZCGP Dr Anna Gilmour has been working as a GP at Musselburgh Medical Centre off and on over the last 10 years. All rights reserved. Are you a dynamic GP looking for your next challenge? GPING – GPs with an Interest in Nutrition Group About us GPING is a virtual network of GPs that evolved from the RCGP Nutrition for Health Clinical Priority Programme, established in 2013, … CMATS (Centre) GPwER Job Advert. Dr Susan Wilson MBE MB ChB MRCGP . A draft document setting out the recommendations of the working party is now being put out for consultation with various stakeholders, including patient representatives. Special interest. NZAMM is expanding its educational Role for GP members. It teaches a comprehensive way of approaching patients. Telford, United Kingdom. What is remission in gout and how should we measure it? Based at The London General Practice in Harley Street, Dr Sam Bennett is an experienced private GP with a special interest in musculoskeletal medicine and occupational medicine. Read more. ... GP with Special Interest Musculoskeletal Medicine at Shropshire Community Health NHS Trust. Physician surveys continue to demonstrate that general practitioners only partially manage LBP in an evidence-based way. Are general practitioners with special interests likely to be an effective … Read more. NZAMM/ AFMM Retreat Weekends three times a year. ); who should treat the patients (doctors versus nurses); and where they should be treated (primary or secondary care). Dr Ellis has a Masters in Sports Medicine and has a special interest in musculoskeletal injuries and back problems. The first bit of potential good news is that musculoskeletal conditions was one of the ten condition-specific frameworks for which the DOH commissioned the Royal College of General Practitioners (RCGP) to draw up a GPwSI framework. These initiatives complement rather than compete with hospital-based rheumatology services, which will clearly continue to play a crucial role in the management of patients with complex rheumatic disorders. He also enjoys outdoor activities and is a fan of football and tennis. It is ideal for physiotherapists who are developing their career towards advanced or first contact musculoskeletal practice, and medical practitioners developing their ‘GP with Special Interest’ role. prevention)”. Such services are a key feature of the DOH's forthcoming Strategy for Musculoskeletal Services, and GPwSIs and other trained musculoskeletal team members from primary care can make important contributions to their success. The strong steer from the framework is that the bulk of a musculoskeletal GPwSI's workload will be concerned with diagnosing and treating common non-inflammatory problems, such as regional pain and osteoarthritis. Outside of medicine, Jason's interests are rugby, golf, and basketball. Thank you for submitting a comment on this article. General Practitioner Jack trained as a physiotherapist before retraining in medicine and surgery. NZAMM can provide you with access to CME and peer support. Robust evaluation will be required to assess the clinical effectiveness, cost-effectiveness, acceptability and sustainability of such services [4, 5]. Save my name, email, and website in this browser for the next time I comment. Dr Ellis has extensive expertise in all areas of acute and chronic medical problems and mental health issues. Dr Scott Masters is a GP and Head of the RACGP Musculoskeletal Special Interest Group. I then moved to the UK where I continued my training as an Orthopaedic surgeon. There is training available in hands-on assessment and treatment methods for musculoskeletal pain and dysfunction. For further information talk to one of our members or email firstname.lastname@example.org. Regardless of the geographical and organizational location of the service, the importance of good mechanisms for joint working, communication and training between primary and secondary care is highlighted. Again, the emphasis in the framework is on flexibility whilst maintaining a credible robustness, the precise arrangements to be sorted out at the local level. This is an informal process, mostly conducted online or if necessary by phone. A few months later he got in touch and asked me to be the doctor for the Aberdeen FC youth team for a match. GPwSIs emerged from the UK's Department of Health (DOH) in a mist of confusion, suspicion and distrust from both primary and secondary care sectors . For Permissions, please email: email@example.com. GP with Special Interest Musculoskeletal Medicine Shropshire Community Health NHS Trust. Are you seeking an opportunity to enhance a special interest in musculoskeletal medicine, whilst having a greater opportunity to work closely with … Only 34% of respondents who considered themselves to be GPwSIs had a contract and only 17% had a GPwSI-specific annual appraisal. From this database, it is possible to find the medical practitioners in your area involved in Musculoskeletal Medicine. Special interest: Musculoskeletal and Sports Medicine. What is new is the notion of GPs with special interests (GPwSIs) as a recognized breed—but what are they, who are they, who are they answerable to, what do they do, who do they treat, how much do they earn? Lawrence C. General practitioners with a special interest in dermatology—the dermatologist's perspective. GP, general practice; Ped, pediatric; A & E, accident and emergency; GP (MSK interest), GP with special interest in adult MSK medicine. The advent of interface services, spanning the boundary between primary and secondary care, provides a unique opportunity to expand, strengthen and secure the future of rheumatology. When not at work, Dr. Royan spends a lot of time with his 2 young children. In a nutshell, secondary care has no foreseeable hope of delivering an adequate service to meet the increasing demands and needs of patients with musculoskeletal problems. Kernick DP. Musculoskeletal medicine - Special interest. Furthermore, and perhaps even more importantly, the enhanced diagnostic skills of a GPwSI will facilitate the recognizing and fast-tracking of inflammatory arthritis and other red flags. ... General minor surgery and musculoskeletal medicine. It is also responsible for training it’s members in treatments which are safe, and where possible, evidence-based. It is also clear that hospital services in the UK are running at full (or over) capacity, with their agenda firmly set on delivering emergency medicine and meeting government-enforced targets. Many rheumatology centres have relied heavily on GP clinical assistants for years. The second reassuring piece of news is that, following a period of lengthy consultation with a number of groups, the DOH has agreed that a process of standard-setting for expected competencies for GPwSIs is crucial. GP Locums Professional development - How to become a GP with a special interest It is a challenging career path but rewarding to develop specialist skills, explains Dr Louise Warburton. Dr Danny Coox is an Australian based GP who has recently moved from Cairns with his family. It furthers the University's objective of excellence in research, scholarship, and education by publishing worldwide, This PDF is available to Subscribers Only. A working party with representation from a number of relevant groups, including the RCGP, PCR, ARC, the British Institute for Musculoskeletal Medicine (BIMM) and the BSR, have already held a meeting to drive forward this process. In total, 139 GPs identified themselves as GPwSIs, and we suspect that the true number exceeds this. Clinical Mentorship:- Fellows of the Association have offered individual clinical support to GP members. There is no intention, from the GP community at least, for these individuals to become specialists or mini-consultants. Alternatively, you can contact us at firstname.lastname@example.org.
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