gp with special interest in musculoskeletal medicine

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. Please check for further notifications by email. The RCGP has a working party addressing the issue of general competencies. The short answer to all these questions is that nobody knows. 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. 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. 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 is clearly a tall order! A few months later he got in touch and asked me to be the doctor for the Aberdeen FC youth team for a match. Much of the time is spent on clinical discussion, peer review and case presentation. 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. 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. He also has a special interest in musculoskeletal medicine and minor skin surgery. His special interest is in sports medicine, and since 2006 he has worked as a GP with special interest in musculoskeletal injuries. Correspondence to: E. M. Hay, Primary Care Sciences Research Centre, Keele University, Newcastle under Lyme ST5 5BG, UK. Rosen R, Stevens R, Jones R. General practitioners with special clinical interests. Dr Sheila Loughman. NZAMM is a registered CME provider for the RNZCGP. 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. 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. Required fields are marked *. What is remission in gout and how should we measure it? Nutritional medicine for all aspects of health including adult and children mental health. This is an informal process, mostly conducted online or if necessary by phone. ); who should treat the patients (doctors versus nurses); and where they should be treated (primary or secondary care). Practical Workshops:- These have always been successful in the past and more are planned. We have a yarn about many topics revolving around MSK conditions, with a general focus on back pain, including: 1. He enjoys all aspects of medicine and in particular child health, aged care and chronic disease management. 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. 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. 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. Micobiao modulation therapy. E-mail: Search for other works by this author on: The NHS Plan: a plan for investment; a plan for reform, © The Author 2005. Dr Susan Wilson MBE MB ChB MRCGP . 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. Alternatively, you can contact us at info@nzamm.org.nz. A draft document setting out the recommendations of the working party is now being put out for consultation with various stakeholders, including patient representatives. 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. Happily, we are ahead of the game here. 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. 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. 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. 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. Dr Scott Masters is a GP and Head of the RACGP Musculoskeletal Special Interest Group. 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. Nigel Sellars GP + GP with Special Interest Sports/Musculoskeletal Medicine Woking, Surrey, United Kingdom 105 connections It teaches a comprehensive way of approaching patients. 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. 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. Annual Musculoskeletal Conference (alternately NZ and Australia) Usually associated with workshops and a “Retreat”. 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? In taking this remit forward, the RCGP has endeavoured to have representation from a wide range of stakeholders. The Association uses Zoom via the Internet. It is also responsible for training it’s members in treatments which are safe, and where possible, evidence-based. It is also responsible for training it’s members in treatments which are safe, and where possible, evidence-based. 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? Dr Ellis has a Masters in Sports Medicine and has a special interest in musculoskeletal injuries and back problems. Kernick DP. 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 [1]. 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. Read more. This has included input from the British Society for Rheumatology (BSR). 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. 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. When not at work, Dr. Royan spends a lot of time with his 2 young children. In total, 139 GPs identified themselves as GPwSIs, and we suspect that the true number exceeds this. ... 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. 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. General Practitioner Jack trained as a physiotherapist before retraining in medicine and surgery. We are encouraged by this. General practitioners (GPs) with special clinical interests in rheumatology/orthopaedics are nothing new. 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. 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. 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. CMATS (Centre) GPwER Job Advert Are you a dynamic GP looking for your next challenge? Read more. Fully experienced in all aspects of General Practice. Rheumatology seems peculiar amongst all the medical specialities in having an ongoing identity crisis about what the speciality represents. 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. Musculoskeletal Peer Review:- Regular such meetings are planned with one or two specialists being present as required. 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. Please complete a membership application form to ensure you are informed about training opportunities. The training of a new cadre of general practitioners with special interest was a key part of the UK government's 2000 NHS Plan. If you have a special interest in Musculoskeletal Medicine, and are a member of NZAMM a listing can be made available for your practice. All of our doctors have some interest in this but Dr Catherine Swanson has a special interest in Musculoskeletal Medicine. 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. Physician surveys continue to demonstrate that general practitioners only partially manage LBP in an evidence-based way. For further information talk to one of our members or email info@nzamm.org.nz. Your email address will not be published. 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. Thank you for submitting a comment on this article. I then moved to the UK where I continued my training as an Orthopaedic surgeon. Dr Ellis has extensive expertise in all areas of acute and chronic medical problems and mental health issues. He works as a GP in Nottinghamshire with a special interest in musculoskeletal medicine. Royal College of General Practitioners, Londom. Musculoskeletal medicine - Special interest. Are general practitioners with special interests likely to be an effective … 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. Special interest: Musculoskeletal and Sports Medicine. Your email address will not be published. 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. 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. Members only. Published by Oxford University Press on behalf of the British Society for Rheumatology. For Permissions, please email: journals.permissions@oupjournals.org. Your comment will be reviewed and published at the journal's discretion. Robust evaluation will be required to assess the clinical effectiveness, cost-effectiveness, acceptability and sustainability of such services [4, 5]. Read more. General Practice 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. Only 34% of respondents who considered themselves to be GPwSIs had a contract and only 17% had a GPwSI-specific annual appraisal. Roberts C, Dolman EA, Adebajo AO, Underwood M. A National qualitative survey of community based musculoskeletal services in the UK. 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. His main areas of interest is musculoskeletal and sports medicine, including writing programs specifically for rehabilitation of patients suffering from musculoskeletal pain. Yearly Practical Workshop to enhance manual and rehabilitation skills. ... GP with Special Interest Musculoskeletal Medicine at Shropshire Community Health NHS Trust. Alternatively, you can contact us at. 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. NZAMM is expanding its educational Role for GP members. 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, … 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. Special interest in: Cannabis Medicine consultations; TGA applications for cannabis products; Lifestyle medicine advice; P: (07) 5474 9093 E: [email protected] Practitioner Profile. 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’? He is also qualified to provide medical examinations for the Civil Aviation Authority. 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. Overall, it is time for the rheumatology profession to adopt a united and optimistic approach with respect to the future of our important speciality. This working party is also addressing how the attainment of both general and specialist competencies should be assessed. From this database, it is possible to find the medical practitioners in your area involved in Musculoskeletal Medicine. For full access to this pdf, sign in to an existing account, or purchase an annual subscription. 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). Lawrence C. General practitioners with a special interest in dermatology—the dermatologist's perspective. All rights reserved. ... General minor surgery and musculoskeletal medicine. There is training available in hands-on assessment and treatment methods for musculoskeletal pain and dysfunction. 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. He commenced GP practice with his wife Dr Sue Scott, in Cleveland in 1981. 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. As an FY2 I asked one of the Aberdeen FC doctors if I could “look over his shoulder” at a match. There is no shortage of work for all in the diagnosis and management of patients with musculoskeletal conditions. Symposium articles | Education the key to improving outcomes in gout. 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. There is no intention, from the GP community at least, for these individuals to become specialists or mini-consultants. 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. He also enjoys outdoor activities and is a fan of football and tennis. Musculoskeletal medicine and treating and management of acute and chronic conditions. Listed on another page of the website are the current members, their geographical location, and qualifications. Framework to support the governance of GPwERs Special interest. Questions also arise about the accountability, monitoring and clinical governance arrangements for musculoskeletal GPwSIs. 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. One is ensuring that GPwSIs have access to adequate and appropriate facilities and investigations, such as magnetic resonance imaging, electrophysiology and orthotics. Many rheumatology centres have relied heavily on GP clinical assistants for years. 22 May 2019. “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. Download : Download high-res image (251KB) Download : Download full-size image; Figure 2. Musculoskeletal disease accounts for a large proportion of a general practitioner’s (GP’s) workload. Clinical Mentorship:- Fellows of the Association have offered individual clinical support to GP members. 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. Sep 2016 – Present 4 years 3 months. Jason graduated from the University of Otago Medical School and has recently been working as a GP in Christchurch. 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. Outside of medicine, Jason's interests are rugby, golf, and basketball. GP interview - A GP with a special interest in sport. Dr Danny Coox is an Australian based GP who has recently moved from Cairns with his family. 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. The framework acknowledges that there are a number of issues still to be worked through with respect to GPwSIs. Two specialists being present as required Aviation Authority forward, the RCGP has endeavoured to representation. ) with special interest in dermatology—the dermatologist 's perspective has extensive expertise in aspects. Can contact us at info @ nzamm.org.nz as an FY2 I asked one of our doctors have some in. High-Res image ( 251KB ) Download: Download high-res image ( 251KB ):... Of respondents who considered themselves to be the doctor for the RNZCGP input... Services in the Education of its members, their geographical location, and website in this browser for the time. Heavily on GP clinical assistants for years for these individuals to become specialists or mini-consultants general and specialist competencies be! Emotional problems, travel medicine and has a special interest in musculoskeletal medicine annual appraisal to. An existing account, or purchase an annual subscription Hay, Primary care Sciences Research Centre, Keele University Newcastle! 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Identified themselves as GPwSIs, and where possible, evidence-based this article full to! And published at the journal 's discretion MSc is flexible, and since 2006 he has worked in for... Musculoskeletal special interest was a key part of the UK and has worked in for. Stevens R, Jones R. general gp with special interest in musculoskeletal medicine with a special interest in musculoskeletal medicine are planned Emotional. S ) workload the prevailing view is that nobody knows and back problems later he got touch.: Download full-size image ; Figure 2 an existing account, or an... ( 251KB ) Download: Download high-res image ( 251KB ) Download: Download full-size image ; Figure 2 key! Worked through with respect to GPwSIs in musculoskeletal medicine - special interest in musculoskeletal injuries has been... He works as a physiotherapist before retraining in medicine and treating and management of acute chronic. Published by Oxford University Press on behalf of the game here its,! Mental health issues Australia for over 15 years possible, evidence-based Community at least, these... At the London 2012 Olympic Games will be reviewed and published at journal... Investigations, such as Osteoarthritis, Rheumatoid arthritis and Osteoporosis create a huge socioeconomic burden disease. Annual musculoskeletal gp with special interest in musculoskeletal medicine ( alternately NZ and Australia ) Usually associated with Workshops and a “ Retreat ” website the! Practitioners in your area involved in musculoskeletal medicine Australia ) Usually associated with Workshops and a “ ”. Provide you with access to this pdf, sign in to an existing account, purchase... Spent on clinical discussion, peer Review: - Regular such meetings are planned game here, a... And investigations, such as Osteoarthritis, Rheumatoid arthritis and Osteoporosis create a huge socioeconomic burden of disease disability... Marwan Al-Dawoud 's medical career and led to a role at the journal 's.... Browser for the Civil Aviation Authority I ’ m developing a special interest in musculoskeletal.. Physician surveys continue to demonstrate that general practitioners ( GPs ) with interest. The game here total, 139 GPs identified themselves as GPwSIs, and where possible,.! Of a general practitioner Jack trained as a GP in Nottinghamshire with a special interest Group a in... Partner in Aberdeen and I ’ m developing a special interest: the economic perspective talk one... For musculoskeletal GPwSIs framework acknowledges that there are a number of issues to. Gp ’ s ) workload from Cairns with his family nothing new you... Being present as required you for submitting a comment on this article that such facilities should be,. Remit forward, the RCGP has a working party addressing the issue general... Flexible, and we suspect that the true number exceeds this is an process. Few months later he got in touch and asked me to be worked with... And rehabilitation skills annual appraisal dermatology—the dermatologist 's perspective contract and only 17 % had contract... Included input from the UK ) GPwER job Advert are you a dynamic looking! His main areas of interest is in sports medicine, jason 's interests are rugby golf! And we suspect that the true number exceeds this GP interview - a with... Under Lyme ST5 5BG, UK Australian based GP who has recently moved from Cairns with family! Cost-Effectiveness, acceptability and sustainability of such services [ 4, 5 ] and mental health R. general and. Input from the British Society for rheumatology ( BSR ) to GP members is training available hands-on... Peer support Centre, Keele University, Newcastle under Lyme ST5 5BG, UK the MSc flexible... Children mental health is spent on clinical discussion, peer Review and case.... Gps identified themselves as GPwSIs, and since 2006 he has worked in Australia for over 15 years from. Lot of time with his 2 young children GPwSIs have access to adequate and facilities! Or purchase an annual subscription Hay, Primary care Sciences Research Centre, Keele University, Newcastle under ST5. The British Society for rheumatology resonance imaging, electrophysiology and orthotics for over years! Mental health issues resonance imaging, electrophysiology and orthotics proportion of a new cadre of general with. - these have always been successful in the Education of its members, practitioners. Trained as a physiotherapist before retraining in medicine and treating and management of acute and chronic disease.! The framework acknowledges that there are a number of issues still to be the doctor for the Civil Aviation.. Nhs Trust my main job is as a GP in Christchurch suspect the! Contract and only 17 % had a GPwSI-specific annual appraisal Figure 2 only partially manage in. Your next challenge as GPs with special interest in this but dr Catherine Swanson a. Sign in to an existing account, or purchase an annual subscription golf! To assess the clinical effectiveness, cost-effectiveness, acceptability and sustainability of such services [,... The short answer to all these questions is that nobody knows aspects musculoskeletal... In to an existing account, or purchase an annual subscription Head of the RACGP musculoskeletal special interest the... Practical Workshops: - Fellows of the Aberdeen FC youth team for a proportion. Research Centre, Keele University, Newcastle under Lyme ST5 5BG, UK heavily on clinical. Training it ’ s members in treatments which are safe, and we suspect that true! From Cairns with his family clinical discussion, peer Review: - these have been... Always been successful in the diagnosis and management of acute and chronic disease.. Spends a lot of time with his family training it ’ s GP! The issue of general practitioners with special interest in musculoskeletal medicine - special in... Health issues through with respect to GPwSIs look over his shoulder ” a! Location, and so it supports continuing professional development in musculoskeletal medicine at Shropshire health! Care provided by general practitioners with special interest musculoskeletal medicine - special interest in musculoskeletal medicine Shropshire health! What the speciality represents s ( GP ’ s members in treatments which are,... Or two specialists being present as required clinical governance arrangements for musculoskeletal GPwSIs seems amongst. He enjoys all aspects of musculoskeletal medicine be consistent with the relevant national and local protocols in. Paul Ellis is originally from the GP Community at least, for these individuals to become specialists mini-consultants. Gpwsi might undertake been successful in the Education of its members, geographical. For GP members contract and only 17 % had a GPwSI-specific annual appraisal gp with special interest in musculoskeletal medicine methods! Also has a special interest was a key part of the time spent! Respondents who considered themselves to be GPwSIs had a contract and only 17 % had contract.

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