BRIEF BUT ACCEPTABLE CPD LOG
Date
Title
hours
CPD
credits
claimed
17/05/2012
Update on medicines
management-meeting at
Windy Lane Medical
Group.
1
1
Learning points/ Further actions
Impact of prescribing errors and lack of monitoring on patient safety as the Practice Study
showed. Cost benefits from Glucosamine, switching to standard prednisolone and to
Erythromycin tablets.
Aware of risks: incomplete information, dose or strength errors, timing errors, frequency errors,
as well as drugs most commonly associated (statins, warfarin, amoxycillin, prednisolone,
diclofenac, ibuprofen, acyclovir, flucloxacillin, fucibet).
The Heart Failure Audit and COPD audits showed large numbers of patients without clinical
review/annual recall.
New template for lithium.
Introduce new QIPP initiative for gluten-free products
13/05/2012
Substance misuse in
primary care.
bmj learning audio module
by Dr C. Gerada
1
1
Need to know how and when to refer. Do a basic needs check and see what the patient wants.
Check for blood-borne viruses. Congratulate patient for seeking help. GPs should work within
their limits of confidence. Always confirm that a patient is a user before prescribing substitute
medication.
10/05/2012
QoF changes 2012-2013
and update on the HIV
1.5
1.5
QoF changes for new year: focus on dementia, diabetes, AF and CHADS2 score, PVD,
osteoporosis, depression.
social services care in
Newcastle. Meeting at
Windy Lane Medical
Group.
30/04/2012
Multiple Sclerosis RCGP
online course
We discussed cases of housebound patients whose diabetic and other QoF checks were not
done because acute home visits were a priority.
HIV and social care Newcastle.
Blue Sky trust and Body Positive Northeast teams. Patients do not need to inform GP that they
are HIV positive. To look into the new changes in more detail and be aware of how new
guidance might affect referrals (dementia) and diagnosis (HbA1c in diabetes).
3
3
It's important to differentiate between true vertigo and ataxia. Steroids do not affect the final
outcome of a relapse. Differentiate between distress and demyelination. Exclude infection by
checking for pyrexia and doing a urine test.
Important issues: effect on life insurance/ how much the patient wants to know about prognosis
of disease once the diagnosis has been established.
Under the Equality Act they might not be required to tell their employer about their disability
unless they are in the Armed Forces but they are legally obliged to inform the DVLA of their
condition. Everyone with MS is covered under the Equality Act.
02/05/2012
advanced consultation
skills at bmjlearning.com
3
3
I have reflected on the advice given on how to avoid running late and whether trying to solve the
wrong problems and not having the full agenda from the start might be a reason for this.
To try to summarize early and often would help avoid this. The first 2 minutes of the consultation
are crucial in understanding what the real problem is. The earlier we ask patient to summarize
the easier it will be to identify this.
08/03/2012
Triptans audit, presented
by another doctor.
0.5
0.5
Audit: use of triptans : problems with using higher than recommended doses (more than 6 per
month),counsel patient regarding medication overuse headaches, if not successful, can try an
alternative or start prophylaxis, cannot use two different triptans together.
Will re-examine recent cases of migraines that I have seen in the practice and review
prescriptions and maximum doses given and overall plan.
05/03/2012
Bleeding problems in
contraception RCGP
module e-GP
0.5
0.5
Speculum examination is useful in bleeding. / Bimanual examination is useful only if there is
deep pelvic pain/dyspareunia or heavy bleeding. . Not to forget pregnancy testing, cervical
smear if due or in defaulters and STI checks.
For unscheduled bleeding with the progestogen-only injection, implant or intrauterine system, a
COC may be used for up to 3 months if there are no medical contraindications. I reflected upon
my ways of communicating and counselling patients on initial and long-term bleeding patterns
and how I can improve those in order to minimize concerns and discontinuation. A patient who is
bleeding after several months of using a certain contraceptive method needs a physical
examination.
28/09/2011
Diabetes update-seminar at 6
the Centre for Life
Newcastle.
6
Primary Care Diabetes
Society
08/09/2011
Review of Acute
admissions at practice
meeting
The new IFCC absolute standard for HbA1c from 01/10/2011 and the limitations in its use. Be
able to advise patients re: newest DVLA guidance and hypoglycaemia prevention while driving.
1
1
Need to look into acute admissions from care homes for UTIs, COPD, heart failure, simple colds
etc. that could have been avoided by improving the services provided.
Familiarize myself with certain templates on EMIS relevant to the above in order to improve
quality of care.
Windy Lane Medical Group
18/08/2011
Fever in children-guidelines 1
update at practice meeting
1
04/08/2011
iron absorption-discussion
at practice meeting
1
Windy Lane Medical Group
Screening for type 2 diabetes. Role of sitting time and physical inactivity in obesity and mortality
rates. The role of gliptins. Diabetic eye disease.
DVLA update June 2011. Case stories with management problems.
1
All GPs to have tympanic membrane thermometers. Practice has ordered pulse oximeters and
axillary thermometers for all doctors.
Need to improve documentation: heart rate, respiratory rate and temperature.
Improve advice given to parents. Effect of ibuprofen lasts for 8 hours.

Iron absorption: 80% of iron is absorbed in the diet of a non-vegetarian person comes
from foods other than meat. Particular useful iron-containing foods are pulses, beans,
bread, and breakfast cereals. Vitamin C containing foods aid absorption.
 Erectile dysfunction: (from BMJ10 min consultation) avoid concurrent use of nitrates for
24hrs (after sidenafil/vardenafil) and 48 hrs (tadalafil). Testosterone levels can be low
after an illness temporarily. Ace-inhibitors may improve ED. bloods should be done to
assess CVD risk generally.
1. When giving diet advice to vegetarian patients who present with iron deficiency.
2. Counsel patients with ED properly before use of medication.
14/09/2011
Safeguarding children
single agency training.
NHS North of Tyne
meeting, Racecourse,
Newcastle.
1
1
Recognise alarming signs and how to communicate with colleagues effectively. Domestic
violence. Freedom Programmes for women. MARAC and MAPPA agencies. By being more alert
and proactive and efficient.
Also important to send a report ahead of the case conference if we cannot attend even if we
have no concerns.
27/03/2012
Safeguarding Children
6
multi-agency training.
Kenton Centre, Newcastle.
6
By being aware of the inter-agency roles and responsibilities. By understanding and following
the protocols and procedures when there are concerns for a child's welfare. I need to familiarize
myself with the Newcastle model for service delivery and have up-to-date contact details for
people that I might need to involve.
03/11/2011
CPR and AED update
November 2011 at Windy
Lane Medical Group
1
1
Need to be up to date with recent changes in the guidelines of the UK Resuscitation Council. By
being able to help in case of an emergency at the practice or anywhere else.
12/04/2012
Safeguarding children: elearning module
1.5
1.5
How to ask a child or a carer questions about an unexplained injury. Do not use leading
questions when interviewing a child. Document the exact words. Neglect and emotional abuse
are more difficult to detect and can happen in any family regardless of financial situation.
Need to be aware that regular contact with families whose standards are very low can make a
worker tolerant of this while someone who does not know them would find their ways
unacceptable.