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BASICS Scotland Paediatric Tele-education Course Starts 29th January 2018

BASICS Scotland would like to announce the dates for the next Paediatric Tele-education Course, presented by Karyn Webster. This 9 week course will start on Monday the 29th January and run for 9 weeks with an additional 6 weeks of post-course giving you enough time to catch up on any recordings you have missed!

Tele-education by BASICS Scotland is an online learning resource ideal for remote and rural practitioners eager to reinforce and develop their skills in pre-hospital emergency care. The benefit of Tele-education is that participants can take part without having to leave their home or place of work. The course is delivered entirely over the web, with weekly 1-hour live sessions in a video conferencing format which participants can attend or view the recordings later at a time more convenient for them!

Topics on this course include:

  • Child with Fever & Meningitis
  • Head Injury
  • Seizures
  • Allergy & Anaphylaxis
  • Asthma
  • LRTI
  • Epiglottitis & Croup
  • Gastroenteritis & Dehydration
  • Pain Relief

If you are interested in taking part in this course or would like more information head over to the BASICS Scotland website and complete an application form today!

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Prof Paul Worley – Rural Health Commissioner for Australia

In a really interesting development for rural health internationally, Australia has appointed its first Rural Health Commissioner.

Charged with the responsibility of overseeing and driving a wide range of activities around supporting ‘rural generalism’ the post offers a chance to provide more co-ordinated leadership across domains, regions and disciplines to make rural health strategy more cohesive in Australia.

Professor Paul Worley has been appointed as the first Rural Health Commissioner and this move has been widely welcomed across the rural health community.  He brings an impressive portfolio of experience to the post, including in clinical, academic, educational and strategic development aspects of rural health.  You can watch Dr David Gillespie MP announce the post, and Prof Worley outline some of his visions for the future (at 5min 55s), in the video below.

Twitter and other social networks – including the WONCA Working Party on Rural Health international email list – have been buzzing with positivity about the new post, and it is likely that this approach might pave the way for similar developments in other countries.

In Scotland, we are watching developments with interest.  Rural medicine and health services are of significant importance in Scotland’s National Health Service – 98% of Scotland’s land mass is rural, and 18% of Scotland’s population live in a rural area, with many more flocking to rural areas during holidays.  And yet despite considerable aspects of medical care being delivered by GPs and primary care teams, within community hospitals, A&E units and facilities outwith the usual remit of GPs, there continues to be relatively little in the way of co-ordinated clinical governance and strategic unity to link rural and isolated practitioners together.  These services provided by rural GPs remain considered to be on the ‘fringes’ of general medical practice.  Therefore the opportunities created by appointing an experienced individual to provide leadership, stimulate innovation and inspire positive approaches, are sorely needed in areas other than Australia.

Having met Paul at the WONCA World Rural Health conference in Cairns this year, I’m delighted to hear this news and inspired to think that this is a situation to watch closely.  I have little doubt that we will be reflecting that Scotland could benefit from a similar approach in the near future.

Well done Australia, and all the folks involved in making this happen.  These are exciting times.

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Students present Bright Ideas for Rural Practice

This year, the Rural GP Association of Scotland has once again run its student conference scholarship programme.  This is a significant investment for RGPAS, which uses money raised into its Educational Trust fund to support these scholarships.  The scholarships offer heavily-subsidised tickets to enable undergraduate students in the UK to attend and participate in the annual RGPAS conference.

To apply, students were asked to submit a 60 second sound or video clip explaining their Bright Idea for Rural Practice.  We are delighted to feature the winning entries below.

A number of these will be selected for PechaKucha-style presentation at our conference in November.  You can read more about the scholarships here, and also a great write-up of last year’s conference by one of the scholarship holders then, Catherine Lawrence from Hull & York Medical School.

There is still time to sign up to the conference, which takes place from 2-4 November 2017 in Inverness.  £130 for GPs or £65 for trainees gets you two-and-a-half days of quality CPD, along with a conference dinner (and wine).  It’s a great way to catch up with like-minded colleagues, and hear updates on clinical and non-clinical topics that are relevant to rural practice in Scotland.

Well done to all our scholarship winners.  We look forward to meeting you in Inverness!

Rohan Bald (Glasgow): Tackling Loneliness

Emma Bean (Glasgow 5th Year): Drones

Josephine Bellhouse (Glasgow): Improving Use of Communication Technology

Katherine Cox (Glasgow 4th Year): Developing Videoconferencing Peer Support

David Gibson (Glasgow): Awareness of Rural Medicine as a Career

Haiyang Hu (Glasgow): Access to Mental Health Services

Saskia Loysen (Glasgow): Increasing the use of Telemedicine (and pyjama bottoms)

Eloise Miller (Glasgow): Develop Rural Medicine Intercalated Degrees

Danielle Parsons (Aberdeen 4th Year): a Rural Medical School for Scotland

Gregor Stark (Glasgow 5th Year): Rural Research Consortium

Rosslyn Waite (Dundee): Improving Connectivity

Hannah Webb (Glasgow 2nd Year): Access to Sexual Health Services

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RGPAS Conference Student Scholarships 2017

 

Twitter hashtag: #RGPAS17

Student workshop at RGPAS16

Things are heating up for this year’s RGPAS 2017 conference, to be held in Inverness on 2-4 November.  A full programme is planned, spanning a range of topics relevant to rural general practice.  Click here for the latest conference programme.

We are pleased to announce that following the success of student scholarships being offered for the last 3 years, we will once again be offering RGPAS Conference Student Scholarships.

Year on year we aim to build on feedback, including a session specifically for students and trainees which is being led by the current NES GP Rural Fellows – should be a great session.

Never have I been to a conference so friendly, so relaxed, and so full of life.

Read more in student Catherine Lawrence’s conference review

What’s on offer?

Student scholarships are available for a greatly reduced rate: £10 (reduced from £130) for the full programme – including the conference dinner with wine too!  We will also provide accommodation (bed & breakfast) for Thursday and Friday nights – shared twin room, same gender – of up to ten students who register for the event.

The cost of this is being funded from the RGPAS Educational Fund.  Income for this fund includes the proceeds of the donations made for advertising on RuralGP.com, our conference sponsors and other activities that RGPAS carries out to fundraise over the year.

Who’s eligible to apply?

You must be an undergraduate medical student at a UK university (intercalated, international and mature students welcome to apply).  We are keen to hear from any students who have an interest in general or rural practice.

How do I apply?

We want to hear your ideas!  We ask all scholarship applicants to record 60 seconds of audio or video, outlining your bright idea for the future of rural practice.  Is there a technological innovation that you think is untapped?  How do we use new clinical approaches to improve the care of our patients?  How do we improve the working lives of rural GPs and their colleagues?

 

 

Email us at hello@ruralgp.scot with the subject “Students #RGPAS17” along with your submission (a file, or even better a link to a Dropbox/YouTube/Vimeo movie, or Soundcloud audio) and the following details about yourself:

  • Your name
  • Your university
  • Contact address & mobile
  • If you require accommodation, and confirmation of whether this is required for both nights
  • Confirmation that you intend to attend the conference from Thursday lunchtime to Saturday lunchtime
  • Title of your submission
  • “I consent to my presentation being made available on RuralGP.com, RuralGP.scot and affiliated websites/social media”.

Closing date for applications is 15th September.  Successful applicants will be notified by the end of September at latest.  Those successful applicants will then be invited to register and make £10 payment using our online booking facility to secure their place.

Present your vision

We will be featuring a special session on the Friday afternoon of the conference, aimed to bring together students’ visions for the future of rural practice.  From those students who have received a scholarship, we will select several to present a short powerpoint presentation – of 20 slides each advancing after 20 seconds.  This format is often called ‘Pecha Kucha’ and there is a wealth of advice and tips on the internet about how to make a good Pecha Kucha presentation.

The format allows us to feature a number of short, snappy presentations of just over 6 minutes each, and give students and trainees a podium to share their views on the future of rural practice.  Slides can include text, but the more photos the better!  We will let you know if your ideas have been selected for presentation very soon after the deadline, and you can download a template powerpoint file here.

Any questions?  Email hello@ruralgp.scot

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Rural GPs Scotland (RGPAS) Conference 2017 – registration open

Realising Realistic Rural Medicine

Twitter hashtag: #RGPAS17

Click to visit www.RuralGP.scot

The annual RGPAS (Rural GP’s Association of Scotland) conference will be held on Thursday 2nd to Saturday 4th November 2017, at the Craigmonie Hotel in Inverness.

Once again, we hope to welcome both new and experienced rural health professionals, and we have a stimulating programme lined up to cover a wide spectrum of topics which are relevant to rural general practice in Scotland.  You can view information, statistics and feedback from previous conferences here.

This year, conference registrations should be made online.  Until September 1st, registration will be restricted for current RGPAS members.  After September 1st, registration will be open to all.

The cost of conference registration is £130, which includes catering (including Thursday lunch for RGPAS members attending the morning event), the conference dinner and wine on the Thursday evening.  There are no single-day tickets and we hope that this is seen as excellent value for a 2.5-3 day conference.

Trainees can register for £65 (half price), and students who are successful in achieving a student scholarship will be asked to pay a nominal £10 registration fee.

Accommodation should be booked directly with the Craigmonie Hotel (01463 231 649) – unless you wish to stay elsewhere – and special rates are available on mentioning that you are attending the RGPAS conference.

Click here for RGPAS 2017 Online Registration

Never have I been to a conference so friendly, so relaxed, and so full of life.


Programme

Thursday 2nd November 2017

This year, an RGPAS Members-Only meeting will be held on Thursday morning, to which all RGPAS members are invited.  Lunch will be served to attending members after this session, following which the main conference will open.

0930 Registration for RGPAS morning

1000 RGPAS members update :: Dr David Hogg (Chair, RGPAS)

1030 The Scottish Rural Medicine Collaborative :: Ralph Roberts (Chair, SRMC)

1100 The New GP Contract :: Dr Andrew Buist (Deputy Chair, BMA Scottish GP Committee)

1130 Open Discussion

1230 Lunch (provided to members attending above session)

Lunch for non-members can be organised with the Craigmonie Hotel by prior arrangement – please contact them directly.

1300 Main Conference Registration

1330 Main Conference Welcome & welcome to students :: Dr David Hogg & Dr Catherine Todd

GPs don’t do OOH any more do we? (Session Chair: Kate Dawson)

1345 BASICS Scotland Update :: Dr Ben Price (Assistant Medical Director, BASICS Scotland)

1415 NHS24: Challenges and Opportunities :: Dr Anna Lamont (Associate Medical Director, NHS 24) and Billy Togneri (Clinical Service Manager, NHS24)

1445 Sponsors’ Spot 10 mins each for Eden Medical, Head Medical and Novacor

1515 Coffee Break

1530 ScotSTAR: Update on Service Development :: Dr Drew Inglis (Associate Medical Director, ScotSTAR)

1600 The SAR helicopter service in Scotland: what has changed? :: Duncan Tripp (Winchman Paramedic, Bristow Search & Rescue)

1630 Open Discussion

1700 Rural LGBTQ+ :: Dr Thom O’Neill (Paediatric Clinical Research Fellow, Edinburgh) including update on latest RGPAS work

1740 The Echo Project :: Dr Jeremy Keen (Consultant in Palliative Medicine, The Highland Hospice)

1800 Finish

Dinner is included in the registration fee for all delegates. Dress is smart casual. Some limited tickets are available for partners or colleagues who wish to join us. Details soon.

1930 Conference Dinner at the Craigmonie Hotel

After Dinner Speaker: Tom Morton “The Rural Doctor’s Wife (!)”


Friday 3rd November

0815 Breakfast Mentoring Session (Students/New Doctors)

0900 Rural Emergency Medicine Update :: Dr Luke Regan (Emergency Physician, Raigmore Hospital)

0930 Remote Practice: Is it really reward without risk? Do patients sue rural doctors? :: Dr Gordon McDavid (Medicolegal Adviser, Medical Protection Society)

1000 Realising Rural Realistic Medicine in Remote Practice :: Dr Kath Jones (Clinical Director, NHS Highland North & West)

1030 Coffee

Unfortunately Dr Hal Maxwell is no longer able to attend the conference, and our EMRS colleagues have had to pull out of the programme due to work pressures, therefore the programme for Friday and Saturday mornings has been rejigged, with further changes to follow. Delegates will be updated with further details once available.

1100 Realistic Research:Why Every Rural GP Should Consider Research :: Prof Phil Wilson (Director, Centre for Rural Health, Inverness)

Parallel Session

  • 1145 Realistic Work/Life: Managing the chaos of family life and Rural GPing- finding your village :: Dr Alida MacGregor (Rural GP, Kyles Medical Centre, Tighnabruaich)
  • 1145 Realistic Collaboration: The Echo Project :: Dr Catherine Todd (GP, The Highland Hospice)

1230 Lunch

1330 Pecha Kucha Sessions

  • The PILL project :: Dr Richard Weekes (Rural GP, Ullapool & Additional Member, RGPAS Committee)
  • Scholarship Presentation: Rural WONCA Conference & Clinical Courage :: Dr David Hogg (Rural GP, Isle of Arran)
  • GURRMS Annual Student Conference :: Josephine Bellhouse (Medical Student & Secretary, Glasgow University Remote & Rural Medicine Society)
  • Scholarship Presentation: Journey to Mexico :: Dr Mark Aquilina (Rural GP, Lochgoilhead & Shetland)
  • Selected Student Scholarship presentations

1430 Coffee

1500 AGM – all welcome – agenda items to Dr Susan Bowie (Secretary) by 24th October

1730 Finish

1930 Dinner in Inverness (Shapla Restaurant – TBC)


Saturday 4th November

0930 Looking Forward

(Updated: 22/10/17) In replacement of the EMRS clinical update session, we are delighted to run a session dedicated to GP mentoring, dealing with the stresses of practice, and steps to developing a peer-support or co-mentoring network within RGPAS.  We will also be exploring other ‘next steps’ for RGPAS too.  Full details about this session will be released very soon.

  • Workshop: Challenges of Practice: Building Support Networks :: Dr Susan Bowie (Rural GP, Shetland) and Dr Kate Dawson (Rural GP, Benbecula)
  • How can we help you? :: Aly Dickson (Trustee, The Sandpiper Trust)
  • Next Steps :: David Hogg (Chair, RGPAS)

0930 Visit to Bristow Search & Rescue Helicopter Base, Dalcross, Inverness Airport

Transport leaves Craigmonie Hotel sharp at 0930.  This session is aimed at students and trainees, however if rural GPs wish to attend this, we will endeavour to meet demand for this.

1230 Conference Close

If you wish to book lunch directly with the hotel, please contact reception staff.

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RCGP set to hold #RuralGPchat on Wed 26th July 8-9pm

The Royal College of General Practitioners (RCGP) is set to hold a ‘Twitter chat’ about rural general practice – aimed to highlight and discuss the key issues regarding rural general practice in the UK.

You can join the discussion on Twitter on Wednesday 26th July at 8-9pm.

#RuralGPchat

Calling all rural GPs and HCPs, plus patients who receive care through rural general practice – join our #RuralGPchat on…

Posted by Royal College of General Practitioners on Monday, 24 July 2017

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What matters in remote & rural practice? Your input requested…

RuralGP.com has just received this request from Elizabeth, who is seeking contributions to research that she is carrying out into the needs of remote & rural practice in Scotland.  If you are able to assist, please contact Elizabeth directly…

My name is Elizabeth Lemmon, I am a PhD student based at the University of Stirling and currently undertaking an internship at the Scottish Government within the Health and Social Care Analysis Team. The aim of the internship is to carry out some research into remote and rural general practice in Scotland in an attempt to better characterise them in terms of their activities and the challenges they face. I’m currently pulling together data which are publicly available on general practices to improve the evidence base and identify where further data analysis are needed.

I am contacting you to ask if anyone would be interested in sharing their experiences within remote and rural general practice and highlight any areas which you feel are priorities or which need further research?

I understand that there is currently work taking place within the Scottish Government on the Primary Care Evidence Collaborative which is developing a 10-year evaluation framework for primary care transformation. The work I will be doing during my internship on remote and rural practices will help to identify priorities for data, research and analysis and ensure that rural issues are included.

Any feedback is much appreciated!

Elizabeth Lemmon
Scottish Graduate School of Social Science Intern
Health and Social Care Analysis
Scottish Government
Email: Elizabeth.Lemmon@gov.scot
T: 0131 244 3469

 

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What are green lights all about?

Flashing green lights are rarely seen in cities, but they are part of an important emergency response to rural areas.  In this article we highlight the use of green lights in the provision of prehospital and other health care in Scotland.

Please help us by sharing this article with others who may be visiting rural Scotland this summer.

You’re enjoying the amazing scenery to be found on the North Coast 500 route around northern Scotland.  Behind you, you notice a car with a flashing green light.  What does this mean?…

  1. it’s a funeral director attending a sudden death
  2. it’s a vet attending an emergency
  3. it’s a doctor attending a medical emergency
  4. it’s a fashion statement

The answer is 3.

We’ve written this article as a number of our members have highlighted increasing difficulties getting to emergency calls as other road users can seem unaware of the meaning of green lights.  As we head into another busy summer to welcome tourists and visitors to Scotland’s rural countryside and islands, we thought we might provide some information about the meaning of green lights.

The NC500 (North Coast 500) seems to have particular issues – perhaps as it has experienced a significant increase in the number of people travelling along its roads, who aren’t used to driving in rural/remote Scotland.  Here’s what one of our members recently described…

The NC500 is becoming a significant concern, in particular with groups of cars travelling nose to tail in convoy and not appreciating that they will not all fit into one passing place. This as I’m sure you can imagine causes complete gridlock. Thankfully we have very few emergency calls ourselves but both of us have experienced difficulty getting past slow traffic in recent weeks despite using green lights.

My particular one was a very urgent call to **** (young man, cardiac arrest, we were told, so you can imagine how keen I was to get there safely but as soon as possible). I found myself behind a group of 3 open top sports cars. On open road they were going fast enough for me not to need past but I could see that as soon as we reached a narrow section there would be a problem. Indeed at the first passing place they couldn’t all get in, and ended up with a prolonged negotiation with a large campervan not wanting to reverse.

I had green dashboard lights on and also tooted and flashed my lights, hoping they would stay where they were and let me pass once the campervan was away, but all I got was rude gestures in the air, and they moved off very slowly, continuing in very close convoy. I assume (hope?) that they did not notice the green lights or did not know what they meant but there are other similar tales which I’m afraid make me wonder.

Spot the Sandpiper responder? They work with all other emergency personnel, including ambulance, fire, police, lifeboat and mountain rescue teams. (Staged simulation – pic by Chris Hogge).

Across Scotland’s rural landscape, the Scottish Ambulance Service rely on over 500 volunteers (probably a lot more) to augment its emergency service.  As well as First Responders (local community members trained up to use a defib, oxygen, administer CPR and deliver vital emergency care to heart attack and other seriously ill patients), there are Sandpiper BASICS doctors, nurses and paramedics who make themselves available – including in their own time – to attend road accidents, cardiac arrests, seizures and lots of other medical emergencies.  Sometimes they will be requested to attend by the ambulance service directly, or they decide to attend a patient after a phone assessment or having been informed by another community member.  We work closely with our local ambulance crews, and national services such as Helimed, the Emergency Medical Retrieval Service and Coastguard helicopters.

Green flashing lights are permitted in law – The Road Vehicles Lighting Regulations 1989 s 11 (2)(m) – to be used as “a warning beacon fitted to a vehicle used by a medical practitioner registered by the General Medical Council (whether with full, provisional or limited registration)”.  They do not permit drivers to be exempt from any road traffic laws, but serve as an important means of making other drivers aware that a doctor is on their way to an emergency call.  In rural areas – where traffic lights, 30mph speed limits and other restrictions are less frequent – it can make a significant difference if a clear passage can be enabled for doctors to attend emergencies as soon as possible.

Lights are usually only used in life-or-limb threatening situations – when time is of the essence.  Rural areas normally experience longer ambulance response times.  This is partly due to longer distances being travelled due to geography.  However many islands in Scotland have only one or two ambulances (which are normally also used for patient transport too) – so if they are unavailable, or if there are multiple casualties at an incident, a local GP, nurse or off-duty paramedic is often asked to assist.

So what should I do?

As with assisting any emergency vehicle with their progress, there is no need for erratic action.  However, it makes a significant difference to pull over safely, and allow a car behind you to get through.  If you see a doctor’s car approaching, plan ahead where possible to ‘create space’ in the road for them to pass other users, and use passing places on single track roads.  Please don’t stop on corners however, as this is a dangerous place to overtake, unless there is a clear view of the road ahead.

If it’s not safe to allow the car to pass, then don’t worry – just wait until the next suitable opportunity to pull over and let the vehicle past.

What about other responders?

The law allows only registered medical practitioners (doctors) to use green lights.  However rural areas rely on lots of voluntary responders – including lifeboat crews, mountain rescue teams and coastguard teams.  Team vehicles are often permitted to use blue lights and sirens.  Some volunteers will make themselves more visible by wearing emergency clothing en route, or by using sun-visor signs that should be visible in your rear-view mirror.

Often, they will be the first responder on scene for some time, particularly if the nearby ambulance is already busy.  Please do what you can to allow these essential services to make good progress through traffic – it could be you or your family who need their assistance the next time!

Where can I learn more?

To learn more about the role of Sandpiper BASICS responders, and of Community First Responders, watch the videos below.  Here are some links to the organisations mentioned above:

Finally, here’s two stories about where a fast local voluntary response made a significant difference…

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BASICS Scotland Adult Tele-education Course Starts 28th August 2017

BASICS Scotland would like to announce the dates for the next Adult Tele-education Course, presented by Karyn Webster. This 10 week course will start on Monday the 28th August and run for 10 weeks with a 2-week break in October.

Tele-education by BASICS Scotland is an online learning resource ideal for remote and rural practitioners eager to reinforce and develop their skills in pre-hospital emergency care. The benefit of Tele-education is that participants can take part without having to leave their home or place of work. The course is delivered entirely over the web, with weekly 1-hour live sessions in a video conferencing format which participants can attend or view the recordings later at a time more convenient for them!

Topics on this course include:

  • Allergy & Anaphylaxis
  • Asthma
  • LVF – Adult Pneumonia
  • Stroke & TIA
  • Chest Pain & Thrombolysis
  • Head Injury
  • ENT Emergencies
  • Wounds
  • Burns & Tetanus
  • Pain Relief
  • Seizures

If you are interested in taking part in this course or would like more information head over to the BASICS Scotland website and complete an application form today!

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New Edinburgh University Remote & Rural Medicine Society!

Kirsty Reid, who is a medical student in Edinburgh and newly-appointed President of EURRMS has written this to highlight the work being done at Edinburgh University to engage with RGPAS and other opportunities for undergrads in Scottish rural medicine…

It is my pleasure to introduce the first Edinburgh University Remote & Rural Medicine Society! We are a new student society here in Edinburgh with the aim to promote remote and rural medicine.

We hope to hold talks and workshops from remote and rural medics and surgeons, encourage Edinburgh students to attend next year’s undergraduate conference and help to promote medicine as a career option in remote and rural schools, among other goals. We have lots of ideas and are keen to hear any suggestions or advice!

If you would like to get in touch, please do not hesitate to contact myself or Iwan Williams via email. If you would like to hear about what we are getting up to, please visit our Facebook page which will be updated as we start back next term.

Kirsty Reid
EURRMS President
Email: s0700316@sms.ed.ac.uk

Iwan Williams
EURRMS Vice President
Email: s1206781@sms.ed.ac.uk

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