Dipesh Gopal Profile picture
Aug 30, 2021 9 tweets 9 min read Read on X
Excited to be at @AMEE_Online at this workshop on teaching students during remote consultations @RoaaUK @Dr_UmarChaudhry

#AMEE2021
Interesting discussion about what students felt about remote consultations: @AcademicGP

ethics of consenting patients
usefulness for OSCEs
higher clinical risk so less exposure to them
⬆️ growth of verbal cues
⬇️ growth of gut feeling

#AMEE2021
Unsurprisingly @trishgreenhalgh @ejosipcar @bmj_latest paper about remote consultations in primary care was mentioned: bmj.com/content/368/bm…

#AMEE2021
@RoaaUK discusses how we can engage students before, during and after remote consultations such as listening for:

red flags
the clinician agenda
differential diagnosis
alternate management plans
appropriate online resources for patients

#AMEE2021
Great step by step guide for remote consultations for anyone training: each.international/wp-content/upl…

#AMEE2021
Discovering more papers from @bmj_latest

@ejosipcar about mobile messaging guidance for healthcare professionls: bmj.com/content/368/bm…

#AMEE2021
And responding to written online consultations, e-consult from @MinalBakhai @H_Atherton in @bmj_latest: bmj.com/content/bmj/37…

#AMEE2021
Great top tips for teaching during remote consultations.

Thank you @RoaaUK @Dr_UmarChaudhry Judith Ibison, Angela Kubacki, Laura Yalley-Ogunro

#AMEE2021

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More from @DipeshGopal

Jun 14, 2023
🧵 THREAD about long COVID and experience of people from ethnic minority backgrounds

We present our stakeholder event findings:
blog.westminster.ac.uk/hicovestudy/hi…

@Dr2NisreenAlwan @damienridge @TomKingstone @EthnicHealthRes @profhelenward @LongCovidOrg @LongCovidAdvoc Ashish from the patient adv...
We interviewed 30 participants about their experiences of living with Long Covid: blog.westminster.ac.uk/hicovestudy/

15 men and 15 women from different, ethnic minority backgrounds, from occupational and social backgrounds, and different parts of England.
@GwynneMP Labour MP, and Shadow Minister for Health and Social Care stressed the importance of supportive and sensitive employers supporting people with Long Covid back to and in work: blog.westminster.ac.uk/hicovestudy/hi…

See workplace support here: fom.ac.uk/wp-content/upl… Andrew Gwynne MP "Havi...
Read 12 tweets
May 14, 2023
🧵 THREAD on psychology, cancer and ethnic minority health and our theory of 'affective relationality': journals.plos.org/plosone/articl…

* it was psychological as well as physical activity / work support too if needed. See @SURECANstudy: surecanstudy.qmul.ac.uk

@damienridge How would you adapt a psych...
It took 10 researchers, across 5 institutions, 5 years.

So how long would it have taken 1 reseacher ... probably 250 years? 😂

@QMUL_WIPH @KingsIoPPN @UniWestminster @OxPsychiatry @portsmouthuni
Read 19 tweets
May 8, 2023
🧵 THREAD - on trauma / trauma-informed care (TW)

@Dr_Manuela_ @danielnbutler @dodghq @nigelhart @drgkearney @dnblane and I wrote in @BJGPjournal about trauma and trauma-informed care: bjgp.org/content/73/730… ‘After trauma the world is ...
❓What is trauma?

💡Trauma is defined as an event (or series of events) that has long-lasting negative impacts on a person’s physical, mental, or emotional/social wellbeing after the event has ended.

From @samhsagov: store.samhsa.gov/product/SAMHSA…
❓Is trauma just an extreme version of stress?

💡 Trauma occurs after the experience whereas stress
is confined to the experience alone.
Read 24 tweets
Jul 23, 2022
Debunking this Telegraph article from it's source, and it's theory (some of the data is sound tbf, but the analysis is wrong) 🧵

The article authors all seem to think that healthcare is fully responsible for/creates health which is wrong.

Article ⬇️ UK’s ‘runaway’ health spending costs £10k per househoIt shows where patients are most likely to face a long wait This was the largest increase of all 19 comparable countriesPoliticians should ‘face up to the reality’ Tim Knox, th
1/

The article cites 'research' but really it's a bizarre ranking exercise with lots of missing data: civitas.org.uk/publications/i…
2/

Is this a limitation or manipulation of the data?

So much of the data is missing and the UK conveniently ranks bottom for so many things. Summary of rankings of different health outcomes - life expe
Read 14 tweets
Jul 7, 2022
I've been thinking about legacy for a while now.

Not being able to thank the founders of @sapcacuk which started 50 years ago for creating the amazing platform for primary care research is heartbreaking.

This is my journey: people who helped me in my career 🧵
At @BSMSMedSchool I had a fantastic mentor @deffley_paul back in 2009 who showed me what General Practice is and really inspired me...that I could do the job and make a difference. I still think you can.

@zoeschaedel confirmed that GP was for me in my final year of med school.
Initially in researching a career in primary care research I looked online in 2011

@tony_kendrick wrote in @bmjcareers: bmj.com/content/337/bm…

@clarejtaylor @gregjirving wrote in @RCGP_InnovAiT: journals.sagepub.com/doi/abs/10.109…

I emailed them with replies in hrs inc @HelenStokesLam
Read 13 tweets
Jul 6, 2022
Prof Hugh Alberti tells us about @SophieParkUCL and colleagues' seminal work about the role of the GP as a clinical teacher on undergraduate placement: tandfonline.com/doi/full/10.31…

#sapcasm
@SophieParkUCL GPs teach A LOT! Prof Alberti asks perhaps what could GPs not cover?!

@EPC_Journal: tandfonline.com/doi/full/10.10…

#sapcasm #ASME2022 Table 1. Number of medical schools teaching RCGP provisionalTable 2.  Number of medical schools teaching additional topi
Discussion about general practice not being an attractive career option reminded me of @ValWassRCGP @SimonDGregory Dr Katie Petty-Saphon seminal work @ukmedschools: medschools.ac.uk/media/2881/by-…

#sapcasm #asme2022 By choice - not by chance, supporting medical students towar
Read 4 tweets

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