Academic specialty trainee year four general practice posts provide an opportunity for GP registrars to develop academic skills. The two posts based in the Department of Primary Care & Public Health at Imperial College offer five sessions in a local general practice (four clinical, one non-clinical) and five academic sessions. You can read the views of two of our recent Academic ST4 doctors in two articles published in the BMJ Careers Focus. The first article describes the scheme and the second article describes Amanda Allen's and Anna Whiteford's experience of their time in the ST4 post.
Resources on brief physical activity guidance for older adults in isolation for patients and clinicians Giving Older Adults Brief Physical Activity Advice. Given current clinical pressures, clinicians dealing with older adults will likely have limited time, and this adapted 3As model may provide a possible structure to clinician’s advice. Ask: Permission to discuss physical activity as something that could make a difference to health and wellbeing Advise /Explain/Explore: Ask how they physical activity levels have changed and what they could do to increase it? Agree: A plan considering what they will do, how they will do it. Try to ensure that it includes some cardiovascular, muscle and bone strengthening activities including resistance exercises, balance and co-ordination elements to the plan. Cardiovascular : Ideally the individual should be slightly out of breath when performing the activity. Aim to build to 150 minutes
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General medicine | healthcare consultants