Domhnall MacAuleyis a CMAJ Associate Editor and a professor of primary care in Northern Ireland, UK
Was I wrong!
Pioneering Professional Practice doesn’t sound like the most stimulating title of a Plenary Address but Helen Stokes-Lampard, Chair of the UK's Royal College of General Practitioners (RCGP) Council, gave an uplifting, encouraging and inspiring address on the topic on day 2 of the SAPC ASM 2017. Helen encouraged us all to rediscover the joy and sparkle of general practice despite poor morale, a constant feeling of being under siege, and increasing resource limitations in the profession. I liked her analogy that primary care, secondary care and social care were interdependent and need to be together- a three legged stool that depended on all three components to remain stable. ...continue reading →
Geoffrey Mitchell is Professorof General Practice and Palliative care at the University of Queensland in Brisbane, Australia
The developed world is experiencing a dramatic shift in its demographics, with rapidly increasing proportions of older people. By 2050, many countries will have over 30% of their citizens aged 60 or over. With this comes a quantum increase in the proportion of people with chronic and complex diseases, and of deaths. Most people who die are old. Most people will die of conditions with a period where death can be anticipated, rather than by a sudden event. Dying over time also brings complex psychosocial and spiritual needs – as Samuel Johnson once said – impending death concentrates the mind wonderfully! ...continue reading →
Dr. Ken Flegel, senior editor for CMAJ, interviews Dr. Finlay McAlister, Professor of Internal Medicine at the University of Alberta and Assistant Director of the Epicore Centre. In a CMAJ research article, Dr. McAlister and colleagues followed 495 patients and found that frail patients are twice as likely to be readmitted or die within 30 days after discharge. The authors suggest that the Clinical Frailty Scale could be useful in identifying high-risk patients being discharged from medical wards.