CLINICAL PRACTICE · MEDICAL EDUCATION · RESEARCH · REFLECTION
Notes from practice, teaching and research.
I’m Antony Willman, a general practitioner, medical educator and primary care researcher. This is where I share evidence, educational resources and reflections on the work of medicine.
Latest writing
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Movement Through the Perimenopause: Why How We Exercise Matters
A common areas of discussion when talking to women about the perimenopause is what sort of exercise should I be doing now? It is an important subject. The perimenopause is a time of significant hormonal, physical and psychological change, yet advice about physical activity is…
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PBSGL, peer support and resilience.
Looking Back: Evaluating PBSGL in Salisbury Plain (2017) As we timetable the 100th meeting of the Salisbury Plain PBSGL group, it feels timely to revisit my first formal evaluation of the group, undertaken in 2017. At that point, PBSGL was already well established locally, but…
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Making Sense of Progestogens in HRT: What I Learned When I Went Back to the Evidence
One of the areas I have found most challenging in menopause care is choosing the right progestogen. Not because options are lacking — but because there are several, each with subtly different properties, and the differences are often poorly explained in everyday practice. I realised…
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Prostate Screening – an update
Roobol MJ, de Vos II, Månsson M, Godtman RA, Talala KM, den Hond E, et al. European Study of Prostate Cancer Screening – 23-Year Follow-up. N Engl J Med. 2025 Oct 30;393(17):1669–80. Long-Term Outcomes of PSA ScreeningThis paper caught my eye while reading a summary…
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Putting up with the Perimenopause
Peters et al., 2025 – “Just Put Up With It: Women’s Experiences of Perimenopause and Menopause” (J Adv Nurs) Back in 2021, myself and my brilliant colleague, Kate King, undertook some research looking at the experiences of servicewomen who were suffering from symptoms of the…
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Supporting Women Before, During and After Pregnancy: Helpful Resources for Professionals and Families
I’ve updated some of the perinatal resources I’ve been collecting to include the following (look under the ‘resources’ tab in the menu). The aim is to have these in one location for sharing to patients or to healthcare professional colleagues for onward dissemination. I hope…
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Enhanced Glucose Processing in Gestational Diabetes: Shifting the Diagnostic Landscape
Jones DL, Kusinski LC, Barker P, Burling K, Halsall I, Turner E, et al. Enhanced glucose processing in gestational diabetes diagnosis: Effects on health equity and clinical outcomes. Diabet Med. 2024 Dec 17;e15476. The diagnosis of gestational diabetes mellitus (GDM) has always been a fraught…
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Making Sense of the PCA Model: Turning Problem Cases into Learning Opportunities
Clinical learning rarely follows a neat script. More often it emerges from the difficult cases – the ones that unsettle us, challenge our assumptions, and force us to rethink how we practise. Years ago, we developed a Problem Case Analysis (PCA) model during a GP…
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Decoding Depression: How Hormones Shape Mental Health Through Menopause
Chirinos DA, Yin Z, Schreiner PJ, Appiah D, Wellons MF, Lewis CE, et al. Trajectories of depressive symptoms in a population-based cohort of Black and White women from late reproductive age through the menopause transition: a 30-year analysis. Menopause. 2024;31(12). https://journals.lww.com/menopausejournal/abstract/2024/12000/trajectories_of_depressive_symptoms_in_a.3.aspx?context=latestarticles The menopause transition, or…
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