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 often vague or overly simplified. The evidence suggests something more … Continue reading Movement Through the Perimenopause: Why How We Exercise Matters
Category: Medical Education
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 there had been little structured examination of its educational or … Continue reading PBSGL, peer support and resilience.
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 I was not as clear as I wanted to be … Continue reading Making Sense of Progestogens in HRT: What I Learned When I Went Back to the Evidence
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 in one of the broadsheets. Also, being a man of … Continue reading Prostate Screening – an update
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 perimenopause. Although this was a cross-sectional survey, with all its … Continue reading Putting up with the Perimenopause
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 Trainers ‘retreat’ in Germany. It provided a structured approach to … Continue reading Making Sense of the PCA Model: Turning Problem Cases into Learning Opportunities
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 perimenopause (PMP) is often framed as an important period for … Continue reading Decoding Depression: How Hormones Shape Mental Health Through Menopause
Understanding the Link Between Obesity and Respiratory Infections
Maccioni L, Weber S, Elgizouli M, Stoehlker AS, Geist I, Peter HH, et al. Obesity and risk of respiratory tract infections: results of an infection-diary based cohort study. BMC Public Health. 2018 Feb 20;18(1):271. Another PUN/DEN for me as I knew there was a link, but couldn’t cite any particular evidence. I knew about various … Continue reading Understanding the Link Between Obesity and Respiratory Infections
Ugly black skin lesion causes alarm
I have been trying to explain to bemused friends and acquaintances why, at my own expense (*), I recently travelled to Argentina and back to be at a …Ugly black skin lesion causes alarm
Trends in Primary Care Workload
de Dumast L, Moore P, Snell KIE, Marshall T. Trends in clinical workload in UK primary care 2005–2019: a retrospective cohort study. Br J Gen Pract. 2024 Apr 15;BJGP.2023.0527. This study explored the changing workload in UK general practice between 2005 and 2019, focusing on consulting rates and consultation durations for GPs and practice … Continue reading Trends in Primary Care Workload
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