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Intended for Healthcare Professionals
British Journal of General Practice

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Clinical Practice

Improving clinical practice over the years: exploring the Journal archive

Euan Lawson and Nada Khan
British Journal of General Practice 2023; 73 (734): 428-429. DOI: https://doi.org/10.3399/bjgp23X734949
Euan Lawson
British Journal of General Practice, London; senior clinical lecturer in general practice, Faculty of Health and Medicine, Lancaster University, Lancaster.
FRCGP
Roles: Editor
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Nada Khan
British Journal of General Practice, London; National Institute for Health and Care Research Academic Clinical Fellow in general practice and GPST4/registrar, University of Exeter, Exeter.
MSc, DPhil, MBBS
Roles: Associate editor
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On the 70th birthday of the BJGP we took a dive back into the archive to get a feel for how GPs were guided by the Journal over past decades in their daily clinical practice. Some of the advice was linked to published research, throwing light on a previously unknown area, but clinical guidance appeared intermittently, dating back to the ‘Clinical Notes’ section of the 1950s. Here are some that caught our eye.

COMMUNITY RESEARCH ON SCABIES

In 1959 the Journal reported on 200 cases of scabies.1 It’s a fine example of some relatively simple, though certainly diligent, community research (Figure 1). Until then scabies had been characterised as a disease of the ‘dirty’. The GPs noted the locations of the lesions on the body and made a judgement on the cleanliness of the individual’s home. Only 7.5% had lesions confined to the hands and wrists. They noted that a ‘different class of patient’ was being attacked and that scabies should be considered more often in cases of intractable itching — which remains sound advice. Interestingly, the epidemiology of scabies in the UK is still poorly understood and the UK Health Security Agency has published guidance on its management in long-term care settings.2

Figure 1.

Hand-drawn graphs were used in this 1959 paper — this one …

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British Journal of General Practice: 73 (734)
British Journal of General Practice
Vol. 73, Issue 734
September 2023
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Improving clinical practice over the years: exploring the Journal archive
Euan Lawson, Nada Khan
British Journal of General Practice 2023; 73 (734): 428-429. DOI: 10.3399/bjgp23X734949

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Improving clinical practice over the years: exploring the Journal archive
Euan Lawson, Nada Khan
British Journal of General Practice 2023; 73 (734): 428-429. DOI: 10.3399/bjgp23X734949
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  • Article
    • COMMUNITY RESEARCH ON SCABIES
    • CHARTING THE ‘PERFECT’ AND NOT-SO-PERFECT CYCLES
    • A TRAGEDY AND THE BENEFIT OF HINDSIGHT
    • THE PROBLEMS OF SEX IN GENERAL PRACTICE
    • THE EVOLUTION OF PSYCHOSOMATIC DISORDERS IN GENERAL PRACTICE
    • THE INDIVIDUAL AT THE CENTRE: A CONSTANT FOR 70 YEARS
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More in this TOC Section

  • Childhood bone tumours in primary care: helping GPs to identify ‘the needle in the haystack’
  • Prescribing hormone replacement therapy: key considerations for primary care physicians
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