1. O’Reilly J, Jones MM, Parnham J, et al. Management of stable chronic obstructive pulmonary
disease in primary and secondary care: summary of updated NICE guidance. BMJ 2010; …

I very much appreciate the article by Harris and colleges flagging up the topic of reflection in
NHS appraisal and the negative experience and feedback on reflective writing. 1 Reflective …

I very much appreciate the article by Jochen et al. 1 Evidence–based physical examination
and an accurate history taking can lead in up to 77-90% of cases to a patient’s diagnosis, 2 …

I do appreciated the article" Diagnosing and managing carpal tunnel syndrome in primary
care" by CL. Burton. Carpal tunnel syndrome is a common problem, which we encounter …

I very much agree with Harish Thampy, that we should promote teaching opportunities in the
general practice setting not only for GP registrars, who might be able to teach old dogs new …

We agree with Gommans et al that the main evaluation of effectiveness should rely on
intention-to-treat analysis. 1 Accordingly, the results in the discussion section of the article are …

We agree with Gommans et al that the main evaluation of effectiveness should rely on
intention-to-treat analysis. 1 Accordingly, the results in the discussion section of the article are …

In a primary care consultation 88% of all diagnosis are established by the end of the initial
history taking and the physical examination. 1 The clinical signs and symptoms established …

Pulmonary embolus is one of the most common cardiovascular diseases. In the UK, 47,594
cases were reported in the 1-year period between 2013 and 2014. 1 The symptoms of …

The UK National Screening Committee has not recommended systematic population screening
for atrial fibrillation. But, for those who can afford it, access to ECG screening for atrial …