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‘When less is more’ explores the benefits of ‘less’ through: deprescribing, reducing low-value care, using narrative approaches in medically unexplained symptoms, and embracing uncertainty.
Clinical
This article seeks to define these terms, highlight some common examples and provide an approach to navigating clinical encounters where patients present for healthcare.
Professional
This paper reviews how uncertainty affects general practice and describes how models of decision making can be applied in this setting.
The aim of this article is to explore when and how to use shared decision making in consultations, and to increase awareness of the role of simple tools to support it.
This article outlines strategies for embedding deprescribing into routine GP workflows, drawing on deprescribing guidelines, conversation frameworks and more.
This paper describes common illness narratives and how they are used by doctors and patients to make sense of symptoms. It also explores how alternative narratives can be used to empower people.
Research
The impact of health information from social media on general practice consultations remains largely unknown. This study investigates GP management of such encounters.
This paper critically appraises the evidence for continuing antidepressants long-term (>12 months).
AJGP for your CPD
These questions are based on the Focus articles in this issue.
Editorial
Central to the practice of ‘less’ is the skilful management of uncertainty.
Letters
Readers express their opinions on published articles and topics of interest.
The aim is to develop a proposed clinical muscle health monitoring and management algorithm for use by healthcare professionals to identify patients with or at-risk for poor muscle health.
This article aims to equip GPs with an understanding of voluntary assisted dying in the Australian context.
Case study
A case presentation of a patient concerned about a lesion on their right nasal ala that had been present for 2 years and was bleeding intermittently.
A case presentation of a female child who presented with an intractable pruritic eruption of the lower limbs associated with bullae and severe excoriations.
A case presentation of a patient suffering headaches that first appeared in her late teenage years. Left-sided throbbing pain, with a visual aura of scotomas occurring prior was being experienced.
This study evaluates allergic rhinitis referrals to the Cairns Hospital Paediatric Allergy Clinic and assesses the impact of a quality improvement project on referral patterns.
GPs’ confidence in caring for adolescents is explored using data from a randomised controlled trial of an adolescent health assessment.
The aim of this study was to understand novice Australian GP researcher career pathways, and training sector’s recommendations for developing general practice registrar research knowledge and skills.
Part 3 of the Medical Certificate of Cause of Death series investigates the special situations and considerations that can arise as part of the process of completing a death certificate.
This paper examines how AI tools could augment GP-led mental health services by improving access and personalisation of care, while highlighting the central role of GPs in assessment and continuity.
Book review
Readers express their thoughts on books they have reviewed for AJGP.