CPD frameworks
These frameworks, associated with all articles, prompt drafting of personal learning, reflection and planning.
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Fillable PDF frameworks
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Word frameworks - for reflective practice
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Reflection on a journal article
Stages of reflection on a situation
Reflection of a team, practice or group
External reference on reflection
Reflective practice in health care and how to reflect effectively
Koshy K, Limb C et al. International Journal of Surgical Oncology. 2017 2:e20
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Case report submission
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Symposium articles
Each month there is a themed symposium in The Practitioner. The articles are written by specialists and a named GP adviser reviews the articles to ensure their relevance to general practice and to select material that is highlighted in a key points panel. Every year the following specialties are featured in symposia:
• Care of the elderly • Renal medicine • Women's health • Men's health • Psychiatry • Paediatrics • Gastroenterology • Neurology • Cardiovascular medicine • Respiratory medicine • Musculoskeletal medicine

Improving the management of chronic asthma in children
21 Dec 2020
There is no gold standard test to diagnose asthma. As a result, overdiagnosis and underdiagnosis are common especially when relying on history and clinical examination alone. Spirometry and bronchodilator reversibility testing are particularly useful when a child aged 5 years or older is brought to the practice with symptoms. The validated Asthma Control Test for children aged 12 years and over and the Children’s Asthma Control Test for children aged 4-11 years should be used to assess current asthma control based on four-week recall. Asthma control test scores correlate poorly with lung function and measures of airway inflammation such as FeNO in children and should not be used in isolation.

Diagnosis and management of malignant pleural mesothelioma
21 Dec 2020
Mesothelioma accounts for less than 1% of all cancers in England, Wales and Northern Ireland. There are almost 2,500 new diagnoses a year, of which 96% are pleural. The median age at diagnosis for malignant pleural mesothelioma (MPM) is 76 years. The majority of cases occur in men, most commonly following occupational exposure to asbestos. There is a latent period, usually 30-40 years, between exposure and disease development. A chest X-ray is usually the first-line investigation; 94% of patients with MPM have a unilateral pleural effusion, although the chest X-ray may be normal or show another asbestos-related lung disease.