"A sessional GP therefore is any GP working as a locum GP or as a salaried GP, and also includes GPs on the returner scheme, and GP retainees. A locum, is a fully qualified general practitioner who does not have a standard employment contract with the primary care health centre where they work. They are paid by the session, as a difference to the other two types of contractual relationship in a GP practice, salaried GPs and GP partners. Locum GPs are often self-employed professionals, therefore not entitled to sick leave, holiday pay or redundancy compensation. They obtain work by"
"General practitioner In the medical profession, a general practitioner (GP) is a medical doctor who treats acute and chronic illnesses and provides preventive care and health education to patients. A general practitioner manages types of illness that present in an undifferentiated way at an early stage of development, which may require urgent intervention. The holistic approach of general practice aims to take into consideration the biological, psychological, and social factors relevant to the care of each patient's illness. Their duties are not confined to specific organs of the body, and they have particular skills in treating people with multiple health"
"(international medical graduates (IMGs)). General practitioner In the medical profession, a general practitioner (GP) is a medical doctor who treats acute and chronic illnesses and provides preventive care and health education to patients. A general practitioner manages types of illness that present in an undifferentiated way at an early stage of development, which may require urgent intervention. The holistic approach of general practice aims to take into consideration the biological, psychological, and social factors relevant to the care of each patient's illness. Their duties are not confined to specific organs of the body, and they have particular skills in treating"
"emergency care, the delivery of babies, community hospital care and performing low-complexity surgical procedures. In some healthcare systems GPs work in primary care centers where they play a central role in the healthcare team, while in other models of care GPs can work as single-handed practitioners. The term ""general practitioner"" or ""GP"" is common in the UK, Republic of Ireland, and several Commonwealth countries. In these countries the word ""physician"" is largely reserved for certain other types of medical specialists, notably in internal medicine. While in these countries, the term GP has a clearly defined meaning, in North America the"
"Medicare Physician Group Practice (PGP) Demonstration The Medicare Physician Group Practice (PGP) demonstration is Medicare's first physician pay-for-performance (P4P) initiative. The demonstration establishes incentives for quality improvement and cost efficiency. Ten large physician groups are participating in the demonstration, which started on April 1, 2005, and will run for 3 years. Previous funding arrangements, like the volume performance standard (VPS) and the sustainable growth rate (SGR) did not provide incentives to slow the growth of services. The Medicare PGP demonstration is an attempt to overcome these limitations. Section 412 of the Medicare, Medicaid, and SCHIP Benefits Improvement and Protection Act"
"P-glycoprotein P-glycoprotein 1 (permeability glycoprotein, abbreviated as P-gp or Pgp) also known as multidrug resistance protein 1 (MDR1) or ATP-binding cassette sub-family B member 1 (ABCB1) or cluster of differentiation 243 (CD243) is an important protein of the cell membrane that pumps many foreign substances out of cells. More formally, it is an ATP-dependent efflux pump with broad substrate specificity. It exists in animals, fungi and bacteria and likely evolved as a defense mechanism against harmful substances. P-gp is extensively distributed and expressed in the intestinal epithelium where it pumps xenobiotics (such as toxins or drugs) back into the intestinal"
"Royal College of General Practitioners The Royal College of General Practitioners (RCGP) is the professional body for general (medical) practitioners (GPs/Family Physicians/Primary Care Physicians) in the United Kingdom. The RCGP represents and supports GPs on key issues including licensing, education, training, research and clinical standards. It is the largest of the medical royal colleges, with over 50,000 members. The RCGP was founded in 1952 in London, England and is a registered charity. Its motto is ""Cum Scientia Caritas"" – ""Compassion [empowered] with Knowledge."" The RCGP is unique amongst the medical royal colleges in having both a President and a Chairman."
"the liver, gut and heart) appears to be small. Although polymorphisms and haplotypes of ""ABCB1"" have been associated with alterations in drug disposition and drug response, including adverse events with various ABCB1 substrates in different ethnic populations, the results have been majorly conflicting, with limited clinical relevance."" P-gp is a 170 kDa transmembrane glycoprotein, which includes 10-15 kDa of N-terminal glycosylation. The N-terminal half of the molecule contains 6 transmembrane domains, followed by a large cytoplasmic domain with an ATP-binding site, and then a second section with 6 transmembrane domains and an ATP-binding site that shows over 65% of amino"
"where the drugs are considered to be of similar safety and efficacy. The TGP is the price difference between the premium brand and the benchmark (base) price for drugs in the class. The patient must pay this TGP in addition to the normal patient co-payment contribution if they have been prescribed such a medication. The TGP paid does not count toward the Safety Net threshold. However, a prescriber may obtain an exemption from the TGP if: Such an exemption requires an approved PBS Authority prescription from Medicare Australia. PBS subsidies are available only to Australian residents (who generally must produce"
"Commission for Certification in Geriatric Pharmacy The Commission for Certification in Geriatric Pharmacy (CCGP) is a non-profit organization which has established a voluntary professional certification program for pharmacists. Pharmacists must pass a written examination to become certified and must re-certify every five years. Candidates are expected to be knowledgeable about principles of geriatric pharmacotherapy and the provision of pharmaceutical care to the elderly. A pharmacist who is certified in geriatric pharmacy practice is designated as a ""Certified Geriatric Pharmacist,"" and may use the acronym ""CGP"" as a suffix to their personal name. CCGP was founded in 1997 by the American"
"conferences and a series of DVDs on consultation skills, both of which launched in 2010. GP magazine GP Magazine, now ""GP Online"", was a fortnightly (weekly) magazine for general practitioners (GPs) in the UK. Originally called ""General Practitioner"", ""GP"" has been published by Haymarket Media Group, which is owned by Lord Michael Heseltine, since 1963. The title contains news, features and opinion articles about clinical, financial and political issues of relevance to GPs across the UK: The magazine also incorporates ""Medeconomics"", which was a separate, stand-alone title until December 2005. ""GP""’s website ""GPonline.com"" launched in December 2010, replacing ""Healthcare Republic""."
"issues. They are trained to treat patients of any age and sex to levels of complexity that vary between countries. The role of a GP can vary greatly between (or even within) countries. In urban areas of developed countries, their roles tend to be narrower and focused on the care of chronic health problems; the treatment of acute non-life-threatening diseases; the early detection and referral to specialised care of patients with serious diseases; and preventive care including health education and immunisation. Meanwhile, in rural areas of developed countries or in developing countries, a GP may be routinely involved in pre-hospital"
"General Practice Extraction Service The General Practice Extraction Service (GPES or GP Extraction Service) is a British health service outcomes research computer database that collates statistical aggregated data (demographic cohorts) from individual medical records of GPs in England, for purposes independent of an individual's immediate health, such as public health research. It may conflict with sensitive medical confidentiality. It is similar to bioinformatics, epidemiology, and a health information exchange. With advances in computing technology and databases, many more types of public health research, including time-consuming cohort studies, are now possible; sifting through health data is quicker. Medical conditions can be"
"commonly encountered foods and medications inhibit P-GP, and it is fairly common for pharmaceuticals to be either substrates of P-GP, or to inhibit its action; both substrates and inhibitors of P-GP effectively increase the permeability of the blood brain barrier to P-GP substrates and subsequently increase the central activity of the substrate while reducing the local effects on the GI tract. The mediation of olanzapine in the central nervous system by P-GP means that any other substance or drug which interacts with P-GP increases the risk for toxic accumulations of both olanzapine and the other drug. Olanzapine is a potent"
"Gastric inhibitory polypeptide Gastric inhibitory polypeptide (GIP) or gastroinhibitory peptide, also known as the glucose-dependent insulinotropic peptide, is an inhibiting hormone of the secretin family of hormones. While it is weak inhibitor of gastric acid secretion, its main role is to stimulate insulin secretion. GIP, along with glucagon-like peptide-1 (GLP-1), belongs to a class of molecules referred to as incretins. GIP is derived from a 153-amino acid proprotein encoded by the GIP gene and circulates as a biologically active 42-amino acid peptide. It is synthesized by K cells, which are found in the mucosa of the duodenum and the jejunum"
"GP functions as a primary gatekeeper - without referral from a GP, it is often impossible to gain higher courses of treatment, such as an appointment with a consultant. These are argued to be necessary - Welshman Bevan noted in a 1948 speech in the House of Commons, ""we shall never have all we need... expectations will always exceed capacity"". On the other hand, the national health insurance systems in other countries (e.g. Germany) have dispensed with the need for referral; direct access to a specialist is possible there. There has been concern about opportunistic ""health tourists"" travelling to Britain"
"Ambulatory glucose profile Ambulatory Glucose Profile (AGP) is a single page, standardized report for interpreting a patient's daily glucose and insulin patterns. AGP provides both graphic and quantitative characterizations of daily glucose patterns. First developed by Drs. Roger Mazze and David Rodbard, with colleagues at the Albert Einstein College of Medicine in 1987, AGP was initially used for representation of episodic self-monitored blood glucose (SMBG). The first version included a glucose median and inter-quartile ranges graphed as a 24-hour day. Dr. Mazze brought the original AGP to the International Diabetes Center (IDC) in the late 1980s and since that time,"
"Good documentation practice Good documentation practice (commonly abbreviated GDP, recommended to abbreviate as GDocP to distinguish from ""good distribution practice"" also abbreviated GDP) is a term in the pharmaceutical and medical device industries to describe standards by which documents are created and maintained. While some GDP / GDocP standards are codified by various competent authorities, others are not but are considered cGMP (with emphasis on the ""c"", or ""current""). Some competent authorities release or adopt guidelines, and they may include non-codified GDP / GDocP expectations. While not law, authorities will inspect against these guidelines and cGMP expectations in addition to"
"Gastrin-releasing peptide Gastrin-releasing peptide, also known as GRP, is a neuropeptide, a regulatory molecule that has been implicated in a number of physiological and pathophysiological processes. Most notably, GRP stimulates the release of Gastrin from the G cells of the stomach. The gene from which GRP is derived encodes a number of bombesin-like peptides. Its 148-amino acid preproprotein, following cleavage of a signal peptide, is further processed to produce either the 27-amino acid gastrin-releasing peptide or the 10-amino acid neuromedin C. These smaller peptides regulate numerous functions of the gastrointestinal and central nervous systems, including release of gastrointestinal hormones, smooth"
"Graduate Medical Program Graduate Medical Program (GMP) or sometimes also known as Graduate Entry Program (GEP) or Graduate Entry Medicine (GEM) are terms generally used outside of the United States to refer to medical programs usually of 4-years duration where applicants are university graduates who have taken aptitude tests such as the GAMSAT, UKCAT or MCAT. These tests are not to be confused with tests such as the UMAT since tests such as the UMAT are designed for high school graduates. Medical programs in the United States technically do not require the completion of a previous degree, but do require"
"German Respiratory Society The Deutsche Gesellschaft für Pneumologie und Beatmungsmedizin (DGP, ""German Respiratory Society) is the largest and oldest medical professional organization for respiratory disorders in the German-speaking world and serves as a forum for all medical practitioners and scientists in the field of respiratory medicine. Almost 28% of the more than 3,000 members are women. ""Pneumologie"" has been the official journal of the German Respiratory Society since 1981. The DGP seeks ""to promote the study, research and teaching, training and continuing education, prevention, care and rehabilitation in the field of respiratory medicine, including intensive care medicine with the focus"
"General medical services General Medical Services (GMS) is the term used to describe the range of healthcare that is provided by General Practitioners (GPs or family doctors) as part of the National Health Service in the United Kingdom. The NHS specifies what GPs, as independent contractors, are expected to do and provides funding for this work through arrangements known as the General Medical Services Contract. Today, the GMS contract is a UK-wide arrangement with minor differences negotiated by each of the four UK health departments. A new contract is issued each year. National contracting of General Medical (General Practitioner) Services"
"General Practitioners (RCGP), at 30 Euston Square, London. Finally throughout the year, the doctor must complete an electronic portfolio which is made up of case-based discussions, critique of videoed consultations and reflective entries into a ""learning log"". In addition, many hold qualifications such as the DCH (Diploma in Child Health of the Royal College of Paediatrics and Child Health) or the DRCOG (Diploma of the Royal College of Obstetricians and Gynaecologists) or the DGH (Diploma in Geriatric Medicine of the Royal College of Physicians). Some General Practitioners also hold the MRCP (Member of the Royal College of Physicians) or other"
"GxP GxP is a general abbreviation for the ""good practice"" quality guidelines and regulations. The ""x"" stands for the various fields, including the pharmaceutical and food industries, for example good agricultural practice, or GAP. A ""c"" or ""C"" is sometimes added to the front of the initialism. The preceding ""c"" stands for ""current."" For example, cGMP is an acronym for ""current good manufacturing practice"". The term GxP is frequently used to refer in a general way to a collection of quality guidelines. The purpose of the GxP quality guidelines is to ensure a product is safe and meets its intended"
"Society of General Physiologists The Society of General Physiologists (SGP) is a scientific organization whose purpose is to promote and disseminate knowledge in the field of general physiology, and otherwise to advance understanding and interest in the subject of general physiology. The Society’s main office is located at the Marine Biological Laboratory in Woods Hole, MA, where the society was founded in 1946. Past Presidents of the Society include Richard W. Aldrich, Richard W. Tsien, Clay Armstrong, and Andrew Szent-Gyorgi. The society's archives is held at the National Library of Medicine in Bethesda, Maryland. The Society’s international membership is made"
"reduces the efficacy of some pharmaceutical drugs (which are said to be P-gp substrates). In addition, some cancer cells also express large amounts of P-gp, further amplifying that effect and rendering these cancers multidrug resistant. Many drugs inhibit P-gp, typically incidentally rather than as their main mechanism of action; some foods do as well. Any such substance can sometimes be called a P-gp inhibitor. P-gp was discovered in 1971 by Victor Ling. A 2015 review of polymorphisms in ""ABCB1"" found that ""the effect of ""ABCB1"" variation on P-glycoprotein expression (messenger RNA and protein expression) and/or activity in various tissues (e.g."
"articulated information to Australian GPs to assist them in providing the highest quality patient care; applicable to the varied geographic and social contexts in which GPs work. All articles are subject to a peer review process before they are accepted for publication. The journal is indexed in MEDLINE, Index Medicus and Science Citation Index Expanded. ""newsGP"" combines clinical articles directly relating to the treatment of patients with professional articles on policy, procedures or managing a practice. ""newsGP"" covers all of the latest news from the RACGP, explaining position statements and advocacy efforts. ""newsGP"" features articles, profiles and opinion pieces from"
"a two-year Foundation Programme, where they undertake terms in a variety of different specialities. These must include training in General Medicine and General Surgery but can also include other fields such as Paediatrics, Anaesthetics or General Practice. Following completion of the Foundation Programme a doctor can choose to specialise in one field. All routes involve further assessment and examinations. To train as a general practitioner (GP), after completing the Foundation Programme, a doctor must complete eighteen months of posts in a variety of hospital specialities - often including paediatrics, psychiatry, geriatrics and obstetrics & gynaecology. The trainee also has to"
"the completion of 2–3 years of pre-medical sciences at the university level and so are thus classified as Second entry degrees. However, since in places such as Australia medical applicants were historically generally high school graduates and only recently have medical schools changed to requiring the completion of a previous bachelor's degree, the terms Graduate Medical Program and Graduate Entry Medicine arose to differentiate the new courses. Graduate Medical Program Graduate Medical Program (GMP) or sometimes also known as Graduate Entry Program (GEP) or Graduate Entry Medicine (GEM) are terms generally used outside of the United States to refer to"
"all aspects of working as a GP gets addressed including working with the medical standards from the Dutch GP association NHG (Nederlands Huisartsen Genootschap). All residents must also take the national GP knowledge test (Landelijke Huisartsgeneeskundige Kennistoets (LHK-toets)) twice a year. In this test of 120 multiple choice questions, medical, ethical, scientific and legal matters of GP work are addressed. In the Soviet Union specialty ""general practitioner"" did not exist, similar functions were performed by the Therapist (). In the Russian Federation, the General Practitioner's Regulation was put into effect in 1992, after which medical schools started training in the"
"Royal Australian College of General Practitioners The Royal Australian College of General Practitioners (RACGP) is the professional body for general practitioners (GPs) in Australia. The RACGP is responsible for maintaining standards for quality clinical practice, education and training, and research in Australian general practice. The RACGP represents over 39,000 members across metropolitan, urban, rural and remote Australia. The RACGP vision is for a 'Healthy Profession, Healthy Australia'. The organisational mission is to improve the health and wellbeing of all people in Australia by supporting GPs, general practice registrars and medical students through education, training and research, and offering ongoing professional"
"Primary care physician A primary care physician (PCP) is a physician who provides both the first contact for a person with an undiagnosed health concern as well as continuing care of varied medical conditions, not limited by cause, organ system, or diagnosis. The term is primarily used in the United States. In the past in the US and still in the United Kingdom (and in many other countries), the equivalent term was/is general practitioner. All physicians first complete medical school (MD, MBBS, or DO). To become primary care physicians, medical school graduates then undertake postgraduate training in primary care programs,"
"several OECD countries, general practitioners (GPs) are employed on ""salaries"" for the government. According to OECD, ""Salary arrangements allow funders to control primary care costs directly; however, they may lead to under-provision of services (to ease workloads), excessive referrals to secondary providers and lack of attention to the preferences of patients."" There has been movement away from this system. Sound information plays an increasingly critical role in the delivery of modern health care and efficiency of health systems. Health informatics – the intersection of information science, medicine and healthcare – deals with the resources, devices, and methods required to optimize"