The GP+ Careers Podcast

This month, podcast host Dr Sophie Lumley interviews Dr Rachel Steen, a GP focused on health inequalities. Dr Steen discusses her work running the National Trailblazer scheme, a post-certification fellowship offering professional development and project time for GPs working in areas of deprivation. The episode covers Dr Steen's career journey, the value of leadership fellowships and professional coaching in developing her interest, and practical advice for other GPs interested in tackling health inequalities, emphasising peer support, local project involvement, and networking. Top Tips Seek opportunities that offer protected development time  Fellowships and funded programmes can create the space needed to explore new interests, build skills and step into leadership roles. Rachel highlights the Trailblazer fellowship as one example and encourages interested GPs to look at what is available locally through training hubs, academic units of primary care, Primary Care Network (PCNs) or Integrated Care Boards (ICBs), as well as national programmes. Make use of coaching to clarify your direction Coaching provided a space for Rachel to reflect, challenge unhelpful assumptions and explore her personal values that guide her work e.g. fairness, integrity and inclusivity. Understanding what matters most to you can guide career decisions and help you recognise when something feels aligned or not. Build and maintain supportive networks Post-CCT, the support networks of training often fall away. Rachel recommends actively rebuilding this through joining peer groups and leadership programmes e.g. Next Generation GP leadership programme. Staying connected with colleagues can spark new ideas, provide motivation and create a sense of belonging, especially for those exploring emerging or less traditional roles. Reach out to people who inspire you Rachel emphasises that many opportunities start with a simple conversation or reaching out via email. Contacting clinicians or leaders whose work interests you can open doors to new ideas, collaborations or mentoring relationships. Don't be afraid to ask, as most people are happy to share their experiences and give you advice. Start with local projects and apply a health-equity lens Inclusion health doesn’t require formal accreditation. Rachel recommends beginning with what's happening in your own practice or PCN and considering how interventions can better reach the people who are most in need. Small, thoughtful changes can be the foundation of a meaningful and sustainable interest. Further reading GPwER in Population Health and Health Inequalities Framework: www.rcgp.org.uk/your-career/gp-extended-roles/population-health-inequalities-introduction RCGP Health equity special interest group: www.rcgp.org.uk/about/communities-groups/health-inequalities RCGP Health Inequalities Hub: elearning.rcgp.org.uk/course/view.php?id=459 RCGP Mentoring: www.rcgp.org.uk/your-career/gp-mentoring Trailblazer scheme/fellowship: www.fairhealth.org.uk/trailblazer The Faculty for Homeless and Inclusion Health: www.pathway.org.uk/the-faculty/ Next Generation GP leadership programme: https://nextgenerationgp.co.uk/ Future leaders programme: www.yorksandhumberdeanery.nhs.uk/education/future_leaders_programme Dr Rachel Steen is a GP working in Sheffield. She is National Director of the Trailblazer scheme supporting GPs working in areas of deprivation across the England. Rachel has an interest in inclusive leadership and how we support our primary care workforce working in areas of deprivation and with inclusion health groups. Rachel sits on the Health Equity Special Interest Group at the RCGP. Tell us what you thought! We'd love to hear your valuable feedback. Please take 2 minutes to complete the form.

In this episode of the GP+ Careers podcast, host Dr Sophie Lumley is joined by Dr Sarah Goulding, a portfolio GP and career coach for medical professionals. Sarah shares her journey to becoming a coach, which was fuelled by her own experience with burnout and a desire to support others, and details how her coaching work fits into her flexible portfolio GP career. Furthermore, the episode addresses practical considerations for aspiring coaches, such as the value of obtaining a coaching diploma, the importance of supervision for self-care and professional development, and the entrepreneurial challenges of setting up a private coaching business. Top Tips Experience coaching yourself first If you are considering becoming a coach, the single most important initial tip is to have some coaching yourself so that you understand what it actually is. It is important to know what you are getting yourself in for, as there is a very diverse range of coaching available. Training and Development A qualification is not mandatory, but learning the basic coaching techniques is highly recommended. Coaching is not a regulated industry, which can be uncomfortable for medics who often like a piece of paper to validate their skills. Personally, Sarah recommends training, noting that it provides a wider range of tools, a more academic approach, and helps with disciplines like knowing how to ask useful questions and how to leave space. When choosing a course, look for one that "speaks to you" and fits how you learn best, such as an experiential course in Sarah's case.  Coaching training at the diploma level often costs between £2,000 and £6,000 or more, so it is a significant investment. Explore funding options, potentially through a limited company as a form of CPD (Continuing Professional Development). You might also access funds through local resilience funding if you can pitch how using coaching skills will benefit your local workplace. Find your niche and community  Find your "tribe" - either an aligned organisation or group where you can ask questions, get advice, and speak to experienced people.  Consider working out who you are really passionate about working with; this passion often dictates how you form your business.  Look into the three main accredited organisations, such as the International Coaching Federation (ICF), which offers links to various training providers.  Listen to podcasts and immerse yourself in the coaching space to see if it is something you would enjoy. Prepare for the business and entrepreneurial side  If you plan to work independently rather than for an organisation, you must be prepared to set yourself up as a business entirely from scratch. This involves learning new entrepreneurial skills, such as: - Creating your own website and developing branding. - Being very organised (e.g. using tools like Calendarly) - Working out how much to charge and how to send an invoice. - Getting comfortable with charging people money, which is often difficult for those used to the NHS model. Prioritize self-care through supervision Engaging in supervision is strongly recommended once you begin coaching. Supervision is a safe space (unlike appraisal) to address issues concerning your skills, worries you may have about clients, or techniques you want to practice. It is a necessary practice because coaching involves working very intimately with people, and you need to look after yourself as part of it. Further reading RCGP mentoring: www.rcgp.org.uk/your-career/gp-mentoring Dr Sarah Goulding's website: www.drsarahgoulding.com The Joyful Doctor: https://www.joyfuldoctor.com Coaching accreditation organisations: https://www.associationforcoaching.com https://www.emccglobal.org https://coachingfederation.org Coaching podcast: https://yourcoachingjourney.com/podcast-for-doctors-about-coaching/ Dr Sarah Goulding is a GP TPD in Coventry and Warwickshire and a Portfolio GP, with 7 roles in total currently. She is a Career coach for doctors, passionate about living in a way that fits your values and helps you find joy, both in and out of work. She is a doctor wellbeing specialist, and Head of Development for The Joyful Doctor.

In this episode of the GP+ Careers podcast, Sophie interviews Dr Tarana Hafiz, a GP with an extended role in Palliative Care. The interview explores the practicalities of her split week between general practice and specialty work, the benefits of pursuing a special interest, and advice for other GPs on how to develop a similar career, emphasizing the importance of mentorship and hands-on experience over formal qualifications like diplomas. Top tips Prioritize finding mentors and building your network:   Finding mentors is considered essential. Look for someone who is willing to invest in you, take the time to train you, and be part of your career journey, informing you of opportunities. Engage with Consultants: Tarana states that Palliative care consultants are notoriously friendly and very approachable. Don’t hesitate to reach out to them, especially during your GP training, to spend some time with them and build relationships.  Gain direct clinical experience before investing in qualifications: Tarana emphasises that gaining experience is key. Instead of immediately investing time and money in expensive diplomas or courses, focus on practical exposure first. Shadowing and short contracts: Tarana suggests speaking to your local team, having shadowing days, or taking on a short-term contract with the local hospice to determine if the specialty is truly for you. Attend clinics: Ask local community or hospital teams if you can go to clinics to see if this is an area where you want to invest more time. Start locally with enthusiasm and Quality Improvement:  The most important requirement is having enthusiasm and interest to be part of the specialty. You can begin developing your interest right within your current general practice setting. Utilize Daffodil Standards: A great place to start is by looking at the Daffodil Standards. This is a framework/toolkit that GPs can use for a quality improvement project within their own practice, focusing on areas like early identification, bereavement, and care after death for patients with advanced serious illness and end-of-life care. Join projects: Reach out to local teams and ask them to be part of quality improvement projects. Engage in diverse learning opportunities: There are a variety of ways to build your knowledge in the area such as: E-learning: Spend time doing e-learning to understand what palliative care is about. Resources include e-learning available through the RCGP website. Workshops and courses: Attend local training and courses available from organisations like the Royal Society of Medicine (RSM) or Royal College of Physicians (RCP) on topics such as symptom control, advanced communication skills, and advanced care planning. Also, some local hospices nationwide sometimes run affordable communication workshops. Reading: Spend time reading around the subject, including insightful books from authors like Kathryn Mannix, who writes about terminal illness from a patient's perspective. Be open to varied job titles and focus on the opportunity: When looking for paid roles, remember that opportunities may not always be advertised specifically as "GP with a special interest". Look broadly: The role Tarana obtained was not a GP with a special interest position initially; she took it on as a Clinical Fellow, which later developed into a speciality doctor role. Satisfy your cravings: Focus on finding an opportunity that allows you to manage more complexities and satisfy the craving for a more varied work week.  Job titles are secondary: Tarana stressed that the job title was not the primary concern; the opportunity to embark on a different venture and manage medical complexities is more important. Further reading RCGP Mentoring platform  Daffodil Standards RCGP E-learning end of life and palliative care toolkit GPwER in palliative and end of life care framework Tell us what you thought! We'd love to hear your valuable feedback. Please take 2 minutes to complete the form.

In this episode of the GP+ Careers podcast, Sophie interviews Dr Emma Ryan, a GP partner and Clinical Director, and also serves as the lead GP at the UK's first national primary care gambling harms service, established in 2019. She discusses her dual role, the holistic mental health assessments offered by her service for individuals experiencing gambling harm, and the service's evolution from self-referrals to increasing GP referrals. The episode also covers Dr Ryan's journey into this specialised field, the importance of raising awareness among healthcare professionals, and advice for GPs interested in diversifying their careers into similar areas of special interest. Top tips Educate yourself thoroughly: Begin by reading the latest NICE guidelines on gambling harms (2025), which recommend GPs ask about gambling harms in certain consultations, especially mental health consultations. You can also attend a free RCGP Gambling Harms webinar, which provides an overview of the NICE guideline Gambling-related harms and its relevance to CQC, practical interventions to use during consultations such as the Very Brief Advice (VBA), signposting to local support, and insights from lived experience. Attendance at a webinar will enable full accreditation under the RCGP Gambling Harms Scheme, unlocking access to valuable resources, patient-facing posters, and recognition for your practice. Also make use of the RCGP Gambling Harms Hub, which offers additional learning resources such as e-Learning modules and podcasts. Connect with established services and networks: Reach out to the Primary Care Gambling Service, as they are keen to expand their network of interested GPs and have links across all regions. Also, explore the National Gambling Support Network, commissioned  by Gamble Aware, to find information about services available in different areas. It's also beneficial to visit existing voluntary (third) sector treatment and support services to understand their long-standing work. Leverage your existing GP skills and embrace opportunities: Your core GP skills, such as being interested in patients and their stories, are highly valuable, and you shouldn't let imposter syndrome hold you back. Your role primarily involves identifying patients and conducting initial holistic mental health assessments, not necessarily providing the specific therapies like Cognitive Behavioural Therapy (CBT). Be open to saying "yes" to new experiences, as an initial interest can lead to significant career development and opportunities. Understand the evolving landscape and funding: Be aware that increased funding is now being directed towards the NHS for gambling harm treatment and support, making this a timely opportunity for GPs to get involved. Recognising gambling harm as a "hidden addiction" that patients often suffer from for many years before seeking help highlights the crucial need for easy referral pathways and GP awareness. Develop strong organisational and leadership skills: If you balance multiple roles, you must be highly organised and excellent at time management. Clearly separate your "gambling harms days" from "GP days" to ensure focus in each role and prioritize your main tasks over checking emails first to prevent getting sidetracked. Leadership experience can be very valuable in setting up or developing services. Further reading RCGP Gambling Harms Hub: https://elearning.rcgp.org.uk/course/view.php?id=734  Primary Care Gambling Service: https://www.primarycaregamblingservice.co.uk/ NICE guidelines (2025): https://www.nice.org.uk/guidance/ng248 Emma qualified from King’s College London in 1999 and began her career in General Practice in 2005. She is a GP Partner and PCN Clinical Director.  She has been part of the team that has established the Primary Care Gambling Service. A national service that provides free, confidential, NHS treatment for those experiencing gambling harms.    She is a GP trainer, and educational supervisor and has worked with the Royal College of General Practitioners to develop a specific Gambling Learning Hub on the college’s website. This is an educational resource for the whole primary care team. In parallel to this includes an accreditation scheme developed for GP practices to enlist to. This is for practices to highlight to their patients that they are knowledgeable in gambling harms. She is the co-author of a Primary Care Gambling Competency Framework endorsed by the RCGP and was a committee member of the NICE Guideline Gambling: identification, diagnosis and management committee that was published in January 2025. Tell us what you thought! We'd love to hear your valuable feedback. Please take 2 minutes to complete the form.

This month, we hear from Dr Pim Dhahan, a GP in Birmingham with a special interest in minor surgery. He shares his journey into minor operations, emphasising the importance of accredited courses and hands on experience gained through observation and supervised practice. He also outlines a number of benefits of the role such as providing a practical and engaging alternative to GP work and reducing hospital wait times. Top Tips Observe and get involved in your local area - If your practice already offers minor surgery, Pim suggests that you go and attend a session to see what is involved. If your practice does not perform minor operations, find out who does within your local Primary Care Network (PCN) and see if you can observe them. Observing others will help you determine if you truly have an interest and will enjoy this type of work. Complete an accredited course - To carry out minor procedures in practice, you must first complete an accredited course. Look for courses run by the RCGP or through the Association of Surgeons in Primary Care. Pim, for instance, used his study budget to do the RCGP minor surgery course. These courses may include a small assessment, potentially involving practical elements like removing a paintball pellet from pig skin or assessing your suturing skills. Gain hands-on experience with supervision - After completing an accredited course, do not immediately start performing procedures on your own. Pim advises you sit in with or assist someone who already performs minor surgery so they can observe you and ensure you are comfortable. Start by performing small procedures with a supervisor to build your confidence, then gradually move to doing them independently. It is important to build up your portfolio of accreditation and experience. Explore funding opportunities - If you are a GP trainee and interested in minor ops, consider using your study budget to attend RCGP-accredited courses. However, if you are an established salaried doctor or partner, present a case to your practice. Highlight that minor surgery is beneficial for patients and can bring in funding that will surpass the cost of the course itself.  Commit to regular practice and continuous auditing - Minor surgery is a skill that needs to be performed regularly to maintain proficiency. Continuously audit your work, checking for complications like infections, and assessing the accuracy of your diagnoses. Pim noted that he gets about 70% of his differentials correct, which is acceptable as long as no cancers are accidentally removed.     Further reading RCGP Minor Surgery courses: www.rcgp.org.uk/learning-resources/courses-and-events/minor-surgery Association of Surgeons of Primary Care (ASPC): www.aspc-uk.net/ Dr Pim Dhahan is a Birmingham based GP Partner, Trainer and TPD with a special interest in Minor Surgery and interest that started as a GP Trainee in Dermatology. His main focus of work is as a grass-roots GP based in North Birmingham. Tell us what you thought! We'd love to hear your valuable feedback. Please take 2 minutes to complete the form.

In this episode, Sophie speaks with Dr Tom Purchase, a First5 GP and a Health and Care Research Wales NIHR Doctoral Fellow at Cardiff University. Tom describes his career journey into his doctoral fellowship, where to look and how to secure some funding opportunities, and the benefits of the role. Top tips Be Curious and ask questions - Tom’s journey began by simply asking a GP colleague what she was doing in her academic GP role. Don’t underestimate the power of curiosity and conversation, as most people are happy to share their experiences and may connect you with others or current projects. Seek early opportunities even without prior research experience - You don’t need formal research qualifications to start. Tom didn’t have any before his postgraduate certificate. He built experience by joining projects, showing interest, and asking how he could get involved. Take initiative and look for small roles on existing studies. Apply for small-scale research funding early on - Start small and go from there. Tom received a grant from the RCGP Scientific Foundation Board which is perfect for early-career GPs wanting to trial an idea. These short-term grants help you develop a track record and build your portfolio for larger funding later (e.g. NIHR , Health and Care Research Wales etc). Be Aware of the Challenges - The role is not without some challenges such as: Job security: Early academic roles are often fixed term Financial hit (initially): Academic salaries may be lower than full-time clinical GP work. Juggling roles: You need flexibility and resilience to balance deadlines with clinical responsibilities and personal life. Appreciate the benefits – variety, impact and autonomy - Academic GP work brings a number of benefits such as: Variety: Every week can be different, for example, teaching, research, and conferences. Autonomy: You can shape your projects and personal development based on your interests. Wider impact: Your research can change policy or clinical practice nationally or globally. Tom’s experiences even led him to the WHO in Geneva—a unique opportunity to contribute to global health initiatives. Master organisation and time management -Academic work can involve different demands to clinical work, including project planning, literature reviews, participant recruitment, writing, and meeting deadlines.. Being organised and managing your own time becomes a crucial skill. Further reading: How RCGP support your research (including information on the Scientific Foundation Board): rcgp.org.uk/representing-you/research-at-rcgp/how-rcgp-support-your-research National Institute for Health and Care Research: nihr.ac.uk The Society for Academic Primary Care (SAPC): sapc.ac.uk Primary Care Academic Collaborative (PACT): gppact.org Tom's fellowship project IncorporAting parental health aDVOcaCy when mAnaging unwell Children in primarY care (ADVOCACY): a multi-methods systems approach to co-develop a complex intervention | Health Care Research Wales Dr Tom Purchase is a General Practitioner and a Health and Care Research Wales NIHR Doctoral Fellow at Cardiff University.  Tom works with the Patient Safety team at the Division of Population Medicine where his research has focussed on exploring patient safety data to generate recommendations to improve healthcare safety for vulnerable groups. Tom has an interest in applying systems-thinking through the principles of Human Factors and Ergonomics to patient safety research to better understand system complexity within healthcare. Tom’s current fellowship aims to understand how and where parental advocacy takes place within primary care. The project will explore how parents speaking up for their child can be better supported and incorporated into the management of unwell children. This will inform the co-development of system changes to help parents and healthcare staff work together to reduce healthcare-associated harms. Tell us what you thought! We'd love to hear your valuable feedback. Please take 2 minutes to complete the form.

In this episode, Sophie is joined by Dr Hareen De Silva who has a special interest in Humanitarian and Global Health. Hareen describes how he got into the field, how you can find out if it is the right role for you physically, emotionally and morally and the benefits and downsides of the role. Top tips: 1.Gain Relevant Clinical Experience & Skills Broaden Your Clinical Scope: Try and gain experience in areas often neglected in high-income settings but critical in humanitarian contexts. Just because you may deploy as a GP you may have to step into other situations. Hareen has gained skills over his career. Some of these can be obtained free or paid. Consider using your GP training study budget.   Emergency Medicine: ACLS, PALS certifications - paid for by CADUS  Trauma Care: Even basic trauma stabilisation Have a look at cheap/free courses organised by a UK chairty called CitizenAid that have a free app to download.  Mental Health: Basic psychological first aid (PFA) and recognition/referral of common mental health conditions. There are websites such as Coursera that offer free certification in PFA Procedural Skills: Minor surgery, suturing, wound care, basic fracture management, IV insertion. Resource-Limited Settings: Consider volunteering locally within the UK using your skills. Crisis at Christmas is where he started volunteering and then locally in homeless healthcare clinic in Doncaster. The UK Government website has a database of opportunities.  2. Understand the Humanitarian Aid Sector Research Organisations: There are so many organisations that you could work with. Each has their own individual identity. CADUS is different to other organisations Hareen has worked with. When you interview for a position, make sure your personal values line up with those of the organisation.  Humanitarian Principles: Stress the importance of understanding and committing to the core humanitarian principles: humanity, impartiality, neutrality, and independence. Contextual Awareness: Stay informed about global crises, geopolitical situations, and the specific health challenges in different regions. ReliefWeb has a jobs board and collates information from all around the world.  Networking: Connect with doctors already working in the field. LinkedIn, professional associations, and humanitarian aid conferences are good avenues. Hareen is happy to take on mentees via RCGP Mentoring.  Realistic Expectations: Prepare for challenging conditions, long hours, emotional toll, and potential ethical dilemmas. This work is not for those with a saviour complex.  3. Essential Training & Qualifications Specific Humanitarian Training:  Pre-Deployment Courses: There are plenty of free online resources to help you understand the basics. DisasterReady is a free online resource which Hareen uses every year to increase his knowledge.  Tropical Medicine/Public Health Diplomas: These are highly relevant and often required or preferred by some organisations. But think about the financial impact on yourself before paying for courses. Will it help you get a volunteer position or a paid job.  Language Skills: Proficiency in languages other than English (especially French, Spanish, Arabic) can be a significant asset and sometimes a requirement for specific deployments. Even just having a few phrases will help to generate rapport with beneficiaries of the project.  Security Training: Consider something like a HEAT (Hostile Environment Awareness Training) Course. CADUS offers a free course. The United Nations also has a free course called BSAFE  4. Practical Steps to Get Started Initial Deployments: Your first deployment might not be your "dream" assignment. Starting with shorter deployments or less complex contexts can be a good way to gain experience. Be warned that the smaller organisations may ask you to cover your travel and accomodation costs. Please do not be exploited for voluntourism type projects.  Application Process: Be prepared for a rigorous application process, including interviews, assessments, and background checks. Financial Planning: Humanitarian work, especially early on, may not be highly paid. it is advisable to have some financial stability or savings. Health & Wellness: Stress the importance of maintaining their own physical and mental health during and between deployments. Long lasting effects: Hareen has deployed to multiple conflict zones and now has  to apply for visas to travel to countries as a tourist. He also holds two passports to avoid questions at the border - one for work and one for tourism. Consider where you want to travel in the future as some countries do not allow travel if you have been to another country.  5. It may not be for everyone You may realise it is not for you, and that is fine. Within the UK we have so many health inequalities and this is how Dr De Silva's humanitarian career started. Consider joining the RCGP Health Equity SIG working group and contribute locally.  Hareen is a Fellow of the RCGP and in his GP career he was the national wellbeing lead for First5 GPs and then became the youngest faculty Chair (SYNT) in the RCGP history. He moved into expedition medicine, travelling to Dominica, Costa Rica, Gough Island with the Royal Society for Protection of Birds and Midway Atoll with the US Fish and Wildlife Service. Hareen has deployed on humanitarian assistance missions as a clinician, medical coordinator and Head of Mission to Greece, Syria, Iraq, Ukraine and Gaza with CADUS e.V. He has an interest in health inequalities and is a trustee for the UK medical education charity Fairhealth. He has received a British Empire Medal in 2020 for his Services to General Practice during COVID-19 and The UK’s Humanitarian Medal in 2025 for his work in Gaza with UK-MED. Further reading RCGP Health Equity Special Interest Group https://www.rcgp.org.uk/about/communities-groups/health-inequalities RCGP Mentoring https://www.rcgp.org.uk/your-career/gp-mentoring CADUS https://www.cadus.org/en/ UK-Med https://www.uk-med.org/ Fairhealth https://www.fairhealth.org.uk/ DisasterReady https://www.disasterready.org/ ReliefWeb https://reliefweb.int/ United Nations BSAFE course https://training.dss.un.org/thematicarea/category?id=6  Tell us what you thought! Please take 2 minutes to complete the survey about this episode.

This month, Sophie interviews Dr Callum Leese, a First5 GP based in Aberfeldy, Scotland with an extended role in Lifestyle Medicine. Callum shares his journey into the field and signposts to a number of helpful resources if you are interested in finding out more in this area. If you think Lifestyle Medicine could be the right fit for you, here are some top tips to help you find out more: Connect with other Lifestyle Medicine Professionals - The British Society of Lifestyle Medcine (BSLM) is the primary professional body for lifestyle medicine. Callum suggests the BSLM is a great place to start to build those connections through their in-person events, online webinars and networking at the BSLM annual conference.  Research if there are any local lifestyle medicine groups and if not, why not initiate one with like-minded colleagues. Callum set up the 'Healthiest Town Aberfeldy' initiative with colleagues to inspire to inspire change and address some of the social determinants of health to inspire healthier lifestyles. Start small and strategic - Figure out what aspect(s) of lifestyle medicine interests you and begin with part time or low commitment roles alongside clinical practice. For example, Callum led on some group patient consultations in his practice for conditions such as diabetes and prostate cancer. This helps him to remain energized and enthusiastic about his role trying out different styles of delivering patient care. Research funding opportunities - Callum suggests look at your local deanery first for potential funding opportunities in lifestyle medicine. If you are a GP registrar, consider the study budget to cover some lifestyle medicine courses such as the BLSM Core Accreditation in Lifestyle Medicine or Red Whale. Callum had previously secured funding from the Claire Wand Fund for some courses in the past. He suggested also checking out the NHS Trust charities as his 'The Movement Prescription' podcast was part funded to support these ideas. Learn more about Lifestyle Medicine initiatives - spend time to do some community mapping in your local area. Callum suggests becoming familiar with existing initiatives and help to shape and support initiatives that already exist. If you identify a gap, think about what you can do but try not to reinvent the wheel. Dr Callum Leese is medically qualified at the University of Edinburgh, a GP in Aberfeldy, whilst working part-time at the University of Dundee undertaking research with the division of population health and genomics. He is co-founder of the community-based charity 'Healthiest Town' in Aberfeldy, Scotland where they try to enact and inspire local change and he is involved with the charity RunTalkRun. Callum is a champion for physical activity and lifestyle at the Royal College of GPs. When not working, Callum will be found running, cycling, skiing or climbing somewhere! Further reading Introduction and overview of GPwER in lifestyle medicine RCGP Physical Activity and Lifestyle hub Upcoming RCGP Lifestyle Medicine webinars Recorded RCGP Lifestyle Medicine webinars BSLM - Transforming Healthcare Through Lifestyle Medicine Callum’s podcast: themovementprescription.co.uk Callum's article after his talk at RCGP last year: GPs Urged to Embed Lifestyle Medicine into Primary Care Parkrun practices initiative Moving Medicine website Tell us what you thought! Please take 2 minutes to complete the survey about this episode.

In this month's episode we hear from Dr Irene Afreh-Mensah, a First5 GP whose work week is a variety of clinical work as a salaried GP, TPD and one day of Undergraduate teaching at the local University. Irene shares her experience in medical education to date, skills and qualities needed to be a TPD and advice for those hoping to follow a similar career path. If you're aspiring to become a TPD, there are several key steps and tips that can help you prepare for this leadership and educational role: Build a strong network - Networking is powerful as it gives you access to opportunities you may not be aware of otherwise e.g. job vacancies. Engaging with local and national training committees will help you to better understand the challenges and developments in medical education and training. Attending courses, conferences and workshops related to medical education will help you expand your networks and opportunities. Enhance your leadership skills - TPDs have a significant administrative and leadership role, so understanding how to manage teams, projects, and resources is essential. You might want to pursue leadership or management courses to strengthen your skills.  Irene advises that you consider what you do in your role now and the transferable skills. Could you within your clinical role maybe lead on a tutorial or give a teaching session where you can receive feedback? This demonstrates you are collating evidence of your commitment to education. Be Passionate About Medical Education - TPDs are often chosen for their passion for medical education. Demonstrate your enthusiasm for shaping the future of the profession through continuous learning, participation in teaching activities, and contributing to educational discussions. Irene states she has always been passionate about medical education. In her opinion, education is sharing of knowledge, and she's always wanted to give back and help others along their educational journey and help them to learn and develop. Carve your career path early - Irene advises that Post Graduate doctors take a step back from the idea that training is three years and focus solely on exams and CCT. She urges you to consider what your ideal career looks like and is there anything you can do during training that can help you work towards that. Before Irene started GP Training, she researched various job adverts options to supplement the training. Between ST1 and ST2 she undertook a clinical teaching role. This was a huge springboard for her while training to understand the field of medical education. Dr Irene Afreh-Mensah is a portfolio GP, who has a passion for medical education and women's health. Her working week is comprised of a salaried role, undergraduate teaching, and postgraduate teaching as a training programme director. She loves spending her downtime with friends and family, going hiking and trying new cuisines. Further reading General Practice Specialty Training guidance https://www.rcgp.org.uk/your-career/qualifying-as-a-gp/cct-guidance/training-guidance NHS jobs https://www.jobs.nhs.uk/candidate Local Medical Committees https://www.bma.org.uk/what-we-do/local-medical-committees Tell us what you thought! Please take 2 minutes to complete the survey about this episode.

This month we hear from Dr Sarah Clark who works one day a week as a clinical assessor for Medical Justice. Medical Justice are a charity who work to support the health and legal rights for people who are held in immigration detention. Sarah outlines how she got into the role and what it involves and where you can find out more information. Top tips Provide Holistic patient care - When working with those held in immigration detention, it is important to consider the whole person in front of you, addressing both the physical and psychosocial aspects of your patient’s health. Migrants may face multiple stressors, including housing insecurity, lack of social support, or financial difficulties, which can affect their mental health too.  Manage the Emotional Impact - Working with migrant populations, especially those facing trauma can be emotionally taxing. Take time for self-care and seek professional support when needed. Sarah recommends taking some down time after the assessments. Medical Justice also offer groups with a psychotherapist that you are welcome to attend. They also offer six funded sessions of psychotherapy per year to support your mental wellbeing as a GP. Explore uncharted territory - If you are interested in getting involved, Sarah recommends attending one of the Medical Justice basics training days which are advertised on their website, usually held twice a year. Sarah encourages you to sign up to their mailing list to find out first about upcoming training dates. The training provides an overview of the work involved and an opportunity to decide if it is for you. There's no commitment as you can try a few assessments to see if it's something you want to pursue a career in. Do your research - Research the main charities websites who do this type of work such as Medical Justice, the Helen Bamber Foundation and read through statements from both patients and doctors who work for these charities. Some of the organisations host webinars where you can stay up to date on their website and social media channels for upcoming events to attend to get more information. Dr Sarah Clark is a GP in Bristol and has a portfolio role working with Medical Justice as a Clinical Assessor. Further reading Medical Justice website https://medicaljustice.org.uk/ Helen Bamber Foundation website https://www.helenbamber.org/ RCGP GPwER in Population Health and Health Inequalities Framework https://www.rcgp.org.uk/your-career/gp-extended-roles/population-health-inequalities-introduction RCGP Asylum seekers and vulnerable migrants  https://www.rcgp.org.uk/representing-you/policy-areas/asylum-seekers RCGP Health Inequities Hub and Health Equity Special Interest Group https://elearning.rcgp.org.uk/course/view.php?id=459 RCGP Mentoring https://www.rcgp.org.uk/your-career/gp-mentoring Migrant Health guide https://www.gov.uk/government/collections/migrant-health-guide Tell us what you thought! Please take 2 minutes to complete the survey about this episode.

In this month’s episode we hear from Dr Juli McCulloch, a First5 GP working in secure environments and secondary care addiction services. Juli provides valuable insights into working in a high security prison, how her personal interest attracted her to the role and the benefits of pursuing this specialist interest. If you have any questions, please reach out to member.programmes@rcgp.org.uk and we are happy to put you in touch with Juli. Top tips Research the different types of secure environments - There are a range of secure environments you can work in as a GP including open prisons, higher security units, immigration detention centres, and more. Juli works in a high security men's prison but she urges you to consider the type of secure environments near to you that interest you. The job can be rewarding but emotionally demanding -Patients in these environments tend to have more complex needs and have experienced more trauma, often resulting in more mental health and substance use concerns. You need to consider how to care for yourself and your emotional resilience as well. Juli mixes prison shifts with a varied work week within a Portfolio career to protect herself from burnout.  Contacts are key - Juli highlighted that she secured an interview for her other role in substance misuse through her GP partner colleague, who had a contact in the local addiction services. Connect with GPs already working in secure environments to gain first-hand accounts of their experiences, join online forums, and seek out mentorship opportunities in this area. She found this route much easier and more informative than searching for job adverts and listed vacancies. Preserve human dignity and provide empathy - It’s important to always approach individuals in secure environments with empathy and respect, recognizing their vulnerability. Juli states that a simple, human connection can make a significant difference in their experience and well-being. Same but different - Juli highlights that she was not required to complete any additional qualifications to work in the prison environment. Although the structure and environment is different a lot of the day-to-day clinical work is exactly the same as that of your community GP clinics including chronic disease management, triaging patients, prescriptions for the pharmacists, and dealing with queries from the nurses. In Juli’s experience she also sees fewer patients per shift, allowing you to spend more time if the patient needs it.  Dr Juli McCulloch is a First5 GP working in Fife and Tayside. She divides her working week between a long-term locum GP post, a salaried post in secondary care addiction services, and a few shifts monthly at her local prison. Further reading RCGP Secure Environments hub https://elearning.rcgp.org.uk/course/view.php?id=561 RCGP Secure Environments elearning course https://elearning.rcgp.org.uk/enrol/index.php?id=560 RCGP Secure Environments group https://www.rcgp.org.uk/about/communities-groups/secure-environments RCGP Mentoring https://www.rcgp.org.uk/your-career/gp-mentoring BMA Forensic and secure environments committee https://www.bma.org.uk/what-we-do/committees/forensic-and-secure-environments-committee/forensic-and-secure-environments-committee-overview BMA Forensic and secure environments ethics toolkit https://www.bma.org.uk/advice-and-support/ethics/working-in-detention-settings/forensic-and-secure-environments-ethics-toolkit Tell us what you thought! Please take 2 minutes to complete the survey about this episode.

In this month’s episode our host Dr Sophie Lumley is joined by Dr Nicky Wilson, a GP appraiser since 2018. Nicky outlines her career journey so far, the skills required to be appraiser, benefits of the role and much more. Top tips:  Build a career to suit you – the role offers flexibility in terms of how many appraisals you want to take on each year (usually up to 22-24) and these can be done at a time that suits you and your appraisee. You also need to consider the time dedicated both before the appraisal for preparation and the write up afterwards in your overall time commitment. Seek inspiration from others – Nicky enjoys finding out what others are doing as part of their personal development plans (PDP) and is often inspired by their ideas for innovative practice and new ways of working. Some of these ideas may inspire you to make improvements in your own GP practice. Reach out to your local networks – if you want to become an appraiser, Nicky advises that you reach out to your local appraiser team about recruitment opportunities and application process. If you aren’t successful the first time – don’t give up! Ask for feedback and apply again. Consult with your colleagues – as an appraiser, Nicky states she was assigned a senior appraiser who she could seek advice from. She also attends small group meetings facilitated by experiences appraisers where they come together to talk about new guidance on appraisal/revalidation, difficult cases etc. Consider brushing up on your soft skills – Nicky suggests coaching/mentoring training can help bring out these soft skills beneficial when applying to be an appraiser such as empathy, good listening skills and providing constructive feedback to others.  Dr Nicky Wilson is a GP in Gloucestershire and has a portfolio role working as an Appraiser. Further reading RCGP guide to your appraisal https://www.rcgp.org.uk/your-career/revalidation/appraisal-guide-introduction RCGP Appraisal Deep Dive https://www.rcgp.org.uk/your-career/revalidation/appraisal-deep-dive Appraisal bodies in the Devolved Nations Scotland https://www.appraisal.nes.scot.nhs.uk/ Wales https://heiw.nhs.wales/support/revalidation-support-unit/gp-appraisal/ Northern Ireland https://www.nimdta.gov.uk/gp-appraisal-revalidation-and-mentoring/gp-appraisal/ NHSE appraisal information https://www.england.nhs.uk/professional-standards/medical-revalidation/appraisers/ RCGP Mentoring platform https://www.rcgp.org.uk/your-career/gp-mentoring Tell us what you thought! Please take 2 minutes to complete the survey about this episode.

In this month's episode we are pleased to be joined by Dr Will Evans, a salaried GP in Leeds and as a GP with a special interest in Genetics with the Yorkshire regional genetic service. Will tells Sophie how he got into the field, what his typical work week looks like, benefits of the role and how you can get involved in Genomics within primary care. Top tips Explore the world of Genomics - There are several great resources to familiarise yourself with Genomics. Will recommends looking at Health Education England (HEE) website for genomics educational resources particularly the GeNotes resource. Other excellent resources include the RCGP Genomics Toolkit Join the Primary Care Special Interest Group - if you are interested in finding out more about how you can be involved with Genomics, Will recommends joining the Primary Care Interest Group that Will is a member of. This has a number of GPs but also community pharmacists from across the country with differing interests and roles and is a great place to find out about opportunities and connect with like-minded peers Carve a diverse career path - with the growing integration of genomics in healthcare, GPs with expertise in this area are likely to be in higher demand. There is a range of opportunities to work in specialized clinics, academic settings or policy-making roles related to genetics Drive progress through Innovative Practice - Be part of the cutting edge of healthcare, applying the latest advancements in genetics to clinical practice. Will has been involved in several transformational projects such as improving care coordination of patients with rare genetic diagnoses as they transition from paediatric to adult services. Set clear boundaries - like any special interest, when you are working in that area for one day for example, there can be a risk that work can fall in other days that you aren't doing that role. Will suggests that you define your week quite carefully and protect your time - set clear boundaries and stick to them for the best work-life balance. Will works as a salaried GP in Leeds, and as a GP with a specialist interest in Genetics with the Yorkshire regional genetic service. He is the primary care lead for the North East and Yorkshire Genetic Medicine Service Alliance (GMSA).  Will is also an Honorary Assistant Professor at the University of Nottingham. His research interests involve rare diseases, genomics in primary care, large data base analysis and precision medicine.   He is a trustee and former chairman of the rare disease charity Niemann-Pick UK.  Further reading RCGP Genomics framework https://www.rcgp.org.uk/your-career/gp-extended-roles/introduction-clinical-genetics-genomics  RCGP Genomics toolkit https://elearning.rcgp.org.uk/mod/book/view.php?id=12892  GeNotes – quick concise information for healthcare professionals to make the right genomic decisions. Specific section for Primary care clinicians.  https://www.genomicseducation.hee.nhs.uk/genotes/ National genomic test directory- details what tests are available for what indication and who can request (NHS England) https://www.england.nhs.uk/wp-content/uploads/2024/07/national-genomic-test-directory-rare-and-inherited-disease-eligibility-criteria-v7.pdf Embedding genomics across the NHS: a primary care perspective. – A review of genomics and its role and impact in primary care  https://doi.org/10.7861%2Ffhj.2023-0116 To find out more about the Primary Care Special Interest Group (SIG) in Genomics contact england.administration.genomicseducation@nhs.net Tell us what you thought! Please take 2 minutes to complete the survey about this episode.

This month we are joined by Dr Ayesha Mahmud, a salaried GP, TPD, ICB lead and Faculty Education Lead with a special interest in Learning Disabilities and Autism. Ayesha describes how her GP career path changed due to her passion for advocating for patients with learning disabilities. She also outlines her achievements within this area of work and highlights of the role. Top tips: You can always change direction of travel – Ayesha previously had a background in minor surgery and changed to learning disabilities as it was a passion of hers with a personal meaning to drive change Find your Tribe – Ayesha recommends exploring the RCGP Special Interest Group for Learning Disabilities where you can connect with those who share your special interest, expand your networks and opportunities and learn from each other  Raise awareness of your work – If you are working to improve the quality of patient care for those with learning disabilities, it is important to raise awareness of this as it can lead to more joined up thinking and improved patient outcomes Expand your knowledge - Ayesha highly recommends the RCGP One Day Essentials courses for different topics which are now free to members to book Small changes can be rewarding – Implementing small changes in your practice can be hugely beneficial to patients. Ayesha provides an example of this whereby her GP Practice has an alert system set up for a patient on the learning disability register, so the receptionist is notified and can try to make reasonable adjustments for them such as a longer appointment time. Dr Ayesha Mahmud is a salaried GP, TPD, ICB lead and Faculty Education Lead. She has special interest in Learning Disabilities and Autism. She is deeply committed to enhancing the quality of care for individuals with Learning Disabilities and works actively to reduce health inequalities in healthcare system. Further reading Post graduate qualification PGCert Learning Disability and/or Autism | Edge Hill RCGP Special Interest Group for Learning Disabilities with contact and joining details Learning disabilities group RCGP One Day Essentials on Learning Disabilities - free to attend RCGP One Day Essentials conferences New to Practice fellowship schemes possibly available across different regions (check with your local commissioners about fellowship opportunities in their area) New to Practice GP Fellowships Regular webinars & meetings are held by British Institute for Learning Disabilities Membership | bild Palliative care planning for people with Learning Disabilities End Of Life Care Planning | The Victoria And Stuart Project Fairhealth  Free learning resources to help reduce Health Inequalities  Learning Disability Friendly Badge Learning Disability Friendly Badge - Happy Healthy Lives Ayesha’s awards - The Martin Wilkinson Award at RCGP Midland Faculty Award and the Highly Commended Best Collaborative Award at the RCGP Inspire Awards 2024 COVENTRY & WARWICKSHIRE LEARNING DISABILITY FRIENDLY BADGE RECOGNISED WITH TWO RCGP AWARDS - Happy Healthy Lives Tell us what you thought! Please take 2 minutes to complete the survey about this episode.

This month we hear from Dr Egbe Efefaroro, a GP who took up an interest in Undergraduate Medical Education at Keele University. Egbe talks to Sophie about her love for teaching her Year four medical students, how she got into the role and her advice for those interested in pursuing a career in this area. Top tips:  Gain taster experience: Get involved with your local medical school for example as a casual tutor; personal development tutor; GP tutor for students assigned to your practice or volunteer as OSCE examiner. If interested, send an email to the medical school about any opportunities to get involved It’s a win-win: You can learn a lot from teaching and interacting with students. Egbe says that this keeps her fresh and up to date with the latest guidelines which is also useful for her own learning and professional development. This in turn also benefits her patients in general practice which is a win-win!  Do I need additional qualifications? Egbe recommends obtaining a postgraduate degree in Medical Education i.e PgCert, PgDip or Masters - offered by various universities either in-situ or online, usually as a part time programme to allow learners to do it alongside their clinical work. Egbe did the one at Keele University.  Do a ‘Teach the Teachers’ course. This is a two-day course designed to help clinicians learn about educational concepts and techniques to deliver effective clinical teaching sessions. This is offered free by some universities for clinicians who have contact with their medical student Become a role model: Inspire the next generation of doctors through your love of teaching and general practice. Share your interesting cases with your students, what surprised you? How did you deal with difficult situations? This may in turn inspire and encourage them to pursue a career in general practice. During a time of recruitment and retention crises in general practice this may help to future proof the profession.  Dr Egbe Efefaroro is a GP in Stoke-on-Trent and a Clinical Lecturer in Medical Education in the School of Medicine at Keele University Staffordshire.      Further reading Teach the teachers course https://teachthedrteacher.com/   Postgraduate Clinical Education - Keele University www.keele.ac.uk/study/postgraduatestudy/postgraduatecourses/clinicaleducation/ In Practice fellowship https://www.nihr.ac.uk/explore-nihr/academy-programmes/integrated-academictraining.htm#four     Tell us what you thought! Please take 2 minutes to complete the survey about this episode.

This week, Dr Sophie Lumley interviews Dr Rachel Taylor, a GP partner, Trainer, Appraiser and Mentor who works mainly as a GP but also in sexual health clinics. Rachel outlines her career journey, ideas of how to get into this area of work and her highlights of the role.  Top tips:  Consider the motivation for the role: Be very clear what your drivers are for taking on the additional role e.g. is it an area you have a passion for, is it to have more flexibility in your career or even increase your income? Once you have established your ‘why’ seek out the opportunities.   Embrace the flexibility: Your life can change over the years with family and career commitments but you can find a role to suit you. You may be able to pick up shifts in your local sexual health clinics to suit your schedule.  Increase your competence with a qualification: There are qualifications such as the DFSRH which fits very well with general practice with a very well resourced, accessible website and achievable qualification if you are already doing your GP training.   Start your search close to home: Not sure where to start? Rachel recommends contacting your local gynae clinics and offer to sit in and speak to the team about opportunities available. Most local sexual health services are run by public health which is another option to explore. You could also join webinars/events on sexual health and contact those who are teaching on it directly about opportunities or further study.  There may be funding available: If you want to gain expertise in sexual health ask your practice if they can fund you to train in fitting coils/implants, but you should also be prepared to fund yourself or do it in your own time. Another option for funding could be through a fellowship scheme. Sometimes bursaries are available which could be used to backfill some of your time or pay for you to go on courses and enable you to work elsewhere.  Dr Rachel Taylor is a GP Partner, Trainer, Appraiser and Mentor. She has a special interest in Sexual Health and is a DFSRH Faculty Trainer. She works mainly as a GP but has always worked in Sexual Health clinics to support her interest, clinical skills and awareness in this area.   Further reading The Faculty of Sexual & Reproductive Healthcare https://www.fsrh.org/   RCGP Women's Health Library https://elearning.rcgp.org.uk/course/index.php?categoryid=57   RCGP Women's Health Toolkit https://elearning.rcgp.org.uk/mod/book/view.php?id=12534   RCGP Gynaecology and Women's Health Hub https://elearning.rcgp.org.uk/course/view.php?id=772   FSRH Diploma https://www.fsrh.org/education-and-training/diploma/   British Menopause Society https://thebms.org.uk/   West Midlands Association for Contraception and Sexual Health https://wmcash.org.uk/   Tell us what you thought! Please take 2 minutes to complete the survey about this episode.

In this episode we hear from Dr Alistair Robertson, a GP with a special interest in frailty speak to Dr Sophie Lumley about his experience of getting into this area of work, how to seek out opportunities in frailty if you want to get involved and his downsides and highlights of the role. Top tips:  Make the most out of your networks - Seek out any hospital frailty teams or your GP practice the frailty lead. Don’t be afraid to speak to them to find out how to get involved, do some home visits or basic frailty or comprehensive geriatric assessments to familiarise yourself with the work Upskill yourself – It's always helpful to increase your knowledge base on frailty by completing a diploma in geriatric medicine for example, but it’s not essential when starting out Determine what sort of doctor do you want to be - find an area where you can be that doctor that you want to be. It's within every GP to go off and do these things as it's all the things you've learned coming into play that you excel at with our communication, working with other teams and being the hub for the care of the patient Apply yourself – with frailty you don’t need to carry any separate medical skills that other doctors don’t have; it's just you maybe have a little bit more opportunity to apply what you do know  Endless learning opportunities – frailty is an area of work that is growing exponentially year on year due to an ageing population. You have a chance to learn from your team and your patients which is an exciting addition to the ‘day to day’ GP role.   Dr Alistair Robertson is a former EDM Record Producer who retrained as a doctor and went on to specialise as a frailty doctor, with a particular special interest in headaches on the side.    Further reading  RCGP GPwER in Frailty Framework https://www.rcgp.org.uk/your-career/gp-extended-roles/purpose-of-frailty    Joining the dots: A blueprint for preventing and managing frailty in older people https://www.bgs.org.uk/Blueprint  Podcast with learning resources on frailty and elderly care: https://thehearingaidpodcasts.org.uk/  Understanding how integrated care systems are supporting older people; case studies on integrated care https://www.england.nhs.uk/integratedcare/resources/case-studies/integrated-care-in-action-older-peoples-care/  Diploma in geriatric medicine  https://www.rcplondon.ac.uk/diploma-geriatric-medicine  Tell us what you thought! Please take 2 minutes to complete the survey about this episode.

In this episode, Dr Sophie Lumley interviewed Dr Nadia Tharib, a GP with an interest in expedition medicine, mountain medicine, tropical and humanitarian medicine. Find out how Nadia got into this field of work, the challenges and the highlights of her role and more! Top tips  The variety is unmatched - From following a group of teenagers doing a Duke of Ed to going to going to Mount Everest basecamp, there is huge variation in what constitutes as expedition medicine Educate yourself - There are courses available to provide education in expedition medicine. There are also diplomas and masters level qualifications. These are a great way to build your knowledge and confidence and to network with like-minded people but they are not essential to be an expedition medic Make friends for life - Expedition medicine is an exciting opportunity to meet a range of really interesting people, make friends for life and share your incredible stories with your patients in your day to day GP job!  It’s never too early to start - Don’t be afraid to explore courses you are interested in early on in your GP career journey. Nadia completed an expedition medicine course in her F2 which helped her to think on her feet and improvise – great skills that compliment everyday general practice Trust your gut - In expedition medicine, have the confidence to recognise a sick patient when you see one and be prepared to potentially manage them on your own.  Is it for you? Nadia advises to go on a trip as a member first to find out if you enjoy expedition medicine, as it may not be suitable for everyone. For example being ‘on-call’ during the expeditions in often hostile environments whilst always remaining calm and positive can be challenging.  Dr Nadia Tharib is a GP Partner in Shropshire. She has an interest in expedition medicine, mountain medicine, tropical and humanitarian medicine. Nadia holds the UIAA Diploma in Mountain Medicine and the Diploma in Tropical Medicine and Hygiene.   Further reading  The Adventure Medic website: https://www.theadventuremedic.com/  Raleigh International website: https://raleighinternational.org/  World Extreme website: https://worldextrememedicine.com/   Tell us what you thought! Please take 2 minutes to complete the survey about this episode.

Brought to you by RCGP, the GP+ Careers podcast is a series aiming to showcase the breadth and diversity of opportunities available to you as a GP. In this introductory episode, Dr Helena McKeown, Medical Director for Professional Development and Quality at the RCGP, interviews podcast host Dr Sophie Lumley to find out the purpose of the podcast, how it came to be and her key takeaways from the podcasts so far. Dr Sophie Lumley, is a First5 GP in Shropshire, West Midlands and a Training Programme Director. She decided to start this podcast to hear all about the additional GP career options available to her, her colleagues and her trainees and how to start developing them.   Tell us what you thought! Please take 2 minutes to complete the survey about this episode.