For some, it has put a significant financial strain upon ourselves and our families with the loss of normal work opportunities, particularly for locums. For others, the worry for their own health and that of their families has been huge.

Take into account prescribing in special conditions such as with patients who are pregnant, breastfeeding, have renal or hepatic impairment or palliative care needs

The restart of appraisals will, as explained above, bring with it changes to the appraisal format. These will be applicable for approximately 12 months from the 1 October 2020. Drug switching may be externally recommended (for example, by specialists or Clinical Commissioning Groups) for quality reasons such as efficacy or efficiency. Consider the impact of drug switching in the patient's best interest and the impact of cost saving on the wider system Person-centred consulting includes the choice of responses, both verbal and non-verbal, that you and the patient make

Recognising that poverty is a common cause of ill health and consider this when interpreting research. For example, a health outcome attributed to a certain characteristic (for example, ethnicity) may be due to an underlying environment of disadvantagePrinciples of screening (for example, Wilson’s criteria) and the concepts of primary, secondary and tertiary prevention; their application to screening programmes and recall systems analysis of variance, multiple regression, t-tests and non-parametric data (for example, chi squared, Mann-Whitney U); and Maintain and develop your knowledge and skills in pharmacology, therapeutics and medicines management relevant to your role and prescribing practice

As a GP you are likely to participate directly or indirectly in research and educational activity which may have ethical and clinical governance implications. For example, you may be an educational supervisor or academic GP, your practice may be part of a research network, or you may be asked to assist in recruiting patients to clinical trials. Also, you may see patients who are involved in clinical trials or be asked for your professional or expert opinion on a piece of research. It is important, therefore, to understand the ethical and governance principles that underpin such activities, and have an awareness of your own attitudes, values, professional capabilities and ethics in this context. Clinical Governance is the system through which organisations are accountable for continuously improving the quality of care and maintaining high standards. Understanding how to apply tools and metrics to monitor this is key to improving the quality of care. Completing the learning style questionnaire enables the learner to select the method most suited to their preferred style. It will also enable them to make the most of that style, and from the basis of success, develop their other styles. Understanding of statistics and application of tools (for example, run charts, process mapping, tally charts, Pareto charts, statistical process control charts, driver diagrams)Wherever possible, an agreement with the patient and their carers on the treatment proposed, appropriately explaining: There are many opportunities for more formal (structured) learning, such as courses on evidence-based practice. These include research and clinical update study days, which could be offered through RCGP or other hosts, such as university departments. Your local training programme will offer updates and workshops tailored for trainees. Academic work in general practice Consultations that work effectively from a patient's perspective require the doctor to understand that 'health' and 'illness' comprise more than the presence or absence of the signs and symptoms of disease