Sage General Practice

Sage General Practice is a teaching podcast about primary care, closely tied to the journal InnovAiT. Many of its episode titles carry the InnovAiT name with a month attached, such as 'InnovAiT October 23: Sleep disorders', and several conversations centre on an article the guest has published there. So the show has a clear job: taking written clinical guidance and talking it through. The subject range is wide. Recent episodes move from sepsis and supraglottitis to sleep disorders, adult ADHD, climate change and the experience of international medical graduates. Sadia Ayaz, a GP in southwest London, leads a number of these conversations. With Dr Lizzie Morgan, who is in ACCS training as a CT1 in Birmingham, she goes through an article on recognising sepsis. That includes why children, whose immune systems are less mature, can present differently. With Dr Serena Strickland, she discusses healthy sleep patterns, common sleep problems in general practice and sleep hygiene. She also acknowledges how hard it is to cover all of that in ten minutes. Because a working GP is asking the questions, they tend to come back to what can be managed in a busy clinic. Other episodes are closer to a talk from a single clinician. Stuart Kyle is a GP in Swansea with a special interest in neurodevelopmental disorders, mental health and medical education. He discusses his article on practical solutions for managing ADHD in adults, a subject he says he came to partly through lived experience in his own family. His list of red flags is specific: long-standing organisational difficulties, chronic lateness, missed appointments, forgetfulness, anxiety, rejection sensitivity and a history of academic or occupational underachievement. He stresses that women are often underdiagnosed because their symptoms are internalised, and that support should not wait for a diagnosis. Rangploy Jaran Chastry, known as Fah, an ENT teaching fellow in Bristol, covers supraglottitis as a life-threatening airway emergency in both children and adults. The talk separates supraglottitis from epiglottitis. It also notes that paediatric cases have fallen as uptake of the Haemophilus influenzae type B vaccine has risen, while the adult incidence has held steady. The climate change episode, with GP trainee Dr Veena Agarwal, stays close to the consulting room. It compares the greenhouse-gas propellants in metered dose inhalers with dry powder inhalers and describes reviewing patients who overuse salbutamol, aiming both to improve asthma outcomes and to shrink the carbon footprint. A separate conversation looks at doctors who move to the UK to train and work, the cultural and professional adjustments that involves, and an IMG group on the RCGP members forum. The register throughout is collegial and practical, and conversations end with warm thanks and good wishes. It works best as continuing education in audio form, aimed at the everyday decisions of general practice.