GP in the Out of Hours Setting – An Approach

Participants

• Dr David McConaghy - Clinical Lead for Prevention, Irish College of GPs; Medical Director, TLC Doc
• Dr John Maher - Host

Summary

We explore an approach to working in the Out of Hours GP (OOHS) setting in Ireland. Dr David shares insights from over 20 years of experience in Ireland and abroad, highlighting the importance of preparation, patient safety, and effective communication. The conversation covers practical advice for newcomers, strategies for managing difficult consultations, and the role of OOHS in supporting both patients and hospital colleagues.

Key themes include the scale of OOHS consultations in Ireland, the importance of slowing down consultations, collaborative working with colleagues, managing requests for controlled drugs and sick certificates, handling house calls and palliative care, and preparing for overnight shifts.

Links

• Irish College of GPs – General Practice Updates
• antibioticprescribing.ie
• HSE Medicines Management Programme – Benzodiazepine Prescribing Guidance
• Palliative Care Guidelines – A Toolkit for COVID 19 Management - HSE
• Roger Neighbour’s Consultation Model
• Oxford Handbook of General Practice – Emergencies Section
• Eolas Medical App

Disclaimer
The information provided in this podcast is for educational and informational purposes only. It is not intended to serve as medical advice, diagnosis, or treatment, nor does it replace independent clinical judgment or consultation with a qualified healthcare professional.

The views and opinions expressed by hosts and guests are their own and do not necessarily reflect those of the Irish College of GPs.

Listeners are encouraged to review current clinical guidelines, product labelling, and relevant policies before applying any information discussed in this podcast.

This podcast does not establish a doctor–patient relationship. Healthcare professionals should exercise their own professional judgment in evaluating and applying information to specific clinical situations. Patients or members of the public should seek advice from their own qualified healthcare provider regarding any medical condition or treatment. It may not be possible or appropriate in all circumstances to follow the advice/processes suggested in this podcast, for example due to resource availability.

While efforts are made to ensure accuracy, medicine is a constantly evolving field, and no guarantee is made regarding the completeness, accuracy, or timeliness of the information presented.

By listening to this podcast, you acknowledge and agree that the hosts, guests, producers, affiliated organizations and the Irish College of GPs are not liable for any direct or indirect consequences resulting from the use of the information provided.

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Webpage: https://www.irishcollegeofgps.ie/The-GP-Podcast
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