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Pearls

Red Whale Pearls are our super useful weekly updates for GPs and other primary care clinicians - designed to turn tricky evidence and guidelines into practical advice for consultations, focus on important issues we shouldn't miss and make our lives easier! Sign up to receive our Pearls by email.

Potassium 6.1…what should we do?

In this week’s Pearl, we share a GEMS (Guidelines and Evidence Made Simple) on assessing and managing hyperkalaemia in primary care
5th June 2025
Trainees
Trainees

Contraceptive medical eligibility criteria (UKMEC)

The UK Medical Eligibility Criteria (UKMEC) are guidelines which assist clinicians in prescribing safe and suitable contraceptive options. The recommendations are made by expert working groups based on appraisal of evidence and consensus opinion.
4th June 2025

Multiple sclerosis: suspecting it and supporting patients 

Multiple sclerosis often presents in early adulthood, and a diagnosis is life-changing. The challenges in general practice are:  suspecting it and referring appropriately, and supporting with symptom management.  We cover all this and more in this week’s Pearl – click here to read more: 
29th May 2025

The gut microbiome: what do we need to know? 

The ‘gut health revolution’ is apparently here – everyone and anyone is talking about it! Sharing what is known and what just isn’t known is an important part of shared decision-making with patients.  
22nd May 2025
Trainees

Glue ear: should we refer as soon as we suspect?

Glue ear (otitis media with effusion) is a common cause of hearing difficulty, particularly in children. NICE guidance in 2023 recommended that if we suspect the condition in primary care, we should refer immediately for audiology assessment.
1st May 2025

Diagnosing pelvic inflammatory disease: a challenge in general practice

This week’s Pearl considers how we can approach making a diagnosis of pelvic inflammatory disease in general practice. This is important because it has significant sequelae, including subfertility and chronic pelvic pain. Please see https://www.redwhale.co.uk/bytes for the video byte
24th April 2025

Spotting and supporting those with Parkinson’s disease

Tomorrow is world Parkinson’s day. Parkinson’s disease is increasing in prevalence as our population ages. Our role in primary care is to spot it early and refer and then, alongside our secondary care colleagues, to support people living with the condition with potentially complex symptoms and drug regimens.
10th April 2025

Neurodiversity in the workforce

Yesterday was autism awareness day. So we thought we would share our article on supporting a neurodiverse workforce – this might provide tips we can apply to ourselves, to a trainee or a colleague!
3rd April 2025
Trainees

Approaching the ARCP

We are into April already and our trainees focus (as well as your trainers and programme directors focus) turns to ensuring we have enough evidence for our Annual Review of Competence Progression (ARCP).
2nd April 2025

Spotting myeloma…let’s make it less tricky

Myeloma has been a popular topic in our recent Cancer and GP Update courses because it is tricky. So, to celebrate the launch of the NEW season of GP Update courses today, we wanted to share this Pearl on myeloma from last season
27th March 2025

Mental Health Resources for Clinicians

If you’re not ok, you are not alone. Please seek help. Our article Sources of support for health professionals has contact details for sources of support, including the NHS Practitioner Health Programme.
25th March 2025

Nature… so important that we should prescribe it?

Spring is around the corner, and to celebrate National Social Prescribing Day on 19 March, we have teamed up with Intelligent Health, Natural England and the National Academy of Social Prescribing to share a video byte on the power of nature and green social prescribing in transforming patient health. 
13th March 2025
Trainees

Statistics for the GP trainee

Statistical talk is not a common language, and a high percentage of trainees spend a lot of time getting to grips with the terminology!
12th March 2025