Key questions on vaginal discharge

Dr Olwen Jones on whether self-taken genital swabs are acceptable in teenagers, speculum examinations in pregnancy and treating recurrent thrush

1.5 CPD hours

Clinical casebook: hypertension

Consultant cardiologist Dr Angus Nightingale and clinical research fellow Dr Thomas Hinton on blood pressure monitoring, contraindications to general anaesthesia and what blood pressure targets GPs should be aiming for.

1 CPD hour
Video module - Premium

Recognising and referring signs of sepsis

Dr Simon Stockley advises on key warning signs for sepsis and referring cases to secondary care

1 CPD hour

Antibiotics and polypharmacy

Module summary

GP and prescribing lead Dr Martin Duerden offers his advice on saying ‘no’ to an antibiotics request, while Dr Rupert Payne, GP and specialist in clinical pharmacology, advises on three cases of polypharmacy.

Learning objectives

This module combines the two common prescription-related subjects of polypharmacy and reducing antibiotic prescriptions into one module, updating your knowledge on such topics as:

  • How to encourage self-reliance in patients
  • Resisting an antibiotic request by implementing ‘delayed prescribing’
  • Watching out for interactions when escalating treatment 
  • Being wary of prescribing errors 

Dr Martin Duerden is a GP, clinical adviser on prescribing for the RCGP, and clinical senior lecturer at the Centre for Health Economics and Medicines Evaluation, Bangor University.

• Competing interests: Dr Duerden is a member of the Global Respiratory Infection Partnership (GRIP – see This is a group of healthcare professionals from around the world who are striving to reduce antibiotic prescribing. The group receives funding from and is supported by RB (Reckitt Benckiser), but does not promote specific products


Dr Rupert Payne is a GP and NIHR clinical lecturer in general practice in Cambridge, trained in clinical pharmacology and therapeutics

Date module published
Module due for review
Suggested number of CPD credits
Completing this module will earn you a certificate for a suggested
1 CPD hour
By showing evidence of impact you could double that to
2 CPD hours
What other GPs said after completing this module
useful but a bit basic
Shazli Khan
very good
Jonathan Watts
very good
Jonathan Watts
Amjid Raja
a little basic
Heidi Margarete Alexander