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Fatigue. Fatigue is an extremely common primary care symptom in all age groups. Some affected individuals have associated chronic disease, others have no identifiable cause, and a tiny minority have chronic fatigue syndrome (CFS). Until recently, NHS services focused solely on the small percentage of people with CFS and excluded the majority of patients who had fatigue but did not meet the CFS diagnostic criteria. In order to address this unmet need, a clinic based on a Dutch model was set up in Newcastle upon Tyne in 2013. A study analysing this new service, described as the UK’s first NHS generic fatigue clinic, found it successfully met the majority of important needs and was popular with both users and referrers. 1 Patients using the service were generally much older than those found in specialist CFS clinics and had a high burden of chronic disease, suggesting the demand for this type of clinic may well increase in future decades as population demographics change. GP tutors as role models. Modern hospitals are constantly striving to increase efficiency, reduce patient stays, and get maximum productivity from super-specialist consultants. This has had a significant impact on medical education and meant general practice is more important than ever as an environment in which to learn clinical medicine. In a recent Swedish study, 20 experienced GP tutors (median age 50 years) were asked about the attributes they considered important for GP tutors of medical students.

Yonder: Fatigue, role models, MDT meetings, and GP signatures