Explore every episode of the podcast eGPlearning Podblast
| Title | Pub. Date | Duration | |
|---|---|---|---|
| Explaining the new NHS Medium Term Planning Frame Work | 06 Nov 2025 | 00:57:09 | |
Contact us and share your opinion Join eGPlearning as we take a look at the NHS Medium Term Planning Framework. This document was published by NHS England on 24 October 25 and provides more detail on how DoH and NHSE will deliver on the aspirations outlined in the NHS 10 year plan. This summary will help you understand where your ICB, Place, PCN and Practice are being asked to focus over the next 4 years. The document covers how responsibilities for delivery will be distributed across different levels of within the system from the centre down to neighbourhoods and the layers in between, how aspirations will align with the three darzi shifts, and describes specific targets in the areas of; elective care, cancer and diagnostics, urgent and emergency care, primary care, community health services, mental health, learning disabilities and workforce. Boost your triage skills with our dynamic 5-session live webinar course, tailored for primary care clinicians. Join Dr Mike as he shares how to get started and fly using EMIS to make your life easier with this clinical system | |||
| Getting started with Ambient Voice Technology in General Practice | 30 Oct 2025 | 00:48:08 | |
Contact us and share your opinion Ambient Voice Scribes are part of the NHSE plan to increase productivity in General Practice by providing an AI assistant who listens in on consultations and then provides documentation of encounters and can even convert what it has heard into referral letters and reports. Andy and Gandhi discuss this technology, moving from a brief introduction to practical tips for getting started with this technology in your practice with the right governance in place. Listen to the end and you might even know your DCB0129s from your DCB0160s… Thanks to Dr Devin Gray & Wandsworth GP Federation who’s guidance we explore.
Boost your triage skills with our dynamic 5-session live webinar course, tailored for primary care clinicians. Join Dr Mike as he shares how to get started and fly using EMIS to make your life easier with this clinical system | |||
| Exploring the UKHSA Inequalities in Health Protection Report | 05 Jun 2025 | 00:30:05 | |
Contact us and share your opinion We explore and discuss the UK Health Security Agency (UKHSA) report on the impact of health equity and inequalities on individual and population health. Boost your triage skills with our dynamic 5-session live webinar course, tailored for primary care clinicians. Join Dr Mike as he shares how to get started and fly using EMIS to make your life easier with this clinical system | |||
| Tackling Health Inequalities - Reviewing a practical toolkit | 17 Aug 2023 | 00:29:58 | |
Contact us and share your opinion This toolkit from Queen Mary University London, presents a vision for equitable general practice and provides guiding principles and a framework to help teams work out how to make a difference and have an impact. Boost your triage skills with our dynamic 5-session live webinar course, tailored for primary care clinicians. Join Dr Mike as he shares how to get started and fly using EMIS to make your life easier with this clinical system | |||
| Did NHS England mess up? | 11 Aug 2023 | 00:13:08 | |
Contact us and share your opinion A rapid update on General Practice and Primary care contracts by NHS England that you can not miss Boost your triage skills with our dynamic 5-session live webinar course, tailored for primary care clinicians. Join Dr Mike as he shares how to get started and fly using EMIS to make your life easier with this clinical system | |||
| NHS Winter pressures plans 2023 | 10 Aug 2023 | 01:02:50 | |
Contact us and share your opinion Join Andy and Gandhi as they review the new winter pressures guidance document for 2023 and how it relates to primary care and wider Boost your triage skills with our dynamic 5-session live webinar course, tailored for primary care clinicians. Join Dr Mike as he shares how to get started and fly using EMIS to make your life easier with this clinical system | |||
| Making Sense of the GP Survery Results 2023 | 03 Aug 2023 | 00:50:28 | |
Contact us and share your opinion The current abundance of click bait headlines about the “best” and “worst” GP Practices can only mean one thing… Its annual GP Survey results time! In this episode we explore: Understanding the GP survey: https://www.england.nhs.uk/statistics/statistical-work-areas/gp-patient-survey/ GP Survey FAQs:
Where to find detailed information about methodology? Delving into the Technical Annexe:
Results:
https://gp-patient.co.uk/downloads/2023/GPPS_2023_National_Infographic_PUBLIC.pdf
https://gp-patient.co.uk/pcn-dashboard Using the analysis tool
Positives
Boost your triage skills with our dynamic 5-session live webinar course, tailored for primary care clinicians. Join Dr Mike as he shares how to get started and fly using EMIS to make your life easier with this clinical system | |||
| GP and eGPlearning update | 29 Jul 2023 | 00:54:28 | |
Contact us and share your opinion Join Andy and Gandhi for the latest in primary care news and a massive update on changes at eGPlearning Boost your triage skills with our dynamic 5-session live webinar course, tailored for primary care clinicians. Join Dr Mike as he shares how to get started and fly using EMIS to make your life easier with this clinical system | |||
| YouTube Health Clinical Creators - an update | 15 Jul 2023 | 00:35:29 | |
Contact us and share your opinion Andy & Gandhi recently visited YouTube HQ in London to attend an event hosted by Google aimed at supporting licensed clinicians to create YouTube videos to support patients to stay healthy and understand and manage their medical conditions.
Here about the event and where we see opportunities and challenges in this exciting space…
0:00 Welcome! 3:46 Why are Google working on health issues? 6:17 Google has many complimentary platforms positioned to support health 10:20 YouTube’s approach to acting responsibly in the health space 12:03 Andy & Gandhi reflections on the event & YouTube Health 30:26 Introducing the eGPlearning Getting tarted with video in Primary Care online course! Link to register interest – www.bit.ly/clinicalcreatorcourse Boost your triage skills with our dynamic 5-session live webinar course, tailored for primary care clinicians. Join Dr Mike as he shares how to get started and fly using EMIS to make your life easier with this clinical system | |||
| NHS Workforce plan review | 08 Jul 2023 | 01:40:19 | |
Contact us and share your opinion Join Andy and Gandhi as they review the long-awaited NHS Workforce plan which sets out the NHS plans for the next 15 years. Is it any good? Find out with us.... Boost your triage skills with our dynamic 5-session live webinar course, tailored for primary care clinicians. Join Dr Mike as he shares how to get started and fly using EMIS to make your life easier with this clinical system | |||
| The sate of education and practice in medicine - a GMC report review | 01 Jul 2023 | 01:13:26 | |
Contact us and share your opinion Join Andy and Gandhi as they review the GMC report on the state of education and practice in Medicine. Boost your triage skills with our dynamic 5-session live webinar course, tailored for primary care clinicians. Join Dr Mike as he shares how to get started and fly using EMIS to make your life easier with this clinical system | |||
| Digital Transformation Made Easy: Exploring Essential Digital Certificates for General Practice | 30 Jun 2023 | 00:31:34 | |
Contact us and share your opinion Join DrGandalf and Dr Dustyn Saint from Primary Care IT as they discover the crucial types of digital certificates required by companies and GP practices in UK primary care for a successful digital transformation. Boost your triage skills with our dynamic 5-session live webinar course, tailored for primary care clinicians. Join Dr Mike as he shares how to get started and fly using EMIS to make your life easier with this clinical system | |||
| Cloud-based telephony explained with X-on Health | 21 Jun 2023 | 00:56:40 | |
Contact us and share your opinion Join DrGandalf for a cloud telephony update with Surgery Connect by X-ON Health: https://www.x-on.co.uk/service/surger... Boost your triage skills with our dynamic 5-session live webinar course, tailored for primary care clinicians. Join Dr Mike as he shares how to get started and fly using EMIS to make your life easier with this clinical system | |||
| BMA and DDRB showdown the update for General Practice | 29 May 2025 | 00:54:09 | |
Contact us and share your opinion Join Andy and Gandhi for an update on the BMA, DDRB and impact for General Practice Boost your triage skills with our dynamic 5-session live webinar course, tailored for primary care clinicians. Join Dr Mike as he shares how to get started and fly using EMIS to make your life easier with this clinical system | |||
| Exploring the complex relationship between Digital Exclusion & Health Inequalities | 17 Jun 2023 | 01:00:39 | |
Contact us and share your opinion Every report, guidance and initiative directed at UK General Practice is advocating for increased use of technology and a digital first approach to accessing NHS care. These same documents also compel all levels of the system to address inequalities in health care access and outcomes. Many worry that the drive adopt technology and move access online may exclude vulnerable and disadvantaged groups who are often less able to afford, access and know how to use technology. Can this situation be reconciled? Can digital technology actually be used to address health inequalities? In the episode we discuss this challenge and draw in particular on recent digital inclusion and inequality reports: The Good Things Foundation: Building a Digital Nation https://www.goodthingsfoundation.org/insights/building-a-digital-nation/ The Kings Fund: Moving from exclusion to inclusion in digital health and care https://www.kingsfund.org.uk/publications/exclusion-inclusion-digital-health-care OFCOM: Digital Exclusion Report 2022 https://www.ofcom.org.uk/__data/assets/pdf_file/0022/234364/digital-exclusion-review-2022.pdf Boost your triage skills with our dynamic 5-session live webinar course, tailored for primary care clinicians. Join Dr Mike as he shares how to get started and fly using EMIS to make your life easier with this clinical system | |||
| Understanding the HealthWatch Cost of Living & Health Report | 10 Jun 2023 | 00:25:54 | |
Contact us and share your opinion A recent report from the patient advocacy organisation HealthWatch, recommended that GP Surgeries should prescribe medicines available over the counter at pharmacies and supermarkets to patients based on socioeconomic need. For years the NHS has been telling practices to stop doing this due to the cost of providing a whole appointment compared to the low cost (often pennies) of widely available medicines such as paracetamol and antihistamines. We pick apart this report and it’s other recommendations here… HealthWatch Cost of Living & Health Report https://www.healthwatch.co.uk/cost-living-findings Boost your triage skills with our dynamic 5-session live webinar course, tailored for primary care clinicians. Join Dr Mike as he shares how to get started and fly using EMIS to make your life easier with this clinical system | |||
| Automating GP registrations: one less task with healthtech-1 | 07 Jun 2023 | 01:00:13 | |
Contact us and share your opinion Find out how automation can be done in your practice with DrGandalf and the team and healthtech-1 for a sponsored stream Boost your triage skills with our dynamic 5-session live webinar course, tailored for primary care clinicians. Join Dr Mike as he shares how to get started and fly using EMIS to make your life easier with this clinical system | |||
| Is the GMC fit for purpose and other news stories in primary care | 03 Jun 2023 | 01:00:45 | |
Contact us and share your opinion Your primary care update by Andy and Gandhi covers all the latest news in General Practice including: Boost your triage skills with our dynamic 5-session live webinar course, tailored for primary care clinicians. Join Dr Mike as he shares how to get started and fly using EMIS to make your life easier with this clinical system | |||
| BMA stress awareness month advice to GP practices - Managing workloads (part TWO of two) | 27 May 2023 | 00:30:35 | |
Contact us and share your opinion Gandhi and Andy take a look at BMA advice release in “Stress Awareness Month” aimed to help GP practices reflect on and improve staff wellbeing and also have conversations measures to manage workloads safely and more effectively. This is part TWO of two – Managing workloads See part ONE for discussion of advice to help support staff wellbeing Find the document here: https://i.emlfiles4.com/cmpdoc/3/7/7/5/2/files/1028278_gp-practices-taking-time-to-reflect-on-wellbeing---stress-awareness-month-april-2023-final12.pdf Boost your triage skills with our dynamic 5-session live webinar course, tailored for primary care clinicians. Join Dr Mike as he shares how to get started and fly using EMIS to make your life easier with this clinical system | |||
| Dictation in General Practice made easy with Crescendo | 24 May 2023 | 00:43:40 | |
Contact us and share your opinion Join DrGandalf and the team from Crescendo as we talk about Dragon dictate and the tools to help you in your practice work faster in this livestream Boost your triage skills with our dynamic 5-session live webinar course, tailored for primary care clinicians. Join Dr Mike as he shares how to get started and fly using EMIS to make your life easier with this clinical system | |||
| BMA stress awareness month advice to GP practices - Wellbeing (part ONE of two) | 20 May 2023 | 00:27:19 | |
Contact us and share your opinion Gandhi and Andy take a look at BMA advice release in “Stress Awareness Month” aimed to help GP practices reflect on and improve staff wellbeing and also have conversations measures to manage workloads safely and more effectively. This is part ONE of two – Staff wellbeing Listen to part TWO for discussion of advice to help managing workloads Find the document here: https://i.emlfiles4.com/cmpdoc/3/7/7/5/2/files/1028278_gp-practices-taking-time-to-reflect-on-wellbeing---stress-awareness-month-april-2023-final12.pdf Boost your triage skills with our dynamic 5-session live webinar course, tailored for primary care clinicians. Join Dr Mike as he shares how to get started and fly using EMIS to make your life easier with this clinical system | |||
| Total Digital Triage - an example | 18 May 2023 | 00:48:15 | |
Contact us and share your opinion Join DrGandalf and Dr Nat Martin as they talk about how total triage can be used to match capacity and demand... Boost your triage skills with our dynamic 5-session live webinar course, tailored for primary care clinicians. Join Dr Mike as he shares how to get started and fly using EMIS to make your life easier with this clinical system | |||
| Automate your General Practice with GP Automate | 17 May 2023 | 00:54:22 | |
Contact us and share your opinion Join DrGandalf and Dr Arun Notaney of GP Automate as they explore the new world of automated General Practice and how it can help your practice and patients. Boost your triage skills with our dynamic 5-session live webinar course, tailored for primary care clinicians. Join Dr Mike as he shares how to get started and fly using EMIS to make your life easier with this clinical system | |||
| Will the GP recovery plan work? | 13 May 2023 | 01:45:44 | |
Contact us and share your opinion Join us for our longest episode to date, this is packed with details and views on the new GP Recovery Plan Boost your triage skills with our dynamic 5-session live webinar course, tailored for primary care clinicians. Join Dr Mike as he shares how to get started and fly using EMIS to make your life easier with this clinical system | |||
| Model ICBs and the value of a GP by the BMA and more | 15 May 2025 | 01:29:57 | |
Contact us and share your opinion Join Andy and Gandhi as they review the latest updates in General Practice, including Model ICBs, the BMA Value of a GP and some cool tech news. PCIT details: https://bit.ly/pcit2025 Boost your triage skills with our dynamic 5-session live webinar course, tailored for primary care clinicians. Join Dr Mike as he shares how to get started and fly using EMIS to make your life easier with this clinical system | |||
| Connecting healthcare with Accumail by Accurx | 08 May 2023 | 00:47:11 | |
Contact us and share your opinion Join DrGandalf and the team from Accurx to learn more about accumail the new product that helps to connect healthcare. Boost your triage skills with our dynamic 5-session live webinar course, tailored for primary care clinicians. Join Dr Mike as he shares how to get started and fly using EMIS to make your life easier with this clinical system | |||
| Effective feedback in General Practice & PCNs | 07 May 2023 | 00:58:06 | |
Contact us and share your opinion We respond to a viewer question asking how to improve the Friends & Family Feedback process at their practice. We discuss approaching feedback with the right mindset and the different types, tools, and ways to collect and use feedback in General Practice and Primary Care Networks to improve quality of care, patient experience and staff moral. 00:00 Introduction 02:16 Mindset & feedback 04:47 Types of feedback 12:15 Why engage with feedback 20:20 Sources of feedback & collection tools 39:45 Friends & Family Question suggestions 49:10 Simple electronic feedback station idea Boost your triage skills with our dynamic 5-session live webinar course, tailored for primary care clinicians. Join Dr Mike as he shares how to get started and fly using EMIS to make your life easier with this clinical system | |||
| PCN PLUS review the GP contract and what you need to do | 29 Apr 2023 | 01:06:46 | |
Contact us and share your opinion Join Ben, Tara, Andy and Gandhi as we review the GP contract for you live and find out more at https://bit.ly/PCNPLUS Boost your triage skills with our dynamic 5-session live webinar course, tailored for primary care clinicians. Join Dr Mike as he shares how to get started and fly using EMIS to make your life easier with this clinical system | |||
| The new GP contract in detail and a review of the 'assessment of need' | 24 Apr 2023 | 01:10:11 | |
Contact us and share your opinion Join Andy and Gandhi as they explore what the new assessment of needs means in the new GP contract LIVE Boost your triage skills with our dynamic 5-session live webinar course, tailored for primary care clinicians. Join Dr Mike as he shares how to get started and fly using EMIS to make your life easier with this clinical system | |||
| A global crisis in General Practice? Health Foundation report explained | 22 Apr 2023 | 00:50:15 | |
Contact us and share your opinion We explore the reports behind recent headlines claiming that GPs in the UKs are the most stressed in the world and explore how our colleagues in primary care are doing in other comparable wealthy nations. Health Foundation Report - Stressed & Overworked https://www.health.org.uk/publications/reports/stressed-and-overworked Commonwealth Fund - Stressed Out and Burned Out: The Global Primary Care Crisis Boost your triage skills with our dynamic 5-session live webinar course, tailored for primary care clinicians. Join Dr Mike as he shares how to get started and fly using EMIS to make your life easier with this clinical system | |||
| The Hewitt Review for Integrated Care Systems | 15 Apr 2023 | 00:55:01 | |
Contact us and share your opinion Join Andy and Gandhi as they review the recent Hewitt Report on integrated care systems and the recent Health Foundation report on Primary Care. Boost your triage skills with our dynamic 5-session live webinar course, tailored for primary care clinicians. Join Dr Mike as he shares how to get started and fly using EMIS to make your life easier with this clinical system | |||
| What is the GPDF? | 08 Apr 2023 | 00:38:31 | |
Contact us and share your opinion Join Andy and Gandhi as they find out from Dr Zoe Norris, what is the GPDF and what does it do? Boost your triage skills with our dynamic 5-session live webinar course, tailored for primary care clinicians. Join Dr Mike as he shares how to get started and fly using EMIS to make your life easier with this clinical system | |||
| QoF guide for 2023/24 | 06 Apr 2023 | 00:41:17 | |
Contact us and share your opinion A complete guide to the QOF (Quality and outcome framework) for General practice in 2023-24 Boost your triage skills with our dynamic 5-session live webinar course, tailored for primary care clinicians. Join Dr Mike as he shares how to get started and fly using EMIS to make your life easier with this clinical system | |||
| GP Contract review 2023/24 | 01 Apr 2023 | 01:12:43 | |
Contact us and share your opinion Join Andy and Gandhi for our first impressions on the GP contract for 2023/24 Boost your triage skills with our dynamic 5-session live webinar course, tailored for primary care clinicians. Join Dr Mike as he shares how to get started and fly using EMIS to make your life easier with this clinical system | |||
| Cheaper HRT | 30 Mar 2023 | 00:05:55 | |
Contact us and share your opinion How can you get cheaper HRT on the NHS? Find out about the new HRT prepayment certificate. Boost your triage skills with our dynamic 5-session live webinar course, tailored for primary care clinicians. Join Dr Mike as he shares how to get started and fly using EMIS to make your life easier with this clinical system | |||
| 7 ways to improve your practice finance with Medics Money | 07 May 2025 | 00:36:11 | |
Contact us and share your opinion Which of these 7 tips did you not know to save your GP business➡️ https://medicsmoney.co.uk/gpcourse Boost your triage skills with our dynamic 5-session live webinar course, tailored for primary care clinicians. Join Dr Mike as he shares how to get started and fly using EMIS to make your life easier with this clinical system | |||
| TPP SystmOne Update on visualisations. | 22 Mar 2023 | 01:02:42 | |
Contact us and share your opinion Join DrGandalf and the team from TPP as they share the latest updates to TPP SystmOne including key details about the new visualisations module. Join the TPP S1 course for clinicians: https://bit.ly/TPPS1course Boost your triage skills with our dynamic 5-session live webinar course, tailored for primary care clinicians. Join Dr Mike as he shares how to get started and fly using EMIS to make your life easier with this clinical system | |||
| Can General Practice Survive? An interview with the GPC | 20 Mar 2023 | 01:15:17 | |
Contact us and share your opinion Join Andy and Gandhi as they are joined by Dep Chair of the GPC Dr David Wrigley to answer the question can General Practice survive, and answer your questions too... Boost your triage skills with our dynamic 5-session live webinar course, tailored for primary care clinicians. Join Dr Mike as he shares how to get started and fly using EMIS to make your life easier with this clinical system | |||
| Board games for health and medical training | 18 Mar 2023 | 00:27:40 | |
Contact us and share your opinion We discuss how boardgames can be good for health and well being and a useful tool for team building, medical education and even recruitment. Boost your triage skills with our dynamic 5-session live webinar course, tailored for primary care clinicians. Join Dr Mike as he shares how to get started and fly using EMIS to make your life easier with this clinical system | |||
| NHS England ENFORCED GP contract changes 23/24 Review | 11 Mar 2023 | 01:24:39 | |
Contact us and share your opinion Join Andy and Gandhi as they review the enforced GP contract changes for 23/24 following the release Boost your triage skills with our dynamic 5-session live webinar course, tailored for primary care clinicians. Join Dr Mike as he shares how to get started and fly using EMIS to make your life easier with this clinical system | |||
| One Contact update 2023 | 09 Mar 2023 | 00:11:40 | |
Contact us and share your opinion Watch the One Contact update. See what you are missing from PrimaryCare IT Boost your triage skills with our dynamic 5-session live webinar course, tailored for primary care clinicians. Join Dr Mike as he shares how to get started and fly using EMIS to make your life easier with this clinical system | |||
| Qrisk on EMIS fix | 06 Mar 2023 | 00:10:29 | |
Contact us and share your opinion Qrisk might be going but Primary Care IT show you how you can resurrect it with OneContact Boost your triage skills with our dynamic 5-session live webinar course, tailored for primary care clinicians. Join Dr Mike as he shares how to get started and fly using EMIS to make your life easier with this clinical system | |||
| Can GPs Strike? | 04 Mar 2023 | 00:48:15 | |
Contact us and share your opinion Can General Practitioners (GPs) strike? Boost your triage skills with our dynamic 5-session live webinar course, tailored for primary care clinicians. Join Dr Mike as he shares how to get started and fly using EMIS to make your life easier with this clinical system | |||
| Cost effective conference webcam - Nuroum C40 | 02 Mar 2023 | 00:22:27 | |
Contact us and share your opinion Find out all you need to know about the Nuroum C40, its features, how to get it cheaper and is it better than an OWL? Boost your triage skills with our dynamic 5-session live webinar course, tailored for primary care clinicians. Join Dr Mike as he shares how to get started and fly using EMIS to make your life easier with this clinical system | |||
| Primary Care update Feb 2023 | 25 Feb 2023 | 00:48:15 | |
Contact us and share your opinion Join Andy and Gandhi for the latest update in General Practice in Feb 2023 Boost your triage skills with our dynamic 5-session live webinar course, tailored for primary care clinicians. Join Dr Mike as he shares how to get started and fly using EMIS to make your life easier with this clinical system | |||
| Advanced tip to using Accurx | 24 Feb 2023 | 01:04:23 | |
Contact us and share your opinion A live stream of an advanced look at the back end of how to use Accurx effectively in your practice and key tips to make using it better for your team and your patients Boost your triage skills with our dynamic 5-session live webinar course, tailored for primary care clinicians. Join Dr Mike as he shares how to get started and fly using EMIS to make your life easier with this clinical system | |||
| General Practice update May 2025 | 01 May 2025 | 01:11:08 | |
Contact us and share your opinion Join Andy and Gandhi for some major updates on health tech in general practice. Did you catch these? PCIT➡️ https://bit.ly/pcit2025 Boost your triage skills with our dynamic 5-session live webinar course, tailored for primary care clinicians. Join Dr Mike as he shares how to get started and fly using EMIS to make your life easier with this clinical system | |||
| General Practice Technology Trends & HypeCycle 2023 | 18 Feb 2023 | 00:45:41 | |
Contact us and share your opinion Join our annual review of technology trends to watch in 2023. We use the "HypeCycle" concept as a lens to discuss which technologies are worth investing time and resources in over the coming year. 00:00 Introduction Boost your triage skills with our dynamic 5-session live webinar course, tailored for primary care clinicians. Join Dr Mike as he shares how to get started and fly using EMIS to make your life easier with this clinical system | |||
| Tips to create a successful bid for NHS funding | 11 Feb 2023 | 00:47:34 | |
Contact us and share your opinion How do you craft a good pitch for funding in the NHS? Boost your triage skills with our dynamic 5-session live webinar course, tailored for primary care clinicians. Join Dr Mike as he shares how to get started and fly using EMIS to make your life easier with this clinical system | |||
| Epomaker TH 96 unboxing | 09 Feb 2023 | 00:05:35 | |
Contact us and share your opinion Listen to my unboxing of the new epomaker TH96 keyboard which you can buy here: https://bit.ly/3RFDlZh Boost your triage skills with our dynamic 5-session live webinar course, tailored for primary care clinicians. Join Dr Mike as he shares how to get started and fly using EMIS to make your life easier with this clinical system | |||