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In the first episode of the Clinical Update podcast, experienced GP trainer and appraiser Dr Ravi Ramanathan provides tips for GPs on how to save time when preparing for annual appraisal. What is appraisal for? How have the requirements changed over the last 3 years, since the COVID pandemic? Dr Ramanathan gives you some insights to enable you to get the best out of your next appraisal. MIMS Learning’s editors take an environmental focus in our featured learning module. We discuss action that can be taken in primary care to limit the carbon footprint of asthma inhalers, based on Dr Pipin Singh’s learning module. Finally, this episode’s learning nugget also has an environmental theme. With cleaner air zones set to expand in many cities, we discuss some key research papers from our research briefings on oncology and dermatology. Visit MIMS Learning to record your learning and claim CPD credits. You can visit the website version of this podcast to make notes and keep a record of your learning. MIMS Learning offers hundreds of hours of CPD for healthcare professionals along with a handy CPD organiser.