BMJ talk medicine: Recent Episodes

BMJ Group

Podcast by BMJ Group

Episode 1: The present: Backlash to women’s health by BMJ Group

Episode 2: The past: How Covid-19 exposed the cracks by BMJ Group

Episode 3: The future: Gender equality as a foundation for socially just health systems by BMJ Group

In this episode of the IJGC podcast, Editor-in-Chief Dr. Pedro Ramirez is joined by Drs. Diego Raimondo and Giulia Rovero. Dr. Raimondo works as medical director and assistant researcher at the Division of Gynecology and Pathophysiology of Human Reproduction, Bologna, Italy, directed by Prof. Renato Seracchioli. He received his PhD on new technologies for endometriosis surgical removal from the University of Bologna in 2021. He is an Advisory Board Member of the ESGE (European Society for Gynaecological Endoscopy) and member of the Special Interest Group in Robotics. His research interests are focused on minimally invasive surgery (laparoscopic, robotic and hysteroscopic) for endometriosis and endometrial cancer. Dr. Giulia Rovero graduated in Medicine in 2017 at the University of Florence. She is currently a fifth-year resident at the Division of Gynecology and Pathophysiology of Human Reproduction, Bologna, Italy, directed by Prof. Renato Seracchioli. In 2022/23 she spent twelve months at the Lariboisiere Hospital in Paris focusing on gynecologic oncology. She is developing her research activity in collaboration with Dr. Raimondo in the field of minimally invasive surgery for endometrial cancer. Highlights: In endometrial carcinoma (EC) patients, the rate of sentinel lymph node (SLN) mapping failure ranges from 20% to 25%. Pooled data assessing predictive factors of SLN mapping failure in EC patients undergoing SLN biopsy through the cervical injection of indocyanine green (ICG) are lacking. ICG dose <3mL, advanced FIGO stage, lymph node involvement and bulky lymph node are predictive factors of SLN mapping failure in EC patients. Neither clinical features (i.e., BMI >30 kg/m2, menopausal status, adenomyosis) nor surgical history is significantly associated with SLN mapping failure in EC patients.* Deep myometrial invasion, FIGO grade 3, non-endometrioid histotype, and lymphovascular space invasion are not significantly associated with SLN mapping failure in EC patients.

A summary of some of the best paper we published in the June 2023 issue of the Emergency Medicine Journal. Rick and Sarah talk through topics including home pulse oximetry, out of hospital cardiac arrest, the perils of correctly calculating respiratory rate in the ED and even cross-cultural adaptation of patient communication material.Read the highlights: https://emj.bmj.com/content/40/6/393You can subscribe to the EMJ podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify, to get the latest podcast every month.If you enjoy our podcast, please consider leaving us a review or a comment on the EMJ Podcast iTunes page (https://podcasts.apple.com/us/podcast/emj-podcast/id445358244). Thank you for listening!

Dr Philip Smith, Digital and Education Editor of Gut and Honorary Consultant Gastroenterologist at the Royal Liverpool Hospital, Liverpool, UK interviews Professor Kathy DelGiorno, from the Department of Cell and Developmental Biology, Vanderbilt University, Nashville, Tennessee, USA, on the paper 'It is better to light a candle than to curse the darkness: single-cell transcriptomics sheds new light on pancreas biology and disease' published in paper copy in Gut in June 2023 and available online: https://gut.bmj.com/content/72/6/1211Please subscribe to the Gut Podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify, to get the latest podcast every month. If you enjoy our podcast, please consider leaving us a review or a comment on the Gut Podcast iTunes page (https://podcasts.apple.com/gb/podcast/gut-podcast/id330976727).

In this podcast, James Cave (Editor-in-Chief) and David Phizackerley (Deputy Editor) talk about the June 2023 issue of DTB. They discuss new guidelines on post-exposure prophylaxisfor varicella or shingles during pregnancy (https://dtb.bmj.com/content/61/6/82). They review the effect of low-dose aspirin on fractures and falls (https://dtb.bmj.com/content/61/6/85), and talk about a study that does not provide meaningful cardiovascular outcome data for inclisiran (https://dtb.bmj.com/content/61/6/86). The main review article explores hospitalisation as a consequence of medication-related harm and the need to reduce the burden of harm caused by medication (https://dtb.bmj.com/content/61/6/87). They begin by discussing an announcement from NHS England that antibiotics will be provided without the need for a prescription from community pharmacies to free up GP time.The contact address for the DTB team is dtb@bmj.com.Please subscribe to the DTB podcast to get episodes automatically downloaded to your mobile device and computer. Also, please consider leaving us a review or a comment on the DTB Podcast iTunes podcast page (https://podcasts.apple.com/gb/podcast/dtb-podcast/id307773309). Thank you for listening.

In this episode of the IJGC podcast, Editor-in-Chief Dr. Pedro Ramirez is joined by Dr. Ramez N. Eskander to discuss NRG-018 pembrolizumab and chemotherapy in uterine cancer. Dr. Eskander is a gynecologic oncologist who specializes in the comprehensive management of female reproductive system cancers, including ovarian, uterine, cervical, vulvar and vaginal cancer. His expertise includes diagnostic and therapeutic procedures, including minimally invasive (robotic) surgery, chemotherapy and novel drugs.Highlights:• NRG-GY018 showed that the addition of pembrolizumab to chemotherapy, followed by maintenance pembrolizumab, resulted in a 70% lower risk of disease progression or death in patients in the dMMR cohort and a 46% lower risk in the pMMR cohort than in the placebo group.• These data suggest that the incorporation of immunotherapy into the first-line treatment of advanced or recurrent endometrial cancer improves oncologic outcomes, regardless of MMR status or histologic findings.• Previous monotherapy drugs against PD-1 and PD-L1 in recurrent or metastatic pMMR endometrial cancer resulted in only modest improvement.

In this podcast, JNIS Editor-in-Chief, Dr. Felipe C. Albuquerque, speaks with Dr. Marco Colasurdo (1) and Prof. Dheeraj Gandhi (2), authors of the original research article, "Predictors for large vessel recanalization before stroke thrombectomy: the HALT score" - https://jnis.bmj.com/content/early/2023/04/25/jnis-2023-020220This paper is free-to-access for a month following the publication of this podcast. Please subscribe to the JNIS Podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify, to get the latest episodes. Also, please consider leaving us a review or a comment on the JNIS Podcast iTunes page: https://podcasts.apple.com/gb/podcast/jnis-podcast/id942473767 Thank you for listening! This episode was edited by Brian O'Toole. (1) Interventional Neuroradiology, Dept. of Diagnostic Radiology, Uni. of Maryland Medical Center, Baltimore, Maryland, USA (2) Dept. of Radiology and Biomedical Imaging, Yale School of Medicine, New Haven, Connecticut, USA

Editor-in-Chief of the Archives of Disease in Childhood, Dr. Nick Brown, and Senior Editor of ADC, Dr. Rachel Agbeko, bring you the monthly Atoms - the highlights of the June 2023 issue.Read it on the Archives of Disease in Childhood website: https://adc.bmj.com/content/108/6/iPlease listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832

Dr Kerry Costello and Dr Deepak Kumar discuss a BSJM paper that investigated gait and physical activity predictors of cartilage worsening in people with knee osteoarthritis from the MOST study, using a machine learning model. Kerry and Deepak do a brilliant job of explaining the biomechanical variables, and the advantages of machine learning, and what these findings might mean for clinicians treating people with knee osteoarthritis. Link to paper: https://bjsm.bmj.com/content/early/2023/03/02/bjsports-2022-106142Connect with Kerry: https://mae.ufl.edu/people/faculty/primary/profiles/kerry-costello/

Practical Neurology Editors Phil Smith and Geraint Fuller talk you through the highlights of the June 2023 issue of the journal (https://pn.bmj.com/content/23/3/189).Please subscribe to the Practical Neurology podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify, to get the latest podcast every month.If you enjoy our podcast, please consider leaving us a review or a comment on the Practical Neurology Podcast iTunes page (https://podcasts.apple.com/gb/podcast/pn-podcast/id942932053). The PN podcast is produced by Letícia Amorim and edited by Brian O'Toole.Thank you for listening.

There are concerns that junior healthcare professionals do not use decision support as they don’t see senior staff using it. There are concerns that seniors don't use clinical decision support as they worry about looking things up people in front of people. So a complex issue to discuss. To find out more about this, listen to this interview with Dr Tom Foley, Consultant Child and Adolescent Psychiatrist with expertise in digital health.

In this episode of the podcast, Andrew Perry discusses with Dr. Albert the barriers to implementing guideline-directed medical therapy in heart failure with reduced ejection fraction and how to improve matters.If you enjoy the show, please leave us a podcast review at https://itunes.apple.com/gb/podcast/heart-podcast/id445358212?mt=2

In this episode of the IJGC podcast, Editor-in-Chief Dr. Pedro Ramirez is joined by Carien Creutzberg, Nanda Horeweg, and Alexandra Leary to discuss the RAINBO trials. Carien Creutzberg is Professor of Radiation Oncology at Leiden University Medical Center, the Netherlands. She specializes in research and treatment of gynecological cancers and has been the initiator and principal investigator of the four PORTEC trials and the TransPORTEC consortium. She is current chair of the GCIG Endometrial Cancer Committee and past Council member of ESGO and IGCS. Nanda Horeweg is senior researcher at the department of Radiation Oncology of Leiden University Medical Center, the Netherlands. She is one of the principal investigators of the PORTEC team and the international coordinator of the RAINBO program of clinical trials. Alexandra Leary, MD, PhD, is a medical oncologist specializing in gynecological cancers at Gustave Roussy Cancer Center in France. She is the CI for the RAINBO-RED trial and member of the TransPORTEC Consortium. She is current chair of the GCIG Phase II committee, gyne track chair for ESMO Asia, and past gyne track chair for ESMO.

Dr. Anna Wolska from the Lupus Foundation of America interviews Dr. Andrea Fava from Johns Hopkins University about Belimumab treatment in lupus nephritis. Dr Fava elucidates on the correlation between the decrease in urinary CD163 levels and the response to Belimumab treatment in Lupus Nephritis trials. The conversation provides important insights into the efficacy of this treatment option and potential biomarker use for personalized and precision medicine in the future.Read the article: http://dx.doi.org/10.1136/lupus-2022-000763

Dr. Kate Diomede, social media editor at Thorax, is joined by Dr. Yasmin Thanavala (1) to discuss her group's recent research paper, "Not all vaping is the same: differential pulmonary effects of vaping cannabidiol versus nicotine". Their study used a using a mouse model of vaping and in vitro experiments with human cells. The paper is available online: https://thorax.bmj.com/content/early/2023/04/02/thorax-2022-218743Hear the previous discussion with Prof. Nick Hopkinson on policy relating to vaping and smoking: https://on.soundcloud.com/cjFhd(1) Prof. Oncology, Roswell Park Comprehensive Cancer Center, Buffalo, New York, USA.Please engage in the conversation through the social media channels (Twitter - @ThoraxBMJ; Facebook - @Thorax.BMJ · Pulmonologist) and subscribe on your preferred platform, to get the latest episodes directly on your device each month.

Starting university or medical school can be a daunting experience for anyone, but when you’re the first person in your family to study medicine, it can feel even scarier. In today’s episode, we’re going to be talking all about what it’s like to be a first-generation medical student. We’ll start from the very beginning and talk about when we first realised we wanted to study medicine and what it was like to apply. We’ll then move on to discussing our time at medical school, and whether we experienced any kind of culture shock when we arrived. We’ll finish up by talking about positive changes we’d like to see in medicine, and how our feelings have changed with time. Expert guests:Dr Enam-Ul Haque is a GP Partner in Manchester, as well as a Clinical Senior Lecturer at the University of Manchester. He has a passion for widening participation and equality, diversity and inclusion (EDI) and is the Founder of the National Medical Schools Widening Participation Forum and Co-Chair of the MSC EDI Alliance. Check us out on social media:Twitter: https://twitter.com/BMJStudent Instagram: https://www.instagram.com/bmj_student/ Facebook: https://www.facebook.com/BMJStudent/ This podcast is produced and edited by Dom Byrne and Duncan Jarvies.

In this new series of the Practical Neurology podcast, Professor Martin Turner (1) invites Dr Ruth Wood (2) and Dr Xin You Tai (3) to discuss the nitty-gritty details of two Case Reports from the latest issue of the Practical Neurology journal.This month, they start by commenting on a case of a woman in her 70s with renal failure who developed confusion and seizures after receiving aciclovir, and was subsequently diagnosed with aciclovir-induced neurotoxicity (Aciclovir-induced neurotoxicity - https://pn.bmj.com/content/23/2/157).They also talk (starting at 23:05) about an unusual case of an acute posterior spinal artery syndrome in a man in his 60s with vascular risk factors (Posterior spinal artery infarct - https://pn.bmj.com/content/23/2/160).(1) Professor of Clinical Neurology and Neuroscience at the Nuffield Department of Clinical Neurosciences, University of Oxford, and Consultant Neurologist at John Radcliffe Hospital.(2) Neurology Registrar, University Hospitals Sussex.(3) Clinical Academic Fellow, Nuffield Department of Clinical Neurosciences, Oxford University, and Neurology Specialty registrar, Oxford University Hospital.Please subscribe to the Practical Neurology podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify, to get the latest podcast every month. If you enjoy our podcast, please consider leaving us a review or a comment on the Practical Neurology Podcast iTunes page (https://podcasts.apple.com/gb/podcast/pn-podcast/id942932053). The PN podcast is produced by Letícia Amorim and edited by Brian O'Toole.Thank you for listening.

In this episode, JNNP's new podcast host Dr. Saima Chaudhry (1) speaks with Dr. Matteo Gastaldi (2) about Myelin oligodendrocyte glycoprotein antibody-associated disease, or MOGAD for short. A multi-centre retrospective study, "Prognostic relevance of quantitative and longitudinal MOG antibody testing in patients with MOGAD", was recently published in JNNP, and Dr. Gastaldi is its first author. Listen to this podcast to learn what MOGAD is, its differential diagnosis and the potential pathogenesis. Plus some discussion of the use of MOG titres in predicting relapse of the disease. You can read the paper at the following link: https://jnnp.bmj.com/content/94/3/201(1) Warren Alpert Medical School, Brown University, Rhode Island, USA(2) Neuroimmunology Research Unit, IRCCS Mondino Foundation, Pavia, Italy Please subscribe to the show on Apple Podcasts (https://podcasts.apple.com/gb/podcast/jnnp-podcast/id426391174), Spotify (https://open.spotify.com/show/3VHlgiFD3LRw395wBB167T) or find it on your platform of choice. Your feedback and reviews are very appreciated.Follow JNNP on twitter: https://twitter.com/jnnp_bmj

Snoring is common. In the 30- to 35-year-old age group, 20% of men and 5% of women snore. By 60, 60% of men and 40% of women will snore habitually.And snoring can affect the quality of life - of both the patient and their partner.In this BMJ Best Practice podcast on snoring, Kieran Walsh talks with Dr Showkat Mirza, Consultant in Otorhinolaryngology and Head & Neck Surgery, Sheffield Teaching Hospitals NHS Trust.For more on snoring, visit BMJ Best Practice: bestpractice.bmj.com/topics/en-gb/1035Competing interests: SM has no competing interests

If you’ve ever wondered why tests sometimes don’t really work when you start using them then you’ll really want to listen to this episode .. or read this instead - https://adc.bmj.com/content/108/5/411.2 Or maybe you’ve lain awake at night worrying about how common portal vein thrombosis is in neonates and what that might mean for the baby … again, you’ll really want to get your ears attached to this podcast and take a few minutes to admire the search strategy here - https://adc.bmj.com/content/108/5/411.1We would love for you to be involved in Archi [adc.bmj.com/pages/authors/#archimedes] - just ask the questions that your patients are offering you.Please listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832

In this episode of the Heart podcast, Digital Media Editor, Professor James Rudd, is joined by Professor Sarah Zaman from the University of Sydney, Australia. They discuss her systematic review and meta-analysis of the effect of this diet specifically in women, something not previously studied. If you enjoy the show, please leave us a podcast review at https://itunes.apple.com/gb/podcast/heart-podcast/id445358212?mt=2Link to published paper: https://heart.bmj.com/content/early/2023/02/14/heartjnl-2022-321930

In this episode of the IJGC podcast, Editor-in-Chief, Dr. Pedro Ramirez, is joined by Dr. Giuseppe Caruso discuss post-PARP myeloid neoplasms. Dr. Caruso is a fifth-year resident in Obstetrics and Gynecology and a first-year fellow of the PhD in “Network Oncology and Precision Medicine” at Sapienza University of Rome in Italy. Over the past year, he has been attending the Department of Gynecologic Oncology at the European Institution of Oncology (Milan) under the mentorship of Professor Nicoletta Colombo and has now started his research fellowship period at Mayo Clinic (Rochester) under the supervision of Professor William Cliby. His main interest areas are gynecologic oncology, personalized oncology, and clinical research.Highlights:- Myeloid neoplasms post PARPi in patients with ovarian cancer are gradually emerging as life-threatening late toxicities and should not be underestimated.- The first two years of PARPi exposure are the critical window of onset and persistent cytopenia has been recognized as an early warning sign.- Active surveillance, differential diagnosis, and prompt hematological referral are crucial.- PARPi are recommended in the first line also to improve the risk-benefit ratio.- PARPi should be used cautiously in patients with a higher baseline risk and/or those who are less likely to have a significant benefit.

Helen Macdonald, Juan Franco, and Joe Ross are back with our monthly update on the world of evidence based medicine.This episode delves into new methodologies which can use observational data to emulate trial data. We discuss a new systematic review and meta-analysis of RCTs for surgical treatment of sciatica. There is elaboration and explanation of the CONSORT Harms 2022 statement - and we'll be asking if it goes far enough. Finally, the old chestnut of surrogate endpoints in cancer treatment trials - are benefits communicated to patients accurately?Reading list;Nirmatrelvir and risk of hospital admission or death in adults with covid-19: emulation of a randomized target trial using electronic health records - https://www.bmj.com/content/381/bmj-2022-073312Surgical versus non-surgical treatment for sciaticahttps://www.bmj.com/content/381/bmj-2022-070730CONSORT Harms 2022 statement, explanation, and elaborationhttps://www.bmj.com/content/381/bmj-2022-073725Funders crack down on unpublished clinical trials—but is it enough?https://www.bmj.com/content/381/bmj.p840Communication of anticancer drug benefits and related uncertainties to patients and clinicianshttps://www.bmj.com/content/380/bmj-2022-073711

Dr Philip Smith, Digital and Education Editor of Gut and Honorary Consultant Gastroenterologist at the Royal Liverpool Hospital, Liverpool, UK interviews Professor Benoit Chassaing, group leader from the “Mucosal microbiota in chronic inflammatory diseases” Team at INSERM and the Université Paris Cité, Paris, France, on the paper 'Akkermansia muciniphila counteracts the deleterious effects of dietary emulsifiers on microbiota and host metabolism' published in paper copy in Gut in May 2023 and available online: https://gut.bmj.com/content/72/5/906Please subscribe to the Gut Podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify, to get the latest podcast every month. If you enjoy our podcast, please consider leaving us a review or a comment on the Gut Podcast iTunes page (https://podcasts.apple.com/gb/podcast/gut-podcast/id330976727).

In this episode of the IJGC podcast, Editor-in-Chief, Dr. Pedro Ramirez, is joined by Dr. David Cibula to discuss the 2023 ESGO-ESTRO-ESP Guidelines for Cervical Cancer. Dr. Cibula is the Chair of the Department of Obstetrics and Gynecology at the General Faculty Hospital in Prague, Professor at the First Medical Faculty of the Charles University, Chair of the Central and Eastern European Gynaecologic Oncology Group (CEEGOG), member of the Strategic group of the ENGOT (European Network for Gynaecological Oncological Trial Groups) as well as a Former ESGO president. Highlights:- Multidisciplinary clinical practice guidelines developed jointly by ESGO/ESTRO/ESP in the field of gynaecological oncology, radiation oncology and pathology.- Guidelines cover the management of all stages of cervical cancer, including separate sections dedicated to pathology reporting and management in pregnancy.- The guidelines include recommendations, algorithms, and summaries of recent evidence published as supplements.

On this episode of the AMSSM (T: @TheAMSSM) Sports Medcast, host Dr. Jake Wessels, MD, is joined by Dr. Stacy Sims, MSc, PhD (Insta: @drstacysims), to discuss her upcoming lectures on how nutrition affects performance during the 2023 AMSSM Annual Meeting.Dr. Sims is an international exercise physiologist and nutrition scientist. She has directed research programs at Stanford, AUT University, and the University of Waikato, focusing on female athlete health and performance and pushed to improve research on all women. Her contributions to the international research environment and the sports nutrition industry has established a new niche in sports nutrition; and established her reputation as the expert in sex differences in training, nutrition and health. Dr. Sims has published over 70 peer-reviewed papers and several books.In this conversation, Dr. Sims addresses the following topics: How her athletic background impacted her journey into the field of nutrition and performance Sharing a starting point for medical professionals to think about optimizing nutrition for athletes Ways to encourage athletes to be aware of their nutrition and how to effectively structure training sessions and nutritional plans Her standard approach on supplementation and why less can often be moreLearn more about her work and publications on her website (drstacysims.com), and register to attend the 2023 AMSSM Annual Meeting in-person or virtually at annualmeeting.amssm.org.

In this podcast, James Cave (Editor-in-Chief) and David Phizackerley (Deputy Editor) talk about the May 2023 issue of DTB. They celebrate 60 years since DTB became independent from The Medical Letter and discuss what DTB stands for (https://dtb.bmj.com/content/61/5/66). They review a retrospective cohort study involving people taking oral anticoagulants that compared the risk of bleeding and embolic events in new users of NSAIDs with those not prescribed NSAIDs (https://dtb.bmj.com/content/61/5/67). They also talk about the main review article that explores the therapeutics of siRNA medicines (https://dtb.bmj.com/content/61/5/72). They begin by discussing the UK Government’s recent Budget statement that the MHRA will introduce a new approval process for medicines that have been licensed elsewhere.

When we think of being a ‘good enough’ medical student, our thoughts might go straight to exams. Have we passed them all? What about merits, or even distinctions? It’s easy to prioritise exam scores above all else as it is one of the only times we get clear, concrete feedback - or a number that tells us how ‘good’ we really are. But can exam results capture everything or is something missing here when we talk about being a ‘good enough’ medical student or doctor? Can written papers or practical exams like OSCEs ever really sum up whether we’ll be ‘good doctors’? And despite so much pressure to excel, do we really need doctors to be the best or do we need them to be good enough?Expert guests:Abi Rimmer is a news reporter and careers editor at The BMJ. She is responsible for the careers content and reports on workforce-related and NHS policy issues. She was also recently treated as a patient for stage III rectal cancer. Check us out on social media:Twitter: https://twitter.com/BMJStudent Instagram: https://www.instagram.com/bmj_student/ Facebook: https://www.facebook.com/BMJStudent/ This podcast is produced and edited by Dom Byrne and Duncan Jarvies.

Editor-in-Chief of the Archives of Disease in Childhood, Dr. Nick Brown, and Senior Editor of ADC, Dr. Rachel Agbeko, bring you the monthly Atoms - the highlights of the May 2023 issue.Read it on the Archives of Disease in Childhood website: https://adc.bmj.com/content/108/5/iPlease listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832

In this episode of the Heart podcast, Digital Media Editor, Professor James Rudd, is joined by Dr Helen Routledge from Worcester Royal Hospital, UK. They discuss all aspects of intervention for ischaemic stroke, including the workforce challenges in delivering this lifesaving therapy. If you enjoy the show, please leave us a podcast review at https://itunes.apple.com/gb/podcast/heart-podcast/id445358212?mt=2Link to published paper:https://heart.bmj.com/content/early/2023/02/03/heartjnl-2022-321604

Adhesive capsulitis affects 2% to 5% of the population. It is slightly more common in women than in men, and is most common in people between the ages of 40 and 70.And it can cause a range of problems - including pain, stiffness, and loss of function. So it is important that we get the diagnosis and management of this condition right.To give us more details about this problem and what we can do about it, Kieran Walsh, Clinical Director at BMJ, speaks with Professor Lance LeClerc, Associate Professor of Orthopedic Surgery at Vanderbilt University Medical Centre in Nashville. For more on adhesive capsulitis, visit BMJ Best Practice: bestpractice.bmj.com/topics/en-gb/1043Competing interests: None

In this episode of the IJGC podcast, Editor-in-Chief, Dr. Pedro Ramirez, is joined by Dr. Giuseppe Caruso and Prof. Nicoletta Colombo to discuss updates on PARPi in ovarian cancer. Dr. Caruso is a fifth-year resident in Obstetrics and Gynecology and a first-year fellow of the PhD in “Network Oncology and Precision Medicine” at the Sapienza University of Rome in Italy. Over the past year, he has been attending the Department of Gynecologic Oncology at the European Institution of Oncology (Milan) and had the huge opportunity to follow the clinical, surgical and research activities of an international center of excellence, under the mentorship of Prof. Nicoletta Colombo and Prof. Giovanni D. Aletti. His main interest areas are gynecologic oncology, personalized oncology, clinical research, and medical writing. Prof. Nicoletta Colombo is Chair of Gynecology Program and Director of the Ovarian Cancer Centre at the European Institute of Oncology in Milan. Principal investigators of several international clinical trials and author of several publications, she was President of ESGO and Chair of the ESMO-ESGO-ESTRO Consensus Conference in endometrial cancer (2015) and the ESMO-ESGO Consensus Conference in ovarian Cancer (2018). In 2020, Prof. Colombo received the IGCS Lifetime Achievement Award in recognition of her work in gynecological oncology. Highlights:- PARPi should be preferred in the upfront setting for both efficacy and safety reasons.- Mutational status and platinum response are key factors for personalizing the maintenance treatment.- Identifying better predictors of resistance to platinum and PARPi is an unmet need.- PARPi combinations could become a strategy for overcoming PARPi resistance.- The best treatment algorithm after PARPi progression needs prospective validation.

Everyone has coping mechanisms, but sometimes those ways of coping become problem behaviours - addictions.In this episode of Doctor Informed, we're focussing on how to spot the signs that you may be sliding into addiction, how to have conversations with friends and colleagues if you worry about their behaviour, and how seeking treatment is the best way to avoid GMC scrutiny.Joining Clara Munro are Liz Croton and Zaid Al-Najjar, GPs who work for NHS Practitioner health - a mental health and addiction service specifically for health professionals. They are also joined by Ruth Mayall, a retired consultant anaesthetist who has experienced addiction herself, and has contributed to the Association of Anaesthetists guidance on drug and alcohol abuse.Some resources mentioned in the podcast;NHS Practitioner Healthhttps://www.practitionerhealth.nhs.uk/The Sick Doctor's Trusthttp://sick-doctors-trust.co.uk/British Doctors & Dentists Grouphttps://www.bddg.org/Substance use disorder in the anaesthetisthttps://anaesthetists.org/Home/Resources-publications/Guidelines/Substance-use-disorder-in-the-anaesthetistSubstance abuse in anaesthetistshttps://academic.oup.com/bjaed/article/16/7/236/2196385?login=false

On this episode of the AMSSM Sports Medcast, host Dr. Jake Wessels, MD, is joined by Dr. Katie Rizzone, MD, MPH, and Dr. Megan Burleson, DO, to discuss the upcoming 2023 Collaborative Research Network (CRN) Research Summit on Justice, Equity and Inclusion.Dr. Burleson and Dr. Rizzone are members of Summit Planning Committee for the one-day conference, which takes place Friday, April 28, in Phoenix, AZ. This conference, will emphasize specific areas within sports and exercise medicine where health disparities have been previously identified or where they need to be further investigated. It will also highlight best practices for conducting meaningful research in the field of sports and exercise medicine through an equity lens.In this conversation, they address the following topics and questions: Origin and mission of the Collaborative Research Network The primary aims of the 2023 CRN Research Summit The current lack of available research regarding health disparities and how this conference seeks to explore those topics Some of the potential outcomes and future research directions of the Summit, and why they will be based on the conversations that happen during the conference The inclusive nature and applicability of the Research Summit, especially for clinicians who are not heavily involved in research Some of the biggest surprises the organizers have experienced while preparing for the Research Summit and the biggest highlights to look forward toIn-person and virtual attendance options are still available for the summit. Find complete details about the Research Summit and register here: https://annualmeeting.amssm.org/researchsummit.php

Dr. Kate Diomede, social media editor at Thorax, is joined by Prof. Nick Hopkinson(1) to delve into the history of smoking policy in the UK, as well as detailing the lay of the land in current smoking-cessation practices, especially pertaining to vaping. Hear the previous discussion with Prof. Andrew Bush on recent developments in paediatric therapy: https://on.soundcloud.com/PY9Nz(1) Prof. of Respiratory Medicine, Imperial College London,Respiratory Consultant, Royal Brompton Hospital,Associate Editor of Thorax,Chair of ASH (Action on Smoking in Health) UK Charityhttps://twitter.com/COPDdocRelevant papers and references:Millennium cohort – child smoking uptake related to parents and peers smoking https://pubmed.ncbi.nlm.nih.gov/30442657/Confirming the impact of standardised packaginghttps://pubmed.ncbi.nlm.nih.gov/33093164/Effectiveness of ban on smoking in cars with childrenhttps://pubmed.ncbi.nlm.nih.gov/31988266/Smoking and increased risk from COVID https://pubmed.ncbi.nlm.nih.gov/33402392/https://pubmed.ncbi.nlm.nih.gov/34580193/Javed Khan’s independent report commissioned by UK Govt: Making Smoking Obsoletehttps://www.gov.uk/government/publications/the-khan-review-making-smoking-obsolete/making-smoking-obsolete-summaryCochrane systematic review suggests vaping is more effective for smoking cessation than NRThttps://www.cochrane.org/CD010216/TOBACCO_can-electronic-cigarettes-help-people-stop-smoking-and-do-they-have-any-unwanted-effects-when-usedRecent evidence update on risk of vaping for OHID concludes, “vaping poses only a small fraction of the risks of smoking.” https://www.gov.uk/government/publications/nicotine-vaping-in-england-2022-evidence-update/nicotine-vaping-in-england-2022-evidence-update-summaryNICE guidance on nicotine vapes to help smokers quit https://www.nice.org.uk/guidance/ng209/chapter/recommendations-on-treating-tobacco-dependence#stop-smoking-interventionsBritish Thoracic Society guidance on tobacco harm reductionhttps://www.brit-thoracic.org.uk/document-library/governance-and-policy-documents/position-statements/tobacco-and-smoking-march-2020/National Centre for Smoking Cessation Traininghttps://www.ncsct.co.uk/publication_Support_stop_vaping.php Cigarette Smoking: An Assessment of Tobacco's Global Environmental Footprint Across Its Entire Supply Chainhttps://pubs.acs.org/doi/10.1021/acs.est.8b01533 ASH: Use of e-cigarettes (vapes) among young people in Great Britainhttps://ash.org.uk/uploads/Use-of-e-cigarettes-among-young-people-in-Great-Britain-2022.pdfCompeting interests: None declared.Please engage in the conversation through the social media channels (Twitter - @ThoraxBMJ; Facebook - @Thorax.BMJ · Pulmonologist) and subscribe on your preferred platform, to get the latest episodes directly on your device each month.

This week, we're going to be returning to a guest we heard from a while ago - Claire Kay. Claire was a GP before deciding to become a coach, and we found her way of thinking through our wants and needs so useful, we decided to invite her back. This week we're going to be talking about that holding onto that feeling of excitement you had at the beginning of your career, a feeling that's difficult to hold onto, as the pressures on general practice mount.Our guest:Claire Kaye, formerly a GP, is an executive coach. She specialises in career development.Instagram: @drclairekayecoachingLinkedIn: @drclairekayeWebsite: www.drclairekaye.com

Dr. Amy Ross Russell(1) is joined by a selection of the authors of "Toxic neuropathies; a practical approach", a review recently published in Practical Neurology. The guests, Dr. Duncan Smyth(2), Dr. Aisling Carr(3) and Prof. Michael Lunn(3), explain the background to these conditions and describe approaches to treatment and care of toxic neuropathy patients.Read this latest Editor’s Choice paper on the Practical Neurology website (https://pn.bmj.com/content/23/2/120) and the April print issue of the journal.The paper is also discussed by Practical Neurology editors, Dr. Phil Smith and Dr. Geraint Fuller, in their latest podcast: https://soundcloud.com/bmjpodcasts/editors-highlights-of-the-april-2023-issue?in=bmjpodcasts/sets/pn-podcast(1) Neurology, University Hospital Southampton NHS Foundation Trust, UK(2) Dept. of Neurology, Wellington Hospital, Wellington, NZ(3) MRC Centre for Neuromuscular Diseases, National Hospital for Neurology, University College London Hospitals, UKPlease subscribe to the Practical Neurology podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify, to get the latest podcast every month. If you enjoy our podcast, please consider leaving us a review or a comment on the Practical Neurology Podcast iTunes page (https://podcasts.apple.com/gb/podcast/pn-podcast/id942932053). The PN podcast is produced by Letícia Amorim and edited by Brian O'Toole.Thank you for listening.

In this episode of the IJGC podcast, Editor-in-Chief, Dr. Pedro Ramirez, is joined by Dr. Janos L. Tanyi to discuss intraoperative imaging with OTL38 in ovarian cancer. Dr. Tanyi is an associate professor in the Department of Obstetrics and Gynecology at The University of Pennsylvania. He developed an advanced immunotherapy program that allows patients’ own immune cells to recognize and kill their tumor; a gene-engineered T cell approach. Dr. Tanyi has a broad background in immunotherapy, cancer immunology, molecular genetics and clinical expertise in gynecologic oncology. He has the frontline experience in ovarian cancer immunotherapy as he is the primary PI for both the ovarian cancer vaccine and adoptive T cell transfer trials at University of Pennsylvania. At Penn, he has fostered the establishment of a rich translational research environment focused on ovarian cancer. Furthermore, Dr. Tanyi led the Phase 2 and 3 trials evaluating the efficacy and safety of Pafolacianine Sodium combined with intraoperative molecular imaging during cytoreductive surgery of ovarian cancer. Highlights:- It is well known that the extent of residual disease after surgery is negatively correlated with patient survival in ovarian cancer. To achieve R0 complete cytoreduction remains the goal of surgery. In this phase III study, it was evaluated whether Cytalux, would identify cancer lesions not identified by the surgeon by white light visual inspection or palpation.- During this phase 3 trial, one or more additional cancer lesions were identified in approximately 33% of patients using of Cytalux with near-infrared imaging which was not detected by white light visual inspection and manual palpation.- The intraoperative use of Cytalux with near-infrared imaging can be a good adjunct to current surgical approaches in identifying additional cancer lesions during cytoreductive surgery.

In this podcast, Brooke Patterson hosts Dr Erik Denison (PhD, Research Fellow Monash University) and Neil Hay (Rugby Victoria President) about a trial published in the BJSM which tested the effectiveness of an education program delivered by professional rugby players designed to stop homophobic language. They discuss openly and honestly the challenges in changing behaviour in community sport. It is not too often we get to chat to sports administrators more broadly about what is needed to drive change – whether it be related to health, safety, inclusion, or diversity. Should we be using the carrot or stick? What other strategies might work? What is your role as a clinician in creating a safe environment? https://bjsm.bmj.com/content/early/2023/02/09/bjsports-2022-105916https://bjsm.bmj.com/content/early/2023/02/07/bjsports-2022-105917

Given the current working conditions in the UK, we’re hearing more and more stories of doctors moving abroad to practise medicine. However, this isn’t necessarily unusual. Doctors and other healthcare professionals from many different countries do often decide to get a taste for healthcare systems elsewhere either through short, temporary placements, or through a more permanent move! In today’s episode we’re going to be talking all about why students or junior doctors might be considering working abroad. We’ll also talk about the pros and cons of moving to a different country to work, and whether the grass really is greener on the other side. We’ll finish off by talking about the logistics of making such a move, and hear some top tips from our expert guest! Expert guests:Dr Matt Morgan is an intensive care consultant, researcher, and author. He currently works in Perth, Western Australia. He is also a columnist for The BMJ and works with BMJ OnExamination. Check us out on social media:Twitter: https://twitter.com/BMJStudent Instagram: https://www.instagram.com/bmj_student/ Facebook: https://www.facebook.com/BMJStudent/ This podcast is produced and edited by Dom Byrne and Duncan Jarvies.

ADC Fetal and Neonatal’s Associate Editor, Jonathan Davis, and the Edition Editor of the journal, Ben Stenson, discuss the highlights from the March 2023 issue. The Fantoms article: https://fn.bmj.com/content/108/2/95 Additional links:Caffeine Therapy for Apnea of Prematurityhttps://www.nejm.org/doi/full/10.1056/nejmoa054065 Survival Without Disability to Age 5 Years After Neonatal Caffeine Therapy for Apnea of Prematurityhttps://jamanetwork.com/journals/jama/fullarticle/1104870 Survival Without Disability to Age 5 Years After Neonatal Caffeine Therapy for Apnea of Prematurityhttps://jamanetwork.com/journals/jama/fullarticle/1104865 Academic Performance, Motor Function, and Behavior 11 Years After Neonatal Caffeine Citrate Therapy for Apnea of Prematurityhttps://jamanetwork.com/journals/jamapediatrics/fullarticle/2617993Please listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832

Gastro-oesophageal reflux disease (GORD) is a common condition that affects between 10% and 30% of people in developed countries.There can be a range of complications from haemorrhage to stricture to Barrett's oesophagus. So it is important that we get the diagnosis and management of this condition right.In this BMJ Best Practice podcast on GORD, Kieran Walsh talks with Dr Andres Carrion, Associate Professor of Clinical Medicine at The Division of Digestive Health and Liver Diseases in University of Miami Miller School of Medicine.For more on GORD, visit BMJ Best Practice: bestpractice.bmj.com/topics/en-gb/82Competing interests: None

In this episode of the Heart podcast, Digital Media Editor, Professor James Rudd, is joined by Dr Rachel M J van der Velden from Maastricht in The Netherlands. They discuss the use of mobile devices for detecting recurrences of AF in high-risk subjects and how acceptable this is to patients. If you enjoy the show, please leave us a podcast review at https://itunes.apple.com/gb/podcast/heart-podcast/id445358212?mt=2Link to published paper:https://heart.bmj.com/content/109/1/26

In this episode of the IJGC podcast, Editor-in-Chief, Dr. Pedro Ramirez, is joined by Laura Chambers to discuss the low-risk population in advanced ovarian cancer. Laura Chambers, DO is an Assistant Professor in the Division of Gynecologic Oncology at The James Cancer Center at The Ohio State University.Highlights:- Discuss historical perspectives of low and high-risk ovarian cancer, and how this has been analyzed in contemporary trials- Review of contemporary trials for PARPi and Bevacizumab maintenance in women with advanced ovarian cancer- Data obtained through un-powered sub-analysis from randomized clinical trials is hypothesis generating and care must be exercised in applying this to patient cohorts

In this episode of the IJGC Podcast, Editorial Fellows, Giulio Bonaldo and Jennifer Davies-Oliveira, discuss the contents of the March Special issue of IJGC.

In this episode of the IJGC Podcast, Editorial Fellows, Núria Agustí and Ryan Kahn, discuss the contents of the February issue of IJGC.

In this podcast, James Cave (Editor-in-Chief) and David Phizackerley (Deputy Editor) talk about the April 2023 issue of DTB. They discuss evidence around morning and evening doses of antihypertensive medication (https://dtb.bmj.com/content/61/4/50). They review a study that analysed health technology assessment decisions made in Australia, Canada and England (https://dtb.bmj.com/content/61/4/51) and also talk about managing skin conditions in women who are planning pregnancy or who are pregnant (https://dtb.bmj.com/content/61/4/55). They begin by responding to a listener's letter about last month's podcast.The Prescribing for pregnancy series of articles can be found here: https://dtb.bmj.com/pages/prescribing-for-pregnancy-series/

In this episode of the IJGC podcast, Editor-in-Chief, Dr. Pedro Ramirez, is joined by Dr. Giuseppe Caruso and Prof. Nicoletta Colombo to discuss updates on PARPi in ovarian cancer. Dr. Caruso is a fifth-year resident in Obstetrics and Gynecology and a first-year fellow of the PhD in “Network Oncology and Precision Medicine” at the Sapienza University of Rome in Italy. Over the past year, he has been attending the Department of Gynecologic Oncology at the European Institution of Oncology (Milan) and had the huge opportunity to follow the clinical, surgical and research activities of an international center of excellence, under the mentorship of Prof. Nicoletta Colombo and Prof. Giovanni D. Aletti. His main interest areas are gynecologic oncology, personalized oncology, clinical research, and medical writing. Prof. Nicoletta Colombo is Chair of Gynecology Program and Director of the Ovarian Cancer Centre at the European Institute of Oncology in Milan. Principal investigators of several international clinical trials and author of several publications, she was President of ESGO and Chair of the ESMO-ESGO-ESTRO Consensus Conference in endometrial cancer (2015) and the ESMO-ESGO Consensus Conference in ovarian Cancer (2018). In 2020, Prof. Colombo received the IGCS Lifetime Achievement Award in recognition of her work in gynecological oncology.Highlights:- PARPi should be preferred in the upfront setting for both efficacy and safety reasons.- Mutational status and platinum response are key factors for personalizing the maintenance treatment.- Identifying better predictors of resistance to platinum and PARPi is an unmet need.- PARPi combinations could become a strategy for overcoming PARPi resistance.- The best treatment algorithm after PARPi progression needs prospective validation.

In this month’s Talk Evidence, Helen Macdonald, Juan Franco and Joseph Ross are back to talk us through some of the latest research, They’ll talk about pay-for-perfomance schemes, and whether the data they routinely collect is measuring outcomes or tickboxes. They’ll also talk about a new analysis published on bmj.com which suggests ways in which that data could be better.We’re also by Huseyin Naci, associate professor of health policy at the London School of Economics and Political Science, who will tell us about proposed changes to drug regulation in the UK - and we discuss research which has linked speedier regulatory approval to more adverse advents in post marketing studies.Finally, we talk about point of care apps. The availability of medical information in the clinic has changed practice, but how good is that information? We hear about research which has evaluated those point of care apps (including BMJ’s Best Practice app) and rates them against different criteria.Reading listEstimated impact from the withdrawal of primary care financial incentives on selected indicators of quality of care in Scotland https://www.bmj.com/content/380/bmj-2022-072098How can we improve the quality of data collected in general practice?https://www.bmj.com/content/380/bmj-2022-071950#UK to give “near automatic sign off” for treatments approved by “trusted” regulatorshttps://www.bmj.com/content/380/bmj.p633Smartphone apps for point-of-care information summarieshttps://ebm.bmj.com/content/early/2023/03/14/bmjebm-2022-112146

A summary of some of the best paper we published in the April 2023 issue of the Emergency Medicine Journal. Rick and Sarah talk through topics including the impact of emergency physician gender on the outcomes of patients with early pregnancy loss; major trauma centre care for patients with low velocity trauma; the development of a new checklist for emergency paediatric intubation; the effect of head-up position on intubation success in the Emergency Department; and spiking by injection in the ED. One great feature of this month's papers is that there is so much that's immediately relevant to our clinical practice.Read the highlights: https://emj.bmj.com/content/40/4/239You can subscribe to the EMJ podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify, to get the latest podcast every month.If you enjoy our podcast, please consider leaving us a review or a comment on the EMJ Podcast iTunes page (https://podcasts.apple.com/us/podcast/emj-podcast/id445358244). Thank you for listening!

In this podcast, JNIS Editor-in-Chief, Dr. Felipe C. Albuquerque, speaks with Mariam Kyarunts(1) and Charlotte Michaelcheck(2), contributing authors to the recently published article "Gender disparities in industry compensation and research payments among neurointerventional surgeons in the USA" - https://jnis.bmj.com/content/early/2023/01/23/jnis-2022-019921This paper is free-to-access for a month following the publication of this podcast. Please subscribe to the JNIS Podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify, to get the latest episodes. Also, please consider leaving us a review or a comment on the JNIS Podcast iTunes page: https://podcasts.apple.com/gb/podcast/jnis-podcast/id942473767Thank you for listening!This episode was edited by Brian O'Toole.(1)Department of Radiology, Mayo Clinic, Rochester, Minnesota, USA(2)Department of Radiology, Mayo Clinic, Rochester, Minnesota, USA

From the moment you start medical school, you’re asked the same question - ‘what kind of doctor are you going to be?’. Whilst some know from the very beginning that they’re going to be a surgeon or a paediatrician or a GP, others have no idea. The reality of choosing a specialty can be really difficult. In this episode, we talk about the common worries that medical students or junior doctors might have when it comes to choosing a specialty. We’ll also discuss some steps we can take to make that process a little easier. Expert guests:Heather Samuel is a professionally qualified careers adviser with over 30 years experience, spending the last 15 years specialising in working with doctors from F1 to CCT and beyond. She now works on a freelance basis for the NHS and with schools.Check us out on social media:Twitter: https://twitter.com/BMJStudent Instagram: https://www.instagram.com/bmj_student/ Facebook: https://www.facebook.com/BMJStudent/ This podcast is produced and edited by Dom Byrne and Duncan Jarvies.

Dr Philip Smith, Deputy Editor of FG and Social Media Associate Editor and Honorary Consultant Gastroenterologist at the Royal Liverpool Hospital, Liverpool, UK interviews Dr Simon Everett, Consultant Gastroenterologist at Leeds Teaching Hospitals NHS Trust, Leeds, UK and BSG ERCP and EUS Quality improvement Lead, on the paper 'Individualised consent for endoscopy: update on the 2016 BSG guidelines’ published online in Frontline Gastroenterology in February 2023: https://fg.bmj.com/content/early/2023/02/07/flgastro-2022-102353Listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify. If you enjoy our podcast, please rate us on your chosen platform, and leave us a review on the Frontline Gastroenterology Podcast page on iTunes: https://podcasts.apple.com/gb/podcast/fg-podcast/id942944229

Dr Philip Smith, Digital and Education Editor of Gut and Honorary Consultant Gastroenterologist at the Royal Liverpool Hospital, Liverpool, UK interviews Professor Tine Jess, from the Center for Molecular Prediction of Inflammatory Bowel Disease, Department of Clinical Medicine, and Department of Gastroenterology and Hepatology, Aalborg University, Aalborg, Denmark, and Dr Adam S Faye, from the Department of Medicine and Population Health, New York University Langone Health, New York, USA, on the paper 'Antibiotic use as a risk factor for inflammatory bowel disease across the ages: a population-based cohort study' published in paper copy in Gut in April 2023 and published online: https://gut.bmj.com/content/72/4/663Please subscribe to the Gut Podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify, to get the latest podcast every month. If you enjoy our podcast, please consider leaving us a review or a comment on the Gut Podcast iTunes page (https://podcasts.apple.com/gb/podcast/gut-podcast/id330976727).

Age-related macular degeneration is the third most common cause of visual impairment worldwide. The main risk is advanced disease and resultant visual loss.Prompt diagnosis and treatment can make a big difference to the outcome - so it is vital that we get the diagnosis and management of this condition right.In this BMJ Best Practice podcast on macular degeneration, Kieran Walsh talks with Dr. Sajjad Mahmood, Consultant Ophthalmic Surgeon, Medical Retina Specialist, and Honorary Clinical Lecturer at the University of Manchester.For more on age-related macular degeneration, visit BMJ Best Practice: bestpractice.bmj.com/topics/en-gb/554Competing interests: SM has done consultancy work and received honoraria for lecturing and travel from Bayer Pharmaceuticals and Novartis. He has also been a principal investigator for clinical trials on behalf of Bayer, Novartis, and Roche.

In this episode of the Heart podcast, Andrew Perry visits Dr. Bairey Merz to discuss the diagnosis and management of INOCA and MINOCA. Dr. Bairey Merz spoke on this topic at the American College of Cardiology Scientific Sessions in March 2023. If you enjoy the show, please leave us a podcast review at https://itunes.apple.com/gb/podcast/heart-podcast/id445358212?mt=2Link to published paper: https://heart.bmj.com/content/104/4/284

The theory that depression is caused by serotonin deficiency has become embedded in our practice over the years, and can be a persuasive explanation of the condition for patients considering starting antidepressants. We talk to Tony Kendrick about the evidence (or lack thereof) to support this hypothesis, and what that means for the efficacy of antidepressants, particularly SSRIs. Later on, we speak to Mark Horowitz to discuss how to come off antidepressants safely, and manage withdrawal symptoms, and how to advise and support our patients as they gradually reduce, then stop, their medication. Our guests:Tony Kendrick is a retired GP, and NICE committee member for the 2022 guideline update on depression in adults. He is also a professor of Primary Medical Care at the University of Southampton.Mark Horowitz is a training psychiatrist, working as a clinical research fellow at North East NHS Trust, and as an honorary clinical research fellow at UCL, he is also the co-founder of outro.com.Further reading:‘Antidepressants and the serotonin hypothesis of depression’. BMJ 2022;378:o1993 https://www.bmj.com/content/378/bmj.o1993‘Stopping antidepressants’. Royal College of Psychiatrists. 2020. https://www.rcpsych.ac.uk/mental-health/treatments-and-wellbeing/stopping-antidepressants

In this episode of the IJGC podcast, Editor-in-Chief Dr. Pedro Ramirez is joined by Dr. Benoit You to discuss KELIM validation. Dr. You is a French medical oncologist at Lyon University Hospital, specialized in gynecological cancers, and the head of the drug development program of his institution (CITOHL-EPSILYON). Morever, he is the Director of a university research team involved in pharmacokinetics, and modeling analyses of the kinetics of serum tumor markers (EA 3738 CICLY). He is an active member of the French GINECO group, of the European ENGOT group, and of the international GCIG group. Highlights:- KELIM is the modeled CA-125 decline rate during the first 3 cycles of adjuvant or neo-adjuvant chemotherapy in first-line setting- It is a pragmatic indicator of the tumor intrinsic chemosensitivity, easily calculable online on https://www.biomarker-kinetics.org- KELIM is helpful to surgeons to anticipate the feasibility/complexity of complete interval debulking surgery after neo-adjuvant chemotherapy - The analyses of ICON-7 and GOG-0218 trial datasets reproducibly showed that only the patients with unfavorable KELIM score < 1.0 had a survival benefit from bevacizumab among those with a high-risk disease- KELIM may be a complementary tool to HRD status to select the best maintenance treatment in first-line setting, especially in patients with HRP cancer : PARP inhibitor expected to be effective in the case of favorable KELIM score ≥ 1.0 ; bevacizumab expected to be effective in the case of unfavorable KELIM score < 1.0

Editor-in-Chief of the Archives of Disease in Childhood, Dr. Nick Brown, and Senior Editor of ADC, Dr. Rachel Agbeko, bring you the monthly Atoms - the highlights of the April 2023 issue.Read it on the Archives of Disease in Childhood website: https://adc.bmj.com/content/108/4/iPlease listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832

For interventional procedures that involve implanting devices or ablating tissues, it is common for patients to undergo prognostic tests to determine if they are responders prior to moving on to permanent procedures. However, definitions of responders and the number of prognostic tests necessary has caused some confusion. In this month’s RAPM Focus, Editor-in-Chief Brian Sites, MD, joins David Provenzano, MD, and Jozef Leech, to discuss their study “Evaluation of lumbar medial branch blocks: how does the second block influence progression to radiofrequency ablation?,” first published in July 2022 (https://rapm.bmj.com/content/47/12/719). In a single-center retrospective review, 224 patients with two consecutive local anesthetic-only blocks were examined for pain relief. Dr. David Provenzano is president-elect of the American Society of Regional Anesthesia and Pain Medicine. He is currently an adjunct associate professor at the University of Pittsburgh, is on the executive committee of the Western PA Surgery Center, and is a critical member of the editorial board at Regional Anesthesia & Pain Medicine.Jozef Leech is a native of Johnstown, PA, and graduated from Washington & Jefferson College in 2020 with his Bachelor of Arts in biology. He completed 2 years of internship work with Dr. Provenzano at Pain Diagnostics and Interventional Care located in Pennsylvania. In August of 2022, Jozef started Kent State University College of Podiatric Medicine in Independence, OH. He is an active member with the American College of Foot and Ankle Surgeons. *The purpose of this podcast is to educate and to inform. The content of this podcast does not constitute medical advice, and it is not intended to function as a substitute for a healthcare practitioner’s judgement, patient care, or treatment. The views expressed by contributors are those of the speakers. BMJ does not endorse any views or recommendations discussed or expressed on this podcast. Listeners should also be aware that professionals in the field may have different opinions. By listening to this podcast, listeners agree not to use its content as the basis for their own medical treatment or for the medical treatment of others.

Fatigue can have as much of an affect in your ability to function as alcohol, and yet while you would be chastised for drinking before appearing on the ward, hospitals have systematically removed the spaces where tired clinicians can rest and recover.The Royal College of Anaesthetists have been campaigning to raise awareness of the dangers of fatigue, and it seems that anaesthetic trainees have benefitted from that, with sleep pods and flexible schedules - but other specialties are lagging behind.In this podcast, Roo McCrossan, a consultant anaesthetist joins our host Clara Munro, a surgical trainee, and Ayesha Ashmore, obstetric trainee, to talk about how to fight fatigue. They discuss circadian rhythms, what to eat, nappuccinos, and why trusts should make more sleeping spaces.For more information about fighting fatigue;https://anaesthetists.org/Home/Wellbeing-support/Fatigue/-Fight-Fatigue-download-our-information-packs

Practical Neurology Editors Phil Smith and Geraint Fuller talk you through the highlights of the April 2023 issue of the journal (https://pn.bmj.com/content/23/2/103).Please subscribe to the Practical Neurology podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify, to get the latest podcast every month.If you enjoy our podcast, please consider leaving us a review or a comment on the Practical Neurology Podcast iTunes page (https://podcasts.apple.com/gb/podcast/pn-podcast/id942932053). The PN podcast is produced by Letícia Amorim and edited by Brian O'Toole.Thank you for listening.

In this episode of the IJGC podcast, Editor-in-Chief, Dr. Pedro Ramirez, is joined by Drs. Vandré Carneiro and Glauco Baiocchi to discuss the LESSER trial. Dr. Carneiro is the head of the Department of Gynecologic Oncology at the Instituto de Medicina Integral Professor Fernando Figueira (IMIP). He is also Director of the Department of the Hereditary Cancer Program of Hospital de Cancer de Pernambuco. Dr. Baiocchi is the head of the Department of Gynecologic Oncology at the AC Camargo Cancer Center. He is also the president of the Brazilian Gynecologic Oncology Group – EVA Group. Highlights:- Hysterectomy is safe and potentially non-inferior to modified radical hysterectomy in early-stage cervical cancer.- The LESSER supports simple hysterectomy as a substitute for radical hysterectomy in patients with cervical cancer ≤2 cm.- The SHAPE trial will provide more concrete data on the role of simple hysterectomy for early-stage cervical cancer.

In this episode Dr. Kate Diomede, social media editor at Thorax, speaks with Prof. Andrew Bush(1) about the state of paediatric treatment for thoracic issues, including discussion of cystic fibrosis and asthma.Hear the previous discussion with Prof. Ian Hall on the future of respiratory medicine: https://on.soundcloud.com/yb7pJ(1) Consultant paediatric chest physician at Royal Brompton Hospital;Professor of paediatric respirology, National Heart and Lung Institute, Imperial College London.Please engage in the conversation through the social media channels (Twitter - @ThoraxBMJ; Facebook - @Thorax.BMJ · Pulmonologist) and subscribe on your preferred platform, to get the latest episodes directly on your device each month.If you enjoy the Thorax Podcast, please leave us a rating and a review on the Thorax Podcast page on iTunes - https://podcasts.apple.com/gb/podcast/thorax-podcast/id343304910.

From the lingering effects of the pandemic to ongoing industrial action, it is a turbulent time to be working in healthcare. As medical students about to start working in this profession, it can feel really overwhelming and daunting to think about our future careers in the NHS. Today we’re going to be talking about all the things we’re worried about when it comes to the current NHS crisis. Our expert guest, Elisabeth, will pull in evidence from interviews with junior doctors and healthcare leaders to get a broader sense of the current situation. We also reached out to the rest of the panel, and other medical students on social media, to hear more about their concerns too. Expert guests:Elisabeth Mahase is the clinical news reporter for the journalism team at The BMJ. She previously worked at GP magazine Pulse and has a background in Science Communication and Biomedical Science.Check us out on social media:Twitter: https://twitter.com/BMJStudent Instagram: https://www.instagram.com/bmj_student/ Facebook: https://www.facebook.com/BMJStudent/ This podcast is produced and edited by Dom Byrne and Duncan Jarvies.

In this episode of the Heart podcast, Digital Media Editor, Professor James Rudd, is joined by Dr Chris Wilkinson from Hull York Medical School and the James Cook hospital, UK. They discuss the concept of frailty and why it's an important concept in cardiology. If you enjoy the show, please leave us a podcast review at https://itunes.apple.com/gb/podcast/heart-podcast/id445358212?mt=2 or in your favourite podcast app!Link to published paper:https://heart.bmj.com/content/108/24/1991.full

The prevalence of cluster headache is about one in 500. In people coming to a headache clinic, the prevalence is about 10%.Cluster headaches are excruciating and incapacitating, and affect quality of life. Prompt diagnosis and treatment can make a big difference to the outcome - so it is vital that we get the diagnosis and management of this condition right.In this BMJ Best Practice podcast on cluster headache, Kieran Walsh talks with Professor Amaal Starling, Associate Professor of Neurology at the Department of Neurology in the Mayo Clinic.Further resources: clusterbusters.org/.Competing interests: AS has received consulting fees from AbbVie, Allergan, Amgen, Axsome Therapeutics, Everyday Health, Lundbeck, Med-IQ, Medscape, Neurolief, Satsuma, and WebMD.We release episodes fortnightly.

This month, Dr. Rachel Agbeko, Senior Editor of ADC, is joined by Dr. Bernadette O'Hare(1), to discuss the impact of the climate crisis on children's health and healthcare worldwide. She is a senior lecturer in Global Health at both St. Andrews, Scotland and the Kamuzu University of Health Sciences in Malawi, and a consultant paediatrician. With the Government Revenue and Development Estimations (GRADE) team, she studies the impact of global policies on government revenue and therefore on public services and children’s right to their determinants of health. Related editorial: https://adc.bmj.com/content/107/5/417The ADC Spotlight podcast is the Archives of Disease in Childhood podcast covering areas that don’t usually get much attention or might be taken for granted in children's health. This series is produced by Letícia Amorim and edited by Brian O'Toole.Please listen to our regular podcasts and subscribe to Apple Podcasts, Google Podcasts, Stitcher, and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832

In this episode of the IJGC podcast, Editor-in-Chief, Dr. Pedro Ramirez, is joined by Dr. Nicolò Bizzarri to discuss the SCCAN study. Dr. Bizzarri is a former IJGC Editorial Fellow under the mentorship of Prof. Pedro Ramirez. He is a Gynecologic Oncologist at Policlinico Agostino Gemelli in Rome, president of the European Network of Young Gynecologic Oncologists (ENYGO), and he happily serves on the IJGC Early Career Editorial Board.Highlights: - Women with early-stage cervical cancer treated with primary radical hysterectomy had improved disease free survival if treated in hospitals with a higher number of radical hysterectomies per year. - Surgical volume of centers represented an independent prognostic factor affecting disease-free survival.- Increasing number of radical hysterectomies performed in each center every year was associated with improved disease-free survival.

How long would it take GPs to enact all of the guideline recommendations that they might be expected too? Far more GP hours than exist in any healthcare system, but as medicine has turned its attention to primary prevention, and expanded the populations whose health we seek to improve, those guidelines are taking up more and more time.A recent analysis in The BMJ has proposed the concept of “Time Needed to Treat” and implores guideline makers to take account consultation time as a precious, finite, resource when thinking about their recommendations.In this episode of Deep Breath In, we’re joined by Minna Johansson, family doctor and director Global Center for Sustainable Healthcare, who co-authored that analysis to talk about how the concept has gone down, and what it might mean for rethinking what primary care is supposed to do.Reading list:Guidelines should consider clinicians’ time needed to treathttps://www.bmj.com/content/380/bmj-2022-072953

We're bringing you an episode of the BMJ's podcast for primary care, Deep Breath In, which we think you'll enjoy.How long would it take GPs to enact all of the guideline recommendations that they might be expected too? Far more GP hours than exist in any healthcare system; but as medicine has turned its attention to primary prevention, and expanded the populations whose health we seek to improve, those guidelines are taking up more and more time.A recent analysis in The BMJ has proposed the concept of “Time Needed to Treat” - and implores guideline makers to take account consultation time as a precious, finite, resource when thinking about their recommendations.In this episode of Deep Breath In, we’re joined by Minna Johansson, family doctor and director Global Center for Sustainable Healthcare, who co-authored that analysis to talk about how the concept has gone down, and what it might mean for rethinking what primary care is supposed to do.Reading list:Guidelines should consider clinicians’ time needed to treathttps://www.bmj.com/content/380/bmj-2022-072953

In this BJSM Podcast, we host Associate Professor Hanna Lindblom, who is a physiotherapist, researcher, and lecturer at Linkoping University in Sweden. We discuss Hanna’s paper, which evaluated the preventive efficacy of an extended version of the Knee Control injury prevention exercise program compared with an adductor strength program in amateur adolescent and adult male and female football (soccer) players. Coaches and player representatives received a printed and digital program material, and a practical workshop to show them how to use the programs. The novelty of this trial is they also compared the extended Knee Control to a second comparison group; where the teams were where the teams already used a self-selected program and did not receive workshop or program material. Many of these comparison teams (50%) said they were self-using the old Knee Control program, providing a “real world” comparison and proven benefits of the Extended Knee Control program. Hanna has hands-on experience designing and delivering injury prevention in a range of sports and has some great advice for clinicians looking to implement Knee Control and similar programs in amateur sports settings. Paper link: https://bjsm.bmj.com/content/57/2/83.abstract

In a series of podcasts to mark the 60th anniversary of DTB, we talk to some of DTB's Editorial Board members and other colleagues about their work and their involvement with DTB. In this podcast, recorded May 2022, David Phizackerley (DTB's deputy editor) talks to Joanna Girling who is a consultant in obstetric medicine in north London and has been involved with DTB since 2006. Joanna talks about her clinical work, her role with establishing the local maternity network and her involvement in research. She also talks about supporting women who have pre-existing medical conditions and who are pregnant or who are planning pregnancy and the importance of checking that they are on the most appropriate medicines.The contact address for the DTB team is dtb@bmj.com.Please subscribe to the DTB podcast to get episodes automatically downloaded to your mobile device and computer. Also, please consider leaving us a review or a comment on the DTB Podcast iTunes podcast page (https://podcasts.apple.com/gb/podcast/dtb-podcast/id307773309). Thank you for listenin

In this episode of the IJGC podcast, Editor-in-Chief, Dr. Pedro Ramirez, is joined by Drs. Ainhoa Madariaga and Robert Coleman, two of the Guest Editors for this month’s special issue entitled “Novel Therapies Leading to a New Landscape in Gynecologic Tumors”. Dr. Madariaga is a Medical Oncologist in the Gynecologic Cancer Unit at 12 de Octubre University Hospital in Madrid, Spain. She is the chair of the Young and Early Career Investigator - EORTC Gynecological Cancer Group. Her research interests include patient reported outcomes and drug development. Dr. Coleman is a Gynecologic Oncologist and Chief Medical Officer at Sarah Cannon Research Institute (SCRI) in Nashville, TN. His research interests include drug development, clinical trial design and global medical education in gynecologic oncology. Highlights:- The alignment of cancer biology and novel treatment approaches are significantly extending the lives of patients with gynecologic malignancies, particularly with agents such as antibody drug conjugates, immunotherapy, and targeted agents.- The evolving therapeutic landscape is escalating the need for a clearer understanding of how precision medicine can most efficiently be implemented.- Emergence of drug resistance provides new challenges and opportunities through creative and strategic investigation of novel treatment and combinations.- Advances in testing platforms in bringing genomic testing to the global audience.- Clinical trial interpretation requires critical evaluation of analytical primary and hypothesis-generating secondary endpoints – strategies to make appropriate inference is key to clinical trial design.

As workforce gaps in the NHS, and other healthcare systems around the world widen, the need to improve staff retention has become an ever more pressing concern. Yet work-life balance issues continue to drive staff away from the service.What is the imperative to get flexible working right, and what can be done to remove the barriers facing healthcare workers seeking to change the way they work?Joining us in the discussion are;Kamran Abbasi, editor in chief of The BMJRachel Hutchings, fellow at the Nuffield TrustSarah Sweeney, interim chief executive, National VoicesFarzana Hussain, a GP in Newham, LondonThea Stein, chief executive of Leeds Community Healthcare NHS TrustThe report that Rachel Hutchings has authors is summaried in a BMJ feature - Challenges of combining a career in surgery with parenting https://www.bmj.com/content/380/bmj.p449

On this episode of the AMSSM (T: @TheAMSSM) Sports Medcast, host Dr. Devin McFadden, MD (T: @ArmySportsDoc), is joined by Dr. Adam Tenforde, MD (T: @AdamTenfordeMD), to discuss the a recently published manuscript titled “Bone Stress Injuries in Runners Using Carbon Fiber Plate Footwear.”In this conversation, Dr. Tenforde addresses the following topics related to the article:●Explanation of the use of Carbon Fiber Plate (CFP) technology in footwear and why it’s become so popular●Addressing the rapid changes and progression of record-breaking performance in the running community as a result of this footwear●Discussing his article featuring a case series of navicular bone stress injuries in runners using CFP footwear●Providing some general recommendations for safely using CFP footwear, as well as raising awareness on the possible health concerns of this new technologyAdditional Resources:Bone Stress Injuries in Runners Using Carbon Fiber Plate Footwear https://link.springer.com/article/10.1007/s40279-023-01818-zReturn to Sport Following Low-Risk and High-Risk Bone Stress Injuries: A Systematic Review and Meta-Analysishttps://bjsm.bmj.com/content/early/2023/01/24/bjsports-2022-106328

Dr Philip Smith, Deputy Editor and Associate Editor of FG and Honorary Consultant Gastroenterologist at the Royal Liverpool Hospital, Liverpool, UK interviews Dr Keith Siau, Consultant Gastroenterologist at the Royal Cornwall Hospitals NHS Trust, Truro, Cornwall, UK and Dr Aravinth Murugananthan, Consultant Gastroenterologist at The Royal Wolverhampton NHS Trust, Wolverhampton, UK and Director of the Midlands Endoscopy Training Academy on the paper 'JAG consensus statements for training and certification in colonoscopy’ published online in Frontline Gastroenterology in January 2023 and available online: https://fg.bmj.com/content/early/2023/01/26/flgastro-2022-102260Listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify. If you enjoy our podcast, please rate us on your chosen platform, and leave us a review on the Frontline Gastroenterology Podcast page on iTunes: https://podcasts.apple.com/gb/podcast/fg-podcast/id942944229

Every consultation we have with a patient reveals something about us - sometimes we do that deliberately, sometimes it's just incidental - but we always bring something of ourselves to the consultation.In a recent episode, we talked all about self disclosure; when it is and isn’t appropriate to share things with your patients. In that episode, we focused on health and illness but today, we’re going to be talking about things that are outside of the sphere of medicine. For example, the way that we consider our identity and other aspects of our personal life. This might be through outright self-disclosure or it might be more linked to all of the nonverbal and visual cues you get and give in a consultation. Expert guests:Dr Brendan J Dunlop is a principal clinical psychologist and clinical lecturer in clinical psychology. He is also the author of The Queer Mental Health Workbook. He delivers training and teaching which covers elements of self-disclosure. Check us out on social media:Twitter: https://twitter.com/BMJStudent Instagram: https://www.instagram.com/bmj_student/ Facebook: https://www.facebook.com/BMJStudent/ This podcast is produced and edited by Dom Byrne and Duncan Jarvies.

Jonathan Davis, ADC associate editor, is joined by Arun Sett(1), Dr. Sheryle Rogerson(2), and Dr. Peter Davis(3) and to discuss the paper "Lung ultrasound of the dependent lung detects real-time changes in lung volume in the preterm lamb", as well as the lung ultrasound method's applicability to neonatal treatment.Related links:https://fn.bmj.com/content/108/1/51http://www.ncbi.nlm.nih.gov/pubmed/27596161https://thorax.bmj.com/content/72/1/83https://www.asum.com.au/education/ccpu-course/ccpu-neonatal/Please listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832(1) Joan Kirner Women's and Children's Hospital, Melbourne, Australia & Department of Obstetrics and Gynaecology, University of Melbourne, Melbourne, Australia (2) The Royal Women's Hospital, Melbourne, Australia (3) Department of Obstetrics and Gynaecology, University of Melbourne, Melbourne, Australia

Medical Humanities, editor-in-chief Brandy Schillace speaks to Emily Silverman, MD, the University of California San Francisco (UCSF)creator of The Nocturnist podcast, and Luna Dolezal, Associate Professor in Philosophy and Medical Humanities based in the Wellcome Centre for Cultures and Environments of Health. They both published a 10-part podcast series called 'Shame in Medicine: The Lost Forest'.Blog link with the transcription of this podcast: https://blogs.bmj.com/medical-humanities/2023/03/02/shame-in-medicine-the-lost-forestRelated links: https://shameandmedicine.org/ https://thenocturnists.com/ https://www.thenocturnists-shame.org/Subscribe to the Medical Humanities Podcast in all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify. If you enjoy our podcast, please consider leaving us a review and a 5-star rating on the Medical Humanities Podcast iTunes page (https://podcasts.apple.com/gb/podcast/medical-humanities-podcast/id961667204). Thank you for listening!

A summary of some of the best papers we published in the March 2023 issue of the Emergency Medicine Journal. EMJ's deputy editor Rick Body and social media editor Sarah Edwards talk through topics including biomarkers of traumatic brain injury, the limping child, hypothermia and sepsis in infants and the importance of avoiding secondary insults in patients intubated for traumatic brain injury in the prehospital environment.Read the highlights: https://emj.bmj.com/content/40/3/157You can subscribe to the EMJ podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify, to get the latest podcast every month.If you enjoy our podcast, please consider leaving us a review or a comment on the EMJ Podcast iTunes page (https://podcasts.apple.com/us/podcast/emj-podcast/id445358244). Thank you for listening!

Dr. Amy Ross Russell(1) discusses a recently published review by Dr. Christopher Carswell(2) on the historical context of normal pressure hydrocephalus, the challenges faced when dealing with patients, and the current state of clinical evidence for diagnosis and treatment.Read this latest Editor’s Choice paper on the Practical Neurology website (https://pn.bmj.com/content/23/1/15) and the February print issue of the journal.The paper is also discussed by Practical Neurology editors, Dr. Phil Smith and Dr. Geraint Fuller, in their latest podcast: https://soundcloud.com/bmjpodcasts/editors-highlights-of-the-february-2023-issue?in=bmjpodcasts/sets/pn-podcast(1) Neurology, University Hospital Southampton NHS Foundation Trust, UK(2) Imperial College Healthcare NHS Trust, London, UKPlease subscribe to the Practical Neurology podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify, to get the latest podcast every month. If you enjoy our podcast, please consider leaving us a review or a comment on the Practical Neurology Podcast iTunes page (https://podcasts.apple.com/gb/podcast/pn-podcast/id942932053). The PN podcast is produced by Letícia Amorim and edited by Brian O'Toole.Thank you for listening.

Dr Philip Smith, Digital and Education Editor of Gut and Honorary Consultant Gastroenterologist at the Royal Liverpool Hospital, Liverpool, UK interviews Professor Rohit Loomba, Professor of Medicine in the Division of Gastroenterology, and Adjunct Professor in the Division of Epidemiology at the University of California San Diego, La Jolla, California, USA on the paper 'Liver stiffness thresholds to predict disease progression and clinical outcomes in bridging fibrosis and cirrhosis' published in paper copy in Gut in March 2023 and available online: https://gut.bmj.com/content/72/3/581Please subscribe to the Gut Podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify, to get the latest podcast every month. If you enjoy our podcast, please consider leaving us a review or a comment on the Gut Podcast iTunes page (https://podcasts.apple.com/gb/podcast/gut-podcast/id330976727).

Spinal cord compression is an extremely serious disorder that can have devastating consequences. These include weakness of the legs, bladder and bowel dysfunction, and loss of sensation.Rapid diagnosis and treatment can make a big difference to the outcome - so it is vital that we get the diagnosis and management of this condition right. In this BMJ Best Practice podcast on spinal cord compression, Kieran Walsh talks with Professor Kenneth Casey, Clinical Associate Professor in Neurosurgery at Michigan State University and Clinical Associate Professor in Physical Medicine and Rehabilitation at Wayne State University School of Medicine.Competing interests: none declaredWe release episodes fortnightly.

In this episode of the IJGC podcast, Editor-in-Chief, Dr. Pedro Ramirez, is joined by Dr. Robert Coleman. Dr. Coleman is a Gynecologic Oncologist and Chief Medical Officer at Sarah Cannon Research Institute (SCRI) in Nashville, TN. His research interests include drug development, clinical trial design and global medical education in gynecologic oncology. Highlights:- Strong mentorship is vital to personal and academic development. However, it is a two-way street. True synergy will come from bilateral engagement.- Remember your clinic is your “laboratory” – keep a keen eye for clinical relationships, build hypotheses, and practice the exercise of how to best test it. Even in resource-constrained situations, the process of discovery and hypothesis testing will arm one to be a better investigator and to most appropriately interrogate the literature.- A strong balance between personal and professional responsibilities will provide the environment for sustainability – this is the long game!

The International Association for the Study of Pain defines pain as: “An unpleasant sensory or emotional experience associated with, or resembling that associated with, actual or potential tissue damage.”Among many other variables, mental health conditions play a critical role in determining the emotional experience. Thus, it is very reasonable to hypothesize that baseline anxiety, for instance, may influence pain and opioid prescribing. In this month’s RAPM Focus, Editor-in-Chief Brian Sites, MD, joins Shay Nguyen and Jennifer Waljee, MD, authors on “Prospective cohort study on the trajectory and association of perioperative anxiety and postoperative opioid-related outcomes,” first published in August 2022 (https://rapm.bmj.com/content/47/10/637). In this fascinating study, 1,771 patients were prospectively followed; self-reported opioid use, pain, and anxiety were recorded on the day of surgery and at 1-, 3-, and 6-months post-surgery to examine whether or not anxiety was a mediator between pain and opioid use.Shay N. Nguyen is a fourth-year medical student at the University of Michigan who is applying into classic surgery. She studied biochemistry in the University of California, Santa Barba, where she did research in chemistry and material science. Currently, her research interests include understanding risk factors for opioid use in the context of surgery and perioperative anxiety management.Dr. Jennifer F. Waljee is a plastic surgeon in academic practice at the University of Michigan. She completed her medical school training at Emory University and completed clinical residencies in generalsurgery and plastic surgery at the University of Michigan, followed by a hand surgery fellowship. Dr. Waljee is a co-founder and co-director of the Michigan Opioid Prescribing Engagement Network (OPEN),a statewide collaborative program dedicated to enhancing opioid stewardship and developing best practices for the management of acute pain during procedural care.*The purpose of this podcast is to educate and to inform. The content of this podcast does not constitute medical advice, and it is not intended to function as a substitute for a healthcare practitioner’s judgement, patient care, or treatment. The views expressed by contributors are those of the speakers. BMJ does not endorse any views or recommendations discussed or expressed on thispodcast. Listeners should also be aware that professionals in the field may have different opinions. By listening to this podcast, listeners agree not to use its content as the basis for their own medicaltreatment or for the medical treatment of others.

In this podcast, Dr. Javier Rodríguez-Carrio talks to Dr. Pavel Ovseiko and Prof. Laura Coates about the recent paper on gender equity in academic rheumatology which emerged from a EULAR task force. They discuss the current situation of gender equity in academic rheumatology across Europe, the pros and cons of potential interventions to accelerate gender-equitable career advancement in this field and how and these be applied in the short- and long-term. Link to the viewpoint: https://rmdopen.bmj.com/content/8/2/e002518.longListen to more episodes of RMD Open: https://podcasts.apple.com/gb/podcast/rmd-open-rheumatic-and-musculoskeletal-diseases/id1237127864

Editor-in-Chief of the Archives of Disease in Childhood, Dr. Nick Brown, and Senior Editor of ADC, Dr. Rachel Agbeko, bring you the monthly Atoms - the highlights of the March 2023 issue.Read it on the Archives of Disease in Childhood website: https://adc.bmj.com/content/108/3/iPlease listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832

In this episode of Talk Evidence, Helen Macdonald is joined by Juan Franco and Joe Ross, to bring you the newest evidence in The BMJ.First, chronic pain. As prescribers move away from opioids, Juan finds an overview of systematic reviews asking whether anti-depressants might help. Joe finds new research on the link between six healthy lifestyle markers and cognitive decline. Helen looks at a trial to reduce prescribing among older people with suspected urinary tract infection or UTI.Juan has a nuanced take on the updated evidence on masks to reduce the spread of respiratory viruses. Finally, an international group of researchers traced the health claims made about infant formula milk back to the evidence or lack of it Reading list:Efficacy, safety, and tolerability of antidepressants for pain in adultshttps://www.bmj.com/content/380/bmj-2022-072415Association between healthy lifestyle and memory decline in older adultshttps://www.bmj.com/content/380/bmj-2022-072691Effect of a multifaceted antibiotic stewardship intervention to improve antibiotic prescribing for suspected urinary tract infections in frail older adults https://www.bmj.com/content/380/bmj-2022-072319Physical interventions to interrupt or reduce the spread of respiratory viruseshttps://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD006207.pub6/fullHealth and nutrition claims for infant formulahttps://www.bmj.com/content/380/bmj-2022-071075

In this episode of Talk Evidence, Helen Macdonald is joined by Juan Franco and Joe Ross, to bring you the newest evidence in The BMJ.First, chronic pain. As prescribers move away from opioids, Juan finds an overview of systematic reviews asking whether anti-depressants might help. Joe finds new research on the link between six healthy lifestyle markers and cognitive decline. Helen looks at a trial to reduce prescribing among older people with suspected urinary tract infection or UTI.Juan has a nuanced take on the updated evidence on masks to reduce the spread of respiratory viruses. Finally, an international group of researchers traced the health claims made about infant formula milk back to the evidence or lack of it Reading list:Efficacy, safety, and tolerability of antidepressants for pain in adultshttps://www.bmj.com/content/380/bmj-2022-072415Association between healthy lifestyle and memory decline in older adultshttps://www.bmj.com/content/380/bmj-2022-072691Effect of a multifaceted antibiotic stewardship intervention to improve antibiotic prescribing for suspected urinary tract infections in frail older adults https://www.bmj.com/content/380/bmj-2022-072319Physical interventions to interrupt or reduce the spread of respiratory viruseshttps://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD006207.pub6/fullHealth and nutrition claims for infant formulahttps://www.bmj.com/content/380/bmj-2022-071075

In this podcast, James Cave (Editor-in-Chief) and David Phizackerley (Deputy Editor) talk about the March 2023 issue of DTB. They discuss incorrect penicillin allergy labels and ways that these can be corrected. They review clinical trial results for lecanameb in early Alzheimer's disease and also talk about a new combined oral contraceptive that contains estetrol and drospirenone. They begin by discussing a proposal from the National Institute for Health and Care Excellence to lower the threshold for offering statins for primary prevention.The contact address for the DTB team is dtb@bmj.com.Please subscribe to the DTB podcast to get episodes automatically downloaded to your mobile device and computer. Also, please consider leaving us a review or a comment on the DTB Podcast iTunes podcast page (https://podcasts.apple.com/gb/podcast/dtb-podcast/id307773309). Thank you for listening.

BJSM’s Liam West talks to Dr. Richard Weiler about concussion in Para Sport. Dr. Weiler and colleagues have investigated concussion experiences of blind male footballers turning up some very interesting results. To ensure that these findings are accessible to visually impaired individuals, they have gone down the novel route of creating an audio file of the entire paper – the link for this can be found below.Links -"Concussion through my eyes" audio paperhttps://on.soundcloud.com/XQb2TConcussion in para sport: the first position statement of the Concussion in Para Sport (CIPS) Group - https://bjsm.bmj.com/content/55/21/1187https://bjsm.bmj.com/content/early/2023/02/14/bjsports-2022-106256

In this episode of the IJGC podcast, Editor-in-Chief, Dr. Pedro Ramirez, is joined by Dr. David M. Gershenson to discuss updates on germ cell tumors. Dr. Gershenson is Professor and former Chair of the Department of Gynecologic Oncology and Reproductive Medicine at The University of Texas MD Anderson Cancer Center. His major focus is on the clinical and translational research or rare ovarian cancers. Highlights:- The treatment of malignant ovarian germ cell tumor has evolved over the last 5 decades to represent one of our most remarkable success stories, with cure in 95+% of patients with stage I/II and approximately 75% of patients with stage III/IV.- AGCT1531 is a very important trial, which, if positive, will reduce toxicity by extending surveillance to patients with stage IA or IB malignant ovarian germ cell tumors, including grade 2 and 3 immature teratomas, yolk sac tumors, and non-gestational choriocarcinomas and will result in the substitution of carboplatin for cisplatin in the regimen for treatment of stage IC-III.- Fertility-sparing surgery is possible in the majority of young patients with malignant ovarian germ cell tumor, related to the following: a) 95% are confined to one ovary ; b) approximately 2/3s are stage I; and c) most patients are in their teenage years, 20s, and 30s and have not completed childbearing.- Major controversies differentiating the treatment of children and adults by pediatric oncologists/pediatric surgeons and gynecologic oncologists, respectively, include the extent of surgical staging and the role of postoperative chemotherapy in patients with pure immature teratoma.- For patients with malignant ovarian germ cell tumors who recur following primary therapy, BEP is recommended for those who have been treated with surgery alone. For those who have previously received BEP, standard management generally includes high-dose chemotherapy with stem cell rescue.- Aspects of management of malignant ovarian germ cell tumors that require further study include the role of neoadjuvant chemotherapy and the role of secondary cytoreductive surgery.

Sudden Unexpected Postnatal Collapse can be a really disturbing event, and one where the whole team need to pull together. A trio of international neonatologists considered if therapeutic hypothermia might be an option for the baby - while we summarise in this podcast their full thoughts are seriously worth a read: https://adc.bmj.com/content/108/3/236.1We would love for you to be involved in Archi [adc.bmj.com/pages/authors/#archimedes] - and your index problem can be far more mundane, and doesn’t have to be neonatal.Please listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832

Maybe you’ve been following BMJ Student for a really long time, or maybe you’re new to following us. Perhaps you only know about Sharp Scratch, or you’ve written and worked with us before. However much you know about BMJ Student, we hope today’s episode will be a look behind the scenes at what it means to work at The BMJ.Today we’ve got four current/former Editorial Scholars ready to talk all about our experiences working at The BMJ, as well as how you can get involved via the Clegg Scholarship, the Editorial Scholarship, Sharp Scratch, and writing articles! We’ll dive into any worries we had before joining, and unpick our experiences to hopefully allow you to get a better insight into the inner workings of a medical journal! With thanks to Marina Politis and Nicholas Phillips (Clegg Scholars, 2022).Check us out on social media:Twitter: https://twitter.com/BMJStudent Instagram: https://www.instagram.com/bmj_student/ Facebook: https://www.facebook.com/BMJStudent/ This podcast is produced and edited by Dom Byrne and Duncan Jarvies.

The highlights of this edition brought to you by the Editor-in-Chief of Frontline Gastroenterology Mark Beattie.Read the UpFront of the January 2023 issue of Frontline Gastroenterology:https://fg.bmj.com/content/14/1/1The full issue is now online: https://fg.bmj.com/content/14/1Listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify.

The International Association for the Study of Pain defines pain as: “An unpleasant sensory or emotional experience associated with, or resembling that associated with, actual or potential tissue damage. Pain is both a disease and a symptom.” The inclusion of the word emotional in the definition alludes to the fact that consciousness is part of the pain pathway. Despite the knowledge that neurocognitive aspects of human psychology are intimately related to pain, very little research exists examining behavioral interventions. In this month’s RAPM Focus, Editor-in-Chief Brian Sites, MD, joins Jessie Markovits, MD, the lead author of “Effects of hypnosis versus enhanced standard of care on postoperative opioid use after total knee arthroplasty: the HYPNO-TKA randomized clinical trial,” first published in June 2022(https://rapm.bmj.com/content/47/9/534). In this provocative study, 64 patients got either a 10-minute hypnosis session or an enhanced control during a hospital medicine pre-op visit before total kneearthroplasty.Dr. Jessie Markovits completed medical school at Tulane School of Medicine in New Orleans, followed by an internal medicine residency at Stanford. Her current appointment is associate professor ofmedicine, with a courtesy appointment to psychiatry and behavioral sciences at Stanford University. She is board-certified in internal medicine and has developed a perioperative specialization over the past 6 years in her clinical role as surgical co-management hospitalist, primarily for orthopedic surgery.*The purpose of this podcast is to educate and to inform. The content of this podcast does not constitute medical advice, and it is not intended to function as a substitute for a healthcare practitioner’s judgement, patient care, or treatment. The views expressed by contributors are those of the speakers. BMJ does not endorse any views or recommendations discussed or expressed on thispodcast. Listeners should also be aware that professionals in the field may have different opinions. By listening to this podcast, listeners agree not to use its content as the basis for their own medicaltreatment or for the medical treatment of others.

Halitosis is common and can affect people of all ages. Severe halitosis is less common but it can affect confidence and quality of life. It can even result in social isolation. So it is important that we get the diagnosis and management of this condition right.In this BMJ Best Practice podcast on halitosis, Kieran Walsh talks with Professor Stephen Porter, Director of the UCL Eastman Dental Institute in London.Competing interests: none declared

Dr. Kate Diomede, social media editor at Thorax, speaks with Dr. Anna Podolanczuk(1) and Dr. John Kim(2) about their article, "MUC5B, telomere length and longitudinal quantitative interstitial lung changes: the MESA Lung Study", published in Thorax:https://thorax.bmj.com/content/early/2022/08/04/thorax-2021-218139Please engage in the conversation through the social media channels (Twitter - @ThoraxBMJ; Facebook - @Thorax.BMJ · Pulmonologist) and subscribe on your preferred platform, to get the latest episodes directly on your device each month.(1) Division of Pulmonary and Critical Care, Weill Cornell Medical College, New York, New York, USA(2) Department of Medicine, University of Virginia School of Medicine, Charlottesville, Virginia, USADepartment of Medicine, Columbia University Irving Medical Center, New York, New York, USAThis episode was produced by Letícia Amorim and edited by Brian O'Toole.If you enjoy the Thorax Podcast, please leave us a rating and a review on the Thorax Podcast page on iTunes - https://podcasts.apple.com/gb/podcast/thorax-podcast/id343304910.

In this episode of the Heart podcast, Digital Media Editor, Professor James Rudd, is joined by Professor Paul Kalra from Portsmouth, UK, the CI of the Ironman study. They discuss the trial in depth and the implications for future management of heart failure patients.This episode is sponsored by an educational grant from the Boehringer Ingelheim-Lilly Alliance. The sponsor has no influence over podcast content, the selection of speakers or any associated educational material. If you enjoy the show, please leave us a podcast review at https://itunes.apple.com/gb/podcast/heart-podcast/id445358212?mt=2Link to published paper:https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(22)02083-9/fulltext

In this episode of the IJGC podcast, Editor-in-Chief Dr. Pedro Ramirez is joined by Drs. Jenny Mueller and Bill Zammarrelli to discuss molecular classification and risk stratification in endometrial cancer. Jenny Mueller, MD, is a gynecologic oncologist and assistant attending in the department of surgery at Memorial Sloan Kettering Cancer Center. She leads the endometrial cancer research team at MSKCC with an emphasis on prospective, translational, and collaborative efforts within and across institutions. Bill Zammarrelli, MD, currently works as a gynecologic oncology fellow at Memorial Sloan Kettering Cancer Center. He is a commissioned officer in the US Army and completed his residency at Walter Reed National Military Medical Center. His current research focuses on the genetics of endometrial cancer. Highlights:- PORTEC-1 and GOG-99 risk classifications are discordant for stage I grade 3 endometrioid endometrial carcinoma (EEC).- Stage I grade 3 EECs of CN-high molecular subtype have a worse 3-year progression-free survival compared to non-CN-high molecular subtypes.- Molecular classification in combination with clinicopathologic factors may provide improved prognostic information.

Grit is one of those concepts (like the dreaded resilience) that has a specific meaning, but has become a buzzword in healthcare.It’s the ability to persevere in the pursuit of a goal, in the face of obstacles - and it’s something all doctors have. However that trait has benefits and drawbacks. It’s not necessarily fixed, but will depend on context, and it is measurable but not a very helpful measure in isolation.In this episode, Clara Munro is joined by Declan Murphy and Ayisha Ashmore - and they sit down with neurourgeon and researcher Simone Betchen, who has measured grit in women surgeons, and helps them understand their grit scores.Reading listGrit in surgeonshttps://pubmed.ncbi.nlm.nih.gov/34218313/

In this podcast, we host Dr Chloë Williamson (Twitter @Chlobobs). Chloë is a Postdoctoral Fellow in Physical Activity for Health based in the Physical Activity for Health Research Centre at the University of Edinburgh. Her research (including PhD) over the past 4 years or so has focused on physical activity communication and messaging. We all know that physical activity is important but it is equally important to consider how PA messaging is delivered. Chloë provides a great overview on the findings of her research to date and her work on the development of a translational tool to bring PA messaging research into practice. In this podcast, we discuss on:The framework of PA messaging and how to use itKey points to focus on and consider when delivering PA messagesHow we can use the framework findings to engage different partners and organisations How we can make PA attractive to our target audienceGet the Message? A scoping review of physical activity messaging. https://ijbnpa.biomedcentral.com/articles/10.1186/s12966-020-00954-3A modified Delphi study to enhance and gain international consensus on the Physical Activity Messaging Framework (PAMF) and Checklist (PAMC): https://ijbnpa.biomedcentral.com/articles/10.1186/s12966-021-01182-zPhysical Activity Messaging Framework (PAMF) and Checklist (PAMC): International consensus statement and user guide. https://ijbnpa.biomedcentral.com/articles/10.1186/s12966-021-01230-8How can we better promote physical activity to the public through messaging? https://blogs.bmj.com/bjsm/2020/11/10/how-can-we-better-promote-physical-activity-to-the-public-through-messaging/Infographic: Walking on sunshine: scoping review of the evidence for walking and mental health: https://bjsm.bmj.com/content/53/14/903

In this podcast, JNIS Editor-in-Chief, Dr. Felipe C. Albuquerque, speaks with Dr. Kyle Fargen(1) about the recently published study "Mechanical thrombectomy decision making and prognostication: Stroke treatment Assessments prior to Thrombectomy In Neurointervention (SATIN) study" - https://jnis.bmj.com/content/early/2023/01/05/jnis-2022-019741.longPlease subscribe to the JNIS Podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify, to get the latest episodes. Also, please consider leaving us a review or a comment on the JNIS Podcast iTunes page: https://podcasts.apple.com/gb/podcast/jnis-podcast/id942473767Thank you for listening!This episode was edited by Brian O'Toole.(1) Neurological Surgery and Radiology, Wake Forest University, Winston-Salem, North Carolina, USA

In this episode of the IJGC podcast, Editor-in-Chief, Dr. Pedro Ramirez, is joined by Professor Giovanni Scambia and Dr. Carmine Conte to discuss mildly invasive surgery in ovarian cancer. Prof. Scambia is the Director of the Gynecologic Oncology Unit and the Scientific Director of Fondazione Policlinico Universitario Agostino Gemelli IRCCS in Rome, Italy. He is Full Professor of Obstetrics and Gynaecology, at Catholic University in Rome, and Member of Consiglio Superiore di Sanità, Ministry of Health Italy and Vice President 1st Section of Consiglio Superiore di Sanità. He is President Elect of E.S.G.E. (European Society for Gynaecological Endoscopy), and Past President of the Italian Society of Obstetrics and Gynecology (S.I.G.O.). Prof. Scambia is specialized in gynaecological cancer treatment and research. He has studied and developed innovative surgical approaches for the cure of gynecological cancers and has been invited professor in several academic hospitals both in Europe and outside Europe, and he is considered an opinion leader in the field of gynecologic oncology. Dr. Carmine Conte works at the Gynecologic Oncology Unit at Fondazione Policlinico Universitario A. Gemelli IRCCS in Rome, Italy. He got the ESGO Fellowship diploma and is recognized as a certified European Gynaecological Oncologist. Dr. Conte is a surgeon and researcher with special interest in minimally invasive surgery (laparoscopy and robotic) to treat cancerous and noncancerous diseases of the female reproductive system. Highlights:- The patients with oligometastatic recurrent disease had a higher likelihood of minimally invasive secondary cytoreductive surgery.- Lymphnodal recurrences can be easily approached by MIS.- Propensity-matched analysis showed no differences in survival between the MIS and open groups, with a higher rate of overall and severe early complications in the open group.- Diagnostic laparoscopy and PET/CT scan should be considered complementary because of the potential of each one to identify a different disease setting.- A diagnostic laparoscopy before secondary cytoreductive surgery may prevent unnecessary laparotomies.

Claire Mulrenan, specialist registrar in public health, and Mark Petticrew, professor of public health evaluation, both working at the London School of Hygiene and Tropical medicine were surprised to see high-fat, high-salt fast food brands being featured heavily on the website of one of the UK's most beloved children's comics.In this podcast, they describe why they think that is harmful, and why the Beano should think again about its editorial policies, to protect children's health.To read the full investigation: www.bmj.com/content/380/bmj.p197

Reproductive coercion may feel like something that we don’t see very often in general practice, but a 2022 poll carried out for BBC Radio 4 of 1,060 UK women between the ages of 18 and 44 found that half of them had experienced some form of reproductive coercion. This week, we speak to returning guest Annabel Sowemimo about the various forms that reproductive coercion can take, and who might be at risk of experiencing it. We discuss how we, as GPs, can identify these patients, and, once we’ve done so, how we might be able to help them. Later on, we talk to our BMJ columnist, John Launer, about how narrative medicine approaches can help to reach a better & more satisfying resolution to a consultation “puzzle” for you and for the patient.Our guests:Annabel Sowemimo is a community sexual health registrar, based in Leicester. She is also a PhD candidate at King’s College London, and is the co-founder of the charity Reproductive Justice Initiative.John Launer is a GP educator, working for Health Education England. He is also a freelance educator and writer, as well as being a columnist for ‘The BMJ’.Further reading:‘How to recognise and respond to reproductive coercion’. BMJ 2022;378:e069043. https://www.bmj.com/content/378/bmj-2021-069043‘John Launer: The art of paying attention’. BMJ 2022;378:o2294. https://www.bmj.com/content/378/bmj.o2294‘Careful, kind care is our compass out of the pandemic fog’. BMJ 2022;379:e073444. https://www.bmj.com/content/379/bmj-2022-073444

We’ve talked before about how one's own experience of illness can affect their practice, but does it also influence how much you share with your patients?In today’s episode we’re going to be talking all about physician self-disclosure - that is, all the things we, as future doctors, might share with our patients. We’ll be asking how appropriate it is to share your own stories with a patient and how you know when the timing is right to do this. This week, we’re going to be focusing on stories of illness and health, but we’ll come on to talking about other aspects of our identity in a future episode. Expert guests:Dr John Launer is a medical educator and writer. His background is in general practice and family therapy, and he also has a degree in English literature. He now devotes his time to medical education and he specialises in interactional skills.Check us out on social media:Twitter: https://twitter.com/BMJStudent Instagram: https://www.instagram.com/bmj_student/ Facebook: https://www.facebook.com/BMJStudent/ This podcast is produced and edited by Dom Byrne and Duncan Jarvies.

ADC Fetal and Neonatal’s Associate Editor, Jonathan Davis, and the Edition Editor of the journal, Ben Stenson, discuss the highlights from the January 2023 issue. The Fantoms article: https://fn.bmj.com/content/108/1/1Additional links:Helix trial: https://www.thelancet.com/journals/langlo/article/PIIS2214-109X(21)00264-3/fulltext Premiloc study: https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(16)00202-6/fulltext SToP BPD study: https://jamanetwork.com/journals/jama/fullarticle/2722773Early amino acids in preterm infants and neurodisability at 2 years: https://www.nejm.org/doi/full/10.1056/NEJMoa2204886?query=recirc_curatedRelated_article Commentary on early amino acid study: https://www.nejm.org/doi/full/10.1056/NEJMe2212522 Commentary on steroids and risk modification: https://fn.bmj.com/content/103/6/F500Neoprom metaanalysis - https://pubmed.ncbi.nlm.nih.gov/29872859/Boost II trial - https://www.nejm.org/doi/full/10.1056/nejmoa1514212Please listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832

Practical Neurology Editors Phil Smith and Geraint Fuller talk you through the highlights of the February 2023 issue of the journal (https://pn.bmj.com/content/23/1/1).Please subscribe to the Practical Neurology podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify, to get the latest podcast every month.If you enjoy our podcast, please consider leaving us a review or a comment on the Practical Neurology Podcast iTunes page (https://podcasts.apple.com/gb/podcast/pn-podcast/id942932053). The PN podcast is produced by Letícia Amorim and edited by Brian O'Toole.Thank you for listening.

In this podcast, James Cave (Editor-in-Chief) and David Phizackerley (Deputy Editor) talk about the February 2023 issue of DTB. They discuss concerns over a national initiative in England to transfer people with atrial fibrillation to edoxaban from other DOACs (https://dtb.bmj.com/content/61/2/18). They review a study that examined whether the correct dose of DOAC was used in people with renal impairment (https://dtb.bmj.com/content/61/2/21). They talk about the use of empagliflozin in people with heart failure (https://dtb.bmj.com/content/61/2/22) and finish with an overview of an article that discusses prescribing for pregnancy for those with inflammatory rheumatic disease (https://dtb.bmj.com/content/61/2/24).60th anniversary interview with Dr John Dowden: https://soundcloud.com/bmjpodcasts/dtb-60th-anniversary-podcast-interview-john-dowdenTrends in direct oral anticoagulant (DOAC) prescribing in English primary care (2014–2019): https://heart.bmj.com/content/109/3/195The contact address for the DTB team is dtb@bmj.com.Please subscribe to the DTB podcast to get episodes automatically downloaded to your mobile device and computer. Also, please consider leaving us a review or a comment on the DTB Podcast iTunes podcast page (https://podcasts.apple.com/gb/podcast/dtb-podcast/id307773309). Thank you for listening.

Dr Philip Smith, Digital and Education Editor of Gut and Honorary Consultant Gastroenterologist at the Royal Liverpool Hospital, Liverpool, UK interviews Professor Fredrik Bäckhed, The Wallenberg Laboratory, Department of Molecular and Clinical Medicine, University of Gothenburg, Gothenburg, Sweden on the paper '6α-hydroxylated bile acids mediate TGR5 signalling to improve glucose metabolism upon dietary fiber supplementation in mice' published in paper copy in Gut in February 2023, and available online: https://gut.bmj.com/content/72/2/314Please subscribe to the Gut Podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify, to get the latest podcast every month. If you enjoy our podcast, please consider leaving us a review or a comment on the Gut Podcast iTunes page (https://podcasts.apple.com/gb/podcast/gut-podcast/id330976727).

In this episode of the IJGC podcast, Editor-in-Chief, Dr. Pedro Ramirez, is joined by Professors Jacobus Pfisterer and Philipp Harter to discuss prolonged maintenance with bevacizumab. Prof. Philipp Harter is the director of the Department of Gynecology & Gynecologic Oncology at Kliniken Essen-Mitte in Essen, Germany and the chair of the AGO Study Group. Prof. Jacobus Pfisterer is Director of the Gynecologic Oncology Center in Kiel Germany and former chair of the AGO Study Group. Highlights:- 30-month bevacizumb maintenance does not improve progression-free survival nor overall survival in advanced ovarian cancer. - 30-month bevacizumb maintenance is associated with more adverse events compared to 15 months. - 15-month bevacizumb maintenance remains standard of care.

Osteoarthritis is the most common form of arthritis. It is more common in women than in men, with incidence increasing sharply around the age of 50. And it can cause complications - including the inability to perform activities of daily living and spinal stenosis in cervical and lumbar osteoarthritis. So it is vital that we get the diagnosis and management of this condition right. In this BMJ Best Practice podcast on osteoarthritis, Kieran Walsh talks to Fadi Badlissi, Assistant Professor at Harvard Medical School and Director of the Musculoskeletal Medicine Unit at Beth Israel Deaconess Medical Center in Boston. Competing interests: None

In this week's episode, we're focusing on covid and the ongoing crisis in the NHS.Helen Macdonald, Juan Franco and Joseph Ross cast their evidence seeking eyes over research into outcomes as well as the workload of doctors.Firstly, Joe tells us about a new big data study into longer term outcomes after mild covid-19, how those ongoing symptoms relate to long covid, and how often they resolve themselves.Juan looks back to his homeland to see what Argentina which was very early to offer children vaccinations against covid-19. He tells us how a new study design can help understand how effective different combinations of vaccines were.Joe has a Danish registry paper, which links people's employment status after a MI, explains how that gives us an insight into morbidity following that event.Helen looks at a new analysis which outlines the concept of "time needed to treat" - a measure of how much time it would take a clinician to actually carry out a guideline - and you'd be surprised how much GP time would be swallowed by a "brief" intervention to reduce inactivity in their patients.Finally, the data on excess mortality in the UK has been up for debate recently - our health minister calling into question the Office of National Statistic's data. We hear from Nazrul Islam, Associate professor of medical statistics, advisor to the ONS and BMJ research editor, who has some bad news for him.Reading list:Long covid outcomes at one year after mild SARS-CoV-2 infectionhttps://www.bmj.com/content/380/bmj-2022-072529Effectiveness of mRNA-1273, BNT162b2, and BBIBP-CorV vaccines against infection and mortality in children in Argentina, during predominance of delta and omicron covid-19 variantshttps://www.bmj.com/content/379/bmj-2022-073070Guidelines should consider clinicians’ time needed to treathttps://www.bmj.com/content/380/bmj-2022-072953Expanding the measurement of overdiagnosis in the context of disease precursors and risk factorshttps://ebm.bmj.com/content/early/2023/01/10/bmjebm-2022-112117Excess deaths associated with covid-19 pandemic in 2020https://www.bmj.com/content/373/bmj.n1137.abstract

Neonates are a breadth of … well… actually breathing is one of the big issues they have. Adding a squirt of finely curated surfactant we know can help them out, and LISA (less invasive surfactant administration) is probably the best at the job. But it’s pretty stressful having things splashed into your lungs, so should we be giving premedication? Listen on for a short answer, or read the full paper here: https://adc.bmj.com/content/108/2/141.1We would love for you to be involved and submit your very own Archi [https://adc.bmj.com/pages/authors/#archimedes] - and you’ll be doing the world a favour as we explain in detail too.Please listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832

In this episode of the IJGC Podcast, Editorial Fellows, Andrea Rosati and Anisa Mburu, discuss the contents of the January issue of IJGC.

In this episode of the IJGC podcast, Editor-in-Chief, Dr. Pedro Ramirez, is joined by Dr. Elvio Silva to discuss precursors of ovarian cancer. Dr. Silva received a medical degree from the Universidad de La Plata and has been a faculty member at M.D. Anderson Cancer Center since 1980. He had pathology residences in Buenos Aires, Argentina, and University of Toronto, Canada and is the former President of the International Society of Gynecological Pathologists.Highlights:- Most ovarian serous tumors originate in the ovarian stroma.- Ovarian serous tumors originate in the epithelium of inclusion cysts or in epithelial areas that appear in the stroma due to mesenchymal-epithelial transition.- Mesenchymal-epithelial transition in serous tumors mimics the development of the Mullerian duct from the celomic mesenchyma.

Some supervisors say "call me Bob'' but others insist on "Doctor Jones". In this episode we're reflecting on what types of supervisors fall into each camp and why sometimes using professional titles feels like honouring someone's hard work, but other times it feels like a way of putting you in your place.In today’s episode, we’re thinking all about the title “doctor”. We’ll talk about when and how it should be used and discuss our own experiences with this. We’ll also discuss why some people get called ‘doctor’ far less than others, and how titles can sometimes create strange power dynamics and unhealthy hierarchies in medicine.Expert guests:Dr Anna Baverstock is a paediatric consultant in Somerset. She has a wellbeing role within the trust and is passionate about kindness, civility and inclusion.Miss Evelyn Mensah, otherwise known as Evie, is a consultant ophthalmic surgeon in a large acute trust in north west London. Check us out on social media:Twitter: https://twitter.com/BMJStudent Instagram: https://www.instagram.com/bmj_student/ Facebook: https://www.facebook.com/BMJStudent/ This podcast is produced and edited by Dom Byrne and Duncan Jarvies.

Dr. Puja Mehta caught up with several Respiratory consultants from across the UK at the British Thoracic Society (BTS) Winter Meeting 2022, and asked them the question, 'What makes the Winter BTS meeting special?'Please engage in the conversation through the social media channels (Twitter - @ThoraxBMJ; Facebook - @Thorax.BMJ · Pulmonologist) and subscribe on your preferred platform, to get the latest episodes directly on your device each month.If you enjoy the Thorax Podcast, please leave us a rating and a review on the Thorax Podcast page on iTunes - https://podcasts.apple.com/gb/podcast/thorax-podcast/id343304910.

In this episode of the Heart podcast James Rudd is joined by Dr Jennifer Franke, Chief Medical Officer at Philips, and Dr Matthew Daniels from Sana Biotechnology in Seattle. They discuss career pathways outside of clinical medicine. If you enjoy the show, please leave us a podcast review at https://itunes.apple.com/gb/podcast/heart-podcast/id445358212?mt=2Link to published paper: https://heart.bmj.com/content/early/2022/10/17/heartjnl-2022-321700

In this episode of the IJGC podcast, Editor-in-Chief, Dr. Pedro Ramirez, is joined by Dr. Jason Wright to discuss hormone replacement therapy after cervical cancer. Dr. Wright is the Sol Goldman Associate Professor and Chief of the Division of Gynecologic Oncology at Columbia University.Highlights:- Among cervical cancer patients <50 years of age who underwent surgery including oophorectomy or primary radiation, only 39% received estrogen replacement therapy.- In patients who did receive estrogen replacement therapy the duration of use was short, with a median of only 60 days.- Black patients were significantly less likely to receive estrogen replacement therapy than White patients.

Podcast title: Carotid artery stenosis Stroke is the fourth and fifth leading cause of death in the UK and US, respectively. There are more than 100,000 strokes in the UK every year. And approximately 10% to 15% of all ischaemic strokes are associated with carotid artery stenosis. So it is important that we get the diagnosis and management of this condition right. In this BMJ Best Practice podcast on carotid artery stenosis, Kieran Walsh talks to Brajesh Lal, Professor of Vascular Surgery, University of Maryland School of Medicine and Professor of Neurology, Mayo Clinic. Competing interests: None

Autoantibodies against post-translationally modified proteins (PTM) are described in various rheumatic diseases and facilitate diagnosis and patient stratification. Researchers from the Leiden University Medical Center analysed the presence of autoantibodies against six different post-translational modifications in a cohort of patients with neuropsychiatric lupus. In this podcast, Leendert Trouw, Rory Monahan and Michelle van den Beukel discuss the results of their study with the ARD/RMDopen social media advisor Caroline Ospelt.Read the Open Access related paper: https://rmdopen.bmj.com/content/8/1/e002079Listen to more episodes of RMD Open: https://podcasts.apple.com/gb/podcast/rmd-open-rheumatic-and-musculoskeletal-diseases/id1237127864

Editor's in Chief of Medical Humanities, Brandy Schillace, interviews Amelia DeFalco, University of Leeds and Steve Byrne Director/Chief exec of the Interplay Theatre about the Interplay Theatre's work with disabled students and the role of immersive experience for the LivingBodiedObjects project.Related blog including the transcription of the podcast: https://blogs.bmj.com/medical-humanities/2023/01/12/immersive-and-interactive-accessibility-theatre-and-livingbodiesobjectsSubscribe to the Medical Humanities Podcast in all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify. If you enjoy our podcast, please consider leaving us a review and a 5-star rating on the Medical Humanities Podcast iTunes page (https://podcasts.apple.com/gb/podcast/medical-humanities-podcast/id961667204). Thank you for listening!

In this episode of the IJGC podcast, Editor-in-Chief, Dr. Pedro Ramirez, is joined by Dr. Anil K. Sood to discuss novel high-grade serous ovarian morphologic classification. Dr. Sood is a Professor in the Department of Gynecologic Oncology and Reproductive Medicine at the UT MD Anderson Cancer Center. He is Co-Director of the multi-disciplinary Blanton-Davis Ovarian Cancer Research Program and co-leads the Ovarian Cancer Moonshot Program. He is an elected member of the American Society for Clinical Investigation (ASCI), the Association of American Physicians (AAP), and the National Academy of Medicine (NAM).Highlights:- High grade serous ovarian cancer (HGSOC) could be classified into two gross morphologic subtypes.- Type I and type II morphologic subtypes differed with respect to clinical outcomes.- The two morphologic subtypes also differed with regard to transcriptomic, proteomic, and metabolomic profiles.

One size doesn’t fit all - so what are the alternative career paths of doctors in the NHS? The treadmill of medical school, to foundation training, to specialist training, to a consultant position takes years and is not very trainee-centric in it’s design.So are there other ways for doctors to be able to work in the NHS, still progress their career, but also tailor the job to themselves? And what are the drawbacks of trying to do that?In this podcast, Clara Munro is joined by Flo Wedmore and new panelist Jason Ramsingh, a surgical trainee in Newcastle. They speak to Rob Fleming an SAS (speciality and associate specialist) doctor in anaesthetics.

In this podcast, JNIS Editor-in-Chief, Dr. Felipe C. Albuquerque, speaks with Dr. Amanda Baker(1) and Dr. Sandra Narayanan(2) about their recently published standard "Society of NeuroInterventional Surgery: position statement on pregnancy and parental leave for physicians practicing neurointerventional surgery" - https://jnis.bmj.com/content/15/1/5.Please subscribe to the JNIS Podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify, to get the latest episodes. Also, please consider leaving us a review or a comment on the JNIS Podcast iTunes page: https://podcasts.apple.com/gb/podcast/jnis-podcast/id942473767Thank you for listening!This episode was edited by Brian O'Toole.(1) Radiology and Biomedical Imaging, UCSF, San Francisco(2) Neurointerventional Program and Comprehensive Stroke Program, Pacific Neuroscience Institute, Santa Monica

Dr Philip Smith(1) interviews Dr James Ashton(2) on the papers, "The importance of high quality ‘big data’ in the application of artificial intelligence in inflammatory bowel disease" and "Artificial intelligence and inflammatory bowel disease: practicalities and future prospects" published online in Frontline Gastroenterology in 2022. Read the articles in Frontline Gastroenterology here: https://fg.bmj.com/content/early/2022/11/17/flgastro-2022-102342https://fg.bmj.com/content/13/4/325(1) Social Media and Associate Editor of FG and Honorary Consultant Gastroenterologist at the Royal Liverpool Hospital, Liverpool, UK.(2) Paediatric Gastroenterology trainee at the Southampton Children’s Hospital, Southampton, UK, and Clinical Lecturer in Human Genetics and Genomic Medicine at the University of SouthamptonListen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify. If you enjoy our podcast, please rate us on your chosen platform, and leave us a review on the Frontline Gastroenterology Podcast page on iTunes: https://podcasts.apple.com/gb/podcast/fg-podcast/id942944229

Dr. Amy Ross Russell(1) discusses a recently published review by Dr. Jeremy Rees(2) and Dr. Michael Kosmin(3) on the subject of radiation therapy on the brain, the history and motivation of its use, and its benefits and limitations.Read this latest Editor’s Choice paper on the Practical Neurology website (https://pn.bmj.com/content/22/6/450) and the December print issue of the journal.The paper is also discussed by Practical Neurology editors, Dr. Phil Smith and Dr. Geraint Fuller, in their latest podcast: https://soundcloud.com/bmjpodcasts/editors-highlights-of-the-december-2022-issue?in=bmjpodcasts/sets/pn-podcast(1) Neurology, University Hospital Southampton NHS Foundation Trust, UK(2) Neurology, National Hospital for Neurology and Neurosurgery, London, UK (3) Clinical Oncology, University College London Hospitals NHS Foundation Trust, London, UK Please subscribe to the Practical Neurology podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify, to get the latest podcast every month. If you enjoy our podcast, please consider leaving us a review or a comment on the Practical Neurology Podcast iTunes page (https://podcasts.apple.com/gb/podcast/pn-podcast/id942932053). The PN podcast is produced by Letícia Amorim and edited by Brian O'Toole.Thank you for listening.

From Casualty, Holby City, and Cardiac Arrest to Grey’s Anatomy, Scrubs and House, medical TV dramas are part of the fabric of growing up interested in a career in medicine. So today we’re discussing all things medical TV dramas and talking about whether these shows prepared us for medical school and life as a doctor!Join us for this episode as we play some of our favourite clips from popular medical TV programmes and talk more about how our experiences as medical students and new doctors compare. We’ll be discussing the heartbreak, the friendships, the drama, and the romance, as well as unpicking just how realistic (or unrealistic) these shows really are. Check us out on social media:Twitter: https://twitter.com/BMJStudent Instagram: https://www.instagram.com/bmj_student/ Facebook: https://www.facebook.com/BMJStudent/ This podcast is produced and edited by Dom Byrne and Duncan Jarvies.

Dr Philip Smith, Digital and Education Editor of Gut, and Consultant Gastroenterologist at the Royal Liverpool Hospital, Liverpool, UK, interviews Professor Massimo Rugge, Pathologist at Padova University, Italy, and Adjunct Professor of Medicine at the Baylor College of Medicine in Houston, Texas, USA; and Ms Ludovica Bricca, a student at Padova University, and the youngest researcher involved in the study. They are interviewed on the paper 'Autoimmune gastritis: long-term natural history in naïve Helicobacter pylori-negative patients' published in paper copy in Gut in January 2023.

In this episode of the Heart podcast, Digital Media Editor, Dr James Rudd, is joined by Dr Panagiota Mitropoulou from Southampton, UK. They discuss the idea of shared decision-making with patients and the benefits it can bring. If you enjoy the show, please leave us a podcast review at https://itunes.apple.com/gb/podcast/heart-podcast/id445358212?mt=2Link to published papers:Paper : https://heart.bmj.com/content/early/2022/08/25/heartjnl-2022-321050Editorial : https://heart.bmj.com/content/early/2022/09/14/heartjnl-2022-321482

In this episode of the IJGC podcast, Editor-in-Chief Dr. Pedro Ramirez is joined by Dr. Lauren Prescott to discuss the impact of transfusions on outcomes in ovarian cancer. Dr. Prescott received her undergraduate degree from Georgetown University and went on study at the National Institutes of Health for two years. She then completed medical school at Georgetown University, residency in Obstetrics and Gynecology at Dartmouth Hitchcock Medical Center, and fellowship in Gynecologic Oncology at MD Anderson Cancer Center. She has been at Vanderbilt University since 2017. Dr. Prescott's research interests include measuring and evaluating surgical and oncologic outcomes and improving the quality of health care delivery through implementation of evidence-based medicine. Dr. Prescott leads the Vanderbilt Enhanced Recovery After Surgery Program for patients undergoing gynecologic surgery.Highlights:- Perioperative blood transfusions in ovarian cancer is common with 53% of patients in our study having received a transfusion- Blood transfusions were not associated with negative impact on progression-free survival or overall survival- However, blood transfusions were associated with increased peri-operative morbidity without improvements in quality of life

Bell's palsy: an update on diagnosis and managementBell's palsy is the most common unilateral facial palsy in adults. It is most prevalent in people between 15 and 45 years of age. And it can cause a range of complications - including ongoing facial weakness, keratoconjunctivitis sicca, exposure keratopathy, and ectropion. So it is important that we get the diagnosis and management of this condition right. In this BMJ Best Practice podcast, Kieran Walsh talks with Professor Matthew Miller about Bell's palsy. Matt is Assistant Professor Otolaryngology and Head and Neck Surgery, University of North Carolina Chapel Hill. Competing interests: none declared

As we gear up for the winter in the northern hemisphere, the need to stay warm and eat well is pressing - but in 2022, there are global pressures working against us. Russia invaded Ukraine, and the subsequent restrictions on exports from both of those countries is being felt in terms of fuel costs - but also food costs. At the same time, this year has seen droughts and flooding which have affected global food production, as well as continuing restrictions around covid and economic activity. All of these factors are working together to increase food insecurity.Our Guests;Sheryl Hendricks, professor of food security at the University of PretoriaRenzo Guinto, chief planetary doctor at PH LabTim Benton, director of the Environment and Society Programme at Chatham House.

In general practice, it can often feel like a lot is changing beyond our grasp. On top of this, the pandemic has left many healthcare professionals self-reflecting on their careers and lives, and trying to work out what they really want going forward. This week, we speak to Claire Kaye about her role as a coach for doctors. Claire talks to us about the benefits of coaching, including helping to get rid of internal & external noise, shaping the mindset, and coping better with change. She also offers advice on the best ways to approach coaching in order to achieve a positive outcome. Our guest:Claire Kaye, formerly a GP, is an executive coach. She specialises in career development. Instagram: @drclairekayecoaching LinkedIn: @drclairekaye Website: www.drclairekaye.com

Systematic reviews and meta-analyses are the main drivers of policy, evidence-based guidelines, and funding decisions, but many of them are fraught with errors, and the resources needed to peer-reviewthem are massive. A recent systematic review examined the quality of the current published meta-analyses in order to inform the design and reporting of future studies. In this month’s RAPM Focus,Editor-in-Chief Brian Sites, MD, joins John Kramer MSc, PhD, the senior author of “Quality of meta-analyses of non-opioid, pharmacological, perioperative interventions for chronic postsurgical pain: a systematic review,” first published in January 2022 (https://rapm.bmj.com/content/47/4/263). The systematic review explored the idea that surgery may represent an environment, known as a transitional pain state, that could result in a patient developing chronic pain following surgery. Dr. John Kramer is an associate professor in the faculty of medicine, department of anesthesiology, pharmacology and therapeutics, and principal investigator at ICORD at the University of British Columbiain Vancouver, Canada. His lab is focused on improving outcomes for individuals with spinal cord injury and neuropathic pain. *The purpose of this podcast is to educate and to inform. The content of this podcast does not constitute medical advice, and it is not intended to function as a substitute for a healthcare practitioner’s judgement, patient care, or treatment. The views expressed by contributors are those of the speakers. BMJ does not endorse any views or recommendations discussed or expressed on thispodcast. Listeners should also be aware that professionals in the field may have different opinions. By listening to this podcast, listeners agree not to use its content as the basis for their own medicaltreatment or for the medical treatment of others.Podcast and music produced by Dan Langa. Find us on Twitter @RAPMOnline.

In this episode of the IJGC podcast, Editor-in-Chief Dr. Pedro Ramirez, is joined by Professor Christina Fotopoulou. Professor Fotopoulou works at the Department of Surgery and Cancer at Imperial College London, UK. She is an elected ESGO council member and Chair of the ESGO guidelines committee. Highlights:- Early support from mentors and "giants" in the field, national and international networking and early focusing/specialization in the field of interest are keys to success- Try to turn your weaknesses and failures to learning points and opportunities to make you stronger- Hard work, kindness and caring for patients, team spirit, professionalism and dedication are the main keys of success next to any talent and luck that anyone might be fortunate enough to have

It's almost time for the Christmas edition of the BMJ to hit your doormats, and in this festive edition of Talk Evidence we're going to be talking Christmas research.Joining Helen and Juan, we have Tim Feeny, BMJ research editor and researcher into Surgical outcomes at Boston University.In this episode we'll be hearing about the health of footballers, and if a career in the sport predisposes Swedish players to substance use disorders. We'll hear about the performance of BMJ’s editors, when it comes to assessing the impact of a paper. We'll find out if AI algorithms can pass UK radiology exams, misinformation and a belief that everything causes cancer, and finally, some tips from BMJ’s statisticians to set the world right

In this podcast, JNIS Editor-in-Chief, Dr. Felipe C. Albuquerque, speaks with Dr. Krishna C. Joshi(1) and Dr. Michael Chen(2) about their paper "Endovascular thrombectomy for acute ischemic stroke in patients with cancer: a propensity-matched analysis" - https://jnis.bmj.com/content/14/12/1161.Please subscribe to the JNIS Podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify, to get the latest episodes. Also, please consider leaving us a review or a comment on the JNIS Podcast iTunes page: https://podcasts.apple.com/gb/podcast/jnis-podcast/id942473767Thank you for listening!This episode was edited by Brian O'Toole.(1) Neurological Surgery, Rush University Medical Center, Chicago(2) Neurological Surgery, Rush University Medical Center, Chicago

In this podcast, James Cave (Editor-in-Chief) and David Phizackerley (Deputy Editor) talk about the January 2023 issue of DTB. They begin with another reminder of the concerns over the use of sodium valproate. They talk about the closure of NPS MedicineWise in Australia and the uncertainty over the future of Australian Prescriber - https://dtb.bmj.com/content/61/1/2. They highlight the risk of eye problems with dupilumab - https://dtb.bmj.com/content/61/1/6(see more links below) and the challenge of making sure that primary care clinical systems record drugs prescribed by specialists. They discuss toxocarosis in humans and the risk of environmental contamination from parasiticides used for deworming cats and dogs (https://dtb.bmj.com/content/61/1/3 and https://dtb.bmj.com/content/61/1/7).Dupilumab links:1. Reji MA, Haque A, Goyal S, et al. Dupilumab-induced ocular surface disease: a primer. BMJ Case Reports CP 2022;15:e249019. https://casereports.bmj.com/content/15/4/e2490192. Nahum Y, Mimouni M, Livny E, et al. Dupilumab-induced ocular surface disease (DIOSD) in patients with atopic dermatitis: clinical presentation, risk factors for development and outcomes of treatment with tacrolimus ointment. British Journal of Ophthalmology 2020;104:776-9. https://bjo.bmj.com/content/104/6/776The contact address for the DTB team is dtb@bmj.com.Please subscribe to the DTB podcast to get episodes automatically downloaded to your mobile device and computer. Also, please consider leaving us a review or a comment on the DTB Podcast iTunes podcast page (https://podcasts.apple.com/gb/podcast/dtb-podcast/id307773309). Thank you for listening.

Today we talk about transmission, diagnosis and management of MPox. We will also review the UK community and the World Health’s Organization's perspective on this virus. Please note that after the recording of this podcast the WHO implemented a change of the name of the virus to MPox.Dr Fabiola Martin, STI's Podcast editor, interviews Prof Liesbeth Van Gestel, ID Physician, clinical researcher, at the Tropical institute of Antwerp, Belgium; Mr Simon Collins, director and co-founder of HIV iBase London, UK; as well as Dr Meg Doherty, the World Health Organisation’s Director of Global HIV, Hepatitis and STIs Programmes.For more information, please read the STI recently published articles: one from Vanhamel and co-authors tracking the transmission of the virus in the early phases of the outbreak in Belgium (https://sti.bmj.com/content/early/2022/11/17/sextrans-2022-055601), and a second from Heskin and colleagues reporting on the rapid response of sexual health services to the outbreak in the UK (https://sti.bmj.com/content/early/2022/12/14/sextrans-2022-055558?rss=1).

Editor-in-Chief of the Archives of Disease in Childhood, Dr. Nick Brown, and Senior Editor of ADC, Dr. Rachel Agbeko, bring you the monthly Atoms - the highlights of the January 2023 issue.Read it on the Archives of Disease in Childhood website: https://adc.bmj.com/content/108/1/iPlease listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832

In this episode of the IJGC podcast, Editor-in-Chief Dr. Pedro Ramirez, is joined by Professor Andrea du Bois. Prof du Bois completed his medical degree in 1987 at the University of Freiburg, Germany. He subsequently trained in general surgery at Krankenhaus Wolfach Personalwohnheim and gynaecology and obstetrics at the University of Freiburg, leading to his registration as Fellow for Gynaecology and Obstetrics in 1993.In 1993, Prof. du Bois became a Consultant in the Department of Gynaecology and Obstetrics at St. Vincentius-Kliniken, Karlsruhe. He then served as Director of the Department of Gynaecology and Gynaecologic Oncology, Horst-Schmidt-Kliniken, Wiesbaden (1999-2010) before taking up his current roles as Director of the Department of Gynaecology and Gynaecologic Oncology at Kliniken Essen-Mitte, and Associate Professor at Johannes Gutenberg University of Mainz, Germany.Prof. du Bois has been the Principal Investigator of several pivotal and practice-changing international clinical trials in gynaecological oncology. He founded the Arbeitsgemeinschaft Gynaekologische Onkologie (AGO) Study Group in 1993 and co-founded the European Network of Gynaecological Oncological Trial groups (ENGOT) in 2007. He has previously been a member of the German Guideline Committee for guidelines in breast, cervical, and ovarian cancer, Chairman of the German quality assurance programme for ovarian cancer (QS-OVAR), and member of the Gynecological Cancer InterGroup (GCIG) executive board and European Society of Gynaecological Oncology (ESGO) council. Prof. du Bois has been Chairman and a member of the Scientific Committee of the Ovarian Cancer Consensus Conference of the GCIG, and served as a member of the Scientific Committee of the 1st European Society of Medical Oncology (ESMO)-ESGO Ovarian Cancer Consensus Conference 2018. Prof. du Bois is a member of the American Society of Clinical Oncology (ASCO), ESGO, International Gynecologic Cancer Society (ISGC), German Cancer Society, and AGO. He has authored more than 500 publications with more than 33,500 citations, and has a Google Scholar h index of 86.Prof. du Bois has received multiple honours and awards in recognition for his work, including the Arthur Walpole Award (German Cancer Society, 2006), Ernst Wertheim Award (Austrian Society of Gynecologic Oncology, 2006), MD Anderson Madrid Lifetime Award (2016), Wilhelm-Warner Prize for Cancer Research (2019), German Cancer Prize (Deutsche Krebsgesellschaft, 2020) and honorary membership of the German Society for Gynecology and Obstetrics (2020); 2021 he received the ESGO Lifetime Achievement Award (European Society of Gynaecological Oncology).

Podcast title: Data, AI, oncology, and patientsData, AI, oncology, and patients are a wide range of subjects to be addressed in one podcast. Individually they are big topics and when you put them together you really get to high levels of complexity. In this BMJ Best Practice podcast, Kieran Walsh delves into all these topics with Dr Arun Sujenthiran, Senior Medical Director and UK Clinical Lead at Flatiron Health. Flatiron Health is a healthtech company that specialises in data science and oncology. Competing interests: AS is an employee of Flatiron Health Inc, an independent subsidiary of Roche, and holds stock in Roche.

The possibility that patients will suddenly have access to their notes has caused some anxiety for GPs in England. The department of health's plans to allow patients to prospectively access their medical record lead to fears about increased workloads, misunderstandings, and safety - and the plans have now been pushed back.In this podcast the Deep Breath In team are joined by the authors of a recent article in The BMJ to explore those fears, hear about the potential benefits, and understand the evidence behind open notes.Our guests;Charlotte Blease, and interdisciplinary health researcher at OpenNotes, Beth Israel Deaconess Medical Center/Harvard Medical School.Brian McMillan, a GP and senior clinical lecturer at the University of ManchesterGail Davidge, research associate at the University of ManchesterThe article they're discussing is a practice pointer on Adapting to transparent medical records: international experience with “open notes”https://www.bmj.com/content/379/bmj-2021-069861

Dr Khalid Ali, film and media correspondent, interviews British documentary filmmaker, Edward Lovelace. They discuss his film ‘’Name me Lawand’’, a rapturous portrait of a deaf Kurdish boy’s emotional journey towards discovering how to express himself. A love letter to the power of communication and community. Edward describes how he bonded with Lawand and how together they created a poignant film amplifying the voices of the Deaf community and their fight for passing the BSL act in 2022. Related blog with the transcript of this podcast: https://blogs.bmj.com/medical-humanities/2022/12/15/lawand-from-voiceless-to-a-voice-representing-the-deaf-community-and-british-sign-language-bslOther related links:https://blogs.bmj.com/medical-humanities/2021/10/27/listen-without-prejudice/ https://blogs.bmj.com/medical-humanities/2016/04/08/the-reading-room-deaf-gain/ https://blogs.bmj.com/medical-humanities/2018/08/09/deafhearing-family-life-in-the-silent-child-an-unsympathetic-portrayal/ https://blogs.bmj.com/medical-humanities/2021/01/05/hearing-happiness-jaipreet-virdi-on-deafness-accessibility-and-her-latest-book/ https://blogs.bmj.com/medical-humanities/2021/01/21/book-review-hearing-happiness-deafness-cures-in-history/Subscribe to the Medical Humanities Podcast in all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify. If you enjoy our podcast, please consider leaving us a review and a 5-star rating on the Medical Humanities Podcast iTunes page (https://podcasts.apple.com/gb/podcast/medical-humanities-podcast/id961667204). Thank you for listening!

In this episode of the Dr. Informed podcast, the topic of discussion is death and dying, and how to speak to patient's about DNACPR orders.The panel discuss the importance of doctors having discussions with patients about end-of-life care as a way of creating the best possible death for patients. The conversation also touches on the challenges that doctors may face when having these difficult discussions and they give some advice on how they to overcome them.Joining Clara are;Mark Taubert, palliative care consultant, and national chair of future care planning for the Welsh GovernmentKat Shelley, an anaesthetics trainee, who has stage four breast cancer, and is receiving palliative careLucy-Anne Frank, an elderly care consultant.The article "Do not resuscitate me in Barbados" is published by BMJ Supportive and Palliative Care, and is free to access at;https://spcare.bmj.com/content/11/3/310

In this episode of the Heart podcast, Digital Media Editor, Dr James Rudd, is joined by Dr Patricia Campbell the Southern Trust, Northern Ireland. They discuss the important takeaways from the 2021 ESC heart failure guidelines, including the diagnosis of HFpEF, revised BNP cut-offs, cardiac amyloidosis and much more. This episode is sponsored by an educational grant from the Boehringer Ingelheim-Lilly Alliance. The sponsor has no influence over podcast content, the selection of speakers or any associated educational material. If you enjoy the show, please leave us a podcast review at https://itunes.apple.com/gb/podcast/heart-podcast/id445358212?mt=2Link to published paper:https://bjcardio.co.uk/2022/07/new-developments-in-the-investigations-and-diagnosis-of-heart-failure/

In this episode of the IJGC podcast, Editor-in-Chief Dr. Pedro Ramirez, is joined by Dr. Anna Fagotti. Dr. Fagotti is the director of the ovarian cancer unit at the A. Gemelli IRCCS University Hospital Foundation, ESGO President Elect and member of the ESGO Executive Committee, and Editor of the International Journal of Gynecological Cancer. Highlights:-Always practice your skills if you want to excel in minimally invasive surgery: Practice makes perfect.-The journey is long for a gynecologic oncologist. We can’t foresee the future and plans might have to be adjusted along the way, so try to be flexible on what you have beside you. Try to answer the relevant clinical questions. Don’t create a question just to answer.-There can be difficulties along the way, but look forward and focus on your aim and don’t get stopped by obstacles. Remember to try to enjoy everything.

In this BJSM podcast Jackie Whittaker discusses the OPTIKNEE consensus clinical and research recommendations. Jackie is an Associate Professor in the Department of Physical Therapy, at the University of British Columbia. The OPTIKNEE initiative aims to shine the light on post-traumatic osteoarthritis after traumatic knee injury – who is most at risk, what should we be measuring and how, and what interventions should we be using? Jackie encourages clinicians to think about knee and overall health beyond the short-game of injury rehab and return to sport. There are some great tips on how you can set up patients at risk of post-traumatic osteoarthritis with the knowledge, skills, and motivation to self-manage in the long-term. OPTIKNEE Consensus Statement https://www.ncbi.nlm.nih.gov/pubmed/36379676OPTIKNEE website and links to systematic reviews: bit.ly/OPTIKNEE

Medicine is a career unlike almost any other. As medical students and junior doctors, we’ve had a lot of experience with strange, surreal moments. The first time you ask a super invasive question to someone you’ve known for all of five minutes, the first time you make an incision in surgery, the first time you do an intimate examination - all of these things can be really strange as they go against our social norms. Getting used to this is important but no one ever teaches us this in medical school. In everyday life, there are lots of rules that we follow that aren’t written down anywhere. But when we start placements, we have to unlearn years of following those rules and start doing things that conflict with how we would normally act. Join us in this episode as we talk about how strange medicine can be and how best to cope with moments that can sometimes be uncomfortable or awkward. Check us out on social media:Twitter: https://twitter.com/BMJStudent Instagram: https://www.instagram.com/bmj_student/ Facebook: https://www.facebook.com/BMJStudent/ This podcast is produced and edited by Dom Byrne and Duncan Jarvies.

Dr Aditi Kumar(1) is joined by Professor Andrew Hopper(2) to discuss the role and importance of endoscopy in patients diagnosed with familial adenomatous polyposis (FAP). Read the article in Frontline Gastroenterology here: https://fg.bmj.com/content/13/e1/e72(1) Trainee associate editor for Frontline Gastroenterology and gastroenterology trainee in the West Midlands.(2) Consultant Gastroenterologist at the Royal Hallamshire Hospital, Sheffield, UKListen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify. If you enjoy our podcast, please rate us on your chosen platform, and leave us a review on the Frontline Gastroenterology Podcast page on iTunes: https://podcasts.apple.com/gb/podcast/fg-podcast/id942944229

In this episode of the IJGC podcast, Editor-in-Chief Dr. Pedro Ramirez, is joined by Dr. Jorge Hoegl to discuss peritoneal carcinomatosis after minimally invasive surgery in cervical cancer. Dr. Jorge Hoegl is an early career gynecologic oncologist at the Department of Obstetrics and Gynecology at the General Hospital of the East “Dr. Domingo Luciani” in Caracas, Venezuela. Highlights:-Peritoneal carcinomatosis represented more than 15% of all recurrences, with a recurrence rate of 22.2% in minimally invasive surgery compared to 8.8%.-Peritoneal carcinomatosis has been frequently grouped within distant recurrences and perhaps this made it not such a notorious fact.-Peritoneal carcinomatosis does not appear to be an unusual recurrence pattern associated with cervical cancer and it should be reported separately.

Rosacea is a common disorder. Studies suggest a prevalence of 5% for women and 4% for men. And rosacea can cause a range of problems including papules and pustules, telangiectasias, and eye problems. So it is important that we get the diagnosis and management of this condition right. In this BMJ Best Practice podcast on rosacea, Kieran Walsh talks to Dr Abel Jarell, Dermatologist and Dermatopathologist, Northeast Dermatology Associates, Portsmouth, New Hampshire. Competing interests: none declared

In this month's episode, Helen Juan and Joe delve into the clinical - with a new review of endometriosis, and why the difficulty in diagnosis has lead to a dearth of evidence and attention on the condition.Joe tells us about a risk prediction tool that could be useful in helping to mitigate some of the problems of antihypertensive treatments.We're also having a geek out about a group of papers we've published lately, on how well evidence is created, maintained, and diseminated.Reading list;Development and external validation of a risk prediction model for falls in patients with an indication for antihypertensive treatment: retrospective cohort studyhttps://www.bmj.com/content/379/bmj-2022-070918Pathophysiology, diagnosis, and management of endometriosishttps://www.bmj.com/content/379/bmj-2022-070750Effective knowledge mobilisation: creating environments for quick generation, dissemination, and use of evidencehttps://www.bmj.com/content/379/bmj-2022-070195Consistency of covid-19 trial preprints with published reports and impact for decision making: retrospective review https://bmjmedicine.bmj.com/content/1/1/e000309Changing patterns in reporting and sharing of review data in systematic reviews with meta-analysis of the effects of interventions: a meta-research study from the REPRISE projecthttps://www.medrxiv.org/content/10.1101/2022.04.11.22273688v2

A selection of the best papers from our December 2022, picked apart and distilled for you by Rick Body and Sarah Edwards. In this festive issue we cover anaesthesia for paediatric forearm fractures, ultrasound diagnosis of acute appendicitis, a deep dive into the predictive value of vital signs, clinical judgement versus early warning scores, pulmonary embolism and... Do you know what calibration drift is? If not, listen and you'll find out!Read the highlights: https://emj.bmj.com/content/39/12/881.You can subscribe to the EMJ podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify, to get the latest podcast every month.If you enjoy our podcast, please consider leaving us a review or a comment on the EMJ Podcast iTunes page (https://podcasts.apple.com/us/podcast/emj-podcast/id445358244). Thank you for listening!

Dr Philip Smith, Digital and Education Editor of Gut and Consultant Gastroenterologist at the Royal Liverpool Hospital, Liverpool, UK interviews Professor Vineet Ahuja who is from the Department of Gastroenterology and Human Nutrition, All India Institute of Medical Sciences, New Delhi, India, on the paper 'Faecal microbiota transplantation with anti-inflammatory diet (FMT-AID) followed by anti-inflammatory diet alone is effective in inducing and maintaining remission over 1 year in mild to moderate ulcerative colitis: a randomised controlled trial' published in paper copy in Gut in December 2022 and available online: https://gut.bmj.com/content/71/12/2401

Please subscribe to the Gut Podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify, to get the latest podcast every month. If you enjoy our podcast, please consider leaving us a review or a comment on the Gut Podcast iTunes page (https://podcasts.apple.com/gb/podcast/gut-podcast/id330976727).

The joy of Arcimedes is the breadth of what it covers. For instance, have you ever considered the management of NTM lymphedenits with MAC? (That’s not a sneaky way of getting a cosmetics company to sponsor our EBM slot.) If you’ve no idea what that last but one sentence means … listen on! If you have, listen on anyway! And if you’re struggling with the bit in parentheses, then wander down to your local department store and glance around the make-up counters. The full paper can be read here [ https://adc.bmj.com/content/107/12/1131.1 ] We would love for you to be involved and submit your very own Archi [adc.bmj.com/pages/authors/#archimedes] - it’s more fun than tidying up the mess kitchen.

Please listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc- podcast/id333278832

A selection of the best papers from our November 2022 edition. Rick and Sarah take you through five great papers discussing headache, subarachnoid haemorrhage, pre-hospital births, how to mitigate emergency physician stress in resuscitation and pathways for the early diagnosis of acute myocardial infarction. Read the highlights: https://emj.bmj.com/content/39/11/799. You can subscribe to the EMJ podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify, to get the latest podcast every month. If you enjoy our podcast, please consider leaving us a review or a comment on the EMJ Podcast iTunes page (https://podcasts.apple.com/us/podcast/emj-podcast/id445358244). Thank you for listening!

In this month's Talk Evidence, Helen Macdonald, The BMJ's research integrity editor, is joined again by Juan Franco, editor in chief of BMJ EBM, and Joe Ross, US research editor.

They're straying beyond the pages of The BMJ, and discussing an NEJM paper about colonoscopy for colorectal cancer screening.

We have a listener request, asking about evidence for England's " NHS Diabetes Prevention Programme" - what do we know about how lifestyle interventions work at a population level? Juan puts on his Cochrane hat to answer the query.

We stay with diabetes, and Joe tells us about his research trying to see if routinely collected observational data could be used to match the outcomes of an RCT into drug treatments.

Finally, Helen updates us about what she's been doing about a case of plagiarism in one of BMJ's journals - and what that means for researchers who are writing in multiple journals about their work.

Reading list

Effect of Colonoscopy Screening on Risks of Colorectal Cancer and Related Death https://www.nejm.org/doi/full/10.1056/NEJMoa2208375

Emulating the GRADE trial using real world data: retrospective comparative effectiveness study https://www.bmj.com/content/379/bmj-2022-070717

Expression of concern about content of which Dr Paul McCrory is a single author https://bjsm.bmj.com/content/early/2022/10/11/bjsports-2022-106408eoc

Endoscopic pyloromyotomy (G-POEM) is a minimally invasive treatment option with promising uncontrolled outcome results in patients with gastroparesis. Dr Philip Smith, Digital and Education Editor of Gut, interviews Professor Jan Martinek, from the Department of Hepatogastroenterology, Institute of Clinical and Experimental Medicine, Prague, Czech Republic, about his paper on this topic. The article titled 'Endoscopic pyloromyotomy for the treatment of severe and refractory gastroparesis: a pilot, randomised, sham-controlled trial' is published in paper copy in Gut in November 2022 and available online at: https://gut.bmj.com/content/71/11/2170

Please subscribe to the Gut Podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify, to get the latest podcast every month. If you enjoy our podcast, please consider leaving us a review or a comment on the Gut Podcast iTunes page (https://podcasts.apple.com/gb/podcast/gut-podcast/id330976727).

Dr Kevin Monahan(1) explains what the general gastroenterologist needs to know about the diagnosis and management of patients with Lynch syndrome, including considerations for endoscopy surveillance and changes to the BCS programme.

Read the article in Frontline Gastroenterology here: https://fg.bmj.com/content/13/e1/e80

(1) Consultant Gastroenterologist, Family Cancer Clinic and Wolfson Endoscopy Unit, St Mark's Hospital

Listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify. If you enjoy our podcast, please rate us on your chosen platform, and leave us a review on the Frontline Gastroenterology Podcast page on iTunes: https://podcasts.apple.com/gb/podcast/fg-podcast/id942944229

In this episode of the podcast, Andrew Perry chats with Dr. Amanda Eng to discuss the paper “Long working hours, sedentary work, noise, night shifts and risk of ischaemic heart disease.”

If you enjoy the show, please subscribe to the podcast to get episodes automatically downloaded to your phone and computer. Also, please consider leaving us a review at https://itunes.apple.com/gb/podcast/heart-podcast/id445358212?mt=2

Link to published paper: https://heart.bmj.com/content/early/2022/08/24/heartjnl-2022-320999

In this episode of the IJGC podcast, Editor-in-Chief Dr. Pedro Ramirez is joined by Dr. Jonathan Ledermann to discuss ICON8-Overall Survival. Jonathan Ledermann is a professor of medical oncology and Clinical Director at UCL Cancer Institute specializing in the treatment and research of gynaecological malignancies. He has led several national and international trials on the treatment of ovarian cancer and has played a key role in developing trials of PARP inhibitors in ovarian cancer. He is the ESMO Gynaecological Cancer Practice Guidelines Editor and past Vice President of ESGO. He is a Fellow of the Academy of Medical Sciences and a Senior Investigator for the National Institute of Health Research in the UK.

Highlights:

Weekly first-line chemotherapy for ovarian cancer does not improve progression-free or overall survival.
ICON8 was the largest randomized trial exploring weekly paclitaxel or weekly carboplatin and paclitaxel compared to tri-weekly chemotherapy.
There is no evidence to suggest that weekly first-line chemotherapy should be used as part of multimodal treatment of newly diagnosed ovarian cancer.
The results in a predominately European population differ from a similar Japanese trial, raising the possibility that genetic or pharmacogenomic differences need to be considered when comparing the results of trials in ovarian cancer.

Today we talk with the principal investigators of the DoxyPEP trial which was prematurely terminated due to its amazing success: participants receiving a stat dose of Doxycycline 200mg in less than 72 hours after condom-less sex were 63% less likely to develop a bacterial STI compared to participants in the control arm. Prof Annie Leutkemeyer based in San Francisco (UCSF) and Prof Connie Celum, based in Seattle (WA)join Dr Fabiola Martin, STI's Podcast editor, in this short interview.

Please listen to a recent podcast on the wider subject of Bacterial STIs: https://soundcloud.com/bmjpodcasts/management-of-bacterial-stis?in=bmjpodcasts/sets/sti

Related links: https://www.aidsmap.com/news/jul-2022/taking-antibiotic-after-sex-cuts-stis-two-thirds-doxypep-study-finds academic.oup.com/cid/article/70/6/1247/5557867 www.ncbi.nlm.nih.gov/pmc/articles/PMC8360665/

To hear more episodes of the STI Podcast, please subscribe: https://podcasts.apple.com/gb/podcast/sti-podcast/id356342980

In this conversation with Journal of Investigative Medicine Social Media Editor John Dickinson, MD, PhD, University of Nebraska Medical Center, Gregory Vercellotti, MD, from the University of Minnesota provides an overview of the symptoms, diagnosis and management of sickle cell disease. Dr. Vercellotti is a national leader in the field of vascular biology and cares for adult patients with sickle cell disease. This podcast is especially relevant for primary care physicians, hospitalists, ER physicians, and other subspecialists who may not frequently encounter patients with sickle cell disease.

We discuss many of the common features for symptoms, including pain crises, and complications including stroke, pulmonary hypertension, and avascular necrosis. We also discuss some of the social, economic, and racial factors that are often barriers to effective care. Finally, we discuss some of the promising new options including stem cell transplantation and CRISPR-based cures.

Establishing new clinical pathways and accomplishing change often takes a super-human effort in a complex health system. In terms of systemic lidocaine, the analgesic effects of systemic lidocaine are well recognized, but what is novel is the application of this therapy in an environment once thought to be inappropriate, that is, in the general inpatient units. In this month’s RAPM Focus, Editor-in-Chief Brian Sites, MD, joins Meagan Miller, APRN, MSN, AGACNP-BC, and Brian Allen, MD, to discuss their university-based study, “Safety of postoperative lidocaine infusions on general care wards without continuous cardiac monitoring in an established enhanced recovery program,” first published in January 2022 (https://rapm.bmj.com/content/47/5/320).

Meagan Miller graduated from the University of Alabama with her bachelor’s in nursing in 2012. She was then accepted into Vanderbilt University Medical Center Nurse Residency Program and joined the colorectal and general surgery floor, which sparked her interest in enhanced recovery after surgery, as it was the first floor to initiate lidocaine infusions outside of the ICU. She has her master’s in nursing science in adult gerontology acute care nurse practitioner and first assist.

Dr. Brian Allen is an associate professor at Vanderbilt University Medical Center, where he directs the fellowship in regional anesthesiology and acute pain medicine. He completed undergraduate in medical school at Washington University. He was a resident at Vanderbilt and did his regional fellowship at Oregon Health & Science University (OHSU) before returning to join the Vanderbilt faculty. His clinical focus is on regional and multimodal analgesia in ERAS pathways. His research interests include educational assessment, evaluating ERAS efficiency, efficacy and compliance, and opioid minimization.

*The purpose of this podcast is to educate and to inform. The content of this podcast does not constitute medical advice, and it is not intended to function as a substitute for a healthcare practitioner’s judgement, patient care, or treatment. The views expressed by contributors are those of the speakers. BMJ does not endorse any views or recommendations discussed or expressed on this podcast. Listeners should also be aware that professionals in the field may have different opinions. By listening to this podcast, listeners agree not to use its content as the basis for their own medical treatment or for the medical treatment of others. Podcast and music produced by Dan Langa. Find us on Twitter @RAPMOnline.

Any medical student knows that medical school can be tough. The hours are long, the work is hard, and stress can build quickly. Throughout all of this, we’re taught about compassion - how to be a compassionate medical student, and eventually a compassionate doctor. But do our own medical schools show compassion towards us?

In this episode, the Sharp Scratch team talks about compassionate organisations and the impact that compassion (or a lack of it) can have on students. We also talk more about the struggle that ensues when you have compassionate individuals but not compassionate systems, and what needs to change within our medical schools.

Expert guests: Dr Rob Jarvis is a senior lecturer and lead for the gateway programme at the University of Dundee. He is a GP by background. For the last ten years he has been lead for student support at Dundee Medical School and also for the ScotGEM (graduate entry) programme.

Check us out on social media: Twitter: https://twitter.com/BMJStudent Instagram: https://www.instagram.com/bmj_student/ Facebook: https://www.facebook.com/BMJStudent/

This podcast is produced and edited by Dom Byrne and Duncan Jarvies.

In this podcast, James Cave (Editor-in-Chief) and David Phizackerley (Deputy Editor) talk about the November 2022 issue of DTB. They discuss the use of faecal microbiota transplantation to treat gastrointestinal infections and in particular its role in managing Clostridioides difficile infection (https://dtb.bmj.com/content/60/11/162). They highlight a study that assessed the effect of interrupting methotrexate treatment on COVID-19 booster vaccine response (https://dtb.bmj.com/content/60/11/163) and review a new drug that is licensed for treatment of patients aged 4 to 17 years with a confirmed diagnosis of peanut allergy (https://dtb.bmj.com/content/60/11/166). The podcast begins with the editors talking about the response to October's editorial "Stop advertising". Please subscribe to the DTB podcast to get episodes automatically downloaded to your mobile device and computer. Also, please consider leaving us a review or a comment on the DTB Podcast iTunes podcast page (https://podcasts.apple.com/gb/podcast/dtb-podcast/id307773309). Thank you for listening.

In this episode of Doctor Informed, we're talking sustainability. The BMJ has a special edition on the climate crisis, and finding hope amid dispair - and we want to help our listeners with some of that. Clara is joined by three of the NHS's sustainability fellows, Florence, Who is a medical registrar, Emily a paedatrics trainee, and Li, an anaesthetics trainee

For more on the climate crisis, read The BMJ's special edition https://www.bmj.com/content/379/8356

In this episode of the IJGC podcast, Editor-in-Chief Dr. Pedro Ramirez is joined by Professor María Kyrgiou to discuss Cervical Conization Dimensions: 2022 Consensus Recommendations. Professor Mara Kyrgiou is a Professor at Imperial College London and a Consultant Surgeon in Gynaecology and Gynaecological Oncology at the West London Gynaecological Cancer Centre, Imperial Healthcare NHS Trust. She is the Head of Section of Gynaecological Oncology at Imperial College London. Her main clinical interest is minimal access and complex gynaecological cancer surgery.

Highlights: - Local treatment techniques for cervical pre-invasive and early invasive disease were previously thought to be interchangeable with regards to treatment failure rates and associated with minor and infrequent complications. - The findings of a network metaanalysis (Athanasiou Lancet Oncology 2022) suggest that more aggressive treatments (i.e., CKC, laser conisation) are associated with lower recurrence rates but higher risk for subsequent preterm birth. - The risk of reproductive morbidity is directly associated with the length of the cone. - This paper by ESGO/EFC/IFCPC describes a consensus terminology of the cone dimensions to make studies addressing effectiveness and safety of SIL/CIN treatment comparable and facilitate their use to tailor surveillance and antenatal management. - The 2022 terminology should replace all previous terminologies, which will facilitate communication between clinicians and foster tailored treatment guidelines that balance obstetrical harm against therapeutic effectiveness. - Universal agreed reporting will further facilitate communications among clinicians and pathologists, promote audit of practice and future research, and improve the quality of future meta-analyses.

BJSM’s Dr. Liam West talks to James Alexander about running related knee injuries and what options the current published literature support for managing & preventing these injuries. James & his colleagues have just published a systematic review in the area, and he gives the clinical relevance of his findings within the podcast. You can access their paper using the link below, in addition to other related content.

Review. Strategies to prevent and manage running-related knee injuries: a systematic review of randomised controlled trials: https://bjsm.bmj.com/content/early/2022/09/23/bjsports-2022-105553.abstract

Infographic. Running Myth: recreational running causes knee osteoarthritis:https://bjsm.bmj.com/content/56/6/357

Infographic. Running myth: switching to a non-rearfoot strike reduces injury risk and improves running economy:https://bjsm.bmj.com/content/55/3/175

Infographic running myth: static stretching reduces injury risk in runners:https://bjsm.bmj.com/content/54/17/1058

Infographic. Running myth: strength training should be high repetition low load to improve running performance:https://bjsm.bmj.com/content/54/13/813

The GP crisis with Rebecca Rosen

This week, we discuss the ongoing GP crisis, an ever-topical subject, in light of recent UK governmental changes. In early September, Thérèse Coffey laid out her plans for the NHS in the House of Commons, but, with general practice struggling so much as it is, is she proposing practical and feasible solutions, or will her initiatives be merely papering over the cracks? We’re joined by Rebecca Rosen to discuss whether or not there’s any real substance behind the proposed changes, how to manage patients’ expectations around access to care, and how primary care practitioners might be best supported in order to help ease the strain on them.

Our guest:

Rebecca Rosen is a GP in South East London, and a senior fellow in Health Policy at the Nuffield Trust.

Editor-in-Chief of the Archives of Disease in Childhood, Dr. Nick Brown, and Senior Editor of ADC, Dr. Rachel Agbeko, bring you the monthly Atoms - the highlights of the November 2022 issue. Read it on the Archives of Disease in Childhood website: https://adc.bmj.com/content/107/11/i

Please listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832

In this episode of the Heart podcast, Digital Media Editor, Dr James Rudd, is joined by Dr Miedema from the Nolan Center For Cardiovascular Health, Minneapolis, Minnesota. They discuss the role of both aspirin and statins, for primary prevention, in older patients and the risks and benefits relevant to that group. If you enjoy the show, please leave us a podcast review at https://itunes.apple.com/gb/podcast/heart-podcast/id445358212?mt=2

Link to published paper: https://heart.bmj.com/content/108/14/1090

In this episode of the IJGC podcast, Editor-in-Chief Dr. Pedro Ramirez is joined by Dr. Nadeem Abu-Rustum. Dr. Abu-Rustum is a board-certified gynecologic oncologist who specializes in the surgical treatment of gynecologic cancers at Memorial Sloan Kettering Cancer Center. He is also a professor of obstetrics and gynecology at Weill Cornell Medical College. Dr. Abu-Rustum has a special interest in minimally invasive surgery (laparoscopy) for the treatment of cancerous and noncancerous diseases of the female reproductive system, and his clinical research focuses on surgical therapy for gynecologic cancers and innovative surgical approaches to treating gynecologic disorders.

Highlights:

The journey of being a gynecologic oncologist is incredibly rewarding.
Focus your research on areas that are meaningful to you.
Question traditional surgical principles that you believe can be improved upon.
Be grateful to all the people who worked with you and helped make you the person you have become.

Dr. Amy Ross Russell(1), interviews Dr. Jon Walters(2) about his recent review of approaches to weakness in the Intensive Care Unit (ICU).

Read this latest Editor’s Choice paper on the Practical Neurology website (https://pn.bmj.com/content/22/5/358) and the June print issue of the journal.

The paper is also discussed by Practical Neurology editors, Dr. Phil Smith and Dr. Geraint Fuller, in their latest podcast: https://soundcloud.com/bmjpodcasts/editors-highlights-of-the-october-2022-issue?in=bmjpodcasts/sets/pn-podcast

(1) Neurology, University Hospital Southampton NHS Foundation Trust, UK (2) Consultant Neurologist, Morriston Hospital, Swansea, UK

Please subscribe to the Practical Neurology podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify, to get the latest podcast every month. If you enjoy our podcast, please consider leaving us a review or a comment on the Practical Neurology Podcast iTunes page (https://podcasts.apple.com/gb/podcast/pn-podcast/id942932053).

The PN podcast is produced by Letícia Amorim and edited by Brian O'Toole.

Thank you for listening.

In this BJSM podcast Brooke Patterson hosts Prof Lorimer Moseley AO and Dr Ebonie Rio, physiotherapists and international leaders in pain science. This is a fascinating discussion about how we increase our ability as clinicians and to “own the modern science” and explain pain to patients. We discuss the “warm-up phenomena” with painful tendons, the competing demands of self-protection and performance, and how we can help change the internal conversations that patients have about their pain.

The relationship between our personal and professional identity has always been an important part of the conversations we have here on Sharp Scratch. What doctors and medical students do in their own personal lives is often brought into debates on professionalism.

The Student Sex Work Project (2015) reported that around 5% of students have, at some point, been involved in the sex industry. In this episode, the panel talk to Dr Jessica Simpson about the attitudes towards student sex workers, the GMC’s stance on this, and the concept of the personal-professional identity.

Expert guests: Dr Jessica Simpson is a lecturer in sociology at the University of Greenwich. Her research area is the sex industry and her doctoral thesis was specifically on the topic of student sex work. She has recently contributed to this book on student sex work: https://link.springer.com/book/10.1007/978-3-031-07777-7.

Check us out on social media: Twitter: https://twitter.com/BMJStudent Instagram: https://www.instagram.com/bmj_student/ Facebook: https://www.facebook.com/BMJStudent/

This podcast is produced and edited by Dom Byrne and Duncan Jarvies.

It's October's Talk Evidence, and that means the autumn is upon us including those autumnal viruses. Here in the UK covid is on the rise, and Joe Ross is looking at some research on how good those elusive lateral flows are at detecting infection among people with symptoms of covid.

Juan will give us an update on the covid inquiry, the collection of analysis articles The BMJ is publishing looking at the interface of evidence and policy in our decisions about how to handle the pandemic.

Since the pandemic moral among clinicians in many health systems has fallen even further, workloads have spiralled. Coupled with other problems with workforce planning and investment in health and healthcare, this is increasing burnout - with a consequential impact on patient care. Helen will tell us about new research which is trying to put some numbers to how much clinican burnout effects patient outcomes

Finally, we're turning to a very clinical topic that we don't often cover in Talk Evidence - oncology, and some interesting insights into clearance margins in cancer surgery.

Reading list

Diagnostic accuracy of covid-19 rapid antigen tests with unsupervised self-sampling in people with symptoms in the omicron period https://www.bmj.com/content/378/bmj-2022-071215

Guided by the science? Questions for the UK’s covid-19 public inquiry https://www.bmj.com/content/378/bmj.o2066

Associations of physician burnout with career engagement and quality of patient care https://www.bmj.com/content/378/bmj-2022-070442

Margin status and survival outcomes after breast cancer conservation surgery https://www.bmj.com/content/378/bmj-2022-070346

In this episode of Deep Breath In, we'll be considering how a physicians personal experience of illness - either themselves, or as a parent or carer, might affect their approach to management of it in a patient.

We'll also have an update on the NICE guideline for treatment of Gout - particularly highlighting changes around uses of urate lowering therapy, and how often we should be testing patient's serum urate levels when they're experiencing flare-ups.

Our Guests.

Katherine Hall is the associate dean of medical admissions at the university of Otago, and has researched how physician experience affects their practice.

Alastair Dickson is a GP, and lecturer at Hull York Medical School. He co-authored The BMJ article on management of gout.

Reading Gout: diagnosis and management—summary of NICE guidance https://www.bmj.com/content/378/bmj.o1754

This month, Dr Rachel Agbeko, Senior Editor of ADC, is joined by paediatric oncologist Dr Isaac Odame(1) to discuss the origin and spread of sickle cell disease, its diagnosis and treatment, and the wide difference in outcomes for those of varying economic backgrounds. Related article: https://adc.bmj.com/content/early/2022/09/07/archdischild-2021-323633

The ADC Spotlight podcast is the Archives of Disease in Childhood podcast covering areas that don’t usually get much attention or might be taken for granted in children's health. This series is produced by Letícia Amorim and edited by Brian O'Toole.

Please listen to our regular podcasts and subscribe to Apple Podcasts, Google Podcasts, Stitcher, and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832

(1) Haematology Section Head in the Division of Haematology/Oncology and Medical Director of the Global Sickle Cell Disease Network at the Centre for Global Child Health at The Hospital for Sick Children (SickKids), Professor and Director of the Division of Adult and Paediatric Haematology in the Departments of Medicine and Paediatrics at the University of Toronto (U of T).

In this episode of the IJGC podcast, Editor-in-Chief Dr. Pedro Ramirez is joined by Drs. Jean-Marc Classe and Florence Joly to discuss the CHRONO trial. Dr. Classe is a surgeon and former head of the surgical department of the Institute of Surgical Oncology of Nantes, France. He is a professor in oncology and president of the French Society of Surgical Oncology. Dr. Joly is a medical oncologist and coordinator of gynecological and genito-urinary medical oncology. She is also the head of the clinical research department of Francois Baclesse Comprehensive Cancer Center in Caen, France. She is a professor in medical oncology and a member of both the scientific board of the GINECO intergroup and the GCIG.

Highlights:

-In patients treated for an advanced ovarian cancer not suitable to primary surgery, the timing of surgery after neoadjuvant chemotherapy (NAC) could depend on chemosensitivity. -When more cycles of NAC are discussed, do not confuse more cycles in order to make the disease suitable to a complete surgery with more cycles in order to perform less surgery. -In cases of patients with a highly chemosensitive advanced ovarian cancer, delaying surgery could reduce surgical morbidity and improve quality of life. -More cycles of NAC to treat a chemosensitive disease could improve the rate of complete surgery and improve the rate of pathological complete response.

Dr Philip Smith, Digital and Education Editor of Gut and Consultant Gastroenterologist at the Royal Liverpool Hospital, Liverpool, UK interviews Professor Desmond Leddin, who is from the Department of Medicine, Dalhousie University, Halifax, Nova Scotia, Canada, on the paper 'Climate change: a survey of global gastroenterology society leadership' published in paper copy in Gut in October 2022 and available online at: https://gut.bmj.com/content/71/10/1929

Please subscribe to the Gut Podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify, to get the latest podcast every month. If you enjoy our podcast, please consider leaving us a review or a comment on the Gut Podcast iTunes page (https://podcasts.apple.com/gb/podcast/gut-podcast/id330976727).

In this podcast we talk about national collaboration across the field of injury prevention through the eyes of Pamela Fuselli, president and CEO of a national injury prevention charity, in Canada, Parachute. We also discuss the upcoming 2022 Canadian Injury Prevention Conference. Please subscribe to the Injury Prevention Podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify. If you enjoy our podcast, please consider leaving us a review and a 5-star rating on the Injury Prevention Podcast iTunes page (https://podcasts.apple.com/gb/podcast/injury-prevention-podcast/id942473946). Thank you for listening!

In this episode of the podcast, Dr Andrew Perry is joined by Professor Michiel Rienstra of the University Medical Center Groningen in the Netherlands. They discuss his paper “Prevalence and determinants of atrial fibrillation progression in paroxysmal atrial fibrillation” recently published in Heart. It is an interesting piece in the investigation to understand the pathobiology of atrial fibrillation.

If you enjoy the show, please subscribe. Also, please consider leaving us a review at https://itunes.apple.com/gb/podcast/heart-podcast/id445358212?mt=2

Link to published paper:

https://heart.bmj.com/content/early/2022/07/20/heartjnl-2022-321027

In this episode of the podcast, Dr Andrew Perry is joined by Professor Michiel Rienstra of the University Medical Center Groningen in the Netherlands. They discuss his paper “Prevalence and determinants of atrial fibrillation progression in paroxysmal atrial fibrillation” recently published in Heart. It is an interesting piece in the investigation to understand the pathobiology of atrial fibrillation.

If you enjoy the show, please subscribe. Also, please consider leaving us a review at https://itunes.apple.com/gb/podcast/heart-podcast/id445358212?mt=2

Link to published paper:

https://heart.bmj.com/content/early/2022/07/20/heartjnl-2022-321027

Today we discuss a study that describes associations between race/ethnicity, hospital of birth and ‘unexpected newborn complications’ in low-risk term neonates in New York City. Kristine Schmitz (1) and Lawrence Charles Kleinman (2) are the authors of a commentary published by EBN on that study. They tell Evidence-Based Nursing Associate Editor, Kerry Gaskin, how the quality of care in the hospital of delivery has a direct relation with more unexpected neonatal complications in black and hispanic infants. Read the commentary: Hospital Quality of Care and Racial and Ethnic Disparities in Unexpected Newborn Complications (https://ebn.bmj.com/content/25/3/89) Commentary on: Glazer KB, Zeitlin J, Egorova NN, et al. Hospital quality of care and racial and ethnic disparities in unexpected newborn complications. Pediatrics 2021;148:e2020024091. doi:10.1542/peds.2020-024091. Please subscribe to the Evidence-Based Nursing podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify, to get the latest podcast every month. If you enjoy our podcast, please consider leaving us a review or a comment on the Evidence-Based Nursing podcast iTunes page (https://podcasts.apple.com/gb/podcast/ebn-podcast/id942927408). Thank you for listening. (1) Pediatrics, Rutgers Robert Wood Johnson Medical School Department of Pediatrics, New Brunswick, New Jersey, USA (2) Urban-Global Public Health, Rutgers School of Public Health, Piscataway, NJ, USA

In this episode of the IJGC podcast, Editor-in-Chief Dr. Pedro Ramirez is joined by Drs. David Viveros-Carreño and Rene Pareja to discuss Sedlis criteria. Dr. Viveros-Carreño is a Gynecologic Oncologist at Instituto Nacional de Cancerología, Clínica Universitaria Colombia and Clínica Los Nogales in Bogotá, Colombia. Dr. Pareja is a gynecologist oncologist at Astorga Oncology Clinic in Medellín and the National Cancer Institute in Bogotá, Colombia. Dr. Pareja is a reviewer for more than 20 specialty journals, an Associate Editor for IJGC, and a member of the board of directors of the International Gynecological Cancer Society (IGCS). He is the author of nine book chapters and more than 70 publications in peer-reviewed journals, and at IGCS 2021 he received an award for Community Advancement in Resource-Limited Settings.

Highlights:

-There is currently a debate regarding the role of adjuvant therapy for intermediate-risk cervical cancer. -Adjuvant pelvic radiotherapy showed lower risk of recurrence for intermediate-risk cervical cancer in a randomized controlled trial more than 20 years ago. -Preoperative imaging, surgery, pathology, and radiotherapy techniques have changed since the evidence for intermediate risk adjuvant treatments was described. -The risk of recurrence for intermediate risk cervical cancer is probably lower now, and observation could be an option. -New evidence from two randomized controlled trials (GOG 263 and CERVANTES trials) is expected to change definitions of intermediate risk and adjuvant algorithms.

The best of our October 2022 issue, covering a superb qualitative study exploring the experience of older adults in the Emergency Medicine Journal with a wonderful accompanying editorial; a look at variation in practice for treating pre-orbital and orbital cellulitis in children; the association between anticoagulation and mortality in major trauma; point of care testing for tetanus immunity and more. Read the highlights: https://emj.bmj.com/content/39/10/723 You can subscribe to the EMJ podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify, to get the latest podcast every month. If you enjoy our podcast, please consider leaving us a review or a comment on the EMJ Podcast iTunes page (https://podcasts.apple.com/us/podcast/emj-podcast/id445358244). Thank you for listening!

In this episode of the IJGC podcast, Editor-in-Chief Dr. Pedro Ramirez is joined by Drs. David Viveros-Carreño and Rene Pareja to discuss Sedlis criteria. Dr. Viveros-Carreño is a Gynecologic Oncologist at Instituto Nacional de Cancerología, Clínica Universitaria Colombia and Clínica Los Nogales in Bogotá, Colombia. Dr. Pareja is a gynecologist oncologist at Astorga Oncology Clinic in Medellín and the National Cancer Institute in Bogotá, Colombia. Dr. Pareja is a reviewer for more than 20 specialty journals, an Associate Editor for IJGC, and a member of the board of directors of the International Gynecological Cancer Society (IGCS). He is the author of nine book chapters and more than 70 publications in peer-reviewed journals, and at IGCS 2021 he received an award for Community Advancement in Resource-Limited Settings.

Highlights:

-There is currently a debate regarding the role of adjuvant therapy for intermediate-risk cervical cancer. -Adjuvant pelvic radiotherapy showed lower risk of recurrence for intermediate-risk cervical cancer in a randomized controlled trial more than 20 years ago. -Preoperative imaging, surgery, pathology, and radiotherapy techniques have changed since the evidence for intermediate risk adjuvant treatments was described. -The risk of recurrence for intermediate risk cervical cancer is probably lower now, and observation could be an option. -New evidence from two randomized controlled trials (GOG 263 and CERVANTES trials) is expected to change definitions of intermediate risk and adjuvant algorithms.

The best of our October 2022 issue, covering a superb qualitative study exploring the experience of older adults in the Emergency Medicine Journal with a wonderful accompanying editorial; a look at variation in practice for treating pre-orbital and orbital cellulitis in children; the association between anticoagulation and mortality in major trauma; point of care testing for tetanus immunity and more. Read the highlights: https://emj.bmj.com/content/39/10/723 You can subscribe to the EMJ podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify, to get the latest podcast every month. If you enjoy our podcast, please consider leaving us a review or a comment on the EMJ Podcast iTunes page (https://podcasts.apple.com/us/podcast/emj-podcast/id445358244). Thank you for listening!

Today we discuss a study that describes associations between race/ethnicity, hospital of birth and ‘unexpected newborn complications’ in low-risk term neonates in New York City. Kristine Schmitz (1) and Lawrence Charles Kleinman (2) are the authors of a commentary published by EBN on that study. They tell Evidence-Based Nursing Associate Editor, Kerry Gaskin, how the quality of care in the hospital of delivery has a direct relation with more unexpected neonatal complications in black and hispanic infants. Read the commentary: Hospital Quality of Care and Racial and Ethnic Disparities in Unexpected Newborn Complications (https://ebn.bmj.com/content/25/3/89) Commentary on: Glazer KB, Zeitlin J, Egorova NN, et al. Hospital quality of care and racial and ethnic disparities in unexpected newborn complications. Pediatrics 2021;148:e2020024091. doi:10.1542/peds.2020-024091. Please subscribe to the Evidence-Based Nursing podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify, to get the latest podcast every month. If you enjoy our podcast, please consider leaving us a review or a comment on the Evidence-Based Nursing podcast iTunes page (https://podcasts.apple.com/gb/podcast/ebn-podcast/id942927408). Thank you for listening. (1) Pediatrics, Rutgers Robert Wood Johnson Medical School Department of Pediatrics, New Brunswick, New Jersey, USA (2) Urban-Global Public Health, Rutgers School of Public Health, Piscataway, NJ, USA

On this episode of the AMSSM Sports Medcast (T: @TheAMSSM) host Dr. Jacob Wessels, MD is joined by Dr. Adam Tenforde, MD to discuss the topic of Exercise for Extracorporeal Shockwave Therapy (ESWT) in Musculoskeletal Medicine.

Dr. Tenforde recently published a research about best practices for ESWT, which is used in a variety of clinical applications including the management of musculoskeletal conditions. In this conversation, he addresses the following topics and questions about shockwave therapy: · What is ESWT? · The origins of shockwave therapy use and some of its additional applications · Describing the process of shockwave therapy and its effects · Some of the factors to consider when performing ESWT, especially to clinicians who have never used this treatment option before · Understanding the different types of shockwave therapy and how they can be used to treat injuries · What types of providers can administer ESWT, and what are the recommended treatment protocols for medical teams? · What is the reimbursement status of shockwave therapy for providers? · What are some of the medical conditions that are best treated by ESWT, in both the lower and upper extremities?

Additional Resources Best practices for extracorporeal shockwave therapy in musculoskeletal medicine: Clinical application and training consideration. PM&R 2022 May;14(5):611-619. doi: 10.1002/pmrj.12790. https://doi.org/10.1002/pmrj.12790 Bone stress injuries. Nat Rev Dis Primers. 2022 Apr 28;8(1):26. doi: 10.1038/s41572-022-00352-y. PMID: 3548413 A Systematic Review of Systematic Reviews on the Epidemiology, Evaluation, and Treatment of Plantar Fasciitis. Life (Basel). 2021 Nov 24;11(12):1287. doi: 10.3390/life11121287.

Today we focus on presumptive and prophylactic management of bacterial STIs, talking with Dr Manoji Gunathilake, Head of sexual health services in Darwin, Australia, and Assistant Prof Will Nutland, the director of the NGO, the Love Tank, in London, UK. Related links: STI Guidelines Australia: https://sti.guidelines.org.au/ The Love Tank: http://thelovetank.info/ GRASP report: data to June 2021 https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/1033882/GRASP_2020_Report.pdf Taking antibiotic after sex cuts STIs by two-thirds, ‘DoxyPEP’ study finds - www.aidsmap.com/news/jul-2022/tak…xypep-study-finds Doxycycline PEP significantly reduces STIs in people at high risk of infections - i-base.info/htb/43528

On this episode of the AMSSM Sports Medcast (T: @TheAMSSM) host Dr. Jacob Wessels, MD is joined by Dr. Adam Tenforde, MD to discuss the topic of Exercise for Extracorporeal Shockwave Therapy (ESWT) in Musculoskeletal Medicine.

Dr. Tenforde recently published a research about best practices for ESWT, which is used in a variety of clinical applications including the management of musculoskeletal conditions. In this conversation, he addresses the following topics and questions about shockwave therapy: · What is ESWT? · The origins of shockwave therapy use and some of its additional applications · Describing the process of shockwave therapy and its effects · Some of the factors to consider when performing ESWT, especially to clinicians who have never used this treatment option before · Understanding the different types of shockwave therapy and how they can be used to treat injuries · What types of providers can administer ESWT, and what are the recommended treatment protocols for medical teams? · What is the reimbursement status of shockwave therapy for providers? · What are some of the medical conditions that are best treated by ESWT, in both the lower and upper extremities?

Additional Resources Best practices for extracorporeal shockwave therapy in musculoskeletal medicine: Clinical application and training consideration. PM&R 2022 May;14(5):611-619. doi: 10.1002/pmrj.12790. https://doi.org/10.1002/pmrj.12790 Bone stress injuries. Nat Rev Dis Primers. 2022 Apr 28;8(1):26. doi: 10.1038/s41572-022-00352-y. PMID: 3548413 A Systematic Review of Systematic Reviews on the Epidemiology, Evaluation, and Treatment of Plantar Fasciitis. Life (Basel). 2021 Nov 24;11(12):1287. doi: 10.3390/life11121287.

Today we focus on presumptive and prophylactic management of bacterial STIs, talking with Dr Manoji Gunathilake, Head of sexual health services in Darwin, Australia, and Assistant Prof Will Nutland, the director of the NGO, the Love Tank, in London, UK. Related links: STI Guidelines Australia: https://sti.guidelines.org.au/ The Love Tank: http://thelovetank.info/ GRASP report: data to June 2021 https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/1033882/GRASP_2020_Report.pdf Taking antibiotic after sex cuts STIs by two-thirds, ‘DoxyPEP’ study finds - www.aidsmap.com/news/jul-2022/tak…xypep-study-finds Doxycycline PEP significantly reduces STIs in people at high risk of infections - i-base.info/htb/43528

Dr Philip Smith, Associate and Social Media Editor of FG and Consultant Gastroenterologist at the Royal Liverpool Hospital, Liverpool, UK, interviews Dr Jeremy Nightingale, Honorary Consultant Gastroenterologist and Intestinal Failure specialist from St Mark’s Hospital, London, UK, on the paper 'How to manage a high output stoma' published in Frontline Gastroenterology in 2021 and on the website: https://fg.bmj.com/content/13/2/140. Listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify. If you enjoy our podcast, please rate us on your chosen platform, and leave us a review on the Frontline Gastroenterology Podcast page on iTunes: https://podcasts.apple.com/gb/podcast/fg-podcast/id942944229

Dr Philip Smith, Associate and Social Media Editor of FG and Consultant Gastroenterologist at the Royal Liverpool Hospital, Liverpool, UK, interviews Dr Jeremy Nightingale, Honorary Consultant Gastroenterologist and Intestinal Failure specialist from St Mark’s Hospital, London, UK, on the paper 'How to manage a high output stoma' published in Frontline Gastroenterology in 2021 and on the website: https://fg.bmj.com/content/13/2/140. Listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify. If you enjoy our podcast, please rate us on your chosen platform, and leave us a review on the Frontline Gastroenterology Podcast page on iTunes: https://podcasts.apple.com/gb/podcast/fg-podcast/id942944229

In this podcast, James Cave (Editor-in-Chief) and David Phizackerley (Deputy Editor) talk about the October 2022 issue of DTB. They discuss whether the language used in announcements from organisations such as NHS England, NICE and the MHRA regarding new medicines is appropriate and highlight concerns that some press releases are at risk of promoting POMs to the public (https://dtb.bmj.com/content/60/10/146). They review a study that assessed the effect that regular doses of paracetamol had on blood pressure (https://dtb.bmj.com/content/60/10/147) and talk about an article that discusses the role played over the past 20 years by groups, organisations and individuals that have been critical of the pharmaceutical industry (https://dtb.bmj.com/content/60/10/151). Please subscribe to the DTB podcast to get episodes automatically downloaded to your mobile device and computer. Also, please consider leaving us a review or a comment on the DTB Podcast iTunes podcast page (https://podcasts.apple.com/gb/podcast/dtb-podcast/id307773309). Thank you for listening.

In this podcast, James Cave (Editor-in-Chief) and David Phizackerley (Deputy Editor) talk about the October 2022 issue of DTB. They discuss whether the language used in announcements from organisations such as NHS England, NICE and the MHRA regarding new medicines is appropriate and highlight concerns that some press releases are at risk of promoting POMs to the public (https://dtb.bmj.com/content/60/10/146). They review a study that assessed the effect that regular doses of paracetamol had on blood pressure (https://dtb.bmj.com/content/60/10/147) and talk about an article that discusses the role played over the past 20 years by groups, organisations and individuals that have been critical of the pharmaceutical industry (https://dtb.bmj.com/content/60/10/151). Please subscribe to the DTB podcast to get episodes automatically downloaded to your mobile device and computer. Also, please consider leaving us a review or a comment on the DTB Podcast iTunes podcast page (https://podcasts.apple.com/gb/podcast/dtb-podcast/id307773309). Thank you for listening.

It's zoomers vs boomers on this week's Doctor Informed, as we assemble a multigenerational team to talk about the "good old days" and if the youth of today are really snowflakes.

Clara Munro is joined by Nikki Nabavi, a medical student at Manchester University and a regular on Sharp Scratch (The BMJ's student podcast); Ayisha Ashmoore, an trainee in obstetrics and gynaecology, in the East Midlands; and Alastair Munro, a retired professor of oncology (and Clara's dad).

It's zoomers vs boomers on this week's Doctor Informed, as we assemble a multigenerational team to talk about the "good old days" and if the youth of today are really snowflakes.

Clara Munro is joined by Nikki Nabavi, a medical student at Manchester University and a regular on Sharp Scratch (The BMJ's student podcast); Ayisha Ashmoore, an trainee in obstetrics and gynaecology, in the East Midlands; and Alastair Munro, a retired professor of oncology (and Clara's dad).

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The purpose of this podcast is to educate and to inform. The content of this podcast does not constitute medical advice and it is not intended to function as a substitute for a healthcare practitioner’s judgement, patient care or treatment. The views expressed by contributors are those of the speakers. BMJ does not endorse any views or recommendations discussed or expressed on this podcast. Listeners should also be aware that professionals in the field may have different opinions. By listening to this podcast, listeners agree not to use its content as the basis for their own medical treatment or for the medical treatment of others.

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The purpose of this podcast is to educate and to inform. The content of this podcast does not constitute medical advice and it is not intended to function as a substitute for a healthcare practitioner’s judgement, patient care or treatment. The views expressed by contributors are those of the speakers. BMJ does not endorse any views or recommendations discussed or expressed on this podcast. Listeners should also be aware that professionals in the field may have different opinions. By listening to this podcast, listeners agree not to use its content as the basis for their own medical treatment or for the medical treatment of others.

Herpes zoster: an update on diagnosis and management The annual incidence of herpes zoster in the UK is between 2 and 4 patients per thousand population. It can cause a range of complications including post-herpetic neuralgia, herpes zoster of the eye, and disseminated zoster. So it is important that we get the diagnosis and management of this condition right. In this BMJ Best Practice podcast on herpes zoster, Kieran Walsh talks to Professor Michael Rothberg, Center for Value-Based Care Research, Cleveland Clinic, Cleveland, Ohio.

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The purpose of this podcast is to educate and to inform. The content of this podcast does not constitute medical advice and it is not intended to function as a substitute for a healthcare practitioner’s judgement, patient care or treatment. The views expressed by contributors are those of the speakers. BMJ does not endorse any views or recommendations discussed or expressed on this podcast. Listeners should also be aware that professionals in the field may have different opinions. By listening to this podcast, listeners agree not to use its content as the basis for their own medical treatment or for the medical treatment of others.

Herpes zoster: an update on diagnosis and management The annual incidence of herpes zoster in the UK is between 2 and 4 patients per thousand population. It can cause a range of complications including post-herpetic neuralgia, herpes zoster of the eye, and disseminated zoster. So it is important that we get the diagnosis and management of this condition right. In this BMJ Best Practice podcast on herpes zoster, Kieran Walsh talks to Professor Michael Rothberg, Center for Value-Based Care Research, Cleveland Clinic, Cleveland, Ohio.

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The purpose of this podcast is to educate and to inform. The content of this podcast does not constitute medical advice and it is not intended to function as a substitute for a healthcare practitioner’s judgement, patient care or treatment. The views expressed by contributors are those of the speakers. BMJ does not endorse any views or recommendations discussed or expressed on this podcast. Listeners should also be aware that professionals in the field may have different opinions. By listening to this podcast, listeners agree not to use its content as the basis for their own medical treatment or for the medical treatment of others.

Practical Neurology Editors Phil Smith and Geraint Fuller talk you through the highlights of the October 2022 issue of the journal. Read the highlights: https://pn.bmj.com/content/22/5/341. Please subscribe to the Practical Neurology podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify, to get the latest podcast every month. If you enjoy our podcast, please consider leaving us a review or a comment on the Practical Neurology Podcast iTunes page (https://podcasts.apple.com/gb/podcast/pn-podcast/id942932053). The PN podcast is produced by Letícia Amorim and edited by Brian O'Toole. Thank you for listening.

In this episode of the IJGC podcast, Editor-in-Chief Dr. Pedro Ramirez is joined by Dr. Dmitriy Zamarin to discuss immune checkpoint inhibitors in ovarian cancer. Dr. Zamarin is a medical oncologist and a translational research director in gynecologic medical oncology at the Memorial Sloan Kettering Cancer Center. His research focuses on development of novel immune therapeutics in gynecologic malignancies and on the mechanisms of immune response to immunotherapy.

Highlights:

-Immune checkpoint blockade benefits a subset of patients with ovarian cancer, but predictors of such benefit remain unknown.

-Patients with ovarian clear cell carcinoma appear to be more likely to derive benefit from immunotherapy, particularly from combined immune checkpoint blockade; however, these patients still constitute only a minority of those with ovarian clear cell carcinoma.

-Larger prospective trials of immune checkpoint blockade, including combined immune checkpoint blockade in ovarian clear cell carcinoma, are needed to validate these early observations.

-Biomarkers of response to immunotherapy like PD-L1 expression and tumor mutation burden are of limited value in ovarian cancer, and other molecular and microenvironment biomarkers are needed.

Practical Neurology Editors Phil Smith and Geraint Fuller talk you through the highlights of the October 2022 issue of the journal. Read the highlights: https://pn.bmj.com/content/22/5/341. Please subscribe to the Practical Neurology podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify, to get the latest podcast every month. If you enjoy our podcast, please consider leaving us a review or a comment on the Practical Neurology Podcast iTunes page (https://podcasts.apple.com/gb/podcast/pn-podcast/id942932053). The PN podcast is produced by Letícia Amorim and edited by Brian O'Toole. Thank you for listening.

Systematic reviews and meta-analyses are incredibly important; they drive clinical practice, policy, and reimbursement, but unfortunately, take a team of people and a significant amount of time. In this month’s RAPM Focus, Editor-in-Chief Brian Sites, MD, joins Joshua Myszewski and Kristopher Schroder, MD, to discuss their exploratory study, “Evaluation of language analysis to summarize the literature: a comparison to traditional meta-analysis in primary hip and knee surgery,” first published in December 2021 (https://rapm.bmj.com/content/47/3/151). The study used something known as “sentiment analysis,” a computer-based tool, to evaluate 115 article abstracts from studies that were included in a recent systematic review and meta-analysis on total joint arthroplasty. The idea of the study was to evaluate if a sentiment analysis could come to similar conclusions as a full meta-analysis.

Joshua Myszewski is a second-year medical student at the University of Wisconsin School of Medicine. Since starting medical school, he’s been working on applying his previous engineering research experience to the clinical domain. He has an undergraduate background in engineering, and first began working with machine learning and artificial intelligence as an undergraduate. He has worked on the development of EEG-based brain computer interfaces for disabled patients.

Dr. Kristopher Schroeder is vice-chair of faculty development at the University of Wisconsin. Within ASRA Pain Medicine, he has served as the Editor for the ASRA Pain Medicine News from 2018-2021 and was honored to be one of the founding members of the Physician Mentorship and Leadership Development Special Interest Group. He assisted his wife, veterinarian Carrie Schroeder, in performing the first-ever recorded transversus abdominis plane (TAP) block on a lynx.

*The purpose of this podcast is to educate and to inform. The content of this podcast does not constitute medical advice, and it is not intended to function as a substitute for a healthcare practitioner’s judgement, patient care, or treatment. The views expressed by contributors are those of the speakers. BMJ does not endorse any views or recommendations discussed or expressed on this podcast. Listeners should also be aware that professionals in the field may have different opinions. By listening to this podcast, listeners agree not to use its content as the basis for their own medical treatment or for the medical treatment of others.

Podcast and music produced by Dan Langa. Find us on Twitter @RAPMOnline.

Systematic reviews and meta-analyses are incredibly important; they drive clinical practice, policy, and reimbursement, but unfortunately, take a team of people and a significant amount of time. In this month’s RAPM Focus, Editor-in-Chief Brian Sites, MD, joins Joshua Myszewski and Kristopher Schroder, MD, to discuss their exploratory study, “Evaluation of language analysis to summarize the literature: a comparison to traditional meta-analysis in primary hip and knee surgery,” first published in December 2021 (https://rapm.bmj.com/content/47/3/151). The study used something known as “sentiment analysis,” a computer-based tool, to evaluate 115 article abstracts from studies that were included in a recent systematic review and meta-analysis on total joint arthroplasty. The idea of the study was to evaluate if a sentiment analysis could come to similar conclusions as a full meta-analysis.

Joshua Myszewski is a second-year medical student at the University of Wisconsin School of Medicine. Since starting medical school, he’s been working on applying his previous engineering research experience to the clinical domain. He has an undergraduate background in engineering, and first began working with machine learning and artificial intelligence as an undergraduate. He has worked on the development of EEG-based brain computer interfaces for disabled patients.

Dr. Kristopher Schroeder is vice-chair of faculty development at the University of Wisconsin. Within ASRA Pain Medicine, he has served as the Editor for the ASRA Pain Medicine News from 2018-2021 and was honored to be one of the founding members of the Physician Mentorship and Leadership Development Special Interest Group. He assisted his wife, veterinarian Carrie Schroeder, in performing the first-ever recorded transversus abdominis plane (TAP) block on a lynx.

*The purpose of this podcast is to educate and to inform. The content of this podcast does not constitute medical advice, and it is not intended to function as a substitute for a healthcare practitioner’s judgement, patient care, or treatment. The views expressed by contributors are those of the speakers. BMJ does not endorse any views or recommendations discussed or expressed on this podcast. Listeners should also be aware that professionals in the field may have different opinions. By listening to this podcast, listeners agree not to use its content as the basis for their own medical treatment or for the medical treatment of others.

Podcast and music produced by Dan Langa. Find us on Twitter @RAPMOnline.

In this episode of the IJGC podcast, Editor-in-Chief Dr. Pedro Ramirez is joined by Dr. Dmitriy Zamarin to discuss immune checkpoint inhibitors in ovarian cancer. Dr. Zamarin is a medical oncologist and a translational research director in gynecologic medical oncology at the Memorial Sloan Kettering Cancer Center. His research focuses on development of novel immune therapeutics in gynecologic malignancies and on the mechanisms of immune response to immunotherapy.

Highlights:

-Immune checkpoint blockade benefits a subset of patients with ovarian cancer, but predictors of such benefit remain unknown.

-Patients with ovarian clear cell carcinoma appear to be more likely to derive benefit from immunotherapy, particularly from combined immune checkpoint blockade; however, these patients still constitute only a minority of those with ovarian clear cell carcinoma.

-Larger prospective trials of immune checkpoint blockade, including combined immune checkpoint blockade in ovarian clear cell carcinoma, are needed to validate these early observations.

-Biomarkers of response to immunotherapy like PD-L1 expression and tumor mutation burden are of limited value in ovarian cancer, and other molecular and microenvironment biomarkers are needed.

A career in medicine can sometimes mean stepping outside of your comfort zone. No matter what stage of your career you are in, it is likely that you will have to manage uncertainty, and will occasionally feel out of your depth.

In this episode, the Sharp Scratch panel talks about the reality of never being able to know everything in medicine, and the benefits of acknowledging your strengths and limitations. We also talk about how to recognise that something is beyond the limit of your capabilities, and the importance of asking for help if you need it.

Expert guests: Dr Jennifer Rasanathan is a primary care physician and clinical editor at the BMJ. She is also a podcaster on Deep Breath In, a podcast for GPs.

Check us out on social media: Twitter: https://twitter.com/BMJStudent Instagram: https://www.instagram.com/bmj_student/ Facebook: https://www.facebook.com/BMJStudent/

Thank you to Louise Griffin, final year med student at the University of Birmingham and Clegg Scholar 2022, who proposed this idea to be a Sharp Scratch episode.

This podcast is produced and edited by Dom Byrne and Duncan Jarvies.

A career in medicine can sometimes mean stepping outside of your comfort zone. No matter what stage of your career you are in, it is likely that you will have to manage uncertainty, and will occasionally feel out of your depth.

In this episode, the Sharp Scratch panel talks about the reality of never being able to know everything in medicine, and the benefits of acknowledging your strengths and limitations. We also talk about how to recognise that something is beyond the limit of your capabilities, and the importance of asking for help if you need it.

Expert guests: Dr Jennifer Rasanathan is a primary care physician and clinical editor at the BMJ. She is also a podcaster on Deep Breath In, a podcast for GPs.

Check us out on social media: Twitter: https://twitter.com/BMJStudent Instagram: https://www.instagram.com/bmj_student/ Facebook: https://www.facebook.com/BMJStudent/

Thank you to Louise Griffin, final year med student at the University of Birmingham and Clegg Scholar 2022, who proposed this idea to be a Sharp Scratch episode.

This podcast is produced and edited by Dom Byrne and Duncan Jarvies.

Data and big data in healthcare are both important and topical. Big data has the potential to transform how we provide healthcare but can also be problematic. There can be problems with how data is captured, cleaned, and corrected or with how we update data. BMJ is playing an increasing role in this field. We have our own BMJ Data Set which provides AI healthcare technologies with current, credible, and AI-ready content. In this BMJ Best Practice podcast on healthcare and data, Kieran Walsh talks to Professor Dipak Kalra, President of The European Institute for Innovation through Health Data.

Data and big data in healthcare are both important and topical. Big data has the potential to transform how we provide healthcare but can also be problematic. There can be problems with how data is captured, cleaned, and corrected or with how we update data. BMJ is playing an increasing role in this field. We have our own BMJ Data Set which provides AI healthcare technologies with current, credible, and AI-ready content. In this BMJ Best Practice podcast on healthcare and data, Kieran Walsh talks to Professor Dipak Kalra, President of The European Institute for Innovation through Health Data.

Editor-in-Chief of the Archives of Disease in Childhood, Dr. Nick Brown, and Senior Editor of ADC, Dr. Rachel Agbeko, bring you the monthly Atoms - the highlights of the October 2022 issue. Read it on the Archives of Disease in Childhood website: https://adc.bmj.com/content/107/10/i Please listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832

Editor-in-Chief of the Archives of Disease in Childhood, Dr. Nick Brown, and Senior Editor of ADC, Dr. Rachel Agbeko, bring you the monthly Atoms - the highlights of the October 2022 issue. Read it on the Archives of Disease in Childhood website: https://adc.bmj.com/content/107/10/i Please listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832

In this episode of the Heart podcast, Digital Media Editor, Dr James Rudd, is joined by Dr Purvi Parwani from Loma Linda, California. They discuss her Cardiology in Focus paper about the use of social media in education. If you enjoy the show, please leave us a podcast review at https://itunes.apple.com/gb/podcast/heart-podcast/id445358212?mt=2

Link to published paper: https://heart.bmj.com/content/108/15/1240

In this episode of the Heart podcast, Digital Media Editor, Dr James Rudd, is joined by Dr Purvi Parwani from Loma Linda, California. They discuss her Cardiology in Focus paper about the use of social media in education. If you enjoy the show, please leave us a podcast review at https://itunes.apple.com/gb/podcast/heart-podcast/id445358212?mt=2

Link to published paper: https://heart.bmj.com/content/108/15/1240

In this episode of the IJGC podcast, Editor-in-Chief Dr. Pedro Ramirez is joined by Drs. Mario Leitao and Evan Smith to discuss outcomes of low-grade endometrial stromal sarcoma. Dr. Leitao is an attending surgeon and member at Memorial Sloan Kettering Cancer Center as well as a Professor at Weill Cornell Medical College. He serves as the fellowship director at MSKCC as well as the Director of the Minimally Invasive and Robotic Surgery Program. Dr. Smith is a gynecologic oncologist at Woman’s Hospital in Baton Rouge, Louisiana. He also serves as an Assistant Clinical Professor of Gynecologic Oncology with the LSU Health Obstetrics and Gynecology residency program in Baton Rouge.

Highlights:

-Lymphadenectomy is unnecessary in patients with low-grade endometrial stromal sarcoma (ESS) and clinically normal nodes. -Postoperative therapies do not improve progression-free survival (PFS) or overall survival in low-grade ESS that is completely resected. -FIGO stage is associated with PFS but not disease-specific survival. -Next generation sequencing is standard for soft tissue sarcomas and should be offered to patients with low-grade ESS.

In this episode of the IJGC podcast, Editor-in-Chief Dr. Pedro Ramirez is joined by Drs. Mario Leitao and Evan Smith to discuss outcomes of low-grade endometrial stromal sarcoma. Dr. Leitao is an attending surgeon and member at Memorial Sloan Kettering Cancer Center as well as a Professor at Weill Cornell Medical College. He serves as the fellowship director at MSKCC as well as the Director of the Minimally Invasive and Robotic Surgery Program. Dr. Smith is a gynecologic oncologist at Woman’s Hospital in Baton Rouge, Louisiana. He also serves as an Assistant Clinical Professor of Gynecologic Oncology with the LSU Health Obstetrics and Gynecology residency program in Baton Rouge.

Highlights:

-Lymphadenectomy is unnecessary in patients with low-grade endometrial stromal sarcoma (ESS) and clinically normal nodes. -Postoperative therapies do not improve progression-free survival (PFS) or overall survival in low-grade ESS that is completely resected. -FIGO stage is associated with PFS but not disease-specific survival. -Next generation sequencing is standard for soft tissue sarcomas and should be offered to patients with low-grade ESS.

Kathryn Dane is a physiotherapist and is a professional Irish rugby union player, and PhD candidate at Trinity College Dublin. We discuss her first PhD publication on the physical, technical, tactical demands and preparatory strategies in female field collision sports. Kathryn draws on her experience as an athlete, clinician, and researcher, and what practitioners should consider when designing training programs for female field collision sports.

Physical and Technical Demands and Preparatory Strategies in Female Field Collision Sports: A Scoping Review: https://pubmed.ncbi.nlm.nih.gov/35767989/

Kathryn Dane is a physiotherapist and is a professional Irish rugby union player, and PhD candidate at Trinity College Dublin. We discuss her first PhD publication on the physical, technical, tactical demands and preparatory strategies in female field collision sports. Kathryn draws on her experience as an athlete, clinician, and researcher, and what practitioners should consider when designing training programs for female field collision sports.

Physical and Technical Demands and Preparatory Strategies in Female Field Collision Sports: A Scoping Review: https://pubmed.ncbi.nlm.nih.gov/35767989/

Join us for a fascinating discussion about the ethics of care, and most especially the way structural racism and impediments to access heightened existing inequalities during both outbreak and lockdown. Brandy Schillace speaks to epidemiologist Professor John Wright, Bradford Institute for Health Research and Wolfson Centre for Applied Health Research. A blog post containing the transcript of this podcast is available here: https://blogs.bmj.com/medical-humanities/2022/09/15/infectious-disease-epidemics-and-inequality Subscribe to the Medical Humanities Podcast in all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify. If you enjoy our podcast, please consider leaving us a review and a 5-star rating on the Medical Humanities Podcast iTunes page (https://podcasts.apple.com/gb/podcast/medical-humanities-podcast/id961667204). Thank you for listening!

Sarah Edwards, Social Media Editor of EMJ, and Rick Body, Deputy Editor of EMJ, give an overview of the best of the September issue of the Emergency Medicine Journal. They cover a plethora of clinically relevant papers. There's a terrific non-inferiority trial looking at the use of non-sterile gloves to repair traumatic wounds in the Emergency Department, two great papers that look at whether we might avoid x-ray for patients with suspected shoulder dislocation (one involving ultrasound), a fascinating paper involving the pre-hospital use of echocardiography and point of care troponin testing for patients with chest pain and more. Read the highlights: https://emj.bmj.com/content/39/9/647, and the complete issue: https://emj.bmj.com/content/39/9. If you enjoy our podcast, please consider leaving us a review or a comment on the EMJ Podcast iTunes page (https://podcasts.apple.com/us/podcast/emj-podcast/id445358244).

Join us for a fascinating discussion about the ethics of care, and most especially the way structural racism and impediments to access heightened existing inequalities during both outbreak and lockdown. Brandy Schillace speaks to epidemiologist Professor John Wright, Bradford Institute for Health Research and Wolfson Centre for Applied Health Research. A blog post containing the transcript of this podcast is available here: https://blogs.bmj.com/medical-humanities/2022/09/15/infectious-disease-epidemics-and-inequality Subscribe to the Medical Humanities Podcast in all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify. If you enjoy our podcast, please consider leaving us a review and a 5-star rating on the Medical Humanities Podcast iTunes page (https://podcasts.apple.com/gb/podcast/medical-humanities-podcast/id961667204). Thank you for listening!

Sarah Edwards, Social Media Editor of EMJ, and Rick Body, Deputy Editor of EMJ, give an overview of the best of the September issue of the Emergency Medicine Journal. They cover a plethora of clinically relevant papers. There's a terrific non-inferiority trial looking at the use of non-sterile gloves to repair traumatic wounds in the Emergency Department, two great papers that look at whether we might avoid x-ray for patients with suspected shoulder dislocation (one involving ultrasound), a fascinating paper involving the pre-hospital use of echocardiography and point of care troponin testing for patients with chest pain and more. Read the highlights: https://emj.bmj.com/content/39/9/647, and the complete issue: https://emj.bmj.com/content/39/9. If you enjoy our podcast, please consider leaving us a review or a comment on the EMJ Podcast iTunes page (https://podcasts.apple.com/us/podcast/emj-podcast/id445358244).

Musculoskeletal (MSK) pain and osteoarthritis are clinically common in general practice, but with the new draft NICE guideline on osteoarthritis (published in April 2022) recommending a move away from pharmacological treatments and instead promoting self-management, some GPs have been left wondering how best to manage MSK pain going forwards . In this week’s episode, Dr. Imran Sajid talks to us about the importance of educating patients on what arthritis really is – moving away from the term “wear and tear” – and of taking a thorough history of a patient’s pain journey in consultations. He also gives practical advice on how we might approach non-pharmacological management of MSK pain with our patients.

Our guest:

Imran Sajid is a GP with a special interest in MSK medicine. He is the clinical lead in MSK & Diagnostics for NHS North West London, an adjunct lecturer in Health Policy at the University of Global Health Equity, as well as being a qualified personal trainer.

Further reading:

‘Osteoarthritis: assessment and management, draft for consultation, April 2022’. NICE. 2022. https://www.nice.org.uk/guidance/gid-ng10127/documents/draft-guideline

‘The tear, flare, and repair model of osteoarthritis’. BMJ 2022;377:o1028. https://www.bmj.com/content/377/bmj.o1028

Musculoskeletal (MSK) pain and osteoarthritis are clinically common in general practice, but with the new draft NICE guideline on osteoarthritis (published in April 2022) recommending a move away from pharmacological treatments and instead promoting self-management, some GPs have been left wondering how best to manage MSK pain going forwards . In this week’s episode, Dr. Imran Sajid talks to us about the importance of educating patients on what arthritis really is – moving away from the term “wear and tear” – and of taking a thorough history of a patient’s pain journey in consultations. He also gives practical advice on how we might approach non-pharmacological management of MSK pain with our patients.

Our guest:

Imran Sajid is a GP with a special interest in MSK medicine. He is the clinical lead in MSK & Diagnostics for NHS North West London, an adjunct lecturer in Health Policy at the University of Global Health Equity, as well as being a qualified personal trainer.

Further reading:

‘Osteoarthritis: assessment and management, draft for consultation, April 2022’. NICE. 2022. https://www.nice.org.uk/guidance/gid-ng10127/documents/draft-guideline

‘The tear, flare, and repair model of osteoarthritis’. BMJ 2022;377:o1028. https://www.bmj.com/content/377/bmj.o1028

In our new season of Doctor Important, we'll be discussing topics that are not always talked about, and today, by popular request of our listners, we're talking about Coroner's Court and inquests - two things that strike terror into doctors, but are often not as bad as you may fear.

Our panel; Clara Munro is a surgical trainee in the North East Deanery. She's joined by her colleage Katie Strong, another surgical trainee. We also have returning to Doctor Informed Ayisha Ashmore, an Obs and Gynae registrar in the East Midlands.

Our Expert guest this week is Beth Walker, a former palliative care registrar who now works as an advisor for Medical Protection.

In our new season of Doctor Important, we'll be discussing topics that are not always talked about, and today, by popular request of our listners, we're talking about Coroner's Court and inquests - two things that strike terror into doctors, but are often not as bad as you may fear.

Our panel; Clara Munro is a surgical trainee in the North East Deanery. She's joined by her colleage Katie Strong, another surgical trainee. We also have returning to Doctor Informed Ayisha Ashmore, an Obs and Gynae registrar in the East Midlands.

Our Expert guest this week is Beth Walker, a former palliative care registrar who now works as an advisor for Medical Protection.

Starting university can be a really exciting and really nerve-wracking time. There are so many questions you might have before you start. How do you know what to pack? How do you make friends? How do you study? Is it really going to be the best time of your life?!

You might be just about to start university in the next week or two, or simply feel like indulging in the nostalgia of those first few weeks. Either way, join Sharp Scratch panel members new and old as we come together to discuss the sorts of things we were worried about or looking forward to before we started university.

Check us out on social media: Twitter: twitter.com/BMJStudent Instagram: www.instagram.com/bmj_student/ Facebook: www.facebook.com/BMJStudent/

This podcast is produced and edited by Dom Byrne and Duncan Jarvies.

Starting university can be a really exciting and really nerve-wracking time. There are so many questions you might have before you start. How do you know what to pack? How do you make friends? How do you study? Is it really going to be the best time of your life?!

You might be just about to start university in the next week or two, or simply feel like indulging in the nostalgia of those first few weeks. Either way, join Sharp Scratch panel members new and old as we come together to discuss the sorts of things we were worried about or looking forward to before we started university.

Check us out on social media: Twitter: twitter.com/BMJStudent Instagram: www.instagram.com/bmj_student/ Facebook: www.facebook.com/BMJStudent/

This podcast is produced and edited by Dom Byrne and Duncan Jarvies.

Status epilepticus is a serious medical emergency. Fortunately, it is relatively rare but when it does occur it can cause a range of serious complications including focal neurological deficits, cognitive dysfunction, and behavioural problems. So it is important that we get the diagnosis and management of this condition right. In this BMJ Best Practice podcast on status epilepticus, Kieran Walsh talks to Dr. Rajiv Mohanraj, Consultant Neurologist and Honorary Senior Lecturer at the Manchester Centre for Clinical Neurosciences

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The purpose of this podcast is to educate and to inform. The content of this podcast does not constitute medical advice and it is not intended to function as a substitute for a healthcare practitioner’s judgement, patient care or treatment. The views expressed by contributors are those of the speakers. BMJ does not endorse any views or recommendations discussed or expressed on this podcast. Listeners should also be aware that professionals in the field may have different opinions. By listening to this podcast, listeners agree not to use its content as the basis for their own medical treatment or for the medical treatment of others.

Status epilepticus is a serious medical emergency. Fortunately, it is relatively rare but when it does occur it can cause a range of serious complications including focal neurological deficits, cognitive dysfunction, and behavioural problems. So it is important that we get the diagnosis and management of this condition right. In this BMJ Best Practice podcast on status epilepticus, Kieran Walsh talks to Dr. Rajiv Mohanraj, Consultant Neurologist and Honorary Senior Lecturer at the Manchester Centre for Clinical Neurosciences

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The purpose of this podcast is to educate and to inform. The content of this podcast does not constitute medical advice and it is not intended to function as a substitute for a healthcare practitioner’s judgement, patient care or treatment. The views expressed by contributors are those of the speakers. BMJ does not endorse any views or recommendations discussed or expressed on this podcast. Listeners should also be aware that professionals in the field may have different opinions. By listening to this podcast, listeners agree not to use its content as the basis for their own medical treatment or for the medical treatment of others.

In this episode of the IJGC podcast, Editor-in-Chief Dr. Pedro Ramirez is joined by Professor Bradley J. Monk to discuss the ATHENA-MONO clinical trial. Prof. Monk is an international thought leader and clinical trialist who has developed and advocated for maintenance treatment in newly diagnosed advanced and recurrent ovarian cancer. ATHENA-MONO represents his fifth positive randomized phase 3 trial studying maintenance treatment and adds confidence to this efficacious and tolerable paradigm changing opportunity for all patients regardless of the molecular genotype (allcomers).

Highlights: - Maintenance therapy is now the global standard of care in patients with advanced or recurrent epithelial ovarian cancer. This can include a PAPP inhibitor, bevacizumab, or the combination. - Maintenance treatment is efficacious in all molecular subgroups and is tolerable without an impairment in the quality of life. - Payers acknowledge the value of maintenance treatment as do consensus guidelines.

In this episode of the IJGC podcast, Editor-in-Chief Dr. Pedro Ramirez is joined by Professor Bradley J. Monk to discuss the ATHENA-MONO clinical trial. Prof. Monk is an international thought leader and clinical trialist who has developed and advocated for maintenance treatment in newly diagnosed advanced and recurrent ovarian cancer. ATHENA-MONO represents his fifth positive randomized phase 3 trial studying maintenance treatment and adds confidence to this efficacious and tolerable paradigm changing opportunity for all patients regardless of the molecular genotype (allcomers).

Highlights: - Maintenance therapy is now the global standard of care in patients with advanced or recurrent epithelial ovarian cancer. This can include a PAPP inhibitor, bevacizumab, or the combination. - Maintenance treatment is efficacious in all molecular subgroups and is tolerable without an impairment in the quality of life. - Payers acknowledge the value of maintenance treatment as do consensus guidelines.

In this conversation with John Dickinson, MD, PhD, University of Nebraska Medical Center and Social Media Editor for Journal of Investigative Medicine, JIM editor, Dr. Richard McCallum, provides an overview of the incidence, symptoms, diagnosis and management of gastroparesis. This podcast is especially relevant for primary care physicians, gastroenterologists, and GI researchers. Gastroparesis is a common disorder frequently tied with diabetes but has vague symptoms that can be misdiagnosed. Dr. McCallum walks us through common diagnostic approaches and discusses promising new therapies to reduce the symptom burden.

In this conversation with John Dickinson, MD, PhD, University of Nebraska Medical Center and Social Media Editor for Journal of Investigative Medicine, JIM editor, Dr. Richard McCallum, provides an overview of the incidence, symptoms, diagnosis and management of gastroparesis. This podcast is especially relevant for primary care physicians, gastroenterologists, and GI researchers. Gastroparesis is a common disorder frequently tied with diabetes but has vague symptoms that can be misdiagnosed. Dr. McCallum walks us through common diagnostic approaches and discusses promising new therapies to reduce the symptom burden.

Dr Philip Smith, Digital and Education Editor of Gut and Consultant Gastroenterologist at the Royal Liverpool Hospital, Liverpool, UK interviews Professor Peter Malfertheiner, Gastroenterologist, who is senior Professor of Medicine at the Ludwig Maximilian University of Munich, Munich, Germany, on the paper 'Management of Helicobacter pylori infection—the Maastricht VI/Florence Consensus Report' published in paper copy in Gut in September 2022 and online at: https://gut.bmj.com/content/71/9/1724 Please subscribe to the Gut Podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify, to get the latest podcast every month. If you enjoy our podcast, please consider leaving us a review or a comment on the Gut Podcast iTunes page (https://podcasts.apple.com/gb/podcast/gut-podcast/id330976727).

Dr Philip Smith, Digital and Education Editor of Gut and Consultant Gastroenterologist at the Royal Liverpool Hospital, Liverpool, UK interviews Professor Peter Malfertheiner, Gastroenterologist, who is senior Professor of Medicine at the Ludwig Maximilian University of Munich, Munich, Germany, on the paper 'Management of Helicobacter pylori infection—the Maastricht VI/Florence Consensus Report' published in paper copy in Gut in September 2022 and online at: https://gut.bmj.com/content/71/9/1724 Please subscribe to the Gut Podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify, to get the latest podcast every month. If you enjoy our podcast, please consider leaving us a review or a comment on the Gut Podcast iTunes page (https://podcasts.apple.com/gb/podcast/gut-podcast/id330976727).

The 2013 ARUBA trial concluded that medical management alone is superior to medical management with interventional therapy for patients with unruptured brain arteriovenous malformations. A study was conducted to analyze AVM treatment and epidemiologic response to the ARUBA trial. Following ARUBA, there has been a stark decrease in interventions for uAVMs. Nationwide rAVM discharge incidence is inversely correlated with uAVM intervention rate. Less uAVM interventions may lead to a substantial increase in AVM rupture incidence. In this podcast, JNIS Editor-in-Chief, Dr. Felipe C. Albuquerque speaks with Dr. Evan Luther(1) and Dr. Robert Starke(2) about their paper "Unruptured arteriovenous malformation intervention rate is inversely correlated with ruptured AVM discharge incidence" - https://jnis.bmj.com/content/12/suppl_1/a163. Please subscribe to the JNIS Podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify, to get the latest episodes. Also, please consider leaving us a review or a comment on the JNIS Podcast iTunes page: https://podcasts.apple.com/gb/podcast/jnis-podcast/id942473767 Thank you for listening! This episode was produced by Leticia Amorim and edited by Brian O'Toole. (1) Neurological Surgery, University of Miami, Miami, Florida, USA (2) Department of Neurosurgery & Radiology, Miller School of Medicine, University of Miami, Miami, Florida, USA

The 2013 ARUBA trial concluded that medical management alone is superior to medical management with interventional therapy for patients with unruptured brain arteriovenous malformations. A study was conducted to analyze AVM treatment and epidemiologic response to the ARUBA trial. Following ARUBA, there has been a stark decrease in interventions for uAVMs. Nationwide rAVM discharge incidence is inversely correlated with uAVM intervention rate. Less uAVM interventions may lead to a substantial increase in AVM rupture incidence. In this podcast, JNIS Editor-in-Chief, Dr. Felipe C. Albuquerque speaks with Dr. Evan Luther(1) and Dr. Robert Starke(2) about their paper "Unruptured arteriovenous malformation intervention rate is inversely correlated with ruptured AVM discharge incidence" - https://jnis.bmj.com/content/12/suppl_1/a163. Please subscribe to the JNIS Podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify, to get the latest episodes. Also, please consider leaving us a review or a comment on the JNIS Podcast iTunes page: https://podcasts.apple.com/gb/podcast/jnis-podcast/id942473767 Thank you for listening! This episode was produced by Leticia Amorim and edited by Brian O'Toole. (1) Neurological Surgery, University of Miami, Miami, Florida, USA (2) Department of Neurosurgery & Radiology, Miller School of Medicine, University of Miami, Miami, Florida, USA

In this episode of the Heart podcast, Digital Media Editor, Dr James Rudd, is joined by BJCA President Dr Fielder Camm from Oxford, UK. They discuss his recent publication in Heart concerning bullying of trainees in UK cardiology and what we can all do to improve things. If you enjoy the show, please leave us a podcast review at https://itunes.apple.com/gb/podcast/heart-podcast/id445358212?mt=2

In this episode of the Heart podcast, Digital Media Editor, Dr James Rudd, is joined by BJCA President Dr Fielder Camm from Oxford, UK. They discuss his recent publication in Heart concerning bullying of trainees in UK cardiology and what we can all do to improve things. If you enjoy the show, please leave us a podcast review at https://itunes.apple.com/gb/podcast/heart-podcast/id445358212?mt=2

In this episode of the IJGC podcast, Editor-in-Chief Dr. Pedro Ramirez is joined by Devon Abt to discuss SLN mapping in endometrial hyperplasia. Devon is a fourth-year Resident in Obstetrics & Gynecology at Beth Israel Deaconess Medical Center/Harvard Medical School currently applying into Gynecologic Oncology fellowship. Highlights: - Fewer than 30% of patients with preoperative diagnosis of endometrial intraepithelial neoplasia had concurrent endometrial cancer on final pathology. Endometrial stripe ≥20mm was associated with 2 times the risk of concurrent endometrial cancer. - Routine SLND in all patients with preoperative diagnosis of endometrial intraepithelial neoplasia is not cost-effective and would result in overtreatment. - Endometrial stripe may be a criterion for selectively using a sentinel lymph node algorithm in patients with preoperative diagnosis of endometrial intraepithelial neoplasia who are poor candidates for lymphadenectomy or at institutions where frozen section is not available or reliable.

In this episode of the IJGC podcast, Editor-in-Chief Dr. Pedro Ramirez is joined by Devon Abt to discuss SLN mapping in endometrial hyperplasia. Devon is a fourth-year Resident in Obstetrics & Gynecology at Beth Israel Deaconess Medical Center/Harvard Medical School currently applying into Gynecologic Oncology fellowship. Highlights: - Fewer than 30% of patients with preoperative diagnosis of endometrial intraepithelial neoplasia had concurrent endometrial cancer on final pathology. Endometrial stripe ≥20mm was associated with 2 times the risk of concurrent endometrial cancer. - Routine SLND in all patients with preoperative diagnosis of endometrial intraepithelial neoplasia is not cost-effective and would result in overtreatment. - Endometrial stripe may be a criterion for selectively using a sentinel lymph node algorithm in patients with preoperative diagnosis of endometrial intraepithelial neoplasia who are poor candidates for lymphadenectomy or at institutions where frozen section is not available or reliable.

This is our last episode of series 1 of Doctor Informed, and with it we're coming full circle. Clara will be talking to our first two guests, Mary Dixon-Woods and Bill Kirkup, having now heard from all of our other experts over this series.

In this first series, we've learned about speaking out, team work, compassionate leadership - all the things that are needed to help clinicians challenge the status quo, So in this episode, we'll be asking Mary how much she thinks things have changed, and Bill how he manages a career challenging the healthcare system.

Our guests

Mary Dixon-Woods is director of THIS Institute, and a Health Foundation Professor of Healthcare Improvement Studies in the Department of Public Health and Primary Care at the University of Cambridge. Her work is concerned with generating a high quality evidence-base to support the organisation, quality and safety of care delivered to patients.

For links to the work that Mary talked about visit https://www.thisinstitute.cam.ac.uk/

Bill Kirkup is a clinician turned investigator - he led investigations into failings at a maternity and neonatal unit in Morcambe Bay, into the Oxford paediatric cardiac surgery unit and into Jimmy Savile’s involvement with Broadmoor Hospital. He was also a member of the Hillsborough Independent Panel

This is our last episode of series 1 of Doctor Informed, and with it we're coming full circle. Clara will be talking to our first two guests, Mary Dixon-Woods and Bill Kirkup, having now heard from all of our other experts over this series.

In this first series, we've learned about speaking out, team work, compassionate leadership - all the things that are needed to help clinicians challenge the status quo, So in this episode, we'll be asking Mary how much she thinks things have changed, and Bill how he manages a career challenging the healthcare system.

Our guests

Mary Dixon-Woods is director of THIS Institute, and a Health Foundation Professor of Healthcare Improvement Studies in the Department of Public Health and Primary Care at the University of Cambridge. Her work is concerned with generating a high quality evidence-base to support the organisation, quality and safety of care delivered to patients.

For links to the work that Mary talked about visit https://www.thisinstitute.cam.ac.uk/

Bill Kirkup is a clinician turned investigator - he led investigations into failings at a maternity and neonatal unit in Morcambe Bay, into the Oxford paediatric cardiac surgery unit and into Jimmy Savile’s involvement with Broadmoor Hospital. He was also a member of the Hillsborough Independent Panel

This is the second in a new series of BMJ Open Gastroenterology interviews, in which we will be covering high-profile publications in conjunction with the lead authors of the papers. In this episode we are focusing on a paper entitled ‘Iron deficiency anaemia: pathophysiology, assessment, practical management’ published online in January 2022 (https://bmjopengastro.bmj.com/content/9/1/e000759). Dr James Ashton, Social Media Editor of BMJOG, interviews the authors Dr. Aditi Kumar(1) and Prof. Matthew Brookes(2). This paper is currently our most read article online and covers practical tips for diagnosis, management and additional investigations for this very common problem. Related blog post: https://blogs.bmj.com/bmjopengastro/2022/01/25/a-cutting-edge-review-iron-deficiency-anaemia-pathophysiology-assessment-practical-management/ Listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify. (1) Gastroenterology trainee at The Royal Wolverhampton NHS Trust (2) Consultant gastroenterologist and lead of gastroenterology clinical research program at Wolverhampton, Professor of gastroenterology at the University of Wolverhampton

Dr. Joshua Heerey chats on this podcast to BJSM’s Dr. Liam West about hip joint imaging. Josh gives us a sneak peek into the findings from the “Femoroacetabular impingement & hip OsteoathRitis Cohort (FORCe) study & how they may help clinicians manage their patients with hip and groin pain. The podcast is heavily based around clinical scenarios that are commonly faced in the clinic or sports team settings.

Dr Heerey is a physiotherapist and Hip Osteoarthritis Research and Development Lead at La Trobe University’s Sport and Exercise Medicine Research Centre in Melbourne, Australia. Dr Heerey obtained his PhD in 2021, with his research programme focusing on understanding the relationship between hip joint imaging findings and pain, and risk factors for development of early hip osteoarthritis in football players. He has published numerous articles examining the diagnosis and treatment of intra-articular hip conditions and is a current member of the International Hip-Related Pain Research Network and Young Athlete’s Hip Research Collaboration, which are multi-disciplinary international research teams created to improve the care of people living with hip and groin conditions. Dr Heerey works clinically at Lifecare Prahran Sports Medicine Clinic. He has a particular interest in the management of longstanding hip and groin conditions

Relevant links: - Heerey et al. What is the prevalence of imaging-defined intra-articular hip pathologies in people with and without pain? A systematic review and meta-analysis. Br J Sports Med. 2018;52(9):581-93. http://dx.doi.org/10.1136/bjsports-2017-098264 - Heerey et al. What is the prevalence of hip intra-articular pathologies and osteoarthritis in active athletes with hip and groin pain compared with those without? A systematic review and meta-analysis. Sports Med. 2019;49:951-972. https://doi.org/10.1007/s40279-019-01092-y - Heerey et al. Prevalence of early hip OA features in high- impact athletes. The femoroacetabular impingement and hip osteoarthritis cohort (FORCe) study. Osteoarthritis Cartilage. 2021; 29(3): 323-334. https://doi.org/10.1016/j.joca.2020.12.013 - Heerey et al. The size and prevalence of bony hip morphology do not differ between football players with and without hip and/or groin pain: Findings from the FORCe cohort. J Orthop Sports Phys Ther. 2021; 51(3): 115-125. https://www.jospt.org/doi/10.2519/jospt.2021.9622 - Heerey et al. Cam morphology is associated with MRI-defined cartilage defects and labral tears: a case–control study of 237 young adult football players with and without hip and groin pain. BMJ Open Sport & Exercise Medicine 2021;7:e001199. http://dx.doi.org/10.1136/bmjsem-2021-001199

Sarah Edwards, Social Media Editor of EMJ, and Rick Body, Deputy Editor of EMJ, take you through the best of the Emergency Medicine Journal in August 2022, covering topics from COVID-19 to triage to community Emergency Medicine to complications of emergency intubation in children and survival rates for out of hospital cardiac arrest. Read the highlights: https://emj.bmj.com/content/39/8/567, and the complete issue: https://emj.bmj.com/content/39/8. If you enjoy our podcast, please consider leaving us a review or a comment on the EMJ Podcast iTunes page (https://podcasts.apple.com/us/podcast/emj-podcast/id445358244).

Medicine is a team sport. We work with multi-disciplinary teams to deliver patient care. However, there may be times when you will work with a colleague who worries you professionally. You may find it difficult to address this unprofessional behaviour, especially as a junior member of the team. In this episode, we’ll be talking about when this becomes enough to act and what you can do about it.

Expert guests: Prof Charlotte Rees (@charlreessidhu on Twitter) is the Head of School of Health Sciences, College of Health, Medicine & Wellbeing at the University of Newcastle, NSW, Australia. Prof Lynn Monrouxe (@LynnMonrouxe on Twitter) is a Professor and Academic Lead of Health Professions Education Research at The University of Sydney. They are the co-authors of the book, Healthcare Professionalism: Improving Practice through Reflections on Workplace Dilemmas.

Check us out on social media: Twitter: twitter.com/BMJStudent Instagram: www.instagram.com/bmj_student/ Facebook: www.facebook.com/BMJStudent/

Thank you to Louise Griffin, final year med student at the University of Birmingham and Clegg Scholar 2022, who proposed this idea to be a Sharp Scratch episode.

This podcast is produced and edited by Dom Byrne and Duncan Jarvies.

David Hemenway, PhD, is Professor of Health Policy, and the Director of the Harvard Injury Control Research Center. Please subscribe to the Injury Prevention Podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify. If you enjoy our podcast, please consider leaving us a review and a 5-star rating on the Injury Prevention Podcast iTunes page (https://podcasts.apple.com/gb/podcast/injury-prevention-podcast/id942473946). Thank you for listening!

David Hemenway, PhD, is Professor of Health Policy, and the Director of the Harvard Injury Control Research Center. Please subscribe to the Injury Prevention Podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify. If you enjoy our podcast, please consider leaving us a review and a 5-star rating on the Injury Prevention Podcast iTunes page (https://podcasts.apple.com/gb/podcast/injury-prevention-podcast/id942473946). Thank you for listening!

Atrial fibrillation is the most common sustained heart rhythm disorder in adults worldwide. The prevalence is between 2% and 4%. If left untreated, atrial fibrillation is a significant risk factor for stroke, myocardial infarction and congestive cardiac failure. So it is important that we get diagnosis and management of this condition right. In this BMJ Best Practice podcast on new-onset atrial fibrillation, Kieran Walsh talks to Bharat Kantharia, Clinical Professor of Medicine, Icahn School of Medicine at Mount Sinai, New York.

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The purpose of this podcast is to educate and to inform. The content of this podcast does not constitute medical advice and it is not intended to function as a substitute for a healthcare practitioner’s judgement, patient care or treatment. The views expressed by contributors are those of the speakers. BMJ does not endorse any views or recommendations discussed or expressed on this podcast. Listeners should also be aware that professionals in the field may have different opinions. By listening to this podcast, listeners agree not to use its content as the basis for their own medical treatment or for the medical treatment of others.

Atrial fibrillation is the most common sustained heart rhythm disorder in adults worldwide. The prevalence is between 2% and 4%. If left untreated, atrial fibrillation is a significant risk factor for stroke, myocardial infarction and congestive cardiac failure. So it is important that we get diagnosis and management of this condition right. In this BMJ Best Practice podcast on new-onset atrial fibrillation, Kieran Walsh talks to Bharat Kantharia, Clinical Professor of Medicine, Icahn School of Medicine at Mount Sinai, New York.

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The purpose of this podcast is to educate and to inform. The content of this podcast does not constitute medical advice and it is not intended to function as a substitute for a healthcare practitioner’s judgement, patient care or treatment. The views expressed by contributors are those of the speakers. BMJ does not endorse any views or recommendations discussed or expressed on this podcast. Listeners should also be aware that professionals in the field may have different opinions. By listening to this podcast, listeners agree not to use its content as the basis for their own medical treatment or for the medical treatment of others.

In this rebroadcasted episode of the IJGC podcast, Editor-in-Chief Dr. Pedro Ramirez is joined by Dr. Ainhoa Madariaga to discuss parp inhibitor treatments and adverse events. Dr. Madariaga's article "Manage wisely: poly (ADP-ribose) polymerase inhibitor (PARPi) treatment and adverse events" (ijgc.bmj.com/content/early/2020…8/ijgc-2020-001288), was the Lead Article in the July 2020 issue of IJGC. Dr. Madariaga is a medical oncologist working as a clinical research fellow in the gynecology and drug development program at Princess Margaret Cancer Centre. Her clinical and academic areas of interest are gynecologic cancers and early phase clinical trial design, such as development of drug-repurposing studies, cancer treatment adverse event and patient reported outcomes assessment.

Original release date: July 6, 2021

The impact of the type of anesthesia on perioperative outcomes has been the subject of much debate. Observational data suggests that neuraxial anesthesia may provide benefits over general anesthesia, especially in the orthopedic population; however, it remains unclear if these benefits can be materialized in all subpopulations. In this month’s RAPM Focus, Executive Editor Stavros Memtsoudis, MD, PhD, interviews Edward Yap, MD, the first author of “Neuraxial and general anesthesia for outpatient total joint arthroplasty result in similarly low rates of major perioperative complications: a multicentered cohort study,” first published online in January 2022 (https://rapm.bmj.com/content/47/5/294). The study used introspective data from cases performed in 21 centers in the Kaiser Permanente Northern California system between 2017-2019, with the primary goal to compare perioperative outcomes between procedures performed with neuraxial anesthesia and general anesthesia.

Dr. Yap is a senior physician and anesthesiologist with the Kaiser Permanente South San Francisco Medical Group and a volunteer assistant professor with the University of California San Francisco.

*The purpose of this podcast is to educate and to inform. The content of this podcast does not constitute medical advice, and it is not intended to function as a substitute for a healthcare practitioner’s judgement, patient care, or treatment. The views expressed by contributors are those of the speakers. BMJ does not endorse any views or recommendations discussed or expressed on this podcast. Listeners should also be aware that professionals in the field may have different opinions. By listening to this podcast, listeners agree not to use its content as the basis for their own medical treatment or for the medical treatment of others.

Podcast and music produced by Dan Langa. Find us on Twitter @RAPMOnline.

In this podcast, we interview Professor Joel Palefsky about the ANCHOR study. Sexually Transmitted Infections' Editorial Fellow, Dr Ming Lee, speaks to the journal Editor in Chief, Professor Anna Maria Geretti, and Professor Palefsky, chief investigator of the randomised controlled trial, about the study which investigated treatment of anal high-grade squamous intraepithelial lesions (HSIL) to prevent progression to anal cancer. The study was stopped early following an interim analysis showing a clear benefit in reducing the risk of progression to anal cancer by 57 %, and the findings were recently published in the New England Journal of Medicine. Professor Palefsky also discusses how screening for anal cancer could be improved. Related link about the ANCHOR study: https://www.nejm.org/doi/10.1056/NEJMoa2201048?url_ver=Z39.88-2003𝔯_id=ori:rid:crossref.org𝔯_dat=cr_pub%20%200pubmed

In this rebroadcasted episode of the IJGC podcast, Editor-in-Chief Dr. Pedro Ramirez is joined by Dr. Ainhoa Madariaga to discuss parp inhibitor treatments and adverse events. Dr. Madariaga's article "Manage wisely: poly (ADP-ribose) polymerase inhibitor (PARPi) treatment and adverse events" (ijgc.bmj.com/content/early/2020…8/ijgc-2020-001288), was the Lead Article in the July 2020 issue of IJGC. Dr. Madariaga is a medical oncologist working as a clinical research fellow in the gynecology and drug development program at Princess Margaret Cancer Centre. Her clinical and academic areas of interest are gynecologic cancers and early phase clinical trial design, such as development of drug-repurposing studies, cancer treatment adverse event and patient reported outcomes assessment.

Original release date: July 6, 2021

In this podcast, we interview Professor Joel Palefsky about the ANCHOR study. Sexually Transmitted Infections' Editorial Fellow, Dr Ming Lee, speaks to the journal Editor in Chief, Professor Anna Maria Geretti, and Professor Palefsky, chief investigator of the randomised controlled trial, about the study which investigated treatment of anal high-grade squamous intraepithelial lesions (HSIL) to prevent progression to anal cancer. The study was stopped early following an interim analysis showing a clear benefit in reducing the risk of progression to anal cancer by 57 %, and the findings were recently published in the New England Journal of Medicine. Professor Palefsky also discusses how screening for anal cancer could be improved. Related link about the ANCHOR study: https://www.nejm.org/doi/10.1056/NEJMoa2201048?url_ver=Z39.88-2003𝔯_id=ori:rid:crossref.org𝔯_dat=cr_pub%20%200pubmed

The impact of the type of anesthesia on perioperative outcomes has been the subject of much debate. Observational data suggests that neuraxial anesthesia may provide benefits over general anesthesia, especially in the orthopedic population; however, it remains unclear if these benefits can be materialized in all subpopulations. In this month’s RAPM Focus, Executive Editor Stavros Memtsoudis, MD, PhD, interviews Edward Yap, MD, the first author of “Neuraxial and general anesthesia for outpatient total joint arthroplasty result in similarly low rates of major perioperative complications: a multicentered cohort study,” first published online in January 2022 (https://rapm.bmj.com/content/47/5/294). The study used introspective data from cases performed in 21 centers in the Kaiser Permanente Northern California system between 2017-2019, with the primary goal to compare perioperative outcomes between procedures performed with neuraxial anesthesia and general anesthesia.

Dr. Yap is a senior physician and anesthesiologist with the Kaiser Permanente South San Francisco Medical Group and a volunteer assistant professor with the University of California San Francisco.

*The purpose of this podcast is to educate and to inform. The content of this podcast does not constitute medical advice, and it is not intended to function as a substitute for a healthcare practitioner’s judgement, patient care, or treatment. The views expressed by contributors are those of the speakers. BMJ does not endorse any views or recommendations discussed or expressed on this podcast. Listeners should also be aware that professionals in the field may have different opinions. By listening to this podcast, listeners agree not to use its content as the basis for their own medical treatment or for the medical treatment of others.

Podcast and music produced by Dan Langa. Find us on Twitter @RAPMOnline.

In this week's episode, Joe Ross, professor of medicine at Yale, and The BMJ's US research editor, and Juan Franco, researcher at Heinrich-Heine-Universität and editor in chief of BMJ EBM are in the hot-seat.

They will discuss new research on the effectiveness of antidepressants - based on all the individual patient data submitted to the FDA between 1979 and now.

We'll take a look at a study of industry sponsorship of cost effectiveness analysis, and seeing similar patters of publication bias to RCTs.

And finally we'll be talking about new research on the ongoing, and emergent pandemics - covid and monkeypox.

Reading listResponse to acute monotherapy for major depressive disorder in randomized, placebo controlled trials submitted to the US Food and Drug Administration: individual participant data analysis https://www.bmj.com/content/378/bmj-2021-067606)

Using individual participant data to improve network meta-analysis projects https://ebm.bmj.com/content/early/2022/08/10/bmjebm-2022-111931

Industry sponsorship bias in cost effectiveness analysis: registry based analysis https://www.bmj.com/content/377/bmj-2021-069573

Clinical features and novel presentations of human monkeypox in a central London centre during the 2022 outbreak https://www.bmj.com/content/378/bmj-2022-072410

Effectiveness of a fourth dose of covid-19 mRNA vaccine against the omicron variant among long term care residents in Ontario, Canada: https://www.bmj.com/content/378/bmj-2022-071502

In this week's episode, Joe Ross, professor of medicine at Yale, and The BMJ's US research editor, and Juan Franco, researcher at Heinrich-Heine-Universität and editor in chief of BMJ EBM are in the hot-seat.

They will discuss new research on the effectiveness of antidepressants - based on all the individual patient data submitted to the FDA between 1979 and now.

We'll take a look at a study of industry sponsorship of cost effectiveness analysis, and seeing similar patters of publication bias to RCTs.

And finally we'll be talking about new research on the ongoing, and emergent pandemics - covid and monkeypox.

Reading listResponse to acute monotherapy for major depressive disorder in randomized, placebo controlled trials submitted to the US Food and Drug Administration: individual participant data analysis https://www.bmj.com/content/378/bmj-2021-067606)

Using individual participant data to improve network meta-analysis projects https://ebm.bmj.com/content/early/2022/08/10/bmjebm-2022-111931

Industry sponsorship bias in cost effectiveness analysis: registry based analysis https://www.bmj.com/content/377/bmj-2021-069573

Clinical features and novel presentations of human monkeypox in a central London centre during the 2022 outbreak https://www.bmj.com/content/378/bmj-2022-072410

Effectiveness of a fourth dose of covid-19 mRNA vaccine against the omicron variant among long term care residents in Ontario, Canada: https://www.bmj.com/content/378/bmj-2022-071502

Despite the Conservation party manifesto for the 2019 general election promising to deliver 6,000 additional full-time equivalent GPs, worryingly, the NHS lost 717 FTE GPs between March 2019 and March 2022, and the Health and Social Care Committee’s July 2022 report on workforce was scathing about the Government’s failure to act decisively on the chronic staff shortages across healthcare in the UK. This week, we speak to more colleagues from the RCGP conference: first, we talk to Pamela Curtis about the challenges of returning to general practice after a break; secondly, we speak to a group of GP trainees about their innovative platform, The Big GP Consultation, and hear their thoughts on shaping the future of general practice.

Our guests:

Pamela Curtis is a salaried GP working at NHS Bristol, North Somerset and South Gloucestershire ICB.

Veena Aggarwal, Devina Maru, Liam Loftus and Rachel Weaver are all GP trainees, and are part of the team for The Big GP Consultation.

Further reading:

House of Commons Health and Social Care Committee. Workforce: recruitment, training and retention in health and social care. 2022. https://committees.parliament.uk/publications/23246/documents/169640/default/

The Big GP Consultation. https://thebiggpconsultation.co.uk/

Despite the Conservation party manifesto for the 2019 general election promising to deliver 6,000 additional full-time equivalent GPs, worryingly, the NHS lost 717 FTE GPs between March 2019 and March 2022, and the Health and Social Care Committee’s July 2022 report on workforce was scathing about the Government’s failure to act decisively on the chronic staff shortages across healthcare in the UK. This week, we speak to more colleagues from the RCGP conference: first, we talk to Pamela Curtis about the challenges of returning to general practice after a break; secondly, we speak to a group of GP trainees about their innovative platform, The Big GP Consultation, and hear their thoughts on shaping the future of general practice.

Our guests:

Pamela Curtis is a salaried GP working at NHS Bristol, North Somerset and South Gloucestershire ICB.

Veena Aggarwal, Devina Maru, Liam Loftus and Rachel Weaver are all GP trainees, and are part of the team for The Big GP Consultation.

Further reading:

House of Commons Health and Social Care Committee. Workforce: recruitment, training and retention in health and social care. 2022. https://committees.parliament.uk/publications/23246/documents/169640/default/

The Big GP Consultation. https://thebiggpconsultation.co.uk/

In this podcast, James Cave (Editor-in-Chief) and David Phizackerley (Deputy Editor) talk about the September 2022 issue of DTB. They discuss a new national guideline on the management of gout. They highlight a safety update on the risk of vitamin B12 deficiency with metformin and provide an overview of a study that analysed the way countries across Europe report payments made by pharmaceutical companies to healthcare professionals. They end the podcast with a discussion on the evidence for carbetocin in the prevention of postpartum haemorrhage.

The contact address for the DTB team is dtb@bmj.com.

In this podcast, James Cave (Editor-in-Chief) and David Phizackerley (Deputy Editor) talk about the September 2022 issue of DTB. They discuss a new national guideline on the management of gout. They highlight a safety update on the risk of vitamin B12 deficiency with metformin and provide an overview of a study that analysed the way countries across Europe report payments made by pharmaceutical companies to healthcare professionals. They end the podcast with a discussion on the evidence for carbetocin in the prevention of postpartum haemorrhage.

The contact address for the DTB team is dtb@bmj.com.

Sarah Edwards, Social Media Editor of EMJ, and Rick Body, Deputy Editor of EMJ, take you through the best of the Emergency Medicine Journal in July 2022. They cover some important topics including ED crowding, telephone triage, unrecognised endobroncheal intubation, acute coronary syndromes and pre-hospital trauma. Read the highlights: https://emj.bmj.com/content/39/7/491 If you enjoy our podcast, please consider leaving us a review or a comment on the EMJ Podcast iTunes page (https://podcasts.apple.com/us/podcast/emj-podcast/id445358244).

In this rebroadcasted episode of the IJGC podcast, Editor-in-Chief Dr. Pedro Ramirez is joined by Dr. Nicole Concin to discuss the ESGO-ESTRO-ESP Endometrial Cancer Guidelines.

Original release date: January 4, 2021

Dr Philip Smith, Digital and Education Editor of Gut and Consultant Gastroenterologist at the Royal Liverpool Hospital, Liverpool, UK interviews Professor Sugano, Department of Medicine, Jichi Medical University, Tochigi, Japan, about the paper 'Kyoto international consensus report on anatomy, pathophysiology and clinical significance of the gastro-oesophageal junction'. The article is published in paper copy in Gut in August 2022, and available online: https://gut.bmj.com/content/71/8/1488. Please subscribe to the Gut Podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify, to get the latest podcast every month. If you enjoy our podcast, please consider leaving us a review or a comment on the Gut Podcast iTunes page (https://podcasts.apple.com/gb/podcast/gut-podcast/id330976727).

Dr Philip Smith, Digital and Education Editor of Gut and Consultant Gastroenterologist at the Royal Liverpool Hospital, Liverpool, UK interviews Professor Sugano, Department of Medicine, Jichi Medical University, Tochigi, Japan, about the paper 'Kyoto international consensus report on anatomy, pathophysiology and clinical significance of the gastro-oesophageal junction'. The article is published in paper copy in Gut in August 2022, and available online: https://gut.bmj.com/content/71/8/1488. Please subscribe to the Gut Podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify, to get the latest podcast every month. If you enjoy our podcast, please consider leaving us a review or a comment on the Gut Podcast iTunes page (https://podcasts.apple.com/gb/podcast/gut-podcast/id330976727).

Editor-in-Chief of the Archives of Disease in Childhood, Dr. Nick Brown, and Senior Editor of ADC, Dr. Rachel Agbeko, bring you the monthly Atoms - the highlights of the August 2022 issue. Read it on the Archives of Disease in Childhood website: https://adc.bmj.com/content/107/9/i Please listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832

In this month's podcast, Brandy Schillace talks to Dr Sally Waite and Dr Olivia Turner, of Newcastle University. They discuss "corporeal pedagogy", a form of learning and teaching that suspends conventional modes of Western education, particularly within a university setting, to facilitate embodied and haptic learning and production of knowledge. A blog post containing the transcript of this podcast is available here: https://blogs.bmj.com/medical-humanities/2022/08/18/body-talk-corporeal-pedagogies-with-dr-sally-waite-and-dr-olivia-turner. Subscribe to the Medical Humanities Podcast in all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify. If you enjoy our podcast, please consider leaving us a review and a 5-star rating on the Medical Humanities Podcast iTunes page (https://podcasts.apple.com/gb/podcast/medical-humanities-podcast/id961667204). Thank you for listening!

Dr. Amy Ross Russell(1), interviews Dr. Stephen Kirker(2) about his recent paper detailing the use of appropriate orthoses for patients with weakness or abnormal posture of their lower leg, and they discuss the sorts of problems that can be helped in neurological practice and the range of devices commonly used. Read the latest Editor’s Choice paper on the Practical Neurology website (https://pn.bmj.com/content/22/4/311) and the August print issue of the journal. The paper is also discussed by Practical Neurology editors, Dr. Phil Smith and Dr. Geraint Fuller, in their latest podcast: https://soundcloud.com/bmjpodcasts/editors-highlights-of-the-august-2022-issue (1) Neurology, University Hospital Southampton NHS Foundation Trust, UK (2) Rehab Medicine Department, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK

Please subscribe to the Practical Neurology podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify, to get the latest podcast every month. If you enjoy our podcast, please consider leaving us a review or a comment on the Practical Neurology Podcast iTunes page (https://podcasts.apple.com/gb/podcast/pn-podcast/id942932053).

The Practical Neurology podcast is produced by Letícia Amorim and edited by Brian O'Toole. Thank you for listening.

Editor-in-Chief of the Archives of Disease in Childhood, Dr. Nick Brown, and Senior Editor of ADC, Dr. Rachel Agbeko, bring you the monthly Atoms - the highlights of the August 2022 issue. Read it on the Archives of Disease in Childhood website: https://adc.bmj.com/content/107/9/i Please listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832

In this month's podcast, Brandy Schillace talks to Dr Sally Waite and Dr Olivia Turner, of Newcastle University. They discuss "corporeal pedagogy", a form of learning and teaching that suspends conventional modes of Western education, particularly within a university setting, to facilitate embodied and haptic learning and production of knowledge. A blog post containing the transcript of this podcast is available here: https://blogs.bmj.com/medical-humanities/2022/08/18/body-talk-corporeal-pedagogies-with-dr-sally-waite-and-dr-olivia-turner. Subscribe to the Medical Humanities Podcast in all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify. If you enjoy our podcast, please consider leaving us a review and a 5-star rating on the Medical Humanities Podcast iTunes page (https://podcasts.apple.com/gb/podcast/medical-humanities-podcast/id961667204). Thank you for listening!

Dr. Amy Ross Russell(1), interviews Dr. Stephen Kirker(2) about his recent paper detailing the use of appropriate orthoses for patients with weakness or abnormal posture of their lower leg, and they discuss the sorts of problems that can be helped in neurological practice and the range of devices commonly used. Read the latest Editor’s Choice paper on the Practical Neurology website (https://pn.bmj.com/content/22/4/311) and the August print issue of the journal. The paper is also discussed by Practical Neurology editors, Dr. Phil Smith and Dr. Geraint Fuller, in their latest podcast: https://soundcloud.com/bmjpodcasts/editors-highlights-of-the-august-2022-issue (1) Neurology, University Hospital Southampton NHS Foundation Trust, UK (2) Rehab Medicine Department, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK

Please subscribe to the Practical Neurology podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify, to get the latest podcast every month. If you enjoy our podcast, please consider leaving us a review or a comment on the Practical Neurology Podcast iTunes page (https://podcasts.apple.com/gb/podcast/pn-podcast/id942932053).

The Practical Neurology podcast is produced by Letícia Amorim and edited by Brian O'Toole. Thank you for listening.

Please listen to and enjoy the Editor-in-Chief Mark Beattie's highlights from the special edition of Frontline Gastroenterology put together to celebrate BSG Live 2022, with the overarching theme "Moving forward post-pandemic." The content reflects the breadth and strength of our specialty with first-class reviews written by speakers from and linked to content at the meeting.

Read the UpFront of the August 2022 issue of Frontline Gastroenterology: https://fg.bmj.com/content/13/e1/e1 The full issue is now online: https://fg.bmj.com/content/13/e1 Listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify.

Please listen to and enjoy the Editor-in-Chief Mark Beattie's highlights from the special edition of Frontline Gastroenterology put together to celebrate BSG Live 2022, with the overarching theme "Moving forward post-pandemic." The content reflects the breadth and strength of our specialty with first-class reviews written by speakers from and linked to content at the meeting.

Read the UpFront of the August 2022 issue of Frontline Gastroenterology: https://fg.bmj.com/content/13/e1/e1 The full issue is now online: https://fg.bmj.com/content/13/e1 Listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify.

This BMJ Best Practice podcast is on acute pancreatitis. Acute pancreatitis is a common and serious condition. The incidence in the UK is about 50 per 100,000 per year. And it can cause a range of complications including acute renal failure, pancreatic abscess, and chronic pancreatitis. In this podcast, Kieran Walsh interviews Professor Scott Tenner on acute pancreatitis. Scott is Clinical Professor of Medicine at State University of New York and author of the BMJ Best Practice topic on this condition.

BMJ Relevant topic link - https://bestpractice.bmj.com/topics/en-gb/3000118

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The purpose of this podcast is to educate and to inform. The content of this podcast does not constitute medical advice and it is not intended to function as a substitute for a healthcare practitioner’s judgement, patient care or treatment. The views expressed by contributors are those of the speakers. BMJ does not endorse any views or recommendations discussed or expressed on this podcast. Listeners should also be aware that professionals in the field may have different opinions. By listening to this podcast, listeners agree not to use its content as the basis for their own medical treatment or for the medical treatment of others.

This BMJ Best Practice podcast is on acute pancreatitis. Acute pancreatitis is a common and serious condition. The incidence in the UK is about 50 per 100,000 per year. And it can cause a range of complications including acute renal failure, pancreatic abscess, and chronic pancreatitis. In this podcast, Kieran Walsh interviews Professor Scott Tenner on acute pancreatitis. Scott is Clinical Professor of Medicine at State University of New York and author of the BMJ Best Practice topic on this condition.

BMJ Relevant topic link - https://bestpractice.bmj.com/topics/en-gb/3000118

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The purpose of this podcast is to educate and to inform. The content of this podcast does not constitute medical advice and it is not intended to function as a substitute for a healthcare practitioner’s judgement, patient care or treatment. The views expressed by contributors are those of the speakers. BMJ does not endorse any views or recommendations discussed or expressed on this podcast. Listeners should also be aware that professionals in the field may have different opinions. By listening to this podcast, listeners agree not to use its content as the basis for their own medical treatment or for the medical treatment of others.

In this rebroadcasted episode of the IJGC podcast, Editor-in-Chief Dr. Pedro Ramirez is joined by Dr. Oliver Zivanovic to discuss updates on role of HIPEC in ovarian cancer. Dr. Zivanovic is a Gynecologic Cancer Surgeon at Memorial Sloan Kettering Cancer Center, with the goal to advance the early detection and treatment of women with gynecologic cancers. His special interests include the treatment of patients with advanced stage ovarian cancer and electronic patient-reported symptom monitoring after cancer surgery.

Original release date: August 30, 2021

In this rebroadcasted episode of the IJGC podcast, Editor-in-Chief Dr. Pedro Ramirez is joined by Dr. Oliver Zivanovic to discuss updates on role of HIPEC in ovarian cancer. Dr. Zivanovic is a Gynecologic Cancer Surgeon at Memorial Sloan Kettering Cancer Center, with the goal to advance the early detection and treatment of women with gynecologic cancers. His special interests include the treatment of patients with advanced stage ovarian cancer and electronic patient-reported symptom monitoring after cancer surgery.

Original release date: August 30, 2021

In this podcast we host Professor Benita Olivier (Twitter @BenitaOlivier). Benita is a lecturer in musculoskeletal physiotherapy at the University of the Witwatersrand and is the Director of the Wits Cricket Research Hub. Benita provides great practical tips for clinicians and researchers to create time and increase access to evidence-based information to bridge the gap between publication and the pitch. We also discuss some of the emerging research in African athletes, and what we can learn from Kenyan endurance runners.

Wits Cricket Research Hub https://www.youtube.com/channel/UCIenu_8XdRB7ttG3lGMLcMw Facebook: @witscricketresearchhub https://www.facebook.com/witscricketresearchhub Instagram: @witscricketresearchhub https://www.instagram.com/witscricketresearchhub/ Twitter: @WitsCricketRH https://twitter.com/WitsCricketRH LinkedIn: WITS Cricket Research Hub https://www.linkedin.com/company/wits-cricket-research-hub/

Knowledge and adherence towards evidence-based sports Physiotherapy standards among physiotherapists in Kenya https://www.ijmhr.org/IntJPhysiotherRes/IJPR.2020.171

A prevalence of running-related injuries among professional endurance runners in the Rift Valley, Kenya https://journals.assaf.org.za/index.php/sajsm/article/view/10690

Musculoskeletal predictors of non-contact injury in cricketers e Few and far between? A longitudinal cohort study https://linkinghub.elsevier.com/retrieve/pii/S1466853X1830021X

In this podcast we host Professor Benita Olivier (Twitter @BenitaOlivier). Benita is a lecturer in musculoskeletal physiotherapy at the University of the Witwatersrand and is the Director of the Wits Cricket Research Hub. Benita provides great practical tips for clinicians and researchers to create time and increase access to evidence-based information to bridge the gap between publication and the pitch. We also discuss some of the emerging research in African athletes, and what we can learn from Kenyan endurance runners.

Wits Cricket Research Hub https://www.youtube.com/channel/UCIenu_8XdRB7ttG3lGMLcMw Facebook: @witscricketresearchhub https://www.facebook.com/witscricketresearchhub Instagram: @witscricketresearchhub https://www.instagram.com/witscricketresearchhub/ Twitter: @WitsCricketRH https://twitter.com/WitsCricketRH LinkedIn: WITS Cricket Research Hub https://www.linkedin.com/company/wits-cricket-research-hub/

Knowledge and adherence towards evidence-based sports Physiotherapy standards among physiotherapists in Kenya https://www.ijmhr.org/IntJPhysiotherRes/IJPR.2020.171

A prevalence of running-related injuries among professional endurance runners in the Rift Valley, Kenya https://journals.assaf.org.za/index.php/sajsm/article/view/10690

Musculoskeletal predictors of non-contact injury in cricketers e Few and far between? A longitudinal cohort study https://linkinghub.elsevier.com/retrieve/pii/S1466853X1830021X

In today's podcast, we discuss the results of an observational study that showed reduced alertness during working hours among eight-hour rotating-shift nurses. Evidence-Based Nursing Associate Editor, Kerry Gaskin, interviews Vittoria Sorice and Emma Russell, both from Chesterfield Royal Hospital NHS Foundation Trust, UK. Their paper is available on the EBN website (https://ebn.bmj.com/content/early/2022/04/06/ebnurs-2022-103518)and is a commentary on: Min A, Hong HC, Son S, et al, Alertness during working hours among eight-hour rotating-shift nurses: an observational study. J Nurs Scholar 2021;75. doi:10.1111/JNU.12743 Please subscribe to the Evidence-Based Nursing podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify, to get the latest podcast every month. If you enjoy our podcast, please consider leaving us a review or a comment on the Evidence-Based Nursing podcast iTunes page (https://podcasts.apple.com/gb/podcast/ebn-podcast/id942927408). Thank you for listening.

Previous Doctor Informed episodes have discussed how to prevent patient safety issues from occurring, but sometimes situations are beyond anyone's control - like covid.

Hhow should individual doctors, and the hospital system, respond to those crises? Especially when it can be hard to look back at things we know have gone wrong, and could be critical of the way we responded.

In this episode, we're joined by Annelieke Dresden, a medical anthropologist at the London School of Hygiene and Tropical Medicine, who has spent hours listening to patient experiences of ICU during the covid pandemic. We'll also be hearing from Dominque Allwood, medical director at UCL Partners, and Deputy Director of Strategy and Improvement at Imperial College Healthcare NHS Trust, and asking; are doctors always the right ones to be leading on changing things in healthcare?

The research Annelieke Drissen discussed, and the full versions of the patient interviews in the podcast are available at https://healthtalk.org/Experiences-of-Covid-19-and-Intensive-Care/overview

In this rebroadcasted episode of the IJGC podcast, Editor-in-Chief Dr. Pedro Ramirez is joined by Dr. Kathleen Schmeler to discuss the ConCerv Trial. Dr. Schmeler is the lead author of “ConCerv: a prospective trial of conservative surgery for low-risk early-stage cervical cancer,” which was the Lead Article of IJGC’s October 2021 issue. Dr. Schmeler is a Professor in Gynecologic Oncology at The University of Texas MD Anderson Cancer Center. She provides care to women with gynecologic malignancies including surgery, chemotherapy and preventive services. Dr. Schmeler is also the Executive Director of Global Oncology for the MD Anderson Cancer Network. Her research interest is in cervical cancer prevention and treatment, particularly for resource-constrained countries and medically underserved communities in the US.

Original release date: October 4, 2021

Highlights: - The ConCerv trial is the first prospective study of conservative surgery in women with low-risk cervical cancer. It included 14 sites in 9 countries. - Findings from the ConCerv Trial offer prospective data supporting a more conservative approach to low-risk patients, sparing them the early and late morbidity associated with radical procedures. - It will also allow for safer cervical cancer surgery in low- and middle-income countries, where the burden of cervical cancer is highest. - In our study, conservative surgery was associated with a 3.5% recurrence rate in women with low-risk cervical cancer. In addition, the rate of positive lymph nodes was 5%, with lymph node assessment recommended in this low-risk population. - Further study is needed to determine long term outcomes and optimal pathologic criteria for conservative surgery.

On this episode of the AMSSM Sports Medcast (T: @TheAMSSM) host Dr. Jacob Wessels, MD is joined by sports medicine researcher and past president of the American College of Sports Medicine, Dr. NiCole Keith, PhD to discuss the topic of Exercise for Post-Menopausal Women.

Dr. NiCole Keith (T: @nicolekeithphd) is a Professor from the Department of Kinesiology and associate dean of faculty affairs in the School of Health & Human Sciences at Indiana University-Purdue University Indianapolis. Her research interests include physical activity and health equity. In addition to serving as the current president of the ACSM she has previously served as the vice president of membership, communication, and policy and serves on both the Exercise is Medicine and American Fitness Index advisory boards.

In this 20 -minute conversation Dr. Keith addresses the following topics: · Discussing the different stages of menopause and the importance of physical activity during these stages · Creating effective exercise prescriptions, including the best physical activity recommendations and strategies · The best types of exercises for post-menopausal women and several alternatives, based on potential health and risk factors · Addressing health disparities between genders and communities, and making sure individuals can safely engage in physical activity

This month, we explore the career of Professor Flaura Winston, Scientific Director of the Center for Injury Research and Prevention at Children's Hospital of Philadelphia, and Distinguished Chair in the Department of Pediatrics. Dr Winston is a board-certified pediatrician, a doctorally-trained engineer, and a public health researcher, who conducts research at the interface of child and adolescent health, injury, engineering, and behavioral science. Please subscribe to the Injury Prevention Podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify. If you enjoy our podcast, please consider leaving us a review and a 5-star rating on the Injury Prevention Podcast iTunes page (https://podcasts.apple.com/gb/podcast/injury-prevention-podcast/id942473946). Thank you for listening!

This month, Dr. Rachel Agbeko, Senior Editor of ADC, is joined by Prof. Julie Mytton(1) and Prof. Sunil Joshi(2) to discuss their new model of injury surveillance in Nepalese emergency departments, the trends in injuries affecting children, and the implications of these. Read the paper 'Epidemiology of paediatric injuries in Nepal: evidence from emergency department injury surveillance' on the ADC website - https://adc.bmj.com/content/106/11/1050. The ADC Spotlight podcast is the Archives of Disease in Childhood podcast covering areas that don’t usually get much attention or might be taken for granted in children's health. This series is produced by Letícia Amorim and edited by Brian O'Toole. Please listen to our regular podcasts and subscribe to Apple Podcasts, Google Podcasts, Stitcher, and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832

(1) Professor of Public Health at University of the West of England, Bristol, UK (2)Professor at Dep. Community Medicine, Director of Nepal Injury Research Centre, Nepal

Duane Peters from the Lupus Foundation of America interviews Dr Gary Gilkeson from the Medical University of South Carolina about a phase I trial into the use of mesenchymal stromal cells (MSC) in refractory lupus patients in the USA, following impressive results of clinical improvement resulting from this therapy in China. The trial indicated that infusions of MSCs derived from the umbilical cord are safe and may be effective in treating mild to moderate systemic lupus erythematosus, with minimal adverse effects. Access the article: http://dx.doi.org/10.1136/lupus-2022-000704

In this week’s episode, we share our experiences of attending the recent RCGP Annual Conference, and our thoughts on the topics that were covered in the talks at this year’s event. We talk to RCGP Chair, Martin Marshall, about continuity of care, which he states is one of the defining features of general practice. Evidence has shown that continuity of care is associated with better health outcomes for patients, but how can doctors convince politicians and policymakers of the benefits of it? We also speak to Emma Gladwinfield, a GP in Rossendale, about how connecting with schools, churches and community centres is helping to build relationships with patients and deliver care in her local community.

Our guests:

Martin Marshall is the Chair of the RCGP, a GP in Newham, East London, and Professor of Healthcare Improvement at UCL.

Emma Gladwinfield is a GP in Rossendale, East Lancashire.

Further reading:

‘Tackling the crisis in primary care’. doi:10.1136/bmj.o1485. https://www.bmj.com/content/377/bmj.o1485

COPD or chronic obstructive pulmonary disease is common. The pooled global prevalence is 15% in men and 9% in women. The expanding epidemic of smoking and the ageing of the population means that its prevalence is increasing. And COPD is a serious disease. It is associated with recurrent pneumonia, cor pulmonale, and respiratory failure. In this BMJ Best Practice podcast, Kieran Walsh talks to Dr. Hanna Sandelowsky, GP, Head of Unit at the Academic Primary Healthcare Centre, and Senior Researcher at Karolinska Institutet in Sweden.

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The purpose of this podcast is to educate and to inform. The content of this podcast does not constitute medical advice and it is not intended to function as a substitute for a healthcare practitioner’s judgement, patient care or treatment. The views expressed by contributors are those of the speakers. BMJ does not endorse any views or recommendations discussed or expressed on this podcast. Listeners should also be aware that professionals in the field may have different opinions. By listening to this podcast, listeners agree not to use its content as the basis for their own medical treatment or for the medical treatment of others.

In this episode, Juan Franco, editor in chief of BMJ EBM, and Helen Macdonald, The BMJ's research integrity editor, sit down to discuss what's new in the world of evidence.

Firstly, last week they went to the first EBM Live conference for two years - and report back on what happened when the evidence community got back together.

We have two research papers looking at knees and shoulders, and finding out about the balance of risks and benefits.

In covid news, we're still finding new symptoms associated with infection, 2.5 years after the pandemic started. We'll also hear how complex it is to research vaccine efficacy now.

Reading list: Smell and taste dysfunction after covid-19 https://www.bmj.com/content/378/bmj.o1653

Serious adverse event rates and reoperation after arthroscopic shoulder surgery https://www.bmj.com/content/378/bmj-2021-069901

Viscosupplementation for knee osteoarthritis https://www.bmj.com/content/378/bmj-2022-069722

Waning effectiveness of BNT162b2 and ChAdOx1 covid-19 vaccines over six months since second dose https://www.bmj.com/content/378/bmj-2022-071249

Dr Philip Smith, Associate and Social Media Editor of FG and Consultant Gastroenterologist at the Royal Liverpool Hospital, Liverpool, UK interviews Dr Bel Kok who is a Consultant Gastroenterologist in the Department of Gastroenterology, Royal London Hospital, Barts and The London NHS Trust, London, UK on the paper 'Understanding and managing psychological disorders in patients with inflammatory bowel disease: a practical guide' published in paper copy in Frontline Gastroenterology in May 2022 and on the website: https://fg.bmj.com/content/early/2022/05/23/flgastro-2022-102094. Listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify. If you enjoy our podcast, please rate us on your chosen platform, and leave us a review on the Frontline Gastroenterology Podcast page on iTunes: https://podcasts.apple.com/gb/podcast/fg-podcast/id942944229

In this podcast, James Cave (Editor-in-Chief) and David Phizackerley (Deputy Editor) talk about the August 2022 issue of DTB. They discuss progress in reducing use of psychotropic medications in adults and children with a learning disability, autism or both (https://dtb.bmj.com/content/60/8/114). They also provide an overview of a study that assessed the effect of deprescribing antihypertensive medication in older people (https://dtb.bmj.com/content/60/8/118) and talk about a national safety alert relating to amiodarone (https://dtb.bmj.com/content/60/8/116). They end the podcast with a discussion on the evidence for the lipid-lowering drug bempedoic acid and its effect on reducing low-density lipoprotein-cholesterol and the lack of evidence on clinical outcomes (https://dtb.bmj.com/content/60/8/120). The contact address for the DTB team is dtb@bmj.com. Please subscribe to the DTB podcast to get episodes automatically downloaded to your mobile device and computer. Also, please consider leaving us a review or a comment on the DTB Podcast iTunes podcast page (https://podcasts.apple.com/gb/podcast/dtb-podcast/id307773309). Thank you for listening.

Last month we gave you a sneaky audio advanced peek into traumatic cardiac arrest - https://adc.bmj.com/content/107/7/695.1 - and so this month we are encouraging you to take a step back and think about why on earth we are doing this difficult, demanding, and intellectually brain stretching stuff of critically appraising clinical research studies - https://adc.bmj.com/content/107/8/772.1 - and beyond that, getting involved and creating some Archi’s yourself - adc.bmj.com/pages/authors/#archimedes. Please listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832

In this episode of the Heart podcast, Digital Media Editor, Dr James Rudd, is joined by Dr Ramesh Nadarajah from the University of Leeds. They discuss their recent paper on Covid-bloated waiting lists and whether modelling can help to improve the situation for patients with aortic stenosis. If you enjoy the show, please leave us a podcast review at https://itunes.apple.com/gb/podcast/heart-podcast/id445358212?mt=2

Link to published paper: https://bmjopen.bmj.com/content/12/6/e059309

In this episode of the Heart podcast, Digital Media Editor, Dr James Rudd, is joined by Dr Ramesh Nadarajah from the University of Leeds. They discuss their recent paper on Covid-bloated waiting lists and whether modelling can help to improve the situation for patients with aortic stenosis. If you enjoy the show, please leave us a podcast review at https://itunes.apple.com/gb/podcast/heart-podcast/id445358212?mt=2

Link to published paper: https://bmjopen.bmj.com/content/12/6/e059309

Last month we gave you a sneaky audio advanced peek into traumatic cardiac arrest - https://adc.bmj.com/content/107/7/695.1 - and so this month we are encouraging you to take a step back and think about why on earth we are doing this difficult, demanding, and intellectually brain stretching stuff of critically appraising clinical research studies - https://adc.bmj.com/content/107/8/772.1 - and beyond that, getting involved and creating some Archi’s yourself - adc.bmj.com/pages/authors/#archimedes. Please listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832

Buprenorphine is an incredibly safe and effective drug as both an analgesic as well as a front-line therapy for the treatment of an opioid use disorder (OUD). However, decisions around the management of this drug in the perioperative period have generated substantial confusion and anxiety amongst patients, policymakers, and healthcare providers. In this month’s “RAPM Focus,” Editor-in-Chief Brian Sites, MD, interviews Lynn Kohan, MD, the senior author of “Buprenorphine management in the perioperative period: educational review and recommendations from a multisociety expert panel,” first published in August 2021 (https://rapm.bmj.com/content/46/10/840). This multi-center and multi-disciplinary project establishes expert recommendations for the perioperative management of patients with OUD and brings clarity to many of these questions.

Dr. Kohan is an associate professor of anesthesiology and pain medicine at the University of Virginia (UVA) Pain Management Center. She did her anesthesiology residency at Georgetown University and her pain fellowship at UVA. She has served as the chronic pain fellowship director for the past several years and was recently appointed division chief of pan medicine. She is actively involved with ASRA Pain Medicine, serving as the chair of the membership committee. In addition, she holds leadership positions in the area of education, serving as the president-elect of the Association of Pain Program Directors, council member of the Society of Academic Associations of Anesthesiology and Perioperative Medicine, and the chair of the fellowship committee at the American Academy of Pain Medicine.

*The purpose of this podcast is to educate and to inform. The content of this podcast does not constitute medical advice, and it is not intended to function as a substitute for a healthcare practitioner’s judgement, patient care, or treatment. The views expressed by contributors are those of the speakers. BMJ does not endorse any views or recommendations discussed or expressed on this podcast. Listeners should also be aware that professionals in the field may have different opinions. By listening to this podcast, listeners agree not to use its content as the basis for their own medical treatment or for the medical treatment of others.

Podcast and music produced by Dan Langa. Find us on Twitter @RAPMOnline.

In this episode of the IJGC podcast, Editor-in-Chief Dr. Pedro Ramirez is joined by Drs. Robert Coleman and Shannon Westin to discuss updates on overall survival PARP inhibitors. Robert L. Coleman, MD, is a gynecologic oncologist is Houston Texas and serves as SVP and Chief Scientific Officer for US Oncology Research. His primary research interests are in drug development for gynecological cancers and clinical trial management; he has authored more than 350 peer-reviewed publications. Dr. Shannon Westin focuses on developmental therapeutics and the use of biomarkers to predict response and recurrence in gynecologic malignancies. She currently serves as the Director of Early Drug Development and Phase I trials in her department and is a Co-Director of the Ovarian Cancer Moonshot. She is currently the PI or co-PI for greater than 30 novel treatment trials in gynecologic malignancies.

Buprenorphine is an incredibly safe and effective drug as both an analgesic as well as a front-line therapy for the treatment of an opioid use disorder (OUD). However, decisions around the management of this drug in the perioperative period have generated substantial confusion and anxiety amongst patients, policymakers, and healthcare providers. In this month’s “RAPM Focus,” Editor-in-Chief Brian Sites, MD, interviews Lynn Kohan, MD, the senior author of “Buprenorphine management in the perioperative period: educational review and recommendations from a multisociety expert panel,” first published in August 2021 (https://rapm.bmj.com/content/46/10/840). This multi-center and multi-disciplinary project establishes expert recommendations for the perioperative management of patients with OUD and brings clarity to many of these questions.

Dr. Kohan is an associate professor of anesthesiology and pain medicine at the University of Virginia (UVA) Pain Management Center. She did her anesthesiology residency at Georgetown University and her pain fellowship at UVA. She has served as the chronic pain fellowship director for the past several years and was recently appointed division chief of pan medicine. She is actively involved with ASRA Pain Medicine, serving as the chair of the membership committee. In addition, she holds leadership positions in the area of education, serving as the president-elect of the Association of Pain Program Directors, council member of the Society of Academic Associations of Anesthesiology and Perioperative Medicine, and the chair of the fellowship committee at the American Academy of Pain Medicine.

*The purpose of this podcast is to educate and to inform. The content of this podcast does not constitute medical advice, and it is not intended to function as a substitute for a healthcare practitioner’s judgement, patient care, or treatment. The views expressed by contributors are those of the speakers. BMJ does not endorse any views or recommendations discussed or expressed on this podcast. Listeners should also be aware that professionals in the field may have different opinions. By listening to this podcast, listeners agree not to use its content as the basis for their own medical treatment or for the medical treatment of others.

Podcast and music produced by Dan Langa. Find us on Twitter @RAPMOnline.

In this episode of the IJGC podcast, Editor-in-Chief Dr. Pedro Ramirez is joined by Drs. Robert Coleman and Shannon Westin to discuss updates on overall survival PARP inhibitors. Robert L. Coleman, MD, is a gynecologic oncologist is Houston Texas and serves as SVP and Chief Scientific Officer for US Oncology Research. His primary research interests are in drug development for gynecological cancers and clinical trial management; he has authored more than 350 peer-reviewed publications. Dr. Shannon Westin focuses on developmental therapeutics and the use of biomarkers to predict response and recurrence in gynecologic malignancies. She currently serves as the Director of Early Drug Development and Phase I trials in her department and is a Co-Director of the Ovarian Cancer Moonshot. She is currently the PI or co-PI for greater than 30 novel treatment trials in gynecologic malignancies.

Have you ever felt like you had to dial up an aspect of your personality in order to fit in on placement? When going on placement, there may be times when you feel like ‘the odd one out’. But do you have to fit in? Are there benefits in being different?

Does medical training shape us into doctors with identical tone and manner and does this bode well with patients?

In this episode, the Sharp Scratch team recounts experiences of displaying different sides of their personality at work, the positives of working with people of different personalities, and the importance of being your true authentic self.

Expert guest: Miss Clara Munro (@ClaraEMunro on Twitter)is a General Surgical Trainee in the North East of England and was the Editorial Registrar at the BMJ.

Check us out on social media: Twitter: https://twitter.com/BMJStudent Instagram: https://www.instagram.com/bmj_student/ Facebook: https://www.facebook.com/BMJStudent/

This podcast is produced and edited by Dom Byrne and Duncan Jarvies.

Dr Philip Smith, Digital and Education Editor of Gut and Consultant Gastroenterologist at the Royal Liverpool Hospital, Liverpool, UK, interviews Professor Bork, Director of the Heidelberg site of the European Molecular Biology Laboratory Heidelberg, Baden, Germany on the paper 'A faecal microbiota signature with high specificity for pancreatic cancer' published in paper copy in Gut in July 2022, and available online: https://gut.bmj.com/content/71/7/1359 Please subscribe to the Gut Podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify, to get the latest podcast every month. If you enjoy our podcast, please consider leaving us a review or a comment on the Gut Podcast iTunes page (https://podcasts.apple.com/gb/podcast/gut-podcast/id330976727).

The Women in Sport Congress, happening in Melbourne 17-19 August 2022, is looking to start conversations on how we can optimise women’s performance programmes and overall health within a sporting context. Dr. Rachel Harris is a Sport & Exercise Medicine Physician based in Perth, Australia, who is the project lead for the AIS Female Performance & Health Imitative (FPHI) and is co-organising the Women in Sport Congress. During the podcast she discusses strategies we need to employ to keep women and girls engaged in physical activity with some bonus content on tips to get involved in Para-Sport!

Links https://www.ais.gov.au/fphi https://womeninsportcongress.org.au/

LivingBodiesObjects is a 3-year project funded by the Wellcome Trust designed to test and extend the boundaries of Medical Humanities research. Today we talk to Stuart Murray and Amelia DeFalco, University of Leeds, about the value of de-centering structures and opening diversity. Link to the blog post with more information about the project, and transcription of the podcast: https://blogs.bmj.com/medical-humanities/2022/07/21/posthumanism-and-the-livingbodiesobject-project Subscribe to the Medical Humanities Podcast in all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify. If you enjoy our podcast, please consider leaving us a review and a 5-star rating on the Medical Humanities Podcast iTunes page (https://podcasts.apple.com/gb/podcast/medical-humanities-podcast/id961667204). Thank you for listening!

In this podcast, Dr. Javier Rodríguez-Carrio (1) talks to Dr. Tue Kragstrup (2) about the recent safety data on JAK inhibitors emerged after the ORAL Surveillance study. They discuss what is the current situation, the potential strategies to escape a ‘static’ situation, by managing uncertainty in the context of balancing risks, patient preferences and shared-decision process. Read the Open Access related paper: https://rmdopen.bmj.com/content/8/1/e002236 (1) Javier Rodríguez-Carrio (University of Oviedo) (@javierrcarrio); (2) Tue Wenzel Kragstrup (University of Aarhus) (@KragstrupTW)

Editor-in-Chief of the Archives of Disease in Childhood, Dr. Nick Brown, and Senior Editor of ADC, Dr. Rachel Agbeko, bring you the monthly Atoms - the highlights of the August 2022 issue. Read it on the Archives of Disease in Childhood website: https://adc.bmj.com/content/107/8/i Please listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832

As the Russian invasion of Ukraine continues, living under the uncertainty has become the new normal for thousands of patients with diabetes who are dependant on insulin.

Supporting patients with non-communicable disease is the reality of all disaster situations now, and that added layer of complexity makes coordinating responses even harder.

In this podcast, we'll hear how people with diabetes are being supported in Ukraine, and what is being done to improve things, despite the continued fighting.

Our guests; Iryna Vlasenko, Vice President of the International Diabetes Federation Slim Slama, unit head for NCD management at the WHO Yaroslav Diakunchak, family physician in Brovary, Kyiv.

Transient ischemic attacks are common - in the UK, the US and around the world. And they are important – mainly because of the high risk of stroke following a TIA. The risk of stroke is high in the first 7 days. So it is important to get on with diagnosis, investigations, and management as soon as possible. In this BMJ Best Practice podcast, Kieran Walsh talks to Dr Jennifer Simpson, Vascular Neurologist and Associate Professor in the Department of Neurology at the University of Colorado.

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The purpose of this podcast is to educate and to inform. The content of this podcast does not constitute medical advice and it is not intended to function as a substitute for a healthcare practitioner’s judgement, patient care or treatment. The views expressed by contributors are those of the speakers. BMJ does not endorse any views or recommendations discussed or expressed on this podcast. Listeners should also be aware that professionals in the field may have different opinions. By listening to this podcast, listeners agree not to use its content as the basis for their own medical treatment or for the medical treatment of others.

Practical Neurology Editors Phil Smith and Geraint Fuller talk you through the highlights of the August 2022 issue of the journal. Read more on the PN website: https://pn.bmj.com/content/22/4/261 The full issue here: https://pn.bmj.com/content/22/4 Please subscribe to the Practical Neurology podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify, to get the latest podcast every month. If you enjoy our podcast, please consider leaving us a review or a comment on the Practical Neurology Podcast iTunes page (https://podcasts.apple.com/gb/podcast/pn-podcast/id942932053). The PN podcast is produced by Letícia Amorim and edited by Brian O'Toole. Thank you for listening.

In this episode of the IJGC podcast, Editor-in-Chief Dr. Pedro Ramirez is joined by Dr. Gillian Hanley to discuss opportunistic salpingectomy for the prevention of ovarian cancer. Gillian Hanley, PhD, is an Associate Professor in the department of Obstetrics & Gynaecology at the University of British Columbia and a Canada Research Chair in Population-based Gynecologic and Perinatal outcomes. She does health services research in gynecology, primarily in the area of ovarian cancer prevention.

Highlights:

Opportunistic salpingectomy, the removal of fallopian tubes during a hysterectomy with ovarian preservation or instead of tubal ligation, has been recommended as ovarian cancer prevention following evidence that the fallopian tube is the tissue of origin for most high grade serous ovarian cancers.
We recently published the first data comparing observed to expected numbers of serous and epithelial ovarian cancers following opportunistic salpingectomy done for the purposes of ovarian cancer prevention in British Columbia, Canada. 3.Our data strongly suggest that opportunistic salpingectomy is effective in preventing serous ovarian cancers. There were 0 serous cancers in the opportunistic salpingectomy, and if they had been arising at the same rate as in the control groups (hysterectomy alone and tubal ligation), we would have expected 5.3. 0 is below the low end of the 95% confidence interval.

We are faced in paediatrics with some very, very difficult situations. Where our humanity and medical training come to the fore - in working with families dealing with the cliff edge of their child’s mortality - is where we need to put the same emotional and intellectual effort we would want if the tables were turned. At these times, knowing our advice is based on the best available evidence may have even greater importance. This month we address this in two different fields of care. The ED, and traumatic cardiac arrest [https://adc.bmj.com/content/107/7/695.1] and in the neonatal intensive care, with a resistant intracardiac thrombosis [https://adc.bmj.com/content/early/2022/05/10/archdischild-2022-323789]. We also spend a few moments pleading with you not to be beguiled by the power of p [https://adc.bmj.com/content/107/7/695.2]… and while less clinical, that’s as important. Please listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832

In this episode of the Heart podcast, Digital Media Editor, Dr James Rudd, is joined by Dr Holly Morgan from London. They discuss her paper about why fewer women than men are enrolled in heart failure trials. If you enjoy the show, please leave us a podcast review at https://itunes.apple.com/gb/podcast/heart-podcast/id445358212?mt=2

Link to published paper: https://heart.bmj.com/content/early/2022/04/14/heartjnl-2021-320696

As more and more pharmaceutical products come onto the market, there are so many potential drug interactions, and adverse reactions, to bear in mind during a consultation in primary care. In this week’s episode, we speak to Anders Holt, the author of a recent research paper looking at co-prescribing nitrates and sildenafil, which is surprisingly common, and adverse events associated with this. We also discuss the neuropsychiatric side effects of montelukast with Corine Ekhart, and talk about the challenges of striking the right balance between highlighting a rare but important side effect and causing the patient anxiety about taking the medication.

Our guests:

Anders Holt is a PhD candidate at Copenhagen University Hospital, Denmark.

Corine Ekhart is a pharmacist at the Netherlands Pharmacovigilance Centre Lareb in 's-Hertogenbosch, the Netherlands.

Further reading:

‘Adverse Events Associated With Coprescription of Phosphodiesterase Type 5 Inhibitors and Oral Organic Nitrates in Male Patients With Ischemic Heart Disease : A Case-Crossover Study’. doi:10.7326/M21-3445 https://www.acpjournals.org/doi/10.7326/M21-3445

‘Neuropsychiatric reactions with the use of montelukast’. doi:10.1136/bmj-2021-067554

https://www.bmj.com/content/376/bmj-2021-067554

In this episode of the IJGC Podcast, Editorial Fellows Katherine Hicks-Courant and Christina Uwins discuss the contents of the June issue of IJGC.

In this conversation with John Dickenson, MD, PhD, University of Nebraska Medical Center and Social Media Editor for Journal of Investigative Medicine, Sara Myers, PhD, University of Nebraska Omaha, provides an overview of the NIH loan repayment program (LRP) program, including eligibility, the application process, renew options, and keys to successful application. Student loan debt has been a big topic in the news recently and certainly a factor for trainees and junior faculty thinking about pursuing an academic career. This timely topic is relevant to those JIM podcast listeners who are trainees or junior facility members in academic careers who may have student loan debts.

Dr. Sara Myers is the D.B. and Paula Varner Professor in the department of Biomechanics at the University of Nebraska at Omaha. She is also the Assistant Vice Chancellor at the Office of Research and Creative Activity. Her lab focuses on the biophysical forces that influence human disease such as neuromuscular disease and peripheral vascular diseases. She has been well funded including NIH and VA funding with 45 manuscripts.

In this episode of the IJGC podcast, Editor-in-Chief Dr. Pedro Ramirez is joined by Dr. Gerda Trutnovsky to discuss the use of imiquimod versus surgery for the treatment of vHSIL. Dr. Trutnovsky studied at the University of Graz/Austria and the University of Sydney/Australia. She works as an associate professor in the Department of Obstetrics and Gynecology at the Medical University of Graz/Austria, with a special interest in vulvar disease.

Highlights: This was the first prospective trial of imiquimod versus surgery for the treatment of vulvar high grade squamous intraepithelial lesions (vHSIL). Complete clinical response at 6 months was observed in 80% of patients using imiquimod per-protocol, compared to 79% in women who had one surgical intervention. Imiquimod was used in a slowly escalating dosage scheme up to 3 times a week and reduced in case of side effects – local toxicity was mostly mild to moderate. Imiquimod is a safe, effective and well accepted alternative to surgery and can be considered a first-line treatment option.

This is a special segment from the Sharp Scratch episode - what med school didn’t teach you about money.

Have you received your first payslip and not sure whether you have been paid correctly? Listen to this short clip where the doctors behind Medics Money will guide you through the key things to check on your payslip and decipher tax codes in under 10 minutes.

If you would like to hear more about how to claim tax rebate, information about income protection and relocation costs, head over to episode 78, titled 'what med school didn’t teach you about money' to find more.

Expert guests: Dr Tommy Perkins and Dr Ed Cantello are GPs and co-founders of Medics Money.

Useful links that Dr Perkins and Dr Cantelo recommend: •Free Ebook www.medicsmoney.co.uk/ebook/ •10 top tips for junior doctors podcast www.medicsmoney.co.uk/ep-5-10-financ…unior-doctors/ •Tax code guide - www.medicsmoney.co.uk/is-your-doctor…-code-correct/ •Tax rebate guide - www.medicsmoney.co.uk/free-guide/

Check us out on social media: Twitter: twitter.com/BMJStudent Instagram: www.instagram.com/bmj_student/ Facebook: www.facebook.com/BMJStudent/

This episode does not represent any form of financial, legal or accounting advice and tax allowances and rates are subject to change.

At med school, we are trained to interpret blood tests but not much (if at all) on how to interpret your payslip.

Financial literacy doesn’t feature much in our medical curriculum but it’s an important life skill to have: from interpreting your payslip to claiming tax rebate on your postgrad exams fees.

In this episode, the doctors behind Medics Money share their experiences regarding costs that newly qualified doctors will have to consider after med school, some money saving tips for junior docs and things to look out for when you’re interpreting a payslip.

Topics covered: •Things to look out for on your payslip •What should you do when you notice you haven’t been paid correctly •Sick pay •Claiming tax rebate on costs of training •Relocation costs

Expert guests: Dr Tommy Perkins and Dr Ed Cantello are GPs and co-founders of Medics Money.

Useful links that Dr Perkins and Dr Cantelo recommend: •Free Ebook https://www.medicsmoney.co.uk/ebook/ •10 top tips for junior doctors podcast https://www.medicsmoney.co.uk/ep-5-10-financial-tips-for-junior-doctors/ •Tax code guide - https://www.medicsmoney.co.uk/is-your-doctors-tax-code-correct/ •Tax rebate guide - https://www.medicsmoney.co.uk/free-guide/

Check us out on social media: Twitter: https://twitter.com/BMJStudent Instagram: https://www.instagram.com/bmj_student/ Facebook: https://www.facebook.com/BMJStudent/

This podcast is produced and edited by Dom Byrne and Duncan Jarvies.

This episode does not represent any form of financial, legal or accounting advice and tax allowances and rates are subject to change.

Editor-in-chief of Medical Humanities, Brandy Schillace, interviews Narin Hassan and Jessica Howell about their innovative and interdisciplinary approach to health humanities. Narin Hassan is Associate Professor and Director of Global Media and Cultures (MS-GMC) in the School of Literature, Media, and Communication at Georgia Tech. Jessica Howell is Professor of English and Associate Director of the Glasscock Center for Humanities Research at Texas A&M University. Read the blog with the transcription of this podcast: https://blogs.bmj.com/medical-humanities/2022/07/07/global-health-humanities-a-june-special-issue The special issue is available: https://mh.bmj.com/content/48/2 Subscribe to the Medical Humanities Podcast in all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify. If you enjoy our podcast, please consider leaving us a review and a 5-star rating on the Medical Humanities Podcast iTunes page (https://podcasts.apple.com/gb/podcast/medical-humanities-podcast/id961667204). Thank you for listening!

In a very personal interview, Dr Mark Rosenberg, who has been at the centre of injury prevention for more than a generation, tells Dr Rod McClure, about his path in a career that was not always understood. "We were given an old bathroom in the sub-sub-basement of a minor building and a lot of people in public health thought that's just where we belonged." Mark L. Rosenberg was president and CEO of the Task Force for Global Health, and has also worked at the Centers for Disease Control and Prevention (CDC) for 20 years, where he was instrumental in founding the National Center for Injury Prevention and Control (NCIPC). Please subscribe to the Injury Prevention Podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify. If you enjoy our podcast, please consider leaving us a review and a 5-star rating on the Injury Prevention Podcast iTunes page (https://podcasts.apple.com/gb/podcast/injury-prevention-podcast/id942473946). Thank you for listening!

Editor-in-Chief of the Archives of Disease in Childhood, Dr Nick Brown, and Senior Editor, Dr Rachel Agbeko, bring you the Atoms - the highlights of the July 2022 issue. Read it on the Archives of Disease in Childhood website: https://adc.bmj.com/content/107/7/i Please listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832

Thank you for joining us for the HTLV2022 Conference review. Dr Fabiola Martin speaks to Joanna Curteis, the Australian patient representative, Dr Carolina Rosadas, researcher associate at National Centre for Human Retrovirology, Imperial College London, who specialises in HTLV-1 vertical transmission and Prof Damian Purcell. Damian's research group investigates the HIV-1 and HTLV-1 human retroviruses that cause AIDS and leukaemia/inflammatory pathogenesis respectively at Doherty Institute, Melbourne. We also discuss the Global Call to Action towards the elimination of HTLV-1 and an important message from the World Health Organisation delivered by Dr Meg Doherty. Related blog post: https://blogs.bmj.com/sti/2022/07/06/ichr-2022/ Related links: https://www.htlvnet.com https://www.htlvaware.com HTLV Channel https://www.youtube.com/channel/UCI6aLSTtk7chXMeybJ92Fhw Follow @HTLVChannel National Centre for Human Retrovirology http://www.htlv.eu/ WHO HTLV technical report https://apps.who.int/iris/handle/10665/339773

Duane Peters from the Lupus Foundation of America interviews Dr Peter Izmirly from New York University and Dr Elizabeth Ferucci from the Alaska Native Tribal Health Consortium, both in the USA.

They discuss the establishment of a network of population-based lupus patient registries in the USA and how these have been used to estimate the incidence rate of systemic lupus erythematosus using standardised data stratified by sex, race and ethnicity.

Access the article: https://lupus.bmj.com/content/8/1/e000614

Axial spondyloarthritis is a chronic progressive inflammatory arthropathy, which ultimately may lead to radiographical changes in the spine and sacroiliac joints. This radiographical stage is known as ankylosing spondylitis.

Inflammatory back pain is the hallmark clinical feature. This is defined as back pain that is of insidious onset, is worse in the morning, and improves with exercise.

In this podcast, Markku Kauppi, Professor of Rheumatology, Helsinki University, gives a clinical overview of the condition.

For more on ankylosing spondylitis, visit BMJ Best Practice: bestpractice.bmj.com/topics/en-gb/366

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The purpose of this podcast is to educate and to inform. The content of this podcast does not constitute medical advice and it is not intended to function as a substitute for a healthcare practitioner’s judgement, patient care or treatment. The views expressed by contributors are those of the speakers. BMJ does not endorse any views or recommendations discussed or expressed on this podcast. Listeners should also be aware that professionals in the field may have different opinions. By listening to this podcast, listeners agree not to use its content as the basis for their own medical treatment or for the medical treatment of others.

In this episode of the IJGC podcast, Editor-in-Chief Dr. Pedro Ramirez is joined by Dr. Dimitrios Nasioudis. Dr. Nasioudis is a Gynecologic Oncology Fellow at the University of Pennsylvania. His current research focuses on translational therapeutics and population-based research.

Highlights: The utility of surgical staging for patients with locally advanced cervical cancer has not been established. While PET-CT is the most sensitive imaging modality to detect para-aortic metastases, the false negative rate can be as high as 20%. In the United States, surgical staging for locally advanced cervical cancer is rarely performed with a decreasing utilization. The impact of surgical staging on the oncologic outcomes is not clear.

This BJSM podcast discusses how health care professionals can learn from the sports psychology world. Noting the similarities between athletes and health care professionals Dr Helen Church has put together a new PERFORM (Performance Enhancing Routine for Optimisation of Readiness using Metacognition) framework, using Performance Enhancing Routines to improve clinical performance. She provides practical advice on how you and your practise can benefit from simple sport psychology measures giving some fantastic examples for inspiration. Dr Helen Church is a GP trainee and academic clinical lecturer at the University of Nottingham, working as a clinical assistant professor in medical education. This podcast is hosted by Dr Shona Kohlhardt.

Links to useful papers further discussing sports psychology in clinical performance: 1. Using Insights From Sports Psychology to Improve Recently Qualified Doctors’ Self-Efficacy While Managing Acutely Unwell Patients (Church et al., 2021) https://journals.lww.com/academicmedicine/Fulltext/2021/05000/Using_Insights_From_Sports_Psychology_to_Improve.41.aspx

Applying sport psychology in health professions education: A systematic review of performance mental skills training (Sandars et al., 2021) https://www.tandfonline.com/doi/full/10.1080/0142159X.2021.196643
Applying sport psychology to improve clinical performance (Church et al., 2017) https://www.tandfonline.com/doi/full/10.1080/0142159X.2017.135953
What can medical educators learn from the Rio 2016 Olympic Games? (Church et al., 2017) https://www.tandfonline.com/doi/full/10.1080/0142159X.2016.127040

Survival for glioblastoma remains very poor despite decades of research, with a 5-year survival of only 5%. Technological improvements that have revolutionized treatment of ischemic stroke and brain aneurysms have great potential in providing more precise and selective delivery of cancer therapeutic agents to brain tumors. In this podcast, JNIS Editor-in-Chief, Dr. Felipe C. Albuquerque speaks with Dr. Stephen Chen (1)and Dr. Peter Kan (2) about their paper "Perfusion-guided endovascular super-selective intra-arterial infusion for treatment of malignant brain tumors". The paper describes a technique using perfusion guidance to enhance the precision of endovascular super-selective intra-arterial (ESIA) infusions of mesenchymal stem cells loaded with Delta-24 in the treatment of glioblastoma. This technique enhances targeted super-selective delivery of therapeutic agents for brain tumors. Paper available online (https://jnis.bmj.com/content/14/6/533) and in June print issue of JNIS. Please subscribe to the JNIS Podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify, to get the latest episodes. Also, please consider leaving us a review or a comment on the JNIS Podcast iTunes page: https://podcasts.apple.com/gb/podcast/jnis-podcast/id942473767 Thank you for listening! This episode was produced by Leticia Amorim and edited by Brian O'Toole. (1) Interventional Radiology, University of Texas MD Anderson Cancer Center, Houston, Texas, USA (2) Neurosurgery, The University of Texas Medical Branch at Galveston, Galveston, Texas, USA

ADC Fetal and Neonatal’s Associate Editor, Jonathan Davis, and the Edition Editor of the journal, Ben Stenson, discuss the highlights from the March 2022 issue. The Fantoms article: https://fn.bmj.com/content/107/2/115 Please listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832

In this episode of the Heart podcast, Digital Media Editor, Dr James Rudd, is joined by Dr Virend Somers from The Mayo Clinic. They discuss the connections between sleepiness and cardiovascular risk. If you enjoy the show, please leave us a podcast review at https://itunes.apple.com/gb/podcast/heart-podcast/id445358212?mt=2 Link to published paper: https://heart.bmj.com/content/early/2022/01/30/heartjnl-2021-319596

There is much political, professional, and cultural debate around the impact that cannabinoids, good or bad, have on health and wellbeing. This month’s “RAPM Focus,” evaluates the relationship between cannabis use and sleep patterns among adult Americans. Editor-in-Chief Brian Sites, MD, interviews authors Calvin Diep, MD, and Karim Ladha, MD, on the paper “Recent cannabis use and nightly sleep duration in adults: a population analysis of the NHANES from 2005 to 2018,” first published in December 2021 (https://rapm.bmj.com/content/47/2/100). The study used observational data from the National Health and Nutrition Examination Survey (NHANES) and examined whether recent use of cannabinoids impacted on incidence of too little sleep or too much sleep.

Dr. Diap is a second-year resident in the Department of Anesthesiology and Pain Medicine at the University of Toronto. He is also enrolled in the clinician investigator program and will be starting his graduate studies at the Institute of Health Policy Management at the University of Toronto. His research interests lie in using clinician epidemiological methods to study patient-centered outcomes in the perioperative period, such as pain and disability, as well as opioid and cannabinoid use patterns at population levels.

Dr. Ladha is a clinician scientist and staff anesthesiologist at St. Michael’s Hospital at the University of Toronto. He received his medical degree from the Johns Hopkins University School of Medicine. He then completed his anesthesia training at the Massachusetts General Hospital and obtained a master’s degree in clinical epidemiology from the Harvard School of Public Health. His research uses mixed methodologies to obtain a multi-faceted view of pain and recovery after surgery, including retrospective analyses of administrative databases and prospective observational studies in multi-center randomized controlled trials.

*The purpose of this podcast is to educate and to inform. The content of this podcast does not constitute medical advice, and it is not intended to function as a substitute for a healthcare practitioner’s judgement, patient care, or treatment. The views expressed by contributors are those of the speakers. BMJ does not endorse any views or recommendations discussed or expressed on this podcast. Listeners should also be aware that professionals in the field may have different opinions. By listening to this podcast, listeners agree not to use its content as the basis for their own medical treatment or for the medical treatment of others.

Podcast and music produced by Dan Langa. Find us on Twitter @RAPMOnline.

At medical school, we learn about the importance of healthy health behaviours and promote them to patients at consultations. But do you always do what you preach?

In this episode, we chatted about the importance of self-care, admitting to the inability to be infallible, and whether your health habits would affect the way you counsel your patients.

Expert guest: Professor Erica Frank (erica.frank@ubc.ca) is a Professor at the Faculty of Medicine at the University of British Columbia; she is also the Founder of NextGenU.org.

Articles mentioned in the episode: • Alcohol consumption and alcohol counselling behaviour among US medical students: cohort study - https://www.bmj.com/content/337/bmj.a2155 • Experiences of belittlement and harassment and their correlates among medical students in the United States: longitudinal survey - https://www.bmj.com/content/333/7570/682

Check us out on social media: Twitter: https://twitter.com/BMJStudent Instagram: https://www.instagram.com/bmj_student/ Facebook: https://www.facebook.com/BMJStudent/

This podcast is produced and edited by Dom Byrne and Duncan Jarvies.

Dr Philip Smith, Digital and Education Editor of Gut and Consultant Gastroenterologist at the Royal Liverpool Hospital, Liverpool, UK, interviews Dr Marietta Iacucci, Associate Professor in Gastroenterology, Institute of Immunology and Immunotherapy, University of Birmingham and Consultant Gastroenterologist, University Hospitals Birmingham NHS Foundation Trust, Birmingham, United Kingdom, on the paper "‘PICaSSO Histologic Remission Index (PHRI) in ulcerative colitis: development of a novel simplified histological score for monitoring mucosal healing and predicting clinical outcomes and its applicability in an artificial intelligence system" published in paper copy in Gut in May 2022, and available online: https://gut.bmj.com/content/71/5/889 Please subscribe to the Gut Podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify, to get the latest podcast every month. If you enjoy our podcast, please consider leaving us a review or a comment on the Gut Podcast iTunes page (https://podcasts.apple.com/gb/podcast/gut-podcast/id330976727).

One of the silver linings of COVID-19 pandemic is the increased adoption of telehealth in allied health and sports medicine services for people with musculoskeletal conditions. In this podcast we talk to Dr Allison Ezzat about the experiences and attitudes of patients and clinicians in using telehealth. Allison has led the creation of a telehealth toolkit for patients and clinicians and discusses the future of telehealth. Allison is a Canadian physiotherapist, and a current post-doctoral research fellow at La Trobe University, Australia. “It's second best”: A mixed-methods evaluation of the experiences and attitudes of people with musculoskeletal pain towards physiotherapist delivered telehealth during COVID-19 pandemic - https://www.sciencedirect.com/science/article/pii/S2468781221001843?via%3Dihub Canadian Physiotherapists Integrate Virtual Care during the COVID-19 Pandemic https://utpjournals.press/doi/10.3138/ptc-2022-0092 “Much better than I thought it was going to be - telehealth delivered group-based education and exercise was perceived as acceptable among people with knee osteoarthritis” https://www.sciencedirect.com/science/article/pii/S2665913122000395 Telehealth toolkit for clinicians: https://telehealth.trekeducation.org/

Clio Barnard is multi-award winning British Film writer, director and producer. In this conversation with Medical Humanities' film and media correspondent, Khalid Ali, she revisits her 'Bradford Film Trilogy'; 'The Arbor' (2010), 'The Selfish Giant' (2013), and 'Ali & Ava' (2021). The uniqueness and diversity of Bradford community portrayed as a love story between two unlikely characters made 'Ali and Ava' a film celebrating love, friendship, forgiveness, and hope. Read more about Clio Barnard's work - including a transcript of the podcast on our blog: https://blogs.bmj.com/medical-humanities/2022/06/23/bradford-tales-authentically-and-poetically-portrayed-in-film-by-clio-barnard. Subscribe to the Medical Humanities Podcast in all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify. If you enjoy our podcast, please consider leaving us a review and a 5-star rating on the Medical Humanities Podcast iTunes page (https://podcasts.apple.com/gb/podcast/medical-humanities-podcast/id961667204). Thank you for listening!

Editor-in-Chief Dr. Richard McCallum and Associate Professor of Pediatrics and the Director of Pediatric Undergraduate Medical Education at Duke University School of Medicine, Dr. Samrat Das, discuss what it has been like to be the president of the American Federation of Medical Research (AFMR) over the last year. Join us as we honor Dr. Das during his final days as president of AFMR. Dr. Das discusses advice for future presidents and his own future career plans. We are very grateful for all the work Dr. Das has done for AFMR, and we wish him the very best in his future endeavors.

Living with Long Covid is a different experience for each person, and can have significant ramifications for their personal lives and careers. In this last podcast of a series about Long Covid, Dr Alison Twycross, Editor in Chief of Evidence-Based Nursing, hears from Alison Love(1), Lynn Biggerstaff(2) and Sue Campion(3). The EBN podcast series of three episodes on Long Covid is produced by Letícia Amorim and edited by Brian O'Toole. Please subscribe to the Evidence-Based Nursing podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify, to get the latest podcast every month. If you enjoy our podcast, please consider leaving us a review or a comment on the Evidence-Based Nursing podcast iTunes page (https://podcasts.apple.com/gb/podcast/ebn-podcast/id942927408). Thank you for listening. (1) Staff Nurse in ICU; (2) Ward Sister, Community Hospital, elderly rehabilitation ward; (3) Paediatric Nurse, Southampton Children’s Hospital.

The highlights of the latest edition of the journal brought to you by the Editor-in-Chief of Frontline Gastroenterology Mark Beattie. Read the UpFront of the May 2022 issue of Frontline Gastroenterology: https://fg.bmj.com/content/13/3/183 The full issue is now online: https://fg.bmj.com/content/13/3 Listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify.

In this episode of the IJGC podcast, Editor-in-Chief Dr. Pedro Ramirez is joined by Dr. Andreas Obermair. Dr. Obermair is a gynecological oncologist in Brisbane, Australia, promoting surgery with proven better patient outcomes.

Highlights:

Facing and dealing with adversity in life
Goals for making gynecological oncology safer, less invasive, and smarter; ensuring that patients are not scared of treatment; and increasing the effectiveness of treatment
Exploring novel options of therapy and seeking strategies for newer treatments. Only if we are not satisfied with what we do today can we hope to achieve a better outcome tomorrow.

This month, Dr Rachel Agbeko, Senior Editor of ADC, is joined by paediatric oncologist Dr Amanda Friend(1) to discuss the methods employed for fertility preservation for children of various ages and sexes who are undergoing cancer treatment. Read the paper 'Inconsistencies in fertility preservation for young people with cancer in the UK' for free for one month on the ADC website: https://adc.bmj.com/content/107/3/265 and in March's issue. The ADC Spotlight podcast is the Archives of Disease in Childhood podcast covering areas that don’t usually get much attention or might be taken for granted in children's health. This series is produced by Letícia Amorim and edited by Brian O'Toole. Please listen to our regular podcasts and subscribe to Apple Podcasts, Google Podcasts, Stitcher, and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832 (1) Leeds Institute of Medical Research, University of Leeds, and Paediatric and Adolescent Oncology, Leeds Teaching Hospitals NHS Trust, UK

In this week's episode, Helen Macdonald is joined by Joseph Ross, US research editor for The BMJ, and Juan Franco, editor of BMJ EBM.

They begin by discussing a review of obesity interventions in primary care, and Joe wonders if GPs are really the best people to tackle the issue. https://www.bmj.com/content/377/bmj-2021-069719

Cervical screening in the UK now includes HPV testing, and they look at research which examines whether this could mean longer periods between screening tests. https://www.bmj.com/content/377/bmj-2021-068776

They all enjoy a new State of the Art Review into Revascularization in stable coronary artery disease. https://www.bmj.com/content/377/bmj-2021-067085

Juan and Joe look at a review into combinations of covid-19 vaccinations - and wonder whether we'll ever see more trials to fit into this meta-analysis. https://www.bmj.com/content/377/bmj-2022-069989

Finally, they find out how your political persuasion has affected mortality in the US, with new research that links Republican and Democrat voters with differential changes in mortality. https://www.bmj.com/content/377/bmj-2021-069308

In this podcast, we are joined by Dr James Robson and Professor Craig Ritchie to discuss all things ‘brain health’. We discuss what is meant by this term, why it is important, and what some of the steps people can take to optimise their brain health.

Related resources:

Lancet Commission https://www.thelancet.com/article/S0140-6736(20)30367-6/fulltext

Sport and Exercise for Brain Health MOOC https://www.futurelearn.com/admin/courses/sport-and-exercise-for-brain-health/1

In this episode of the Heart podcast, Digital Media Editor, Dr. James Rudd, is joined by Dr. Buber from Seattle. They discuss all aspects of CPET testing for heart failure and many other indications. If you enjoy the show, please leave us a podcast review at https://itunes.apple.com/gb/podcast/heart-podcast/id445358212?mt=2 Link to published paper: https://heart.bmj.com/content/early/2022/04/10/heartjnl-2021-319617

A recent investigation, by The BMJ, showed a worrying increase in incidence of violence, directed to wards GPs, and reported to the police. In this episode of Deep Breath in, Tom and Jenny are joined by Gareth Iacobucci, assistant news editor for The BMJ who broke the story.

They'll hear from a GP affected, and get some advice on preventing violence, and deescalation, from two mental health experts, who deal with the most agitated patients.

Our guests: Adam Janjua, a GP in Fleetwood, Lancashire. Marcela Schilderman, a consultant psychiatrist at South London and the Maudsley NHS Foundation Trust and Anita Bignell, a mental health nurse, at South London and the Maudsley NHS Foundation Trust

Reading list Violent incidents at GP surgeries double in five years, BMJ investigation finds https://www.bmj.com/content/377/bmj.o1333

In this episode of the IJGC podcast, Editor-in-Chief Dr. Pedro Ramirez is joined by Dr. David Viveros-Carreño. Dr. Viveros-Carreño is a Gynecologic Oncologist at Instituto Nacional de Cancerología, Clínica Universitaria Colombia and Clínica Los Nogales in Bogotá, Colombia.

Highlights: - Fertility-sparing surgery after neoadjuvant chemotherapy in cervical cancer >4 cm is feasible, but the evidence is limited and should be considered as an experimental intervention. - A complete pathological response occurred in 56% of patients. - At least one pregnancy was achieved in 67% of cases and 60% were pre-term deliveries.

This month we chat with three students recently awarded for their papers at the SAVIR injury conference in the USA. Stephen Oliphant is a Doctoral Candidate, School of Criminal Justice, Michigan State University; Kelsey Conrick is a Doctoral Student, School of Social Work, University of Washington; and Mudia Uzzi is a Doctoral Candidate, Health Policy Research Scholar at Robert Wood Johnson Foundation, Department of Health, Behavior and Society Johns Hopkins University. Read these and the other Abstracts from the SAVIR conference on the Injury Prevention website: "Do handgun purchase waiting periods save lives? Evidence from a synthetic control approach" - https://injuryprevention.bmj.com/content/28/Suppl_1/A6.2

"Modeling the association of structural racism with disparities in firearm homicide victimization" - https://injuryprevention.bmj.com/content/28/Suppl_1/A23.1

"Investigating violence disparities through an intersectional lens: using additive interaction approaches to explore the relationship of redlining and racialized economic segregation on non-fatal shootings in Baltimore city, Maryland" - https://injuryprevention.bmj.com/content/28/Suppl_1/A57.2.

Please subscribe to the Injury Prevention Podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify. If you enjoy our podcast, please consider leaving us a review and a 5-star rating on the Injury Prevention Podcast iTunes page (https://podcasts.apple.com/gb/podcast/injury-prevention-podcast/id942473946). Thank you for listening!

Dr Philip Smith, Digital and Education Editor of Gut and Consultant Gastroenterologist at the Royal Liverpool Hospital, Liverpool, UK, interviews Dr Maria Arechederra, young researcher at the Hepatology Program in the Center for Applied Medical Research (CIMA) from the University of Navarra in Pamplona, Spain, on the paper "Next-generation sequencing of bile cell-free DNA for the early detection of patients with malignant biliary strictures" which is published in paper copy in Gut in June 2022, and available online: https://gut.bmj.com/content/71/6/1141 Please subscribe to the Gut Podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify, to get the latest podcast every month. If you enjoy our podcast, please consider leaving us a review or a comment on the Gut Podcast iTunes page (https://podcasts.apple.com/gb/podcast/gut-podcast/id330976727).

In this episode of the IJGC podcast, Editor-in-Chief Dr. Pedro Ramirez is joined by Katherine Hicks-Courant, MD, MSHP. Dr. Hicks-Courant is a fellow in the Division of Gynecologic Oncology at the University of Pennsylvania. She studies the intersection of gynecologic oncology, palliative care and oncology care delivery systems.

Highlights:

Having a gynecologic rather than a medical oncologist was associated with lower rates of high-intensity end-of-life care. Having a gynecologic oncologist rather than a medical oncologist was associated with higher rates of invasive procedures. Having a gynecologic oncologist rather than a medical oncologist was associated with higher Medicare spending.

This is the first in a new series of BMJ Open Gastroenterology interviews, in which we will be covering high-profile publications in conjunction with the lead authors of the papers. In this quarter’s podcast, we will be discussing a review article entitled ‘Enteropathies with villous atrophy but negative coeliac serology in adults: current issues’ published online in November 2021 (https://bmjopengastro.bmj.com/content/8/1/e000630). Dr James Ashton (Social Media Editor of BMJOG) interviews Dr. Annalisa Schiepatti, researcher at the University of Pavia, Italy, and a junior consultant at the Gastroenterology Unit of Maugeri Insitute in Pavia. Listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify.

Duane Peters from the Lupus Foundation of America interviews Professor Ronald van Vollenhoven from the Amsterdam University Medical Centers in the Netherlands and Dr Cynthia Aranow from the Feinstein Institute for Medical Research in New York, USA.

They discuss the efforts of the DORIS international task force to agree on a single definition of remission in systemic lupus erythematosus, which they hope will ensure that clinicians, patients and researchers in the field are all working towards the same outcome.

Access the article: https://lupus.bmj.com/content/8/1/e000538

In this podcast, James Cave (Editor-in-Chief) and David Phizackerley (Deputy Editor) provide an overview of the June 2022 issue of DTB. They discuss the impact that the cessation of spirometry services in primary care has had on diagnosing obstructive lung disease (https://dtb.bmj.com/content/60/6/82). They highlight two separate patient safety incident reports from the Healthcare Safety Investigation Branch - confusion over the prescribed dose of oral morphine solution and the harm caused by a standard therapeutic dose of paracetamol in a frail older person (https://dtb.bmj.com/content/60/6/84). The editors also talk about an article on serotonin syndrome (https://dtb.bmj.com/content/60/6/88). Please subscribe to the DTB podcast to get episodes automatically downloaded to your mobile device and computer. Also, please consider leaving us a review or a comment on the DTB Podcast iTunes podcast page (https://podcasts.apple.com/gb/podcast/dtb-podcast/id307773309). Thank you for listening. Read the June issue: https://dtb.bmj.com/content/60/6

In this episode of the Heart podcast, Dr Andrew Perry is joined by Dr. Stephanie Curtis, a physician at the Bristol Royal Infirmary who specializes in caring for women who are pregnant and have co-morbid aortopathy. If you enjoy the show, please leave us a podcast review at https://itunes.apple.com/gb/podcast/heart-podcast/id445358212?mt=2

Link to published paper: https://heart.bmj.com/content/early/2022/02/09/heartjnl-2021-319828

In Doctor Informed, we've been hearing a lot about the problems of healthcare, but we also want to talk about solutions. Whatever we're going to do to fix healthcare, whether that's bullying, or burnout, or patient safety - it's going to require change. And change is hard.

In this episode Clara Munro is joined by Graham Martin, director of research at THIS Institute. They discuss the dreaded phrase "But it's always been done this way", and why failing is the path to success, and the true importance of listening.

Our guests;

Penny Pereira, Q managing director at the Health Foundation. Q helps promote improvement within the health and care system, encouraging and supporting a wide range of people to effectively lead improvement. https://www.health.org.uk/about-the-health-foundation/our-people/q-and-q-labs-team

Moira Durbridge, director of safety and risk at University Hospitals of Leicester NHS Trust. Moira trained as a nurse, and continues to work clinically, as well as her role in leading her Trust's change.

Consultations about suspected cow’s milk protein allergies are quite common in primary care, but these allergies can be a challenge to diagnose, particularly as symptoms can manifest in many different ways, and testing can be complicated. We talk to Dr. Nicola Brathwaite about the diagnosis and management of cow’s milk protein allergies in infants, and our discussion includes how to navigate consultations with parents who may be distressed and fraught with anxiety over their baby’s symptoms, and how best to manage the reintroduction of milk back into the diet.

Our guest:

Nicola Brathwaite is a paediatric allergy consultant at King's College Hospital, London. She completed her specialist training in Paediatrics and Paediatric Allergy in Cape Town, South Africa.

This month’s “RAPM Focus” highlights a small study conducted by a team out of the University of California San Diego, designed to determine if percutaneous cryoneurolysis of the lateral femoral cutaneous nerve is feasible and shows potential for future study in management of burn patients. Dr. John J. Finneran is the first author of “Percutaneous cryoneurolysis of the lateral femoral cutaneous nerve for analgesia following skin grafting: a randomized, controlled pilot study,” published first in August 2021 and subsequently in the January 2022 print edition (https://rapm.bmj.com/content/47/1/60).

As Dr. Finneran reported in the paper, peripheral nerve blocks may be used for postoperative analgesia following split thickness skin graft, and the lateral femoral cutaneous nerve is “an optimal target, since it innervates the lateral thigh and has no motor component.” However, because local anesthetic nerve blocks are limited in their duration, this study looked at the use of ultrasound-guided percutaneous cyroneurolysis for extended analgesic effect. The results were promising, with the patients who were randomized to the cryoneurolysis group having lower average and maximum pain scores, less need for opioid analgesics, and fewer reports of sleep disturbances during the first two nights after surgery. Listen in as Dr. Finneran describes the study, the procedure, and future research objectives.

Dr. Finneran is a Health Sciences clinical associate professor and associate residency program director in the Department of Anesthesiology at the University of California San Diego, as well as clinical director for Regional Anesthesiology at UC San Diego Medical Center – Hillcrest.

*The purpose of this podcast is to educate and to inform. The content of this podcast does not constitute medical advice, and it is not intended to function as a substitute for a healthcare practitioner’s judgement, patient care, or treatment. The views expressed by contributors are those of the speakers. BMJ does not endorse any views or recommendations discussed or expressed on this podcast. Listeners should also be aware that professionals in the field may have different opinions. By listening to this podcast, listeners agree not to use its content as the basis for their own medical treatment or for the medical treatment of others.

@RAPM_Online

In this episode of the IJGC podcast, Editor-in-Chief Dr. Pedro Ramirez is joined by Dr. Rene Pareja to discuss conservative management of cervical cancer. Dr. Pareja is a gynecologist-oncologist at Astorga Oncology Clinic in Medellín and the National Cancer Institute in Bogotá, Colombia. He is a reviewer for more than 20 specialty journals, an Associate Editor for IJGC, a member of the Editorial Board of Gynecology Oncology, and a member of the board of directors of the International Gynecological Cancer Society (IGCS). Additionally, he is a member of FIGO committee on Women's Cancer. Dr. Pareja is the author of nine book chapters and more than 70 publications in peer-reviewed journals, and at IGCS 2021 he received an award for Community Advancement in Resource-Limited Settings.

Highlights:

Fertility preserving options have to be offered to all women wishing to preserve their fertility potential, that fulfil the ECOG status, histological, and imaging criteria.
It is recommended to have an evaluation by human reproduction specialized teams in order to rule out any potential impairment before the surgery.
The relapse rate for vaginal radical trachelectomy, abdominal radical trachelectomy and simple trachelectomy/conization are around 4-5%.
The highest live birth rates are seen in patients undergoing conization + lymph node assessment (over 88%).
Vaginal radical trachelectomy and minimally invasive radical trachelectomy, with preservation of ascendent branch of uterine artery, are contraindicated in women with tumors > 2 cm, due to the high rate of relapse (over 20%).

This month we have an interlude in our rush to ask, acquire, appraise and apply the next quality evidence available to our clinically greedy hands, and spend five minutes going over the process of creating an Archimedes. Dr. Bob Philips, Social Media, and Archimedes Editor take you through what you might expect … what might be asked of you … and how to give the fruits of your intellectual inquiry stand the best chance of hitting print (and this podcast). Please listen to our regular podcasts and subscribe to Apple Podcasts, Google Podcasts, Stitcher, and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832

“Do no harm” is a mantra that is drummed into medical students from day 1 of medical school. Most of us have gone into medicine as we believe medicine to be a force of good. However, too much medicine is capable of causing harm to patients and generating unnecessary waste.

In this episode, we spoke about overdiagnosis, communicating risks and benefits with patients, and why you shouldn't take that free lunch sponsored by drug companies.

Recommended reading: •Preventing overdiagnosis: how to stop harming the healthy. Link: https://www.bmj.com/content/344/bmj.e3502 •Who pays for the pizza? Redefining the relationships between doctors and drug companies. 1: Entanglement. Link: https://www.bmj.com/content/326/7400/1189

Expert guest: Dr Martin Brunet (@docmartin68 on Twitter) is a GP and a GP trainer at Guildford. He is also the author of The GP Consultation Reimagined: A Tale of Two Houses.

Check us out on social media: Twitter: https://twitter.com/BMJStudent Instagram: https://www.instagram.com/bmj_student/ Facebook: https://www.facebook.com/BMJStudent/

This podcast is produced and edited by Dom Byrne and Duncan Jarvies.

In this BJSM Podcast Dr Amy Dennett is hosted by Dr Brooke Patterson. Historically people with cancer have been told to rest, and patients and practitioners are often hesitant to get started with physical activity. Amy provides some great practical tips and resources - to support people with cancer exercise safely, safety and precautions, and tips for healthcare services and providers who want to get started with cancer exercise groups. Amy provides a huge array of resources available for healthcare services and clinicians.

Cancer exercise toolkit: https://cancerexercisetoolkit.trekeducation.org/ Cancer exercise toolkit paper: https://cancer.jmir.org/2022/2/e34903/authors Treatment protocols https://www.eviq.org.au/ International registry and handouts on exercise and cancer https://www.exerciseismedicine.org/eim-in-action/moving-through-cancer/ Patient and clinician resources https://www.petermac.org/cancersurvivorship

Ischaemic stroke is a leading cause of morbidity and mortality.

The World Health Organization defines stroke as “a clinical syndrome consisting of rapidly developing clinical signs of focal (or global) disturbance of cerebral function, lasting more than 24 hours or leading to death, with no apparent cause other than that of vascular origin”.

David Wang, Professor of Neurology, Barrow Neurological Institute, Phoenix, Arizona, gives us a clinical overview of the condition.

For more on ischaemic stroke, visit BMJ Best Practice: bestpractice.bmj.com/topics/en-gb/3000114

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The purpose of this podcast is to educate and to inform. The content of this podcast does not constitute medical advice and it is not intended to function as a substitute for a healthcare practitioner’s judgement, patient care or treatment. The views expressed by contributors are those of the speakers. BMJ does not endorse any views or recommendations discussed or expressed on this podcast. Listeners should also be aware that professionals in the field may have different opinions. By listening to this podcast, listeners agree not to use its content as the basis for their own medical treatment or for the medical treatment of others.

This month we have a feast of studies looking at cardiac arrest. Want to know if one-handed CPR is any good for multi-tasking pre-hospital responders? You'll find out if you listen. Want to know if pre-hospital ECMO should be a thing for elite athletes at major events? We cover that too. Want to know if machine learning is about to revolutionise our practice and solve all our crowding problems? It's all here. And more. Take a listen and keep yourself at the cutting edge! Read the highlights: https://emj.bmj.com/content/39/5/343 If you enjoy our podcast, please consider leaving us a review or a comment on the EMJ Podcast iTunes page (https://podcasts.apple.com/us/podcast/emj-podcast/id445358244).

Helen Macdonald, The BMJ's research integrity editor is back with another episode, and this week is joined by Joe Ross, professor of medicine and public health at Yale, and US research editor for The BMJ, and Juan Franco, editor in chief of BMJ EBM, and Professor at the Instituto Universitario Hospital Italiano de Buenos Aires

In this episode they discuss;

The US supreme court looks set to overturn Roe v Wade, creating a patchwork of abortion provision across the U.S. We consider the role which evidence might play in documenting how health is affected by that decision, and whether medical evidence is being used at all in the debate.

We'll give you a quick update on treatment for Covid-19

We know that trials are needed for new treatments, but in the face of an exponentially growing amount of observational data, is it time for a shift in that certainty? Joe tells us about his research into whether trials and observational studies of three drugs in covid produce the same answer?

And finally, treatment variation - it's one of the things that helped kick-start the EBM revolution, but there's still much to learn. Juan describes some new research which examines how countries stack up when you compare their handling of and outcomes of a common condition such as a myocardial infarction.

Reading list;

Navigating Loss of Abortion Services — A Large Academic Medical Center Prepares for the Overturn of Roe v. Wade https://www.nejm.org/doi/full/10.1056/NEJMp2206246.

A living WHO guideline on drugs for covid-19 https://www.bmj.com/content/370/bmj.m3379

Agreement of treatment effects from observational studies and randomized controlled trials evaluating hydroxychloroquine, lopinavir-ritonavir, or dexamethasone for covid-19 https://www.bmj.com/content/377/bmj-2021-069400

Variation in revascularisation use and outcomes of patients in hospital with acute myocardial infarction across six high income countries https://www.bmj.com/content/377/bmj-2021-069164

In this episode of the IJGC podcast, Editor-in-Chief Dr. Pedro Ramirez is joined by Dr. Susana Banerjee to discuss SOLO1. Dr. Banerjee is a Consultant Medical Oncologist and Research Lead for the Gynaecology Unit. She is also Reader in Women’s Cancers at the Institute of Cancer Research. Dr Banerjee specialises in ovarian cancer and the systemic treatment of endometrial and cervical cancers.

Highlights: - This report is the longest follow-up period for a PARP inhibitor in the newly diagnosed advanced ovarian cancer. - The present analysis shows a PFS benefit that is sustained for several years following completion of 2 years of maintenance olaparib. - PFS benefit was consistent irrespective of higher or lower clinical risk or BRCA1 or BRCA2 mutation. - SOLO1 is the first to report longer-term follow-up for safety in patients with newly diagnosed ovarian cancer receiving a PARPi as maintenance treatment. - The safety profile for patients in the maintenance olaparib remained consistent with that reported previously, with no new safety signals. Importantly, no additional cases of MDS or AML were reported.

The Woven EndoBridge (WEB) device has FDA approval for treatment of wide-necked intracranial bifurcation aneurysms. It has been shown to result in adequate occlusion in bifurcation aneurysms overall, but its usefulness in the individual bifurcation locations has been evaluated separately only in few case series, which were limited by small sample sizes. In this podcast, JNIS Editor-in-Chief, Dr. Felipe C. Albuquerque, interviews Dr. Nimer Adeeb (1)and Dr. Adam Dmytriw (2) on their paper "Comparing treatment outcomes of various intracranial bifurcation aneurysms locations using the Woven EndoBridge (WEB) device". Paper available online: https://jnis.bmj.com/content/early/2022/04/27/neurintsurg-2022-018694 Please subscribe to the JNIS Podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify, to get the latest episodes. Also, please consider leaving us a review or a comment on the JNIS Podcast iTunes page: https://podcasts.apple.com/gb/podcast/jnis-podcast/id942473767 Thank you for listening! This episode was edited by Brian O'Toole. (1) Departments of Neurosurgery and Neurointerventional Surgery, Louisiana State University Health Sciences Center (2)Neuroendovascular Program, Massachusetts General Hospital, Harvard University

Editor-in-Chief of the Archives of Disease in Childhood, Dr Nick Brown, and Senior Editor, Dr Rachel Agbeko, bring you the Atoms - the highlights of the June 2022 issue. Read it on the Archives of Disease in Childhood website: https://adc.bmj.com/content/107/6/i Please listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832

Practical Neurology Editors Phil Smith and Geraint Fuller talk you through the highlights of the June 2022 issue of the journal. Read more on the PN website: https://pn.bmj.com/content/22/3/175 The full issue here: https://pn.bmj.com/content/22/3 Please subscribe to the Practical Neurology podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify, to get the latest podcast every month. If you enjoy our podcast, please consider leaving us a review or a comment on the Practical Neurology Podcast iTunes page (https://podcasts.apple.com/gb/podcast/pn-podcast/id942932053). Thank you for listening.

In this episode of the Heart podcast, Digital Media Editor, Dr James Rudd, is joined by Dr Christopher Fordyce from the University of British Columbia. They discuss how good physicians are at judging the nature of chest pain. If you enjoy the show, please leave us a podcast review at https://itunes.apple.com/gb/podcast/heart-podcast/id445358212?mt=2 Link to published paper: https://heart.bmj.com/content/108/11/860

Returning to work as a nurse with Long Covid is thwart with difficulties in part due to its relapsing-remitting nature. Many nurses with Long Covid experience post-exertional malaise and symptom exacerbation if they push themselves and this may trigger a major relapse. This means that a return to work needs to be planned carefully. In this second podcast of a series about Long Covid, Dr Alison Twycross, Editor in Chief of Evidence-Based Nursing, speaks to two freelance consultants from Long Covid Work: Dr Clare Rayner, a consultant occupational physician, and Kirsty Stanley, Director, Occupational Therapist & Writer at Occupation4Life Ltd, about best practice in this context. They provide guidance for both employers and employees. Alison, Clare and Kirsty are also members of the Long Covid Support Employment Group. More information on the Long Covid Nurses and Midwives UK website: http://www.lcnmuk.co.uk/ The EBN podcast series on Long Covid is produced by Letícia Amorim and edited by Brian O'Toole. Please subscribe to the Evidence-Based Nursing podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify, to get the latest podcast every month. If you enjoy our podcast, please consider leaving us a review or a comment on the Evidence-Based Nursing podcast iTunes page (https://podcasts.apple.com/gb/podcast/ebn-podcast/id942927408). Thank you for listening. The first episode of this three-episode series: https://soundcloud.com/bmjpodcasts/long-covid-what-we-know-so-far-with-dr-elaine-maxwell?in=bmjpodcasts/sets/ebn-podcast&utm_source=clipboard&utm_medium=text&utm_campaign=social_sharing

In this episode of the IJGC podcast, Editor-in-Chief Dr. Pedro Ramirez is joined by Dr. Glauco Baiocchi. Dr. Baiocchi is the Director of the Department of Gynecologic Oncology at the AC Camargo Cancer Center in Sao Paulo, Brazil.

Highlights:

-SLN biopsy has emerged as an accurate method for lymph node staging in endometrial cancer. -Prospective studies aimed to analyze the performance of SLN biopsy in staging endometrial cancer rather than oncological outcomes. -ALICE trial aims to confirm that SLN mapping without systematic node dissection does not negatively impact oncological outcomes.

Parosmia – a distorted sense of smell, and a delayed post-covid symptom – affects approximately 50% of people who experienced loss of smell during their initial covid infection, and it is currently attracting a lot of media attention. We hear from Emily Woodroofe, a third year medical student, about what it’s like to have parosmia, before we speak to Professor Claire Hopkins about what GPs need to know about it, and how they can best support their patients who are experiencing what can be a distressing symptom.

Our guests:

Emily Woodroofe is a third year medical student at Barts and The London School of Medicine and Dentistry.

Claire Hopkins is an ENT consultant, and professor of Rhinology at Guy’s and St. Thomas’ NHS foundation Trust.

Further reading:

‘Parosmia—a common consequence of covid-19’ https://www.bmj.com/content/377/bmj-2021-069860

The influence of public health on politics, at least at the beginning of the pandemic, had never been stronger - but now it seems as hard to persuade politicians to pay attention as ever, yet political will is essential in making different sectors work together to create a healthier world.

In this podcast, The BMJ's editor in chief, Kamran Abbasi is joined by Shyama Kuruvilla, senior strategic adviser at World Health Organization, and Kent Buse, director of the global healthier societies program at The George Institute for Global Health.

They discuss examples of where multisectoral working has managed to bridge the gaps between sectors, and how healthcare needs to get political to make that success more widespread.

This is part of the collection "The world we want: Actions towards a sustainable, fairer and healthier society" - https://www.bmj.com/pmac-2022

Along with the general public, medical students are feeling the cost-of-living crunch. How are medical students faring with the increasing cost of living?

In this episode, medical students from outside of the studio send in their perspectives on how they are making ends meet, balancing medical school and part-time work and navigating the student funding system.

Thank you to Michaela Vernon, Elle Gordon, Alex Twist, Trisha Suji, Ruth Carter and Eilidh Garrett who contributed to this episode.

Check us out on social media: Twitter: https://twitter.com/BMJStudent Instagram: https://www.instagram.com/bmj_student/ Facebook: https://www.facebook.com/BMJStudent/

This podcast is produced and edited by Dom Byrne and Duncan Jarvies.

On this episode of the AMSSM (T: @TheAMSSM) Sports Medcast, host Dr. Krystian Bigosinski, is joined by Dr. Matt Fedoruk, PhD, who works as the Chief Science Officer leading the Science & Research team at the U.S. Anti-Doping Agency (@usantidoping). Dr. Fedoruk served as a Featured National Speaker in the Doping in Sport session during the 2022 AMSSM Annual Meeting. In this conversation, he discusses some of the latest trends in doping science and testing and address the following topics: · His experience as a USADA Officer during the 2022 Olympic and Paralympics Games in China, and the new testing measures that were recently put in place. · How does WADA’s Athlete Biological Passport work, and what has its impact been on anti-doping? · How does he view orthobiologic treatments, such as PRP and stem cell therapies, through the lens of anti-doping? · Are gene doping technologies realistic from a physiological standpoint, or it is still the stuff of science fiction? · How does USADA balance respect for athlete autonomy and privacy, while also performing meaningful doping control? · How should sports medicine providers proceed when encountering athletes who might be coerced into doping programs? · How should physicians approach care of recreational athletes when it comes to the risks and benefits of substances that may be performance-enhancers, such as testosterone? · How does he approach being a fan of sport while working at USADA, where he often sees the best of worst of sport?

Welcome back to the ADC Spotlight podcast, the Archives of Disease in Childhood podcast covering areas that don’t usually get much attention or might be taken for granted in children's health.

This month, Dr Rachel Agbeko, Senior Editor of ADC, is joined by Mr Robert Wheeler, paediatric and neonatal surgeon and honorary senior lecturer in medical law (1) to discuss the shortage of clinical provision, and the placements for children requiring assessment and treatment for mental illness.

Read the paper 'Providing beds for children' for free for one month on the ADC website: https://adc.bmj.com/content/107/2/114 and on the February's issue. More from the author about clinical law and ethics: https://blogs.bmj.com/medical-ethics/2022/05/01/law-ethics-basic-science/

The ADC Spotlight series is produced by Letícia Amorim and edited by Brian O'Toole. Please listen to our regular podcasts and subscribe to Apple Podcasts, Google Podcasts, Stitcher, and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832

(1) Consultant Paediatric & Neonatal Surgeon at the Wessex Regional Centre for Paediatric Surgery, University Hospital Southampton NHS Foundation Trust, UK.

In this episode of the IJGC podcast, Editor-in-Chief Dr. Pedro Ramirez is joined by Dr. Jalid Sehouli. Dr. Sehouli is director of the department of gynecology with center of oncological surgery at Charité Medical University in Berlin. He founded the first certified ovarian cancer center in 2007, published more than 500 articles, and is a teacher and a writer of several belletristic books.

Highlights: Gynecology should be always holistic, interdisciplinary, and multi-professional. Research in gynecology relies on teamwork, and international collaboration is essential. The most relevant drug in medicine is communication!

Editor-in-Chief Dr. Richard McCallum and Assistant Professor of Medicine at Mayo Clinic School of Medicine, Dr. Lucinda Harris, discuss stress and IBS, antibiotic treatment options, and new findings regarding IBS in females and military service members. Dr. Harris is also a consultant at the Division of Gastroenterology and Hepatology at Mayo Clinic Scottsdale and is a current member of the Gastroenterology Fellowship committee. Her special clinical and research interests include IBS, gastroparesis, chronic constipation, and pelvic floor disorders as well as celiac disease and autonomic disorders.

In this podcast we are joined by Rachael Cowan and Professor Jill Cook. They provide an update on the evidence for management of greater trochanteric pain syndrome (GTPS) and discuss the results of a recent clinical trial evaluating the effect of menopausal hormone therapy, exercise, and education on tendon pain and function in post-menopausal women with GTPS. On the eve of retirement, Jill provides an opinion on what the next big breakthroughs in tendinopathy research should be!

Cowan et al. 2021 https://journals.sagepub.com/doi/full/10.1177/03635465211061142

Ganderton et al. 2018 https://www.liebertpub.com/doi/abs/10.1089/jwh.2017.6729

Mellor et al. 2018 https://www.bmj.com/content/361/bmj.k1662.long

In this conversation with two members of the scientific committee of the recently held conference of the Society for Advancement of Violence and Injury Research (SAVIR), we focus on ways of growing the field of Injury Prevention and include new generations of emerging professionals. Editor-in-Chief of Injury Prevention, Rod McClure, interviews Rosemary Nabaweesi, Associate Professor in the Center for Health Policy at the School of Graduate Studies and Research, Meharry Medical College, Tennessee, and Elizabeth E. O’Neal, Postdoctoral Research Fellow - College of Liberal Arts and Sciences at the University of Iowa. Please subscribe to the Injury Prevention Podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify. If you enjoy our podcast, please consider leaving us a review and a 5-star rating on the Injury Prevention Podcast iTunes page (https://podcasts.apple.com/gb/podcast/injury-prevention-podcast/id942473946). Thank you for listening!

Duane Peters from the Lupus Foundation of America talks to Dr Cristina Drenkard from Emory University and Dr Teresa Brady from Clarity Consulting and Communications, both based in Atlanta, USA.

They discuss their paper on the relationship between levels of self-efficacy and health behaviours and outcomes in black women with SLE. Their study specifically evaluated the associations between age, educational level and depression in SLE patients and the degree of pain and fatigue they experienced. These findings may help predict who might benefit most from self-efficacy-enhancing interventions to improve quality of life.

Access the article: https://lupus.bmj.com/content/9/1/e000566

Essential tremor is characterised by a progressive tremor of the upper extremities, present in posture and action, without other neurological signs or symptoms.

The prevalence and incidence increases with age, but the condition can appear in early adulthood in those who have a family history.

Sheng-Han Kuo, Assistant Professor of Neurology, Columbia University, New York, gives us an overview of the condition.

For more on essential tremor, visit BMJ Best Practice: bestpractice.bmj.com/topics/en-gb/1089

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The purpose of this podcast is to educate and to inform. The content of this podcast does not constitute medical advice and it is not intended to function as a substitute for a healthcare practitioner’s judgement, patient care or treatment. The views expressed by contributors are those of the speakers. BMJ does not endorse any views or recommendations discussed or expressed on this podcast. Listeners should also be aware that professionals in the field may have different opinions. By listening to this podcast, listeners agree not to use its content as the basis for their own medical treatment or for the medical treatment of others.

In this episode of the Heart podcast, Digital Media Editor, Dr James Rudd, is joined by Dr Harriette Van Spall, Department of Medicine, McMaster University, Canada. They discuss her paper "Heart failure with preserved ejection fraction: recent concepts in diagnosis, mechanisms and management". If you enjoy the show, please leave us a podcast review at https://itunes.apple.com/gb/podcast/heart-podcast/id445358212?mt=2 Link to published paper: https://heart.bmj.com/content/early/2022/01/11/heartjnl-2021-319605

ADC Fetal and Neonatal’s Associate Editor, Jonathan Davis, and the Edition Editor of the journal, Ben Stenson, discuss the highlights from the January 202 issue. The Fantoms article: https://fn.bmj.com/content/107/1/1

Please listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832

In this episode of the IJGC podcast, Editor-in-Chief Dr. Pedro Ramirez is joined by Sarah Mah to discuss the gender imbalance in authorship in gynecologic oncology. Sarah Mah is a Gynecologic Oncology fellow at McMaster University who received her MSc in Quality Improvement and Patient Safety through the University of Toronto Institute of Health Policy, Management and Evaluation and completed residency at the University of British Columbia. Her research interests are in quality improvement with an equity and sustainability lens, knowledge translation, and cancer prevention.

Highlights: Women now account for 55-70% of practicing Gynecologic Oncologists and >80% of Gynecologic Oncology fellows in the United States and Canada. Rates of female first authorship in Gynecologic Oncology journals are rising in proportion, but rates of female senior authorship lag behind, with male authors still overrepresented. Women remain underrepresented as members of Editorial Boards of Gynecologic Oncology journals, particularly in leadership positions. While the COVID-19 pandemic has not yet impacted the proportion of female authors, we discuss reasons for why this could be of future concern and the importance of ongoing surveillance. We discuss some of the literature regarding gender inequity in academia and publishing and explore possible strategies for improvement.

This is a special episode of our podcast for GP's, Deep Breath In, where we tackle the everyday challenges of being a GP.

With the focus on covid, and the pressure on hospitals, it may be easy to overlook what’s happening in general practice in the UK - but changes are afoot. Our new health secretary Sajid Javid doesn’t seem to like our long standing GP practice arrangement, NHS England has imposed new weekend working arrangements on the already stretched service, and the workforce pressures continue.

In this episode of Deep Breath In, our GP panel of Tom Nolan, Navjoyt Ladher, and Jenny Rasanathan are joined by Gareth Iacobucci, The BMJ’s assistant news editor, to give them the lowdown on what’s happening around primary care, who some of the key players are, and what his predictions for 2022.

You can find Deep Breath In on all major podcast apps https://www.bmj.com/podcasts/deepbreathin

With the focus on covid, and the pressure on hospitals, it may be easy to overlook what’s happening in general practice in the UK - but changes are afoot. Our new health secretary Sajid Javid doesn’t seem to like our long standing GP practice arrangement, NHS England has imposed new weekend working arrangements on the already stretched service, and the workforce pressures continue.

In this episode of Deep Breath In, our GP panel of Tom Nolan, Navjoyt Ladher, and Jenny Rasanathan are joined by Gareth Iacobucci, The BMJ’s assistant news editor, to give them the lowdown on what’s happening around primary care, who some of the key players are, and what his predictions for 2022.

If you see something that doesn’t look right when going on placement, do you feel comfortable raising a concern? In this episode, we discuss the topic of raising concerns and the considerations that med students and junior doctors may have when it comes to speaking up.

Expert guest: Dr Natasha Malik (@1natasha_malik on Twitter) is a portfolio GP who works with Health Education England, UCL medical school and Imperial medical school.

Top tip: “In moments of uncertainty, the first thing to do is to find those pillars of support and talk to people about it, because that increases confidence. It also allows you to find out information about where to go next.”

Check us out on social media: Twitter: https://twitter.com/BMJStudent Instagram: https://www.instagram.com/bmj_student/ Facebook: https://www.facebook.com/BMJStudent/

This podcast is produced and edited by Dom Byrne and Duncan Jarvies.

Rick Body, Deputy Editor of EMJ, and Sarah Edwards, Social Media Editor of EMJ, talk through the very best of the Emergency Medicine Journal with most of the papers we published in April 2022. We cover everything from sepsis and qSOFA scoring to how to manage traumatic pneumothoraces and how to recognise cervical spine injuries. We even look at the problem we have with convenience sampling in Emergency Medicine clinical research studies. Do we need to make big changes? Have a listen and find out! Read the highlights: https://emj.bmj.com/content/39/4/269 If you enjoy our podcast, please consider leaving us a review or a comment on the EMJ Podcast iTunes page (https://podcasts.apple.com/us/podcast/emj-podcast/id445358244).

This month’s “RAPM Focus” looks at evidence-based practices to improve the creation and delivery of medical education lectures. Editor-in-Chief Brian Sites, MD, interviews Monica W. Harbell, MD, first author of the paper “Reviving the medical lecture: practical tips for delivering effective lectures,” published in the March 2022 issue of Regional Anesthesia & Pain Medicine (https://rapm.bmj.com/content/47/5/331).

In the paper, Dr. Harbell and coauthor Dr. Patricia S. O’Sullivan outline nine specific tips for effective presentations including the importance of learning objectives, content organization, effective visuals, simple slide design, and others. They also provide tips to keep your audience interested and engaged, particularly in an increasingly virtual world.

Dr. Harbell is an assistant professor in the Department of Anesthesiology and Perioperative medicine at the Mayo Clinic in Arizona and the associate program director for the Mayo Clinic Arizona Anesthesiology residency. She is the chair of the American Society of Anesthesiologists (ASA) Committee on Patient Safety and Education and a member of the ASA committee on practice parameters.

In this podcast, James Cave (Editor-in-Chief) and David Phizackerley (Deputy Editor) provide an overview of the May 2022 issue of DTB. They talk about drug bulletins across the world and the role of the International Society of Drug Bulletins in supporting bulletins and ensuring that they are intellectually and financially independent (https://dtb.bmj.com/content/60/5/66). They review a study that assessed the use of mirtazapine for treating agitation in people with dementia (https://dtb.bmj.com/content/60/5/68). The editors also discuss the evidence behind two new oral antivirals that have been licensed for the treatment of covid-19 (https://dtb.bmj.com/content/60/5/73). Please subscribe to the DTB podcast to get episodes automatically downloaded to your mobile device and computer. Also, please consider leaving us a review or a comment on the DTB Podcast iTunes podcast page (https://podcasts.apple.com/gb/podcast/dtb-podcast/id307773309). Thank you for listening.

This month we go all buggy, thinking about how we can use EU-level regulatory frameworks to help us act in our clinical lives (https://adc.bmj.com/content/107/5/507.2). We also address the persuasive power of an accelerated BCG reaction in children… fort noted by Koch of Koch’s Postulates in rodents (https://adc.bmj.com/content/107/5/507.1), and ask a partially useful question that might save many hours and many many stabs - are CVC concentrations of tobramycin good enough to judge how to dose in children? (https://adc.bmj.com/content/107/5/512). Please do tell us what you think of the podcast or the section, and if you’re revisiting the Journey to the West in TV form, on any of the socials. Please listen to our regular podcasts and subscribe to Apple Podcasts, Google Podcasts, Stitcher, and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832

In this episode of the IJGC podcast, Editor-in-Chief Dr. Pedro Ramirez is joined by Dr. Robert Bristow, Prof. Christina Fotopoulou, and Dr. Myong Cheol Lim to discuss Secondary Cytoreductive Surgery in Ovarian Cancer. Dr. Bristow is Professor and Chair of the Department of Obstetrics and Gynecology at the University of California, Irvine School of Medicine. His clinical expertise and research interests focus on the surgical management of advanced-stage and recurrent ovarian cancer. Prof. Christina Fotopoulou has served as the Chair of Gynaecological Cancer Surgery at the Department of Surgery and Cancer at Imperial College London, UK. She has served as an elected ESGO council member and Chair of the ESGO guidelines committee. Dr. Myong Cheol Lim is a gynecologic oncologist, working for National Cancer Center Korea. He is fully dedicated to clinical research, including cytoreductive surgery and HIPEC for the management of ovarian cancer.

Highlights: - This large meta-analysis on the value of secondary debulking showed that both complete as well as optimal cytoreductive surgery for ovarian cancer relapse significantly increased patients' overall survival. - Median overall survival of a patients cohort increased by 9% and 7% when the complete and optimal cytoreductive rates increased by 10%, respectively, even after adjusting of other well established prognostic factors. - Patients with ovarian cancer relapse should be evaluated for their eligibility for secondary debulking surgery in an effort to improve their survival.

Paula Redmond, clinical psychologist who supports healthcare workers experiencing burnout and other difficulties related to their job. Before this, she worked for the NHS until she experienced bullying, and a lack of support from her organisation, which made her strike out on her own.

In this wellbeing podcast, she describes the way in which her experience of bullying affected her, and how she used the creative process to help her move on.

She and Cat Chatfield discuss what creativity actually is, and why small projects can be just as useful as big complex ones - depending upon what you need at the time.

Futher reading: a Blog series on bullying in healthcare: https://drpaularedmond.com/category/bullying_in_healthcare/page/2/ a mindful embroidery craftivism project ("Do no harm but take no shit") https://drpaularedmond.com/donoharm/

In this podcast with co-chair of the inaugural BJSM Live event on 25th May 2022, we chat about the event itself and some of the efforts to make it as diverse and inclusive as possible.

For tickets, please check out http://bjsmlive.bmj.com/

In this episode of the Heart podcast, Digital Media Editor, Dr James Rudd, is joined by past British Cardiovascular Society president, Dr Iain Simpson, and BCS archivist and cardiologist Dr Caroline Coats. They discuss the formation of the BCS, its more recent history and some of the world-leading advances that British cardiology has made over the last 100 years. If you enjoy the show, please leave us a podcast review at https://itunes.apple.com/gb/podcast/heart-podcast/id445358212?mt=2 Link to published paper: https://heart.bmj.com/content/108/10/761 Read the special issue: https://heart.bmj.com/content/108/10.

Editor-in-Chief of the Archives of Disease in Childhood, Dr Nick Brown, and Senior Editor, Dr Rachel Agbeko, bring you the Atoms - the highlights of the May 2022 issue. Read it on the Archives of Disease in Childhood website: https://adc.bmj.com/content/107/5/i Please listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832

Dr Amy Ross Russell, Neurology, University Hospital Southampton NHS Foundation Trust, interviews Dr William Diprose, Dept. of Neurology, Auckland City Hospital and Dept. of Medicine, Faculty of Medicine and Health Science, University of Auckland, New Zealand; Dr Anthony Jordan, Dept. of Clinical Immunology and Allergy, Auckland City Hospital, NZ; and Dr Neil Anderson, Dept. of Neurology, Auckland City Hospital, NZ about their recent paper reviewing the neurological features of specific autoinflammatory syndromes.

Read this latest Editor’s Choice paper on the Practical Neurology website (https://pn.bmj.com/content/22/2/145) and the April print issue of the journal.

The paper is also discussed by Practical Neurology editors, Dr Phil Smith and Dr Geraint Fuller, in their latest podcast: https://soundcloud.com/bmjpodcasts/pn-april-2022-highlights?in=bmjpodcasts/sets/pn-podcast

Please subscribe to the Practical Neurology podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify, to get the latest podcast every month. If you enjoy our podcast, please consider leaving us a review or a comment on the Practical Neurology Podcast iTunes page (https://podcasts.apple.com/gb/podcast/pn-podcast/id942932053). Thank you for listening.

In this episode of the IJGC podcast, Editor-in-Chief Dr. Pedro Ramirez is joined by Dr. Supriya Chopra. Dr. Chopra is a Professor in Radiation Oncology at ACTREC, Tata Memorial Centre and Principal Investigator of the PARCER trial. Her research focus is to improve outcomes of cervical cancer through use of advanced radiation techniques in patients undergoing RT for both primary and recurrent metastatic cervical cancer. She also co-leads multi-institutional molecular translational research programme (BIOEMBRACE) for cervix cancer.

HIGHLIGHTS: - Postoperative Adjuvant Radiation in Cervical Cancer (PARCER), a phase III randomized trial, compared late toxicity after image-guided intensity-modulated radiotherapy (IG-IMRT) with three-dimensional conformal radiation therapy (3D-CRT) in women with cervical cancer undergoing postoperative radiation. - IG-IMRT results in reduced toxicity with no difference in disease outcomes in cervical cancer. - The 3-year cumulative incidence of grade ≥ 2 late GI toxicity in the IG-IMRT and 3D-CRT arms were 21.1% versus 42.4%. - The cumulative incidence of grade ≥ 2 any late toxicity was 28.1% versus 48.9%. - Patients reported reduced diarrhea (P = .04), improved appetite (P = .008), and lesser bowel symptoms (P = .002) with IG-IMRT. - The 3-year pelvic relapse-free survival and disease-free survival in the IG-IMRT versus the 3D-CRT arm were 81.8% versus 84% and 76.9% versus 81.2%, respectively.

Over the course of the last few years, the BMJ has published a series of articles in our Quality Improvement series - aiming to give those new to improvement science a good grasp of how to think about changing things in healthcare.

Then covid-19 came along, and it seemed like all of healthcare was now aimed at just surviving in the face of the pandemic, and all thoughts of quality improvement projects went out the window... But did they?

Cat Chatfield, is joined by Will Warburton, former director of quality improvement at the Health Foundation, and advisor on the series.

To read all of the open access articles mentioned in the discussion, visit https://www.bmj.com/quality-improvement

As medical students progress through medical school, some students are becoming dissatisfied by the lack of attention to socially relevant healthcare issues in the conventional curriculum, and begin to understand that some of the frustrations we encounter at work arise from political decisions. These issues have prompted medical students to voice their concerns and advocate for change.

In this episode, we will be talking about activism, how to get involved and what you can do to push for change.

Topics: • What makes an activist? • There is a role for everyone in activism • Things to bear in mind when considering civil disobedience

Expert guest: Dr Rita Issa (@DrRitaIssa on Twitter) is a GP, public health academic, and activist. The groups that she’s helped (co)founded or worked with include Doctors for Extinction Rebellion, Docs Not Cops and Medact.

Shout out to the following student-activists: Mikaela Loach (@mikaelaloach on Twitter) Rhiannon Osborne (@rhiannon_osborn on Twitter) Amit Singh (@amit_ankhi on Twitter) Marina Politis (@marinadpol on Twitter)

Interested in getting involved? Here are some organisations that you can check out: Health for Green New Deal - https://www.medact.org/project/health-for-a-green-new-deal/ Student for Global Health - https://studentsforglobalhealth.org/ Doctors for Extinction Rebellion - https://www.doctorsforxr.com/ Docs not Cops http://www.docsnotcops.co.uk/

Check us out on social media: Twitter: https://twitter.com/BMJStudent Instagram: https://www.instagram.com/bmj_student/ Facebook: https://www.facebook.com/BMJStudent/

This podcast is produced and edited by Dom Byrne and Duncan Jarvies.

On this week’s BJSM podcast, we are joined by Assistant Professor Margie Davenport, to talk about the latest evidence and experience around exercising and competing as an elite athlete whilst pregnant.

We discuss why this is such an important issue as well as some of the myths or misconceptions that exist in this space. Dr Davenport also provides a range of practical tips for team physicians, scientists and therapists to consider when it comes to advising athletes on planning pregnancies, training whilst pregnant, and shaping support networks and systems to support athletes that want to start a family?

Here is the key paper and some other notable resources discussed in the podcast:

Pushing for change: a qualitative study of the experiences of elite athletes during pregnancy https://bjsm.bmj.com/content/56/8/452 Why can’t I exercise during pregnancy? Time to revisit medical ‘absolute’ and ‘relative’ contraindications: systematic review of evidence of harm and a call to action https://bjsm.bmj.com/content/54/23/1395

Get Active Questionnaire for pregnancy checklist https://csep.ca/2021/05/27/get-active-questionnaire-for-pregnancy/

Sex disparities in acute ischemic stroke outcomes are well reported with IV thrombolysis. Despite several studies, there is still a lack of consensus on whether endovascular thrombectomy (EVT) outcomes differ between men and women. In this podcast, we discuss the Selection for Endovascular Treatment in Acute Ischemic Stroke (SELECT) study, in which women had similar discharge outcomes as men following EVT, in a propensity-matched cohort, but the improvement from discharge to 90 days was significantly worse in women, suggesting the influence of post-discharge factors. JNIS Editor-in-Chief, Dr. Felipe C. Albuquerque, interviews Johanna Fifi (Department of Neurosurgery, Icahn School of Medicine at Mount Sinai, New York) and Amrou Sarraj (Department of Neurology, Case Western Reserve University School of Medicine, Cleveland, Ohio). Paper available online: https://jnis.bmj.com/content/early/2022/02/28/neurintsurg-2021-018348. Please subscribe to the JNIS Podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify, to get the latest episodes. Also, please consider leaving us a review or a comment on the JNIS Podcast iTunes page: https://podcasts.apple.com/gb/podcast/jnis-podcast/id942473767. Thank you for listening!

In this episode of the IJGC podcast, Editor-in-Chief Dr. Pedro Ramirez is joined by Dr. Katherine Kurnit. Dr. Kurnit is an Assistant Professor at the University of Chicago in the section of Gynecologic Oncology. Her research interests include developmental therapeutics and early phase clinical trials for patients with gynecologic cancers.

Highlights: Although surgical practices have changed over time, there is still much debate and no consistent consensus about timing or the use of new therapies such as HIPEC. More options for upfront maintenance therapy are now available for ovarian cancer patients. We need new treatment approaches for patients with platinum-resistant ovarian cancer. Finding ways to ensure ovarian cancer care is safe, feasible, and cost-effective in many different settings (nationally and internationally) will be important. New strategies for screening and prevention are sorely needed

On this episode of the AMSSM (T: @TheAMSSM) Sports Medcast, host Dr. Jacob Wessels, MD, is joined by Dr. Meredith Turner, MD, who is one of the speakers in the Race and Sport session during the 2022 AMSSM Annual Meeting.

In this conversation, Dr. Turner discusses her upcoming presentation in Austin, TX, on the Challenges of Exercise and Physical Activity in Minorities and address the following topics: · The definition of minority populations and how she first got interested in this topic · Identifying some of the primary barriers that minorities encounter regarding physical activity in their communities · How socioeconomic barriers that contribute to these health disparities in minorities · Ways that sports medicine professionals and healthcare providers can help recognize and address these factors in their communities

Resources: Oliver, E. J., Dodd-Reynolds, C., Kasim, A., & Vallis, D. (2021). Inequalities and Inclusion in Exercise Referral Schemes: A Mixed-Method Multi-Scheme Analysis. International journal of environmental research and public health, 18(6), 3033. https://doi.org/10.3390/ijerph18063033 https://pubmed.ncbi.nlm.nih.gov/33809451/

Hawes, A. M., Smith, G. S., McGinty, E., Bell, C., Bower, K., LaVeist, T. A., Gaskin, D. J., & Thorpe, R. J., Jr (2019). Disentangling Race, Poverty, and Place in Disparities in Physical Activity. International journal of environmental research and public health, 16(7), 1193. https://doi.org/10.3390/ijerph16071193 https://pubmed.ncbi.nlm.nih.gov/30987098/

Physical activity deserts: What they are and how to reduce them with Dr. NiCole Keith. Ep #468 https://soundcloud.com/bmjpodcasts/physical-activity-deserts-what-they-are-and-how-to-reduce-them-with-dr-nicole-keith-ep-468

In the first of a series of three episodes about Long Covid, Dr Roberta Heale, Associate Editor of Evidence-Based Nursing, speaks to Dr Elaine Maxwell, Nurse and author of two National Institute for Health Research reviews on evidence on Long Covid. They discuss the variance in reported Long Covid statistics, the impact of vaccinations, symptoms, and research efforts. The EBN podcast series on Long Covid is produced by Letícia Amorim and edited by Brian O'Toole. Please subscribe to the Evidence-Based Nursing podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify, to get the latest podcast every month. If you enjoy our podcast, please consider leaving us a review or a comment on the Evidence-Based Nursing podcast iTunes page (https://podcasts.apple.com/gb/podcast/ebn-podcast/id942927408). Thank you for listening. To read more about this subject, follow the links: https://evidence.nihr.ac.uk/themedreview/living-with-covid19/ https://evidence.nihr.ac.uk/themedreview/living-with-covid19-second-review/

"Someone has to make a bold experiment once in a while". This month, we talk to Professor Robert Thomson, Mechanics and Maritime Sciences, Chalmers University of Technology, Gothenburg, Sweden. The discussion begins with PhD work on roadside barriers and ends with a discussion about commitment to grand visions, preventing injuries and saving lives. "Here's what you can do if your government and your society gets on board". The conversation, lead by Editor-in-Chief of Injury Prevention Rod McClure, also covers the unintended safety costs of electrification of modern vehicles. There remains a world of opportunity for the safety engineer. Please subscribe to the Injury Prevention Podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify. If you enjoy our podcast, please consider leaving us a review and a 5-star rating on the Injury Prevention Podcast iTunes page (https://podcasts.apple.com/gb/podcast/injury-prevention-podcast/id942473946). Thank you for listening!

In this podcast, we focus on the bacterial genitourinary pathogen Mycoplasma genitalium (MGEN). We have known this pathogen for a long-time but only in recent years we have been testing and treating more frequently for this bacteria. In this conversation with Dr Fabiola Martin, STI's Podcast editor, Dr Emma Sweeney, Prof Catriona Bradshaw and Prof Nicola Low provide a clinical and research update on MGEN. Dr Emma Sweeney is a Postdoctoral researcher, The University of Queensland Centre for Clinical Research, Brisbane, Australia. Prof Catriona Bradshaw is a Clinician researcher based at Melbourne Sexual Health Centre, Melbourne, Australia. Prof Nicola Low is an Infectious disease epidemiologist, leading the Sexual and Reproductive Health Research Group at the Institute of Social and Preventive Medicine, University of Bern, Switzerland. Read the blog post: https://blogs.bmj.com/sti/2022/04/06/mgen/ Some relevant papers published by STI: Adverse pregnancy and perinatal outcomes, 2022, Frenzer C, Egli-Gany D, Vallely L, et al. https://sti.bmj.com/content/early/2022/03/28/sextrans-2021-055352 Prevalence in different populations, 2018, Baumann L, Cina M, Egli-Gany D, et al. https://sti.bmj.com/content/94/4/255 Persistence, concordance, complications in non-pregnant people, 2019, Cina M, Baumann L, Egli-Gany D, et al. https://sti.bmj.com/content/95/5/328

Duane Peters from the Lupus Foundation of America talks to Dr Sylvia Kamphuis and Dr Javad Wahadat from the Erasmus Medical Center in Rotterdam in the Netherlands about aiming for a Low Lupus Disease Activity State (LLDAS) in children with systemic lupus erythematosus (SLE). They outline the difference between LLDAS and clinical remission (CR), and discuss how LLDAS may be a more achievable target for patients than CR that nevertheless still brings significant clinical benefits in terms of decreasing damage accrual and improving health-related quality of life.

Access the paper here: https://lupus.bmj.com/content/8/1/e000571

In this episode we’re going to be talking about misogyny in surgery, recent revelations about sexual harassment in the theatre have emerged - but these behaviours have been endemic for a while, even as the profession seemed to ignore them.

Joining Clara Munro is Baroness Helena Kenned, the author of a recent report into diversity in medicine, who, as a barrister, has long worked on discrimination cases.

The reports mentioned in the episode are from the Royal College of Surgeons;

https://www.rcseng.ac.uk/about-the-rcs/about-our-mission/diversity-review-2021/

In this episode of the IJGC podcast, Editor-in-Chief Dr. Pedro Ramirez is joined by Dr. Genevieve Bouchard-Fortier. Dr. Bouchard-Fortier is an assistant professor in the Division of Gynecologic Oncology in the Department of Obstetrics and Gynecology at the University of Toronto and a member of the Division of Gynecologic Oncology at the University Health Network/Sinai Health Systems. Her research is focused on improving the quality of care of gynecologic oncology patients as well as developing quality metrics to measure outcomes.

Highlights:

• We implemented a perioperative program to increase same day discharge rate after minimally invasive hysterectomy from 30% to 75% in gynecologic oncology patients.

• ERAS principles significantly improved the same day discharge rate while maintaining a low complication rate.

• Longer surgery, timing of surgery, and narcotic use were significantly associated with overnight admission.

Croaking and wheezing and slightly exhausted… not the average neonatologist but Archimedes this month is brought to you from post-natal palaces and 'post-nasal drip'. We start thinking about how best to communicate a post-natal diagnosis of Down syndrome(https://adc.bmj.com/content/107/4/409.1), which is prefaced by some thoughts on what it means to undertake a ‘good’ qualitative study(https://adc.bmj.com/content/107/4/409.2). We have more on this on our blog site, in this series: https://blogs.bmj.com/adc/category/qualitative/ We then dive down from the wards into the NICU where we wonder how to shift the clogged secretions of a grot-filled lung, and someone suggests DNAse, which sounds a lot like magic, but magic that can be evidence-based(https://adc.bmj.com/content/107/4/411). When you’ve had a listen tell us what you think, and submit your own following the instructions on the website and you too could be hearing all about yourself croaked Archi or in active conversation too. Please listen to our regular podcasts and subscribe to Apple Podcasts, Google Podcasts, Stitcher, and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832

As healthcare professionals, we meet people from all walks of life and collect stories along the way — stories of illness and convalescence. When we hear interesting stories, there can be an urge to share them. When something bad happens, you may want to talk and offload it onto your friends and family.

As we know, patient confidentiality is a core value in medicine. So what is permissible to share? Is there a way to share these stories while respecting the ethical boundaries?

In this episode, the Sharp Scratch team explores the ethical considerations involved in talking and writing about patients, and discusses the popular literature genre of medical memoirs.

Expert guest: Dr Matt Phillips is a sexual health consultant and a honorary clinical professor in genitourinary medicine and ethics at the University of Central Lancashire.

Recommended reading: The ethics of medical memoirs. Link: https://www.bmj.com/content/367/bmj.l6270

Check us out on social media: Twitter: https://twitter.com/BMJStudent Instagram: https://www.instagram.com/bmj_student/ Facebook: https://www.facebook.com/BMJStudent/

This podcast is produced and edited by Dom Byrne and Duncan Jarvies.

On this episode of the AMSSM CRN Spotlight Podcast (T: @TheAMSSM) host Dr. Jeremy Schroeder, DO, is joined by Dr. Monica Verduzco-Gutierrez (T: @MVGutierrezMD), who is serving as the AAPM&R Exchange Lecture Speaker during the 2022 AMSSM Annual Meeting. In this conversation, Dr. Verduzco-Gutierrez discusses her upcoming presentation in Austin, TX, on Post-COVID Syndrome in Athletes and address the following topics: • Defining Post-COVID Syndrome and its many potential impacts • How and why she developed a Post-COVID Recovery Clinic • Her contributions to multi-disciplinary collaborative consensus guidance statements for patients with PASC • How she generally approaches treating patients with Post-COVID Syndrome • The differences in rates and severity in Post-COVID Syndrome in athletes compared with other populations • Her advice for aspiring researchers in sport and exercise science Resources: Models of Care for Postacute COVID-19 Clinics: Experiences and a Practical Framework for Outpatient Physiatry Settings (https://pubmed.ncbi.nlm.nih.gov/34793373/) Multi-disciplinary collaborative consensus guidance statement on the assessment and treatment of breathing discomfort and respiratory sequelae in patients with post-acute sequelae of SARS-CoV-2 infection (PASC)(https://onlinelibrary.wiley.com/doi/10.1002/pmrj.12744) Multidisciplinary collaborative consensus guidance statement on the assessment and treatment of fatigue in postacute sequelae of SARS-CoV-2 infection (PASC) patients (https://onlinelibrary.wiley.com/doi/full/10.1002/pmrj.12684)

Dr Philip Smith, Digital and Education Editor of Gut and Consultant Gastroenterologist at the Royal Liverpool Hospital, Liverpool, UK interviews Dr Rakesh Kalapala, Senior Consultant Gastroenterologist & Therapeutic Endoscopist, Head of GI Motility Lab, Director of Endoscopy at the Center for Obesity & Metabolic Therapy, Member of the International Bariatric and Metabolic Endoscopy Committee, Asian Institute of Gastroenterology Hospitals, Hyderabad, India on the paper 'Endoscopic full-thickness plication for the treatment of PPI-dependent GERD: results from a randomised, sham controlled trial' which is published in paper copy in Gut in April 2022, and is available here: https://gut.bmj.com/content/71/4/686

Please subscribe to the Gut Podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify, to get the latest podcast every month. If you enjoy our podcast, please consider leaving us a review or a comment on the Gut Podcast iTunes page (https://podcasts.apple.com/gb/podcast/gut-podcast/id330976727).

In this podcast, James Cave (Editor-in-Chief) and David Phizackerley (Deputy Editor) provide an overview of the April 2022 issue of DTB. They talk about DTB's 60th anniversary, the importance of independent scrutiny of new medicines and the need to question how medicines are licensed and used (https://dtb.bmj.com/content/60/4/50). They highlight the benefits of a comprehensive national register of conflicts of interest and discuss a study that compared a quadpill containing low doses of four antihypertensive agents with a standard dose of irbesartan (https://dtb.bmj.com/content/60/4/56). They also review a study that assessed clinicians' awareness of the harms from long-term use of nitrofurantoin (https://dtb.bmj.com/content/60/4/59) and provide an overview of an article on managing hypertension in pregnancy (https://dtb.bmj.com/content/60/4/60). The editors also look back at the very first issue of DTB that was published on 20th April 1962 (https://dtb.bmj.com/content/s1-1/1). Please subscribe to the DTB podcast to get episodes automatically downloaded to your mobile device and computer. Also, please consider leaving us a review or a comment on the DTB Podcast iTunes podcast page (https://podcasts.apple.com/gb/podcast/dtb-podcast/id307773309). Thank you for listening.

In this episode of Talk Evidence, Helen Macdonald, the BMJ’s research integrity editor is joined by Joe Ross, US research editor, and Juan Franco, editor in chief of BMJEBM, to talk about all things evidence.

Joe gives us an update about covid, including new research on safety of the vaccine Association between covid-19 vaccination, SARS-CoV-2 infection, and risk of immune mediated neurological events https://www.bmj.com/content/376/bmj-2021-068373

Juan updates us on a potential new prophylactic for recurrent UTIs, Methenamine hippurate, which could be an alternative to antibiotics. Alternative to prophylactic antibiotics for the treatment of recurrent urinary tract infections in women https://www.bmj.com/content/376/bmj-2021-0068229

Helen tells us about some research which evaluates the way in which intersecting identities combine to make students experience of medical school more difficult. Marginalized identities, mistreatment, discrimination, and burnout among US medical students https://www.bmj.com/content/376/bmj-2021-065984

In the first episode of RAPM Focus, Editor-in-Chief Brian Sites, MD, interviews Stephen P. Cohen, MD, first author of the paper “Multicenter study evaluating factors associated with treatment outcome for low back pain injections”. This prospective study looked at 346 patients receiving one of three procedures: epidural steroid injection for sciatica, sacroiliac joint injections for axial low back pain, and facet interventions for axial low back pain. The study was designed to evaluate associations among more than two dozen demographic, clinical, and technical factors on treatment outcomes. Results found that patients with lower baseline pain scores, depressive symptomatology, and obesity experienced smaller pain reductions. Smoking and sleep deprivation were also associated with poorer outcomes. Dr. Cohen is a professor of anesthesiology and critical care medicine, neurology, physical medicine & rehabilitation and psychiatry and behavioral sciences at the Johns Hopkins School of Medicine and Uniformed Services University of the Health Sciences in Baltimore, MD. He is also chief of pain medicine and director of the Blaustein Pain Treatment Center at Johns Hopkins and director of pain research at Walter Reed National Military Medical Center. @RAPM_Online

In honor of Colon Cancer Awareness Month, Editor-in-Chief Dr. Richard McCallum and Dr. Ihsan Al Bayati, Assistant Professor of Gastroenterology at TTUHSC Paul L. Foster School of Medicine, discuss different screening modalities for colon cancer, risk factors for colon cancer, Lynch syndrome, treatment, staging, and prognosis for colorectal cancer.

In this episode of the Heart podcast, Social Media Intern, Dr Andrew Perry is joined by Dr. Gasnat Shaboodien, a researcher at the University of Cape Town who studies the genetics of cardiovascular disease.

If you enjoy the show, please subscribe to the podcast. Also, please consider leaving us a review at https://itunes.apple.com/gb/podcast/heart-podcast/id445358212?mt=2. It helps us reach new listeners!

Link to published paper: https://heart.bmj.com/content/early/2022/02/08/heartjnl-2021-320424

In this episode of the IJGC podcast, Editor-in-Chief Dr. Pedro Ramirez is joined by Dr. David M. Gershenson to discuss the use of trametinib in low-grade serous cancer. Dr. Gershenson is Professor and former Chair of the Department of Gynecologic Oncology and Reproductive Medicine at The University of Texas MD Anderson Cancer Center. His major focus is on the clinical and translational research of rare ovarian cancers.

Highlights: Trametinib represents a new standard for the treatment of recurrent low-grade serous carcinoma of the ovary/peritoneum. The findings of GOG 281 suggest that women whose tumor harbors a MAPK mutation (KRAS, NRAS, BRAF) may have a greater probability of response to trametinib, but the results are hypothesis-generating, and further studies are needed. Importantly, trametinib should not be withheld from a woman whose tumor lacks MAPK mutations. Based on the findings of GOG 281 and preclinical studies, future trials will include combinations of a MEK inhibitor plus endocrine therapy and novel agents targeting the MAPK signaling pathway or, more specifically, RAS.

Editor-in-Chief of the Archives of Disease in Childhood, Dr Nick Brown, and Senior Editor, Dr Rachel Agbeko, bring you the Atoms - the highlights of the April 2022 issue. They start this month by addressing the consequences of wars on children in light of the latest war in Ukraine. Read it on the Archives of Disease in Childhood website: https://adc.bmj.com/content/107/4/i Please listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832

In BJSM’s 500th episode, we are joined by two of the current editors, Professor Jonathan Drezner and Dr Joanna Kemp, to look ahead as well as back at the specialty in general. We discuss hot topics, the direction in which the specialty as well as the journal is heading, and we get some top tips for early career researchers and clinicians too.

The issue of food on nightshifts is a perennial grumble in the NHS, and though it might seem trivial, what does it say of an organisation if they demand their staff work when they're hungry, and what is the onward implication for that on patient care?

To discuss all of these issues, we're joined by Neely Mozawala, a community specialist diabetes podiatrist, and Sahlia Saliha Mahmood-Ahmed, a gastroenterologist who have started the #24hrhotfoodfortheNHS campaign.

We see patients all the time who ,more than any drug or cure, just want an explanation for their symptoms, to understand why they feel the way they do.

But giving an explanation isn't necessarily straightforward, we're unsure of the diagnosis, we might worry about how the explanation might be received, or a 10 minute appointment just isn't time to go into all the details.

In today's episode, we've enlisted the help of consultation skills expert, Roger Neighbour, and hear how important a great explanation is from The BMJ patient editor Amy Price.

Our guests:

Roger Neighbour is a retired GP and a former president of the Royal College of GPs. He has written the books on consultations skills, and teaches courses on how to put those skills into practice.

Amy Price is a patient, a researcher editor for The BMJ's patient and public partnership, and a senior research scientist at Stanford School of Medicine.

Patients with asthma present with recurrent episodes of shortness of breath, chest tightness, wheezing, or coughing.

Examination typically demonstrates an expiratory wheeze; however, in severe asthma there is poor air entry and the chest is silent.

Lauren Eggert, Clinical Assistant Professor, Division of Pulmonary, Allergy, and Critical Care Medicine, Stanford University School of Medicine, gives us a clinical overview of the condition.

For more on asthma, visit BMJ Best Practice: bestpractice.bmj.com/topics/en-gb/44

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The purpose of this podcast is to educate and to inform. The content of this podcast does not constitute medical advice and it is not intended to function as a substitute for a healthcare practitioner’s judgement, patient care or treatment. The views expressed by contributors are those of the speakers. BMJ does not endorse any views or recommendations discussed or expressed on this podcast. Listeners should also be aware that professionals in the field may have different opinions. By listening to this podcast, listeners agree not to use its content as the basis for their own medical treatment or for the medical treatment of others.

The highlights of this edition brought to you by the Editor-in-Chief of Frontline Gastroenterology Mark Beattie. Read the UpFront of the March 2022 issue of Frontline Gastroenterology: https://fg.bmj.com/content/13/2/93 The full issue is now online: https://fg.bmj.com/content/13/2 Listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify.

In this episode of the IJGC podcast, Editor-in-Chief Dr. Pedro Ramirez is joined by Dr. Rene Pareja, a gynecologist-oncologist at Astorga Oncology Clinic in Medellín and the National Cancer Institute in Bogotá, Colombia. Dr. Pareja is a reviewer for more than 20 specialty journals, an Associate Editor for IJGC, and a member of the board of directors of the International Gynecological Cancer Society (IGCS). He is the author of nine book chapters and more than 70 publications in peer-reviewed journals, and at IGCS 2021 he received an award for Community Advancement in Resource-Limited Settings.

Highlights: Tips for expertise in minimally invasive surgery: (1) learn from an experienced mentor, (2) train all the time, (3) get a formal course, (4) record your surgeries. The crucial components to do surgery related research: Start to review papers, write protocols/systematic reviews, and try to work the most and tirelessly on an original project. A successful person is someone who has failed several times. Secrets and tips on life and professional career.

Medical students are taught about and examined a lot on clinical guidelines. What is best for patients overall, as recommended in guidelines, may not be appropriate for individuals. Blanket recommendations, rather than a menu of options or recommendations for shared decision making, ignore patients' preferences.

So what do guidelines mean in practice? When do we deviate from them when your clinical acumen is telling you that guidelines may not be the best fit?

Expert guest: Dr Liam Loftus is a GP trainee and a National Medical Director’s Clinical Fellow who has worked with the Personalised Care Institute.

Recommended reading:

How can tomorrow’s doctors be more caring? A phenomenological investigation. Link: onlinelibrary.wiley.com/doi/10.1111/medu.13684

Potential benefits, limitations, and harms of clinical guidelines. Link: www.bmj.com/content/318/7182/527

Check us out on social media: Twitter: twitter.com/BMJStudent Instagram: www.instagram.com/bmj_student/ Facebook: www.facebook.com/BMJStudent/

This podcast is produced and edited by Dom Byrne and Duncan Jarvies.

Practical Neurology Editors Phil Smith and Geraint Fuller talk you through the highlights of the April 2022 issue of the journal. Read more on the PN website: https://pn.bmj.com/content/22/2/93 The full issue here: https://pn.bmj.com/content/22/2 Please subscribe to the Practical Neurology podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify, to get the latest podcast every month.

If you enjoy our podcast, please consider leaving us a review or a comment on the Practical Neurology Podcast iTunes page (https://podcasts.apple.com/gb/podcast/pn-podcast/id942932053).

Thank you for listening.

Medicine is complex, and as a doctor you won't always do the right thing - but you can prepare yourself for when mistakes happen, both emotionally and logistically.

In this episode of Doctor Informed, Clara Munro is joined by Susanna Stamford, a patient who was on the receiving end of a mistake, which catalysed her interest in patient safety. We're also joined by Anthea Martin, from Medical Protection, who dispels some myths about saying sorry. Ayisha Ashmore returns to the pod to digest the lessons from our experts.

Futher reading: The video that Susanna mentioned is available to watch on youtube bitly.com/ManagingAdverseEvents

LivingBodiesObjects is a 3-year project funded by the Wellcome Trust designed to test and extend the boundaries of Medical Humanities research. Editor-in-chief of Medical Humanities, Brandy Schillace, interviews Stuart Murray, Professor of Contemporary Literatures and Film and Director of the Centre of Medical Humanities at the University of Leeds, in the UK. Read the blog with the transcription of this podcast here: https://blogs.bmj.com/medical-humanities/2022/03/17/livingbodiesobjects-with-stuart-murray. Subscribe to the Medical Humanities Podcast in all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify. If you enjoy our podcast, please consider leaving us a review and a 5-star rating on the Medical Humanities Podcast iTunes page (https://podcasts.apple.com/gb/podcast/medical-humanities-podcast/id961667204). Thank you for listening!

In this episode of the Heart podcast, Digital Media Editor, Dr James Rudd, is joined by Dr Lynne Millar from Bart's Hospital in London. They discuss her review paper - "Care of the patient after valve intervention". If you enjoy the show, please leave us a podcast review at https://itunes.apple.com/gb/podcast/heart-podcast/id445358212?mt=2

Link to published paper: https://heart.bmj.com/content/early/2022/01/10/heartjnl-2021-319767

In this episode of the IJGC podcast, Editor-in-Chief Dr. Pedro Ramirez is joined by Dr. Alex Melamed to discuss neoadjuvant versus primary surgery. Alex Melamed is a gynecologist oncologist and a health services researcher at Columbia University Vagelos College of Physicians and Surgeons and NewYork-Presbyterian Columbia Irving Medical Center.

Highlights: - The emergence of evidence supporting non-inferiority of neoadjuvant chemotherapy (NACT) compared with primary surgery for advance ovarian cancer led to increased utilization of NACT. - However, while some cancer programs in the U.S. doubled their use of NACT, others continued to use this approach infrequently. - The differential adoption of NACT by cancer programs can be viewed, and analyzed, as a natural experiment using a difference-in-differences study design. - Compared with programs that continued to use NACT infrequently, high users of NACT had similar improvements in median survival, with greater reductions in 6-month and 12-month mortality.

The covid-19 pandemic has stretched healthcare staff like never before. As part of the 2022 Nuffield Trust summit, The BMJ hosted a roundtable discussion looking at why workers leave the NHS and how staff wellbeing and retention can be improved.

Joining us to discuss are: Kamran Abbasi, editor in chief, The BMJ Billy Palmer, senior fellow, Nuffield Trust Lucina Rolewicz, researcher, Nuffield Trust Mark Britnell, global healthcare expert and senior partner, KPMG International Neil Greenburg, consultant occupational and forensic psychiatrist, King's College London's centre for military health research Rose Penfold, National Institute for Clinical Research academic clinical fellow in geriatrics Rammya Mathew, GP and quality improvement lead for Islington GP Federation Partha Kar, diabetes consultant and NHS England's national advisor for diabetes Danny Mortimer, chief executive of NHS Employers

The Nuffield Trust report, "The Long Goodbye" which was discussed in this roundtable is available here - https://www.nuffieldtrust.org.uk/resource/the-long-goodbye-exploring-rates-of-staff-leaving-the-nhs-and-social-care

Rick Body, Deputy Editor of EMJ, and Sarah Edwards, Social Media Editor of EMJ, talk through the highlights of the March 2022 edition of the EMJ. We've picked out some of the hottest, most controversial papers from this month's episodes and we're privileged to have the thoughts of the EMJ Editor in Chief, Ellen Weber. We'll discuss hot issues from the association between exit block and mortality, the 4-hour target, the prognostic importance of admitting patients to outlying wards, decision aids for traumatic brain injury and to predict hospital admission [is doctor better than computer at deciding who needs admission?] and lung ultrasound for COVID-19. Read the highlights: https://emj.bmj.com/content/39/3/165 You can subscribe to the EMJ podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify, to get the latest podcast every month. If you enjoy our podcast, please consider leaving us a review or a comment on the EMJ Podcast iTunes page (https://podcasts.apple.com/us/podcast/emj-podcast/id445358244). Thank you for listening!

Bacterial meningitis represents a life-threatening inflammation of the meninges.

Elisabeth Adderson, Associate Member, St. Jude Faculty, Director, Pediatric Infectious Diseases Fellowship Program, St. Jude Children's Research Hospital, Memphis, gives an overview of the condition.

For more on bacterial meningitis, visit BMJ Best Practice: bestpractice.bmj.com/topics/en-gb/3000104

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The purpose of this podcast is to educate and to inform. The content of this podcast does not constitute medical advice and it is not intended to function as a substitute for a healthcare practitioner’s judgement, patient care or treatment. The views expressed by contributors are those of the speakers. BMJ does not endorse any views or recommendations discussed or expressed on this podcast. Listeners should also be aware that professionals in the field may have different opinions. By listening to this podcast, listeners agree not to use its content as the basis for their own medical treatment or for the medical treatment of others.

In this episode of the podcast we’re going to be talking about rural healthcare - and specifically the difficulties that distance, demographics, and funding have introduced into the world’s covid-19 response.

Rural regions made vulnerable by limited healthcare infrastructure, lower rates of vaccination, and opposition to government policies are the new frontlines in the pandemic, but support systems have not adjusted to the growing rural needs for health education, testing, vaccination, and treatment.

Michael Forster Rothbart, Kata Karáth, and Lungelo Ndhlovu report from the US, Ecuador, and Zimbabwe

Diagnosis is a complex categorisation task driven by mental models that reside in long term memory. Through education and experience, clinicians form scripts that encapsulate their knowledge of specific conditions and develop diagnostic schemas that structure their approach to a specific health problem.

This cognitive process also intersects with systems, teamwork, and social factors that can enhance or reduce diagnostic accuracy.

In this podcast, we hear about five techniques that can help with the accuracy of those mental models, and mitigate against some of the external factors which may reduce diagnostic accuracy.

Our guests;

Hardeep Singh trained as a GP before moving to becoming a general internist and professor of patient safety research at Michael E DeBakey Veterans Affairs Medical Center and Baylor College of Medicine Houston.

Denise Connor is an associate professor of medicine at University of California San Francisco and a practicing internist at San Francisco Veterans Affairs Medical Center.

Gurpreet Dhaliwal is a general internist at the San Francisco Veterans Affairs Medical Center, and a clinician educator.

In this episode of the IJGC podcast, Editor-in-Chief Dr. Pedro Ramirez is joined by Dr. David Gaffney, Dr. Carien Creutzberg, and Dr. Anuja Jhingran to discuss this month's special issue on radiation oncology. Dr. Gaffney, MD, PhD, Senior Director of Clinical Research, is Professor and Vice-Chair of the University of Utah (U of U) Department of Radiation Oncology. Dr. Gaffney is a distinguished clinician and a long-standing leader in clinical research, and he is also a past president of the American Brachytherapy Society. Dr. Carien Creutzberg is Professor of Radiation Oncology at Leiden University Medical Center, the Netherlands. She specializes in research and treatment of gynecological cancers and has been initiator and principal investigator of the four PORTEC trials and the TransPORTEC consortium. She is current chair of the GCIG Endometrial Cancer Committee and past Council member of ESGO and IGCS. Dr. Anuja Jhingran is a Professor of Radiation Oncology in the Section of Gynecology at The University of Texas MD Anderson Cancer Center. She is the present treasure/secretary for IGCS. She is highly active in GCSC, GCIC, ASCO, and SGO. Her passion is to improve treatment for all women with gynecological cancer throughout the world and she does this through mentoring physicians in underserved regions throughout world.

Highlights: Stereotactic body radiation therapy (SBRT) is useful in gynecological cancers. Brachytherapy improves survival in cervix cancer. Image guidance in radiation oncology decreases morbidity. Patients with small volume disease and long disease-free interval may be good candidates for SBRT. Immunotherapy can be combined with radiation therapy.

There is often a debate about whether medicine is an art or a science. Our medical curriculum tends to favour the science bit, with pathophysiology of diseases and treatment algorithms dominating our learning agenda. Social determinants of health also have equal importance in influencing one’s health, but are we taught enough to address this?

Timestamps: 0:00 - 3:15 Intro 3:16 - 7:19 How much do you get taught about social determinants of health at medical school 7:20 - 12:00 Do we apply what we learn in medical training about social determinants on health in actual clinical practice? 12:01 - 14:29 There is no easy one-size-fits-all managing social determinants of health 14:30 - 18:53 How do you adapt management plans according to the patient’s circumstances? 18:54 - 21:15 A medical student who has experienced homelessness before shares her insight 21:16 - 24:26 Importance of diversifying the demographic of medical students 24:27 - 28:10 The importance of empathy, compassion and being non-judgemental 29:20 - 34:20 Doctors make up the system that patients have to go through, and we can make the experience pleasant for patients 34:21 - 35:18 Vote for Lily as the next prime minister! 35:19 - 36:44 What medical students can do to address social determinants of health outside of medical capacity 36:45- 39:47 What you can do to learn more about social determinants of health in and outside of medical school 39:48 - 43:38 Final remarks

Expert guest: Dr Andrew Moscrop (@andrewmoscrop on Twitter) is a GP working in a health centre for people who are homeless in Oxford and a researcher in social determinants of health.

Thank you to Maz Sadler who contributed to this episode.

Recommended reading: If social determinants of health are so important, shouldn’t we ask patients about them? https://www.bmj.com/content/371/bmj.m4150

We’re looking for new panel members!

Are you a: ✅ Medical student ✅ Listener of Sharp Scratch ✅ Keen on representing the voice of medical students?

In the past, the panel only consisted of medical students studying in the UK. However, remote recording meant that we can extend this opportunity to medical students in other countries. If you’re interested, please apply via the link below. We look forward to hearing from you!

Apply here: https://forms.gle/QocryfkG137cWTb88

Check us out on social media: Twitter: https://twitter.com/BMJStudent Instagram: https://www.instagram.com/bmj_student/ Facebook: https://www.facebook.com/BMJStudent/

This podcast is produced and edited by Dom Byrne and Duncan Jarvies.

We are excited to present Riva Lehrer, artist and author, and her book GOLEM GIRL, about disability, embodiment, joy, and becoming herself. Read the blog with the transcription of this podcast here: https://blogs.bmj.com/medical-humanities/2023/03/04/podcast-with-riva-lehrer-author-of-golem-girl-a-memoir. Subscribe to the Medical Humanities Podcast in all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify. If you enjoy our podcast, please consider leaving us a review and a 5-star rating on the Medical Humanities Podcast iTunes page (https://podcasts.apple.com/gb/podcast/medical-humanities-podcast/id961667204). Thank you for listening!

On the podcast this week, we are thrilled to be joined by Associate Professor at the Centre for Health, Injury and Illness Prevention in Sport at the University of Bath, Dr Sheree Bekker.

We have all heard the term ‘knowledge translation’, but do we really know why it is important, what this process actually involves, and how can we all start embracing it in our professional lives?

Dr Bekker is a leader in this area, and we are thrilled that she has joined us to record the first in this ‘knowledge translation’ podcast series. You can find some of the resources that are mentioned in this podcast in the links below:

Dr Bekker’s twitter handle https://twitter.com/shereebekker

Dr Bekker’s #viral twitter thread https://twitter.com/shereebekker/status/1369972461014499331?lang=hi

Anterior cruciate ligament injury: towards a gendered environmental approach https://bjsm.bmj.com/content/55/17/984

We hope you enjoyed this podcast. Get in touch with us via social media if you have any feedback or suggestions for future guests.

Editor-in-Chief Dr. Richard McCallum shares the latest details about JIM’s progress during 2021. Additionally, Dr. McCallum discusses readers’ perspectives about the journal and what we can hope to see this upcoming year from JIM.

In this podcast, we walk in the shoes of two PhD scholars starting out on their careers in violence and injury prevention research. Jennifer L. Thompson, MPH, and Lauren Malthaner, MPH, University of Texas, School of Public Health, describe their personal and diverse aspects of the experience they bring to their Doctoral studies. They talk about how their experiences shape their aspirations. They talk of the experience of pandemic learning and provide demonstration of how deep reflection and frank articulation of insights are such important drivers of necessary change. Please subscribe to the Injury Prevention Podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify. If you enjoy our podcast, please consider leaving us a review and a 5-star rating on the Injury Prevention Podcast iTunes page (https://podcasts.apple.com/gb/podcast/injury-prevention-podcast/id942473946). Thank you for listening!

Rumination in humans is a disorder of the gut-brain interaction affecting three percent of people worldwide. It's characterised by recurrent regurgitation without associated retching or significant nausea. Behavioural therapies are proved to be effective, with the potential to be successful at the primary care level. Dr Aditi Kumar, trainee associate editor of Frontline Gastroenterology and specialist gastroenterology registrar in the West Midlands, UK, interviews Dr Ben Disney, a Consultant Gastroenterologist at University Hospitals Coventry and Warwickshire NHS Trust, with a specialist interest on disorders of the gut-brain interaction. Also present is Dr Dipesh Vasant, a Consultant Gastroenterology and Honorary Senior Lecturer at the University of Manchester, with a specialist interest in neurogastroenterology and motility disorders. This Frontline Gastroenterology podcast discusses the recently published paper in January 2022: “Rumination Syndrome: pathophysiology, diagnosis and practical assessment” - https://fg.bmj.com/content/early/2022/01/10/flgastro-2021-101856. Listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify. If you enjoy our podcast, please rate us on your chosen platform, and leave us a review on the Frontline Gastroenterology Podcast page on iTunes: https://podcasts.apple.com/gb/podcast/fg-podcast/id942944229

In this episode of the JIM podcast, Editor-in-Chief Dr. Richard McCallum, speaks with Dr. Tamis Bright, the Chief of the Division of Endocrinology at Texas Tech El Paso. Last year on this podcast series, she discussed hypothyroidism. She now returns to discuss the effects, screening tools, and treatment modalities for hyperthyroidism.

Dr. Tamis Bright, MD, is a Clinical Endocrinologist and Associate Professor at Texas Tech Health Sciences Paul L. Foster School of Medicine in El Paso, Texas. Additionally, she is known as an Endocrinology, Diabetes, and Metabolism specialist. Dr. Bright has more experience with Thyroid Disorders than other specialists in her area. She is affiliated with University Medical Center of El Paso, where she treats a wide variety of patients. Dr. Bright received her medical degree from Loyola University Chicago Stritch School of Medicine and has been in practice for more than 20 years.

Dr Philip Smith, Digital and Education Editor of Gut and Consultant Gastroenterologist at the Royal Liverpool Hospital interviews Professor Patrice Cani, Louvain Drug Research Institute, WELBIO, Metabolism and Nutrition, UCLouvain, Brussels, Belgium and Emilie Moens de Hase a PhD student in the same institution. This Gut podcast is focused on the paper "Dysosmobacter welbionis is a newly isolated human commensal bacterium preventing diet-induced obesity and metabolic disorders in mice" which is published in paper copy in Gut in March 2022, and is available here: https://gut.bmj.com/content/71/3/534 Please subscribe to the Gut Podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify, to get the latest podcast every month. If you enjoy our podcast, please consider leaving us a review or a comment on the Gut Podcast iTunes page (https://podcasts.apple.com/gb/podcast/gut-podcast/id330976727).

Duane Peters from the Lupus Foundation of America interviews Professor Iryna Kulyk from Indiana University in the USA and Professor Martin Kriegel from the University of Münster in Germany and Yale University in the USA. They discuss their study, presented at the Lupus 21st Century conference in September 2021, on the influence of the consumption of resistant starch (a type of dietary fiber) on the composition of the gut microbiota of lupus patients.

Access the abstract here: https://lupus.bmj.com/content/8/Suppl_2/A63.2.abstract

A bit like aircraft, intubating and extubating are the awkward and skill-requiring parts of a ventilator journey. Well, not so much the tube removal itself, but the choice of when to do it. And we’ve got a topic report which asks if the ubiquitous ultrasound could help us with that decision: (https://adc.bmj.com/content/107/3/303.1). As for popping a tube in, how do you know it’s in the right place? Slide that probe over - at least in neonates - and see if you can see the tip located properly (https://adc.bmj.com/content/107/3/305). So while we’re thinking about tubes and ways of working, perhaps we need to consider just how do we test such ‘craft’ interventions? Well… have a listen and while the whole answer won’t be revealed … some starter thoughts might be (https://adc.bmj.com/content/107/3/303.2). Tie down your garden furniture, hold onto your fence posts, and tell us what you think, and submit your own following the instructions on the website and you too could be hearing all about yourself spoken by Archi. Please listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832

In this episode of the Heart podcast, Digital Media Editor, Dr James Rudd, is joined by Dr Meghan Reading Turchioe from Weill Cornell Medicine in New York. They discuss a systematic review of the use of natural language processing in cardiology, and how it might improve patient care. If you enjoy the show, please leave us a review at https://itunes.apple.com/gb/podcast/heart-podcast/id445358212?mt=2 or wherever you get your podcasts. Link to published paper: https://heart.bmj.com/content/early/2021/10/27/heartjnl-2021-319769

In this episode of the IJGC podcast, Editor-in-Chief Dr. Pedro Ramirez, is joined by Dr. Robert Coleman to discuss TV in Advanced or Recurrent Cervical Cancer.

HIGHLIGHTS: Drug development in cervix cancer has undergone a renaissance in recent years with the identification of novel antibody drug conjugates (ADC) and immunotherapy measurably impacting patient survivorship. Tisotumab vedotin (TV) is an ADC targeting tumor expression of tissue factor delivering the cytotoxic warhead MMAE. InnovaTV 204/ GOG-3023/ENGOT-cx6 is a single arm phase II trial of TV in patients with recurrent/metastatic previously treatment cervix cancer who had measurable disease seeking assessment of objective response by independent radiological review, duration of response and safety. 101 assessable patients were enrolled demonstrating a ORR of 24%, with median duration of response of 8.3 months. The regimen was well tolerated with the most common treatment-related adverse events being alopecia, epistaxis, nausea, conjunctivitis, fatigue, and dry eye. A rigorous eye care plan can mitigate high grade ocular toxicity.

In previous episodes of Doctor Informed, we've talked about the importance of speaking out, but the culture in your organisation might not always make that easy, especially if you feel something has gone wrong and you might be blamed for it.

Blame culture, no blame culture, just culture - there are many terms which are used to describe the environment in which individuals and teams work, the feel within a team and an organisation. In this episode we'll explore what they mean, why blame can be detrimental to patient safety, and give some tips on how to investigate problems without throwing blame around.

Our guests in this episode;

Joselle Wright - Deputy Director of Midwifery, Gynaecology and Sexual Health at Walsall Healthcare NHS Trust

Susanna Stanford, who became involved in patient safety after experience of a spinal anaesthetic failing during a c-section in 2010. She is an ambassador for the Clinical Human Factors Group.

In this podcast Grainne Donnelly, Associate Prof Izzy Moore and Dr Brooke Patterson speak with Steph about her experience returning to sport post-partum using the 6Rs framework (https://pubmed.ncbi.nlm.nih.gov/34836883/).

Listen to Part 1 first: https://soundcloud.com/bmjpodcasts/bjsm-11022022-ep-497?in=bmjpodcasts/sets/bjsm-1&utm_source=clipboard&utm_medium=text&utm_campaign=social_sharing where Izzy and Grainne discuss the framework and the role of a musculoskeletal clinician.

Return to running BJSM infographic - https://bjsm.bmj.com/content/54/18/1114

Today we focus on NATSAL and NATSAL COVID. These are Britain’s National Surveys of Sexual Attitudes and Lifestyles. NATSAL has been undertaken every 10 years since 1990 and is a key data source for sexual and reproductive health policy development. However, the COVID-19 pandemic disrupted many aspects of sexual lifestyles, prompting the initiation of the NATSAL-COVID study with the aim of understanding the impact of COVID-19 on sexual behaviour and service use. Professor Cath Mercer and Professor Nigel Field join us to discuss the results of this study. All the findings relate to the first four months of lockdown in Britain, which started in March 2020. Related blog: https://blogs.bmj.com/sti/2022/02/23/natsal-covid-sex-love-and-lockdown/ Relevant Natsal-COVID papers: - STI paper on sexual behaviour during the pandemic: https://sti.bmj.com/content/early/2021/12/14/sextrans-2021-055210 - Paper in Lancet PH on sexual health services: https://www.thelancet.com/journals/lanpub/article/PIIS2468-2667(21)00253-X - Paper in BMJ Open on sex outside of the household: https://bmjopen.bmj.com/content/12/2/e055284 - Natsal-COVID wave 1 method paper: https://wellcomeopenresearch.org/articles/6-209

In this podcast, James Cave (Editor-in-Chief) and David Phizackerley (Deputy Editor) provide an overview of the March 2022 issue of DTB. They talk about paracetamol and its effect on blood pressure and discuss progress on moving to inhalers that have less of an impact on the environment (https://dtb.bmj.com/content/60/3/34). The editors review a study that examined harms from medicines (https://dtb.bmj.com/content/60/3/37) and discuss the use of naldemedine in the management of opioid-induced constipation (https://dtb.bmj.com/content/60/3/39). Please subscribe to the DTB podcast to get episodes automatically downloaded to your mobile device and computer. Also, please consider leaving us a review or a comment on the DTB Podcast iTunes podcast page (https://podcasts.apple.com/gb/podcast/dtb-podcast/id307773309). Thank you for listening.

Type 1 diabetes mellitus is a metabolic disorder characterised by hyperglycaemia due to absolute insulin deficiency. The condition develops due to destruction of pancreatic beta cells, mostly by immune-mediated mechanisms.

In this podcast, Rajesh Garg, Professor of Medicine, University of Miami Miller School of Medicine, gives us an overview of the condition.

For more on type 1 diabetes, visit BMJ Best Practice: bestpractice.bmj.com/topics/en-gb/25

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The purpose of this podcast is to educate and to inform. The content of this podcast does not constitute medical advice and it is not intended to function as a substitute for a healthcare practitioner’s judgement, patient care or treatment. The views expressed by contributors are those of the speakers. BMJ does not endorse any views or recommendations discussed or expressed on this podcast. Listeners should also be aware that professionals in the field may have different opinions. By listening to this podcast, listeners agree not to use its content as the basis for their own medical treatment or for the medical treatment of others.

In this episode of the IJGC podcast, Editor-in-Chief Dr. Pedro Ramirez, is joined by Drs. Andreas Obermair and Monika Janda to discuss the FeMMe trial.

Highlights: feMMe was a randomised phase 2 trial testing LNG-IUD alone or in combination with a weight loss intervention or metformin for endometrial hyperplasia with atypia or stage 1 endometrial cancer. Overall complete pathological response at 6 month was 61%. Women with endometrial hyperplasia with atypia responded much better than women with endometrial cancer. Weight loss achieved was moderate and BMI was not associated with response – more work on weight loss interventions needed. Metformin did not improve response – more biomarker research is needed to understand who will respond to LNG-IUD or not.

Dr Amy Ross Russell, Neurology, University Hospital Southampton NHS Foundation Trust, interviews Dr Sophie Binks and Professor Sarosh Irani, from the Oxford Autoimmune Neurology Group, about their recent paper about a practical approach to diagnosis and management of paraneoplastic neurological syndromes. Read the latest Editor’s Choice paper on the Practical Neurology website (https://pn.bmj.com/content/22/1/19) and the February print issue of the journal. The paper is also discussed by Practical Neurology editors, Dr Phil Smith and Dr Geraint Fuller, in their latest podcast: https://soundcloud.com/bmjpodcasts/editors-highlights-of-the-february-2022-issue?in=bmjpodcasts/sets/pn-podcast Please subscribe to the Practical Neurology podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify, to get the latest podcast every month. If you enjoy our podcast, please consider leaving us a review or a comment on the Practical Neurology Podcast iTunes page (https://podcasts.apple.com/gb/podcast/pn-podcast/id942932053). Thank you for listening.

As Ramadan draws near, clinicians may be approached by their Muslim patients to discuss managing their health conditions during the month of fasting. How should someone with a chronic condition, such as diabetes or epilepsy, time their medications during this period? Can a person who’s pregnant or breastfeeding partake in fasting? What alternative options are available to someone whose health needs make participating fully in fasting too risky?

In this week’s episode, we discuss the many questions doctors and patients may have around this topic with Ammad Mahmood and Sahira Dar, authors of a recently published article in The BMJ on advising patients with existing conditions about fasting during Ramadan, and talk about the importance of individualised advice and shared decision making.

Our guests: Ammad Mahmood is a neurological trainee, currently undertaking a PHD in stroke imaging at the University of Glasgow. Sahira Dar is a GP, practising in Glasgow, with special interests in lifestyle medicine and mental health issues.

Further reading: ‘Advising patients with existing conditions about fasting during Ramadan’ by Ammad Mahmood, Sahira Dar et al. https://www.bmj.com/content/376/bmj-2020-063613

Empathy is one of the essential qualities of a good doctor. One way this is assessed at medical school is the use of objective structured clinical examination (OSCE) stations. The use of OSCEs in medical schools is controversial - it can be used to stimulate clinical examination and test students’ ability to express empathy while some perceive OSCEs as an artificial and narrow understanding of clinical medicine.

Topics: • How do medical students’ experiences of empathy change during their medical education? • What factors do medical students describe as influencing their empathy during medical school? • Should and can empathy be assessed? • Importance of empathy in the patient-doctor relationship

Expert guest: Dr David Jeffrey is a retired palliative doctor and former academic mentor at Dundee medical school involved in student support. He also did a PhD exploring empathy in medical students.

Recommended reading: • I never asked to be ICE’d - https://www.bmj.com/content/354/bmj.i3729 • Communication skills and the problem with fake patients - https://www.bmj.com/content/357/sbmj.j974?sso=

We’re looking for new panel members!

Are you a: ✅ Medical student ✅ Listener of Sharp Scratch ✅ Keen on representing the voice of medical students?

In the past, the panel only consisted of medical students studying in the UK. However, remote recording meant that we can extend this opportunity to medical students in other countries. If you’re interested, please apply via the link below. We look forward to hearing from you!

Apply here: https://forms.gle/QocryfkG137cWTb88

Check us out on social media: Twitter: https://twitter.com/BMJStudent Instagram: https://www.instagram.com/bmj_student/ Facebook: https://www.facebook.com/BMJStudent/

This podcast is produced and edited by Dom Byrne and Duncan Jarvies.

Editor-in-Chief of the Archives of Disease in Childhood, Dr Nick Brown, and Senior Editor, Dr Rachel Agbeko, bring you the Atoms - the highlights of the March 2022 issue. Read it on the Archives of Disease in Childhood website: https://adc.bmj.com/content/107/3/i Please listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832

In the latest podcast, we discuss the joint expedited recommendations from the European Stroke Organisation (ESO) and the European Society for Minimally Invasive Neurological Therapy (ESMINT) on indication for intravenous thrombolysis before mechanical thrombectomy in patients with acute ischemic stroke and anterior circulation large vessel occlusion. JNIS Editor-in-Chief, Dr. Felipe C. Albuquerque, interviews Dr. Guillaume Turc, Department of Neurology, GHU Paris Psychiatrie et Neurosciences, Université de Paris, and co-chair of the module working group. Paper available here: https://jnis.bmj.com/content/14/3/209. Please subscribe to the JNIS Podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify, to get the latest episodes. Also, please consider leaving us a review or a comment on the JNIS Podcast iTunes page: https://podcasts.apple.com/gb/podcast/jnis-podcast/id942473767. Thank you for listening!

In this episode of the Heart podcast, Digital Media Intern, Dr. Andrew Perry, is joined by Dr. Alan Daugherty, from the University of Kentucky, and Editor-in-Chief of the Arteriosclerosis, Thrombosis, and Vascular Biology journal. They discuss the latest developments in transcriptomics and how they might be used to understand the causes of vascular disease. If you enjoy the show, please subscribe to the podcast to get episodes automatically downloaded to your phone and computer. Also, please consider leaving us a review at https://itunes.apple.com/gb/podcast/heart-podcast/id445358212?mt=2

In this episode of the IJGC podcast, Editor-in-Chief Dr. Pedro Ramirez, is joined by Dr. David M. Gershenson to discuss legends in gynecologic oncology. Dr. Gershenson is Professor and former Chair of the Department of Gynecologic Oncology and Reproductive Medicine at The University of Texas MD Anderson Cancer Center. His major focus is on the clinical and translational research or rare ovarian cancers.

Highlights: Mentoring is an essential component of a successful career in gynecologic oncology, and every trainee should seek a mentor early in their fellowship. Strive to achieve the optimal work/life balance to avoid burnout over the course of your career. The subspecialty of gynecologic oncology has been consistently gratifying for me during the past 40+ years. It provides young trainees with a myriad of wonderful opportunities and career choices. I strongly recommend having a 5-year plan to optimize success in your professional career.

In this podcast, Dr. Truchetet discusses her work on the role of innate lymphoid cells in the fibrotic processes in systemic sclerosis (SSc) patients. The group of Dr. Truchetet found that ILC2 are crucial mediators of skin fibrosis in SSc and that combined treatment of patients with TGFb inhibitors and IL-10 might be an attractive new therapeutic approach in SSc. Read the full paper on the ARD website: https://ard.bmj.com/content/80/12/1594 Please subscribe to the ARD podcast on all podcast platforms, including Apple Podcast, Google Podcasts, Stitcher and Spotify. If you enjoy the show, feel free to leave us a comment or a review on the podcast iTunes page (https://podcasts.apple.com/gb/podcast/ard-podcast/id1171058059).

In this episode of the IJGC Podcast, Editorial Fellows Floriane Jochum and Natalie Medley discuss the contents of the February issue of IJGC in English.

In this episode of the IJGC Podcast, Editorial Fellow Felix Boria discusses the contents of the February issue of IJGC in Spanish.

Associate Professor Izzy Moore and Grainne Donnelly discuss running during and after pregnancy and provide practical tips and great resources for clinicians treating pregnant and post-partum women. How can you ask about pelvic health? What is the role of a musculoskeletal clinician? How can we ensure less women suffer in silence?

Original research: Multidisciplinary, biopsychosocial factors contributing to return to running and running related stress urinary incontinence in postpartum women https://bjsm.bmj.com/content/55/22/1286.info

Editorial: Multidisciplinary, biopsychosocial factors contributing to return to running and running related stress urinary incontinence in postpartum women: https://pubmed.ncbi.nlm.nih.gov/34836883/

2019 return to running guideline https://doi.org/10.1016/j.physio.2020.03.276

Return to running BJSM infographic - https://bjsm.bmj.com/content/54/18/1114

Run ready post-partum BJSM blogs https://blogs.bmj.com/bjsm/2019/05/20/ready-steadygo-ensuring-postnatal-women-are-run-ready/ and https://blogs.bmj.com/bjsm/2021/08/22/return-to-running-following-childbirth-when-the-principles-of-sports-medicine-and-pelvic-health-collide/

Pelvic health impact questionnaire https://pubmed.ncbi.nlm.nih.gov/16021067/ Canadian guidelines - https://bjsm.bmj.com/content/52/21/1339

Clinical commentary considering the whole system readiness for running post-partum https://journals.lww.com/jwhpt/Abstract/2022/01000/Beyond_the_Musculoskeletal_System__Considering.7.aspx

There was a proposed vaccine mandate for NHS staff in the UK (now abandoned) but in other countries mandates continue, but are they without harm, and do we have evidence about how effective they are?

In this episode, we'll be discussing how a proposed vaccine mandate would have affected GP practices in the UK, particularly when it comes to the demographics of staff who have not accepted the vaccine.

We'll also be discussing direct and indirect evidence which might have helped us assess the efficacy of a mandate.

Our guests; Steve Mowle is a GP in South London, and honorary treasurer, of the Royal College of General Practice. Juan Franco is a GP at the Hospital Italiano de Buenos Aires, Argentina, and Vice-Chair of the Research Department at the Instituto Universitario Hospital Italiano (IUHI), where he is also Director of the Cochrane Associate Centre.

Generalised anxiety disorder (GAD) is a common condition defined as chronic, excessive worry for at least six months that causes distress or impairment.

Christopher Gale, Research Director and Consultant Psychiatrist, Southern District Health Board, New Zealand gives a clinical overview of the condition.

For more on GAD, visit BMJ Best Practice: bestpractice.bmj.com/topics/en-gb/120

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The purpose of this podcast is to educate and to inform. The content of this podcast does not constitute medical advice and it is not intended to function as a substitute for a healthcare practitioner’s judgement, patient care or treatment. The views expressed by contributors are those of the speakers. BMJ does not endorse any views or recommendations discussed or expressed on this podcast. Listeners should also be aware that professionals in the field may have different opinions. By listening to this podcast, listeners agree not to use its content as the basis for their own medical treatment or for the medical treatment of others.

When going on placement, you are probably more interested in gaining experience in the clinical environment and less interested in how frequently doctors can take breaks.

Doctors’ working conditions may seem irrelevant as a medical student but they are closely associated with work satisfaction and wellbeing. In this episode, the Sharp Scratch panel discussed doctors’ working conditions and how it impacts our day-to-day work.

Expert guest: Dr Kevin Teoh (@kevinteohrh on Twitter) is a Chartered Psychologist and the Executive Officer for the European Academy of Occupational Health Psychology.

Thank you to Dr Saliha Mahmood Ahmed (@salihacooks on Twitter) and Neely Mozawala (@NeelyMozawala on Twitter) who contributed to this episode.

We’re looking for new panel members!

Are you a: ✅ Medical student ✅ Listener of Sharp Scratch ✅ Keen on representing the voice of medical students?

In the past, the panel only consisted of medical students studying in the UK. However, remote recording means that we can extend this opportunity to medical students in other countries. If you’re interested, please apply via the link below. We look forward to hearing from you!

Apply here: https://forms.gle/QocryfkG137cWTb88

Check us out on social media: Twitter: https://twitter.com/BMJStudent Instagram: https://www.instagram.com/bmj_student/ Facebook: https://www.facebook.com/BMJStudent/

This podcast is produced and edited by Dom Byrne and Duncan Jarvies.

In this podcast, Rachael Moses, Multimedia Editor of Thorax BMJ, is joined by Professor Ashley Woodcock, Manchester Academic Health Sciences Centre, The University of Manchester, UK, to discuss the paper "Effects of switching from a metered dose inhaler to a dry powder inhaler on climate emissions and asthma control: post-hoc analysis." This paper was a secondary analysis of the Salford Lung Study in Asthma. In a real world study SLS asthma showed that a once daily combination treatment in a dry powder inhaler improved asthma control over one year, versus usual treatment. This secondary analysis looked at the impact on carbon footprint for those patients switching from a pressurised MDI to DPI treatment.

In this episode of the IJGC podcast, Editor-in-Chief Dr. Pedro Ramirez, is joined by Drs. Enrique Chacón and Luis Chiva to discuss the possible protective role of conization.

In previous episodes of Doctor Informed, we've talked about the importance of speaking out, and how to do that better, but as you progress through your medical career, you will become the person to whom those with problems will turn.

In this episode we will explore listening. As a senior clinician, how can you make the space in your work to be a good listener, when what you hear might not be what you want to hear?

Our guests; Megan Reitz is a professor of Leadership and Dialogue at Hult Business School. John Higgins is research director at The Right Conversation.

Reading Speaking truth to power: why leaders cannot hear what they need to hear https://bmjleader.bmj.com/content/5/4/270

What is peripheral nerve hydrodissection and what conditions can it potentially treat? What is the data behind it’s practice? Has one injectate proven to be more efficacious than the others?

On this episode of the AMSSM Sports Medcast (T: @TheAMSSM) host Dr. Devin McFadden, MD is joined by family medicine and sports medicine physicians Dr. Garry Ho.

Dr. Garry Ho is an Associate Professor from the Department of Family Medicine at the Virginia Commonwealth University School of Medicine, University of Vriginia School of Medicine, and the Georgetown University School of Medicine and has worked closely with athletes from several professional and collegiate organizations including the Washington Football Team, the D.C. Divas, the Washington Glory, the US Military Academy at West Point and the US Naval Academy in Annapolis.

In this 20 minute conversation Dr. Ho addresses the following topics: The definition of hydrodissection and theory behind its use? The current data supporting this procedure with respect to injectate utilized and anatomic location targeted. A discussion of the training required to become competent in this practice, and methods for assessing proficiency in learners?

2022 AMSSM Annual Meeting Information: https://annualmeeting.amssm.org

Lam KHS, Hung CY, Chiang YP, Onishi K, Su DCJ, Clark TB, Reeves KD. Ultrasound-Guided Nerve Hydrodissection for Pain Management: Rationale, Methods, Current Literature, and Theoretical Mechanisms. J Pain Res. 2020;13:1957-1968

https://www.dovepress.com/ultrasound-guided-nerve-hydrodissection-for-pain-management-rationale--peer-reviewed-fulltext-article-JPR

Cass, Shane P. DO Ultrasound-Guided Nerve Hydrodissection, Current Sports Medicine Reports: January/February 2016 - Volume 15 - Issue 1 - p 20-22

https://journals.lww.com/acsm-csmr/Fulltext/2016/01000/Ultrasound_Guided_Nerve_Hydrodissection__What_is.10.aspx

In this episode of the IJGC Podcast, former Editorial Fellow Irina Tsibulak discusses the contents of the January issue of IJGC in Russian.

Dr Rebecca Spicer, Impact Research, LLC, PhD, MPH, is an epidemiologist working among engineers to make cars safer. A change of path in her career that is allowing her to see her "work make a difference". In this conversation with Dr Rod McClure, she advises career-seekers to "look beyond what's normal". Please subscribe to the Injury Prevention Podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify. If you enjoy our podcast, please consider leaving us a review and a 5-star rating on the Injury Prevention Podcast iTunes page (https://podcasts.apple.com/gb/podcast/injury-prevention-podcast/id942473946). Thank you for listening!

Dr Philip Smith, Digital and Education Editor of Gut and Consultant Gastroenterologist at the Royal Liverpool Hospital, interviews Dr Lu from the Department of Respiratory Care, College of Medicine, Fu Jen Catholic University, Taiwan, and Drs Lai and Dr Lin from the Department of Medical Biotechnology and Laboratory Science, and Microbiota Research Center, College of Medicine, Chang Gung University, Taiwan. The Gut podcast is focused on the paper "Gut microbiota modulates COPD pathogenesis: role of anti-inflammatory Parabacteroides goldsteinii lipopolysaccharide", which is published in paper copy in Gut in February 2022, and is available here: https://gut.bmj.com/content/71/2/309 Please subscribe to the Gut Podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify, to get the latest podcast every month. If you enjoy our podcast, please consider leaving us a review or a comment on the Gut Podcast iTunes page (https://podcasts.apple.com/gb/podcast/gut-podcast/id330976727).

Duane Peters from the Lupus Foundation of America interviews Dr Erik Anderson and Dr Meggan Mackay from the Feinstein Institutes for Medical Research in New York in the USA. They discuss their study into imbalances in quinolinic acid and kynurenic acid levels in the brain in SLE patients, and propose that the ratio between these two metabolites could be used as a new biomarker or therapeutic target for cognitive dysfunction.

Access the paper here: https://lupus.bmj.com/content/8/1/e000559

In this episode of the Heart podcast, Digital Media Editor, Dr James Rudd, is joined by Dr Charlotte Warren-Gash and Dr Sharon Cadogan from the London School of Hygiene & Tropical Medicine, London, UK. They discuss their study that demonstrated that prescribing DOACs rather than warfarin was associated with lower incident rates of dementia and mild cognitive impairment. If you enjoy the show, please subscribe to the podcast to get episodes automatically downloaded to your phone and computer. Also, please consider leaving us a review at https://itunes.apple.com/gb/podcast/heart-podcast/id445358212?mt=2 Link to published paper: https://heart.bmj.com/content/107/23/1898.abstract

In this episode of the IJGC Podcast, former Editorial Fellow Irina Tsibulak discusses the contents of the January issue of IJGC in Russian.

In this episode of the IJGC podcast, Editor-in-Chief Dr. Pedro Ramirez, is joined by Dr. Nicole Concin to discuss the article European Society of Gynaecological Oncology quality indicators for the surgical treatment of endometrial carcinoma. Dr. Concin is a gynaecological oncologist, ESGO president, Co-Chair of ENGOT Early Drug Development Network, and Professor at Medical University of Innsbruck, Innsbruck Austria & Kliniken Essen-Mitte, Essen, Germany. Related Link: https://ijgc.bmj.com/content/31/12/1508

In the first Talk Evidence of 2022, we'll be asking about the evidence for isolation - now that isolation periods are being reduced, or even stopped in the event of a negative lateral flow test, we'll find out what data that's based on, and if it's appropriate.

Vaccinations and treatments for covid-19 have been the one major success story of the pandemic, but that doesn't mean we should abandon the principles of openness and transparency when it comes to scrutinising the data - we'll hear what access to the data which underlies regulatory approval could do now.

Finally, the impacts of climate change were set out in a WHO report in November last year - and recent weather seems to underline their conclusions. We'll discuss new evidence linking the environment and health, and ask what clinicians can do with that.

Reading list: Mitigating isolation: The use of rapid antigen testing to reduce the impact of self-isolation periods https://www.medrxiv.org/content/10.1101/2021.12.23.21268326v1.full.pdf

Covid-19 vaccines and treatments: we must have raw data, now https://www.bmj.com/content/376/bmj.o102

WHO report: Climate change and health https://www.who.int/news-room/fact-sheets/detail/climate-change-and-health

Ambient heat and risks of emergency department visits among adults in the United States: time stratified case crossover study https://www.bmj.com/content/375/bmj-2021-065653

Residential exposure to transportation noise in Denmark and incidence of dementia: national cohort study https://www.bmj.com/content/374/bmj.n1954

Long term exposure to low level air pollution and mortality in eight European cohorts within the ELAPSE project: pooled analysis https://www.bmj.com/content/374/bmj.n1904

In this episode host Dr Brooke Patterson, is joined by Associate Professor Shane Shapiro, to discuss the responsible use of orthobiologics and regenerative therapies in sports medicine. Professor Shapiro provides clinicians with practical considerations and tips for communicating with patients who may be considering the use of orthobiologics.

Links American Medical Society for Sports Medicine Position Statement: Principles for the Responsible Use of Regenerative Medicine in Sports Medicine https://journals.lww.com/cjsportsmed/Fulltext/2021/11000/American_Medical_Society_for_Sports_Medicine.10.aspx

Editorial - highlights from the American Medical Society for Sports Medicine position statement on responsible use of regenerative medicine and orthobiologics in sports medicine https://bjsm.bmj.com/content/early/2021/10/21/bjsports-2021-104887

Lyme disease is an infectious disease transmitted to humans through the bite of infected ticks.

Erythema migrans develops at the site of tick bite usually within 1 to 2 weeks and is a pathognomic feature. Constitutional symptoms such as fever, headache, myalgias, fatigue, and arthralgias may occur.

In this podcast, Janak Koirala, Professor of Medicine and Infectious Diseases, Division of Infectious Diseases, Southern Illinois University School of Medicine, gives us an overview of the condition.

For more on lyme disease, visit BMJ Best Practice: bestpractice.bmj.com/topics/en-gb/224

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The purpose of this podcast is to educate and to inform. The content of this podcast does not constitute medical advice and it is not intended to function as a substitute for a healthcare practitioner’s judgement, patient care or treatment. The views expressed by contributors are those of the speakers. BMJ does not endorse any views or recommendations discussed or expressed on this podcast. Listeners should also be aware that professionals in the field may have different opinions. By listening to this podcast, listeners agree not to use its content as the basis for their own medical treatment or for the medical treatment of others.

In this podcast, James Cave (Editor-in-Chief) and David Phizackerley (Deputy Editor) provide an overview of the February 2022 issue of DTB. They talk about some of the details from a national report on overprescribing and discuss its implications (https://dtb.bmj.com/content/60/2/18). The editors review a study that highlighted overprescribing of short-acting beta agonists in people with asthma (https://dtb.bmj.com/content/60/2/21). They also discuss an article on prescribing for women of childbearing age who have inflammatory bowel disease and managing medicines during pregnancy (https://dtb.bmj.com/content/60/2/24). Please subscribe to the DTB podcast to get episodes automatically downloaded to your mobile device and computer. Also, please consider leaving us a review or a comment on the DTB Podcast iTunes podcast page (https://podcasts.apple.com/gb/podcast/dtb-podcast/id307773309). Thank you for listening.

Rick Body, Deputy Editor of EMJ, and Sarah Edwards, Social Media Editor of EMJ, talk through the highlights of the February edition of the Emergency Medicine Journal. Read the highlights: https://emj.bmj.com/content/39/2/85. You can subscribe to the EMJ podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify, to get the latest podcast every month. If you enjoy our podcast, please consider leaving us a review or a comment on the EMJ Podcast iTunes page (https://podcasts.apple.com/us/podcast/emj-podcast/id445358244). Thank you for listening!

A recent case against a GP in England has worried the profession - does the fact that a patient, born with a neural tube defect, successfully sued their mother's GP open up the floodgates for litigation? How will that effect the way that you practice?

In this episode we're joined by Claire Dyer, The BMJ's legal correspondent, who explains how that case unfolded.

We also have a clinical update on childhood constipation, and the authors of a recent article in The BMJ give their tips on getting kids to drink movicol.

Show jumper wins case against mother’s GP for “wrongful conception” that resulted in her disability https://www.bmj.com/content/375/bmj.n2999

Childhood constipation https://www.bmj.com/content/375/bmj-2021-065046

In this episode of the IJGC podcast, Editor-in-Chief Dr. Pedro Ramirez, is joined by Prof. Philipp Harter to discuss The DESKTOP III Trial. Prof. Harter is the director of the Department of Gynecology & Gynecologic Oncology at Kliniken Essen-Mitte in Essen, Germany, and the chair of the AGO Study Group. Highlights: -Role of surgery for relapsed ovarian cancer is under debate -DESKTOP III has shown a significant benefit regarding PFS and OS by secondary cytoreduction -The data, interpretation and clinical consequences are discussed".

In the previous episodes of Doctor Informed, we've heard why it's so important to talk about patient safety concerns, and some of the mechanisms that allow hospital staff to raise them, but knowing why and how doesn't always make it easier to speak out.

In this episode we're exploring the concept of a voiceable concern – identifying what counts as a concern, and what counts as an occasion for voice by an individual, is not a straightforward matter of applying objective criteria- for example how do you tell if you're witnessing poor practice, or just something that lies outside your area of understanding? Or how do you know if the common practice in this particular ward is actually an outlier when looking at other hospitals?

Our guests this week; Mary Dixon-Woods is director of THIS Institute, and a Health Foundation Professor of Healthcare Improvement Studies in the Department of Public Health and Primary Care at the University of Cambridge. Her work is concerned with generating a high quality evidence-base to support the organisation, quality and safety of care delivered to patients.

Zoe Fritz is a consultant in acute medicine at Cambridge University Hospitals NHS Foundation Trust, she is also a Wellcome Fellow in society and ethics at THIS Institute, investigating how we communicate and record uncertainty around diagnosis.

Reading: https://pubmed.ncbi.nlm.nih.gov/34978470/

www.bmj.com/podcasts/doctorinformed/ https://www.thisinstitute.cam.ac.uk/podcast/

Publications, presentations, citations - these are trophies that you can flash proudly on your CV. However, what medical students may underestimate, is the long hours required reading papers, processing data and revising manuscripts. While academic medicine can be rewarding and intellectually stimulating, it is not the only way to become a successful clinician, and it definitely isn’t the be-all and end-all.

Topics: •What do editors look for in manuscripts? •The importance of having a mentor in academia •Navigating author guidelines •Pre-print platforms •How does one get into publishing? •How do I get better at writing? •What do researchers look for when medical students reach out to them? •Predatory journals

Expert guest: Dr Joseph Ross (@jsross119 on Twitter) is a Professor of Medicine (General Medicine) and of Public Health (Health Policy and Management) at the Yale School of Medicine. He is also the co-founder of the preprint service for medicine and health sciences - medRxiv.

Check out Edward Christopher’s piece on predatory journals: https://blogs.bmj.com/bmj/2019/10/08/edward-christopher-how-can-medical-students-avoid-predatory-journals/

Check us out on social media: Twitter: https://twitter.com/BMJStudent Instagram: https://www.instagram.com/bmj_student/ Facebook: https://www.facebook.com/BMJStudent/

This podcast is produced and edited by Dom Byrne and Duncan Jarvies.

In this podcast with Dr James Hull and Dr Maarit Valtonen, we take a deep dive into a topic that affects athletes around the globe.

We cover: • The extent of the issue • A recommended approach to evaluating athletes • The value of point-of-case testing • Return to sport

For some further resources, the below links may well be useful

Papers: https://bjsm.bmj.com/content/early/2021/11/17/bjsports-2021-104719 https://bjsm.bmj.com/content/53/17/1093 https://bjsm.bmj.com/content/55/20/1144

Editor-in-Chief of the Archives of Disease in Childhood, Dr Nick Brown, and Senior Editor, Dr Rachel Agbeko, bring you the Atoms - the highlights of the February 2022 issue. Read it on the Archives of Disease in Childhood website: https://adc.bmj.com/content/107/2/i

J. Rick Castañeda is a writer, director and producer (https://www.imdb.com/name/nm1479268/?ref_=tt_ov_dr). His works have been around the world to festivals in London, Canada, Japan, and Romania, as well as festivals in the US such as SXSW. He made over 30 short films, earning recognition from YouTube, Crackle, and Funny or Die. Rick uses humour to explore stress, anxiety and disenfranchisement in the office space. In this podcast, Rick reflects on his childhood and time spent as an office worker, and how these experiences inspired his creative writing and film career. He stresses the importance of portraying human beings from different backgrounds in his films to encourage a dialogue between cultures. Related links: https://blogs.bmj.com/medical-humanities/2022/01/21/loneliness-friendship-and-love-in-the-office-space https://blogs.bmj.com/medical-humanities/2019/07/30/christina-lee-mindlessness-book-review/ https://blogs.bmj.com/medical-humanities/2016/12/14/film-review-dear-zindagi/ https://blogs.bmj.com/medical-humanities/2016/07/13/film-review-notes-on-blindness/

When we ask our PICO questions, how often do we think about what we’re not asking … and when should we revise them? That’s the core of this little piece which encourages us to think about thinking a bit - https://adc.bmj.com/content/107/2/193.2. Far less profound, and far more helpful, is the question of if twins (and triplets and higher orders) are at greater risk of RSV just by being doublets (which really should be what we call them) - https://adc.bmj.com/content/107/2/193.1. And almost as useful is if you can stop a child with annoying sniffles having annoying sniffles when all else fails by splashing them with monteleukast - https://adc.bmj.com/content/107/2/197. So for now, kick back in the snow, tell us what you think, and submit your own following the instructions on the website and you too could be hearing all about yourself spoken by Archi.

Practical Neurology Editors Phil Smith and Geraint Fuller talk you through the highlights of the February 2022 issue of the journal. Read more on the PN website: https://pn.bmj.com/content/22/1/1 The full issue here: https://pn.bmj.com/content/22/1 Please subscribe to the Practical Neurology podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify, to get the latest podcast every month. If you enjoy our podcast, please consider leaving us a review or a comment on the Practical Neurology Podcast iTunes page (https://podcasts.apple.com/gb/podcast/pn-podcast/id942932053). Thank you for listening.

In this episode of the Heart podcast, Digital Media Editor, Dr James Rudd, is joined by Dr Ramesh Nadarajah from the University of Leeds. They discuss a systematic review and meta-analysis of AF prediction methods in primary care. If you enjoy the show, please subscribe to the podcast to get episodes automatically downloaded to your phone and computer. Also, please consider leaving us a review at https://itunes.apple.com/gb/podcast/heart-podcast/id445358212?mt=2 Link to published paper: https://heart.bmj.com/content/early/2021/10/03/heartjnl-2021-320036

In this episode of the IJGC podcast, Editor-in-Chief Dr. Pedro Ramirez, is joined by Dr. Gloria Salvo and Dr. Rene Pareja to discuss IRTA: Open vs MIS Radical Trachelectomy. Dr. Salvo was trained as a gynecologist in Hospital Italiano de Buenos Aires, Argentina and works as a Clinical Reviewer/Data Abstractor of the Neuroendocrine Cervical Tumor Registry (NeCTuR) at MD Anderson Cancer Center. She has published several articles in cervical cancer including sentinel lymph node mapping and fertility-sparing surgery, neuroendocrine cervical carcinomas, and is the first author of the IRTA Study.

Highlights -In this multicenter retrospective study, we found no difference in the 4.5-year DFS rates between open radical trachelectomy and minimally invasive radical trachelectomy in patients with tumors up to 2 cm, even after adjusting for potential confounding variables because of unbalanced groups. -There was no difference in the OS rates or recurrence rates between the open surgery and MIS groups. -Risk factors for relapse were more common in the open surgery group, but oncologic outcomes were similar for the open and minimally invasive approaches.

Rachel Levine Trained as a paediatrician, before becoming firstly the state of Pennsylvania's Physician General, then its Health Secretary.

During president Joe Biden's administration, she was nominated to become the U.S.'s assistant secretary of health. That lead to her becoming a four-star admiral in the U.S. Public Health Service Commissioned Corps, and thus the first openly transgender four-star officer in the US.

In this podcast, we discussed the pandemic - but also wider problems affecting Americans' health, notably climate change, inequality and the opioid crisis. We also discuss the health and care of LGBT+ people, in the U.S, and around the world.

This interview was recorded on the 16th of December 2021.

In this episode of the IJGC Podcast, Editorial Fellow Felix Boria discusses the contents of the January issue of IJGC in Spanish.

In part 2 of this podcast series Dr Adam Weir talks to Associate Professor Robert-Jan de Vos about the recently published Dutch multidisciplinary guideline on Achilles tendinopathy. They give a clinically focused overview that all practitioners will find invaluable.

They discuss: Conservative treatment The role of surgery Prognosis Secondary prevention

Links https://soundcloud.com/bmjpodcasts/sets/bjsm-1?si=ed9b271d1d7140ca81ecfbb201ec42ae&utm_source=clipboard&utm_medium=text&utm_campaign=social_sharing https://bjsm.bmj.com/content/55/20/1125

In this episode of the IJGC Podcast, Editorial Fellows Dimitrios Nasioudis and Floriane Jochum discuss the contents of the January issue of IJGC in English.

Jet lag and sleep phase disorders affect millions of travellers worldwide. Rapid change in time zone produces a constellation of symptoms called jet lag disorder.

Symptoms include difficulty initiating and maintaining sleep, reduced daytime alertness, general malaise, and gastrointestinal symptoms.

In this podcast, Ashish Adlakha, Assistant Clinical Professor, Neurology and Sleep Medicine, Connecticut Healthcare, gives us a clinical overview.

For more on jet lag, visit BMJ Best Practice: bestpractice.bmj.com/topics/en-gb/1017

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The purpose of this podcast is to educate and to inform. The content of this podcast does not constitute medical advice and it is not intended to function as a substitute for a healthcare practitioner’s judgement, patient care or treatment. The views expressed by contributors are those of the speakers. BMJ does not endorse any views or recommendations discussed or expressed on this podcast. Listeners should also be aware that professionals in the field may have different opinions. By listening to this podcast, listeners agree not to use its content as the basis for their own medical treatment or for the medical treatment of others.

In this episode of the IJGC podcast, Editor-in-Chief Dr. Pedro Ramirez, is joined by Gabriela Benjamin to discuss a patient’s perspective on ovarian cancer. Gabriela Gesteira Benjamin 38 years old and was born in Brazil and grew up in Miami. She attended Columbia University where she studied engineering. She has worked in finance for the past 15 years and is currently a portfolio manager at Blackrock. She is the daughter of Roberto Benjamin and late Fatima Gesteira and sister to Joana Benjamin and Dr. Carolina Benjamin and proud aunt of Nico and Enzo. Gabi has a zest for life, practicing tennis, yoga, pilates, meditation, Freediving and kitesurfing just to name a few. She was diagnosed with advance stage ovarian cancer one year ago, underwent chemotherapy and hysterectomy. She is currently in remission but remains on maintenance medication. Interviewee Info: Gabriela Benjamin (@galebaweBenjam) Highlights: - It benefits patients when doctors put themselves in the patient’s shoes and acknowledge how painful and difficult a cancer diagnosis is - Treatment is not an easy journey, but staying positive and continuing to live life help in the process and often the outcome. - You must learn to see the collateral beauty or the silver linings, whether it is the love you receive, nature or a breath you take when you feel good. This diagnosis will give you new lenses to view life with - The choice of what center you do care in and with what Doctor makes the difference. Do your research, It is a personal choice but a very important one. For me it was a combination of experience and affinity, and I could not be happier with my choice of Dr. Ramirez and MdAnderson.

As healthcare professionals, we work with people from a myriad of culture and countries. At times, some patients may need a little bit of help with English. We may also elicit language skills from our diverse workforce. But is it the right thing to do?

Timestamps: 0:00 - 1:17 - introduction 1:18 - 4:50 anecdotes of encountering patients who may need a bit of help with English 4:51 - 7:15 a bilingual medical student shares her experience of interpreting for patients 7:16 - 10:18 - language barrier may compound medical jargon 10:19 - 13:07 why getting help from interpreters is important 13:08 - 18:40 should you be asking your colleagues with language skills to help interpret? 19:50 - 23:07 a medical interpreter gives some insight about her role 23:08 - 31:33 reflecting on misunderstanding that arose from misinterpreting verbal and non-verbal communication 33:27 - 39:17 should you be using Google Translate? 39:18 - 47:00 how about using friends and family of the patient to help with interpreting?

According to the Census in 2011, the top three languages other than English spoken in England and Wales are Polish (546,000 people), Punjabi (273,000 people) and Urdu (269,000 people). Link: https://www.ons.gov.uk/peoplepopulationandcommunity/culturalidentity/language/articles/languageinenglandandwales/2013-03-04

Expert guest: Professor Jieun Kiaer is a Professor of Korean Language and Linguistics at the University of Oxford.

Thank you to Wiktoria Ozarek and Candy Lee who contributed to this podcast.

Check us out on social media: Twitter: https://twitter.com/BMJStudent Instagram: https://www.instagram.com/bmj_student/ Facebook: https://www.facebook.com/BMJStudent/

This podcast is produced and edited by Dom Byrne and Duncan Jarvies.

Rick Body, Deputy Editor of EMJ, and Sarah Edwards, Social Media Editor of EMJ, talk through the highlights of the January 2022 edition of the Emergency Medicine Journal. Read the highlights: https://emj.bmj.com/content/39/1/1 Details of the papers mentioned in the podcast: Frequent attendance at the emergency department shows typical features of complex systems: analysis of multicentre linked data: https://emj.bmj.com/content/39/1/3

Heterogeneity of reasons for attendance in frequent attenders of emergency departments and its relationship to future attendance: https://emj.bmj.com/content/39/1/10

Non-urgent emergency department attendances in children: a retrospective observational analysis: https://emj.bmj.com/content/39/1/17

How much time do doctors spend providing care to each child in the ED? A time and motion study: https://emj.bmj.com/content/39/1/23

Evidence base for point-of-care ultrasound (POCUS) for diagnosis of skull fractures in children: a systematic review and meta-analysis: https://emj.bmj.com/content/39/1/30

Prehospital continuous positive airway pressure (CPAP) for acute respiratory distress: a randomised controlled trial: https://emj.bmj.com/content/39/1/37

Effects of sleepiness on clinical decision making among paramedic students: a simulated night shift study: https://emj.bmj.com/content/39/1/45

Incidence and impact of incivility in paramedicine: a qualitative study: https://emj.bmj.com/content/39/1/52

COVID-19 rapid diagnostics: practice review: https://emj.bmj.com/content/39/1/70

In this podcast Dr Adam Weir talks to Associate Professor Robert-Jan de Vos about the recently published Dutch multidisciplinary guideline on Achilles tendinopathy. They give a clinically focused overview that all practitioners will find invaluable.

They discuss: · How the guideline was developed · Risk Factors · Prevention strategies · Clinical diagnosis · The role of imaging

Links https://bjsm.bmj.com/content/55/20/1125

Dr Philip Smith, Digital and Education Editor of Gut and Consultant Gastroenterologist at the Royal Liverpool Hospital, interviews Dr Laurent Azoulay and Dr Devin Abrahami, from the Centre for Clinical Epidemiology, Lady Davis Institute for Medical Research, and McGill University, Montreal, Canada. Dr. Abrahami is now a postdoctoral fellow at the Brigham and Women’s Hospital and Harvard Medical School. This Gut podcast is focused on the paper "Proton pump inhibitors and risk of colorectal cancer", which is published in paper copy in Gut in January 2022, and is available here: https://gut.bmj.com/content/71/1/111. Please subscribe to the Gut Podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify, to get the latest podcast every month. If you enjoy our podcast, please consider leaving us a review or a comment on the Gut Podcast iTunes page (https://podcasts.apple.com/gb/podcast/gut-podcast/id330976727). Thank you for listening.

The highlights of this edition brought to you by the Editor-in-Chief of Frontline Gastroenterology Mark Beattie. Read the UpFront of the January 2022 issue of Frontline Gastroenterology: https://fg.bmj.com/content/13/1/1 The full issue is now online: https://fg.bmj.com/content/13/1 Listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify.

In this podcast, Editor-in-Chief of Injury Prevention, Professor Rod McClure, interviews Dr Sharon Newnam. Dr Newnam is Associate Professor (Research), Monash University Accident Research Centre, Melbourne, Australia, and has made significant contributions to translating science to industry and government. She describes her research on the factors influencing safety performance in the workplace, from the individual characteristics of workers to the safety practices of management and beyond. Dr Newnam provides a road map for people wanting to learn how to make research matter. Please subscribe to the Injury Prevention Podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify. If you enjoy our podcast, please consider leaving us a review and a 5-star rating on the Injury Prevention Podcast iTunes page (https://podcasts.apple.com/gb/podcast/injury-prevention-podcast/id942473946). Thank you for listening!

Duane Peters from the Lupus Foundation of America interviews Jennifer He from the University of Western Ontario in Canada about her research into using neuropsychological battery tests to determine the degree of cognitive dysfunction in lupus patients. A high degree of variability in performance across multiple tests (a high dispersion score) is associated with a higher risk of cognitive dysfunction, so this can be a useful screening/diagnostic tool.

Access the paper here: https://lupus.bmj.com/content/8/1/e000511

In this episode of the Heart podcast, Social Media Intern, Dr Andrew Perry is joined by preventative cardiologist Dr Martha Gulati from the University of Arizona. They discuss the 2021 AHA/ACC Guideline for the Evaluation and Diagnosis of Chest pain.

If you enjoy the show, please subscribe to the podcast to get episodes automatically downloaded to your phone or computer. Also, please consider leaving us a review at https://itunes.apple.com/gb/podcast/heart-podcast/id445358212?mt=2

Link to published paper: https://www.ahajournals.org/doi/10.1161/CIR.0000000000001029

In this episode of the IJGC podcast, Editor-in-Chief Dr. Pedro Ramirez, is joined by Dr. Andreina Fernandes to discuss HPV-independent Cervical Cancers. Dr. Fernandes is a Molecular Biologist, Doctor of Science, and author of “Human papillomavirus-independent cervical cancer,” the Lead Article for the January 2022 issue of IJGC. Dr. Fernandes is a Researcher of the Molecular Genetics Laboratory at the Institute of Oncology and Hematology, and Professor of the Faculty of Dentistry, at Universidad Central de Venezuela in Caracas, Venezuela. (https://ijgc.bmj.com/content/early/2021/12/08/ijgc-2021-003014) Highlights: -The percentage of HPV-independent tumors is very variable, around 5 and 10%. -HPV-independent tumors are characterized by a differentiated molecular profile with lower proliferative activity, a p53 immunostaining, and alterations in PTEN, p53, KRAS, CTNNB1, ARID1A and ARID5B. -Most HPV-independent tumors are adenocarcinomas, however, there have been reports of HPV-independent cases with squamous histology. -HPV-independent tumors are associated with early lymph node involvement, accelerated tumor growth, distant metastasis, and a more aggressive biological behavior, related to a worse disease free survival and overall survival. -The hit and run mechanism could explain the absence of the viral genome in the HPV-independent cervical cancer cases.

Andreina Fernandes (@AndreFernandes2)

In this rebroadcasted episode of the IJGC podcast, Editor-in-Chief Dr. Pedro Ramirez, is joined by Dr. Sarah Ferguson. Dr. Ferguson is a Professor in the Division of Gynecologic Oncology in the Department of Obstetrics and Gynecology at the University of Toronto and a member of the Division of Gynecologic Oncology at University Health Network/Sinai Health Systems. She is the Director of Research for the Division of Gynecologic Oncology at Princess Margaret Cancer. Dr. Ferguson completed her residency in Obstetrics and Gynecology at University of Toronto and a fellowship at Memorial Sloan-Kettering Cancer Centre in Gynecologic Oncology. Current research program includes prospective surgical trials in cervical and endometrial cancer, evaluation of patient reported outcomes and molecular characterization of endometrial cancer.

With Christmas 2021 only just around the corner, we round off the year by chatting about our ‘Deep Breath In’ highlights, and by sharing some of the great feedback we’ve received from our listeners. We talk to Inga Usher and Aswin Chari, whose study comparing neurosurgeons with aerospace engineers (“It’s not brain surgery” vs. “It’s not rocket science”) was featured in The BMJ’s 2021 Christmas issue. Finally, we end the episode with a quiz on ICU slang (what on earth does ‘closest crocodile to the canoe’ mean?), 2021 NICE guideline updates, and, finally, the Bristol stool chart. Merry Christmas!

Our guests:

Inga Usher is a final year clinical PhD student at UCL Cancer Institute, studying a rare bone cancer, chordoma, and an aspiring neurosurgeon.

Aswin Chari is a neurosurgical trainee at Great Ormond Street Hospital, London.

Further reading:

SEED Eating Disorder Support Services: https://seed.charity/

Mitchell and Webb brain surgeon & rocket scientist sketch: https://www.youtube.com/watch?v=THNPmhBl-8I

“It’s not rocket science” and “It’s not brain surgery”—“It’s a walk in the park”: prospective comparative study: https://www.bmj.com/content/375/bmj-2021-067883

Just a smidge, or a bridge too far? Slang use in the ICU: https://www.bmj.com/content/375/bmj-2021-067900

In this podcast, James Cave (Editor-in-Chief) and David Phizackerley (Deputy Editor) provide an overview of the January 2022 issue of DTB. They discuss the UK Medicines and Healthcare products Regulatory Agency's decision to license the oral antiviral drug molnupiravir (Lagevrio) and the paucity of publicly available clinical trial data - https://dtb.bmj.com/content/60/1/2. The editors talk about a study that highlighted potentially inappropriate prescribing in middle-aged adults - https://dtb.bmj.com/content/60/1/6. They also review an article on some of the challenges facing people when they try to stop taking antidepressants - https://dtb.bmj.com/content/60/1/7. Please subscribe to the DTB podcast to get episodes automatically downloaded to your mobile device and computer. Also, please consider leaving us a review or a comment on the DTB Podcast iTunes podcast page (https://podcasts.apple.com/gb/podcast/dtb-podcast/id307773309). Thank you for listening.

The BMJ has special criteria for considering Christmas research: first it should make you laugh, and then it should make you think.

In this festive episode of the Talk Evidence podcast, our regular panel of Helen Macdonald and Joe Ross are again joined by Juan Franco, editor in chief of BMJ Evidence Based Medicine.

They’ll give you a peek into what makes for good Christmas research, and why what may seem silly on the surface has a deeper meaning.

We’re never going to be satisfied with the search of direct randomised evidence in paediatrics - unless we’re working in the hallowed hills of 'paed oncology' of course - so how should we think about the weight of evidence to change things? There’s a classic lack of direct, trial data when it comes to considering when to give vaccines after TNF-alfa treatments in pregnancy [https://adc.bmj.com/content/107/1/93.1] but what is out there can be digested and considered and given as a pithy conclusion … as can the consideration of radiotherapy for a non-malignant condition … (something we’ve tended to shy away from after treating - effectively - ringworm with scalp focussed zapping and accidentally creating meningiomas where there was only an annoying fungal infection before) … should you block or blast in Grave’s disease? [https://adc.bmj.com/content/107/1/97] Enjoy, tell us what you think, and submit your own following the instructions on the website and you too could be subject to this sort of internet delight [https://adc.bmj.com/content/106/11/1135.2].

In this podcast, JNNP's Podcast Editor, Colin Mahoney, interviews Dr Jason Ray (Neurology, Alfred Health, and Department of Neuroscience, Monash University, Melbourne). Dr Ray discusses the role of calcitonin gene related peptide in migraine and the growing body of evidence for the role of therapies directed against this protein in migraine and beyond. He also highlights emerging off-target side effects to monitor for. Related article: https://jnnp.bmj.com/content/92/12/1325

In this rebroadcasted episode of the IJGC podcast, Editor-in-Chief Dr. Pedro Ramirez, is joined by Dr. Nicole Concin to discuss the ESGO-ESTRO-ESP Endometrial Cancer Guidelines (ijgc.bmj.com/content/early/2020…8/ijgc-2020-002230)

As clinicians, we're all taught that patient safety is everyone's responsibility - but on the ground it can be hard to know how to most effectively report concerns, especially if you're not sure how those concerns will be received.

In this episode of Doctor Informed, Clara Munro is joined by Ayisha Ashmore, and they ask "who is actually responsible for patient safety?"

To answer that we're joined by 2 guests

Bill Kirkup, independent investigator who has worked on the reports into failings in Mid-Staffordshire, and Gosport.

Henrietta Hughes - GP, and the NHS's first guardian, Henrietta championed the creation of freedom-to-speak-up guardians in the English NHS, to ensure that clinicians are able to freely speak out.

Similar to sports, overuse injuries are exceedingly common in the performing artist population. On this episode of the AMSSM Sports Medcast, host Dr. Stephen Luebbert, MD, is joined by Dr. Jeremy Stanek, MD, to discuss on the topic of performing arts medicine and his career journey from musician to sports medicine physician.

In this conversation Dr. Stanek addresses the following topics: · Dr. Stanek’s inspiration for becoming a performing arts physician as well as discuss the patient populations he typically sees and treats · The different components to physical exams to consider with dancers and musicians · The most common injury patterns in performing artists · The go-to resources to utilize for best practices, prevention, treatment and overall management of performing arts medicine · Recommend pathways to get started and more involved in this field

Resources I. Websites: 1. Performing Arts Medicine Association https://artsmed.org/ 2. International Association for Dance Medicine & Science- https://iadms.org/ 3. Stanford Performing Arts Medicine Program- https://pmr.stanford.edu/patients/performing-arts-orthopaedic-health.html 4. Texas Center for Performing Arts Health https://tcpah.unt.edu/home 5. Harkness Center for Dance Injuries- https://nyulangone.org/locations/harkness-center-for-dance-injuries 6. Washington University Medical Program for Performing Artists- https://www.ortho.wustl.edu/content/Patient-Care/2348/Services/Physical-Medicine-and-Rehabilitation-Musculoskeletal/Performing-Arts-Program.aspx 7. Performing Arts Medicine Fellowship at the Texas College of Osteopathic Medicine - https://www.unthsc.edu/texas-college-of-osteopathic-medicine/graduate-medical-education/performing-arts-medicine-fellowship/

Fiona Godlee is stepping down as Editor-in-Chief of The BMJ after 16 years in the position.

She was the first female editor of the journal, and over her tenure has seen a lot of changes - both to the publication she's run, and to the wider world of medicine.

To mark her departure, Helen Macdonald sat down with Fiona to ask her a bit about those early days at the journal, on her view of women taking leadership roles in medicine, on her thoughts about some of the big issues facing science, and what is coming next.

Note from the editor; apologies for the audio quality in the first half.

In this episode of the JIM podcast, Editor-in-Chief Dr. Richard McCallum speaks with Dr. Gurdeep Singh, the first author of the review entitled “Wegovy(Semaglutide) a new weight loss drug for chronic weight management” which was Editor’s choice in the upcoming January issue of the Journal of Investigative Medicine.

Dr. Gurdeep Singh, MD, FACE a Clinical Endocrinologist from Lake Erie College of Osteopathic Medicine at Our Lady of Lourdes Memorial Hospital in Binghamton, New York.

Editor-in-Chief of the Archives of Disease in Childhood, Dr Nick Brown, brings you the monthly Atoms - the highlights of the January 2022 issue. Read it on the Archives of Disease in Childhood website: https://adc.bmj.com/content/107/1/i

In this episode of the Heart podcast, Digital Media Editor, Dr James Rudd, is joined by Dr Michelle Kelsey from Duke University. They discuss predictors of success in weight loss strategies in patients with CAD, and why such variability exists. If you enjoy the show, please subscribe to the podcast to get episodes automatically downloaded to your phone and computer. Also, please consider leaving us a review at https://itunes.apple.com/gb/podcast/heart-podcast/id445358212?mt=2 Link to published paper: https://heart.bmj.com/content/107/19/1526

The highlights of this edition brought to you by the Editor-in-Chief of Frontline Gastroenterology, Mark Beattie. You can read here: https://fg.bmj.com/content/12/7/541. The full issue is now online: https://fg.bmj.com/content/12/7 Listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify.

Our last interview in this podcast series is with Dr. Leonore Tiefer who has written widely about the medicalization of men’s and women’s sexuality. Her global campaigns have been successful in slowing the medicalization of common female sexual problems and is a model for community action against overdiagnosis and overtreatment.

You can find more information about Leonore's work on the newviewcampaign.org website.

Venous sinus stenting (VSS) is a safe, effective, and increasingly popular treatment option for selected patients with idiopathic intracranial hypertension (IIH). Serious complications associated with VSS are rarely reported. In this podcast, JNIS Editor-in-Chief, Felipe C. Albuquerque, interviews Dr. Kyle Fargen, from the Department of Neurosurgery, Wake Forest University, Winston-Salem, North Carolina, about a case series in which serious complications after VSS were identified retrospectively from multicenter databases. The cases are reviewed and learning points regarding complication avoidance and management are presented in his paper (https://jnis.bmj.com/content/early/2021/04/27/neurintsurg-2021-017361).

In this rebroadcasted episode of the IJGC podcast, Editor-in-Chief Dr. Pedro Ramirez, is joined by Professor Christina Fotopoulou to discuss the ESGO Guidelines on Perioperative Management Ovarian Cancer. Professor Fotopoulou is the lead author of “European Society of Gynaecological Oncology guidelines for the peri-operative management of patients with ovarian cancer,” which is the Lead Article of IJGC’s September 2021 issue. Professor Fotopoulou works at the Department of Surgery and Cancer at Imperial College London, UK. She is an elected ESGO council member and Chair of the ESGO guidelines committee.

In this second podcast focussing on the covid response in South Asia, we’re focussing on the intersection of conflict and covid in the region. The pandemic has highlighted the underlying weaknesses in many health systems - but could it also be used as a catalyst for change, and be a step towards easing tensions?

To discuss this, Kamran Abbasi, executive editor of The BMJ, is joined by Zulfiqar Bhutta, head of the Institute for Global Health and Development, Aga Khan University, and Arun Mitra senior vice president of Indian Doctors for Peace & Development.

To read more; Conflict, extremism, resilience and peace in South Asia; can covid-19 provide a bridge for peace and rapprochement? https://www.bmj.com/content/375/BMJ-2021-067384

‘Tis the season of giving and receiving gifts. In medicine, as demonstrated by the early phase of the pandemic, patients and the public may express gratitude towards healthcare staff by giving tokens of appreciation in the form of gifts.

In this episode, we discuss: - the ethics and etiquette of receiving gifts from patients - how thank you cards can be a good addition to your portfolio, and - how you can also show appreciation and gratitude to your colleagues by writing feedback.

Thank you for your support this year. If you have any ideas of what we should cover later in the season, please let us know by contacting us via social media. Merry Christmas and happy holidays from the Sharp Scratch team!

NHS England provides guidance on managing conflicts of interest in the NHS which can be accessed here: https://www.england.nhs.uk/wp-content/uploads/2017/02/guidance-managing-conflicts-of-interest-nhs.pdf

Expert guest: Dr Gordon Caldwell (@doctorcaldwell on Twitter) is a Consultant Physician and Clinical Lead at Lorn and Islands District General Hospital, part of NHS Highlands.

Thank you to Andrew MacFarlane (@andrew_mac94 on Twitter) and Dr Hans van Huellen (@_hvh_ on Twitter) who contributed to this podcast.

Check us out on social media: Twitter: https://twitter.com/BMJStudent Instagram: https://www.instagram.com/bmj_student/ Facebook: https://www.facebook.com/BMJStudent/

This podcast is produced and edited by Dom Byrne and Duncan Jarvies.

Dr Amy Ross Russell, Neurology, University Hospital Southampton NHS Foundation Trust, interviews Dr Fahmida Chowdhury and Dr Matthew Walker, both from the National Hospital for Neurology and Neurosurgery, London, about their recent paper, summarising the current literature on localisation in focal epilepsies using illustrative cases and discussing possible pitfalls in localisation. Read the paper on the Practical Neurology website (https://pn.bmj.com/content/21/6/481) and the December print issue of the journal. The paper is also discussed by Practical Neurology editors, Dr Phil Smith and Dr Geraint Fuller, in their latest podcast: https://soundcloud.com/bmjpodcasts/editors-highlights-december-2021-issue?in=bmjpodcasts/sets/pn-podcast Please subscribe to the Practical Neurology podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify, to get the latest podcast every month. If you enjoy our podcast, please consider leaving us a review or a comment on the Practical Neurology Podcast iTunes page (https://podcasts.apple.com/gb/podcast/pn-podcast/id942932053). Thank you for listening.

Professor Schipperijn is a Professor at the University of Southern Denmark & president of the International Society for Physical Activity and Health (ISPAH). He joins us on this BJSM podcast to outline the famous ‘8 investments’ for physical activity, that are now being translated into 12 languages.

We will be sharing the 8 investments, the translations and some associated resources through our social media channels over the coming weeks & months, but you can find out more information on the ISPAH website https://www.ispah.org/resources/key-resources/8-investments/

Brandy interviews Donna McCormack about the December Special Issue, Transplant and its Imaginaries. Donna McCormack, Chancellor'S Fellow and Senior Lecturer (with co-editor Magrit Shildrick) proposes new understandings of the limits and possible extensions of organ and tissue transplantation. The Special Issue of Medical Humanities is available here: https://mh.bmj.com/content/47/4 Read the related blog post (with the transcription of this podcast) here: https://blogs.bmj.com/medical-humanities/2021/12/09/december-special-issue-podcast-transplantation-and-its-imaginaries Subscribe to the Medical Humanities Podcast in all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify. If you enjoy our podcast, please consider leaving us a review and a 5-star rating on the Medical Humanities Podcast iTunes page (https://podcasts.apple.com/gb/podcast/medical-humanities-podcast/id961667204). Thank you for listening!

In this episode of the IJGC Podcast, Editorial Fellows Emma Allanson and Cecilia Darin discuss the contents of the December issue of IJGC in English.

Following the recent COP26 Climate Change Summit, we discuss, in this week’s episode, the announcement that some 50 countries have committed to reach net zero carbon emissions within their healthcare systems by, or before, 2050. We talk about the role that GPs can play in reducing the carbon footprint of their practice, how to tackle climate anxiety, and how integrating greener practices into our healthcare systems aligns with better health benefits for our population as a whole – both now and in the future.

Our guests:

Richard Smith is the chair of the UK Health Alliance on Climate Change, and former editor of ‘The BMJ’.

Aarti Bansal is a GP, working in Sheffield, and the Net-zero NHS GP lead for the Humber, Coast and Vale Health and Care Partnership. She is also the founder of Greener Practice.

Further reading: Greener Practice website: https://www.greenerpractice.co.uk/ Greener Practice guide to inhaler prescribing: https://www.greenerpractice.co.uk/greener-practice-guide-to-inhaler-prescribing https://www.bmj.com/content/375/bmj.n2416 https://www.bmj.com/content/375/bmj-2021-067199

In this episode of the IJGC Podcast, Editorial Fellows Natalia Rodriguez and Erick Estrada discuss the contents of the December issue of IJGC in Spanish.

In this episode of the IJGC podcast, Editor-in-Chief Dr. Pedro Ramirez, is joined by Dr. Jennifer Chae-Kim. Dr. Chae-Kim is the author of Outcomes of women treated with progestin and metformin for atypical endometrial hyperplasia and early endometrial cancer: a systematic review and meta-analysis, which is the Lead Article of IJGC’s December 2021 issue. Dr. Chae-Kim is in her last year of OB/GYN residency at BSW-Temple, and will be pursuing her interests in fertility preservation and fellowship training in REI at the NIH next year. https://ijgc.bmj.com/content/early/2021/11/15/ijgc-2021-002699 Jennifer Chae-Kim (@chae_md) Highlights 1) Endometrial cancer and atypical endometrial hyperplasia are being diagnosed more frequently in reproductive-aged women, who may desire fertility-sparing therapy. 2) Women who received progestin and metformin therapy were found to have lower disease relapse rates than those who received progestin alone. 3) Combined therapy was not associated with significantly different rates of disease remission, pregnancy, live birth. 4) Further research is needed to determine the parameters of clinical application of metformin to progestin therapy.

In this episode of the JISAKOS Podcast, Social Media Editors Emmanouil Brilakis and Andreas Voss interview Pieter D'Hooghe of Aspetar Qatar Orthopaedic and Sports Medicine Hospital, about his recently published article, “Isolated meniscus injuries in skeletally immature children and adolescents: state of the art”. (https://jisakos.bmj.com/content/early/2021/10/06/jisakos-2020-000496)

Professor Roszalina Ramli, Department of oral and maxillofacial surgery, Universiti Kebangsaan Malaysia, Kuala Lumpur, is an oral and maxillofacial surgeon by training, who developed skills in biomechanics and epidemiology in order to solve what she saw as a major community problem. In this podcast, Dr Ramli tells Editor-in-Chief of Injury Prevention, Rod McClure, how she stepped from the operating theatre to research, and into public health policy. Please subscribe to the Injury Prevention Podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify. If you enjoy our podcast, please consider leaving us a review and a 5-star rating on the Injury Prevention Podcast iTunes page (https://podcasts.apple.com/gb/podcast/injury-prevention-podcast/id942473946). Thank you for listening!

Duane Peters from the Lupus Foundation of America interviews Francisca Lambert-Fliszar and Dr Evelyne Vinet from McGill University Health Centre in Canada. They discuss monitoring 6-mercaptopurine (6-MP) metabolite levels to enable personalisation of immunosuppressive therapies prior to conception or during pregnancy, in order to most effectively and safely control the disease during this critical time.

Access the paper here: https://lupus.bmj.com/content/8/1/e000519

In this episode of the Heart podcast, Digital Media Editor, Dr James Rudd, is joined by Dr Pamela Brown, consultant cardiologist from the James Cook Hospital, Middlesbrough, UK. They discuss the issues surrounding becoming a consultant, and Dr Brown shares plenty of tips from her own journey, including choosing what type of job to apply for, agreeing on a job plan, managing workload and trying not to drown in email! If you enjoy the show, please subscribe to the podcast to get episodes automatically downloaded to your phone and computer. Also, please consider leaving us a review at https://itunes.apple.com/gb/podcast/heart-podcast/id445358212?mt=2

In this episode of Doctor Informed, Clara Munro is joined by Ayisha Ashmore - and they're getting to grips with being a compassionate colleague.

While the topic might seem warm and fuzzy, there's some good hard science to suggest that compassionate leadership at every level of healthcare can make a huge difference to staff, and improve patient outcomes.

Most people innately have the skills need to be compassionate colleagues - but often the pressures of the job can make it the lowest of priorities in our everyday interactions.

Our two guests this week think that's wrong though - and say that compassionate leadership is one of the most important things to get right.

Joining us are, Michael West, senior fellow at The King's Fund and professor of Work and Organisational Psychology at Lancaster, and Bob Klaber, consultant general paediatrician and director of strategy, research and innovation at Imperial College Healthcare NHS Trust

Michael has written the book on compassionate leadership in health and social care - https://tinyurl.com/vh55mker.

You can read more about Bob's work in his blog - https://www.imperial.nhs.uk/about-us/blog/how-acts-of-kindness-can-improve-care-and-strengthen-teams

Ayisha has written about putting some of this all into practice in a maternity setting - https://bmjleader.bmj.com/content/early/2021/11/25/leader-2021-000449

Do hospitalised COVID-19 patients receiving treatment with CPAP and HFNOT present a significant added risk of viral contamination to the surrounding environment used by healthcare workers? And is there enough evidence to suggest or recommend levels of PPE that should be used for healthcare workers caring for patients on CPAP or HFNOT? Two of the main questions this short podcast addresses. Rachael Moses, Multimedia Editor Thorax BMJ, interviews Dr Chris Green, Consultant in Infectious Diseases & General (Internal) Medicine, University Hospitals Birmingham NHS Foundation Trust. Read the two related papers: SARS-CoV-2 environmental contamination from hospitalised patients with COVID-19 receiving aerosol-generating procedures - https://thorax.bmj.com/content/early/2021/11/01/thoraxjnl-2021-218035 Coughs and sneezes spread diseases: but do ‘aerosol generating’ procedures? - https://thorax.bmj.com/content/early/2021/11/10/thoraxjnl-2021-218133

Dr Philip Smith, Digital and Education Editor of Gut and Consultant Gastroenterologist at the Royal Liverpool Hospital, interviews Professor Cao, Associate Professor of Surgery, Division of Public Health Sciences, Department of Surgery, Washington University School of Medicine, St. Louis, Missouri. This Gut podcast is focused on the paper "Sugar-sweetened beverage intake in adulthood and adolescence and risk of early-onset colorectal cancer among women", which is published in paper copy in Gut in December 2021, and is available here: https://gut.bmj.com/content/70/12/2330.

From ensuring fairer healthcare in India to addressing medical overuse, high-profile cancer specialist, professor CS Pramesh of Tata Memorial Hospital is challenging norms within cancer healthcare and practice.

Pramesh is also helping to lead Choosing Wisely’s efforts to reduce wasteful care in low- and middle-income countries – with the aim to achieve more efficient, higher quality, and equitable care for all.

In this episode of the IJGC podcast, Editor-in-Chief Dr. Pedro Ramirez, is joined by Professor Andreas du Bois. Professor du Bois completed his medical degree in 1987 at the University of Freiburg, Germany. He subsequently trained in general surgery at Krankenhaus Wolfach Personalwohnheim and gynaecology and obstetrics at the University of Freiburg, leading to his registration as Fellow for Gynaecology and Obstetrics in 1993.

In 1993, Prof. du Bois became a Consultant in the Department of Gynaecology and Obstetrics at St. Vincentius-Kliniken, Karlsruhe. He then served as Director of the Department of Gynaecology and Gynaecologic Oncology, Horst-Schmidt-Kliniken, Wiesbaden (19992010) before taking up his current roles as Director of the Departmenf of Gynaecology and Gynaecologic Oncology at Kliniken Essen-Mitte, and Associate Professor at Johannes Gutenberg University of Mainz, Germany.

Prof. du Bois has been the Principal Investigator of several pivotal and practice-changing international clinical trials in gynaecological oncology. He founded the Arbeitsgemeinschaft Gynaekologische Onkologie (AGO) Study Group in 1993 and co-founded the European Network of Gynaecological Oncological Trial groups (ENGOT) in 2007. He has previously been a member of the German Guideline Comittee for guidelines in breast, cervical, and ovarian cancer, Chairman of the German quality assurance programme for ovarian cancer (QS-OVAR), and member of the Gynecological Cancer InterGroup (GCIG) executive board and European Society of Gynaecological Oncology (ESGO) council. Prof. du Bois has been Chairman and a member of the Scientific Committee of the Ovarian Cancer Consensus Conference of the GCIG, and served as a member of the Scientific Committee of the 1st European Society of Medical Oncology (ESMO)-ESGO Ovarian Cancer Consensus Conference 2018. Prof. du Bois is a member of the American Society of Clinical Oncology (ASCO), ESGO, International Gynecologic Cancer Society (ISGC), German Cancer Society, and AGO. He has authored more than 500 publications with more than 33,500 citations, and has a Google Scholar h index of 86.

Prof. du Bois has received multiple honours and awards in recognition for his work, including the Arthur Walpole Award (German Cancer Society, 2006), Ernst Wertheim Award (Austrian Society of Gynecologic Oncology, 2006), MD Anderson Madrid Lifetime Award (2016), Wilhelm-Warner Prize for Cancer Research (2019), German Cancer Prize (Deutsche Krebsgesellschaft, 2020) and honorary membership of the German Society for Gynecology and Obstetrics (2020); 2021 he received the ESGO Lifetime Achievement Award (European Society of Gynaecological Oncology).

In the wellbeing podcast, the dread topic of phone usage has come up again - how social media, and an "always on" culture can affect our wellbeing.

But knowing that, and changing our behaviour are two different things - so to give some advice on reducing our reliance on phones, Abi and Cat are joined by Nidhi Gupta, assistant professor of pediatrics at Vanderbilt University Medical Center, who's been using techniques from behavioural addiction to help with device usage.

For more from Nidhi, visit https://phreedom.net/

Some of the research that Nidhi mentions https://publications.aap.org/pediatrics/article/138/5/e20162591/60503/Media-and-Young-Minds

A randomized trial of the effects of reducing television viewing and computer use on body mass index in young children https://pubmed.ncbi.nlm.nih.gov/18316661/

Distraction: an assessment of smartphone usage in health care work settings https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3437811/

Treatment Considerations in Internet and Video Game Addiction https://pubmed.ncbi.nlm.nih.gov/29502754/

The Smartphone Addiction Scale: Development and Validation of a Short Version for Adolescents https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0083558

FBC, BIBA, NBM - how many of these do you recognise?

The healthcare system speaks an entirely different language. As healthcare professionals, our vocabulary is full of jargon and acronyms, and it’s something that we pick up in training.

Communication is key in medicine. So why are we using language that our patients and colleagues may not understand?

A sub-specialty of medical jargon is management language. Check out this BMJ Christmas paper on management language: https://www.bmj.com/content/359/bmj.j5661

Expert guest: Dr Ashley Reece (@drashleyreece on Twitter) is a consultant paediatrician and a medical educator.

Thank you to Dr Simon Hodes (@DrSimonHodes on Twitter) who contributed to this podcast.

Check us out on social media: Twitter: https://twitter.com/BMJStudent Instagram: https://www.instagram.com/bmj_student/ Facebook: https://www.facebook.com/BMJStudent/

This podcast is produced and edited by Dom Byrne and Duncan Jarvies.

In this podcast, James Cave (Editor-in-Chief) and David Phizackerley (Deputy Editor) provide an overview of the December issue of DTB. They discuss a recently published national report on overprescribing of medicines. The editors talk about a study that assessed the accuracy of home blood pressure monitors (https://dtb.bmj.com/content/59/12/179) and highlight a safety alert on topical steroid withdrawal reactions (https://dtb.bmj.com/content/59/12/184). They also review an article on the US Food and Drug Administration's decision to license bremelanotide and flibanserin for 'hypoactive sexual desire disorder’ in women (https://dtb.bmj.com/content/59/12/185). Please subscribe to the DTB podcast to get episodes automatically downloaded to your mobile device and computer. Also, please consider leaving us a review or a comment on the DTB Podcast iTunes podcast page (https://podcasts.apple.com/gb/podcast/dtb-podcast/id307773309). Thank you for listening.

Simon Carley, Associate Editor of EMJ, talks through the highlights of the December 2021 edition of the Emergency Medicine Journal. Read the highlights: https://emj.bmj.com/content/38/12/867 Details of the papers mentioned in this podcast can be found below: Evaluation of a state law on opioid-prescribing behaviour and the void affecting codeine-containing antitussive syrup - https://emj.bmj.com/content/38/12/889 We Need to Talk About Codeine: an Implementation Study to reduce the number of Emergency Department patients discharged on high-strength co-codamol using the Behaviour Change Wheel - https://emj.bmj.com/content/38/12/895 Feasibility and usefulness of rapid 2-channel-EEG-monitoring (point-of-care EEG) for acute CNS disorders in the paediatric emergency department: an observational study - https://emj.bmj.com/content/38/12/919 Evaluating the utility of Rapid Response EEG in emergency care - https://emj.bmj.com/content/38/12/923 Early warning scores to assess the probability of critical illness in patients with COVID-19 - https://emj.bmj.com/content/38/12/901 Agreement and predictive value of the Rockwood Clinical Frailty Scale at emergency department triage - https://emj.bmj.com/content/38/12/868 Association of advanced age with intubation-related adverse events in the emergency department: a multicentre prospective observational study - https://emj.bmj.com/content/38/12/874 Improving outcomes for older people in the emergency department: a review of reviews - https://emj.bmj.com/content/38/12/882 Identifying opportunities for health promotion and intervention in the ED - https://emj.bmj.com/content/38/12/927

We visit the land of diagnostics in our thinking again this month, deciding when a test can really help us by pressing on to make, or exclude, a diagnosis, and when it simply nudges us a bit one way or another (YOU’LL NEED TO FIND LINK - STARTS There’s something unnerving about getting a test result. And is title is ‘Spins and snouts’)

But then we leap away from it, like a young gazelle or enthusiastic neutrophil, to ask the question “Should all infants with delayed cord separation be investigated for leucocyte adhesion deficiency?” [https://adc.bmj.com/content/106/12/1233] You might already guess the answer - nothing in medicine is an all or nothing - except when it is - but it’s an excellent interview and explanation. The other topic takes in the land of spinal surgery and asks if it can help lung function in (some) kids with cerebral palsy…[https://adc.bmj.com/content/106/12/1231.1]

Enjoy, tell us what you think, and submit your own following the instructions on the website and you too may have an interview on Her Majesty’s Own Internet to share with your Aunties.

Prof Michael Barnett, Director Sydney Neuroimaging Analysis Centre and Professor of Neurology, University of Sydney, joins JNNP's Podcast Editor, Colin Mahoney, to discuss how the use of Alemtuzumab may have longer-term impacts on improving one of the most commonly involved neurological pathways, the visual system, in multiple sclerosis (MS). Prof Barnett discusses his team's results after following up patients with highly active MS for 24 months, using multifocal visual evoked potentials and advanced neuroimaging. He also talks about what this means for future remyelination strategies. Related paper: https://jnnp.bmj.com/content/92/12/1319

Rajesh Agarwal is a surgeon and digital health advisor and investor. Based in the US now, he trained under Ara Darzi at Imperial (@Imperial_IGHI) with the first surgical robots and his PhD research built the case for simulation based training of surgeons. He’s had a career in universities and health systems as a surgeon, researcher, teacher and leader, addressing the thorniest problems in healthcare and always pushing for big change. Rajesh is also Chief Growth and Strategy Officer at Panda Health (https://panda.health/). You can follow Rajesh on Twitter @docaggarwal, BMJ Innovations @bmjinnovations and podcast host Helen Surana @hjsurana. BMJ innovations is grateful to the World Innovation Summit for Health WISH for making this podcast series possible.

Duane Peters from the Lupus Foundation of America interviews Dr Jill Buyon, one of LSM's Editors-in-Chief, about the highlights of ACR Convergence 2021, which was held virtually on 3-9 November (https://www.rheumatology.org/Annual-Meeting).

In this episode of the JIM Podcast, Editor-In-Chief Richard McCallum speaks with Dr. Sonja A. Rasmussen on the COVID-19 vaccine in children and pregnancy. Dr. Rasmussen is currently a Tenured Professor at the University of Florida in the Department of Pediatrics with a Joint Appointment at the Department of Epidemiology and Obstetrics and Gynecology.

She has previously served as Deputy Director of Infectious Disease at the CDC, Acting Director of the Office of Health Preparedness and Response, Deputy Director of the Influenza Coordination Unit and Senior Scientist at the National Center on Birth Defects and Developmental Disabilities.

In this episode of the IJGC podcast, Editor-in-Chief Dr. Pedro Ramirez, is joined by Dr. Jason Wright to discuss SLN in endometrial atypical hyperplasia. Dr. Wright is the Sol Goldman Associate Professor and Chief of the Division of Gynecologic Oncology at Columbia University. Highlights: -Performance of sentinel lymph node mapping is increasing in women undergoing hysterectomy for complex atypical endometrial hyperplasia. -Sentinel lymph node mapping in women with atypical endometrial hyperplasia does not increase perioperative morbidity or mortality. -The addition of sentinel lymph node mapping to surgery for endometrial hyperplasia is associated with increased hospital costs.

In this episode, we will hear from Victor Montori, the Peruvian-born Mayo Clinic-based doctor who is inciting a non-violent revolution of careful and kind care, of unhurried conversations with patients, built on compassion and solidarity.

Primary care in the UK is in crisis. General practice was already under huge strain, as a result of the pandemic, high levels of seasonal respiratory viruses, as well as chronic understaffing and underfunding, but recent negative media campaigns against GPs, amidst the health secretary’s plans to publish ‘league tables’ of GP practices, have added to this and have led to increased demoralisation among doctors.

In this week’s episode, we discuss the current political climate affecting the NHS, perceptions of our healthcare system, and how this has changed over the last 10-20 years. If GP ‘league tables’ are not the answer, what creative solutions are needed in order to encourage new GPs into primary care, and to retain doctors in the workforce?

Our guests: Gareth Iacobucci is the assistant news editor for ‘The BMJ’. Lucy Martin is a GP, working in Dudley, as well as the acting medical director for Dudley Integrated Health & Care NHS Trust.

This podcast is focused on the paper "Serum ammonia use: unnecessary, frequent and costly”, published online in Frontline Gastroenterology in August 2021. Dr Oliver Tavabie, Trainee Associate Editor of FG and Hepatology SpR at the Royal London Hospital, interviews the authors Drs Elizabeth Aby, Andrew Olson and Nicholas Lim, from the University of Minnesota. Read the paper on the Frontline Gastroenterology website: https://fg.bmj.com/content/early/2021/08/17/flgastro-2021-101837. Listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify.

Editor-in-Chief of the Archives of Disease in Childhood, Dr Nick Brown, brings you the monthly Atoms - the highlights of the December 2021 issue. Read it on the Archives of Disease in Childhood website: https://adc.bmj.com/content/106/12/i

In this podcast, we discuss the COMPASS: a trial of aspiration thrombectomy versus stent retriever thrombectomy as first-line approach for large vessel occlusion, comparing patients with and without prior intravenous (IV) alteplase administration. JNIS Editor-in-Chief, Felipe C. Albuquerque, interviews Maxim Mokin, from the Department of Neurosurgery and Brain Repair, University of South Florida, Tampa, USA, about the post hoc analysis. which concludes that prior administration of IV alteplase may adversely affect the efficacy of aspiration, whilst it does not seem to influence the stent retriever first approach to MT in patients with anterior circulation ELVO. Read the related paper on the JNIS website: https://jnis.bmj.com/content/early/2021/10/13/neurintsurg-2021-017943

ADC Fetal and Neonatal’s Associate Editor, Jonathan Davis, and the Edition Editor of the journal, Ben Stenson, discuss the highlights from the November 2021 issue. The Fantoms article: https://fn.bmj.com/content/106/6/571 Please listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832 Other related material mentioned in the podcast: https://soundcloud.com/bmjpodcasts/perinatal-management-of-extreme-preterm-birth-before-27-weeks-of-gestation-a-framework-for-practice

Practical Neurology Editors Phil Smith and Geraint Fuller talk you through the highlights of the October issue of the journal. Read more on the PN website: https://pn.bmj.com/content/21/6/463. The full issue here: https://pn.bmj.com/content/21/6 Please subscribe to the Practical Neurology podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify, to get the latest podcast every month. If you enjoy our podcast, please consider leaving us a review or a comment on the Practical Neurology Podcast iTunes page (https://podcasts.apple.com/gb/podcast/pn-podcast/id942932053). Thank you for listening.

When you hear the reports from a major patient safety issue, it will be shocking to hear how they have played out - but the patterns in behaviour, of people and institutions which have gone disastrously wrong, can be seen throughout healthcare.

As this first series of Doctor Informed unfolds, we'll be exploring these patterns, and bring you evidence and expertise on tackling them - Doctor Informed is about going beyond medical knowledge to make you the best doctor you can be.

In this first episode we're talking to experts who have seen these patterns firsthand, and whose work is all about tackling them;

Bill Kirkup is a clinician turned investigator - he ed investigations into failings at a maternity and neonatal unit in Morcambe Bay, into the Oxford paediatric cardiac surgery unit and into Jimmy Savile’s involvement with Broadmoor Hospital. He was also a member of the Hillsborough Independent Panel

Mary Dixon-Woods is director of THIS Insitute, and a Health Foundation Professor of Healthcare Improvement Studies in the Department of Public Health and Primary Care at the University of Cambridge. Her work is concerned with generating a high quality evidence-base to support the organisation, quality and safety of care delivered to patients.

In this episode of the IJGC Podcast, Editorial Fellow Irina Tsibulak discusses the contents of the November issue of IJGC in Russian.

Lousie Thwaites is a clinician-researcher at OUCRU in Vietnam (@OUCRU_Vietnam), looking at innovations in intensive care in low and middle-income countries. In this interview, she talks about the challenges and opportunities there are for doctors from working with engineers, the importance of mentors in a research career and why unconventional career paths can be really fulfilling. Read our Healthcare Innovation in Vietnam special collection: https://www.bmj.com/company/vietnam-collection-2021/ and Prof Thwaites article on wearables: https://innovations.bmj.com/content/7/Suppl_1/s12. You can follow Louise on Twitter @CLThwaites, BMJ Innovations @bmjinnovations and podcast host Helen Surana @hjsurana. BMJ innovations is grateful to the World Innovation Summit for Health WISH for making this podcast series possible. https://www.tropicalmedicine.ox.ac.uk/team/louise-thwaites http://vital.oucru.org/ @wellcometrust @NDMOxford @OUCRU_Vietnam

In this episode of the IJGC podcast, Editor-in-Chief Dr. Pedro Ramirez, is joined by Dr. Mario Leitao to discuss prophylactic negative pressure wound therapy RCT. Dr. Leitao is currently an Attending Surgeon in the Department of Surgery at Memorial Sloan Kettering Cancer Center and a Professor in the Department of Obstetrics and Gynecology at Weill Cornell Medical College. He currently serves as Program Director for the Gynecologic Oncology Fellowship. Dr. Leitao is also the Director for the Minimal Access and Robotic Surgery Program in the Department of Surgery for MSKCC. Dr. Mario Leitao is currently an Attending Surgeon in the Department of Surgery at Memorial Sloan Kettering Cancer Center and a Professor in the Department of Obstetrics and Gynecology at Weill Cornell Medical College. He currently serves as Program Director for the Gynecologic Oncology Fellowship. Dr. Leitao is also the Director for the Minimal Access and Robotic Surgery Program in the Department of Surgery for MSKCC. Highlights 1. SSI is a common postoperative complication that leads to significant healthcare costs in the near- and far-term 2. In our RCT, the use of a negative pressure wound therapy (NPWT) system did not improve wound complications (Superficial SSI) in a cohort of patients undergoing mostly laparotomy for gynecologic malignancies with closed laparotomy incisions. 3. There was also no signal of benefit in the small subgroup of morbidly obese patients. 4. Increasing BMI was the only independently associated risk for the development of a wound complication @leitaomd @sloan_kettering

In this podcast series, we will explore the many challenges facing the sustainability of healthcare and talk to extraordinary healthcare researchers, doctors, and activists from around the world, who are pushing for a shift towards a new paradigm to improve our health, well-being, and climate.

We will talk about everything from an evolutionary patient revolt, challenging professional norms in medical practice, and the widespread use of low-value care in Low- and Middle-Income Countries, where the problem of waste is a great challenge to healthcare systems. These new emerging initiatives will be explored in our podcast episodes hosted by Ray Moynihan, journalist and researcher at Bond University, and Fiona Godlee, editor in chief, The BMJ

Hope and inspiration flows through this conversation with Dr. Renee Salas, the young Harvard-based emergency doctor who has testified to the US Congress about the urgency of addressing climate change, and who is transforming what it means to be a medical doctor.

In this interview, we talk with Dr. Gillian Orrow, a true example of real and radical action towards sustainable healthcare. Enabling physical activity, creating garden spaces, and improving access to fresh food, Gillian takes us through how a ‘community approach’ is being implemented in her medical practice to empower patients, improve equity, and ultimately enhance the greater community’s wellbeing and health in Surrey, England.

In this episode, we talk to rheumatologist Rachelle Buchbinder and orthopaedic surgeon Ian Harris. Rachelle is also a Coordinating Editor for Cochrane Musculoskeletal and Cochrane Back and Neck.

Both Ian and Rachelle are vocal advocates for evidence-based medicine – and fearlessly challenge professional norms and are creating new structures to wind back ineffective and dangerous care in medicine and surgery.

Director of Cochrane Sustainable Healthcare Dr. Minna Johansson talks about why a new focus on sustainability of health and healthcare is urgently needed – for patients, health systems, societies, and the planet.

In this episode of the Heart podcast, Digital Media Editor, Dr James Rudd, is joined by Dr James Howard from Imperial College, London. They discuss two papers published in Heart that dive into artificial intelligence and machine learning in cardiology. If you enjoy the show, please subscribe to the podcast to get episodes automatically downloaded to your phone and computer. Also, please consider leaving us a review at https://itunes.apple.com/gb/podcast/heart-podcast/id445358212?mt=2 Link to published papers: https://heart.bmj.com/content/early/2021/07/23/heartjnl-2020-318686 https://heart.bmj.com/content/106/5/399

In this episode of the IJGC Podcast, Editorial Fellow Sara Nasser discusses the contents of the November issue of IJGC in Arabic.

The climate crisis is a health crisis. In this episode, we explored how climate change will affect how we practise medicine, the importance of sustainable healthcare practice and what you can start doing on a personal, professional and political level towards a greener future.

Climate change is a complex and multi-faceted problem. It’s fair to point out that not everything is covered in this podcast. We would encourage you to do further research and empower yourself and others in working towards a greener future.

Expert guest: Dr Anna Moore is a registrar in respiratory medicine, the Health Education England Population Health Fellow for NHS Lewisham and Greenwich Trust and the vice chair of Green at Barts Health.

Thank you to Rhiannon Osborne who contributed to this podcast.

Check out Anna’s editorial in the BMJ on integrating planetary health into the medical curriculum: https://www.bmj.com/content/375/bmj.n2385

Check us out on social media: Twitter: https://twitter.com/BMJStudent Instagram: https://www.instagram.com/bmj_student/ Facebook: https://www.facebook.com/BMJStudent/

This podcast is produced and edited by Dom Byrne and Duncan Jarvies.

Although early specialization in sport may pose a risk to some youth athletes, is it possible have success with specialized training? What is it about the workload-injury relationship and injury risk factors that practitioners must take in account when taking care of specialized athletes? On this episode of the AMSSM Sports Medcast, host Dr. Giorgio Negron, MD is joined by one of the leading experts on youth sports health Dr. Neeru Jayanthi, MD (Twitter: @neerujayanthi)to discuss on the topic of youth sports specialization.

In this conversation Dr. Jayanthi addresses the following topics: · Definition of youth sports specialization · What are the potential risks of injury for youth athletes pursuing sport specialization? · Are there any research regarding training guidelines or protocols for youth pursuing sport specialization?

References: Jayanthi N, Saffel H, Gabbett T. Training the specialised youth athlete: a supportive classification model to keep them playing. Br J Sports Med. 2021 Nov;55(22):1248-1249. doi: 10.1136/bjsports-2020-103880. Epub 2021 Aug 11. PMID: 34380644. Jayanthi N, Kliethermes SA, Côté J. Youth sport specialisation: the need for an evidence-based definition. Br J Sports Med. 2020 Feb;54(4):196-197. doi: 10.1136/bjsports-2019-101256. Epub 2019 Dec 19. PMID: 31857339. Myer GD, Jayanthi N, Difiori JP, Faigenbaum AD, Kiefer AW, Logerstedt D, Micheli LJ. Sport Specialization, Part I: Does Early Sports Specialization Increase Negative Outcomes and Reduce the Opportunity for Success in Young Athletes? Sports Health. 2015 Sep-Oct;7(5):437-42. doi: 10.1177/1941738115598747. Epub 2015 Aug 6. PMID: 26502420; PMCID: PMC4547120.

In this episode of the IJGC Podcast, Editorial Fellows Cecilia Darin and Natalia Rodriguez discuss the contents of the November issue of IJGC in Spanish.

In this episode of the IJGC Podcast, Editorial Fellows Emma Allanson and Natalia Rodriguez discuss the contents of the November issue of IJGC in English.

On the World HTLV Day (10th November), we focus on how the Human T leukaemia virus affects people, and review new developments in HTLV treatment and vaccination medicine. HTLV is a retrovirus similar to HIV which incorporates its DNA indefinitely into the human CD4 T lymphocytes. It is predominantly transmitted through condomless sex, but also from mother-to-child and through contact with HTLV positive blood. Unlike HIV, HTLV causes severe disease only in about 5% of PLHTLV, so it is easy for HTLV transmission to go unnoticed. The two dominant HTLV associated diseases are Adult T cell leukaemia (ATL) and HTLV-1 associated myelopathy (HAM/TSP). Participants: STI's Podcast Editor, Dr Fabiola Martin, interview Ms Kristy Blakeborough, Lived experience and UK patient rep; Prof Yoshihisa Yamano, Neurologist St Marianna University Japan; A/P Keith Chappell, University of Queensland. Read the blog post: https://blogs.bmj.com/sti/2021/11/10/world_htlv_day/ Other relevant links: https://www.thelancet.com/journals/lancet/article/PIIS0140-6736%2818%2930974-7/fulltext https://gvn.org/who/ https://pubmed.ncbi.nlm.nih.gov/27965813/ https://pubmed.ncbi.nlm.nih.gov/33250897/ https://www.htlvaware.com

Jean Nehme sold his start-up, Digital Surgery, to Medtronic in 2020 for multiple millions, achieving the dream of many medical entrepreneurs. From surgeon to CEO, Jean tells us about the lessons he learned from his journey. We talk Acquisitions, SPACs, regulation and equalities. Jean is Vice President of strategic partnerships at Medtronic @MedtronicUK, a Plastic Surgeon Trainee, Academic and Entrepreneur. He is also Co-Founder CEO @_digitalsurgery @TouchSurgery #robots and #ai You can follow Jean on Twitter @Jean_Nehme, BMJ Innovations @bmjinnovations, and podcast host Helen Surana @hjsurana. BMJ innovations is grateful to the World Innovation Summit for Health WISH for making this podcast series possible.

Over the past 18 months, eating disorder specialists have seen a huge rise in the number of referrals, and experts have said that the pandemic has created “the perfect storm” for eating disorders, especially among children and young people. As GPs, what do we need to know about eating disorders? What red flags should we look out for, and how do we approach this thorny issue with our young patients? In this week’s episode, we talk to Dr. Simon Chapman about spotting the signs of an eating disorder, and we get advice on management. We also chat to Zoe John and Victoria Adeniji, who are both in recovery from their eating disorders, about their experiences and about how GPs may best support people with a history of eating disorders in their care.

Our guests:

Simon Chapman is a consultant in paediatrics and adolescent medicine at King's College Hospital, London. He is also the medical lead for the Maudsley Centre for Child and Adolescent Eating Disorders.

Zoe John and Victoria Adeniji are ambassadors for Beat, the UK’s eating disorder charity.

Further reading:

The MARSIPAN guidelines: https://www.rcpsych.ac.uk/docs/default-source/improving-care/better-mh-policy/college-reports/college-report-cr189.pdf?sfvrsn=6c2e7ada_2

Online resources on the Beat website: https://www.beateatingdisorders.org.uk/get-information-and-support/get-help-for-myself/downloads-resources/

In this episode of the IJGC podcast, Editor-in-Chief Dr. Pedro Ramirez, is joined by Drs. Ate van der Zee and Brian Slomovitz to discuss the GROINSS-V-II/GOG 270 Trial. Dr. Brian Slomovitz is a Gynecologic Oncologist at Broward Health and Professor of Obstetrics and Gynecology at the Wertheim College of Medicine at Florida International University. He is an internationally recognized leader in gynecologic oncology clinical trials, specifically in immunotherapy and novel biomarker therapeutics. He also is a leader in sentinel lymph node detection for gynecologic malignancies. Dr. Ate Van der Zee is Chairman of the Board of Directors at the University Medical Center Groningen and professor of Gynaecological Oncology. His current research focuses on translational and clinical research in vulvar cancer. Together with Dr. Oonk he leads a world-wide consortium (GROINSS-V), which performs landmark clinical studies in vulvar cancer. Dr. van der Zee combines his current position chairman position with clinical work and academic research. Highlights •Radiotherapy instead of inguinofemoral lymphadenectomy is a safe treatment option for vulvar cancer patients with a metastasis < 2 mm in the sentinel node •Radiotherapy instead of inguinofemoral lymphadenectomy is associated with less treatment-related morbidity in vulvar cancer patients with a metastasis < 2 mm in the sentinel node •Prospective phase II treatment trials with stopping rules are excellent tools to explore new diagnostic and therapeutic options and to provide evidence-based medicine in rare tumors such as vulvar cancer. •Leading a world-wide consortium (GROINSS-V) is very rewarding and great fun! Ate van der Zee and Brian Slomovitz (@AteZee / @gyncancermd / @umcg / @browardhealth, @FIU)

Post-traumatic stress disorder may develop (either immediately or delayed) following exposure to a stressful event or situation of an exceptionally threatening or catastrophic nature.

According to DSM-5, it is characterised by 4 groups of symptoms: intrusion symptoms, avoidance, negative alterations in cognition and mood, and alterations in arousal and reactivity. These symptoms must impair function for a diagnosis to be made.

In this podcast, Mathew Hoskins, Consultant Psychiatrist and Clinical Teaching Fellow, Cardiff University, gives us a clinical overview of the disorder.

For more on PTSD, visit BMJ Best Practice: https://bestpractice.bmj.com/topics/en-gb/430

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The purpose of this podcast is to educate and to inform. The content of this podcast does not constitute medical advice and it is not intended to function as a substitute for a healthcare practitioner’s judgement, patient care or treatment. The views expressed by contributors are those of the speakers. BMJ does not endorse any views or recommendations discussed or expressed on this podcast. Listeners should also be aware that professionals in the field may have different opinions. By listening to this podcast, listeners agree not to use its content as the basis for their own medical treatment or for the medical treatment of others.

ADC Fetal and Neonatal’s Associate Editor, Jonathan Davis, and the Edition Editor of the journal, Ben Stenson, discuss the highlights from the September 2021 issue. The Fantoms article: https://fn.bmj.com/content/106/5/457 Please listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832 Other related papers mentioned in the podcast: https://jamanetwork.com/journals/jamapediatrics/fullarticle/2780513

In this month’s Talk evidence, we’re going back to our roots and avoiding covid - so sit back and listen to Helen Macdonald and Joe Ross discuss a new nutrition study to prevent fractures in older adults by eating dairy, and a meta-analysis which helps you choose pain relief medications for management of osteoarthritis.

We’ll hear from Steven Woloshin about the virtual Overdiagnosis conference, and why he’s so excited about a new category in the National Library of Medicine.

Finally, we have a study on urinary retention and risk of cancer that has been over 25 years in the making.

Reading list;

Effect of dietary sources of calcium and protein on hip fractures and falls in older adults in residential care https://www.bmj.com/content/375/bmj.n2364

Effectiveness and safety of non-steroidal anti-inflammatory drugs and opioid treatment for knee and hip osteoarthritis https://www.bmj.com/content/375/bmj.n2321

To access the webinars Steven was talking about. https://www.preventingoverdiagnosis.net/

Acute urinary retention and risk of cancer https://www.bmj.com/content/375/bmj.n2305

Podcast listener survey. Please let us know how we could improve the podcasts for you, and your specialty - https://linktr.ee/BMJsurvey

Join us on this episode of the Medical Humanities Podcast as Brandy Schillace speaks with Eric Garcia, author of WE’RE NOT BROKEN: Changing the Autism Conversation (Houghton Mifflin Harcourt, August 3, 2021). Eric Garcia is a journalist based in Washington, D.C. Read the related blog post (with the transcription of the whole podcast) here: https://blogs.bmj.com/medical-humanities/2021/11/05/eric-garcia/

This podcast discusses the new consensus statement on the risks of physical activity for people living with long term conditions. Shona Kohlhardt is joined by Dr Hamish Reid and Dr Natasha Jones, as they explain the latest findings and new recommendations from the consensus.

This conversation covers: New recommendations around patients being ‘fit for participation’ How to get patients to increase their physical activity levels How to practically overcome perceived risks and barriers to physical activity Who should be the judge of whether someone is safe enough to exercise The potential ramifications of this statement in the broader system, focusing on the physical activity sector

The consensus: Benefits outweigh the risks: a consensus statement on the risks of physical activity for people living with long-term conditions: https://bjsm.bmj.com/content/early/2021/11/03/bjsports-2021-104281

Is there only one way into the field of injury prevention? And once there, do we all find the same thing, and follow the same path? Dr Katelyn Jetelina's unique research journey in the broader theme of violence has covered, among many other subjects, the correlation between suicide and cancer, or the covid-19 pandemic and intimate partner violence. It's a fascinating path that has a lot to tell to young researchers. Dr Jetelina is an Assistant Professor of Epidemiology, at University of Texas Health Science Center at Houston. The Injury Prevention podcast is released on the first Thursday of each month. Please subscribe via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify. If you enjoy our podcast, please consider leaving us a review or a comment on the Injury Prevention Podcast iTunes page (https://podcasts.apple.com/gb/podcast/injury-prevention-podcast/id942473946). Thank you for listening. Relevant papers related to this podcast: 56 The impact of intimate partner violence on breast and cervical cancer treatment among patients in an integrated, safety-net setting - https://injuryprevention.bmj.com/content/26/Suppl_1/A4.2 Changes in intimate partner violence during the early stages of the COVID-19 pandemic in the USA - https://injuryprevention.bmj.com/content/27/1/93 Factors associated with civilian and police officer injury during 10 years of officer-involved shooting incidents - https://injuryprevention.bmj.com/content/26/6/509 Gradual escalation of use-of-force reduces police officer injury - https://injuryprevention.bmj.com/content/24/1/35 111 The impact urbanization has on law enforcement stress during traumatic calls for service - https://injuryprevention.bmj.com/content/26/Suppl_1/A54.1

Duane Peters from the Lupus Foundation of America interviews Dr Jim Oates from the Medical University of South Carolina and Ralph H. Johnson VA Medical Center in Charleston, USA. They discuss his paper on developing risk prediction models in lupus nephritis to predict outcomes at the point of diagnosis, which can be used as a decision support tool to help inform treatment strategies for patients.

Access the paper here: https://lupus.bmj.com/content/8/1/e000489

Patricia Odero is an innovation facilitator extraordinaire based in Nairobi, Kenya, working for The Duke Global Health Institute. Patricia is trained in Medicine, Business and Social innovation and uses her skills and experience to help entrepreneurs in West Africa and beyond with funding and growth. She talks about the importance of networks, particularly in health entrepreneurship - long-term relationships and support programmes for organisations of different sizes and stages. Patricia has great advice for entrepreneurs and really interesting stories from the field. You can follow Patricia on Twitter @TrishOdero, BMJ Innovations @bmjinnovations and podcast host Helen Surana @hjsurana. BMJ innovations is grateful to the World Innovation Summit for Health WISH for making this podcast series possible.

Do you hold any superstitions? We are trained as evidence-based healthcare practitioners, yet there are some superstitions that still persist in medicine.

Superstition is an example of confirmation bias, where sometimes we would search for evidence to confirm one's beliefs. Confirmation bias is recognised as an important source of medical error and we discussed what we can do to mitigate this effect.

The BMJ Christmas paper that Laura mentioned about the Q word: https://www.bmj.com/content/367/bmj.l6446

Our expert guest: Dr Neil Dagnall is a researcher in applied cognitive psychology and carries out research projects on belief in the paranormal, mental toughness and anomalous thought processes.

Check us out on social media: Twitter: https://twitter.com/BMJStudent Instagram: https://www.instagram.com/bmj_student/ Facebook: https://www.facebook.com/BMJStudent/

In this episode of the IJGC podcast, Editor-in-Chief Dr. Pedro Ramirez, is joined by Drs. Katherina Grette and Nathaniel Jones to discuss racial inequities in immunotherapy trials and their article, “Not immune to inequity: minority under-representation in immunotherapy trials for breast and gynecologic cancers,” which is the Lead Article in IJGC’s November 2021 issue. (https://ijgc.bmj.com/content/early/2021/09/21/ijgc-2021-002557) Dr. Katherine Grette attended medical school at the University of Washington, then completed her residency in Obstetrics and Gynecology at the University of South Alabama prior to joining faculty. She currently practices as a generalist and serves as the Assistant Director of Resident Research for the department. Dr. Nate Jones completed residency at Mountain Area Health Education Center in Asheville, NC followed by fellowship in Gynecologic Oncology at New York Presbyterian Hospitals: Columbia and Cornell. He currently serves as Assistant Professor in Gynecologic Oncology at the University of South Alabama Mitchell Cancer Institute. His research interests center on targeted cancer therapies, molecular and genomic characteristics of gynecologic malignancies, and addressing racial disparities in gynecologic cancer care. Highlights •Minority women are poorly represented in immunotherapy clinical trials for breast and gynecologic cancers •Enrollment of black women is especially low, accounting for only 5% of participants •Minority participation in clinical trials must increase to improve equity in health outcomes @natejones333 / @katgrette / @usamci

In this episode of the Heart podcast, Digital Media Editor, Dr James Rudd is joined by EP specialist Dr Bhargava from the Cleveland Clinic. They discuss his Education in Heart paper on PVCs, covering assessment, drugs and ablation. If you enjoy the show, please subscribe to the podcast to get episodes automatically downloaded to your phone and computer. Also, please consider leaving us a review at https://itunes.apple.com/gb/podcast/heart-podcast/id445358212?mt=2 Link to published paper: https://heart.bmj.com/content/early/2021/07/13/heartjnl-2020-318628

Dr Philip Smith, Digital and Education Editor of Gut and Consultant Gastroenterologist at the Royal Liverpool Hospital, interviews Professor Andrew Chan, Harvard Medical School, Boston, USA. This podcast is focused on the paper "Diet quality and risk and severity of COVID-19: a prospective cohort study", published in paper copy in Gut in November 2021. Link to the paper: https://gut.bmj.com/content/70/11/2096

In this episode of the JIM Podcast, Editor-In-Chief Richard McCallum speaks with Dr. Zeina Nahleh about Breast Cancer Awareness Month. Dr. Nahleh, M.D., F.A.C.P is Chair of the Department of Hematology-Oncology and Director of the Cleveland Clinic Florida Maroone Cancer Center.

The highlights of this edition brought to you by the Editor-in-Chief of Frontline Gastroenterology, Mark Beattie. You can read here: https://fg.bmj.com/content/12/6/449. The full issue is now online: https://fg.bmj.com/content/12/6 Listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify.

In this podcast, James Cave (Editor-in-Chief) and David Phizackerley (Deputy Editor) provide an overview of the November issue of DTB. They discuss a French initiative that identifies a range of drugs that should not be prescribed (https://dtb.bmj.com/content/59/11/162) and talk about the difficulty of assessing whether patients' penicillin allergy records are correct (https://dtb.bmj.com/content/59/11/163). They also review an article on the use of romosozumab for osteoporosis (https://dtb.bmj.com/content/59/11/169). They begin by highlighting DTB's blog for World Evidence-Based Healthcare Day (https://worldebhcday.org/) on the role of independent drug bulletins during an info-demic. Please subscribe to the DTB podcast to get episodes automatically downloaded to your mobile device and computer. Also, please consider leaving us a review or a comment on the DTB Podcast iTunes podcast page (https://podcasts.apple.com/gb/podcast/dtb-podcast/id307773309). Thank you for listening.

Extracting urine has been the subject of Archimedes in the past, but this month wee (geddit?) have questions relating to when you’ve found a UTI. Could you treat a wee one with oral rather than IV antibiotics? (Full answer here: https://adc.bmj.com/content/106/11/1135.1) Should you make all the little ones with UTI to bend around and take a few mls of CSF from them? (Read on … https://adc.bmj.com/content/106/11/1138). Good questions - and more are possible too - keep sending them. We also consider how things can be subject to our alternative ways of thinking about new and old things, and that, for almost everything to be honest, there’s not a level playing field. And we could do with understanding and working on that (https://adc.bmj.com/content/106/11/1135.2). Enjoy, feedback, and submit (following the instructions on the website though. No one wants to waste time and have to go back and rewrite things over and over again do they?).

In this episode of the IJGC podcast, Editor-in-Chief Dr. Pedro Ramirez, is joined by Professor Nicoletta Colombo to discuss pembrolizumab for persistent, recurrent, metastatic cervical cancer: KEYNOTE 826. Professor Nicoletta Colombo graduated in medicine in 1980, completing specialty training in obstetrics and gynaecology in 1984 at the University of Milan, Italy. After a training period at Charing Cross Hospital and Royal Marsden Hospital in London, she became a Clinical Research Associate at the Kaplan Cancer Center, New York University, where she worked from 1984 until 1986. Professor Colombo then worked as a member of the Junior and later the Senior Faculty at the Department of Obstetrics and Gynaecology at the University of Milan. In 1994 she became Deputy Director and in 2001 Director of the Medical Gynaecologic Oncology Division, European Institute of Oncology (IEO), Milan, Italy. Since 2002 she has held the position of Associate Professor of Obstetrics and Gynaecology at the University of Milan-Bicocca. In 2008, she became Director of the Ovarian Cancer Centre at IEO and in 2014 Chair of the Program of Gynaecology. Principal investigators of several international clinical trials, Professor Colombo is also author of several publications in the field of gynaecologic oncology, and a member of various professional societies such as the American Society of Clinical Oncology (ASCO), the Society of Gynaecologic Oncologists (SGO) and the International Gynaecological Cancer Society (IGCS). She is also Past President of the European Society of Gynaecologic Oncology (ESGO) and was Chair of the first ESMO-ESGO-ESTRO Consensus Conference in endometrial cancer ( 2015) and the first ESMO-ESGO Consensus Conference in ovarian Cancer ( 2018). From 2016-2020 she was Subject Editor of ESMO Clinical Guidelines for Gynecological Malignancies and she is currently member of the steering committee of ESMO Clinical guidelines. Highlights 1)adding pembrolizumab to chemotherapy with or without bevacizumab provides statistically significant, clinically meaningful improvements in progression-free and overall survival in patients with persistent, recurrent, or metastatic cervical cancer 2)The addition of pembrolizumab was also associated with a higher response rate and a longer response duration 3)The safety profile for pembrolizumab plus chemotherapy with or without bevacizumab was manageable 4)data from KEYNOTE-826 suggest that pembrolizumab plus platinum-based chemotherapy with or without bevacizumab may be a new first-line standard of care for the treatment of persistent, recurrent, or metastatic cervical cancer.

Chronic congestive heart failure is a complex clinical syndrome that can result from any structural or functional cardiac disorder that impairs the ability of the ventricle to fill with or eject blood.

It is a major and growing public health problem.

In this podcast, Syed Wamique Yusuf, FACC, FRCPI Syed Wamique Yusuf, Professor of Medicine, Department of Cardiology, University of Texas MD Anderson Cancer Center, gives a clinical overview of the condition.

For more on chronic congestive heart failure, visit BMJ Best Practice: bestpractice.bmj.com/topics/en-gb/61

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The purpose of this podcast is to educate and to inform. The content of this podcast does not constitute medical advice and it is not intended to function as a substitute for a healthcare practitioner’s judgement, patient care or treatment. The views expressed by contributors are those of the speakers. BMJ does not endorse any views or recommendations discussed or expressed on this podcast. Listeners should also be aware that professionals in the field may have different opinions. By listening to this podcast, listeners agree not to use its content as the basis for their own medical treatment or for the medical treatment of others.

Doctor Informed is a new podcast for hospital doctors, from The BMJ - created in collaboration with THIS Institute, and sponsored by Medical Protection.

Medical expertise is fundamental to the practice of medicine. But other skills and knowledge are important too. Doctor Informed gives the inside story on the evidence about giving the best care and having positive relationships with patients and colleagues.

In this trailer, meet two of the hosts of Doctor Informed - Clara Munro, a surgical trainee in the North East Deanery, and Jenni Burt, senior social scientist at THIS Institute.

www.bmj.com/podcasts/doctorinformed

It's easy to decide to do something like exercise, or a hobby to improve your wellbeing, but actually following through and make that a regular part of your week can be much harder.

In this podcast, Pedro Delgado, vice president of the Institute for Healthcare Improvement, joins Abi and Cat to explain how he turned some of the QI methodology he's been taught over the years on himself, and improved his wellbeing during the pandemic.

www.bmj.com/wellbeing

Fatigue is one of the most common presenting symptoms GPs see in a consultation, and it feels like, during the pandemic, more of us than ever have been experiencing excessive tiredness. With our guests this week, Sophie West and Robert Koefman, we discuss the new NICE guidelines on obstructive sleep apnoea/hypopnoea syndrome and obesity hypoventilation syndrome, and how sleep apnoea seems to be both under-diagnosed and over-diagnosed in primary care. We talk about the diagnostic challenges of this condition, particularly with the limitations of the available screening tools, the long list of comorbidities that may be linked to OSA, and the difficulties of remote consultations, as well as the huge benefits using a CPAP machine may provide to a patient.

Our guests:

Sophie West is a respiratory consultant, based in Newcastle upon Tyne. She is also the lead of the Newcastle regional sleep service.

Robert Koefman is a GP at Binfield Surgery in Berkshire. He has also been involved in ENT and community sleep clinics for over 20 years.

In this episode of the IJGC Podcast, Editorial Fellow Irina Tsibulak discusses the contents of the October issue of IJGC in Russian.

The government launched a Women's Health Strategy to improve health and wellbeing of women in March 2021 as the UK was found to have the largest female health gap in the G20 countries and the 12th largest globally. In this episode, we discuss whether our medical curriculum is doing enough to equip future healthcare professionals in providing adequate healthcare to women.

Link to the government strategy Pat mentioned in the pod: https://lordslibrary.parliament.uk/womens-health-outcomes-is-there-a-gender-gap/

Our expert guest: Dr Elinor Cleghorn has a background in feminist culture and history, and the author of Unwell Women, a book that examines the history of medical misdiagnosis of women's illnesses.

Check us out on social media: Twitter: https://twitter.com/BMJStudent Instagram: https://www.instagram.com/bmj_student/ Facebook: https://www.facebook.com/BMJStudent/

In this podcast Brooke Patterson talks with Associate Professor Deirdre McGhee about breast injuries and breast health. Deirdre is a sports physiotherapist, and leads the breast research and education area of the Australian Institute of Sport Female Performance and Health Initiative (https://www.ais.gov.au/fphi).

She has been researching breast health biomechanics for the past 20 years, has written guidelines for Sports Medicine Australia on breast support and bra fit for female athletes (https://sma.org.au/resources-advice/injury-fact-sheets/exercise-and-breast-support/) and the freely accessible web-based App, “Sports Bra” (https://www.bra.edu.au/), to guide female athletes on breast support and bra fit.

The podcast covers practical tips for clinicians to check bra fit and why it is important, and the current evidence related to breast injuries, treatment, and breast protection for women playing contact sports.

Professor Tony Young OBE, National Clinical Lead for Innovation at NHS England and NHS Improvement, talks about what inspired him to get involved in innovation, and why his true passion for improving health is to keep the best entrepreneurs in the NHS. Listen out for some of his comments on the NHS Clinical Entrepreneur Scheme - opening for applications right now as we publish in October 2021! He’s a man with a lot of hats, a lot of ideas, and a lot of inspiration. Here are some of the organisations, companies, and people he mentions - most importantly the NHS Clinical Entrepreneurs Scheme, Anglia Ruskin University, Southend Hospital, Jean Nehme, Touch Surgery, Nadine Hachach-Haram (@DrNadz), Proximie, Hinnah Rafique, Generation Medics and Medishout You can follow Tony on Twitter @DrTonyYoung, BMJ Innovations @bmjinnovations and podcast host Helen Surana @hjsurana BMJ innovations is grateful to the World Innovation Summit for Health WISH for making this podcast series possible.

In this episode of the IJGC Podcast, Editorial Fellows Emma Allanson and Natalia Rodríguez discuss the contents of the September issue of IJGC in English.

Editor-in-Chief of the Archives of Disease in Childhood, Dr Nick Brown, brings you the monthly Atoms - the highlights of the November 2021 issue. Read it on the Archives of Disease in Childhood website: https://adc.bmj.com/content/106/11/i

In this podcast, Kristina Lindström and Kristian Petri (Swedish film makers) reflect on their documentary film 'The most beautiful boy in the world' (2021) and their professional relationship with the film's protagonist, Björn Andrésen. Björn came to international fame at the age of 15 when Italian director Luchino Visconti cast him as Tadzio, the young boy in his film 'Death in Venice' (1971). Kristina and Kristian comment on the long-term impact of childhood trauma on the mental well-being of Swedish artists such as Björn Andrésen and Astrid Lindgren. They comment on the need for clear rules of engagement and professional boundaries between artists and executive managers to avoid physical and psychological exploitation of those artists. Related blog post with transcript: https://blogs.bmj.com/medical-humanities/2021/10/14/reflections-on-childhood-trauma-creativity-and-mental-well-being/ Other related links: https://blogs.bmj.com/medical-humanities/2019/08/20/healing-by-art-almodovar-champions-arts-for-health-and-well-being/ https://blogs.bmj.com/medical-humanities/2018/02/13/two-sides-coin/ https://blogs.bmj.com/medical-humanities/2020/10/23/a-woman-on-the-verge-of-suicide/ https://mh.bmj.com/content/45/3/235 https://mh.bmj.com/content/43/1/30 https://mh.bmj.com/content/34/2/110 https://mh.bmj.com/content/43/2/86

Dr. Bradley Monk is a member of Arizona Oncology and part of the US Oncology Network and continues to practice in Phoenix. Most recently, he has been appointed the US Oncology Medical Director of Gynecologic Oncology Research. Dr. Monk is also a Professor on the Clinical Scholar Track at the University of Arizona College of Medicine – Phoenix and works at Arizona Oncology (US Oncology Network).

Dr. Monk’s research interests include the prevention and treatment of gynecologic cancers. Dr. Monk is a fellow of the American College of Surgeons, the American College of Obstetricians and Gynecologists) and the American Society for Colposcopy and Cervical Pathology, as well as being an active member of the Society of Gynecologic Oncology, International Gynecologic Cancer Society, and American Society of Clinical Oncology. He has authored more than 330 peer-reviewed articles along with more than 30 book chapters dealing predominantly with the prevention and chemotherapy of gynecologic malignancies and patient quality of life.

In this podcast series, Kamran Abbasi, executive editor of The BMJ will convene experts from South Asia to discuss how the pandemic has affected the region, how measures like lock-down and vaccination have been handled, and the impact of the pandemic on the social determinants of health.

In this first podcast, we're focussing on India and Nepal, and are joined by;

Srinath Reddy, president of the Public Health Foundation of India.

Biraj Swain, who works in global development in Asia and East Africa, is a senior media critic

and Buddha Basnyat, director of the Oxford University Clinical Research Unit in Nepal.

For more covid coverage

www.bmj.com/coronavirus

In this episode of the IJGC Podcast, Editorial Fellow Sara Nasser discusses the contents of the October issue of IJGC in Arabic.

In this episode of the Heart podcast, Digital Media Editor, Dr James Rudd, is joined by Dr Guarav Gulsin from the University of British Columbia. They cover everything you need to know about this class of drugs for use in heart disease and beyond following the publication of a comprehensive review paper in Heart.

If you enjoy the show, please subscribe to the podcast to get episodes automatically downloaded to your phone and computer. Also, please consider leaving us a review at https://itunes.apple.com/gb/podcast/heart-podcast/id445358212?mt=2

Link to published paper: https://heart.bmj.com/content/early/2021/05/09/heartjnl-2021-319185

In this episode of the JISAKOS Podcast, Social Media Editors Emmanouil Brilakis and Andreas Voss interview Dr. Leo Pauzenberger of Austria about the recently published article "Ulnar collateral ligament reconstruction of the elbow at minimum 48-month mean follow-up demonstrates excellent clinical outcomes with low complication and revision rates: systematic review."

( https://jisakos.bmj.com/content/6/5/290 ).

Duane Peters from the Lupus Foundation of America interviews Dr Ronald von Vollenhoven, one of LSM's Editors-in-Chief, about the highlights of the 14th International Congress on Systemic Lupus Erythematosus (LUPUS 2021) and the 6th International Congress on Controversies in Rheumatology and Autoimmunity (CORA). These events were held jointly as a virtual congress on 6-9 October 2021 (https://lupus2021.kenes.com) and showcased the best clinical, biological, and translational advances in the field of SLE and autoimmunity.

In this episode of the IJGC Podcast, Editorial Fellows Cecilia Darin and Erick Estrada discuss the contents of the October issue of IJGC in Spanish.

Autoimmune encephalitis comprises a group of disorders in which the host immune system targets self-antigens expressed in the central nervous system (CNS). Some of the best-characterised diseases are associated with autoantibodies that target neuroglial antigens. These autoantibodies are considered pathogenic because they are directed against the extracellular—and hence in vivo exposed—domains of their target antigens. Associate Editor of Practical Neurology, Dr Tom Hughes, Department of Neurology, Cardiff, interviews Prof Sarosh R Irani, Oxford Autoimmune Neurology Group, Nuffield Department of Clinical Neurosciences, Oxford University, about his recent paper, in which he summarised the well-known autoantibody-mediated encephalitis syndromes with neuronal cell-surface antigens and focus on practical aspects of their diagnosis and treatment, offer their clinical experiences of managing such cases and highlight more basic neuroimmunological advances that will inform their future diagnosis and treatments. Read the paper on the Practical Neurology website (https://pn.bmj.com/content/21/5/412) and the October print issue of the journal. The paper is also discussed by Practical Neurology editors, Dr Phil Smith and Dr Geraint Fuller, in their latest podcast: https://soundcloud.com/bmjpodcasts/editors-highlights-of-the-october-2021-issue?in=bmjpodcasts/sets/pn-podcast Please subscribe to the Practical Neurology podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify, to get the latest podcast every month. If you enjoy our podcast, please consider leaving us a review or a comment on the Practical Neurology Podcast iTunes page (https://podcasts.apple.com/gb/podcast/pn-podcast/id942932053). Thank you for listening.

In this episode of the IJGC podcast, Editor-in-Chief Dr. Pedro Ramirez, is joined by Professor Christina Fotopoulou for another installment of the Mentor’s Podcast. Professor Fotopoulou works at the Department of Surgery and Cancer at Imperial College London, UK. She is an elected ESGO council member and Chair of the ESGO guidelines committee. Christina Fotopoulou (@CF_PC_OvCaGroup / @HopkinsMedNews) Highlights: - Early support from mentors and "giants" in the field, national and international networking and early focusing/specialization in the field of interest are keys to success - Try to turn your weaknesses and failures to learning points and opportunities to make you stronger - Hard work, kindness and caring for patients, team spirit, professionalism and dedication are the main keys of success next to any talent and luck that anyone might be fortunate enough to have

A slightly different spread of this episode of Deep Breath In, Navjoyt Tom and Jenny are discussing two separate topics, headaches and team debriefings.

Firstly headaches, the team discuss why so many GPs find headaches to cause the most anxiety in their practice, and get some advice on migrainous headaches from Heather Angus-Leppan, consultant neurologist at the Royal Free London NHS Foundation Trust (also discussed vaccinations and CVST in our covid vaccination episode).

Secondly, team debriefings - seeking support from colleagues is essential, but the way in which teams discuss problems can be helpful or harmful. Michaela Kolbe, psychologist and director of University Hospital Zurich's simulation centre joins us to give some tips on how to make those team meetings work better.

Reading list Team debriefings in healthcare: aligning intention and impact https://www.bmj.com/content/374/bmj.n2042

Join our Editorial Scholars, past and present, as we reflect on the hidden curriculum, and discuss its role in cultivating professionalism.

While you are here, do check us out on social media:

Twitter: https://twitter.com/BMJStudent Instagram: https://www.instagram.com/bmj_student/ Facebook: https://www.facebook.com/BMJStudent/

Dr Carl Bonander, Karlstad University, Sweden, is an injury prevention researcher developing innovative applications of data science to solve real world problems. A self-described skeptic his new discoveries are driven by his search for answers to the question "why". Listen to the podcast and read some related articles published by Injury Prevention: - Compared with what? Estimating the effects of injury prevention policies using the synthetic control method - https://injuryprevention.bmj.com/content/24/Suppl_1/i60 - Can the provision of a home help service for the elderly population reduce the incidence of fall-related injuries? A quasi-experimental study of the community-level effects on hospital admissions in Swedish municipalities - https://injuryprevention.bmj.com/content/22/6/412 - The effect of the transition from the ninth to the tenth revision of the International Classification of Diseases on external cause registration of injury morbidity in Sweden - https://injuryprevention.bmj.com/content/21/3/189 Please subscribe via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify. If you enjoy our podcast, please consider leaving us a review or a comment on the Injury Prevention Podcast iTunes page (https://podcasts.apple.com/gb/podcast/injury-prevention-podcast/id942473946). Thank you for listening.

In this podcast, Rachael Moses, Multimedia Editor of Thorax BMJ, talks to Dr Ash Clift Nuffield Department of Primary Care Health Sciences, University of Oxford. The evidence surrounding COVID-19 has been conflicting and inconsistent. This podcast discusses the findings of this observational and Mendelian randomisation study using the UK Biobank cohort. The author discusses the findings with regards to the potential causal effect of cigarette smoking on the severity of COVID-19 infection and what this means for both the public and clinicians. Related article: https://thorax.bmj.com/content/thoraxjnl/early/2021/09/12/thoraxjnl-2021-217080

Duane Peters from the Lupus Foundation of America interviews Dr Jill Buyon, one of LSM's Editors-in-Chief, and Dr Philip Carlucci from New York University in the USA, a previous recipient of the LFA's Gina M. Finzi Memorial Student Summer Fellowship. They discuss their recent paper on the safety of kidney biopsies in patients with SLE enrolled in the Accelerating Medicines Partnership in the USA, which aims to identify potential targeted treatments for lupus nephritis.

Access the paper here: https://lupus.bmj.com/content/8/1/e000522

Dr Philip Smith, Social Media and Associate Editor of FG and Consultant Gastroenterologist at the Royal Liverpool Hospital interviews Dr Gaurav Nigam who is an Academic clinical fellow in Gastroenterology in Oxford Deanery, UK. This podcast is focused on the paper "Curriculum review : investigation and management of dysphagia" published online in Frontline Gastroenterology in August 2021 - https://fg.bmj.com/content/early/2021/08/02/flgastro-2021-101917

In this episode of the IJGC podcast, Editor-in-Chief Dr. Pedro Ramirez, is joined by Dr. Kathleen Schmeler to discuss the ConCerv Trial. Dr. Schmeler is the lead author of ConCerv: a prospective trial of conservative surgery for low-risk early-stage cervical cancer, which is the Lead Article of IJGC’s October 2021 issue. Dr. Schmeler is a Professor in Gynecologic Oncology at The University of Texas MD Anderson Cancer Center. She provides care to women with gynecologic malignancies including surgery, chemotherapy and preventive services. Dr. Schmeler is also the Executive Director of Global Oncology for the MD Anderson Cancer Network. Her research interest is in cervical cancer prevention and treatment, particularly for resource-constrained countries and medically underserved communities in the US. ( https://ijgc.bmj.com/content/early/2021/09/06/ijgc-2021-002921.share ) @kmschmeler @MDAndersonNews Highlights: •The ConCerv trial is the first prospective study of conservative surgery in women with low-risk cervical cancer. It included 14 sites in 9 countries. •Findings from the ConCerv Trial offer prospective data supporting a more conservative approach to low-risk patients, sparing them the early and late morbidity associated with radical procedures. •It will also allow for safer cervical cancer surgery in low- and middle-income countries, where the burden of cervical cancer is highest. •In the our study, conservative surgery was associated with a 3.5% recurrence rate in women with low-risk cervical cancer. In addition, the rate of positive lymph nodes was 5%, with lymph node assessment recommended in this low-risk population. •Further study is needed to determine long term outcomes and optimal pathologic criteria for conservative surgery."

Hear BMJ Innovations' editors, Dr Helen Surana and Dr Ashley Mckimm, discuss the development of our new podcast series, Leaders in Innovation, which will feature stories and interviews from leaders in the field of Health Innovations. Visit the podcast page for more information: https://innovations.bmj.com/pages/bmj-innovations-podcast/ Please subscribe on your favourite platform.

In this episode of the Heart podcast, Digital Media Editor, Dr James Rudd, is joined by Dr Madalina Garbi from Royal Papworth Hospital. They discuss her role on the NICE committee for valvular heart disease and how NICE guidelines differ from those developed by professional societies.

If you enjoy the show, please subscribe to the podcast to get episodes automatically downloaded to your phone and computer. Also, please consider leaving us a review at https://itunes.apple.com/gb/podcast/heart-podcast/id445358212?mt=2

Link to published paper: https://heart.bmj.com/content/107/12/949

Dr Philip Smith, Digital and Education Editor of Gut and Consultant Gastroenterologist at the Royal Liverpool Hospital, interviews Professor Megraud, University of Bordeaux, France. The podcast is focused on the paper "Helicobacter pylori resistance to antibiotics in Europe in 2018 and its relationship to antibiotic consumption in the community”, which is published in paper copy in Gut in October 2021. Link to the paper: https://gut.bmj.com/content/70/10/1815

Today, AMSSM members Dr. Caitlyn Mooney hosts Dr. Katie Rizzone on the topic of sports bras. With more women athletes than ever, the sports bra has certainly grown in popularity in the last decades. This podcast will visit the history of breast support in sport and discuss how breast pain and discomfort effect sports participation in women as well as recent research by Dr. Rizzone and colleagues on their recent study on characteristics of sports bra preference in adolescent females.

More info: CHARACTERISTICS OF SPORTS BRA PREFERENCES IN ADOLESCENT FEMALES

Katherine H. Rizzone, MD MPH, Bianca Edison, MD MPH, Jane Chung, MD, Ingrid K. Ichesco, MD, Nailah Coleman, MD https://journals.sagepub.com/doi/abs/10.1177/2325967121S00110

In this episode of the JISAKOS Podcast, Social Media Editors Emmanouil Brilakis and Andreas Voss interview Editor-in-Chief Niek van Dijk discusses the recently published article "Next exciting step for JISAKOS: transition to OA and a new publisher" ( https://jisakos.bmj.com/content/6/5/257 ).

This week our regular panelists, Helen Macdonald and Joe Ross, are joined by Juan Franco, editor in chief of BMJ Evidence Based Medicine - to take a primary care focussed look at what's been happening in the world of evidence.

On this week’s episode. As kids go back to school, winter bugs surge and pressure mounts on health services we look at two trials which aimed to use reduce antibiotic prescribing for respiratory tract infections in nursing homes and primary care

Juan brings us an update on prescribing medicinal cannabis for pain, based on a recent BMJ rapid recommendation article and linked systematic review and meta-analysis

And finally, in covid news, how likely are you to be admitted or die from covid after one or two SARS-CoV 2 vaccinations?

Reading list Effect of C reactive protein point-of-care testing on antibiotic prescribing for lower respiratory tract infections in nursing home residents - https://www.bmj.com/content/374/bmj.n2198

Procalcitonin and lung ultrasonography point-of-care testing to determine antibiotic prescription in patients with lower respiratory tract infection in primary care - https://www.bmj.com/content/374/bmj.n2132

Medical cannabis or cannabinoids for chronic pain - https://www.bmj.com/content/374/bmj.n2040

Risk prediction of covid-19 related death and hospital admission in adults after covid-19 vaccination - https://www.bmj.com/content/374/bmj.n2244

A/Prof Jan Baker, Speech Pathologist, Flinders University and UTS. Dr Laura McWhirter, University of Edinburgh joins editor Colin Mahoney to discuss the first comprehensive guidelines developed to assist speech and language professionals in the management of functional communication, voice, swallow and cough disorders. As part of a global team they have developed a set of clinically focused guidelines in the recognition and management of theses disorders and discuss the highlights on the Podcast. https://jnnp.bmj.com/content/92/10/1112

In this podcast, James Cave (Editor-in-Chief) and David Phizackerley (Deputy Editor) provide an overview of the October issue of DTB. They discuss the impact of making desogestrel contraceptives available for purchase from pharmacies (https://dtb.bmj.com/content/59/10/146) and talk about the role of percutaneous coronary intervention in patients with stable ischaemic heart disease (https://dtb.bmj.com/content/59/10/150). They also review an article about managing migraine in pregnancy (https://dtb.bmj.com/content/59/10/152). They begin by highlighting the decision to remove pregabalin from the Northern Ireland formulary for neuropathic pain. Please subscribe to the DTB podcast to get episodes automatically downloaded to your mobile device and computer. Also, please consider leaving us a review or a comment on the DTB Podcast iTunes podcast page (https://podcasts.apple.com/gb/podcast/dtb-podcast/id307773309). Thank you for listening.

In this episode of the JIM Podcast, Editor-in-Chief Richard McCallum speaks with Dr. Himanshu Deshwal on advances in the management of pulmonary arterial hypertension. Dr. Deshwal is a fellow in Pulmonary Disease and Critical Care Medicine at the NYU Grossman School of Medicine. He received his M.B.B.S from the Armed Forces Medical College (AFMC)in Pune, India and completed his internal medicine residency with the Cleveland Clinic Foundation Program.

In this episode of the IJGC podcast, Editor-in-Chief Dr. Pedro Ramirez, is joined by Drs. Yuefeng Wang and Matthew Ballo to discuss role of hysterectomy in stage IVB uterine cancer. Dr. Yuefeng Wang is a radiation oncologist and Dr. Matthew Ballo is a radiation oncologist, and the Chair of the Department of Radiation Oncology, West Cancer Center and Research Institute, Memphis, TN. Yuefeng Wang and Matthew Ballo (@YuefengWang2 / @west_cancer) Highlights: -For uterine cancer with pelvic/abdomen metastasis, there is survival benefit associated with total abdominal hysterectomy, in addition to systemic therapy. However, we do not know if there is any role of total abdominal hysterectomy for patient with distant organ metastasis. -In this retrospective, hypothesis-generating study including 3,200 uterine cancer patients with distant organ metastasis, total abdominal hysterectomy plus chemotherapy was associated with significant longer survival (19.8 vs 11.0 months, p < 0.05) compared to patients had chemotherapy alone.

Doctors are taught from medical school about the benefits of IUD, and are often advocates of them to patients.

However, recent media attention on the pain that some women suffer when having their IUD's fitted have started conversations about the need for cervical blocks, and more honest counselling of women about the procedure.

Rebekah Fenton, adolescent medicine fellow at Lurie Children's Hospital of Chicago joins us to talk about how she councils her patients, and why the most important thing is to make sure women are in charge of their reproductive healthcare decisions.

There has been a lot of work on the way in which surgeon's are affected by tiredness - and the whole medical workforce can probably relate to their experience.

But there's a difference between tiredness and fatigue, and that difference might be important in understanding what's happening in your own life.

Dale Whelehan is a physiotherapist, and PhD candidate at Trinity college Dublin, where he is investigating behavioural psychology and the effect of tiredness and fatigue on surgeons - in this podcast he describes how he thinks about those two things, what we know about the effect on wellbeing, and some strategies which might help manage them.

What do med students have in common with Luke Skywalker and Harry Potter?

Luke Skywalker had Obi Wan to guide him through Jedi training. Harry Potter had Prof Dumbledore who gave him advice in surviving at Hogwarts and beyond.

Whether officially or unofficially, we have all had mentors who guided us through the non-straightforward journey known as medical school. They could come in the form of medic parents or a mentor whom you were matched to through a formal scheme - or anyone who helped you during your medical school journey.

In this episode, we address the questions:

Why would you want a mentor What are the different types of mentor How to find a mentor How to make the most of a mentoring relationship

Our expert guest: Dr Georgia Winnett is a consultant renal physician at Basildon Hospital, senior lecturer at Anglia Ruskin School of Medicine and an associate postgraduate dean for Health Education East of England.

While you are here, do check us out on social media: Twitter: https://twitter.com/BMJStudent Instagram: https://www.instagram.com/bmj_student/ Facebook: https://www.facebook.com/BMJStudent/

Have you ever had a question you thought … “OOOO! That’s an Archimedes in waiting that is!”. Well, join in the footsteps of those who have climbed the craggy path through submission, review, Editorial Board and onwards to the sunny pastures of ‘Online First’ and eventually the Paper Journal (where, like one of our colleagues, your Gran can try and order one from the newsagents because she’s so proud of you). The Grannies being delighted this month will be able to learn all about if their migrainous adolescent grandchildren will benefit from magnesium to reduce their headache frequency of severity (https://adc.bmj.com/content/106/10/1027), and far from benign taught to suck eggs they may have their perception of weaning foods challenged when it comes to egg introduction to the diet of four month olds (https://adc.bmj.com/content/106/10/1024.1). Their wisdom will be already full of the knowledge that just because something’s always been this way doesn’t make it right, but they may like to hear about how we think momentum and inertia apply in medicine too (and here’s the ship-related podcast that’s mentioned: https://timharford.com/2019/11/cautionary-tales-ep-1-danger-rocks-ahead/) https://adc.bmj.com/content/106/10#Archimedes https://adc.bmj.com/content/106/10/1024.2

In this podcast, we’re joined by Dr Yetsa Tuakli-Wosornu, Lead Author of the BJSM #SportsEquity e-Edition and Dr Jane Thornton, one of the BJSM’s editors. We cover:

How this e-Edition came about The difference between equity and equality Why this issue is so important How people can use this e-edition in their personal and professional

Links: E-Edition: https://bjsm.bmj.com/pages/bjsm-e-edition-sportsequity/ Editorial: https://bjsm.bmj.com/content/early/2021/09/09/bjsports-2021-104874

In this episode of the Heart podcast, Digital Media Editor, Dr James Rudd, is joined by Dr Alastair Moss from the University of Leicester. They discuss the paradoxical effect of exercise on coronary artery calcification. If you enjoy the show, please subscribe to the podcast to get episodes automatically downloaded to your phone and computer. Also, please consider leaving us a review at https://itunes.apple.com/gb/podcast/heart-podcast/id445358212?mt=2 Link to published paper: https://heart.bmj.com/lookup/doi/10.1136/heartjnl-2021-319868

Chronic sinusitis is inflammation of the paranasal sinuses lasting more than 12 weeks.

Symptoms include facial pressure, rhinorrhoea, postnasal drainage, congestion, and general malaise.

Raj Sindwani, Section Head of Rhinology, Sinus, and Skull Base Surgery, Head and Neck Institute, Cleveland Clinic Foundation, gives us a clinical overview of the condition.

For more on chronic sinusitis, visit BMJ Best Practice: bestpractice.bmj.com/topics/en-gb/15

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The purpose of this podcast is to educate and to inform. The content of this podcast does not constitute medical advice and it is not intended to function as a substitute for a healthcare practitioner’s judgement, patient care or treatment. The views expressed by contributors are those of the speakers. BMJ does not endorse any views or recommendations discussed or expressed on this podcast. Listeners should also be aware that professionals in the field may have different opinions. By listening to this podcast, listeners agree not to use its content as the basis for their own medical treatment or for the medical treatment of others.

In this episode of the IJGC podcast, Editor-in-Chief Dr. Pedro Ramirez, is joined by Dr. Kemi Doll to discuss racial disparities in endometrial cancer screening with ultrasound. Dr. Kemi Doll is a gynecologic oncologist, health services researcher, and Associate Professor at the University of Washington, Department of Obstetrics and Gynecology. Her expertise is in Black-White disparities in endometrial cancer outcomes in the United States. Kemi Doll (@kemidoll / @uwmedicine / @uwashobgyn)

The infrastructure of Afghanistan healthcare is under threat, as international agencies who run clinics withdraw from the country. At the same time, some of the healthcare workforce are leaving the country, while those who remain face the prospect of their wages drying up as the economy of the country collapses.

But there remain people dedicated to providing healthcare, and in this podcast we hear from, Wais Mohammad Qarani, president of the Afghanistan Midwifery and Nurses Council, about what changes might be seen under the new regime, and what needs to be done to support care in the country.

This podcast is focused on the paper "Anorexia nervosa and the gastrointestinal tract”, published online in Frontline Gastroenterology in August 2021. Dr Philip Smith, Social Media and Associate Editor of FG and Consultant Gastroenterologist at the Royal Liverpool Hospital interviews Dr Wisam Jafar, Consultant Gastroenterologist and Nutrition Lead at Stepping Hill Hospital, Stockport, Greater Manchester, UK. Read the paper: https://fg.bmj.com/content/early/2021/08/19/flgastro-2021-101857

Editor-in-Chief of the Archives of Disease in Childhood, Dr Nick Brown, brings you the monthly Atoms - the highlights of the October 2021 issue. Read it on the Archives of Disease in Childhood website: https://adc.bmj.com/content/106/10/i

Today, Brooke Patterson hosts Annie Strauch and Catherine Etty-Leal, both experienced Australian physiotherapists with a Masters in Sports Physio and Musculoskeletal Physio. Annie’s passion for performance physiotherapy started in London’s West End where she managed performers in over 30 productions. After that, Performance Medicine (https://performancemedicine.com.au/) was born, a multidisciplinary clinic to provide singers, dancers and performers with tailored physiotherapy treatment. Annie and Catherine both specialise in vocal physiotherapy, and provide some tips for online public speaking. They discuss injury management and prevention for performing artists, and the cultural considerations. Sports medicine professionals have a big role to play in the performing arts industry, and Annie and Catherine share some tips for getting involved in the field.

Links International Association of Dance Medicine and Science (IADMS) - https://protect-au.mimecast.com/s/Cu1_CMwv0QUOKzGqCwWvfG?domain=iadms.org/

Australian Society of Performing Arts & Healthcare (ASPAH)-https://protect-au.mimecast.com/s/RieBCNLwP9UlKj10c4VDDt?domain=aspah.org.au/

Australian Voice Association (AVA)- https://protect-au.mimecast.com/s/7-noCOMxQyURVvopTkxo26?domain=australianvoiceassociation.com.au/

Medical Problems in Performing Artists (MPPA) - https://protect-au.mimecast.com/s/5dXICP7yRZiGY3qKSjiL2U?domain=sciandmed.com

RETURN TO DANCE post COVID - Webinar about how dance teachers, dance professionals and dance clinicians can assist their dance students return to the studio in a safe way. -https://protect-au.mimecast.com/s/-ILGCROAWocm958vSoFlgP?domain=performancemedicine.com.au/

Practical Neurology Editors Phil Smith and Geraint Fuller talk you through the highlights of the October issue of the journal. Read more on the PN website: https://pn.bmj.com/content/21/5/373 The full issue here: https://pn.bmj.com/content/21/5 Please subscribe to the Practical Neurology podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify, to get the latest podcast every month. If you enjoy our podcast, please consider leaving us a review or a comment on the Practical Neurology Podcast iTunes page (https://podcasts.apple.com/gb/podcast/pn-podcast/id942932053). Thank you for listening.

In this episode of the IJGC Podcast, Editorial Fellow Sara Nasser discusses the contents of the September issue of IJGC in Arabic.

In this podcast we discuss the reported impact of HIV infection on people who are hospitalised with COVID-19, by reviewing three publications: 1. Outcomes of COVID-19 Related Hospitalization Among People With HIV in the ISARIC WHO Clinical Characterization Protocol: A Prospective Observational Study. Clinical Infectious Diseases, 23 October 2020 (https://www.who.int/publications/i/item/WHO-2019-nCoV-Clinical-HIV-2021). 2.Epidemiology and outcomes of COVID-19 in HIV-infected individuals: a systematic review and meta-analysis.Nature, Scientific Reports, 18 March 2021 (https://www.nature.com/articles/s41598-021-85359-3). 3. Clinical features and prognostic factors of COVID-19 in people living with HIV hospitalized with suspected or confirmed SARS has just been released. WHO Global Clinical Platform, 15 July 2021 (https://academic.oup.com/cid/advance-article/doi/10.1093/cid/ciaa1605/5937133). STI's Podcast Editor, Dr Fabiola Martin, interviews Prof Anna Maria Garretti, Diseases at the Policlinico Tor Vergata, University of Rome Tor Vergata, Chair of the British HIV Association Vaccination Guidelines Panel, and Editor in Chief of the STI Journal; and Associated Research Professor Dr Paddy Ssentongo, from the Penn State University, Pennsylvania, USA. Read the blog post: https://blogs.bmj.com/sti/2021/09/16/c19-plwh-revisited/

In this episode of the IJGC Podcast, Editorial Fellow Irina Tsibulak discusses the contents of the September issue of IJGC in Russian.

In this episode of the IJGC Podcast, Editorial Fellows Cecilia Darin and Erick Estrada discuss the contents of the September issue of IJGC in Spanish.

In this episode of the IJGC podcast, Editor-in-Chief Dr. Pedro Ramirez, is joined by Dr. Andreas Obermair to discuss the ENDO3 Trial. Dr. Obermair is a gynaecological oncologist in Brisbane, Australia, promoting surgery with proven better patient outcomes. Highlights •ENDO3 exemplifies the need to question current standard clinical practice if this practice – while performed routinely - has not shown patient benefit. •ENDO3 employs meticulous methodology and has been designed with input from gynaecological oncologists, medical and radiation oncologists, behavioural scientists, exercise physiologists, statisticians, translational scientists, including the patient perspective. •ENDO3 will offer unique insights into clinically meaningful outcomes that will shape our approach to surgical treatment of endometrial cancer in the future.

Andreas Obermair (@AndreasObermair / @UQ_gynae_cancer)

In this episode of the IJGC Podcast, Editorial Fellows Emma Allanson and Erick Estrada discuss the contents of the September issue of IJGC in English.

As the scientific community in the UK still debates whether to vaccinate kids under 16, that leaves us as an outlier to the rest of the world where parents are being encouraged to seek the vaccination of the children.

In this episode Tom, Jenny and Navjoyt discuss the questions that they're getting in their surgeries, and get some advice on how parents regard vaccinating their children, how to think about transmissibility vs severity when it comes to childrens' risk, and some ways of helping to motivate vaccine uptake.

Our guests;

Amanda Kvalsvig is a senior research fellow at the University of Otago, and her work as an epidemiologist has helped to inform the New Zealand government's covid-19 response.

Greg Zimet is a clinical psychologist and professor in the Department of Pediatrics at Indiana University. His work has focussed on vaccination in children - particularly the HPV vaccine.

Further reading Covid-19 vaccines for teenagers: conversations and consent https://www.bmj.com/content/374/bmj.n2312

The final evacuation planes have left Kabul airport, and Afghanistan’s government have ceded power to the Taliban.

Amongst the international community, worries about what that transition of power means for the people of Afghanistan have centred around the rights of women, access to education for the whole population, and the continuing prosperity of the country… However what this means for health is still uncertain.

Nadia Akseer is an Afghan scientist and epidemiologist, now working at John's Hopkins Bloomberg School of Public Health and who has published extensively the health of her home country

Reading list; Achieving maternal and child health gains in Afghanistan https://www.thelancet.com/journals/langlo/article/PIIS2214-109X(16)30002-X/fulltext

Association of Exposure to Civil Conflict With Maternal Resilience and Maternal and Child Health and Health System Performance in Afghanistan https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2754253

Coverage and inequalities in maternal and child health interventions in Afghanistan https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-016-3406-1

Geospatial inequalities and determinants of nutritional status among women and children in Afghanistan https://www.thelancet.com/journals/langlo/article/PIIS2214-109X(18)30025-1/fulltext

In this podcast, we'll explore how eating a ‘blue’ muffin is an inexpensive and scalable technique allowing the measurement of transit time. The method was used to assess the relationship between gut transit time and the human gut microbiome, in a study published in paper copy in Gut, in September 2021. "Blue poo: impact of gut transit time on the gut microbiome using a novel marker" is accessible here: https://gut.bmj.com/content/70/9/1665 Dr Philip Smith, Digital and Education Editor of Gut and Consultant Gastroenterologist at the Royal Liverpool Hospital, interviews Dr Sarah Berry, Department of Nutritional Sciences, King's College London, London. The Gut Podcast discusses highlights from its issues monthly. Please subscribe in all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify.

The highlights of this edition brought to you by the Editor-in-Chief of Frontline Gastroenterology Mark Beattie. Read the UpFront of the September 2021 issue of Frontline Gastroenterology: https://fg.bmj.com/content/12/5/359 The full issue is now online: https://fg.bmj.com/content/12/5 Listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify.

In this episode of the IJGC podcast, Editor-in-Chief Dr. Pedro Ramirez, is joined by Professor Christina Fotopoulou to discuss the ESGO Guidelines on Perioperative Management Ovarian Cancer. Professor Fotopoulou is the lead author of “European Society of Gynaecological Oncology guidelines for the peri-operative management of patients with ovarian cancer,” which is the Lead Article of IJGC’s September 2021 issue. Professor Fotopoulou works at the Department of Surgery and Cancer at Imperial College London, UK. She is an elected ESGO council member and Chair of the ESGO guidelines committee. Highlights - Patients with advanced ovarian cancer need to have a holistic care assessment and detailed discussion about risks and benefits of surgical treatment tailored to their individual profile. - A multidisciplinary team approach and complications management is crucial for the safe delivery of cytoreductive procedures - Maximal infrastructural expertise and specialization are keys to surgical success

Christina Fotopoulou (@CF_PC_OvCaGroup)

In this month's Talk Evidence, Helen Macdonald and Joe Ross are back with a wry look at the world of Evidence Based Medicine.

They give us a round up of real world data emerging to address various uncertainties about vaccinations against covid

Helen has an update on NHS Digital’s project to extract GP coding for planning of healthcare and research, and talks to Natalie Banner from Understanding Patient Data, to find out what the public really cares about.

Finally, as routine care must go on a clinical review on cardiovascular disease in older adults introduces us to geroscience.

Reading list

Vaccines; Effectiveness of BNT162b2 and mRNA-1273 covid-19 vaccines against symptomatic SARS-CoV-2 infection and severe covid-19 outcomes in Ontario, Canada: test negative design study - https://doi.org/10.1136/bmj.n1943

Effectiveness of the CoronaVac vaccine in older adults during a gamma variant associated epidemic of covid-19 in Brazil: test negative case-control study - https://doi.org/10.1136/bmj.n2015

Associations of BNT162b2 vaccination with SARS-CoV-2 infection and hospital admission and death with covid-19 in nursing homes and healthcare workers in Catalonia: prospective cohort study https://doi.org/10.1136/bmj.n1868

Risk of thrombocytopenia and thromboembolism after covid-19 vaccination and SARS-CoV-2 positive testing: self-controlled case series study - https://doi.org/10.1136/bmj.n1931

CVD Cardiovascular care of older adults - https://doi.org/10.1136/bmj.n1593

This week the panel discusses their tips for clinical years. From the logistics of commuting and hospital accommodation to speaking to your first patient - tune in to hear the panel's reflections and advice

Dr. Busey is the first elected Chair of the Council of Diversity and Inclusion at Texas Tech University of Health Sciences El Paso. Dr. Busey joined Texas Tech in 2018 after serving for the US Army as an Officer in Charge, Medical Director, Transitional Year Assistant Program Director, and Patient Center Medical Home Champion for Fort Bliss, TX. He completed his residency in Family Medicine at Womack Army Medical Center, Fort Bragg, NC. Dr. Busey completed medical school at Western University College Osteopathic Medicine of the Pacific and was part of the Northwest Track, trailblazing rotations in Washington and Oregon. Dr. Busey graduated from Pacific Lutheran University in Tacoma, WA, and has a Bachelors of Science in Biology with minors in Chemistry and Religion.

This podcast features Clare Barker, Associate Professor in English Literature, University of Leeds, and guest editor of our Medical Humanities June Special Issue for 2021: Global Genetic Fictions. Read more on the Medical Humanities website: https://mh.bmj.com/content/47/2 Read the transcript of this podcast in the Medical Humanities blog (https://blogs.bmj.com/medical-humanities/2021/09/02/clare-barker-global-genetic-fictions).

In the style of a “choose your own adventure”, our guest this month, Dr Judy Fleiter, takes us on a journey through the decision points in her career. Not afraid to step through small gaps to see what lies beyond, Dr Fleiter walks now on the world stage. As a key player at the Second Decade of Action for Road Safety 2021-2030, she is an outstanding example of the modern collaborative leader. Judy Fleiter PhD, is the Global Manager with the Global Road Safety Partnership International Federation of Red Cross and Red Crescent Societies, in Geneva, Switzerland. Read more about road safety: https://injuryprevention.bmj.com/ The Injury Prevention podcast is released on the first Thursday of each month. Please subscribe via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify. If you enjoy our podcast, please consider leaving us a review or a comment on the Injury Prevention Podcast iTunes page (https://podcasts.apple.com/gb/podcast/injury-prevention-podcast/id942473946). Thank you for listening.

In this episode of the Heart podcast, Digital Media Editor, Dr James Rudd, is joined by Dr Clare Taylor from the University of Oxford. They discuss the high risk of events associated with an elevated BNP and how pathways to the diagnosis of heart failure might be improved.

If you enjoy the show, please subscribe to the podcast to get episodes automatically downloaded to your phone and computer. Also, please consider leaving us a review at https://itunes.apple.com/gb/podcast/heart-podcast/id445358212?mt=2

Link to published paper: https://heart.bmj.com/content/early/2021/06/28/heartjnl-2021-319196

Duane Peters from the Lupus Foundation of America interviews the Lupus Science & Medicine Editors-in-Chief, Professor Jill Buyon and Professor Ronald van Vollenhoven. They discuss the recent release of LSM's first Journal Impact Factor™, explaining how it has been calculated, and what it means for the journal, its authors and readers.

Access all the LSM journal metrics: https://lupus.bmj.com/pages/top-cited-articles/ and https://lupus.bmj.com/pages/about/.

In this episode of the JIM Podcast, Editor-in-Chief Dr. Richard McCallum gives a talk on Gastroparesis Awareness Month based on his extensive history in the field. Dr. McCallum graduated from Queensland Medical School of Brisbane, Australia and has received a number of awards and honors in clinical investigation and gastroenterology in his career. He currently serves as the Director of the Center for Neurogastroenterology and GI Motility at Texas Tech University,

Mark Goh and Shu-Ling Chong, Duke-NUS Medical School and KK Women's and Children's Hospital, Singapore joins editor Colin Mahoney to discuss their systematic review and meta-analysis spanning 6000 articles dealing with neurocognitive outcomes following traumatic brain injury (TBI) in children. They highlight how dose of TBI impacts executive function and memory with potentially long term impacts. https://jnnp.bmj.com/content/92/8/847

Have you ever wanted to get your Archimedes answer to a clinical question into our journal and onto this podcast? Did you worry that because it was about a strange device for making balloons blow up by using your nose that we’d laugh it out of the park? Well - you need not have worried - but it’s already been done (see https://adc.bmj.com/content/106/9/923.1). Same with uncertainties about single-dose old-fashioned UDP-N-acetylglucosamine enolpyruvul transferase disruptors (https://adc.bmj.com/content/106/9/925). I’ll leave this as a tease for you to have to listen to find out which antibiotic is being explored here. We cover some thoughts on using older or re-focussed therapies too (https://adc.bmj.com/content/106/9/923.2). SO - don’t hold back from your clinical question dream - crack on and submit, following our instructions to authors after you’ve spotted a great question even if it has an old (but interesting) answer.

In this episode of the IJGC podcast, Editor-in-Chief Dr. Pedro Ramirez, is joined by Drs. Oliver Zivanovic and Roisin O'Cearbhaill. Dr. Roisin O’Cearbhaill, MD, is a medical oncologist and the Research Director of the Gynecologic Medical Oncology Service and the Clinical Director of the Solid Tumor Program, Cellular Therapy Service at Memorial Sloan Kettering Cancer Center, with a joint faculty appointment at Weill Cornell Medical College. Nationally, she serves as the Chair, Developmental Therapeutics, NRG Oncology. Dr. Oliver Zivanovic MD is a Gynecologic Oncologist at the Department of Surgery at Memorial Sloan Ketteting Cancer Center with a joint faculty appointment at Weill Cornell Medical College. He serves as the Institutional Principle Investigator for NRG Oncology. @ROCearbhaill / @zivanovicmd / @TeamOvary_MSK / @sloan_kettering Highlights: -HIPEC with carboplatin at secondary cytoreductive surgery for first platinum-sensitive recurrent ovarian cancer was not superior to secondary cytoreduction without HIPEC. -HIPEC for recurrent ovarian cancer should be conducted in the setting of a clinical trial

There's a plan from the Royal College of General Practitioners, to stop the profession buckling under the huge pressure applied by the workforce crisis and covid 19.

The steps outlined are very practical, but do they really get to the heart of the problem with the way in which primary care is practiced in 2021.

In this episode, Tom, Jenny and Navjoyt are joined by Rani Lill Anjum, a philosopher from the Norwegian University of Life Sciences who thinks about causation in healthcare - and what this means for the doctor patient relationship.

The Midlands Charter, is a set of principles that hospitals in the midlands region of England have signed up to, to improve the health and wellbeing of trainees working in the area. It was created in a huge collaboration of trainees, NHS England, Health Education England and the GMC.

Dan Smith is a junior doctor at Nottingham University Hospitals NHS Trust, and one of the authors of that charter. He joins us to explain how they're QI thinking to improve doctors wellbeing, and how other areas can follow their lead.

Read the full charter: https://www.england.nhs.uk/midlands/information-for-professionals/nhs-midlands-charter/

To join the collaborative https://future.nhs.uk/MidlandsCharter/grouphome

In this podcast, James Cave (Editor-in-Chief) and David Phizackerley (Deputy Editor) provide an overview of the September issue of DTB. They discuss the US FDA's controversial decision to license aducanumab for Alzheimer's disease (https://dtb.bmj.com/content/59/9/130) and consider barriers to prescribing shorter courses of antibiotics in primary care (https://dtb.bmj.com/content/59/9/131). The editors also highlight the impact that some medicines have on oral health and dental treatment (https://dtb.bmj.com/content/59/9/135). Before all of that though, the recent NICE's guideline on shared decision making. Please subscribe to the DTB podcast to get episodes automatically downloaded to your mobile device and computer. Also, please consider leaving us a review or a comment on the DTB Podcast iTunes podcast page (https://podcasts.apple.com/gb/podcast/dtb-podcast/id307773309). Thank you for listening.

In this podcast, we discuss the impact of Best Practice Tariffs (BPT) in improving outcomes for people with COPD admitted to hospital following an acute exacerbation. The key question was to understand if the combination of specialist review within 24 hours and a discharge care bundle incentivised by the English COPD BPT scheme was associated with improved mortality and readmission rates for those admitted with an acute exacerbation of COPD. Thorax Multimedia Editor, Rachael Moses, talks to Philip Stone, from the National Heart and Lung Institute, Imperial College London, UK. Read the paper (https://thorax.bmj.com/content/early/2021/07/15/thoraxjnl-2021-216880) and subscribe to the Thorax Podcast on your favourite platform.

In this episode of the IJGC podcast, Editor-in-Chief Dr. Pedro Ramirez, is joined by Dr. James Stuart Ferriss to discuss advances and novel approaches in uterine serous cancers. Dr. Ferriss is an assistant professor in the Kelly Gynecologic Oncology division, Department of Gynecology and Obstetrics, Johns Hopkins School of Medicine. He is the program director of the Montz fellowship in gynecologic oncology. Highlights: •Uterine serous carcinomas represent less than 10% of all uterine cancers, but 39% of disease specific deaths. •Surgery remains the cornerstone of treatment. •Our understanding of the molecular drivers of this uncommon cancer supports new, targeted therapies. •Adjuvant treatment of advanced and recurrent uterine serous carcinomas should be based on HER2 expression. • Ongoing clinical trials will further define the role of immunotherapy, WEE1 inhibitors, and PARP inhibitors in uterine serous carcinoma.

As the number of people with dementia worldwide approaches 50 million, the need for early and accurate diagnosis is more urgent than ever. However, the biggest challenge is often suspecting dementia in the first place and deciding why this is not ‘just’ Alzheimer’s disease. Associate Editor of Practical Neurology, Dr Tom Hughes, Department of Neurology, Cardiff, interviews Dr Jeremy Johnson and Dr Jason Warren, both from the Dementia Research Centre, UCL Queen Square Institute of Neurology, London, about their recent paper, in which they outline a practical, symptom-led, bedside approach to suspecting dementia and its likely diagnosis, inspired by clinical experience and based on recognition of characteristic syndromic patterns. You can read the paper on the Practical Neurology website (https://pn.bmj.com/content/21/4/300) and the August print issue of the journal. The paper is also discussed by Practical Neurology editors, Dr Phil Smith and Dr Geraint Fuller, in their latest podcast: https://soundcloud.com/bmjpodcasts/editors-highlights-of-the-august-2021-issue?in=bmjpodcasts/sets/pn-podcast Please subscribe to the Practical Neurology podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify, to get the latest podcast every month. If you enjoy our podcast, please consider leaving us a review or a comment on the Practical Neurology Podcast iTunes page (https://podcasts.apple.com/gb/podcast/pn-podcast/id942932053). Thank you for listening.

Editor-in-Chief of the Archives of Disease in Childhood, Dr Nick Brown, brings you the monthly Atoms - the highlights of the September 2021 issue. Read it on the Archives of Disease in Childhood website: https://adc.bmj.com/content/106/9/i

The mental health of athletes has been in the spotlight throughout this summer, as high-profile athletes such as Naomi Osaka and Simone Biles have spoken out about the importance of prioritizing their physical, and especially their mental, well-being.

In this episode, host Dr. Giselle Aerni, MD is joined by AMSSM Past Presidents Dr. Cindy Chang, MD and Dr. Margot Putukian, MD to discuss the AMSSM Position Statement on Mental Health Issues and Psychological Factors in Athletes, which Dr. Aerni also co-authored.

In this 33-minute conversation, they address the following topics: The importance of a position statement on the mental health of athletes and the novel aspects addressed in the document The team-based approach to mental health care and why it’s a crucial component for the well-being of athletes How the acceptance of mental health issues has evolved in recent years and the impact social media has on those perceptions The impact of the COVID-19 pandemic on athletes’ mental health and how it reinforces the need for conversations about this vital issue

Resources: Mental health issues and psychological factors in athletes: detection, management, effect on performance and prevention: American Medical Society for Sports Medicine Position Statement (https://bjsm.bmj.com/content/54/4/216.full) Madam Athlete Podcast (https://madamathlete.com/)

Flow diversion of intracranial aneurysms with the Pipeline Embolization Device (PED) is commonly performed, but the value of long-term angiographic follow-up has not been rigorously evaluated. The study discussed in this podcast examines the prevalence of actionable findings of aneurysm recurrence and development of in-stent stenosis in a cohort of patients that underwent long-term angiographic follow-up at multiple time points. JNIS Editor-In-Chief, Felipe C. Albuquerque, interviews Dr Akash P. Kansagra, from the Mallinckrodt Institute of Radiology, Washington University School of Medicine, St Louis, USA. Related paper: https://jnis.bmj.com/content/early/2021/07/01/neurintsurg-2021-017745

In this episode of the JIM Podcast, Editor-in-Chief Richard McCallum speaks with Oscar Armando Dorantes, an archaeologist and alumnus of San Diego State University. Dorantes has experience as D.E.A. witness in medical marijuana cases and won the first medical marijuana case in the U.S. military when he was a member of the U.S. Army Preventive Medicine Network in 1999.

In this episode of the IJGC podcast, Professor Ignace Vergote joins us for the Mentor’s Podcast. Professor Ignace Vergote is Chairman of the Department of Gynaecology and Obstetrics at the Catholic University Leuven since 2003. He published more than 900 papers on gynecologic cancer in peer-reviewed journals and his work has been cited more than 50,000 times. He served as President of IGCS, ESGO, EORTC-GCG and ENGOT. Ignace Vergote (@UZLeuven)

Rota gaps are a big problem when it comes to loading stress on the medical workforce, and there is big pressure to spread the workforce as evenly as possible across wards and shifts.

However the tyranny of the rota - especially when changing rotations or working across multiple sites, means that often doctors personal wishes, or big life events are not taken into account.

The dehumanising status of becoming just a number in the system is not helping people have the kind of fulfilling careers that encourages people to stay within the workforce, and helps guard them from burnout.

So how do we square that circle? Anas Nader, CEO of Patchwork Health, joins us to talk about why his own burnout lead him to try and fix the rota problem - and where he has got to now.

Findout more at: https://www.patchwork.health/

Note - BMJ company has invested in patchwork health

In this episode of the IJGC Podcast, Editorial Fellow Irina Tsibulak discusses the contents of the August issue of IJGC in Russian.

An outlook at how disabled lives have been affected by the COVID-19 pandemic and, in particular, by the current vaccine roll-out. Alice Wong, a disabled activist, and Alyssa Burgart, an anesthesiologist and ethicist at Stanford University, tell Medical Humanities' Editor-in-Chief, Brandy Schillace, how disabled lives have been overlooked in this crisis, as the very systems and designs of medicine cater to the able-bodied. Read the transcript on the Medical Humanities blog (https://blogs.bmj.com/medical-humanities/2021/08/12/medicines-disability-blind-spot-privilege-access-and-the-continued-vaccine-roll-out). You can subscribe to the Medical Humanities podcast on any of the main platforms to get the latest episodes. If you enjoy the show, please consider leaving us a review or a comment on the Medical Humanities Podcast iTunes page (https://podcasts.apple.com/gb/podcast/medical-humanities-podcast/id961667204). Thank you.

In this episode of the IJGC podcast, Editor-in-Chief Dr. Pedro Ramirez, is joined by Drs. Rebecca Previs and Benjamin Albright to discuss primary cytoreduction for advanced endometrial cancer. Dr. Rebecca Previs is an assistant professor within the Division of Gynecologic Oncology and the Department of Obstetrics & Gynecologic at Duke University Medical Center, Duke Cancer Institute in Durham, NC. Her translational research interests include understanding how the immune microenvironment and molecular characterization of gynecologic cancers influences disease biology and treatment outcomes. Outside of medicine, she enjoys spending time with her menagerie of pets, gardening, hiking, harvesting honey from her bee hives, and playing the piano. Dr. Ben Albright is a second-year fellow within the Division of Gynecologic Oncology and the Department of Obstetrics & Gynecologic at Duke University Medical Center, Duke Cancer Institute in Durham, NC. His research interests include health policy and economics, health services research, systematic review, and cost-effectiveness analysis. Outside of medicine, he enjoys trail running, tennis, hiking with his wife and two big dogs, and University of Kentucky basketball. @BeccaPrevisMD / @BenAlbrightMD / @dukeobgyn / @DukeCancer Highlights 1. The objective of our study was (1) to assess the frequency of reported proportions of maximal (R0, no gross residual disease) and optimal (<1 cm or <2 cm residual disease cytoreduction in patients with advanced stage endometrial cancer, and (2) to describe the impact of achieving these levels of surgical debulking on progression free survival and overall survival. 2. Our analysis included a total of 34 studies, which included 2,920 total patients with stage III or IV endometrial cancer undergoing primary cytoreductive surgery. Overall, 52% of patients were reduced to no gross residual disease, while 75% reached optimal debulking with <1 cm of residual disease. 3. Submaximal and suboptimal cytoreduction to be significantly associated with worse progression-free survival with a hazard ratio of 2.2 and 2.6, respectively. Studies that included Stage III patients had higher rates of maximal cytoreduction, 69.8% versus 41.4% for studies of Stage IV patients alone. While stage was clearly important, histology was not associated with the extent of cytoreduction, with generally similar rates across endometrial, serous or clear cell, and carcinosarcoma histologies. 4. Neoadjuvant chemotherapy for women with advanced stage uterine cancer is increasing, although prospective data for this approach are limited. 5. Women with advanced stage endometrial cancer should be encouraged to enroll on clinical trials when available.

This podcast is a roundtable discussion of recent papers on Laryngeal mask use in neonates. ADC Editor Jonathan Davis (NICU Perth Children's Hospital) interviews Charles Rohr (Southmead Hopsital, Bristol, England; Newborn Services, John Radcliffe Hospital, Oxford, UK), Calum Roberts (Monash Hospital, Melbourne, Australia), and Joyce O'shea (Royal Hospital for Children Glasgow, Scotland) Related articles from ADC Fetal and Neonatal edition: https://fn.bmj.com/content/early/2021/04/21/archdischild-2020-319398 https://fn.bmj.com/content/106/3/342 https://fn.bmj.com/content/106/3/336 Other papers mentioned in this podcast: https://www.nejm.org/doi/full/10.1056/NEJMoa2005333 https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=380574&isReview=true

This week Nikki and Anna are joined by Professor Doug Corfield from The University of Manchester Medical School to talk all things intercalation. From why to take a year out to all of the logistics involved, listen to find out more about doing an intercalated degree during your medical studies.

It's been 25 years since the declaration on the rights of women, was signed in Beijing - and in that time the landscape of health car inequity has changed. To celebrate we created 3 podcasts, in collaboration with The WHO and UN University, as part of the collection on Women’s Health and Gender Inequalities

www.bmj.com/gender

In these podcasts we'll be hosting conversations between women early in, and some who are more advanced in, their careers - doctors, researchers, legislators and campaigners, all working towards building a future in which women can thrive.

As well as these in depth discussions, you will hear some shorter interviews from experts who have written for the collection. These give you a flavour of the bigger discussions going on in global health when it comes to gender equity - so keep an ear out for those during the discussions.

In this podcast, we're joined by lawyer and activist Hina Jilani, who has been campaigning for women's rights in her native Pakistan for her whole life.

She and her sister set up the first female law firm in the country, she established a refuge for women who were fleeing violence and abuse, she was one of the founders of the Human Rights Commission of Pakistan, and is now an advocate on the country's Supreme Court. She is also one of The Elders.

Hina talks about her career, how she has pulled the various levers of change - lobbying for legislation, legal challenge, and protest - to improve the lives of women in Pakistan.

The additional interviews are from; Lia Quatrapella, Asha George, and Veloshnee Govender

A borderline hba1c result will initiate a conversation with a patient - but how useful is that "prediabetes" check-in, and can GPs ever adequately describe what the elevated risk of having a risk factor actually means for a patients health?

Our guests in this episode are Sam Finnikin, an academic GP from the University of Birmingham, who gives some helpful tips on explaining that risk, and reminds Tom that fear is not a good motivator of behaviour change.

Seamus O'Mahony is a retired gastroenterologist, and author. He explains the process which births a new diagnosis, and why he feels that creeping disease definitions are undermining the medical profession.

Further reading A borderline HbA1c result https://www.bmj.com/content/365/bmj.l1361

The epidemic of pre-diabetes: the medicine and the politics https://www.bmj.com/content/349/bmj.g4485

Time to question the NHS diabetes prevention programme https://www.bmj.com/content/351/bmj.h4717

In this month's podcast, Editor-in-Chief of Injury Prevention, Rod McClure, talks with Henry Xiang, MD, MPH, PhD, Professor of pediatrics and epidemiology at Nationwide Children's Hospital and the Ohio State University College of Medicine. Professor Xiang's trained in China in Clinical Medicine and spent most of his career as a researcher in big data in the USA. The Injury Prevention podcast is released on the first Thursday of each month. Please subscribe via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify.

The deliciousness of a fresh home-grown strawberry is tricky to top, isn’t it? And the sense of disappointment when you realise a slug has felt the same way about it? This glimpse into my gastronomic preferences also relates to a critical appraisal note from this month (https://adc.bmj.com/content/106/8/821.2) It’s shockingly relevant to one of the articles too - a belief changer perhaps - about ultrasound screening in Beckwith-Weiderman syndrome (https://adc.bmj.com/content/106/8/824). The other might make you wish hard for tomorrow when the sun is shining over your resuscitation dolly [HT to all the musical theatre kids there] and how often we need to learn how to bounce up and down and sing about elephants (https://adc.bmj.com/content/106/8/821.1). You too can have months of hard work summarised in a few minutes by someone with a sketchy understanding if you submit an Archimedes by following our instructions to authors after you’ve spotted a great question that needs an answer.

In this episode of the JIM Podcast, Editor-in-Chief Richard McCallum speaks with Don Rockey about Hepatitis C Month. Dr. Rockey is a gastroenterologist in Charleston, South Carolina and is affiliated with MUSC Health-University Medical Center. He received his medical degree from Virginia Commonwealth University School of Medicine and has been in practice for more than 20 years. Dr. Rockey's specialty is in gastroenterology and he has subspecialities in general gastroenterology, hepatology & liver transplantation.

Dan is a podiatrist and a senior lecturer at La Trobe University. He completed a PhD in 2019, where he investigated the use of foot orthoses for the prevention of injury in military recruits. In this episode, Brooke Patterson discusses with Dan the key considerations for clinicians when helping athletes make footwear choices. They discuss the role of performance and sponsorship, and Dan provides his opinion on Nike’s super spike in the lead up to the Tokyo Olympics. The role of injury, comfort, gender, and foot shape, and research in footwear design is discussed. Twitter: @DanielRBonanno

In this episode of the IJGC Podcast, Editorial Fellows Cecilia Darin and Natalia Rodriguez discuss the contents of the August issue of IJGC in Spanish.

In this episode of the IJGC Podcast, Editorial Fellows Emma Allanson and Erick Estrada discuss the contents of the August issue of IJGC in English.

In this episode of the IJGC Podcast, Editorial Fellow Sara Nasser discusses the contents of the August issue of IJGC in Arabic.

In this episode of the IJGC podcast, Editor-in-Chief Dr. Pedro Ramirez, is joined by Dr. Dimitrios Nasioudis to discuss minimally invasive surgery in stage IA cervical cancer and his article, "Minimally invasive hysterectomy for stage IA cervical carcinoma: a survival analysis of the National Cancer Database," which is the Lead Article in the August 2021 issue of IJGC. Dr. Nasioudis is a resident at the Hospital of the University of Pennsylvania, Philadelphia. His current interests include population science and outcomes research with an emphasis on rare gynecologic tumors. Dimitrios Nasioudis (@Dnasioudis / @PennMedicine)

Dr Philip Smith, Social Media and Associate Editor of FG and Consultant Gastroenterologist at the Royal Liverpool Hospital, Liverpool, UK interviews members of the UK ‘Green Endoscopy’ group, Dr James Maurice, Hepatology registrar at St Mary's Hospital in London, Dr William Stableforth, Hepatologist and Gastroenterologist at the Royal Cornwall Hospital, and Dr Bu Hayee Consultant Gastroenterologist, King’s College Hospital, London. This podcast focuses on the groups' work to date and the paper 'Green endoscopy: using quality improvement to develop sustainable practice' which was published online in Frontline Gastroenterology in 2021. Related article: https://fg.bmj.com/content/early/2021/06/07/flgastro-2021-101874

In this episode of the Heart podcast, Digital Media Editor, Dr James Rudd, is joined by Drs Ferro and Khazi from Beth Israel Deaconess Medical Center in Boston. They discuss how new drugs are evaluated for cost-effectiveness and how we determine if they are affordable for both patients and healthcare systems. If you enjoy the show, please subscribe to the podcast to get episodes automatically downloaded to your phone and computer. Also, please consider leaving us a review at https://itunes.apple.com/gb/podcast/heart-podcast/id445358212?mt=2 Link to published paper: https://heart.bmj.com/content/107/15/1267

In this podcast, we invite two authors from recent ARD papers dedicated to the efficacy of mRNA vaccines in patients with immunosuppressive therapies. Christophe Richez, Department of Rheumatology, University Medical Center, Bordeaux, France, and ARD's Social Media Advisor, interviews Bimba Hoyer, Department for Rheumatology and Clinical Immunology, University Medical Center Schleswig-Holstein Campus Kiel, Germany, and Rebecca H Haberman, Division of Rheumatology, University Grossman School of Medicine, New York, USA. They describe their works and offer their thoughts on the current situation in this area and the future. Related content: https://ard.bmj.com/content/early/2021/05/11/annrheumdis-2021-220272 https://ard.bmj.com/content/early/2021/06/07/annrheumdis-2021-220597

In the wellbeing podcast, we have had a lot of personal experience of the pandemic, and schemes to support staff - but always we've wanted to know if there's research which can tell us how universal those experiences have been.

In this podcast, Abi and Cat are joined by Danielle Lamb, senior research fellow at University College London, and Sam Gnanapragasam, clinical fellow in psychiatry at South London and the Maudsley NHS Trust. Danielle and Sam are both investigators on NHS Check - a representative survey of NHS staff about their mental wellbeing during covid-19.

https://nhscheck.org/

It’s the height of summer in the UK and, of course, this makes our thoughts turn to concussion, slipped upper femoral epiphyses and proxy outcomes. (Well, to be honest, I’m not sure it really does... but if you do play out more maybe concussion is more likely and certainly some orthopaedic things are?) SUFE is something we do occasionally see and want to prevent really long term consequences. If one side has slipped though, should the surgical team go in and pin the other in place? (https://adc.bmj.com/content/106/7/715.1) And of course one of the issues with this sort of thing is that the outcomes we really want to see many be many, many years away. Can we use an ‘early warning’, surrogate or proxy for that outcome? And do you know what that even means? (https://adc.bmj.com/content/106/7/715.2) If people, rather than UFEs, slip, then banging heads and getting concussions are not uncommon. Rugby league has introduced a system of head injury assessment to improve the safety of players after such events. But should those young contenders in Academy sides, like other teens, stay away from media screens to reduce the chance of problems after? (https://adc.bmj.com/content/106/7/720) All these questions are addressed, if not answered, this month. And you can throw your own Q&A into the ring too - submit an Archimedes by following our instructions and have fun (in the sun, but with a hat and lots of sunscreen on).

Kieran Walsh, clinical director at BMJ, asks editors from BMJ Learning and BMJ Best Practice to summarise the latest clinical guidance related to Covid-19.

Abigail Davis, GP and section editor, covers the latest evidence around vaccine immunogenicity in different immunosuppressed populations, as well as the use of interleukin-6 inhibitors in COVID-19 patients.

And Emma Scott, section editor, updates us on mucormycosis, or black fungus infection in COVID-19 patients.

For more, see:

BMJ Best Practice's topic on COVID-19: bestpractice.bmj.com/topics/en-gb/3000168

BMJ Learning module on COVID-19 rapid guideline on critical care (NICE): new-learning.bmj.com/course/10065100

BMJ Learning COVID-19 in primary care module: new-learning.bmj.com/course/10065230

Tocilizumab in patients admitted to hospital with COVID-19 (RECOVERY): a randomised, controlled, open-label, platform trial: https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(21)00676-0/fulltext

Interleukin-6 Receptor Antagonists in Critically Ill Patients with Covid-19: https://www.nejm.org/doi/full/10.1056/NEJMoa2100433

WHO Therapeutics and COVID-19: living guideline: https://app.magicapp.org/#/guideline/nBkO1E/section/LrV7OL

Indian Council of Medical Research advice on mucormycosis: https://www.icmr.gov.in/pdf/covid/techdoc/Mucormycosis_ADVISORY_FROM_ICMR_In_COVID19_time.pdf

On World Hepatitis Day 2021, we discover how Australian patients, patient advocates and health care providers are working together to reach the WHO elimination targets for chronic Hepatitis C virus infection. Professor Gail Matthews, Infectious Diseases Physician and Program Head of Therapeutic Research and Vaccine Program at The Kirby Institute, Ms Carrie Fowlie, CEO of Hepatitis Australia, and Ms Lisa Carter, Patient advocate and peer educator at Hepatitis SA, join Dr Fabiola Martin to discuss the many different approaches needed to eliminate hepatitis C. Related blog post: https://blogs.bmj.com/sti/2021/07/27/world-hepatitis-day-2021/

In this podcast, James Cave (Editor-in-Chief) and David Phizackerley (Deputy Editor) provide an overview of the August issue of DTB (https://dtb.bmj.com/content/59/8). The editors talk about the MHRA's decision to reverse the EMA's decision and allow boron-containing chloramphenicol eye drops to be used in children aged below 2 years. They discuss a scheme in England that allows hospital staff to refer patients who would benefit from extra guidance around their medicines regimen for support from a community pharmacy (https://dtb.bmj.com/content/59/8/114). They also highlight the risk from concurrent opioid and benzodiazepine use (https://dtb.bmj.com/content/59/8/116), and talk about home blood pressure monitoring (https://dtb.bmj.com/content/59/8/119). Please subscribe to the DTB podcast to get episodes automatically downloaded to your mobile device and computer. Also, please consider leaving us a review or a comment on the DTB Podcast iTunes podcast page (https://podcasts.apple.com/gb/podcast/dtb-podcast/id307773309). Thank you for listening.

In this episode of the IJGC podcast, Editor-in-Chief Dr. Pedro Ramirez, is joined by Dr. Shannon Westin to discuss Phase II Trial of IUD in conservative management of endometrial cancer. Dr. Westin focuses on developmental therapeutics and the use of biomarkers to predict response and recurrence in gynecologic malignancies. She currently serves as the Director of Early Drug Development and Phase I trials in her department and is a Co-Director of the Ovarian Cancer Moonshot. She is currently the PI or co-PI for greater than 30 novel treatment trials in gynecologic malignancies. Shannon Westin (@ShannonWestin / @mdandersonnews) Highlights: 1. A fertility-sparing, non-surgical approach is increasingly necessary for individuals diagnosed with early endometrial neoplasia due to increasing prevalence of significant comorbidities and proportion of premenopausal women diagnosed with this disease. 2. Out of 57 treated patients, 47 were evaluable and 12-month response rate was 83% overall (90.6% for complex atypical hyperplasia and 66.7% for grade 1 endometrioid endometrial cancer). 3. Adverse events associated with the IUD were mild, and quality of life was not negatively impacted. 4. This study used a rigorous 12-month endpoint to demonstrate durable response rates in women with early endometrial neoplasia and identified potential biomarkers for therapy resistance.

Practical Neurology Editors Phil Smith and Geraint Fuller talk you through the highlights of the August issue of the journal. Read more on the PN website: https://pn.bmj.com/content/21/4/273 The full issue here: https://pn.bmj.com/content/21/4 Please subscribe to the Practical Neurology podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify.

In this episode of the IJGC Podcast, Editorial Fellow Enrique Chacon discusses the contents of the June issue of IJGC in Spanish.

The 19th of July in the UK saw the relaxation of covid rules that have been in place for 18 months - social distancing requirements in venues, mask wearing in public will no longer be legally mandated.

There are a lot of questions about what this will mean for the pandemic, and in this episode of Talk Evidence Helen MacDonald, Joe Ross and Duncan Jarvies are joined by Iain Buchan, professor of public health in Liverpool, who has been involved in 2 key studies on covid transmission.

Firstly, lateral flow tests - the big questions has been how well do they work in the wild - and how well do they have to work, to be useful in test trace and isolate? Iain tells us about new research into the innova test.

Secondly, events - the football has shown that events can still be a big source of transmission, and the UK government put in place a number of trial events, all carefully monitored by public health researchers - Iain tells us about one nightclub test in Liverpool, and what we can glean from it.

Reading list;

Performance of the Innova SARS-CoV-2 antigen rapid lateral flow test in the Liverpool asymptomatic testing pilot: population based cohort study https://www.bmj.com/content/374/bmj.n1637

The UK government's events programme https://www.gov.uk/government/publications/events-research-programme-phase-i-findings/events-research-programme-phase-i-findings#findings https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/979461/S1195_Science_framework_for_opening_up_group_events.pdf

Effect of the covid-19 pandemic in 2020 on life expectancy across populations in the USA and other high income countries: simulations of provisional mortality data https://www.bmj.com/content/373/bmj.n1343

Optimizing Therapy to Prevent Avoidable Hospital Admissions in Multimorbid Older Adults (OPERAM): cluster randomised controlled trial https://www.bmj.com/content/374/bmj.n1585

Efficacy, acceptability, and safety of muscle relaxants for adults with non-specific low back pain: systematic review and meta-analysis https://www.bmj.com/content/374/bmj.n1446

Simon Carley, Associate Editor of EMJ, talks through the highlights of the August 2021 edition of the Emergency Medicine Journal.

A systematic mixed studies review of patient experiences in the ED https://emj.bmj.com/content/early/2021/03/03/emermed-2020-210634

To prescribe or not to prescribe for paediatric sore throat: A retrospective cohort study comparing clinician-led antibiotic prescriptions to FeverPAIN and Centor scoring in a tertiary Paediatric Emergency Department and a national review of practice. https://emj.bmj.com/content/early/2021/04/14/emermed-2020-210786

Early Prediction of Serious Infections in Febrile Infants Incorporating Heart Rate Variability in an Emergency Department: A Pilot Study https://emj.bmj.com/content/early/2021/04/16/emermed-2020-210675

Toddler’s Fracture Immobilisation (ToFI) Study - A Randomised Controlled Trial Comparing Immobilisation in Above Knee Plaster of Paris to Controlled Ankle Motion Boots in Undisplaced Paediatric Spiral Tibial Fractures https://emj.bmj.com/content/early/2021/06/21/emermed-2020-210299.long

Clinical benefits of prone positioning in the treatment of non-intubated patients with acute hypoxic respiratory failure: A rapid systematic review https://emj.bmj.com/content/early/2021/06/22/emermed-2020-210586.long

Prognostic accuracy of emergency department triage tools for adults with suspected COVID-19: The PRIEST observational cohort study https://emj.bmj.com/content/early/2021/06/03/emermed-2020-210783

Implementation of the ‘TAKE STOCK’ Hot Debrief Tool in the Emergency Department: A Quality Improvement Project. https://emj.bmj.com/content/early/2021/01/13/emermed-2019-208830.info

The Cardiac Arrest Nurse Leadership (CANLEAD) Trial: A simulation based Randomised Controlled Trial implementation of a new cardiac arrest role to facilitate cognitive offload for medical team leaders. https://emj.bmj.com/content/early/2021/01/26/emermed-2019-209

Editor-in-Chief of ADC Nick Brown brings you the monthly Atoms - the highlights of the August 2021 issue. Read it on the Archives of Disease in Childhood website: https://adc.bmj.com/content/106/8/i

Persistent depressive disorder is a category that includes various forms of chronic depression in which depressive symptoms are present 'more days than not' over at least a 2-year period (1 year in children and adolescents).

David J. Hellerstein, Professor of Clinical Psychiatry, Columbia University Medical Center, gives us a clinical overview of the condition.

For more on persistent depressive disorder, visit BMJ Best Practice: bestpractice.bmj.com/topics/en-gb/805

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The purpose of this podcast is to educate and to inform. The content of this podcast does not constitute medical advice and it is not intended to function as a substitute for a healthcare practitioner’s judgement, patient care or treatment. The views expressed by contributors are those of the speakers. BMJ does not endorse any views or recommendations discussed or expressed on this podcast. Listeners should also be aware that professionals in the field may have different opinions. By listening to this podcast, listeners agree not to use its content as the basis for their own medical treatment or for the medical treatment of others.

In this episode of the IJGC podcast, Editor-in-Chief Dr. Pedro Ramirez is joined by Dr. Dimitrios Nasioudis to discuss the impact of SLN biopsy versus lymphadenectomy in endometrial cancer. Dr. Nasioudis is a resident at the Hospital of the University of Pennsylvania, Philadelphia. His current interests include population science and outcomes research with an emphasis on rare gynecologic tumors. Dimitrios Nasioudis (@Dnasioudis / @PennMedicine) Highlights: - Sentinel lymph node biopsy has been established as a minimalistic approach to endometrial cancer staging, with excellent diagnostic accuracy. - Data on the long-term oncologic and patient reported outcomes are greatly warranted. - For patients with stage IIIC endometrial cancer, based on a large dataset, overall survival was comparable between the sentinel lymph node biopsy alone and systematic lymphadenectomy groups.

What is a weighted ball velocity throwing program? Do they work, and what is the evidence of benefit? What are the risks involved and common injury patterns seen? Host Dr. Devin McFadden, MD is joined by Dr. Jason Zaremski, MD to explore these topics and more on the AMSSM Sports Medcast.

Dr. Zaremski is a clinical associate professor holding a joint appointment from the Departments of Physical Medicine and Rehabilitation and the, Department of Orthopaedics and Rehabilitation at the University of Florida. In addition he is the Co-Medical Director of the Adolescent and High School Outreach Program at the University of Florida. He is a past participant in the AMSSM International Travelling Fellowship program, is a Co-Chair of the AMSSM Fellowship Committee and currently serves on the Board of Directors for the AMSSM.

In this 17 minute conversation Dr. Zaremski addressed the following topics: Defining a weighted ball velocity program Considering the risks and benefits of their use Determining what populations should not use these programs and how to safely implement them if athletes decide to pursue one.

Zaremski JL. Weighted Ball Velocity Throwing Programs Are Effective. Are the Benefits Worth the Risk? Clin J Sport Med. 2020 Mar 11. doi: 10.1097/JSM.0000000000000822. Epub ahead of print. PMID: 33914497. Caldwell JE, Alexander FJ, Ahmad CS. Weighted-Ball Velocity Enhancement Programs for Baseball Pitchers: A Systematic Review. Orthop J Sports Med. 2019 Feb 12;7(2):2325967118825469. doi: 10.1177/2325967118825469. PMID: 30800693; PMCID: PMC6378453. Melugin HP, Smart A, Verhoeven M, Dines JS, Camp CL. The Evidence Behind Weighted Ball Throwing Programs for the Baseball Player: Do They Work and Are They Safe? Curr Rev Musculoskelet Med. 2021 Feb;14(1):88-94. doi: 10.1007/s12178-020-09686-0. Epub 2021 Jan 6. PMID: 33403626; PMCID: PMC7930148.

The pandemic had a high mortality toll in care homes, but measures to try and reduce that, through extreme social isolation, has had its own cost.

Social interaction, particularly with close family, is more than just a quick hello - evidence shows that mental stimulation can help with cognitive decline, and the lack of that interaction may have hastened progression of dementia in some patients.

In this podcast, the team talk about what GPs can do to support patients in care homes, and we find out about some non-drug interventions patients can try.

Our guests; Jason Karlawish, is a geriatrician, and co-director of the Penn Memory Center, he's also author of the book "The Problem of Alzheimer's How Science, Culture, and Politics Turned a Rare Disease into a Crisis and What We Can Do About It"

Jennifer Watt is a geriatrician, and assistant professor at the university of Toronto, and one of the authors of the recent systematic review and meta-analysis of comparative efficacy of interventions for reducing symptoms of depression in people with dementia - https://www.bmj.com/content/372/bmj.n532

Reading; Washington Post article: https://www.washingtonpost.com/health/2020/09/16/coronavirus-dementia-alzheimers-deaths/?arc404=true

Jason Karlawish and his book https://www.jasonkarlawish.com/the-problem-of-alzheimers

This American Life episode: https://www.thisamericanlife.org/737/the-daily

The Daily episode on aducanumab, "some hope is better than having no hope" https://www.nytimes.com/2021/07/07/podcasts/the-daily/aduhelm-alzheimers-fda-drug.html

It's been 25 years since the declaration on the rights of women, was signed in Beijing - and in that time the landscape of health car inequity has changed. To celebrate we created 3 podcasts, in collaboration with The WHO and UN University, as part of the collection on Women’s Health and Gender Inequalities

www.bmj.com/gender

In these podcasts we'll be hosting conversations between women early in, and some who are more advanced in, their careers - doctors, researchers, legislators and campaigners, all working towards building a future in which women can thrive.

As well as these in depth discussions, you will hear some shorter interviews from experts who have written for the collection. These give you a flavour of the bigger discussions going on in global health when it comes to gender equity - so keep an ear out for those during the discussions.

In this first podcast, Lulit Yonas Mengesha talks to Cara Tannenbaum

Lulit Yonas Mengesha is right at the beginning of her medical career, she's a medical student in Ethiopia, but has already become passionate about woman's health

Cara Tannenbaum is is Scientific Director of the Institute of Gender and Health at the Canadian Institutes of Health Research.

Lulit and Cara discuss how women have been excluded from healthcare research - and how that affects practice today, how there are gaps in our understanding of basic biology, as well as how different life experiences affect outcomes.

The additional interviews are from; Lavanya Vijayasingham, Claudia Lopes, and Claire Wenham

Medical Humanities' Editor-in-Chief, Brandy Schillace, talks to Dr. Eleanor Janega, a medieval historian, about comparisons between COVID-19 and the Black Death. Read the blog post, which includes the transcript of the podcast, here: https://blogs.bmj.com/medical-humanities/2021/07/15/going-medieval-historical-comparisons-of-plague-and-pandemic/

In this episode of the Heart podcast, James Rudd is joined by Professor Chris Packard from the University of Glasgow. They discuss recent guideline changes in LDL targets and how these might be achieved in clinical practice. If you enjoy the show, please subscribe to the podcast to get episodes automatically downloaded to your phone and computer. Also, please consider leaving us a review at https://itunes.apple.com/gb/podcast/heart-podcast/id445358212?mt=2 Link to published paper: https://heart.bmj.com/content/early/2021/03/31/heartjnl-2020-318760

Bulimia nervosa is an eating disorder, characterised by severe preoccupation about weight and body shape. Includes recurrent episodes of binge eating with compensatory mechanisms, such as self-induced vomiting, to prevent weight gain.

Debra Safer, Associate Professor, Co-Director of Stanford Eating and Weight Disorders Program, Stanford University School of Medicine, gives us an overview of the condition.

For more on bulimia nervosa, see BMJ Best Practice: https://bestpractice.bmj.com/topics/en-gb/441

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The purpose of this podcast is to educate and to inform. The content of this podcast does not constitute medical advice and it is not intended to function as a substitute for a healthcare practitioner’s judgement, patient care or treatment. The views expressed by contributors are those of the speakers. BMJ does not endorse any views or recommendations discussed or expressed on this podcast. Listeners should also be aware that professionals in the field may have different opinions. By listening to this podcast, listeners agree not to use its content as the basis for their own medical treatment or for the medical treatment of others.

In this episode of the IJGC Podcast, Editorial Fellows Anna Collins and Nicolò Bizzarri discuss the contents of the July issue of IJGC in English.

Retinoblastoma is the most common primary intraocular malignancy in children. In this podcast, JNIS Editor-In-Chief Felipe C. Albuquerque and Pascal Jabbour discuss a study from July’s issue, concluding that local factors relating to the chemotherapy and selective microcatheterization of the ophthalmic artery are essential factors in the development of ophthalmic artery thrombosis, as seen by the association of ophthalmic artery thrombosis with the frequency of intra-arterial chemotherapy. Dr Jabbour, Department of Neurological Surgery, Thomas Jefferson University, Philadelphia, USA, is the corresponding author of 'Incidence and predictors of ophthalmic artery occlusion in intra-arterial chemotherapy for retinoblastoma' - https://jnis.bmj.com/content/13/7/652

In this episode of the JISAKOS Podcast, Social Media Editors Emmanouil Brilakis and Andreas Voss interview Martina Barzan of Griffith University in Queensland, Australia, about the recently published article “Bisect offset ratio and cartilaginous sulcus angle are good combined predictors of recurrent patellar dislocation in children and adolescents” (https://jisakos.bmj.com/content/early/2021/04/22/jisakos-2020-000461).

In this episode of the IJGC podcast, Editor-in-Chief Dr. Pedro Ramirez is joined by Dr. Roni Nitecki to discuss pregnancy outcomes after ovarian cancer. Dr. Nitecki is a gynecologic oncology fellow at the MD Anderson Cancer Center. She received her MD from Dartmouth medical school in 2015 and completed her residency in obstetrics and gynecology at Brigham and Women's Hospital and Massachusetts General Hospital in 2019.

Highlights

Fertility considerations in young women with ovarian cancer are becoming increasingly relevant.
Fear of pregnancy and adverse obstetric outcomes may be one reason that women do not pursue pregnancy after fertility sparing surgery.
Counseling about pregnancy outcomes is an important part of shared decision-making about fertility sparing surgery for ovarian cancer.
In this study, patients who conceived at least 3 months after fertility sparing surgery for ovarian cancer did not have an increased risk of adverse obstetric outcomes.

This week Nikki and Issy are joined by general surgical registrar Clara Munro, and author and co-founder of the Impostor Syndrome Institute, Valerie Young to talk about imposter syndrome in medicine.

Article mentioned: https://hbr.org/2021/02/stop-telling-women-they-have-imposter-syndrome

Valerie’s website: https://impostorsyndrome.com/

We know the pandemic has disproportionately affected the NHS workers who come from a ethnic minorities, we also know that doctors from an ethnic minority face additional barriers to accessing support - so how well have the various support schemes put in place during the pandemic helped those doctors from ethnic minorities?

Dammie Olubawale, medical student and grants and partnerships manager at Melanin Medics, joins us to talk about a fund they've created specifically to help doctors of black African and Caribbean heritage, to access support tailored to them.

Dammie explains some of the reasons which doctors, particularly from that heritage, may be more reluctant to access support - and how organisations large and small need to think about tailoring their wellbeing initiatives to include all staff.

To access the melanin medics wellbeing fund visit https://www.melaninmedics.com/wellbeing-fund

Duane Peters from the Lupus Foundation of America interviews Dr Stephen Balevic, Dr Rachel Randell and Professor Laura Schanberg from Duke University in the USA. They discuss the advantages and challenges of designing and implementing self-controlled clinical trials for paediatric lupus patients in a home setting, based on their experience of conducting the Individual Patient Exposure and Response in Pediatric Lupus (iPERSONAL) trial. Could this be a way to effectively deliver clinical trials in a post-pandemic world?

Access the paper here: https://lupus.bmj.com/content/8/1/e000494

Cerebral Microbleeds are increasingly recognised due to increased availability of neuroimaging and are known to be associated with increased risk of stroke, in particular intracerebral haemorrhage. In this podcast Dr Laurent Puy joins editor Colin Mahoney to discuss their histopathology, epidemiology and impact on clinical decision making in a state-of-the-art review published in June's JNNP. https://jnnp.bmj.com/content/92/6/598

July 2021 marks 40 years from the first reports of a 'strange disease' soon to be known as HIV/Aids. In this "very special edition" themed Sexual Diversity and the City, the STI & HIV 2021 World Congress is inviting people from all walks of life, with some being able to participate for free. Listen to all the details in this conversation of STI's Social Media Editor Harrison Austin with Henry de Vries, Professor of skin infections at the University of Amsterdam and President of the Congress, and Mark Vermeulen, Executive Director of Aidsfonds – Soa Aids Nederland. Sexually Transmitted Infections (https://sti.bmj.com/) is the official journal of the STI & HIV 2021 World Congress, held as a virtual event on 14-17 July. The mission is to address diversity, health, and sexuality in the urban context. This bi-annual meeting is organised by the International Society for STD Research (ISSTDR) in collaboration with the International Union against STI World (IUSTI World) and is dedicated to STI in its broadest sense. https://www.stihiv2021.org/

Andrew Clamp (@TheChristieNHS and @OfficialUoM)

In this episode of the IJGC podcast, Editor-in-Chief Dr. Pedro Ramirez is joined by Dr. Andrew Clamp to discuss rucaparib maintenance in recurrent ovarian cancer (ARIEL3). Dr. Clamp is an author of “Rucaparib maintenance treatment for recurrent ovarian carcinoma: the effects of progression-free interval and prior therapies on efficacy and safety in the randomized phase III trial ARIEL3,” the Lead Article for IJGC’s July 2021 issue. Dr. Clamp is a Consultant and Honorary Senior Lecturer in Medical Oncology subspecializing in the treatment of gynaecological cancers. He is Chief Investigator for the MRC ICON8 Trials Programme and leads the gynaecological cancers clinical research team at The Christie.

Highlights

Rucaparib provides a clinically significant prolongation of progression-free survival when used as maintenance treatment for platinum-sensitive recurrent ovarian cancer.
In the ARIEL3 trial, rucaparib extended progression-free survival versus placebo regardless of the length of the penultimate platinum-free interval, number of prior chemotherapy regimens or previous use of bevacizumab.
After extended follow-up, rucaparib was well-tolerated and its safety profile was not impacted by prior treatment history.
Maintenance PARP inhibitors should be considered for all PARP inhibitor naïve patients with recurrent high grade ovarian cancer after response to platinum-based chemotherapy.

Dr Philip Smith, Digital and Education Editor of Gut and Consultant Gastroenterologist at the Royal Liverpool Hospital interviews Laura Bolte dietitian and PhD student from the Department of Gastroenterology and Hepatology and the Department of Genetics, University of Groningen and University Medical Centre Groningen, Groningen, The Netherlands and Professor Rinse Weersma from the Department of Gastroenterology and Hepatology at the University of Groningen and University Medical Centre Groningen, The Netherlands. The Gut podcast is focussed on the paper "Long-term dietary patterns are associated with pro-inflammatory and anti-inflammatory features of the gut microbiome" which is published in paper copy in Gut in July 2021. Related or relevant article: https://gut.bmj.com/content/70/7/1287

This month Dr Sunny Raju is joined by the fantastic Dr Jenny Epstein, a leading paediatric gastroenterologist and paediatric endoscopist, based in West London to learn about recent advances and how to practically manage Eosinophilic oesophagitis. Read the full article at https://fg.bmj.com/content/early/2020/09/06/flgastro-2019-101313 now.

In this episode of the Heart podcast, James Rudd is joined by Professor Salim Virani and Dr Dhruv Mahtta from Baylor College of Medicine, Houston, Texas. They discuss their recent paper entitled "Recreational substance use among patients with premature atherosclerotic cardiovascular disease".

If you enjoy the show, please subscribe to the podcast to get episodes automatically downloaded to your phone and computer. Also, please consider leaving us a review at https://itunes.apple.com/gb/podcast/heart-podcast/id445358212?mt=2

Link to published paper: https://heart.bmj.com/content/107/8/650

This month we talk with Dr Brett Shannon, John Monash Scholar and PhD Student at the University of Illinois Chicago, who has an extensive professional track record in medicine, epidemiology, business and policy to identify critical areas in need of further research in occupational health among Indigenous people.

Editor-in-Chief of ADC, Nick Brown, brings you the monthly Atoms - the highlights of the July 2021 issue. Read it on the Archives of Disease in Childhood website: https://adc.bmj.com/content/106/7/i

In this episode of the IJGC Podcast, Editorial Fellows Anna Collins, Irina Tsibulak, Nicolò Bizzarri, Alex Mutombo, Enrique Chacon, and Arthur Hsu interview Professor Denis Querleu for an extended discussion of his experiences in gynecologic oncology, the importance of mentorship, and pathways for development in the field.

It's been 25 years since the declaration on the rights of women, was signed in Beijing - and in that time the landscape of health car inequity has changed. To celebrate we created 3 podcasts, in collaboration with The WHO and UN University, as part of the collection on Women’s Health and Gender Inequalities

https://www.bmj.com/gender

In these podcasts we'll be hosting conversations between women early in, and some who are more advanced in, their careers - doctors, researchers, legislators and campaigners, all working towards building a future in which women can thrive.

As well as these in depth discussions, you will hear some shorter interviews from experts who have written for the collection. These give you a flavour of the bigger discussions going on in global health when it comes to gender equity - so keep an ear out for those during the discussions.

In this first podcast, Adrienne Germaine talks to Fila Magnus.

Adrienne starter her career as an activist for women's health in the 1970s, and went on to become president of the International Women's Health Coalition

Fila Magnus is Director of Communications at the International Youth Alliance for Family Planning, and was born in the same year as the Declaration was signed.

Fila and Adrienne discuss campaigning, now and then, and how the work that led to the declaration can be built on, but is never over...

The additional interviews are from; Emma Fulu, Sheena Hadi, Oswaldo Montoya, and Claudia Garcia-Moreno.

Over the last ten years, huge progress has been made in the common but often poorly understood condition of motor Functional Neurological Disorder (mFND). In this podcast, Dr W. Curt La France, Jr., Professor of Neurology and Psychiatry, Brown University, USA, joins editor Colin Mahoney to discuss diagnosis, insights on disease mechanisms, and emerging therapeutic approaches. They also highlight the stigma associated with mFND and ways to improve outcomes for patients. Read the paper on the JNNP website and the journal's June issue: https://jnnp.bmj.com/content/92/6/668

This week the panel are still talking about their hobbies, and what their motivations are for pursuing them. From music to sports, photography to Netflix - do the skills we pick up help us become better doctors, or do they help our general wellbeing? Tune in to hear from some of our listeners about what they get up to in their free time and why…

In this podcast, James Cave (Editor-in-Chief) and David Phizackerley (Deputy Editor) provide an overview of the July issue of DTB. The editors catch up on developments with proposals for all doctors in the UK to provide financial and non-financial declarations of interest. They discuss the problem of boron in chloramphenicol eye drop products and the impact on treating children aged under 2 years (https://dtb.bmj.com/content/59/7/98). The editors also talk about PPIs for persistent throat symptoms (https://dtb.bmj.com/content/59/7/102), the dose of folic acid for use with methotrexate (https://dtb.bmj.com/content/59/7/103) and a case of a patient who developed severe hypophosphataemia with an oral bisphosphonate (https://dtb.bmj.com/content/59/7/107). Please subscribe to the DTB podcast to get episodes automatically downloaded to your mobile device and computer. Also, please consider leaving us a review or a comment on the DTB Podcast iTunes podcast page (https://podcasts.apple.com/gb/podcast/dtb-podcast/id307773309). Thank you for listening.

The highlights of this edition brought to you by the Editor-in-Chief of Frontline Gastroenterology Mark Beattie. Read the UpFront of the July issue of Frontline Gastroenterology: https://fg.bmj.com/content/12/4/261 The full issue is now online: https://fg.bmj.com/content/12/4 Listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify.

Have you been faced with a vomiting child in the ED and wanted to make it stop? (Not the ED shift .. well maybe .. but vomiting?) This is the month for you. Our first question asks if we can give dex not pred for asthma attacks (https://adc.bmj.com/content/106/5/509), which is a bit easier as a single shot, and bit less puke-making, but is it as good against asthma? The second asks if we can safely give ondansetron to kids who have bumped their heads (https://adc.bmj.com/content/106/5/507.1) without masking significant problems … well … we’ll leave you to read or listen to find the answer to that. Something else that frequently makes folks feel sick is searching multiple electronic databases, so we’ve a few tips to avoid that sensation too. Non-pharmacological this time (https://adc.bmj.com/content/106/5/507.2). Can this be the month when the plethora of ED stuff makes you want to submit an Archimedes about something too? From a hidden corner, where adoption, hepatology, neonates or renal medicine reigns? Do it. Follow our instructions and have fun.

Giant cell arteritis is a common form of vasculitis in people aged 50 years or older. The extracranial branches of the carotid artery are usually affected.

Kenneth J. Warrington, Professor of Medicine, Mayo Clinic College of Medicine, gives us an overview of the condition.

For more on giant cell arteritis, visit BMJ Best Practice: bestpractice.bmj.com/topics/en-gb/177

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The purpose of this podcast is to educate and to inform. The content of this podcast does not constitute medical advice and it is not intended to function as a substitute for a healthcare practitioner’s judgement, patient care or treatment. The views expressed by contributors are those of the speakers. BMJ does not endorse any views or recommendations discussed or expressed on this podcast. Listeners should also be aware that professionals in the field may have different opinions. By listening to this podcast, listeners agree not to use its content as the basis for their own medical treatment or for the medical treatment of others.

Linda Mileshkin (@Mileshkin / @anzgog)

In this episode of the IJGC podcast, Editor-in-Chief Dr. Pedro Ramirez is joined by Dr. Linda Mileshkin to discuss the OUTBACK Trial. Dr. Mileshkin is the Deputy Director of Medical Oncology at the Peter MacCallum Cancer Centre and a board member of the Australia and New Zealand Gynaecological Oncology Group (ANZGOG). She is a clinician researcher with a particular interest in gynaecological cancer and cancer of unknown primary (CUP).

Highlights

Adjuvant chemotherapy with carboplatin and paclitaxel chemotherapy given after standard chemoradiation to women with locally advanced cervical cancer did not improve survival or relapse rates and should not be given.
There is a major unmet need to improve outcomes and access to treatment for women with cervical cancer, as this is a major cause of death and suffering worldwide, most notably in LMICs.
International cooperation is needed to complete international clinical trials in cervical cancer so that we can robustly answer important questions about how to treat this disease.

In this Talk Evidence, Helen Macdonald, Joe Ross and Duncan Jarvies discuss what's going on in the world of EBM.

Firstly, a while ago on the podcast, we concluded that excess mortality would be the best way to measure the impact of the pandemic - and now a new paper looks at different country's excess mortalitites over the past year. We're joined by author Nazrul Islam Physician-Epidemiologist at the University of Oxford (and a research editor for The BMJ) to talk about why comparisons may still not be sensible.

Read the full research here - https://www.bmj.com/content/373/bmj.n1137

The Delta variant is dominating headlines, and infections in the UK now - but until recently the Alpha one was ascendent, and new research has helped characterise how the mortality rate of that variant differed from previous viruses. We discuss how that research was done.

Read the full research - https://www.bmj.com/content/372/bmj.n579

GP data in the UK - the planned cut-off for granting access to your GP data for researchers has been extended, but there are still a lot of questions remaining. Helen has tried to find out some basic answers, and is still confused.

Finally, the FDA has approved a new drug for treatment of dementia - and researchers (and the FDA's own panel of experts) are up in arms. Joe Ross tells us why he thinks the decision was the wrong one, and why patients may be harmed because of it.

https://edition.cnn.com/2021/06/17/opinions/biogen-alzheimers-drug-opinion-ramachandra-ross/index.html

In this episode of the IJGC Podcast, Editorial Fellow Alex Mutombo discusses the contents of the June issue of IJGC in French.

In this episode of the IJGC Podcast, Editorial Fellow Irina Tsibulak discusses the contents of the June issue of IJGC in Russian.

Our environment moulds our brains, and alters development, and so there are culture-bound ways that our bodies express distress.

In this week’s episode, we discuss the mysterious phenomenon of Sweden’s ‘sleeping beauties’: asylum-seeking children who were affected by resignation syndrome, which led them to become completely inert.

We talk about the pros and cons of applying medical labels to people’s symptoms – are we applying labels too easily, and over-medicalising things which could be classed as normal? Being given a diagnosis may provide some relief to a person experiencing certain symptoms, but, in doing so, are GPs actually creating more patients?

Our guest: Suzanne O’Sullivan is a consultant in clinical neurophysiology and neurology, based at the National Hospital for Neurology and Neurosurgery in London. Her specialist interests are in epilepsy and functional neurological disorders. She is also the author of ‘The Sleeping Beauties: And Other Stories of Mystery Illness’.

Today Brooke Patterson (@Knee_Howells) speaks with Dr Nonhlanhla Mkumbuzi (@DrNoeMkumbuzi). Dr Mkumbuzi is a physiotherapist, and completed her PhD in 2020 on the association of genetic risk factors with nociception and pain in chronic painful achilles and patellar tendinopathies. She is a post-doctoral research fellow at the University of Cape Town. Dr Mkumbuzi shares some eye-opening experiences as head physiotherapist for Zimbabwe National Rugby Teams. We discuss her recent editorial (https://bjsm.bmj.com/content/early/2021/05/10/bjsports-2021-104202) and the broad consideration of race, culture, gender, and economics in sport and exercise medicine. She shares some personal experience and advice for marginalised athletes, clinicians, and academics. Brooke discusses the opportunity to get involved in the BJSM global mentoring program (https://bjsm.bmj.com/pages/wp-content/uploads/sites/17/2021/03/BJSM-Global-SEM-Mentoring-Program.pdf). Mentors can submit a short statement of interest with your areas of expertise to bjsmglobalmentoring@bmj.com. Mentees can submit a short description of the proposed study, and the specific areas you could use assistance.

In this episode of the Heart podcast, Digital Media Editor, Dr James Rudd, is joined by Professor Sven Plein from the University of Leeds. They discuss his recent review, how to get trained in CMR and what a day in the life of a researcher / clinician looks like.

If you enjoy the show, please subscribe to the podcast to get episodes automatically downloaded to your phone and computer. Also, please consider leaving us a review at https://itunes.apple.com/gb/podcast/heart-podcast/id445358212?mt=2

Link to published paper: https://heart.bmj.com/content/107/9/697

Simon Carley, Associate Editor of EMJ, talks through the highlights of the June 2021 edition of the Emergency Medicine Journal.

Read the primary survey here: https://emj.bmj.com/content/38/6/407

Emergency medicine electronic health record usability: where to from here? (16 March, 2021) FREE Katie Walker, Tim Dwyer, Heather A Heaton: https://emj.bmj.com/content/38/6/408

Usability of electronic health record systems in UK EDs Editor's Choice (3 March, 2021) Benjamin Michael Bloom, Jason Pott, Stephen Thomas, David Ramon Gaunt, Thomas C Hughes: https://emj.bmj.com/content/38/6/410

Hypochloraemia is associated with 28-day mortality in patients with septic shock: a retrospective analysis of a multicentre prospective registry: https://emj.bmj.com/content/38/6/423

Emergency department attendances during the COVID-19 pandemic: a retrospective analysis of attendances following Irish governmental pandemic measures: https://emj.bmj.com/content/38/6/439

Incidence of emergency calls and out-of-hospital cardiac arrest deaths during the COVID-19 pandemic: findings from a cross-sectional study in a UK ambulance service: https://emj.bmj.com/content/38/6/446

Sex-related differences in opioid administration in the emergency department: a population-based study: https://emj.bmj.com/content/38/6/467

Christina Fotopoulou (@CF_PC_OvCaGroup)

In this episode of the IJGC podcast, Editor-in-Chief Dr. Pedro Ramirez, is joined by Professor Christina Fotopoulou to discuss the ESGO-ISUOG-IOTA-ESGE Consensus statements on the pre-operative diagnosis of ovarian tumors. Prof Fotopoulou works at the Department of Surgery and Cancer at Imperial College London, UK. She is an elected ESGO council member and Chair of the ESGO guidelines committee.

Highlights

Multidisciplinary, specialized and expert diagnostic pathways of crucial importance to stratify patients adequately to the right management and team
Objective diagnostic algorithms combining imaging, clinical, and biochemical features are now in place to characterize adnexal masses in a more standardized way with less subjective bias
Our aim to homogenize, optimize and standardize diagnostic strategies across European Centers and beyond

In this episode of the IJGC Podcast, Editorial Fellow Enrique Chacon discusses the contents of the June issue of IJGC in Spanish.

How many times have you been surprised to find out about a coursemate's hidden talent? Perhaps you've discovered they were Grade 8 Cello when they were 11, or that they were an olympic athlete in a past life? This week the team talk all about their hobbies - particularly what they got up to before med school, and what their motivations were for keeping so busy!

On this episode of the AMSSM CRN Spotlight Podcast (T: @TheAMSSM) host Dr. Jeremy Schroeder, DO, is joined by BJSM Editor-in-Chief Dr. Jonathan Drezner, MD, and Kimberly Harmon, MD, who are both Past Presidents of AMSSM.

In this 23-minute conversation, Drs. Drezner and Harmon discuss the Outcomes Registry for Cardiac Conditions in Athletes (ORCCA) national registry and address the following topics:

· Details about the ORCCA registry, what makes it unique and why it was created · The early findings of the registry and what they mean for team physicians and athletic trainers · How this study and others are impacting return-to-play decisions after COVID · The current recommendations regarding cardiac imaging in athletes · Finding the right balance in our professional and personal lives

Resources:

SARS-CoV-2 Cardiac Involvement in Young Competitive Athletes (https://www.ahajournals.org/doi/10.1161/CIRCULATIONAHA.121.054824)

In this episode of the IJGC Podcast, Editorial Fellow Nicolò Bizzarri discusses the contents of the June issue of IJGC in Italian.

Editor-in-Chief of Medical Humanities, Brandy Schillace, speaks to Brian Sims, an openly gay LGBTQ activist, Pennsylvania State Representative, and civil rights attorney about the power of representation, and what minority groups offer to better governance. Read the related blog with this podcast's transcript: https://blogs.bmj.com/medical-humanities/2021/06/10/celebrating-pride-month-with-brian-sims

Duane Peters of the Lupus Foundation of America follows up with Professor Ronald van Vollenhoven of the Amsterdam University Medical Centers to discuss the highlights of the lupus research presented at the EULAR 2021 eCongress, which was held virtually on 2-5 June 2021.

EULAR Congress website: https://congress.eular.org/index.cfm EULAR 2021 abstracts: https://ard.bmj.com/content/80/Suppl_1

ADC Fetal and Neonatal’s Associate Editor, Jonathan Davis, and the Edition Editor of the journal, Ben Stenson, discuss the highlights from the May issue. Read the Fantoms here: https://fn.bmj.com/content/106/3/229 Please listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at podcasts.apple.com/gb/podcast/adc-…ast/id333278832 Other related papers mentioned in the podcast: https://fn.bmj.com/content/106/3/336 https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=380574&isReview=true

In this podcast, Rachael Moses, Multimedia Editor of Thorax BMJ, talks to Professor James Trauer, Epidemiological Modelling Unit, School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia. Tuberculosis is the world’s leading infectious disease killer with the BCG vaccine being the only approved vaccine for its control. The paper on hand was a systematic review of studies looking at the effect of BCG vaccination on TB disease, including sub-categories of TB disease. They discuss what makes this review different and the potential implications of the findings. Read the related articles: https://thorax.bmj.com/content/early/2021/05/18/thoraxjnl-2020-216794

(@K8SLN_MDMBA / @MLiangMD / @BIDMC_ObGyn / @UABOGYN / @ONealCancerUAB)

In this episode of the IJGC podcast, Editor-in-Chief, Dr. Pedro Ramirez, is joined by Drs. Katharine Esselen and Margaret Liang to discuss financial toxicity in gynecologic cancers and their article, “Evaluating meaningful levels of financial toxicity in gynecologic cancers,” which is the Lead Article of IJGC’s June 2021 issue.

Dr. Esselen, MD, MBA, is a gynecologic oncologist at Beth Israel Deaconess Medical Center and Assistant Professor of Obstetrics, Gynecology and Reproductive Biology at Harvard Medical School in Boston, MA. She is the Associate Fellowship Program Director and Director of Clinical Research for the Division of Gynecologic Oncology. Dr. Liang, MD, MS, is a gynecologic oncologist and health services researcher at University of Alabama at Birmingham and O’Neal Comprehensive Cancer Center. She is Network Relations Lead for the newly established Emotional Well-being and Economic Burden Research Network (EMOT-ECON).

Highlights

~50% of gynecologic cancer patients report financial toxicity and ~15% experience severe financial toxicity
Patients with severe financial toxicity are 4.6 times more likely to report medication non-compliance
More work needs to be done to understand the impact of financial toxicity on clinical outcomes including adherence to treatment and cancer survival
Proposed interventions include development of screening tools, provider training in cost conversations, enhanced financial navigation, insurance optimization, improved workplace leave policies, and value-based care healthcare models"

In this episode of the IJGC Podcast, Editorial Fellows Anna Collins and Irina Tsibulak discuss the contents of the June issue of IJGC in English.

We've been bringing you stories of doctors wellbeing for a while in the podcast, but we noticed a pattern. Woman would come on and talk about their own difficulties, men would talk about other peoples - so we wanted to dive into that a bit, and called out on twitter for men who would be willing to open up to our listeners about their own mental health.

This interview is with Zeshan Quereshi - registrar in paediatrics, author and TedX talker. In this conversation we talk about why it is that men are particularly disinclined to open up about their difficulties at work, and what Zeshan has done to try and support his own.

Zeshan's TedX talk https://www.youtube.com/watch?v=uctoTk64GVM

Burnout has become something of a buzzword recently, but has now been officially classified as a syndrome caused by the workplace. Over the course of the pandemic, clinicians have been under more stress than ever, and evidence shows that burned out doctors are more likely to make medical errors.

As the pressure being piled onto GPs, and other medical professionals, is only increasing, the adage of ‘put your own oxygen mask on first’ has never been more apt, but many of us feel that we simply do not have the time or energy to devote to self-care. In this week’s episode, we discuss how to recognise the early signs of burnout, and how struggling with stress can feel like a personal failure.

We also talk about practical measures we can take to build resilience within teams, and to safeguard our own mental health, in order to help lessen the burden on individuals and on healthcare systems more widely.

Our guests: Rachel Morris is a GP and educator, leading training courses in leadership and resilience, and she is also the host of the You Are Not a Frog podcast. Cat Chatfield is the research integrity editor for The BMJ, and the wellbeing campaign lead, as well as being a ‘resting’ GP. She hosts the BMJ Wellbeing podcast. Abi Rimmer is a reporter, and the editor for BMJ Careers. She co-hosts the BMJ Wellbeing podcast with Cat.

Dr Joanne Parsons (@J_ParsonsUofM) is a physical therapist and an associate professor at the University of Manitoba. Dr Stephanie Coen (@steph_coen) is a health geographer and assistant professor at the University of Nottingham in the UK.

To date, ACL injury prevention and management has been approached from a sex-based biological point of view. In this episode, Dr Brooke Patterson (@Knee_Howells) discusses with Joanne and Stephanie how the traditional sex-based approach does not take into account the growing recognition of how sex and gender (a social construct) are ‘entangled’ and influence each other. They discuss their recent review (co-authored with Sheree Bekker), (https://bjsm.bmj.com/content/early/2021/03/09/bjsports-2020-103173) and how clinicians can take a gendered approach to inform more effective approaches to injury prevention and management.

Today we focus on the challenges and success stories of HPV vaccine uptake, specifically in Italy and Australia. The HPV vaccine rollout has translated into a significant reduction in the prevalence of cervical and anal cancers. Since its discovery, many different strategies have been used to increase and maintain its uptake in school children, both girls and boys. STI's Podcast Editor, Dr Fabiola Martin, interviews Prof Anna Maria Garretti, Diseases at the Policlinico Tor Vergata, University of Rome Tor Vergata, Chair of the British HIV Association Vaccination Guidelines Panel, and Editor in Chief of the STI Journal; Prof Carlo Giaquinto, Director of the Paediatric Infectious Diseases Unit at the Department of Woman's and Child's Health of the University of Padova Prof; and Ian Frazer, Clinical immunologist and scientist, The University of Queensland Diamantina Institute, Brisbane, Australia. Read the related blog post: https://blogs.bmj.com/sti/2021/06/04/hpv-vaccine-uptake-achievements-and-challenges/ Related content from STI: https://sti.bmj.com/content/early/2020/09/02/sextrans-2020-054428 https://sti.bmj.com/content/95/5/386 https://sti.bmj.com/content/95/8/608 https://sti.bmj.com/content/early/2020/12/23/sextrans-2020-054726

Dr Philip Smith, Digital and Education Editor of Gut and Consultant Gastroenterologist at the Royal Liverpool Hospital interviews Professor Gunnar C. Hansson from the Mucin Biology Groups, Department of Medical Biochemistry and Cell Biology, University of Gothenburg, Sweden. The Gut podcast is focussed on the paper "Association between Brachyspira and irritable bowel syndrome with diarrhoea" which is published in paper copy in Gut in June 2021. Related or relevant article: https://gut.bmj.com/content/70/6/1117

In this episode of the JISAKOS Podcast, Social Media Editors Emmanouil Brilakis and Andreas Voss interview Francesco Franceschi of San Pietro Fatebenefratelli Hospital, about his recently published article, “Return to sport after reverse total shoulder arthroplasty is highly frequent: a systematic review” (https://jisakos.bmj.com/content/early/2021/03/10/jisakos-2020-000581).

The Oxford Astra Zeneca vaccine has been associated with a rare complication of cerebral venous sinus thrombosis. Dr Colin Mahoney, JNNP Podcast Editor, interviews Prof David Werring, Professor of Clinical Neurology, UCL Queen Square Institute of Neurology, UK, about the new evidence which supports an association between vaccination and more common large vessel arterial stroke. They also discuss several cases, including treatment, and emerging biological evidence relating to causation. Read the paper "Ischaemic stroke as a presenting feature of ChAdOx1 nCoV-19 vaccine-induced immune thrombotic thrombocytopaenia", on the JNNP website: https://jnnp.bmj.com/content/early/2021/05/20/jnnp-2021-326984. Related editorial paper: https://jnnp.bmj.com/content/early/2021/05/20/jnnp-2021-327057

Alcohol-related vehicle crashes pose a significant challenge to public health in suburban communities. The Evesham Saving Lives programme operated between late 2015 and 2019 in two townships in New Jersey. The programme subsidised rideshare (eg, Uber) trips from bars and restaurants to prevent alcohol-related traffic injuries, and is the basis of this month's podcast. Professor Rod McClure interviews David Humphreys, Associate Professor of Evidence-Based Intervention and Policy Evaluation, Research fellow at Green Templeton College, University of Oxford, about the editor’s choice paper of the month titled “Assessing the impact of a local community subsidised rideshare programme on road traffic injuries: an evaluation of the Evesham Saving Lives programme” and available here: https://injuryprevention.bmj.com/content/27/3/232. The Injury Prevention podcast is released on the first Thursday of each month. Please subscribe via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify.

Duane Peters from the Lupus Foundation of America interviews Professor Eric Morand from Monash University in Australia and Dr Raj Tummala from AstraZeneca in the USA about phase II and III trials of the human monoclonal antibody anifrolumab.

Their pooled analysis of data from the MUSE, TULIP-1 and TULIP-2 trials showed that, in addition to demonstrating efficacy in adults with moderate to severe systemic lupus erythematosus (SLE), anifrolumab was generally well tolerated with an acceptable safety profile. Anifrolumab was associated with an increased incidence of herpes zoster and respiratory tract infections and a lower reported rate of SLE worsening. This positive benefit–risk profile means that anifrolumab is a potential new treatment option for SLE.

Access the paper here: https://lupus.bmj.com/content/8/1/e000464

Editor-in-Chief of ADC Nick Brown brings you the monthly Atoms - the highlights of the June 2021 issue. Read it on the Archives of Disease in Childhood website: https://adc.bmj.com/content/106/6/i

Associate editor Dr James Maurice discusses current developments in our understanding of the Gut Microbiome in GI disease pathophysiology with Dr Ben Mullish, following his recent paper in the March 2021 issue 'The Gut Microbiome: what every gastroenterologist needs to know.' https://fg.bmj.com/content/12/2/118 Listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify.

In this episode of the Heart podcast, Digital Media Editor, Dr James Rudd, is joined by Professor Philip MacCarthy from King's College Hospital, London. They discuss what the heart team is, how's it's evolved and what the future heart team might look like. If you enjoy the show, please subscribe to the podcast to get episodes automatically downloaded to your phone and computer. Also, please consider leaving us a review at https://itunes.apple.com/gb/podcast/heart-podcast/id445358212?mt=2 Link to published paper: https://heart.bmj.com/content/107/8/674

In this episode of the IJGC podcast, Editor-in-Chief, Dr. Pedro Ramirez, is joined by Dr. Emma Crosbie to discuss urine cytology in detection of endometrial cancer. Dr. Crosbie is an NIHR Advanced Fellow, Professor and Honorary Consultant in Gynaecological Oncology at the University of Manchester. Her research focuses on screening, prevention and early detection of gynaecological cancer.

Highlights:

• Current diagnostics for endometrial cancer are poorly tolerated by some, painful for others and unnecessary for most because only 5-10% of women with postmenopausal bleeding have endometrial cancer

• This proof-of-concept study showed that endometrial cancer cells can be collected from the urogenital tract using non-invasive sampling technologies and detected by cytology

• If confirmed in larger studies, this concept could form the basis of a simple, pain-free, easily administered test with potential for rapid, same day results to triage women for urgent investigation of suspected endometrial cancer, whilst safely reassuring healthy women

• Such a test could substantially reduce the psychological, physical and financial burden of the current diagnostic pathway for endometrial cancer

Emma Crosbie (@ProfEmmaCrosbie / @ECTeamSMH G25 / @ManchesterBRC / @UoMDCS / @MCRCNews / @FBMH_UoM / @MFT_SMH / @MFT_Research)

Finally it seems that life might return to normal in the UK, as the vaccination efforts continue apace, and despite concern about increasingly spreading variants, our hospitals are not being overwhelmed.

Because of this, we are changing our approach to covering the pandemic - and taking this second wave podcast to pastures new, but before that, in this last episode we’re going to look backwards and forwards, at the UK’s response.

On the panel today are

Matt Morgan, consultant in critical care, Nisreen Alwan, associate professor in public health, Partha Kar, consultant in diabetes, and Helen Salisbury, GP.

www.bmj.com/coronavirus

In this episode of the JIM Podcast, Editor-in-Chief Richard McCallum speaks with Dr. Mateo Porres-Aguilar about thrombosis and anticoagulants. Dr. Porres-Aguilar is a current Fellow of the American College of Physicians (FACP), he holds a National Board Certification of Anticoagulation Care Providers in the USA (NCBAP), is an academic Member of the International Society for Thrombosis and Heamostasis (ISTH), and he currently serves as an international representative in North America for the Mexican Society of Thrombosis and Hemostasis (SOMETH), and is part of the Latin-american chapter of Venous Thrombosis for the Latin-American Collaborative Group for Hemostasis and Thrombosis (Grupo CLAHT)

In this podcast, James Cave (Editor-in-Chief) and David Phizackerley (Deputy Editor) review the June issue of DTB. The list of articles mentioned in this podcast: The Editorial “COVID-19 vaccination in pregnancy” - https://dtb.bmj.com/content/59/6/82 DTB select “Stepping down asthma treatment” - https://dtb.bmj.com/content/59/6/85 Review “Prescribing for pregnancy: managing diabetes” - https://dtb.bmj.com/content/59/6/88 Republished case report “Euglycaemic diabetic ketoacidosis in a 43-year-old woman with type 2 diabetes mellitus on SGLT-2 inhibitor (empagliflozin)” - https://dtb.bmj.com/content/59/6/93 Please subscribe to the DTB podcast to get episodes automatically downloaded to your mobile device and computer. Also, please consider leaving us a review or a comment on the DTB Podcast iTunes podcast page (https://podcasts.apple.com/gb/podcast/dtb-podcast/id307773309). Thank you for listening.

In this podcast, Dr. Jane Thornton hosts Dr. Fiona Wilson and Kellie Wilkie to discuss their 2021 consensus statement for preventing and managing low back pain in elite and subelite adult rowers.

Dr. Fiona Wilson is an associate professor and physiotherapist in the School of Medicine Trinity College Dublin where she is head of the physiotherapy programme. She was lead physiotherapist for Rowing Ireland for 10 years and still practices clinically focusing on managing low back pain.

Kellie Wilkie is a Sport & Exercise Physiotherapist with her own private practice in Hobart, Tasmania. She was an Australian Rowing Team Physiotherapist from 2008-2016 and the Lead Physiotherapist in the Rio Olympic cycle.

We cover: · What is rowing-related low back pain and how prevalent is it? · What causes rowing-related low back pain, and can it be prevented? · How should rowing-related low back pain be managed? · What this means for rowers, coaches and medical staff

Links:

https://bjsm.bmj.com/content/early/2021/03/11/bjsports-2020-103385.abstract

World Rowing site: https://worldrowing.com/2021/05/11/guide-for-managing-low-back-pain-in-rowers/

Sarah Gavron talks to our film and media correspondent, Khalid Ali, about her passion for telling stories about marginalised women from diverse backgrounds in her films. Read the blog post, which includes the transcript of the podcast, here: https://blogs.bmj.com/medical-humanities/2021/05/27/the-female-gaze-in-film-as-seen-by-sarah-gavron

Practical Neurology Editors Phil Smith and Geraint Fuller talk you through the highlights of the June issue of the journal. Read more on the PN website: https://pn.bmj.com/content/21/3/183 The full issue here: https://pn.bmj.com/content/21/3 Please subscribe to the Practical Neurology podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify.

In this episode of the IJGC podcast, Editor-in-Chief Dr. Pedro Ramirez, is joined by Dr. Larissa Meyer to discuss randomized trial of liposomal bupivacaine on ERAS program. Dr. Meyer is an associate professor in the Department of Gynecologic Oncology and Reproductive Medicine with a joint appointment in the Department of Health Services Research at the University of Texas MD Anderson Cancer Center. Her research focuses on patient reported outcomes, with a focus on improving quality of life and shared medical decision making.

Highlights: • To minimize bias, all surgeons on the study were all trained in injection techniques prior to enrolling patients and randomization was stratified by surgeon.

• The addition of liposomal bupivacaine to 0.25% bupivacaine for local wound infiltration did not improve the proportion of patients who were opioid free after laparotomy.

• The addition of liposomal bupivacaine to 0.25% bupivacaine for local wound infiltration did not improve key secondary endpoints such as patient reported pain or amount of opioids taken postoperatively.

Larissa Meyer (@LarissaAMeyerMD / @MDAndersonNews)

The pandemic has wrought a lot of change, not least to doctors relationship to their careers. While still loving the patient interaction, we're increasingly hearing that doctors are disillusioned with the other aspects of medicine.

If you're feeling that way, there are ways to structure your thinking to help you make sense of your career. In this podcast Claire Kaye, former portfolio GP and now coach, explains how she went about deciding medicine wasn't for her, and how she helps doctors go through that process too.

You can find Claire at https://www.drclairekaye.com/ https://www.instagram.com/drclairekaye_executivecoaching/

This week the panel are joined by Michael Brady, the national advisor for LGBT Health to discuss why your patient’s queerness might matter to you, and how to practice inclusively, as well as an interview with Lisa Power MBE, a British sexual health and LGBT rights campaigner. Have a listen to hear Michael Brady answering your questions, agony aunt style!

Did you know that being on the International Space Station for a few months can have the same effect on bone density loss as a decade or more of aging here on earth? In this episode, Dr. Erin Macri asks Drs. Leigh Gabel and Kate Ackerman about a recent publication about predictors of bone loss on long-duration space flights – it’s not what you might think! – and how this new information might change how we approach bone health in sports medicine here on earth.

Links and resources:

https://twitter.com/AstroVicGlover/status/1337434468244746240

Gabel L, Liphardt AM, Hulme PA, Heer M, Zwart SR, Sibonga JD, Smith SM, Boyd S. Pre-flight exercise and bone metabolism predict unloading-induced bone loss due to spaceflight. British Journal of Sports Medicine. Published Online First: 17 February 2021. http://dx.doi.org/10.1136/bjsports-2020-103602

Ackerman KE, Popp KL, Bouxsein ML. Rocket science: what spaceflight can tell us about skeletal health on Earth. British Journal of Sports Medicine Published Online First: 21 April 2021. http://dx.doi.org/10.1136/bjsports-2021-104164

In general practice, doctors commonly see patients who are experiencing varying degrees of health anxiety, which can be difficult to navigate. GPs often want to offer reassurance, but reassurance can be like a drug to these patients: the more reassurance they receive, the more they need. In this week’s episode, we discuss how new technology which allows patients to check symptoms at home (such as pulse oximeters) may increase anxiety levels, and how our stock phrase “keep an eye on it” may be the worst thing we could say to patients with health anxiety. We also talk about the therapeutic value of a GP visit, and the importance of letting anxious patients know that all of their symptoms – physical and mental – will be taken seriously.

Our guests; Guy Edwards is a patient who developed health anxiety around five years ago.

Helen Tyrer is a former GP, a senior research fellow at Imperial College London and is the author of ‘Tackling Health Anxiety: A CBT Handbook’.

Peter Tyrer is a professor of Community Psychiatry in the Centre for Mental Health in the Division of Experimental Medicine at Imperial College London.

Reading list; https://www.bmj.com/content/364/bmj.l774

Childhood constipation is typically characterised by infrequent bowel evacuations, large stools, and difficult or painful defecation.

Symptoms may result from low fibre, poor nutrient, and/or insufficient water intake, which leads to excessive hardening of the stool. This often starts as an acute problem but can progress to faecal impaction and chronic constipation.

Claire Zar-Kessler, Instructor in Pediatric Gastroenterology, Massachusetts General Hospital for Children, Boston gives us a clinical overview of the condition.

Please always check the licensed indications for medications in your own country.

For more on constipation in children, visit BMJ Best Practice: bestpractice.bmj.com/topics/en-gb/784

-

The purpose of this podcast is to educate and to inform. The content of this podcast does not constitute medical advice and it is not intended to function as a substitute for a healthcare practitioner’s judgement, patient care or treatment. The views expressed by contributors are those of the speakers. BMJ does not endorse any views or recommendations discussed or expressed on this podcast. Listeners should also be aware that professionals in the field may have different opinions. By listening to this podcast, listeners agree not to use its content as the basis for their own medical treatment or for the medical treatment of others.

In this episode of the IJGC Podcast, Editorial Fellow Irina Tsibulak discusses the contents of the May issue of IJGC in Russian.

In this episode of the IJGC podcast, Editor-in-Chief Dr. Pedro Ramirez, is joined by Dr. Esther Olvia to discuss tumor staging of endocervical carcinoma. Dr. Oliva is a Pathologist at Massachusetts General Hospital and Professor at Harvard Medical School and have been the recent past president of the International Society of Gynecologic Pathologists. She was born in Barcelona and trained under three giants of pathology, Dr. Robert E. Scully, Dr. Robert H. Young, and Dr. Jaime Prat.

Highlights

Create awareness of difficulties encountered by pathologists when reporting findings on different cervical specimens for endocervical adenocarcinoma
Highlight efforts to reach consensus among pathologists to standardize reporting for cervical specimens with adenocarcinoma
Highlight the importance of synchronization between FIGO, TNM, and AJCC
Clarify important issues in staging of endocervical adenocarcinoma including but not limited to measuring grossly visible tumor, exophytic tumors, and circumferential tumors, approach when dealing with multiple specimens or multiple tumors, and reporting tumor at margins
Highlight areas that need more studies in order to provide useful recommendations, including ovarian involvement by endocervical adenocarcinoma, quantification of lymphovascular invasion, or evaluation of isolated tumor Cells among others.

Do you always keep your phone on the latest OS? Do you tend to play the alpha releases? Have you only just moved to streaming TV services? Where do you sit on the curve of innovation adoption in medical practice? We chat about this (https://adc.bmj.com/content/106/4/401.2) before launching into a discussion of how single parents fare compared to couples in the world of child adoption (read more here: https://adc.bmj.com/content/106/4/401.1). We stay off the track of medicinal products and devices with a report on the best ways to deal with heatstroke… Summer might come at some point… in our second report (https://adc.bmj.com/content/106/4/405). What we don’t have is a large social media outcry over the lack of music, song and dance in the podcast, but maybe this is the month it starts, or maybe it’s the month when you too submit an Archimedes about something that caught your paediatric eye?

In this week's Talk Evidence, Joe Ross, BMJ editor and professor at Yale again joins Helen Macdonald to talk about emerging evidence on Covid-19.

They also welcome to the podcast Juan Franco, family physician in Buenos Aires, and professor at the Instituto Universitario Hospital Italiano, and new editor-in-chief of BMJ Evidence Based Medicine.

This week, the team bring you updates on;

Post-covid syndrome in individuals admitted to hospital with covid-19 - how are people with long covid faring.

Finally published research from Scandinavia on the risk of thrombotic events after administration of the Oxford-AstraZeneca vaccine - how big is the risk, and what does that mean for the overall benefit of that vaccine.

How difficult the UK population found it to understand and stick to the rules with our test, trace and isolate system - and some of the questions that this raises for this public health approach.

and finally, research that showed non-drug interventions are as good as pharmaceuticals at treating people with depression and dementia - and the holistic effect that alleviating depression can have.

Full reading list Ayoubkhani, Daniel, Kamlesh Khunti, Vahé Nafilyan, Thomas Maddox, Ben Humberstone, Ian Diamond, and Amitava Banerjee. 2021. “Post-Covid Syndrome in Individuals Admitted to Hospital with Covid-19: Retrospective Cohort Study.” BMJ 372 (March): n693. https://www.bmj.com/content/372/bmj.n693

Pottegård, Anton, Lars Christian Lund, Øystein Karlstad, Jesper Dahl, Morten Andersen, Jesper Hallas, Øjvind Lidegaard, et al. 2021. “Arterial Events, Venous Thromboembolism, Thrombocytopenia, and Bleeding after Vaccination with Oxford-AstraZeneca ChAdOx1-S in Denmark and Norway: Population Based Cohort Study.” BMJ 373 (May): n1114. https://www.bmj.com/content/373/bmj.n1114

Smith, Louise E., Henry W. W. Potts, Richard Amlôt, Nicola T. Fear, Susan Michie, and G. James Rubin. 2021. “Adherence to the Test, Trace, and Isolate System in the UK: Results from 37 Nationally Representative Surveys.” BMJ 372 (March): n608. https://www.bmj.com/content/372/bmj.n608

Watt, Jennifer A., Zahra Goodarzi, Areti Angeliki Veroniki, Vera Nincic, Paul A. Khan, Marco Ghassemi, Yonda Lai, et al. 2021. “Comparative Efficacy of Interventions for Reducing Symptoms of Depression in People with Dementia: Systematic Review and Network Meta-Analysis.” BMJ 372 (March): n532. https://www.bmj.com/content/372/bmj.n532

On this episode of the AMSSM Sports Medcast (T: @TheAMSSM) host Dr. Ashwin Rao, MD is joined by Dr. Crystal Wong, MD, a family medicine physician at the University of Washington and an Associate Medical Director at UW Neighborhood Clinics. She was instrumental in developing and implementing telemedicine services at the University of Washington during the COVID-19 pandemic, when UW saw a 29,000 percent increase of in telemedicine visits.

In this 22-minute conversation, Dr. Wong discusses her experience with telehealth services and addresses the following topics:

What do you see as the benefits of telemedicine in primary care and how might translate to other disciplines? What are some of the challenges and barriers of telemedicine? What types of visits are most amendable to the telehealth format? What about efforts to replicate a physical exam virtually? What are the challenges of administering telemedicine across state lines? Will telemedicine continue to have a prominent role in practice after the pandemic? What advice does she have for sports medicine providers interested in pursuing telemedicine services?

Resources:

Telemedicine Management of Musculoskeletal Issues - American Family Physician (aafp.org)

In this episode of the Heart podcast, Digital Media Editor, Dr James Rudd, is joined by Dr Patrick Boyle and Dr Nazem Akoum from the University of Washington in Seattle. They discuss the applications of computational modelling for patients with cardiac arrhythmias. If you enjoy the show, please subscribe to the podcast to get episodes automatically downloaded to your phone and computer. Also, please consider leaving us a review at https://itunes.apple.com/gb/podcast/heart-podcast/id445358212?mt=2 Link to published paper: https://heart.bmj.com/content/107/6/456

Kieran Walsh, clinical director at BMJ, asks editors from BMJ Learning and BMJ Best Practice to summarise the latest clinical guidance related to covid-19.

Emma Scott, section editor, updates us on vaccination for pregnant and breastfeeding women.

And Abigail Davis, GP and section editor, covers myocardial infarction and pre-existing respiratory conditions.

For more, see:

BMJ Best Practice's topic on covid-19: bestpractice.bmj.com/topics/en-gb/3000168

BMJ Learning module on COVID-19 rapid guideline on critical care (NICE): new-learning.bmj.com/course/10065100

BMJ Learning covid-19 in primary care module: new-learning.bmj.com/course/10065230

Dr Philip Smith, Digital and Education Editor of Gut and Consultant Gastroenterologist at the Royal Liverpool Hospital interviews Dr Ryan Ungaro, who is an Assistant Professor at Division of Gastroenterology, Icahn School of Medicine at Mount Sinai, New York, USA. The podcast is focussed on ‘Effect of IBD medications on COVID-19 outcomes: results from an international registry’ published in paper copy in Gut in April 2021. Related or relevant article: https://gut.bmj.com/content/70/4/725

David Perry is a freelance journalist covering politics, history, education, and disability rights with bylines at CNN, NYT, Atlantic, Guardian and many more. He and his food-scientist wife live in the Twin Cities with their children, one of whom has Down syndrome, and Perry also plays in an Irish rock band. Today on the podcast, David talks about access and education under COVID-19. What does it mean to really provide free and fair education to all? Read the related blog post, which includes the transcript of this podcast: https://blogs.bmj.com/medical-humanities/2021/05/12/generation-covid-education-access-and-the-long-shadow-of-pandemic-trauma

In this podcast Rachael Moses, MultiMedia Editor Thorax BMJ talks to Ms Laura Hidalgo Armas, OSI Araba Hospital University, Vitoria, Spain. They discuss the effectiveness of a new vibrational positional device located on the forehead on reducing the apnea-hypopnea index and total sleep time in the supine position for patients with obstructive sleep apnea. Links to related papers: https://thorax.bmj.com/content/early/2021/04/21/thoraxjnl-2020-216167

In this episode of the IJGC podcast, Editor-in-Chief Dr. Pedro Ramirez is joined by Dr. Javier Lasala to discuss the impact of TIVA on postoperative opioid consumption. Dr. Lasala is an Associate Professor of Anesthesiology at The University of Texas MD Anderson Cancer Center in Houston, TX. He is currently the Vice Chair of Clinical Affairs in his department and has been involved with Enhanced Recovery after Surgery pathways for the past 7 years. In addition he serves as the anesthesiology lead for the gynecologic oncology program and co-lead for the thoracic surgical program. Highlights:

(1) Total intravenous anesthesia (TIVA) technique reduces the amount of post-operative opioid consumption in a well-established ERAS program.

(2) Multimodal analgesia in combination with high compliance to an ERAS program will decrease patient opioid utilization.

(3) Pain scores were unchanged with the decreased use of opioids in the post-operative course.

(4) Future analysis will look at the anesthesia technique and opioid utilization and the effect on patient reported outcomes.

Editor-in-Chief of ADC Nick Brown brings you the monthly Atoms - the highlights of the May2021 issue. Read it on the Archives of Disease in Childhood website: https://adc.bmj.com/content/106/5/i

In this episode of the JISAKOS Podcast, Social Media Editors Emmanouil Brilakis and Andreas Voss interview Theresa Diermeier about the recently published article “Treatment after anterior cruciate ligament injury: Panther Symposium ACL Treatment Consensus Group” (https://jisakos.bmj.com/content/early/2021/03/15/jisakos-2020-000493).”

In this episode of the IJGC Podcast, Editorial Fellows Anna Collins and Nicolo Bizzarri discuss the contents of the May issue of IJGC in English.

This interview is part of our BMJ interview series, where we talk to the people who are changing medicine. The series thus far has been a bit male dominated - reflecting the leadership in medicine at the moment, if not the actual workforce.

One woman who's planning to change that is Roopa Dhatt, executive director of Woman in Global Health - a new grassroots organistion which is making waves with its demand for equality of representation for woman in global health decision making.

In this interview, we talk to Dr Dhatt about the genesis of Woman in Global Health, and how they've managed to cement real commitment from the WHO. We also discuss how her experience of being Indian and American has shaped her understanding of equality in medicine, and how the covid-19 pandemic has highlighted the way in which women are discounted.

In this episode of the IJGC Podcast, Editorial Fellow Enrique Chacon discuss the contents of the May issue of IJGC in Spanish.

In this episode, we're bringing you the full interview, a deep breath, with Whitney Robinson, a social epidemiologist and associate professor at UNC Chapel Hill.

Whitney gives us her take on how we should be thinking about risk when it comes to covid-19 infection and vaccine rollout. This is a nuanced conversation about the health and economic disparities of covid-19 the consequences of failing to reach the most vulnerable groups, and the importance of tackling this from a community level.

This week the panel are joined by Eli Fitzgerald to discuss what an ally actually is. Find out what makes someone a good (or a bad) ally, as well as how to be an ally for your patients or colleagues.

Learning resources:

The Genderbread Person | A free online resource for understanding gender identity, gender expression, and anatomical sex. https://www.stonewall.org.uk/system/files/lgbt_in_britain_health.pdf

Allies | PFLAG

Trans & non-binary services - 56 Dean Street- Sexual Heath Services — If you have been distressed or affected by any of the topics discussed in this programme, you can seek support from : LGBT Foundation Helpline (0900-0900 weekdays) - https://lgbt.foundation/helpline

Switchboard.lgbt (phone line 1000-2200) - https://switchboard.lgbt

Stonewall What’s in My Area? - https://www.stonewall.org.uk/help-advice/whats-my-area

Mindline Trans+ (National Line, Mondays and Fridays from 2000 to 0000.) - https://bristolmind.org.uk/help-and-counselling/mindline-transplus

Professor Vicki Anderson is a paediatric neuropsychologist in Melbourne, Australia, with over 25 years of experience across clinical, research and academic sectors. She is the Director of Psychology at The Royal Children's Hospital, and Director of Clinical Sciences Research at Murdoch Children's Research Institute. Her research aims to better diagnose, manage and treat child concussion. In this episode, Brooke Patterson asks Vicki about who is most at risk of persistent symptoms after concussion, evidence-based intervention strategies, and digital health tools for monitoring child with post-concussion symptoms.

Twitter:

@bivianoanders Website https://www.mcri.edu.au/users/professor-vicki-anderson

Resources:

Raising Children Network - https://raisingchildren.net.au/guides/a-z-health-reference/concussion HeadCheck App - https://www.headcheck.com.au/

This month’s interview is with Professor Alison Macpherson, from the Faculty of Health, York University, Canada. As an experienced and passionate academic, she believes that policy makers and the public need to be included in research from the beginning of the research process. She also tells Editor-in-Chief of Injury Prevention, Rod McClure, how important it would be to get students more involved. Related paper published by Injury Prevention: https://injuryprevention.bmj.com/content/24/5/321 The Injury Prevention podcast is released on the first Thursday of each month. Please subscribe via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify.

Duane Peters from the Lupus Foundation of America interviews Dr Susan Manzi from the Allegheny Health Network and Kathleen Arntsen from the Lupus and Allied Diseases Association, both based in the USA, about the Addressing Lupus Pillars for Health Advancement (ALPHA) Project.

The ALPHA Project is the first global initiative to identify, prioritise and address top barriers in lupus impacting diagnosis, care, treatment and research. The diverse team includes lupus experts, clinicians, researchers, industry representatives, advocacy organisations and people with lupus, and there is a specific focus on the patient perspective.

Access the paper here: https://lupus.bmj.com/content/8/1/e000433

When was the last time you had a twinge in your navicular? Did you know you could develop an eponymous osteochondrosis? And if a child did go and do that - what should you do about it? (Yes. This is a non-stop tease. You’ll have to listen or read here https://adc.bmj.com/content/106/3/303 to find out more.) Now that almost seamlessness leads into our leader - how do you know what you don’t know - and how to keep abreast of the width of your ignorance (https://adc.bmj.com/content/106/3/301.2) and raises two questions in neonatal seizures: 1. Should you use phenobarbitone or levetiracetam to stop fits, and 2. How do you pronounce levetiracetam?(https://adc.bmj.com/content/106/3/301.1) Do use the opportunity of not knowing to be delighted in the opportunity to learn more, and maybe even submit an Archimedes about it.

In this episode of the IJGC podcast, Editor-in-Chief Dr. Pedro Ramirez, is joined by Dr. Andreas Obermair to discuss SLN mapping in endometrial cancer consensus with Andreas Obermair. Dr. Obermair is the lead author on , “Development of a surgical competency assessment tool for sentinel lymph node dissection by minimally invasive surgery for endometrial cancer” (https://ijgc.bmj.com/content/early/2021/03/31/ijgc-2020-002315), which is the Lead Article for the May 2021 issue of IJGC. Dr. Obermair is a gynaecological oncologist in Brisbane, Australia promoting surgery with proven better patient outcomes.

In this month’s podcast, Rod McLure talks to Renee Johnson, Dr. Holly Hedegaard, Emilia Pasalic, and Pedro Martinez, from the Centers for Disease Control and Prevention in the US. They are Guest Editors of the Injury Prevention's new supplement, which explores injury epidemiology and surveillance methods using ICD-10-CM coded data, and was published in March 2021. Read it on the Injury Prevention website: https://injuryprevention.bmj.com/content/27/S1 Please also read the blog post: https://blogs.bmj.com/injury-prevention/2021/03/05/setting-the-foundation-for-using-icd-10-cm-coded-data-for-injury-surveillance-and-epidemiology/ The Injury Prevention podcast is released on the first Thursday of each month. Please subscribe via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify.

In this episode of the Heart podcast, Dr James Rudd is joined by Dr Greg Mellor from Royal Papworth Hospital, Cambridge. They discuss LQTS, Brugada and CPVT syndromes - diagnosis, risk stratification, patient education and therapeutic options. If you enjoy the show, please subscribe to the podcast to get episodes automatically downloaded to your phone and computer. Also, please consider leaving us a review at https://itunes.apple.com/gb/podcast/heart-podcast/id445358212?mt=2 Link to published paper: https://heart.bmj.com/content/early/2021/02/14/heartjnl-2019-316026

The Black Biomechanists Association (BBA) was recently cofounded by Associate Professor Matthew McCullough from North Carolina A&T State University, Kayla Seymore, PhD student at the University of Delaware, and Dr. Erica Bell, Postdoctoral fellow at the Mayo Clinic. In this episode, Dr. Erin Macri inquires about the need for organizations like this in our global scientific communities, and learns more about how the BBA is positioned to lead the charge in changing how we think about diversity, representation and anti-racism in biomechanics research.

Twitter: @BlackBiomechs @Erin_Macri

Links to articles and references: Become a member (allies welcome): bit.ly/BBA-member Contact us: blackbiomechanics@gmail.com Follow us: @BlackBiomechs on Twitter/Instagram Dr. Karl Zelik, Vanderbilt University: https://theconversation.com/chadwick-bosemans-black-panther-gives-a-boost-to-diversity-in-stem-a-black-engineers-take-on-personal-and-professional-inspiration-151983 Dr. Cherice Hill, Clemson University/Medical University of South Carolina: Hill CN, Reed W, Schmitt D, Sands LP, Queen RM. Racial differences in gait mechanics. Journal of biomechanics. 2020;112:110070 https://doi.org/10.1016/j.jbiomech.2020.110070

In medicine, a lot of work has been done to encourage person centred care - but can that maxim be extended to the people working within the healthcare system?

Subodh Dave has just been elected as dean of the Royal College of Psychiatrists, and joins us fresh from talking at the International conference on physician health to speak about his ambition to humanise medicine.

In this podcast, Subodh, Abi and Cat discuss what lessons from the pandemic need to remain, why at this time it's really important to look out for your colleague with family overseas, and how ice cream trucks meant much more than a cold treat.

www.bmj.com/wellbeing

In this episode of the JIM Podcast, Editor-in-Chief Richard McCallum speaks with Ghazala Hayat about Parkinson's Awareness Month. Dr. Hayat is Professor in Neurology at St. Louis University in St. Louis, MO. She is the director of Neuromuscular Service and the Clinical Neurophysiology Laboratory. Dr. Hayat is also director of the ALS clinic, which is the only ALSA-certified center in the St. Louis area, and the Director of Clinical Quality Improvement at Saint Louis University, School of Medicine.

Are we reliable, as a podcast and a source of information? What does that word even mean? Well we delve a little deeper into that in this edition (https://adc.bmj.com/content/106/2/195.2) We also ask the question about what degree of weight loss for a healthy newborn really IS normal (https://adc.bmj.com/content/106/2/195.1) and while it’s fascinating, I’d advise using this knowledge wisely and approaching guideline writers rather than your midwifery colleagues with your newfound limits of Normal. Our other question swings into the sicker end of babies, and for those who’ve limited recent intubation experience is massively relevant as it’s focussed on using laryngeal mask airways (https://adc.bmj.com/content/106/2/197). Have fun listening to us, and do let us know what you think.

Dr Philip Smith, Associate and Social Media Editor of Frontline Gastroenterology and Consultant Gastroenterologist at the Royal Liverpool Hospital, UK, interviews Dr Nick Thompson, who is a Consultant Gastroenterologist in the Department of Gastroenterology, Newcastle Upon Tyne Hospitals NHS Foundation Trust. Dr Thompson has helped develop Newcastle as a regional centre for parenteral nutrition support and the hospital was recently designated as one of the Integrated Intestinal Failure Centres in England. Dr Thompson is the senior author on the guidance document "British Intestinal Failure Alliance (BIFA) guidance - haematological and biochemical monitoring of adult patients receiving home parenteral nutrition". Read the paper: https://fg.bmj.com/content/early/2021/02/16/flgastro-2020-101758

In this podcast, James Cave (Editor-in-Chief) and David Phizackerley (Deputy Editor) review the May issue of DTB. In light of the "First do no harm" report, the editorial discusses the need for a mandatory register of payments made by pharmaceutical and medical device companies to healthcare professionals, healthcare organisations and patient support organisations (https://dtb.bmj.com/content/59/5/66). The editors talk about the BTS guideline on long-term use of macrolides (https://dtb.bmj.com/content/59/5/67). The main article explores the use of CAR T-cell therapy (https://dtb.bmj.com/content/59/5/73) and the case report is of a patient who developed quinidine hypersensitivity (https://dtb.bmj.com/content/59/5/77). Please subscribe to the DTB podcast to get episodes automatically downloaded to your mobile device and computer. Also, please consider leaving us a review or a comment on the DTB Podcast iTunes podcast page (https://podcasts.apple.com/gb/podcast/dtb-podcast/id307773309). Thank you for listening.

Depression can describe both a mood and an illness.

Major depressive disorder is a clinical syndrome involving mood, neurovegetative functions, cognition, and behaviour.

It affects 5% to 10% of patients in the primary care setting.

Dean F. MacKinnon, Associate Professor, Psychiatry and Behavioral Sciences, The Johns Hopkins Hospital, Baltimore, gives us an overview of how to diagnose and manage depression in adults.

For more on depression in adults, visit BMJ Best Practice: https://bestpractice.bmj.com/topics/en-gb/55

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The purpose of this podcast is to educate and to inform. The content of this podcast does not constitute medical advice and it is not intended to function as a substitute for a healthcare practitioner’s judgement, patient care or treatment. The views expressed by contributors are those of the speakers. BMJ does not endorse any views or recommendations discussed or expressed on this podcast. Listeners should also be aware that professionals in the field may have different opinions. By listening to this podcast, listeners agree not to use its content as the basis for their own medical treatment or for the medical treatment of others.

In this episode of the IJGC podcast, Editor-in-Chief, Dr. Pedro Ramirez, is joined by Dr. Rongyu Zang and Tingyan Shi to discuss recurrent ovarian cancer and the SOC-1 Trial.

Professor Zang is the Director of the Department of Gynecologic Oncology at Zhongshan Hospital, Fudan University in Shanghai, China. He has been specializing in gynecologic oncology, especially in clinical and translational research of advanced and recurrent ovarian cancer for the last two decades. As the founder of Shanghai Gynecologic Oncology Group (SGOG), he has been closely associated with the Gynecologic Cancer InterGroup since 2009. Professor Zang initiated several national and international multi-center randomised clinical trials, including the dose-dense EPIC trial and the SUNNY trial for advanced ovarian cancer, as well as the secondary cytoreduction trial for recurrent ovarian cancer, and so on.

Dr. Shi is an Associate Professor of Oncology in the Department of Gynecologic Oncology at Zhongshan Hospital, Fudan University in Shanghai, China. She has focused on clinical and translational research in gynecologic oncology for over ten years. Dr. Shi has been trained in the Young Investigator Program of Gynecologic Cancer InterGroup, and participated in several international and national multi-center randomized clinical trials for ovarian cancer.

Highlights + SOC-1 selected the candidates for secondary cytoreductive surgery with iMODEL score of 4.7 or less even after the correction by PET-CT imaging. + Secondary cytoreductive surgery favorably impacts platinum-sensitive relapsed ovarian cancer, but incomplete resection leads to the worst survival compare to no-surgery. + Accumulating treatment-free survival, as an important secondary endpoint, was added to explore the long-term survival benefit affected by a high proportion of cross-over from the no surgery froup to the surgery group when overall survival data are mature. + In both primary and recurrent settings of ovarian cancer, randomized trials are needed to confirm the survival benefit of complete surgery followed by targeting maintenance therapy.

Dr Philip Smith, Digital and Education Editor of Gut and Consultant Gastroenterologist at the Royal Liverpool Hospital, interviews Dr Tariq Ahmad and Dr Nick Kennedy, both from the Department of Gastroenterology, Royal Devon and Exeter NHS Foundation Trust, UK. This special Gut podcast is focused on ‘Anti-SARS-CoV-2 antibody responses are attenuated in patients with IBD treated with infliximab’ which is published in paper copy in Gut in May 2021 and the recently published paper ‘Infliximab is associated with attenuated immunogenicity to BNT162b2 and ChAdOx1 nCoV-19 SARS-CoV-2 vaccines’. Acknowledgements: The CLARITY IBD team would like to thank the CLARITY IBD team in Exeter, all of the 92 CLARITY IBD sites and over 7000 participants in the study. We are grateful to support from the NIHR CRN, Crohn's & Colitis UK and our funders. The related links: https://gut.bmj.com/content/early/2021/04/25/gutjnl-2021-324789 https://gut.bmj.com/content/70/5/865

Episode 51: Queerness in medicine

This week the panel are joined by Dr Joseph Hartland, a doctor who works at the University of Bristol Medical School overseeing the teaching of diversity and protected characteristics, to discuss how queerness is seen at medical school. To put the conversation in context, the Sharp Scratch team also had a conversation with Tommy Dickinson, author of the book ‘Curing Queers’, about the history and the legacy of LGBTQ+ issues in the NHS.

- If you have been distressed or affected by any of the topics discussed in this programme, you can seek support from :

LGBT Foundation Helpline (0900-0900 weekdays) - https://lgbt.foundation/helpline

Switchboard.lgbt (phone line 1000-2200) - https://switchboard.lgbt

Stonewall What’s in My Area? - https://www.stonewall.org.uk/help-advice/whats-my-area

Mindline Trans+ (National Line, Mondays and Fridays from 2000 to 0000.) - https://bristolmind.org.uk/help-and-counselling/mindline-transplus

Thousands of people are currently being vaccinated against COVID-19 worldwide. In this podcast, we discuss if the authorised vaccines are useful to people who live with HIV. STI's Podcast Editor, Dr Fabiola Martin, interviews Prof Anna Maria Garretti, Diseases at the Policlinico Tor Vergata, University of Rome Tor Vergata, Chair of the British HIV Association Vaccination Guidelines Panel, and Editor in Chief of the STI Journal; Dr Laura Waters, Sexual Health and HIV specialist at The Mortimer Market Centre, London, and chair of BHIVA; and Mr Simon Collins, HIV patient advocate and editor of the HIV Treatment Bulletin at the i-Base. Read the related blog post: https://blogs.bmj.com/sti/2021/04/23/2021episode3/ Related article: https://www.bhiva.org/SARS-CoV-2-vaccine-advice-for-adults-living-with-HIV-plain-english-version-update

Are concussions in para-sport a big issue? What are some of the challenges in this setting? Where do you start, when it comes to assessing para-athletes?

In this 20-minute podcast with SEM consultant Dr Richard Weiler, you will learn the answers to all of the above, and know where to find some practical tips & tricks.

Links: Link to paper https://bjsm.bmj.com/content/early/2021/04/08/bjsports-2020-103696

On this wellbeing podcast, Abi and Cat are joined by Emma Lishman, a clinical psychologist and part of the North Bristol NHS Trust's staff wellbeing team.Emma helps doctors return to training after a break - be that for maternity leave, or covid-19.

Emma describes some of the fears that doctors who have been shielding have expressed coming back onto the ward, the ways in which teams may inadvertently make those worse, and the problems with complying with risk assessments in the face of staffing pressures.

Wellbeing podcasts have focused a lot on the importance of openness about mental health in the NHS, but in this podcast, you'll also hear how reluctant clinicians are to discuss physical health problems - and why the taboo around all aspects of illhealth needs to be tackled.

For more wellbeing https://www.bmj.com/wellbeing

There is a common perception of surgery that it’s an old boys’ club, and that anyone joining the profession is expected to match the archetypal personality type in order to fit in. Whilst this is starting to change in some specialities, it does still present a challenge, especially to junior staff trying to establish themselves. The relationship between primary and secondary care can be quite remote, and approaches towards patient care can sometimes seem at odds with each other.

In this week’s episode, we discuss the paradigm shift that COVID-19 has caused in the management of specialist consultations, as well as the obstacles to having successful open conversations between GPs and specialists, and how we might overcome them in order to provide better care for patients. We also ask, should we refer a patient with a suspected hernia for an ultrasound?

Our guests:

Clara Munro is a general surgeon based in the North East of England and a clinical fellow at the Faculty of Medical Leadership and Management. She is also the editorial registrar at The BMJ.

Sarah Robinson is an upper GI surgeon at the Northumbria Healthcare NHS Foundation Trust. Her areas of interest include hernia surgery and upper GI cancers.

Duane Peters of the Lupus Foundation of America follows up with Professor Ronald van Vollenhoven of the Amsterdam University Medical Centers to discuss the highlights of the 10th Annual Meeting of the Lupus Academy, which was held virtually on 16-18th April 2021.

Lupus Science & Medicine is the official journal of the Lupus Academy and the abstracts from the event have been published as a supplement to the journal.

Lupus Academy website: lupus-academy.org/ Lupus Academy 2021 abstracts: lupus.bmj.com/content/8/Suppl_1

Editor-in-Chief of Medical Humanities, Brandy Schillace, speaks to Arabella Proffer, an artist whose work combines the history of medicine with biomorphic abstraction about life, art, and cancer. Read the related blog post, which includes the transcript of this podcast: https://blogs.bmj.com/medical-humanities/2021/04/21/life-art-cancer-living-to-the-fullest

In this podcast, Rachael Moses, Multimedia Editor of Thorax, is joined by Dr Makiko Kanai, National Hospital Organisation Kyoto Medical Center, Japan, to discuss how a smoking cessation pathway was trialed in a Japanese workplace using heated tobacco products. Listen to a related podcast on the SUR-VAPES Study (https://soundcloud.com/bmjpodcasts/the-sur-vapes-study?in=bmjpodcasts/sets/thorax) Links to related papers: https://thorax.bmj.com/lookup/doi/10.1136/thoraxjnl-2020-215900 https://thorax.bmj.com/lookup/doi/10.1136/thoraxjnl-2020-216253 https://thorax.bmj.com/lookup/doi/10.1136/thoraxjnl-2020-216743

In this podcast, Rachael Moses, Multimedia Editor of Thorax BMJ, talks to Professor Lorenzo Loffredo, Sapienza University of Rome, Italy. They discuss the impact of chronic use of heat-not-burn cigarettes on oxidative stress, endothelial dysfunction and platelet activation. This is also known as the SUR-VAPES Chronic Study. Are these products safer than smoking? Listen to a related podcast on smoking cessation at work and heated tobacco (https://soundcloud.com/bmjpodcasts/smoking-cessation-at-work-do-heated-tobacco-products-work) Links to related papers: https://thorax.bmj.com/lookup/doi/10.1136/thoraxjnl-2020-215900 https://thorax.bmj.com/lookup/doi/10.1136/thoraxjnl-2020-216253 https://thorax.bmj.com/lookup/doi/10.1136/thoraxjnl-2020-216743

In this episode of the IJGC Podcast, Editor-in-Chief Pedro Ramirez joins Editorial Fellows Anna Collins, Irina Tsibulak, Nicolò Bizzarri, Alex Mutombo, Enrique Chacon and Arthur Hsu for an extended discussion of their experiences in gynecologic oncology, the importance of mentorship, and pathways for development in the field.

In this episode of the IJGC podcast, Editor-in-Chief, Dr. Pedro Ramirez, is joined by Dr. Charles Levenback, who is being highlighted by IJGC as a legend in gynecologic oncology. Dr. Levenback completed his fellowship at Memorial Sloan Kettering Cancer center in 1989 and then practiced at MD Anderson for 31 years. He is known as a pioneer in the development of sentinel lymph node biopsy in Gynecologic oncology, master clinician, educator, and champion for quality and safety.

Highlights: + Career and professional development + Sentinel lymph node development from small case series to phase III national trial + Interest in quality improvement and patient safety

Practical Neurology Editors Phil Smith and Geraint Fuller talk you through the highlights of the April issue of the journal. Read more on the PN website: https://pn.bmj.com/content/21/2/91 The full issue here: https://pn.bmj.com/content/21/2 Please subscribe to the Practical Neurology podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify.

In this episode of the IJGC Podcast, Editorial Fellow Alex Mutombo reviews the contents of the April issue in French.

In this episode of the IJGC Podcast, Editorial Fellow Nicolò Bizzarri discusses the contents of the April issue in Italian.

Dr Simon Kemp is a Sport and Exercise Medicine consultant, and Medical Services Director at the Rugby Football Union. He is a leading researcher in Rugby Medicine, with a wide and high-impact research portfolio. Dr Patrick O’Halloran is a Sport and Exercise Medicine Registrar in the UK who is undertaking a PhD at the University of Birmingham. He also works as a senior medical advisor to Marker. They both join us in this podcast to talk about their recently published paper on the diagnostic signatures of concussion in the saliva of male athletes.

In this 15-minute chat, we talk about the importance of developing objective measures in diagnosing concussions, how they went about their ground-breaking trial and much more.

You can find their paper ‘Unique diagnostic signatures of concussion in the saliva of male athletes: the Study of Concussion in Rugby Union through MicroRNAs (SCRUM)’, via the link below: https://bjsm.bmj.com/content/early/2021/02/09/bjsports-2020-103274

In this podcast, JNIS Editor-In-Chief Felipe C. Albuquerque and Adnan Siddiqui discuss a case series that describes complete flow control using concurrent transient rapid ventricular pacing with afferent arterial balloon flow arrest technique as “safe and feasible” for transvenous embolization of select cerebral arteriovenous malformations (AVM). Dr Siddiqui (Department of Neurosurgery, University at Buffalo, NY, USA) is the lead author of “Complete flow control using transient concurrent rapid ventricular pacing or intravenous adenosine and afferent arterial balloon occlusion during transvenous embolization of cerebral arteriovenous malformations: case series”, published in the April 2021 issue of JNIS. Link to the paper: https://jnis.bmj.com/content/13/4/324

Simon Carley, Associate Editor of EMJ, talks through his highlights of the April 2021 edition of the Emergency Medicine Journal.

Read the primary survey here: https://emj.bmj.com/content/38/4/249

Environmentally sustainable emergency medicine: https://emj.bmj.com/content/38/4/315

When dispatcher assistance is not saving lives: assessment of process compliance, barriers and outcomes in out-of-hospital cardiac arrest in a metropolitan city in China: https://emj.bmj.com/content/38/4/252

S100B protein level for the detection of clinically significant intracranial haemorrhage in patients with mild traumatic brain injury: a subanalysis of a prospective cohort study: https://emj.bmj.com/content/38/4/285

Effect of tranexamic acid on intracranial haemorrhage and infarction in patients with traumatic brain injury: a pre-planned substudy in a sample of CRASH-3 trial patients: https://emj.bmj.com/content/38/4/270

Synergistic effects of emergency physician empathy and burnout on patient satisfaction: a prospective observational study: https://emj.bmj.com/content/38/4/290

Handheld electronic device use in patient care: the emergency department patient perspective—a cross-sectional survey: https://emj.bmj.com/content/38/4/258

Read the full Aprilissue here: https://emj.bmj.com/content/38/4

In this episode of the Heart podcast, Digital Media Editor, Dr James Rudd, is joined by Dr Shrilla Banerjee and Dr Shazia Hussain, UK-based interventional cardiologists. They discuss their experiences in cardiology as females and offer some help and advice to the next generation considering a craft speciality. Link to published paper: https://heart.bmj.com/content/107/5/428 If you enjoy the show, please subscribe to the podcast to get episodes automatically downloaded to your phone and computer. Also, please consider leaving us a review at https://itunes.apple.com/gb/podcast/heart-podcast/id445358212?mt=2

Kieran Walsh, clinical director at BMJ, asks editors from BMJ Learning and BMJ Best Practice to summarise the latest clinical guidance related to covid-19.

Emma Scott, section editor, updates us on vaccination and the risk of blood clots.

And Abigail Davis, GP and section editor, covers acute kidney injury, venous thromboembolism prevention, and secondary bacterial pneumonia.

For more, see:

BMJ Best Practice's topic on covid-19: bestpractice.bmj.com/topics/en-gb/3000168

BMJ Learning module on COVID-19 rapid guideline on critical care (NICE): new-learning.bmj.com/course/10065100

BMJ Learning covid-19 in primary care module: new-learning.bmj.com/course/10065230

EMA: ema.europa.eu/en/news/astrazenecas-covid-19-vaccine-ema-finds-possible-link-very-rare-cases-unusual-blood-clots-low-blood

MHRA: gov.uk/government/news/mhra-issues-new-advice-concluding-a-possible-link-between-covid-19-vaccine-astrazeneca-and-extremely-rare-unlikely-to-occur-blood-clots

JCVI: gov.uk/government/publications/use-of-the-astrazeneca-covid-19-vaccine-jcvi-statement/jcvi-statement-on-use-of-the-astrazeneca-covid-19-vaccine-7-april-2021

WHO: who.int/news/item/07-04-2021-interim-statement-of-the-covid-19-subcommittee-of-the-who-global-advisory-committee-on-vaccine-safety

COVID-19 rapid guideline: managing COVID-19: nice.org.uk/guidance/NG191

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The purpose of this podcast is to educate and to inform. The content of this podcast does not constitute medical advice and it is not intended to function as a substitute for a healthcare practitioner’s judgement, patient care or treatment. The views expressed by contributors are those of the speakers. BMJ does not endorse any views or recommendations discussed or expressed on this podcast. Listeners should also be aware that professionals in the field may have different opinions. By listening to this podcast, listeners agree not to use its content as the basis for their own medical treatment or for the medical treatment of others.

Recorded on Tuesday 13th of April, as the shops open in the UK, and England is heading to the beer gardens. The roll out of the vaccination programme has completed its first phase, and second doses have been given to the most vulnerable people - and now the under 50s are starting to get their first doses.

In this podcast, Duncan Jarvies, multimedia editor for The BMJ, talks to; Partha Kar, consultant in diabetes and endocrinology in Portsmouth, Matt Morgan, a consultant in a intensive care medicine in Cardiff, and Helen Salisbury, GP in Oxfordshire.

The genomicc trial Matt mentions is still recruiting - if you're interested more detail is available here https://genomicc.org/

In this episode of the IJGC Podcast, Editorial Fellow Enrique Chacon discusses the contents of the April issue in Spanish.

In this episode of the IJGC podcast, Editor-in-Chief, Dr. Pedro Ramirez, is joined by Dr. Kevin Elias to discuss the ERAS impact on return to treatment in ovarian cancer. Kevin Elias is an Assistant Professor of Gynecologic Oncology and Director of the Gynecologic Oncology Laboratory at Brigham and Women’s Hospital, Dana-Farber Cancer Institute, and Harvard Medical School. He is the President-Elect of ERAS USA, the American chapter of the ERAS Society.

Highlights A. ERAS is associated with shorter lengths of stay and fewer complications for patients undergoing cytoreductive surgery. B. The benefits of ERAS seem to extend beyond the hospital stay, as ERAS is strongly associated with timely resumption of adjuvant chemotherapy. C. Auditing ERAS compliance is a key part of implementing an ERAS pathtway. D. ERAS reduces variation in the quality of patient care, which improves consistency in oncologic treatments and potentially outcomes.

The synergistic linking of increasing health and wealth is broadly accepted - it's an integral part of the thinking between the Sustainable Development Goals, and the World Bank's call for universal healthcare as a way of boosting a country's economy.

But the quantification of that link - the extent to which a particular health intervention, has broader economic impacts, is actually pretty poorly understood.

In this podcast, we hear from some economists, who have an idea about how we could - fairly easily - measure those impacts at the same time we measure clinical efficacy.

Joining us are, Dean Jamison, professor emeritus of global health at the University of Washington Osondu Ogbuoji, assistant research professor at Duke Global Health Insitute. Till Bärnighausen, director of the Heidelberg Institute of Global Health Sebastian Vollmer, professor of development economics at the University of Göttingen

The collection that prompted this discussion is "Health, Wealth and Profits" - https://www.bmj.com/health-wealth-profits

Two topics currently being hotly discussed in the media and in clinical practice are headaches after the COVID vaccine, and the impact that structural racism is having on vaccine uptake.

Headache and fever are common symptoms after a vaccination, but there are concerns about the potential link between the AstraZeneca vaccine and blood clots, and these concerns, exacerbated by the recent frenzy of media coverage, may be damaging the general public’s faith in the vaccination programme, and impacting uptake.

In this week’s episode, we discuss how GPs may safely assess for cerebral venous sinus thrombosis (CSVT) in a patient presenting with a headache post vaccine, and the difficulty of gauging the scale of the risk of blood clots. We also talk about the controversial Sewell Report, which concluded that institutional racism is no longer a problem in the UK, and how, once we reach a post-COVID world, we need to focus more on wellbeing and work towards a fairer healthcare system for all.

Our guests: Heather Angus-Leppan is a consultant neurologist, and epilepsy lead at the Royal Free London NHS Foundation Trust, as well as an honorary senior lecturer at UCL and Imperial College London.

Whitney Robinson is an associate professor of epidemiology in the Gillings School of Global Public Health at the University of North Carolina at Chapel Hill. She is also the co-host of the Acadames podcast https://www.acadamespodcast.com/

Further reading: - "Black people need better vaccine access, not better vaccine attitudes" by Rhea Boyd, https://www.nytimes.com/2021/03/05/opinion/us-covid-black-people.html - "The health-care industry doesn't want to talk about this single word," by Ron Wyatt, https://www.washingtonpost.com/opinions/2021/04/05/health-care-racism-medicine/ - "The Sewell report cited my work - just not the parts highlighting structural racism," by Michael Marmot, https://www.theguardian.com/commentisfree/2021/apr/07/sewell-report-structural-racism-research - "Black Memes Matter: #LivingWhileBlack With Becky and Karen," by Apryl Williams, https://journals.sagepub.com/doi/10.1177/2056305120981047

It's the age old medical school interview question - but why did we initially want to become doctors? Do those reasons still stand, or are they replaced by stronger motives? Listen to the panel discuss their own expectations vs. reality of life at medical school and beyond, with interviews from TV Doctor Zoe Williams and CMO Chris Whitty.

The benefits of physical activity are unquestioned, but many health care providers still do a poor job of activity counseling and prescription. Frequently cited reasons for this apparent disconnect include a lack of time, poor reimbursement, and lack of training on how to incorporate exercise prescription into clinical practice. The AMSSM has assembled a team of international experts to help address these gaps and share best practices for incorporating exercise medicine into both clinical practice and academic medicine.

On this episode of the AMSSM Sports Medcast (T: @TheAMSSM) host Dr. Devin McFadden, MD is joined by Dr. Irfan Asif, MD is a Professor and Chair of the Department of Family and Community Medicine at the University of Alabama-Birmingham School of Medicine. He also serves on the AMSSM board of directors and is an associate editor for both the BJSM and Sports Health.

In this 10-minute conversation Dr. Asif addresses the following topics:

What is the focus of the upcoming AMSSM Collaborative Research Summit? What are the aims and anticipated outputs of the summit? Is this summit relevant to a clinician not currently engaged in multi-site research?

The Virtual AMSSM Annual Meeting takes place from April 13-18, 2021. Registration is still open for both the main meeting and CRN Research Summit. More information can be found at https://annualmeeting.amssm.org/

Exercise is Medicine connects physical activity to healthcare: https://www.exerciseismedicine.org/

Joy E (L), Blair SN, McBride P, et al. Physical activity counseling in sports medicine: a call to action. Br J Sports Med. 2013;47:49-53. https://bjsm.bmj.com/content/bjsports/47/1/49.full.pdf

Hebert ET, Caughy MO, Shuval K. Primary care providers’ perceptions of physical activity counseling in a clinical setting: a systematic review. Br J Sports Med. 2012;46:625-31. https://bjsm.bmj.com/content/bjsports/46/9/625.full.pdf

The highlights of this edition brought to you by the Editor-in-Chief of Frontline Gastroenterology Mark Beattie. Read the UpFront of the May issue of Frontline Gastroenterology: https://fg.bmj.com/content/12/3/167 The full issue is now online: https://fg.bmj.com/content/12/3 Listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify.

Duane Peters of the Lupus Foundation of America interviews Professor Ronald van Vollenhoven of the Amsterdam University Medical Centers about the 10th Annual Meeting of the Lupus Academy, which will be held virtually from 16-18th April 2021. As well as his role as co-Editor-in-Chief of Lupus Science & Medicine, Professor van Vollenhoven is a member of the Lupus Academy Steering Committee and has been involved in the planning and development of the 10th Annual Meeting. Participation in the event is free but registration is required.

Lupus Science & Medicine is the official journal of the Lupus Academy and the abstracts from the event have been published as a supplement to the journal.

Lupus Academy website: https://lupus-academy.org/ Lupus Academy 2021 abstracts: https://lupus.bmj.com/content/8/Suppl_1

In this episode of the JISAKOS Podcast, Social Media Editors, Dr. Emmanouil Brilakis and Prof. Andreas Voss interview Dr. Daniel Verstift of the OLVG in Amsterdam about his recently published article, "Review of Weaver and Dunn on treatment of acromioclavicular injuries, especially complete acromioclavicular separation" (https://jisakos.bmj.com/content/6/2/116).

The EULAR COVID-19 database and the COVID-19 Global Rheumatology Alliance work together on shared collected data to address the most pertinent questions in regard to risks for people with rheumatic diseases and COVID-19 infection. The latest study confirms already known risk factors for more severe disease and explores associations between treatments and the risk of death. In this podcast, ARD’s social media editor, Dr Paul Studenic, is joined by Prof. Pedro Machado, from the National Institute for Health Research (NIHR) University College London Hospitals Biomedical Research Centre, London, UK, to discuss the paper “Factors associated with COVID-19-related death in people with rheumatic diseases: results from the COVID-19 Global Rheumatology Alliance physician-reported registry” (http://dx.doi.org/10.1136/annrheumdis-2020-219498).

Dr Philip Smith, Digital and Education Editor of Gut and Consultant Gastroenterologist at the Royal Liverpool Hospital, interviews Dr Fabian Frost who is a clinical scientist, internal medicine specialist and gastroenterologist in training working at the Department of Medicine A, University Medicine Greifswald, Germany. The podcast is focussed on ‘Long-term instability of the intestinal microbiome is associated with metabolic liver disease, low microbiota diversity, diabetes mellitus and impaired exocrine pancreatic function’, published in paper copy in Gut, in March 2021. Link to the paper: https://gut.bmj.com/content/70/3/522.

Duane Peters from the Lupus Foundation of America interviews Dr Ashira Blazer from New York University, USA, and Dr Ida Dzifa Dey from the University of Ghana in Accra, Ghana, about the associations between apolipoprotein L1 genetic polymorphisms and disease outcomes among SLE patients in Ghana.

Access the paper here: https://lupus.bmj.com/content/8/1/e000460

Chronic kidney disease (CKD) is a common condition that is often unrecognised until the most advanced stages.

The most common causes are diabetes mellitus and hypertension.

Manisha Singh, Assistant Professor, Division of Nephrology, Department of Internal Medicine, University of Arkansas for Medical Sciences, gives us an overview of the condition.

For more, visit BMJ Best Practice: bestpractice.bmj.com/topics/en-gb/84

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The purpose of this podcast is to educate and to inform. The content of this podcast does not constitute medical advice and it is not intended to function as a substitute for a healthcare practitioner’s judgement, patient care or treatment. The views expressed by contributors are those of the speakers. BMJ does not endorse any views or recommendations discussed or expressed on this podcast. Listeners should also be aware that professionals in the field may have different opinions. By listening to this podcast, listeners agree not to use its content as the basis for their own medical treatment or for the medical treatment of others.

In this podcast, Editor-in-Chief of Medical Humanities, Brandy Schillace, speaks to Natalie Kerres, designer of SCALED and a recent graduate of Imperial College London and the Royal College of Art. SCALED is wearable technology designed for sports, medicine, and disability. Read the transcript of this podcast in the Medical Humanities blog: https://blogs.bmj.com/medical-humanities/2021/04/07/designing-for-the-body-scaled-wearable-technology

Editor-in-Chief of ADC Nick Brown brings you the monthly Atoms - the highlights of the April 2021 issue. Read it on the Archives of Disease in Childhood website: https://adc.bmj.com/content/106/4/i

In this episode of the IJGC Podcast, Editorial Fellow Irina Tsibulak discusses the contents of the April issue in Russian.

In this episode of the IJGC Podcast, Editorial Fellows Anna Collins and Irina Tsibulak discuss the contents of the April issue.

In this episode of the IJGC podcast, Editor-in-Chief, Dr. Pedro Ramirez, is joined by Dr. Michael Frumovitz to discuss radical hysterectomy in cervical neuroendocrine carcinoma. Dr. Frumovitz is an Associate Editor for IJGC and the author of the Lead Article of the April 2021 issue of IJGC, “Role of radical hysterectomy in patients with early-stage high-grade neuroendocrine cervical carcinoma: a NeCTuR study" (https://ijgc.bmj.com/content/early/2021/03/09/ijgc-2020-002213).

Highlights: 1. Patients with clinical and radiologic stage I high grade neuroendocrine carcinoma of the cervix will have microscopic parametrial involvement 10% of the time 2. All patients with parametrial involvement will have other risk factors requiring postoperative radiation (positive nodes or Sedlis) 3. If a patient has negative nodes, the risk of parametrial involvement is only 3% 4. Eighty percent of recurrences will happen within first two years and 86% destined to recur will recur within 3 years

The evidence geekery continues, and this week Helen Macdonald and Duncan Jarvies are joined again by Joe Ross, The BMJ's US research editor, and professor of medicine and public health at Yale.

This week we update you on treatment - the WHO's guidelines for covid and ivermectin, and why they're not ready to recommend it's use in treatment, and prophylactic anticoagulation treatment.

We hear about two papers from the UK and Switzerland which look at children and covid, and we pick up on varients of concern and long covid.

Reading list. Association between living with children and outcomes from covid-19: OpenSAFELY cohort study of 12 million adults in England https://www.bmj.com/content/372/bmj.n628

Clustering and longitudinal change in SARS-CoV-2 seroprevalence in school children in the canton of Zurich, Switzerland: prospective cohort study of 55 schools https://www.bmj.com/content/372/bmj.n616

Risk of mortality in patients infected with SARS-CoV-2 variant of concern 202012/1: matched cohort study https://www.bmj.com/content/372/bmj.n579

Early initiation of prophylactic anticoagulation for prevention of coronavirus disease 2019 mortality in patients admitted to hospital in the United States: cohort study https://www.bmj.com/content/372/bmj.n311

Editorial - Prophylactic anticoagulation for patients in hospital with covid-19 https://www.bmj.com/content/372/bmj.n487

Living with Covid19 – Second review - Informative and accessible health and care research https://evidence.nihr.ac.uk/themedreview/living-with-covid19-second-review/

Associate editor Dr James Maurice interviews Dr Srivathsan Ravindran, JAG research fellow at St Marks Hospital, London. They talk about developing a culture of improving patient safety in endoscopy, and how the 'Case of the Month' model can be used to create valuable learning opportunities for endoscopy teams following patient safety incidents. Read the review on the Frontline Gastroenterology website: https://fg.bmj.com/content/early/2020/10/09/flgastro-2020-101600 Related links: https://fg.bmj.com/content/10/2/160 https://fg.bmj.com/content/early/2020/08/19/flgastro-2020-101561 https://www.thejag.org.uk/CMS/Page.aspx?PageId=207

In this episode of the Heart podcast, Digital Media Editor, Dr James Rudd, is joined by Dr Michelle Kittleson from Cedars Sinai Heart Institute. They discuss her review on remote monitoring for heart failure. If you enjoy the show, please subscribe to the podcast to get episodes automatically downloaded to your phone and computer. Also, please consider leaving us a review at https://itunes.apple.com/gb/podcast/heart-podcast/id445358212?mt=2 Link to published paper: https://heart.bmj.com/content/107/5/366

In this episode of the JIM Podcast, Editor-in-Chief Richard McCallum speaks with Dr. Gottumukkala S. Raju and Dr. Robert S. Bresalier of the University of Texas MD Anderson Cancer Center about Colon Cancer Awareness Month.

In this episode of the IJGC podcast, Editor-in-Chief Dr. Pedro Ramirez, is joined by Dr. Peter McCulloch to discuss the IDEAL Framework. Dr. McCulloch is Professor of Surgical Science & Practice at Oxford University. He attended medical school in Aberdeen and underwent his surgical training in Glasgow before moving to academic posts in Liverpool and then Oxford. An Upper GI cancer surgeon by background, he is the Chair of the IDEAL Collaboration, an international network of surgeons, scientists, industrial partners and patients whose goal is to improve the methodology for evaluating surgery, therapeutic devices and other complex treatments. He is also the Co-Editor-in-Chief of BMJ Surgery, Interventions, & Health Technologies (sit.bmj.com). His other major research interest is Human Factors in healthcare. He will ski anywhere, anytime, and is passionate about countering climate change.

Highlights: • The IDEAL Framework & Recommendations provide an explanation of the natural history or life cycle of new procedures and devices, and a road map for how they should be evaluated at each stage in the journey. • It explains why Randomised Trials have been so difficult to do in surgery and shows that there are at least 2 preliminary steps in research (Development and Exploration) which are necessary to ensure that an RCT has a good chance of success. • IDEAL is potentially useful in surgical research at all stages, but also in device regulatory science, decisions on approving new procedures at institutions and coverage decisions • IDEAL is increasingly recognised and endorsed by major journals (Annals of Surgery, BMJ & Lancet) and professional groups (Royal College of Surgeons) and is being used by government agencies in several countries. • The IDEAL group continues to study and produce recommendations on difficult research issues such as: When is it OK NOT to do a randomised trial? How do we interpret studies using Real World Data? How should surgical robots be evaluated? And others.

The recent development of triple CFTR modulation means that up to 90% of people with CF will be eligible for ‘highly effective’ CFTR modulator therapy. In this podcast, Rachael Moses, Multimedia Editor of Thorax, and Dr Peter Barry, Consultant Respiratory Physician, Manchester Adult Cystic Fibrosis Centre, discuss the long-term adherence to and effects of ivacaftor on lung function, weight and healthcare utilisation in people with cystic fibrosis and the Gly551Asp mutation. Read the related paper: https://thorax.bmj.com/content/early/2021/03/24/thoraxjnl-2020-215556

The past year has seen an increase in antibiotic prescriptions, especially for broad-spectrum antibiotics. This might be due to the rise in teleconsultations, which limit the ability to examine patients, causing GPs to experience higher levels of uncertainty in making diagnoses.

This week, we discuss the impact that COVID-19, and COVID tests, have had on access to healthcare, the risk of antimicrobial resistance, and how the pandemic has altered the presentation and case mix seen in GP surgeries. With teleconsulting likely here to stay, how do we adjust to the changes in primary care provision, in order to prescribe with confidence? And how do we become good antibiotic stewards?

Our guests: Geva Greenfield is a research fellow in the Department of Primary Care & Public Health at Imperial College London’s School of Public Health. His research focuses on primary care and health policy, and big healthcare data analytics. Benedict Hayhoe is a London-based GP, and a clinical lecturer in the Department of Primary Care & Public Health at Imperial College London’s School of Public Health. His research interests include digital health and antimicrobial resistance.

Further reading:

https://www.expmedndm.ox.ac.uk/step-up Armitage A, Nellums L. Antibiotic prescribing in general practice during COVID-19. The Lancet Infectious Diseases 2020. https://doi.org/10.1016/S1473-3099(20)30917-8 de Lusignan S, Joy M, Sherlock J, Tripathy M, van Hecke O, Gbinigie O et al. PRINCIPLE trial demonstrates scope for in-pandemic improvement in primary care antibiotic stewardship. medRxiv. 2021. https://doi.org/10.1101/2021.02.02.21250902 Han SM, Greenfield G, Majeed A, Hayhoe B. Impact of Remote Consultations on Antibiotic Prescribing in Primary Health Care: Systematic Review. Journal of Medical Internet Research 2020; 22(11):e23482. https://doi.org/10.2196/23482 Hayhoe B, Butler C, Majeed A, Saxena S. Telling the truth about antibiotics: benefits, harms and moral duty in prescribing for children in primary care. Journal of Antimicrobial Chemotherapy 2018; 73(9):2298-2304. https://doi.org/10.1093/jac/dky223 Hayhoe B, Greenfield G, Majeed A. Is it getting easier to obtain antibiotics in the UK? British Journal of General Practice 2019; 69(679):54-55. https://doi.org/10.3399/bjgp19X700829 Morrell L, Buchanan J, Roope L, Pouwels K, Butler C, Hayhoe B et al.. Delayed Antibiotic Prescription by General Practitioners in the UK: A Stated-Choice Study. Antibiotics 2020; 9(608). https://doi.org/10.3390/antibiotics9090608 Shah S, Wordley, Thompson W.. How did COVID-19 impact on antibiotic prescribing across England? British Dental Journal 2020; 229(9):601-604. https://doi.org/10.1038/s41415-020-2336-6 van de Pol A, Boeijen J, Venekamp R, Platteel T, Damoiseaux R, Kortekaas M et al.. Impact of the COVID-19 Pandemic on Antibiotic Prescribing for Common Infections in The Netherlands: A Primary Care-Based Observational Cohort Study. Antibiotics 2021; 10(196). https://doi.org/10.3390/antibiotics10020196 Zhu N, Aylin P, Rawson T, Gilchrist M, Majeed A, Holmes A.. Investigating the impact of COVID-19 on primary care antibiotic prescribing in North West London across two epidemic waves. Clinical Microbiology and Infection 2021. https://doi.org/10.1016/j.cmi.2021.02.007

Do you have a healthy work-life balance? Find out what actually counts as work, and whether medicine means sacrificing your social life...

This week the team are joined by Sharp Scratch’s old friend Greta McLachlan, Higher General Surgical Trainee and Leadership Fellow at Cleveland Clinic London, to talk about their social lives, maintaining a work life balance, and training less than full time.

You can follow Greta on twitter at @GeeMcLachlan

In the UK, phase 2 of our coronavirus vaccination strategy may be delayed by supply problems, at the same time many GPs, who carried out the majority of the first vaccination phases, are declining to take on the addition burden and are trying to return to normal clinical work.

In this podcast, Duncan Jarvies, multimedia editor for The BMJ, talks to the full panel; Partha Kar, consultant in diabetes and endocrinology in Portsmouth, Matt Morgan, a consultant in a intensive care medicine in Cardiff, Helen Salisbury, GP in Oxfordshire, and Nisreen Alwan, public health consultant in Southampton.

In this podcast, James Cave (Editor-in-Chief) and David Phizackerley (Deputy Editor) review the April issue of DTB. The editorial discusses variability in the management of people with severe asthma (https://dtb.bmj.com/content/59/4/50). The editors talk about a summary of an article on changes in prescribing of statins (https://dtb.bmj.com/content/59/4/53). The main article explores the use of aspirin for pre-eclampsia (https://dtb.bmj.com/content/59/4/56) and the case report is of a patient who developed omeprazole-induced hypomagnesaemia (https://dtb.bmj.com/content/59/4/60). Please subscribe to the DTB podcast to get episodes automatically downloaded to your mobile device and computer. Also, please consider leaving us a review or a comment on the DTB Podcast iTunes podcast page (https://podcasts.apple.com/gb/podcast/dtb-podcast/id307773309). Thank you for listening.

In this episode of the IJGC podcast, Editor-in-Chief Dr. Pedro Ramirez, is joined by Dr. Sandro Pignata to discuss the MITO16b trial. Dr. Pignata is president of the Multicenter Italian Trial in Ovarian cancer (MITO) group, member of the educational committee of ESMO, Past Chair of the European Network of Gynaecological Oncological Trial Groups (ENGOT), and member of the board of directors of the Gynecologic Cancer InterGroup (GCIG).

Highlights: - The paper published on the Lancet demonstrate that bevacizumab given at recurrence is effective also in patients already treated with bevacizumab in first line. - Exploratory analysis suggest that this effect is not present in BRCA mutated patients.

In this Wellbeing podcast, sponsored by medical protection, Abi Rimmer and Cat Chatfield talk to Susanna Petche and Reina Popat, GPs and members of First You - an organisation of healthcare workers, promoting wellbeing in the NHS. They discuss why it is that clinicians learn to subjugate their own wellbeing to their patients', and the ways in which working in the healthcare system perpetuate that. They discuss how systemic change can come through individual action, and how peers can band together to support each other.

In this podcast, Roberta Heale, Associate Editor of Evidence-Based Nursing, interviews Shaminder Singh, postdoctoral researcher, University of Calgary, Alberta, Canada. Dr. Singh discusses the commentary he wrote titled "A short therapy program may reduce the risk of suicide reattempts by strengthening problem-focused coping among people with attempted suicide”, which is based on the research article: Gysin-Maillart A, Soravia L, Schwab S. Attempted suicide short intervention program influences coping among clients with a history of attempted suicide. J Affect Disord 2019 Read the commentary on the EBN website: https://ebn.bmj.com/content/early/2020/06/09/ebnurs-2020-103257

Linda Truong is a physical therapist and PhD trainee at the University of British Columbia, in Vancouver. Her research aims to understand how social support can improve recovery outcomes and delay post-traumatic osteoarthritis after a traumatic knee injury. In this episode, Brooke Patterson asks Linda about her recent scoping review and editorial regarding the need to embrace non-physical factors in the treatment of sports-related injury. Linda provides practical suggestions as to how to assess and treat social and contextual factors after sports-related knee injury.

Twitter: @LKTphysio

Resources: Multidimensional Scale of Perceived Social Support (MSPSS)- https://www.researchgate.net/publication/311534896_Multidimensional_Scale_of_Perceived_Social_Support_MSPSS_-_Scale_Items_and_Scoring_Information

The PASS-Q: The Perceived Available Support in Sport Questionnaire - https://www.researchgate.net/publication/50936606_The_PASS-Q_The_Perceived_Available_Support_in_Sport_Questionnaire

The ARSQ: The Athletes' Received Support Questionnaire - https://www.researchgate.net/publication/261256629_The_ARSQ_The_Athletes%27_Received_Support_Questionnaire

Truong LK, Bekker S, Whittaker JL, Removing the training wheels: embracing the social, contextual and psychological in sports medicine, BJSM, Published Online First: 12 November 2020. - https://bjsm.bmj.com/content/early/2020/11/11/bjsports-2020-102679.abstract

Truong LK, Mosewich AD, Holt CJ, Le CY, Miciak M, Whittaker JL. Psychological, social and contextual factors across recovery stages following a sport-related knee injury: a scoping review. BJSM, 2020. - https://bjsm.bmj.com/content/54/19/1149

In this episode of the JISAKOS Podcast, Social Media Editors, Dr. Emmanouil Brilakis and Prof. Andreas Voss interview Prof. Harris Slone of the Medical University of South Carolina about his recently publish article, "Quadriceps tendon autograft is an effective alternative graft for posterior cruciate ligament reconstruction in isolated or multiligament injuries: a systematic review" (https://jisakos.bmj.com/content/early/2021/02/11/jisakos-2020-000487).

This round table, recorded at the nuffield summit 2021, asks what does following the science actually mean - do ministers understand the nuance of the science in the pandemic, and how does uncertainty get interpreted through the lens of ideology and the power of compelling stories.

Taking part are: Kamran Abassi, executive editor of The BMJ Partha Kar, consultant in diabetes and endocrinology Deborah Cohen, health correspondent for BBC Newsnight Tom Sasse, associate director at the Institute for Government Christina Pagel, professor of Operational Research at University College London Matt Morgan, intensive care consultant Andy McKeon, chair of the Nuffield Trust Isobel Hardman, assistant editor of The Spectator Mary Dixon-Woods, director of This Institute Ben Page, chief executive of Ipsos MORI Alexandra Freeman, executive director of the Winton Centre for Risk & Evidence Communication Will Moy, chief executive of Full Fact Nigel Edwards, chief executive of the Nuffield Trust

Depression in children is characterised by sad or irritable mood, anhedonia, decreased capacity to have fun, decreased self-esteem, sleep disturbance, social withdrawal or impaired social relationships, and impaired school performance.

It is one of the most common paediatric psychiatric disorders, especially among girls during adolescence.

David A. Brent, Endowed Chair in Suicide Studies, Professor of Psychiatry, Pediatrics, Epidemiology, and Clinical and Translational Science, University of Pittsburgh, gives us an overview of the condition.

For more on depression in children, visit BMJ Best Practice: bestpractice.bmj.com/topics/en-gb/785

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The purpose of this podcast is to educate and to inform. The content of this podcast does not constitute medical advice and it is not intended to function as a substitute for a healthcare practitioner’s judgement, patient care or treatment. The views expressed by contributors are those of the speakers. BMJ does not endorse any views or recommendations discussed or expressed on this podcast. Listeners should also be aware that professionals in the field may have different opinions. By listening to this podcast, listeners agree not to use its content as the basis for their own medical treatment or for the medical treatment of others.

In this episode of the Heart podcast, Digital Media Editor, Dr James Rudd, is joined by Dr Martin O'Donnell from Galway in Ireland. They discuss his paper "Variations in knowledge, awareness and treatment of hypertension and stroke risk by country income level". If you enjoy the show, please subscribe to the podcast to get episodes automatically downloaded to your phone and computer. Also, please consider leaving us a review at https://itunes.apple.com/gb/podcast/heart-podcast/id445358212?mt=2 Link to published paper: https://heart.bmj.com/content/107/4/282

The use of telemedicine is on the rise, and the pandemic has led to an increased demand for this service, due to the availability of face-to-face appointments being severely limited.

In this week’s episode, we discuss the benefits and pitfalls of teledermatology. With long waits for secondary care referrals, teledermatology allows dermatologists to fast-track patients requiring urgent investigations, and to direct them to the most appropriate care, which helps to alleviate some of the pressure on GPs.

We talk about the common concerns around missing a skin cancer diagnosis, and the importance of empowering our patients to understand when to seek further help. How do we take good photos of skin lesions to aid diagnosis, and what is the vital information that dermatologists need from a GP referral?

Our guests;

Lucy Thomas is a consultant dermatologist at Chelsea & Westminster Hospital NHS Foundation Trust, she was also part of the Dermatology Team of the Year in the 2020 BMJ Awards, for the creation of a teledermatology service.

Afzal Ansari is chair of the Royal Photographic Society's medical committee, and a medical photographer with decades of experience.

For more on teledermatology https://www.bad.org.uk/healthcare-professionals/teledermatology

In a slightly different talk evidence, Helen Macdonald and Duncan Jarvies are bringing you a couple, of in depth interviews,

Firstly, Anthony Harnden, GP, academic and member of the UK's Joint Committee on Vaccination and Immunisation takes us inside their decision making, and explains what evidence they look at, how they assess it, and what the next year of vaccination may look like.

Also in this episode, Gordon Guyatt, one of the founders of EBM, joins us to talk about Grade - the framework in which evidence for guidelines can be assessed - and explains why the most important thing is not the RCTs, but being very clear about what the guideline is supposed to achieve.

https://www.gov.uk/government/groups/joint-committee-on-vaccination-and-immunisation

https://www.gradeworkinggroup.org/

In this episode of the IJGC Podcast, Editorial Fellow Alex Mutombo reviews the contents of the March issue in French.

We all know the benefits of physical activity, but have you ever considered the ways the area you live in influences your ability to and options for exercise? Many Americans live in areas that discourage rather than promote an active lifestyle. Lack of access to areas to safely exercise creates physical activity deserts, which like food deserts, where fresh produce is not readily available, have deleterious effects on the health and well-being of the population living there.

On this episode of the AMSSM Sports Medcast (T: @TheAMSSM) host Dr. Devin McFadden, MD is joined by sports medicine researcher and president of the American College of Sports Medicine, Dr. NiCole Keith, PhD.

Dr. NiCole Keith (T: @nicolekeithphd) is a Professor from the Department of Kinesiology and associate dean of faculty affairs in the School of Health & Human Sciences at Indiana University-Purdue University Indianapolis. Her research interests include physical activity and health equity. In addition to serving as the current president of the ACSM she has previously served as the vice president of membership, communication, and policy and serves on both the Exercise is Medicine and American Fitness Index advisory boards.

In this 20-minute conversation Dr. Keith addresses the following topics:

What are physical activity deserts? Who is a risk of these deserts and what are the consequences? What can we do to advocate for improved access to safe areas to be physically active on the local and national levels?

Physical Activity Alliance: https://paamovewithus.org/

The American Fitness Index ranks America’s top 100 healthiest cities: https://americanfitnessindex.org/

Exercise is Medicine connects physical activity to healthcare: https://www.exerciseismedicine.org/

ActivEarth seeks to improve communities through physical activity and active transportation: https://www.acsm.org/acsm-membership/strategic-initiatives/activearth-(active-transportation)

Dr Philip Smith, Digital and Education Editor of Gut and Consultant Gastroenterologist at the Royal Liverpool Hospital, UK, interviews Professor Nathanson, the Gladys Phillips Crofoot Professor of Medicine and Cell Biology at Yale University and the Director of the Yale Liver Center, Yale University School of Medicine, New Haven, Connecticut, USA. The podcast is focussed on "Neutrophils interact with cholangiocytes to cause cholestatic changes in alcoholic hepatitis", published in paper copy in Gut, in February 2021. Read it on the Gut website: http://dx.doi.org/10.1136/gutjnl-2020-322540

In this episode of the IJGC Podcast, Editorial Fellow Enrique Chacon discusses the contents of the March issue in Spanish.

Practical Neurology Editors Phil Smith and Geraint Fuller talk you through the highlights of the February issue of the journal. Read more on the PN website: https://pn.bmj.com/content/21/1/1 The full issue here: https://pn.bmj.com/content/21/1

In this episode of the IJGC Podcast, Editorial Fellow Nicolò Bizzarri discusses the contents of the March issue in Italian.

In this episode of the IJGC podcast, Editor-in-Chief Dr. Pedro Ramirez, is joined by Dr. David Cibula to discuss the international ABRAX study. Dr. Cibula is the Chair of the Gynecologic Oncology Center at the General Faculty Hospital in Prague, Chair of the Central and Eastern European Gynaecologic Oncology Group (CEEGOG), as well as a Former ESGO president.

Highlights: * ABRAX trial was designed to evaluate if the completion of radical hysterectomy is associated with a survival benefit in patients with early-stage cervical cancer and positive pelvic lymph node found intraoperatively. * This trial represents the largest cohort of patients managed by upfront surgery with negative lymph nodes on preoperative staging but positive lymph node involvement diagnosed during surgery. * We did not find any improvement in PFS, OS, or pelvic disease-free survival associated with radical hysterectomy, either in the whole group or in any subgroups, including patients with larger tumor size or adenocarcinomas. * The outcome of the ABRAX trial is in agreement with current international guidelines (NCCN, ESGO-ESTRO-ESP) which recommend the abandonment of further radical surgery in patients with intraoperative N1 detection.

Never has the spotlight been as strong on a clinical trial as that on the Pfizer BioNTech vaccine, the first approved for covid-19.

In this interview, Joanne Silberner spoke to its lead principal investigator, Stephen Thomas chief of infectious diseases at SUNY Upstate Medical University, New York, became the lead principal investigator for one of the most closely watched clinical trials in history.

They discuss the moment the positive results came through, what will happen to the people who are still enrolled in the trial, but got a placebo dose, and why the trial was designed in the way it was.

www.bmj.com/coronavirus

Why is academic failure surrounded by shame and guilt? Find out what support is available for students, and why failing may make you a better doctor in the long term.

This week the panel are joined by Rakesh Patel, Clinical Associate Professor in Medical Education, to talk about failing - and why medical students are so embarrassed to fail.

In this episode of the IJGC podcast, Editor-in-Chief Dr. Pedro Ramirez, is joined by Dr. Olga Novikova to discuss the conservative management of endometrial cancer.

Highlights 1) Levonorgestrel-releasing IUD containing regimens are found superior to oral medroxyprogesterone in both atypical hyperplasia and early endometrial cancer patients. 2) ART when used did not affect the recurrence rates which makes it safe to recommend to improve pregnancy rates. 3) Live births and maintenance with Levonorgestrel-releasing IUD did significantly improve disease-free survival after fertility-sparing treatment.

Rita Colwell is one of the top scientists in America: the groundbreaking microbiologist who discovered how cholera survives between epidemics and the former head of the National Science Foundation. She joins us for International Women’s Day, discussing the trials and successes of being a woman in science and her new book A Lab of One’s Own. Read the related blog post with the transcript of this podcast: https://blogs.bmj.com/medical-humanities/2021/03/08/the-fight-against-sexism-in-science-international-womens-day-featuring-scientist-rita-colwell Subscribe to the Medical Humanities in all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify.

Editor-in-Chief of ADC Nick Brown brings you the monthly Atoms - the highlights of the March 2021 issue. Read it on the Archives of Disease in Childhood website: https://adc.bmj.com/content/106/3/i

Joining us on this podcast to discuss this crucial topic are Dr Adam Gledhill, Dr Dale Forsdyke and Tom Goom.

Adam is Course Director for Sport, Exercise and Health Sciences at Leeds Beckett University. He is also chair of the British Association of Sport and Exercise Science Division of Psychology.

Dale is a Senior Lecturer in Sports Injury Management at York St John University, and Head of Science and Medicine at York City Tier 1 Regional Talent Club.

Tom (probably known to many as ‘the running physio’) is a physiotherapist with over 15 years of experience who specialises in running injuries. He shares his knowledge with clinicians and runners around the world through his website Running-physio.com and very popular Running Repairs Course.

In this podcast we cover:

The inspiration behind the editorial and why is it such an important topic Patients’ basic psychological needs and how they relate back to rehab? A number of practical suggestions on how to enhance adherence.

Links:

‘I’m asking you to believe—not in my ability to create change, but in yours’: four strategies to enhance patients’ rehabilitation adherence https://bjsm.bmj.com/content/early/2020/11/03/bjsports-2020-102245?hwshib2=authn%3A1611998232%3A20210129%253A76cf0ccf-1d2e-4e4c-8ced-6c1e1766754f%3A0%3A0%3A0%3AikkQGUelivZ4k1xUJsCLFQ%3D%3D Blog on the running-physio website https://www.running-physio.com/adherence/

In this podcast, we talk to Professor Peter Brennan, surgical human factors expert, and Mr Jon Lund, Chair of the Joint Committee on Surgical Training, about the impact of the COVID-19 pandemic on surgical training and innovative approaches to mitigating its effects as well as how training is anticipated to recover. Subscribe to the BMJ Military Health Podcast on your favourite platform, including Apple Podcasts, Google Podcasts, Stitcher and Spotify.

In this episode of the JISAKOS Podcast, Social Media Editors, Dr. Emmanouil Brilakis and Prof. Andreas Voss interview Prof. Margaret W. Fok of the Queen Mary Hospital in Hong Kong about her recently published article, "Endoscopic cubital tunnel decompression: state of the art" (https://jisakos.bmj.com/content/early/2021/01/31/jisakos-2020-000506).

In this month’s podcast, Rod McLure talks to Professor Richard Matzopoulos, about his work as a researcher-practitioner working across government and academia in South Africa. He details his data-driven policy work to support an evidence-based approach to large impact upstream nation-level interventions. Richard Matzopoulos is a Chief Specialist Scientist and Co-Director of the South African Medical Research Council’s Burden of Disease Research Unit and an Honorary Professor at the University of Cape Town’s Division of Public Health Medicine, where he co-ordinates its Violence and Injury Research programme. His research centres on measuring the health and social burden of violence and injury, and evaluating interventions and policies that target upstream determinants. He advises the Western Cape Government on alcohol harm reduction, and interpersonal violence and injury prevention and surveillance. He is a South African focal point for the international Violence Prevention Alliance and a member of the International Collaborative Effort on Injury Statistics and Methods. The Injury Prevention podcast is released on the first Thursday of each month. Please subscribe via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify.

In this episode of the IJGC Podcast, Editorial Fellow Irina Tsibulak discusses the contents of the March issue in Russian.

Many surgeries have been cancelled during the pandemic, with good reason, as early data showed the increase in mortality associated with a coronavirus infection, but now waiting lists grow, and there are questions about how the NHS will pick up the slack.

In this podcast, Fiona Godlee, editor in chief of The BMJ, talks to the full panel; Partha Kar, consultant in diabetes and endocrinology in Portsmouth, Matt Morgan, a consultant in a intensive care medicine in Cardiff, Helen Salisbury, GP in Oxfordshire, and Nisreen Alwan, public health consultant in Southampton.

They are joined by Mary Venn, research fellow, and honorary surgical registrar in London, who's been looking into the pandemic's effect on surgery. For more on that research:

http://nihrglobalsurgery.org/surgeryduringcovid

To register for our covid known unknowns webinar - https://www.bmj.com/covid-19-webinars

Duane Peters from the Lupus Foundation of America interviews Ms Meghan Angley and Dr Sam Lim from Emory University in Georgia, and Dr Megan Clowse from Duke University in North Carolina, about infertility and reproductive injustice in African-American women with systemic lupus erythematosus.

Access the papers here: https://lupus.bmj.com/content/7/1/e000439 https://lupus.bmj.com/content/7/1/e000455

Prof Alaisdair Coles and Dr Nick Cunniffe, The University of Cambridge joins editor Colin Mahoney to discuss:

The work carried out by a team of researchers alongside the MS Society in the United Kingdom. The authors discuss the process of identifying therapies to repurpose in future MS trials and why they think this drugs may work. https://jnnp.bmj.com/content/92/3/295

In this episode of the IJGC Podcast, Editorial Fellows Anna Collins and Nicolò Bizzarri discuss the contents of the March issue.

Raynaud's phenomenon (RP) is characterised by vasospasm that causes digits to change colour to white (pallor) from lack of blood flow, usually brought on by cold temperatures.

Affected areas subsequently turn blue due to de-oxygenation and/or red due to reperfusion. It can be a painful condition and can lead to complications.

Janet Pope, Professor of Medicine, Division of Rheumatology, Department of Medicine, University of Western Ontario, gives a clinical overview of the condition.

For more on Raynaud's phenomenon, visit BMJ Best Practice: bestpractice.bmj.com/topics/en-gb/193

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The purpose of this podcast is to educate and to inform. The content of this podcast does not constitute medical advice and it is not intended to function as a substitute for a healthcare practitioner’s judgement, patient care or treatment. The views expressed by contributors are those of the speakers. BMJ does not endorse any views or recommendations discussed or expressed on this podcast. Listeners should also be aware that professionals in the field may have different opinions. By listening to this podcast, listeners agree not to use its content as the basis for their own medical treatment or for the medical treatment of others.

In this podcast, we explore how the HIV endemic has evolved over time in Indonesia and is tracking against UNAIDS 90:90:90 treatment for all goals. We discuss the impact the COVID-19 pandemic has had on the already stressed health care system in Indonesia. Dr Fabiola Martin interviews Dr Keerti Gedela, Consultant physician and researcher in HIV and sexual health medicine, Chelsea & Westminster NHS Trust, London, and Dr Hendry Luis, general physician with an interest in HIV and Sexual Health Medicine, working at the Bali Peduli Foundation, Indonesia. Read the related blog post: https://blogs.bmj.com/sti/?p=1476&preview=true Listen to our podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify.

In this episode of the Heart podcast, Digital Media Editor, Dr James Rudd, is joined by Dr Matthew Ryan from King's College, London. They discuss whether and how we should revascularise patients with ischemic cardiomyopathy, plus also mention the REVIVED study which reports in 2022.

If you enjoy the show, please subscribe to the podcast to get episodes automatically downloaded to your phone and computer. Also, please consider leaving us a review at https://itunes.apple.com/gb/podcast/heart-podcast/id445358212?mt=2

Link to published paper: https://heart.bmj.com/content/early/2021/01/12/heartjnl-2020-316856

Suddenly 1.7m extra people have been told to shield from coronavirus, thanks to the QCovid algorithm, and that's causing confusion - ethnicity is one of the risk factors in QCovid, and yet there is a signal that there is lower update of the vaccine amongst ethnic minorities in the UK.

In this week’s episode, we discuss how particular factors, such as age, ethnicity, and comorbidities, affect your QCovid score, and why a GP can help people interpret that population level risk to themselves.

We also discuss how institutional barriers may be preventing people from accessing the vaccine, and the active role that GPs should play in engaging with their at-risk patients, and how they might best support the communities they serve in promoting vaccine uptake.

Our guests: Kevin Fenton is the Regional Director of Public Health England for London, and Regional Director of Public Health NHS London.

Kamlesh Khunti is a professor of Primary Care Diabetes & Vascular Medicine at the University of Leicester. He is also the co-director of the Leicester Diabetes Centre, and co-developer of the QCovid algorithm.

In this episode of the JIM Podcast, Editor-in-Chief Richard McCallum speaks with Dr. Harsha Nagarajarao of the Saint Joseph Regional Medical Center about American Heart Month.

Ashling Lillis is a now consultant in acute medicine at Whittington Health NHS Trust, but she was almost a consultant in intensive care medicine - but a mental health crisis just 6 months before she qualified made her reassess her career, and choose a different path.

In this podcast, Ash talks to Abi and Cat about the difficulty many doctors have when discussing their mental health - and how speaking out about her own experiences, has encouraged others to talk to her privately - and opened her eyes to the extent of the problem in the NHS.

www.bmj.com/wellbeing

Childhood obesity is a prevalent problem but perhaps not as commonly addressed in doctors’ appointments due to a variety of reasons. In part two of their conversation, Dr. Dusty Marie Narducci, MD speaks with Dr. Caitlyn Mooney, MD about childhood obesity, including the following questions:

· At what point would you recommend intervening? · Once a weight loss goal is determined, how do you move forward? · How exactly does diet play a role in obesity? · What is the role of physical activity, and what are the current activity recommendations? · What’s the evidence regarding interventions for childhood obesity? · Is there a role for pharmacological therapy in treatment? And what about surgical intervention? · Is there a role for counseling in certain populations?

Related Articles and Links:

Paul R. Stricker, Avery D. Faigenbaum, Teri M. McCambridge and COUNCIL ON SPORTS MEDICINE AND FITNESS Pediatrics June 2020, 145 (6) e20201011; DOI: https://doi.org/10.1542/peds.2020-1011

Brown T, Moore TH, Hooper L, et al. Interventions for preventing obesity in children. Cochrane Database Syst Rev 2019; 7:CD001871.

Thomas H. Inge, MD, PhD1; Meg H. Zeller, PhD1; Todd M. Jenkins, PhD1; et al. Perioperative Outcomes of Adolescents Undergoing Bariatric Surgery The Teen–Longitudinal Assessment of Bariatric Surgery (Teen-LABS) Study. JAMA Pediatr. 2014;168(1):47-53. doi:10.1001/jamapediatrics.2013.4296

In this podcast, James Cave (Editor-in-Chief) and David Phizackerley (Deputy Editor) review the March issue of DTB (https://dtb.bmj.com/content/59/3). The editorial discusses a national safety alert that highlighted the risk of dependence associated with prolonged use of opioids for non-cancer pain and a proposal that all opioid medicines in the UK carry the warning "can cause addiction" (https://dtb.bmj.com/content/59/3/34). The editors talk about an article on the rationale and science behind bisphosphonate holidays (https://dtb.bmj.com/content/59/3/35). The main article explores the risk of nitrosamine contamination in medicines (https://dtb.bmj.com/content/59/3/39) and the case report is of a patient who developed an unusually impressive atorvastatin-induced elevation of serum alkaline phosphatase (https://dtb.bmj.com/content/59/3/43). Please subscribe to the DTB podcast to get episodes automatically downloaded to your mobile device and computer. Also, please consider leaving us a review or a comment on the DTB Podcast iTunes podcast page (https://podcasts.apple.com/gb/podcast/dtb-podcast/id307773309). Thank you for listening. Also, DTB is running a short survey to find out what people think of our content. Please visit https://dtb.bmj.com to find a link to the survey.

JNIS Editor-In-Chief, Felipe C. Albuquerque, interviews Sami Al Kasab and Alejandro Spiotta, both from the Medical University of South Carolina, Charleston, USA. They discuss the Stroke Thrombectomy and Aneurysm Registry data showing an “alarming downtrend in mechanical thrombectomy rates in African American patients during the COVID-19 pandemic”. Read the related article online (https://jnis.bmj.com/content/early/2021/01/06/neurintsurg-2020-016946) and in the March issue of JNIS. Please subscribe to the JNIS Podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify, to get episodes automatically downloaded to your mobile device and computer. Also, please consider leaving us a review or a comment on the JNIS Podcast iTunes page: https://podcasts.apple.com/gb/podcast/jnis-podcast/id942473767

In this podcast, Brandy Schillace, Medical Humanities Editor-in-Chief, interviews Dr. Oni Blackstock, physician and Director of Health Justice Dr. Blackstock speaks about the influence of her mother, the fight against health inequality, and her own struggles as a Black woman physician for social justice. Read the related blog post: https://blogs.bmj.com/medical-humanities/2021/02/24/the-power-of-equity-interview-with-oni-blackstock/

In this episode of the IJGC podcast, Editor-in-Chief Dr. Pedro Ramirez, is joined by Dr. Ji-Hong Liu to discuss the STAR Trial. Dr. Liu is a Professor in the Department of Gynecologic Oncology at Sun Yat-sen University Cancer Center. He is also President-elect of the Gynecologic Oncology Committee of China Anti-Cancer Association.

Highlights: - In post-surgery treatment setting, adjuvant sequential chemoradiation was associated with improved disease-free survival compared with radiation alone or concurrent chemoradiation, and was well tolerated. - Sequential chemoradiation also decreased the risk of death compared with radiation alone. - Neither disease-free survival nor cancer death risk was different between patients treated with concurrent chemoradiation or radiation alone. - The detailed QOL results in comparisons between three arms will be orally presented at the annual meeting of SGO 2021 in March. - In conclusion, sequential chemoradiation (SCRT) after radical surgery resulted in a better disease-free survival and lower risk of cancer death for cervical cancer patients with adverse pathological factor, and could be an optimal adjuvant treatment in this setting.

Jeremy Farrar, is director of the Wellcome Trust, as well as advisor to the government on SAGE. Trained as a medic and with a PhD in neuro-immunology, he was a professor of Tropical Medicine and Global health at the University of Oxford.

In this podcast, he tells us why he thinks that vaccine nationalism is a very short-termist response the pandemic, and why he's bullish about new variants of the SARS-CoV-2 virus.

www.bmj.com/coronavirus

This week the team talk about all the tech you might face working in the NHS - from bleeps and fax machines to slow computers. Find out if you’re allowed to use WhatsApp, what the alternatives are, and why the IT can be so frustrating in the first place...

Interviews:

Stephen Armstrong, freelance journalist

Sarah El-Sheikha and Sarah Blackstock are Clinical Fellows at FMLM. Opinions mentioned in the episode are their own and not that of their employing organisation(s). There are other apps available (for free). You can contact them via twitter: @sarah_sheikha and @sarahblackst0ck

Childhood obesity is a prevalent problem but perhaps not as commonly addressed in doctors’ appointments due to a variety of reasons. Dr. Dusty Marie Narducci, MD speaks with Dr. Caitlyn Mooney, MD on the AMSSM Sports Medcast all about childhood obesity. In part one of their conversation, Dr. Narducci tackles the following questions:

· Why is it important to know about childhood obesity? · What defines obesity, and what causes it in children? · What are BMI z-scores, and how much can clinicians rely on BMI as a measurement? · What are the comorbidities of obesity in childhood and adolescents? · What are the musculoskeletal implications of obesity? · What is the prognosis of childhood obesity?

Related Articles and Links:

BMI Z-Score and Percentile Calculator: https://www.bcm.edu/bodycomplab/BMIapp/BMI-calculator-kids.html BMI Percentile Calculator for Child and Teen https://www.cdc.gov/healthyweight/bmi/calculator.html

Boutelle KN, Rhee KE, Liang J, et al. Effect of Attendance of the Child on Body Weight, Energy Intake, and Physical Activity in Childhood Obesity Treatment: A Randomized Clinical Trial. JAMA Pediatr 2017; 171:622.

US Preventive Services Task Force, Grossman DC, Bibbins-Domingo K, et al. Screening for Obesity in Children and Adolescents: US Preventive Services Task Force Recommendation Statement. JAMA 2017; 317:2417.

Expert Panel on Integrated Guidelines for Cardiovascular Health and Risk Reduction in Children and Adolescents, National Heart, Lung, and Blood Institute. Expert panel on integrated guidelines for cardiovascular health and risk reduction in children and adolescents: summary report. Pediatrics 2011; 128 Suppl 5:S213

In this episode of the IJGC Podcast, Editorial Fellow Enrique Chacon discusses the contents of the February issue in Spanish.

In this episode of the IJGC Podcast, Editorial Fellow Nicolò Bizzarri discusses the contents of the February issue in Italian.

In this episode of the IJGC Podcast, Editorial Fellow Alex Mutombo discusses the contents of the February issue in French.

In this episode of the IJGC Podcast, Editorial Fellow Irina Tsibulak discusses the contents of the February issue in Russian.

In this podcast, Fiona Godlee, editor in chief of The BMJ, talks to; Partha Kar, consultant in diabetes and endocrinology in Portsmouth, Helen Salisbury, GP in Oxfordshire, and Nisreen Alwan, public health consultant in Southampton. This week our special guest is Rachel Clarke, author and palliative care specialist.

The panel discuss how end of life care has changed in the pandemic, and how clinicians have become targets of abuse on social media, for speaking out about things like masks and hospital capacity.

In this episode of the IJGC podcast, Editor-in-Chief Dr. Pedro Ramirez, is joined by Dr. Tamara Jones to discuss physical activity in ovarian cancer. Dr. Jones is an Accredited Exercise Physiologist and PhD Candidate at Griffith University in Brisbane, Australia. Her research focus is on physical activity and exercise for people with cancer, in particular women with ovarian cancer, and the potentially positive impacts that physical activity and exercise may have on health outcomes.

In this episode of the Heart podcast, Digital Media Editor, Dr James Rudd, is joined by Dr Allan Klein from The Cleveland Clinic. They discuss the use of Rilanocept for treating this troublesome condition and the Rhapsody trial. If you enjoy the show, please subscribe to the podcast to get episodes automatically downloaded to your phone and computer. Also, please consider leaving us a review at https://itunes.apple.com/gb/podcast/heart-podcast/id445358212?mt=2 Link to published paper: https://heart.bmj.com/content/early/2020/11/22/heartjnl-2020-317928

The highlights of this edition brought to you by the Editor-in-Chief of Frontline Gastroenterology Mark Beattie. Read the UpFront of the March issue of Frontline Gastroenterology: https://fg.bmj.com/content/12/2/85 The full issue is now online: fg.bmj.com/content/12/2 Listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify.

The observation period, after receiving a covid-19 vaccination may be the only 15 minutes someone in the NHS might get all day.

In this podcast, we're joined again by Chris Bu, psychiatry trainee who has previously spoken to us about how Burmese Buddhism helped him in his training.

He takes us through a guided mindfullness meditation, tailored to that post-vaccination period, to help you make the most of your observation time.

www.bmj.com/wellbeing

The evidence geekery continues, and this week Helen Macdonald and Duncan Jarvies are joined by Joe Ross, The BMJ's US research editor, and professor of medicine and public health at Yale.

This week we pick up on a preprint in medRxiv, which has been attracting attention on social media - it tries to look at the longer term effects of covid hospitalisation.

Joe explains why he thinks propensity matching can be summarised as "doing your best".

Finally, as more and more care moves remotely, we discuss a trial on a digital intervention to help manage poorly controlled hypertension remotely.

Reading list: Epidemiology of post-COVID syndrome following hospitalisation with coronavirus: a retrospective cohort study https://www.medrxiv.org/content/10.1101/2021.01.15.21249885v1.full.pdf

Home and Online Management and Evaluation of Blood Pressure (HOME BP) using a digital intervention in poorly controlled hypertension: randomised controlled trial https://www.bmj.com/content/372/bmj.m4858

In this podcast, we’re joined by Professor Ben Jones, to discuss his recently published paper on the risk of COVID-19 transmission in sport.

Ben is a Professor at the Carnegie School of Sport at Leeds Beckett University, with a background in Sport and Exercise Physiology. He is also Head of Performance for England Rugby League and the Pathway Performance Director for Leeds Rhinos.

We cover: · The sports the research relates to · The methods involved · What this means for players, for medical staff, and for sport in general

Link: https://bjsm.bmj.com/content/early/2021/02/10/bjsports-2020-103714

Simon Carley, Associate Editor of EMJ, talks through his highlights of the February 2021 edition of the Emergency Medicine Journal.

Read the primary survey here - https://emj.bmj.com/content/38/2/87

Post-exertion oxygen saturation as a prognostic factor for adverse outcome in patients attending the emergency department with suspected COVID-19: a substudy of the PRIEST observational cohort study https://emj.bmj.com/content/38/2/88

Diagnostic accuracy of point-of-care lung ultrasound in COVID-19 https://emj.bmj.com/content/38/2/94

Rise and fall of the aerosol box; and what we must learn from the adoption of untested equipment https://emj.bmj.com/content/38/2/109

COVID-19 aerosol box as protection from droplet and aerosol contaminations in healthcare workers performing airway intubation: a randomised cross-over simulation study https://emj.bmj.com/content/38/2/111

Evaluation of a novel approach to recognising community-acquired paediatric sepsis at ED triage by combining an electronic screening algorithm with clinician assessment https://emj.bmj.com/content/38/2/132

Nurse practitioner administered point-of-care ultrasound compared with X-ray for children with clinically non-angulated distal forearm fractures in the ED: a diagnostic study https://emj.bmj.com/content/38/2/139

Emergency Medicine Journal COVID-19 monthly top five https://emj.bmj.com/content/38/2/158

Read the full February issue here: https://emj.bmj.com/content/38/2

In this episode of the IJGC Podcast, Editorial Fellows Anna Collins and Irina Tsibulak discuss the contents of the February issue.

In the UK, we are currently in the midst of our third lockdown since the pandemic began, and there has been a huge surge in people experiencing mental distress, anxiety and depression during the past year. The novelty of the first lockdown, in which people optimistically took up a variety of new activities, such as learning a language or baking endless loaves of banana bread, has long worn off, and many people now feel like they’ve used up their “coping resources”. Confusing public health messaging has led to great uncertainty, a feeling that we’re having to put our lives on hold, and dwindling hope. In this week’s episode, we discuss the difficulty of measuring the mental health impact of the pandemic, and how other issues (such as financial strain or bereavement) may cause long-term mental health problems. We also talk about loneliness: how to approach the subject with our patients, and the role that social prescribing may play in tackling it.

Our guests; Daisy Fancourt is an associate professor of psychobiology and epidemiology at UCL. She is the lead researcher on the COVID-19 social study, (https://www.covidsocialstudy.org/) which looks at the psychological and societal impact of the pandemic, and she is also the director of the COVID-Minds Network (https://www.covidminds.org/).

Dr. Farhana Mann is a psychiatrist in London and Wellcome Clinical Research Fellow at the Division of Psychiatry, UCL. She has been on the government advisory group on tackling loneliness, and is part of the UKRI Loneliness and Social Isolation in Mental Health Network, led by UCL.

Additional resources/further reading:

'A life less lonely: the state of the art in interventions to reduce loneliness in people with mental health problems' https://link.springer.com/article/10.1007/s00127-017-1392-y

'Loneliness in the UK during the COVID-19 pandemic: Cross-sectional results from the COVID-19 Psychological Wellbeing Study' https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7513993/

'Understanding loneliness in the twenty-first century: an update on correlates, risk factors, and potential solutions' Social Psychiatry and Psychiatric Epidemiology (2020) 55:793–810 https://doi.org/10.1007/s00127-020-01889-7

UCL Network is @ucl_loneliness on Twitter, and they are a good place to start if looking for updates on the field. People are very welcome to get in touch via the website too: https://www.ucl.ac.uk/psychiatry/research/epidemiology-and-applied-clinical-research-department/loneliness-and-social-isolation

Editor-in-Chief of ADC Nick Brown brings you the monthly Atoms - the highlights of the February2021 issue. Read it on the Archives of Disease in Childhood website: https://adc.bmj.com/content/106/2/i

Neil Greenberg is a psychiatrist, and professor of Defence Mental Health at King's College London. He spent 23 in the military, and now continues to work with them on things like peer led traumatic stress support packages.

A recent survey of NHS staff showed disturbing signs that covid-19 has caused a widespread trauma in staff, so in this podcast we talked to Neil about trauma and moral injury, what some of the warning signs are, and what individuals and organisations can do to help their colleagues.

www.bmj.com/wellbeing

In this episode of the JISAKOS Podcast, Social Media Editors, Dr. Emmanouil Brilakis and Prof. Andreas Voss interview Alessandro Marinelli of the Istituto Ortopedico Rizzoli, Bologna, Italy, about his recently published article, "Treatment of elbow instability: state of the art" (https://jisakos.bmj.com/content/early/2021/01/26/jisakos-2019-000316).

Jeremy Hunt probably needs no introduction to our audience - the UK's longest serving health minister, he now chairs Westminster's Health and Social Care Committee - the powerful committee that holds the government to account for its policy choices.

In this interview Gareth Iacobucci asks Hunt if he regrets his decision to impose the contract on junior doctors which lead to their industrial action, how workforce issues have left the NHS in a poor state to deal with a health emergency. They also talk about the potential for a public enquiry into the government's handling of the pandemic, and what an upcoming committee report into the same issue might find.

Dr. Josh Mugele, a disaster and emergency medicine physician, speaks about health disparity during crises like the current COVID pandemic. Read the blog post containing the transcript of this podcast: https://blogs.bmj.com/medical-humanities/2021/02/04/what-becomes-of-us-health-disparity-in-pandemic/

In this episode of the IJGC podcast, Editor-in-Chief Dr. Pedro Ramirez, is joined by Dr. Brian Slomovitz to discuss asbestos and ovarian cancer. Dr. Slomovitzs is a Gynecologic Oncologist at Broward Health and Professor of Obstetrics and Gynecology at the Wertheim College of Medicine at Florida International University. He is an internationally recognized leader in gynecologic oncology clinical trials, specifically in immunotherapy and novel biomarker therapeutics. He also is a leader in sentinel lymph node detection for gynecologic malignancies.

Highlights a. Asbestos comprises a family of small silicate fibers that are found in nature. b. Asbestos is known to cause different types of cancer. c. The causal association between asbestos and ovarian cancer is weak and inconsistent d. Peritoneal mesothelioma is histologically similar to ovarian cancer and pathologic confirmation of diagnosis is required before causal assumptions are made

Kieran Walsh, clinical director at BMJ, asks editors from BMJ Learning and BMJ Best Practice to summarise the latest clinical guidance related to covid-19.

Matt Castleden, GP and section editor, updates us on pulse oximetry, prognostic scoring, and management in hospital.

And Abigail Davis, GP and section editor, covers Covid-19 vaccination and chronic conditions, including advice for patients with thrombocytopenia, and those taking immunosuppressive drugs, ACE inhibitors or ARBs.

For more, see:

BMJ Best Practice's topic on management of coexisting conditions in the context of COVID-19: bestpractice.bmj.com/topics/en-gb/3000190

BMJ Best Practice's topic on covid-19: bestpractice.bmj.com/topics/en-gb/3000168

BMJ Learning's quick tips module: proning in critical care: learning.bmj.com/learning/modules/elucidat/10065419

BMJ Learning module on COVID-19 rapid guideline on critical care (NICE): new-learning.bmj.com/course/10065100

BMJ Learning covid-19 in primary care module: new-learning.bmj.com/course/10065230

Associate Editor of EBN, David Barrett, University of Hull, UK, interviews Dr Nikolaos Efstathiou, lecturer in Nursing at the Institute of Clinical Sciences, University of Birmingham, about the Delphi technique in scientific research. Please read the related study: https://ebn.bmj.com/content/23/3/68

This week the team are joined by Mike Farquhar, Consultant in sleep medicine at Evelina London Children’s Hospital, to talk about sleep and fatigue in medical school and beyond.

Morning lark, or night owl, you'll probably need more sleep, or at least a coffee nap. Find out about the science of staying awake.

Paper mentioned by Mike in the ep: https://ep.bmj.com/content/102/3/127

Twitter: @GBruinvels, @JaneSThornton, @Erin_Macri

Dr. Georgie Bruinvels is a Research Associate at St. Mary’s University in Twickenham in the UK, and also works as a Senior Sports Scientist and Research Scientist at Orreco. Her research focuses on the female athlete and female physiology.

In this episode, Dr. Erin Macri, Dr. Jane Thornton, and our guest Dr. Georgie Bruinvels discuss menstrual symptoms and sports performance, and explore the technology and ethics around normalizing period talk in sports medicine.

Related Articles

Bruinvels G, Goldsmith E, Blagrove R, Simpkin A, Lewis N, Morton K, Suppiah A, Rogers JP, Ackerman KE, Newell J, Pedlar C. Prevalence and frequency of menstrual cycle symptoms are associated with availability to train and compete: a study of 6812 exercising women recruited using the Strava exercise app. British Journal of Sports Medicine. 2020. http://dx.doi.org/10.1136/bjsports-2020-102792

Duane Peters from the Lupus Foundation of America interviews Dr Pintip Ngamjanyaporn and Dr Nantakarn Pongtarakulpanit from Mahidol University in Bangkok, Thailand, about their study on the short term efficacy and safety of rituximab biosimilar in refractory lupus.

Access the paper here: https://lupus.bmj.com/content/7/1/e000442

The "public health emergency of international concern" was issued by the WHO a year and a lifetime ago. As the UK ramps up testing for the South African virus variant, and is full steam ahead on vaccination, we look back at what we've learned in that time.

In this podcast, Fiona Godlee, editor in chief of The BMJ, talks to; Partha Kar, consultant in diabetes and endocrinology in Portsmouth, Matt Morgan, a consultant in a intensive care medicine in Cardiff, and Helen Salisbury, GP in Oxfordshire.

They talk about working in the NHS at the moment, the utility of international comparisons, and their remaining questions about vaccination regimes.

www.bmj.com/coronavirus

ADC Fetal and Neonatal’s Associate Editor Jonathan Davis interviews Haribalakrishna Balasubramanian (Department of Neonatology, Surya Hospitals, Mumbai, Maharashtra, India), and Anitha Ananthan (Department of Neonatology, Seth GS Medical College and KEM Hospital, Mumbai, Maharashtra, India) about their recent systematic review and meta-analysis on cord milking in preterm delivery. Read the relevant papers on the ADC website: https://fn.bmj.com/content/105/6/572 https://fn.bmj.com/content/103/6/F539

What is the “safety in numbers” effect? And how can research conducted in simulated environments challenge the results of real-life studies about cyclists safety? The discussion in this podcast with Dr Jason Thompson, University of Melbourne, Australia, introduces the idea of modeling artificial societies, and suggests ways these agent-based models can be used to advance injury prevention. Read the related paper on the Injury Prevention website: https://injuryprevention.bmj.com/content/25/5/379

It’s been just over a year since the WHO declared the pandemic a “Public Health Emergency of International Concern” - if you cast your mind back to then, the news was full of reassurances about how prepared the UK and the USA were for a pandemic.

Now a year later, with the benefit of hindsight, that confidence was wildly overstated - but why was that, what is the gap between that theoretical readiness, and reality.

In this podcast we're joined by talking to Tom Frieden - former director of the Centres for Disease Control and Prevention, under President Obama, and who has a long history of public health leadership.

He talks about the gap between the apparatus to do something, the the political will to do that. Why data have been lacking, and the interaction between a infectious and non-infectious diseases.

www.bmj.com/coronavirus

In this episode of the IJGC Podcast, Florencia Noll discusses the contents of the January issue of IJGC in Spanish.

In this episode of the IJGC podcast, Editor-in-Chief Dr. Pedro Ramirez, is joined by Dr. Mona El-Bahrawyto discuss ovarian sex cord stromal tumors. Dr. El-Bahrawy is the lead author of “Ovarian sex cord-stromal tumors: an update on clinical features, molecular changes, and management" (https://ijgc.bmj.com/content/early/2021/01/07/ijgc-2020-002018), which is the Lead Article of IJGC’s February 2021 issue.

Dr. El-Bahrawy is Professor of Practice in Histopathology at Imperial College London, United Kingdom, and Professor of Pathology at the University of Alexandria, Egypt, and President of the Egyptian Committee for Pathology Training. She specializes in Gynaecological Surgical Pathology with special interest in Gynaecological Tumour Pathology.

Highlights: - Ovarian sex cord stromal tumours are rare tumours that include benign and malignant variants. - They are broadly classified into three categories, which include pure stromal tumors, pure sex cord tumors and mixed sex cord stromal tumors. - Some tumor types harbor hallmark mutations, such as FOXL-2 mutations detected in the majority of adult granulosa cell tumors. - Surgery is the main treatment modality for sex cord stromal tumors with some role for chemotherapy and hormonal therapy in advanced and recurrent tumors. - There is potential for the identification of therapeutic targets and development of targeted therapy for these tumors.

In this episode of the Heart podcast, Digital Media Editor, Dr James Rudd, is joined by Dr William Parker from the University of Sheffield. They discuss his Education in Heart paper on optimal management of chronic coronary syndrome patients with reference to their anti-thrombotic needs. If you enjoy the show, please subscribe to the podcast to get episodes automatically downloaded to your phone and computer. Also, please consider leaving us a review at https://itunes.apple.com/gb/podcast/heart-podcast/id445358212?mt=2 Link to published paper: https://heart.bmj.com/content/early/2020/10/30/heartjnl-2020-316914

Dr Philip Smith, Digital and Education Editor of Gut and Consultant Gastroenterologist at the Royal Liverpool Hospital, UK, interviews Professor Jyh-Ming Liou, Professor of Gastroenterology, Division of Gastroenterology and Hepatology, Department of Internal Medicine, National Taiwan University Hospital, Taipei, Taiwan. The podcast is focussed on "Screening and eradication of Helicobacter pylori for gastric cancer prevention: the Taipei global consensus" published in paper copy in Gut in December 2020. Read the related article: https://gut.bmj.com/content/69/12/2093

It has been estimated that 10% of people who get covid-19 are still experiencing symptoms over 10 weeks later, and the common symptoms of long covid include fatigue, breathlessness, chest pain and ‘brain fog’.

In this week’s episode, we discuss the challenges of assessing long covid symptoms, especially chest pain, in primary care. As we still don’t know enough about the trajectory of the disease, how can we balance the assumption that a patient’s symptom is caused by long covid, as is likely to be the case the majority of the time, with the potential risk of missing a critical diagnosis, such as lung cancer?

We talk about the importance of acknowledging and listening to our patients’ worries about long-term symptoms, even in the face of uncertainty, when reassurance is difficult to give. We also learn about the English National Opera’s new breathing and wellbeing programme, ENO Breathe, aimed at people recovering from covid-19.

Our guests: Melissa Hightman is a respiratory consultant at UCLH, and the clinical lead for the trust’s COVID follow-up service. Jenny Mollica is the director of ENO Baylis: the English National Opera’s learning and participation programme, which now includes ENO Breathe.

Brooke Patterson is a physiotherapist who is currently completing her PhD at the La Trobe Sport and Exercise Medicine Research Centre, investigating the impact of ACL injuries on the lives of young adults. Brooke played several seasons in the Australian Football League national women’s competition (WAFL), and has recently transitioned to becoming a coach. You will be hearing more from Brooke, who will be hosting some BJSM podcasts over the coming months, so we thought we’d take this opportunity to get to know Brooke and her research.

In this podcast we discuss:

The latest ACL injury prevention & early-onset osteoarthritis research

The next big breakthroughs to expect in the next decade from a research perspective do

Advice for people wanting to/working in elite women’s sport

Links:

Making football safer for women with Brooke Patterson and Dr Ben Mentiplay. Episode #445 https://soundcloud.com/bmjpodcasts/making-football-safer-for-women-with-brooke-patterson-and-dr-ben-mentiplay-episode-445
Building on a BJSM podcast – and celebrating good news! #WomensFootball https://blogs.bmj.com/bjsm/2020/10/22/building-on-a-bjsm-podcast-and-celebrating-good-news-womensfootball/
Making football safer for women: a systematic review and meta-analysis of injury prevention programmes in 11 773 female football (soccer) players https://bjsm.bmj.com/content/54/18/1089

We all have moments of crying out “But why on EARTH did they do that study?” after a blisteringly obvious result is revealed … and we chat a little here about why that might be the case (https://adc.bmj.com/content/106/1/90.2) but the real story of this episode is all about antiepileptic drugs (AED) and bones. We start asking the question “Do children on AED get thinner bones?” (https://adc.bmj.com/content/106/1/92) and lead from there to the question “Well should we prescribe Vitamin D to all of them?” (https://adc.bmj.com/content/106/1/90.1). If anyone here isn’t aware of it, you should take extra special precautions if you’re prescribing sodium valproate to patients who could become pregnant: the short version would be “prescribe something else”.

Dr James Maurice interviews Dr Dhiraj Tripathi, Queen Elizabeth Hospital Birmingham, about the UK Adult Liver Transplantation guidelines recently published in Frontline Gastroenterology. In this second episode, they discuss recent developments in organ allocation and utilisation and post-transplant care. Read the related paper on the FG website: https://fg.bmj.com/content/11/5/385 In the first part of this podcast - https://soundcloud.com/bmjpodcasts/liver-transplantation-guidelines-part-1-pre-operation?in=bmjpodcasts/sets/frontline-gastroenterology - there's a general overview of liver transplantation in the UK, followed by the selection and workup of potential liver transplant recipients. Listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify.

In this podcast, James Cave (Editor-in-Chief) and David Phizackerley (Deputy Editor) discuss the February issue of DTB. This includes an editorial that highlights the benefits associated with the human papillomavirus (HPV) and herpes zoster vaccination programmes (https://dtb.bmj.com/content/early/2021/01/11/dtb.2020.000048). The editors talk about a cohort study, which found that many older people who had recently been prescribed a calcium-channel blocker for hypertension were subsequently given a loop diuretic. The main article reviews the use of prescribing safety indicators to improve outcomes for patients and the case report is of a patient who developed immune checkpoint inhibitor-mediated large vessel vasculitis. Read the issue on the DTB website: https://dtb.bmj.com/content/59/2 Please subscribe to the DTB podcast to get episodes automatically downloaded to your mobile device and computer. Also, please consider leaving us a review or a comment on the DTB Podcast iTunes podcast page (https://podcasts.apple.com/gb/podcast/dtb-podcast/id307773309). Thank you for listening.

Recorded on the 26th January 2021

The UK has become, officially, the worst performing country in terms of Covid-19 deaths, per head of population - and the number of people in hospital is still higher than at any point in the pandemic.

In this podcast, Fiona Godlee, editor in chief of The BMJ, talks to; Partha Kar, consultant in diabetes and endocrinology in Portsmouth, Matt Morgan, a consultant in a intensive care medicine in Cardiff, and Helen Salisbury, GP in Oxfordshire.

They talk about working in the NHS at the moment, and the challenges in things like oxygen and vaccine supplies. How the pandemic has exposed a gap in general medicine, and the importance of challenging poor responses at all levels.

In this episode of the IJGC podcast, Editor-in-Chief Dr. Pedro Ramirez, is joined by Dr. Amanda Fader to discuss the role of trastuzumab in uterine papillary serous tumors. Dr. Fader is an Associate Professor of Gynecology and Obstetrics, Vice Chair of Gynecologic Surgical Operations and Director of the Center for Rare Gynecologic Cancers at Johns Hopkins School of Medicine. She is recognized internationally as a rare uterine and ovarian cancer expert and is an active member of NRG Oncology and helps develop and co-lead innovative gynecologic cancer clinical trials.

Highlights: • Uterine serous carcinoma (USC) is a biologically aggressive endometrial cancer subtype that accounts for a disproportionately high rate of endometrial cancer-related deaths. • 25-30% of women with both early and advanced stage USC will have HER2 positive tumors. • Molecularly-based therapeutic approaches in USC are increasing. • Trastuzumab, an anti-HER2 therapy, in combination with platinum/taxane-based chemotherapy improves survival outcomes for women with HER2 positive USC. • A randomized, Phase III cooperative group study is planned to study additional anti-HER2 therapies in women with all stages of USC.

This week the team are joined by Lucy Chappell, Professor in Obstetrics at King’s College London and Honorary Consultant Obstetrician at Guy’s and St Thomas’ NHS Foundation Trust. The panel reflected on their experiences seeing someone give birth, and how to process the emotions that come with experiencing new life.

In this podcast, you can hear from James Collins – a leading performance nutritionist and one of the leads on the recent UEFA expert group statement on nutrition in elite football. James has worked with a range of elite sporting organisations, and is also the founder of the Intra Performance Group.

In this podcast, we cover: - how the statement came about, and where it fits into the existing literature - nutritional considerations for training and match-day - the importance of body composition - nutritional considerations in the rehabbing athlete - next steps

For more, please check out the links below:

UEFA expert group statement: https://bjsm.bmj.com/content/early/2020/11/08/bjsports-2019-101961

Importance of nutrition in football: the coach’s perspective https://bjsm.bmj.com/content/early/2020/10/22/bjsports-2019-101972

The importance of nutrition in football: perspective of a national team’s doctor https://bjsm.bmj.com/content/early/2020/10/22/bjsports-2020-103318

James’ twitter profile: https://twitter.com/JamesCollinsPN

James’ company profile: https://www.intraperformancegroup.com/team

Informed Sport https://www.informed-sport.com/

Dr Tom Hughes, Department of Neurology, Cardiff, interviews Dr Luis Idrovo, Department of Neurology, Leeds, about one of the most prevalent, disabling and undertreated conditions in neurological clinical practice: headaches. They discuss the administration of peripheral nerve blocks to treat various headache disorders both in the acute and outpatient setting. Please read the related paper, which is the Editor's Choice of the February 2021 issue of the journal: https://pn.bmj.com/content/21/1/30 Please subscribe to the Practical Neurology podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify.

In this issue of the IJGC Podcast, Editorial Fellows Sadie Jones and Navya Nair discuss the contents of the January issue of IJGC.

In the UK, over 37,000 people are in hospital with covid-19, and the NHS comes closer than ever to being overwhelmed - though 4 million people have received their first dose of the vaccine, we are warned that things will get worse before they get better.

In this podcast, Fiona Godlee, editor in chief of The BMJ, talks to; Partha Kar, consultant in diabetes and endocrinology in Portsmouth, Matt Morgan, a consultant in a intensive care medicine in Cardiff, Helen Salisbury, GP in Oxfordshire, and Nisreen Alwan, public health consultant in Southampton, about the pressure on hospitals, why GPs are questioning the need for max vaccination centres, and why the public health approach can't be just lockdown and vaccinations.

www.bmj.com/coronavirus

In this episode of the JIM Podcast, Editor-in-Chief Richard McCallum speaks with Tamis Bright of Texas Tech University Health Sciences Center El Paso about Thyroid Awareness Month.

US president elect Joe Biden wasted no time in appointing a special advisory board of experts to guide America out of its coronavirus crisis.

One of those experts is Celine Gounder, an infectious diseases epidemiologist who has worked on Ebola, tuberculosis, and HIV in Africa and South America. She’s a clinical assistant professor of medicine and infectious diseases at New York University’s School of Medicine, as well as an active writer and podcast host, including of Epidemic

In this podcast she talks to Joanne Silberner about the ways in which the taskforce is helping prepare for action immediately after the inauguration, what the big challenges they need to tackle are, and how they plan to rebuild trust in the U.S. covid response.

https://www.bmj.com/content/372/bmj.n33

Editor-in-Chief of ADC Nick Brown brings you the monthly Atoms - the highlights of the January 2021 issue. Read it on the Archives of Disease in Childhood website: https://adc.bmj.com/content/106/1/i

In this episode of Talk Evidence, Jon Deeks, professor of biostatistics at the University of Birmingham, returns to the pod with an update on lateral flow tests - and why the government plan for using them in asymptomatic screening for covid-19 doesn't follow the science.

We're also joined by Allyson Pollock, clinical professor of public health at Newcastle University, and author of a recent editorial in The BMJ about asymptomatic transmission of SARS-CoV-2. She explains why she thinks supporting social isolation is the missing piece of our approach to tackling the pandemic.

Covid-19 INNOVA testing in schools: don’t just test, evaluate https://blogs.bmj.com/bmj/2021/01/12/covid-19-innova-testing-in-schools-dont-just-test-evaluate/

Asymptomatic transmission of covid-19 https://www.bmj.com/content/371/bmj.m4851

On this week’s podcast, Dr. Dusty Marie Narducci, MD speaks with Dr. Ben Krainin, MD on the AMSSM Sports Medcast about the use of bioinformatics and wearable technology in female athletes.

In this conversation, Dr. Narducci focuses the following topics:

· A general overview of bioinformatics, including the three main wearable technology product categories · Injury Prevention in Volleyball Players · Menstrual Tracking for Female Athletes · Fitness Trackers for the “General Consumer”

This lecture features multiple key points and takeaways about bioinformatics and was originally scheduled to be presented during the 2020 AMSSM Annual Meeting.

Thanks to an incredible scientific effort, vaccines for COVID-19 have arrived in the UK and GPs, and other primary care health professionals, are now being faced with the monumental challenge of vaccinating high volumes of patients in a matter of days, whilst maintaining a COVID-safe environment, and fielding the myriad questions and concerns patients may have around the vaccine.

In this week’s episode, we talk about the practical difficulties in preparing and administering the vaccine. We discuss the rationale behind extending the interval between the first and second doses, and the controversy it has caused. How do we assuage these worries, and how do we temper patients’ expectations regarding immunity, and the speed at which life may go back to normal?

Finally, we talk about some lessons we can learn from HIV prevention to ensure equitable covid vaccination.

Our guests: Mark Porter MBE is a GP in South Gloucestershire, and an award-winning journalist. He anchors the series ‘Inside Health’ on BBC Radio 4, he is the medical correspondent for The Times, and a columnist for Saga Magazine.

Andrew Pollard is a professor of Paediatric Infection and Immunity at the University of Oxford, an honorary consultant paediatrician at Oxford Children’s Hospital, and the director of the Oxford Vaccine Group.

Julia Marcus is an infectious disease epidemiologist and an assistant professor at Harvard Medical School’s Department of Population Medicine . She is also an HIV researcher.

In January's podcast, James Cave (DTB Editor-in-Chief) and David Phizackerley (DTB Deputy Editor) consider the burden of overprescribing and discuss how to tackle some of the barriers to deprescribing (https://dtb.bmj.com/content/58/1/2). They also review an article on the place of aspirin for primary prevention of cardiovascular disease (https://dtb.bmj.com/content/58/1/3), highlight an article on prescribing for pregnancy for women with mental health issues (https://dtb.bmj.com/content/58/1/8), and discuss a case report of sitagliptin-induced seronegative rheumatoid arthritis (https://dtb.bmj.com/content/58/1/12). Please subscribe to get episodes automatically downloaded to your phone and computer every month. If you enjoy the podcast, please leave us a review or a comment at https://podcasts.apple.com/gb/podcast/dtb-podcast/id307773309. Thank you for listening.

ADC Fetal and Neonatal’s Associate Editor Jonathan Davis and the Edition Editor of the journal Ben Stenson discuss the highlights from the March issue. Read the Fantoms here: https://fn.bmj.com/content/106/2/115 Please listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at podcasts.apple.com/gb/podcast/adc-…ast/id333278832

Postnatal depression refers to a depressive illness following childbirth and may form part of a unipolar or, less frequently, a bipolar illness.

Ian Jones, Professor of Psychiatry, MRC Centre for Neuropsychiatric Genetics and Genomics, Cardiff University, gives us an overview of the condition.

For more on postnatal depression, visit BMJ Best Practice: https://bestpractice.bmj.com/topics/en-gb/512

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The purpose of this podcast is to educate and to inform. The content of this podcast does not constitute medical advice and it is not intended to function as a substitute for a healthcare practitioner’s judgement, patient care or treatment. The views expressed by contributors are those of the speakers. BMJ does not endorse any views or recommendations discussed or expressed on this podcast. Listeners should also be aware that professionals in the field may have different opinions. By listening to this podcast, listeners agree not to use its content as the basis for their own medical treatment or for the medical treatment of others.

In this episode of the Heart podcast, Digital Media Editor, Dr James Rudd, is joined by Professor Robert Tulloh from Bristol. They discuss his recent review on the lifetime cardiovascular management of patients with previous Kawasaki disease. If you enjoy the show, please subscribe to the podcast to get episodes automatically downloaded to your phone and computer. Also, please consider leaving us a review at https://itunes.apple.com/gb/podcast/heart-podcast/id445358212?mt=2 Link to published paper: https://heart.bmj.com/content/early/2019/12/16/heartjnl-2019-315925

Glioblastoma is the most frequent primary malignant brain tumor in adults. Methylation of the O-6-methylguanine-DNA methyltransferase (MGMT) promotor is of prognostic as well as of predictive value, as patients with MGMT promotor methylation survive longer and have better responses to the alkylating chemotherapeutic agent temozolomid. The current first line therapy approaches after maximum safe resection include radio-chemotherapy with temozolomid, radio-chemotherapy with the combination of temozolomid and CCNU as well as tumor treating fields. Currently several early clinical studies investigate new treatment possibilists in glioblastoma. Listen to the podcast with Professor Ulrich Herrlinger, Division of Clinical Neurooncology, Department of Neurology and Center of Integrated Oncology, University Hospital Bonn, Germany. Read the Abstract: https://esmoopen.bmj.com/content/5/1/e000601

Precocious puberty, that is puberty that starts before age 8 in girls and 9 in boys seems to be on the rise, but whether that’s because of an increase in incidence, or greater attention is unknown - what we do know that precocious puberty in girls is commonly idiopathic, while in boys is a red flag for pathology. But either way ther first point of call is the GP.

In this podcast, Steven Bradley GP, and Neil Lawrence, paediatric trainee join us to discuss how common precocious puberty is, how GPs should respond to a family presenting with it, and if intimate examination is actually warranted in primary care.

Read the full practice pointer: https://www.bmj.com/content/368/bmj.l6597

Smoking with children in a car has been illegal since 2015 in England and 2016 in Scotland. This podcast explores the importance and impact of this ban on children and the important message it gives to the public to ensure smoking rates continue to fall. Listen to the conversation between Rachael Moses and Dr Anthony Laverty, Public Health Policy Evaluation Unit, School of Public Health, Imperial College London, London, UK and lead author of https://thorax.bmj.com/content/early/2020/01/08/thoraxjnl-2019-213998

Did you know that water can stop bullets? Dr. Erin Macri caught up with Dr. Ben Waller to learn more about the untapped and under-recognized power of water and its potential applications in everything from rehabilitation to high level athletic conditioning. Dr. Ben Waller is the Scientific Chair of the Finnish Sport physiotherapy association; Adjunct Professor at Reykjavik University, and Lecturer for the International Aquatic Therapy Faculty. Prior to this he was Senior Researcher at the University of Jyväskylä in Finland, where he also completed his PhD and postdoctoral work, all focused on aquatics. Ben’s current research is focused on quantifying and optimizing the prescription of aquatic exercise in the PAPESH research group in Reykjavik University (https://en.ru.is/papesh/).

Welcome to the festive talk evidence, giving you a little EBM to take you into the new year. As always Duncan Jarvies is joined by Helen Macdonald (resting GP and editor at The BMJ) and Carl Heneghan (active GP, director of Oxford University’s CEBM and editor of BMJ Evidence)*

This month:

(1.20) Carl tells us about new research on treating sepsis with steroids that might inform practice.

(4.58)Proscribing of prophylactic PPIs or H2-blockers for intensive care patients.

(11.00) Carl wonders if we can actually rule out an increased risk of ovarian cancer with the use of talc.

(17.46) Helen drops and EBM bombshell - is all the work needed to blind participants in a double blind randomised control trial actually worth it?

(33.00) Helen is annoyed about a press release from the department of health, and kicks of 2020 by stealing Carl's rant spot.

Reading list:

Corticosteroids for Treating Sepsis in Children and Adults https://pubmed.ncbi.nlm.nih.gov/31808551-corticosteroids-for-treating-sepsis-in-children-and-adults/?dopt=Abstract

Gastrointestinal bleeding prophylaxis for critically ill patients: a clinical practice guideline https://www.bmj.com/content/368/bmj.l6722

Association of Powder Use in the Genital Area With Risk of Ovarian Cancer. https://www.ncbi.nlm.nih.gov/pubmed/31910280

Blinding Fool’s gold? Why blinded trials are not always best https://www.bmj.com/content/368/bmj.l6228

Impact of blinding on estimated treatment effects in randomised clinical trials https://www.bmj.com/content/368/bmj.l6802

*quick note to say sorry about the sound quality on Duncan's microphone - we had a technical glitch (he was left alone to record).

In a British cohort, 30% of patients who had survived childhood cancer had died within 45 years of diagnosis; only 6% were expected to have died.

51% had developed a new primary cancer, but a 26% died of cardiovascular disease - thought to be caused by their treatment. Consequently, efforts to reduce long term mortality have focused on reducing exposure to the most toxic aspects of anticancer treatment, including radiotherapy.

In this podcast we’re joined by Daniel Mulrooney, associate professor in the Division of Cancer Survivorship, at St Jude Children’s Research Hospital and one of the authors of the paper Major cardiac events for adult survivors of childhood cancer diagnosed between 1970 and 1999: report from the Childhood Cancer Survivor Study cohort

Read the full research:

https://www.bmj.com/content/368/bmj.l6794

Host: Dr. Zorisadday Gonzalez, GI Motility Trainee at Texas Tech University El Paso Participant: Dr. Richard W. McCallum, new Editor-in-Chief for the Journal of Investigative Medicine. Gastroenterologist and Professor of Medicine at TTUHSC El Paso

Are passive therapies making patients worse? Does stretching help? Where do the bio, psycho and social components fit into patient management? This week Tom Goom joins us to chat about how to avoid the common pitfalls all clinicians can make. Known to many in the SEM community as the ‘Running Physio’, Tom is a physiotherapist with over 15 years of experience who specialises in running injuries. He shares his knowledge with clinicians and runners around the world through his website Running-physio.com and very popular Running Repairs Course.

MRI is essential to the clinical management of children and young people with brain tumours and it is common practice to show these to patients and families, but how they emotionally respond to seeing brain tumour imaging? Rachel Agbeko explores the qualitative study "Patients’ and parents’ views on brain tumour MRIs" with the leading author of the paper Natalie Tyldesley-Marshall (Research fellow at the Institute of Applied Health Research, University of Birmingham, UK) and Dr Gail Halliday, Consultant in Paediatric Oncology, Great North Children’s Hospital, The Newcastle upon Tyne Hospitals NHS Foundation Trust. You can read the paper FREE for a month: https://adc.bmj.com/content/early/2019/08/07/archdischild-2019-317306

The Heartlands Elderly Care Trauma and Ongoing Recovery Programme is the BMJ 2018 award winner for Emergency Medicine. Dr David Raven, the National Course director for the HECTOR project and emergency medicine consultant at the Heartlands Hospital, Birmingham, UK, tells EMJ’s Editor-in-Chief Ellen Weber what makes this project unique. Read the paper on the EMJ website (https://emj.bmj.com/content/early/2019/12/11/emermed-2019-209143) and on the February 2020 issue of the journal.

In this podcast, Felipe de Albuquerque talks to Istvan Szikora, Neurointerventions, National Institute of Clinical Neurosciences, Budapest, Hungary, about the official document of Standards for European training requirements in interventional neuroradiology guidelines by the Division of Neuroradiology/Section of Radiology European Union of Medical Specialists (UEMS), in cooperation with the Division of Interventional Radiology/UEMS, the European Society of Neuroradiology (ESNR), and the European Society of Minimally Invasive Neurological Therapy (ESMINT). Read the paper on the JNIS website: https://jnis.bmj.com/content/early/2019/11/15/neurintsurg-2019-015537 .

In this podcast, James Cave (DTB Editor-in-Chief) and David Phizackerley (DTB Deputy Editor) discuss a formulation of melatonin that has been licensed in the UK for the management of jet lag. The editors review the evidence for its effectiveness in reducing symptoms of jet lag and consider whether it should be available from the National Health Service. Read the article here: http://dx.doi.org/10.1136/dtb.2019.000074. Please subscribe to the DTB Podcast to get episodes automatically downloaded to your phone and computer every month. If you enjoy the show, please leave us a review or a comment at podcasts.apple.com/gb/podcast/dtb-…ast/id307773309. Thank you for listening!

In our first episode of 2020, Associate Professor Shona Halson PhD joins us to chat about why our new year’s resolution should be to get more sleep! Shona is an Associate Professor in the School of Behavioural and Health Sciences at Australian Catholic University. Shona has a PhD in Exercise Physiology, recently finished up close to 16 years working at the Australian Institute of Sport as a senior recovery physiologist, and has been the Director of the Australian Olympic Committee Recovery Centre for the last three summer Olympic games.

Heart failure is a complex clinical syndrome resulting from the impaired ability of the heart to cope with the metabolic needs of the body, resulting in breathlessness, fatigue, and fluid retention.

Approximately half of patients with heart failure have normal, or near-normal, left ventricular ejection fraction and are classified as having heart failure with preserved ejection fraction.

Gerald Carr-White, Consultant Cardiologist, Guys and St Thomas’ NHS Foundation Trust, UK, gives us an overview of the condition.

For more on heart failure with preserved ejection fraction, see BMJ Best Practice: https://bestpractice.bmj.com/topics/en-gb/953

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The purpose of this podcast is to educate and to inform. The content of this podcast does not constitute medical advice and it is not intended to function as a substitute for a healthcare practitioner’s judgement, patient care or treatment. The views expressed by contributors are those of the speakers. BMJ does not endorse any views or recommendations discussed or expressed on this podcast. Listeners should also be aware that professionals in the field may have different opinions. By listening to this podcast, listeners agree not to use its content as the basis for their own medical treatment or for the medical treatment of others.

Simon Carley, Associate Editor of EMJ, talks through his highlights of the January 2020 edition of the Emergency Medicine Journal. Read the primary survey here - emj.bmj.com/content/37/1 Details of the papers mentioned in this podcast can be found below:

Comparison of four decision aids for the early diagnosis of acute coronary syndromes in the emergency department https://emj.bmj.com/content/37/1/8

The incidence of airway haemorrhage in manual versus mechanical cardiopulmonary resuscitation https://emj.bmj.com/content/37/1/14

Epidemiology of adolescent trauma in England: a review of TARN data 2008–2017 - https://emj.bmj.com/content/37/1/25

Blood Glucose Reduction in Patients Treated with Insulin and Dextrose for Hyperkalemia - https://emj.bmj.com/content/37/1/31

No rest for the weary: A cross-sectional study comparing patients sleep in the emergency department to those on the ward https://emj.bmj.com/content/37/1/42

Thromboprophylaxis in Lower Limb Immobilisation after Injury (TiLLI) https://emj.bmj.com/content/37/1/36

Emergency Medicine: let’s feed the good wolf - https://emj.bmj.com/content/37/1/52

Read the full January issue here - https://emj.bmj.com/content/37/1

If you read the Christmas BMJ in the last few weeks, you might have noticed a lot around art and health - the way in which engagement in arts can help in prevention and treatment, but can also affect those more nebulous things which really matter to patients - loneliness, self expression, being connected to the wider community.

That obviously links to social prescribing, which looks like it’s going to be one of the big changes to medicine which will happen in near future.

In this podcast we hear from Simon Opher, a GP in gloucestershire who has had artists and poets in residence in his surgery, and has experience of setting up services which link art and health - and we discuss how to do that practically. SImon makes it sound easy, but also has a few tips for GPs out there who have an idea about a non-medical service that could help their patients, but doesn’t yet exist.

We’ll also be talking to Helen Stokes Lampard, former chair of the Royal College of Surgeons and head of the new National Academy for Social Prescribing - as services bloom, how do we know what actually works?

Helen is sceptical that our current ways of evaluating an intervention are going to be inadequate to look at the much more messy world of social prescribing, with it’s localisation, multitude of influences, and difficult to measure outcomes.

Reading list: Previous BMJ podcast on social prescribing https://podcasts.apple.com/no/podcast/social-prescribing/id283916558?i=1000446265663

Clinical update on social prescribing https://www.bmj.com/content/364/bmj.l1285

Dr Philip Smith discusses the new UK IBD Standards, recently published in Frontline Gastroenterology, with first author of the standards, Rukshana Kapasi, Chair of IBDUK and Director of Health Service Development at Crohn's and Colitis UK. Read the paper: https://fg.bmj.com/content/early/2019/07/19/flgastro-2019-101260

If you’re lucky enough to not be back at work, you might be feeling like you need to quickly refresh your medical knowledge - and this podcast the BMJ’s education editors take you on a whistlestop tour through the BMJ’s education articles of 2019.

Tom Nolan (GP in London) is joined by Navjoyt Ladher (GP in London), Anita Jain (GP in India) and Jenny Rasanathan (GP in Phnom Penh).

Our reading list: Please don’t call me mum https://www.bmj.com/content/367/bmj.l5373

Which emollients are effective and acceptable for eczema in children? https://www.bmj.com/content/367/bmj.l5882

Pre-eclampsia: pathophysiology and clinical implications https://www.bmj.com/content/366/bmj.l2381

A borderline HbA1c result https://www.bmj.com/content/365/bmj.l1361

Dr Andrés Villaveces, National Center for Injury Prevention and Control, CDC USA, has come from 'grassroots' through the main injury prevention institutions of the world. He tells Rod McClure about his pathway to injury prevention and leaves some advice for students in this area.

In this episode of the Heart podcast, James Rudd is joined by Professor Paul Leeson from Oxford. They discuss the science behind AI as applied to imaging. Current and future applications are highlighted, plus some challenges of which we should all be aware.

If you enjoy the show, please subscribe to the podcast to get episodes automatically downloaded to your phone and computer. Also, please consider leaving us a review at https://itunes.apple.com/gb/podcast/heart-podcast/id445358212?mt=2

Links https://www.rdm.ox.ac.uk/people/paul-leeson http://www.onlinejacc.org/content/73/11/1317

Welcome to the festive talk evidence, giving you a little EBM to take you into the new year. As always Duncan Jarvies is joined by Helen Macdonald (resting GP and editor at The BMJ) and Carl Heneghan (active GP, director of Oxford University’s CEBM and editor of BMJ Evidence)

This month:

(2.00) Helen look back at a Christmas article, which investigates a very common superstition in hospitals.

(7.55) Carl has his pick of the top 100 altimetric most influential papers of the year.

(12.40) We find out all about the preventing overdiagnosis conference which happened earlier in December.

(34.15) Helen has her annual rant about misogeny in medicine.

Reading list: Q fever—the superstition of avoiding the word “quiet” as a coping mechanism https://www.bmj.com/content/367/bmj.l6446

Altimetric Top 100 https://www.altmetric.com/top100/2019/

Fiona Godlee’s keynote at Preventing Overdiagnosis https://www.preventingoverdiagnosis.net/

Gender differences in how scientists present the importance of their research: observational study https://www.bmj.com/content/367/bmj.l6573

In this rebroadcasted episode of the IJGC podcast, Editor-in-Chief Dr. Pedro Ramirez, is joined by Dr. Michael Frumovitz (@Frumovitz) from MD Anderson Cancer Center to talk about updates on neuroendocrine tumors of the cervix. This podcast accompanies the lead article in our July 2019 issue, which can be found at ijgc.bmj.com/content/29/6/986.

There has been a lot of exciting trials in lung cancer reported in 2019. In this podcast, Jonathan Lim (YOC member) speaks to Professor Sanjay Popat about how these studies are practice-changing in the context of the current treatment landscape, and highlights what is on the horizon for 2020 (including targeting KRAS). Read the Abstract: https://esmoopen.bmj.com/content/5/1/e000676

Mark Beattie discusses with Ashley Bond (Intestinal Failure Unit, Salford Royal NHS Foundation Trust) his recent review published in the Frontline Gastroenterology journal, “Diagnosis and management of catheter-related bloodstream infections in patients on home parenteral nutrition” available here; https://fg.bmj.com/content/11/1/48.

In this podcast, award-winning Australian film maker, Damon Gameau talks about his new film '2040' which explores what the future could look like by the year 2040 if we embraced solutions that are currently available to improve the planet focusing on climate, economics, technology, civil society, agriculture, and sustainability. Damon also talks about his first documentary 'That Sugar Film' where he followed a strict low-fat, high sugar diet and the negative effects that diet had on his health. Damon uses his films as tools for education and raising awareness around universal health challenges. 2040 was released in the UK on 8 November.

Crimean-Congo haemorrhagic fever (CCHF)is a notifiable condition, and outbreaks have occurred in Asia, Africa, and Southeast Europe.

It resents as a sudden-onset, severe illness with initial influenza-like symptoms, red eyes, and petechiae leading to signs of haemorrhage around day 4.

In this podcast, Tom Fletcher, Wellcome Trust/MoD Research Fellow, Liverpool School of Tropical Medicine, UK, gives us a clinical overview of the virus.

For more on CCHF see BMJ Best Practice: bestpractice.bmj.com/topics/en-gb/1606

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The purpose of this podcast is to educate and to inform. The content of this podcast does not constitute medical advice and it is not intended to function as a substitute for a healthcare practitioner’s judgement, patient care or treatment. The views expressed by contributors are those of the speakers. BMJ does not endorse any views or recommendations discussed or expressed on this podcast. Listeners should also be aware that professionals in the field may have different opinions. By listening to this podcast, listeners agree not to use its content as the basis for their own medical treatment or for the medical treatment of others.

In this rebroadcasted episode of the IJGC podcast, Editor-in-Chief Dr. Pedro Ramirez, is joined by Dr. Mario Leitao (Twitter: @leitaomd) from Memorial Sloan Kettering Cancer Center to talk about management of vulvovaginal melanoma.

TULIP 1: A Phase 3 Randomized Controlled Trial of Anifrolumab in Patients with Moderate to Severe Systemic Lupus Erythematosus In this first phase 3 trial, the primary endpoint, SRI(4), was not achieved, but numeric improvements achieving thresholds associated with clinical benefit were observed for BICLA, oral corticosteroid tapering and other organ-specific endpoints.

Welcome to a new series of "research made simple" podcasts where researchers are interviewed about their studies and chosen methods, and implications for nursing practice and research are considered. In this first podcast, Associate Editor of EBN Laura Green speaks to Dr Sarah Campbell, a researcher within the Dementia and Ageing Research team in the School of Nursing, Midwifery and Social Work at the University of Manchester. Her doctoral research "Atmospheres of Dementia Care: Stories told through the bodies of men" is an ethnographic study exploring what role the experience of place plays, and the role gender has, in the lives of men living with dementia in a variety of care settings. The aim was to interpret the everyday embodied life for men living with dementia in care and their connection to atmosphere. The study was undertaken alongside a wider project colloquially known as The Hair and Care Project (ESRC Ref. 2011-2013; Dr Richard Ward, PI). The PhD study collected data across three fieldsites focusing on the experience of seven men living with dementia. To find out more about this research, contact Sarah on sarah.campbell@manchester.ac.uk or follow her on twitter @wanderingalong You can also read a few relevant articles in Evidence-Based Nursing about ethnography as a research method and its applicability to understanding nursing practice: Ethnography: Challenges and Opportunities https://ebn.bmj.com/content/20/4/98 Using observational research to to obtain a picture of nursing practice https://ebn.bmj.com/content/19/3/66

In this rebroadcasted episode of the IJGC podcast, Editor-in-Chief, Dr. Pedro Ramirez, is joined by Dr. Robert Soslow from Memorial Sloan Kettering Cancer Center to talk about the three-tier classification of cervical carcinoma. The discuss the patterns A, B, and C in the Silva classification scheme and the clinical implications and reproducibility of these patterns. Check out Dr. Soslow's previous podcast for further information: Bmjpodcasts – The-importance-and-clinical-relevance-of-classifications-in-cervical-adenocarcinoma

Rob Soslow has been the lead gynecologic pathologist at Memorial Sloan Kettering Cancer Center for nearly 20 years and has served on the executive committee of the International Society of Gynecological Pathologists, the council of the International Gynecologic Cancer Society and the editorial boards of several journals, including the International Journal for Gynecologic Cancer. He is an enthusiastic diagnostician, mentor, educator and investigator.

This edition covers Eosinophilic Oesophagitis, Catheter-related bloodstream infections and acute liver failure. Part of the January 2020 issue is also dedicated to inflammatory bowel disease, including monoclonal antibody therapy as well as antibiotics and probiotics Read the UpFront of the January issue of Frontline Gastroenterology and the full issue: fg.bmj.com/content/11/1.

The focus of the podcast this month is the Society for Advancement of Violence and Injury Research (SAVIR). Editor-in-Chief Rod McClure chats to the President of the SAVIR, Dr Linda Degutis, about the work of the society and the role of the journal of Injury Prevention on the work of preventing and treating injury and violence. https://www.savirweb.org/ https://injuryprevention.bmj.com/

Dr Susanna Park joins Colin Mahoney to discuss neurophysiological, imaging and other methods to study an increasingly recognised problem of chemotherapy induced peripheral neurotoxicity. Dr Park outlines the pathology and current techniques to diagnose and monitor this problem, and outline new areas of research as well as recommendations from the Toxic Neuropathy Consortium to improve clinical care and research in this area. https://jnnp.bmj.com/content/90/12/1361

Dr Christopher Lamb, Clinical Intermediate Fellow at Newcastle University and Honorary Consultant in Gastroenterology at the Newcastle upon Tyne Hospitals NHS Foundation Trust discusses the BSG guidelines on the management of inflammatory bowel disease in adults with Associate Editor of GUT Dr Philip Smith. Read the article: https://gut.bmj.com/content/68/Suppl_3/s1

A UK general election has been called - polling day is on the 12th of December, and from now until then we’re going to be bringing you a weekly election-themed podcast.

We want to help you make sense of the promises and pledges, claims and counter-claims, that are being made around healthcare and the NHS out on the campaign trail.

This week we're focussing on health beyond the NHS - public health spending, and pledges to tackle air pollution and climate change. To discuss we're joined by Jennifer Dixon, chief executive of the Health Foundation, and Nicky Philpott, director of the UK Health Alliance on Climate Change.

Reading list The BMJ's 2019 election coverage https://www.bmj.com/content/general-election-2019

Health Foundation report: Mortality and life expectancy trends in the UK https://www.health.org.uk/publications/reports/mortality-and-life-expectancy-trends-in-the-uk

UK Health Alliance on Climate Change general election briefing http://www.ukhealthalliance.org/general-election-briefing/

This week, Prof Lorimer Moseley joins us to explore how we can better apply contemporary understanding of pain in clinical practice. Lorimer is Professor of Clinical Neurosciences and Foundation Chair in Physiotherapy at the University of South Australia. Prof Moseley’s research group - Body in Mind - investigates the role of the brain and mind in chronic pain. He has over 25 years of clinical experience and has authored hundreds of articles, as well as five books.

In December's podcast, James Cave (DTB Editor-in-Chief) and David Phizackerley (DTB Deputy Editor) consider the results of a recent study that assessed the effect of a combination pill containing aspirin, atorvastatin, enalapril and hydrochlorothiazide on major cardiovascular outcomes - https://dtb.bmj.com/content/57/12/178. The editors discuss prasterone, a newly introduced treatment for vulvar and vaginal atrophy - https://dtb.bmj.com/content/57/12/185. They also review a case report of retrograde ejaculation associated with quetiapine and treatment with low-dose imipramine - https://dtb.bmj.com/content/57/12/189. Read the December issue on the DTB website: https://dtb.bmj.com/content/57/12.

In this episode of the IJGC podcast, Editor-in-Chief, Dr. Pedro Ramirez, is joined by Dr. Robert Coleman (Twitter: @rcoledude) from MD Anderson Cancer Center in Houston, Texas, to talk about the results of GOG 213

What are the keys to good running form? Is there a magical number for step rate? Should we all be changing the way we run?

This week Tom Goom joins us to chat about gait retraining and its role in helping injured runners. Known to many in the SEM community as the ‘Running Physio’, Tom is a physiotherapist with over 15 years of experience who specialises in running injuries. He shares his knowledge with clinicians and runners around the world through his website Running-physio.com and very popular Running Repairs Course.

In this 20-minute episode, Tom discusses the rationale for gait retraining, who needs it, how to assess the injured runner and his comprehensive gait retraining management plan.

Nahid Toubia is a Sudanese surgeon and women's health rights activist, specialising in research into female genital mutilation (FGM). In this podcast, she talks about her career as a woman surgeon in Khartoum, Sudan in the 1970's. Ms Toubia describes how she got involved in championing the fight against harmful practices such as FGM, domestic and gender-based violence at the UN and several other international platforms. She also elaborates on her role as a pioneer in utilising art, film and theatre as tools for education, health campaigns and women empowerment.

Editor-in-Chief of ADC Nick Brown brings you the monthly Atoms - the highlights of the December 2019 issue. Read it on the Archives of Disease in Childhood website: adc.bmj.com/content/104/12/i

Dr Oliver Robinson joins Colin Mahoney to discuss the neural circuitry of anxiety, outlining our current understanding the anatomical basis for anxiety, as well as paradigms used to explore the shared circuits which lead to pathological levels of anxiety. Dr Robinson also outlines the future research goals in this important area. https://jnnp.bmj.com/content/90/12/1353

According to NICE, two thirds of people aged 65 or over have more than one medical condition, and 47% have three or more.

Martin Cowie, Professor of Cardiology, Imperial College London, discusses how comorbidities are a big problem for the health service, and how they should be approached.

For more on BMJ Best Practice's Comorbidities Tool, see bestpractice.bmj.com/info/comorbidities

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The purpose of this podcast is to educate and to inform. The content of this podcast does not constitute medical advice and it is not intended to function as a substitute for a healthcare practitioner’s judgement, patient care or treatment. The views expressed by contributors are those of the speakers. BMJ does not endorse any views or recommendations discussed or expressed on this podcast. Listeners should also be aware that professionals in the field may have different opinions. By listening to this podcast, listeners agree not to use its content as the basis for their own medical treatment or for the medical treatment of others.

Chronic pancreatitis is an irreversible fibroinflammatory disorder of the pancreas. It develops due to multiple causes, the most common of which is alcohol. In this podcast, Trainee Associate Editor of Frontline Gastroenterology Suneil Raju and Professor Andrew Hopper, Gastroenterology and Liver Unit, Royal Hallamshire Hospital, UK, discuss a practical guide to the management of chronic pancreatitis and how a clear diagnosis is vital for ongoing care with early multidisciplinary input to help guide treatment and manage complications. Read the full article: fg.bmj.com/content/10/3/253.

Reverse innovation may sound like some attempt to return to the dark ages - but it has a specific meaning, especially when it comes to med-tech. It’s about where we look for innovation - and overturning our preconceived ideas of where new ideas come from.

Mark Skopec, and Matthew Harris - both from Imperial College London are two of the authors of a new analysis, setting out to highlight those preconceptions, and creating new routes to bring innovation into the NHS.

Read the analysis: https://www.bmj.com/content/367/bmj.l6205

This month brings big decisions and how to make them in our critical appraisal note (https://adc.bmj.com/content/104/11/1114.2) and this flows seamlessly into the questions too... almost like there’s some planning involved. We’re asking if prenatal echo can tell us who will need emergency atrial septostomies to make birth as safe to home as close to home a reality (https://adc.bmj.com/content/104/11/1114.1.abstract), and if apparently asymptomatic babies and children with malrotation really need and operation to untwirl their guts (https://adc.bmj.com/content/104/11/1116). If these get you excited to write your own story, head on over to the instructions to authors and find out how https://adc.bmj.com/pages/authors/#archimedes Don’t forget to like, subscribe, review us and let us know how lovely we are via all our social media too (please).

One of the most important aspects of athletic performance is something we all do for a third of our lives, but until recently, had rarely been discussed. In the second of this two-part episode, Dr. Krys Bigosinski and Dr. Cindy Chang converse about the role of sleep in sports medicine. They cover topics including the role of sleep in sports performance, the challenges of travel for the elite athlete, the impact of a busy schedule on sleep for collegiate athletes, and the role of sleep in concussion care.

Technology is bringing both challenges and new solutions to the injury prevention science. Professor Richard Franklin, Co-Director of the World Safety Organisation Collaborating Centre for Injury Prevention and Safety Promotion, James Cook University, Australia, has a positive view of the future of our cities, which will rely much more on active and safe transportation. He tells Editor-in-Chief of Injury Prevention Rod McClure about the evidence-based and public health approaches of his work, especially in rural populations. They also discuss the upcoming Safety 2020 - the world conference taking place in Adelaide, Australia, which organising committee Professor Franklin is part of (https://www.worldsafety2020.com).

The NHS Practitioner Health Programme - once only for doctors in London, now it’s being rolled out across the NHS to provide the largest, publicly funded, comprehensive physician health service, in the world.

However, while helping the individual is essential, systemic change needs to be made to support doctors in our healthcare system.

Clare Gerada, GP and medical director of NHS PHP joins us to talk about how the expanded service will work, and what role regulation and inspections should play in wellbeing.

For more on the NHS PHP https://blogs.bmj.com/bmj/2019/10/31/clare-gerada-protecting-practitioners-health/ 020 3049 4505 https://php.nhs.uk/

The communication between nurses and families during and after family decision meetings is discussed in this podcast. Roberta Heale talks to Dr Mohammad Khan, Community Medicine, School of Dental Science, Universiti Sains Malaysia about his commentary published by Evidence-Based Nursing (https://ebn.bmj.com/content/early/2019/09/10/ebnurs-2019-103089). The commentary relates to the paper: Pecanac K, King B. Nurse-Family Communication During and After Family Meetings in the Intensive Care Unit. J Nurs Scholarsh 2019;51:129–37

There has been a lot of noise made about calorie counts on labels - the idea being it’s one of those things that might nudge people to make healthier choices.

So much so that in 2018, in the USA, it became mandatory for food chains with more than 20 outlets to label the calories in their food.

But the effectiveness of that is hard to gauge - it’s relied on reporting from customers, which leads to an incomplete picture. The really killer data would be from the chains themselves, but they’re reluctant to share that widely.

That's where new research comes in - and we're joined in the podcast by Joshua Petimar, postdoctoral researcher at the Harvard T.H. Chan School of Public Health, and Jason Block, associate professor at Harvard Pilgrim Healthcare Institute & Harvard Medical School, to discuss what they've done.

Read the full research: https://www.bmj.com/content/367/bmj.l5837

What if children could vote earlier? And before that, could they make themselves heard by entrusting their parents with their vote? Professor Neena Modi (Imperial College London, UK) says ‘yes’ and ‘yes’. Listen to the thought-provoking conversation with ADC’s Senior Editor Rachel Agbeko. The two paediatricians discuss the evidence behind these proposals and the role of doctors in the process of giving children a voice. Read the related paper on the Archives of Disease in Childhood website (free for a month): https://adc.bmj.com/content/early/2019/05/16/archdischild-2018-316523. There’s also a letter on this topic. “Age of consent?” is co-authored by a young person, Joseph Brown, as well as co-peer-reviewed by young people: https://adc.bmj.com/content/early/2019/09/17/archdischild-2019-318106.

As med students and junior doctors, we encounter death more than the general population. But what do you actually do when you're called to the ward to see a patient who has died - and what happens after you've confirmed a patient death?

Join Laura, Anna, Declan and our special guest, Robert Cast, anatomical pathological technologist, as we take a dive into the world beyond the wards, to find out how we can keep caring for our patients after they die.

Tell us what you think about the episode and your ideas for topics to cover later in the series by leaving a review or by using #SharpScratch on Facebook, Twitter or Instagram.

For more on the podcast, including how to follow Laura, Anna, Declan and Robert on social media, visit www.bmj.com/sharpscratch.

In November's podcast, James Cave (DTB Editor-in-Chief) and David Phizackerley (DTB Deputy Editor) discuss whether primary care targets for managing blood pressure control in older people are achievable or desirable. The editors also introduce the first of a series of articles that consider therapeutic challenges when preparing for pregnancy and highlight some of the key issues that should be considered for all women as part of pre-pregnancy care. They also review a case report of apixaban-induced acute interstitial nephritis. Read the full November issue: https://dtb.bmj.com/content/57/11

In this episode of the IJGC podcast, Editor-in-Chief Dr. Pedro Ramirez, is joined by Dr. Reitan Riberio from the Erasto Gertner Hospital in Brazil to talk about uterine transposition surgery.

In this special Athlete Voice edition of the podcast, we chat with Olympic and World Champion rifle shooter Abhinav Bindra about managing the mental pressures of elite sport. Abhinav is a 5 x Olympian, entrepreneur and active member of the IOC Athlete’s Commission. In this 20-minute podcast, Abhinav discusses: · How he found the sport of rifle shooting · Celebrating the ‘process’ throughout his decorated 22-year career · The importance of prevention, prehab and physical awareness · His current charitable work in India to prioritise athlete wellbeing and grow sport at the grassroots level Don’t miss out on the IOC World Conference Prevention of Injury & Illness in Sport (March 2020) https://ioc-preventionconference.org/

Ciara Breathnach (@CiaraBreath) is a Senior Lecturer in History at the University of Limerick, Ireland. She is a current Irish research Council Laureate holder and her research focuses on Irish social history of medicine and health. In this conversation with Brandy Schillace, she also talks about the upcoming Association of Medical Humanities meeting MAKING SPACE, which will take place in Limerick in June 2020. The conference website is https://www.amh2020ireland.com/. Email address: The email is amh2020Ireland@gmail.com

In this episode of the Heart podcast, Digital Media Editor, Dr James Rudd, is joined by Dr Marcio Bittencourt from Sao Paolo University. They discuss an editorial he wrote on pre-op cardiac testing using CT. If you enjoy the show, please subscribe to the podcast to get episodes automatically downloaded to your phone and computer. Also, please consider leaving us a review at https://itunes.apple.com/gb/podcast/heart-podcast/id445358212?mt=2 Link to published papers: https://heart.bmj.com/content/105/17/1300 https://heart.bmj.com/content/105/17/1335

In this episode of the IJGC podcast, Editor-in-Chief Dr. Pedro Ramirez, is joined by Dr. Alexander Melamed from Columbia University to talk about health services research in gynecologic oncology. Dr. Melamed is an assistant professor in Columbia University’s Vagelos College of Physicians and Surgeons, and a gynecologic oncologist practicing at New York Presbyterian/Columbia University Irving Medical Center. His research seeks to improve cancer care by applying innovative study designs and analytic approaches to observational data.

Blockchain is the digital technology that underpins cryptocurrencies such as bitcoin, and has been proposed as the digital panacea of our times.

But Leeza Osipenko, from the London School of Economics, has thought about how it could actually be used in clinical trials, and what else would need to change in our regulatory environment to make that work.

Read her full essay: https://www.bmj.com/content/367/bmj.l5561

In this podcast, Multimedia Editor of Thorax Rachael Moses, discusses with Dr Magnus Ekstrom, Lund University, Sweden, the key findings of a population-based study investigating the relationship between increased body mass index with breathlessness and lung function. Read the paper on the Thorax website: https://thorax.bmj.com/content/74/10/958.

In quality improvement, measurement is seen as a key driver of change - how well do you know you’re doing, if you can’t actually measure it.

So, when something changes in the NHS (say a new guideline) how can you tell how quickly that’s filtering down to the front line.

Ben goldacre, from the Nuffield Department of Primary Care Health Sciences at the University of Oxford, joins us to talk about a new proof of concept published on bmj.com, which uses NHS prescribing data to analyse how change propagated through GP practices.

Read the full open access research: https://www.bmj.com/content/367/bmj.l5205

https://openprescribing.net/

Dr Robert Simpson (University of Glasgow, UK) discusses the merits and limitations of mindfullness based treatments for mental well-being in Multiple Sclerosis (MS). Read the full paper here: https://jnnp.bmj.com/content/90/9/1051

Welcome to this BJSM podcast with Elaine Wyllie MBE, a former headteacher in Stirling, Scotland who launched the hugely popular ‘Daily Mile’ initiative. She will be speaking at the BASEM conference in Glasgow on 21st November, but in advance we thought we’d get a few sneaky glimpses into what she will be discussing.

For tickets to the BASEM conference in Glasgow: you can find them on the link here: https://basem.co.uk/event/basem-2019-annual-conference/

For some of the research behind the Daily Mile, follow this link: https://thedailymile.co.uk/research/

Discussion of a cross over RCT of oxygen automation in nasal high flow oxygen and the associated editorial. ADC Fetal & Neonatal Associate Editor Jonathan Davis talks to Charles Roehr (Oxford University Hospitals); Peter Reynolds (St. Peters Hospital, Chertsy, Surrey); and Peter Dargaville (Royal Hobart, Tasmania, Australia). Read the paper 'Randomised cross-over study of automated oxygen control for preterm infants receiving nasal high flow': https://fn.bmj.com/content/104/4/F366. Read the editorial 'Automated oxygen control in the preterm infant: automation yes, but we need intelligence': https://fn.bmj.com/content/104/4/F346

Simon Carley, Associate Editor of EMJ, talks through his highlights of the October 2019 edition of the Emergency Medicine Journal.

Patients don’t have language barriers; the healthcare system does - https://emj.bmj.com/content/36/10/580

Observational study to understand interpreter service use in emergency medicine: why the key may lie outside of the initial provider assessment - Editor's Choice - https://emj.bmj.com/content/36/10/582

Framing of clinical information affects physicians’ diagnostic accuracy - https://emj.bmj.com/content/36/10/589

Impact of the caller’s emotional state and cooperation on out-of-hospital cardiac arrest recognition and dispatcher-assisted cardiopulmonary resuscitation - https://emj.bmj.com/content/36/10/595

Diurnal, weekly and seasonal variations of chest pain in patients transported by emergency medical services - https://emj.bmj.com/content/36/10/601

Pulmonary embolism following complex trauma: UK MTC observational study - https://emj.bmj.com/content/36/10/608

Adapting the Canadian CT head rule age criteria for mild traumatic brain injury - https://emj.bmj.com/content/36/10/617

Read the full October issue here - emj.bmj.com/content/36/10.

Essential tremor is the most common form of tremor in humans. In this podcast, Dr Tom Hughes, Practical Neurology Associate Editor, interviews Dr Elan D Louis, Yale Neurology, Division of Movement Disorders, New Haven, CT, who’s the author of a recent paper called, ‘Essential tremor: a nuanced approach to the clinical features’. They discuss this condition, not always easy to diagnose, and the distinction between essential tremor and Parkinson’s disease as well as dystonia. Read the paper on the Practical Neurology website: https://pn.bmj.com/content/19/5/389.

In this podcast, Marina Parry, ESMO Open Digital Editor, speaks to Amanda Herbrand, Medical Oncologist Trainee working at University Hospital Basel, Switzerland, about her team’s work on off-label use (OLU) of Drug Treatments in Cancer Care, presented at ESMO Congress 2019 and a preprint of which is available on medRxiv: https://www.medrxiv.org/content/10.1101/19003152v1 With new drug treatments for cancer patients constantly being investigated in clinical trials, ensuring access to the ones which prove to be effective in improving patient care is critical. These drugs are initially assessed by medical authorities for their efficacy and cost effectiveness, which means it can take time before they are approved. However, physicians will sometimes wish to use therapies which have been shown to be effective in clinical trials but without specific approval in the disease setting they are treating. This leads to off-label use (OLU) of cancer therapies, which, depending on the healthcare system, is not covered by patients’ health insurance. Dr Herbrand and her team set out to understand what the reasons were behind insurers’ acceptance or denial of payment for OLU of drug treatments for cancer patients within the Swiss healthcare system. They investigated the relationship between reimbursement decisions and the underlying clinical evidence by extracting patient characteristics and treatment and reimbursement details of cancer drugs from over 3,000 patients in 3 Swiss hospitals, and created an evidence overview of the requested OLU indications. Their study provides a systematic assessment of OLU and its reimbursement reality in Switzerland. This may provide a better understanding of the access to cancer care that is regulated by health insurers and identify factors that determine the level of evidence-based cancer care in a highly diverse Western healthcare system. Further work will be undertaken as a follow up to this study. These data are preliminary and further work will be undertaken as a follow up to this study.

The present podcast gives a short summary of the PAOLA-1 trial investigating the addition of Olaparib to bevacizumab as maintenance therapy in patients with newly diagnosed, advanced ovarian cancer treated with platinum-based chemotherapy plus bevacizumab. Expert: Isabelle L. Ray-Coquard Affiliation: Centre Leon Bèrard, Université Claude Bernard Lyon, Groupe d'Investigateurs Nationaux pour l'Étude des Cancers de l'Ovaire (GINECO), Lyon, France

For our 400th episode, we chat with Amelia Boone--four-time Obstacle Racing World Champion, ultrarunner and attorney--about her battle with anorexia for the past 20 years. In July 2019, Amelia wrote publicly about her eating disorder, shining a light on RED-S, athlete mental health and recovery. In this 20-minute podcast, we discuss: · Amelia’s motivation for sharing her story · The impact of success on perception of food and body image · Common myths about athletes and eating disorders · What treatments did (and didn’t) work well with different clinicians · How clinicians should change the way we are talking about eating disorders

Does bronchiectasis trouble you at night? Or during the day? Or the weekends? Would you like to brush up on the best evidence to treat and prevent exacerbations? Pop onto this podcast or read more here https://adc.bmj.com/content/early/2019/07/20/archdischild-2019-317562

You’ll I’m sure be wondering about how much you can extrapolate from the adult data into the kids, and this short appraisal note on our blog might help you https://blogs.bmj.com/adc/2019/08/22/neonates-are-not-tiny-children/

Bearing that in mind, the use of coffee to keep bronchi-babes out of the ICU will be of great interest to the student of EBM. So … you can swig in the summary we have here on how good it seems to be: https://adc.bmj.com/content/early/2019/07/20/archdischild-2019-317668

Don’t forget to like, subscribe, review us and let us know how lovely we are via all our social media too.

The BMJ in partnership with The Harvard Global Health Institute has launched a collection of articles exploring how to achieve effective universal health coverage (UHC). The collection highlights the importance of quality in UHC, potential finance models, how best to incentivise stakeholders, and some of the barriers to true UHC.

One of those barriers, and it’s a big one, is climate change - patterns of disease will change, both communicable and non-communicable, cataclysmic weather will disrupt systems, and the economic impact is going to challenge our ability to pay for healthcare.

But even against that backdrop, Ashish Jha, and Rene Salas - aren't totally pessimistic. They join us to talk about the intersection between climate and health, and where effective change can be made.

Climate change threatens the achievement of effective universal healthcare https://www.bmj.com/content/366/bmj.l5302

Universal health coverage collection https://www.bmj.com/universal-health-coverage

In this podcast, Editor-in-Chief of JNIS Felipe C. Albuquerque talks to Justin F. Fraser, Neurological Surgery, University of Kentucky, about the current endovascular strategies for posterior circulation large vessel occlusion stroke: the report of the Society of NeuroInterventional Surgery Standards and Guidelines Committee. Read the paper for free on the JNIS website: https://jnis.bmj.com/content/11/10/1055.

In this BJSM podcast, we hear from Associate Professor Jon Patricios, a South African Sport & Exercise Medicine physician who has extensive experience of working in Rugby Union. He has an interest in concussion, having written the concussion protocols for the BokSmart injury prevention programme and he is a member of the World Rugby Concussion Advisory Group. In this discussion, we discuss (among various things) - How things have changes from an immediate care point of view - How the HIA works at present? - The tools available that could help pick up a concussion at the professional level - What happens after match-day in terms of follow-up/advice - Clinical tips in terms of communicate the protocol to players/staff - Common pitfalls do you encounter when it comes to RTP after a concussion

Editor-in-Chief of ADC Nick Brown brings you the monthly Atoms - the highlights of the October 2019 issue. Read it on the Archives of Disease in Childhood website: https://adc.bmj.com/content/104/10/i

Professor Helmar Lehmann (University Hospital of Cologne) provides an update on Chronic inflammatory demyelinating polyneuropathy (CIDP) and discusses recent advances in diagnosis and treatment. Read the full paper here: https://jnnp.bmj.com/content/90/9/981.long

Anthrax is a rare infection caused by the spore-forming, gram-positive soil organism Bacillus anthracis . Cutaneous disease is the most common manifestation; however, fatal systemic illness due to spore ingestion, inhalation, or injection can occur.

In this podcast Ali Hassoun, Infectious Disease Specialist, Alabama Infectious Diseases Center, USA, gives us a clinical overview of anthrax.

For more on anthrax, visit BMJ Best Practice: https://bestpractice.bmj.com/topics/en-gb/604

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The purpose of this podcast is to educate and to inform. The content of this podcast does not constitute medical advice and it is not intended to function as a substitute for a healthcare practitioner’s judgement, patient care or treatment. The views expressed by contributors are those of the speakers. BMJ does not endorse any views or recommendations discussed or expressed on this podcast. Listeners should also be aware that professionals in the field may have different opinions. By listening to this podcast, listeners agree not to use its content as the basis for their own medical treatment or for the medical treatment of others.

Dr Martin Raftery and Dr Ross Tucker join the BJSM to discuss World Rugby’s injury prevention journey, and most recent player welfare initiatives. We also hear from World Rugby chairman Sir Bill Beaumont on how rugby has evolved in this regard. All links can be found in the e-Edition.

In this podcast, Clinical Psychiatrist and poet Owen Lewis (Columbia) and Sue Spencer, Associate Editor at Medical Humanities, discuss both the power and “disruption” of poetry in and out of healthcare curriculum.

Despite all the efforts done so far, access to essential drugs in Oncology is still asymmetric. In this podcast, Teresa Amaral, member of the ESMO YOC, interviews Professor Martine Piccart (Scientific Director of the Institut Jules Bordet, Universite Libre de Bruxelles, Belgium) that shares valuable insights on the work that has been done on this field by the ESMO Magnitude of Clinical Benefit Scale (ESMO – MCBS) group. You can find more information about the ESMO-MCBS group in the following publications: https://doi.org/10.1093/annonc/mdv249 http://dx.doi.org/10.1136/esmoopen-2017-000216 More information on the ESMO Magnitude of Clinical Benefit Scale: Scale Evaluation Forms v1.0 & v1.1 can be found here: https://www.esmo.org/Guidelines/ESMO-MCBS/Scale-Evaluation-Forms-v1.0-v1.1 You can read the complete Abstract relating to this podcast on the ESMO Open website: https://esmoopen.bmj.com/content/4/5/e000594.

In this podcast, we are joined by Dr Stephen West to discuss all things load. Stephen recently completed his PhD at the University of Bath, looking into the Epidemiology of injury and associated risk factors in Professional Rugby Union.

Topics covered include: - Athlete monitoring - The way we capture data - Practical tips for those working in sport - Where are the next big gains likely to be found?

Resources: https://www.semanticscholar.org/paper/Athlete-Monitoring-in-Rugby-Union%3A-Is-Heterogeneity-West-Williams/b8e39759a7f83fb57c9c571d1212db8ea16bf406 https://researchportal.bath.ac.uk/en/publications/patterns-of-training-volume-and-injury-risk-in-elite-rugby-union- https://researchportal.bath.ac.uk/en/publications/better-way-to-determine-the-acute-chronic-workload-ratio

In this episode of the IJGC podcast, Editor-in-Chief Dr. Pedro Ramirez, is joined by Dr. Amanika Kumar from the Mayo Clinic to talk about the role of Normothermia in gynecologic oncology. Dr. Amanika Kumar, MD, is a gynecologic oncologist at Mayo Clinic. She researches ovarian cancer patient outcomes and quality of life with a focus on surgical outcomes, frailty, and sarcopenia.

This edition has a special focus on the practical management of polyposis syndromes. The highlights of the October issue of Frontline Gastroenterology also include infliximab, chronic diarrhoea in the elderly and gastroenterology training in the UK. Read the UpFront of the July issue of Frontline Gastroenterology and the full issue: fg.bmj.com/content/10/4. The UpFront is available here: https://fg.bmj.com/content/10/4/325.

Brexit.

Who knows what’s going to happen in the next few weeks, months, years - the uncertainty is high.

In the face of that, you’d hope that the government was doing all it could to plan for any eventuality - let alone for a massive, country altering one like suddenly crashing out without a deal - but Martin McKee, professor of public health at the London School of Hygiene and Tropical Medicine, and David Nicholl, Consultant Neurologist, don’t think that’s the case.

In the debate about Brexit, increasingly we’re hearing about the impact on health in the UK - and in increasingly doomed ways. But what about across the rest of Europe? Natasha Azzopardi Muscat, president of the European Public Health Association, explains a little about what Brexit means for the whole of European public health.

Assessing the health effects of a “no deal” Brexit: https://www.bmj.com/content/366/bmj.l5300

In this episode of the Heart podcast, Digital Media Editor, Dr James Rudd, is joined by Professor Kazem Rahimi from Oxford University (https://www.wrh.ox.ac.uk/team/kazem-rahimi). They discuss his pioneering work in predicting emergency admissions from electronic healthcare datasets using a machine learning approach.

If you enjoy the show, please subscribe to the podcast to get episodes automatically downloaded to your phone and computer. Also, please consider leaving us a review at https://itunes.apple.com/gb/podcast/heart-podcast/id445358212?mt=2

Links to published paper: https://journals.plos.org/plosmedicine/article?id=10.1371/journal.pmed.1002695

Should we still be using ice and cryotherapy? Do we need to foam roll before or after working out? Are we wasting our money on compression gear? On this week’s BJSM podcast, award-winning science writer and best-selling author Christie Aschwanden (T: @cragcrest) joins BJSM’s Daniel Friedman (T: @ddfriedman) to cut through all the hype and explain what works and what doesn’t when it comes to recovery. Christie Aschwanden is the author of New York Times bestseller GOOD TO GO: What the Athlete in All of Us Can Learn From the Strange Science of Recovery and co-host of EMERGING FORM, a podcast about the creative process. She’s the former lead science writer at FiveThirtyEight and was previously a health columnist for The Washington Post. Christie is a frequent contributor to The New York Times. She’s also been a contributing editor for Runner’s World. https://christieaschwanden.com/ In this podcast, Christie dissects the evidence for common recovery methods and discusses: - The changing definition of recovery and how we measure it - Ice and cryotherapy - Massage and foam rolling - Which recovery methods actually work and how to optimise them - The best indicators of recovery - How to improve the quality of recovery research

Mentioned in this podcast: Good to Go - https://www.goodtogobook.com/ Methodology problems in sport science - https://fivethirtyeight.com/features/sports-science-is-finally-talking-about-its-methodology-problems/

In this podcast, film maker Hana Makki revisits her memories of making the documentary film ‘As one: The Autism Project’ working with ten children with Autism and their families. The film project was supported by Sheikha Shamsa bint Mohamed bin Zayed Al Nahyan, the daughter of the crown Prince of Abu Dhabi, in an effort to raise awareness about ‘Autism Spectrum Disorder’ in the United Arab Emirates (UAE).

Over the course of ten weeks, these children made a musical show working alongside a specialist team of musicians, and performance artists, with the guidance of an Applied Behaviour Analysis therapist. The children come from various nationalities including the United Arab Emirates, Philippines, U.S.A, Palestine, UK, Ghana, India, and Ethiopia. Hana captured the journey of these children while rehearsing, till the night of the musical show, and also shares with the audience what happened to them afterward.

Read the accompanying blog post: https://blogs.bmj.com/medical-humanities/2016/09/13/film-review-x-y/

Coeliac disease is common, affecting up to 1% of the general population, and has a varied presentation.

Matthew Kurien, Senior Clinical Lecturer and Honorary Consultant Gastroenterologist, Department of Infection, Immunity & Cardiovascular Disease, Sheffield Medical School, gives us a clinical overview of the disease.

For more on coeliac disease, visit BMJ Best Practice: https://bestpractice.bmj.com/topics/en-gb/636

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The purpose of this podcast is to educate and to inform. The content of this podcast does not constitute medical advice and it is not intended to function as a substitute for a healthcare practitioner’s judgement, patient care or treatment. The views expressed by contributors are those of the speakers. BMJ does not endorse any views or recommendations discussed or expressed on this podcast. Listeners should also be aware that professionals in the field may have different opinions. By listening to this podcast, listeners agree not to use its content as the basis for their own medical treatment or for the medical treatment of others.

Simon Carley, Associate Editor of EMJ, talks through his highlights of the September 2019 edition of the Emergency Medicine Journal. Read the primary survey here - https://emj.bmj.com/content/36/9/517 Details of the papers mentioned in this podcast can be found below: The Panoramic Dental Radiograph for Emergency Physicians - https://emj.bmj.com/content/36/9/565 Exploring the characteristics, acuity and management of adult ED patients at night-time - https://emj.bmj.com/content/36/9/554 Evaluation of the criteria for trauma activation in the paediatric emergency department - https://emj.bmj.com/content/36/9/529 Why are people increasingly attending the emergency department? A study of the French healthcare system - https://emj.bmj.com/content/36/9/548 Location of arrest and effect of prehospital advanced airway management after emergency medical service-witnessed out-of-hospital cardiac arrest: Nationwide observational study - https://emj.bmj.com/content/36/9/541 Phenomenological study exploring ethics in prehospital research from the paramedic’s perspective: experiences from the Paramedic-2 trial in a UK ambulance service - https://emj.bmj.com/content/36/9/535 Process conformance is associated with successful first intubation attempt and lower odds of adverse events in a paediatric emergency setting - https://emj.bmj.com/content/36/9/520 Triaging the triage: reducing waiting time to triage in the emergency department at a tertiary care hospital in New Delhi, India - https://emj.bmj.com/content/36/9/558 Read the full September issue - https://emj.bmj.com/content/36/9

Editor-in-Chief of ADC Nick Brown brings you the monthly Atoms - the highlights of the September 2019 issue. Read it on the Archives of Disease in Childhood website: adc.bmj.com/content/104/9/i

Professor Kim Margolin (Department of Medical Oncology, City of Hope National Medical Center, Duarte, California) discusses in this podcast the different treatment strategies as well as the clinical challenge of handling melanoma patients with brain metastases. Brain metastases are a particular problem of melanoma patients, as this complication occurs early and frequently. Further, brain metastases are associated with a high symptom burden. Recently, systemic treatment approaches including immunotherapy and tyrosine kinase inhibitors have become increasingly important in the management of melanoma brain metastases patients. Indeed, some patients with small, asymptomatic brain metastases without edema and need for steroid treatment might be candidates for a primarily systemic treatment. https://esmoopen.bmj.com/content/4/5/e000579

Botulism is a paralytic illness caused by the neurotoxin produced by Clostridium botulinum, and it is most commonly seen in infants.

In this podcast Linda Nield, Professor of Pediatrics, West Virginia University School of Medicine, talks us through how to recognise and manage the condition.

For more on botulism, visit BMJ Best Practice: bestpractice.bmj.com/topics/en-gb/810

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The purpose of this podcast is to educate and to inform. The content of this podcast does not constitute medical advice and it is not intended to function as a substitute for a healthcare practitioner’s judgement, patient care or treatment. The views expressed by contributors are those of the speakers. BMJ does not endorse any views or recommendations discussed or expressed on this podcast. Listeners should also be aware that professionals in the field may have different opinions. By listening to this podcast, listeners agree not to use its content as the basis for their own medical treatment or for the medical treatment of others.

Joining Dr Steffan Griffin in the studio this week are Drs Martin Raftery and Ross Tucker, Chief Medical Officer and one of the lead Research Scientists at World Rugby respectively. Following on from their debut podcast two years ago, we dive into rugby’s complex relationship with concussion, and the journey that World Rugby have been on over the last few years to tackle the issue. Much of the resources discussed will be in the special #RugbyMedicine e-Edition, that will be launched in time for #RWC2019. In this podcast we cover: - The concussion journey rugby has been through, and the interventions that have been trialled/implemented - The high tackles sanction framework - Recent law trials - Advice to other governing bodies looking to prioritise player welfare

In this episode of the Heart podcast, Digital Media Editor, Dr James Rudd, is joined by Dr Eric Topol, founder and director of the Scripps Research Translational Institute. They discuss the impact that AI will have in medicine and how this will affect us all.

Relevant links related to this podcast: About Dr Topol - https://drerictopol.com/about/ Nature Medicine AI review - https://www.nature.com/articles/s41591-018-0300-7 Twitter - https://twitter.com/EricTopol?ref_src=twsrc%5Egoogle%7Ctwcamp%5Eserp%7Ctwgr%5Eauthor Book - https://drerictopol.com/book/deep-medicine/ NHS Topol review - https://www.hee.nhs.uk/our-work/topol-review

Is iliotibial band pain a friction problem? Or a load problem? On this week’s BJSM podcast, Dr Rich Willy (T: @rwilly2003) and BJSM’s Daniel Friedman (T: @ddfriedman) discuss the clinical management of iliotibial band pain. Dr. Richard Willy PT, PhD, is an Assistant Professor in the School of Physical Therapy, University of Montana (Missoula, MT, USA). He received his PhD in Biomechanics and Movement Science from the University of Delaware and his master of physical therapy from Ohio University. In addition to his research, Dr. Willy has been a clinician for 18 years specialising in the treatment of the injured runner. His research aims to develop clinically effective treatments for patellofemoral pain syndrome, Achilles tendon injuries and tibial stress fractures. In this podcast, Dr Willy discusses: · How to assess the injured runner with ITB pain · Misconceptions about ITB pain – it’s not a friction problem and you need some tightness! · How to progress the rehabilitation in managing ITB pain · Is there a role for stretching and foam rolling? The case study used in this podcast was originally from Pegrum James, Self Alex, Hall Nick. Iliotibial band syndrome BMJ 2019; 364 :l980 https://www.bmj.com/content/364/bmj.l980

Burnout is a problem in healthcare - it’s a problem for individuals, those who experience it and decide to leave a career they formerly loved, but it’s also a problem for our healthcare system. Burnout is associated with an increase in medical errors, and poor quality of care. Fundamentally it’s a patient safety issue.

But, unlike other patient safety issues we tend to think about it, and try to prevent it, at an individual not systems level.

However, Anthony Montgomery from the University of Macedonia, and Christina Maslach, from the University of California, Berkeley, urge us to start treating burnout as a systems issue. We hear about how we can spot burnout, and what can be done to try and mitigate it.

Read their full analysis Burnout in healthcare: the case for organisational change https://www.bmj.com/content/366/bmj.l4774

Jodi Antonelli, Assistant Professor, Department of Urology, University of Texas Southwestern Medical Center, gives us a clinical overview of nephrolithiasis.

For more on nephrolithiasis, visit BMJ Best Practice: bestpractice.bmj.com/topics/en-gb/225

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The purpose of this podcast is to educate and to inform. The content of this podcast does not constitute medical advice and it is not intended to function as a substitute for a healthcare practitioner’s judgement, patient care or treatment. The views expressed by contributors are those of the speakers. BMJ does not endorse any views or recommendations discussed or expressed on this podcast. Listeners should also be aware that professionals in the field may have different opinions. By listening to this podcast, listeners agree not to use its content as the basis for their own medical treatment or for the medical treatment of others.

Simon Carley, Associate Editor of EMJ, talks through his highlights of the August 2019 edition of the Emergency Medicine Journal.

Read the primary survey here - emj.bmj.com/content/36/8/451

Details of the papers mentioned in this podcast can be found below:

First responder communication in CBRN environments: FIRCOM-CBRN study - https://emj.bmj.com/content/36/8/456

Impact of emergency physician experience on decision-making in patients with suspected community-acquired pneumonia and undergoing systematic thoracic CT scan - https://emj.bmj.com/content/36/8/485

Meta-analysis of the accuracy of termination of resuscitation rules for out-of-hospital cardiac arrest - https://emj.bmj.com/content/36/8/479

Potential added value of the new emergency care dataset to ED-based public health surveillance in England: an initial concept analysis - https://emj.bmj.com/content/36/8/459

Paracetamol versus other analgesia in adult patients with minor musculoskeletal injuries: a systematic review - https://emj.bmj.com/content/36/8/493

Recognising bias in studies of diagnostic tests part 2: interpreting and verifying the index test - https://emj.bmj.com/content/36/8/501

Man versus machine: comparison of naked-eye estimation and quantified capillary refill - https://emj.bmj.com/content/36/8/465

Read the full August issue - https://emj.bmj.com/content/36/8