In this episode, we speak to the doctor overseeing the WHO’s emergency response for the eastern mediterranean region - including Gaza, Lebanon, Sudan and Yemen. Richard Brennan joins us to talk...
It’s an often cited statistic that if healthcare was a country, it would be the fifth largest carbon emitter. At The BMJ we want to change that, and move healthcare towards a more sustainable f...
https://thebmjpodcast.podbean.com/e/climate-leadership-knowledge-is-power/
How science can be transformed into policy? One of the seemingly intractable issues when it comes to legislative change in the US is gun control. One reason policy change is so difficult, is ...
https://thebmjpodcast.podbean.com/e/getting-science-into-policy-for-gun-control-and-nhs-reform/
Under-nutrition harms health, but so does over-nutrition. The Bill and Melinda Gate’s foundation has just released their Goalkeepers' report - highlighting the detrimental impact that poor nu...
https://thebmjpodcast.podbean.com/e/nutrition-for-health-and-conflicts-of-interests/
There's a real drive to strengthen quality of care in facilities around the world. However, no matter where you are, improving healthcare depends on quality data—and collecting and using that d...
https://thebmjpodcast.podbean.com/e/improving-data-for-quality-care-when-resources-are-stretched/
The news that GPs in England have voted for industrial action has spooked the healthcare system - Katie Bramall-Stainer, the chair of the BMA's General Practice Committee explains what's lead to ...
https://thebmjpodcast.podbean.com/e/gps-industrial-action-and-the-olympians-after-the-games/
This week we're questioning the effectiveness of the Galleri Test for early cancer detection with investigation authors Margaret McCartney and Deborah Cohen. They delve into the decision-making a...
https://thebmjpodcast.podbean.com/e/multi-cancer-detection-and-nhs-hit-lists/
The Paris games have just started - and France has made a concerted effort to ensure that this year's Olympics will have a legacy of physical activity for the whole population. However, mega sp...
https://thebmjpodcast.podbean.com/e/ensuring-an-olympic-legacy/
We celebrate 10 years of patient and public partnership strategy at The BMJ with a patient-centred podcast. We ask how should the new Labour government engage patients in shaping the future of th...
Women's Health, breast cancer screening, epidurals, and GP voices New U.S. guideline on breast cancer screening have been extended to women in their 40s - Katy Bell, from the University of ...
https://thebmjpodcast.podbean.com/e/extending-access-for-breast-cancer-and-epidural-outcomes/
As increasing numbers of mammalian, and human, cases of H5N1 are documented we askShould we worry about a growing threat from “bird flu”? Wendy Barclay, from Imperial college London, and Ch...
https://thebmjpodcast.podbean.com/e/large-plausible-and-imminent-time-to-take-h5n1-seriously/
In the UK, a general election has been called - and around the world, ½ the global population will be voting this year; so in this episode we’ll be talking about how elections and health inter...
With the anticipation of a new government in the UK, shadow health secretary Wes Streeting will hit the ground running - with a winter season (and it's inevitable crisis) and ongoing industrial d...
https://thebmjpodcast.podbean.com/e/the-prospect-of-unemployed-gps/
Where next for psychological safety? Amy Edmundson is professor of Leadership and Management at the Harvard Business School. Her work on psychological safety has underpinned so much quality impro...
https://thebmjpodcast.podbean.com/e/fixing-healthcares-workforce-problems/
Hilary Cass, the former president of the Royal College of Paediatrics, has spent the last 3 years collating the evidence for treatment of gender questioning young people; engaging with those youn...
https://thebmjpodcast.podbean.com/e/improving-nhs-gender-identity-services-hilary-cass/
Derogation, the way in which striking doctors can be recalled to the ward to protect patient safety, was agreed by NHS England and the BMA. Now, new data The BMJ has uncovered shows that the mec...
In this week's podcast: How AI will affect the clinician-patient relationship? Our annual Nuffield Summit roundtable asks how the promise of tech tools stacks up against reality, and how the f...
The U.S. Supreme Court is hearing a case on the approval of mifepristone for medical abortion - a case which could change the availability of the drug in the US, and which hinges on papers linkin...
Social media, and the rate at which the online world is changing, is worrying - especially the speed at which health disinformation can speed around the globe. We look to tech companies for a sol...
With a new logo, and new music, comes a revamped The BMJ Podcast. Every two weeks we’ll be bringing you a magazine style show, more variety and perspectives on medicine, health, and wellbein...
In this festive edition of the BMJ podcast, we hear about what medicine can learn from music, when it comes to giving a convincing performance, and how we can grow an evidence base for natur...
https://thebmjpodcast.podbean.com/e/christmas-2023-performing-medicine-and-prescribing-nature/
There’s an inherent tension between creating quality standards that are very clinically focussed, and standards which are very patient centred - especially in settings where clinical outcomes c...
In this specially curated three-part podcast series from The BMJ, we explore the importance of community and connection to foster adolescent wellbeing. The discussion covers athe wide ar...
This is the second episode of a special three-part podcast series that delves into adolescent health and wellbeing, focusing on creating a positive trajectory of health from a young age. T...
In the final episode of this three-part podcast series from The BMJ, we dive into the vital topic of education for adolescents and how it influences the course of life. This podcast expl...
The December edition of the Talk Evidence podcast discusses the complexities of seeking consent from patients who are part of large data sets, and some new research to help patients living with d...
https://thebmjpodcast.podbean.com/e/insulin-without-refrigeration-and-the-complexities-of-consent/
We were accepting of an increase in deaths every winter 'flu season, but Ashish Jha thinks that is not longer a tenable position. Lessons he learned during his time as the White House Covid-19 ...
https://thebmjpodcast.podbean.com/e/the-future-of-the-winter-flu-season/
Each episode of Talk Evidence we take a dive into an issue or paper which is in the news, with a little help from some knowledgeable guests to help us to understand what it all means for clinical...
https://thebmjpodcast.podbean.com/e/low-carb-and-cancer-screening/
Organisational and student leaders explore the responsibilities of the British Medical Association and The BMJ to understand and respond to its colonial history. Our panel Kamran Abassi, editor...
Leaders from academic and funding organisations discuss the transformative change required to overcome extractive and inequitable research practices in global health, and the need for examining p...
International health leaders discuss how feminist and decolonial advocates in health face similar resistance and attempts to sow divisiveness, and how they can join forces to promote health equit...
Experts discuss how failing to confront colonial pasts is linked to present lack of progress in global health equity, why health leaders need historical educations, and how, for Indigenous people...
Healthcare leaders discuss the ways in which colonial-era bias and eugenics persist in today’s medical education and clinical practice in the UK and beyond, and what meaningful change is requir...
We’ve heard throughout the series from people who have a passion for sustainability, and have successfully made changes in their organisations to reduce the planetary impact of their work. In d...
https://thebmjpodcast.podbean.com/e/how-to-talk-about-this-stuff/
One element of sustainable healthcare is simply reducing the amount of healthcare you’re doing by not doing the things that are of no value to patients. However, how do we do this in practice? ...
https://thebmjpodcast.podbean.com/e/why-doing-less-can-be-hard/
Acting on climate change is often framed as having to give stuff up, to cost more money, to make sacrifices. Yet in healthcare we find the opposite can often be true: there are many actions we ca...
https://thebmjpodcast.podbean.com/e/sustainable-healthcare-is-better-for-patients/
Ooops! If you listened to episode 3 when it first came out you may have realised that the title didn't quite match the content. We've just updated the title and the show notes below, and stay tun...
https://thebmjpodcast.podbean.com/e/sustainable-healthcare-is-good-for-staff/
In this month's Talk Evidence, Helen and Juan are reporting from Preventing Overdiagnosis - the conference that raises issues of diagnostic accuracy, and asks if starting the process of medicalis...
Planet centred care is new podcast series for the BMJ exploring issues related to environmentally sustainable healthcare, aimed at all clinicians, and anyone working in healthcare, who want to ma...
https://thebmjpodcast.podbean.com/e/planet-centred-care-greening-the-gaze/
Healthcare is a complex system, and if we want to make changes such as those needed for sustainable healthcare, we need to work across multiple teams, and make sure we hear everyone’s voice, in...
https://thebmjpodcast.podbean.com/e/planet-centred-care-it-s-all-about-working-together/
In our final episode of this season, we're going quantitative, with the newly released data on how trainees in the UK are faring. Each year the UK's General Medical Council, the doctor's regula...
In this month's Talk Evidence, we're getting a little meta - how do we keep an eye on research to make sure it's done with integrity. Helen Macdonald is BMJ's Publication ethics and content integ...
They're the trusted public figures of the medical profession, but many of the most famous medics in the UK will have been approached by, and accepted money from, companies wishing to promote thei...
In this episode of Talk Evidence, Helen Macdonald, Joe Ross, and Juan Franco are back to update us on what's happening in the world of medical evidence. Firstly, the news about the end of the...
We're in pride month, and this year the celebration of LGBT+ people seems to be increasingly contentious. Healthcare's treatment of queer people has improved hugely since the days when being ga...
The culture which allows sexism to perpetuate in healthcare is no better illustrated than by The BMJ's investigation into sexual abuse in the NHS. However, The BMJ are not the first organisati...
https://thebmjpodcast.podbean.com/e/doctor-informed-surviving-in-scrubs/
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...
https://thebmjpodcast.podbean.com/e/talk-evidence-cloning-reporting-and-disseminating/
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 ma...
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...
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...
https://thebmjpodcast.podbean.com/e/nappuccinos-and-circadian-rhythms/
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 the...
https://thebmjpodcast.podbean.com/e/why-guideline-authors-need-to-pay-attention-to-doctor-s-time/
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 conti...
https://thebmjpodcast.podbean.com/e/nuffield-summit-2023-healthcare-needs-flexible-working/
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, J...
https://thebmjpodcast.podbean.com/e/talk-evidence-masks-chronic-pain-and-baby-milk-formulae-claims/
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 ...
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 surprise...
https://thebmjpodcast.podbean.com/e/is-it-time-for-the-beano-to-drop-the-junk-food-brands/
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 wel...
https://thebmjpodcast.podbean.com/e/talk-evidence-excess-deaths-the-ons-and-the-healthcare-crisis/
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 posit...
https://thebmjpodcast.podbean.com/e/formal-training-pathways-are-they-really-all-that/
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 t...
https://thebmjpodcast.podbean.com/e/conflict-and-food-global-food-insecurity/
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 h...
https://thebmjpodcast.podbean.com/e/talking-evidence-at-christmas/
In this episode of the Dr. Informed podcast, the topic of discussion is death and dying, and how to involve patients in DNACPR decisions. The panel discuss the importance of doctors having discus...
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...
https://thebmjpodcast.podbean.com/e/talk-evidence-endometriosis-falling-and-better-ebm/
#MedTwitter consists of an online community of researchers, health practitioners and students who have created an open source decentralised forum for information sharing, medical education and pr...
https://thebmjpodcast.podbean.com/e/medtwitter-a-force-for-good-or-evil/
Last month, saw the WISH 2022 - the World Innovation Summit for Health, where experts from around the world came and presented their ideas. In this podcast we'll hear from Dame Sally Davies, the ...
https://thebmjpodcast.podbean.com/e/wish-2022-antimicrobial-resistance-and-workforce-wellbeing/
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...
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 ...
https://thebmjpodcast.podbean.com/e/doctor-informed-sustainability-isn-t-just-waste-management/
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 thos...
https://thebmjpodcast.podbean.com/e/talk-evidence-inquiring-about-covid-burnout-and-marginal-data/
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...
https://thebmjpodcast.podbean.com/e/doctor-informed-the-generational-divide/
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...
https://thebmjpodcast.podbean.com/e/doctor-informed-what-to-expect-from-an-inquest/
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 fr...
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...
Previous Doctor Informed episodes have discussed how to prevent patient safety issues from occurring, but sometimes situations are beyond anyone's control - like COVID. It can be hard to look bac...
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 the...
https://thebmjpodcast.podbean.com/e/talk-evidence-shoulders-knees-and-woes/
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...
https://thebmjpodcast.podbean.com/e/diabetes-in-ukraine-supporting-ncds-in-a-conflict-zone/
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...
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 jo...
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 ...
https://thebmjpodcast.podbean.com/e/but-it-s-always-been-done-that-way/
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 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 pol...
https://thebmjpodcast.podbean.com/e/get-political-for-health-s-sake/
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...
https://thebmjpodcast.podbean.com/e/deep-breath-in-what-s-in-store-for-general-practice-in-the-uk/
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 bu...
https://thebmjpodcast.podbean.com/e/creativity-and-wellbeing/
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 ...
https://thebmjpodcast.podbean.com/e/quality-improvement-and-wellbeing-are-inextricably-linked/
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,...
https://thebmjpodcast.podbean.com/e/doctor-informed-medicine-s-me-too-moments/
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 t...
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 ...
https://thebmjpodcast.podbean.com/e/wellbeing-hot-food-on-a-night-shift/
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 Info...
https://thebmjpodcast.podbean.com/e/everyone-s-going-to-make-a-mistake/
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 ...
https://thebmjpodcast.podbean.com/e/solving-retention-to-support-workforce-recovery/
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 c...
https://thebmjpodcast.podbean.com/e/rural-healthcare-in-a-pandemic/
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 ...
https://thebmjpodcast.podbean.com/e/the-blame-game-1684835573/
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 ...
https://thebmjpodcast.podbean.com/e/learning-to-listen-1684835574/
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, ...
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 knowi...
https://thebmjpodcast.podbean.com/e/why-is-it-so-hard-to-speak-out-about-patient-safety/
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 no...
https://thebmjpodcast.podbean.com/e/us-assistant-secretary-of-health-rachel-levine/
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 regul...
https://thebmjpodcast.podbean.com/e/talking-christmas-evidence-2021/
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 ...
https://thebmjpodcast.podbean.com/e/who-is-responsible-for-patient-safety/
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...
https://thebmjpodcast.podbean.com/e/exit-interview-with-fiona-godlee/
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 weakne...
https://thebmjpodcast.podbean.com/e/covid-and-conflict-in-south-asia/
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...
https://thebmjpodcast.podbean.com/e/life-support-being-a-compassionate-colleague/
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 ar...
https://thebmjpodcast.podbean.com/e/wellbeing-feeling-addicted-to-your-phone/
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 disas...
https://thebmjpodcast.podbean.com/e/doctor-informed-the-patterns-which-emerge/
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 ...
https://thebmjpodcast.podbean.com/e/talk-evidence-bones-nutrition-pain-relief-and-overdiagnosis/
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 pr...
https://thebmjpodcast.podbean.com/e/introducing-doctor-informed/
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 podca...
https://thebmjpodcast.podbean.com/e/wellbeing-qi-approach-to-improving-your-wellbeing/
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 vaccin...
https://thebmjpodcast.podbean.com/e/covid-in-south-asia-india-and-nepal/
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 happ...
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 ti...
https://thebmjpodcast.podbean.com/e/wellbeing-tired-or-fatigued-and-why-the-difference-might-matter/
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 t...
https://thebmjpodcast.podbean.com/e/the-future-of-afghan-healthcare/
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 pow...
https://thebmjpodcast.podbean.com/e/healthcare-in-afghanistan-now/
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 variou...
https://thebmjpodcast.podbean.com/e/talk-evidence-real-world-vaccine-data-gp-records-and-cvd/
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 create...
https://thebmjpodcast.podbean.com/e/junior-doctors-improving-hospital-wellbeing/
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 ...
https://thebmjpodcast.podbean.com/e/wellbeing-scheduling-and-burnout/
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 ...
https://thebmjpodcast.podbean.com/e/women-s-health-and-gender-inequalities-legislating-for-change/
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 univer...
https://thebmjpodcast.podbean.com/e/wellbeing-surveying-the-mental-health-of-nhs-staff/
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 man...
https://thebmjpodcast.podbean.com/e/talk-evidence-freedom-day/
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 ...
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 sup...
https://thebmjpodcast.podbean.com/e/wellbeing-the-need-for-culturally-aware-support/
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 ...
https://thebmjpodcast.podbean.com/e/women-s-health-and-gender-inequalities-campaigning-for-change/
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 t...
https://thebmjpodcast.podbean.com/e/talk-evidence-gp-data-excess-mortality-and-fda-approval/
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 pe...
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 over...
https://thebmjpodcast.podbean.com/e/coronavirus-second-wave-wrapping-up-the-uk-s-response/
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...
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, fam...
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 medicin...
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...
https://thebmjpodcast.podbean.com/e/wellbeing-humanising-medicine/
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 aft...
https://thebmjpodcast.podbean.com/e/wellbeing-after-shielding/
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 dos...
https://thebmjpodcast.podbean.com/e/coronavirus-second-wave-headaches-abound/
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 univer...
https://thebmjpodcast.podbean.com/e/measure-the-broader-impacts-of-healthcare/
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. T...
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 declinin...
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 worke...
https://thebmjpodcast.podbean.com/e/wellbeing-put-yourself-first/
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 uncert...
https://thebmjpodcast.podbean.com/e/what-should-following-the-science-mean-for-government-policy/
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 Co...
https://thebmjpodcast.podbean.com/e/talk-evidence-inside-the-jcvi-and-the-key-to-grading-evidence/
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...
https://thebmjpodcast.podbean.com/e/stephen-thomas-behind-the-scenes-in-the-pfizer-vaccine-trial/
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 t...
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 ...
https://thebmjpodcast.podbean.com/e/wellbeing-speaking-out-about-mental-health-in-the-nhs/
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 ...
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, pub...
https://thebmjpodcast.podbean.com/e/corona-virus-second-wave-palliative-care-and-online-abuse/
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...
https://thebmjpodcast.podbean.com/e/wellbeing-special-a-post-vaccination-mindfullness-moment/
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 we...
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 traumat...
https://thebmjpodcast.podbean.com/e/neil-greenberg-on-tackling-ptsd-in-the-nhs/
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 h...
https://thebmjpodcast.podbean.com/e/the-bmj-interview-jeremy-hunt-mp/
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 ...
https://thebmjpodcast.podbean.com/e/coronavirus-second-wave-the-nhs-one-year-on/
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 a...
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 h...
https://thebmjpodcast.podbean.com/e/coronavirus-second-wave-100000-deaths/
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 ar...
https://thebmjpodcast.podbean.com/e/coronavirus-second-wave-the-view-from-the-front-line/
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...
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 ...
Andrew Pollard is Director of the Oxford Vaccines Group - who, along with Astra Zeneca, have developed an modified adenovirus vaccine for SARS-CoV-2. In this interview we talk to him about the de...
The Samaritans have traditionally been there for people in a crisis, those who are on the verge of ending their life by suicide - but during this pandemic, with the personal toll of caring for co...
The growth in the need for food aid, in the UK, has been staggering. That's why The BMJ has chosen the Independent Food Aid Network (IFAN) as its annual charity appeal. Nutritional guidelines whi...
https://thebmjpodcast.podbean.com/e/food-aid-helping-providers-support-the-health-of-their-users/
Recorded Tuesday 5th Jan 2021 As the UK enters lockdown, again, schools are closed, the NHS struggles under the surge of cases, new variants of SARS-COV-2 virus stalk the world, and vaccination p...
https://thebmjpodcast.podbean.com/e/coronavirus-second-wave-the-uk-s-fourth-lockdown/
The BMJ has long campaigned for better patient and public participation in research, making the case that it leads to better outcomes for patients and for society - but an article published in th...
https://thebmjpodcast.podbean.com/e/listening-is-the-first-part-of-research/
As 2021 hoves into view, we look back at a year of extraordinary evidence. Helen Macdonald is joined by Joe Ross, one of The BMJ's research editors, as well as a researcher at Yale. They discus...
https://thebmjpodcast.podbean.com/e/a-non-systematic-evidence-review-of-2020/
In this end-of-year podcast from Deep Breath In, we're bringing you a light hearted look back at 2020, and trying to remember some of the non-covid-19 medicine that has crossed our desks. This fe...
https://thebmjpodcast.podbean.com/e/the-deep-breath-talking-wellbeing-evidence-round-up-of-the-year/
If you've had time to digest this year's Christmas edition of The BMJ, you might have wondered how those papers get into The BMJ. Well in this Talk Evidence podcast, Helen Macdonald, UK research ...
https://thebmjpodcast.podbean.com/e/talking-christmas-evidence-how-christmas-research-is-chosen/
How do human behaviours affect patient outcomes? And what has that got to do with Christmas? Graham Shaw, director of Critical Factors, and Peter Brennan, a maxillofacial surgeon in Portsmouth, j...
https://thebmjpodcast.podbean.com/e/wellbeing-human-factors-and-christmas-logistics/
Every year, the BMJ has a charity appeal - we’ve regularly focused on organisations like MSF, or Lifebox - providing support to areas of the world which don’t have good healthcare provision...
https://thebmjpodcast.podbean.com/e/food-insecurity-in-the-6th-largest-economy/
Until hear death in 2019, Annabel and her husband James Weaver, spent a lot of time together in hospitals - in patient and outpatient wards, waiting in makeshift waiting rooms in corridors and at...
https://thebmjpodcast.podbean.com/e/the-soundscape-of-a-hospital/
Robert Poynton is an associate fellow of the Saïd Business School at the University of Oxford, and author of books designed to help people work in ways which help both their career and wellbeing...
https://thebmjpodcast.podbean.com/e/rob-poynton-wants-you-to-pause/
As London and some neighbouring counties move up to tier 3, and Germany, Italy and The Netherlands impose tighter restrictions over over the coming days of Christmas, in this podcast we ask - sho...
https://thebmjpodcast.podbean.com/e/coronavirus-second-wave-should-we-cancel-christmas/
The last few weeks we’ve been feverish in our coverage of vaccines - the evidence base for them is, how they’ve been evaluated and licensed, and who’s going to get them first. But what we...
The vaccines are being rolled out - but approval is still on an emergency basis, and the evidence underpinning those decisions is only just becoming available for scrutiny. In this podcast we tal...
As the first people outside of a trial have started receiving Pfizer's sars-cov-2 vaccine, including Matt, but that's not the end of the story for the pandemic, there are still logistics of rollo...
Anne Hicks, is an emergency medicine consultant in Plymouth, and for 16 years was the medical director for the British Antarctic Survey (she stepped down last year). The British Antarctic Survey ...
https://thebmjpodcast.podbean.com/e/lockdown-lessons-from-an-antarctic-winter/
As the first vaccine for corona virus is approved, and England joins the other nations of the UK outside of full lockdown, we are all entering tiers of restrictions - variable across the country,...
https://thebmjpodcast.podbean.com/e/corona-virus-second-wave-fears-for-tiers/
The government has decided to pursue a strategy of mass-testing in Liverpool, in a pilot to see what effect that has on containment of corona virus. A lot of criticism has been levelled at the sc...
https://thebmjpodcast.podbean.com/e/calum-semple-the-efficacy-of-mass-testing-in-liverpool/
The BMJ is a champion of openness and transparency in research, in clinical practice and in health policy. However, if you’ve kept and eye on the journals recently, you’ll have seen that gove...
https://thebmjpodcast.podbean.com/e/why-the-government-is-being-sued-over-ppe-contracts/
As further promising news emerges of vaccine effectiveness, although still with no data published, and as plans emerge for the return home of university students and limited festive winter celebr...
Uncertainty abounds - even as we get better data on treatments, with the big RCTs beginning to report, and new trials on masks, the evidence remains uncertain, in both the statistical realm (conf...
Clare Gerada and Zaid Al-Najjar have been treating doctors for a while now, through the NHS Practitioner Programme. In that time they have noticed some themes in the issues that bring doctors to ...
https://thebmjpodcast.podbean.com/e/wellbeing-what-we-ve-learned-from-treating-doctors/
Covid-19 continues its grip on the Northern Hemisphere alongside news of a vaccine trial showing real success at first glance. In this second wave update, we explore the latest issues with health...
In the first wave of covid-19, hospitals started to reconfigure space and services, to provide rest areas and food for staff, to help them cope with the surge in patients. Michael West, professor...
https://thebmjpodcast.podbean.com/e/how-well-did-hospitals-perform-for-their-staff-during-covid/
Covid-19 continues its grip on the Northern Hemisphere alongside news of a vaccine trial showing real success at first glance. In this second wave update, we explore the latest issues with health...
A lump in the throat is a classic GP presentation, but one that often causes a lot of worry. Many people are struggling with high levels of anxiety anyway at the moment, and this may manifest phy...
As the second spike in covid-19 cases grows, we want to take stock of what's happening in the NHS. In these second wave updates, clinicians from primary care, secondary care, and public health, d...
https://thebmjpodcast.podbean.com/e/coronavirus-second-wave-making-the-lockdown-work/
In this talk evidence covid-19 update, we’re taking on risk - how do you figure out your individual risk of dying from the disease? Try QCovid, but remember that it’s figuring out your risk b...
Chris Whitty probably needs no introduction to our UK audience - he's the chief medical advisor to the UK government, has played a pivotal role in shaping the country's response to Covid-19. He r...
As the world sees an upsurge in infections, this "second wave" feels different to the first - we have a much better understanding of the biology of the virus, in hospitals, guidelines for treatme...
Personality disorder is often referred to as the “Cinderella” diagnosis of mental health. Around 1 in 20 people is estimated to have a personality disorder, and it is a neglected and under-re...
As the second spike in covid-19 cases grows, we want to take stock of what's happening in the NHS. In these second wave updates, clinicians from primary care, secondary care, and public health, d...
https://thebmjpodcast.podbean.com/e/second-wave-updates-how-it-s-affecting-practice-now/
The "second wave" of covid is hitting the UK, and clinicians are anticipating a spike in demand in the NHS. The inevitability of that is weighing on NHS staff's minds. In this podcast, Cormac Doy...
https://thebmjpodcast.podbean.com/e/wellbeing-dreading-the-second-wave/
As the economic fall out of covid-19 starts to bite, attention is turning to how the state can support everyone - especially if the pandemic turns into a depression. Universal basic income, and a...
Persistent coughing in children is always a challenge, both for parents trying to describe and measure the cough, and for doctors making a diagnosis. In the current climate, this is all the more ...
https://thebmjpodcast.podbean.com/e/coughing-kids-with-tim-spector-and-edward-snelson/
In this Talk Evidence covid-19 update, Jon Deeks, professor of biostatistics at the University of Birmingham gives us an update on testing technology. Will the point of care tests make a differen...
David Pencheon, Renee Salas and Ed Maibach join us to talk about how healthcare can, and should, take leadership on climate change. With a few exceptions, the healthcare industry lags behind in e...
https://thebmjpodcast.podbean.com/e/a-way-for-healthcare-to-become-net-zero-for-carbon/
With the annual flu season looming, GPs are anticipating a frenzy of vaccinations, perhaps more so than ever this year. As so many 'flu and respiratory viruses circulate every year, and as the 'f...
https://thebmjpodcast.podbean.com/e/flu-vaccine-season-with-nikki-turner-and-jeff-kwong/
This episode was recorded on 18 September - just before the news came out about the new lockdown measures. We’ll hear Carl and Helen’s thoughts, but we also want to hear a broad range of view...
Nudging seemed to be all the rage a few years ago - a way of changing individual behaviours to help people make better choices, about their diet, exercise and other habits. A lot of hype ensued, ...
Dr Anthony Fauci needs no introduction, as head of the NIAID for almost four decades, and the U.S. government's leading advisor on infectious diseases, and leader in the country's response to Cov...
Fatphobia has been described as society’s last ‘ism’. Whilst our understanding of weight and health has changed over time, there is still a stigma towards people who are overweight or obese...
The social norms that guide our behaviour in the world aren’t often quick to change - but the imperative to wear a mask in public has rapidly taken hold, establish by law, but policed by the pu...
There are have been local lockdowns in the UK, in places such as Oldham, Birmingham, Manchester – but what is the criteria for making that decision? In the non-Covid world: does honey alleviate...
Contraceptive pill check-up appointments used to be simple and straightforward for GPs, and frequently felt like a welcome reprieve from more complex consultations. However, there’s often more ...
https://thebmjpodcast.podbean.com/e/time-for-a-pill-check-with-anne-mcgregor-and-tara-stein/
In Australia, a staggering 25% of doctors have had thoughts of suicide in the past 12 months, a recent survey said. Mental health problems are higher in medicine than any other job – and yet he...
https://thebmjpodcast.podbean.com/e/wellbeing-%E2%80%93-the-joy-of-socks/
Trisha Greenhalgh, professor of primary care health sciences at the University of Oxford has been a powerhouse of covid-19 evidence synthesis. She pulled together advice on doing remote consultat...
https://thebmjpodcast.podbean.com/e/what-do-we-know-about-long-covid/
1.00) Carl has been looking at PCR testing, and explains why it picks up both viable SARS-cov-2, but also fragments of it’s RNA - leading to potential over diagnosis. (8.50 ) What did the Livin...
Interest in vitamin D, and it’s association with a range of health outcomes continues - at least if the regular flurry of papers on the subject that are submitted to The BMJ are anything to go ...
https://thebmjpodcast.podbean.com/e/thinking-about-vitamin-d-with-andrew-grey-and-tom-chatfield/
Fresh outbreaks of covid in Europe and a wave of infections in the United States have been in the news this week, highlighting the renewed need for social distancing – but to what extent? In th...
In light of the publication of the Independent Medicines and Medical Devices Safety Review (the Cumberlege report) in early July, which assessed the use of vaginal mesh, sodium valproate and Prim...
https://thebmjpodcast.podbean.com/e/trust-me-i-m-a-gp-with-karen-praeter-and-rhea-boyd/
Lockdown has been such a stressful period that many healthcare professionals developed abnormal behaviours to cope. Addiction is one such behaviour, be it to a substance – alcohol for example ...
https://thebmjpodcast.podbean.com/e/wellbeing-%E2%80%93-addiction-during-lockdown/
This time of year we would usually be doing some podcasts from the BMJ awards - but the pandemic has delayed our plans. We’re still working on acknowledging some of the best medicine from aroun...
This time of year we would usually be doing some podcasts from the BMJ awards - but the pandemic has delayed our plans. We’re still working on acknowledging some of the best medicine from aroun...
https://thebmjpodcast.podbean.com/e/david-pencheon-measuring-the-climate-impact-of-the-nhs/
As the pandemic play out, we’ve seen ways in which the collection of covid data - and it’s sharing, has been flawed, with reports in the UK that local authorities haven't got granular data, a...
https://thebmjpodcast.podbean.com/e/covid-public-health-data-is-fundamental/
Vaccines have been in the news this week - but when you dig into the stories, it turns out that the hype is about phase 1 trials. We're a long way from being sure any of the 150 possible vaccines...
The signs and symptoms of racism have long permeated our society, and are embedded in our clinical practice and medical education. Recent events in the US, including the murder of George Floyd, h...
A series of medical scandals prompted Jeremy Hunt, former UK health secretary to launch the Independent Medicines and Medical Devices Safety Review - with the explicit aim of strengthening the pa...
https://thebmjpodcast.podbean.com/e/making-the-drug-and-device-system-fit-for-patients/
US President Donald Trump has been pushing hard for an American vaccine against Covid-19. He's named the program Operation Warp Speed, which has many people worried that safety tests will be rush...
https://thebmjpodcast.podbean.com/e/what-are-the-chances-of-an-american-vaccine/
We all know that healthcare professionals are stretching themselves to provide the care that’s needed right now. But there are instances when you might find yourself out of your comfort zone or...
https://thebmjpodcast.podbean.com/e/wellbeing-%E2%80%93-how-to-say-no/
In this week's Talk Evidence we're hearing about how the death rate has dropped below average, disappointment about HIV drugs for covid-19 treatment, a trial to reduce polypharmacy, and why acade...
The relaxation of the COVID-19 lockdown regulations is raising a lot of questions, both for doctors and for patients. This week, we discuss how the lack of clarity and coherence in public health ...
https://thebmjpodcast.podbean.com/e/lowering-the-shield-with-julia-marcus-and-carol-liddle/
For a long time, the BMJ has been interested in conflicts of interest and how that skews the research base. We also heard in our podcast on "Big Tan" that science is being used to sow seeds of do...
https://thebmjpodcast.podbean.com/e/david-michaels-doubt-is-an-industry-tactic/
In the third part of our series of podcasts “Corona Virus as Seen Through a US Lens,” features editor for The BMJ, Joanne Silberner, talks to Dr. Adeline Goss about the experience of being a ...
https://thebmjpodcast.podbean.com/e/covid-19-in-the-us-returning-to-work-in-a-pandemic/
This week we're looking beyond the press release for dexamethasone, the long awaited review of antibody testing, and how well people are recovering after surviving acute covid-19. (2.36) The prep...
Earlier this year, the bmj published a racism in medicine issue - the issue was guest edited by Lord Victor Adebowale, chief executive of the NHS Confederation and Professor Mala Rao, professor o...
https://thebmjpodcast.podbean.com/e/mala-rao-on-the-uk-s-new-race-in-health-observatory/
In this week’s episode, our focus is on what the post-COVID world of general practice might look like. The pandemic has exposed the inequalities in our social and healthcare systems, but has al...
At the end of May, the WHO said that South America has become the new epicentre of the covid-19 pandemic. The majority of those with covid are in Brazil - not entirely surprising given it is the ...
https://thebmjpodcast.podbean.com/e/the-corona-virus-pandemic-in-south-america/
n normal times, around this time we’d start thinking about weekend breaks and summer holidays abroad. More than most healthcare staff and other key workers are in dire need of time out. Given t...
https://thebmjpodcast.podbean.com/e/wellbeing-the-art-of-the-staycation/
This week, we’re asking questions about surgisphere data, and how it might have got into such high impact journals, we’re also talking about the protests around the world about structural rac...
How might Burmese Buddhism help deal with pandemic stress? Christopher Bu drew on his familial heritage and the tradition of practicing mindfulness to cope with the stresses of studying to be a d...
https://thebmjpodcast.podbean.com/e/wellbeing-how-burmese-buddhism-can-help/
In this episode of Talk Evidence, we'll be finding out if second waves are inevitable (or even a thing), how the UK's failure to protect it's care homes is symbolic of a neglected part of public ...
The Trump administration was left a playbook for pandemics when they entered the Whitehouse, but even before covid-19 was a threat systematically dismantled the public health protections put in p...
https://thebmjpodcast.podbean.com/e/counting-the-ways-donald-trump-failed-in-the-pandemic/
For GPs, testing patients is their “bread and butter”. This week, we discuss the “better safe than sorry” attitude towards testing, which is so common among doctors – are we guilty of o...
https://thebmjpodcast.podbean.com/e/testing-times-with-james-mccormack-and-jess-watson/
That remdesivir study has finally been published - what does it say and is it as independant as claimed. Also, as the world's focus turned to covid, so have researchers - and they've produced ove...
*Non covid content alert* While the last couple of months have been covid-19 focused, the work of the beforetimes carries on - including a topic the BMJ is perennially interested in, industry fun...
https://thebmjpodcast.podbean.com/e/ray-moynihan-declarations-of-interest-in-healthcare-leaders/
How might stress affect your performance as a healthcare worker? That’s the question that Mark Stacey, a consultant obstetric anaesthetist in Cardiff, has been interested in for the past 10 yea...
https://thebmjpodcast.podbean.com/e/wellbeing-%E2%80%93-how-to-write-a-wellbeing-prescription/
This last week has seen questions raised about the integrity of some of the epidemiological data being produced by US states, and as rates continue to grow in some countries international compari...
This week we're focussing on what kind of information we need to be able to collect and use as the country transitions out of lockdown - and why local lockdowns may be here for some time. We also...
With COVID-19 still ongoing, and at the forefront of the minds of doctors, patients and members of the public alike, difficult conversations are taking place - GPs are encouraged to talk about de...
Does history count as a non-pharmaceutical intervention? Much of our view on what to do in this pandemic has been influenced by the 1917 Spanish 'flu outbreak - even though covid-19 seems to be a...
https://thebmjpodcast.podbean.com/e/pandemics-from-history-how-they-inform-our-response-now/
Hydroxychloroquine is in the news again - as Trump and some news organisations are pushing it as a treatment, despite evidence (published in The BMJ) showing it lacks efficacy, and has a load of ...
https://thebmjpodcast.podbean.com/e/adam-kucharski-using-viral-epidemiology-to-combat-fake-news/
Big data is being crunched to help us tackle some of the enormous amount of uncertainty about covid-19, what the symptoms are, fatality rate, treatment options, things we shouldn't be doing. In t...
https://thebmjpodcast.podbean.com/e/talk-evidence-covid-19-update-answering-questions-with-big-data/
If you’re a regular listener to our podcasts, you’ll have heard how Covid is exposing the cracks in our systems of healthcare - from showing how poorly provisioned elderly social care is, to ...
The first peak of the pandemic has passed, the situation in hospitals is more manageable. While healthcare workers are preparing for the long haul, Abi and Cat discuss how to deal with this perio...
https://thebmjpodcast.podbean.com/e/wellbeing-%E2%80%93-how-to-deal-with-the-post-emergency-crash/
We’re at the point in the pandemic that restrictions on the way people live and work are being relaxed around the world, but how that changes safety for the population is very different dependi...
https://thebmjpodcast.podbean.com/e/public-health-response-lifting-thelockdown/
For the next few months Talk Evidence is going to focus on the new corona virus pandemic. There is an enormous amount of uncertainty about the disease, what the symptoms are, fatality rate, treat...
We are more than six weeks into the lockdown and if you were to gauge the mood of the nation, it would be one of fatigue. It started as an all-hands-on-deck emergency situation, but it now transp...
https://thebmjpodcast.podbean.com/e/wellbeing-%E2%80%93-coping-with-covid-fatigue/
In this week’s episode, we discuss bystander guilt, convergence, brain hacks and “how you can sneeze on someone’s brain from anywhere in the world”. How can GPs cope with the myriad worri...
https://thebmjpodcast.podbean.com/e/coping-with-covid-with-monica-schoch-spana-and-jud-brewer/
As the pandemic plays out - hospitals are reconfigured to increase critical care capacity, outpatient clinics become virtual, and elective procedures delayed. How are these affecting care for tho...
https://thebmjpodcast.podbean.com/e/frontline-stories-caring-for-non-covid-patients/
For the next few months Talk Evidence is going to focus on the new corona virus pandemic. There is an enormous amount of uncertainty about the disease, what the symptoms are, fatality rate, treat...
How can we help frontline clinicians? Sometimes medics may feel uneasy or even guilty and that they could be doing more. That was what a junior doctor in Abergavenny in Wales felt and she did som...
Around the world, as the covid pandemic plays out, and some countries are starting to ease their restrictions, this narrative of the economy and public health being opposing weights on a set of s...
https://thebmjpodcast.podbean.com/e/public-health-vs-the-economy-1684835745/
As the pandemic plays out - the way in which doctors in the UK practice is changing, hospitals are reconfigured to increase critical care capacity, GPs are working from home and doing their day t...
https://thebmjpodcast.podbean.com/e/frontline-stories-working-as-a-gp-during-covid/
For the next few months Talk Evidence is going to focus on the new corona virus pandemic. There is an enormous amount of uncertainty about the disease, what the symptoms are, fatality rate, treat...
A new podcast from The BMJ, to help GP's feel more connected, heard, and supported. Subscribe on; Apple podcasts - https://bit.ly/applepodsDBI Spotify - https://bit.ly/spotifyDBI Google podcasts ...
https://thebmjpodcast.podbean.com/e/teleconsulting-with-trish-greenhalgh-and-fiona-stevenson/
A new podcast from The BMJ, to help GP's feel more connected, heard, and supported. Subscribe on; Apple podcasts - https://bit.ly/applepodsDBI Spotify - https://bit.ly/spotifyDBI Google podcasts ...
https://thebmjpodcast.podbean.com/e/feeling-the-fear-with-iona-heath-and-danielle-ofri/
There is no doubt that anxiety levels that clinicians are feeling during this pandemic are high. One military medic believes the current situation is comparable to his experience when posted duri...
For the next few months Talk Evidence is going to focus on the new corona virus pandemic. There is an enormous amount of uncertainty about the disease, what the symptoms are, fatality rate, treat...
We’ve published info on Telehealth in primary care - and have been overwhelmed by the response from GPs who are finding it useful. But it’s not only primary care that is dramatically shifting...
https://thebmjpodcast.podbean.com/e/wellbeing-some-advice-for-telehealth-in-secondary-care/
As we cover the covid-19 outbreak, we want to hear some of the stories from the frontline - And who better to heart of what this pandemic is doing to the profession in the UK, than some of the pe...
https://thebmjpodcast.podbean.com/e/front-line-stories-how-corona-is-changing-acute-care/
For the next few months Talk Evidence is going to focus on the new corona virus pandemic. There is an enormous amount of uncertainty about the disease, what the symptoms are, fatality rate, treat...
As part of our response to the covid-19 pandemic, we’re going to be running a series of discussions with experts about some of the big issues arising from the virus. In this one, we’re asking...
https://thebmjpodcast.podbean.com/e/the-public-health-response-to-covid-19-1684835756/
For the next few months Talk Evidence is going to focus on the new corona virus pandemic. There is an enormous amount of uncertainty about the disease, what the symptoms are, fatality rate, treat...
Wellbeing might not seem the obvious place to talk about PPE - but lack of appropriate PPE is causing healthcare staff a great deal of stress now. Mary Brindle is a pediatric surgeon and the dire...
https://thebmjpodcast.podbean.com/e/wellbeing-some-advice-on-working-in-ppe/
Continuing our series on wellbeing during the pandemic, in this podcast we speak to Occupational Psychologist Roxane Gervais about how doctors can look after themselves during the covid-19 pandem...
https://thebmjpodcast.podbean.com/e/look-after-yourself-during-covid-19/
We knew a pandemic was coming at some point - it’s kind of why we have the WHO. We have had various smaller scale tests of the international response to an infectious disease outbreak - Ebola i...
https://thebmjpodcast.podbean.com/e/who-s-response-to-covid-19/
For the next few months Talk Evidence is going to focus on the new corona virus pandemic. There is an enormous amount of uncertainty about the disease, what the symptoms are, fatality rate, treat...
Reports from Italy, and more recently from the U.S. show the strain the healthcare system is under during this pandemic. We know that staff will step up in an emergency, but this isn’t a fire o...
https://thebmjpodcast.podbean.com/e/organisational-kindness-during-covid-19/
This edition of talk evidence was recorded before the big increase in covid-19 infections in the UK, and then delayed by some self isolation. We'll be back with more evidence on the pandemic very...
The NHS is a world leader in sustainable healthcare - and it's the staff who have have been leading the charge. The For A Greener NHS campaign is asking everyone who has made a change to the way ...
https://thebmjpodcast.podbean.com/e/for-a-greener-nhs-a-call-for-evidence/
We all know we should be doing more exercise, and one way to do that is by active commuting - journeying to work on foot or by bike. One thing preventing people from taking up cycling is the fear...
We know that the number of people living with multiple health conditions is rising year on year, and yet training, guidelines, organisations and physical spaces in healthcare still largely focus ...
https://thebmjpodcast.podbean.com/e/why-we-are-failing-patients-with-multimorbidity/
In this week's special episode of Sharp Scratch, we've got something a little different for you! Last week the panel talked microaggressions, so this week we're hearing from an expert guest who i...
https://thebmjpodcast.podbean.com/e/yvonne-coghill-is-trying-to-fix-racism-in-the-nhs-1684835769/
Last week the BMJ published it’s first special edition into Racism in Medicine. The issues tacked ranged from differential attainment in medical school, to the physiological effects that experi...
We're taking a break from the usual Talk Evidence to focus on the new corona virus that has emerged in China. With a brand new disease, we have to build our evidence base from scratch - basic vir...
https://thebmjpodcast.podbean.com/e/talk-evidence-building-an-evidence-base-for-covid-19/
There comes a tipping point in all campaigns when the evidence is overwhelming and the only way to proceed is with action. According to David Williams, it’s time to tackle the disproportionate ...
In 2012, Eleni Linos, professor of dermatology at Stanford university, published a systematic review and meta-analysis of the link between non-melanoma cancer and sun-beds. That bit of pretty sta...
https://thebmjpodcast.podbean.com/e/big-tan-is-the-sunbed-industry-targeting-research/
In many countries (including the UK and Australia) it is still common practice for hospital doctors to write letters to patients’ general practitioners (GPs) following outpatient consultations,...
In October 2019, Mary Dixon-Woods, director of the THIS Institute, dedicated to healthcare improvement. In that she explained how she believed healthcare improvement could be improved. The essay ...
https://thebmjpodcast.podbean.com/e/qi-and-improvement-are-not-synonyms/
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 unkn...
https://thebmjpodcast.podbean.com/e/prevalence-and-treatment-of-precocious-puberty/
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 Hene...
https://thebmjpodcast.podbean.com/e/talk-evidence-sepsis-talc-and-blindsided-by-blinding/
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%...
https://thebmjpodcast.podbean.com/e/surviving-childhood-cancer-treatment/
Is it possible to have a fair price for medicines? Yes, according to a new collection just published on bmj.com. The authors set out to evaluate how we could improve the functioning of the market...
https://thebmjpodcast.podbean.com/e/is-it-possible-to-have-fair-pricing-for-medicines/
Michael West is professor of organisational psychology, at Lancaster University, and co-author of a new GMC report into the wellbeing of NHS staff. The review he led together with the clinical ps...
https://thebmjpodcast.podbean.com/e/michael-west-gmc-report-on-wellbeing/
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 af...
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 whistl...
https://thebmjpodcast.podbean.com/e/editors-pick-of-education-in-2019/
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 Hene...
The internecine takes on medical specialty are a common thread in the Christmas BMJ, and this year we're doing it through the lens of driving. Which speciality speeds the most, who has the nicest...
https://thebmjpodcast.podbean.com/e/the-need-for-psychiatrists-speed/
As editors, we feel like we’re spending a lot of time taking the superlatives out from articles - amazing, novel, important… But new research on BMJ.com suggests that we might not be doing th...
https://thebmjpodcast.podbean.com/e/talking-up-your-research-sex-makes-a-difference/
We’re back for the December Talk Evidence, and this month we’re being very digital Firstly,(1.20) Helen tells us about arthritic fingers - should we be using prednisolone for treatment when p...
https://thebmjpodcast.podbean.com/e/talk-evidence-digital-clubbing-osteoarthritis-sustainable-ebm/
In this special edition of talk evidence, Helen Macdonald and Carl Henneghan talk about creating an evidence base from harms. We hear from a member of the pubic who experienced harm from a drug...
https://thebmjpodcast.podbean.com/e/talk-evidence-talking-about-harms/
The UK general election is happening this week, and you’ve probably made your mind up which MP you’re voting for already - and maybe the NHS has influenced that decision. This year has seen a...
https://thebmjpodcast.podbean.com/e/behind-the-campaign-promises-doctors-in-parliament/
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 s...
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...
https://thebmjpodcast.podbean.com/e/behind-the-campaign-promises-health-beyond-the-nhs/
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...
https://thebmjpodcast.podbean.com/e/behind-the-campaign-promises-health-and-social-care-spending/
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...
https://thebmjpodcast.podbean.com/e/behind-the-campaign-promises-gp-numbers-and-appointment-slots/
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 ov...
https://thebmjpodcast.podbean.com/e/reversing-our-preconceptions-about-where-innovation-comes-from/
Talk Evidence is back, with your monthly take on the world of EBM with Duncan Jarvies and GPs Carl Heneghan (also director for the Centre of Evidence Based Medicine at the University of Oxford) a...
Giving staff the confidence to speak out is important in healthcare - It's a key aspect of the WHO patient safety checklist, decreasing incidence of medical error, but it's also important to stop...
https://thebmjpodcast.podbean.com/e/creating-a-speak-out-culture/
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...
https://thebmjpodcast.podbean.com/e/creating-support-for-doctors-in-the-nhs/
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 US...
https://thebmjpodcast.podbean.com/e/nudging-the-calories-off-your-order/
A TB infection can take two forms, active and latent. Active disease is transmissible, and causes the damage to the lungs which makes TB one of the biggest killers in the world. In the latent for...
https://thebmjpodcast.podbean.com/e/testing-for-tb-is-only-skin-deep/
This week, Dr Arnav Agarwal joins Ray to share the perspective and experiences of a young, recently graduated doctor working in a busy, metropolitan hospital. Despite the long shifts and demandin...
This week, Ray ventures into the notoriously complex field of nutrition with special guest, Professor Marion Nestle. Named by Forbes as one of the world's most powerful foodies, Marion’s stella...
Statins are now the most commonly used drug in the UK and one of the most commonly used medicines in the world, but debate remains about their use for primary prevention for people without cardio...
https://thebmjpodcast.podbean.com/e/statins-for-primary-prevention-how-good-is-the-evidence/
Direct-to-consumer genetic tests are sold online and in shops as a way to “find out what your DNA says". They insights into ancestry or disease risks; others claim to provide information on per...
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 Econ...
https://thebmjpodcast.podbean.com/e/how-blockchain-could-improve-clinical-trial-transparency/
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 g...
https://thebmjpodcast.podbean.com/e/a-new-way-to-look-at-behaviour-change-in-uk-gps/
Our latest series kicks off with Australia’s multi-award-winning health and science reporter, Liam Mannix. He joins Ray to share his insights into the role and impact of evidence, advocacy and ...
Talk Evidence is back, with your monthly take on the world of EBM with Duncan Jarvies and GPs Carl Heneghan (also director for the Centre of Evidence Based Medicine at the University of Oxford) a...
https://thebmjpodcast.podbean.com/e/talk-evidence-eating-less-drinking-less-drug-approval-data/
After ten years at the helm of the Cochrane Library, Dr David Tovey recently stepped down as Editor-in-Chief. This week he joins Ray to reflect on Cochrane’s past, present and future and share ...
On the 1st of May, 2018 Scotland was the first country to try a new way of reducing alcohol consumption in its population. It introduced a minimum unit prices for alcohol. Now new research just p...
https://thebmjpodcast.podbean.com/e/minimum-unit-pricing-in-scotland/
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 highlig...
https://thebmjpodcast.podbean.com/e/climate-change-will-make-universal-health-coverage-precarious/
Helen talks about new research on prevention of recurrent VTE - and Carl things the evidence goes further, and we can extend prophylaxis for a year. 13.00 - CRP testing for antibiotic prescriptio...
Around half of trials that supported new cancer drug approvals in Europe between 2014 and 2016 were judged to be at high risk of bias, in a new study. Huseyin Naci,assistant professor of health p...
This week we saw the release of the much awaited Yellowhammer documents from the government, documents which outline some of the risks involved with Britain’s sudden departure from the EU. The ...
https://thebmjpodcast.podbean.com/e/brexit-planning-for-medicine-shortages/
This week the Trump administration has banned the sale of flavoured vapes in the USA. The reason for that is the sudden rash of cases of pulmonary disease, including deaths, linked to vaping. The...
In the UK, for just over a year, we've been paying the "Soft Drinks Industry Levy" - a tax on sugary beverages intended to reduce our consumption of free sugars. That was based on taxes that had ...
https://thebmjpodcast.podbean.com/e/extending-the-uk-s-sugar-tax-to-snacks/
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...
https://thebmjpodcast.podbean.com/e/the-government-is-lacking-detail-over-brexit-planning/
We heard a few podcasts ago about burnout - what it is, and why it should be thought of as a systems issue. Now a project in the Netherlands is trying to investigate who it is that is particularl...
https://thebmjpodcast.podbean.com/e/tackling-burnout-in-the-netherlands/
We know that exercise is good for you - the WHO recommends at least 150 minutes of moderate intensity or 75 minutes of vigorous intensity aerobic physical activity each week. That recommendation ...
Welcome back to Talk Evidence - where Helen Macdonald and Carl Heneghan take you through what's happening in the world of Evidence. This month we'll be discussing tramadol being prescripted posto...
https://thebmjpodcast.podbean.com/e/talk-evidence-tramadol-medical-harm-and-alexa/
In 2001, Gottfried Hirnschall joined the WHO to work on the global response to HIV/AIDs, 18 years later he just retired as the director of WHO’s department for HIV and Hepatitis. The intervenin...
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 syste...
The UK has just seen it’s hottest July on record, including the highest ever temperature recorded. With climate change in the forefront of our minds, it’s timely that we have two editorials o...
At EBM live recently, we ran a workshop with researchers, patients and clinicians to talk about patient rights in research - should patients be setting the full research agenda? Should they be fu...
https://thebmjpodcast.podbean.com/e/patient-s-rights-in-research-moving-beyond-participation/
Cannabinoid hyperemesis syndrome is a relatively newly recognised condition - but, according to one study, can account for up to 6% of patients presenting to emergency departments. The causal mec...
https://thebmjpodcast.podbean.com/e/cannabinoid-hyperemesis-syndrome-1684835829/
Cochrane Austria have been asking the public what they'd like to know about health. Not whether the latest drug is more efficacious, but whether glacier stone power cures hangovers. Gerald Gartle...
https://thebmjpodcast.podbean.com/e/fighting-bad-science-in-austria/
Fertility awareness based methods of contraception are increasingly being used for pregnancy prevention. In the US, the proportion of contraceptive users who choose such methods has grown from 1...
https://thebmjpodcast.podbean.com/e/fertility-awareness-based-methods-for-pregnancy-prevention/
This month we have some more feedback from our listeners (2.20) Carl says it's time to start smoking cessation (or stop the reduction in funding for smoking reduction) (11.40) and marvels at how ...
https://thebmjpodcast.podbean.com/e/talk-evidence-smoking-gloves-and-transparency/
Margaret Heffernan has thought a lot about whistleblowing, and why companies don't respond well to it. She wrote the "Book Wilful Blindness: Why We Ignore the Obvious at our Peril". In this podca...
It's been just over two years since a fire broke out in Grenfell tower, in west London, claiming the lives of 72 residents. 223 people survived, thanks to the work of the fire brigade and health ...
https://thebmjpodcast.podbean.com/e/after-grenfell-1684835835/
This week on the podcast, (2.02) a listener asks, when we suggest something to stop, should we suggest an alternative instead? (8.24) Helen tells us to stop putting people on treatment for subcli...
WHO Director-General Dr. Tedros recently said “Since it came into force 13 years ago, the Framework Convention on Tobacco Control remains one of the world’s most powerful tools for promoting ...
https://thebmjpodcast.podbean.com/e/did-international-accord-on-tobacco-reduce-smoking/
Nicole Stott is an engineer, aquanaut and one of the 220 astronauts to have lived and worked on the International Space Station. In a confined space, under huge pressure, with no way out, it's im...
https://thebmjpodcast.podbean.com/e/working-as-a-team-and-combating-stress-in-space/
As Syria enters its ninth year of conflict, doctors are struggling to provide health care to a badly damaged country. While dealing with medicine shortages, mass casualties and everything that co...
https://thebmjpodcast.podbean.com/e/thoroughly-and-deliberately-targeted-doctors-in-syria/
Hi impact, low probability events are a planners nightmare. You know that you need to think about them, but how can you prioritise which event - terrorist attack, natural disaster, disease outbre...
https://thebmjpodcast.podbean.com/e/planning-for-the-unplannable/
It's What Matters To You day - #wmty - and in this podcast Anya de Iongh, The BMJ's patient editor, and Joe Fraser, author of Joe's Diabetes who works at NHS England on personalised care, get tog...
https://thebmjpodcast.podbean.com/e/what-matters-to-you-day/
The NHS is about caring for people, free at the point of care, creating a safety net which catches the most vulnerable. Tech has been defined by the facebook maxim "move fast, break things" - loo...
https://thebmjpodcast.podbean.com/e/tech-and-the-nhs-a-tale-of-two-cultures/
We’ve been banging the drum about transparency of payment to doctors for years - we’ve even put a moratorium on financial conflicts of interest in the authors of any of our education articles...
https://thebmjpodcast.podbean.com/e/finding-out-who-funds-patient-groups/
Helen Macdonald and Carl Heneghan are back again talking about what's happened in the world of evidence this month. (1.05) Carl rants about bacon causing cancer (7.10) Helen talks about prostate ...
Stroke mortality rates have been declining in almost every country, and that reduction could result from a decline in disease occurrence or a decline in case fatality, or both. Broadly - is that ...
https://thebmjpodcast.podbean.com/e/what-caused-the-drop-in-stroke-mortality-in-the-uk/
Looking after a young child is hard enough, but when that child has learning difficulties and displays challenging behaviour - the burden on parents can be extreme. That behaviour may prompt a vi...
https://thebmjpodcast.podbean.com/e/helping-parents-with-children-who-display-challenging-behaviour/
In the UK we have a complex relationship with gambling, the government licences the national lottery, and uses profit from that to fund our art and museum sector - horse racing is a national TV e...
The National Surveys of Sexual Attitudes and Lifestyles is a deep look into the sex lives of us brits - and has been running now for 30 years, giving us some longitudinal data about the way in wh...
https://thebmjpodcast.podbean.com/e/the-sex-lives-of-married-brits/
Starting in the middle of April, the group “Extinction Rebellion” have organised a series of non-violent direct action protests. Most notably bringing central London to a standstill - but the...
https://thebmjpodcast.podbean.com/e/doctors-and-extinction-rebellion/
Here's a taster for our new student podcast - Sharp Scratch. We're talking about the hidden curriculum, things you need to know to function as a doctor, but are rarely formally taught. This is a ...
In the UK, there's an ethnic group that is surprisingly large, but often overlooked by society, and formal healthcare services. The gypsy traveller community have poorer health outcomes because o...
https://thebmjpodcast.podbean.com/e/gypsy-and-traveller-health/
An “author pays” publishing model is the only fair way to make biomedical research findings accessible to all, say David Sanders, professor of gastroenterology at Sheffield University, but Ja...
https://thebmjpodcast.podbean.com/e/could-open-access-have-unintended-consequences/
Helen Macdonald and Carl Heneghan are back again talking about what's happened in the world of evidence this month. (1.20) Carl grinds his gears over general health checks, with an update in the ...
https://thebmjpodcast.podbean.com/e/talk-evidence-health-checks-abx-courses-and-p-values/
On the 7th of June, 1753, Dr Archibald Cameron was executed at Tyburn. "The body, after hanging twenty minutes, was cut down: it was not quartered; but the heart was taken out and burnt. " 250 ye...
https://thebmjpodcast.podbean.com/e/capital-punishment-my-sixth-great-grandfather-and-me/
Jessica Perlo is the Director for Joy at Work at the Institute for Healthcare Improverment, and James Mountford is direct or of quality at the Royal Free London NHS Foundation Trust. Together the...
https://thebmjpodcast.podbean.com/e/how-to-have-joy-at-work/
Non-medical interventions are increasingly being proposed to address wider determinants of health and to help patients improve health behaviours and better manage their conditions - this is known...
https://thebmjpodcast.podbean.com/e/social-prescribing-1684835859/
Change requires the application of power - the way in which individuals can accrue power has shifted in our digitally connected world. Traditional ways of influencing change in healthcare (gettin...
https://thebmjpodcast.podbean.com/e/applying-new-power-in-medicine/
Helen Macdonald and Carl Heneghan are back again talking about what's happened in the world of evidence this month. They start by talking about shoulders - what does the evidence say about treati...
https://thebmjpodcast.podbean.com/e/talk-evidence-shoulders-statins-and-doctors-messes/
As England’s presumed consent law for 2020 clears parliament, Veronica English, head of medical ethics and human rights at the BMA, say that evidence from Wales and other countries shows that i...
https://thebmjpodcast.podbean.com/e/is-opt-out-the-best-way-to-increase-organ-donation/
It can be difficult to know what to do when a person in severe psychological distress presents to a general practice or community clinic, particularly if they are behaving aggressively, or if the...
https://thebmjpodcast.podbean.com/e/an-acutely-disturbed-person-in-the-community/
In every generation there are a few that know the secret; the counterintuitive effects of loop diuretics. In this podcast Steven Anisman, cardiologist at the Dartmouth Hitchcock Department of Car...
https://thebmjpodcast.podbean.com/e/passing-on-the-secret-knowledge-of-loop-diuretics/
Renza Scibilia and Chris Aldred have diabetes, and their introduction to the idea of complications arising from the condition were terrifying. Because of this early experience, and Chris's later ...
In 2014, Oliver Johnson was a 28 year old British doctor, working on health policy in Sierre Leone after finishing medical school. Also working in Freetown was Sinead Walsh, then the Irish Ambass...
https://thebmjpodcast.podbean.com/e/ebola-stepping-up-in-sierre-leone/
If you've been keeping up to day with The BMJ - online on in print, you might have noticed that we've got a new type of article - NIHR Signals - and they are here to give busy clinicians a quick ...
More doctors are choosing to retire early, doctors who take career breaks find it hard to return to practice, and doctors at all stages of their careers are frustrated by the lack of support give...
Diabetes is synonymous with sugar, but diabetes insipidus, "water diabetes", can't be forgotten. Between 2009 and 2016, 4 people died in hospital in England, when lifesaving treatment for the con...
https://thebmjpodcast.podbean.com/e/diabetes-insipidus-the-danger-of-misunderstanding-diabetes/
Helen Macdonald and Carl Heneghan are back again talking about what's happened in the world of evidence this month. They start by talking about how difficult a task it is to find evidence that's ...
https://thebmjpodcast.podbean.com/e/talk-evidence-radiation-fertility-and-pneumonia/
The problem we had publishing our feed has been fixed, and normal service has resumed. Thank you for subscribing to the podcast, if you have thoughts you'd like to express, we'd love to hear them...
https://thebmjpodcast.podbean.com/e/sorry-for-the-interruption-in-service/
Recent years have seen political and social progress for people who identify as LGBT+ (lesbian, gay, bisexual, and transgender; the “+” indicating inclusion of other minority sexual and gende...
https://thebmjpodcast.podbean.com/e/safeguarding-lgbt-young-people/
Current evidence is sufficient to justify a national screening programme, argues Mark Lown clinical lecturer at the University of Southampton, but Patrick Moran, senior research fellow in health ...
https://thebmjpodcast.podbean.com/e/should-we-be-screening-for-af/
Patients who experience chronic rhinosinusitis may way for a considerable period of time before presenting, because they believe the condition to be trivial. In this podcast, Alam Hannan, ENT C...
The Royal College of Physicians will survey all its members in February on this most controversial question. It says that it will move from opposition to neutrality on assisted dying unless 60% v...
https://thebmjpodcast.podbean.com/e/assisted-dying-should-doctors-help-patients-to-die/
Jönköping has been at the centre of the healthcare quality improvement movement for years - but how did a forested region of Sweden, situated between it's main cities, come to embrace the philo...
In this EBM round-up, Carl Heneghan, Helen Macdonald and Duncan Jarvies are back to give you an update Dual vs single therapy for prevention of TIA or minor stroke - how does the advice that dual...
https://thebmjpodcast.podbean.com/e/talk-evidence-tias-aging-in-japan-and-women-in-medicine/
We have had two articles published recently on bmj.com, looking at drug prevention of HIV; PeP - Post-exposure Prophylaxis and PreP - Pre-exposure Prophylaxis, neither prevent the virus from ente...
https://thebmjpodcast.podbean.com/e/hiv-everything-you-wanted-to-know-about-pep-and-prep/
HbA1c concentration is used as the biomarker for long term glycaemic control, however if the lifespan of red blood cells is altered, that may lead to an over, or under estimation of that control....
Terence Stephenson is a consultant paediatrician who became been chair of the General Medical Council in 2015. His 4 year tenure has now come to an end, but during his time with the regulator the...
https://thebmjpodcast.podbean.com/e/terence-stephenson-looking-back-at-chairing-the-gmc/
Susan Greenhalg is a research professor of chinese society in Harvard’s department of anthropology - not a natural fit for a medical journal you may think, but recently she has been looking at ...
https://thebmjpodcast.podbean.com/e/how-coca-cola-shaped-obesity-science-and-policy-in-china/
For many of you Christmas is over and, you’re back to work. Admin piled up over christmas? Feeling resentful for all those forms, and the weird codes they make you put in them? In this podcast ...
2018 will go down in history as a year of reckoning as the year that that some men’s behaviour came back to bite them. The continuing impact of #MeToo across the world has prompted another roun...
https://thebmjpodcast.podbean.com/e/women-in-medicine-at-christmas/
the Christmas BMJ season is upon us - if you’re to go to our website now, you’ll see that it’s been a bumper year. In the podcast, we’re going to be bringing you a select few - we’ll be...
In the second of our EBM round-ups, Carl Heneghan, Helen Macdonald and Duncan Jarvies are joined by Deborah Cohen, investigative journalist and scourge of device manufacturers. We're giving our v...
https://thebmjpodcast.podbean.com/e/talk-evidence-devices-and-facebook-vaccines/
A new collection of articles published by The BMJ includes twelve country case studies, each an evaluation of multisectoral collaboration in action at scale on women’s, children’s, and adoles...
https://thebmjpodcast.podbean.com/e/making-multisectoral-collaboration-work/
Infant formula manufacturers were made pariah in the 70s, because of their marketing practices - this lead to “The Code”, adopted by the WHO, which set out clear guidelines about what those p...
Nausea and vomiting in pregnancy affects around 70% of pregnancies. It is mild for around 40% of women, moderate for 46%, and severe for 14%. By contrast, hyperemesis gravidarum is a complication...
https://thebmjpodcast.podbean.com/e/the-bone-crushing-nausea-of-hyperemesis/
Healthy self confidence has an important role in surgery, but what came first - the surgeon or the ego? In this conversation, Christopher Myers, Yemeng Lu-Myers, and Amir Ghaferi join us to talk ...
https://thebmjpodcast.podbean.com/e/god-is-in-operating-room-4/
Until recently, The BMJ had a campaign of patient partnership - now we have a patient and public partnership campaign. The reason for that change is that medicine has an effect beyond the individ...
https://thebmjpodcast.podbean.com/e/carers-need-a-voice-in-the-nhs/
You’ll have read in a clinical trial “Most patients had an acceptable adverse-event profile.” Or that a drug “has a manageable and mostly reversible safety profile.” And that “the t...
Welcome to this, trial run, of a new kind of BMJ podcast - here we’re going to be focusing on all things EBM. Duncan Jarvies, Helen Macdonald and Carl Heneghan - and occasional guests- will be ...
https://thebmjpodcast.podbean.com/e/talk-evidence-vitamin-d-oxygen-and-ethics/
Clinical trials for regulatory approval are designed to test efficacy, but new drugs might have adverse reactions - reactions those trials aren’t designed to spot. To talk about those adverse r...
Machines that can learn and correct themselves already perform better than doctors at some tasks, but not all medicine is task based - but will AI doctors ever be able to have a therapeutic relat...
As the accompanying editorial to this article says, "oxygen has long been a friend of the medical profession Even old friendships require reappraisal in the light of new information." And that’...
https://thebmjpodcast.podbean.com/e/how-much-oxygen-is-too-much-oxygen/
Cardiovascular factors are associated with risk of stroke - and those factors can be mediated by lifestyle and by genetic make up. New research published by The BMJ sets out to explore how these ...
https://thebmjpodcast.podbean.com/e/how-does-lifestyle-affect-genetic-risk-of-stroke/
On the podcast, we’ve talked a lot about the limits of medicine - where treatment doesn’t work, or potentially harms. But in that conversation, we’ve mainly focused on specific treatments. ...
https://thebmjpodcast.podbean.com/e/talking-honestly-about-intensive-care/
The common cold is usually mild and self limiting - but they’re very annoying, especially the runny nose and bunged up feeling that form the nasal symptoms. A new practice article, published on...
https://thebmjpodcast.podbean.com/e/nasal-symptoms-of-the-common-cold/
What can we learn from the shameful story of vaginal mesh? That thousands of women have been irreversibly harmed; that implants were approved on the flimsiest of evidence; that surgeons weren’t...
https://thebmjpodcast.podbean.com/e/what-s-it-like-to-live-with-a-vaginal-mesh/
There is very little guidance on withdrawing or tapering opioids in chronic pain (not caused by cancer). People can fear pain, withdrawal symptoms, a lack of social and healthcare support, and th...
Ted Kaptchuk, professor of medicine at Harvard Medical school - and leading placebo researcher, has just published an analysis on bmj.com describing the effect of open label placebo - placebos th...
https://thebmjpodcast.podbean.com/e/the-counter-intuitive-effect-of-open-label-placebo/
We want clinical trials to be thorough - but Vinay Prasad, assistant professor of medicine at Oregon Health Science University, argues that the problem of overdiagnosis may be as prevalent, in th...
https://thebmjpodcast.podbean.com/e/vinay-prasad-there-is-overdiagnosis-in-clinical-trials/
Brits have a reputation as Europe’s boozers - and for good reason, with alcohol consumption higher than much of the rest of the continent. That reputation is extended to our young people too - ...
Last week we heard about how evidence in policy making is imperilled - but today we’re hearing about a plan to make evidence about health central to all aspects of government. Laura Webber, dir...
https://thebmjpodcast.podbean.com/e/don-t-save-on-transport-at-the-cost-of-the-nhs/
This week a very different kind of conversation on the Recommended Dose – one that considers the art of medicine more than the science. Iona Heath is a long-time family doctor who has worked in...
If you’re of a scientific persuasion, watching policy debates around Brexit, or climate change, or drug prohibition are likely to cause feelings of intense frustration about the dearth of evide...
More than ½ of patients leave hospital with changes to four or more of their long-term medications - but how appropriate are those changes? New research published on bmj.com looks at antihyperte...
We at The BMJ care about food, and if our listener stats are to be believed, so do you. In this podcast we’re looking at quality as an important driver of a good diet. At our recent food confer...
https://thebmjpodcast.podbean.com/e/nutritional-science-is-quality-more-important-than-quantity/
The concept of overdiagnosis is pretty hard to get - especially if you’ve been educated in a paradigm where medicine has the answers, and it’s only every a positive intervention in someone’...
This week saw the latest Preventing Overdiagnosis conference - this time in Copenhagen. The conference is a is a forum where researchers and practitioners can present examples of overdiagnosis - ...
https://thebmjpodcast.podbean.com/e/preventing-overdiagnosis-2018-part-1/
The number of people estimated to be latently infected with TB - that is infected with TB, which has not yet manifested symptoms - is around 2 billion. That is 1 in 3 people on the planet are inf...
https://thebmjpodcast.podbean.com/e/have-we-misunderstood-tb-s-timeline/
This week, a very special conversation with a maverick British medico who set up a tiny research centre in Oxford and watched it grow into a global collaboration of over 40,000 people across 130 ...
Dyspareunia is a common but poorly understood problem affecting around 7.5% of sexually active women. It is an important and neglected area of female health, associated with substantial morbidit...
https://thebmjpodcast.podbean.com/e/the-diagnosis-and-treatment-of-dyspareunia/
Sue Farrington is chair of the Patient Information Forum, a member organisation which promotes best practice in anyone who produces information for patients. In this podcast, she discusses what m...
https://thebmjpodcast.podbean.com/e/patient-information-is-key-to-the-therapeutic-relationship/
15s30m is a social movement to reduce frustration & increase joy - the idea is to spend 15 seconds of your time now, and save someone else 30 minutes down the line. To talk about their movement w...
https://thebmjpodcast.podbean.com/e/15-seconds-to-improve-your-workplace/
Mendelian randomisation - it’s a technique that uses the chance distribution of genes in a population, combined with big data sets, to investigate causative relationships. But there are a lot o...
https://thebmjpodcast.podbean.com/e/mendelian-randomisation-for-the-moderately-intelligent/
It’s been quite a year for the NHS - it just turned 70, had a winter crisis like never before, got over junior doctor strikes, but then was hit by a series of scandals about breast screening, a...
https://thebmjpodcast.podbean.com/e/what-does-the-public-think-of-the-nhs/
This week influential Editor-in-Chief of JAMA Internal Medicine Dr Rita Redberg joins Ray for a wide ranging conversation on all things health. A Professor at the University of California San Fra...
Doctors and the farming industry are often blamed for overuse of antibiotics that spurs the growing problem of antimicrobial resistance - but the professions are using different methods to combat...
https://thebmjpodcast.podbean.com/e/doctors-and-vets-working-together-for-antibiotic-stewardship/
Getting feedback from people who use NHS services is essential to assessing their value - and improving their quality. Hospitals and general practices widely post information about patient's sati...
https://thebmjpodcast.podbean.com/e/james-munro-cares-about-patients-opinions/
Wendy Burn is a consultant old age psychiatrist, and new president of the Royal College of Psychiatrists. Her work on dementia has given her an affinity for the neurobiological basis of psychiatr...
https://thebmjpodcast.podbean.com/e/prof-wendy-burn-the-changing-focus-of-psychiatry/
Ray Moynihan is a senior research assistant at Bond University, a journalist, champion of rolling back too much medicine, and host of a new series “The Recommended Dose” from Cochrane Austral...
https://thebmjpodcast.podbean.com/e/your-recommended-dose-of-ray-moynihan/
At evidence live this year, one of the sessions was about the work of Evidence Aid - and their attempt to bring high quality evidence to the frontline of a humanitarian crisis. In that situatio...
https://thebmjpodcast.podbean.com/e/evidence-in-a-humanitarian-emergency/
At Evidence Live this year, the focus of the conference was on communication of evidence - both academically, and to the public. And part of that is the role that investigative journalism has to ...
https://thebmjpodcast.podbean.com/e/when-an-investigative-journalist-calls/
Don Berwick, president emeritus of the Institute of Healthcare Improvement, and former Administrator of the Centers for Medicare and Medicaid Services. In this conversation he discusses how he we...
https://thebmjpodcast.podbean.com/e/don-berwick-you-can-break-the-rules-to-help-patients/
When tackling societal problems - like the opioid epidemic in the US - there are two ways of approaching it. One is to reduce demand - by organising treatment programmes, or reducing the underlyi...
Series two of The Recommended Dose kicks off with polymath and poet, Dr John Ioannidis. Recognised by The Atlantic as one the most influential scientists alive today, he’s a global authority on...
There’s a lot going on in the world at the moment - Ebola’s back, Puerto Rico is without power and the official estimations of death following the hurricane are being challenged. The WHO’s ...
https://thebmjpodcast.podbean.com/e/ashish-jha-tries-to-see-the-world-as-it-is/
We at The BMJ care about food, and if our listener stats are to be believed, so do you. In this podcast we talk to a few of the authors of a new series, published next week on bmj.com, which trie...
https://thebmjpodcast.podbean.com/e/nutritional-science-why-studying-what-we-eat-is-so-difficult/
In December 2017, the NEJM’s national corespondent, Lisa Rosenbaum, published an article “The Less-Is-More Crusade — Are We Overmedicalizing or Oversimplifying?” The article aimed a broad...
https://thebmjpodcast.podbean.com/e/the-misunderstanding-of-overdiagnosis/
Each time you order a test for a child, do you think the population that makes up the baseline against which the results are measured? It turns out that that historically those reference interval...
Patients who are depressed and prescribed antidepressants may report weight gain, but there has been limited research into the association between the two. However new observational research publ...
https://thebmjpodcast.podbean.com/e/antidepressants-and-weight-gain/
Complexity science offers ways to change our collective mindset about healthcare systems, enabling us to improve performance that is otherwise stagnant, argues Jeffrey Braithwaite, professor of h...
https://thebmjpodcast.podbean.com/e/think-of-healthcare-is-an-ecosystem-not-a-machine/
There’s been a lot of attention given to the new antirviral drugs which target Hepatitis C - partly because of the burden of infection of the disease, and the lack of a treatment that can be ma...
https://thebmjpodcast.podbean.com/e/new-antivirals-for-hepatitis-c-what-does-the-evidence-prove/
Worldwide, the rate of type II diabetes is estimated to be around 1 in 11 people - about 9%. For the Pima people of Arizona, 38% of the adult population have the condition - but across the border...
https://thebmjpodcast.podbean.com/e/what-forced-migration-can-tell-us-about-diabetes/
We’re in an era of big data - and hospitals and GPs are generating an inordinate amount of it that has potential to improve everyone’s health. But only if it’s used properly. New research p...
The array of options available to pharmaceutical companies, to advertise their drugs, is incredibly broad - and the amount that they spend is increasing, with some reports saying it’s up 60% in...
https://thebmjpodcast.podbean.com/e/who-can-tackle-pharma-advertising/
For many people, cancer is now survivable and has become a long term condition, and depression and anxiety are more common in cancer survivors than in the general population. Despite this, 73% of...
https://thebmjpodcast.podbean.com/e/the-complexities-of-depression-in-cancer/
Smokers want to vape, it can help them quit, and it’s less harmful than smoking, say Paul Aveyard professor of behavioural medicine at the University of Oxford. But Kenneth C Johnson, adjunct p...
https://thebmjpodcast.podbean.com/e/e-cigarettes-debating-the-evidence/
Harry Burns was a surgeon, who gave up his career in that discipline to become a public health doctor. Eventually that lead to him being the last Chief Medical Officer of Scotland, and now he’s...
https://thebmjpodcast.podbean.com/e/harry-burns-the-social-determinants-of-scotland/
We talk about financial conflicts of interest a lot atThe BMJ - and have take taken the decision that our educational content should be without them. We also talk a lot about non-financial confli...
https://thebmjpodcast.podbean.com/e/can-we-regulate-intellectual-interests-like-financial-ones/
In 2016, from an estimated pre-war population of 22 million, the United Nations (UN) identified 13.5 million Syrians requiring humanitarian assistance, of which more than 6 million are internally...
https://thebmjpodcast.podbean.com/e/civilians-under-siege-in-eastern-ghouta/
The first digital banking in the UK was launched in 1983, Skype turns 15 this year, but 2017 finally saw panic over the impact that online consultations may have on general practices. In this pod...
https://thebmjpodcast.podbean.com/e/online-consultations-general-practice-is-primed-for-a-fight/
When a new drug reaches market, the race is on to find more indications for its use - exploratory trials are set up, and positive results can lead to the off label prescriptions (eg Pregabalin fo...
https://thebmjpodcast.podbean.com/e/evidence-for-off-label-prescribing-explore-less-confirm-more/
Ravi Gupta, is a resident in internal medicine at Johns Hopkins in Baltimore - and as he said has seen the influence of sudden price hikes on his patients - between 2010 and 2015 more than 300 dr...
https://thebmjpodcast.podbean.com/e/how-to-stop-generic-drug-price-hikes-or-at-least-reduce-them/
”An additional person died every seven minutes during the first 49 days of 2018 compared with what had been usual in the previous five years. Why? In this podcast, Danny Dorling, Halford Mackin...
That’s Jo Shapiro is a surgeon and manager in Brigham and Women’s hospital, she’s also director of the Center for Professionalism and Peer Support, and has written an editorial for The BM...
Our latest debate asks, should doctors recommend acupuncture for pain? Asbjørn Hróbjartsson from the Center for Evidence-based Medicine at University of Southern Denmark argues no - evidence sh...
https://thebmjpodcast.podbean.com/e/should-doctors-prescribe-acupuncture-for-pain/
In this year's Nuffield Summit round table we're asking, how can the NHS become a good employer? At the moment, there is a recruitment and retention crisis across the workforce, doctors and nurse...
Its now widely agreed that one of the key ways of reducing the current high level of "waste " in biomedical research is to focus it more squarely on addressing the questions that matter to patien...
https://thebmjpodcast.podbean.com/e/katherine-cowan-reaching-a-priority/
Up to $500m a year could be put to better use by stopping ineffective and potentially harmful supplementation programmes in poorer countries, argues John Mason, professor emeritus at Tulane Unive...
International travel is increasingly common. Between 10% and 42% of travellers to any destination, and 15%-70% of travellers to tropical settings experience ill health, either while abroad or on ...
https://thebmjpodcast.podbean.com/e/fever-in-the-returning-traveller/
In a new analysis John McArthur and Krista Rasmussen, from the Global Economy and Development Program at the Brookings Institution, and Gavin Yamey from Duke University, have set out to analyse t...
https://thebmjpodcast.podbean.com/e/sdgs-how-many-lives-are-at-stake/
A study published by The BMJ today reports a possible association between intake of highly processed (“ultra-processed”) food in the diet and cancer. Ultra-processed foods include packaged ba...
Sabine Netters is an oncologist in The Netherlands - where assisted dying is legal. There doctors actually administer the drugs to help their patients die (unlike proposed legislation in the UK)....
https://thebmjpodcast.podbean.com/e/how-does-it-feel-to-help-your-patient-die/
Bobbie Farsides is professor of clinical and biomedical ethics at Brighton and Sussex Medical School. She’s been described as one of the few people that is acceptable to “both sides” of the...
https://thebmjpodcast.podbean.com/e/the-tone-of-the-debate-around-assisted-dying/
The UN Convention against Torture defines torture as “any act by which severe pain or suffering, whether physical or mental, is intentionally inflicted on a person” by someone acting in an of...
The number of people officially recorded as sleeping on the streets of England rose from 1768 in 2010 to 4751 in autumn 2017.1 Charities estimate the true figure to be more than double this. Dann...
We have evidence on which to act, and inaction costs lives, argues Simon Capewell, Professor of Public Health and Policy, at the University of Liverpool. But Aileen Clarke, professor of public he...
https://thebmjpodcast.podbean.com/e/public-health-time-for-pragmatism-or-knowledge-production/
We know that smoking 20 cigarettes a day increases your risk of CHD and stroke - but what happens if you cut down to 1, do you have 1/20th of that risk? Allan Hackshaw, professor of epidemiology ...
https://thebmjpodcast.podbean.com/e/smoking-one-a-day-can-t-hurt-can-it/
Virginia Murray, public health consultant in global disaster risk reduction at Public Health England, was instrumental in putting together the Sendai Framework for Disaster Risk Reduction - an in...
https://thebmjpodcast.podbean.com/e/virginia-murray-the-science-of-disaster-risk-reduction/
The BMJ publishes a variety of education articles, to help doctors improve their practice. Often authors join us in our podcast to give tips on putting their recommendations into practice. In thi...
https://thebmjpodcast.podbean.com/e/education-round-up-january-2018/
Many older adults have difficulty understanding speech in acute healthcare settings owing to hearing loss, but the effect on patient care is often overlooked. Jan Blustein professor of health pol...
https://thebmjpodcast.podbean.com/e/they-can-t-hear-you-how-hearing-loss-can-affect-care/
Trial MVA85A - monkey trials for a booster vaccine for BCG, developed by researchers at Oxford University, is the subject of an investigation published on bmj.com. Experts warn that today’s inv...
https://thebmjpodcast.podbean.com/e/mva85a-trial-investigation-press-conference/
Neoadjuvant chemotherapy for breast cancer is a new strategy that was introduced towards the end of the 20th century with the aim of reducing tumour size - rendering an otherwise inoperable tumou...
Winter pressures on NHS services have kicked in a little bit earlier than usual. So here to discuss that, and also the issue of how local NHS leaders can support staff in times of extreme pressur...
https://thebmjpodcast.podbean.com/e/winter-pressures-you-run-the-risk-of-dropping-the-ball/
Acute respiratory distress syndrome was first described in 1967 and has become a defining condition in critical care. Around 40% of patients with ARDS will die, and survivors experience long term...
Psychosis often emerges for the first time in adolescence and young adulthood. In around four out of five patients symptoms remit, but most experience relapses and further difficulties. Psychosis...
https://thebmjpodcast.podbean.com/e/hope-is-important-early-psychosis-for-the-non-specialist-doctor/
The notion that animal companionship might be linked to human health can be traced to ancient writings and, with the first population based study conducted at least four decades ago. Although som...
https://thebmjpodcast.podbean.com/e/cats-dogs-and-biomarkers-of-ageing/
Wine glasses come in a range of sizes, but the average wine glass in the UK today can hold almost ½ a litre. That wasn’t always the case - and a new analysis, on bmj.com takes a look at the ch...
https://thebmjpodcast.podbean.com/e/small-medium-or-a-pint-of-wine/
Average body temperature is 37°C, right? That was the conclusion of Carl Wunderlich in his magnum opus, The Course of Temperature in Diseases - Wunderlich published that in 1868, following his e...
https://thebmjpodcast.podbean.com/e/taking-the-temperature-of-37%C2%B0c/
Manflu, the phenomenon that men experience the symptoms of viral illness more than woman, is usually used with derision - but a new review, published in the Christmas edition, is asking - is ther...
https://thebmjpodcast.podbean.com/e/manflu-are-men-immunologically-inferior/
Assessing young people with possible eating disorders can be complex for a variety of reasons. Building a therapeutic relationship with a young person with a possible eating disorder and their fa...
https://thebmjpodcast.podbean.com/e/i-thought-i-wasn-t-thin-enough-to-be-anorexic/
Assessing young people with possible eating disorders can be complex for a variety of reasons. Building a therapeutic relationship with a young person with a possible eating disorder and their fa...
https://thebmjpodcast.podbean.com/e/early-detection-of-eating-disorders/
Our latest H2H debate asks: Is continuous electronic fetal monitoring useful for all women in labour? Peter Brocklehurst is professor of women’s health at the University of Birmingham. He argue...
https://thebmjpodcast.podbean.com/e/should-all-fetuses-be-monitored-electronically-during-birth/
We have a problem in obesity research — clinical trials continue to prioritise weight loss as a primary outcome and rarely consider patients’ experience, quality of life, or adverse events - ...
We know that adults with obesity have an increased risk of premature mortality, cardiovascular disease, some cancers, type 2 diabetes, and many other diseases. However, the effect of dieting on 3...
https://thebmjpodcast.podbean.com/e/dieting-cardiovascular-disease-cancer-and-mortality/
In July, The BMJ published an analysis article called “The Antibiotic Course has had it’s day” - a provocative title that turned out the garner a lot of debate on our site. The article said...
https://thebmjpodcast.podbean.com/e/antibiotic-prescription-course-an-update/
Unjust discrimination against people with mental ill health should be replaced with universal rules based on decision making ability, argues George Szmukler, emeritus professor of psychiatry and ...
https://thebmjpodcast.podbean.com/e/is-it-time-to-scrap-the-uk-s-mental-health-act/
The Three Talk Model of shared decision is a framework to help clinicians to think about how to structure their consultation to ensure that shared decision making can most usefully take place. Th...
https://thebmjpodcast.podbean.com/e/three-talks-to-good-decision-making/
The BMJ publishes a variety of education articles, to help doctors improve their practice. Often authors join us in our podcast to give tips on putting their recommendations into practice. In thi...
https://thebmjpodcast.podbean.com/e/education-round-up-october-2017/
As journal editors, we’re aware of the fact that we have a role to play in scientific discourse - that’s why The BMJ has been so keen to talk about the way in which scientific knowledge is co...
The Quality and Outcomes Framework (QOF) is one of the most ambitious pay-for-performance schemes introduced into any health system. It's now being scrapped by bits of the NHS, and is under refor...
Half of adolescents who die by suicide have a history of self harm. And in the UK, the rates of adolescents who commit suicide jumped from 3.2, to 5.4 per 100 000 between 2010 and 2015. The natio...
https://thebmjpodcast.podbean.com/e/70-rise-in-incidence-of-self-harm-in-teenagers/
There's a crisis in old age care - not just in the UK, around the world, as population demographics shift, and the proportion of older people increase - there's a worry about who's going to look ...
https://thebmjpodcast.podbean.com/e/exercise-in-old-age-we-need-kendo-classes-in-huddersfield/
New research published on bmj.com has evaluated how well women surgeons operate, when compared to their male colleagues - and shows that there is a marginal improvement in patient outcomes. To di...
Last week we published some new research which showed that 2/3 of new cancer drugs approved by the European Medicines Agency - the drug regulator for Europe - didn’t have any evidence of improv...
https://thebmjpodcast.podbean.com/e/vinay-prasad-cancer-drugs-from-an-oncologist-point-of-view/
The majority of cancer drugs approved in Europe between 2009 and 2013 entered the market without clear evidence that they improved survival or quality of life for patients, finds a study publishe...
If you're a patient in the UK, increasingly, your first interaction with the healthcare system won't be the traditional face to fact chat with your doctor - instead you'll have a telephone consul...
Should we welcome plans to sell off NHS land? The government seems likely to back the recommendations of Robert Naylor (national adviser on NHS property and estates) to raise capital by selling o...
Choosing Wisely was launched in the US, to much fanfare. Since then the movement has spread around the world, with successful chapters set up in Canada, Australia Brazil, Italy, Japan, new Zealan...
https://thebmjpodcast.podbean.com/e/what-choosing-wisely-looks-like-in-the-uk/
In the UK - type 2 diabetes now affects between 5-10% of the population - and accounts for around 10% of our total NHS budget. For the individuals affected, treatments are effective at helping co...
One of the hurdles that anyone who submits research or analysis to The BMJ has to deal with is peer review. The problems of the process, and some of the potential solutions, was a big part of the...
https://thebmjpodcast.podbean.com/e/the-problems-with-peer-review/
A new Rapid Recommendation from The BMJ suggests that for pregnant women, they may wish to avoid certain antiviral treatments for HIV. This recommendation differs from the WHO's, and to discuss w...
In the USA, when googling "depression" patients will be presented with a link to the PHQ-9 screening test. Google has developed this in collaboration with the National Alliance on Mental Illness ...
If you google "The NHS" you'll see screaming headlines from the Daily Mail about cost and waste - debate in parliament is about how much of our GDP we should be spending - and each year, hospital...
https://thebmjpodcast.podbean.com/e/nigel-crisp-the-nhs-isn-t-just-a-cost-to-society-it-s-a-benefit/
The world bank was set up in 1944. In the aftermath of the second world war, the institution was there to give loans to countries rebuilding after the conflict. Their first loan went to France - ...
https://thebmjpodcast.podbean.com/e/the-world-bank-creating-a-market-in-pandemic-risk/
The world bank was set up in 1944. In the aftermath of the second world war, the institution was there to give loans to countries rebuilding after the conflict. Their first loan went to France - ...
https://thebmjpodcast.podbean.com/e/the-world-bank-the-global-financing-facility/
The world bank was set up in 1944. In the aftermath of the second world war, the institution was there to give loans to countries rebuilding after the conflict. Their first loan went to France - ...
https://thebmjpodcast.podbean.com/e/the-world-bank-trust-funds/
The world bank was set up in 1944. In the aftermath of the second world war, the institution was there to give loans to countries rebuilding after the conflict. Their first loan went to France - ...
https://thebmjpodcast.podbean.com/e/the-world-bank-universal-healthcare/
The world bank was set up in 1944. In the aftermath of the second world war, the institution was there to give loans to countries rebuilding after the conflict. Their first loan went to France - ...
https://thebmjpodcast.podbean.com/e/the-world-bank-why-it-matters-for-global-health/
In our last podcast from Preventing Overdiagnosis 2017, we convened an impromptu roundtable of clinicians who are attending the conference to see how some of the big themes that were discussed at...
https://thebmjpodcast.podbean.com/e/preventing-overdiagnosis-2017-from-theory-to-practice/
This week we’re at the over diagnosis conference in Quebec Canada, Preventing overdiangosis is a forum to discuss the harms associated with using uncertain methods to look for disease in appare...
https://thebmjpodcast.podbean.com/e/preventing-overdiagnosis-2017-citizen-juries/
The Preventing overdiagnosis conference covers how physicians, researchers and patients can implement solutions to the problems of over diagnosis and overuse in healthcare. If you’re a doctor...
https://thebmjpodcast.podbean.com/e/preventing-overdiagnosis-2017-vinay-prasad/
This week we’re at the Preventing Overdiagnosis conference in Quebec Canada, The conference is a forum to discuss the harms associated with using uncertain methods to look for disease in appare...
https://thebmjpodcast.podbean.com/e/preventing-overdiagnosis-2017-rita-redberg/
In this interview from Preventing Overdiagnosis 2017 (preventingoverdiagnosis.net) Stacy Carter, associate professor at Sydney Health Ethics - and the author of a recently written BMJ essay the e...
This week the annual Preventing over diagnosis conference is happening in Quebec, Canada. The conference is put together with a wide range of partners, including The BMJ, and aims to tackle the s...
https://thebmjpodcast.podbean.com/e/what-s-driving-overdiagnosis/
Loss of a loved one can be very painful. When seeking support, some people turn to their doctor. Because of their pivotal role in the community, physicians can provide excellent support for berea...
https://thebmjpodcast.podbean.com/e/helping-bereaved-people/
If you’ve listened to more than one of our podcasts, you’ll probably be aware of the problem of the opacity of clinical trial data - trials which are conducted by never see the light of day, ...
https://thebmjpodcast.podbean.com/e/auditing-the-transparency-policies-of-pharma/
Mike Richards is well known in the UK - former Cancer Tzar, he now heads up the Care Quality Commission - regulator of all health and social care services, and therefore the body responsible for ...
https://thebmjpodcast.podbean.com/e/mike-richards-has-never-been-politically-interfered-with/
It’s been 10 years since electronic cigarettes hit the shelves in a big way - and since there controversy has reigned about their health effects - are they less unhealthy than smoking tradition...
The increase in life expectancy in England has almost “ground to a halt” since 2010 and austerity measures are likely to be a significant contributor. In this podcast Michael Marmot, director...
https://thebmjpodcast.podbean.com/e/what-s-going-on-with-life-expectancy/
The BMJ has been campaigning for an end to “too much medicine” - the pernicious effect of marketing on the range of tests and treatments that doctors offer patients - tests and treatments whi...
https://thebmjpodcast.podbean.com/e/biomarkers-miracle-or-marketing/
Earlier this year, the WannaCry ransomeware attack took control of computers in 40 NHS trusts, blocking access to the data held on them. This wasn’t the first time that NHS computers had been i...
https://thebmjpodcast.podbean.com/e/james-kinross-and-chris-hankin-wanncry-about-nhs-it/
The FDA faces perpetual criticism that it is too slow in it’s approval process for getting drugs to market, but one former FDA employee Tom Marciniak, and one professor, Victor Serebruany from ...
https://thebmjpodcast.podbean.com/e/is-the-fda-really-too-slow/
Twenty years ago the statistician Doug Altman railed against, “The Scandal of Poor Medical Research,” in an editorial in The BMJ. 10 years later, Iain Chalmers and Paul Glaziou calculated tha...
The Alzheimer’s society, in the UK, predicts that if the rates of dementia remain constant there’ll be 1.7 million people in the country living with the condition by 2050. We also know that t...
https://thebmjpodcast.podbean.com/e/dementia-prevalance-in-2040/
Two articles published on the bmj.com aim to help doctors treat patients who request support with their gender identity. Firstly a practice pointer on how to refer to gender clinic, and secondly ...
https://thebmjpodcast.podbean.com/e/transhealth-how-to-talk-to-patients-about-pronouns/
Findings from a range of prospective cohort studies based around the world indicate that higher intelligence in children is related to a lower risk of all cause mortality in adulthood - and now a...
https://thebmjpodcast.podbean.com/e/childhood-iq-and-cause-of-death/
"Too many research studies are poorly designed or executed. Too much of the resulting research evidence is withheld or disseminated piecemeal. As the volume of clinical research activity has grow...
https://thebmjpodcast.podbean.com/e/the-evidence-manifesto-it-s-time-to-fix-the-e-in-ebm/
Stress is one of the leading causes of work absence, recently overtaking back-pain, and an increasing part of a GPs workload. However good quality evidence about how to deal with stress is hard t...
https://thebmjpodcast.podbean.com/e/stress-at-work-1680599003/
Air pollution is a truly damaging environmental insult to the human body. The numbers of premature deaths, in the UK alone, that can be attributed to it are calculated to be 40,000 a year. Yet de...
The 2014 west African Ebola epidemic shone a harsh light on the health systems of Guinea, Liberia, and Sierra Leone. While decades of domestic and international investment had contributed to subs...
https://thebmjpodcast.podbean.com/e/how-to-build-a-resillient-health-system/
A new study on BMJ.com, examines the effect of moderate drinking on brain structure. We know that heavy drinking has a deleterious effect on our brains, and is linked to dementias. However, for s...
The rapid changes in the global environment have led many scientists to conclude that we are living in a new geological epoch—the Anthropocene—in which human activities have become the domina...
https://thebmjpodcast.podbean.com/e/future-earth-linking-health-and-environmental-research/
We're creating a manifesto for better evidence. The centre for Evidence Based Medicine at the University of Oxford, and the BMJ, are asking what are the problem with medical evidence, and how can...
https://thebmjpodcast.podbean.com/e/government-and-evidence/
Available data suggest about 50% of delirium is hypoactive; this and the mixed motor subtype account for 80% of all cases of delirium. It can be more difficult to recognise, and is associated wit...
https://thebmjpodcast.podbean.com/e/50-of-delirium-is-hypoactive-how-to-spot-it/
Each individual’s grief process is unique, when confronted with the death of a loved one, most people experience transient rather than persistent distress - however 10% of bereaved individuals,...
https://thebmjpodcast.podbean.com/e/helping-patients-with-complex-grief/
NHS hospitals must be willing to dispose of surplus land to help convince the Treasury to invest in new premises that are fit for purpose, the head of a major government review has urged. Robert ...
https://thebmjpodcast.podbean.com/e/nhs-must-get-its-act-together-to-secure-cash-for-new-buildings/
The BMJ publishes a lot of educational articles, and in an attempt to help you with your CPD, we have put together this round-up. Our authors and editors will reflect on the key learning points i...
Adoption of shared decision making into routine practice has been remarkably slow, despite 40 years of research and considerable policy support. In 2010, the Health Foundation in the UK commissio...
https://thebmjpodcast.podbean.com/e/the-magic-of-shared-decision-making/
Pharma companies say that money spent on promotion is essential to educate doctors about the best drugs - but when a medical student asked Joseph Ross, associate professor of medicine and public ...
https://thebmjpodcast.podbean.com/e/drug-promotion-prescription-and-value/
Biologics have revolutionised healthcare for some conditions - but have been expensive because of the multistep manufacturing processes required to create these complex molecules. Changes to the ...
https://thebmjpodcast.podbean.com/e/how-established-biologics-become-less-safe/
It’s been called “the universal panacea” - exercise has a positive effect on almost all health measures, and governments are actively campaigning for us to do more. But at the opposite end ...
We're creating a manifesto for better evidence. The centre for Evidence Based Medicine at the University of Oxford, and the BMJ, are asking what are the problem with medical evidence, and how can...
https://thebmjpodcast.podbean.com/e/the-evidence-manifesto-better-trials-better-use-of-trial-data/
Thankfully, electrical injuries are relatively uncommon - but that means that lack of evidence regarding the management of patients who have been electrocuted, which can cause concern for clinici...
https://thebmjpodcast.podbean.com/e/assessing-and-treating-an-electrical-injury/
Our latest debate asks whether there should be a Royal Commission (a high level enquiry, with statutory powers) into the future of the NHS. A high level inquiry could detoxify the radical changes...
The BMJ has published a series of articles, taking an in-depth look at health in South Asia. In this collection, authors from India, Pakistan, Nepal, Bangladesh, Sri Lanka, and Afghanistan collab...
The NHS Delivery Plan - setting out what’s in store of the English NHS in the coming years, has been delivered by Simon Stevens the chief executive. Key to those are the sustainability and tran...
https://thebmjpodcast.podbean.com/e/stps-who-what-why-when-where/
Around 1 in 10 children and young people worldwide have mental health difficulties that substantially affect their lives. Child mental health services often concentrate on risk reduction, at the ...
https://thebmjpodcast.podbean.com/e/high-integrity-child-mental-healthcare/
This week, a new series starts in The BMJ - the aim is to rethink how hospitals, clinics, community services and public health work - with the aim of stopping the perverse blocks and incentives t...
https://thebmjpodcast.podbean.com/e/what-is-high-integrity-healthcare/
Transient symptoms of depersonalisation and derealisation - feeling detached from the world, and feeling as if you are watching events at a remove - are common. However for some, persistent sympt...
For seven years, Republicans have vowed to repeal the Affordable Healthcare Act (Obamacare), and that promise took a central place in President Trump's campaign. The first major vote to replace i...
https://thebmjpodcast.podbean.com/e/american-healthcare-what-next/
Lady-Jacqueline Aster lives on a 72 foot canal boat. She's been diagnosed with adrenocortical cancer, and is receiving palliative care and is planning to die in the home she loves. In this interv...
The BMJ publishes a lot of educational articles, and in an attempt to help you with your CPD, we have put together this round-up. Our authors and editors will reflect on the key learning points i...
Viral exanthema can cause rash in a pregnant woman and should be considered even in countries that have comprehensive vaccination programmes. Measles and rubella can cause intrauterine death. Int...
https://thebmjpodcast.podbean.com/e/identifying-a-viral-rash-in-pregnancy/
As the NHS strains under pressure from rising patient activity, an ageing population, and financial constraints, The BMJ hosted a discussion on how clinicians should be helping to manage demand a...
https://thebmjpodcast.podbean.com/e/nuffield-summit-2017-reducing-demand/
When a person’s heart or breathing stops and the cause is reversible, immediate cardiopulmonary resuscitation (CPR) offers a chance of life. However, when a person is dying—for example, from ...
https://thebmjpodcast.podbean.com/e/emergency-care-plans-at-the-end-of-life/
The World Health Organization, the Roll Back Malaria Partnership, and the United Nations, all have a vision of a malaria-free world. The world has already committed to malaria eradication, albeit...
https://thebmjpodcast.podbean.com/e/should-malaria-be-eradicated/
Scott Murray, professor of primary palliative care at the University of Edinburgh, has written, and talked in this podcast before, about the benefits of early palliative care - and today he’s b...
https://thebmjpodcast.podbean.com/e/palliative-care-is-about-life-not-death/
In 2015, community acquired pneumonia (CAP) accounted for 15% of deaths in children under 5 years old globally and 922 000 deaths globally in children of all ages. In this podcast Iram Haq, a r...
https://thebmjpodcast.podbean.com/e/community-acquired-pneumonia-in-children/
The UK government published its report Childhood Obesity: a Plan for Action, in August 2016. A new analysis article takes them to task for the inadequacy of that response to a growing problem. Ne...
https://thebmjpodcast.podbean.com/e/the-inadequacy-of-the-uk-s-childhood-obesity-strategy/
A new rapid recommendation had concluded that LIPUS makes no different to patients experience of bone healing, and therefore shouldn't be used. In this podcast, we talk to three of those panel me...
https://thebmjpodcast.podbean.com/e/low-intensity-pulsed-ultrasound-no-difference-for-bone-healing/
All doctors, irrespective of their specialty or the setting in which they work, will care for patients who die. Around half of all deaths occur in hospitals. Evidence suggests that the quality of...
Persistent physical symptoms are common and include those symptoms that last at least three months and are insufficiently explained by a medical condition after adequate examination and investiga...
https://thebmjpodcast.podbean.com/e/helping-patients-with-medically-unexplained-symptoms/
Vivek Murthy, the US surgeon general, has highlighted prescription opioid misuse as a serious public health problem. In this podcast, Richard Hurley speaks to him about what he thinks needs to be...
Evidence shows using electronic health records can increase efficiency, and reduce preventable medical errors - but only if they are used properly. However, in the US, the president of the Americ...
https://thebmjpodcast.podbean.com/e/should-all-american-doctors-be-using-electronic-medical-records/
The use of novel psychoactive substances is increasing, however there is little information about what these are, and how they work. Dr Derek Tracy, consultant psychiatrist at Oxleas NHS Foundati...
https://thebmjpodcast.podbean.com/e/expanding-your-mind-about-novel-psychoactives/
http://evidencelive.org/manifesto/ The BMJ, and the Centre for Evidence Based Medicine in Oxford have long collaborated to document the problems with the creation and use of Evidence based medici...
https://thebmjpodcast.podbean.com/e/big-data-what-effect-is-it-going-to-have-on-ebm/
Should gluten-free foods be available on prescription? A gluten free diet is the main treatment for celiac disease, and gluten-free food has been available on prescription from the NHS. However, ...
Surrogate endpoints are commonly used in clinical trials to get quicker results, however Michael Baum, emeritus professor at University College London, worries that by not focusing on real outcom...
https://thebmjpodcast.podbean.com/e/surrogate-outcomes-distorting-medicine/
State regulation is necessary for safety, says Simon Capewell, professor of public health and policy at the University of Liverpool. Richard Lilford, professor of public health at the University ...
In this year's Christmas BMJ 2016 podcasts, we’ve been discussing morality, compassion, truth. In this final one, it's time for war. After the second world war, there was an attempt to bring a ...
In response to the turmoil of 2016, with political campaigns being run on, and won on, misinformation - many commentators are disparing that we’ve become a post-truth society. And what is truth...
https://thebmjpodcast.podbean.com/e/christmas-2016-truth-post-truth-nothing-like-the-truth/
Underneath all of our civilisation and science, we’re still primates - and the connection between patient and doctor can be reinforced by simply taking a hand. Robin Youngson, cofounder of hear...
https://thebmjpodcast.podbean.com/e/christmas-2016-health-and-happiness/
In an ideal world, policies would be evidence based - but governments are made of humans, who have positions and ideologies and moral bases. In this podcast Anthony Painter, from the RSA will be ...
https://thebmjpodcast.podbean.com/e/christmas-2016-ideologies-and-moralities/
The BMJ publishes a variety of education articles, to help doctors improve their practice. Often authors join us in our podcast to give tips on putting their recommendations into practice. In thi...
https://thebmjpodcast.podbean.com/e/education-round-up-november/
Renal transplantation improves quantity and quality of life compared with chronic dialysis. A UK general practice with 8000 patients will have around four patients with a functioning renal transp...
https://thebmjpodcast.podbean.com/e/caring-for-renal-transplant-patients/
Glasgow GP, writer, broadcaster, and The BMJ's weekly columnist Margaret McCartney joins us to talk about her new book "The State of Medicine: Keeping the Promise of the NHS". Read all of Margare...
https://thebmjpodcast.podbean.com/e/margaret-mccartney-wants-to-fix-the-nhs/
Despite high quality systematic reviews reporting ineffectiveness, many guideline groups continue to recommend vitamin D supplementation (with or without calcium) for fall or fracture prevention....
https://thebmjpodcast.podbean.com/e/evidence-for-vitamin-d-supplimentation/
Allocation concealment - blinding which arm of a trial a patient is randomised to - is being questioned in an analysis published on thebmj.com. David Torgerson, director of the York Trials Unit a...
https://thebmjpodcast.podbean.com/e/blinding-the-randomisation/
Concussion is a clinical diagnosis made after a head injury with consequent associated signs, symptoms, and neurological or cognitive impairment (infographic - http://bmj.co/conrecG). In the abse...
https://thebmjpodcast.podbean.com/e/what-to-do-after-a-concussion/
Between 13 & 33% of the adult population have regular difficulty in getting to sleep, or staying asleep. It's important to recognise the difference between acute and chronic insomnia, as treatmen...
https://thebmjpodcast.podbean.com/e/non-drug-treatments-for-chronic-insomnia/
Despite considerable investment and innovation, chemotherapy drugs have had little effect on survival in adults with metastatic cancer. In this podcast, Navjoyt Ladher, clinical editor for The BM...
https://thebmjpodcast.podbean.com/e/cancer-drugs-survival-and-ethics/
In the UK, junk food advertising is banned on children’s TV - but manufactures are still able to target children in other ways. A recent report from the WHO "Tackling food marketing to chil...
https://thebmjpodcast.podbean.com/e/advertising-junk-food-to-children/
To avoid waste of research, no new studies should be done without a systematic review of existing evidence. That argument has been made for 20 years, yet the lack of reference to a systematic rev...
https://thebmjpodcast.podbean.com/e/research-before-researching/
In patients with symptomatic severe aortic stenosis but at lower risk of perioperative death, how do minimally invasive techniques compare with open surgery? Prompted by a recent trial, an expert...
https://thebmjpodcast.podbean.com/e/rapid-recs-patient-preference-in-heart-valve-replacement/
Catherine Calderwood has been chief medical officer for Scotland since March 2015 - her first CMO report, which she titled “Realistic Medicine” has created a stir beyond the borders of Scotla...
https://thebmjpodcast.podbean.com/e/catherine-calderwood-s-realistic-medicine/
Middle East respiratory syndrome (MERS) is an acute viral respiratory tract infection caused by the novel betacoronavirus. Cases have been limited to the Arabian Peninsula and its surrounding cou...
https://thebmjpodcast.podbean.com/e/middle-east-respiratory-syndrome/
Elizabeth Pisani, visiting senior research fellow at King's College London, collects data on sex workers and injecting drug users in low and middle income countries. For years she has been sharin...
Independent contractor status creates unnecessary stress, argues Azeem Majeed, GP partner and professor of primary care at Imperial College London. Laurence Buckman, GP partner and former head of...
https://thebmjpodcast.podbean.com/e/head-to-head-should-all-gps-be-nhs-employees/
The Preventing Overdiagnosis conference is part of The BMJ's campaign against Too Much Medicine. Helen Macdonald clinical editor for The BMJ was at the conference, and talked to some of the key s...
https://thebmjpodcast.podbean.com/e/preventing-overdiagnosis-in-barcelona/
Globally each year more than 30 000 people become living kidney donors. Living kidney donation is constantly evolving, with new ways of pooling donors and recipients to maximise opportunity. Wi...
In a clinical trial, we usually think of risk in terms of the new active compound - will it have unwanted effects. However, two analyses in The BMJ are concerned about the risk associated with th...
Alastair Matheson, independant consultant and former ghostwriter, describes how the pharmaceutical publications industry seeks to legitimise ghostwriting by changing its definition while deflecti...
Oversimplification and lack of evidence stigmatise people with mental illness and impede prevention efforts, says Simon Wessley, professor of psychiatry at King's College London, in an editorial ...
Lily was diagnosed at 14 years old with stage four Hodgkin's lymphoma and received six rounds of chemotherapy and two weeks of radiotherapy. She survived but now lives with the long term effects ...
The United Nation's Millennium Development Goals, and the subsequent Sustainable Development Goals, define premature mortality as being a death under the age of 70. As demographic change means mo...
"I say to all Australian doctors - young, old, the political and the apolitical - that on this depends not just our ethical credibility as a profession, but our shared humanity. " Following the l...
The BMJ publishes a variety of education articles, to help doctors improve their practice. Often authors join us in our podcast to give tips on putting their recommendations into practice. In thi...
https://thebmjpodcast.podbean.com/e/education-round-up-ice-examinations-and-adherence/
The European Medicines Agency (EMA) has embraced a new model of drug testing and marketing called “adaptive pathways”, allowing new drugs for “unmet medical needs” to be launched on the m...
https://thebmjpodcast.podbean.com/e/a-maladaptive-pathway-to-drug-approval/
You may have spent hours practicing for your examination exams, but how evidence based are the techniques taught? Andrew Elder, a professor at the University of Edinburgh, and author of the clini...
https://thebmjpodcast.podbean.com/e/evidence-for-examination/
Andrew Elder, a professor at the University of Edinburgh talks about likelihood ratios in diagnostic testing, and how they’re helpful in thinking about how context changes the predictive value ...
https://thebmjpodcast.podbean.com/e/likelihood-ratios-in-diagnostic-tests/
It is estimated that 50% of patients who have what appears to be treatment resistant hypertension are actually not taking their drugs as prescribed. Indranil Dasgupta, a consultant nephrologist a...
https://thebmjpodcast.podbean.com/e/poor-adherence-to-antihypertensives/
“How long have I got, doc” is a TV medical drama cliche - but like all cliches has it’s feet in real life - and it’s medicine’s attempt to answer these questions that the authors of an ...
Ivan Oransky, co-founder of Retraction Watch and global editorial director at MedPage Today, discusses which areas of science are most affected by research fraud, and what motivates individuals t...
https://thebmjpodcast.podbean.com/e/ivan-oransky-watching-retractions/
With the emergence of sofobuvir, a new direct acting antiviral, treatment for Hepatitis C infection is currently undergoing it's greatest change since the discovery of the virus 25 years ago. How...
https://thebmjpodcast.podbean.com/e/how-does-maximizing-shareholder-value-distort-drug-development/
Failures in implementation of data sharing projects have eroded public trust. In the wake of NHS England’s decision to close down its care.data programme, Tjeerd-Pieter van Staa professor of he...
https://thebmjpodcast.podbean.com/e/what-went-wrong-with-caredata/
We’re taught that patients' ideas, concerns, and expectations are central to a successful consultation, but has ICEing gone too far? A “What your patient is thinking” article published this...
The "internal market" was created after the 1987 UK general election focused attention on inadequate funding in the NHS, long waiting lists for elective surgery, and large unwarranted variations ...
https://thebmjpodcast.podbean.com/e/should-we-scrap-the-internal-market-in-england-s-nhs/
2.46 million people in England have osteoarthritis of the hip, and many of those go on to eventually have a hip replacement - which is now widely considered one of the most commonly performed and...
https://thebmjpodcast.podbean.com/e/treating-hip-osteoarthritis/
2.46 million people in England have osteoarthritis of the hip, and many of those go on to eventually have a hip replacement - which is now widely considered one of the most commonly performed and...
https://thebmjpodcast.podbean.com/e/having-hip-osteoarthritis/
The drug Truvada, licenced for HIV PrEP, costs £350 a month but is shown to be cost effective in preventing infection. However, in the English NHS, a row has broken out about which body should f...
Guidelines usually assume a rational comprehensive decision model in which all values, means, and ends are known and considered. In clinical encounters, however, patients and doctors most often f...
When we think about medical evidence, we think of RCTs, registries and meta-analysis. But these EBM tools have yet to filter into the basic science that underpins clinical science. One person c...
The same piece of evidence may reach you via a journalist, or via your doctor - but the way in which that evidence is communicated is changed by your relationship between that person. Julia Bel...
In every 1000 pregnancies, between two and five infants are born to women with epilepsy. For such women, pregnancy can be a time of anxiety over maternal and fetal wellbeing. In 96% of pregnancie...
Delirium is common in the last weeks or days of life. It can be distressing for patients and those around them. A clinical update explains why successful management involves excluding reversible ...
https://thebmjpodcast.podbean.com/e/caring-for-patients-with-delirium-at-the-end-of-their-life/
Global evidence indicates that mandated treatment of drug dependence conflicts with drug users’ human rights and is not effective in treating addiction. Karsten Lunze, associate professor at th...
How can asking patient to tell us their story improve healthcare? Helen Morant, content lead at BMJ, talks us through her project getting healthcare professionals to sit down with patients and re...
https://thebmjpodcast.podbean.com/e/tell-me-a-story-1680599489/
Julian Treadwell, Neal Maskrey and Richard Lehman join us in the studio to argue that new models of evidence synthesis and shared decision making are needed to accelerate a move from guideline dr...
https://thebmjpodcast.podbean.com/e/guidelines-not-tramlines/
There is insufficient evidence to know whether dressings reduce the risk of surgical site infection in closed primary surgical wounds. Jane Blazeby, professor of surgery at the University of Bris...
https://thebmjpodcast.podbean.com/e/uncovering-the-uncertainty-on-wound-dressing/
Interviews from the Women deliver conference in Copenhagen. Catrin Schulte-Hillen, co-ordinator of reproductive health and sexual violence care at Medecins Sans Frontieres, explains why the dev...
https://thebmjpodcast.podbean.com/e/abortion-as-a-development-issue/
Interviews from the Women deliver conference in Copenhagen. Donna McCarraher, director of reproductive, maternal, newborn and child health at FHI 360, explains why women should be at the centre...
https://thebmjpodcast.podbean.com/e/women-and-the-zika-virus/
This week, we look at medication reconciliation. Joshua Pevnick, health services researcher and hospital physician at Cedars-Sinai Hospital, LA, US, talks us through what it is and why it can be ...
We do we know about the weekend effect? As Martin McKee puts it in an editorial on thebmj.com, "almost nothing is clear in this tangled tale" In this roundtable, Navjoyt Ladher, Analysis editor f...
https://thebmjpodcast.podbean.com/e/the-weekend-effect-what-s-unknowable-and-what-next/
Katja Iversen, CEO of Women Deliver, joins Rebecca Coombes to explain why the UN sustainable development goals are unachievable if we don't empower women and girls to take control of their health...
https://thebmjpodcast.podbean.com/e/women-deliver-and-not-only-babies/
Travellers’ diarrhoea is one of the most common illnesses in people who travel internationally, and depending on destination affects 20-60% of the more than 800 million travellers each year. In...
Providing information to enable informed choices about healthcare sounds immediately appealing to most of us. But Minna Johansson, GP trainee and PhD student at the University of Gothenburg, argu...
Or, the one where Fiona Moss and Don Berwick tells us what they think quality improvement is. Fiona Moss is dean, Royal Society of Medicine, and Don Berwick is president emeritus and senior fello...
https://thebmjpodcast.podbean.com/e/the-science-of-improvement/
Medical error is not included on death certificates or in rankings of cause of death. Martin Makary, professor of surgery at Johns Hopkins University School of Medicine, joins us to explain why w...
Nicholas Hopkinson, reader in respiratory medicine at Imperial College London, joins us to explain why a new report from the Royal College of Physicians supports the role of electronic cigarettes...
https://thebmjpodcast.podbean.com/e/ecigarettes-the-risk-is-5-of-that-caused-by-smoking/
The BMJ recently held a discussion between experts in the fields of general practice, emergency medicine, and paediatrics about the state of out of hours care in the UK, and crucially offered the...
https://thebmjpodcast.podbean.com/e/bmj-roundtable-how-to-fix-out-of-hours-care/
It's bad practice to prescribe a brand name drug when a cheaper, viable and approved generic is available. But, particularly in the US, this happens too much, at major cost to the health system. ...
Sudden cardiac death of young athletes needs to be avoided but does screening really help? Hans Van Braband, researcher at the Belgian Health Care Knowledge Centre, joins us to explain that the e...
Sheyna Gifford has an unusual claim to fame—she is the first doctor ever to work on Mars. Not the planet Mars, of course, but Mauna Loa, a volcano in Hawaii, whose dusty, rust coloured landscap...
In February World Health Organization (WHO) declared the microcephaly epidemic in South America an international public health emergency. Today, the US Centers for Disease Control and Prevention,...
James Barrett, president of the British Association of Gender Identity Specialists, and Nina, a trans woman, join us to discuss how difficult it can be for trans people to access gender clinics, ...
Alcohol consumption has been a perennial problem, but recently The economic downturn and rises in alcohol taxation seem to have stemmed the persistent rise in associated mortality. Nick Sheron, h...
Abi Rimmer, BMJ careers reporter, talks to the cast of hospital comedy Greenwing, who explain why they're supporting junior doctors on the picket line. Read her report: http://bmj.co/1oJ2W41
https://thebmjpodcast.podbean.com/e/greenwing-cast-explain-why-they-re-with-the-junior-doctors/
Abi Rimmer, BMJ Careers reporter, talks to junior doctors on the picket line at Northwick Park Hospital. Read her report: http://bmj.co/1qydmFq
https://thebmjpodcast.podbean.com/e/why-the-junior-doctors-are-striking-again/
The Francis report, the Berwick report, the Keogh review - all of these have highlighted how important learning from mistakes is in healthcare. Reporting incidents is key to this, and in this pod...
https://thebmjpodcast.podbean.com/e/mistakes-were-made-1680599101/
Plan, do, study, act cycles, or PDSA cycles, are the basis of many quality improvement projects, they're a model to trial changes and feed the lessons from each test into the next. Why are they a...
As France has moved in recent weeks to clear camps where migrants stay while trying to cross illegally into Britain, Médecins Sans Frontières has just opened a new one. Sophie Arie talks to Car...
https://thebmjpodcast.podbean.com/e/medecins-sans-frontieres-s-dunkirk-spirit/
Depression in pregnancy affects up to 10% of women, a rate only slightly lower than in the postpartum period. Yet, as few as 20% of pregnant women with depression receive adequate treatment. Loui...
https://thebmjpodcast.podbean.com/e/how-and-when-to-treat-depression-in-pregnancy/
However well intentioned, working in detention centres amounts to complicity in torture, says David Berger, a district medical officer in emergency medicine at Broome Hospital in Australia. Howev...
Jeremy Hunt is a health secretary under pressure. In this exclusive interview with The BMJ’s editor in chief Fiona Godlee, the man who could soon become England's longest serving health secreta...
Nick Oliver, consultant diabetologist at Imperial Healthcare NHS Trust and Philippa Cooper, who has type I diabetes, join us to explain how structured education works for patients, and give tips ...
Gareth Iacobucci talks to Candace Imison, director of policy at The Nuffield Trust, about the problems facing GPs, and how primary care could be changed. "5 minutes with... Candace Imison": htt...
https://thebmjpodcast.podbean.com/e/we-re-pulling-the-rug-out-from-under-the-feet-of-gps/
As the junior doctors in England strike, concerns for the workforce are foremost in the minds of those running the NHS. A summary is available here: http://www.bmj.com/content/352/bmj.i1510 In Th...
https://thebmjpodcast.podbean.com/e/it-s-the-workforce-stupid-is-the-nhs-workforce-in-crisis/
“Juliet”, a woman living in London, was diagnosed with a mysterious illness in November 2015, Ian Cropley, a consultant in infectious disease from The Royal Free London NHS Foundation Trust, ...
How should health professionals engage with this increasingly popular but unproved practice? Aubrey Cunnington, a consultant paediatrician from Imperial College London joins us to discuss. Read t...
https://thebmjpodcast.podbean.com/e/what-is-vaginal-seeding-and-is-it-safe/
The Department of Health is proposing to extend charging for migrants into some NHS primary care services and emergency departments. Although the government asserts that the NHS is “overly gene...
In recent weeks, the firearms controversy has again lit up the media in the United States, with clarification that anyone engaged in the business of selling firearms must get a license and conduc...
https://thebmjpodcast.podbean.com/e/time-to-end-the-federal-ban-on-gun-violence-research-funding/
This week, junior doctors in England have taken industrial action for the second time in as many months after failing to reach agreement with the government over their proposed new contract. Tom ...
https://thebmjpodcast.podbean.com/e/junior-doctors-second-strike-from-the-picket-line/
The Rapid diagnostic tests have the potential to reduce the overtreatment of malaria by 95%, but time and extensive logistical, behavioural, and technical interventions may be required to achieve...
https://thebmjpodcast.podbean.com/e/stopping-the-overtreatment-of-malaria/
Iqbal Malik, consultant cardiologist at Imperial College Healthcare NHS Trust in London, joins Mabel Chew to discuss the role of angioplasty and stenting in patients with stable angina. Read the ...
https://thebmjpodcast.podbean.com/e/the-role-of-stenting-in-stable-angina/
James Smoliga, from High Point University, North Carolina, and Ken Rundell, from The Commonwealth Medical College, Pennsylvania, join us to discuss how to test for, and manage, exercise induced b...
https://thebmjpodcast.podbean.com/e/exercise-induced-bronchoconstriction/
Are you having a dry January? In this podcast Ian Gilmore, honorary professor at Liverpool University, and Ian Hamilton, a lecturer in the Department of Health Sciences at York University, debate...
https://thebmjpodcast.podbean.com/e/could-campaigns-like-dry-january-do-more-harm-than-good/
Around half of people aged over 75 meet the diagnostic criteria for chronic kidney disease (CKD), but there is debate about what this means for patients as only a proportion of elderly people wit...
https://thebmjpodcast.podbean.com/e/ckd-in-the-elderly-disease-or-disease-label/
The claim that cancer screening saves lives is based on fewer deaths due to the target cancer. Vinay Prasad, assistant professor at Oregon Health and Science University, joins us to argue that re...
https://thebmjpodcast.podbean.com/e/cancer-screening-does-it-save-lives/
General practice is similar in the Netherlands and the UK yet it appeals far more to young Dutch doctors than to their British counterparts. In collaboration with the Dutch medical journal Nederl...
https://thebmjpodcast.podbean.com/e/why-are-dutch-gps-happier-than-british-ones/
Is the Christmas sprit divinely inspired, or does it reside within the body? Researchers from Denmark have tried to answer that age-old philosophical question with fMRI. Bryan Haddock, medical ph...
https://thebmjpodcast.podbean.com/e/in-search-of-the-christmas-spirit-1680599117/
Despite what hollywood says, science has proven that British teeth are actually better than American. Richard Watt, head of the Research Department of Epidemiology and Public Health at UCL explai...
https://thebmjpodcast.podbean.com/e/the-big-research-book-of-british-teeth/
A lot of attention has been paid to Russian president Vladimir Putin recently, but a group of researchers from The Netherlands are more interested in his walk than his intervention in Syria. Bast...
Francesca Conway, from the Department of Primary Care and Public Health at Imperial College London is co-author of an article on diagnosis of COPD. She joins us to discuss the major guideline rec...
https://thebmjpodcast.podbean.com/e/diagnosing-copd-in-primary-care/
Larger portions of food increase consumption. Theresa Marteau, director of the Behaviour and Health Research Unit at the University of Cambridge, joins us to discuss how government action to tack...
https://thebmjpodcast.podbean.com/e/the-more-you-see-the-more-you-eat/
The UK Parliament's Health Select Committee's recent report on childhood obesity says 1 in 5 children are obese by the time they leave school. The committee calls for legislation to turn the tide...
https://thebmjpodcast.podbean.com/e/sarah-wollaston-obesity-not-a-sugary-drinks-tax-is-regressive/
PTSD may develop after exposure to exceptionally threatening or horrifying events. About 3% of the adult population has PTSD at any one time, and more than 50% in survivors of rape. In this podca...
https://thebmjpodcast.podbean.com/e/the-diagnosis-and-treatment-of-post-traumatic-stress-disorder/
Doctors considering strike action may worry about the effect on patients. David Metcalfe and colleagues examine the evidence and find that “patients do not come to serious harm during industria...
https://thebmjpodcast.podbean.com/e/the-evidence-on-doctors-strikes-and-patient-harm/
In the podcast, we’ll hear from Kevin Hines the survivor of such an attempt, and Alys Cole-King, a psychiatrist who wants to break down the stigma of suicide. Originally broadcast in 2010 For m...
When healthy volunteers are scanned as part of a research project, unexpected findings, with uncertain implications, can be thrown up. Joanna Wardlaw, professor of applied neuroimaging and honora...
Medicine has long been a rewarding career, but doctors say the profession needs to overcome the frustrations of working in the NHS to ensure it remains so. During the Big Debate at BMJ Live in Lo...
Shivani Misra, clinical research fellow and specialist trainee in metabolic medicine from Imperial College London, joins us to discuss diagnosis and management of diabetic ketoacidosis in adults....
https://thebmjpodcast.podbean.com/e/diagnosis-and-treatment-of-diabetic-ketoacidosis-in-adults/
Europe's common agricultural policy (CAP) on sugar is due to change, and Emilie Aguirre, from the UKCRC Centre for Diet and Activity Research at the University of Cambridge, argues that an influx...
https://thebmjpodcast.podbean.com/e/europe-s-impending-syrup-tsunami/
“The people of the UK are right to treasure their NHS,” writes Mark Britnell in his new book In Search of the Perfect Health System (Palgrave Macmillan). Currently chairman of KPMG Global Hea...
https://thebmjpodcast.podbean.com/e/mark-britnell-you-have-to-value-your-workforce/
Thousands of NHS staff have demonstrated against the government’s threatened “imposition” of an “unsafe and unfair” contract for junior doctors. At a London rally on Saturday 17 October...
https://thebmjpodcast.podbean.com/e/the-junior-doctor-protest/
Given the number of effective treatments for type II diabetes, which have good evidence about safety and efficacy, should any new drugs for the condition be subject to a higher regulatory bar? ...
https://thebmjpodcast.podbean.com/e/are-new-diabetes-drugs-approved-too-easily/
The current orthodoxy is that home is the best and preferred place of death for most people, but in this podcast, Kristian Pollock a sociologist from Nottingham University questions these assumpt...
https://thebmjpodcast.podbean.com/e/is-place-of-death-important-to-patients/
The “correct” rates of discretional interventions are difficult to define. However, David Hamilton and Colin Howie point out that discrepancies in usage of knee arthroscopy within the UK sugg...
https://thebmjpodcast.podbean.com/e/why-do-the-scottish-do-fewer-knee-arthroscopies/
With improved survival and and ageing population, the number of people living with coronary heart disease in the UK has increased to an estimated 2.3 million. There is increasing evidence that ca...
With improved survival and and ageing population, the number of people living with coronary heart disease in the UK has increased to an estimated 2.3 million. There is increasing evidence that ca...
https://thebmjpodcast.podbean.com/e/what-it-s-like-to-receive-cardiac-rehabilitation/
They have a big impact on the diet of American citizens, and those of most Western nations, so why does the expert advice underpinning US government dietary guidelines not take account of all the...
https://thebmjpodcast.podbean.com/e/how-scientific-are-us-dietary-guidelines/
Around two fifths of the world’s population (those in tropical and subtropical countries), or up to 2.5 billion people, are at risk of dengue infection. An estimated 50 million infections occur...
https://thebmjpodcast.podbean.com/e/dengue-fever-1680599500/
Pleural effusions are common, with an estimated 1-1.5 million new cases in the United States and 200 000-250 000 in the United Kingdom each year. Rahul Bhatnagar, academic clinical lecturer a...
Ovarian cancer is the 7th most common cancer in women world wide, and 5 year survival continues to remain low - in the UK this has been attributed to delayed diagnosis. In this podcast Sophie Coo...
https://thebmjpodcast.podbean.com/e/being-diagnosed-with-ovarian-cancer/
Ovarian cancer is the 7th most common cancer in women world wide, and 5 year survival continues to remain low - in the UK this has been attributed to delayed diagnosis. In this podcast Sudha Sund...
https://thebmjpodcast.podbean.com/e/diagnosing-ovarian-cancer-1680599145/
Although overuse in medicine is gaining increased attention, many questions remain unanswered. At the Preventing Overdiagnosis conference in Washington, Dan Morgan, associate professor at the Uni...
https://thebmjpodcast.podbean.com/e/a-research-agenda-for-medical-overuse/
Hepatic encephalopathy constitutes a spectrum of neuropsychiatric abnormalities, beginning with subtle psychomotor changes and progressing to confusion with asterixis, somnolence, and then coma, ...
https://thebmjpodcast.podbean.com/e/diagnosis-and-treatment-of-hepatic-encephalopathy/
Following on from the clinical review "Caring for sex workers", we spoke to the team at Open Doors, a sex worker outreach clinic in east London, run from the Homerton University Hospital NHS Foun...
https://thebmjpodcast.podbean.com/e/open-doors-for-sex-workers/
Sex workers are unique population with specific health needs, caring for them can present non-specialists with a challenge, and there are important health promotion opportunities which should no ...
Elder abuse is often the result of the organisation of health systems rather than the fault of individuals, argue Jolanda Lindenberg and Rudi Westendorp, two authors of a recent analysis paper. T...
https://thebmjpodcast.podbean.com/e/the-system-can-abuse-older-people-too/
For decades research has shown that discrimination, harassment, and exclusion are pervasive experiences for staff from black and minority ethnic (BME) backgrounds in the National Health Service. ...
https://thebmjpodcast.podbean.com/e/tackling-racism-in-the-nhs/
A recent review by the Australian National Health and Medical Research Council concluded that “there are no health conditions for which there is reliable evidence that homeopathy is effective...
https://thebmjpodcast.podbean.com/e/should-doctors-recommend-homeopathy/
Many doctors may believe that acute rheumatic fever is a disease of the past, but it's estimated that, worldwide, there are 500,000 new annual cases, and that 15 million have chronic rheumatic he...
https://thebmjpodcast.podbean.com/e/rheumatic-fever-diagnosis-and-treatment/
Read the full analysis: http://www.bmj.com/content/351/bmj.h3021 The prevalence and mortality of chronic obstructive pulmonary disease (COPD) is increasing globally. However, Martin Miller, hon...
https://thebmjpodcast.podbean.com/e/tarnished-gold-diagnosing-copd/
The National Confidential Enquiry into Patient Outcome and Death (NCEPOD) has been examining the treatment of acute GI bleeds in England's NHS. Two of the authors, Martin Sinclair, consultant sur...
https://thebmjpodcast.podbean.com/e/gi-bleeding-slow-to-diagnose-slow-to-treat/
Bias and peer review are of universal importance to all those that produce scholarly work. Fiona Godlee and Rob Tarr, editors in chief of The BMJ and JNIS respectively, share their insights and e...
https://thebmjpodcast.podbean.com/e/the-trials-and-tribulations-of-peer-review/
By 2050 an estimated 135 million people worldwide will have dementia. Of all chronic diseases, dementia is one of the most important contributors to dependence and disability. In this part of a 2...
https://thebmjpodcast.podbean.com/e/how-gps-can-help-carers-looking-after-patients-with/
Cervical screening programmes in many countries stop at around the age of 65 and much of the focus is often on younger women. However, comparatively little attention has been given to older women...
https://thebmjpodcast.podbean.com/e/time-to-target-older-women-for-cervical-cancer-screening/
By 2050 an estimated 135 million people worldwide will have dementia. However, increasing evidence showing that dementia may be preventable. In this part of a 2-part podcast, Sue, who cared for h...
https://thebmjpodcast.podbean.com/e/diagnosis-and-management-of-dementia/
Martin McShane, medical director of long term conditions at NHS England, questions the validity of the Quality and Outcomes Framework and suggests how it should change in the future. Read the rel...
https://thebmjpodcast.podbean.com/e/qof-what-is-it-good-for/
Caesarean delivery can improve maternal and child health, and even save lives. But recent research points to latent risks for chronic disease: children delivered by caesarean have a higher incide...
https://thebmjpodcast.podbean.com/e/rethinking-caesarean-delivery/
Information on the effectiveness and safety of healthcare should be valid, precise, up to date, clear, and freely available. Currently none of these criteria are fully satisfied, and Cochrane sys...
https://thebmjpodcast.podbean.com/e/methodological-gloss-won-t-fix-a-rubbish-evidence-base/
In Glaziers and Window Breakers: the Role of the Secretary of State for Health in Their Own Words, published by the Health Foundation, Nicholas Timmins and Edward Davies find out what 10 of our r...
https://thebmjpodcast.podbean.com/e/they-want-to-say-something-on-health-so-what-can-you-fish-up/
The BMJ website is 20 years old this week - the first general medical journal online. Launch editor Tony Delamothe discusses with fellow digital pioneers Richard Smith and John Sack how the inter...
The movement to make data from clinical trials widely accessible has achieved enormous success, and it is now time for medical journals to play their part. From 1 July The BMJ will extend its req...
https://thebmjpodcast.podbean.com/e/the-bmj-requires-data-sharing-on-request-for-all-trials/
Attention deficit hyperactivity disorder, or ADHD, presents with persistent symptoms of inattention, hyperactivity, and impulsivity causing impairment in multiple settings. It is a disorder that ...
https://thebmjpodcast.podbean.com/e/adhd-in-childhood-diagnosis/
Attention deficit hyperactivity disorder, or ADHD, presents with persistent symptoms of inattention, hyperactivity, and impulsivity causing impairment in multiple settings. It is a disorder that ...
https://thebmjpodcast.podbean.com/e/adhd-in-childhood-treatment/
Speech and language therapists Cristina McKean and Angela Morgan join us to discuss their clinical review "Identifying and managing common childhood language and speech impairments", published on...
https://thebmjpodcast.podbean.com/e/speech-difficulties-in-preschool-children/
Paul Lennon, a specialist registrar at University Hospital Limerick, and Michael Crotty, general practitioner from the Synergy Medical Clinic in Canada, join Emma Parish to answer some frequently...
https://thebmjpodcast.podbean.com/e/infectious-mononucleosis-faqs/
The future of health and social care looks certain to be a defining issue in the forthcoming UK general election. Social care has been subject to deep public spending cuts, raising concerns about...
https://thebmjpodcast.podbean.com/e/the-health-debate-the-analysis/
Nicki Ward-Abel, a lecturer practitioner in MS at Birmingham City University, joins us to explain how to treat patients who are experiencing a relapse of their MS symptoms. She discusses what con...
https://thebmjpodcast.podbean.com/e/management-of-a-multiple-sclerosis-relapse/
Some apps have the potential to encourage healthier habits and are accessible to most people, argues Iltifat Husain, but Des Spence notes the lack of any evidence of effectiveness and the potenti...
https://thebmjpodcast.podbean.com/e/health-apps-for-well-people-problematic-or-panacea/
Doctors are witnessing increasing numbers of patients seeking referrals to food banks in the United Kingdom. Rachel Loopstra, a post-doctoral researcher at the University of Oxford and colleagues...
https://thebmjpodcast.podbean.com/e/foodbanks-is-supply-or-demand-increasing-their-usage/
Peter Lepping, consultant psychiatrist and honorary professor at Betsi Cadwaladr University Health Board in North Wales, joins us to discuss his experience dealing with patients who have delusion...
https://thebmjpodcast.podbean.com/e/how-to-talk-to-a-patient-about-delusional-infestation/
Flaws in the Department of Health’s interim evaluation of an alcohol industry pledge to remove one billion alcohol units from the market raise questions about the claimed success argue John Hol...
https://thebmjpodcast.podbean.com/e/withdraw-the-interim-report-on-the-uk-s-billion-unit-pledge/
Sudden cardiac death in athletes aged less than 35 years is the leading cause of medical death in this subgroup, with an estimated incidence of 1 in 50 000 to 1 in 80 000 athletes per year. i...
https://thebmjpodcast.podbean.com/e/preventing-sudden-cardiac-death-in-athletes/
A BMJ Clinical Evidence systematic overview looks at the evidence for medical and surgical treatments of trigeminal neuralgia, and the uncertainties that exist due to gaps in the evidence. This h...
In the US the licence, or marketing authorisation, for alteplase is limited to 0-3 hours after onset of stroke, but some other countries - including the UK and Australia - have extended the licen...
https://thebmjpodcast.podbean.com/e/thrombolysis-in-acute-ischaemic-stroke-time-for-a-rethink/
Chris Moulton is VP of the Royal College of Emergency Medicine and an A&E consultant in the Royal Bolton Hospital. He believes that the majority of patients who attend A&E cannot be adequately tr...
Katherine Henderson is the clinical lead of the emergency department at St Thomas's hospital in London. She worries that lack of ward space is having a domino effect throughout A and E and is the...
Obioma Ezekobe is a GP in an urgent care centre in Central Middlesex Hospital. She believes that the public need to be educated about the use of NHS resources, and be taught when it is appropriat...
https://thebmjpodcast.podbean.com/e/obioma-ezekobe-gp-patients-need-to-be-educated-about-resources/
BMJ Voices is a collection of readers’ experiences of working in the NHS. For this, The BMJ is seeking short audio submissions from UK listeners. These submissions will be published on thebmj.c...
https://thebmjpodcast.podbean.com/e/patrick-keating-gp-under-pressure-to-increase-list-size/
Abdominal aortic aneurysms (AAA) are usually asymptomatic until they rupture, which is fatal in more than 80% of cases. Screening aims to detect the aneurysm before it ruptures, enabling preventi...
https://thebmjpodcast.podbean.com/e/has-the-balance-of-screening-for-aaa-tipped-towards-harm/
Ashish Jha, professor of health policy and management at Harvard School of Public Health, talking about how the Affordable Care Act has fostered new models of integrated service delivery in the U...
Bastiaan Bloem, consultant neurologist at Radboud University Nijmegen Medical Centre, Netherlands, discussing his revolutionary approach to patient centred care. Read more from the summit: http...
https://thebmjpodcast.podbean.com/e/nuffield-summit-bastiaan-bloem-on-parkinsonsnet/
Overdiagnosis means different things to different people. Stacy Carter, associate professor at the Centre for Values, Ethics and the Law in Medicine at the University of Sydney argues that we sho...
https://thebmjpodcast.podbean.com/e/how-to-diagnose-overdiagnosis/
In this podcast Alexandra Barratt, professor of public health at the University of Sydney, discusses how questions about overdiagnosis in breast cancer screening programmes were first raised 45 y...
The BMJ held a breakfast roundtable at the annual health policy summit held by the Nuffield Trust think tank to explore some of the key policy discussions that took place during the proceeding...
https://thebmjpodcast.podbean.com/e/roundtable-hopes-for-the-nhs-the-election-and-beyond/
As the level of alcohol consumption goes up, so the risk of physical, psychological, and social problems increases. In this podcast we’re joined by Ed Day, consultant addiction psychiatrist at ...
https://thebmjpodcast.podbean.com/e/assessment-and-management-of-alcohol-use-disorders/
Jackie Applebee is a GP in Tower Hamlets in London, and is concerned that the way the GP funding formula is working doesn't take account of the earlier health needs of people in deprived areas. F...
Michelle Sinclar, a GP in Hampshire who is concerned that GP premises aren't fit for purpose and limit her ability to provide fully rounded patient care. BMJ Voices is a collection of readers’ ...
https://thebmjpodcast.podbean.com/e/michelle-sinclair-gp-surgery-buildings-are-not-up-to-scratch/
Mark Folman, a GP in Nottinghamshire, is concerned that more and more work, with more and more patients, means less time with those who really need him. BMJ Voices is a collection of readers’ e...
https://thebmjpodcast.podbean.com/e/mark-folman-gp-time-pressure-and-patient-care/
Participants in our discussion on person centred care in January agreed that a change in culture and better use of technology could benefit both patients and doctors. At the roundtable: Fiona God...
In our accompanying roundtable discussion,we hear views from a group of patients and clinicians based largely in the UK on the actions required to advance progress towards providing patient c...
https://thebmjpodcast.podbean.com/e/patient-spotlight-doing-it-for-themselves/
Karen Grépin, assistant professor of global health policy at New York University, has been examining the pledges made by the international community to help fight the ebola virus outbreak - was ...
Katie Sidle is a consultant neurologist at the National Hospital for Neurology and Neurosurgery, in London. She helped actor Eddie Redmayne in his portrayal of theoretical physicist and cosmologi...
https://thebmjpodcast.podbean.com/e/helping-eddie-redmayne-play-stephen-hawking/
Bone pain is the most common type of pain from cancer and is present in around one third of patients with bone metastases, currently, improvements in cancer treatments mean that many patients are...
https://thebmjpodcast.podbean.com/e/management-of-cancer-induced-bone-pain/
Private hospital chains have been “buying” referrals by offering clinicians lucrative packages, including free facilities in sought after locations. And the doctors’ regulator is turning a ...
Multimorbidity presents a number of different challenges, for the patients living with the conditions, but also for the health professionals caring for them in systems that often are not designed...
https://thebmjpodcast.podbean.com/e/managing-multimorbidity-in-primary-care/
Philipe de Souto Barreto argues that, to reduce premature mortality, policies should focus on getting fully inactive people to do a little physical activity rather than strive for the entire popu...
Dominique Thompson, GP and director of the Students’ Health Service at the University of Bristol, is concerned that young people's health is being neglected. BMJ Voices is a collection of reade...
https://thebmjpodcast.podbean.com/e/dominique-thompson-gp-young-people-s-health-is-overlooked/
Rabies is the archytypical zoonotic disease, and only by vaccination in animals will we prevent infections in people. In two podcasts linked to our latest clinical review "The prevention and mana...
Rabies is the archytypical zoonotic disease, and only by vaccination in animals will we prevent infections in people. In two podcasts linked to our latest clinical review "The prevention and mana...
Until recently, hepatitis C screening was offered to people at increased risk of infection - such as intravenous drug users - but now, the US Centers for Disease Control and Prevention has recomm...
https://thebmjpodcast.podbean.com/e/is-the-hep-c-screening-expansion-justified/
Drug development happens in stages – pre-clinical, phase I, II, III, and so on. But how much do trial participants know about what has happened before their enrolment to test for safety, and ho...
https://thebmjpodcast.podbean.com/e/being-a-human-guinea-pig/
Waiting times in theatre can be a source of friction – but is the delay due to mandatory anaesthetic faff around time (MAFAT), or AWOL surgeons? Elizabeth Travis, and orthopaedic house officer ...
https://thebmjpodcast.podbean.com/e/operating-theatre-time-where-does-it-all-go/
Those who rise to the top in medicine see themselves as hardworking extroverts with a caring nature, suggests an unscientific analysis of the answers given by contributors to BMJ Confidential. Bu...
How much can you trust the advice given by TV doctors? A new research paper on thebmj.com has analysed over 40 episodes of popular American TV shows, to see if health claims are evidence based. T...
https://thebmjpodcast.podbean.com/e/can-you-trust-the-advice-of-tv-doctors/
In AD 1028 King Canute tried to command the tide to turn back. History records that the king of all lands surrounding the North Sea got very cross, wet, and made a hasty retreat. Every day, in ge...
https://thebmjpodcast.podbean.com/e/turning-back-the-tide-of-appointments/
Winners of the Darwin Award must eliminate themselves from the gene pool in such an idiotic manner that their action ensures one less idiot will survive. Ben and Dennis Lendrem, and colleagues, h...
https://thebmjpodcast.podbean.com/e/men-are-idiots-1684836014/
One hundred years ago, Pennsylvanian surgeon Evan Kane penned a brief letter to JAMA in which he declared himself a rigorous proponent of the “benefic effects of the phonograph within the oper...
https://thebmjpodcast.podbean.com/e/musical-operating-theatre/
The UK’s austerity programme has disproportionately affected children and people with disabilities, says David Taylor-Robinson, a senior clinical lecturer in public health at the University of ...
Blood transfusions have been identified as one of the most overused therapies both in the United States and the UK. In this podcast Lawrence Tim Goodnough, from Stanford University Medical Center...
https://thebmjpodcast.podbean.com/e/too-much-blood-when-transfusions-do-more-harm-than-good/
The BMJ has a new policy on competing interestings - from 2015 we will have zero tolerance for them in authors who write education articles or editorials. Cath Brizzell and Mabel Chew explain w...
https://thebmjpodcast.podbean.com/e/zero-tolerance-for-competing-interests/
Eight months into the NHS’s top job, Simon Stevens’s intelligent refusal to enforce a “one size fits all” solution on the service’s ills is, so far, winning him the backing of staff. He...
https://thebmjpodcast.podbean.com/e/simon-stevens-saving-the-nhs/
Guidelines encourage the use of self monitoring of blood pressure in pregnancy, and research suggests that women prefer it. But Richard McManus, GP and professor of primary care at the University...
https://thebmjpodcast.podbean.com/e/self-monitoring-of-hypertension-in-pregnancy/
The incidence and prevalence of Crohn’s disease is increasing worldwide, and a clinical review on thebmj.com provides a practical approach to the diagnosis, management, and long term care of pa...
https://thebmjpodcast.podbean.com/e/crohn-s-disease-a-patient-s-perspective/
A clinical review on thebmj.com looks at Meniere’s disease. One of the review's authors, Jonny Harcourt, a consultant otologist at Charing Cross Hospital in London, takes us through the pathoge...
https://thebmjpodcast.podbean.com/e/the-diagnosis-and-management-of-menieres-disease/
A clinical review on thebmj.com looks at Meniere's disease. Corine from The Netherlands discusses her experience of having the disease and explains how the symptoms of vertigo and tinnitus have a...
https://thebmjpodcast.podbean.com/e/menieres-disease-a-patient-perspective/
Large trials show that hydroxyethyl starch increases the risk of death, kidney injury, and bleeding. So why does the European Medicines Agency still allow its use? Helen Macdonald, analysis edito...
https://thebmjpodcast.podbean.com/e/should-we-still-be-using-hydroxyethyl-starch/
Surgeon, writer, and researcher, Atul Gawande is best known for the development of surgical checklists, but the death of his father has inspired him to write his latest book exploring medical and...
https://thebmjpodcast.podbean.com/e/atul-gawande-it-s-about-having-a-good-life-not-a-good-death/
In a GMC survey last year, the UK’s surgical trainees came bottom of the list when it came to satisfaction about their training. Today, Craig McIlhenny, Director of the faculty of surgical trai...
https://thebmjpodcast.podbean.com/e/it-s-time-to-change-surgical-training-in-the-uk/
Fatoumata Nafo-Traoré is the executive director of the Roll Back Malaria Partnership, and has just returned from Sierra Leone and Guinea. In this podcast, she describes the effect of the west Af...
Fatoumata Nafo-Traoré is the executive director of the Roll Back Malaria Partnership. In this podcast, she updates us on recent successes in the global effort to control the disease. A second po...
A thrice failed antidepressant is at the centre of a new marketing campaign to win approval for what could become the world’s first blockbuster sex pill for women. Frustrated by the drug’s re...
https://thebmjpodcast.podbean.com/e/the-blockbuster-sex-drug-for-women-creating-a-feminist-issue/
Our whole society views risk in medicine wrongly, argue Jerome Hoffman and Hemal Kanzaria from the University of California Los Angeles. In this podcast they slay some strongly held myths about m...
Allyson Pollock, professor of global health, and Peter Roderick, a barrister and senior research fellow, both at Queen Mary University of London, argue that, through various mechanisms in the 201...
https://thebmjpodcast.podbean.com/e/is-nhs-england-being-whittled-down-to-a-core-service/
Cerebral palsy is a clinical diagnosis, which describes a wide spectrum of neurological disability – all as a result of some sort of trauma to the developing brain, either pre or post natally. ...
https://thebmjpodcast.podbean.com/e/how-to-manage-cerebral-palsy-in-children/
Jocalyn Clarke, executive editor at icdd,b, argues the solutions proposed to improve global health are too focused on the medical, and fail to tackle the underlying socioeconomic factors which wi...
https://thebmjpodcast.podbean.com/e/are-we-overmedicalising-global-health/
In April 2006 one of the largest hospitals in the Netherlands hit the national headlines with the exposure of “scandalously” poor results for cardiac surgery. Melvin Samsom, CEO of the hospit...
https://thebmjpodcast.podbean.com/e/listen-to-patients-how-radboud-umc-changed-quality-and-care/
Kawasaki Disease presents as fever and rash, which makes diagnosis difficult. In this podcast, Anthony Harnden, professor of primary care at the University of Oxford, describes what to watch out ...
https://thebmjpodcast.podbean.com/e/how-not-to-miss-kawasaki-disease/
Is medicine trying to learn too much from aviation? Kevin Fong, consultant anaesthetist at UCLH is currently working with Kent, Surrey and Sussex air ambulance. At Risky Business he talked to T...
https://thebmjpodcast.podbean.com/e/risky-business-kevin-fong-learning-too-much-from-aviation/
Screening tests were central to many of the discussions taking place at the Preventing Overdiagnosis conference (preventingoverdiagnosis.net) To sum up some of the problems with screening we’re...
https://thebmjpodcast.podbean.com/e/preventing-overdiagnosis-the-problems-with-screening/
A recent clinical review in The BMJ discusses diagnosis and management of prolactinomas and non-functioning pituitary adenomas. One management option is surgery to remove the tumour, often this c...
https://thebmjpodcast.podbean.com/e/trans-sphenoidal-surgery-a-patient-s-experience/
Stephen Martin, an associate professor at the University of Massachusetts Medical School, thinks we're overtreating otherwise healthy patients who have mild hypertension. In this podcast he sets ...
https://thebmjpodcast.podbean.com/e/overtreating-mild-hypertension-are-we-doing-more-harm-than-good/
Demand for better access to primary care is ever rising, but is email the answer? In this podcast, Elinor Gunning, a clinical teaching fellow in London says that patients want it and that careful...
https://thebmjpodcast.podbean.com/e/should-patients-be-able-to-email-their-doctor/
David Heymann, professor of infectious disease epidemiology, and head and senior fellow, at the Chatham House Centre on Global Health Security was sent to investigate the first outbreaks of Ebola...
https://thebmjpodcast.podbean.com/e/ebola-virus-disease-a-long-terms-perspective/
A new rational testing article, published on thebmj.com, looks at how to diagnose an immediate food allergy. Mabel Chew, The BMJ's practice editor, is joined by Cathal Steele from the Belfast Tru...
https://thebmjpodcast.podbean.com/e/how-to-test-for-an-immediate-food-allergy/
Management of spasticity requires a balanced approach, weighing the benefits of treatment against the usefulness of the spasticity. Current interventions to treat spasticity lack a robust evidenc...
https://thebmjpodcast.podbean.com/e/diagnosing-and-managing-spasticity-in-adults/
Global endorsement as a WHO essential medicine is big step. But Corrado Barbui, from the Department of Public Health and Community Medicine at the University of Verona, has found that the quality...
https://thebmjpodcast.podbean.com/e/are-essential-medicines-essential/
Pre-diabetes is an umbrella term and the most widely used phrase to describe a blood concentration of glucose or glycated haemoglobin (HbA1c) that lies above normal but below that defined for dia...
https://thebmjpodcast.podbean.com/e/pre-diabetes-epidemic-or-emperor-s-new-clothes/
Research fraud, the deliberate falsification of research data, undermines science and can lead to horrible outcomes, as exemplified by Andrew Wakefield and the MMR/Autism scandal. A new Head to...
https://thebmjpodcast.podbean.com/e/should-research-fraud-be-a-criminal-offence/
HIV testing is now being routinely offered in increasingly diverse health settings, including primary care. In this podcast we talk to HIV consultant Mike Rayment, from Chelsea and Westminster NH...
Devi Sridhar, population health researcher and lecturer, joins us to discuss why an independent organisation to co-ordinate international health concerns is absolutely necessary. Read more in h...
https://thebmjpodcast.podbean.com/e/why-we-need-an-independent-who/
Whichever country hoists aloft the World Cup trophy on 13 July, the real winner will be the alcohol industry. In this podcast Jonathan Gornall explains why FIFA promotes the interests of the al...
https://thebmjpodcast.podbean.com/e/fifa-the-world-cup-and-the-disappearing-alcohol-ban/
Drugs to encourage weight loss have a chequered past, with many of them having been withdrawn from the market due to increased morbidity and mortality. In this podcast Raj Padwal, associate pro...
Two articles on bmj.com look at helicobacter pylori; a systematic review and meta-analysis examines if eradication treatment reduces rates of gastric cancer, and an uncertainties article asks who...
https://thebmjpodcast.podbean.com/e/helicobacter-pylori-new-evidence-and-when-to-test-and-treat/
New NICE guidance says that smokers should be encouraged to cut down on the number of cigarettes they smoke, as well as trying to quit. In a head to head, published on bmj.com, Paul Aveyard, pr...
https://thebmjpodcast.podbean.com/e/is-advice-to-cut-down-smoking-wrong/
UTIs are often diagnosed in secondary care, but often that diagnosis isn't accurate. In this podcast Gavin Barlow from the Department of infection and tropical medicine at Hull & East Yorkshire H...
https://thebmjpodcast.podbean.com/e/investigating-utis-in-older-adults/
The BMJ has been investigating the “cosy relationship” between the alcohol industry and the British government. In a series of articles Under the influence, journalist Jonathan Gornall has ...
https://thebmjpodcast.podbean.com/e/alcohol-the-uk-s-billion-unit-pledge-is-worthless/
A new analysis article on bmj.com discusses the story of a surgical colon cancer trial, that was started 30 years ago and then abandoned, and the data lost. In this podcast Helen Macdonald talk...
Digital technology introduces new concerns for confidentiality and information security. In this podcast Bradley Crotty and Arash Mostaghimi, both from Harvard Medical School, outline the regulat...
https://thebmjpodcast.podbean.com/e/patient-confidentiality-in-the-digital-age/
The International Olympic Committee (IOC) and other international sports federations have recently introduced policies which require a medical investigation of women athletes known or suspected t...
https://thebmjpodcast.podbean.com/e/the-problems-with-testosterone-testing-in-female-athletes/
Michael Farrell, professor and director of the National Drug and Alcohol Research Centre at the University of New South Wales in Sydney, talks to Mabel Chew, The BMJ's practice editor, about pres...
https://thebmjpodcast.podbean.com/e/should-doctors-be-prescribing-cannabinoids/
Glycated Haemoglobin (HbA1c) is used to measure glucose control in patients with diabetes, but can now be used as an alternative test to glucose concentration for diagnosing type 2 diabetes or id...
https://thebmjpodcast.podbean.com/e/using-hba1c-to-diagnose-type-2-diabetes/
First seizure covers a wide range of manifestations, but picking up the minor events can prevent a patient from experiencing a major event, so early diagnosis is key. Heather Angus-Leppan, cons...
https://thebmjpodcast.podbean.com/e/how-to-manage-the-first-seizure-in-an-adult/
Tamiflu (oseltamivir) is a neuraminidase inhibitor, developed by Roche, for the treatment of seasonal and pandemic influenza. Yet for the first time a comprehensive review of the data, by indepen...
https://thebmjpodcast.podbean.com/e/tamiflu-us-press-conference/
Mabel Chew talks to Tamara Pringsheim, from the University of Calgary, about the use of triptans for acute treatment of migraine. When, how, and what contraindications a physician should be aware...
https://thebmjpodcast.podbean.com/e/triptans-for-the-acute-treatment-of-migraine/
The NHS has been collecting data on patients’ experience of care for over 10 years but few providers are systematically using the information to improve services. Angela Coulter joins us to d...
https://thebmjpodcast.podbean.com/e/friends-and-family-test-don-t-just-collect-data-use-it/
Meticillin resistant Staphylococcus aureus (MRSA) remains one of the foremost hospital acquired pathogens. Patients colonised or infected with MRSA provide a reservoir within hospitals, althoug...
https://thebmjpodcast.podbean.com/e/who-when-and-how-screening-for-mrsa/
Read the full analysis of ParkinsonNet: http://www.bmj.com/content/348/bmj.g1838 Patients with Parkinson’s disease need long term support to manage their condition. In this podcast Bastiaan B...
https://thebmjpodcast.podbean.com/e/parkinsonnet-a-new-approach-to-management-of-chronic-disease/
Subdural haematoma is more common in elderly patients, yet the condition is easy to miss in this group. John Young, a consultant geriatrician at Bradford Teaching Hospitals NHS Foundation Trust...
https://thebmjpodcast.podbean.com/e/recognising-a-subdural-haematoma-in-the-elderly/
Each year at the Nuffield Trust Health Policy Summit, The BMJ hosts a breakfast roundtable. It has been one year since the Health and Social Care Bill for England was enacted, and the reconfigura...
https://thebmjpodcast.podbean.com/e/the-health-and-social-care-bill-an-end-of-year-report/
Read the open access research: http://www.bmj.com/cgi/doi/10.1136/bmj.g1458 Australia was one of the first countries to introduce HPV vaccination, and due to it's cervical cancer screening progra...
https://thebmjpodcast.podbean.com/e/hpv-vaccination-and-cervical-cancer-screening-in-australia/
Most doctors are familiar with patients who describe chronic pain all over the body, which is associated with a range of other symptoms including poor sleep, fatigue, and depression. This complex...
https://thebmjpodcast.podbean.com/e/recognising-and-treating-fibromyalgia/
Complete implementation of the World Health Organization Framework Convention on Tobacco Control (WHO FCTC) recommends policies in China that would prevent almost 13m smoking related deaths by 2...
Controversy rages over the relative benefits or harms of screening for breast cancer, with evidence suggesting that in younger women at least it does more harm than good. Now a new paper on bmj...
Read the full article online: http://www.bmj.com/content/348/bmj.g401 When you prescribe a drug, do you ever stop to wonder if it's suitable for vegetarians? Kinesh Patel and Kate Tatham from I...
Read the full article: http://www.bmj.com/content/348/bmj.g129 Erectile dysfunction is a common problem, and novel treatments mean that patient’s options have widened. In this podcast Asif Mu...
https://thebmjpodcast.podbean.com/e/bmj-podcast-treating-erectile-dysfunction/
Two articles on bmj.com look at high risk devices for rare conditions, and how the US Food and Drug Administration regulates them. Joining us to discuss the problems are Rita Redberg, professor o...
https://thebmjpodcast.podbean.com/e/bmj-podcast-high-risk-devices-for-rare-conditions/
Read the article: http://www.bmj.com/content/348/bmj.f7003 The 2013 World Health Organization guidelines continue to recommend rapid fluid resuscitation for children with shock, despite evidenc...
Read the head to head: http://www.bmj.com/content/348/bmj.g171 The BMJ no longer publishes research funded by tobacco companies. Richard Smith says that research funded by drug companies is a...
When searching for clues to reach a diagnosis, neurologists often empathise with the detective who is trying to solve a case, write Peter Kempster and Andrew Lees in BMJ sister journal Practical ...
It is generally agreed that sex is useful when getting pregnant, but is it necessary? Professors Amy Herring, and Carolyn Halpern from the University of North Carolina explain how they found virg...
https://thebmjpodcast.podbean.com/e/virgin-births-poor-house-hospital-and-right-or-happy/
James Bond, legendary secret agent, marksman, womaniser, smoker, but perhaps most famously, drinker. Neil Guha and Patrick Davies from Nottingham University Hospitals NHS Trust, and Graham Johnso...
https://thebmjpodcast.podbean.com/e/james-bond-s-drinking-and-caring-for-undocumented-migrants/
This year The BMJ has chosen Doctors of the World as it's Christmas appeal. This week we hear about the charity's international work. Deputy magazine editor Richard Hurley talks to some of the do...
https://thebmjpodcast.podbean.com/e/christmas-charity-appeal-and-treating-polymyalgia-rheumatica/
Professor Sir John Oldham, from the Institute of Global Health Innovation at Imperial College London, talks about reforming reform, and why he worries that research agendas are more influenced by...
https://thebmjpodcast.podbean.com/e/patient-centred-research-and-doctors-burnout/
The latest NCEPOD (National Confidential Enquiry into Patient Outcome and Death) report examines the management of aneurysmal subarachnoid haemorrhage, in England's National Health Service. Two...
https://thebmjpodcast.podbean.com/e/aneurysmal-subarachnoid-haermorrhage/
The population timebomb: The idea that an ageing population is making it harder and harder to fund pensions, social care, and healthcare, as the number of older people grows in proportion to the ...
https://thebmjpodcast.podbean.com/e/population-ageing-the-timebomb-that-isn-t/
A modelling study on bmj.com suggests that a 20% tax on sugar sweetened drinks would reduce the number of obese adults in the UK by 1.3%, and by 0.9 for those who are overweight. The health gains...
https://thebmjpodcast.podbean.com/e/a-sugary-drinks-tax-liver-tests-in-pregnancy/
Professor Michael Marmot has spearheaded WHO Europe’s Health 2020 report, which looks at the disparity in the social determinants of health across the region. He joins us to explain why he’s ...
https://thebmjpodcast.podbean.com/e/heath-in-europe-when-to-order-ana-tests/
NB: In our interview about statins, Abramson quotes the figure of an 18% relative increase in risk of adverse effects of statins. This figure should be couched in uncertainty, and a correction ha...
https://thebmjpodcast.podbean.com/e/statins-benefits-and-harms-for-low-risk-patients/
The BMJ, BMJ Open, Heart, Thorax, and Tobacco control – all journals in BMJ’s stable, have announced they will no longer carry research funded in part, or in whole, by the tobacco industry. F...
https://thebmjpodcast.podbean.com/e/tobacco-industry-vs-science-vcjd-in-the-uk/
There are many overlapping classifications for bowel polyps. Geir Hoff, professor of gastroenterology at the University of Oslo, explains why he fears screening for one type has lead to overtreat...
https://thebmjpodcast.podbean.com/e/brain-tumours-in-children-and-why-all-polyps-are-not-equal/
As Clare Gerada's stint as RCGP chair comes to a close, she gives BMJ news reporter Gareth Iacobucci a typically honest exit interview. And David Loxterkamp, a primary care physician in Belfast, ...
A study on bmj.com raises raises concerns over possible “subjective bias owing to racial discrimination” in the MRCGP - the Royal College of General Practitioner''s postgraduate exams require...
https://thebmjpodcast.podbean.com/e/possible-racial-bias-in-the-rcgp-exam/
Professor Sir Mike Richards, previously National Cancer Director at the Department of Health, and former head of the Academic Division of Oncology at King's College London, is the new chief inspe...
https://thebmjpodcast.podbean.com/e/a-new-chief-inspector-of-hospitals/
UN Refugee Agency High Commissioner António Guterres described the Syrian crisis this week as the great tragedy of the century, a "disgraceful humanitarian calamity with suffering and displaceme...
NICE has published now guidelines on the treatment of children with autism. Mabel Chew BMJ practice editor talks to Tim Kendall, director of the National Collaborating Centre for Mental Health at...
What do clinicians need to know about the developing role of HPV in cervical cancer prevention? BMJ clinical reviews editor Sophie Cook speaks to Henry Kitchener, professor of gynaecological onco...
https://thebmjpodcast.podbean.com/e/hpv-testing-in-preventing-cervical-cancer/
inda Gask, professor of primary care psychiatry at the University of Manchester, explains why a personality disorder diagnosis is not as hopeless as many patients and doctors fear. Also Carol B...
https://thebmjpodcast.podbean.com/e/diagnosing-dementia-treating-personality-disorder/
For our first podcast of 2010, we’ll be asking various medical professionals what they’d like to see happen to healthcare in the next decade. Also, Chris Grundy tells us how effective 20 mp...
https://thebmjpodcast.podbean.com/e/looking-forward-1680600725/
This week, research published on bmj.com shows that overweight and obese teenagers can be taught to eat more sensibly by using a device called a mandometer. Professor Julian Shield, who led the s...
Haiti this week suffered its worst earthquake in 200 years. Marc Dubois, general director of aid charity MSF UK, talks about how his organisation is responding to the disaster and how doctors can...
This week the Faculty of Public Health has released its manifesto tor a healthier Britain. Duncan Jarvies speaks to the faculty’s president, Professor Alan Maryon-Davis, about the manifesto’s...
https://thebmjpodcast.podbean.com/e/12-steps-to-public-health/
Several articles on bmj.com deal with clubfoot disorder. Kirsten Patrick gives us a quick history of the condition, and talks to Andrew Hogg - a GP trainee - about a film he made in South Africa ...
Urinary tract infections are commonly seen in primary care, particularly in women, yet there are gaps in the evidence about their treatment. Trish Groves talks to Paul Little about a group of pap...
https://thebmjpodcast.podbean.com/e/urinary-tract-infections-1680600732/
This week new research was published on the use of the SSRI (selective serotonin re-uptake inhibitor) antidepressants, in combination with the drug tamoxifen. For some time there have been concer...
In this week’s podcast Sam Lister, health editor of the Times, explains the political fight that’s emerging around provision of free home health care for elderly people. Duncan Jarvies talk...
Estimates of HIV are just that, estimates – but in order to research the progression of the virus, and the effectiveness of intervention strategies, those estimates have to be as accurate as po...
This week’s hot topic is chronic fatigue syndrome. The journal Science published a paper in October 2009, which suggested a possible link between a new virus (xenotrophic murine leukaemia virus...
https://thebmjpodcast.podbean.com/e/chronic-fatigue-syndrome/
This week, Duncan Jarvies talks to Stacy Lindau and Natalia Garilova about their new sex life expectancy measure, and what it could mean for patients and public health. Zosia Kmietowicz talks t...
https://thebmjpodcast.podbean.com/e/sex-life-from-soup-to-nuts/
If you visited Trafalgar Square in central London today you’d see Admiral Nelson gazing down from his column. What you won’t see is a statue to celebrate the work of Edward Jenner – althoug...
This week the BMJ published research into the use of sunbeds. Cancer Research UK surveyed teenagers across the country to find out how often they top up their tan. Duncan Jarvies talks to Catheri...
This week Duncan Jarvies discusses with London GP Chris Ford how to talk to patients about their cannabis use. Rebecca Coombes talks to Jim Swire, a retired GP whose daughter Flora died in the ...
This week Ike Iheanacho investigates the role of herbal remedies in modern medicine. He speaks to Dr Linda Anderson, Principal Pharmaceutical Assessor at the Medicines and Healthcare products Reg...
https://thebmjpodcast.podbean.com/e/regulating-herbal-medicines/
This week’s podcast is based on the BMJ series Competent Novice.Junior doctors play an important part in verifying sudden deaths in hospital and communicating with the family of the deceased. U...
https://thebmjpodcast.podbean.com/e/sudden-death-1680600746/
A traumatic death can be very difficult for friends and family to deal with. A clinician’s instinct may be to protect them from seeing the extent of the damage to the body. However this may not...
This week David Payne talks to Emily Friedman, a health policy and ethics analyst, about Cambodia – a country with a difficult past that is now rebuilding its healthcare system to try to meet s...
In this week’s podcast Duncan Jarvies talks to Theresa Marteau about screening for diabetes; can patients be given too much information? Also Anne Buvé discusses the likelihood of HIV transmis...
https://thebmjpodcast.podbean.com/e/screening-and-serodiscordance/
This week we’ re looking at the legacy of large sports events - with the 2012 Olympic games costing £9bn, and that cost being justified by saying how great an impact the games will have on the...
In this week’s podcast we examine the link between toothbrushing and cardiovascular disease – Richard Watts talks about his research in Scotland. Also this week the Department of Health iss...
https://thebmjpodcast.podbean.com/e/healthy-heart-happy-smile/
What is the association between IQ and attempted suicide? David Batty talks to us about his research in Sweden. Also this week, Steven Kawczak, associate director of the Cleveland Clinic’s Ce...
This week research published on bmj.com looks at the association between the smoking ban and a drop in acute myocardial infarctions. Anna Gilmore, director of the Tobacco Control Centre at the Un...
https://thebmjpodcast.podbean.com/e/i-%E2%99%A5-the-smoking-ban/
Since mobile phones have been around there has been public concern about their safety - fears over radiation exposure causing cancer have been particularly trenchant. This week Paul Elliott and h...
This week saw the British Medial Association’s Annual Representatives Meeting. Deborah Cohen and Helen Morant tell us what was going on in Brighton. Also this week we have the second part of So...
Later this month sees the 17th International AIDS Conference in Vienna. One of the topics that will be discussed there is harm reduction, and the political will to embrace it.In this podcast, we ...
https://thebmjpodcast.podbean.com/e/methado-methadon-t-methadone/
The new coalition government’s white paper on health – encompassing the future of the NHS - was published this week. Chris Ham, chief executive of the health policy think-tank the King’s Fu...
This week the print BMJ has a cluster of articles on suicide – one of which talks about the efficacy of physical barriers to prevent suicide from bridges. In the podcast, we’ll hear from Kevi...
The new coalition government’s plans for the NHS in England put GPs firmly in the driving seat - how do their secondary care colleagues feel about that? Jacky Davis, co-chair of the NHS Consu...
In June 2010 the drug company Novo Nordisk announced that its only conventional human biphasic insulin, human Mixtard 30, would no longer be available in the UK from January 2011, a decision that...
In this week’s podcast we discover the link between the weather and the risk of heart attacks - Krishnan Bhaskaran tells us about his research. Also, criticism and response are crucial parts ...
Jill Morrison talks about how people on long term incapacity benefit because of mental health problems could be identified by their GPs three years before they stop working. BMJ Deputy editor T...
This week, to steal a line from the latest BMJ editor’s choice, we’ll be talking shit. The millennium development goal on sanitation is way off track; Lyla Mehta, a sociologist from the Insti...
https://thebmjpodcast.podbean.com/e/shit-happens-1680600769/
In this week’s podcast we find out from Sean Tunis about the future of comparative effectiveness research in the USA, and how the new institute created to champion it will differ from the UK’...
A person’s right to refuse treatment is based on their capacity to make a rational decision – but what is the situation when someone is admitted after a suicide attempt? Can you be simultaneo...
In a series of articles, this spotlight focuses on recognising and managing the end of life, having the difficult conversations with patients about their death, and the importance of taking into ...
https://thebmjpodcast.podbean.com/e/spotlight-on-palliative-care-beyond-cancer/
This week we’re joined by Martin McKee, professor of European public health at the Loncon School of Hygiene and Tropical Medicine. He’s also research director of the European observatory on h...
Last week saw Safety 2010, the international conference on preventable accidents. We hear from some of the speakers there why safety comes second when it comes to global health. Also this week,...
Last week BMJ Careers published “The new lost tribe,” describing the cohort of surgical trainees moving from ST2 to ST3. In this podcast Edward Davies, BMJ Careers editor, and Tom Dolphin, a ...
This week Beate Wieseler from IQWiG (Institut für Qualität und Wirtschaftlichkeit im Gesundheitswesen) tells us how they uncovered data on the antidepressant reboxetine. Also Angela Thomas an...
https://thebmjpodcast.podbean.com/e/reboxetine-and-the-missing-data/
In this week’s podcast Jayati Das-Munshi, from the Institute of Psychiatry, London, talks about her study into the mental health effects of ethnic density. Also, hyper/hypo - antonyms that ca...
China’s New Rural Cooperative Medical Scheme, aims to provide health insurance to 800 million rural citizens. We’ll be finding out from Scott Rozelle, from Stanford University and Qingye Meng...
A BMJ investigation this week raises concerns about the ability of the US Food and Drug Administration to monitor the safety of medical devices through post-approval surveillance. We ask: is the ...
https://thebmjpodcast.podbean.com/e/regulation-regulation-regulation/
This week the podcast’s all about risk, as we bring you two reports from Risky Business, the conference where speakers from a wide range of hazardous industries came together to share ideas. ...
This week Dulcie McBride, a consultant in public health at University College London, joins us to talk about the UK’s practice variation in referring to secondary care. Also Simon Wright, hea...
This week we’re joined by Jack Wennberg, author of the Dartmoth Atlas of Healthcare. He and Fiona Godlee discuss his work, and what the UK can learn from the US. Also this week what do you bu...
In this week’s cracker of a show… Firstly, could how you park your car indicate your choice of specialty? Secondly, how a team of scientists managed to solve the mystery of the missing Fr...
https://thebmjpodcast.podbean.com/e/christmas-2010-1680600789/
In the final BMJ podcast of 2010, David Payne asks the Independent’s Jeremy Laurance about the year past, and BMJ authors how they feel going into the one ahead. Also, Adama Traore tells us a...
This week we find out the best way to treat a Mesobuthus tamulus (indian red scorpion) sting. We also discuss the current state of healthcare in Iraq; and how Andrew Wakefield’s article linking...
In this week’s podcast we hear from Tom Jefferson of the Cochrane Collaboration about the problem of publication bias – and a tool that could help researchers dowse for hidden data. Also, B...
Andrew Lansley said this week his NHS reforms are needed because the UK’s health outcomes are amongst the poorest in Europe. However John Appleby, chief economist at the King’s Fund, tells us...
https://thebmjpodcast.podbean.com/e/andrew-lansley-s-apples-and-oranges/
In this week’s podcast Theresa Marteau, director of the Behaviour and Health Research Unit at the University of Cambridge, wonders if a nudge is enough to change our health behaviours. Also t...
In this week’s podcast Andrew Farmer from the National Institute of Health Research, Health Technology Assessment programme (NIHR HTA), tackles uncertainty. Also, Andrew Clark from the Univer...
This week we find out about diabetes. Mabel Chew, our Sydney based associate editor, discovers why it’s important not to miss the diagnosis of type I diabetes in children. And we learn about a ...
In this week’s podcast we find out from Susan Brien and Paul Ronksley about the cardioprotective effects of alcohol. Also, Annabel Ferriman tells us about the nominees for the BMJ Group lifet...
Between March 2010 and March 2011 the cost of maize and wheat doubled. This is just the latest in a series of price hikes in food staples. In an editorial this week, Joachim Von Braun sets out so...
https://thebmjpodcast.podbean.com/e/food-for-thought-1680600437/
In this week’s podcast, Johan Sundstrom explains how blood pressure in adolescents effects mortality in adults. And John Appleby, chief economist of the King’s Fund, talks waiting times.
This month marks the 30th anniversary of the first diagnosed case of AIDS. Bertrand Audoin, from the International AIDS Society, brings us up to date with the latest developments in the fight aga...
This week the British government has tabled an amendment to remove maximum pricing from the Health and Social Care Bill. We convened a round table discussion to find out what other elements of th...
https://thebmjpodcast.podbean.com/e/nhs-reforms-round-table/
As the world’s attention turns to Fukushima, we hear from Ryuki Kassai, Director of Community and Family Medicine at Fukushima Medical University, about the situation on the ground there. He te...
Jamie Love, Knowledge Ecology International, and Hans Hogerzeil, director of essential medicines and pharmaceutical policies at the World Health Organization (WHO), discuss the ongoing EU trade n...
At BMA house, we convened a group of world experts in shared decision making. Inspired by the Salzburg Global Summit meeting we discussed the background, practical challenges, and how to engage p...
https://thebmjpodcast.podbean.com/e/bmj-round-table-shared-decision-making-patients/
At BMA house, we convened a group of world experts in shared decision making. Inspired by the Salzburg Global Summit meeting we discussed the background, practical challenges, and how to engage p...
https://thebmjpodcast.podbean.com/e/bmj-round-table-shared-decision-making-practicalities/
At BMA house, we convened a group of world experts in shared decision making. Inspired by the Salzburg Global Summit meeting we discussed the background, practical challenges, and how to engage p...
https://thebmjpodcast.podbean.com/e/bmj-round-table-shared-decision-making-background/
This week’s podcast is a summary of the shared decision making round table - looking at it’s history, practicalities of implementation and how to get patients involved. The full round table...
Should we screen for prostate cancer? A study published on bmj.com suggests that it doesn’t improve survival rates, and could lead to over treatment. Gabriel Sandblom, of the Karolinska Institu...
Information abounds in our burgeoning knowledge economy, but how much is useful - let alone essential? Martin Dawes from the University of British Colombia tells us about the hierachy of evidence...
https://thebmjpodcast.podbean.com/e/understanding-information/
Regulation of genetic testing kits is difficult, so how do we start to control this growing market? Christine Hauskeller, from the ESRC Centre for Genomics in Society at the University of Exeter,...
https://thebmjpodcast.podbean.com/e/artificial-pancreas-and-a-genetic-iso/
The problems associated with arsenic in drinking water have been known for some time, but new research published in the BMJ helps quantify that risk with respect to cardiovascular disease. Yu Che...
https://thebmjpodcast.podbean.com/e/travelling-when-pregnant/
What are the health impacts of cold homes and fuel poverty? Michael Marmot, professor of epidemiology and public health at University College London, talks about findings of the report he co- aut...
Richard Peto, renowned epidemiologist at Oxford University, won the BMJ Group lifetime achievement award this week. We hear from him about his work, and some of impact it has had. Also this wee...
https://thebmjpodcast.podbean.com/e/prophylaxis-for-endocarditis/
In this week’s podcast Babatunde Osotimehin, executive director of the UN population fund, joins us in the studio to talk about climate change and reproductive rights. Also, Barry Taylor from...
https://thebmjpodcast.podbean.com/e/climate-change-and-population-sleep-and-obesity/
In this week’s podcast Trish Groves talks to Marzio Babille, UNICEF representative in Chad, about the country with the lowest immunisation rates in the world. Sophie Cook finds out from Davor...
https://thebmjpodcast.podbean.com/e/immunisation-and-ectopic-pregnancy/
How can doctors and police sharing information help stop violent crime? Jonathan Shepherd, from Cardiff University, explains the Cardiff Violence Prevention Programme - and his research into its ...
In this week’s podcast, we look at the ups and downs of postural hypotension. Also, beansprouts have been fingered as the cause of the recent E coli outbreak in Germany, David Payne investiga...
https://thebmjpodcast.podbean.com/e/beansprouts-and-blood-pressure/
If everyone were to stop smoking, what would be the major public health hazards, and what would happen to health inequalities? Laurence Gruer, director of public health science at NHS Health Scot...
https://thebmjpodcast.podbean.com/e/a-world-without-smoking/
In this week’s podcast, Margaret McCartney examines Hydration for Health, Quentin Anstee explains how big a problem non-alcoholic fatty liver disease is, and Patrick Keown explains the associat...
In this week’s podcast, Duncan Jarvies speaks to Alexander Seifalian, professor of nanotechnology and regenerative medicine, about a groundbreaking procedure that enabled a multinational surgic...
https://thebmjpodcast.podbean.com/e/artificial-organs-and-surgical-research/
In this week’s podcast Jeremy Myerson, from the Royal College of Art, tells us how good design techniques can make cities more friendly places to grow old gracefully. Clive Ballard, from Kings ...
In this week’s podcast we discuss publishing medical details with former health editor of The Sun, Jacqui Thornton. Rogaia Abuelgasim Abdelrahim, the UN Population Fund’s deputy representativ...
https://thebmjpodcast.podbean.com/e/sharing-decisions-and-data/
In this week’s podcast, Sue Rabbit Roff describes how she thinks a system of paid for kidney donations could work in practice. Al Story, clinical lead of the Find and Treat programme – a trav...
A recent study compared cost efficiency of different healthcare systems around the world. We hear from Colin Pritchard, from Bournemouth University, about how the NHS came out near the top. Also ...
https://thebmjpodcast.podbean.com/e/doctors-in-the-danger-zone/
Last week BMJ Group held an inaugural global health conference http://globalhealth.bmj.com/ in London, looking at policies for sustainable and effective healthcare. David Heymann, chair of the UK...
In this week’s podcast, Shaun Walker reports on alcohol consumption in Russia. Ewan Hoyle explains why he wants the Lib Dems to discuss drug policy. And we found out how realistic comic book vi...
https://thebmjpodcast.podbean.com/e/drink-drugs-and-comic-book-villains/
This week, chocolate is good for your emotional heart, but what about your physical one? Oscar Franco, clinical lecturer in public health at the University of Cambridge, tells us about the result...
John Young, professor of elderly care medicine at Leeds University, gives Mabel Chew tips on carrying out a cognitive assessment of an older person. Also this week, Harlan Krumholz explains to De...
Research has found that the gap in all-cause mortality between psychiatric patients after discharge, and the general population, is growing. Uy Hoang (Oxford University) tells us what his paper r...
https://thebmjpodcast.podbean.com/e/mental-health-and-mortality/
This week, the UK’s General Medical Council is reviewing its standards of good medical practice. Helen Jaques quizzes Niall Dickson, the council’s chief executive, about the possible changes....
Seth Berkley, CEO of GAVI (formerly the “Global Alliance for Vaccines and Immunisation”), talks to Rebecca Coombes about the future of vaccination funding. Also this week, the Health and Soci...
The Health and Social Care Bill for England has now reached the House of Lords. With the proposed demise of deaneries, questions still remain about how medical training will be carried out in the...
https://thebmjpodcast.podbean.com/e/regulating-education-and-respiratory-infections/
Hugh Montgomery, director of the University College London Institute for Human Health & Performance, talks about the space where climate, health, and international security meet. Christabel Owens...
https://thebmjpodcast.podbean.com/e/climate-health-and-security/
In 2001 Portugal abolished all criminal penalties for personal possession of drugs – effectively decriminalising their use. Health journalist Nigel Hawkes talks to João Goulão, Portugal’s d...
https://thebmjpodcast.podbean.com/e/decriminalisation-of-drugs-in-portugal/
One way of tackling obesity is by attending a weight loss club, such as WeightWatchers . There are many such schemes available on the NHS, but which one is the most effective? We find out the res...
https://thebmjpodcast.podbean.com/e/watching-receptionists-watching-weight/
Tessa Richards (BMJ’s analysis editor) and Duncan Jarvies (BMJ’s multimedia producer) talk to Veena Rao (adviser at Karnataka Nutrition Mission, India) about the issue of undernutrion in the ...
https://thebmjpodcast.podbean.com/e/undernutrition-in-india/
Mariana Lazo, from Johns Hopkins Bloomberg School of Public Health, tells us how non-alcoholic fatty liver disease has affected all cause mortality in the US. Also, Ley Sander, from University Co...
https://thebmjpodcast.podbean.com/e/sudden-death-in-epilepsy-nafld-mortality/
This week’s podcast is from UKSEM, the big sports and exercise medicine conference in London. Daniel Lieberman, an evolutionary biologist from Harvard, explains how we have evolved to run. Stev...
To mark World AIDS Day, the WHO has issued a report outlining policy successes and failures in the diagnosis and treatment of HIV/AIDS. Yves Souteyrand, the co-ordinator of the report, joins us t...
How much does it cost sub-Saharan countries to train all the doctors who end up working in the UK, US, Canada, and Australia? Edward Mills from the University of Ottawa explains his economic anal...
Vanessa Whitburn, editor of BBC Radio 4’s The Archers, talks morbidity and mortality in Ambridge. James Raftery, University of Southampton, updates the Forrest Report – whose evidence prompte...
Somehow we've come to the end of another year. The Independent's health editor Jeremy Laurance talks us through the big health stories from 2011. And Greg Scott discusses his Christmas paper on...
The problem of missing data is well known, especially in cases where drug companies conceal evidence. However pharmaceutical industry misconduct is not the only cause, and a cluster of papers in ...
Antoine Declos, Université de Lyon, explains the performance curve of surgeons as they become more experienced. Peter Wilmshurst, Royal Shrewsbury Hospital, and veteran whistleblower explains wh...
Simon Hatcher, associate professor of psychiatry at the University of Aukland, sets out the use of newer antidepressants for the treatment of depression in adults. Deborah Cohen, BMJ's investigat...
https://thebmjpodcast.podbean.com/e/antidepressants-and-tamiflu/
Mabel Chew talks to epileptologists Martin Brodie from the Western Infirmary Glasgow and Patrick Kwan from the University of Melbourne, about the newer drug treatments for the condition. Also, Ka...
https://thebmjpodcast.podbean.com/e/new-antiepileptics-and-the-drop-in-mi-deaths/
The Indian government has invested £1.2bn to kick start rural healthcare in its most populous northern state, Uttar Pradesh. Much of that money has now disappeared, and the programme is blighted...
https://thebmjpodcast.podbean.com/e/healthcare-and-corruption-in-uttar-pradesh/
Journalist Karen McColl interviews Wendell Potter, US health industry lobbying guru turned critic. Mark Ashbridge, an associate professor at Dalhousie University, explains how cannabis intoxicati...
This week we look at older women's health, Gita Mishra from the School of Population Health, University of Queensland, explains the trajectories of perimenopausal symptoms. Martha Hickey, profess...
https://thebmjpodcast.podbean.com/e/menopause-hrt-and-cancer/
With the future of the Health and Social Care bill more certain, how will the health service react to the legislative changes? At this year's Nuffield Trust Health Policy Summit, the BMJ's editor...
https://thebmjpodcast.podbean.com/e/after-the-health-bill-what-next/
Dan Chisholm, a health economist with the World Health Organisation talks to Harriet Vickers about a cluster of articles which examines the more cost effective way to tackle non-communicable dise...
https://thebmjpodcast.podbean.com/e/tackling-ncds-in-developing-countries/
Is elective ventilation an acceptable way to increase organs available for transplant? Duncan Jarvies discusses the ethics with Dominic Wilkinson (associate professor of neonatal medicine and bio...
https://thebmjpodcast.podbean.com/e/elective-ventilation-and-the-future-of-medical-professionalism/
A new peer led parenting group is having success in South London, we visit a session to find out why. Also Jane Driver, an associate professor at Brigham and Women’s Hospital in Boston, explain...
https://thebmjpodcast.podbean.com/e/neurodegenerative-disease-and-cancer-and-peer-led-parenting/
Indhu Prabakar, a subspecialty registrar in sexual and reproductive health at Abacus Services for Sexual and Reproductive Healthcare in Liverpool, goes through the options for emergency contracep...
https://thebmjpodcast.podbean.com/e/emergency-contraception-and-stopping-smoking/
Eithne MacMahon, consultant and honorary senior lecturer at the Department of Infectious Diseases, Guy’s and St Thomas’ NHS Foundation Trust, explains how to test and treat a pregnant woman e...
https://thebmjpodcast.podbean.com/e/ssris-in-dementia-and-exposure-to-a-rash-in-pregnancy/
Hopes are high that the 2012 Olympics and Paralympics will have a lasting sports and exercise legacy, but the work done to ensure the health of the millions of attendees could also have an import...
https://thebmjpodcast.podbean.com/e/stopping-the-spread-of-disease-at-the-olympics-and-hajj/
This week we’re concentrating on the problem of an overactive bladder, the subject of a cluster of articles in this week’s BMJ. Practice editor Mabel Chew is joined by Linda Cardozo, professo...
https://thebmjpodcast.podbean.com/e/overactive-bladder-syndrome/
The focus of this week’s programme is health promotion and behaviour change. Joining Karim Khan, BJSM editor, and Domhnall McAuley, BMJ primary care editor, is Mike Evans, associate professor...
https://thebmjpodcast.podbean.com/e/235-hours-to-change-behaviour/
SPARX is a new cognitive behavioural therapy based computer game for young people with depression. Sally Merry, an associate professor of child and adolescent psychiatry at the University of Auck...
BMJ deputy editor Trish Groves talks to Bianca Hemmingsen, a PhD student at Copenhagen University Hospital, about research comparing metformin and insulin with insulin alone, for the treatment of...
https://thebmjpodcast.podbean.com/e/type-1-or-type-2-diabetes/
BMJ features editor Rebecca Coombes finds out more about a new pneumococcal vaccine being rolled out in Ghana. And David Payne meets Kenneth Kizer, the US doctor who transformed the failing Veter...
Paul Offit, the author of the yes side of our head to head article "Should childhood vaccination be mandatory", joins us to discuss his book Deadly Choices: How the anti-vaccine movement threaten...
https://thebmjpodcast.podbean.com/e/anti-vaccination-movements/
It's the first time doctors have been polled for strike action since 1975, and we've heard a lot about the moral arguments of doing so, but what about the practicalities? Edward Davies, BMJ Caree...
In this weeks podcast BMJ features editor Rebecca Coombes reports from Risky Business, the patient safety conference held in London last week. She talks to Loretta Evans, a mother who lost her so...
Keith Fox, president of the British Cardiovascular Society, and Rory Collins, co-director of the University of Oxford's Clinical Trial Service Unit and Epidemiological Studies Unit, discuss the s...
This week we look at herpes simplex encephalitis, an easily missed central nervous system infection which can have serious consequences. Our practice editor Mabel Chew discusses the features of...
https://thebmjpodcast.podbean.com/e/herpes-simplex-encephalitis/
For the last year a group commissioned by the UK government has been looking at whether making all published research freely available is attainable or not. BMJ editor Fiona Godlee speaks to Dame...
With changes to the NHS such as cuts, competition and tendering, secondary care will need to adapt. Joining BMJ features editor Rebecca Coombes to discuss how, are: Yi Mien Koh, chief executive...
https://thebmjpodcast.podbean.com/e/the-future-of-secondary-care-full-roundtable/
The healthcare landscape in the England is shifting, with cuts, competition and tendering some of the major changes. Secondary care must adapt to these, but how? Joining BMJ features editor Rebec...
https://thebmjpodcast.podbean.com/e/the-future-of-secondary-care/
Barack Obama saw his Affordable Care Act remain law last week, as the US Supreme Court ruled it is constitutional. Ed Davies (BMJ US news and features editor) talks to Janice Hopkins Tanne (freel...
https://thebmjpodcast.podbean.com/e/obama-s-healthcare-reforms-on-trial/
It seems the race to implement telehealth is on – the UK government’s response to its Whole System Demonstrator pilot has been very positive. But has it been over-hyped? We find out from Jenn...
https://thebmjpodcast.podbean.com/e/telehealth-running-before-walking/
It has been almost exactly a year since Anders Breivik bombed government buildings in Oslo, and then carried out a mass shooting on the island of Utøya, where he killed 69 people, mostly teenage...
Daniel Hackam, associate professor at Western University in Canada, explains how shift patterns can have a detrimental effect on the vascular health of workers. Also this week Seena Fazel, Well...
https://thebmjpodcast.podbean.com/e/shift-workers-health-and-assessing-risk-of-violence/
A feature this week asks "Should patients be able to control their own records?". The website renalpatientview.org allows patients to do exactly that. Neil Turner, a professor of nephrology at Ed...
This week we’ll hear why Donald Light, professor of comparative health systems research at the University of Medicine and Dentistry of New Jersey, thinks the innovation crisis in the developmen...
https://thebmjpodcast.podbean.com/e/is-the-drug-pipeline-really-drying-up/
Marion Nestle is the Paulette Goddard Professor of Nutrition, Food Studies, and Public Health at New York University. She has written widely about food and nutrition, and is an iconoclast in the ...
https://thebmjpodcast.podbean.com/e/fighting-the-food-giants/
Over the decades public health has had many incarnations. Geof Rayner and Tim Lang (Center for Food Policy) argue that public health today needs an overhaul, and to focus on our co-existence with...
https://thebmjpodcast.podbean.com/e/ecological-public-health/
In 2008 the rates of suicide in the UK began to increase. Is it a coincidence that this was also when the financial crisis hit? Ben Barr, research fellow in the department of Public Health and Po...
https://thebmjpodcast.podbean.com/e/bad-for-wealth-bad-for-health/
It's increasingly obvious that acutely ill patients have received less than gold standard care. Deficiencies in training are often blamed. Paul Frost, consultant in intensive care medicine at the...
A BMJ head to head article this week asks: "Are the causes of obesity primarily environmental?" John Wilding, Head of the Department of Obesity and Endocrinology at the University of Liverpool, a...
https://thebmjpodcast.podbean.com/e/spotting-pre-eclampsia-and-debating-obesity/
This week we concentrate on diabetes "The difference between insulin management in type 1 and type 2 diabetes is rather like the difference between driving a sports car and driving a lorry," sa...
https://thebmjpodcast.podbean.com/e/newer-insulins-and-stents-in-diabetic-patients/
Schemes which reduce emergency admissions sound like a good thing, but Martin Rowland, professor of health services research, Cambridge Centre for Health Services Research, University of Cambridg...
https://thebmjpodcast.podbean.com/e/reducing-emergency-admissions-are-we-on-the-right-track/
A head to head article this week asks: "Does celebrity involvement in public health campaigns deliver long term benefit?”. The British Heart Foundation’s Hands Only CPR campaign, featuring Ho...
https://thebmjpodcast.podbean.com/e/stayin-alive-in-the-cardboard-city/
In the US, overly aggressive treatment is estimated to cause 30 000 deaths among Medicare recipients alone each year. Reporter Jeanne Lenzer has investigated the problem for the BMJ, and explains...
https://thebmjpodcast.podbean.com/e/treating-the-masses-overtreating-the-few/
Bariatric surgery is under scrutiny from NCEPOD, the National Confidential Enquiry into Patient Outcome and Death, Ian Martin, NCEPOD's clinical co-ordinator for surgery, takes us through the hig...
Deborah Cohen explains how a joint BMJ and Daily Telegraph investigation helped uncover problems with device regulation in Europe. Previous research has shown smoking reduces life expectancy by a...
Rajiv Chowdury, a research associate from the Department of Public Health and Primary Care at the University of Cambridge, explains why eating whole fish is better than fish oil - at least when i...
This week, Al Mulley, Dartmouth Center for Health Care Delivery Science, and Tessa Richards, BMJ associate editor, discuss the silent misdiagnosis: that of patient preferences. Removing pre-can...
https://thebmjpodcast.podbean.com/e/the-silent-misdiagnosis/
Last year 125 people died in Pakistan after taking contaminated cardiac medication. The disaster is one example of the dangers of counterfeit and substandard medicines, an issue the WHO is strugg...
https://thebmjpodcast.podbean.com/e/countering-counterfeits/
Lasse Krogsbøll, from the Nordic Cochrane Centre, explains research into whether general health checks improve mortality and morbidity in the population. Also, the European Medicines Agency (EMA...
https://thebmjpodcast.podbean.com/e/checking-out-the-check-ups/
Helen Macdonald, assistant editor at the BMJ, talks to Neil Marlow, professor of neonatal medicine at University College London, about his update to the EPICure study looking at outcomes for extr...
https://thebmjpodcast.podbean.com/e/neonatal-survival-and-lifebox/
Is too much oxygen a good thing? Christine Roffe, consultant physician, Stoke Stroke Research Group, North Staffordshire Combined Healthcare NHS Trust, talks Mabel Chew, BMJ associate editor, thr...
Many patients are following a wheat free diet, which they believe helps with their gastrointestinal symptoms, yet they don't exhibit markers of coeliac disease. Mabel Chew finds out from David Sa...
https://thebmjpodcast.podbean.com/e/non-coeliac-but-gluten-sensitive/
We know that speed bumps have an important public health role, but a Christmas BMJ paper shows they're also clinically useful, and can help diagnose appendicitis. Helen Ashdown, academic clinical...
https://thebmjpodcast.podbean.com/e/christmas-2012-the-speed-bump-test/
The final article in the analysis series examining prison health in England and Wales is published this week. To sum up, Francis Crook, Director of the Howard League for Penal Reform - the UK's o...
You may well assume that a programme supported by organisations such as the World Bank and the World Health Organization does what it says on the tin. However, it turns out this is not the case w...
The authors of the recent meta-analysis on dietary sugar and body weight, Lisa Te Morenga, and Jim Mann, from the Departments of Human Nutrition and Medicine at the University of Otago, join us t...
https://thebmjpodcast.podbean.com/e/the-science-of-sugar-1680599904/
An epidemiological investigation on bmj.com discusses the first probable case of human to human transmission of novel avian influenza A (H7N9). The author of the accompanying editorial, James Rud...
https://thebmjpodcast.podbean.com/e/h7n9-and-nhs-standardised-mortality-rates/
US Health in International Perspective: Shorter Lives, Poorer Health produced by the National Research Council and Institute of Medicine of the National Academies, has found that on almost every ...
How can you treat a young person who is exhibiting the first signs of psychosis? Mabel Chew talks to Professor Tim Kendall a consultant psychiatrist and director of the National Collaborating Cen...
https://thebmjpodcast.podbean.com/e/treating-early-psychosis/
In this practice special podcast, Timothy Wilt, professor of medicine at Minneapolis VA Center for Chronic Disease Outcomes Research, explains how to talk to patients about prostate cancer screen...
https://thebmjpodcast.podbean.com/e/screening-and-treating-clinically-localised-prostate-cancer/
The Francis report into care standards at Mid Staffordshire NHS Foundation Trust was published this week. Triggered by deaths at a hospital in England, Robert Francis QC was appointed by the gove...
https://thebmjpodcast.podbean.com/e/mid-staffs-inquiry-and-digging-for-data/
The BMJ held a round table in January 2013 to discuss the future of primary care in England and Wales. The wide ranging topics included out of hours care, commissioning, education, time managemen...
https://thebmjpodcast.podbean.com/e/the-future-of-primary-care/
How involved are doctors in the non medical aspects of patient care? An analysis on bmj.com this week examines the problem of nutrition and fluid balance in hospitalised patients. Helen Macdonald...
https://thebmjpodcast.podbean.com/e/start-with-the-basics-food-and-fluid/
Of the myriad of clinical decision support tools, what features actually improve patient outcomes? Pavel Romanov, medical student at Western University in Canada, discusses his research. Also t...
In the wake of the Francis report, the BMJ gathered experts to discuss compassion in the health service. This is the discussion in full. Taking part are: Domhnall MacAuley, BMJ primary care e...
If patients living in one area have more diagnoses than those living in another, use more care, but have similar mortality rates, you would think they were simply sicker, but that the extra care ...
https://thebmjpodcast.podbean.com/e/compassion-and-variation/
Andrew Witty is the CEO of GlaxoSmithKline. He’s been credited with taking on a pharma company with a history of behaving badly in the past – as shown by a record $3bn fine levied by the US g...
Recorded at the recent Nuffield health policy summit, this round table asks how to impliment the Francis reports recommendations. Taking part were: Robert Francis, chair of The Mid Staffordsh...
https://thebmjpodcast.podbean.com/e/after-francis-what-next/
Are all calories equal? Thermodynamics would say that energy is energy, be it derived from carbohydrate, fat, or protein. But things get more complicated when appetite is taken into consideration...
https://thebmjpodcast.podbean.com/e/are-all-calories-equal-1680599922/
A clinical review this week looks at the diagnosis and treatment of carotid atherosclerosis, including when to screen and the threshold for intervention. Alun Davies, professor of vascular surger...
https://thebmjpodcast.podbean.com/e/carotid-atherosclerosis-and-patient-participation/
The issues of hidden data are well known, and the BMJ’s open data campaign page documents some of the problems which have arisen as a result of clinical trial data remaining undisclosed. At E...
https://thebmjpodcast.podbean.com/e/all-trials-registered-all-results-reported/
The World Health Organization has chosen hypertension as the public health threat it will focus on for the next year. The problem is particularly pressing in India, and Anita Jain, the BMJ's Indi...
https://thebmjpodcast.podbean.com/e/tackling-hypertension-in-india/
Delirium is often missed in primary and secondary care. Edison Vidal, assistant professor in internal medicine at the Universidade Estadual Paulista, Brazil, advises on diagnosing and managing th...
This week, we discuss how Australia’s national human papillomavirus (HPV) vaccination programme has caused a dramatic drop in genital warts. Does this foretell elimination of all disease caused...
https://thebmjpodcast.podbean.com/e/warts-and-all-1680599929/
Patients are increasingly going online to find and discuss information about their condition. What are they getting on the web that they’re not getting from clinicians, and how is this changing...
https://thebmjpodcast.podbean.com/e/dying-patients-in-hospital-e-patients-online/
Mabel Chew, practice editor at the BMJ, talks to Tushar Kotecha, a cardiology specialist registrar at Charing Cross Hospital in London, about when to suspect heart failure, and how to diagnose th...
https://thebmjpodcast.podbean.com/e/suspected-heart-failure/
The BMJ Awards were held last Thursday. Fiona Godlee, the BMJ's editor in chief, announced that the Britain Nepal Otology Service (BRINOS) was named Medical Team of the Year. BRINOS (brinos.org...
https://thebmjpodcast.podbean.com/e/the-bmj-awards-medical-team-of-the-year/
In a drive to improve safety, many cyclists now wear helmets. But how useful is legislation that mandates their use when compared with all the other safety initiatives available? Jessica Dennis, ...
https://thebmjpodcast.podbean.com/e/vulnerable-adults-and-the-road-to-cycle-safety/
Until now, the increased risk of cancer from CT scans has been modelled from the data gathered from survivors of the Hiroshima and Nagasaki bombings. However, new BMJ research, based on a large A...
https://thebmjpodcast.podbean.com/e/think-then-scan-don-t-scan-then-think/
This month the UK parliament has been looking at the big accountancy firms' involvement in drafting tax laws. Conversely, the Department of Health has hidden the involvement of tobacco lobbyists ...
https://thebmjpodcast.podbean.com/e/corporations-as-vectors-of-disease/
Despite repeated calls to prohibit or limit conflicts of interests among authors and sponsors of clinical guidelines, the problem persists. Jeanne Lenzer explains what's going wrong. And is giv...
https://thebmjpodcast.podbean.com/e/bias-in-clinical-guidelines-and-giving-birth-at-home/
This week, the World Health Organisation called for healthcare providers to be more aware of intimate partner and sexual violence against women, calling it a "global health problem of epidemic pr...
https://thebmjpodcast.podbean.com/e/tackling-violence-against-women-1680599940/
Recent research shows that some non-steroidal anti-inflammatory drugs increase cardiovascular risk in some patients. Given their widespread use, and breadth of indications for prescription, shoul...
Last week saw the start of a campaign to publish patient death rates for individual surgeons. Bruce Keogh, medical director of the NHS in England, talks to BMJ editor in chief Fiona Godlee about ...
This week a head to head article asks: "Does adding routine antibiotics to animal feed pose a serious risk to human health? The authors David Wallinga, a physician member of the steering committe...
https://thebmjpodcast.podbean.com/e/antibiotics-in-agriculture/
This week, we look at how to help patients have better deaths at home. BMJ assistant editor Sophie Cook talks to Emily Collis, a consultant in palliative medicine and the author of a recent cli...
Blood transfusion is an essential part of modern healthcare and can be lifesaving when used appropriately. In this podcast, Sophie Cook, The BMJ's clinical reviews editor, talks to Michael Murphy...
Plain packaging on tobacco products is the latest strategy aimed at reducing smoking. Campaigners had hoped the UK would follow Australia’s example. But they have been disappointed as the UK go...