BMJ talk medicine

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

In this week's episode, we're focusing on covid and the ongoing crisis in the NHS.

Helen Macdonald, Juan Franco and Joseph Ross cast their evidence seeking eyes over research into outcomes as well as the workload of doctors.

Firstly, Joe tells us about a new big data study into longer term outcomes after mild covid-19, how those ongoing symptoms relate to long covid, and how often they resolve themselves.

Juan looks back to his homeland to see what Argentina which was very early to offer children vaccinations against covid-19. He tells us how a new study design can help understand how effective different combinations of vaccines were.

Joe has a Danish registry paper, which links people's employment status after a MI, explains how that gives us an insight into morbidity following that event.

Helen looks at a new analysis which outlines the concept of "time needed to treat" - a measure of how much time it would take a clinician to actually carry out a guideline - and you'd be surprised how much GP time would be swallowed by a "brief" intervention to reduce inactivity in their patients.

Finally, the data on excess mortality in the UK has been up for debate recently - our health minister calling into question the Office of National Statistic's data. We hear from Nazrul Islam, Associate professor of medical statistics, advisor to the ONS and BMJ research editor, who has some bad news for him.

Reading list:

Long covid outcomes at one year after mild SARS-CoV-2 infection

https://www.bmj.com/content/380/bmj-2022-072529

Effectiveness of mRNA-1273, BNT162b2, and BBIBP-CorV vaccines against infection and mortality in children in Argentina, during predominance of delta and omicron covid-19 variants

https://www.bmj.com/content/379/bmj-2022-073070

Guidelines should consider clinicians’ time needed to treat

https://www.bmj.com/content/380/bmj-2022-072953

Expanding the measurement of overdiagnosis in the context of disease precursors and risk factors

https://ebm.bmj.com/content/early/2023/01/10/bmjebm-2022-112117

Excess deaths associated with covid-19 pandemic in 2020

https://www.bmj.com/content/373/bmj.n1137.abstract

On this episode of the AMSSM Sports Medcast (T: @TheAMSSM) host Dr. Jacob Wessels, MD is joined by Polly de Mille, RN, MA, RCEP, CSCS, USAT, to discuss the topic of Exercise Physiology and how it can help figure out the missing links in training programs.

Polly de Mille is an exercise physiologist and the Director of Performance Services at Hospital for Special Surgery in New York. She will provide the American College of Sports Medicine (T: @ACSMNews) Exchange Lecture titled, “Inside the Running Lab:How to Evaluate Optimal Run Mechanics and Physiology” during the 2023 AMSSM Annual Meeting in Phoenix, AZ.

In this 20-minute conversation, she addresses the following topics:

· Sharing more information about her work as a certified exercise

physiologist at HSS

· How she and her team can help identify the causes of injuries and help athletes stay healthy in order to reach their goals

· How her background as a critical care nurse and an avid marathoner led her into the field of exercise physiology

· The ways she and her colleagues can help improve runner’s outcomes and how many different disciplines come together to play important roles to make that happen

· The different types of tests used by exercise physiologists and how they use that information to improve performance

· The possibilities of using nutrition to enhance physiologic training sessions

HSS Sports Rehabilitation and Performance Center: https://www.hss.edu/sports-rehabilitation-and-performance-center.asp

Neonates are a breadth of … well… actually breathing is one of the big issues they have. Adding a squirt of finely curated surfactant we know can help them out, and LISA (less invasive surfactant administration) is probably the best at the job. But it’s pretty stressful having things splashed into your lungs, so should we be giving premedication? Listen on for a short answer, or read the full paper here: https://adc.bmj.com/content/108/2/141.1

We would love for you to be involved and submit your very own Archi [https://adc.bmj.com/pages/authors/#archimedes] - and you’ll be doing the world a favour as we explain in detail too.

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

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

In this episode of the IJGC podcast, Editor-in-Chief, Dr. Pedro Ramirez, is joined by Dr. Elvio Silva to discuss precursors of ovarian cancer. Dr. Silva received a medical degree from the Universidad de La Plata and has been a faculty member at M.D. Anderson Cancer Center since 1980. He had pathology residences in Buenos Aires, Argentina, and University of Toronto, Canada and is the former President of the International Society of Gynecological Pathologists.

Highlights:

- Most ovarian serous tumors originate in the ovarian stroma.

- Ovarian serous tumors originate in the epithelium of inclusion cysts or in epithelial areas that appear in the stroma due to mesenchymal-epithelial transition.

- Mesenchymal-epithelial transition in serous tumors mimics the development of the Mullerian duct from the celomic mesenchyma.

Some supervisors say "call me Bob'' but others insist on "Doctor Jones". In this episode we're reflecting on what types of supervisors fall into each camp and why sometimes using professional titles feels like honouring someone's hard work, but other times it feels like a way of putting you in your place.

In today’s episode, we’re thinking all about the title “doctor”. We’ll talk about when and how it should be used and discuss our own experiences with this. We’ll also discuss why some people get called ‘doctor’ far less than others, and how titles can sometimes create strange power dynamics and unhealthy hierarchies in medicine.

Expert guests:

Dr Anna Baverstock is a paediatric consultant in Somerset. She has a wellbeing role within the trust and is passionate about kindness, civility and inclusion.

Miss Evelyn Mensah, otherwise known as Evie, is a consultant ophthalmic surgeon in a large acute trust in north west London.

Check us out on social media:

Twitter: https://twitter.com/BMJStudent

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Facebook: https://www.facebook.com/BMJStudent/

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

Editor-in-Chief of the Archives of Disease in Childhood, Dr. Nick Brown, and Senior Editor of ADC, Dr. Rachel Agbeko, bring you the monthly Atoms - the highlights of the February 2023 issue.

Read it on the Archives of Disease in Childhood website: https://adc.bmj.com/content/108/2/i

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

Thorax social media editor, Dr. Puja Mehta, caught up with several Respiratory consultants from across the UK at the British Thoracic Society (BTS) Winter Meeting 2022, and asked them the question, 'What makes the Winter BTS meeting special?'

Please engage in the conversation through the social media channels (Twitter - @ThoraxBMJ; Facebook - @Thorax.BMJ · Pulmonologist) and subscribe on your preferred platform, to get the latest episodes directly on your device each month.

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

Link to published paper: https://heart.bmj.com/content/early/2022/10/17/heartjnl-2022-321700