BMJ talk medicine

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

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

Expert guests:

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

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Twitter: https://twitter.com/BMJStudent

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

In this podcast, James Cave (Editor-in-Chief) and David Phizackerley (Deputy Editor) talk about the November 2022 issue of DTB. They discuss the use of faecal microbiota transplantation to treat gastrointestinal infections and in particular its role in managing Clostridioides difficile infection (https://dtb.bmj.com/content/60/11/162). They highlight a study that assessed the effect of interrupting methotrexate treatment on COVID-19 booster vaccine response (https://dtb.bmj.com/content/60/11/163) and review a new drug that is licensed for treatment of patients aged 4 to 17 years with a confirmed diagnosis of peanut allergy (https://dtb.bmj.com/content/60/11/166). The podcast begins with the editors talking about the response to October's editorial "Stop advertising".

Please subscribe to the DTB podcast to get episodes automatically downloaded to your mobile device and computer. Also, please consider leaving us a review or a comment on the DTB Podcast iTunes podcast page (https://podcasts.apple.com/gb/podcast/dtb-podcast/id307773309). Thank you for listening.

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

For more on the climate crisis, read The BMJ's special edition

https://www.bmj.com/content/379/8356

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

Highlights:

- Local treatment techniques for cervical pre-invasive and early invasive disease were previously thought to be interchangeable with regards to treatment failure rates and associated with minor and infrequent complications.

- The findings of a network metaanalysis (Athanasiou Lancet Oncology 2022) suggest that more aggressive treatments (i.e., CKC, laser conisation) are associated with lower recurrence rates but higher risk for subsequent preterm birth.

- The risk of reproductive morbidity is directly associated with the length of the cone.

- This paper by ESGO/EFC/IFCPC describes a consensus terminology of the cone dimensions to make studies addressing effectiveness and safety of SIL/CIN treatment comparable and facilitate their use to tailor surveillance and antenatal management.

- The 2022 terminology should replace all previous terminologies, which will facilitate communication between clinicians and foster tailored treatment guidelines that balance obstetrical harm against therapeutic effectiveness.

- Universal agreed reporting will further facilitate communications among clinicians and pathologists, promote audit of practice and future research, and improve the quality of future meta-analyses.

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

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

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

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

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

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

The GP crisis with Rebecca Rosen

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

Our guest:

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

Editor-in-Chief of the Archives of Disease in Childhood, Dr. Nick Brown, and Senior Editor of ADC, Dr. Rachel Agbeko, bring you the monthly Atoms - the highlights of the November 2022 issue.

Read it on the Archives of Disease in Childhood website: https://adc.bmj.com/content/107/11/i

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

Link to published paper:

https://heart.bmj.com/content/108/14/1090

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

Highlights:

- The journey of being a gynecologic oncologist is incredibly rewarding.

- Focus your research on areas that are meaningful to you.

- Question traditional surgical principles that you believe can be improved upon.

- Be grateful to all the people who worked with you and helped make you the person you have become.

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

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

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

(1) Neurology, University Hospital Southampton NHS Foundation Trust, UK

(2) Consultant Neurologist, Morriston Hospital, Swansea, UK

Please subscribe to the Practical Neurology podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify, to get the latest podcast every month.

If you enjoy our podcast, please consider leaving us a review or a comment on the Practical Neurology Podcast iTunes page (https://podcasts.apple.com/gb/podcast/pn-podcast/id942932053).

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

Thank you for listening.