BMJ talk medicine

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

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

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

Expert guests:

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

Check us out on social media:

Twitter: https://twitter.com/BMJStudent

Instagram: https://www.instagram.com/bmj_student/

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

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

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

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

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

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

Reading list

Diagnostic accuracy of covid-19 rapid antigen tests with unsupervised self-sampling in people with symptoms in the omicron period

https://www.bmj.com/content/378/bmj-2022-071215

Guided by the science? Questions for the UK’s covid-19 public inquiry

https://www.bmj.com/content/378/bmj.o2066

Associations of physician burnout with career engagement and quality of patient care

https://www.bmj.com/content/378/bmj-2022-070442

Margin status and survival outcomes after breast cancer conservation surgery

https://www.bmj.com/content/378/bmj-2022-070346

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

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

Our Guests.

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

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

Reading

Gout: diagnosis and management—summary of NICE guidance

https://www.bmj.com/content/378/bmj.o1754

This month, Dr Rachel Agbeko, Senior Editor of ADC, is joined by paediatric oncologist Dr Isaac Odame(1) to discuss the origin and spread of sickle cell disease, its diagnosis and treatment, and the wide difference in outcomes for those of varying economic backgrounds.

Related article: https://adc.bmj.com/content/early/2022/09/07/archdischild-2021-323633

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

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

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

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

Highlights:

-In patients treated for an advanced ovarian cancer not suitable to primary surgery, the timing of surgery after neoadjuvant chemotherapy (NAC) could depend on chemosensitivity.

-When more cycles of NAC are discussed, do not confuse more cycles in order to make the disease suitable to a complete surgery with more cycles in order to perform less surgery.

-In cases of patients with a highly chemosensitive advanced ovarian cancer, delaying surgery could reduce surgical morbidity and improve quality of life.

-More cycles of NAC to treat a chemosensitive disease could improve the rate of complete surgery and improve the rate of pathological complete response.

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

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

In this podcast we talk about national collaboration across the field of injury prevention through the eyes of Pamela Fuselli, president and CEO of a national injury prevention charity, in Canada, Parachute.

We also discuss the upcoming 2022 Canadian Injury Prevention Conference.

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If you enjoy our podcast, please consider leaving us a review and a 5-star rating on the Injury Prevention Podcast iTunes page (https://podcasts.apple.com/gb/podcast/injury-prevention-podcast/id942473946). Thank you for listening!

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

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

Link to published paper:

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

Today we discuss a study that describes associations between race/ethnicity, hospital of birth and ‘unexpected newborn complications’ in low-risk term neonates in New York City.

Kristine Schmitz (1) and Lawrence Charles Kleinman (2) are the authors of a commentary published by EBN on that study. They tell Evidence-Based Nursing Associate Editor, Kerry Gaskin, how the quality of care in the hospital of delivery has a direct relation with more unexpected neonatal complications in black and hispanic infants.

Read the commentary:

Hospital Quality of Care and Racial and Ethnic Disparities in Unexpected Newborn Complications (https://ebn.bmj.com/content/25/3/89)

Commentary on: Glazer KB, Zeitlin J, Egorova NN, et al. Hospital quality of care and racial and ethnic disparities in unexpected newborn complications. Pediatrics 2021;148:e2020024091. doi:10.1542/peds.2020-024091.

Please subscribe to the Evidence-Based Nursing podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify, to get the latest podcast every month.

If you enjoy our podcast, please consider leaving us a review or a comment on the Evidence-Based Nursing podcast iTunes page (https://podcasts.apple.com/gb/podcast/ebn-podcast/id942927408). Thank you for listening.

(1) Pediatrics, Rutgers Robert Wood Johnson Medical School Department of Pediatrics, New Brunswick, New Jersey, USA

(2) Urban-Global Public Health, Rutgers School of Public Health, Piscataway, NJ, USA