BMJ talk medicine

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

Highlights:

1. Opportunistic salpingectomy, the removal of fallopian tubes during a hysterectomy with ovarian preservation or instead of tubal ligation, has been recommended as ovarian cancer prevention following evidence that the fallopian tube is the tissue of origin for most high grade serous ovarian cancers.

2. We recently published the first data comparing observed to expected numbers of serous and epithelial ovarian cancers following opportunistic salpingectomy done for the purposes of ovarian cancer prevention in British Columbia, Canada.

3.Our data strongly suggest that opportunistic salpingectomy is effective in preventing serous ovarian cancers. There were 0 serous cancers in the opportunistic salpingectomy, and if they had been arising at the same rate as in the control groups (hysterectomy alone and tubal ligation), we would have expected 5.3. 0 is below the low end of the 95% confidence interval.

We are faced in paediatrics with some very, very difficult situations. Where our humanity and medical training come to the fore - in working with families dealing with the cliff edge of their child’s mortality - is where we need to put the same emotional and intellectual effort we would want if the tables were turned. At these times, knowing our advice is based on the best available evidence may have even greater importance.

This month we address this in two different fields of care. The ED, and traumatic cardiac arrest [https://adc.bmj.com/content/107/7/695.1] and in the neonatal intensive care, with a resistant intracardiac thrombosis [https://adc.bmj.com/content/early/2022/05/10/archdischild-2022-323789]. We also spend a few moments pleading with you not to be beguiled by the power of p [https://adc.bmj.com/content/107/7/695.2]… and while less clinical, that’s as important.

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

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

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

Our guests:

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

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

Further reading:

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

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

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

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

Highlights:

This was the first prospective trial of imiquimod versus surgery for the treatment of vulvar high grade squamous intraepithelial lesions (vHSIL).

Complete clinical response at 6 months was observed in 80% of patients using imiquimod per-protocol, compared to 79% in women who had one surgical intervention.

Imiquimod was used in a slowly escalating dosage scheme up to 3 times a week and reduced in case of side effects – local toxicity was mostly mild to moderate.

Imiquimod is a safe, effective and well accepted alternative to surgery and can be considered a first-line treatment option.

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

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

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

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

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

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

Expert guests:

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

Useful links that Dr Perkins and Dr Cantelo recommend:

•Free Ebook www.medicsmoney.co.uk/ebook/

•10 top tips for junior doctors podcast www.medicsmoney.co.uk/ep-5-10-financ…unior-doctors/

•Tax code guide - www.medicsmoney.co.uk/is-your-doctor…-code-correct/

•Tax rebate guide - www.medicsmoney.co.uk/free-guide/

Check us out on social media:

Twitter: twitter.com/BMJStudent

Instagram: www.instagram.com/bmj_student/

Facebook: www.facebook.com/BMJStudent/

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

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

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

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

Topics covered:

•Things to look out for on your payslip

•What should you do when you notice you haven’t been paid correctly

•Sick pay

•Claiming tax rebate on costs of training

•Relocation costs

Expert guests:

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

Useful links that Dr Perkins and Dr Cantelo recommend:

•Free Ebook https://www.medicsmoney.co.uk/ebook/

•10 top tips for junior doctors podcast https://www.medicsmoney.co.uk/ep-5-10-financial-tips-for-junior-doctors/

•Tax code guide - https://www.medicsmoney.co.uk/is-your-doctors-tax-code-correct/

•Tax rebate guide - https://www.medicsmoney.co.uk/free-guide/

Check us out on social media:

Twitter: https://twitter.com/BMJStudent

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

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

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

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

In a very personal interview, Dr Mark Rosenberg, who has been at the centre of injury prevention for more than a generation, tells Dr Rod McClure​, about his path in a career that was not always understood.

"We were given an old bathroom in the sub-sub-basement of a minor building and a lot of people in public health thought that's just where we belonged."

Mark L. Rosenberg was president and CEO of the Task Force for Global Health, and has also worked at the Centers for Disease Control and Prevention (CDC) for 20 years, where he was instrumental in founding the National Center for Injury Prevention and Control (NCIPC).

Please subscribe to the Injury Prevention Podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify.

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