BMJ talk medicine

Medical students are taught about and examined a lot on clinical guidelines. What is best for patients overall, as recommended in guidelines, may not be appropriate for individuals. Blanket recommendations, rather than a menu of options or recommendations for shared decision making, ignore patients' preferences.

So what do guidelines mean in practice? When do we deviate from them when your clinical acumen is telling you that guidelines may not be the best fit?

Expert guest: Dr Liam Loftus is a GP trainee and a National Medical Director’s Clinical Fellow who has worked with the Personalised Care Institute.

Recommended reading:

How can tomorrow’s doctors be more caring? A phenomenological investigation. Link: onlinelibrary.wiley.com/doi/10.1111/medu.13684

Potential benefits, limitations, and harms of clinical guidelines. Link: www.bmj.com/content/318/7182/527

Check us out on social media:

Twitter: twitter.com/BMJStudent

Instagram: www.instagram.com/bmj_student/

Facebook: www.facebook.com/BMJStudent/

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

Practical Neurology Editors Phil Smith and Geraint Fuller talk you through the highlights of the April 2022 issue of the journal.

Read more on the PN website: https://pn.bmj.com/content/22/2/93

The full issue here: https://pn.bmj.com/content/22/2

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).

Thank you for listening.

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 Informed, Clara Munro is joined by Susanna Stamford, a patient who was on the receiving end of a mistake, which catalysed her interest in patient safety. We're also joined by Anthea Martin, from Medical Protection, who dispels some myths about saying sorry. Ayisha Ashmore returns to the pod to digest the lessons from our experts.

Futher reading:

The video that Susanna mentioned is available to watch on youtube

bitly.com/ManagingAdverseEvents

LivingBodiesObjects is a 3-year project funded by the Wellcome Trust designed to test and extend the boundaries of Medical Humanities research.

Editor-in-chief of Medical Humanities, Brandy Schillace, interviews Stuart Murray, Professor of Contemporary Literatures and Film and Director of the Centre of Medical Humanities at the University of Leeds, in the UK.

Read the blog with the transcription of this podcast here: https://blogs.bmj.com/medical-humanities/2022/03/17/livingbodiesobjects-with-stuart-murray.

Subscribe to the Medical Humanities Podcast in 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 Medical Humanities Podcast iTunes page (https://podcasts.apple.com/gb/podcast/medical-humanities-podcast/id961667204). Thank you for listening!

In this episode of the IJGC podcast, Editor-in-Chief Dr. Pedro Ramirez is joined by Dr. Alex Melamed to discuss neoadjuvant versus primary surgery. Alex Melamed is a gynecologist oncologist and a health services researcher at Columbia University Vagelos College of Physicians and Surgeons and NewYork-Presbyterian Columbia Irving Medical Center.

Highlights:

- The emergence of evidence supporting non-inferiority of neoadjuvant chemotherapy (NACT) compared with primary surgery for advance ovarian cancer led to increased utilization of NACT.

- However, while some cancer programs in the U.S. doubled their use of NACT, others continued to use this approach infrequently.

- The differential adoption of NACT by cancer programs can be viewed, and analyzed, as a natural experiment using a difference-in-differences study design.

- Compared with programs that continued to use NACT infrequently, high users of NACT had similar improvements in median survival, with greater reductions in 6-month and 12-month mortality.

In this episode of the Heart podcast, Digital Media Editor, Dr James Rudd, is joined by Dr Lynne Millar from Bart's Hospital in London. They discuss her review paper - "Care of the patient after valve intervention". 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/2022/01/10/heartjnl-2021-319767

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 how staff wellbeing and retention can be improved.

Joining us to discuss are:

Kamran Abbasi, editor in chief, The BMJ

Billy Palmer, senior fellow, Nuffield Trust

Lucina Rolewicz, researcher, Nuffield Trust

Mark Britnell, global healthcare expert and senior partner, KPMG International

Neil Greenburg, consultant occupational and forensic psychiatrist, King's College London's centre for military health research

Rose Penfold, National Institute for Clinical Research academic clinical fellow in geriatrics

Rammya Mathew, GP and quality improvement lead for Islington GP Federation

Partha Kar, diabetes consultant and NHS England's national advisor for diabetes

Danny Mortimer, chief executive of NHS Employers

The Nuffield Trust report, "The Long Goodbye" which was discussed in this roundtable is available here - https://www.nuffieldtrust.org.uk/resource/the-long-goodbye-exploring-rates-of-staff-leaving-the-nhs-and-social-care

Rick Body, Deputy Editor of EMJ, and Sarah Edwards, Social Media Editor of EMJ, talk through the highlights of the March 2022 edition of the EMJ. We've picked out some of the hottest, most controversial papers from this month's episodes and we're privileged to have the thoughts of the EMJ Editor in Chief, Ellen Weber.

We'll discuss hot issues from the association between exit block and mortality, the 4-hour target, the prognostic importance of admitting patients to outlying wards, decision aids for traumatic brain injury and to predict hospital admission [is doctor better than computer at deciding who needs admission?] and lung ultrasound for COVID-19.

Read the highlights: https://emj.bmj.com/content/39/3/165

You can subscribe to the EMJ 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 EMJ Podcast iTunes page (https://podcasts.apple.com/us/podcast/emj-podcast/id445358244).

Thank you for listening!

Bacterial meningitis represents a life-threatening inflammation of the meninges.

Elisabeth Adderson, Associate Member, St. Jude Faculty, Director, Pediatric Infectious Diseases Fellowship Program, St. Jude Children's Research Hospital, Memphis, gives an overview of the condition.

For more on bacterial meningitis, visit BMJ Best Practice: bestpractice.bmj.com/topics/en-gb/3000104

-

The purpose of this podcast is to educate and to inform. The content of this podcast does not constitute medical advice and it is not intended to function as a substitute for a healthcare practitioner’s judgement, patient care or treatment. The views expressed by contributors are those of the speakers. BMJ does not endorse any views or recommendations discussed or expressed on this podcast. Listeners should also be aware that professionals in the field may have different opinions. By listening to this podcast, listeners agree not to use its content as the basis for their own medical treatment or for the medical treatment of others.

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 covid-19 response.

Rural regions made vulnerable by limited healthcare infrastructure, lower rates of vaccination, and opposition to government policies are the new frontlines in the pandemic, but support systems have not adjusted to the growing rural needs for health education, testing, vaccination, and treatment.

Michael Forster Rothbart, Kata Karáth, and Lungelo Ndhlovu report from the US, Ecuador, and Zimbabwe