BMJ talk medicine

Diagnosis is a complex categorisation task driven by mental models that reside in long term memory. Through education and experience, clinicians form scripts that encapsulate their knowledge of specific conditions and develop diagnostic schemas that structure their approach to a specific health problem.

This cognitive process also intersects with systems, teamwork, and social factors that can enhance or reduce diagnostic accuracy.

In this podcast, we hear about five techniques that can help with the accuracy of those mental models, and mitigate against some of the external factors which may reduce diagnostic accuracy.

Our guests;

Hardeep Singh trained as a GP before moving to becoming a general internist and professor of patient safety research at Michael E DeBakey Veterans Affairs Medical Center and Baylor College of Medicine Houston.

Denise Connor is an associate professor of medicine at University of California San Francisco and a practicing internist at San Francisco Veterans Affairs Medical Center.

Gurpreet Dhaliwal is a general internist at the San Francisco Veterans Affairs Medical Center, and a clinician educator.

In this episode of the IJGC podcast, Editor-in-Chief Dr. Pedro Ramirez is joined by Dr. David Gaffney, Dr. Carien Creutzberg, and Dr. Anuja Jhingran to discuss this month's special issue on radiation oncology. Dr. Gaffney, MD, PhD, Senior Director of Clinical Research, is Professor and Vice-Chair of the University of Utah (U of U) Department of Radiation Oncology. Dr. Gaffney is a distinguished clinician and a long-standing leader in clinical research, and he is also a past president of the American Brachytherapy Society. Dr. Carien Creutzberg is Professor of Radiation Oncology at Leiden University Medical Center, the Netherlands. She specializes in research and treatment of gynecological cancers and has been initiator and principal investigator of the four PORTEC trials and the TransPORTEC consortium. She is current chair of the GCIG Endometrial Cancer Committee and past Council member of ESGO and IGCS. Dr. Anuja Jhingran is a Professor of Radiation Oncology in the Section of Gynecology at The University of Texas MD Anderson Cancer Center. She is the present treasure/secretary for IGCS. She is highly active in GCSC, GCIC, ASCO, and SGO. Her passion is to improve treatment for all women with gynecological cancer throughout the world and she does this through mentoring physicians in underserved regions throughout world.

Highlights:

Stereotactic body radiation therapy (SBRT) is useful in gynecological cancers.

Brachytherapy improves survival in cervix cancer.

Image guidance in radiation oncology decreases morbidity.

Patients with small volume disease and long disease-free interval may be good candidates for SBRT.

Immunotherapy can be combined with radiation therapy.

There is often a debate about whether medicine is an art or a science. Our medical curriculum tends to favour the science bit, with pathophysiology of diseases and treatment algorithms dominating our learning agenda. Social determinants of health also have equal importance in influencing one’s health, but are we taught enough to address this?

Timestamps:

0:00 - 3:15 Intro

3:16 - 7:19 How much do you get taught about social determinants of health at medical school

7:20 - 12:00 Do we apply what we learn in medical training about social determinants on health in actual clinical practice?

12:01 - 14:29 There is no easy one-size-fits-all managing social determinants of health

14:30 - 18:53 How do you adapt management plans according to the patient’s circumstances?

18:54 - 21:15 A medical student who has experienced homelessness before shares her insight

21:16 - 24:26 Importance of diversifying the demographic of medical students

24:27 - 28:10 The importance of empathy, compassion and being non-judgemental

29:20 - 34:20 Doctors make up the system that patients have to go through, and we can make the experience pleasant for patients

34:21 - 35:18 Vote for Lily as the next prime minister!

35:19 - 36:44 What medical students can do to address social determinants of health outside of medical capacity

36:45- 39:47 What you can do to learn more about social determinants of health in and outside of medical school

39:48 - 43:38 Final remarks

Expert guest:

Dr Andrew Moscrop (@andrewmoscrop on Twitter) is a GP working in a health centre for people who are homeless in Oxford and a researcher in social determinants of health.

Thank you to Maz Sadler who contributed to this episode.

Recommended reading:

If social determinants of health are so important, shouldn’t we ask patients about them? https://www.bmj.com/content/371/bmj.m4150

*We’re looking for new panel members!*

Are you a:

✅ Medical student

✅ Listener of Sharp Scratch

✅ Keen on representing the voice of medical students?

In the past, the panel only consisted of medical students studying in the UK. However, remote recording meant that we can extend this opportunity to medical students in other countries. If you’re interested, please apply via the link below. We look forward to hearing from you!

Apply here: https://forms.gle/QocryfkG137cWTb88

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.

On the podcast this week, we are thrilled to be joined by Associate Professor at the Centre for Health, Injury and Illness Prevention in Sport at the University of Bath, Dr Sheree Bekker.

We have all heard the term ‘knowledge translation’, but do we really know why it is important, what this process actually involves, and how can we all start embracing it in our professional lives?

Dr Bekker is a leader in this area, and we are thrilled that she has joined us to record the first in this ‘knowledge translation’ podcast series. You can find some of the resources that are mentioned in this podcast in the links below:

Dr Bekker’s twitter handle https://twitter.com/shereebekker

Dr Bekker’s #viral twitter thread https://twitter.com/shereebekker/status/1369972461014499331?lang=hi

Anterior cruciate ligament injury: towards a gendered environmental approach https://bjsm.bmj.com/content/55/17/984

We hope you enjoyed this podcast. Get in touch with us via social media if you have any feedback or suggestions for future guests.

We are excited to present Riva Lehrer, artist and author, and her book GOLEM GIRL, about disability, embodiment, joy, and becoming herself.

Read the blog with the transcription of this podcast here: https://blogs.bmj.com/medical-humanities/2023/03/04/podcast-with-riva-lehrer-author-of-golem-girl-a-memoir.

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 JIM podcast, Editor-in-Chief Dr. Richard McCallum, speaks with Dr. Tamis Bright, the Chief of the Division of Endocrinology at Texas Tech El Paso. Last year on this podcast series, she discussed hypothyroidism. She now returns to discuss the effects, screening tools, and treatment modalities for hyperthyroidism.

Dr. Tamis Bright, MD, is a Clinical Endocrinologist and Associate Professor at Texas Tech Health Sciences Paul L. Foster School of Medicine in El Paso, Texas. Additionally, she is known as an Endocrinology, Diabetes, and Metabolism specialist. Dr. Bright has more experience with Thyroid Disorders than other specialists in her area. She is affiliated with University Medical Center of El Paso, where she treats a wide variety of patients. Dr. Bright received her medical degree from Loyola University Chicago Stritch School of Medicine and has been in practice for more than 20 years.

Editor-in-Chief Dr. Richard McCallum shares the latest details about JIM’s progress during 2021. Additionally, Dr. McCallum discusses readers’ perspectives about the journal and what we can hope to see this upcoming year from JIM.

Rumination in humans is a disorder of the gut-brain interaction affecting three percent of people worldwide. It's characterised by recurrent regurgitation without associated retching or significant nause​a. B​ehavioural therapies are proved to be effective​, with the potential to be successful at the primary care level.

Dr Aditi Kumar, trainee associate editor of Frontline Gastroenterology and specialist gastroenterology registrar in the West Midlands, UK, interviews Dr Ben Disney, a Consultant Gastroenterologist at University Hospitals Coventry and Warwickshire NHS Trust, with a specialist interest on disorders of the gut-brain interaction. Also present is Dr Dipesh Vasant, a Consultant Gastroenterology and Honorary Senior Lecturer at the University of Manchester, with a specialist interest in neurogastroenterology and motility disorders. This Frontline Gastroenterology podcast discusses the recently published paper in January 2022: “Rumination Syndrome: pathophysiology, diagnosis and practical assessment” - https://fg.bmj.com/content/early/2022/01/10/flgastro-2021-101856.

Listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify. If you enjoy our podcast, please rate us on your chosen platform, and leave us a review on the Frontline Gastroenterology Podcast page on iTunes: https://podcasts.apple.com/gb/podcast/fg-podcast/id942944229

In this podcast, we walk in the shoes of two PhD scholars starting out on their careers in violence and injury prevention research.

Jennifer L. Thompson, MPH, and Lauren Malthaner, MPH, University of Texas, School of Public Health, describe their personal and diverse aspects of the experience they bring to their Doctoral studies. They talk about how their experiences shape their aspirations. They talk of the experience of pandemic learning and provide demonstration of how deep reflection and frank articulation of insights are such important drivers of necessary change.

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!

A bit like aircraft, intubating and extubating are the awkward and skill-requiring parts of a ventilator journey. Well, not so much the tube removal itself, but the choice of when to do it. And we’ve got a topic report which asks if the ubiquitous ultrasound could help us with that decision: (https://adc.bmj.com/content/107/3/303.1). As for popping a tube in, how do you know it’s in the right place? Slide that probe over - at least in neonates - and see if you can see the tip located properly (https://adc.bmj.com/content/107/3/305).

So while we’re thinking about tubes and ways of working, perhaps we need to consider just how do we test such ‘craft’ interventions? Well… have a listen and while the whole answer won’t be revealed … some starter thoughts might be (https://adc.bmj.com/content/107/3/303.2).

Tie down your garden furniture, hold onto your fence posts, and tell us what you think, and submit your own following the instructions on the website and you too could be hearing all about yourself spoken by Archi.

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