Clinical Update

Is erectile dysfunction a sign of cardiovascular disease? What are the treatment options for heart failure with preserved ejection fraction? What three things should GPs know about HIV?

In this episode, Professor Michael Kirby talks to MIMS Learning editor Pat Anderson about erectile dysfunction. He calls it a ‘frighteningly common’ condition that affects up to 70% of men as they get older, and says that it can be a sign of cardiovascular disease. 

Additionally, medical editors Dawn Liz Powell and Sangeeta Krishnan discuss heart failure with preserved ejection fraction. Then, deputy editor Rhiannon Ashman joins them to bring you three key points about supporting people with HIV. 

Visit MIMS Learning to record your learning and claim CPD credits. You can visit the website version of this podcast to make notes and keep a record of your learning. MIMS Learning offers hundreds of hours of CPD for healthcare professionals along with a handy CPD organiser.

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Heart failure 

Diagnosis and management of heart failure with preserved ejection fraction

Heart failure: latest developments learning plan

Erectile dysfunction

Cardiology - erectile dysfunction and the heart

Erectile dysfunction - red flag symptoms

HIV

Guidance update: latest guidance on HIV

HIV-associated malignancies

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What are the latest treatments for sleep apnoea? What are the implications of the 5-year data from the DiRECT study of a `soups and shakes’ diet for diabetes remission? Find out with the first episode of the second season of the Clinical Update podcast.

This podcast provides key learning points to healthcare professionals, based on the content of the MIMS Learning education website and live events.

Sleep apnoea is a common disorder and effective management is vital. In this episode, medical editor Dawn Liz Powell interviews consultant Dr Swapna Mandal to find out the latest about treatment of sleep apnoea. Also in this episode, editor Pat Anderson and medical editor Sangeeta Krishnan discuss topical steroid withdrawal, and between us we provide 3 key points about the latest findings from the DiRECT study of diabetes.

Visit MIMS Learning to record your learning and claim CPD credits. You can visit the website version of this podcast [please add link] to make notes and keep a record of your learning. MIMS Learning offers hundreds of hours of CPD for healthcare professionals along with a handy CPD organiser.

Useful links

Topical steroid withdrawal

Topical steroid withdrawal (MIMS Learning module)

Obstructive sleep apnoea

Adult obstructive sleep apnoea syndrome: clinical review (MIMS Learning module)

Identifying and managing COPD-OSA overlap syndrome (MIMS Learning module)

Respiratory research briefing June 2023 (MIMS Learning module)

Sleep and ventilation learning plan (MIMS Learning plan)

GMC. Patients' fitness to drive and reporting concerns to the DVLA or DVA. Accessed August 2023.

DiRECT study of diabetes

Lean MEJ, Leslie WS, Barnes AC et al. Primary care-led weight management for remission of type 2 diabetes (DiRECT): an open-label, cluster-randomised trial. Lancet 2018; 391(10120): 541–51.

Lean MEJ, Leslie WS, Barnes AC et al. Durability of a primary care-led weight-management intervention for remission of type 2 diabetes: 2-year results of the DiRECT open-label, cluster-randomised trial. Lancet Diabetes Endocrinol 2019; 7(5): 344–55.

Diabetes research briefing May 2023 (MIMS Learning module)

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What are the symptoms and signs of potentially serious vulval disorders, and what are the best ways to manage neuropathic pain? 

Find out with the Clinical Update podcast, bringing key learning points to healthcare professionals based on the content of the MIMS Learning education website.

Vulval disorders in women are common, and this episode of the Clinical Update podcast provides insights into distinguishing them from each other and providing appropriate clinical care. Also in this episode, medical editor Dawn Powell interviews pain specialist Dr Mick Serpell about management of neuropathic pain, which may stem from various causes. Our learning nugget drawn from one of Dr Juliette Loehry’s research briefings covers the role of psychological therapy in Crohn’s disease.

Visit MIMS Learning to record your learning and claim CPD credits. You can visit the website version of this podcast to make notes and keep a record of your learning. MIMS Learning offers hundreds of hours of CPD for healthcare professionals along with a handy CPD organiser.

Useful links

Vulval conditions

Benign vulval conditions (MIMS Learning module)

Vulval lichen sclerosus. (MIMS Learning module)

Preti M, Scurry J, Marchitelli C, Micheletti L. Vulval intraepithelial neoplasia. Best Pract Res Clin Obs Gyn 2014; 28: 7, 1051-1062.

Vulval pain: clinical review. (MIMS Learning module)

Neuropathic pain

Chronic pain guidance  - a specialist view. (MIMS Learning module)

Best use of neuropathic pain medication (MIMS Learning module)

NHS Better Health. Self-help CBT techniques. [Accessed 23 June 2023]

Crohn’s disease

Gastroenterology research briefing April 2023. (MIMS Learning module)

Extra-intestinal manifestations in IBD. (MIMS Learning module)

NHS. Mindfulness. Updated September 2022.

IBD UK. IBD standards. Pain and fatigue. [Accessed 23 June 2023]

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What are the causes of inflammatory bowel disease (IBD), and what signs and symptoms should GPs look out for? Get tips in this Clinical Update podcast for GPs and other healthcare professionals. This episode also discusses co-existing pain and depression or anxiety, and adherence to medication regimens.

MIMS Learning’s Clinical Update podcast brings you key learning points from our e-learning modules and webinars. In this episode, Dr Juliette Loehry provides insights into the prevalence, diagnosis and management of IBD in conversation with medical editor Sangeeta Krishnan. In other segments, the MIMS Learning editors discuss Dr Mick Serpell’s learning module on psychoeducation for pain and depression or anxiety, along with research on a refractory condition highlighted by Dr Shazia Hussain.

Visit MIMS Learning to record your learning and claim CPD credits. You can visit the website version of this podcast to make notes and keep a record of your learning. MIMS Learning offers hundreds of hours of CPD for healthcare professionals along with a handy CPD organiser.

Useful links

Depression and anxiety in people with chronic pain (MIMS Learning module)

Mild to moderate IBD (MIMS Learning module)

Extra-intestinal manifestations in IBD (MIMS Learning module)

Cardiology research briefing February 2023 (MIMS Learning module)

Mental health versus physical health learning plan (MIMS Learning plan, also accessible here)

Guidance update: latest NICE guidelines on optimising medication (MIMS Learning module)

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In the latest episode of the Clinical Update podcast, we discuss managing patient expectations in oncology, and the management of urinary incontinence affecting women. Our guest interviewee is consultant urogynaecologist Mr Abdelmageed Abdelrahman.

If you’re a healthcare professional, tune in to find out about the latest developments in best practice with the MIMS Learning editors and their guests. In this episode, our clinical adviser Mr Abdelrahman talks about the treatment outcomes that are possible for women with urinary incontinence in women, and passes on key learning points for clinicians. We wind up with discussion of a study that reveals surprising results about mental health during the COVID pandemic.

Visit MIMS Learning to record your learning and claim CPD credits. You can visit the website version of this podcast to make notes and keep a record of your learning. MIMS Learning offers hundreds of hours of CPD for healthcare professionals along with a handy CPD organiser.

Useful links

Managing the oncology patient’s expectations (MIMS Learning module)

Oncology research briefing March 2022 (MIMS Learning module)

Why adverse events occur in immunotherapy  (MIMS Learning module)

Macmillan Cancer Support patient information on treatments and drugs

Urinary incontinence in women: clinical review (MIMS Learning module)

Obstetrics and gynaecology research briefing May 2023

Primary care research briefing April 2023

Mental health and psychiatry research briefing April 2023

Mental Health Foundation report on mental health and cost of living

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Good cancer care involves not only deploying the latest diagnostic tests and treatments, but also treating your patient as an individual. This special episode of the Clinical Update podcast features an interview with oncology physician Dr Robert Uzzo, president and CEO of the Fox Chase Cancer Centre in Philadelphia, USA.

Dr Uzzo talks about the changing picture of cancer care, in conversation with MIMS Learning editor Pat Anderson and oncology specialty editor Sangeeta Krishnan. He explains how our perception the nature of cancer is changing, and how new diagnostic techniques and treatments are radically changing what’s possible - providing clinicians with a means to provide truly personalised medicine.

Visit MIMS Learning to record your learning and claim CPD credits. You can visit the website version of this podcast to make notes and keep a record of your learning. MIMS Learning offers hundreds of hours of CPD for healthcare professionals along with a handy CPD organiser.

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Oncology guidance updates learning plan (MIMS Learning learning plan)

Managing the oncology patient’s expectations (MIMS Learning module) 

Genomic testing to guide cancer treatment (MIMS Learning on-demand webinar)

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What do clinicians need to know about menopause? Find out with this episode of the Clinical Update podcast, featuring an interview with Dr Louise Newson and discussion between MIMS Learning editors on key learning from our website.

In this episode, MIMS Learning editor Pat Anderson meets Dr Newson for a discussion of key action you could take to benefit women with menopausal symptoms. In other segments, MIMS Learning editors discuss controversy around NICE guidance on chronic fatigue syndrome, and present some research findings very close to home. 

After listening to this podcast, you will be better able to understand the characteristics and possibilities around menopause consider how its management is changing. You’ll also know more about diagnosing chronic fatigue syndrome, and recommended treatment, and be better equipped to advise parents whose children have unexplained contact dermatitis.

Visit MIMS Learning to record your learning and claim CPD credits. You can visit the website version of this podcast to make notes and keep a record of your learning. MIMS Learning offers hundreds of hours of CPD for healthcare professionals along with a handy CPD organiser.

Useful links

Programme for MIMS Learning Live on 9 June 2023 including women’s health half-day stream

Guidance update on ME/CFS (MIMS Learning module).

Unusual presentations of menopause (MIMS Learning on-demand webinar with Dr Louise Newson).

Dermatology research briefing February 2023  (MIMS Learning research briefing).

Allergic contact dermatitis (MIMS Learning module).

Respiratory research briefing January 2022 (MIMS Learning research briefing).

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What can be done to improve outcomes for patients with RA? How can diabetes lead to sexual problems for women? Find out with MIMS Learning editors and rheumatologist Dr Tamir Malley in the third episode of the Clinical Update podcast. 

In this episode, Dr Tamir Malley explains treatment horizons for rheumatoid arthritis (RA), in an interview with MIMS Learning editor Pat Anderson. In other segments, MIMS Learning editors discuss key learning points from modules on sexual dysfunction in women with diabetes, along with some sweet research on cardiovascular disease. 

After listening to this podcast, you will be better able to understand the characteristics and disease course of rheumatoid arthritis and consider how its management is changing. You’ll also know more about the prevalence of sexual problems in women with diabetes and how to ask proactively about these.

Visit MIMS Learning to record your learning and claim CPD credits. You can visit the website version of this podcast to make notes and keep a record of your learning. MIMS Learning offers hundreds of hours of CPD for healthcare professionals along with a handy CPD organiser.

Useful links

Understanding sexual dysfunction in women with diabetes (MIMS Learning module)

Programme for MIMS Learning Live on 9 June 2023 including rheumatology half-day stream

Primary care research briefing featuring research on sweeteners (MIMS Learning module)

British Heart Foundation advice on sweeteners

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What is the new name for monkeypox? And how does self-management technology for diabetes actually work? Find out with MIMS Learning editors and diabetes clinical adviser Dr Tom Crabtree in the second episode of the Clinical Update podcast. 

In this episode, medical editor Sangeeta Krishnan talks about the new name for monkeypox, its prevalence, modes of transmission and who’s at risk, with tips from a learning module by Dr Suneeta Kochhar.

Next, editor Dawn Powell interviews our clinical adviser for diabetes, Dr Tom Crabtree, to find out the difference between intermittent and continuous glucose monitoring, hybrid closed-loop systems and other important pieces of diabetes technology. Self-managing diabetes is challenging for patients, so understanding the technology can help.

Finally, Pat, Dawn and Sangeeta discuss the latest research on a new(ish) long-term condition that affects many thousands of clinicians as well as patients.

Visit MIMS Learning to record your learning and claim CPD credits. You can visit the website version of this podcast to make notes and keep a record of your learning. MIMS Learning offers hundreds of hours of CPD for healthcare professionals along with a handy CPD organiser.

Useful links

Renaming of monkeypox by WHO. 

Government information about modes of transmission and vulnerable groups. 

Latest government update from December 2022.

Monkeypox: clinical diagnosis and management (MIMS Learning module) 

A practical guide to the safe use of technologies for inpatients with diabetes (MIMS Learning module) 

Respiratory research briefing January 2023 (MIMS Learning)

Gastroenterology research briefing April 2022 (MIMS Learning)

ONS survey of self-reported long COVID in February 2023

Doctor calls for more `compassion and understanding’ for clinicians with long COVID

Long COVID: tips for primary care (MIMS Learning module)

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In the first episode of the Clinical Update podcast, experienced GP trainer and appraiser Dr Ravi Ramanathan provides tips for GPs on how to save time when preparing for annual appraisal. What is appraisal for? How have the requirements changed over the last 3 years, since the COVID pandemic? Dr Ramanathan gives you some insights to enable you to get the best out of your next appraisal.

MIMS Learning’s editors take an environmental focus in our featured learning module. We discuss action that can be taken in primary care to limit the carbon footprint of asthma inhalers, based on Dr Pipin Singh’s learning module. 

Finally, this episode’s learning nugget also has an environmental theme. With cleaner air zones set to expand in many cities, we discuss some key research papers from our research briefings on oncology and dermatology. 

Visit MIMS Learning to record your learning and claim CPD credits. You can visit the website version of this podcast to make notes and keep a record of your learning. MIMS Learning offers hundreds of hours of CPD for healthcare professionals along with a handy CPD organiser.

Useful links

Reducing emissions from inhalers - MIMS Learning module by Dr Pipin Singh.

Greener Practice Network - a community of healthcare professionals working together to inspire sustainable primary care.

Oncology research briefing February 2023 - MIMS Learning module featuring research on non-small cell lung cancer and air pollution.

Dermatology research briefing March 2022 - MIMS Learning module featuring research on air pollution and the skin.

London Atmospheric Emissions Inventory

Plans for expansion of ULEZ-type zones outside London

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