Clinical Update

0.5 CPD hours

If you enjoy a blend of online learning and podcast-style listening that you can fit into your busy life, then this podcourse is for you. 

Listen to this three-part audio series, then go to mimslearning.co.uk to read downloadable worksheets and complete a multiple choice quiz to ensure you are up to speed with all the key points primary care professionals need to know about migraine. 

This episode continues the case of Simone, focusing on her children, with learning points provided by GP Dr Deborah Kerr. She provides advice on recognising migraine in children, eliminating red flags, addressing lifestyle and routine, and pharmacological therapy for acute management and prevention.

MIMS Learning offers hundreds of hours of CPD for healthcare professionals, along with a handy CPD organiser. 

Educational objectives

After listening to this podcourse, healthcare professionals should be better able to:

• Recall the characteristics of migraine and abdominal migraine in children and adolescents
• Reflect on red flag symptoms and differentials to consider 
• Provide advice on lifestyle and use of supplements 
• Advise on pharmacological options for acute attacks and prophylaxis
• Be aware of links between neurodiversity and migraine
• Know where to find more information about prescribing and support

MIMS Learning

Migraine podcourse with Dr Deborah Kerr, part 1: diagnosis and management

Migraine podcourse with Dr Deborah Kerr, part 2: menstrual-related migraine

Guidance update: NICE and SIGN guidelines on headache

Headache - red flag symptoms

Headaches in children - red flag symptoms

Hosted on Acast. See acast.com/privacy for more information.

0.5 CPD hours

If you enjoy a blend of online learning and podcast-style listening that you can fit into your busy life, then this podcourse is for you. 

Listen to this three-part audio series, then go to mimslearning.co.uk to read downloadable worksheets and complete a multiple choice quiz to ensure you are up to speed with all the key points primary care professionals need to know about migraine. 

This episode continues the case of Simone, with learning points provided by GP Dr Deborah Kerr. She provides advice on the definitions of menstrual and menstrual-related migraine, tips on lifestyle and pharmacological management, pregnancy planning and looking ahead to menopause management. 

MIMS Learning offers hundreds of hours of CPD for healthcare professionals, along with a handy CPD organiser. 

Educational objectives

After listening to this podcourse, healthcare professionals should be better able to:

• Recall the characteristics of menstrual migraine and menstrual-related migraine
• Provide advice on lifestyle and use of supplements 
• Understand how hormones such as the contraceptive pill may be used in patients wit migraine
• Know which medications could be used to try and prevent menstrual-related attacks
• Provide advice to women planning a pregnancy, and those who are breastfeeding
• Recall treatment options for acute management and preventative therapy
• Understand when to refer patients to specialist care

MIMS Learning

Migraine podcourse with Dr Deborah Kerr, part 1: diagnosis and management

Migraine podcourse with Dr Deborah Kerr, part 3: migraine in children

Guidance update: NICE and SIGN guidelines on headache

Headache - red flag symptoms

Headaches in children - red flag symptoms

Hosted on Acast. See acast.com/privacy for more information.

0.5 CPD hours

If you enjoy a blend of online learning and podcast-style listening that you can fit into your busy life, then this podcourse is for you. 

Listen to this three-part audio series, then go to mimslearning.co.uk to read downloadable worksheets and complete a multiple choice quiz to ensure you are up to speed with all the key points primary care professionals need to know about migraine. 

In this episode, work through the case of Simone, with learning points provided by GP Dr Deborah Kerr. She provides practical advice to give patients on managing attacks, and tips on lifestyle and pharmacological management – including newer medications.

MIMS Learning offers hundreds of hours of CPD for healthcare professionals, along with a handy CPD organiser. 

Educational objectives

After listening to this podcourse episode, healthcare professionals should be better able to:

• Recall the characteristics of migraine and distinguish between chronic and episodic migraine
• Understand how migraine differs from medication overuse headache, trigeminal autonomic cephalalgia, and idiopathic intracranial hypertension
• Understand the importance of examination to eliminate red flags
• Understand how lifestyle affects migraine and provide advice to patients
• Know which medications should be avoided and what patients should do at the first sign of an attack
• Recall treatment options for acute management and preventative therapy
• Understand when to refer patients to specialist care

MIMS Learning

Migraine podcourse with Dr Deborah Kerr, part 2: menstrual-related migraine

Migraine podcourse with Dr Deborah Kerr, part 3: migraine in children

Guidance update: NICE and SIGN guidelines on headache

Headache - red flag symptoms

Headaches in children - red flag symptoms

Hosted on Acast. See acast.com/privacy for more information.

0.5 CPD hours

A GP partner is juggling her work and parenting responsibilities - as well as arranging care for her ageing mother - and feels ‘like she is missing symptoms’. A locum GP has back pain, but fears that his relationship with those he works for might be jeopardised if he asks for suitable adaptations. A salaried GP is experiencing mental health problems, but fears that disclosure might mean she ‘loses her role’.

Experienced GP appraiser Dr Ravi Ramanathan discusses each of these scenarios with MIMS Learning editor Pat Anderson, and recommends action that the GPs concerned could take, to look after themselves and to avoid burnout.

Educational objectives

After listening to this podcast, healthcare professionals should be better able to:

• Understand the role of appraisal in providing support for professional and personal life pressures
• Appreciate the importance of clear communication with colleagues to resolve issues that could lead to burnout
• Reflect on the importance of disclosure of stress-related or mental health problems to their appraiser
• Understand how acknowledging problems and seeking help are positive steps that can help GPs to continue to practise successfully
• Recall sources of support that may be useful to them or their colleagues

If you are affected by issues discussed in this podcast, remember that support is available to all doctors through the BMA Your Wellbeing service, NHS Practitioner Health and The Cameron Fund.

You can access the website version of this podcast, along with key learning points, on MIMS Learning. MIMS Learning offers hundreds of hours of CPD for healthcare professionals, along with a handy CPD organiser and note-taking for appraisal.

Please note: this podcast is presented by medical editors and discusses educational content written or presented by doctors, nurses and other healthcare professionals on the MIMS Learning website and at live events.

Resources

MIMS Learning

Podcast: pursuing a GP career after addiction recovery, with Dr Michael Blackmore

Podcast: Dr Farnaaz Sharief on finding balance in a pressured system

Wellbeing masterclass

Podcast: Dr Ravi Ramanathan on changes to GP appraisal

Hosted on Acast. See acast.com/privacy for more information.

0.5 CPD hours

This discussion on obesity and its management, hosted by MIMS Learning editor Pat Anderson, took place at MIMS Learning Live South in London. Former GP Dr Patrick Holmes and consultant diabetologist Dr Amar Puttanna are part of the education provider Goggledocs and provided key learning points for GPs during the discussion.

Educational objectives

After listening to this podcast, GPs and other healthcare professionals should be better able to:

• Recall key facts about the impact of obesity in the UK
• Understand how public health measures do (or don’t) work
• Reflect on the importance of the GP’s role in obesity management
• Be aware of how weight loss therapies fit into the obesity picture
• Consider the effectiveness of new and future therapies 
• Improve the management of obesity within their practice

You can access the website version of this podcast, along with key learning points, on MIMS Learning. MIMS Learning offers hundreds of hours of CPD for healthcare professionals, along with a handy CPD organiser and note-taking for appraisal.

Please note: this podcast is presented by medical editors and discusses educational content written or presented by doctors, nurses and other healthcare professionals on the MIMS Learning website and at live events.

MIMS Learning

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Guidance update: latest NICE guidelines on type 2 diabetes in adults

Obesity podcourse with Dr Patrick Holmes, part 1: metabolic vulnerability

Simplifying primary care management of obesity

Hosted on Acast. See acast.com/privacy for more information.

Lord Heseltine tells the story of the birth of the European Space Agency. Why post-Apollo, when the US was spending £1.2 billion a year on space, the whole of Europe was spending just £200 million. Why the birth of ESA was driven by the self-interest of three major countries. Why the US general with a $29 billion budget for the Star Wars project wanted to invest in Heriot-Watt University in Edinburgh. Why, the idea that Britain could compete alone with the technologies that were accumulated and available to the American capitalist system was “simply laughable”. Why “being European is not selling out British interests”. And why Margaret Thatcher told him: “If you want to get on and put your budget into this, you can, but you're not getting any of mine." 

Join Alice and Lord Heseltine as they pick apart the negotiating contrivances and the wheeling and dealing to circumnavigate “turkeys not voting for Christmas” that ultimately put European space on the map.

Contributors:

Alice Bunn, President of UKspace 

Dr Alice Bunn OBE FIMechE FRAeS CEng | LinkedIn

UKspace: Overview | LinkedIn

Lord Heseltine, Member of the House of Lords

Key topics covered:

• Creation of the European Space Agency (ESA)
• US "Star Wars" program and brain drain
• Geopolitical case for European R&D collaboration
• Impact of Brexit on science and technology

Hosted on Acast. See acast.com/privacy for more information.

GPs and other doctors are at risk of developing abnormal coping mechanisms including addiction, but can turn things around if they spot the signs and take action, according to GP Dr Michael Blackmore. As a recovering addict, he gives advice to patients and to other GPs about how admitting problems and seeking help and support are vital, and can enable doctors to reconnect with their practice as well as their personal life.

Educational objectives

After listening to this podcast, GPs and other healthcare professionals should be better able to:

• Consider why doctors are particularly at risk of abnormal coping mechanisms
• Spot the signs of addiction including overprescription of medication
• Be aware of sources of support for doctors affected by addiction
• Understand the role of self-referral to the GMC
• Identify gaps in their knowledge of drug addiction 
• Reflect on the potential for overcoming addiction and continuing to pursue a medical career

If you are affected by issues discussed in this podcast, remember that support is available to all doctors through the Sick Doctors Trust, the British Doctors & Dentists Group and the Practitioner Health programme.

You can access the website version of this podcast, along with key learning points, on MIMS Learning. MIMS Learning offers hundreds of hours of CPD for healthcare professionals, along with a handy CPD organiser and note-taking for appraisal.

Please note: this podcast is presented by medical editors and discusses educational content written or presented by doctors, nurses and other healthcare professionals on the MIMS Learning website and at live events.

MIMS Learning

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Wellbeing masterclass

Podcast: Dr Farnaaz Sharief on finding balance in a pressured system

Harnessing conflict for growth: strategies for healthcare teams

Hosted on Acast. See acast.com/privacy for more information.

Bloating is a common presentation in primary care and can be caused by a wide variety of conditions, including irritable bowel syndrome, food intolerances, and small intestinal bacterial overgrowth.

[Main] Bloating is a key characteristic of irritable bowel syndrome (IBS), but can also be a sign of a food intolerance (such as lactose intolerance) and small intestinal bacterial overgrowth (SIBO). In this episode of the Clinical Update podcast, MIMS Learning editors Sangeeta and Rhiannon explore the potential causes of bloating and how they should be diagnosed and managed.

They review both the NICE and the Rome IV criteria for diagnosing IBS, subtypes, and management options (such as the FODMAP diet), and look at red flag symptoms that require further assessment.  They also discuss the differences between functional gastrointestinal conditions and IBS.

The bidirectional relationship between eating disorders and gastrointestinal conditions, and 

how bile acid malabsorption can masquerade as IBS-D, are also explored.

Educational objectives

After listening to this episode, healthcare professionals should be more aware of

• How IBS is diagnosed and managed
• How functional gastrointestinal disorders differ from IBS
• Food intolerances (including lactose intolerance) that are associated with bloating
• The bidirectional relationship between eating disorders and gastrointestinal conditions

You can access the website version of this podcast, along with a list of key learning points, on MIMS Learning — and make notes for your appraisal. MIMS Learning offers hundreds of hours of CPD for healthcare professionals, along with a handy CPD organiser.

Please note: this podcast is presented by medical editors and discusses educational content written or presented by doctors, nurses and other healthcare professionals on the MIMS Learning website and at live events.

This episode was produced by Jude Owen.

MIMS Learning

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Bloating

Constipation: red flags and new dietary guidelines

Disorders of gut-brain interaction

Irritable bowel syndrome: clinical review

MIMS Learning Live South

Book for free

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Around a third of patients with dementia remain undiagnosed. Dr Alistair Robertson, a GP with an extended role in frailty, provides insights for GPs and other primary care professionals on how they can address  underdiagnosis and provide support for patients and their families. He covers signs and symptoms to look out for, assessments to conduct, the role of drug treatments, and the benefits of honest conversations with patients and families.

Educational objectives

After listening to this podcast, healthcare professionals should be better able to:

• Consider the number of patients in their practice who may have undiagnosed dementia
• Reflect on differential diagnoses and how to take a good history
• Recall key signs and symptoms to look out for and how these may differ in different types of dementia
• Understand the role of cognitive assessment tools and how to use them
• Review current drug treatments and their effectiveness
• Explore how to address polypharmacy
• Understand the importance of early, honest conversations with patients and families

You can access the website version of this podcast, along with a list of key learning points and downloadable notes written by Dr Robertson, on MIMS Learning. MIMS Learning offers hundreds of hours of CPD for healthcare professionals, along with a handy CPD organiser and note-taking for appraisal.

Please note: this podcast is presented by medical editors and discusses educational content written or presented by doctors, nurses and other healthcare professionals on the MIMS Learning website and at live events.

MIMS Learning

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Related resources from MIMS Learning and MIMS

Practical advice for GPs on dementia document created by Dr Alistair Robertson.

Frailty: clinical review

Guidance update: SIGN guidelines for support of people with dementia and their carers

Polypharmacy in a patient with dementia: nursing home case study

Anticholinergic cognitive burden (ACB) scores for commonly used drugs

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In this episode of the Clinical Update podcast, MIMS Learning deputy editor Rhiannon and medical editor Dawn provide a comprehensive update on prostate health. 

High-profile figures, such as Sir Chris Hoy, opening up about their own diagnoses have significantly increased public awareness of prostate cancer. In light of this, the editors discuss the rationale for targeted prostate cancer screening and patient counselling around prostate-specific antigen (PSA) tests. 

The conversation also highlights health inequalities in prostate cancer diagnosis, noting that Black men have double the risk of prostate cancer compared with other groups, and highlighting care for trans women, who may remain at risk of prostate cancer after gender-confirming surgery.

Beyond malignancy, this episode covers the symptoms and management of benign prostatic hyperplasia (BPH) and chronic prostatitis in primary care.

Educational objectives

After listening to this podcast, healthcare professionals should be better able to:

• Recall draft recommendations for targeted prostate cancer screening in high-risk groups
• Identify key risk factors for prostate cancer, including ethnicity and age
• Outline factors that can raise or suppress PSA levels
• Understand the diagnostic pathway and the role of digital rectal examination
• Recognise symptoms and potential complications of BPH and prostatitis

You can access the website version of this podcast, along with a list of key learning points, on MIMS Learning - and make notes for your appraisal. MIMS Learning offers hundreds of hours of CPD for healthcare professionals, along with a handy CPD organiser.

Please note: this podcast is presented by medical editors and discusses educational content written or presented by doctors, nurses and other healthcare professionals on the MIMS Learning website and at live events.

This episode was produced by Jude Owen.

MIMS Learning

Register for a FREE account

Expert perspective: prostate cancer diagnosis

Guidance update: NICE guidelines on prostate cancer

Latest updates in prostate cancer for primary care

Benign prostatic hyperplasia: clinical review

Prostate Cancer UK

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