Clinical Update

People who live with obesity can be malnourished if they are eating a high-calorie diet that has low nutritional value, president of British Obesity Society and obesity nurse specialist Jane DeVille-Almond tells Dawn Liz Powell (medical editor at MIMS Learning) in this episode of the Clinical Update podcast. 

Jane adds that people on weight loss medications can also be at risk of malnutrition. She explains that as the drugs are associated with reduced appetite, people taking them may only feel like eating something small — such as a bag of crisps — and this can lead to nutritional deficiencies.

Jane and Dawn also discuss how weight loss medications work, how healthcare professionals can support people with obesity, including those on medications, to eat a healthier diet, and how to encourage people to build up their exercise levels.

Educational objectives

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

• Review the risk of malnutrition in a person with obesity
• Discuss with patients the potential drivers of their obesity
• Support patients living with obesity to eat a healthier diet
• Give practical advice to patients about building up their exercise levels 
• Consider how to ensure that they eat a healthy diet themselves 

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.

Click here to vote between 14-16 January 2026 for the Learning Awards, for which MIMS Learning is shortlisted.

MIMS Learning

Register for a FREE account

Confidence in Obesity Care

Obesity in adults

MIMS

Obesity treatments

British Obesity Society

Resource hub

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

In the first Clinical Update episode of 2026, MIMS Learning editors Dawn Liz Powell and Rhiannon Ashman look at the goals of MIMS Learning’s new editorial campaign — Confidence in Obesity Care. 

One of the goals of the campaign is to help GPs and other healthcare professionals better understand the role of GLP-1 medications (also known as weight loss medications) in the management of obesity, looking at which medications can be prescribed in primary care and which patients are eligible for them.

Another goal is to promote obesity management that encompasses the whole patient and not just their BMI.

Dawn and Rhiannon also look at some of the complications of obesity, including cardio-renal-metabolic (CVRM) disease and young-onset type 2 diabetes.

Educational objectives

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

• Recall the prevalence of obesity and why its management is important
• Discuss what NHS programmes are available for supporting weight loss 
• Recall the available management options for obesity
• State which patients are eligible for weight loss medications
• Review the connection between obesity and young-onset type 2 diabetes

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.

MIMS Learning

Register for a FREE account

Cardio-renal-metabolic disease: clinical review

Confidence in Obesity Care

Identifying and managing young-onset type 2 diabetes

Obesity in adults

Adult obstructive sleep apnoea syndrome: clinical review

MIMS

Obesity treatments

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

In this episode of the Clinical Update podcast, MIMS Learning deputy editor Rhiannon looks back at a year of thought-provoking clinical education from the podcast. 

The episode begins with a focus on cancer diagnosis, revisiting a conversation with NHS England’s Professor Peter Johnson on the success of the Lung Cancer Screening Programme. We also hear from pancreatic cancer specialist nurse Rachel Richardson about the potential for new tests to revolutionise early detection in primary care. 

Dr Toni Hazell provides advice on one of the most talked-about clinical areas in 2025 – weight-loss medications – highlighting specific considerations for women using these drugs. Look out for more content on obesity as part of MIMS Learning’s 2026 editorial campaign.

Consultant nephrologist Dr Andrew Frankel outlines the ‘three actions in 3 months’ initiative — a structured approach to medicines optimisation in chronic kidney disease (CKD). Also, Dr Steve Brinksman discusses how best to identify alcohol use disorder, noting ‘we’re in the harm reduction business – anything we can do to stop people developing diseases, to stop people having to go to hospital; that's worthwhile.’ 

Finally, Dr Farnaaz Sharief shares practical resilience frameworks to help clinicians recharge at this busy time of year. 

Educational objectives

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

• Describe the impact of targeted lung cancer screening 
• Recall specific advice regarding oral contraception for patients using GLP-1 agonists for weight loss 
• Outline the ‘three actions in 3 months’ approach to optimising medication in CKD
• Use screening tools to effectively assess alcohol consumption in primary care 
• Apply practical techniques to manage your energy levels and maintain resilience in clinical practice 

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. 

MIMS Learning

[Subscribe to MIMS Learning] 

Patient, Presentation, Pathway for Cancer campaign

NHS England’s Professor Peter Johnson on optimising early cancer diagnosis

Nurse specialist Rachel Richardson on pancreatic cancer risk factors and new developments in earlier detection

Dr Toni Hazell on weight loss injections and women’s health

Podcourse: part 2 - monitoring and management of CKD with Dr Andrew Frankel

Dr Steve Brinksman on supporting people with alcohol misuse in primary care

Dr Farnaaz Sharief on finding balance in a pressured system

From MIMS

Obesity treatments

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

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 3-part audio series, then go to MIMSLearning.co.uk to read the downloadable worksheets and complete the multiple-choice quizzes, to get up to speed with all the key points primary care professionals need to know about chronic kidney disease (CKD). 

In this episode (part 1), work through a typical primary care case with consultant nephrologist Dr Andrew Frankel. He outlines the diagnosis and classification of CKD and explains why and – importantly – how you should ‘look for kidney disease early and intervene rapidly’.

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 classification of CKD using GFR and ACR 
• Identify the key components of a ‘kidney health check’ and state why this phrase is useful
• Recognise the importance of early CKD detection
• Appreciate the concept of ‘3 in 3’ in the context of kidney disease outcomes
• Understand how to use the Kidney Failure Risk Equation
• Recall blood pressure targets for patients with CKD
• Understand the impact of early tightening of glycaemic control in patients with diabetes and CKD

MIMS Learning

Subscribe to MIMS Learning 

CKD podcourse with Dr Andrew Frankel, part 2: monitoring and management

CKD podcourse with Dr Andrew Frankel, part 3: advanced management

Managing patients with combined heart and kidney disease

Guidance update: NICE guidelines on chronic kidney disease

Diabetes-related kidney disease: prevalence, diagnosis, and impact

Podcast: diagnosis and management of diabetes-related kidney disease

CKD: the hidden public health emergency

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

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 3-part audio series, then go to MIMSLearning.co.uk to read the downloadable worksheets and complete the multiple-choice quizzes, to get up to speed with all the key points primary care professionals need to know about chronic kidney disease (CKD). 

In this episode (part 2), consultant nephrologist Dr Andrew Frankel covers monitoring and management of CKD. He explains why lifestyle modifications are ‘the foundation’ for improving CKD outcomes, gives an update on best practice for medicine optimisation and advises on how frequently patients should be followed up.

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:

• Understand the role of lifestyle changes in CKD management 
• Recall the benefits of SGLT2 inhibitors in CKD patients 
• Apply the ‘3 in 3’ medication optimisation strategy 
• Recognise the impact of CKD impact on cardiovascular risk 
• Explain how frequently patients with CKD should be followed up 
• Consider how systematic CKD patient identification and coding could be implemented 

MIMS Learning

Subscribe to MIMS Learning

CKD podcourse with Dr Andrew Frankel, part 3: advanced management

CKD podcourse with Dr Andrew Frankel, part 1: diagnosis and classification

Managing patients with combined heart and kidney disease

Guidance update: NICE guidelines on chronic kidney disease

Diabetes-related kidney disease: prevalence, diagnosis, and impact

Podcast: diagnosis and management of diabetes-related kidney disease

CKD: the hidden public health emergency

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

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 3-part audio series, then go to MIMSLearning.co.uk to read the downloadable worksheets and complete the multiple-choice quizzes, to get up to speed with all the key points primary care professionals need to know about chronic kidney disease (CKD). 

In this episode (part 3), consultant nephrologist Dr Andrew Frankel discusses advanced management of CKD, using the case of a patient whose disease has progressed. He explains when the focus should shift from preventing disease progression to planning for end-stage kidney failure treatment, and outlines the options, including dialysis, transplant, and supportive care.

Dr Frankel emphasises that ‘the management of heart failure needs to be prioritised over the management of a decline in GFR’, and explains what this looks like in practice. He also offers tips on dealing with complications such as hyperkalaemia and anaemia.

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:

• Recognise when to begin planning for end-stage kidney failure treatment
• Recall the role of supportive care as a treatment option for some patients
• Appreciate why heart failure management should be prioritised over preservation of GFR in cardiorenal disease
• Describe the management of hyperkalaemia
• Understand the investigation and management of anaemia in advanced CKD

MIMS Learning

Subscribe to MIMS Learning

CKD podcourse with Dr Andrew Frankel, part 1: diagnosis and classification

CKD podcourse with Dr Andrew Frankel, part 2: monitoring and management

Psychotropic medication and renal impairment

Managing patients with combined heart and kidney disease

Cardio-renal-metabolic disease: clinical review

Diabetes-related kidney disease: therapy options

Guidance update: NICE guidelines on chronic kidney disease

Podcast: diagnosis and management of diabetes-related kidney disease

Diabetes-related kidney disease: five steps to optimise management

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

In this episode of the Clinical Update podcast, recorded at MIMS Learning Live North in Liverpool in November 2025, MIMS Learning deputy editor Rhiannon interviews three expert speakers on hot topics in primary care.

Consultant ophthalmologist Miss Sajeevika Amarakoon offers practical tips on examining children and adults with eye problems. She outlines when eye problems can be managed in primary care, and lists the essential equipment GPs should have on hand, including fluorescein dye and mydriatic drops.

Dr Louise Warburton, a GP with an extended role in rheumatology and musculoskeletal medicine, discusses how to take a useful history in patients with back pain to identify serious pathologies. She highlights the importance of spotting osteoporotic fractures, while reminding primary care professionals that, for mechanical back pain, ‘movement is medicine’.

Finally, consultant psychiatrist Dr Helen Pears highlights the health inequalities faced by patients with severe mental illness, noting that their life expectancy is 15 to 20 years lower than the general population. She provides actionable advice for GPs on helping these patients access care and managing the risks of medication interactions.

Educational objectives

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

• Recall red flag symptoms in adults and children presenting with eye problems
• List the essential equipment GPs should have available to conduct a thorough eye examination
• Spot red flags for serious spinal pathology
• Recognise the clinical features of inflammatory back pain
• Describe practical measures to support patients with severe mental illness to attend appointments
• Understand significant interactions and side-effects of commonly-used psychotropic medications,

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.

MIMS Learning

Red eye - red flag symptoms

Podcast: eye problems in primary care

Diplopia - red flag symptoms

Diagnosing axial spondyloarthritis in primary care

Acute low back pain: initial presentation to primary care

Diagnosing and managing bipolar disorder: a guide for GPs

Why people miss medical appointments and how to support them

Podcast: Professor Carolyn Chew-Graham on supporting people with severe mental illness

MIMS drugs records

Fluorescein

Mydriatics

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

Dr Deborah Kerr, GP with an extended role in headache at the National Migraine Centre, advises GPs on how to diagnose migraine, how to advise patients on self-management of acute attacks, and the range of pharmacological therapy to prescribe, in this 3-part podcourse.

This three-part series is exclusive to MIMS Learning subscribers and follows the case of Simone, a patient with migraine, who presents to her GP Dr Brown with worsening migraines. 

Learners can read and download practical worksheets and test their knowledge with multiple choice quizzes. 

Ensure you are up to speed with all the key points primary care professionals need to know about migraine at mimslearning.co.uk.

Click here to sign up and listen now. MIMS Learning offers hundreds of hours of CPD for healthcare professionals, along with a handy CPD organiser.

MIMS Learning

Subscribe to MIMS Learning

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

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

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

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

In this episode of the Clinical Update podcast, MIMS Learning editors Sangeeta and Dawn look at skin and hair conditions that might have a different presentation in skin of colour.

They discuss the importance of early diagnosis in traction alopecia to prevent permanent scarring and hair loss. They also look at possible causes of hypopigmentation, and how certain signs, such as erythema, may be more subtle or absent in darker skin. They acknowledge various considerations in management of skin and hair conditions in people of colour, such as the specific needs of people with afro-textured hair. They also discuss the varied presentation of skin cancers in people with skin of colour .

Educational objectives

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

• Explain the risk factors for traction alopecia in people with  afro-textured hair.
• Describe how hypopigmentation, such as that seen in seborrheic dermatitis, may differ in presentation in people with darker skin tones.
• Recall that though the incidence of skin cancer is lower in people with skin of colour, the morbidity and mortality are disproportionately higher.
• Identify differences in the typical presentation and site of squamous cell carcinoma and basal cell carcinoma in people with skin of colour compared with that in people with lighter skin.

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.

MIMS Learning

Subscribe to MIMS Learning

Traction alopecia: clinical review

Hypopigmentation: clinical review

Skin cancer in skin of colour: clinical review

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

Achieving balance is not about a ‘perfect sense of calm’, but is about learning how to realign when you are pulled off-centre, according to Dr Farnaaz Sharief. She says that part of resilience is about ‘small, intentional pauses’ that can help you manage your energy and regain your clarity and focus.

In this podcast, Dr Sharief talks to MIMS Learning editor Pat Anderson about practical steps that GPs and other healthcare professionals can take – acknowledging how they are feeling and making adaptations based on that.

Educational objectives

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

• Understand the concepts of balance and resilience
• Create small moments of recharge in their daily practice
• Be mindful of fuel and hydration
• Use the ‘ABCD’ framework to regain clarity
• Implement the ‘3 Cs’ for good quality sleep
• Address the ‘barrier of guilt’ to prioritise self-care

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.

MIMS Learning

Subscribe to MIMS Learning

Harnessing conflict for growth: strategies for healthcare teams

Wellbeing masterclass

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