Primary Care Knowledge Boost

Tips for listening, and how to avoid dismissing young women


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In this really interesting episode, Doctors Lisa and Sara talk to Dr Rageshri Dhairyawan - Consultant in Sexual Health and HIV Medicine, and Dr Laura Tinner - Research Fellow in Centre for Public Health, at Bristol University. Rageshri talks about her lived experience of being dismissed in a medical situation, despite her professional background and how this led to her researching the topic in depth, and writing a book on the subject. Laura speaks to a piece of research she carried out around the views of young women accessing medical care and explains that we need to put more emphasis on listening in healthcare. They both talk to the system pressures and challenges that lead to patients feeling dismissed, but also share practical advice and tips for what healthcare professionals can do to help certain groups of people feel more heard in healthcare.

You can use these podcasts as part of your CPD - we don’t do certificates but they still count :)

Resources:

  • Unheard - The Medical Practice of Silencing by Dr Rageshri Dhairyawan: https://amzn.eu/d/03u4y1DX

  • Animation about a young women’s experience of healthcare accessible through the embedded link on this site: https://ayph.org.uk/wp-content/uploads/2025/12/SHIFT-Improving-young-womens-care-resource-sheet.pdf

  • The Association for Young People’s Health: https://ayph.org.uk/

  • The Young Women’s Movement: https://youngwomenscot.org/

  • Training session: Enquiries taken by Association for Young People’s Health who have a 90-minute training course to healthcare professionals. It’s co-delivered by young women who have been trained in facilitation skills and can be booked by groups of healthcare professionals who would benefit from training support related to delivering care to young women. The training uses the animation pillars to go through scenarios and exercises. Cost is dependent on whether delivered online or in person and whether any bespoke elements need to be included, but please get in touch to discuss what could work for you. Contact AYPH for more info: [email protected]

  • The Young Women’s Movement:  EmBody to EmPower: https://youngwomenscot.org/resources/embody-to-empower/

  • Intersectional discrimination and mental health inequalities: a qualitative study of young women’s experiences in Scotland: https://link.springer.com/article/10.1186/s12939-024-02133-3#citeas

  • An exploration of discrimination in healthcare for young women in Scotland: An intersectional study: https://www.sciencedirect.com/science/article/pii/S2667321525000125

  • Fighting the “Bog Standard”: Intersectional experiences of gender and disability discrimination within healthcare among women in Scotland: https://www.sciencedirect.com/science/article/pii/S2667321526000119

  • Women's experiences of discrimination and the impact on health: https://www.gov.scot/publications/womens-experiences-discrimination-impact-health/

  • Reflect, collaborate, and listen: https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(25)00251-X/abstract

  • Listening is a tool for health equity, not just a soft skill: https://www.bmj.com/content/390/bmj.r1164.long

  • Listening to the voices of the medically silenced: https://journals.plos.org/globalpublichealth/article?id=10.1371/journal.pgph.0003761

  • Scotland’s Women’s Health Plan: Phase Two: https://www.gov.scot/publications/womens-health-plan-phase-two-2026-2029/

  • Dr Jonathon Tomlinson’s blog : https://abetternhs.net/about/

    ___

    We really want to make these episodes relevant and helpful: if you have any questions or want any particular areas covered then contact us on Twitter @PCKBpodcast, or leave a comment on our quick anonymous survey here: https://pckb.org/feedback

    Email us at: [email protected]

    ___

    Given that this episode was recorded with specific clinicians, the information discussed may not be applicable elsewhere and it is important to consult local guidelines before making any treatment decisions. 

    The information presented is the personal opinion of the healthcare professional interviewed and might not be representative to all clinicians. It is based on their interpretation of current best practice and guidelines when the episode was recorded. Guidelines can change; To the best of our knowledge the information in this episode is up to date as of it’s release but it is the listeners responsibility to review the information and make sure it is still up to date when they listen.

    Dr Lisa Adams, Dr Sara MacDermott and their interviewees are not liable for any advice, investigations, course of treatment, diagnosis or any other information, services or products listeners might pursue as a result of listening to this podcast - it is the clinicians responsibility to appraise the information given and review local and national guidelines before making treatment decisions. Reliance on information provided in this podcast is solely at the listeners risk.

    The podcast is designed to be used by trained healthcare professionals for education only. We do not recommend these for patients or the general public and they are not to be used as a method of diagnosis, opinion, treatment or medical advice for the general public. Do not delay seeking medical advice based on the information contained in this podcast. If you have questions regarding your health or feel you may have a medical condition then promptly seek the opinion of a trained healthcare professional.

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