BMJ talk medicine

In this podcast, JNIS Editor-in-Chief, Dr. Felipe C. Albuquerque, speaks with Dr. Matthew Amans(1) and Daniel Cummins(2) about their paper "Cerebrovascular pulsatile tinnitus: causes, treatments, and outcomes in 164 patients with neuroangiographic correlation" - https://jnis.bmj.com/content/early/2022/09/08/jnis-2022-019259. Please subscribe to the JNIS Podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify, to get the latest episodes. Also, please consider leaving us a review or a comment on the JNIS Podcast iTunes page: https://podcasts.apple.com/gb/podcast/jnis-podcast/id942473767 Thank you for listening! This episode was edited by Brian O'Toole. (1) School of Medicine, University of California, San Francisco, USA (2) Radiology and Biomedical Imaging, University of California, San Francisco, USA

In this month's Talk Evidence, Helen Macdonald, The BMJ's research integrity editor, is joined again by Juan Franco, editor in chief of BMJ EBM, and Joe Ross, US research editor. They're straying beyond the pages of The BMJ, and discussing an NEJM paper about colonoscopy for colorectal cancer screening. We have a listener request, asking about evidence for England's " NHS Diabetes Prevention Programme" - what do we know about how lifestyle interventions work at a population level? Juan puts on his Cochrane hat to answer the query. We stay with diabetes, and Joe tells us about his research trying to see if routinely collected observational data could be used to match the outcomes of an RCT into drug treatments. Finally, Helen updates us about what she's been doing about a case of plagiarism in one of BMJ's journals - and what that means for researchers who are writing in multiple journals about their work. Reading list Effect of Colonoscopy Screening on Risks of Colorectal Cancer and Related Death https://www.nejm.org/doi/full/10.1056/NEJMoa2208375 Emulating the GRADE trial using real world data: retrospective comparative effectiveness study https://www.bmj.com/content/379/bmj-2022-070717 Expression of concern about content of which Dr Paul McCrory is a single author https://bjsm.bmj.com/content/early/2022/10/11/bjsports-2022-106408eoc

Dr Kevin Monahan(1) explains what the general gastroenterologist needs to know about the diagnosis and management of patients with Lynch syndrome, including considerations for endoscopy surveillance and changes to the BCS programme. Read the article in Frontline Gastroenterology here: https://fg.bmj.com/content/13/e1/e80 (1) Consultant Gastroenterologist, Family Cancer Clinic and Wolfson Endoscopy Unit, St Mark's Hospital 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

Endoscopic pyloromyotomy (G-POEM) is a minimally invasive treatment option with promising uncontrolled outcome results in patients with gastroparesis. Dr Philip Smith, Digital and Education Editor of Gut, interviews Professor Jan Martinek, from the Department of Hepatogastroenterology, Institute of Clinical and Experimental Medicine, Prague, Czech Republic, about his paper on this topic. The article titled 'Endoscopic pyloromyotomy for the treatment of severe and refractory gastroparesis: a pilot, randomised, sham-controlled trial' is published in paper copy in Gut in November 2022 and available online at: https://gut.bmj.com/content/71/11/2170 Please subscribe to the Gut Podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify, to get the latest podcast every month. If you enjoy our podcast, please consider leaving us a review or a comment on the Gut Podcast iTunes page (https://podcasts.apple.com/gb/podcast/gut-podcast/id330976727).

In this episode of the IJGC podcast, Editor-in-Chief Dr. Pedro Ramirez, is joined by Dr. Dimitrios Nasioudis to discuss ovarian preservation in grade 2 or 3 endometrial cancer. Dr. Nasioudis is a Gynecologic Oncology Fellow at the University of Pennsylvania. His current research focuses on translational therapeutics and population-based research. Highlights: - For premenopausal patients with endometrial cancer, ovarian preservation is not associated with worse oncologic outcomes for those with grade 1 tumors. However, safety of ovarian preservation for grade 2 or 3 tumors is not established. - Ovarian preservation was not associated with worse overall survival for patients with grade 2 or 3 endometrioid tumors. -Ovarian preservation may be considered for carefully selected patients with grade 2 tumors.

In this episode of the podcast, Andrew Perry chats with Dr. Amanda Eng to discuss the paper “Long working hours, sedentary work, noise, night shifts and risk of ischaemic heart disease.” If you enjoy the show, please subscribe to the podcast to get episodes automatically downloaded to your phone and computer. Also, please consider leaving us a review at https://itunes.apple.com/gb/podcast/heart-podcast/id445358212?mt=2 Link to published paper: https://heart.bmj.com/content/early/2022/08/24/heartjnl-2022-320999

In this episode of the IJGC podcast, Editor-in-Chief Dr. Pedro Ramirez is joined by Dr. Jonathan Ledermann to discuss ICON8-Overall Survival. Jonathan Ledermann is a professor of medical oncology and Clinical Director at UCL Cancer Institute specializing in the treatment and research of gynaecological malignancies. He has led several national and international trials on the treatment of ovarian cancer and has played a key role in developing trials of PARP inhibitors in ovarian cancer. He is the ESMO Gynaecological Cancer Practice Guidelines Editor and past Vice President of ESGO. He is a Fellow of the Academy of Medical Sciences and a Senior Investigator for the National Institute of Health Research in the UK. Highlights: - Weekly first-line chemotherapy for ovarian cancer does not improve progression-free or overall survival. - ICON8 was the largest randomized trial exploring weekly paclitaxel or weekly carboplatin and paclitaxel compared to tri-weekly chemotherapy. - There is no evidence to suggest that weekly first-line chemotherapy should be used as part of multimodal treatment of newly diagnosed ovarian cancer. - The results in a predominately European population differ from a similar Japanese trial, raising the possibility that genetic or pharmacogenomic differences need to be considered when comparing the results of trials in ovarian cancer.

Establishing new clinical pathways and accomplishing change often takes a super-human effort in a complex health system. In terms of systemic lidocaine, the analgesic effects of systemic lidocaine are well recognized, but what is novel is the application of this therapy in an environment once thought to be inappropriate, that is, in the general inpatient units. In this month’s RAPM Focus, Editor-in-Chief Brian Sites, MD, joins Meagan Miller, APRN, MSN, AGACNP-BC, and Brian Allen, MD, to discuss their university-based study, “Safety of postoperative lidocaine infusions on general care wards without continuous cardiac monitoring in an established enhanced recovery program,” first published in January 2022 (https://rapm.bmj.com/content/47/5/320). Meagan Miller graduated from the University of Alabama with her bachelor’s in nursing in 2012. She was then accepted into Vanderbilt University Medical Center Nurse Residency Program and joined the colorectal and general surgery floor, which sparked her interest in enhanced recovery after surgery, as it was the first floor to initiate lidocaine infusions outside of the ICU. She has her master’s in nursing science in adult gerontology acute care nurse practitioner and first assist. Dr. Brian Allen is an associate professor at Vanderbilt University Medical Center, where he directs the fellowship in regional anesthesiology and acute pain medicine. He completed undergraduate in medical school at Washington University. He was a resident at Vanderbilt and did his regional fellowship at Oregon Health & Science University (OHSU) before returning to join the Vanderbilt faculty. His clinical focus is on regional and multimodal analgesia in ERAS pathways. His research interests include educational assessment, evaluating ERAS efficiency, efficacy and compliance, and opioid minimization. *The purpose of this podcast is to educate and to inform. The content of this podcast does not constitute medical advice, and it is not intended to function as a substitute for a healthcare practitioner’s judgement, patient care, or treatment. The views expressed by contributors are those of the speakers. BMJ does not endorse any views or recommendations discussed or expressed on this podcast. Listeners should also be aware that professionals in the field may have different opinions. By listening to this podcast, listeners agree not to use its content as the basis for their own medical treatment or for the medical treatment of others. Podcast and music produced by Dan Langa. Find us on Twitter @RAPMOnline.

In this conversation with Journal of Investigative Medicine Social Media Editor John Dickinson, MD, PhD, University of Nebraska Medical Center, Gregory Vercellotti, MD, from the University of Minnesota provides an overview of the symptoms, diagnosis and management of sickle cell disease. Dr. Vercellotti is a national leader in the field of vascular biology and cares for adult patients with sickle cell disease. This podcast is especially relevant for primary care physicians, hospitalists, ER physicians, and other subspecialists who may not frequently encounter patients with sickle cell disease. We discuss many of the common features for symptoms, including pain crises, and complications including stroke, pulmonary hypertension, and avascular necrosis. We also discuss some of the social, economic, and racial factors that are often barriers to effective care. Finally, we discuss some of the promising new options including stem cell transplantation and CRISPR-based cures.

Today we talk with the principal investigators of the DoxyPEP trial which was prematurely terminated due to its amazing success: participants receiving a stat dose of Doxycycline 200mg in less than 72 hours after condom-less sex were 63% less likely to develop a bacterial STI compared to participants in the control arm. Prof Annie Leutkemeyer based in San Francisco (UCSF) and Prof Connie Celum, based in Seattle (WA)join Dr Fabiola Martin, STI's Podcast editor, in this short interview. Please listen to a recent podcast on the wider subject of Bacterial STIs: https://soundcloud.com/bmjpodcasts/management-of-bacterial-stis?in=bmjpodcasts/sets/sti Related links: https://www.aidsmap.com/news/jul-2022/taking-antibiotic-after-sex-cuts-stis-two-thirds-doxypep-study-finds academic.oup.com/cid/article/70/6/1247/5557867 www.ncbi.nlm.nih.gov/pmc/articles/PMC8360665/ To hear more episodes of the STI Podcast, please subscribe: https://podcasts.apple.com/gb/podcast/sti-podcast/id356342980

Any medical student knows that medical school can be tough. The hours are long, the work is hard, and stress can build quickly. Throughout all of this, we’re taught about compassion - how to be a compassionate medical student, and eventually a compassionate doctor. But do our own medical schools show compassion towards us? In this episode, the Sharp Scratch team talks about compassionate organisations and the impact that compassion (or a lack of it) can have on students. We also talk more about the struggle that ensues when you have compassionate individuals but not compassionate systems, and what needs to change within our medical schools. Expert guests: Dr Rob Jarvis is a senior lecturer and lead for the gateway programme at the University of Dundee. He is a GP by background. For the last ten years he has been lead for student support at Dundee Medical School and also for the ScotGEM (graduate entry) programme. 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.

In this podcast, James Cave (Editor-in-Chief) and David Phizackerley (Deputy Editor) talk about the November 2022 issue of DTB. They discuss the use of faecal microbiota transplantation to treat gastrointestinal infections and in particular its role in managing Clostridioides difficile infection (https://dtb.bmj.com/content/60/11/162). They highlight a study that assessed the effect of interrupting methotrexate treatment on COVID-19 booster vaccine response (https://dtb.bmj.com/content/60/11/163) and review a new drug that is licensed for treatment of patients aged 4 to 17 years with a confirmed diagnosis of peanut allergy (https://dtb.bmj.com/content/60/11/166). The podcast begins with the editors talking about the response to October's editorial "Stop advertising". Please subscribe to the DTB podcast to get episodes automatically downloaded to your mobile device and computer. Also, please consider leaving us a review or a comment on the DTB Podcast iTunes podcast page (https://podcasts.apple.com/gb/podcast/dtb-podcast/id307773309). Thank you for listening.

In this episode of Doctor Informed, we're talking sustainability. The BMJ has a special edition on the climate crisis, and finding hope amid dispair - and we want to help our listeners with some of that. Clara is joined by three of the NHS's sustainability fellows, Florence, Who is a medical registrar, Emily a paedatrics trainee, and Li, an anaesthetics trainee For more on the climate crisis, read The BMJ's special edition https://www.bmj.com/content/379/8356

In this episode of the IJGC podcast, Editor-in-Chief Dr. Pedro Ramirez is joined by Professor María Kyrgiou to discuss Cervical Conization Dimensions: 2022 Consensus Recommendations. Professor Mara Kyrgiou is a Professor at Imperial College London and a Consultant Surgeon in Gynaecology and Gynaecological Oncology at the West London Gynaecological Cancer Centre, Imperial Healthcare NHS Trust. She is the Head of Section of Gynaecological Oncology at Imperial College London. Her main clinical interest is minimal access and complex gynaecological cancer surgery. Highlights: - Local treatment techniques for cervical pre-invasive and early invasive disease were previously thought to be interchangeable with regards to treatment failure rates and associated with minor and infrequent complications. - The findings of a network metaanalysis (Athanasiou Lancet Oncology 2022) suggest that more aggressive treatments (i.e., CKC, laser conisation) are associated with lower recurrence rates but higher risk for subsequent preterm birth. - The risk of reproductive morbidity is directly associated with the length of the cone. - This paper by ESGO/EFC/IFCPC describes a consensus terminology of the cone dimensions to make studies addressing effectiveness and safety of SIL/CIN treatment comparable and facilitate their use to tailor surveillance and antenatal management. - The 2022 terminology should replace all previous terminologies, which will facilitate communication between clinicians and foster tailored treatment guidelines that balance obstetrical harm against therapeutic effectiveness. - Universal agreed reporting will further facilitate communications among clinicians and pathologists, promote audit of practice and future research, and improve the quality of future meta-analyses.

BJSM’s Dr. Liam West talks to James Alexander about running related knee injuries and what options the current published literature support for managing & preventing these injuries. James & his colleagues have just published a systematic review in the area, and he gives the clinical relevance of his findings within the podcast. You can access their paper using the link below, in addition to other related content. Review. Strategies to prevent and manage running-related knee injuries: a systematic review of randomised controlled trials: https://bjsm.bmj.com/content/early/2022/09/23/bjsports-2022-105553.abstract Infographic. Running Myth: recreational running causes knee osteoarthritis:https://bjsm.bmj.com/content/56/6/357 Infographic. Running myth: switching to a non-rearfoot strike reduces injury risk and improves running economy:https://bjsm.bmj.com/content/55/3/175 Infographic running myth: static stretching reduces injury risk in runners:https://bjsm.bmj.com/content/54/17/1058 Infographic. Running myth: strength training should be high repetition low load to improve running performance:https://bjsm.bmj.com/content/54/13/813

The GP crisis with Rebecca Rosen This week, we discuss the ongoing GP crisis, an ever-topical subject, in light of recent UK governmental changes. In early September, Thérèse Coffey laid out her plans for the NHS in the House of Commons, but, with general practice struggling so much as it is, is she proposing practical and feasible solutions, or will her initiatives be merely papering over the cracks? We’re joined by Rebecca Rosen to discuss whether or not there’s any real substance behind the proposed changes, how to manage patients’ expectations around access to care, and how primary care practitioners might be best supported in order to help ease the strain on them. Our guest: Rebecca Rosen is a GP in South East London, and a senior fellow in Health Policy at the Nuffield Trust.

Editor-in-Chief of the Archives of Disease in Childhood, Dr. Nick Brown, and Senior Editor of ADC, Dr. Rachel Agbeko, bring you the monthly Atoms - the highlights of the November 2022 issue. Read it on the Archives of Disease in Childhood website: https://adc.bmj.com/content/107/11/i 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

In this episode of the Heart podcast, Digital Media Editor, Dr James Rudd, is joined by Dr Miedema from the Nolan Center For Cardiovascular Health, Minneapolis, Minnesota. They discuss the role of both aspirin and statins, for primary prevention, in older patients and the risks and benefits relevant to that group. If you enjoy the show, please leave us a podcast review at https://itunes.apple.com/gb/podcast/heart-podcast/id445358212?mt=2 Link to published paper: https://heart.bmj.com/content/108/14/1090

In this episode of the IJGC podcast, Editor-in-Chief Dr. Pedro Ramirez is joined by Dr. Nadeem Abu-Rustum. Dr. Abu-Rustum is a board-certified gynecologic oncologist who specializes in the surgical treatment of gynecologic cancers at Memorial Sloan Kettering Cancer Center. He is also a professor of obstetrics and gynecology at Weill Cornell Medical College. Dr. Abu-Rustum has a special interest in minimally invasive surgery (laparoscopy) for the treatment of cancerous and noncancerous diseases of the female reproductive system, and his clinical research focuses on surgical therapy for gynecologic cancers and innovative surgical approaches to treating gynecologic disorders. Highlights: - The journey of being a gynecologic oncologist is incredibly rewarding. - Focus your research on areas that are meaningful to you. - Question traditional surgical principles that you believe can be improved upon. - Be grateful to all the people who worked with you and helped make you the person you have become.

Dr. Amy Ross Russell(1), interviews Dr. Jon Walters(2) about his recent review of approaches to weakness in the Intensive Care Unit (ICU). Read this latest Editor’s Choice paper on the Practical Neurology website (https://pn.bmj.com/content/22/5/358) and the October print issue of the journal. The paper is also discussed by Practical Neurology editors, Dr. Phil Smith and Dr. Geraint Fuller, in their latest podcast: https://soundcloud.com/bmjpodcasts/editors-highlights-of-the-october-2022-issue?in=bmjpodcasts/sets/pn-podcast (1) Neurology, University Hospital Southampton NHS Foundation Trust, UK (2) Consultant Neurologist, Morriston Hospital, Swansea, UK Please subscribe to the Practical Neurology podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify, to get the latest podcast every month. If you enjoy our podcast, please consider leaving us a review or a comment on the Practical Neurology Podcast iTunes page (https://podcasts.apple.com/gb/podcast/pn-podcast/id942932053). The PN podcast is produced by Letícia Amorim and edited by Brian O'Toole. Thank you for listening.

In this BJSM podcast Brooke Patterson hosts Prof Lorimer Moseley AO and Dr Ebonie Rio, physiotherapists and international leaders in pain science. This is a fascinating discussion about how we increase our ability as clinicians and to “own the modern science” and explain pain to patients. We discuss the “warm-up phenomena” with painful tendons, the competing demands of self-protection and performance, and how we can help change the internal conversations that patients have about their pain.

The relationship between our personal and professional identity has always been an important part of the conversations we have here on Sharp Scratch. What doctors and medical students do in their own personal lives is often brought into debates on professionalism. The Student Sex Work Project (2015) reported that around 5% of students have, at some point, been involved in the sex industry. In this episode, the panel talk to Dr Jessica Simpson about the attitudes towards student sex workers, the GMC’s stance on this, and the concept of the personal-professional identity. Expert guests: Dr Jessica Simpson is a lecturer in sociology at the University of Greenwich. Her research area is the sex industry and her doctoral thesis was specifically on the topic of student sex work. She has recently contributed to this book on student sex work: https://link.springer.com/book/10.1007/978-3-031-07777-7. 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.

It's October's Talk Evidence, and that means the autumn is upon us including those autumnal viruses. Here in the UK covid is on the rise, and Joe Ross is looking at some research on how good those elusive lateral flows are at detecting infection among people with symptoms of covid. Juan will give us an update on the covid inquiry, the collection of analysis articles The BMJ is publishing looking at the interface of evidence and policy in our decisions about how to handle the pandemic. Since the pandemic moral among clinicians in many health systems has fallen even further, workloads have spiralled. Coupled with other problems with workforce planning and investment in health and healthcare, this is increasing burnout - with a consequential impact on patient care. Helen will tell us about new research which is trying to put some numbers to how much clinican burnout effects patient outcomes Finally, we're turning to a very clinical topic that we don't often cover in Talk Evidence - oncology, and some interesting insights into clearance margins in cancer surgery. Reading list Diagnostic accuracy of covid-19 rapid antigen tests with unsupervised self-sampling in people with symptoms in the omicron period https://www.bmj.com/content/378/bmj-2022-071215 Guided by the science? Questions for the UK’s covid-19 public inquiry https://www.bmj.com/content/378/bmj.o2066 Associations of physician burnout with career engagement and quality of patient care https://www.bmj.com/content/378/bmj-2022-070442 Margin status and survival outcomes after breast cancer conservation surgery https://www.bmj.com/content/378/bmj-2022-070346

In this episode of Deep Breath In, we'll be considering how a physicians personal experience of illness - either themselves, or as a parent or carer, might affect their approach to management of it in a patient. We'll also have an update on the NICE guideline for treatment of Gout - particularly highlighting changes around uses of urate lowering therapy, and how often we should be testing patient's serum urate levels when they're experiencing flare-ups. Our Guests. Katherine Hall is the associate dean of medical admissions at the university of Otago, and has researched how physician experience affects their practice. Alastair Dickson is a GP, and lecturer at Hull York Medical School. He co-authored The BMJ article on management of gout. Reading Gout: diagnosis and management—summary of NICE guidance https://www.bmj.com/content/378/bmj.o1754

This month, Dr Rachel Agbeko, Senior Editor of ADC, is joined by paediatric oncologist Dr Isaac Odame(1) to discuss the origin and spread of sickle cell disease, its diagnosis and treatment, and the wide difference in outcomes for those of varying economic backgrounds. Related article: https://adc.bmj.com/content/early/2022/09/07/archdischild-2021-323633 The ADC Spotlight podcast is the Archives of Disease in Childhood podcast covering areas that don’t usually get much attention or might be taken for granted in children's health. This series is produced by Letícia Amorim and edited by Brian O'Toole. Please listen to our regular podcasts and subscribe to 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 (1) Haematology Section Head in the Division of Haematology/Oncology and Medical Director of the Global Sickle Cell Disease Network at the Centre for Global Child Health at The Hospital for Sick Children (SickKids), Professor and Director of the Division of Adult and Paediatric Haematology in the Departments of Medicine and Paediatrics at the University of Toronto (U of T).

Dr Philip Smith, Digital and Education Editor of Gut and Consultant Gastroenterologist at the Royal Liverpool Hospital, Liverpool, UK interviews Professor Desmond Leddin, who is from the Department of Medicine, Dalhousie University, Halifax, Nova Scotia, Canada, on the paper 'Climate change: a survey of global gastroenterology society leadership' published in paper copy in Gut in October 2022 and available online at: https://gut.bmj.com/content/71/10/1929 Please subscribe to the Gut Podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify, to get the latest podcast every month. If you enjoy our podcast, please consider leaving us a review or a comment on the Gut Podcast iTunes page (https://podcasts.apple.com/gb/podcast/gut-podcast/id330976727).

In this episode of the IJGC podcast, Editor-in-Chief Dr. Pedro Ramirez is joined by Drs. Jean-Marc Classe and Florence Joly to discuss the CHRONO trial. Dr. Classe is a surgeon and former head of the surgical department of the Institute of Surgical Oncology of Nantes, France. He is a professor in oncology and president of the French Society of Surgical Oncology. Dr. Joly is a medical oncologist and coordinator of gynecological and genito-urinary medical oncology. She is also the head of the clinical research department of Francois Baclesse Comprehensive Cancer Center in Caen, France. She is a professor in medical oncology and a member of both the scientific board of the GINECO intergroup and the GCIG. Highlights: -In patients treated for an advanced ovarian cancer not suitable to primary surgery, the timing of surgery after neoadjuvant chemotherapy (NAC) could depend on chemosensitivity. -When more cycles of NAC are discussed, do not confuse more cycles in order to make the disease suitable to a complete surgery with more cycles in order to perform less surgery. -In cases of patients with a highly chemosensitive advanced ovarian cancer, delaying surgery could reduce surgical morbidity and improve quality of life. -More cycles of NAC to treat a chemosensitive disease could improve the rate of complete surgery and improve the rate of pathological complete response.

In this podcast we talk about national collaboration across the field of injury prevention through the eyes of Pamela Fuselli, president and CEO of a national injury prevention charity, in Canada, Parachute. We also discuss the upcoming 2022 Canadian Injury Prevention Conference. 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!

In this episode of the podcast, Dr Andrew Perry is joined by Professor Michiel Rienstra of the University Medical Center Groningen in the Netherlands. They discuss his paper “Prevalence and determinants of atrial fibrillation progression in paroxysmal atrial fibrillation” recently published in Heart. It is an interesting piece in the investigation to understand the pathobiology of atrial fibrillation. If you enjoy the show, please subscribe. Also, please consider leaving us a review at https://itunes.apple.com/gb/podcast/heart-podcast/id445358212?mt=2 Link to published paper: https://heart.bmj.com/content/early/2022/07/20/heartjnl-2022-321027

The best of our October 2022 issue, covering a superb qualitative study exploring the experience of older adults in the Emergency Medicine Journal with a wonderful accompanying editorial; a look at variation in practice for treating pre-orbital and orbital cellulitis in children; the association between anticoagulation and mortality in major trauma; point of care testing for tetanus immunity and more. Read the highlights: https://emj.bmj.com/content/39/10/723 You can subscribe to the EMJ podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify, to get the latest podcast every month. If you enjoy our podcast, please consider leaving us a review or a comment on the EMJ Podcast iTunes page (https://podcasts.apple.com/us/podcast/emj-podcast/id445358244). Thank you for listening!

In this episode of the IJGC podcast, Editor-in-Chief Dr. Pedro Ramirez is joined by Drs. David Viveros-Carreño and Rene Pareja to discuss Sedlis criteria. Dr. Viveros-Carreño is a Gynecologic Oncologist at Instituto Nacional de Cancerología, Clínica Universitaria Colombia and Clínica Los Nogales in Bogotá, Colombia. Dr. Pareja is a gynecologist oncologist at Astorga Oncology Clinic in Medellín and the National Cancer Institute in Bogotá, Colombia. Dr. Pareja is a reviewer for more than 20 specialty journals, an Associate Editor for IJGC, and a member of the board of directors of the International Gynecological Cancer Society (IGCS). He is the author of nine book chapters and more than 70 publications in peer-reviewed journals, and at IGCS 2021 he received an award for Community Advancement in Resource-Limited Settings. Highlights: -There is currently a debate regarding the role of adjuvant therapy for intermediate-risk cervical cancer. -Adjuvant pelvic radiotherapy showed lower risk of recurrence for intermediate-risk cervical cancer in a randomized controlled trial more than 20 years ago. -Preoperative imaging, surgery, pathology, and radiotherapy techniques have changed since the evidence for intermediate risk adjuvant treatments was described. -The risk of recurrence for intermediate risk cervical cancer is probably lower now, and observation could be an option. -New evidence from two randomized controlled trials (GOG 263 and CERVANTES trials) is expected to change definitions of intermediate risk and adjuvant algorithms.

Today we discuss a study that describes associations between race/ethnicity, hospital of birth and ‘unexpected newborn complications’ in low-risk term neonates in New York City. Kristine Schmitz (1) and Lawrence Charles Kleinman (2) are the authors of a commentary published by EBN on that study. They tell Evidence-Based Nursing Associate Editor, Kerry Gaskin, how the quality of care in the hospital of delivery has a direct relation with more unexpected neonatal complications in black and hispanic infants. Read the commentary: Hospital Quality of Care and Racial and Ethnic Disparities in Unexpected Newborn Complications (https://ebn.bmj.com/content/25/3/89) Commentary on: Glazer KB, Zeitlin J, Egorova NN, et al. Hospital quality of care and racial and ethnic disparities in unexpected newborn complications. Pediatrics 2021;148:e2020024091. doi:10.1542/peds.2020-024091. Please subscribe to the Evidence-Based Nursing podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify, to get the latest podcast every month. If you enjoy our podcast, please consider leaving us a review or a comment on the Evidence-Based Nursing podcast iTunes page (https://podcasts.apple.com/gb/podcast/ebn-podcast/id942927408). Thank you for listening. (1) Pediatrics, Rutgers Robert Wood Johnson Medical School Department of Pediatrics, New Brunswick, New Jersey, USA (2) Urban-Global Public Health, Rutgers School of Public Health, Piscataway, NJ, USA

On this episode of the AMSSM Sports Medcast (T: @TheAMSSM) host Dr. Jacob Wessels, MD is joined by Dr. Adam Tenforde, MD to discuss the topic of Exercise for Extracorporeal Shockwave Therapy (ESWT) in Musculoskeletal Medicine. Dr. Tenforde recently published a research about best practices for ESWT, which is used in a variety of clinical applications including the management of musculoskeletal conditions. In this conversation, he addresses the following topics and questions about shockwave therapy: · What is ESWT? · The origins of shockwave therapy use and some of its additional applications · Describing the process of shockwave therapy and its effects · Some of the factors to consider when performing ESWT, especially to clinicians who have never used this treatment option before · Understanding the different types of shockwave therapy and how they can be used to treat injuries · What types of providers can administer ESWT, and what are the recommended treatment protocols for medical teams? · What is the reimbursement status of shockwave therapy for providers? · What are some of the medical conditions that are best treated by ESWT, in both the lower and upper extremities? Additional Resources Best practices for extracorporeal shockwave therapy in musculoskeletal medicine: Clinical application and training consideration. PM&R 2022 May;14(5):611-619. doi: 10.1002/pmrj.12790. https://doi.org/10.1002/pmrj.12790 Bone stress injuries. Nat Rev Dis Primers. 2022 Apr 28;8(1):26. doi: 10.1038/s41572-022-00352-y. PMID: 3548413 A Systematic Review of Systematic Reviews on the Epidemiology, Evaluation, and Treatment of Plantar Fasciitis. Life (Basel). 2021 Nov 24;11(12):1287. doi: 10.3390/life11121287.

Today we focus on presumptive and prophylactic management of bacterial STIs, talking with Dr Manoji Gunathilake, Head of sexual health services in Darwin, Australia, and Assistant Prof Will Nutland, the director of the NGO, the Love Tank, in London, UK. Related links: STI Guidelines Australia: https://sti.guidelines.org.au/ The Love Tank: http://thelovetank.info/ GRASP report: data to June 2021 https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/1033882/GRASP_2020_Report.pdf Taking antibiotic after sex cuts STIs by two-thirds, ‘DoxyPEP’ study finds - www.aidsmap.com/news/jul-2022/tak…xypep-study-finds Doxycycline PEP significantly reduces STIs in people at high risk of infections - i-base.info/htb/43528

Dr Philip Smith, Associate and Social Media Editor of FG and Consultant Gastroenterologist at the Royal Liverpool Hospital, Liverpool, UK, interviews Dr Jeremy Nightingale, Honorary Consultant Gastroenterologist and Intestinal Failure specialist from St Mark’s Hospital, London, UK, on the paper 'How to manage a high output stoma' published in Frontline Gastroenterology in 2021 and on the website: https://fg.bmj.com/content/13/2/140. 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, James Cave (Editor-in-Chief) and David Phizackerley (Deputy Editor) talk about the October 2022 issue of DTB. They discuss whether the language used in announcements from organisations such as NHS England, NICE and the MHRA regarding new medicines is appropriate and highlight concerns that some press releases are at risk of promoting POMs to the public (https://dtb.bmj.com/content/60/10/146). They review a study that assessed the effect that regular doses of paracetamol had on blood pressure (https://dtb.bmj.com/content/60/10/147) and talk about an article that discusses the role played over the past 20 years by groups, organisations and individuals that have been critical of the pharmaceutical industry (https://dtb.bmj.com/content/60/10/151). Please subscribe to the DTB podcast to get episodes automatically downloaded to your mobile device and computer. Also, please consider leaving us a review or a comment on the DTB Podcast iTunes podcast page (https://podcasts.apple.com/gb/podcast/dtb-podcast/id307773309). Thank you for listening.

It's zoomers vs boomers on this week's Doctor Informed, as we assemble a multigenerational team to talk about the "good old days" and if the youth of today are really snowflakes. Clara Munro is joined by Nikki Nabavi, a medical student at Manchester University and a regular on Sharp Scratch (The BMJ's student podcast); Ayisha Ashmoore, an trainee in obstetrics and gynaecology, in the East Midlands; and Alastair Munro, a retired professor of oncology (and Clara's dad).

Herpes zoster: an update on diagnosis and management The annual incidence of herpes zoster in the UK is between 2 and 4 patients per thousand population. It can cause a range of complications including post-herpetic neuralgia, herpes zoster of the eye, and disseminated zoster. So it is important that we get the diagnosis and management of this condition right. In this BMJ Best Practice podcast on herpes zoster, Kieran Walsh talks to Professor Michael Rothberg, Center for Value-Based Care Research, Cleveland Clinic, Cleveland, Ohio. MR declares that he has no competing interests.- The purpose of this podcast is to educate and to inform. The content of this podcast does not constitute medical advice and it is not intended to function as a substitute for a healthcare practitioner’s judgement, patient care or treatment. The views expressed by contributors are those of the speakers. BMJ does not endorse any views or recommendations discussed or expressed on this podcast. Listeners should also be aware that professionals in the field may have different opinions. By listening to this podcast, listeners agree not to use its content as the basis for their own medical treatment or for the medical treatment of others.

Practical Neurology Editors Phil Smith and Geraint Fuller talk you through the highlights of the October 2022 issue of the journal. Read the highlights: https://pn.bmj.com/content/22/5/341. Please subscribe to the Practical Neurology podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify, to get the latest podcast every month. If you enjoy our podcast, please consider leaving us a review or a comment on the Practical Neurology Podcast iTunes page (https://podcasts.apple.com/gb/podcast/pn-podcast/id942932053). The PN podcast is produced by Letícia Amorim and edited by Brian O'Toole. Thank you for listening.

In this episode of the IJGC podcast, Editor-in-Chief Dr. Pedro Ramirez is joined by Dr. Dmitriy Zamarin to discuss immune checkpoint inhibitors in ovarian cancer. Dr. Zamarin is a medical oncologist and a translational research director in gynecologic medical oncology at the Memorial Sloan Kettering Cancer Center. His research focuses on development of novel immune therapeutics in gynecologic malignancies and on the mechanisms of immune response to immunotherapy. Highlights: -Immune checkpoint blockade benefits a subset of patients with ovarian cancer, but predictors of such benefit remain unknown. -Patients with ovarian clear cell carcinoma appear to be more likely to derive benefit from immunotherapy, particularly from combined immune checkpoint blockade; however, these patients still constitute only a minority of those with ovarian clear cell carcinoma. -Larger prospective trials of immune checkpoint blockade, including combined immune checkpoint blockade in ovarian clear cell carcinoma, are needed to validate these early observations. -Biomarkers of response to immunotherapy like PD-L1 expression and tumor mutation burden are of limited value in ovarian cancer, and other molecular and microenvironment biomarkers are needed.

Systematic reviews and meta-analyses are incredibly important; they drive clinical practice, policy, and reimbursement, but unfortunately, take a team of people and a significant amount of time. In this month’s RAPM Focus, Editor-in-Chief Brian Sites, MD, joins Joshua Myszewski and Kristopher Schroder, MD, to discuss their exploratory study, “Evaluation of language analysis to summarize the literature: a comparison to traditional meta-analysis in primary hip and knee surgery,” first published in December 2021 (https://rapm.bmj.com/content/47/3/151). The study used something known as “sentiment analysis,” a computer-based tool, to evaluate 115 article abstracts from studies that were included in a recent systematic review and meta-analysis on total joint arthroplasty. The idea of the study was to evaluate if a sentiment analysis could come to similar conclusions as a full meta-analysis. Joshua Myszewski is a second-year medical student at the University of Wisconsin School of Medicine. Since starting medical school, he’s been working on applying his previous engineering research experience to the clinical domain. He has an undergraduate background in engineering, and first began working with machine learning and artificial intelligence as an undergraduate. He has worked on the development of EEG-based brain computer interfaces for disabled patients. Dr. Kristopher Schroeder is vice-chair of faculty development at the University of Wisconsin. Within ASRA Pain Medicine, he has served as the Editor for the ASRA Pain Medicine News from 2018-2021 and was honored to be one of the founding members of the Physician Mentorship and Leadership Development Special Interest Group. He assisted his wife, veterinarian Carrie Schroeder, in performing the first-ever recorded transversus abdominis plane (TAP) block on a lynx. *The purpose of this podcast is to educate and to inform. The content of this podcast does not constitute medical advice, and it is not intended to function as a substitute for a healthcare practitioner’s judgement, patient care, or treatment. The views expressed by contributors are those of the speakers. BMJ does not endorse any views or recommendations discussed or expressed on this podcast. Listeners should also be aware that professionals in the field may have different opinions. By listening to this podcast, listeners agree not to use its content as the basis for their own medical treatment or for the medical treatment of others. Podcast and music produced by Dan Langa. Find us on Twitter @RAPMOnline.

A career in medicine can sometimes mean stepping outside of your comfort zone. No matter what stage of your career you are in, it is likely that you will have to manage uncertainty, and will occasionally feel out of your depth. In this episode, the Sharp Scratch panel talks about the reality of never being able to know everything in medicine, and the benefits of acknowledging your strengths and limitations. We also talk about how to recognise that something is beyond the limit of your capabilities, and the importance of asking for help if you need it. Expert guests: Dr Jennifer Rasanathan is a primary care physician and clinical editor at the BMJ. She is also a podcaster on Deep Breath In, a podcast for GPs. Check us out on social media: Twitter: https://twitter.com/BMJStudent Instagram: https://www.instagram.com/bmj_student/ Facebook: https://www.facebook.com/BMJStudent/ Thank you to Louise Griffin, final year med student at the University of Birmingham and Clegg Scholar 2022, who proposed this idea to be a Sharp Scratch episode. This podcast is produced and edited by Dom Byrne and Duncan Jarvies.

Data and big data in healthcare are both important and topical. Big data has the potential to transform how we provide healthcare but can also be problematic. There can be problems with how data is captured, cleaned, and corrected or with how we update data. BMJ is playing an increasing role in this field. We have our own BMJ Data Set which provides AI healthcare technologies with current, credible, and AI-ready content. In this BMJ Best Practice podcast on healthcare and data, Kieran Walsh talks to Professor Dipak Kalra, President of The European Institute for Innovation through Health Data.

In this episode of the Heart podcast, Digital Media Editor, Dr James Rudd, is joined by Dr Purvi Parwani from Loma Linda, California. They discuss her Cardiology in Focus paper about the use of social media in education. If you enjoy the show, please leave us a podcast review at https://itunes.apple.com/gb/podcast/heart-podcast/id445358212?mt=2 Link to published paper: https://heart.bmj.com/content/108/15/1240

Editor-in-Chief of the Archives of Disease in Childhood, Dr. Nick Brown, and Senior Editor of ADC, Dr. Rachel Agbeko, bring you the monthly Atoms - the highlights of the October 2022 issue. Read it on the Archives of Disease in Childhood website: https://adc.bmj.com/content/107/10/i 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

In this episode of the IJGC podcast, Editor-in-Chief Dr. Pedro Ramirez is joined by Drs. Mario Leitao and Evan Smith to discuss outcomes of low-grade endometrial stromal sarcoma. Dr. Leitao is an attending surgeon and member at Memorial Sloan Kettering Cancer Center as well as a Professor at Weill Cornell Medical College. He serves as the fellowship director at MSKCC as well as the Director of the Minimally Invasive and Robotic Surgery Program. Dr. Smith is a gynecologic oncologist at Woman’s Hospital in Baton Rouge, Louisiana. He also serves as an Assistant Clinical Professor of Gynecologic Oncology with the LSU Health Obstetrics and Gynecology residency program in Baton Rouge. Highlights: -Lymphadenectomy is unnecessary in patients with low-grade endometrial stromal sarcoma (ESS) and clinically normal nodes. -Postoperative therapies do not improve progression-free survival (PFS) or overall survival in low-grade ESS that is completely resected. -FIGO stage is associated with PFS but not disease-specific survival. -Next generation sequencing is standard for soft tissue sarcomas and should be offered to patients with low-grade ESS.

Kathryn Dane is a physiotherapist and is a professional Irish rugby union player, and PhD candidate at Trinity College Dublin. We discuss her first PhD publication on the physical, technical, tactical demands and preparatory strategies in female field collision sports. Kathryn draws on her experience as an athlete, clinician, and researcher, and what practitioners should consider when designing training programs for female field collision sports. Physical and Technical Demands and Preparatory Strategies in Female Field Collision Sports: A Scoping Review: https://pubmed.ncbi.nlm.nih.gov/35767989/

Sarah Edwards, Social Media Editor of EMJ, and Rick Body, Deputy Editor of EMJ, give an overview of the best of the September issue of the Emergency Medicine Journal. They cover a plethora of clinically relevant papers. There's a terrific non-inferiority trial looking at the use of non-sterile gloves to repair traumatic wounds in the Emergency Department, two great papers that look at whether we might avoid x-ray for patients with suspected shoulder dislocation (one involving ultrasound), a fascinating paper involving the pre-hospital use of echocardiography and point of care troponin testing for patients with chest pain and more. Read the highlights: https://emj.bmj.com/content/39/9/647, and the complete issue: https://emj.bmj.com/content/39/9. If you enjoy our podcast, please consider leaving us a review or a comment on the EMJ Podcast iTunes page (https://podcasts.apple.com/us/podcast/emj-podcast/id445358244).

Join us for a fascinating discussion about the ethics of care, and most especially the way structural racism and impediments to access heightened existing inequalities during both outbreak and lockdown. Brandy Schillace speaks to epidemiologist Professor John Wright, Bradford Institute for Health Research and Wolfson Centre for Applied Health Research. A blog post containing the transcript of this podcast is available here: https://blogs.bmj.com/medical-humanities/2022/09/15/infectious-disease-epidemics-and-inequality 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!

Musculoskeletal (MSK) pain and osteoarthritis are clinically common in general practice, but with the new draft NICE guideline on osteoarthritis (published in April 2022) recommending a move away from pharmacological treatments and instead promoting self-management, some GPs have been left wondering how best to manage MSK pain going forwards . In this week’s episode, Dr. Imran Sajid talks to us about the importance of educating patients on what arthritis really is – moving away from the term “wear and tear” – and of taking a thorough history of a patient’s pain journey in consultations. He also gives practical advice on how we might approach non-pharmacological management of MSK pain with our patients. Our guest: Imran Sajid is a GP with a special interest in MSK medicine. He is the clinical lead in MSK & Diagnostics for NHS North West London, an adjunct lecturer in Health Policy at the University of Global Health Equity, as well as being a qualified personal trainer. Further reading: ‘Osteoarthritis: assessment and management, draft for consultation, April 2022’. NICE. 2022. https://www.nice.org.uk/guidance/gid-ng10127/documents/draft-guideline ‘The tear, flare, and repair model of osteoarthritis’. BMJ 2022;377:o1028. https://www.bmj.com/content/377/bmj.o1028