BMJ talk medicine

Buprenorphine is an incredibly safe and effective drug as both an analgesic as well as a front-line therapy for the treatment of an opioid use disorder (OUD). However, decisions around the management of this drug in the perioperative period have generated substantial confusion and anxiety amongst patients, policymakers, and healthcare providers. In this month’s “RAPM Focus,” Editor-in-Chief Brian Sites, MD, interviews Lynn Kohan, MD, the senior author of “Buprenorphine management in the perioperative period: educational review and recommendations from a multisociety expert panel,” first published in August 2021 (https://rapm.bmj.com/content/46/10/840). This multi-center and multi-disciplinary project establishes expert recommendations for the perioperative management of patients with OUD and brings clarity to many of these questions. Dr. Kohan is an associate professor of anesthesiology and pain medicine at the University of Virginia (UVA) Pain Management Center. She did her anesthesiology residency at Georgetown University and her pain fellowship at UVA. She has served as the chronic pain fellowship director for the past several years and was recently appointed division chief of pan medicine. She is actively involved with ASRA Pain Medicine, serving as the chair of the membership committee. In addition, she holds leadership positions in the area of education, serving as the president-elect of the Association of Pain Program Directors, council member of the Society of Academic Associations of Anesthesiology and Perioperative Medicine, and the chair of the fellowship committee at the American Academy of Pain Medicine. *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.

Have you ever felt like you had to dial up an aspect of your personality in order to fit in on placement? When going on placement, there may be times when you feel like ‘the odd one out’. But do you have to fit in? Are there benefits in being different? Does medical training shape us into doctors with identical tone and manner and does this bode well with patients? In this episode, the Sharp Scratch team recounts experiences of displaying different sides of their personality at work, the positives of working with people of different personalities, and the importance of being your true authentic self. Expert guest: Miss Clara Munro (@ClaraEMunro on Twitter)is a General Surgical Trainee in the North East of England and was the Editorial Registrar at the BMJ. 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.

The Women in Sport Congress, happening in Melbourne 17-19 August 2022, is looking to start conversations on how we can optimise women’s performance programmes and overall health within a sporting context. Dr. Rachel Harris is a Sport & Exercise Medicine Physician based in Perth, Australia, who is the project lead for the AIS Female Performance & Health Imitative (FPHI) and is co-organising the Women in Sport Congress. During the podcast she discusses strategies we need to employ to keep women and girls engaged in physical activity with some bonus content on tips to get involved in Para-Sport! Links https://www.ais.gov.au/fphi https://womeninsportcongress.org.au/

Dr Philip Smith, Digital and Education Editor of Gut and Consultant Gastroenterologist at the Royal Liverpool Hospital, Liverpool, UK, interviews Professor Peer Bork, Director of the Heidelberg site of the European Molecular Biology Laboratory Heidelberg, Baden, Germany on the paper 'A faecal microbiota signature with high specificity for pancreatic cancer' published in paper copy in Gut in July 2022, and available online: https://gut.bmj.com/content/71/7/1359 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).

LivingBodiesObjects is a 3-year project funded by the Wellcome Trust designed to test and extend the boundaries of Medical Humanities research. Today we talk to Stuart Murray and Amelia DeFalco, University of Leeds, about the value of de-centering structures and opening diversity. Link to the blog post with more information about the project, and transcription of the podcast: https://blogs.bmj.com/medical-humanities/2022/07/21/posthumanism-and-the-livingbodiesobject-project 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!

In this podcast, Dr. Javier Rodríguez-Carrio (1) talks to Dr. Tue Kragstrup (2) about the recent safety data on JAK inhibitors emerged after the ORAL Surveillance study. They discuss what is the current situation, the potential strategies to escape a ‘static’ situation, by managing uncertainty in the context of balancing risks, patient preferences and shared-decision process. Read the Open Access related paper: https://rmdopen.bmj.com/content/8/1/e002236 (1) Javier Rodríguez-Carrio (University of Oviedo) (@javierrcarrio); (2) Tue Wenzel Kragstrup (University of Aarhus) (@KragstrupTW)

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 August 2022 issue. Read it on the Archives of Disease in Childhood website: https://adc.bmj.com/content/107/8/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

As the Russian invasion of Ukraine continues, living under the uncertainty has become the new normal for thousands of patients with diabetes who are dependant on insulin. Supporting patients with non-communicable disease is the reality of all disaster situations now, and that added layer of complexity makes coordinating responses even harder. In this podcast, we'll hear how people with diabetes are being supported in Ukraine, and what is being done to improve things, despite the continued fighting. Our guests; Iryna Vlasenko, Vice President of the International Diabetes Federation Slim Slama, unit head for NCD management at the WHO Yaroslav Diakunchak, family physician in Brovary, Kyiv.

Transient ischemic attacks are common - in the UK, the US and around the world. And they are important – mainly because of the high risk of stroke following a TIA. The risk of stroke is high in the first 7 days. So it is important to get on with diagnosis, investigations, and management as soon as possible. In this BMJ Best Practice podcast, Kieran Walsh talks to Dr Jennifer Simpson, Vascular Neurologist and Associate Professor in the Department of Neurology at the University of Colorado. - 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.

In this episode of the IJGC podcast, Editor-in-Chief Dr. Pedro Ramirez is joined by Dr. Gillian Hanley to discuss opportunistic salpingectomy for the prevention of ovarian cancer. Gillian Hanley, PhD, is an Associate Professor in the department of Obstetrics & Gynaecology at the University of British Columbia and a Canada Research Chair in Population-based Gynecologic and Perinatal outcomes. She does health services research in gynecology, primarily in the area of ovarian cancer prevention. Highlights: 1. Opportunistic salpingectomy, the removal of fallopian tubes during a hysterectomy with ovarian preservation or instead of tubal ligation, has been recommended as ovarian cancer prevention following evidence that the fallopian tube is the tissue of origin for most high grade serous ovarian cancers. 2. We recently published the first data comparing observed to expected numbers of serous and epithelial ovarian cancers following opportunistic salpingectomy done for the purposes of ovarian cancer prevention in British Columbia, Canada. 3.Our data strongly suggest that opportunistic salpingectomy is effective in preventing serous ovarian cancers. There were 0 serous cancers in the opportunistic salpingectomy, and if they had been arising at the same rate as in the control groups (hysterectomy alone and tubal ligation), we would have expected 5.3. 0 is below the low end of the 95% confidence interval.

Practical Neurology Editors Phil Smith and Geraint Fuller talk you through the highlights of the August 2022 issue of the journal. Read more on the PN website: https://pn.bmj.com/content/22/4/261 The full issue here: https://pn.bmj.com/content/22/4 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.

We are faced in paediatrics with some very, very difficult situations. Where our humanity and medical training come to the fore - in working with families dealing with the cliff edge of their child’s mortality - is where we need to put the same emotional and intellectual effort we would want if the tables were turned. At these times, knowing our advice is based on the best available evidence may have even greater importance. This month we address this in two different fields of care. The ED, and traumatic cardiac arrest [https://adc.bmj.com/content/107/7/695.1] and in the neonatal intensive care, with a resistant intracardiac thrombosis [https://adc.bmj.com/content/early/2022/05/10/archdischild-2022-323789]. We also spend a few moments pleading with you not to be beguiled by the power of p [https://adc.bmj.com/content/107/7/695.2]… and while less clinical, that’s as important. 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 Holly Morgan from London. They discuss her paper about why fewer women than men are enrolled in heart failure trials. 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/early/2022/04/14/heartjnl-2021-320696

As more and more pharmaceutical products come onto the market, there are so many potential drug interactions, and adverse reactions, to bear in mind during a consultation in primary care. In this week’s episode, we speak to Anders Holt, the author of a recent research paper looking at co-prescribing nitrates and sildenafil, which is surprisingly common, and adverse events associated with this. We also discuss the neuropsychiatric side effects of montelukast with Corine Ekhart, and talk about the challenges of striking the right balance between highlighting a rare but important side effect and causing the patient anxiety about taking the medication. Our guests: Anders Holt is a PhD candidate at Copenhagen University Hospital, Denmark. Corine Ekhart is a pharmacist at the Netherlands Pharmacovigilance Centre Lareb in 's-Hertogenbosch, the Netherlands. Further reading: ‘Adverse Events Associated With Coprescription of Phosphodiesterase Type 5 Inhibitors and Oral Organic Nitrates in Male Patients With Ischemic Heart Disease : A Case-Crossover Study’. doi:10.7326/M21-3445 https://www.acpjournals.org/doi/10.7326/M21-3445 ‘Neuropsychiatric reactions with the use of montelukast’. doi:10.1136/bmj-2021-067554 https://www.bmj.com/content/376/bmj-2021-067554

In this episode of the IJGC podcast, Editor-in-Chief Dr. Pedro Ramirez is joined by Dr. Gerda Trutnovsky to discuss the use of imiquimod versus surgery for the treatment of vHSIL. Dr. Trutnovsky studied at the University of Graz/Austria and the University of Sydney/Australia. She works as an associate professor in the Department of Obstetrics and Gynecology at the Medical University of Graz/Austria, with a special interest in vulvar disease. Highlights: This was the first prospective trial of imiquimod versus surgery for the treatment of vulvar high grade squamous intraepithelial lesions (vHSIL). Complete clinical response at 6 months was observed in 80% of patients using imiquimod per-protocol, compared to 79% in women who had one surgical intervention. Imiquimod was used in a slowly escalating dosage scheme up to 3 times a week and reduced in case of side effects – local toxicity was mostly mild to moderate. Imiquimod is a safe, effective and well accepted alternative to surgery and can be considered a first-line treatment option.

In this episode of the IJGC Podcast, Editorial Fellows Katherine Hicks-Courant and Christina Uwins discuss the contents of the June issue of IJGC.

In this conversation with John Dickenson, MD, PhD, University of Nebraska Medical Center and Social Media Editor for Journal of Investigative Medicine, Sara Myers, PhD, University of Nebraska Omaha, provides an overview of the NIH loan repayment program (LRP) program, including eligibility, the application process, renew options, and keys to successful application. Student loan debt has been a big topic in the news recently and certainly a factor for trainees and junior faculty thinking about pursuing an academic career. This timely topic is relevant to those JIM podcast listeners who are trainees or junior facility members in academic careers who may have student loan debts. Dr. Sara Myers is the D.B. and Paula Varner Professor in the department of Biomechanics at the University of Nebraska at Omaha. She is also the Assistant Vice Chancellor at the Office of Research and Creative Activity. Her lab focuses on the biophysical forces that influence human disease such as neuromuscular disease and peripheral vascular diseases. She has been well funded including NIH and VA funding with 45 manuscripts.

This is a special segment from the Sharp Scratch episode - what med school didn’t teach you about money. Have you received your first payslip and not sure whether you have been paid correctly? Listen to this short clip where the doctors behind Medics Money will guide you through the key things to check on your payslip and decipher tax codes in under 10 minutes. If you would like to hear more about how to claim tax rebate, information about income protection and relocation costs, head over to episode 78, titled 'what med school didn’t teach you about money' to find more. Expert guests: Dr Tommy Perkins and Dr Ed Cantello are GPs and co-founders of Medics Money. Useful links that Dr Perkins and Dr Cantelo recommend: •Free Ebook www.medicsmoney.co.uk/ebook/ •10 top tips for junior doctors podcast www.medicsmoney.co.uk/ep-5-10-financ…unior-doctors/ •Tax code guide - www.medicsmoney.co.uk/is-your-doctor…-code-correct/ •Tax rebate guide - www.medicsmoney.co.uk/free-guide/ Check us out on social media: Twitter: twitter.com/BMJStudent Instagram: www.instagram.com/bmj_student/ Facebook: www.facebook.com/BMJStudent/ This episode does not represent any form of financial, legal or accounting advice and tax allowances and rates are subject to change.

At med school, we are trained to interpret blood tests but not much (if at all) on how to interpret your payslip. Financial literacy doesn’t feature much in our medical curriculum but it’s an important life skill to have: from interpreting your payslip to claiming tax rebate on your postgrad exams fees. In this episode, the doctors behind Medics Money share their experiences regarding costs that newly qualified doctors will have to consider after med school, some money saving tips for junior docs and things to look out for when you’re interpreting a payslip. Topics covered: •Things to look out for on your payslip •What should you do when you notice you haven’t been paid correctly •Sick pay •Claiming tax rebate on costs of training •Relocation costs Expert guests: Dr Tommy Perkins and Dr Ed Cantello are GPs and co-founders of Medics Money. Useful links that Dr Perkins and Dr Cantelo recommend: •Free Ebook https://www.medicsmoney.co.uk/ebook/ •10 top tips for junior doctors podcast https://www.medicsmoney.co.uk/ep-5-10-financial-tips-for-junior-doctors/ •Tax code guide - https://www.medicsmoney.co.uk/is-your-doctors-tax-code-correct/ •Tax rebate guide - https://www.medicsmoney.co.uk/free-guide/ 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. This episode does not represent any form of financial, legal or accounting advice and tax allowances and rates are subject to change.

Editor-in-chief of Medical Humanities, Brandy Schillace, interviews Narin Hassan and Jessica Howell about their innovative and interdisciplinary approach to health humanities. Narin Hassan is Associate Professor and Director of Global Media and Cultures (MS-GMC) in the School of Literature, Media, and Communication at Georgia Tech. Jessica Howell is Professor of English and Associate Director of the Glasscock Center for Humanities Research at Texas A&M University. Read the blog with the transcription of this podcast: https://blogs.bmj.com/medical-humanities/2022/07/07/global-health-humanities-a-june-special-issue The special issue is available: https://mh.bmj.com/content/48/2 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!

In a very personal interview, Dr Mark Rosenberg, who has been at the centre of injury prevention for more than a generation, tells Dr Rod McClure​, about his path in a career that was not always understood. "We were given an old bathroom in the sub-sub-basement of a minor building and a lot of people in public health thought that's just where we belonged." Mark L. Rosenberg was president and CEO of the Task Force for Global Health, and has also worked at the Centers for Disease Control and Prevention (CDC) for 20 years, where he was instrumental in founding the National Center for Injury Prevention and Control (NCIPC). 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!

Editor-in-Chief of the Archives of Disease in Childhood, Dr Nick Brown, and Senior Editor, Dr Rachel Agbeko, bring you the Atoms - the highlights of the July 2022 issue. Read it on the Archives of Disease in Childhood website: https://adc.bmj.com/content/107/7/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

Thank you for joining us for the HTLV2022 Conference review. Dr Fabiola Martin speaks to Joanna Curteis, the Australian patient representative, Dr Carolina Rosadas, researcher associate at National Centre for Human Retrovirology, Imperial College London, who specialises in HTLV-1 vertical transmission and Prof Damian Purcell. Damian's research group investigates the HIV-1 and HTLV-1 human retroviruses that cause AIDS and leukaemia/inflammatory pathogenesis respectively at Doherty Institute, Melbourne. We also discuss the Global Call to Action towards the elimination of HTLV-1 and an important message from the World Health Organisation delivered by Dr Meg Doherty. Related blog post: https://blogs.bmj.com/sti/2022/07/06/ichr-2022/ Related links: https://www.htlvnet.com https://www.htlvaware.com HTLV Channel https://www.youtube.com/channel/UCI6aLSTtk7chXMeybJ92Fhw Follow @HTLVChannel National Centre for Human Retrovirology http://www.htlv.eu/ WHO HTLV technical report https://apps.who.int/iris/handle/10665/339773

Duane Peters from the Lupus Foundation of America interviews Dr Peter Izmirly from New York University and Dr Elizabeth Ferucci from the Alaska Native Tribal Health Consortium, both in the USA. They discuss the establishment of a network of population-based lupus patient registries in the USA and how these have been used to estimate the incidence rate of systemic lupus erythematosus using standardised data stratified by sex, race and ethnicity. Access the article: https://lupus.bmj.com/content/8/1/e000614

Axial spondyloarthritis is a chronic progressive inflammatory arthropathy, which ultimately may lead to radiographical changes in the spine and sacroiliac joints. This radiographical stage is known as ankylosing spondylitis. Inflammatory back pain is the hallmark clinical feature. This is defined as back pain that is of insidious onset, is worse in the morning, and improves with exercise. In this podcast, Markku Kauppi, Professor of Rheumatology, Helsinki University, gives a clinical overview of the condition. For more on ankylosing spondylitis, visit BMJ Best Practice: bestpractice.bmj.com/topics/en-gb/366 - 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.

In this episode of the IJGC podcast, Editor-in-Chief Dr. Pedro Ramirez is joined by Dr. Dimitrios Nasioudis. Dr. Nasioudis is a Gynecologic Oncology Fellow at the University of Pennsylvania. His current research focuses on translational therapeutics and population-based research. Highlights: The utility of surgical staging for patients with locally advanced cervical cancer has not been established. While PET-CT is the most sensitive imaging modality to detect para-aortic metastases, the false negative rate can be as high as 20%. In the United States, surgical staging for locally advanced cervical cancer is rarely performed with a decreasing utilization. The impact of surgical staging on the oncologic outcomes is not clear.

This BJSM podcast discusses how health care professionals can learn from the sports psychology world. Noting the similarities between athletes and health care professionals Dr Helen Church has put together a new PERFORM (Performance Enhancing Routine for Optimisation of Readiness using Metacognition) framework, using Performance Enhancing Routines to improve clinical performance. She provides practical advice on how you and your practise can benefit from simple sport psychology measures giving some fantastic examples for inspiration. Dr Helen Church is a GP trainee and academic clinical lecturer at the University of Nottingham, working as a clinical assistant professor in medical education. This podcast is hosted by Dr Shona Kohlhardt. Links to useful papers further discussing sports psychology in clinical performance: 1. Using Insights From Sports Psychology to Improve Recently Qualified Doctors’ Self-Efficacy While Managing Acutely Unwell Patients (Church et al., 2021) https://journals.lww.com/academicmedicine/Fulltext/2021/05000/Using_Insights_From_Sports_Psychology_to_Improve.41.aspx 2. Applying sport psychology in health professions education: A systematic review of performance mental skills training (Sandars et al., 2021) https://www.tandfonline.com/doi/full/10.1080/0142159X.2021.196643 3. Applying sport psychology to improve clinical performance (Church et al., 2017) https://www.tandfonline.com/doi/full/10.1080/0142159X.2017.135953 4. What can medical educators learn from the Rio 2016 Olympic Games? (Church et al., 2017) https://www.tandfonline.com/doi/full/10.1080/0142159X.2016.127040

Survival for glioblastoma remains very poor despite decades of research, with a 5-year survival of only 5%. Technological improvements that have revolutionized treatment of ischemic stroke and brain aneurysms have great potential in providing more precise and selective delivery of cancer therapeutic agents to brain tumors. In this podcast, JNIS Editor-in-Chief, Dr. Felipe C. Albuquerque speaks with Dr. Stephen Chen (1)and Dr. Peter Kan (2) about their paper "Perfusion-guided endovascular super-selective intra-arterial infusion for treatment of malignant brain tumors". The paper describes a technique using perfusion guidance to enhance the precision of endovascular super-selective intra-arterial (ESIA) infusions of mesenchymal stem cells loaded with Delta-24 in the treatment of glioblastoma. This technique enhances targeted super-selective delivery of therapeutic agents for brain tumors. Paper available online (https://jnis.bmj.com/content/14/6/533) and in June print issue of JNIS. 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 produced by Leticia Amorim and edited by Brian O'Toole. (1) Interventional Radiology, University of Texas MD Anderson Cancer Center, Houston, Texas, USA (2) Neurosurgery, The University of Texas Medical Branch at Galveston, Galveston, Texas, USA

In this podcast, James Cave (Editor-in-Chief) and David Phizackerley (Deputy Editor) provide an overview of the July 2022 issue of DTB. They discuss the proposed reclassification of estradiol vaginal tablets from Prescription Only Medicine to a Pharmacy medicine (https://dtb.bmj.com/content/60/7/98) and review a study that assessed pharmaceutical industry funding of All Party Parliamentary Groups (https://dtb.bmj.com/content/60/7/100). They talk about the evidence for the lipid-lowering drug inclisiran and its effect on reducing low-density lipoprotein-cholesterol and the lack of evidence on clinical outcomes (https://dtb.bmj.com/content/60/7/102). The editors also highlight a case report of acute lung toxicity caused by nitrofurantoin (https://dtb.bmj.com/content/60/7/108). 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.

ADC Fetal and Neonatal’s Associate Editor, Jonathan Davis, and the Edition Editor of the journal, Ben Stenson, discuss the highlights from the March 2022 issue. The Fantoms article: https://fn.bmj.com/content/107/2/115 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 Virend Somers from The Mayo Clinic. They discuss the connections between sleepiness and cardiovascular risk. 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/early/2022/01/30/heartjnl-2021-319596

In this episode of the IJGC podcast, Editor-in-Chief Dr. Pedro Ramirez is joined by Dr. Mario Preti to discuss the ESGO, ISSVD, ECSVD, and EFC consensus statements on pre-invasive vulvar lesions. Dr. Preti received his Specialization in Gynecology and Obstetrics and Specialization in Medical Oncology at the University of Torino. He is Associate Professor at the Department of Surgical Sciences, University of Torino, Italy, and the Immediate Past President of the ISSVD (International Society for the Study of Vulvo-vaginal disease). Dr. Preti is the author of 4 books on vulvo-vaginal diseases, and as of June 2022, he has published 108 papers indexed in Scopus/Pubmed, with 2,014 citations and an H-index of 23. Highlights: Epidemiological data show no decrease in vulvar invasive cancer incidence. This means that accurate diagnosis and treatment of pre-invasive vulvar disease must be improved: these are among the ESGO-ISSVD-ECSVD aims. The two carcinogenic pathways of vulvar squamous neoplasia recognize as precursors two vulvar intraepithelial neoplasia (VIN): HPV-associated squamous intraepithelial lesions (High Grade VIN) and HPV-independent VIN (mainly differentiated VIN). These precursors have different clinical approach, treatment and oncological risk. Their histologic features can be subtle, and the histological diagnosis may be further complicated by coexisting conditions. For differentiated VIN, an excisional procedure must always be adopted. Medical treatment (imiquimod or cidofovir) and ablative treatment can be considered for high grade VIN to preserve anatomy and function. These conservative approaches must be preceded by representative biopsies to exclude invasive disease. Follow up should be modulated according to the risk of recurrence (type of lesion, patient age and immunological conditions, other associated lower genital tract lesions). Pre-invasive vulvar lesions deserve specific attention because they affect not only functionality and body image, but also psychosexual factors.

There is much political, professional, and cultural debate around the impact that cannabinoids, good or bad, have on health and wellbeing. This month’s “RAPM Focus,” evaluates the relationship between cannabis use and sleep patterns among adult Americans. Editor-in-Chief Brian Sites, MD, interviews authors Calvin Diep, MD, and Karim Ladha, MD, on the paper “Recent cannabis use and nightly sleep duration in adults: a population analysis of the NHANES from 2005 to 2018,” first published in December 2021 (https://rapm.bmj.com/content/47/2/100). The study used observational data from the National Health and Nutrition Examination Survey (NHANES) and examined whether recent use of cannabinoids impacted on incidence of too little sleep or too much sleep. Dr. Diap is a second-year resident in the Department of Anesthesiology and Pain Medicine at the University of Toronto. He is also enrolled in the clinician investigator program and will be starting his graduate studies at the Institute of Health Policy Management at the University of Toronto. His research interests lie in using clinician epidemiological methods to study patient-centered outcomes in the perioperative period, such as pain and disability, as well as opioid and cannabinoid use patterns at population levels. Dr. Ladha is a clinician scientist and staff anesthesiologist at St. Michael’s Hospital at the University of Toronto. He received his medical degree from the Johns Hopkins University School of Medicine. He then completed his anesthesia training at the Massachusetts General Hospital and obtained a master’s degree in clinical epidemiology from the Harvard School of Public Health. His research uses mixed methodologies to obtain a multi-faceted view of pain and recovery after surgery, including retrospective analyses of administrative databases and prospective observational studies in multi-center randomized controlled trials. *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.

At medical school, we learn about the importance of healthy health behaviours and promote them to patients at consultations. But do you always do what you preach? In this episode, we chatted about the importance of self-care, admitting to the inability to be infallible, and whether your health habits would affect the way you counsel your patients. Expert guest: Professor Erica Frank ([email protected]) is a Professor at the Faculty of Medicine at the University of British Columbia; she is also the Founder of NextGenU.org. Articles mentioned in the episode: • Alcohol consumption and alcohol counselling behaviour among US medical students: cohort study - https://www.bmj.com/content/337/bmj.a2155 • Experiences of belittlement and harassment and their correlates among medical students in the United States: longitudinal survey - https://www.bmj.com/content/333/7570/682 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.

Dr Philip Smith, Digital and Education Editor of Gut and Consultant Gastroenterologist at the Royal Liverpool Hospital, Liverpool, UK, interviews Dr Marietta Iacucci, Associate Professor in Gastroenterology, Institute of Immunology and Immunotherapy, University of Birmingham and Consultant Gastroenterologist, University Hospitals Birmingham NHS Foundation Trust, Birmingham, United Kingdom, on the paper "‘PICaSSO Histologic Remission Index (PHRI) in ulcerative colitis: development of a novel simplified histological score for monitoring mucosal healing and predicting clinical outcomes and its applicability in an artificial intelligence system" published in paper copy in Gut in May 2022, and available online: https://gut.bmj.com/content/71/5/889 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).

One of the silver linings of COVID-19 pandemic is the increased adoption of telehealth in allied health and sports medicine services for people with musculoskeletal conditions. In this podcast we talk to Dr Allison Ezzat about the experiences and attitudes of patients and clinicians in using telehealth. Allison has led the creation of a telehealth toolkit for patients and clinicians and discusses the future of telehealth. Allison is a Canadian physiotherapist, and a current post-doctoral research fellow at La Trobe University, Australia. “It's second best”: A mixed-methods evaluation of the experiences and attitudes of people with musculoskeletal pain towards physiotherapist delivered telehealth during COVID-19 pandemic - https://www.sciencedirect.com/science/article/pii/S2468781221001843?via%3Dihub Canadian Physiotherapists Integrate Virtual Care during the COVID-19 Pandemic https://utpjournals.press/doi/10.3138/ptc-2022-0092 “Much better than I thought it was going to be - telehealth delivered group-based education and exercise was perceived as acceptable among people with knee osteoarthritis” https://www.sciencedirect.com/science/article/pii/S2665913122000395 Telehealth toolkit for clinicians: https://telehealth.trekeducation.org/

Clio Barnard is multi-award winning British Film writer, director and producer. In this conversation with Medical Humanities' film and media correspondent, Khalid Ali, she revisits her 'Bradford Film Trilogy'; 'The Arbor' (2010), 'The Selfish Giant' (2013), and 'Ali & Ava' (2021). The uniqueness and diversity of Bradford community portrayed as a love story between two unlikely characters made 'Ali and Ava' a film celebrating love, friendship, forgiveness, and hope. Read more about Clio Barnard's work - including a transcript of the podcast on our blog: https://blogs.bmj.com/medical-humanities/2022/06/23/bradford-tales-authentically-and-poetically-portrayed-in-film-by-clio-barnard. 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!

Dr. Amy Ross Russell(1), interviews Assoc. Prof. Todd Hardy(2) and Dr. James Triplett(3), about their recent paper detailing the clinical approach to diagnosis and management of Posterior Reversible Encephalopathy Syndrome (PRES). Read this latest Editor’s Choice paper on the Practical Neurology website (https://pn.bmj.com/content/22/3/183) and the June 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-june-2022-issue?in=bmjpodcasts/sets/pn-podcast (1) Neurology, University Hospital Southampton NHS Foundation Trust, UK (2) Staff Specialist Neurologist at Concord Hospital, Clinical Associate Professor in Medicine at the University of Sydney, Australia (3) Staff Specialist Neurologist and Neurophysiologist, Concord Hospital, Sydney, Australia 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.

Editor-in-Chief Dr. Richard McCallum and Associate Professor of Pediatrics and the Director of Pediatric Undergraduate Medical Education at Duke University School of Medicine, Dr. Samrat Das, discuss what it has been like to be the president of the American Federation of Medical Research (AFMR) over the last year. Join us as we honor Dr. Das during his final days as president of AFMR. Dr. Das discusses advice for future presidents and his own future career plans. We are very grateful for all the work Dr. Das has done for AFMR, and we wish him the very best in his future endeavors.

Living with Long Covid is a different experience for each person, and can have significant ramifications for their personal lives and careers. In this last podcast of a series about Long Covid, Dr Alison Twycross, Editor in Chief of Evidence-Based Nursing, hears from Alison Love(1), Lynn Biggerstaff(2) and Sue Campion(3). The EBN podcast series of three episodes on Long Covid is produced by Letícia Amorim and edited by Brian O'Toole. 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) Staff Nurse in ICU; (2) Ward Sister, Community Hospital, elderly rehabilitation ward; (3) Paediatric Nurse, Southampton Children’s Hospital.

This month, Dr Rachel Agbeko, Senior Editor of ADC, is joined by paediatric oncologist Dr Amanda Friend(1) to discuss the methods employed for fertility preservation for children of various ages and sexes who are undergoing cancer treatment. Read the paper 'Inconsistencies in fertility preservation for young people with cancer in the UK' for free for one month on the ADC website: https://adc.bmj.com/content/107/3/265 and in March's issue. 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) Leeds Institute of Medical Research, University of Leeds, and Paediatric and Adolescent Oncology, Leeds Teaching Hospitals NHS Trust, UK

The highlights of the latest edition of the journal brought to you by the Editor-in-Chief of Frontline Gastroenterology Mark Beattie. Read the UpFront of the May 2022 issue of Frontline Gastroenterology: https://fg.bmj.com/content/13/3/183 The full issue is now online: https://fg.bmj.com/content/13/3 Listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify.

In this episode of the IJGC podcast, Editor-in-Chief Dr. Pedro Ramirez is joined by Dr. Andreas Obermair. Dr. Obermair is a gynecological oncologist in Brisbane, Australia, promoting surgery with proven better patient outcomes. Highlights: - Facing and dealing with adversity in life - Goals for making gynecological oncology safer, less invasive, and smarter; ensuring that patients are not scared of treatment; and increasing the effectiveness of treatment - Exploring novel options of therapy and seeking strategies for newer treatments. Only if we are not satisfied with what we do today can we hope to achieve a better outcome tomorrow.

In this week's episode, Helen Macdonald is joined by Joseph Ross, US research editor for The BMJ, and Juan Franco, editor of BMJ EBM. They begin by discussing a review of obesity interventions in primary care, and Joe wonders if GPs are really the best people to tackle the issue. https://www.bmj.com/content/377/bmj-2021-069719 Cervical screening in the UK now includes HPV testing, and they look at research which examines whether this could mean longer periods between screening tests. https://www.bmj.com/content/377/bmj-2021-068776 They all enjoy a new State of the Art Review into Revascularization in stable coronary artery disease. https://www.bmj.com/content/377/bmj-2021-067085 Juan and Joe look at a review into combinations of covid-19 vaccinations - and wonder whether we'll ever see more trials to fit into this meta-analysis. https://www.bmj.com/content/377/bmj-2022-069989 Finally, they find out how your political persuasion has affected mortality in the US, with new research that links Republican and Democrat voters with differential changes in mortality. https://www.bmj.com/content/377/bmj-2021-069308

In this podcast, we are joined by Dr James Robson and Professor Craig Ritchie to discuss all things ‘brain health’. We discuss what is meant by this term, why it is important, and what some of the steps people can take to optimise their brain health. Related resources: Lancet Commission https://www.thelancet.com/article/S0140-6736(20)30367-6/fulltext Sport and Exercise for Brain Health MOOC https://www.futurelearn.com/admin/courses/sport-and-exercise-for-brain-health/1

In this episode of the Heart podcast, Digital Media Editor, Dr. James Rudd, is joined by Dr. Buber from Seattle. They discuss all aspects of CPET testing for heart failure and many other indications. 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/early/2022/04/10/heartjnl-2021-319617

A recent investigation, by The BMJ, showed a worrying increase in incidence of violence, directed to wards GPs, and reported to the police. In this episode of Deep Breath in, Tom and Jenny are joined by Gareth Iacobucci, assistant news editor for The BMJ who broke the story. They'll hear from a GP affected, and get some advice on preventing violence, and deescalation, from two mental health experts, who deal with the most agitated patients. Our guests: Adam Janjua, a GP in Fleetwood, Lancashire. Marcela Schilderman, a consultant psychiatrist at South London and the Maudsley NHS Foundation Trust and Anita Bignell, a mental health nurse, at South London and the Maudsley NHS Foundation Trust Reading list Violent incidents at GP surgeries double in five years, BMJ investigation finds https://www.bmj.com/content/377/bmj.o1333

In this episode of the IJGC podcast, Editor-in-Chief Dr. Pedro Ramirez is joined by Dr. David Viveros-Carreño. Dr. Viveros-Carreño is a Gynecologic Oncologist at Instituto Nacional de Cancerología, Clínica Universitaria Colombia and Clínica Los Nogales in Bogotá, Colombia. Highlights: - Fertility-sparing surgery after neoadjuvant chemotherapy in cervical cancer >4 cm is feasible, but the evidence is limited and should be considered as an experimental intervention. - A complete pathological response occurred in 56% of patients. - At least one pregnancy was achieved in 67% of cases and 60% were pre-term deliveries.

This month we chat with three students recently awarded for their papers at the SAVIR injury conference in the USA. Stephen Oliphant is a Doctoral Candidate, School of Criminal Justice, Michigan State University; Kelsey Conrick is a Doctoral Student, School of Social Work, University of Washington; and Mudia Uzzi is a Doctoral Candidate, Health Policy Research Scholar at Robert Wood Johnson Foundation, Department of Health, Behavior and Society Johns Hopkins University. Read these and the other Abstracts from the SAVIR conference on the Injury Prevention website: "Do handgun purchase waiting periods save lives? Evidence from a synthetic control approach" - https://injuryprevention.bmj.com/content/28/Suppl_1/A6.2 "Modeling the association of structural racism with disparities in firearm homicide victimization" - https://injuryprevention.bmj.com/content/28/Suppl_1/A23.1 "Investigating violence disparities through an intersectional lens: using additive interaction approaches to explore the relationship of redlining and racialized economic segregation on non-fatal shootings in Baltimore city, Maryland" - https://injuryprevention.bmj.com/content/28/Suppl_1/A57.2. 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!

Dr Philip Smith, Digital and Education Editor of Gut and Consultant Gastroenterologist at the Royal Liverpool Hospital, Liverpool, UK, interviews Dr Maria Arechederra, young researcher at the Hepatology Program in the Center for Applied Medical Research (CIMA) from the University of Navarra in Pamplona, Spain, on the paper "Next-generation sequencing of bile cell-free DNA for the early detection of patients with malignant biliary strictures" which is published in paper copy in Gut in June 2022, and available online: https://gut.bmj.com/content/71/6/1141 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).