BMJ talk medicine

In this podcast, RMD Open's Social Media Advisor, Dr. Paul Studenic, speaks to Dr. Giovanni Adami, from Universita degli Studi di Verona, Italy, about his population-based cohort study evaluating air pollution-associated risk of developing an immune-mediated disease. By using an Italian-wide patient-dataset, initially designed for fracture risk assessment in women in combination with data for air-quality control stations across Italy, he presents results indicating that long-term exposure to air pollution coincides with a higher risk of developing autoimmune diseases. Read it on the RMD Open website: https://rmdopen.bmj.com/content/8/1/e002055

In this episode of the IJGC podcast, Editor-in-Chief Dr. Pedro Ramirez is joined by Katherine Hicks-Courant, MD, MSHP. Dr. Hicks-Courant is a fellow in the Division of Gynecologic Oncology at the University of Pennsylvania. She studies the intersection of gynecologic oncology, palliative care and oncology care delivery systems. Highlights: Having a gynecologic rather than a medical oncologist was associated with lower rates of high-intensity end-of-life care. Having a gynecologic oncologist rather than a medical oncologist was associated with higher rates of invasive procedures. Having a gynecologic oncologist rather than a medical oncologist was associated with higher Medicare spending.

Duane Peters from the Lupus Foundation of America interviews Professor Ronald van Vollenhoven from the Amsterdam University Medical Centers in the Netherlands and Dr Cynthia Aranow from the Feinstein Institute for Medical Research in New York, USA. They discuss the efforts of the DORIS international task force to agree on a single definition of remission in systemic lupus erythematosus, which they hope will ensure that clinicians, patients and researchers in the field are all working towards the same outcome. Access the article: https://lupus.bmj.com/content/8/1/e000538

This is the first in a new series of BMJ Open Gastroenterology interviews, in which we will be covering high-profile publications in conjunction with the lead authors of the papers. In this quarter’s podcast, we will be discussing a review article entitled ‘Enteropathies with villous atrophy but negative coeliac serology in adults: current issues’ published online in November 2021 (https://bmjopengastro.bmj.com/content/8/1/e000630). Dr James Ashton (Social Media Editor of BMJOG) interviews Dr. Annalisa Schiepatti, researcher at the University of Pavia, Italy, and a junior consultant at the Gastroenterology Unit of Maugeri Insitute in Pavia. Listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify.

In this podcast, James Cave (Editor-in-Chief) and David Phizackerley (Deputy Editor) provide an overview of the June 2022 issue of DTB. They discuss the impact that the cessation of spirometry services in primary care has had on diagnosing obstructive lung disease (https://dtb.bmj.com/content/60/6/82). They highlight two separate patient safety incident reports from the Healthcare Safety Investigation Branch - confusion over the prescribed dose of oral morphine solution and the harm caused by a standard therapeutic dose of paracetamol in a frail older person (https://dtb.bmj.com/content/60/6/84). The editors also talk about an article on serotonin syndrome (https://dtb.bmj.com/content/60/6/88). 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. Read the June issue: https://dtb.bmj.com/content/60/6

In this episode of the Heart podcast, Dr Andrew Perry is joined by Dr. Stephanie Curtis, a physician at the Bristol Royal Infirmary who specializes in caring for women who are pregnant and have co-morbid aortopathy. 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/2022/02/09/heartjnl-2021-319828

In Doctor Informed, we've been hearing a lot about the problems of healthcare, but we also want to talk about solutions. Whatever we're going to do to fix healthcare, whether that's bullying, or burnout, or patient safety - it's going to require change. And change is hard. In this episode Clara Munro is joined by Graham Martin, director of research at THIS Institute. They discuss the dreaded phrase "But it's always been done this way", and why failing is the path to success, and the true importance of listening. Our guests; Penny Pereira, Q managing director at the Health Foundation. Q helps promote improvement within the health and care system, encouraging and supporting a wide range of people to effectively lead improvement. https://www.health.org.uk/about-the-health-foundation/our-people/q-and-q-labs-team Moira Durbridge, director of safety and risk at University Hospitals of Leicester NHS Trust. Moira trained as a nurse, and continues to work clinically, as well as her role in leading her Trust's change.

Consultations about suspected cow’s milk protein allergies are quite common in primary care, but these allergies can be a challenge to diagnose, particularly as symptoms can manifest in many different ways, and testing can be complicated. We talk to Dr. Nicola Brathwaite about the diagnosis and management of cow’s milk protein allergies in infants, and our discussion includes how to navigate consultations with parents who may be distressed and fraught with anxiety over their baby’s symptoms, and how best to manage the reintroduction of milk back into the diet. Our guest: Nicola Brathwaite is a paediatric allergy consultant at King's College Hospital, London. She completed her specialist training in Paediatrics and Paediatric Allergy in Cape Town, South Africa.

This month’s “RAPM Focus” highlights a small study conducted by a team out of the University of California San Diego, designed to determine if percutaneous cryoneurolysis of the lateral femoral cutaneous nerve is feasible and shows potential for future study in management of burn patients. Dr. John J. Finneran is the first author of “Percutaneous cryoneurolysis of the lateral femoral cutaneous nerve for analgesia following skin grafting: a randomized, controlled pilot study,” published first in August 2021 and subsequently in the January 2022 print edition (https://rapm.bmj.com/content/47/1/60). As Dr. Finneran reported in the paper, peripheral nerve blocks may be used for postoperative analgesia following split thickness skin graft, and the lateral femoral cutaneous nerve is “an optimal target, since it innervates the lateral thigh and has no motor component.” However, because local anesthetic nerve blocks are limited in their duration, this study looked at the use of ultrasound-guided percutaneous cyroneurolysis for extended analgesic effect. The results were promising, with the patients who were randomized to the cryoneurolysis group having lower average and maximum pain scores, less need for opioid analgesics, and fewer reports of sleep disturbances during the first two nights after surgery. Listen in as Dr. Finneran describes the study, the procedure, and future research objectives. Dr. Finneran is a Health Sciences clinical associate professor and associate residency program director in the Department of Anesthesiology at the University of California San Diego, as well as clinical director for Regional Anesthesiology at UC San Diego Medical Center – Hillcrest. *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. @RAPM_Online

In this episode of the IJGC podcast, Editor-in-Chief Dr. Pedro Ramirez is joined by Dr. Rene Pareja to discuss conservative management of cervical cancer. Dr. Pareja is a gynecologist-oncologist at Astorga Oncology Clinic in Medellín and the National Cancer Institute in Bogotá, Colombia. He is a reviewer for more than 20 specialty journals, an Associate Editor for IJGC, a member of the Editorial Board of Gynecology Oncology, and a member of the board of directors of the International Gynecological Cancer Society (IGCS). Additionally, he is a member of FIGO committee on Women's Cancer. Dr. Pareja 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: 1. Fertility preserving options have to be offered to all women wishing to preserve their fertility potential, that fulfil the ECOG status, histological, and imaging criteria. 2. It is recommended to have an evaluation by human reproduction specialized teams in order to rule out any potential impairment before the surgery. 3. The relapse rate for vaginal radical trachelectomy, abdominal radical trachelectomy and simple trachelectomy/conization are around 4-5%. 4. The highest live birth rates are seen in patients undergoing conization + lymph node assessment (over 88%). 5. Vaginal radical trachelectomy and minimally invasive radical trachelectomy, with preservation of ascendent branch of uterine artery, are contraindicated in women with tumors > 2 cm, due to the high rate of relapse (over 20%).

This month we have an interlude in our rush to ask, acquire, appraise and apply the next quality evidence available to our clinically greedy hands, and spend five minutes going over the process of creating an Archimedes. Dr. Bob Philips, Social Media, and Archimedes Editor take you through what you might expect … what might be asked of you … and how to give the fruits of your intellectual inquiry stand the best chance of hitting print (and this podcast). 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

“Do no harm” is a mantra that is drummed into medical students from day 1 of medical school. Most of us have gone into medicine as we believe medicine to be a force of good. However, too much medicine is capable of causing harm to patients and generating unnecessary waste. In this episode, we spoke about overdiagnosis, communicating risks and benefits with patients, and why you shouldn't take that free lunch sponsored by drug companies. Recommended reading: •Preventing overdiagnosis: how to stop harming the healthy. Link: https://www.bmj.com/content/344/bmj.e3502 •Who pays for the pizza? Redefining the relationships between doctors and drug companies. 1: Entanglement. Link: https://www.bmj.com/content/326/7400/1189 Expert guest: Dr Martin Brunet (@docmartin68 on Twitter) is a GP and a GP trainer at Guildford. He is also the author of The GP Consultation Reimagined: A Tale of Two Houses. 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 BJSM Podcast Dr Amy Dennett is hosted by Dr Brooke Patterson. Historically people with cancer have been told to rest, and patients and practitioners are often hesitant to get started with physical activity. Amy provides some great practical tips and resources - to support people with cancer exercise safely, safety and precautions, and tips for healthcare services and providers who want to get started with cancer exercise groups. Amy provides a huge array of resources available for healthcare services and clinicians. Cancer exercise toolkit: https://cancerexercisetoolkit.trekeducation.org/ Cancer exercise toolkit paper: https://cancer.jmir.org/2022/2/e34903/authors Treatment protocols https://www.eviq.org.au/ International registry and handouts on exercise and cancer https://www.exerciseismedicine.org/eim-in-action/moving-through-cancer/ Patient and clinician resources https://www.petermac.org/cancersurvivorship

Ischaemic stroke is a leading cause of morbidity and mortality. The World Health Organization defines stroke as “a clinical syndrome consisting of rapidly developing clinical signs of focal (or global) disturbance of cerebral function, lasting more than 24 hours or leading to death, with no apparent cause other than that of vascular origin”. David Wang, Professor of Neurology, Barrow Neurological Institute, Phoenix, Arizona, gives us a clinical overview of the condition. For more on ischaemic stroke, visit BMJ Best Practice: bestpractice.bmj.com/topics/en-gb/3000114 - 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.

This month we have a feast of studies looking at cardiac arrest. Want to know if one-handed CPR is any good for multi-tasking pre-hospital responders? You'll find out if you listen. Want to know if pre-hospital ECMO should be a thing for elite athletes at major events? We cover that too. Want to know if machine learning is about to revolutionise our practice and solve all our crowding problems? It's all here. And more. Take a listen and keep yourself at the cutting edge! Read the highlights: https://emj.bmj.com/content/39/5/343 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).

Helen Macdonald, The BMJ's research integrity editor is back with another episode, and this week is joined by Joe Ross, professor of medicine and public health at Yale, and US research editor for The BMJ, and Juan Franco, editor in chief of BMJ EBM, and Professor at the Instituto Universitario Hospital Italiano de Buenos Aires In this episode they discuss; The US supreme court looks set to overturn Roe v Wade, creating a patchwork of abortion provision across the U.S. We consider the role which evidence might play in documenting how health is affected by that decision, and whether medical evidence is being used at all in the debate. We'll give you a quick update on treatment for Covid-19 We know that trials are needed for new treatments, but in the face of an exponentially growing amount of observational data, is it time for a shift in that certainty? Joe tells us about his research into whether trials and observational studies of three drugs in covid produce the same answer? And finally, treatment variation - it's one of the things that helped kick-start the EBM revolution, but there's still much to learn. Juan describes some new research which examines how countries stack up when you compare their handling of and outcomes of a common condition such as a myocardial infarction. Reading list; Navigating Loss of Abortion Services — A Large Academic Medical Center Prepares for the Overturn of Roe v. Wade https://www.nejm.org/doi/full/10.1056/NEJMp2206246. A living WHO guideline on drugs for covid-19 https://www.bmj.com/content/370/bmj.m3379 Agreement of treatment effects from observational studies and randomized controlled trials evaluating hydroxychloroquine, lopinavir-ritonavir, or dexamethasone for covid-19 https://www.bmj.com/content/377/bmj-2021-069400 Variation in revascularisation use and outcomes of patients in hospital with acute myocardial infarction across six high income countries https://www.bmj.com/content/377/bmj-2021-069164

In this episode of the IJGC podcast, Editor-in-Chief Dr. Pedro Ramirez is joined by Dr. Susana Banerjee to discuss SOLO1. Dr. Banerjee is a Consultant Medical Oncologist and Research Lead for the Gynaecology Unit. She is also Reader in Women’s Cancers at the Institute of Cancer Research. Dr Banerjee specialises in ovarian cancer and the systemic treatment of endometrial and cervical cancers. Highlights: - This report is the longest follow-up period for a PARP inhibitor in the newly diagnosed advanced ovarian cancer. - The present analysis shows a PFS benefit that is sustained for several years following completion of 2 years of maintenance olaparib. - PFS benefit was consistent irrespective of higher or lower clinical risk or BRCA1 or BRCA2 mutation. - SOLO1 is the first to report longer-term follow-up for safety in patients with newly diagnosed ovarian cancer receiving a PARPi as maintenance treatment. - The safety profile for patients in the maintenance olaparib remained consistent with that reported previously, with no new safety signals. Importantly, no additional cases of MDS or AML were reported.

The Woven EndoBridge (WEB) device has FDA approval for treatment of wide-necked intracranial bifurcation aneurysms. It has been shown to result in adequate occlusion in bifurcation aneurysms overall, but its usefulness in the individual bifurcation locations has been evaluated separately only in few case series, which were limited by small sample sizes. In this podcast, JNIS Editor-in-Chief, Dr. Felipe C. Albuquerque, interviews Dr. Nimer Adeeb (1)and Dr. Adam Dmytriw (2) on their paper "Comparing treatment outcomes of various intracranial bifurcation aneurysms locations using the Woven EndoBridge (WEB) device". Paper available online: https://jnis.bmj.com/content/early/2022/04/27/neurintsurg-2022-018694 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) Departments of Neurosurgery and Neurointerventional Surgery, Louisiana State University Health Sciences Center (2)Neuroendovascular Program, Massachusetts General Hospital, Harvard University

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 June 2022 issue. Read it on the Archives of Disease in Childhood website: https://adc.bmj.com/content/107/6/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

Practical Neurology Editors Phil Smith and Geraint Fuller talk you through the highlights of the June 2022 issue of the journal. Read more on the PN website: https://pn.bmj.com/content/22/3/175 The full issue here: https://pn.bmj.com/content/22/3 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). Thank you for listening.

Returning to work as a nurse with Long Covid is thwart with difficulties in part due to its relapsing-remitting nature. Many nurses with Long Covid experience post-exertional malaise and symptom exacerbation if they push themselves and this may trigger a major relapse. This means that a return to work needs to be planned carefully. In this second podcast of a series about Long Covid, Dr Alison Twycross, Editor in Chief of Evidence-Based Nursing, speaks to two freelance consultants from Long Covid Work: Dr Clare Rayner, a consultant occupational physician, and Kirsty Stanley, Director, Occupational Therapist & Writer at Occupation4Life Ltd, about best practice in this context. They provide guidance for both employers and employees. Alison, Clare and Kirsty are also members of the Long Covid Support Employment Group. More information on the Long Covid Nurses and Midwives UK website: http://www.lcnmuk.co.uk/ The EBN podcast series 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. The first episode of this three-episode series: https://soundcloud.com/bmjpodcasts/long-covid-what-we-know-so-far-with-dr-elaine-maxwell?in=bmjpodcasts/sets/ebn-podcast&utm_source=clipboard&utm_medium=text&utm_campaign=social_sharing

In this episode of the Heart podcast, Digital Media Editor, Dr James Rudd, is joined by Dr Christopher Fordyce from the University of British Columbia. They discuss how good physicians are at judging the nature of chest pain. 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/108/11/860

In this episode of the IJGC podcast, Editor-in-Chief Dr. Pedro Ramirez is joined by Dr. Glauco Baiocchi. Dr. Baiocchi is the Director of the Department of Gynecologic Oncology at the AC Camargo Cancer Center in Sao Paulo, Brazil. Highlights: -SLN biopsy has emerged as an accurate method for lymph node staging in endometrial cancer. -Prospective studies aimed to analyze the performance of SLN biopsy in staging endometrial cancer rather than oncological outcomes. -ALICE trial aims to confirm that SLN mapping without systematic node dissection does not negatively impact oncological outcomes.

Parosmia – a distorted sense of smell, and a delayed post-covid symptom – affects approximately 50% of people who experienced loss of smell during their initial covid infection, and it is currently attracting a lot of media attention. We hear from Emily Woodroofe, a third year medical student, about what it’s like to have parosmia, before we speak to Professor Claire Hopkins about what GPs need to know about it, and how they can best support their patients who are experiencing what can be a distressing symptom. Our guests: Emily Woodroofe is a third year medical student at Barts and The London School of Medicine and Dentistry. Claire Hopkins is an ENT consultant, and professor of Rhinology at Guy’s and St. Thomas’ NHS foundation Trust. Further reading: ‘Parosmia—a common consequence of covid-19’ https://www.bmj.com/content/377/bmj-2021-069860

The influence of public health on politics, at least at the beginning of the pandemic, had never been stronger - but now it seems as hard to persuade politicians to pay attention as ever, yet political will is essential in making different sectors work together to create a healthier world. In this podcast, The BMJ's editor in chief, Kamran Abbasi is joined by Shyama Kuruvilla, senior strategic adviser at World Health Organization, and Kent Buse, director of the global healthier societies program at The George Institute for Global Health. They discuss examples of where multisectoral working has managed to bridge the gaps between sectors, and how healthcare needs to get political to make that success more widespread. This is part of the collection "The world we want: Actions towards a sustainable, fairer and healthier society" - https://www.bmj.com/pmac-2022

Along with the general public, medical students are feeling the cost-of-living crunch. How are medical students faring with the increasing cost of living? In this episode, medical students from outside of the studio send in their perspectives on how they are making ends meet, balancing medical school and part-time work and navigating the student funding system. Thank you to Michaela Vernon, Elle Gordon, Alex Twist, Trisha Suji, Ruth Carter and Eilidh Garrett who contributed to this episode. 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.

On this episode of the AMSSM (T: @TheAMSSM) Sports Medcast, host Dr. Krystian Bigosinski, is joined by Dr. Matt Fedoruk, PhD, who works as the Chief Science Officer leading the Science & Research team at the U.S. Anti-Doping Agency (@usantidoping). Dr. Fedoruk served as a Featured National Speaker in the Doping in Sport session during the 2022 AMSSM Annual Meeting. In this conversation, he discusses some of the latest trends in doping science and testing and address the following topics: · His experience as a USADA Officer during the 2022 Olympic and Paralympics Games in China, and the new testing measures that were recently put in place. · How does WADA’s Athlete Biological Passport work, and what has its impact been on anti-doping? · How does he view orthobiologic treatments, such as PRP and stem cell therapies, through the lens of anti-doping? · Are gene doping technologies realistic from a physiological standpoint, or it is still the stuff of science fiction? · How does USADA balance respect for athlete autonomy and privacy, while also performing meaningful doping control? · How should sports medicine providers proceed when encountering athletes who might be coerced into doping programs? · How should physicians approach care of recreational athletes when it comes to the risks and benefits of substances that may be performance-enhancers, such as testosterone? · How does he approach being a fan of sport while working at USADA, where he often sees the best of worst of sport?

Welcome back to the ADC Spotlight podcast, 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 month, Dr Rachel Agbeko, Senior Editor of ADC, is joined by Mr Robert Wheeler, paediatric and neonatal surgeon and honorary senior lecturer in medical law (1) to discuss the shortage of clinical provision, and the placements for children requiring assessment and treatment for mental illness. Read the paper 'Providing beds for children' for free for one month on the ADC website: https://adc.bmj.com/content/107/2/114 and on the February's issue. More from the author about clinical law and ethics: https://blogs.bmj.com/medical-ethics/2022/05/01/law-ethics-basic-science/ The ADC Spotlight 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) Consultant Paediatric & Neonatal Surgeon at the Wessex Regional Centre for Paediatric Surgery, University Hospital Southampton NHS Foundation Trust, UK.

In this episode of the IJGC podcast, Editor-in-Chief Dr. Pedro Ramirez is joined by Dr. Jalid Sehouli. Dr. Sehouli is director of the department of gynecology with center of oncological surgery at Charité Medical University in Berlin. He founded the first certified ovarian cancer center in 2007, published more than 500 articles, and is a teacher and a writer of several belletristic books. Highlights: Gynecology should be always holistic, interdisciplinary, and multi-professional. Research in gynecology relies on teamwork, and international collaboration is essential. The most relevant drug in medicine is communication!

In this podcast we are joined by Rachael Cowan and Professor Jill Cook. They provide an update on the evidence for management of greater trochanteric pain syndrome (GTPS) and discuss the results of a recent clinical trial evaluating the effect of menopausal hormone therapy, exercise, and education on tendon pain and function in post-menopausal women with GTPS. On the eve of retirement, Jill provides an opinion on what the next big breakthroughs in tendinopathy research should be! Cowan et al. 2021 https://journals.sagepub.com/doi/full/10.1177/03635465211061142 Ganderton et al. 2018 https://www.liebertpub.com/doi/abs/10.1089/jwh.2017.6729 Mellor et al. 2018 https://www.bmj.com/content/361/bmj.k1662.long

Editor-in-Chief Dr. Richard McCallum and Assistant Professor of Medicine at Mayo Clinic School of Medicine, Dr. Lucinda Harris, discuss stress and IBS, antibiotic treatment options, and new findings regarding IBS in females and military service members. Dr. Harris is also a consultant at the Division of Gastroenterology and Hepatology at Mayo Clinic Scottsdale and is a current member of the Gastroenterology Fellowship committee. Her special clinical and research interests include IBS, gastroparesis, chronic constipation, and pelvic floor disorders as well as celiac disease and autonomic disorders.

In this conversation with two members of the scientific committee of the recently held conference of​ the Society for Advancement of Violence and Injury Research​ (SAVIR)​, we focus on ways of growing the field of Injury Prevention and ​include ​new generations of emerging professionals. ​Editor-in-Chief of Injury Prevention, Rod McClure​, interviews Rosemary Nabaweesi, Associate Professor in the Center for Health Policy at the School of Graduate Studies and Research, Meharry Medical College, Tennessee, and Elizabeth E. O’Neal, Postdoctoral Research Fellow - College of Liberal Arts and Sciences at the University of Iowa. 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!

Duane Peters from the Lupus Foundation of America talks to Dr Cristina Drenkard from Emory University and Dr Teresa Brady from Clarity Consulting and Communications, both based in Atlanta, USA. They discuss their paper on the relationship between levels of self-efficacy and health behaviours and outcomes in black women with SLE. Their study specifically evaluated the associations between age, educational level and depression in SLE patients and the degree of pain and fatigue they experienced. These findings may help predict who might benefit most from self-efficacy-enhancing interventions to improve quality of life. Access the article: https://lupus.bmj.com/content/9/1/e000566

Essential tremor is characterised by a progressive tremor of the upper extremities, present in posture and action, without other neurological signs or symptoms. The prevalence and incidence increases with age, but the condition can appear in early adulthood in those who have a family history. Sheng-Han Kuo, Assistant Professor of Neurology, Columbia University, New York, gives us an overview of the condition. For more on essential tremor, visit BMJ Best Practice: bestpractice.bmj.com/topics/en-gb/1089 - 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 Heart podcast, Digital Media Editor, Dr James Rudd, is joined by Dr Harriette Van Spall, Department of Medicine, McMaster University, Canada. They discuss her paper "Heart failure with preserved ejection fraction: recent concepts in diagnosis, mechanisms and management". 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/2022/01/11/heartjnl-2021-319605

ADC Fetal and Neonatal’s Associate Editor, Jonathan Davis, and the Edition Editor of the journal, Ben Stenson, discuss the highlights from the January 2022 issue. The Fantoms article: https://fn.bmj.com/content/107/1/1 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 Sarah Mah to discuss the gender imbalance in authorship in gynecologic oncology. Sarah Mah is a Gynecologic Oncology fellow at McMaster University who received her MSc in Quality Improvement and Patient Safety through the University of Toronto Institute of Health Policy, Management and Evaluation and completed residency at the University of British Columbia. Her research interests are in quality improvement with an equity and sustainability lens, knowledge translation, and cancer prevention. Highlights: Women now account for 55-70% of practicing Gynecologic Oncologists and >80% of Gynecologic Oncology fellows in the United States and Canada. Rates of female first authorship in Gynecologic Oncology journals are rising in proportion, but rates of female senior authorship lag behind, with male authors still overrepresented. Women remain underrepresented as members of Editorial Boards of Gynecologic Oncology journals, particularly in leadership positions. While the COVID-19 pandemic has not yet impacted the proportion of female authors, we discuss reasons for why this could be of future concern and the importance of ongoing surveillance. We discuss some of the literature regarding gender inequity in academia and publishing and explore possible strategies for improvement.

This is a special episode of our podcast for GP's, Deep Breath In, where we tackle the everyday challenges of being a GP. With the focus on covid, and the pressure on hospitals, it may be easy to overlook what’s happening in general practice in the UK - but changes are afoot. Our new health secretary Sajid Javid doesn’t seem to like our long standing GP practice arrangement, NHS England has imposed new weekend working arrangements on the already stretched service, and the workforce pressures continue. In this episode of Deep Breath In, our GP panel of Tom Nolan, Navjoyt Ladher, and Jenny Rasanathan are joined by Gareth Iacobucci, The BMJ’s assistant news editor, to give them the lowdown on what’s happening around primary care, who some of the key players are, and what his predictions for 2022. You can find Deep Breath In on all major podcast apps https://www.bmj.com/podcasts/deepbreathin

With the focus on covid, and the pressure on hospitals, it may be easy to overlook what’s happening in general practice in the UK - but changes are afoot. Our new health secretary Sajid Javid doesn’t seem to like our long standing GP practice arrangement, NHS England has imposed new weekend working arrangements on the already stretched service, and the workforce pressures continue. In this episode of Deep Breath In, our GP panel of Tom Nolan, Navjoyt Ladher, and Jenny Rasanathan are joined by Gareth Iacobucci, The BMJ’s assistant news editor, to give them the lowdown on what’s happening around primary care, who some of the key players are, and what his predictions for 2022.

If you see something that doesn’t look right when going on placement, do you feel comfortable raising a concern? In this episode, we discuss the topic of raising concerns and the considerations that med students and junior doctors may have when it comes to speaking up. Expert guest: Dr Natasha Malik (@1natasha_malik on Twitter) is a portfolio GP who works with Health Education England, UCL medical school and Imperial medical school. Top tip: “In moments of uncertainty, the first thing to do is to find those pillars of support and talk to people about it, because that increases confidence. It also allows you to find out information about where to go next.” 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.

Rick Body, Deputy Editor of EMJ, and Sarah Edwards, Social Media Editor of EMJ, talk through the very best of the Emergency Medicine Journal with most of the papers we published in April 2022. We cover everything from sepsis and qSOFA scoring to how to manage traumatic pneumothoraces and how to recognise cervical spine injuries. We even look at the problem we have with convenience sampling in Emergency Medicine clinical research studies. Do we need to make big changes? Have a listen and find out! Read the highlights: https://emj.bmj.com/content/39/4/269 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).

This month’s “RAPM Focus” looks at evidence-based practices to improve the creation and delivery of medical education lectures. Editor-in-Chief Brian Sites, MD, interviews Monica W. Harbell, MD, first author of the paper “Reviving the medical lecture: practical tips for delivering effective lectures,” published in the March 2022 issue of Regional Anesthesia & Pain Medicine (https://rapm.bmj.com/content/47/5/331). In the paper, Dr. Harbell and coauthor Dr. Patricia S. O’Sullivan outline nine specific tips for effective presentations including the importance of learning objectives, content organization, effective visuals, simple slide design, and others. They also provide tips to keep your audience interested and engaged, particularly in an increasingly virtual world. Dr. Harbell is an assistant professor in the Department of Anesthesiology and Perioperative medicine at the Mayo Clinic in Arizona and the associate program director for the Mayo Clinic Arizona Anesthesiology residency. She is the chair of the American Society of Anesthesiologists (ASA) Committee on Patient Safety and Education and a member of the ASA committee on practice parameters.

In this podcast, James Cave (Editor-in-Chief) and David Phizackerley (Deputy Editor) provide an overview of the May 2022 issue of DTB. They talk about drug bulletins across the world and the role of the International Society of Drug Bulletins in supporting bulletins and ensuring that they are intellectually and financially independent (https://dtb.bmj.com/content/60/5/66). They review a study that assessed the use of mirtazapine for treating agitation in people with dementia (https://dtb.bmj.com/content/60/5/68). The editors also discuss the evidence behind two new oral antivirals that have been licensed for the treatment of covid-19 (https://dtb.bmj.com/content/60/5/73). 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.

This month we go all buggy, thinking about how we can use EU-level regulatory frameworks to help us act in our clinical lives (https://adc.bmj.com/content/107/5/507.2). We also address the persuasive power of an accelerated BCG reaction in children… fort noted by Koch of Koch’s Postulates in rodents (https://adc.bmj.com/content/107/5/507.1), and ask a partially useful question that might save many hours and many many stabs - are CVC concentrations of tobramycin good enough to judge how to dose in children? (https://adc.bmj.com/content/107/5/512). Please do tell us what you think of the podcast or the section, and if you’re revisiting the Journey to the West in TV form, on any of the socials. 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

In this episode of the IJGC podcast, Editor-in-Chief Dr. Pedro Ramirez is joined by Dr. Robert Bristow, Prof. Christina Fotopoulou, and Dr. Myong Cheol Lim to discuss Secondary Cytoreductive Surgery in Ovarian Cancer. Dr. Bristow is Professor and Chair of the Department of Obstetrics and Gynecology at the University of California, Irvine School of Medicine. His clinical expertise and research interests focus on the surgical management of advanced-stage and recurrent ovarian cancer. Prof. Christina Fotopoulou has served as the Chair of Gynaecological Cancer Surgery at the Department of Surgery and Cancer at Imperial College London, UK. She has served as an elected ESGO council member and Chair of the ESGO guidelines committee. Dr. Myong Cheol Lim is a gynecologic oncologist, working for National Cancer Center Korea. He is fully dedicated to clinical research, including cytoreductive surgery and HIPEC for the management of ovarian cancer. Highlights: - This large meta-analysis on the value of secondary debulking showed that both complete as well as optimal cytoreductive surgery for ovarian cancer relapse significantly increased patients' overall survival. - Median overall survival of a patients cohort increased by 9% and 7% when the complete and optimal cytoreductive rates increased by 10%, respectively, even after adjusting of other well established prognostic factors. - Patients with ovarian cancer relapse should be evaluated for their eligibility for secondary debulking surgery in an effort to improve their survival.

Paula Redmond, clinical psychologist who supports healthcare workers experiencing burnout and other difficulties related to their job. Before this, she worked for the NHS until she experienced bullying, and a lack of support from her organisation, which made her strike out on her own. In this wellbeing podcast, she describes the way in which her experience of bullying affected her, and how she used the creative process to help her move on. She and Cat Chatfield discuss what creativity actually is, and why small projects can be just as useful as big complex ones - depending upon what you need at the time. Futher reading: a Blog series on bullying in healthcare: https://drpaularedmond.com/category/bullying_in_healthcare/page/2/ a mindful embroidery craftivism project ("Do no harm but take no shit") https://drpaularedmond.com/donoharm/

In this podcast with co-chair of the inaugural BJSM Live event on 25th May 2022, we chat about the event itself and some of the efforts to make it as diverse and inclusive as possible. For tickets, please check out http://bjsmlive.bmj.com/

In this episode of the Heart podcast, Digital Media Editor, Dr James Rudd, is joined by past British Cardiovascular Society president, Dr Iain Simpson, and BCS archivist and cardiologist Dr Caroline Coats. They discuss the formation of the BCS, its more recent history and some of the world-leading advances that British cardiology has made over the last 100 years. 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/108/10/761 Read the special issue: https://heart.bmj.com/content/108/10.

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 May 2022 issue. Read it on the Archives of Disease in Childhood website: https://adc.bmj.com/content/107/5/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

Dr Amy Ross Russell, Neurology, University Hospital Southampton NHS Foundation Trust, interviews Dr William Diprose, Dept. of Neurology, Auckland City Hospital and Dept. of Medicine, Faculty of Medicine and Health Science, University of Auckland, New Zealand; Dr Anthony Jordan, Dept. of Clinical Immunology and Allergy, Auckland City Hospital, NZ; and Dr Neil Anderson, Dept. of Neurology, Auckland City Hospital, NZ about their recent paper reviewing the neurological features of specific autoinflammatory syndromes. Read this latest Editor’s Choice paper on the Practical Neurology website (https://pn.bmj.com/content/22/2/145) and the April 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/pn-april-2022-highlights?in=bmjpodcasts/sets/pn-podcast 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). Thank you for listening.