הפודקאסטים הטובים ביותר ב-The Bmj (2024)

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Talk Evidence - cloning, reporting, and disseminating 47:01

1+ y ago47:01

47:01

Helen Macdonald, Juan Franco, and Joe Ross are back with our monthly update on the world of evidence based medicine.This episode delves into new methodologies which can use observational data to emulate trial data. We discuss a new systematic review and meta-analysis of RCTs for surgical treatment of sciatica. There is elaboration and explanation o…

1
Addiction in doctors 59:11

1+ y ago59:11

59:11

Everyone has coping mechanisms, but sometimes those ways of coping become problem behaviours - addictions.In this episode of Doctor Informed, we're focussing on how to spot the signs that you may be sliding into addiction, how to have conversations with friends and colleagues if you worry about their behaviour, and how seeking treatment is the best…

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Talk Evidence - automatic approval, evidence apps, and pay for performance data 39:31

1+ y ago39:31

39:31

In this month’s Talk Evidence, Helen Macdonald, Juan Franco and Joseph Ross are back to talk us through some of the latest research, They’ll talk about pay-for-perfomance schemes, and whether the data they routinely collect is measuring outcomes or tickboxes. They’ll also talk about a new analysis published on bmj.com which suggests ways in which t…

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Nappuccinos and circadian rhythms 52:56

1+ y ago52:56

52:56

Fatigue can have as much of an affect in your ability to function as alcohol, and yet while you would be chastised for drinking before appearing on the ward, hospitals have systematically removed the spaces where tired clinicians can rest and recover.The Royal College of Anaesthetists have been campaigning to raise awareness of the dangers of fatig…

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Why guideline authors need to pay attention to doctor's time 44:34

1+ y ago44:34

44:34

We're bringing you an episode of the BMJ's podcast for primary care, Deep Breath In, which we think you'll enjoy.How long would it take GPs to enact all of the guideline recommendations that they might be expected too? Far more GP hours than exist in any healthcare system; but as medicine has turned its attention to primary prevention, and expanded…

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Nuffield Summit 2023 - healthcare needs flexible working 44:21

1+ y ago44:21

44:21

As workforce gaps in the NHS, and other healthcare systems around the world widen, the need to improve staff retention has become an ever more pressing concern. Yet work-life balance issues continue to drive staff away from the service.What is the imperative to get flexible working right, and what can be done to remove the barriers facing healthcar…

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Talk Evidence - masks, chronic pain, and baby milk formulae claims 38:00

1+ y ago38:00

38:00

In this episode of Talk Evidence, Helen Macdonald is joined by Juan Franco and Joe Ross, to bring you the newest evidence in The BMJ.First, chronic pain. As prescribers move away from opioids, Juan finds an overview of systematic reviews asking whether anti-depressants might help. Joe finds new research on the link between six healthy lifestyle mar…

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Got grit? 53:30

1+ y ago53:30

53:30

Grit is one of those concepts (like the dreaded resilience) that has a specific meaning, but has become a buzzword in healthcare.It’s the ability to persevere in the pursuit of a goal, in the face of obstacles - and it’s something all doctors have. However that trait has benefits and drawbacks. It’s not necessarily fixed, but will depend on context…

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Is it time for the Beano to drop the junk food brands? 17:34

1+ y ago17:34

17:34

Claire Mulrenan, specialist registrar in public health, and Mark Petticrew, professor of public health evaluation, both working at the London School of Hygiene and Tropical medicine were surprised to see high-fat, high-salt fast food brands being featured heavily on the website of one of the UK's most beloved children's comics.In this podcast, they…

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Talk Evidence - excess deaths, the ONS, and the healthcare crisis 52:06

1+ y ago52:06

52:06

In this week's episode, we're focusing on covid and the ongoing crisis in the NHS.Helen Macdonald, Juan Franco and Joseph Ross cast their evidence seeking eyes over research into outcomes as well as the workload of doctors.Firstly, Joe tells us about a new big data study into longer term outcomes after mild covid-19, how those ongoing symptoms rela…

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Formal Training Pathways, are they really all that? 59:13

1+ y ago59:13

59:13

One size doesn’t fit all - so what are the alternative career paths of doctors in the NHS? The treadmill of medical school, to foundation training, to specialist training, to a consultant position takes years and is not very trainee-centric in it’s design.So are there other ways for doctors to be able to work in the NHS, still progress their career…

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Conflict and food global food insecurity 44:50

1+ y ago44:50

44:50

As we gear up for the winter in the northern hemisphere, the need to stay warm and eat well is pressing - but in 2022, there are global pressures working against us. Russia invaded Ukraine, and the subsequent restrictions on exports from both of those countries is being felt in terms of fuel costs - but also food costs. At the same time, this year …

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Talking evidence at Christmas 34:28

2y ago34:28

34:28

It's almost time for the Christmas edition of the BMJ to hit your doormats, and in this festive edition of Talk Evidence we're going to be talking Christmas research.Joining Helen and Juan, we have Tim Feeney, BMJ research editor and researcher into Surgical outcomes at Boston University.In this episode we'll be hearing about the health of football…

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DNACPR 1:00:47

2y ago1:00:47

1:00:47

In this episode of the Dr. Informed podcast, the topic of discussion is death and dying, and how to involve patients in DNACPR decisions.The panel discuss the importance of doctors having discussions with patients about end-of-life care as a way of creating the best possible death for patients. The conversation also touches on the challenges that d…

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Talk Evidence - endometriosis, falling, and better EBM 47:38

2y ago47:38

47:38

In this month's episode, Helen Juan and Joe delve into the clinical - with a new review of endometriosis, and why the difficulty in diagnosis has lead to a dearth of evidence and attention on the condition.Joe tells us about a risk prediction tool that could be useful in helping to mitigate some of the problems of antihypertensive treatments.We're …

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#MedTwitter - a force for good or evil? 53:04

2y ago53:04

53:04

#MedTwitter consists of an online community of researchers, health practitioners and students who have created an open source decentralised forum for information sharing, medical education and professional networking. #MedTwitter also provides a space for publications to be shared and promoted. While many will credit Twitter with giving a voice to …

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WISH 2022 - Antimicrobial resistance, and workforce wellbeing 43:10

2y ago43:10

43:10

Last month, saw the WISH 2022 - the World Innovation Summit for Health, where experts from around the world came and presented their ideas.In this podcast we'll hear from Dame Sally Davies, the UK’s Special Envoy on Antimicrobial Resistance - she explains how covid, and treatment uncertainty, put paid to conservative prescribing; and what innovatio…

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Talk Evidence - Diabetes data, colonoscopies, and researchers behaving badly 46:14

2y ago46:14

46:14

In this month's Talk Evidence, Helen Macdonald, The BMJ's research integrity editor, is joined again by Juan Franco, editor in chief of BMJ EBM, and Joe Ross, US research editor. They're straying beyond the pages of The BMJ, and discussing an NEJM paper about colonoscopy for colorectal cancer screening. We have a listener request, asking about evid…

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Doctor informed - sustainability isn't just waste management 55:48

2y ago55:48

55:48

In this episode of Doctor Informed, we're talking sustainability. The BMJ has a special edition on the climate crisis, and finding hope amid dispair - and we want to help our listeners with some of that. Clara is joined by three of the NHS's sustainability fellows, Florence, Who is a medical registrar, Emily a paedatrics trainee, and Li, an anaesth…

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Talk Evidence - Inquiring about covid, burnout, and marginal data 36:31

2y ago36:31

36:31

It's October's Talk Evidence, and that means the autumn is upon us including those autumnal viruses. Here in the UK covid is on the rise, and Joe Ross is looking at some research on how good those elusive lateral flows are at detecting infection among people with symptoms of covid.Juan will give us an update on the covid inquiry, the collection of …

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Doctor Informed - the generational divide 54:01

2y ago54:01

54:01

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

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Doctor Informed - what to expect from an inquest 55:35

2y ago55:35

55:35

In our new season of Doctor Important, we'll be discussing topics that are not always talked about, and today, by popular request of our listners, we're talking about Coroner's Court and inquests - two things that strike terror into doctors, but are often not as bad as you may fear.Our panel;Clara Munro is a surgical trainee in the North East Deane…

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Series 1 wrap up 41:08

2y ago41:08

41:08

This is our last episode of series 1 of Doctor Informed, and with it we're coming full circle. Clara will be talking to our first two guests, Mary Dixon-Woods and Bill Kirkup, having now heard from all of our other experts over this series. In this first series, we've learned about speaking out, team work, compassionate leadership - all the things …

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Talk Evidence - a new way of understanding antidepressant effectiveness 42:18

2y ago42:18

42:18

In this week's episode, Joe Ross, professor of medicine at Yale, and The BMJ's US research editor, and Juan Franco, researcher at Heinrich-Heine-Universität and editor in chief of BMJ EBM are in the hot-seat.They will discuss new research on the effectiveness of antidepressants - based on all the individual patient data submitted to the FDA between…

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Reflecting on a crisis 53:52

2y ago53:52

53:52

Previous Doctor Informed episodes have discussed how to prevent patient safety issues from occurring, but sometimes situations are beyond anyone's control - like COVID.It can be hard to look back, especially if difficult decisions and compromises were made, including ones we did not completely agree with, or if there could be criticism of the way w…

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Talk Evidence - shoulders, knees, and woes 37:44

2y ago37:44

37:44

In this episode, Juan Franco, editor in chief of BMJ EBM, and Helen Macdonald, The BMJ's research integrity editor, sit down to discuss what's new in the world of evidence.Firstly, last week they went to the first EBM Live conference for two years - and report back on what happened when the evidence community got back together.We have two research …

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Diabetes in Ukraine - supporting NCDs in a conflict zone 42:22

2y ago42:22

42:22

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…

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Talk Evidence - political persuasion and mortality, too much medicine 41:05

2+ y ago41:05

41:05

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 t…

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Violence against GPs with Adam Janjua, Marcela Schilderman, and Anita Bignell 52:30

2+ y ago52:30

52:30

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…

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"But it’s always been done that way" 50:43

2+ y ago50:43

50:43

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…

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Talk Evidence - evidence in Roe vs Wade, MI treatment variation, and tribal methodologies 46:20

2+ y ago46:20

46:20

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 AiresIn this episode they d…

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Get political, for health's sake 37:52

2+ y ago37:52

37:52

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…

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Deep Breath In - what's in store for general practice in the UK 43:45

2+ y ago43:45

43:45

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 standin…

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Creativity and wellbeing 35:55

2+ y ago35:55

35:55

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 exp…

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Quality improvement and wellbeing are inextricably linked 28:04

2+ y ago28:04

28:04

Over the course of the last few years, the BMJ has published a series of articles in our Quality Improvement series - aiming to give those new to improvement science a good grasp of how to think about changing things in healthcare.Then covid-19 came along, and it seemed like all of healthcare was now aimed at just surviving in the face of the pande…

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Doctor Informed - Medicine's me too moments 42:41

2+ y ago42:41

42:41

In this episode we’re going to be talking about misogyny in surgery, recent revelations about sexual harassment in the theatre have emerged - but these behaviours have been endemic for a while, even as the profession seemed to ignore them.Joining Clara Munro is Baroness Helena Kenned, the author of a recent report into diversity in medicine, who, a…

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Covid vaccine safety, Methenamine hippurate, and intersectionality 37:33

2+ y ago37:33

37:33

In this episode of Talk Evidence, Helen Macdonald, the BMJ’s research integrity editor is joined by Joe Ross, US research editor, and Juan Franco, editor in chief of BMJEBM, to talk about all things evidence.Joe gives us an update about covid, including new research on safety of the vaccine Association between covid-19 vaccination, SARS-CoV-2 infec…

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Wellbeing - hot food on a night shift 22:54

2+ y ago22:54

22:54

The issue of food on nightshifts is a perennial grumble in the NHS, and though it might seem trivial, what does it say of an organisation if they demand their staff work when they're hungry, and what is the onward implication for that on patient care?To discuss all of these issues, we're joined by Neely Mozawala, a community specialist diabetes pod…

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Everyone’s going to make a mistake 51:32

2+ y ago51:32

51:32

Medicine is complex, and as a doctor you won't always do the right thing - but you can prepare yourself for when mistakes happen, both emotionally and logistically.In this episode of Doctor Informed, Clara Munro is joined by Susanna Stamford, a patient who was on the receiving end of a mistake, which catalysed her interest in patient safety. We're …

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Solving retention to support workforce recovery 58:52

2+ y ago58:52

58:52

The covid-19 pandemic has stretched healthcare staff like never before. As part of the 2022 Nuffield Trust summit, The BMJ hosted a roundtable discussion looking at why workers leave the NHS and how staff wellbeing and retention can be improved. Joining us to discuss are:Kamran Abbasi, editor in chief, The BMJBilly Palmer, senior fellow, Nuffield T…

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Rural healthcare in a pandemic 27:37

2+ y ago27:37

27:37

In this episode of the podcast we’re going to be talking about rural healthcare - and specifically the difficulties that distance, demographics, and funding have introduced into the world’s covid-19 response.Rural regions made vulnerable by limited healthcare infrastructure, lower rates of vaccination, and opposition to government policies are the …

1
The blame game 51:50

2+ y ago51:50

51:50

In previous episodes of Doctor Informed, we've talked about the importance of speaking out, but the culture in your organisation might not always make that easy, especially if you feel something has gone wrong and you might be blamed for it. Blame culture, no blame culture, just culture - there are many terms which are used to describe the environm…

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Learning to listen 47:24

2+ y ago47:24

47:24

In previous episodes of Doctor Informed, we've talked about the importance of speaking out, and how to do that better, but as you progress through your medical career, you will become the person to whom those with problems will turn. In this episode we will explore listening. As a senior clinician, how can you make the space in your work to be a go…

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Talk Evidence - isolation periods, openness, and environmental impacts 35:07

2+ y ago35:07

35:07

In the first Talk Evidence of 2022, we'll be asking about the evidence for isolation - now that isolation periods are being reduced, or even stopped in the event of a negative lateral flow test, we'll find out what data that's based on, and if it's appropriate. Vaccinations and treatments for covid-19 have been the one major success story of the pa…

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Why is it so hard to speak out about patient safety? 37:20

2+ y ago37:20

37:20

In the previous episodes of Doctor Informed, we've heard why it's so important to talk about patient safety concerns, and some of the mechanisms that allow hospital staff to raise them, but knowing why and how doesn't always make it easier to speak out. In this episode we're exploring the concept of a voiceable concern – identifying what counts as …

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US Assistant Secretary of Health, Rachel Levine 24:39

2+ y ago24:39

24:39

Rachel Levine Trained as a paediatrician, before becoming firstly the state of Pennsylvania's Physician General, then its Health Secretary.During president Joe Biden's administration, she was nominated to become the U.S.'s assistant secretary of health. That lead to her becoming a four-star admiral in the U.S. Public Health Service Commissioned Cor…

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Talking Christmas Evidence 2021 33:48

3y ago33:48

33:48

The BMJ has special criteria for considering Christmas research: first it should make you laugh, and then it should make you think. In this festive episode of the Talk Evidence podcast, our regular panel of Helen Macdonald and Joe Ross are again joined by Juan Franco,editor in chief of BMJ Evidence Based Medicine. They’ll give you a peek into what …

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Who is responsible for patient safety? 41:36

3y ago41:36

41:36

As clinicians, we're all taught that patient safety is everyone's responsibility - but on the ground it can be hard to know how to most effectively report concerns, especially if you're not sure how those concerns will be received.In this episode of Doctor Informed, Clara Munro is joined by Ayisha Ashmore, and they ask "who is actually responsible …

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Exit interview with Fiona Godlee 43:47

3y ago43:47

43:47

Fiona Godlee is stepping down as Editor-in-Chief of The BMJ after 16 years in the position.She was the first female editor of the journal, and over her tenure has seen a lot of changes - both to the publication she's run, and to the wider world of medicine.To mark her departure, Helen Macdonald sat down with Fiona to ask her a bit about those early…

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Covid and conflict In South Asia 39:15

3y ago39:15

39:15

In this second podcast focussing on the covid response in South Asia, we’re focussing on the intersection of conflict and covid in the region. The pandemic has highlighted the underlying weaknesses in many health systems - but could it also be used as a catalyst for change, and be a step towards easing tensions?To discuss this, Kamran Abbasi, execu…

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