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Battle Camp: Final 5 Episodes with Dana Moon + Interview with the Winner! 1:03:29

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Finally, we find out who is unbeatable, unhateable, and unbreakable in the final five episodes of Battle Camp Season One. Host Chris Burns is joined by the multi-talented comedian Dana Moon to relive the cockroach mac & cheese, Trey’s drag debut, and the final wheel spin. The Season One Winner joins Chris to debrief on strategy and dish on game play. Leave us a voice message at www.speakpipe.com/WeHaveTheReceipts Text us at (929) 487-3621 DM Chris @FatCarrieBradshaw on Instagram Follow We Have The Receipts wherever you listen, so you never miss an episode. Listen to more from Netflix Podcasts.…

Medicine and Science from The BMJ

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The BMJ brings you interviews with the people who are shaping medicine and science around the world.

1057 episode

#Medicine #BMJ Group #Fitness

Medicine and Science from The BMJ

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updated 7 hari yang lalu

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The BMJ brings you interviews with the people who are shaping medicine and science around the world.

1057 episode

#Medicine #BMJ Group #Fitness

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1
Malaria free China, an academic medicine revolution, and retracted data's impact 36:36

7 hari yang lalu36:36

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China was declared malaria free in 2021 - and we'll hear how persistence was key to their success, and what new technologies are available to help the rest of the world become malaria free, from Regina Rabinovich, director of the Malaria Elimination Initiative at the Barcelona Institute for Global Health. Sonia Saxena, professor of primary care at Imperial College London, and Miguel O’Ryan, dean of the medical faculty of the University of Chile join Kamran to talk about what broke academic medicine, and why it's time for a revolution. New research shows that data from retracted papers is still having an alarming effect on clinical practice. Chang Xu, Hui Liu, and Fuchen Liu from the Naval Medical University in Shanghai, and Suhail Doi from Qatar University, join us to talk about their study which has maped retracted papers impact on systematic reviews and clinical guidelines. Reading list Malaria control lessons from China Vision 2050: a revolution in academic medicine for better health for all Investigating the impact of trial retractions on the healthcare evidence ecosystem (VITALITY Study I) - An example of the BMJ's approach to updating metaanalysis after a study retraction…

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The problem of prognostication in assisted dying. 30:48

22 hari yang lalu30:48

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The UK government is debating legislation to allow assisted dying in England and Wales, which puts doctors at the forefront of deciding if their patient will be eligible for a medically assisted death - the key criteria being a 6 month prognosis. But is making a 6 month prognosis actually clinically reliable? To discuss we're joined by a panel of experts on end of life; Scott Murray, emeritus professor of primary palliative care at the University of Edinburgh Simon Etkind, assistant professor of palliative care at the University of Cambridge Nancy Preston, professor of supportive and palliative care, Lancaster University Suzanne Ost, professor of law, Lancaster University Reading list Assisted dying and the difficulties of predicting end of life Breaching the stalemate on assisted dying: it’s time to move beyond a medicalised approach Also in this episode, we dim the lights and raise the curtains - there is a public fascination with doctors who kill and the stage show turned podcast, ‘An Appointment with Murder’, takes a deep dive into the crimes of GPs John Bodkin-Adams and Harold Shipman. Kamran is joined by Harry Brunjes and Andrew Johns to talk medical murder. An Appointment With Murder on Apple Podcasts…

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Trump is trying to destroy universities - Ashish Jha, Dean of Public Health at Brown University 50:19

5 weeks yang lalu50:19

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Kamran Abbasi interviews Professor Ashish Jha, Dean of Public Health at Brown University and former COVID-19 pandemic advisor to President Biden. Watch this interview on our YouTube. Trump’s second term has touched everything in the US political sphere - and health is no exception. With research funding for medicine and science weathering under Trump’s storm of cuts, how can Americans who care about public health and data navigate a course through the swells? Professor Jha discusses how to resist an anti-vaccine resurgence, and comments on revisionist narratives that drive ill-conceived public health policies. 02:20 The MAHA movement and RFK Jnr. 07:40 Does evidence still matter? 13:35 Trump administration is helping China 15:10 Policymaking in Trump’s shadow 23:35 Where do universities go from here? 28:48 Censorship, research funding and academic freedom 33:35 Health inequalities within America 36:20 A resurgent anti-vax message 41:24 What Ashish’s got wrong about the pandemic response 45:31 When is enough for research data? 47:14 Future hope and how to pushback in smart ways Reading list: Professor Jha’s December 2024 editorial on the Trump admin’s plans for American healthcare coverage…

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Reducing benefits will not get disabled people back to work, and explaining overdiagnosis 32:35

5 weeks yang lalu32:35

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The UK’s chancellor has announced a £5bn cut to benefits, much of which will be borne by those on long-term disability allowance. Gerry McCartney, professor of wellbeing economy at Glasgow University explains about why these cuts will not only hurt the most vulnerable, but will be counterproductive to the government's wish to get people back to work. Also, Suzanne O'Sullivan, consultant neurologist and author, joins us to talk about her new book "Age of Diagnosis". The book used clinical cases to explore the issues of medicalisation, and Suzanne explains why overdiagnosis doesn't mean that care isn't needed. Reading list; UK welfare reforms threaten health of the most vulnerable Guardian edited extract from "The Age of Diagnosis: Sickness, Health and Why Medicine Has Gone Too Far"…

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What does the death of NHS England, and the western alliance, mean for health? 37:48

7 weeks yang lalu37:48

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In the UK, the prime minister has announced the disbanding of NHS England, Nigel Crisp - former chief executive of the NHS, explains why he thinks that it’s important the health service is closer to the political decision makers, and why this could be the time to really acknowledge the healthcare emergency. On the international stage, the Trump administration's withdrawal from the WHO is throwing global health into disarray - Illona Kickbusch, founder of the Global Health Centre at the Graduate Institute in Geneva, joins us to explain which new alliances are emerging, why the funding that has disappeared may never be replaced, and how tech will surpass pharma when it comes to industry influence. Finally, there is a triple burden of malnutrition for adolescent girls in south Asia - which creates a cycle of ill health that is hard to break. However, Zulfiqar Bhutta, chair in global child health at the Hospital for Sick Children in Toronto, thinks the region can come together to change both government and society to champion young women’s health. Reading list: Abolishing NHS England: risks and opportunities https://www.bmj.com/nhs-commission https://www.bmj.com/collections/nourishing-south-asia…

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The data on physician associates in the UK, and speaking up in the NHS 47:02

9 weeks yang lalu47:02

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We've just published a new rapid review on the safety and efficacy of physician and anaesthetic associates in the UK, which was commissioned to support the ongoing Leng review of these new roles in the NHS. Trish Greenhalgh, professor of primary care at the University of Oxford, joins us to discuss the data she found. Habib Naqvi is director of the NHS Race and Health Observatory, and is holding up a mirror to the NHS on it's support for ethnic minority patients and doctors - he joins us to talk about the work they've done, and why Reform UK's manifesto pledge to disband the Observatory is a matter of pride. Finally, our annual trip to the Nuffield Summit is not complete without a roundtable, this year we asked the question "What is stopping staff from speaking up?". Our panellists raised the usual issues of hierarchy and psychological safety, but also how the lack of positive change from senior leadership has habituated people into thinking "why bother". Our panel; Katie Bramall-Stainer, chair of the General Practice Committee of the BMA Jugdeep Dhesi, consultant in geriatric medicine at Guys and St Thomas Hopsital Henrietta Hughes, the UK's patient safety commissioner Thea Stein, chief executive of the Nuffield Trust Reading list Physician associates and anaesthetic associates in UK: rapid systematic review of recent UK based research Together we can challenge the racism that persists in healthcare…

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Phil Banfield on the British Medical Association's plan to support doctors 29:23

10 weeks yang lalu29:23

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From pay restoration, to making sure there are enough training posts for resident doctors, the BMA has been busy. In this podcast, Kamran Abbasi, the editor in chief of The BMJ, spoke to Phil Banfield, chair of the BMA’s council. They talk about the ongoing pay discussions, how the BMA is working with the new government - touching on both speciality training places, and the role of physician assistants. The conversation also covers the BMA's changing strategy, which aims to empower local members to take on the fights they care about, and how the organisation is linking both their trade union and professional activities.…

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Combating disinformation, and time to stop spinal injections for chronic pain 31:10

11 weeks yang lalu31:10

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In this episode of the BMJ's Medicine and Science podcast, editor-in-chief Kamran Abbasi discusses the urgent need to tackle disinformation in health, especially in the context of the US, with Heidi Larson and Martin McKee from the London School of Hygiene and Tropical Medicine. We also hear from Jane Ballentyne, professor of anaesthesia and pain medicine at the University of Washington, about new guidelines that strongly recommend against the use of spinal injections for chronic pain - and why that recommendation might be hard for some patients and doctors to hear. Finally, we revisit the progress made in addressing racism in UK medical schools over the past five years with Gareth Iacobucci, The BMJ's assistant news editor. Running order 01:44 Defining Misinformation and Disinformation 04:08 Vaccines and Misinformation 05:38 Strategies to Combat Disinformation 10:04 Denialism and Its Implications 16:21 BMJ Rapid Recommendations on Spinal Injections 26:27 Racism in Medical Schools: An Update Reading list Spinal interventions for chronic back pain Racism in medical schools: are things improving?…

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Why compassion isn't just nice, it's essential 24:20

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Providing quality healthcare is demanding, often stressful, and requires sustained effort. When resources are stretched and pressure mounts, compassion can slip - but compassion is an essential tool for leaders, who need to support their teams to continue delivering the best possible care. In this final episode of The BMJ’s podcast series on quality of care, Rachael Hinton, BMJ Editor, speaks to three healthcare leaders. They discuss how fostering kind and compassionate leadership and care can improve morale, combat burnout, and contribute to better patient outcomes. 01:48 Lydia Okutoyi talks compassionate leadership in Kenya 08:39 Pedro Delgado talks refocusing on the human factor and tools for kind leadership 15:02 Alexander Ansah Manu talks reaping quality of care benefits in Ghana This podcast was produced as part of the BMJ Collection on Quality of Care, developed in partnership with the World Health Organisation and the World Bank. Visit bmj.com/qualityofcare to view the full Collection. The BMJ commissioned, edited, and published this podcast. This episode edited by Brian Kennedy.…

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The industry playbook to combat public health, and FUTURE-AI 34:03

13 weeks yang lalu34:03

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This week Rebecca Coombes is back with another big-food investigation, this time about fast-food giant MacDonalds subverting attempts to stop it opening stores near schools. Sticking with industry behaving badly, May van Schalkwyk, from the University of Edinburgh, wonders why we haven't learn lessons from the attempts to control big tobacco companies, when it comes to other industries that harm health. And finally, AI in healthcare - Karim Lekadir, from the University of Barcelona, explains new guidelines which can help evaluate which AI applications are trustworthy. Reading list McDonald’s triumphs over councils’ rejections of new branches FUTURE-AI: international consensus guideline for trustworthy and deployable artificial intelligence in healthcare…

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Prehabilitation before surgery, alcohol's impact on clinical care, and life after a cardiac arrest 40:40

15 weeks yang lalu40:40

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Exercise and a better diet, prior to surgery, can improve outcomes. Daniel McIsaac, a professor of anaesthesiology from the University of Ottowa and lead author of that research, joins us to talk about getting those results into practice. Julia Sinclair, professor of addiction psychiatry at the University of Southampton, explains how the NHS has lost sight of the impact alcohol consumption has on clinical care, and why we need a strategy to tackle it. Finally, Matt Morgan, consultant in intensive care and BMJ columnist, has written another book - this time about patients who are revived after cardiac arrest, and the profound effect it can have on their outlook in life. Reading list: Relative efficacy of prehabilitation interventions and their components UK needs national strategy to tackle alcohol related harms A Second Act…

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Can a deal be done to keep the US in the WHO? 29:31

16 weeks yang lalu29:31

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US President Donald Trump has signed an executive order to withdraw the US out of the WHO. This would cut funding for the UN’s medical agency by one-fifth. Will they really exit, or can a deal be made? Lawrence Gostin hopes so, and as a professor of law at Georgetown, and director of the World Health Organisation Collaborating Center on National and Global Health Law, he is working with senior US and WHO officials to try and understand what reforms could be made to WHO what would allow a such a deal to be be struck. Gostin also believes that the president cannot withdraw from the WHO with an executive order, but instead requires congressional approval - and is exploring the options for legal challenge to the move. 00:00 Intro 01:01 US history with the WHO 03:31 Executive order 06:35 WHO’s relationship with China 11:14 Funding 12:47 Benefits to US from the WHO 18:05 H5N1 threat 19:43 World benefits from US involvement 21:57 A deal to be made? 24:55 Legal action? 26:37 Administration responses Read Professor Larry Gostin’s co-written opinion piece on the dangers of a US withdrawal from the WHO here: https://www.bmj.com/content/388/bmj.r116…

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Conviviality and TV doctors, polar bear tales, and Christmas research 41:06

19 weeks yang lalu41:06

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In the last podcast of 2024, Richard Smith, former editor of The BMJ and head of UKHACC will be making the case for being more convivial. Tina Korownyk, professor of family medicine at the University of Alberta is the ghost of Christmas past for TV doctors. Tim Feeny and Navjoyt Ladher take us through this year's Christmas research papers. And finally, Mari Martensen, a paramedic, explains what makes being a medic in Svalbard bear-able. Reading list. The dangers of industrialisation—why we need to rebuild a convivial society Televised medical talk shows—what they recommend and the evidence to support their recommendations Christmas 2024: How to transport a polar bear, and other idiosyncrasies for Arctic emergency medical services The full Christmas archive…

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Big food infiltration of UK Schools, and chocolate consumption and diabetes 32:56

21 weeks yang lalu32:56

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Conflicts of interest harm health, and a new investigation uncovers the infiltration of big food manufacturers into UK schools. Emma Wilkinson reports on that investigation. Kamran and Rebecca Coombes, head of journalism, discuss moves to reduce industry's impact on food policy in the UK. A new research paper has identified a link between eating chocolate and lower rates of diabetes. Binkai Liu, doctoral student and Qi Sun, associate professor, at the Harvard T.H. Chan School of Public Health explain what they found. Finally, Sam Hutt is a doctor in the NHS, but is better known by his stage persona “Hank Wangford”. Hank performed a celebration of the NHS at Glastonbury this year, and has now released that song. He joins us to talk about what inspired him. Reading list Food industry has infiltrated UK children’s education: stealth marketing exposed Chocolate intake and risk of type 2 diabetes Hank Wangford…

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"Incredibly distressing and incredibly dangerous"- David Miliband on healthcare attacks, and staff turnover effect on patient outcomes 33:19

23 weeks yang lalu33:19

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In today’s episode, new research, which has looked at the impact staff turnover is having on patient outcomes. Giuseppe Moscelli, associate professor at the University of Surrey joins Navjoyt Ladher to explain more. Also, every year the BMJ has a Christmas appeal - and this year we have chosen the International Rescue Committee as our partner. To talk more about what they do, and to give us some insight into how geopolitics are affecting health we're joined David Milliband, president and chief executive officer of the International Rescue Committee, and former UK foreign secretary. Reading list; Nurse and doctor turnover and patient outcomes in NHS acute trusts in England The BMJ Appeal 2024-25: David Miliband on hospital attacks, Trump, and the International Rescue Committee in a “flammable world”…

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How MSF maintains neutrality in conflict zones 32:14

25 weeks yang lalu32:14

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This week we’re at the World Innovation Summit for Health, where we’re a media partner - the meeting is focussing on conflict, equity and resilience. In that vein, we’re joined by Christos Christou, international president of Médecins Sans Frontières (MSF) to talk about attacks on healthcare staff, and the difficulty and importance of maintaining neutrality in conflict zones. Ara Darzi, surgeon, executive chair of the conference, and author of the recent NHS review, joins us to talk about antimicrobial resistance, and how diagnostics and a small funding commitment could head off the problem. And finally, we change our focus to the US, and hear about new research into adverse events during surgery with authors Antoine Duclos and David Bates from Harvard Medical School. Reading list. We need to do more to keep antibiotics working WISH report - Tackling Antimicrobial Resistance: How to Keep Antibiotics Working for the Next Century Safety of inpatient care in surgical settings: cohort study…

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Conflict zones, women’s health research, and reimagining palliative care 37:41

28 weeks yang lalu37:41

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In this episode, we speak to the doctor overseeing the WHO’s emergency response for the eastern mediterranean region - including Gaza, Lebanon, Sudan and Yemen. Richard Brennan joins us to talk about protecting health services, and workers, in the escalating armed conflicts that are affecting the region. Menaka Paranathala and Emma Rourke, from The BMJ, are on to talk about improving research into women’s health. A new UK project, MESSAGE, aims to give consideration to sex and gender in life science research. Palliative care is not just for end-of-life, and rethinking how it’s integrated into every speciality is the key to improving care for patients, argue Richard Harding, Anna Peeler, and Oladayo Afolabi from the Cicely Saunders Institute. Links WISH report - Protecting Health in Armed Conflict MESSAGE (Medical Science Sex and Gender Equity) project BMJ Opinion - Palliative care is an overlooked global health priority WISH report - Palliative Care…

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Climate leadership - knowledge is power 41:08

30 weeks yang lalu41:08

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It’s an often cited statistic that if healthcare was a country, it would be the fifth largest carbon emitter. At The BMJ we want to change that, and move healthcare towards a more sustainable future. In this week’s episode, we’ll hear about our annual climate edition from two of The BMJ’s editors, Sophie Cook and Juliet Dobson. We’ll be diving into Cli-Fi and asking how climate fiction can galvanise our collective response to climate change. Our panel includes Howard Frumkin, professor emeritus at University of Washington. Lakshmi Krishnan, internist and Director of Medical Humanities at Georgetown university, and Sarah Grossman, journalist and author of Fire So Wild. And Finally, Tereza Kasaeva, director of the WHO’s Global Tuberculosis Programme, explains how migration and food insecurity, exacerbated by climate change, are affecting TB - and why, despite effective treatment, there are still over a million deaths from the disease annually. Our panel's cli-fi book recommendations A Fire So Wild - Sarah Grossman The Last Man - Mary W. Shelly The Broken Earth - NK Jemisin Oryx and Crake - Margaret Attwood The Ministry for the Future - Kim Stanley Robinson Olga Dies Dreaming - Xóchitl González Land of Milk and Honey - C Pam Zhang Day of the Triffids - John Wyndham Links The BMJ’s annual climate issue Cli-Fi—helping us manage a crisis Writing towards a healthier future amid climate disaster WISH report - Tuberculosis Lakshmi’s references Fundamental Role of Arts and Humanities in Medical Education Capable of being in uncertainties’: applied medical humanities in undergraduate medical education The introduction of medical humanities in the undergraduate curriculum of Greek medical schools: challenge and necessity The medical humanities at United States medical schools…

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Getting science into policy for gun control and NHS reform 21:34

31 weeks yang lalu21:34

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How science can be transformed into policy? One of the seemingly intractable issues when it comes to legislative change in the US is gun control. One reason policy change is so difficult, is the US specific evidence vacuum, but that’s beginning to change. We're joined by Louis Klarevas, an academic at the University of Colombia and author of the book “Rampage Nation, securing america from gun violence" and Shannon Watts, from Moms Demand Action which is a grassroots movement of Americans fighting for public safety measures that can protect people from gun violence. Even when there is evidence, the trade-offs needed for legislative change can still paralyse policy makers. Citizen assemblies, a form of democratic participation that asks the public for their views, has helped clarify some key healthcare issues, from assisted dying in Jersey, to abortion access in Ireland. Rebecca McKee from the Institute of Government argues they could be used to fix the NHS, and joins us to explain how. Reading list More gun regulation, less firearm harm Citizens’ assemblies, health, and health policy…

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Nutrition for health and conflicts of interests 21:49

33 weeks yang lalu21:49

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Under-nutrition harms health, but so does over-nutrition. The Bill and Melinda Gate’s foundation has just released their Goalkeepers' report - highlighting the detrimental impact that poor nutrition is having on children’s health. Rasa Izadnegahdar, director of Maternal, Newborn, Child Nutrition & Health at the foundation joins us to explain how they are targeting nutritional interventions. Also this week, a new investigation in The BMJ has found that the UK government’s Scientific Advisory Committee on Nutrition - the people who help guide the UK’s nutrition policy - have competing interests with the food industry. We hear from Chris van Tulleken, University College London; Rob Percival, the Soil Association; and Alison Tedstone, chair of the Association for Nutrition. Reading list: Goalkeepers Report 2024 UK government’s nutrition advisers are paid by world’s largest food companies, BMJ analysis reveals…

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Improving data for quality care when resources are stretched 22:58

34 weeks yang lalu22:58

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There's a real drive to strengthen quality of care in facilities around the world. However, no matter where you are, improving healthcare depends on quality data—and collecting and using that data can be challenging without the time and expertise. In this podcast, we explore how different healthcare systems, especially those with limited resources, are tackling the challenge of data collection and use head-on. The BMJ has partnered with the World Health Organization and the World Bank on a Collection on Quality of Care . This podcast, the second in a series exploring themes from the Collection, features researchers and implementers from Ghana, Qatar, and the US. They share insights on improving and using data in resource-constrained environments, offering valuable perspectives relevant to healthcare systems worldwide facing similar challenges. Provenance statement: This podcast is part of a Collection on Quality of Care proposed and funded by the World Health Organization and the World Bank. The BMJ commissioned, edited, and published the podcast. Emma Veitch, Rachael Hinton and Duncan Jarvis were the lead editors for The BMJ.…

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GPs' industrial action, and the olympians after the games 28:47

35 weeks yang lalu28:47

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The news that GPs in England have voted for industrial action has spooked the healthcare system - Katie Bramall-Stainer, the chair of the BMA's General Practice Committee explains what's lead to this, and why trust in the government has gone. After the games, olympians and paralympians return to their normal lives - but what does that mean for their healthcare, especially in the US where insurance is expensive? Jonathan Finnoff, chief medical officer for the US Olympic and Paralympic committee joins us to explain how athletes are supported outside the games. Reading list; GP leader: “If general practice is the bedrock of the NHS, then the NHS is collapsing”…

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Multi-cancer detection and NHS HIT Lists 25:43

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This week we're questioning the effectiveness of the Galleri Test for early cancer detection with investigation authors Margaret McCartney and Deborah Cohen. They delve into the decision-making and politics behind this test's introduction in the UK. The episode also covers the growing NHS waiting list crisis and how Imran Ahmed and his team at Guy's and St. Thomas' NHS Trust are using high intensity theatre (HIT) lists to increase surgical throughput - and what other teams need to know, if a national rollout of this model is to happen. Reading list Galleri promises to detect multiple cancers—but new evidence casts doubt on this much hyped blood test Are surgical HIT lists the answer to bringing down NHS waiting times?…

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Ensuring an Olympic legacy, and fixing primary care 38:55

42 weeks yang lalu38:55

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The Paris games have just started - and France has made a concerted effort to ensure that this year's Olympics will have a legacy of physical activity for the whole population. However, mega sporting events don't always have that effect, and Fiona Bull, head of physical activity for the WHO, joins us to explain why it's increasingly important that they do. We'll also hear from Professor Sir Denis Perera Gray about how a lifetime of general practice, and why continuity needs to be at the heart of any improvement to primary care. Finally, Harry Brunjes went from being a village GP to the chair of English National Opera, and explains what the two careers have in common. Reading list Olympic Games: linking sports mega events to population physical activity…

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The patient issue 43:14

44 weeks yang lalu43:14

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We celebrate 10 years of patient and public partnership strategy at The BMJ with a patient-centred podcast. We ask how should the new Labour government engage patients in shaping the future of the NHS. We also dive into the concepts of social care and peer support, and learn from Brazil's experience in social participation. Highlights: 01:52 - The Patient "takeover" 05:43 - Social care with Charlotte Augst 19:53 - Peer support groups with Claire Reid and Partha Kar 31:48 - WHO’s resolution on social participation with Mark Barone Reading: Editor's Choice - Listening to patients at all levels of healthcare , Emma Doble, patient editor…

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Extending access for breast cancer, and epidural outcomes 30:10

45 weeks yang lalu30:10

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Women's Health, breast cancer screening, epidurals, and GP voices New U.S. guideline on breast cancer screening have been extended to women in their 40s - Katy Bell, from the University of Sydney, and Stacy Carter, from the University of Wollongong explain why the good intention of that change wont be mirrored in outcomes - and may even induce harm. Research in The BMJ shows epidurals during labour can reduce severe maternal morbidity Rachael Kearns describes why analgesia may improve those outcomes, and why some myths about epidurals may be reducing their usage. Lastly, a GP confronts the Prime Minister on the disintegration of the NHS and its effects on general practitioners. 02:23 Breast cancer screening guidelines 14:00 Epidurals and maternal morbidity 26:42 A GP confronts the Prime Minister Reading list: Breast cancer screening from age 40 in the US Epidural analgesia during labour and severe maternal morbidity: population based study GP who confronted Rishi Sunak received “hundreds” of supportive messages from doctors…

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Large, plausible and imminent - time to take H5N1 seriously 31:39

48 weeks yang lalu31:39

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As increasing numbers of mammalian, and human, cases of H5N1 are documented we askShould we worry about a growing threat from “bird flu”? Wendy Barclay, from Imperial college London, and Christopher Dye, from Oxford University join us to explain why they think we should. Our commission on the future of the NHS has released a manifesto for a sustainable NHS that still meets it's founding principles. Helen Salisbury, GP and BMJ columnist, joins the podcast to lay it out. Finally, a musical interlude from the World Doctor's Orchestra. 00:18 H5N1 Bird Flu: Rising Threat 15:35 The manifesto for a better NHS 27:46 World Doctors' Orchestra Reading list; BMJ Editorial - Should we worry about a growing threat from “bird flu”? BMJ Opinion - A manifesto for a healthier NHS, a healthier UK https://www.world-doctors-orchestra.org Stay up to date with our daily email alert - https://www.bmj.com/today…

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Elections and health in India, the UK, and the USA 30:16

50 weeks yang lalu30:16

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In the UK, a general election has been called - and around the world, ½ the global population will be voting this year; so in this episode we’ll be talking about how elections and health intersect. Firstly, what are the UK parties’ plans for health? Abi Rimmer, The BMJ 's UK features editor joins us with the latest information. The world’s largest democracy is polling, so how are Indian politicians talking about health? Sanjay Nagral, surgeon and director of the Department of Surgical Gastroenterology at Jaslok Hospital & Research Centre in Mumbai takes us through the campaign promises. And finally, Jody Heymann is founding director of the WORLD Policy Analysis Center at UCLA and explains why this is the most consequential US election for woman's health in a generation. 01:30 Election Fever and NHS Plans 07:35 Impact of Elections on Health in India 21:20 Women's Health in the US Elections Reading list Feature: The untold health toll of voting Editorial: Workplace rights around pregnancy and childbirth…

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The prospect of unemployed GPs 34:10

1 year yang lalu34:10

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With the anticipation of a new government in the UK, shadow health secretary Wes Streeting will hit the ground running - with a winter season (and it's inevitable crisis) and ongoing industrial desputes with junior doctors. Elisabeth Mahase ask him about his plans to handle these challenges if elected. We also find our selves in the puzzling situation of potential GP unemployment in the UK despite a high demand for primary care doctors, Helen Salisbury, GP and columnist for The BMJ explains how we've got into this situation. Finally, Peter Doshi has been looking at the financial entanglement of FDA heads with the companies they are regulating - 9 of the previous 10 FDA heads have gone on to work for industry in some respect. He has also investigated how complex financial instruments can make these conflicts more opaque. 02:03 Anticipating a New Government and the NHS Winter Crisis 10:50 The Kafkaesque Dilemma of GP Unemployment 23:10 FDA Leaders' Financial Entanglements: A Deep Dive Reading list Workforce and winter under Labour: Wes Streeting on his plan for the NHS Helen Salisbury: No jobs for GPs—we’ll be missed when we’re gone Revolving doors: board memberships, hedge funds, and the FDA chiefs responsible for regulating industry…

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Fixing healthcare's workforce problems 36:51

1 year yang lalu36:51

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Where next for psychological safety? Amy Edmundson is professor of Leadership and Management at the Harvard Business School. Her work on psychological safety has underpinned so much quality improvement, and she joins us fresh of the stage at the International Forum on Quality and safety in healthcare to talk about the next steps in creating a safe work place. The BMJ has published two new investigations, looking at the alcohol and tobacco industry funding of public health and education - we’ll hear how the companies who create the problems, are now styling themselves as the solution. Rebecca Coombes joins us to explain what The BMJ has found, and May van Schalkwyk, a researcher from the London School of Hygiene & Tropical Medicine, explains how commercial conflicts are shaping the wrong education tactics. And finally, our NHS commissioners have more recommendations - this time on workforce issues. Mary Dixon-Woods, director of THIS institute at the University of Cambridge, and Matt Morgan, intensive care consultant in Cardiff, tell the NHS to get serious about staffing. 02:03 Amy Edmondson on Future Health and Psychological Safety 10:24 The Impact of Corporate Funding on Public Health 19:57 Addressing NHS Workforce Challenges: Insights and Solutions Reading list; Our new podcast - Future Health International forum keynote - Medscape caves in on courses funded by tobacco giant Philip Morris, while medics fear global push into medical education Investigation - Big alcohol: Universities and schools urged to throw out industry-funded public health advice Commission on the future of the NHS - The future of the NHS depends on its workforce…

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Improving NHS gender identity services - Hilary Cass 37:34

1 year yang lalu37:34

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Hilary Cass, the former president of the Royal College of Paediatrics, has spent the last 3 years collating the evidence for treatment of gender questioning young people; engaging with those young people, their families and their clinicians - all with the aim of improving NHS treatment of this complex and vulnerable group. In this interview, Kamran Abbasi, editor in chief of The BMJ, speaks in depth to Cass about her review - about evidence base for transitioning, but also about the way in which the siloing of care for young trans people has failed them. They discuss the need to support young people in their journey - Cass is clear that the NHS should allow young people to explore their gender, but that ultimately, that may not mean medical intervention at all. Reading list The Cass Review - final report The systematic review and meta-analyses published in Archives of Disease in Childhood BMJ Opinion: Gender medicine for children and young people is built on shaky foundations…

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Derogation, an ultra processed food system, and catch up pay for the NHS 29:47

1 year yang lalu29:47

29:47

Derogation, the way in which striking doctors can be recalled to the ward to protect patient safety, was agreed by NHS England and the BMA. Now, new data The BMJ has uncovered shows that the mechanism was rarely used - and when it was tried, was often rejected. Gareth Iacobucci explains what that means about relations between the government, the NHS, and doctors. Felice Jacka, director of the Food & Mood Centre at Deakin University, is one of the authors of our recent ultra-processed foods umbrella review - and joins the podcast to talk about the link between diet and health; and why goverments need to pay more attention to the food system. Finally, John Appleby, senior associate at the Nuffield Trust, and Gillian Leng, dean and president elect of the Royal Society of medicine, have been thinking about healthcare funding , and how more stability is essential in securing the service's future. Reading list Hospital leaders warned that failure to recall striking doctors risked patient safety in some trusts, documents show Ultra-processed food exposure and adverse health outcomes NHS funding for a secure future Chapters 00:31 Derogation and doctor strikes 06:59 Ultra processed food producers and health 13:59 Rethinking NHS funding…

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The future of the clinical relationship, code sharing, and a Nye-t at the theatre 36:52

1 year yang lalu36:52

36:52

In this week's podcast: How AI will affect the clinician-patient relationship? Our annual Nuffield Summit roundtable asks how the promise of tech tools stacks up against reality, and how the future of the therapeutic relationship can be protected (participants below). Your code is as important as your methods, which is why The BMJ now requires you to share it - Ben Goldacre and Nick De Vito, from the Bennett Institute for Applied Data Science at the University of Oxford, explain why it's so important, and how The BMJ's new data and code sharing policy could change research transparency. Nye Bevin set up the NHS when the UK was in the economic doldrums, and the public's need for care was becoming an emergency - BMJ columnist Matt Morgan has helped turn that story into a play, currently showing at the National Theatre; and reflects on the parallels between now and then. 1:58 Nuffield Summit roundtable 17:32 New BMJ rules on data and code sharing 29:03 Aneurin "Nye" Bevan play Taking part in our roundtable were: Rebecca Rosen, Senior Fellow at the Nuffield Trust and GP Juliet Bouverie, CEO of The Stroke Association Daniel Elkeles, CEO of London Ambulance Service Neil Sebire, Professor and Chief Research Information Officer at Great Ormond Street Hospital Reading list: How is technology changing clinician-patient relationships? Mandatory data and code sharing for research published by The BMJ Scalpels and spotlights: bringing theatre to the theatre…

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Retracting abortion papers, deafness in the clinic, and 70 years of a medical orchestra 38:41

1 year yang lalu38:41

38:41

The U.S. Supreme Court is hearing a case on the approval of mifepristone for medical abortion - a case which could change the availability of the drug in the US, and which hinges on papers linking abortion to mental distress. However, those papers are contested (including a paper published by BMJ), and some have been retracted already - Julia Littell and Antonia Biggs tell us how that science is being used in court, and why retraction is essential. Awakening from anaesthetic is difficult enough, but imagine you're three and only communicate through sign language - which no one can understand. We hear from Kirsten, a mother who thinks everyone should learn at least a few key sign language phrases. Finally, the London Medical Orchestra is turning 70 - having had their start in The BMJ's letters pages. Stuart Delve and Peter Gough help explain the orchestra's longevity. 01:00 The Supreme Court Case on Medical Abortion 10:27 The Role of Journal Editors in Scientific Integrity 19:54 The Impact of Deafness on Patient Experience 30:57 The Joy of Music in a Medical Career: London Medical Orchestra References Analysis: Correcting the scientific record on abortion and mental health outcomes WYPIT: The importance of British Sign Language Asha's instagram for BSL tips London Medical Orchestra's 70th anniversary concert - 6:30pm, Sun, 10 Mar 2024…

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Heidi Larson on misinformation, the right exercise to reduce depression, and Breathtaking TV 34:40

1 year yang lalu34:40

34:40

Social media, and the rate at which the online world is changing, is worrying - especially the speed at which health disinformation can speed around the globe. We look to tech companies for a solution to the problems of their own making - but Heidi Larson, director of the Vaccine Confidence Project, and professor of anthropology, risk and decision science at LSHTM, joins us to explain why we should be cautious about focussing our attention there. Next on the podcast, research just published in The BMJ looks at the efficacy of exercise at controlling depressive symptoms - but helps finally answer the key question - which exercise works best. Lead author, Michael Noetel, senior lecturer in psychology at the University of Queensland, joins us to explain the research, and how well exercise stacks up against pharmacological treatments. Finally, while it’s tempting to try and put the pandemic behind us, its effects linger - and many healthcare staff are still dealing with their experience of that time. Rachel Clarke, a palliative care doctor in the UK, joins us to explain why she has felt the need to document the pandemic, first in a book and now in a new TV drama set to air in the UK next week. 06:15 Heidi Larson on vaccine confidence and social media 15:31 Exploring the effectiveness of exercise for depression 26:56 Rachel Clark on seeing her experiences reflected on screen Reading list BMJ Collection: How are social media influencing vaccination Feature: Medical misinformation on social media—are the platforms equipped to be the judge? Research: Effect of exercise for depression…

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A health and care emergency, the US constitutional weakness for pandemic response, ActionAid in conflict zones 39:46

1 year yang lalu39:46

39:46

With a new logo, and new music, comes a revamped The BMJ Podcast . Every two weeks we’ll be bringing you a magazine style show, more variety and perspectives on medicine, health, and wellbeing. In this episode: Former chief executive of the NHS, Nigel Crisp, explaining why the UK is facing a national health and care emergency (01:22) The guest editors of our US covid series, Gavin Yamey and Ana Diez Roux, discuss the US pandemic response, and how problems are built into the US constitution (19:48) How The BMJ’s ActionAid appeal will help people in Gaza, Syria and Somalia (33:06) Reading list: The BMJ Commission on the Future of the NHS US covid-19 lessons for future health protection and preparedness The BMJ Appeal 2023-24: ActionAid offers immediate and long term help…

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Christmas 2023 - performing medicine, and prescribing nature 33:34

1 year yang lalu33:34

33:34

In this festive edition of the BMJ podcast, we hear about what medicine can learn from music, when it comes to giving a convincing performance, and how we can grow an evidence base for nature prescribing. Professors Roger Kneebone and Aaron William of the Centre for Performance Science raise the curtain on the performance of medicine, and we hear what your consultation technique could learn from a hairstylist. Ruth Garside, Professor of Evidence Synthesis, Kerryn Husk, Associate Professor of Health Sciences and Edward Chapman from the Health and Environment Public Engagement Group then discuss 'nature prescribing', and wonder about how to balance maintaining the joy derived from nature and yet create an evidence base for the medicinal benefits associated with it. Reading list Medicine: a performing art Nature prescribing 00:13 Introduction to the BMJ Podcast 00:36 Exploring the Themes of the Christmas Edition 01:38 The Intersection of Medicine and Performance 02:33 The Art and Science of Performance in Medicine 05:04 The Role of Performance in Music 06:29 The Similarities Between Medicine and Music 08:06 The Role of Experiential Learning in Performance 14:11 The Impact of Audience on Performance 19:04 The Benefits of Nature and Green Prescribing 24:52 The Challenges of Measuring the Impact of Nature Prescribing 30:37 The Community's Engagement with Nature Prescribing 33:01 Conclusion and Farewell…

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Oxytocin, clinical outcomes, and patient choice, in resource constrained settings 39:34

1 year yang lalu39:34

39:34

There’s an inherent tension between creating quality standards that are very clinically focussed, and standards which are very patient centred - especially in settings where clinical outcomes can be compromised by basic lack of resources. The use of oxytocin to prevent bleeding after birth is an example of this - WHO quality guidelines clearly measure and incentivise use of the drug, but in more wealthy healthcare systems, adherence patient preference is the key measure. How can we ensure that less wealthy healthcare systems are also patient centred? Our guests for this discussion; Nana Twum-Danso, senior vice president, Institute for Healthcare Improvement (IHI) Paul Dsane-Aidoo, health specialist, UNICEF Ghana Keith Cloete, head of department at Western Cape Government: Health Hosted by Emma Veitch, Collections editor for The BMJ This podcast is part of The BMJ Quality of Care collection, in collaboration with the World Health Organization and the World Bank, which offers critical thinking on both the unfinished agenda and emerging priorities for improving quality of care in low- and middle-income countries. 00:00 Introduction to the podcast 00:48 Introduction of experts and their backgrounds 02:54 Challenges in healthcare systems: south africa's perspective 04:15 The importance of patient-centred care 04:56 The role of data in improving quality of care 06:11 Community engagement and feedback in healthcare 07:58 Tackling global disparities in healthcare 08:41 Balancing clinical outcomes and patient-centred care 10:58 Addressing inequities in healthcare 22:43 The role of governance in improving quality of care 32:56 Overcoming resource constraints in healthcare 36:22 The need for system redesign in healthcare 37:18 Adapting to changing times in healthcare…

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Social connection is essential for health; supporting adolescent health and wellbeing 48:07

1 year yang lalu48:07

48:07

In this specially curated three-part podcast series from The BMJ, we explore the importance of community and connection to foster adolescent wellbeing. The discussion covers athe wide array of issues young people face, with a particular focus on the unique challenges of adolescence from a social perspective. The episode unpacks the significance of having supportive relationships within families, schools, and communities and the influence of these relationships on the mental and behavioural health outcomes of adolescents. It also explores the impact of digitalization on adolescent connection, with discussions on how to balance online interactions with offline engagements. Importantly, it highlights the need for further research into understanding digital and social media interactions and their influence on the health and wellbeing of adolescents in a rapidly evolving digital landscape. Our guests: Ulises Ariel Vélez Gauna, Transmitiendo Diversidad Flavia Bustreo, Fondation Botnar Richard Dzikunu, YIELD Hub Shelani Palihawadana, Young Experts Tech for Health. Joanna Lai, United Nations International Children’s Emergency Fund (UNICEFUnicef) Hosted by Adam Levy Supported by the Fondation Botnar and PMNCH, the Partnership for Maternal, Newborn, and Child Health. Read the full cCollection of articles showing the importance of investing in adolescent wellbeing . 00:04 Introduction to the podcast series 00:36 Understanding adolescence from a social perspective 01:00 The impact of community and connection on adolescents 01:07 Personal experiences: growing up as an LGBT+ teenager 01:38 The role of supportive relationships in adolescents' lives 02:05 The importance of connectedness in adolescence and beyond 03:27 Treating safe spaces for LGBT+ adolescents 05:23 The unique role of community during adolescence 07:02 The impact of political landscape on LGBT+ community 07:54 The importance of community and connectedness: expert opinions 08:56 The interconnection of social, health, and educational well-being 12:14 The role of digital technology in adolescents' lives 16:56 The importance of investing in adolescents' well-being 43:18 The role of schools in fostering connectedness 45:41 Conclusion: personal reflections on connectedness…

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Give children control; supporting adolescent health and wellbeing 45:29

1 year yang lalu45:29

45:29

This is the second episode of a special three-part podcast series that delves into adolescent health and wellbeing, focusing on creating a positive trajectory of health from a young age. The podcast explores physical and mental health issues affecting young people globally, particularly in sexual and reproductive health. We hear how young people are excluded from decisions about their own health, and how grassroots groups around the world are empowering them to take responsibility for their own wellbeing. We also hear how young people are becoming leaders in social movements, from tackling structural racism to improving nutrition in schools, and how their unique perspectives are vital in making those changes. Our guests: Natasha Salifyanji Kaoma, Copper Rose Zambia Alaa Murabit, The Bill and Melinda Gates Foundation Donald Bundy, London School of Hygiene and Tropical Medicine Anshu Banerjee, World Health Organisation Dev Sharma, Bite Back 2030 Hosted by Adam Levy Supported by the Fondation Botnar and PMNCH, the Partnership for Maternal, Newborn, and Child Health. Read the full cCollection of articles showing the importance of investing in adolescent wellbeing . 00:05 Introduction to adolescent health 01:00 Young womens’ menstrual health 02:11 Discussion on candid pride project 03:29 Importance of sexual and reproductive health 04:49 The role of young people in health advocacy 06:17 The epidemiology of early health and lifecourse 10:08 Impact of adolescent health on future generations 18:29 How young people become activists 28:51 Advocacy for women in Libya 28:54 Global forum for adolescents 40:15 Success stories 44:54 Conclusion and preview of next episode…

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It’s time for an educational revolution; supporting adolescent health and wellbeing 46:27

1 year yang lalu46:27

46:27

In the final episode of this three-part podcast series from The BMJ, we dive into the vital topic of education for adolescents and how it influences the course of life. This podcast explores barriers, burdens and possibilities of change in the educational system to better support young people, and how the traditional system of schooling is failing to equip young people with the skills and knowledge to lead healthy lives. We also hear how the value of informal education and its impact on subjects ranging from health to gender equality, and that learning isn’t limited to young people, and the intergenerational benefits of education and its role in shaping societal norms and individual health. Our guests; Maziko Matemvu, Uwale Joanna Herat, UNESCO Janani Vijayaraghavan, Plan Canada Atika Ajra Ayon, Plan International Stefan Germann, Fondation Botnar Hosted by Adam Levy Supported by the Fondation Botnar and PMNCH, the Partnership for Maternal, Newborn, and Child Health. Read the full cCollection of articles showing the importance of investing in adolescent wellbeing . 00:03 Introduction to the podcast 00:11 The importance of education for adolescents 03:26 The role of education in health and wellbeing 04:43 The impact of education on society 10:21 The power of peer education 11:15 The role of media in education 12:31 The importance of meaningful engagement in education 14:45 The impact of education on health 17:48 The challenges in access to education 26:25 The role of education in combating child marriage 36:37 The impact of climate change on education 44:53 The role of education in mental wellbeing 45:59 Conclusion of the podcast…

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Insulin without refrigeration and the complexities of consent 40:31

1 year yang lalu40:31

40:31

The December edition of the Talk Evidence podcast discusses the complexities of seeking consent from patients who are part of large data sets, and some new research to help patients living with diabetes in places without certain power supplies. First patient consent and data - in the UK, two stories that have made the public worry about the use of their health data. Firstly the news that UK biobank, who hold a lot of genomic and health data, allowed research by an insurance company, and second that the NHS has entered a contract with Palentir to do analysis on NHS data. Natalie Banner, director of ethics at Genomics England has been thinking hard about putting patients at the centre of decision making about their data, and explains why she thinks a sole reliance on a consent model falls short. Next, uncertain power supplies, such as in conflict or disaster zones, means uncertain refrigeration. Hard enough for most people to survive, but if you need to keep your insulin cold, it can be lifethreatening. However a new cochrane review has found good news about the thermostability of insulin at room temperature. We ask Phillipa Boulle, MSF Intersectional NCD Working Group Leader and Cyrine Farhat,is a global diabetes advocate based in Lebanon, how this will affect care for patients around the world. Reading list Thermal stability and storage of human insulin Outline 00:06 introduction and overview 00:24 the challenge of seeking consent in big data sets 01:34 understanding consent issues in large datasets 01:52 the role of participant panels in data accountability 02:44 the complexity of public attitudes towards data use 04:54 the importance of transparency and engagement in data use 05:48 the impact of external factors on public trust in data use 07:49 the ethical challenges of using health data 09:17 the limitations of consent in ethical discussions 09:23 the need for more conversation about group benefits, risks, and harms 10:41 the role of governance in ethical decision making 12:05 discussion on the interview with natalie banner 14:59 the challenge of managing chronic conditions in disaster zones 15:15 the impact of temperature and storage conditions on insulin 17:32 interview with Philippa Boulle from medecins sans frontieres 29:10 interview with Cyrine Farhat, a person living with diabetes in lebanon 36:18 discussion on the interviews and the challenges of diabetes management…

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The future of the winter ’flu season 38:30

1 year yang lalu38:30

38:30

We were accepting of an increase in deaths every winter 'flu season, but Ashish Jha thinks that is not longer a tenable position. Lessons he learned during his time as the White House Covid-19 coordinator have convinced him we should be taking a different approach to the winter season. In this interview with Mun-Keat Looi, The BMJ's international features editor, we hear about living with COVID, the future of antivirals, vaccines, and surveillance. They talk about long COVID, the investment required to fight future outbreaks effectively, and the role of the US in the global health response.…

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Low carb and cancer screening 33:22

2 years yang lalu33:22

33:22

Each episode of Talk Evidence we take a dive into an issue or paper which is in the news, with a little help from some knowledgeable guests to help us to understand what it all means for clinical care, policy, or research. In this episode: Helen Macdonald take a deep dive into cancer screening tests, prompted by a paper in JAMA which showed most have no effect on all cause mortality, and news that the NHS is evaluating a single test which screens for 50 common cancers - we ask Barry Kramer, former director of the Division of Cancer Prevention, at the U.S. National Cancer Institute to help explain how to hold those two pieces of knowledge. Juan Franco has been looking into diet and obesity, prompted by new research in The BMJ and a new Cochrane review, looking at the role of low glycemic index foods in weightloss - we ask Khadidja Chekima , nutritional researcher at Taylor’s University in Malaysia, to define low GI foods, and why it’s so hard to research their role in diet and weightloss Reading list; JAMA research - Estimated Lifetime Gained With Cancer Screening Tests; A Meta-Analysis of Randomized Clinical Trials The BMJ news - Clinicians raise concerns over pilot of blood test for multiple cancers The BMJ research - Association between changes in carbohydrate intake and long term weight changes: prospective cohort study Cochrane review - Low glycaemic index or low glycaemic load diets for people with overweight or obesity…

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Decolonising health and medicine: Episode 5 - Getting our house in order: Decolonising the British Medical Association 46:13

2 years yang lalu46:13

46:13

Organisational and student leaders explore the responsibilities of the British Medical Association and The BMJ to understand and respond to its colonial history. Our panel Kamran Abassi, editor in chief, The BMJ, London, UK Omolara Akinnawonu, Foundation year doctor, Essex, UK, and outgoing co-chair of the BMA medical students committee Latifa Patel, elected chair of the UK BMA's Representative Body and BMA EDI lead Host - Navjoyt Ladher, clinical editor for The BMJ…

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Decolonising health and medicine: Episode 4 - How to transform global health institutions born of colonial eras 53:58

2 years yang lalu53:58

53:58

Leaders from academic and funding organisations discuss the transformative change required to overcome extractive and inequitable research practices in global health, and the need for examining power and privilege within traditional research institutions. Our panel Samuel Oti, senior program specialist, International Development Research Centre, Ottawa, Canada, and member of the Global Health Decolonization Movement in Africa (GHDM-Africa) Muneera Rasheed, clinical psychologist and behaviour scientist and former faculty, Aga Khan University, Karachi, Pakistan Liam Smeeth, professor of clinical epidemiology and director of the London School of Hygiene and Tropical Medicine, London, UK Angela Obasi, senior clinical lecturer, Liverpool School of Tropical Medicine, UK Seye Abimbola, editor of BMJ Global Health, and health systems researcher from Nigeria currently based at the University of Sydney, Australia Jocalyn Clark, international editor, The BMJ, London, UK Host - Navjoyt Ladher, clinical editor for The BMJ…

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Decolonising health and medicine: Episode 3 - Common terrains of anti-colonial and feminist approaches to the politics of health 50:07

2 years yang lalu50:07

50:07

International health leaders discuss how feminist and decolonial advocates in health face similar resistance and attempts to sow divisiveness, and how they can join forces to promote health equity and justice for all. Our panel Raewyn Connell, sociologist and professor emerita at the University of Sydney, Australia Sarah Hawkes, professor of global public health and director of the Centre for Gender and Global Health, University College London, UK Sanjoy Bhattacharya, head of the school of history and professor of medical and global health histories, University of Leeds, UK Asha George, professor and South African research chair in health systems, complexity, and social change, University of the Western Cape, South Africa Host - Navjoyt Ladher, clinical editor for The BMJ…

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Decolonising health and medicine: Episode 2 - Looking back to move forward: missing histories of the decolonisation agenda 53:32

2 years yang lalu53:32

53:32

Experts discuss how failing to confront colonial pasts is linked to present lack of progress in global health equity, why health leaders need historical educations, and how, for Indigenous peoples, it’s not just a colonial history but a colonial present. Our panel Seye Abimbola, editor of BMJ Global Health, and health systems researcher from Nigeria currently based at the University of Sydney, Australia Catherine Kyobutungi, Ugandan epidemiologist and executive director of the African Population and Health Research Center, Nairobi, Kenya Sanjoy Bhattacharya, head of the school of history and professor of medical and global health histories, University of Leeds, UK Chelsea Watego, professor of Indigenous Health at Queensland University of Technology, Australia Host - Navjoyt Ladher, clinical editor for The BMJ…

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Decolonising health and medicine: Episode 1 - The colonial legacy in clinical medicine 51:51

2 years yang lalu51:51

51:51

Healthcare leaders discuss the ways in which colonial-era bias and eugenics persist in today’s medical education and clinical practice in the UK and beyond, and what meaningful change is required to overcome racial and other healthcare inequalities Our panel Annabel Sowemimo, sexual and reproductive health registrar and part-time PhD student and Harold Moody Scholar at King’s College London, UK Thirusha Naidu, head of clinical psychology, King Dinuzulu Hospital, and associate professor, Department of Behavioural Medicine, School of Nursing and Public Health, University of KwaZulu-Natal, Durban, South Africa Subhadra Das, UK based researcher and storyteller who specialises in the history and philosophy of science, particularly scientific racism and eugenics Amali Lokugamage, honorary associate professor, Institute of Women's Health, University College London, and consultant obstetrician and gynaecologist, Whittington Hospital, London, UK Host - Richard Hurley, collections editor at The BMJ…

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Planet centred care - How to talk about this stuff 53:20

2 years yang lalu53:20

53:20

We’ve heard throughout the series from people who have a passion for sustainability, and have successfully made changes in their organisations to reduce the planetary impact of their work. In doing so, they will have recruited other people who have a similar outlook - but they will have also convinced people who aren’t prioritising sustainability. In this last podcast of the series, we’re delving into that - how to talk to colleagues and patients, in ways which connect with their own needs and preferences. To help with that, we’re joined by David Pencheon, director of the Sustainable Development Unit for NHS England, who’s been successfully talking about these issues for years, and Kate Wylie, executive director of Doctors for the Environment Australia.…

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Planet centred care - Why doing less can be hard 49:46

2 years yang lalu49:46

49:46

One element of sustainable healthcare is simply reducing the amount of healthcare you’re doing by not doing the things that are of no value to patients. However, how do we do this in practice? And why is it often so hard? What is the role of fear in this discussion? These are all questions we will discuss in this episode. To help us with this we’ll be joined by Prof Ben Newell (cognitive psychologist from University of New South Wales, whose research interest includes judgement and decision making). and Dr Lucas Chartier, emergency medicine physician at the University Health Network in Toronto. Ben Newell also has also recently released a book, Open Minded , co-authored with David Shanks on the role of the unconscious mind in our decisions making…

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Planet centred care - Sustainable healthcare is better for patients 38:06

2 years yang lalu38:06

38:06

Acting on climate change is often framed as having to give stuff up, to cost more money, to make sacrifices. Yet in healthcare we find the opposite can often be true: there are many actions we can take which reduce the carbon footprint of healthcare which actually end up with better outcomes for our patients. In this episode, we hear from two examples of that. Singing for breathing is a type of social prescribing to help people with chronic lung disease manage their breathlessness, reducing their need to be reliant on healthcare to do this, while also finding joy and a sense of community. Stephen is one patient who has benefited from this service, and will tell us more about the impact it had on his life. In another example, Lynn Riddell, an HIV consultant will tell us how a change in their clinical pathway helped a cohort of patients reduce the amount of travelling to and from the clinic, still manage their condition safely and give them back precious time and control. https://www.bartscharity.org.uk/our-news/singing-sessions-to-improve-patients-lung-health/…

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Planet centred care - Sustainable healthcare is good for staff 55:12

2 years yang lalu55:12

55:12

Ooops! If you listened to episode 3 when it first came out you may have realised that the title didn't quite match the content. We've just updated the title and the show notes below, and stay tuned for when we'll be soon releasing an episode on how sustainable healthcare can be good for patients. In a system where healthcare workers are continually described as overworked and burnt out, how can we expect them to find the time to act on the climate? In this episode we turn that assumption on its head, and, in fact, show how acting to reduce the environmental impact of healthcare can help staff find joy in their work again. Our two guests today are Tracy Lyons, founder of Pharmacy Declares and medicines optimisation pharmacist in Dorset, UK, and David Smith, general surgeon at North York General Hospital in Toronto, Canada. The very worst thing is sometimes to have a problem you feel you can’t solve, and action mitigates anxiety: these are two of the many lessons that came out of today’s episode. We also touch on the different levels that you can start to take action at: from the small and tangible to influencing change at a system level. Related links: https://cascadescanada.ca/ https://www.pharmacydeclares.co.uk/ https://twitter.com/TLyons00…

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Talking overdiagnosis 35:36

2 years yang lalu35:36

35:36

In this month's Talk Evidence, Helen and Juan are reporting from Preventing Overdiagnosis - the conference that raises issues of diagnostic accuracy, and asks if starting the process of medicalisation is always the right thing to do for patients. In this episode, they talk about home testing, sustainability and screening. They're also joined by two guests to talk about the overdiagnosis of obesity - when that label is stigmatising and there seem to be few successful treatments that medicine can offer, and the need to educate students in the concepts of overdiagnosis and too much medicine, to create a culture change in medicine. Links; The Preventing Overdiagnosis conference The BMJ EBM papers on choosing wisely.…

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Planet centred care - Greening the gaze 45:10

2 years yang lalu45:10

45:10

Planet centred care is new podcast series for the BMJ exploring issues related to environmentally sustainable healthcare, aimed at all clinicians, and anyone working in healthcare, who want to make sure they can continue to help patients while not harming the planet. In this episode we’ll discuss that first radicalising moment. That moment where you start to see all the things you can do to make healthcare more sustainable and how it is hard to un-see that. For everyone, that moment may come from a different place, or different perspective. Our guests for this episode: Gareth Murcutt who was at first reluctant until he saw the size of the impact he could make; Gwen Sims whose eyes were opened by moving health systems (and continents) and Alifia Chakera who didn’t expect to find a huge sustainability saving so close to home when she took up a new clinical role before the pandemic. Hosts: Loren De Freitas and Florence Wedmore, the BMJ…

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Planet centred care - It’s all about working together 42:37

2 years yang lalu42:37

42:37

Healthcare is a complex system, and if we want to make changes such as those needed for sustainable healthcare, we need to work across multiple teams, and make sure we hear everyone’s voice, including our patients’. In this episode we’ll discuss how we can communicate and work with those different groups, and some novel ways of getting the message across from T-rexes worth of plastic gloves to art made out of surgical waste. Guests for this episode: Nicola Wilson, lead clinical educator, Great Ormond Street Children’s hospital, and Maria Koijck, artist and former patient. You can read more about the Gloves are Off project here https://www.gosh.nhs.uk/news/gloves-are-off/ You can see Maria’s film here: https://www.mariakoijck.com/…

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The problem with trainees - The GMC’s National Training Survey results data 49:44

2 years yang lalu49:44

49:44

In our final episode of this season, we're going quantitative, with the newly released data on how trainees in the UK are faring. Each year the UK's General Medical Council, the doctor's regulator, surveys trainees in the NHS to ask them questions about stress and burnout, harassment and discrimination, and how well supported they feel in their training. They also ask trainers about the same things. Unsurprisingly, the year the results look bad - with increasing levels of burnout across the board, but particularly in new trainees. At the same time trainers are feeling unable to use their time supporting learning, and instead are propping up the system. To discuss this, Clara Munro and Ayisha Ashmore are joined by Colin Melville, medical director, and director of education and standards, at the GMC. All the data discussed, and the interactive tool that Colin mentions, are available on the GMC's National training survey 2023 results page.…

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Ensuring the integrity of research, and the future of AI as authors 44:44

2 years yang lalu44:44

44:44

In this month's Talk Evidence, we're getting a little meta - how do we keep an eye on research to make sure it's done with integrity. Helen Macdonald is BMJ's Publication ethics and content integrity editor - and we quiz her about what that actually means on a day to day basis. Ensuring the integrity of research could be made both easier, and harder, by the ascendance of large language models, Ian Mulvany, BMJ's chief technology officer joins us to talk about how we can harness the power of this new technology.…

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Taking on the van Tullekens; how Margaret McCartney changed their minds about COIs 53:51

2 years yang lalu53:51

53:51

They're the trusted public figures of the medical profession, but many of the most famous medics in the UK will have been approached by, and accepted money from, companies wishing to promote their products - and the public will never know. To talk about conflicts of interest in media doctors, we’re joined by two of the most recognisable medics on our screens - Chris and Xand van Tulleken, and the GP who persuaded them to think about what they receive cash for, Margaret McCartney. Read our investigation into how the UK's medical royal colleges receive millions from drug and medical devices companies and Margaret McCartney's plea that “You have to be above reproach”: why doctors need to get better at managing their conflicts of interest…

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Talk Evidence - post pandemic pruning, breast cancer screening, and orphan drugs 36:43

2 years yang lalu36:43

36:43

In this episode of Talk Evidence, Helen Macdonald, Joe Ross, and Juan Franco are back to update us on what's happening in the world of medical evidence. Firstly, the news about the end of the covid-19 pandemic was trumpeted, but the changes to research funding have been more quite - and the team discuss what this means for ongoing work to understand the effects of covid, but also in terms of preparedness for the next pandemic. Next, breast cancer screening recommendations, in the USA, have been reduced from women over the age of 50, to those over the age of 40. We discuss the modelling study which lead to that recommendation change, and what the consequence may be in terms of overdiagnosis. Finally, 40 years ago, the U.S. Orphan Drug act was passed to encourage the development of treatments for rare conditions - but new research looks at how many clinically useful drugs have come onto market, and an analysis examines the way in which the system could be gamed by narrowing disease definitions to create small populations of patients. Reading list Is the UK losing its world leading covid surveillance network just when it needs it most? Breast cancer: US recommends women start screening at 40 FDA approval, clinical trial evidence, efficacy, epidemiology, and price for non-orphan and ultra-rare, rare, and common orphan cancer drug indications…

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Pride in healthcare 47:39

2 years yang lalu47:39

47:39

We're in pride month, and this year the celebration of LGBT+ people seems to be increasingly contentious. Healthcare's treatment of queer people has improved hugely since the days when being gay was considered a mental disorder, and would end a doctor's career - but that doesn't mean that everything is equal. In this episode of Doctor Informed, we're hearing from two doctors who are out and proud at work, about what it's been like to be queer in medicine, and what good allyship looks like. Our Guests Michael Farqhuar is consultant in sleep medicine at the Evelina London Children's Hospital, he also helped set up the NHS Rainbow badge scheme. Greta McLachlan is a general surgical trainee, and member of the Royal College of Surgeon's Pride in Surgery Forum…

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Doctor Informed - surviving in scrubs 1:00:03

2 years yang lalu1:00:03

1:00:03

The culture which allows sexism to perpetuate in healthcare is no better illustrated than by The BMJ's investigation into sexual abuse in the NHS. However, The BMJ are not the first organisation to highlight the problems - Surviving in Scrubs have been collating stories of sexism in healthcare, and making waves about the issues for a while. In this episode of Doctor Informed, Clara Munro is joined by the founders of Surviving in Scrubs, to discuss their campaign, how to create a culture of zero tolerance for sexism at the ward level, and why they think sexism should be a professional issue. Our guests; Becky Cox is an academic GP researching domestic abuse and GP specialist in gynaecology in Oxford. Chelcie Jewitt is an emergency medicine trainee in Liverpool. Bron Biddle, founder of Ambulance Voices, and an employee in the ambulance service. Links; https://www.bmj.com/me-too-investigation Previous Doctor Informed interview with Baroness Helena Kennedy…

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Talk Evidence - cloning, reporting, and disseminating 47:02

2 years yang lalu47:02

47:02

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 of the CONSORT Harms 2022 statement - and we'll be asking if it goes far enough. Finally, the old chestnut of surrogate endpoints in cancer treatment trials - are benefits communicated to patients accurately? Reading list; Nirmatrelvir and risk of hospital admission or death in adults with covid-19: emulation of a randomized target trial using electronic health records - https://www.bmj.com/content/381/bmj-2022-073312 Surgical versus non-surgical treatment for sciatica https://www.bmj.com/content/381/bmj-2022-070730 CONSORT Harms 2022 statement, explanation, and elaboration https://www.bmj.com/content/381/bmj-2022-073725 Funders crack down on unpublished clinical trials—but is it enough? https://www.bmj.com/content/381/bmj.p840 Communication of anticancer drug benefits and related uncertainties to patients and clinicians https://www.bmj.com/content/380/bmj-2022-073711…

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Addiction in doctors 59:12

2 years yang lalu59:12

59:12

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 way to avoid GMC scrutiny. Joining Clara Munro are Liz Croton and Zaid Al-Najjar, GPs who work for NHS Practitioner health - a mental health and addiction service specifically for health professionals. They are also joined by Ruth Mayall, a retired consultant anaesthetist who has experienced addiction herself, and has contributed to the Association of Anaesthetists guidance on drug and alcohol abuse. Some resources mentioned in the podcast; NHS Practitioner Health https://www.practitionerhealth.nhs.uk/ The Sick Doctor's Trust http://sick-doctors-trust.co.uk/ British Doctors & Dentists Group https://www.bddg.org/ Substance use disorder in the anaesthetist https://anaesthetists.org/Home/Resources-publications/Guidelines/Substance-use-disorder-in-the-anaesthetist Substance abuse in anaesthetists https://academic.oup.com/bjaed/article/16/7/236/2196385?login=false…

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Talk Evidence - automatic approval, evidence apps, and pay for performance data 39:32

2 years yang lalu39:32

39:32

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 that data could be better. We’re also by Huseyin Naci, associate professor of health policy at the London School of Economics and Political Science, who will tell us about proposed changes to drug regulation in the UK - and we discuss research which has linked speedier regulatory approval to more adverse advents in post marketing studies. Finally, we talk about point of care apps. The availability of medical information in the clinic has changed practice, but how good is that information? We hear about research which has evaluated those point of care apps (including BMJ’s Best Practice app) and rates them against different criteria. Reading list Estimated impact from the withdrawal of primary care financial incentives on selected indicators of quality of care in Scotland https://www.bmj.com/content/380/bmj-2022-072098 How can we improve the quality of data collected in general practice? https://www.bmj.com/content/380/bmj-2022-071950# UK to give “near automatic sign off” for treatments approved by “trusted” regulators https://www.bmj.com/content/380/bmj.p633 Smartphone apps for point-of-care information summaries https://ebm.bmj.com/content/early/2023/03/14/bmjebm-2022-112146…

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Nappuccinos and circadian rhythms 52:56

2 years yang lalu52:56

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 fatigue, and it seems that anaesthetic trainees have benefitted from that, with sleep pods and flexible schedules - but other specialties are lagging behind. In this podcast, Roo McCrossan, a consultant anaesthetist joins our host Clara Munro, a surgical trainee, and Ayesha Ashmore, obstetric trainee, to talk about how to fight fatigue. They discuss circadian rhythms, what to eat, nappuccinos, and why trusts should make more sleeping spaces. For more information about fighting fatigue; https://anaesthetists.org/Home/Wellbeing-support/Fatigue/-Fight-Fatigue-download-our-information-packs…

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Why guideline authors need to pay attention to doctor’s time 44:35

2 years yang lalu44:35

44:35

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 the populations whose health we seek to improve, those guidelines are taking up more and more time. A recent analysis in The BMJ has proposed the concept of “Time Needed to Treat” - and implores guideline makers to take account consultation time as a precious, finite, resource when thinking about their recommendations. In this episode of Deep Breath In, we’re joined by Minna Johansson, family doctor and director Global Center for Sustainable Healthcare, who co-authored that analysis to talk about how the concept has gone down, and what it might mean for rethinking what primary care is supposed to do. Reading list: Guidelines should consider clinicians’ time needed to treat https://www.bmj.com/content/380/bmj-2022-072953…

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Nuffield Summit 2023 - healthcare needs flexible working 44:21

2 years yang lalu44:21

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 healthcare workers seeking to change the way they work? Joining us in the discussion are; Kamran Abbasi, editor in chief of The BMJ Rachel Hutchings, fellow at the Nuffield Trust Sarah Sweeney, interim chief executive, National Voices Farzana Hussain, a GP in Newham, London Thea Stein, chief executive of Leeds Community Healthcare NHS Trust The report that Rachel Hutchings has authors is summaried in a BMJ feature - Challenges of combining a career in surgery with parenting https://www.bmj.com/content/380/bmj.p449…

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

2 years yang lalu38:00

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 markers and cognitive decline. Helen looks at a trial to reduce prescribing among older people with suspected urinary tract infection or UTI. Juan has a nuanced take on the updated evidence on masks to reduce the spread of respiratory viruses. Finally, an international group of researchers traced the health claims made about infant formula milk back to the evidence or lack of it Reading list: Efficacy, safety, and tolerability of antidepressants for pain in adults https://www.bmj.com/content/380/bmj-2022-072415 Association between healthy lifestyle and memory decline in older adults https://www.bmj.com/content/380/bmj-2022-072691 Effect of a multifaceted antibiotic stewardship intervention to improve antibiotic prescribing for suspected urinary tract infections in frail older adults https://www.bmj.com/content/380/bmj-2022-072319 Physical interventions to interrupt or reduce the spread of respiratory viruses https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD006207.pub6/full Health and nutrition claims for infant formula https://www.bmj.com/content/380/bmj-2022-071075…

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Got grit? 53:31

2 years yang lalu53:31

53:31

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, and it is measurable but not a very helpful measure in isolation. In this episode, Clara Munro is joined by Declan Murphy and Ayisha Ashmore - and they sit down with neurourgeon and researcher Simone Betchen, who has measured grit in women surgeons, and helps them understand their grit scores. Reading list Grit in surgeons https://pubmed.ncbi.nlm.nih.gov/34218313/…

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

2 years yang lalu17:34

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 describe why they think that is harmful, and why the Beano should think again about its editorial policies, to protect children's health. To read the full investigation:www.bmj.com/content/380/bmj.p197…

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Talk Evidence - excess deaths, the ONS, and the healthcare crisis 52:07

2 years yang lalu52:07

52:07

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 relate to long covid, and how often they resolve themselves. Juan looks back to his homeland to see what Argentina which was very early to offer children vaccinations against covid-19. He tells us how a new study design can help understand how effective different combinations of vaccines were. Joe has a Danish registry paper, which links people's employment status after a MI, explains how that gives us an insight into morbidity following that event. Helen looks at a new analysis which outlines the concept of "time needed to treat" - a measure of how much time it would take a clinician to actually carry out a guideline - and you'd be surprised how much GP time would be swallowed by a "brief" intervention to reduce inactivity in their patients. Finally, the data on excess mortality in the UK has been up for debate recently - our health minister calling into question the Office of National Statistic's data. We hear from Nazrul Islam, Associate professor of medical statistics, advisor to the ONS and BMJ research editor, who has some bad news for him. Reading list: Long covid outcomes at one year after mild SARS-CoV-2 infection https://www.bmj.com/content/380/bmj-2022-072529 Effectiveness of mRNA-1273, BNT162b2, and BBIBP-CorV vaccines against infection and mortality in children in Argentina, during predominance of delta and omicron covid-19 variants https://www.bmj.com/content/379/bmj-2022-073070 Guidelines should consider clinicians’ time needed to treat https://www.bmj.com/content/380/bmj-2022-072953 Expanding the measurement of overdiagnosis in the context of disease precursors and risk factors https://ebm.bmj.com/content/early/2023/01/10/bmjebm-2022-112117 Excess deaths associated with covid-19 pandemic in 2020 https://www.bmj.com/content/373/bmj.n1137.abstract…

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

2 years yang lalu59:13

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, but also tailor the job to themselves? And what are the drawbacks of trying to do that? In this podcast, Clara Munro is joined by Flo Wedmore and new panelist Jason Ramsingh, a surgical trainee in Newcastle. They speak to Rob Fleming an SAS (speciality and associate specialist) doctor in anaesthetics.…

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Conflict and food global food insecurity 44:50

2 years yang lalu44:50

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 has seen droughts and flooding which have affected global food production, as well as continuing restrictions around covid and economic activity. All of these factors are working together to increase food insecurity. Our Guests; Sheryl Hendricks, professor of food security at the University of Pretoria Renzo Guinto, chief planetary doctor at PH Lab Tim Benton, director of the Environment and Society Programme at Chatham House.…

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Talking evidence at Christmas 34:29

2 years yang lalu34:29

34:29

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 footballers, and if a career in the sport predisposes Swedish players to substance use disorders. We'll hear about the performance of BMJ’s editors, when it comes to assessing the impact of a paper. We'll find out if AI algorithms can pass UK radiology exams, misinformation and a belief that everything causes cancer, and finally, some tips from BMJ’s statisticians to set the world right…

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