Deep Breath In - what's in store for general practice in the UK
This is a special episode of our podcast for GP's, Deep Breath In, where we tackle the everyday challenges of being a GP. With the focus on covid, and the pressure on hospitals, it may be easy to overlook what’s happening in general practice in the UK - but changes are afoot. Our new health secretary Sajid Javid doesn’t seem to like our long standing GP practice arrangement, NHS England has imposed new weekend wo rking arrangements on the already stretched service, and the workforce pressures continue. In this episode of Deep Breath In, our GP panel of Tom Nolan, Navjoyt Ladher, and Jenny Rasanathan are joined by Ga...
Source: The BMJ Podcast - April 30, 2022 Category: General Medicine Authors: BMJ talk medicine Source Type: podcasts

Talk evidence covid-19 update - uncertainty in treatment, uncertainty in prevention
Uncertainty abounds - even as we get better data on treatments, with the big RCTs beginning to report, and new trials on masks, the evidence remains uncertain, in both the statistical realm (confidence intervals crossing 0) and in what to do in the face of that continuing lack of clear effect. As always Helen Macdonald and Duncan Jarvies are looking at the evidence, and this week are joined by John Brodersen, professor of general practice at the University of Copenhagen. Helen talks to Bram Rochwerg, methodology lead on the WHO treatment guidelines for covid, about why their latest rev iew has stopped recommending remde...
Source: The BMJ Podcast - November 21, 2020 Category: General Medicine Authors: BMJ talk medicine Source Type: podcasts

Resetting General Practice with Martin Marshall, Jenny Doust and Toyin Ajayi
In this week ’s episode, our focus is on what the post-COVID world of general practice might look like. The pandemic has exposed the inequalities in our social and healthcare systems, but has also given GPs some much-needed headspace to reflect on changes to make going forward. Will we be able to turn general practice off and on again, like a faulty computer? Will we just drift back to the status quo, or will we seize this opportunity to shake up the old routines in order to redefine the role of the GP and to benefit the ever-evolving needs of our patients? Our guests: Martin Marshall is Chair of the R oyal College of ...
Source: The BMJ Podcast - June 17, 2020 Category: General Medicine Authors: BMJ talk medicine Source Type: podcasts

Resetting General Practice with Martin Marshall, Jenny Doust and Toyin Ajayi
In this week ’s episode, our focus is on what the post-COVID world of general practice might look like. The pandemic has exposed the inequalities in our social and healthcare systems, but has also given GPs some much-needed headspace to reflect on changes to make going forward. Will we be able to turn general practice off and on again, like a faulty computer? Will we just drift back to the status quo, or will we seize this opportunity to shake up the old routines in order to redefine the role of the GP and to benefit the ever-evolving needs of our patients? Our guests: Martin Marshall is Chair of the R oyal College of ...
Source: The BMJ Podcast - June 17, 2020 Category: General Medicine Authors: BMJ talk medicine Source Type: podcasts

Coping with Covid with Monica Schoch-Spana and Jud Brewer
In this week ’s episode, we discuss bystander guilt, convergence, brain hacks and “how you can sneeze on someone’s brain from anywhere in the world”. How can GPs cope with the myriad worries around treating patients during the current pandemic, both on the frontline and in general practice? How do we rec ognise and break unhelpful anxious behaviour... (Source: The BMJ Podcast)
Source: The BMJ Podcast - May 6, 2020 Category: General Medicine Authors: BMJ talk medicine Source Type: podcasts

Coping with Covid with Monica Schoch-Spana and Jud Brewer
In this week ’s episode, we discuss bystander guilt, convergence, brain hacks and “how you can sneeze on someone’s brain from anywhere in the world”. How can GPs cope with the myriad worries around treating patients during the current pandemic, both on the frontline and in general practice? How do we rec ognise and break unhelpful anxious behaviour habits and stop fixating on the news? Our guests:
 Monica Schoch-Spana is a medical anthropologist and a Senior Scholar at Johns Hopkins Center for Public Health. She specialises in crisis and risk communication, community resilience to disaster, publi c engagement in...
Source: The BMJ Podcast - May 6, 2020 Category: General Medicine Authors: BMJ talk medicine Source Type: podcasts

Frontline stories - working as a GP during covid
As the pandemic plays out - the way in which doctors in the UK practice is changing, hospitals are reconfigured to increase critical care capacity, GPs are working from home and doing their day to day work remotely. Some of the changes have come at the detriment of staff and patient wellbeing but covid-19 has also helped cut through some of the inertia to get welcome changes done.In this podcast, Helen Salisbury, GP in Oxfordshire, and Clare Gerada, GP in south London, join us to talk about the way in which general practice has changed, and how they and their teams are experiencing that. (Source: The BMJ Podcast)
Source: The BMJ Podcast - April 27, 2020 Category: General Medicine Authors: BMJ talk medicine Source Type: podcasts

An acutely disturbed person in the community
It can be difficult to know what to do when a person in severe psychological distress presents to a general practice or community clinic, particularly if they are behaving aggressively, or if they are refusing help. Most patients who are acutely disturbed present no danger to others, however situations can evolve rapidly. Frontline staff need to know how to call for help, how to assess and manage physical risk, and how to de-escalate such situations. In this podcast Aileen O’Brien, reader in psychiatry and education at St George’s University of London joins us to give some advice on what to do in that situation - wh...
Source: The BMJ Podcast - March 21, 2019 Category: General Medicine Authors: BMJ talk medicine Source Type: podcasts

An acutely disturbed person in the community
It can be difficult to know what to do when a person in severe psychological distress presents to a general practice or community clinic, particularly if they are behaving aggressively, or if they are refusing help. Most patients who are acutely disturbed present no danger to others, however situations can evolve rapidly. Frontline staff need to... (Source: The BMJ Podcast)
Source: The BMJ Podcast - March 21, 2019 Category: General Medicine Authors: BMJ talk medicine Source Type: podcasts

Preventing Overdiagnosis 2018 - part 2: What opened your eyes to overdiagnosis?
The concept of overdiagnosis is pretty hard to get - especially if you ’ve been educated in a paradigm where medicine has the answers, and it’s only every a positive intervention in someone’s life - the journey to understanding the flip side - that sometimes medicine can harm often takes what Stacey Carter director of Research for Social Change at Wollongong univ ersity described in an preventing overdiagnosis podcast last year as a “moral shock” - https://soundcloud.com/bmjpodcasts/preventing-overdiagnosis-2017-stacy-carter-on-the-culture-of-overmedicalisation This year, we asked some of the leaders in the fiel...
Source: The BMJ Podcast - August 31, 2018 Category: General Medicine Authors: BMJ talk medicine Source Type: podcasts

James Munro cares about patients opinions.
Getting feedback from people who use NHS services is essential to assessing their value - and improving their quality. Hospitals and general practices widely post information about patient's satisfaction with their services on their websites, but approach tells us little about how feedback changes things on the ground . In this podcast, James... (Source: The BMJ Podcast)
Source: The BMJ Podcast - July 5, 2018 Category: General Medicine Authors: BMJ talk medicine Source Type: podcasts

Online Consultations - general practice is primed for a fight
The first digital banking in the UK was launched in 1983, Skype turns 15 this year, but 2017 finally saw panic over the impact that online consultations may have on general practices. In this podcast Martin Marshall, professor of healthcare improvement at University College London joins us to discuss whether video conference actually is a... (Source: The BMJ Podcast)
Source: The BMJ Podcast - March 28, 2018 Category: General Medicine Authors: BMJ talk medicine Source Type: podcasts