Sustainable healthcare is good for staff
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 agai...
Source: The BMJ Podcast - September 22, 2023 Category: General Medicine Authors: BMJ Group Source Type: podcasts
Sustainable healthcare is better for patients
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 be...
Source: The BMJ Podcast - September 22, 2023 Category: General Medicine Authors: BMJ Group Source Type: podcasts
Talking overdiagnosis
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 m...
Source: The BMJ Podcast - September 16, 2023 Category: General Medicine Authors: BMJ Group Source Type: podcasts
Planet centred care - Greening the gaze
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 ...
Source: The BMJ Podcast - August 31, 2023 Category: General Medicine Authors: BMJ Group Source Type: podcasts
Planet centred care - It ’s all about working together
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.
Read more about the Gloves are Off ...
Source: The BMJ Podcast - August 31, 2023 Category: General Medicine Authors: BMJ Group Source Type: podcasts
The problem with trainees - The GMC ’s National Training Survey results data
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 inste...
Source: The BMJ Podcast - August 17, 2023 Category: General Medicine Authors: BMJ Group Source Type: podcasts
Ensuring the integrity of research, and the future of AI as authors
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 Mulvaney, BMJ's chief technology officer joins us to talk about how we can harness the power of this new technology.
(Source: The BMJ Podcast)
Source: The BMJ Podcast - August 5, 2023 Category: General Medicine Authors: BMJ Group Source Type: podcasts
Taking on the van Tullekens; how Margaret McCartney changed their minds about COIs
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 McCartne...
Source: The BMJ Podcast - July 28, 2023 Category: General Medicine Authors: BMJ Group Source Type: podcasts
Talk Evidence - post pandemic pruning, breast cancer screening, and orphan drugs
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 recommenda...
Source: The BMJ Podcast - June 30, 2023 Category: General Medicine Authors: BMJ Group Source Type: podcasts
Pride in healthcare
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 NH...
Source: The BMJ Podcast - June 18, 2023 Category: General Medicine Authors: BMJ Group Source Type: podcasts
Doctor Informed - surviving in scrubs
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 ac...
Source: The BMJ Podcast - May 26, 2023 Category: General Medicine Authors: BMJ Group Source Type: podcasts
Talk Evidence - cloning, reporting, and disseminating
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...
Source: The BMJ Podcast - May 5, 2023 Category: General Medicine Authors: BMJ talk medicine Source Type: podcasts
Talk Evidence - cloning, reporting, and disseminating
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...
Source: The BMJ Podcast - May 5, 2023 Category: General Medicine Authors: BMJ Group Source Type: podcasts
Addiction in doctors
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...
Source: The BMJ Podcast - April 21, 2023 Category: General Medicine Authors: BMJ talk medicine Source Type: podcasts
Addiction in doctors
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...
Source: The BMJ Podcast - April 21, 2023 Category: General Medicine Authors: BMJ Group Source Type: podcasts