Improving NHS gender identity services - Hilary Cass
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 - Ca...
Source: The BMJ Podcast - April 12, 2024 Category: General Medicine Authors: BMJ Group Source Type: podcasts

Derogation, an ultra processed food system, and catch up pay for the NHS
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 attenti...
Source: The BMJ Podcast - March 29, 2024 Category: General Medicine Authors: BMJ Group Source Type: podcasts

The future of the clinical relationship, code sharing, and a Nye-t at the theatre
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 ...
Source: The BMJ Podcast - March 15, 2024 Category: General Medicine Authors: BMJ Group Source Type: podcasts

Retracting abortion papers, deafness in the clinic, and 70 years of a medical orchestra
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, 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 ...
Source: The BMJ Podcast - March 1, 2024 Category: General Medicine Authors: BMJ Group Source Type: podcasts

Heidi Larson on misinformation, the right exercise to reduce depression, and Breathtaking TV
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 ex...
Source: The BMJ Podcast - February 16, 2024 Category: General Medicine Authors: BMJ Group Source Type: podcasts

A health and care emergency, the US constitutional weakness for pandemic response, ActionAid in conflict zones
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 ...
Source: The BMJ Podcast - February 2, 2024 Category: General Medicine Authors: BMJ Group Source Type: podcasts

Christmas 2023 - performing medicine, and prescribing nature
Conclusion and Farewell (Source: The BMJ Podcast)
Source: The BMJ Podcast - December 22, 2023 Category: General Medicine Authors: BMJ Group Source Type: podcasts

Oxytocin, clinical outcomes, and patient choice, in resource constrained settings
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 pr...
Source: The BMJ Podcast - December 21, 2023 Category: General Medicine Authors: BMJ Group Source Type: podcasts

Social connection is essential for health; supporting adolescent health and wellbeing
Conclusion: personal reflections on connectedness (Source: The BMJ Podcast)
Source: The BMJ Podcast - December 14, 2023 Category: General Medicine Authors: BMJ Group Source Type: podcasts

Give children control; supporting adolescent health and wellbeing
Conclusion and preview of next episode (Source: The BMJ Podcast)
Source: The BMJ Podcast - December 14, 2023 Category: General Medicine Authors: BMJ Group Source Type: podcasts

It ’s time for an educational revolution; supporting adolescent health and wellbeing
Conclusion of the podcast (Source: The BMJ Podcast)
Source: The BMJ Podcast - December 14, 2023 Category: General Medicine Authors: BMJ Group Source Type: podcasts

Insulin without refrigeration and the complexities of consent
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 Engl...
Source: The BMJ Podcast - December 11, 2023 Category: General Medicine Authors: BMJ Group Source Type: podcasts

The future of the winter ’flu season
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.     (Source: The BMJ Podcast)
Source: The BMJ Podcast - December 1, 2023 Category: General Medicine Authors: BMJ Group Source Type: podcasts

Low carb and cancer screening
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...
Source: The BMJ Podcast - November 6, 2023 Category: General Medicine Authors: BMJ Group Source Type: podcasts

Decolonising health and medicine: Episode 5 - Getting our house in order: Decolonising the British Medical Association
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 (Source: The BMJ Podcast)
Source: The BMJ Podcast - October 17, 2023 Category: General Medicine Authors: BMJ Group Source Type: podcasts