The BMJ Podcast

BMJ Group

With our regular podcast, we aim to provide you with up to date interviews and debate with opinion leaders in health and medicine, from our studio or from conferences. Listen in and let us have your comments at
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Talk evidence - cancer causing food, prostate cancer and disease definitions

35:26 | May 25th

Helen Macdonald and Carl Heneghan are back again talking about what's happened in the world of evidence this month. (1.05) Carl rants about bacon causing cancer (7.10) Helen talks about prostate cancer, and we hear from the author of the resear...Show More
What caused the drop in stroke mortality in the UK

23:25 | May 23rd

Stroke mortality rates have been declining in almost every country, and that reduction could result from a decline in disease occurrence or a decline in case fatality, or both. Broadly - is that decline down to better treatment or better prevention. ...Show More
Helping parents with children who display challenging behaviour

44:57 | May 17th

Looking after a young child is hard enough, but when that child has learning difficulties and displays challenging behaviour - the burden on parents can be extreme. That behaviour may prompt a visit to the doctor, and in this podcast we’re talking...Show More
Tackling gambling

20:34 | May 10th

In the UK we have a complex relationship with gambling, the government licences the national lottery, and uses profit from that to fund our art and museum sector - horse racing is a national TV event, and we've seen a proliferation of betting shops o...Show More
The sex lives of married Brits

24:51 | May 9th

The National Surveys of Sexual Attitudes and Lifestyles is a deep look into the sex lives of us brits - and has been running now for 30 years, giving us some longitudinal data about the way in which those sex lives have changed. The latest paper to b...Show More
Doctors and extinction rebellion

33:45 | May 3rd

Starting in the middle of April, the group “Extinction Rebellion” have organised a series of non-violent direct action protests. Most notably bringing central London to a standstill - but these events are now continuing around the country. Predict...Show More
Introducing Sharp Scratch - our new podcast for students and junior doctors

43:26 | Apr 26th

Here's a taster for our new student podcast - Sharp Scratch. We're talking about the hidden curriculum, things you need to know to function as a doctor, but are rarely formally taught. This is a taster - if you enjoy, subscribe! https://podcasts....Show More
Gypsy and Traveller health

27:32 | Apr 24th

In the UK, there's an ethnic group that is surprisingly large, but often overlooked by society, and formal healthcare services. The gypsy traveller community have poorer health outcomes because of systemic issues around access to health and education...Show More
Could open access have unintended consequences?

22:39 | Apr 19th

An “author pays” publishing model is the only fair way to make biomedical research findings accessible to all, say David Sanders, professor of gastroenterology at Sheffield University, but James Ashton and worries that it can lead to bias in the evid...Show More
Talk Evidence - health checks, abx courses and p-values

47:53 | Apr 17th

Helen Macdonald and Carl Heneghan are back again talking about what's happened in the world of evidence this month. (1.20) Carl grinds his gears over general health checks, with an update in the Cochrane Library. (9.15) Helen is surprised by ne...Show More
Capital punishment, my sixth great grandfather, and me

19:57 | Apr 9th

On the 7th of June, 1753, Dr Archibald Cameron was executed at Tyburn. "The body, after hanging twenty minutes, was cut down: it was not quartered; but the heart was taken out and burnt. " 250 years later, his sixth great grandson, Robert Syned fo...Show More
How to have joy at work

18:58 | Apr 5th

Jessica Perlo is the Director for Joy at Work at the Institute for Healthcare Improverment, and James Mountford is direct or of quality at the Royal Free London NHS Foundation Trust. Together they joined us at the International Forum on Quality a...Show More
Social prescribing

20:14 | Apr 4th

Non-medical interventions are increasingly being proposed to address wider determinants of health and to help patients improve health behaviours and better manage their conditions - this is known as social prescribing. In England, the NHS Long Term P...Show More
Applying new power in medicine

36:46 | Apr 1st

Change requires the application of power - the way in which individuals can accrue power has shifted in our digitally connected world. Traditional ways of influencing change in healthcare (getting the chief executive on side, having a quiet chat wit...Show More
Talk Evidence - Shoulders, statins and doctors messes

41:59 | Mar 28th

Helen Macdonald and Carl Heneghan are back again talking about what's happened in the world of evidence this month. They start by talking about shoulders - what does the evidence say about treating subacromial pain, and why the potential for a sub...Show More
Is opt-out the best way to increase organ donation?

25:18 | Mar 22nd

As England’s presumed consent law for 2020 clears parliament, Veronica English, head of medical ethics and human rights at the BMA, say that evidence from Wales and other countries shows that it could increase transplantation rates. But Blair L Sadl...Show More
An acutely disturbed person in the community

25:39 | Mar 21st

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 d...Show More
Passing on the secret knowledge of loop diuretics

26:25 | Mar 15th

In every generation there are a few that know the secret; the counterintuitive effects of loop diuretics. In this podcast Steven Anisman, cardiologist at the Dartmouth Hitchcock Department of Cardiovascular Medicine, joins us to explain about the...Show More

27:38 | Mar 14th

Renza Scibilia and Chris Aldred have diabetes, and their introduction to the idea of complications arising from the condition were terrifying. Because of this early experience, and Chris's later development of complications, they have campaigned t...Show More
Ebola - Stepping up in Sierre Leone

30:44 | Mar 8th

In 2014, Oliver Johnson was a 28 year old British doctor, working on health policy in Sierre Leone after finishing medical school. Also working in Freetown was Sinead Walsh, then the Irish Ambassador to the country. Then the biggest outbreak of E...Show More
Signals from the NIHR

14:16 | Mar 7th

If you've been keeping up to day with The BMJ - online on in print, you might have noticed that we've got a new type of article - NIHR Signals - and they are here to give busy clinicians a quick overview of practice changing research that has come ou...Show More
Nuffield 2019 - How can the NHS provide a fulfilling lifelong career

47:09 | Mar 6th

More doctors are choosing to retire early, doctors who take career breaks find it hard to return to practice, and doctors at all stages of their careers are frustrated by the lack of support given to training and development in today’s NHS. Each ...Show More
Diabetes Insipidus - the danger of misunderstanding diabetes

44:28 | Mar 1st

Diabetes is synonymous with sugar, but diabetes insipidus, "water diabetes", can't be forgotten. Between 2009 and 2016, 4 people died in hospital in England, when lifesaving treatment for the condition was not given. In this podcast, we hear some ...Show More
Talk Evidence - Radiation, fertility, and pneumonia

32:13 | Feb 27th

Helen Macdonald and Carl Heneghan are back again talking about what's happened in the world of evidence this month. They start by talking about how difficult a task it is to find evidence that's definitely practice changing, what GPs can learn fro...Show More
Sorry for the interruption in service

01:18 | Feb 22nd

The problem we had publishing our feed has been fixed, and normal service has resumed. Thank you for subscribing to the podcast, if you have thoughts you'd like to express, we'd love to hear them.
Safeguarding LGBT+ young people

28:34 | Feb 15th

Recent years have seen political and social progress for people who identify as LGBT+ (lesbian, gay, bisexual, and transgender; the “+” indicating inclusion of other minority sexual and gender identities). Yet international evidence shows ongoing...Show More
Should we be screening for AF?

21:05 | Feb 14th

Current evidence is sufficient to justify a national screening programme, argues Mark Lown clinical lecturer at the University of Southampton, but Patrick Moran, senior research fellow in health economics at Trinity College Dublin, thinks there are ...Show More
Chronic Rhinosinusitis

36:29 | Feb 8th

Patients who experience chronic rhinosinusitis may way for a considerable period of time before presenting, because they believe the condition to be trivial. In this podcast, Alam Hannan, ENT Consultant at the Royal Throat Nose and Ear Hospital in...Show More
Assisted dying: should doctors help patients to die?

29:21 | Feb 4th

The Royal College of Physicians will survey all its members in February on this most controversial question. It says that it will move from opposition to neutrality on assisted dying unless 60% vote otherwise. The BMJ explores several conflicting...Show More
Goran Henriks - How an 80 year old woman called Esther shaped Swedish Healthcare

16:09 | Jan 25th

Jönköping has been at the centre of the healthcare quality improvement movement for years - but how did a forested region of Sweden, situated between it's main cities, come to embrace the philosophy of improvement so fervently? Goran Henriks, chief e...Show More
Talk evidence - TIAs, aging in Japan and women in medicine

36:23 | Jan 23rd

In this EBM round-up, Carl Heneghan, Helen Macdonald and Duncan Jarvies are back to give you an update Dual vs single therapy for prevention of TIA or minor stroke - how does the advice that dual work better translate in the UK? Carl explains ...Show More
HIV - everything you wanted to know about PeP and PreP

1:06:32 | Jan 15th

We have had two articles published recently on, looking at drug prevention of HIV; PeP - Post-exposure Prophylaxis and PreP - Pre-exposure Prophylaxis, neither prevent the virus from entering the body, but they do prevent the infection from ...Show More
HbA1c - when it might not be accurately measuring glycemic control

17:53 | Jan 15th

HbA1c concentration is used as the biomarker for long term glycaemic control, however if the lifespan of red blood cells is altered, that may lead to an over, or under estimation of that control. In this podcast Ravinder Sodi, consultant clinical ...Show More
Terence Stephenson - looking back at chairing the GMC

22:58 | Jan 15th

Terence Stephenson is a consultant paediatrician who became been chair of the General Medical Council in 2015. His 4 year tenure has now come to an end, but during his time with the regulator the medical profession faced a number of challenges - ...Show More
How Coca-Cola shaped obesity science and policy in China

24:49 | Jan 9th

Susan Greenhalg is a research professor of chinese society in Harvard’s department of anthropology - not a natural fit for a medical journal you may think, but recently she has been looking at the influence of Coca Cola on obesity policy in China. ...Show More
Coding at Christmas

35:32 | Jan 4th

For many of you Christmas is over and, you’re back to work. Admin piled up over christmas? Feeling resentful for all those forms, and the weird codes they make you put in them? In this podcast I hope we can explain why that’s important, with 17th ...Show More
Women in medicine at Christmas

41:33 | Dec 21st, 2018

2018 will go down in history as a year of reckoning as the year that that some men’s behaviour came back to bite them. The continuing impact of #MeToo across the world has prompted another round of thinking about women’s experiences in medicine, whic...Show More
Christmas Food 2018

34:52 | Dec 16th, 2018

the Christmas BMJ season is upon us - if you’re to go to our website now, you’ll see that it’s been a bumper year. In the podcast, we’re going to be bringing you a select few - we’ll be looking at motherhood. Trying to figure out what 17th Century ca...Show More
Talk Evidence - Devices and facebook vaccines

35:44 | Dec 12th, 2018

In the second of our EBM round-ups, Carl Heneghan, Helen Macdonald and Duncan Jarvies are joined by Deborah Cohen, investigative journalist and scourge of device manufacturers. We're giving our verdict on the sensitivity and specificity of keton...Show More
Making multisectoral collaboration work

45:58 | Dec 7th, 2018

A new collection of articles published by The BMJ includes twelve country case studies, each an evaluation of multisectoral collaboration in action at scale on women’s, children’s, and adolescent’s health. Collectively these twelve studies inform...Show More
Trojan Milk

32:02 | Dec 5th, 2018

Infant formula manufacturers were made pariah in the 70s, because of their marketing practices - this lead to “The Code”, adopted by the WHO, which set out clear guidelines about what those practices should be. Now an investigation on by C...Show More
The bone crushing nausea of hyperemesis

49:02 | Dec 1st, 2018

Nausea and vomiting in pregnancy affects around 70% of pregnancies. It is mild for around 40% of women, moderate for 46%, and severe for 14%. By contrast, hyperemesis gravidarum is a complication of pregnancy rather than a normal part of it and oc...Show More
God is in Operating Room 4

45:55 | Nov 27th, 2018

Healthy self confidence has an important role in surgery, but what came first - the surgeon or the ego? In this conversation, Christopher Myers, Yemeng Lu-Myers, and Amir Ghaferi join us to talk about the (very few) surgeons who behave badly in th...Show More
Carers need a voice in the NHS

27:57 | Nov 22nd, 2018

Until recently, The BMJ had a campaign of patient partnership - now we have a patient and public partnership campaign. The reason for that change is that medicine has an effect beyond the individual being treated - and this podcast interview is a ver...Show More
Acceptable, tolerable, manageable - but not to patients. How drug trials report harms.

25:56 | Nov 19th, 2018

You’ll have read in a clinical trial “Most patients had an acceptable adverse-event profile.” Or that a drug “has a manageable and mostly reversible safety profile.” And that “the tolerability was good overall.” In this podcast, Bishal Gyawali (@o...Show More
Talk evidence - Vitamin D, Oxygen and ethics

41:05 | Nov 16th, 2018

Welcome to this, trial run, of a new kind of BMJ podcast - here we’re going to be focusing on all things EBM. Duncan Jarvies, Helen Macdonald and Carl Heneghan - and occasional guests- will be back every month to discuss what's been happening in ...Show More
Adverse drug reactions

31:21 | Nov 6th, 2018

Clinical trials for regulatory approval are designed to test efficacy, but new drugs might have adverse reactions - reactions those trials aren’t designed to spot. To talk about those adverse reactions - how to spot them, how to report them and wh...Show More
HAL will see you now

33:23 | Nov 5th, 2018

Machines that can learn and correct themselves already perform better than doctors at some tasks, but not all medicine is task based - but will AI doctors ever be able to have a therapeutic relationship with their patients? In this debate, Jörg G...Show More
How much oxygen is too much oxygen?

32:11 | Nov 1st, 2018

As the accompanying editorial to this article says, "oxygen has long been a friend of the medical profession Even old friendships require reappraisal in the light of new information." And that’s what a new rapid reccomendation - Oxygen therapy for...Show More
How does lifestyle affect genetic risk of stroke?

16:31 | Oct 30th, 2018

Cardiovascular factors are associated with risk of stroke - and those factors can be mediated by lifestyle and by genetic make up. New research published by The BMJ sets out to explore how these risks combine, and we're joined on the podcast by tw...Show More
Talking honestly about intensive care

33:24 | Oct 26th, 2018

On the podcast, we’ve talked a lot about the limits of medicine - where treatment doesn’t work, or potentially harms. But in that conversation, we’ve mainly focused on specific treatments. Now a new analysis, broadens that to talk about patients b...Show More
Nasal symptoms of the common cold

21:57 | Oct 14th, 2018

The common cold is usually mild and self limiting - but they’re very annoying, especially the runny nose and bunged up feeling that form the nasal symptoms. A new practice article, published on looks at the available evidence for treatment...Show More
What's it like to live with a vaginal mesh?

29:42 | Oct 12th, 2018

What can we learn from the shameful story of vaginal mesh? That thousands of women have been irreversibly harmed; that implants were approved on the flimsiest of evidence; that surgeons weren’t adequately trained and patients weren’t properly informe...Show More
How to taper opioids

29:47 | Oct 11th, 2018

There is very little guidance on withdrawing or tapering opioids in chronic pain (not caused by cancer). People can fear pain, withdrawal symptoms, a lack of social and healthcare support, and they may also distrust non-opioid methods of pain managem...Show More
The counter intuitive effect of open label placebo

27:54 | Oct 6th, 2018

Ted Kaptchuk, professor of medicine at Harvard Medical school - and leading placebo researcher, has just published an analysis on describing the effect of open label placebo - placebos that patient's know are placebos, but still seem to have ...Show More
Vinay Prasad - there is overdiagnosis in clinical trials

28:55 | Oct 3rd, 2018

We want clinical trials to be thorough - but Vinay Prasad, assistant professor of medicine at Oregon Health Science University, argues that the problem of overdiagnosis may be as prevalent, in the way we measure disease in our research, as our practi...Show More
UK children are drinking less and the importance of a publicly provided NHS

35:11 | Sep 28th, 2018

Brits have a reputation as Europe’s boozers - and for good reason, with alcohol consumption higher than much of the rest of the continent. That reputation is extended to our young people too - but is it still deserved? Joanna Inchley, senior researc...Show More
Don't save on transport at the cost of the NHS

19:23 | Sep 24th, 2018

Last week we heard about how evidence in policy making is imperilled - but today we’re hearing about a plan to make evidence about health central to all aspects of government. Laura Webber, director of public health modelling at the UK Health Foru...Show More
15 Iona Heath

25:21 | Sep 18th, 2018

This week a very different kind of conversation on the Recommended Dose – one that considers the art of medicine more than the science. Iona Heath is a long-time family doctor who has worked in a London GP clinic for over 30 years, and at one time be...Show More
Defending evidence informed policy making from ideological attack

27:49 | Sep 17th, 2018

If you’re of a scientific persuasion, watching policy debates around Brexit, or climate change, or drug prohibition are likely to cause feelings of intense frustration about the dearth of evidence in those discussions. In this podcast we're joined...Show More
How often do hospital doctors change long term medication during an inpatient stay?

27:10 | Sep 14th, 2018

More than ½ of patients leave hospital with changes to four or more of their long-term medications - but how appropriate are those changes? New research published on looks at antihypertensive medication prescription changes to try and mod...Show More
Nutritional science - Is quality more important than quantity?

35:34 | Sep 7th, 2018

We at The BMJ care about food, and if our listener stats are to be believed, so do you. In this podcast we’re looking at quality as an important driver of a good diet. At our recent food conference - Food For Thought - hosted in Zurich by Swiss Re...Show More
Preventing Overdiagnosis 2018 - part 2: What opened your eyes to overdiagnosis?

34:01 | Aug 31st, 2018

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 so...Show More
Preventing overdiagnosis 2018 - Part 1

30:49 | Aug 24th, 2018

This week saw the latest Preventing Overdiagnosis conference - this time in Copenhagen. The conference is a is a forum where researchers and practitioners can present examples of overdiagnosis - and we heard about the various ways which disease de...Show More
Have we misunderstood TB's timeline?

31:38 | Aug 23rd, 2018

The number of people estimated to be latently infected with TB - that is infected with TB, which has not yet manifested symptoms - is around 2 billion. That is 1 in 3 people on the planet are infected by the bacteria. The World Health Organization’s...Show More
13 Iain Chalmers

31:21 | Aug 22nd, 2018

This week, a very special conversation with a maverick British medico who set up a tiny research centre in Oxford and watched it grow into a global collaboration of over 40,000 people across 130 countries. Three decades on, the Cochrane Collaboration...Show More
The diagnosis and treatment of dyspareunia

34:23 | Aug 13th, 2018

Dyspareunia is a common but poorly understood problem affecting around 7.5% of sexually active women. It is an important and neglected area of female health, associated with substantial morbidity and distress. Women may be seen by several clinicia...Show More
Patient information is key to the therapeutic relationship

25:49 | Aug 10th, 2018

Sue Farrington is chair of the Patient Information Forum, a member organisation which promotes best practice in anyone who produces information for patients. In this podcast, she discusses what makes good patient information, why doctors should be...Show More
12 Alexandra Barratt

40:28 | Aug 8th, 2018

This week’s guest has led something of a double life, using both medicine and the media to explore and promote the critical role of evidence in healthcare. Now based at the University of Sydney, Alexandra Barratt's journey from clinician to journalis...Show More
15 seconds to improve your workplace

23:53 | Jul 27th, 2018

15s30m is a social movement to reduce frustration & increase joy - the idea is to spend 15 seconds of your time now, and save someone else 30 minutes down the line. To talk about their movement we're joined by the founders, Rachel Pilling, consult...Show More
11 Norman Swan

34:01 | Jul 25th, 2018

A familiar voice to millions, Dr Norman Swan is Australia’s best known health reporter. Having presented the ABC’s Health Report for more than three decades, this week he’s on the other side of the microphone. Norman joins Ray to talk frankly abou...Show More
Mendelian Randomisation - for the moderately intelligent

33:37 | Jul 16th, 2018

Mendelian randomisation - it’s a technique that uses the chance distribution of genes in a population, combined with big data sets, to investigate causative relationships. But there are a lot of questions we have in The BMJ about how the technique...Show More
What does the public think of the NHS?

17:49 | Jul 12th, 2018

It’s been quite a year for the NHS - it just turned 70, had a winter crisis like never before, got over junior doctor strikes, but then was hit by a series of scandals about breast screening, and now opiate prescriptions. At the same time, we’ve ...Show More
10 Rita Redberg

32:48 | Jul 12th, 2018

This week influential Editor-in-Chief of JAMA Internal Medicine Dr Rita Redberg joins Ray for a wide ranging conversation on all things health. A Professor at the University of California San Francisco and high profile contributor to The Washington P...Show More
Doctors and vets working together for antibiotic stewardship

1:02:32 | Jul 11th, 2018

Doctors and the farming industry are often blamed for overuse of antibiotics that spurs the growing problem of antimicrobial resistance - but the professions are using different methods to combat resistance and reduce overuse. In this roundtable,...Show More
James Munro cares about patients opinions.

19:20 | Jul 5th, 2018

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...Show More
Prof. Wendy Burn - the changing focus of psychiatry.

27:12 | Jun 29th, 2018

Wendy Burn is a consultant old age psychiatrist, and new president of the Royal College of Psychiatrists. Her work on dementia has given her an affinity for the neurobiological basis of psychiatry - and her tenure at the college is seeing a move to w...Show More
Your recommended dose of Ray Moynihan

16:17 | Jun 28th, 2018

Ray Moynihan is a senior research assistant at Bond University, a journalist, champion of rolling back too much medicine, and host of a new series “The Recommended Dose” from Cochrane Australia. In the series, Ray has talked to some of the people...Show More
Evidence in a humanitarian emergency

29:00 | Jun 25th, 2018

At evidence live this year, one of the sessions was about the work of Evidence Aid - and their attempt to bring high quality evidence to the frontline of a humanitarian crisis. In that situation, it’s very difficult to know what will work - a conf...Show More
When an investigative journalist calls

32:24 | Jun 22nd, 2018

At Evidence Live this year, the focus of the conference was on communication of evidence - both academically, and to the public. And part of that is the role that investigative journalism has to play in that. At the BMJ we’ve used investigative j...Show More
Don Berwick - you can break the rules to help patients

26:56 | Jun 15th, 2018

Don Berwick, president emeritus of the Institute of Healthcare Improvement, and former Administrator of the Centers for Medicare and Medicaid Services. In this conversation he discusses how he went from being a paediatrician to running Medicare fo...Show More
Darknet Opioids

28:57 | Jun 15th, 2018

When tackling societal problems - like the opioid epidemic in the US - there are two ways of approaching it. One is to reduce demand - by organising treatment programmes, or reducing the underlying reasons why people may become addicted in the first ...Show More
09 John Ioannidis

1:02:29 | Jun 15th, 2018

Series two of The Recommended Dose kicks off with polymath and poet, Dr John Ioannidis. Recognised by The Atlantic as one the most influential scientists alive today, he’s a global authority on genetics, medical research and the nature of scientific ...Show More
Ashish Jha tries to see the world as it is.

48:06 | Jun 8th, 2018

There’s a lot going on in the world at the moment - Ebola’s back, Puerto Rico is without power and the official estimations of death following the hurricane are being challenged. The WHO’s just met to decide what to do about it all, as well as sortin...Show More
Nutritional science - why studying what we eat is so difficult.

52:08 | Jun 8th, 2018

We at The BMJ care about food, and if our listener stats are to be believed, so do you. In this podcast we talk to a few of the authors of a new series, published next week on, which tries to provide some insight into the current state of ...Show More
The misunderstanding of overdiagnosis

28:15 | May 31st, 2018

In December 2017, the NEJM’s national corespondent, Lisa Rosenbaum, published an article “The Less-Is-More Crusade — Are We Overmedicalizing or Oversimplifying?” The article aimed a broadside against those who are campaigning against the overu...Show More
Biochem for kids

22:35 | May 25th, 2018

Each time you order a test for a child, do you think the population that makes up the baseline against which the results are measured? It turns out that that historically those reference intervals have been based on adults - but children, especially...Show More
Antidepressants and weight gain

17:03 | May 25th, 2018

Patients who are depressed and prescribed antidepressants may report weight gain, but there has been limited research into the association between the two. However new observational research published on aims to identify that association. ...Show More
Think of healthcare is an ecosystem, not a machine

37:01 | May 19th, 2018

Complexity science offers ways to change our collective mindset about healthcare systems, enabling us to improve performance that is otherwise stagnant, argues Jeffrey Braithwaite, professor of health systems research and president elect of the Inter...Show More
New antivirals for Hepatitis C - what does the evidence prove?

16:41 | May 12th, 2018

There’s been a lot of attention given to the new antirviral drugs which target Hepatitis C - partly because of the burden of infection of the disease, and the lack of a treatment that can be made easily accessible to around the world, and partly beca...Show More
What forced migration can tell us about diabetes

23:08 | May 8th, 2018

Worldwide, the rate of type II diabetes is estimated to be around 1 in 11 people - about 9%. For the Pima people of Arizona, 38% of the adult population have the condition - but across the border in Mexico, the rate drops down to 7%. The differen...Show More
Big Metadata

19:47 | May 4th, 2018

We’re in an era of big data - and hospitals and GPs are generating an inordinate amount of it that has potential to improve everyone’s health. But only if it’s used properly. New research published on this week describes another set of in...Show More
WHO can tackle pharma advertising

26:13 | May 3rd, 2018

The array of options available to pharmaceutical companies, to advertise their drugs, is incredibly broad - and the amount that they spend is increasing, with some reports saying it’s up 60% in the last five years. In most countries, there are prett...Show More
The complexities of depression in cancer

37:34 | Apr 26th, 2018

For many people, cancer is now survivable and has become a long term condition, and depression and anxiety are more common in cancer survivors than in the general population. Despite this, 73% of patients don't receive effective psychiatric treatment...Show More
E-cigarettes - debating the evidence

32:45 | Apr 23rd, 2018

Smokers want to vape, it can help them quit, and it’s less harmful than smoking, say Paul Aveyard professor of behavioural medicine at the University of Oxford. But Kenneth C Johnson, adjunct professor at the University of Ottawa, argues that sm...Show More
Harry Burns - the social determinants of Scotland

43:07 | Apr 20th, 2018

Harry Burns was a surgeon, who gave up his career in that discipline to become a public health doctor. Eventually that lead to him being the last Chief Medical Officer of Scotland, and now he’s professor of global public health at the University of S...Show More
Can we regulate intellectual interests like financial ones?

35:18 | Apr 13th, 2018

We talk about financial conflicts of interest a lot atThe BMJ - and have take taken the decision that our educational content should be without them. We also talk a lot about non-financial conflicts of interest, but the choppy waters of those are...Show More
Civilians under siege in Eastern Ghouta

14:35 | Apr 3rd, 2018

In 2016, from an estimated pre-war population of 22 million, the United Nations (UN) identified 13.5 million Syrians requiring humanitarian assistance, of which more than 6 million are internally displaced within Syria, and around 5 million are refug...Show More
Online Consultations - general practice is primed for a fight

21:03 | Mar 28th, 2018

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 improv...Show More
Evidence for off label prescribing - explore less, confirm more

24:09 | Mar 23rd, 2018

When a new drug reaches market, the race is on to find more indications for its use - exploratory trials are set up, and positive results can lead to the off label prescriptions (eg Pregabalin for lower back pain. However, these initial indications a...Show More
How to stop generic drug price hikes (or at least reduce them)

18:56 | Mar 23rd, 2018

Ravi Gupta, is a resident in internal medicine at Johns Hopkins in Baltimore - and as he said has seen the influence of sudden price hikes on his patients - between 2010 and 2015 more than 300 drugs in the U.S. have seen sudden increases of over %100...Show More
Dorling on decreasing life expectancy - "the DOH have lost their credibility"

20:24 | Mar 16th, 2018

”An additional person died every seven minutes during the first 49 days of 2018 compared with what had been usual in the previous five years. Why? In this podcast, Danny Dorling, Halford Mackinder professor of geography at the university of Oxford...Show More
Unprofessionalism - "blaming other people, I put that at the top of the impact list"

47:34 | Mar 12th, 2018

That’s Jo Shapiro is a surgeon and manager in Brigham and Women’s hospital, she’s also director of the Center for Professionalism and Peer Support, and has written an editorial for The BMJ on tackling unprofessional behaviour. In this discussion,...Show More
Should doctors prescribe acupuncture for pain?

27:16 | Mar 8th, 2018

Our latest debate asks, should doctors recommend acupuncture for pain? Asbjørn Hróbjartsson from the Center for Evidence-based Medicine at University of Southern Denmark argues no - evidence show's it's no worse than placebo. Mike Cummings, medical d...Show More
Nuffield Summit 2018 - HR in all policies, how the NHS can become a good employer

42:48 | Mar 7th, 2018

In this year's Nuffield Summit round table we're asking, how can the NHS become a good employer? At the moment, there is a recruitment and retention crisis across the workforce, doctors and nurses are leaving the NHS in droves, rota gaps are preva...Show More
Katherine Cowan - Reaching A Priority

27:48 | Mar 2nd, 2018

Its now widely agreed that one of the key ways of reducing the current high level of "waste " in biomedical research is to focus it more squarely on addressing the questions that matter to patients - and the people and medical staff that care fo...Show More
Should universal distribution of high dose vitamin A to children cease?

17:45 | Mar 1st, 2018

Up to $500m a year could be put to better use by stopping ineffective and potentially harmful supplementation programmes in poorer countries, argues John Mason, professor emeritus at Tulane University School of Public Health and Tropical Medicine. ...Show More
Fever in the returning traveller

31:34 | Feb 20th, 2018

International travel is increasingly common. Between 10% and 42% of travellers to any destination, and 15%-70% of travellers to tropical settings experience ill health, either while abroad or on returning home, Malaria is the commonest specific di...Show More
SDGs - How many lives are at stake?

43:30 | Feb 17th, 2018

In a new analysis John McArthur and Krista Rasmussen, from the Global Economy and Development Program at the Brookings Institution, and Gavin Yamey from Duke University, have set out to analyse the potential for lives saved by the goals set in the S...Show More
"We don't really know the impact of these products on our health": Ultraprocessed food & cancer risk

21:40 | Feb 15th, 2018

A study published by The BMJ today reports a possible association between intake of highly processed (“ultra-processed”) food in the diet and cancer. Ultra-processed foods include packaged baked goods and snacks, fizzy drinks, sugary cereals, rea...Show More
How does it feel, to help your patient die?

26:54 | Feb 8th, 2018

Sabine Netters is an oncologist in The Netherlands - where assisted dying is legal. There doctors actually administer the drugs to help their patients die (unlike proposed legislation in the UK). In this moving interview, Sabine explains what was ...Show More
The tone of the debate around assisted dying

21:00 | Feb 8th, 2018

Bobbie Farsides is professor of clinical and biomedical ethics at Brighton and Sussex Medical School. She’s been described as one of the few people that is acceptable to “both sides” of the assisted dying debate. This week she joins us to talk abo...Show More
Torture - What declassified guidelines tell us about medical complicity

17:38 | Feb 5th, 2018

The UN Convention against Torture defines torture as “any act by which severe pain or suffering, whether physical or mental, is intentionally inflicted on a person” by someone acting in an official capacity for purposes such as obtaining a confession...Show More
We must not get to the stage of thinking that [homelessness] is normal

17:14 | Feb 2nd, 2018

The number of people officially recorded as sleeping on the streets of England rose from 1768 in 2010 to 4751 in autumn 2017.1 Charities estimate the true figure to be more than double this. Danny Dorling, Halford Mackinder professor of geography ...Show More
Public health - time for pragmatism or knowledge production?

22:11 | Feb 1st, 2018

We have evidence on which to act, and inaction costs lives, argues Simon Capewell, Professor of Public Health and Policy, at the University of Liverpool. But Aileen Clarke, professor of public health and health services research at Warwick Medical Sc...Show More
Smoking one a day can't hurt, can it?

14:02 | Jan 25th, 2018

We know that smoking 20 cigarettes a day increases your risk of CHD and stroke - but what happens if you cut down to 1, do you have 1/20th of that risk? Allan Hackshaw, professor of epidemiology at UCL joins us to discuss a new systematic review a...Show More
Virginia Murray - the science of disaster risk reduction

24:56 | Jan 24th, 2018

Virginia Murray, public health consultant in global disaster risk reduction at Public Health England, was instrumental in putting together the Sendai Framework for Disaster Risk Reduction - an international agreement which aims to move the world from...Show More
Education round-up - January 2018

39:02 | Jan 22nd, 2018

The BMJ publishes a variety of education articles, to help doctors improve their practice. Often authors join us in our podcast to give tips on putting their recommendations into practice. In this audio round-up The BMJ’s clinical editors discuss ...Show More
They can't hear you - how hearing loss can affect care.

15:33 | Jan 19th, 2018

Many older adults have difficulty understanding speech in acute healthcare settings owing to hearing loss, but the effect on patient care is often overlooked. Jan Blustein professor of health policy and medicine at New York University, and who has...Show More
MVA85A trial investigation - press conference.

49:27 | Jan 11th, 2018

Trial MVA85A - monkey trials for a booster vaccine for BCG, developed by researchers at Oxford University, is the subject of an investigation published on Experts warn that today’s investigation is just one example of “a systematic failur...Show More
neoadjuvant treatment for breast cancer - not living up to the promise

19:20 | Jan 11th, 2018

Neoadjuvant chemotherapy for breast cancer is a new strategy that was introduced towards the end of the 20th century with the aim of reducing tumour size - rendering an otherwise inoperable tumour operable, allowing more conservative surgery, and hop...Show More
Winter pressures - "You run the risk of dropping the ball"

38:52 | Jan 10th, 2018

Winter pressures on NHS services have kicked in a little bit earlier than usual. So here to discuss that, and also the issue of how local NHS leaders can support staff in times of extreme pressure. Discussing that with Rebecca Coombes, The BMJ’s h...Show More
Suspect, investigate, and diagnose acute respiratory distress syndrome

43:36 | Jan 3rd, 2018

Acute respiratory distress syndrome was first described in 1967 and has become a defining condition in critical care. Around 40% of patients with ARDS will die, and survivors experience long term sequelae. No drug treatments exist for ARDS, however g...Show More
Hope is important - early psychosis for the non-specialist doctor

41:34 | Dec 31st, 2017

Psychosis often emerges for the first time in adolescence and young adulthood. In around four out of five patients symptoms remit, but most experience relapses and further difficulties. Psychosis can be a frightening and bewildering experience for...Show More
Cats, dogs, and biomarkers of ageing.

21:16 | Dec 15th, 2017

The notion that animal companionship might be linked to human health can be traced to ancient writings and, with the first population based study conducted at least four decades ago. Although some empirical evidence links animal companionship with...Show More
Small, medium, or a pint of wine?

33:17 | Dec 14th, 2017

Wine glasses come in a range of sizes, but the average wine glass in the UK today can hold almost ½ a litre. That wasn’t always the case - and a new analysis, on takes a look at the changing size of wineglasses from 1700 until now. To...Show More
Taking the temperature of 37°C

25:20 | Dec 13th, 2017

Average body temperature is 37°C, right? That was the conclusion of Carl Wunderlich in his magnum opus, The Course of Temperature in Diseases - Wunderlich published that in 1868, following his extensive collection of body temperature readings - a...Show More
Manflu - are men immunologically inferior?

20:36 | Dec 12th, 2017

Manflu, the phenomenon that men experience the symptoms of viral illness more than woman, is usually used with derision - but a new review, published in the Christmas edition, is asking - is there a plausible biological basis for this sex difference?...Show More
I thought I wasn't thin enough to be anorexic

43:18 | Dec 10th, 2017

Assessing young people with possible eating disorders can be complex for a variety of reasons. Building a therapeutic relationship with a young person with a possible eating disorder and their family is key to enabling a thorough assessment and ongoi...Show More
Early detection of eating disorders

43:20 | Dec 10th, 2017

Assessing young people with possible eating disorders can be complex for a variety of reasons. Building a therapeutic relationship with a young person with a possible eating disorder and their family is key to enabling a thorough assessment and ongoi...Show More
Should all fetuses be monitored electronically during birth?

29:02 | Dec 7th, 2017

Our latest H2H debate asks: Is continuous electronic fetal monitoring useful for all women in labour? Peter Brocklehurst is professor of women’s health at the University of Birmingham. He argues that continuous electronic fetal monitoring during l...Show More
"Obesity is the last thing it's OK to discriminate on the basis of"

20:11 | Nov 24th, 2017

We have a problem in obesity research — clinical trials continue to prioritise weight loss as a primary outcome and rarely consider patients’ experience, quality of life, or adverse events - and now a new analysis article, "Challenging assumptions in...Show More
Dieting, cardiovascular disease, cancer, and mortality

26:22 | Nov 21st, 2017

We know that adults with obesity have an increased risk of premature mortality, cardiovascular disease, some cancers, type 2 diabetes, and many other diseases. However, the effect of dieting on 3 of those outcomes (cancer, cvd, and mortality) is s...Show More
Antibiotic prescription course - an update

30:13 | Nov 17th, 2017

In July, The BMJ published an analysis article called “The Antibiotic Course has had it’s day” - a provocative title that turned out the garner a lot of debate on our site. The article said that the convention for the length of a course of antibioti...Show More
Is it time to scrap the UK's mental health act?

26:06 | Nov 17th, 2017

Unjust discrimination against people with mental ill health should be replaced with universal rules based on decision making ability, argues George Szmukler, emeritus professor of psychiatry and society at King’s College, London. However Scott Wei...Show More
Three talks to good decision making

23:52 | Nov 10th, 2017

The Three Talk Model of shared decision is a framework to help clinicians to think about how to structure their consultation to ensure that shared decision making can most usefully take place. The model is based around 3 concepts - option talk, de...Show More
Education round up October 2017

48:02 | Oct 31st, 2017

The BMJ publishes a variety of education articles, to help doctors improve their practice. Often authors join us in our podcast to give tips on putting their recommendations into practice. In this new monthly audio round-up The BMJ’s clinical edit...Show More
Money for editors

16:13 | Oct 27th, 2017

As journal editors, we’re aware of the fact that we have a role to play in scientific discourse - that’s why The BMJ has been so keen to talk about the way in which scientific knowledge is constructed, through our Evidence Manifesto. We also know ...Show More
The death of QOF?

20:56 | Oct 26th, 2017

The Quality and Outcomes Framework (QOF) is one of the most ambitious pay-for-performance schemes introduced into any health system. It's now being scrapped by bits of the NHS, and is under reform elsewhere. Martin Marshall, GP and professor of He...Show More
70% rise in incidence of self harm in teenagers

24:18 | Oct 19th, 2017

Half of adolescents who die by suicide have a history of self harm. And in the UK, the rates of adolescents who commit suicide jumped from 3.2, to 5.4 per 100 000 between 2010 and 2015. The national suicide prevention strategy recently expanded its s...Show More
Exercise in old age - "we need kendo classes in Huddersfield"

31:17 | Oct 18th, 2017

There's a crisis in old age care - not just in the UK, around the world, as population demographics shift, and the proportion of older people increase - there's a worry about who's going to look after them, and how much is it going to cost? Howeve...Show More
01 Fiona Godlee

43:54 | Oct 18th, 2017

Who better to kick off a series on all things health and evidence than the exceptional and erudite Editor-in-Chief of The BMJ, Dr Fiona Godlee. In this episode, Fiona chats to Ray about the BMJ's ongoing and often controversial campaigns to change...Show More
Sex in surgery

37:09 | Oct 13th, 2017

New research published on has evaluated how well women surgeons operate, when compared to their male colleagues - and shows that there is a marginal improvement in patient outcomes. To discuss how that was studied, and what the findings me...Show More
Vinay Prasad - Cancer drugs from an oncologist point of view

23:32 | Oct 13th, 2017

Last week we published some new research which showed that 2/3 of new cancer drugs approved by the European Medicines Agency - the drug regulator for Europe - didn’t have any evidence of improved life expectancy or quality of life. In this intervi...Show More
There's no clear evidence that most new cancer drugs extend or improve life

23:55 | Oct 5th, 2017

The majority of cancer drugs approved in Europe between 2009 and 2013 entered the market without clear evidence that they improved survival or quality of life for patients, finds a study published by The BMJ today. Even where drugs did show survi...Show More
Telephone consultations - no cost savings, but increased GP workload

22:39 | Sep 28th, 2017

If you're a patient in the UK, increasingly, your first interaction with the healthcare system won't be the traditional face to fact chat with your doctor - instead you'll have a telephone consultation. The prevalence of these telephone consultati...Show More
Selling off NHS silver?

15:03 | Sep 27th, 2017

Should we welcome plans to sell off NHS land? The government seems likely to back the recommendations of Robert Naylor (national adviser on NHS property and estates) to raise capital by selling off inefficiently used assets, but Kailash Chand (GP)...Show More
What Choosing Wisely looks like in the UK

40:20 | Sep 27th, 2017

Choosing Wisely was launched in the US, to much fanfare. Since then the movement has spread around the world, with successful chapters set up in Canada, Australia Brazil, Italy, Japan, new Zealand - and most recently the UK. The campaigns have n...Show More
Diabetes remission - "treating blood glucose, when the disease process is to do with body fat"

23:35 | Sep 22nd, 2017

In the UK - type 2 diabetes now affects between 5-10% of the population - and accounts for around 10% of our total NHS budget. For the individuals affected, treatments are effective at helping control glucose levels - however, the sequela associated...Show More
The problems with peer review

14:14 | Sep 19th, 2017

One of the hurdles that anyone who submits research or analysis to The BMJ has to deal with is peer review. The problems of the process, and some of the potential solutions, was a big part of the Peer Review Congress which took place last week. ...Show More
HIV in pregnancy - "without the big picture, people aren't going to be able to take the medication"

26:17 | Sep 15th, 2017

A new Rapid Recommendation from The BMJ suggests that for pregnant women, they may wish to avoid certain antiviral treatments for HIV. This recommendation differs from the WHO's, and to discuss why that is, and what makes that difference importan...Show More
Googling depression

34:56 | Sep 11th, 2017

In the USA, when googling "depression" patients will be presented with a link to the PHQ-9 screening test. Google has developed this in collaboration with the National Alliance on Mental Illness - and Ken Duckworth, the alliance's medical director...Show More
Nigel Crisp - The NHS isn't just a cost to society, it's a benefit

26:03 | Sep 8th, 2017

If you google "The NHS" you'll see screaming headlines from the Daily Mail about cost and waste - debate in parliament is about how much of our GDP we should be spending - and each year, hospital trusts go cap in hand to ask for more funding. Aga...Show More
The World Bank - creating a market in pandemic risk

21:39 | Sep 1st, 2017

The world bank was set up in 1944. In the aftermath of the second world war, the institution was there to give loans to countries rebuilding after the conflict. Their first loan went to France - but with stipulations about repayment that set a tone f...Show More
The World Bank - the Global Financing Facility

13:15 | Sep 1st, 2017

The world bank was set up in 1944. In the aftermath of the second world war, the institution was there to give loans to countries rebuilding after the conflict. Their first loan went to France - but with stipulations about repayment that set a tone f...Show More
The World Bank - trust funds

19:24 | Sep 1st, 2017

The world bank was set up in 1944. In the aftermath of the second world war, the institution was there to give loans to countries rebuilding after the conflict. Their first loan went to France - but with stipulations about repayment that set a tone f...Show More
The World Bank - Universal Healthcare

16:48 | Sep 1st, 2017

The world bank was set up in 1944. In the aftermath of the second world war, the institution was there to give loans to countries rebuilding after the conflict. Their first loan went to France - but with stipulations about repayment that set a tone f...Show More
The World Bank - why it matters for global health

16:59 | Sep 1st, 2017

The world bank was set up in 1944. In the aftermath of the second world war, the institution was there to give loans to countries rebuilding after the conflict. Their first loan went to France - but with stipulations about repayment that set a tone f...Show More
Preventing Overdiagnosis 2017 - from theory to practice

23:49 | Aug 24th, 2017

In our last podcast from Preventing Overdiagnosis 2017, we convened an impromptu roundtable of clinicians who are attending the conference to see how some of the big themes that were discussed at the conference are going to impact their everyday prac...Show More
Preventing Overdiagnosis 2017 - Citizen juries

14:51 | Aug 19th, 2017

This week we’re at the over diagnosis conference in Quebec Canada, Preventing overdiangosis is a forum to discuss the harms associated with using uncertain methods to look for disease in apparently healthy people - and is part of the BMJ’s too much ...Show More
Preventing Overdiagnosis 2017 - Vinay Prasad

32:27 | Aug 19th, 2017

The Preventing overdiagnosis conference covers how physicians, researchers and patients can implement solutions to the problems of over diagnosis and overuse in healthcare. If you’re a doctor on twitter, you’ve probably come across our guest - Vin...Show More
Preventing Overdiagnosis 2017 - Rita Redberg

21:50 | Aug 18th, 2017

This week we’re at the Preventing Overdiagnosis conference in Quebec Canada, The conference is a forum to discuss the harms associated with using uncertain methods to look for disease in apparently healthy people - and is part of the BMJ’s too much ...Show More
Preventing Overdiagnosis 2017 - Stacy Carter on the culture of overmedicalisation

23:42 | Aug 17th, 2017

In this interview from Preventing Overdiagnosis 2017 ( Stacy Carter, associate professor at Sydney Health Ethics - and the author of a recently written BMJ essay the ethical aspects of overdiagnosis, joins us to talk abou...Show More
What's driving overdiagnosis?

17:38 | Aug 16th, 2017

This week the annual Preventing over diagnosis conference is happening in Quebec, Canada. The conference is put together with a wide range of partners, including The BMJ, and aims to tackle the some of the problems of Too Much Medicine. To kick of...Show More
Helping Bereaved people

25:34 | Aug 3rd, 2017

Loss of a loved one can be very painful. When seeking support, some people turn to their doctor. Because of their pivotal role in the community, physicians can provide excellent support for bereaved people and can often direct them to additional reso...Show More
Auditing the transparency policies of pharma

31:58 | Jul 28th, 2017

If you’ve listened to more than one of our podcasts, you’ll probably be aware of the problem of the opacity of clinical trial data - trials which are conducted by never see the light of day, or results within those trials which are never published. ...Show More
Mike Richards has "never been politically interfered with"

19:38 | Jul 28th, 2017

Mike Richards is well known in the UK - former Cancer Tzar, he now heads up the Care Quality Commission - regulator of all health and social care services, and therefore the body responsible for inspecting hospitals and GP practices. In this inter...Show More
"For the first time in 15 years the quitting rate has gone up" - ecigarettes smoking cessation

25:20 | Jul 27th, 2017

It’s been 10 years since electronic cigarettes hit the shelves in a big way - and since there controversy has reigned about their health effects - are they less unhealthy than smoking traditional tobacco cigarettes, and will they increase nicotine de...Show More
What's going on with life expectancy?

29:44 | Jul 21st, 2017

The increase in life expectancy in England has almost “ground to a halt” since 2010 and austerity measures are likely to be a significant contributor. In this podcast Michael Marmot, director at University College London’s Institute of Health Equi...Show More
Biomarkers - miracle or marketing?

18:04 | Jul 18th, 2017

The BMJ has been campaigning for an end to “too much medicine” - the pernicious effect of marketing on the range of tests and treatments that doctors offer patients - tests and treatments which are motivated by the financial reward to the system, tha...Show More
James Kinross and Chris Hankin WannCry about NHS IT

37:11 | Jul 14th, 2017

Earlier this year, the WannaCry ransomeware attack took control of computers in 40 NHS trusts, blocking access to the data held on them. This wasn’t the first time that NHS computers had been infected by malware, but it brought the danger of cyber...Show More
Is the FDA really too slow?

22:11 | Jul 11th, 2017

The FDA faces perpetual criticism that it is too slow in it’s approval process for getting drugs to market, but one former FDA employee Tom Marciniak, and one professor, Victor Serebruany from Johns Hopkins University have analysed that process and d...Show More
"For the public good, not for careers" - Iain Chalmers and Doug Altman on research waste

26:48 | Jul 7th, 2017

Twenty years ago the statistician Doug Altman railed against, “The Scandal of Poor Medical Research,” in an editorial in The BMJ. 10 years later, Iain Chalmers and Paul Glaziou calculated that costs $170 billion annually in wasted research grants...Show More
Dementia prevalance in 2040

20:02 | Jul 5th, 2017

The Alzheimer’s society, in the UK, predicts that if the rates of dementia remain constant there’ll be 1.7 million people in the country living with the condition by 2050. We also know that things like improvements in cardiovascular health are changi...Show More
Transhealth - how to talk to patients about pronouns

31:04 | Jun 30th, 2017

Two articles published on the aim to help doctors treat patients who request support with their gender identity. Firstly a practice pointer on how to refer to gender clinic, and secondly a What Your Patient Is Thinking article about trans...Show More
Childhood IQ and cause of death

18:56 | Jun 29th, 2017

Findings from a range of prospective cohort studies based around the world indicate that higher intelligence in children is related to a lower risk of all cause mortality in adulthood - and now a new study, published on, is trying to dig into...Show More
The Evidence Manifesto - it's time to fix the E in EBM

41:49 | Jun 23rd, 2017

"Too many research studies are poorly designed or executed. Too much of the resulting research evidence is withheld or disseminated piecemeal. As the volume of clinical research activity has grown the quality of evidence has often worsened, which has...Show More
Stress at work

17:07 | Jun 16th, 2017

Stress is one of the leading causes of work absence, recently overtaking back-pain, and an increasing part of a GPs workload. However good quality evidence about how to deal with stress is hard to come by. Alexis Descatha, an occupational/emergen...Show More
"The interest of diesel drivers over the interest of the public" - tackling air pollution

13:34 | Jun 15th, 2017

Air pollution is a truly damaging environmental insult to the human body. The numbers of premature deaths, in the UK alone, that can be attributed to it are calculated to be 40,000 a year. Yet despite this, action to tackle the problem - as with ...Show More
How to build a resillient health system

27:06 | Jun 8th, 2017

The 2014 west African Ebola epidemic shone a harsh light on the health systems of Guinea, Liberia, and Sierra Leone. While decades of domestic and international investment had contributed to substantial progress on the Millennium Development Goals, n...Show More
Your brain on booze

15:24 | Jun 7th, 2017

A new study on, examines the effect of moderate drinking on brain structure. We know that heavy drinking has a deleterious effect on our brains, and is linked to dementias. However, for sometime it’s been thought that moderate drinking is ac...Show More
Future Earth - linking health and environmental research

18:08 | Jun 2nd, 2017

The rapid changes in the global environment have led many scientists to conclude that we are living in a new geological epoch—the Anthropocene—in which human activities have become the dominant driving force transforming the Earth’s natural systems. ...Show More
Government and evidence

34:02 | Jun 2nd, 2017

We're creating a manifesto for better evidence. The centre for Evidence Based Medicine at the University of Oxford, and the BMJ, are asking what are the problem with medical evidence, and how can we fix them? In this third discussion we went to Sc...Show More
50% of delirium is hypoactive - how to spot it

23:18 | May 26th, 2017

Available data suggest about 50% of delirium is hypoactive; this and the mixed motor subtype account for 80% of all cases of delirium. It can be more difficult to recognise, and is associated with worse outcomes, than hyperactive delirium. In t...Show More
Helping patients with complex grief

19:03 | May 18th, 2017

Each individual’s grief process is unique, when confronted with the death of a loved one, most people experience transient rather than persistent distress - however 10% of bereaved individuals, with an increased risk following the death of a partner ...Show More
NHS must “get its act together” to secure cash for new buildings

22:35 | May 15th, 2017

NHS hospitals must be willing to dispose of surplus land to help convince the Treasury to invest in new premises that are fit for purpose, the head of a major government review has urged. Robert Naylor, former chief executive of University College...Show More
Education Round - Exercising too much, microbiome, suicide and translation

31:15 | May 15th, 2017

The BMJ publishes a lot of educational articles, and in an attempt to help you with your CPD, we have put together this round-up. Our authors and editors will reflect on the key learning points in the articles we discuss, and explain how they may cha...Show More
The magic of shared decision making

21:18 | May 9th, 2017

Adoption of shared decision making into routine practice has been remarkably slow, despite 40 years of research and considerable policy support. In 2010, the Health Foundation in the UK commissioned the MAGIC (Making Good Decisions in Collaborati...Show More
Drug promotion, prescription, and value

12:24 | May 4th, 2017

Pharma companies say that money spent on promotion is essential to educate doctors about the best drugs - but when a medical student asked Joseph Ross, associate professor of medicine and public health at Yale, if those companies are promoting the ri...Show More
How established biologics become less safe

16:37 | Apr 28th, 2017

Biologics have revolutionised healthcare for some conditions - but have been expensive because of the multistep manufacturing processes required to create these complex molecules. Changes to the manufacturing of biological agents make them more af...Show More
“I had two herniated discs in my back, and I was still running” - addicted to exercise

19:45 | Apr 27th, 2017

It’s been called “the universal panacea” - exercise has a positive effect on almost all health measures, and governments are actively campaigning for us to do more. But at the opposite end of the scale, the realisation that some people may be addicte...Show More
The evidence manifesto - better trials, better use of trial data

27:51 | Apr 21st, 2017

We're creating a manifesto for better evidence. The centre for Evidence Based Medicine at the University of Oxford, and the BMJ, are asking what are the problem with medical evidence, and how can we fix them? In this second discussion we went to ...Show More
Assessing and treating an electrical injury

09:32 | Apr 13th, 2017

Thankfully, electrical injuries are relatively uncommon - but that means that lack of evidence regarding the management of patients who have been electrocuted, which can cause concern for clinicians when these patients present. In this podcast, Ca...Show More
"We're kicking the can down the road" - how to get agreement on the future of the NHS

18:29 | Apr 12th, 2017

Our latest debate asks whether there should be a Royal Commission (a high level enquiry, with statutory powers) into the future of the NHS. A high level inquiry could detoxify the radical changes needed and command wide support, say Maurice Saatch...Show More
Fighting inequality, corruption, and conflict - how to improve South Asia's health

12:04 | Apr 11th, 2017

The BMJ has published a series of articles, taking an in-depth look at health in South Asia. In this collection, authors from India, Pakistan, Nepal, Bangladesh, Sri Lanka, and Afghanistan collaborate to identify evidence-based solutions to shape hea...Show More
STPs - who, what, why, when, where.

18:15 | Apr 7th, 2017

The NHS Delivery Plan - setting out what’s in store of the English NHS in the coming years, has been delivered by Simon Stevens the chief executive. Key to those are the sustainability and transformation plans (STPs) which have been made in 44 areas,...Show More
High integrity child mental healthcare

17:02 | Apr 6th, 2017

Around 1 in 10 children and young people worldwide have mental health difficulties that substantially affect their lives. Child mental health services often concentrate on risk reduction, at the expense of the wider aspects of a child's wellbeing....Show More
What is high integrity healthcare?

18:14 | Mar 31st, 2017

This week, a new series starts in The BMJ - the aim is to rethink how hospitals, clinics, community services and public health work - with the aim of stopping the perverse blocks and incentives that prevent doctors, and other healthcare professionals...Show More
"Watching the world through a clear fog" - recognising depersonalisation and derealisation

31:53 | Mar 31st, 2017

Transient symptoms of depersonalisation and derealisation - feeling detached from the world, and feeling as if you are watching events at a remove - are common. However for some, persistent symptoms can make the disorder extremely distressing. In ...Show More
American healthcare - what next?

19:54 | Mar 29th, 2017

For seven years, Republicans have vowed to repeal the Affordable Healthcare Act (Obamacare), and that promise took a central place in President Trump's campaign. The first major vote to replace it was due to happen last week, but was cancelled at the...Show More
Dying on the canal

10:11 | Mar 24th, 2017

Lady-Jacqueline Aster lives on a 72 foot canal boat. She's been diagnosed with adrenocortical cancer, and is receiving palliative care and is planning to die in the home she loves. In this interview The BMJ's patient editor, Rosamund Snow, talks t...Show More
Education round up - HIV testing, legal highs and care for relatives of the dying

35:20 | Mar 17th, 2017

The BMJ publishes a lot of educational articles, and in an attempt to help you with your CPD, we have put together this round-up. Our authors and editors will reflect on the key learning points in the articles we discuss, and explain how they may ch...Show More
Identifying a viral rash in pregnancy

11:38 | Mar 17th, 2017

Viral exanthema can cause rash in a pregnant woman and should be considered even in countries that have comprehensive vaccination programmes. Measles and rubella can cause intrauterine death. Intrauterine infection with rubella can lead to congenita...Show More
Nuffield Summit 2017 - Reducing Demand

53:04 | Mar 16th, 2017

As the NHS strains under pressure from rising patient activity, an ageing population, and financial constraints, The BMJ hosted a discussion on how clinicians should be helping to manage demand at last week’s Nuffield Trust health policy summit. ...Show More
Emergency care plans at the end of life

33:41 | Mar 8th, 2017

When a person’s heart or breathing stops and the cause is reversible, immediate cardiopulmonary resuscitation (CPR) offers a chance of life. However, when a person is dying—for example, from organ failure, frailty, or advanced cancer—and his or her h...Show More
Should malaria be eradicated?

15:28 | Mar 7th, 2017

The World Health Organization, the Roll Back Malaria Partnership, and the United Nations, all have a vision of a malaria-free world. The world has already committed to malaria eradication, albeit without a target date. Bruno Moonen, deputy directo...Show More
Palliative care is about life, not death

14:53 | Mar 3rd, 2017

Scott Murray, professor of primary palliative care at the University of Edinburgh, has written, and talked in this podcast before, about the benefits of early palliative care - and today he’s back to explain how illness trajectory, and the pattern of...Show More
Community acquired pneumonia in children

11:05 | Mar 2nd, 2017

In 2015, community acquired pneumonia (CAP) accounted for 15% of deaths in children under 5 years old globally and 922 000 deaths globally in children of all ages. In this podcast Iram Haq, a registrar and clinical research associate in paediatric...Show More
The inadequacy of the UK's childhood obesity strategy

13:55 | Mar 2nd, 2017

The UK government published its report Childhood Obesity: a Plan for Action, in August 2016. A new analysis article takes them to task for the inadequacy of that response to a growing problem. Neena Modi is a professor of neonatal medicine, at Imp...Show More
Low intensity pulsed ultrasound - no difference for bone healing

18:15 | Feb 24th, 2017

A new rapid recommendation had concluded that LIPUS makes no different to patients experience of bone healing, and therefore shouldn't be used. In this podcast, we talk to three of those panel members - Rudolf Poolman, orthopaedic surgeon from The...Show More
How people die remains in the memory of those who live on - supporting the relatives of the dying

22:38 | Feb 21st, 2017

All doctors, irrespective of their specialty or the setting in which they work, will care for patients who die. Around half of all deaths occur in hospitals. Evidence suggests that the quality of communication around this process is poorer in hosp...Show More
Helping patients with medically unexplained symptoms

14:10 | Feb 17th, 2017

Persistent physical symptoms are common and include those symptoms that last at least three months and are insufficiently explained by a medical condition after adequate examination and investigation. Observational studies in primary care report ...Show More
US Surgeon General - “For far too long addiction has been looked at as a moral failing”

32:21 | Feb 15th, 2017

Vivek Murthy, the US surgeon general, has highlighted prescription opioid misuse as a serious public health problem. In this podcast, Richard Hurley speaks to him about what he thinks needs to be done to tackle the issue. More
Ebola - why WHO's response failed.

20:57 | Feb 7th, 2017

In August 2014, the World Health Organization (WHO) declared the Ebola outbreak in west Africa a public health emergency of international concern, and the world scrambled to respond. The WHO received widespread criticism, and it was concluded tha...Show More
Should all American doctors be using electronic medical records?

13:08 | Jan 19th, 2017

Evidence shows using electronic health records can increase efficiency, and reduce preventable medical errors - but only if they are used properly. However, in the US, the president of the American Medical Association calls them almost unusable. I...Show More
Expanding your mind about novel psychoactives

25:25 | Jan 19th, 2017

The use of novel psychoactive substances is increasing, however there is little information about what these are, and how they work. Dr Derek Tracy, consultant psychiatrist at Oxleas NHS Foundation Trust, and David Wood, consultant physician and ...Show More
Big Data - what effect is it going to have on EBM

17:59 | Jan 19th, 2017 The BMJ, and the Centre for Evidence Based Medicine in Oxford have long collaborated to document the problems with the creation and use of Evidence based medicine - and together we host evidence gatherers, synthe...Show More
Gluten free on the NHS

19:10 | Jan 13th, 2017

Should gluten-free foods be available on prescription? A gluten free diet is the main treatment for celiac disease, and gluten-free food has been available on prescription from the NHS. However, as finances become tighter, in some areas patients n...Show More
Surrogate outcomes distorting medicine

13:46 | Jan 6th, 2017

Surrogate endpoints are commonly used in clinical trials to get quicker results, however Michael Baum, emeritus professor at University College London, worries that by not focusing on real outcomes - length of life, and quality of life - that these a...Show More
Nanny state knows best

14:38 | Jan 3rd, 2017

State regulation is necessary for safety, says Simon Capewell, professor of public health and policy at the University of Liverpool. Richard Lilford, professor of public health at the University of Warwick, argues that restricting adults’ choice can...Show More
Christmas 2016 - War

27:07 | Dec 23rd, 2016

In this year's Christmas BMJ 2016 podcasts, we’ve been discussing morality, compassion, truth. In this final one, it's time for war. After the second world war, there was an attempt to bring a moral sense to conflict - and Julian Sheather, special...Show More
Christmas 2016 - truth, post truth, nothing like the truth

26:50 | Dec 22nd, 2016

In response to the turmoil of 2016, with political campaigns being run on, and won on, misinformation - many commentators are disparing that we’ve become a post-truth society. And what is truth anyway? Tracy Brown, director of Sense about Science...Show More
Christmas 2016 - Health and happiness

23:51 | Dec 21st, 2016

Underneath all of our civilisation and science, we’re still primates - and the connection between patient and doctor can be reinforced by simply taking a hand. Robin Youngson, cofounder of hearts in healthcare, and Mitzi Blennerhassett, who has wr...Show More
Christmas 2016 - ideologies and moralities

32:35 | Dec 16th, 2016

In an ideal world, policies would be evidence based - but governments are made of humans, who have positions and ideologies and moral bases. In this podcast Anthony Painter, from the RSA will be talking about why universal basic income may work, ...Show More
Education round up - November

36:14 | Dec 7th, 2016

The BMJ publishes a variety of education articles, to help doctors improve their practice. Often authors join us in our podcast to give tips on putting their recommendations into practice. In this new monthly audio round-up The BMJ’s clinical edit...Show More
Caring for renal transplant patients

30:45 | Dec 2nd, 2016

Renal transplantation improves quantity and quality of life compared with chronic dialysis. A UK general practice with 8000 patients will have around four patients with a functioning renal transplant, one patient on the transplant waiting list, and s...Show More
Margaret McCartney wants to fix the NHS

21:38 | Nov 28th, 2016

Glasgow GP, writer, broadcaster, and The BMJ's weekly columnist Margaret McCartney joins us to talk about her new book "The State of Medicine: Keeping the Promise of the NHS". Read all of Margaret's columns:
Evidence for vitamin D supplimentation

13:12 | Nov 25th, 2016

Despite high quality systematic reviews reporting ineffectiveness, many guideline groups continue to recommend vitamin D supplementation (with or without calcium) for fall or fracture prevention. Recently Public Health England recommended that everyo...Show More
Blinding the randomisation

11:57 | Nov 18th, 2016

Allocation concealment - blinding which arm of a trial a patient is randomised to - is being questioned in an analysis published on David Torgerson, director of the York Trials Unit at the university of York and colleagues have been lo...Show More
What to do after a concussion

18:08 | Nov 18th, 2016

Concussion is a clinical diagnosis made after a head injury with consequent associated signs, symptoms, and neurological or cognitive impairment (infographic - In the absence of strong evidence, most recommendations on the man...Show More
Non-drug treatments for chronic insomnia

21:02 | Nov 17th, 2016

Between 13 & 33% of the adult population have regular difficulty in getting to sleep, or staying asleep. It's important to recognise the difference between acute and chronic insomnia, as treatment strategies differ. David Cunnington, director of t...Show More
Cancer drugs, survival, and ethics

16:57 | Nov 11th, 2016

Despite considerable investment and innovation, chemotherapy drugs have had little effect on survival in adults with metastatic cancer. In this podcast, Navjoyt Ladher, clinical editor for The BMJ, talks to Peter Wise, former consultant physician...Show More
Advertising junk food to children

18:33 | Nov 4th, 2016

In the UK, junk food advertising is banned on children’s TV - but manufactures are still able to target children in other ways.  A recent report from the WHO  "Tackling food marketing to children in a digital world", takes a look at the issue. In ...Show More
Research before researching

12:25 | Nov 4th, 2016

To avoid waste of research, no new studies should be done without a systematic review of existing evidence. That argument has been made for 20 years, yet the lack of reference to a systematic review before designing new studies is still a problem. ...Show More
Rapid Recs - patient preference in heart valve replacement

13:34 | Nov 1st, 2016

In patients with symptomatic severe aortic stenosis but at lower risk of perioperative death, how do minimally invasive techniques compare with open surgery? Prompted by a recent trial, an expert panel produced these recommendations based on three li...Show More
Catherine Calderwood's realistic medicine

19:52 | Oct 28th, 2016

Catherine Calderwood has been chief medical officer for Scotland since March 2015 - her first CMO report, which she titled “Realistic Medicine” has created a stir beyond the borders of Scotland. The BMJ, sat down with Catherine at a the Preventing Ov...Show More
Middle East respiratory syndrome

20:12 | Oct 21st, 2016

Middle East respiratory syndrome (MERS) is an acute viral respiratory tract infection caused by the novel betacoronavirus. Cases have been limited to the Arabian Peninsula and its surrounding countries, and to travellers from the Middle East or t...Show More
Beyond data sharing - "It was me who got my research team out of jail... that's my data"

22:28 | Oct 11th, 2016

Elizabeth Pisani, visiting senior research fellow at King's College London, collects data on sex workers and injecting drug users in low and middle income countries. For years she has been sharing her data, and joins us to explain why she went fr...Show More
Head to head - Should all GPs be NHS employees?

16:50 | Oct 7th, 2016

Independent contractor status creates unnecessary stress, argues Azeem Majeed, GP partner and professor of primary care at Imperial College London. Laurence Buckman, GP partner and former head of the BMA GP committee, values his autonomy and dista...Show More
Preventing Overdiagnosis In Barcelona

49:52 | Oct 6th, 2016

The Preventing Overdiagnosis conference is part of The BMJ's campaign against Too Much Medicine. Helen Macdonald clinical editor for The BMJ was at the conference, and talked to some of the key speakers there about what they believe the key issues...Show More
Living kidney donation

19:29 | Sep 23rd, 2016

Globally each year more than 30 000 people become living kidney donors. Living kidney donation is constantly evolving, with new ways of pooling donors and recipients to maximise opportunity. With increased numbers, there is increasing information reg...Show More
The ethics of placebo

19:22 | Sep 16th, 2016

In a clinical trial, we usually think of risk in terms of the new active compound - will it have unwanted effects. However, two analyses in The BMJ are concerned about the risk associated with the control arm. Robin Emsley is a professor of psychi...Show More
Ghostwriting redefined

11:43 | Sep 9th, 2016

Alastair Matheson, independant consultant and former ghostwriter, describes how the pharmaceutical publications industry seeks to legitimise ghostwriting by changing its definition while deflecting attention from wider marketing practices in academic...Show More
Reprehensible, but the people carrying out atrocities have very low rates of mental disorders

11:26 | Sep 8th, 2016

Oversimplification and lack of evidence stigmatise people with mental illness and impede prevention efforts, says Simon Wessley, professor of psychiatry at King's College London, in an editorial published on Read the full editorial: h...Show More
Late effects of anticancer chemotherapy: It's hard to trust your body, after it's betrayed you

24:22 | Sep 8th, 2016

Lily was diagnosed at 14 years old with stage four Hodgkin's lymphoma and received six rounds of chemotherapy and two weeks of radiotherapy. She survived but now lives with the long term effects of that therapy - and joins us to discuss how it has im...Show More
"It suggests that older people have a lower value in society" - Ageism in global development

11:55 | Sep 2nd, 2016

The United Nation's Millennium Development Goals, and the subsequent Sustainable Development Goals, define premature mortality as being a death under the age of 70. As demographic change means more people are living longer than this, Peter Lloyd...Show More
Not just our ethical credibility as a profession, but our shared humanity

13:21 | Aug 30th, 2016

"I say to all Australian doctors - young, old, the political and the apolitical - that on this depends not just our ethical credibility as a profession, but our shared humanity. " Following the leaked emails published in The Guardian newspaper, al...Show More
Education round up - ICE, examinations, and adherence

20:44 | Aug 25th, 2016

The BMJ publishes a variety of education articles, to help doctors improve their practice. Often authors join us in our podcast to give tips on putting their recommendations into practice. In this new monthly audio round-up The BMJ’s clinical edi...Show More
A maladaptive pathway to drug approval

16:59 | Aug 19th, 2016

The European Medicines Agency (EMA) has embraced a new model of drug testing and marketing called “adaptive pathways”, allowing new drugs for “unmet medical needs” to be launched on the market faster, on the basis of fewer data. While industry cla...Show More
Likelihood ratios in diagnostic tests

07:30 | Aug 16th, 2016

Andrew Elder, a professor at the University of Edinburgh talks about likelihood ratios in diagnostic testing, and how they’re helpful in thinking about how context changes the predictive value of a test. This is part of a wider discussion on the e...Show More
Evidence for examination

15:47 | Aug 16th, 2016

You may have spent hours practicing for your examination exams, but how evidence based are the techniques taught? Andrew Elder, a professor at the University of Edinburgh, and author of the clinical review “How valuable is physical examination of ...Show More
Poor adherence to antihypertensives

16:59 | Aug 16th, 2016

It is estimated that 50% of patients who have what appears to be treatment resistant hypertension are actually not taking their drugs as prescribed. Indranil Dasgupta, a consultant nephrologist at the Heart of England NHS Foundation Trust joins us...Show More
Anticipatory care

16:55 | Aug 5th, 2016

“How long have I got, doc” is a TV medical drama cliche - but like all cliches has it’s feet in real life - and it’s medicine’s attempt to answer these questions that the authors of an analysis article on are questioning. Kirsty Boyd ...Show More
Ivan Oransky watching retractions

33:04 | Jul 29th, 2016

Ivan Oransky, co-founder of Retraction Watch and global editorial director at MedPage Today, discusses which areas of science are most affected by research fraud, and what motivates individuals to risk their careers by fabricating data.
How does maximizing shareholder value distort drug development?

18:01 | Jul 28th, 2016

With the emergence of sofobuvir, a new direct acting antiviral, treatment for Hepatitis C infection is currently undergoing it's greatest change since the discovery of the virus 25 years ago. However Gilead, who manufacture the treatment, are unde...Show More
What went wrong with

13:12 | Jul 22nd, 2016

Failures in implementation of data sharing projects have eroded public trust. In the wake of NHS England’s decision to close down its programme, Tjeerd-Pieter van Staa professor of health e-research at the University of Manchester, exami...Show More
You've been ICE'd

22:08 | Jul 22nd, 2016

We’re taught that patients' ideas, concerns, and expectations are central to a successful consultation, but has ICEing gone too far? A “What your patient is thinking” article published this week talks about the pressure that asking questions in th...Show More
Should we scrap the internal market in England's NHS

18:47 | Jul 15th, 2016

The "internal market" was created after the 1987 UK general election focused attention on inadequate funding in the NHS, long waiting lists for elective surgery, and large unwarranted variations in clinical care. Economists attributed these proble...Show More
Treating hip osteoarthritis

23:40 | Jul 8th, 2016

2.46 million people in England have osteoarthritis of the hip, and many of those go on to eventually have a hip replacement - which is now widely considered one of the most commonly performed and successful operations in the world. Jessamy Bagena...Show More
Having hip osteoarthritis

12:42 | Jul 8th, 2016

2.46 million people in England have osteoarthritis of the hip, and many of those go on to eventually have a hip replacement - which is now widely considered one of the most commonly performed and successful operations in the world. Jessamy Bagena...Show More
PreP And public health

17:03 | Jul 8th, 2016

The drug Truvada, licenced for HIV PrEP, costs £350 a month but is shown to be cost effective in preventing infection. However, in the English NHS, a row has broken out about which body should fund the treatment - NHS England claims local authorities...Show More
Can guidelines be reformulated to account for how doctors actually use information?

19:35 | Jul 1st, 2016

Guidelines usually assume a rational comprehensive decision model in which all values, means, and ends are known and considered. In clinical encounters, however, patients and doctors most often follow “the science of muddling through. Given that ...Show More
Evidence live - Emily Sena on closing the gap between clinical and basic science

16:34 | Jun 24th, 2016

When we think about medical evidence, we think of RCTs, registries and meta-analysis. But these EBM tools have yet to filter into the basic science that underpins clinical science. One person changing that is Emily Sena, research fellow in clinic...Show More
Julia Beluz And Victor Montori - Journalists And doctors; separated by a common evidence

16:57 | Jun 23rd, 2016

The same piece of evidence may reach you via a journalist, or via your doctor - but the way in which that evidence is communicated is changed by your relationship between that person. Julia Beluz from Vox and Victor Montori from the Mayo Clinic jo...Show More
Epilepsy in pregnancy

17:32 | Jun 21st, 2016

In every 1000 pregnancies, between two and five infants are born to women with epilepsy. For such women, pregnancy can be a time of anxiety over maternal and fetal wellbeing. In 96% of pregnancies they will deliver a healthy child. However, some w...Show More
Caring for patients with delirium at the end of their life

18:17 | Jun 14th, 2016

Delirium is common in the last weeks or days of life. It can be distressing for patients and those around them. A clinical update explains why successful management involves excluding reversible causes of delirium and balancing drugs that may provoke...Show More
"What has convinced me is the evidence" - why mandatory treatment for drug use is a bad idea

12:14 | Jun 10th, 2016

Global evidence indicates that mandated treatment of drug dependence conflicts with drug users’ human rights and is not effective in treating addiction. Karsten Lunze, associate professor at the Boston University School of Medicine, joins us to d...Show More
Tell me a story

25:49 | Jun 3rd, 2016

How can asking patient to tell us their story improve healthcare? Helen Morant, content lead at BMJ, talks us through her project getting healthcare professionals to sit down with patients and record their conversations, and what on earth this has to...Show More
Guidelines Not Tramlines

21:44 | May 27th, 2016

Julian Treadwell, Neal Maskrey and Richard Lehman join us in the studio to argue that new models of evidence synthesis and shared decision making are needed to accelerate a move from guideline driven care to individualised care. Read the full anal...Show More
Uncovering the uncertainty on wound dressing

12:19 | May 26th, 2016

There is insufficient evidence to know whether dressings reduce the risk of surgical site infection in closed primary surgical wounds. Jane Blazeby, professor of surgery at the University of Bristol, and Thomas Pinkney, consultant colorectal surg...Show More
Abortion as a development issue

10:53 | May 25th, 2016

Interviews from the Women deliver conference in Copenhagen. Catrin Schulte-Hillen, co-ordinator of reproductive health and sexual violence care at Medecins Sans Frontieres, explains why the development community shouldn't conflate sexual violence ...Show More
Women and the Zika Virus

08:24 | May 25th, 2016

Interviews from the Women deliver conference in Copenhagen. Donna McCarraher, director of reproductive, maternal, newborn and child health at FHI 360, explains why women should be at the centre of efforts to mitigate the effect of Zika Virus in Br...Show More
What are they on?

14:04 | May 20th, 2016

This week, we look at medication reconciliation. Joshua Pevnick, health services researcher and hospital physician at Cedars-Sinai Hospital, LA, US, talks us through what it is and why it can be so hard to get right. And Emma Iddles, a junior ...Show More
The Weekend Effect - what's (un)knowable, and what next?

54:20 | May 20th, 2016

We do we know about the weekend effect? As Martin McKee puts it in an editorial on, "almost nothing is clear in this tangled tale" In this roundtable, Navjoyt Ladher, Analysis editor for The BMJ is joined by some of the key academics w...Show More
"Women deliver, and not only babies"

23:36 | May 16th, 2016

Katja Iversen, CEO of Women Deliver, joins Rebecca Coombes to explain why the UN sustainable development goals are unachievable if we don't empower women and girls to take control of their health, wellbeing, and reproductive rights. http://womende...Show More
Travellers' diarrhoea

18:17 | May 13th, 2016

Travellers’ diarrhoea is one of the most common illnesses in people who travel internationally, and depending on destination affects 20-60% of the more than 800 million travellers each year. In most cases the diarrhoea occurs in people who travel to ...Show More
"The information we get can be harmfull"; Informed consent is not a panacea

08:50 | May 9th, 2016

Providing information to enable informed choices about healthcare sounds immediately appealing to most of us. But Minna Johansson, GP trainee and PhD student at the University of Gothenburg, argues that preventive medicine and expanding disease d...Show More
The science of improvement

14:27 | May 6th, 2016

Or, the one where Fiona Moss and Don Berwick tells us what they think quality improvement is. Fiona Moss is dean, Royal Society of Medicine, and Don Berwick is president emeritus and senior fellow, Institute for Healthcare Improvement. Don's ta...Show More
Medical error—the third leading cause of death in the US

12:17 | May 4th, 2016

Medical error is not included on death certificates or in rankings of cause of death. Martin Makary, professor of surgery at Johns Hopkins University School of Medicine, joins us to explain why we don't measure medical error, and why it is so importa...Show More