NB Hot Topics Podcast

NB Medical Education
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The Hot Topics podcast from NB Medical brings you the latest in general practice current affairs, reviews the latest research relevant to primary care, explores interesting and important topics in-depth, and looks at cutting edge medicine.

  1. 17 APR

    S7 E9: Best DOAC for VTE; Muscle loss with GLP1s; CDSSs - why don't we use them?

    Welcome to the Hot Topics podcast from NB Medical with Dr Neal Tucker. In this episode, we have three new pieces of research that affect us in general practice.  First: What interim anti-coagulation would you give your patient with suspected VTE? One common option has 5 times the rate of major bleeding. Second: How much muscle mass do people lose with weight loss on GLP1s? Is this different from lifestyle-based interventions, and is there anything patients can do about it? Third: Why don't we use clinical decision support tools for cancer? This research looks at the barriers and then I over-share my own thoughts on the subject... References NEJM Apixaban or rivaroxaban bleeding risk with acute VTE Diabetes, Obesity & Metabolism Lean mass loss with incretin therapies vs lifestyle interventions BJGP: Why don't we use clinical decision tools www.nbmedical.com/podcast

    29 min

  2. 13 MAR

    S7 E8: Longevity of THR; GLP1a for Addiction; Analgesia for Kids

    Welcome to the Hot Topics podcast from NB Medical with Dr Neal Tucker. Three new research papers to help us along our way in general practice this month. First, how long do modern hip replacements last? How does this new data change our conversation with patients? Second, it's thought GLP1 agonists could have a role in addiction management, but so far, research has failed to show a definitive benefit. Could new data from the US on veterans with type 2 diabetes show a different picture?  Finally, what analgesia would you recommend for a child in pain? This new paper compared ibuprofen with or without paracetamol or hydromorphone - yes, an extremely potent long-acting opioid for kids. Good idea? We find out. References Lancet Hip replacement longevity Lancet THR Editorial BMJ GLP1ra and addiction BJP editorial JAMA Analgesia and Child   www.nbmedical.com/podcast

    21 min

  3. 13 FEB

    S7 E7: Stopping Anticoags After Ablation; Spinal Manipulation for Back Pain; Talking About Dying

    Welcome to the Hot Topics podcast from NB Medical with Dr Neal Tucker.Three new pieces of research to talk about in today's podcast.  First, in the NEJM - could patients stop anti-coagulation after ablation for AF? Conventional practice says no. Does this paper change that? Second, in JAMA - can spinal manipulation, or clinician-guided self-management, or both help with low back pain? This paper is a good crack. Finally, in the BJGP - what do our patients think about advance care planning? Should we be talking about this more, and, if so, in whom and how? References NEJM Anti-coags after ablation in AF NEJM Editorial JAMA Low back pain BJGP Advance care planning www.nbmedical.com/podcast

    20 min

  4. 16 JAN

    S7 E6: Weight Regain with GLP1ra; Orforglipron; Ivermectin vs Permethrin

    Welcome to the Hot Topics podcast from NB Medical with Dr Neal Tucker. In this episode, we have three new and interesting research papers to look at.  First, hitting the headlines this week, weight regain after cessation of GLP1 receptor agonists. Not a surprise, perhaps, but how fast does the weight come back, can anything be done to prevent it, and what are the implications for patients and the NHS? Second, orforglipron - the new GLP1ra on the block and an oral treatment. Can it help weight loss and improvement in cardiometabolic markers in patients with obesity and type 2 diabetes?  Finally, which is better for treating scabies - permethrin or oral ivermectin? Would a tablet be an easier option, or is it just not as good?  References BMJ Weight regain after cessation of weight loss medications BMJ Editorial BMJ Opinion  BMJ Side Effects of GLP1ras NEJM Orforglipron RCT in obesity Lancet Orforglipron RCT in obesity and T2DM BMJ Scabies treatment - ivermectin or permethrin? PCDS Scabies guideline BAD Scabies guideline www.nbmedical.com/podcast

    26 min

  5. 19/12/2025

    S7 E5: Christmas Special - Empathy in GP, an interview with Dr Andy Ward

    Welcome to the Hot Topics Podcast from NB Medical with Dr Neal Tucker. Merry Christmas, everyone! This is a special edition on empathy in general practice. Does it matter, and what does the research tell us? Can not being a grinch in surgery make a difference to our patients and ourselves?  We are joined by NB colleague Dr Andy Ward, who is also Associate Professor of Medical Education and an Honorary Senior Academic General Practitioner at the Stoneygate Centre for Empathic Healthcare at the University of Leicester, who is going to get us through the data and explain why empathy might help get us through the festive period in practice too. References Stoneygate Centre for Empathic Healthcare website BJGP Just Do It! Ten Easy Ways To Enhance Empathy in the Consultation www.nbmedical.com/podcast

    25 min

  6. 05/12/2025

    S7 E4: Social Media & Cognitive Development; Urine vs Smear for HPV; Tai Chi vs CBTi For Sleep

    Welcome to the Hot Topics podcast from NB Medical with Dr Neal Tucker. In this episode, we have three new and interesting research papers to look at.  First, new data on the effects of social media use and cognitive development in younger adolescents. Is it really a problem? Second, can a simple urine sample be as accurate as a smear test for identifying cervical HPV, and what do women feel about this? Finally, if you're struggling to sleep could Tai chi be better than CBT for insomnia?  References JAMA SM & cognitive development JAMA Editorial BJGP Urine vs smear for cervical HPV BMJ Tai chi vs CBTi for insomnia www.nbmedical.com/podcast

    25 min

  7. 07/11/2025

    S7 E3: Anti-Ds side effects; knee OA exercise; PSA trends & PCUK interview with Dr Bunmi Olajide & Kevin Howell

    Welcome back to the Hot Topics podcast from NB Medical with Dr Neal Tucker. In this episode, we look at three new pieces of research and have a special interview in conjunction with Prostate Cancer UK.  First, do antidepressants have physiological side effects? How do they compare to each other, and how does this influence what we prescribe to whom? Second, exercise is a key treatment for knee osteoarthritis, but which type is best? What should we recommend to our patients? Third, how has PSA testing changed over the past two decades? Is there variation in testing in high-risk groups? Discussing this further, we are joined by Dr Bunmi Olajide, a GP with a special interest in cancer, and Kevin Howell, Black Health Equity Engagement manager for Prostate Cancer UK. Resources Lancet Anti-depressants and physiological side effects BMJ Knee OA and Best Exercises NEJM Knee pain and home exercises BMJ PSA testing trends in England PCUK PSA Consensus statement 2024 PCUK Guide for Counselling Patients on the PSA Blood Test PCUK Online Education www.nbmedical.com/podcast

    37 min

  8. 03/10/2025

    S7 E2: "Not Phone-Calling" song; AIR for kids; SCAN for cancer; GP number trends

    Welcome to the Hot Topics podcast from NB Medical with Dr Neal Tucker! In this episode, we talk about some real research rather than stuff made up by over-tanned heads of state. Three papers.  First, can researchers fill the gap on whether anti-inflammatory reliever therapy is best for mild asthma?  Second, how effective are SCAN pathways for suspected cancer in patients with non-specific symptoms who don't meet site-specific referral criteria, and what lessons can we learn from years of referrals? Third, how do the numbers of licensed GPs differ from actual GPs working, and how does this all compare to what's happening with hospital consultants? References Lancet AIR for kids asthma Lancet Primary Care SCAN referrals   BMJ Trends in practising GPs www.nbmedical.com/podcast

    28 min
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About

The Hot Topics podcast from NB Medical brings you the latest in general practice current affairs, reviews the latest research relevant to primary care, explores interesting and important topics in-depth, and looks at cutting edge medicine.

Information

  • Creator
    NB Medical Education
  • Years Active
    2019 - 2026
  • Episodes
    108
  • Rating
    Clean
  • Copyright
    © 2026 NB Hot Topics Podcast
  • Show Website
    NB Hot Topics Podcast

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