The BMJ Podcast BMJ Podcasts
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- Health & Fitness
Leading the debate on health to engage, inform, and stimulate doctors, researchers, and other health professionals.
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The future of the clinical relationship, code sharing, and a Nye-t at the theatre
In this week's podcast:
How AI will affect the clinician-patient relationship? Our annual Nuffield Summit roundtable asks how the promise of tech tools stacks up against reality, and how the future of the therapeutic relationship can be protected (participants below).
Your code is as important as your methods, which is why The BMJ now requires you to share it - Ben Goldacre and Nick De Vito, from the Bennett Institute for Applied Data Science at the University of Oxford, explain why it's so important, and how The BMJ's new data and code sharing policy could change research transparency.
Nye Bevin set up the NHS when the UK was in the economic doldrums, and the public's need for care was becoming an emergency - BMJ columnist Matt Morgan has helped turn that story into a play, currently showing at the National Theatre; and reflects on the parallels between now and then.
1:58 Nuffield Summit roundtable
17:32 New BMJ rules on data and code sharing
29:03 Aneurin "Nye" Bevan play
Taking part in our roundtable were:
Rebecca Rosen, Senior Fellow at the Nuffield Trust and GP
Juliet Bouverie, CEO of The Stroke Association
Daniel Elkeles, CEO of London Ambulance Service
Neil Sebire, Professor and Chief Research Information Officer at Great Ormond Street Hospital
Reading list:
How is technology changing clinician-patient relationships?
Mandatory data and code sharing for research published by The BMJ
Scalpels and spotlights: bringing theatre to the theatre -
Retracting abortion papers, deafness in the clinic, and 70 years of a medical orchestra
The U.S. Supreme Court is hearing a case on the approval of mifepristone for medical abortion - a case which could change the availability of the drug in the US, and which hinges on papers linking abortion to mental distress. However, those papers are contested (including a paper published by BMJ), and some have been retracted already - Julia Littell and Antonia Biggs tell us how that science is being used in court, and why retraction is essential.
Awakening from anaesthetic is difficult enough, but imagine you're three and only communicate through sign language - which no one can understand. We hear from Kirsten, a mother who thinks everyone should learn at least a few key sign language phrases.
Finally, the London Medical Orchestra is turning 70 - having had their start in The BMJ's letters pages. Stuart Delve and Peter Gough help explain the orchestra's longevity.
01:00 The Supreme Court Case on Medical Abortion
10:27 The Role of Journal Editors in Scientific Integrity
19:54 The Impact of Deafness on Patient Experience
30:57 The Joy of Music in a Medical Career: London Medical Orchestra
References
Analysis: Correcting the scientific record on abortion and mental health outcomes
WYPIT: The importance of British Sign Language
Asha's instagram for BSL tips
London Medical Orchestra's 70th anniversary concert - 6:30pm, Sun, 10 Mar 2024
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Heidi Larson on misinformation, the right exercise to reduce depression, and Breathtaking TV
Social media, and the rate at which the online world is changing, is worrying - especially the speed at which health disinformation can speed around the globe. We look to tech companies for a solution to the problems of their own making - but Heidi Larson, director of the Vaccine Confidence Project, and professor of anthropology, risk and decision science at LSHTM, joins us to explain why we should be cautious about focussing our attention there.
Next on the podcast, research just published in The BMJ looks at the efficacy of exercise at controlling depressive symptoms - but helps finally answer the key question - which exercise works best. Lead author, Michael Noetel, senior lecturer in psychology at the University of Queensland, joins us to explain the research, and how well exercise stacks up against pharmacological treatments.
Finally, while it’s tempting to try and put the pandemic behind us, its effects linger - and many healthcare staff are still dealing with their experience of that time. Rachel Clarke, a palliative care doctor in the UK, joins us to explain why she has felt the need to document the pandemic, first in a book and now in a new TV drama set to air in the UK next week.
06:15 Heidi Larson on vaccine confidence and social media
15:31 Exploring the effectiveness of exercise for depression
26:56 Rachel Clark on seeing her experiences reflected on screen
Reading list
BMJ Collection: How are social media influencing vaccination
Feature: Medical misinformation on social media—are the platforms equipped to be the judge?
Research: Effect of exercise for depression
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A health and care emergency, the US constitutional weakness for pandemic response, ActionAid in conflict zones
With a new logo, and new music, comes a revamped The BMJ Podcast.
Every two weeks we’ll be bringing you a magazine style show, more variety and perspectives on medicine, health, and wellbeing.
In this episode:Former chief executive of the NHS, Nigel Crisp, explaining why the UK is facing a national health and care emergency (01:22)
The guest editors of our US covid series, Gavin Yamey and Ana Diez Roux, discuss the US pandemic response, and how problems are built into the US constitution (19:48)
How The BMJ’s ActionAid appeal will help people in Gaza, Syria and Somalia (33:06)
Reading list:
The BMJ Commission on the Future of the NHS
US covid-19 lessons for future health protection and preparedness
The BMJ Appeal 2023-24: ActionAid offers immediate and long term help -
Christmas 2023 - performing medicine, and prescribing nature
In this festive edition of the BMJ podcast, we hear about what medicine can learn from music, when it comes to giving a convincing performance, and how we can grow an evidence base for nature prescribing.
Professors Roger Kneebone and Aaron William of the Centre for Performance Science raise the curtain on the performance of medicine, and we hear what your consultation technique could learn from a hairstylist.
Ruth Garside, Professor of Evidence Synthesis, Kerryn Husk, Associate Professor of Health Sciences and Edward Chapman from the Health and Environment Public Engagement Group then discuss 'nature prescribing', and wonder about how to balance maintaining the joy derived from nature and yet create an evidence base for the medicinal benefits associated with it.
Reading list
Medicine: a performing art
Nature prescribing
00:13 Introduction to the BMJ Podcast00:36 Exploring the Themes of the Christmas Edition01:38 The Intersection of Medicine and Performance02:33 The Art and Science of Performance in Medicine05:04 The Role of Performance in Music06:29 The Similarities Between Medicine and Music08:06 The Role of Experiential Learning in Performance14:11 The Impact of Audience on Performance19:04 The Benefits of Nature and Green Prescribing24:52 The Challenges of Measuring the Impact of Nature Prescribing30:37 The Community's Engagement with Nature Prescribing33:01 Conclusion and Farewell -
Oxytocin, clinical outcomes, and patient choice, in resource constrained settings
There’s an inherent tension between creating quality standards that are very clinically focussed, and standards which are very patient centred - especially in settings where clinical outcomes can be compromised by basic lack of resources.
The use of oxytocin to prevent bleeding after birth is an example of this - WHO quality guidelines clearly measure and incentivise use of the drug, but in more wealthy healthcare systems, adherence patient preference is the key measure.
How can we ensure that less wealthy healthcare systems are also patient centred?
Our guests for this discussion;
Nana Twum-Danso, senior vice president, Institute for Healthcare Improvement (IHI)
Paul Dsane-Aidoo, health specialist, UNICEF Ghana
Keith Cloete, head of department at Western Cape Government: Health
Hosted by Emma Veitch, Collections editor for The BMJ
This podcast is part of The BMJ Quality of Care collection, in collaboration with the World Health Organization and the World Bank, which offers critical thinking on both the unfinished agenda and emerging priorities for improving quality of care in low- and middle-income countries.
00:00 Introduction to the podcast
00:48 Introduction of experts and their backgrounds
02:54 Challenges in healthcare systems: south africa's perspective
04:15 The importance of patient-centred care
04:56 The role of data in improving quality of care
06:11 Community engagement and feedback in healthcare
07:58 Tackling global disparities in healthcare
08:41 Balancing clinical outcomes and patient-centred care
10:58 Addressing inequities in healthcare
22:43 The role of governance in improving quality of care
32:56 Overcoming resource constraints in healthcare
36:22 The need for system redesign in healthcare
37:18 Adapting to changing times in healthcare