Clinical Update

MIMS Learning

Welcome to the Clinical Update podcast – the fortnightly podcast that brings you thought-provoking clinical education from MIMS Learning, that you can fit into your busy life. The podcast is aimed at UK healthcare professionals and may count for up to 0.5 hours of CPD towards your appraisal. We interview the experts to provide you with key insights linked to the e-learning on MIMS Learning and the education we deliver at our live virtual and in-person events. Topics covered include primary care, dermatology, oncology, diabetes, cardiology, gastroenterology, mental health, respiratory medicine and women’s health. Dive in, learn in a new way and get inspiration for your daily practice. Hosted on Acast. See acast.com/privacy for more information.

  1. Sep 23

    Podcast: the past, present, and future of GLP-1 medications with Professor John Wilding

    GLP-1 medications, long-established as treatments for type 2 diabetes, are now recognised as highly effective treatments for managing obesity. In this episode of the Clinical Update podcast, Professor John Wilding talks to Dawn Liz Powell about how evidence is building for new ways to support people living with obesity. As well as the development of subcutaneous and oral GLP-1 medications and how they work, Professor Wilding discusses their current role in the management of type 2 diabetes and obesity, their potential additional benefits (such as cardiovascular risk reduction), and their possible side-effects.  Looking to the future, he says that there are ‘over 50 drugs in either phase II or phase III development’ including amylin analogues, triple analogues, and a monthly GLP-1/GIP antibody injection.  Educational objectives After listening to this podcast, healthcare professionals should be more aware of: How GLP-1 medications work for both type 2 diabetes and for obesityTheir current role in the management of obesityThe risks and benefits of GLP-1 medicationsWhat new oral preparations for weight loss are emerging New and combination medications that may be available in the future You can access the website version of this podcast, along with key learning points, on MIMS Learning. MIMS Learning offers hundreds of hours of CPD for healthcare professionals, along with a handy CPD organiser and note-taking for appraisal. Please note: this podcast is presented by medical editors and discusses educational content written or presented by doctors, nurses and other healthcare professionals on the MIMS Learning website and at live events. MIMS Learning Obesity in adults Obesity and pregnancy Obesity podcourse with Dr Patrick Holmes, part 1: metabolic vulnerability Obesity podcourse with Dr Patrick Holmes, part 2: established metabolic disease Obesity podcourse with Dr Patrick Holmes, part 3: obesity and multiple comorbidities MIMS Obesity treatments Hosted on Acast. See acast.com/privacy for more information.

    Podcast: the past, present, and future of GLP-1 medications with Professor John Wilding
  2. Sep 9

    Supporting patients with Parkinson’s disease, with Dr Alistair Church

    0.5 CPD hours Parkinson’s disease is ‘not a condition of one person’ because the families of people with Parkinson’s are very much affected by the condition, according to Dr Alistair Church.  In this episode of the Clinical Update podcast, he talks to MIMS Learning editor Pat Anderson about the role of GPs in the management of the condition. He says GPs are ‘the spider in the middle’ of support for patients — first in picking up signs and symptoms, referring promptly, and helping patients with all the aspects of the condition that can be managed in primary care.  Dr Church also highlights ‘lots of energy’ around the development of disease-modifying therapy for Parkinson’s in the medium term. Educational objectives After listening to this podcast, healthcare professionals should be better able to: Recall the prevalence of Parkinson’s diseaseUnderstand how Parkinson’s is a ‘family disease’ in terms of the family’s rolePick up signs and symptoms that may suggest Parkinson’sBe alert to the possibility of Parkinson’s in younger patientsDistinguish Parkinson’s from other neurological conditionsUnderstand the key role of exercise in managing Parkinson’sSupport patients by managing non-motor aspects of the diseaseBe aware of the prospects for disease-modifying therapy in future You can access the website version of this podcast, along with key learning points, on MIMS Learning. MIMS Learning offers hundreds of hours of CPD for healthcare professionals, along with a handy CPD organiser and note-taking for appraisal. Please note: this podcast is presented by medical editors and discusses educational content written or presented by doctors, nurses and other healthcare professionals on the MIMS Learning website and at live events. Resources MIMS Learning Guidance update: latest NICE guidelines on neurological conditions Tremor - red flag symptoms Guidance update: latest NICE guidelines on neurological conditions Hosted on Acast. See acast.com/privacy for more information.

    Supporting patients with Parkinson’s disease, with Dr Alistair Church
  3. Sep 2

    Obesity podcourse with Dr Patrick Holmes, part 3: multiple comorbidities

    After seeing Sophie at 28 years (first episode) and at 35 years (second episode), the third and final episode of this podcourse looks at Sophie at 40 years old. She now has multiple obesity-related comorbidities — hypertension, type 2 diabetes, dyslipidaemia, obstructive sleep apnoea and metabolic dysfunction-associated steatotic liver disease. GP Dr Patrick Holmes reviews how to reduce Sophie's risk of experiencing a cardiac event and improve her quality of life. Educational objectives After listening to this episode, healthcare professionals should be more aware of: The effect of having multiple obesity-related comorbidities on life expectancy and quality of lifeHow weight loss medication, such as tirzepatide, could improve the health status of a person living with multiple obesity-related comorbiditiesThe need to provide non-pharmacological support to people living with obesity, regardless of whether they are taking weight loss medicationsHow, without effective intervention, a person with obesity can progress from metabolic vulnerability, to established metabolic disease, and to having multiple comorbidities Listen to this three-part audio series, then go to mimslearning.co.uk to read downloadable worksheets and test your knowledge to ensure you are up to speed with all the key points primary care professionals need to know about obesity management. If you enjoy a blend of online learning and podcast-style listening that you can fit into your busy life, then this podcourse is for you. MIMS Learning Obesity podcourse with Dr Patrick Holmes, part 1: metabolic vulnerability Obesity podcourse with Dr Patrick Holmes, part 2: established metabolic disease Obesity podcourse with Dr Patrick Holmes, part 3: obesity and multiple comorbidities Hosted on Acast. See acast.com/privacy for more information.

    Obesity podcourse with Dr Patrick Holmes, part 3: multiple comorbidities
  4. Sep 2

    Obesity podcourse with Dr Patrick Holmes, part 2: established metabolic disease

    In the second episode of this three-part podcourse, Sophie is now 35 years old and is approaching obesity class 3. She has also developed young-onset type 2 diabetes, dyslipidaemia, and hypertension. This represents disease progression from when we first met Sophie in episode 1 where she was 28 years old and living with obesity class 1. GP Dr Patrick Holmes discusses available treatment options for Sophie now that she has established metabolic disease, and how to reduce the risk of further disease progression.  Educational objectives After listening to this podcourse episode, healthcare professionals should be more aware of: The available treatment options for established metabolic diseaseNICE recommendations for managing young-onset type 2 diabetesThe effect of established metabolic disease on quality of lifeHow parental obesity can affect the health of the whole family Listen to this three-part audio series, then go to mimslearning.co.uk to read downloadable worksheets and test your knowledge to ensure you are up to speed with all the key points primary care professionals need to know about obesity management. If you enjoy a blend of online learning and podcast-style listening that you can fit into your busy life, then this podcourse is for you. MIMS Learning Obesity podcourse with Dr Patrick Holmes, part 1: metabolic vulnerability Obesity podcourse with Dr Patrick Holmes, part 2: established metabolic disease Obesity podcourse with Dr Patrick Holmes, part 3: obesity and multiple comorbidities Hosted on Acast. See acast.com/privacy for more information.

    Obesity podcourse with Dr Patrick Holmes, part 2: established metabolic disease
  5. Sep 2

    Obesity podcourse with Dr Patrick Holmes, part 1: metabolic vulnerability

    Sophie is 28 years old, lives with obesity, and has just discovered that she is pregnant with her second child. Prior to her pregnancy, a blood glucose test indicated that she had pre-diabetes. In this episode, the first of a three-part podcourse, GP Dr Patrick Holmes reviews how to support Sophie through pregnancy, and after delivery,how to reduce the risk of further weight gain and progression to type 2 diabetes. Educational objectives After listening to this podcourse episode, healthcare professionals should be more aware of: How to raise the issue of weight sensitivelyThe modifiable and non-modifiable factors that can drive obesityManagement priorities in a pregnant woman with obesityLong-term goals after pregnancy in a woman living with obesity Listen to this three-part audio series, then go to mimslearning.co.uk to read downloadable worksheets and test your knowledge, to ensure you are up to speed with all the key points primary care professionals need to know about obesity management. If you enjoy a blend of online learning and podcast-style listening that you can fit into your busy life, then this podcourse is for you. MIMS Learning Obesity podcourse with Dr Patrick Holmes, part 1: metabolic vulnerability Obesity podcourse with Dr Patrick Holmes, part 2: established metabolic disease Obesity podcourse with Dr Patrick Holmes, part 3: obesity and multiple comorbidities Hosted on Acast. See acast.com/privacy for more information.

    Obesity podcourse with Dr Patrick Holmes, part 1: metabolic vulnerability
  6. Aug 26

    Deprescribing opioids in primary care, with Dr Faheem Shakur

    ‘Successful opioid deprescribing is built on trust. Listen to patients, acknowledge that their pain is real, avoid stigmatising language, and involve them in every decision. Patients are much more likely to engage when they feel supported rather than judged,’ Dr Faheem Shakur says in this episode of the Clinical Update podcast. Dr Shakur explains that while opioids do have a role in the management of acute pain, they should not routinely be used to manage chronic pain. He reviews how primary care teams can identify patients who may benefit from coming off opioids, how best to reduce opioid use while deploying other ways to manage pain, and how to build trust with patients so that they engage in the process. If an opioid is appropriate, according to Dr Shakur, it should be prescribed at the lowest effective dose for the shortest possible duration with a clear stop date or review date. Patients should be informed, from the beginning, that the opioid will only be used for a limited time.  Educational objectives After listening to this podcast, healthcare professionals should be more aware of: When prescribing an opioid is, and is not, appropriate in primary careThe place of opioid deprescribing within strategies for better pain management How to ensure patients are not left on opioids long termHow practices can identify patients on opioids who would benefit from a medication reviewRed flags that indicate a patient may be dependent on opioidsStrategies for deprescribing opioids, including how to engage patients in the processHow to identify and manage withdrawal symptoms   You can access the website version of this podcast, along with key learning points, on MIMS Learning. MIMS Learning offers hundreds of hours of CPD for healthcare professionals, along with a handy CPD organiser and note-taking for appraisal. Please note: this podcast is presented by medical editors and discusses educational content written or presented by doctors, nurses and other healthcare professionals on the MIMS Learning website and at live events. MIMS Learning Osteoarthritis: clinical review Case study: chronic pain review Guidance update: NICE guidelines on chronic pain in over 16s Hosted on Acast. See acast.com/privacy for more information.

    Deprescribing opioids in primary care, with Dr Faheem Shakur
  7. Aug 12

    Providing best transgender healthcare in primary care, with Dr Kamilla Kamaruddin

    0.5 CPD hours ‘There are a lot of things the GP can do’ for transgender patients, according to GP lead for East of England gender services Dr Kamilla Kamaruddin, interviewed for the Clinical Update podcast by MIMS Learning editor Pat Anderson. She says this begins with listening to patients and using preferred names and pronouns, and develops into long-term support as patients navigate their way through gender identity clinics and other services.  She says providing support in this way promotes the physical and mental health of transgender individuals, who are at substantial risk of self-harm and suicide, and addresses inequalities in healthcare. This podcast episode contains references to self-harm and suicide. Sources of support include the Samaritans, BMA Your Wellbeing service, and NHS Practitioner Health. Educational objectives After listening to this podcast, healthcare professionals should be better able to: Reflect on the high prevalence of self-harm and suicidality among transgender individualsListen to transgender patients and communicate sensitivelyUnderstand that supporting transgender patients is a long-term processConsider how best to meet the needs of transgender patients Provide services for patients on gender identity clinic waiting listsHelp patients attending gender identity servicesProvide long-term care for transgender patientsKnow where to find more support to improve their practice You can access the website version of this podcast, along with key learning points, on MIMS Learning. MIMS Learning offers hundreds of hours of CPD for healthcare professionals, along with a handy CPD organiser and note-taking for appraisal. Please note: this podcast is presented by medical editors and discusses educational content written or presented by doctors, nurses and other healthcare professionals on the MIMS Learning website and at live events. Resources MIMS Learning Transgender healthcare: why is it important? Transgender healthcare: consultation skills Transgender healthcare: management and referral to gender identity clinics Skin problems in transgender people Hosted on Acast. See acast.com/privacy for more information.

    Providing best transgender healthcare in primary care, with Dr Kamilla Kamaruddin
  8. Jul 29

    Identifying and managing resistant hypertension, with Professor Terry McCormack

    ‘Resistant hypertension is when you’re taking three or more medications and you’ve not reached target, and usually one of those medications is a diuretic,’ Professor Terry McCormack explains in this episode of the Clinical Update podcast. He adds that determining whether patients are truly resistant or just not taking their medication can be difficult. However, he recommends asking subtle questions such as ‘We all forget to take our tablets. How, how often do you forget to take your medication’ to gain meaningful answers. Professor McCormack also looks at management options — including combination pills, NICE-recommended therapies, and new treatments that are on the horizon. He observes that patients with resistant hypertension are the ‘highest risk patients’ for adverse outcomes such as stroke and, therefore, ‘we need to try our best to get them to take at least the three medications that are available to us at this time, to consider single pill combinations and, in the future, consider other treatments,’. Educational objectives After listening to this podcast, healthcare professionals should be better able to: Sensitively ask patients about their adherence to antihypertensive medicationsEncourage patients to adhere to medications regimens by discussing of risks of not taking their medications (such as a debilitating stroke)Understand the pros and cons of single-pill combination therapy for managing hypertensionReview NICE recommendations on managing resistant hypertensionDiscuss new treatments on the horizon for managing resistant hypertension You can access the website version of this podcast, along with key learning points, on MIMS Learning. MIMS Learning offers hundreds of hours of CPD for healthcare professionals, along with a handy CPD organiser and note-taking for appraisal. Please note: this podcast is presented by medical editors and discusses educational content written or presented by doctors, nurses and other healthcare professionals on the MIMS Learning website and at live events. MIMS Learning Guidance update: NICE guidelines on hypertension Ischaemic heart disease: clinical review Stroke: clinical review Hosted on Acast. See acast.com/privacy for more information.

    Identifying and managing resistant hypertension, with Professor Terry McCormack

About

Welcome to the Clinical Update podcast – the fortnightly podcast that brings you thought-provoking clinical education from MIMS Learning, that you can fit into your busy life. The podcast is aimed at UK healthcare professionals and may count for up to 0.5 hours of CPD towards your appraisal. We interview the experts to provide you with key insights linked to the e-learning on MIMS Learning and the education we deliver at our live virtual and in-person events. Topics covered include primary care, dermatology, oncology, diabetes, cardiology, gastroenterology, mental health, respiratory medicine and women’s health. Dive in, learn in a new way and get inspiration for your daily practice. Hosted on Acast. See acast.com/privacy for more information.

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