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PODCAST

Deep Breath In

Deep Breath In: a podcast for GPs Tackling primary care’s everyday challenges Life in primary care can be complex. Deep Breath In explores the highs and lows of being a GP, offering a space to reflect on the grey areas of general practice.

health & fitness medicine

All Episodes

32:40

The tyranny of 10 minutes - with Alice Harper, Carol...

Deep Breath In ·

2024/03/22

The BMJ's long running "10 minute consultation" series is being questioned - can you do everything we suggest in 10 minutes? Can GPs really do any meaningful consultations in 10 minutes?That's the question that our three guests have been asking - and they join Tom Nolan, to discuss what they found. Our guests; Alice Harper is a GP trainee in Bristol and an academic clinical fellow at the University of Bristol Carol Sinnott is a GP in Ireland, and a senior clinical research fellow at THIS

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40:29

Is cancer screening worth it? with Michael Bretthauer

Deep Breath In ·

2023/11/17

Is cancer screening worth it, and how can GPs have that conversation?This episode of Deep Breath In explores the intricacies of assessing risks and benefits of cancer screening, featuring Michael Bretthauer's insights from a JAMA Internal Medicine study. That meta-analysis combined efficacy of various cancer screening studies - and found most screenings showed minimal gains in extending overall life expectancy, though some slightly reduced cancer-specific mortality. That leaves GPs with the

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47:14

Greener GPs

Deep Breath In ·

2023/10/27

As news about the climate breakdown hits, it's hard not to feel the stirring of climate anxiety. One way to mitigate that is by taking action, but it's hard to know where to start, and what GPs themselves can do. In this podcast, we hear about 5 ways in which you can start bringing a sustainable outlook to primary care, and engage colleagues and patients in making a difference. Our guests; Tamsin Ellis, director of Greener Practice, and a GP in London Fran Cundill, chair of the south Yorkshire

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44:07

The known unknowns of menopause

Deep Breath In ·

2023/09/27

There have been so many conflicting views in the media lately on the management of menopause, and HRT has barely been out of the press at all in the last couple of years. As a result of the myriad uncertainties around menopause, many women are left feeling like they’re having to fend for themselves, and that their concerns are not being heard by their doctors. Taking segments from The BMJ’s webinar in May on known unknowns of menopause, we discuss the controversies around HRT; how we can give women

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57:09

Saying no, with Rachel Morris

Deep Breath In ·

2023/07/28

There's never enough time in the day to be a GP, but it's still hard to say no to that one patient, or to a colleague who is asking for your help. In this episode of Deep Breath In, we'll hear from Rachel Morris, about why it's so hard to so hard to say no, particularly for doctors. She'll challenge us to think about what the real effects of piling on more work are, and give us some strategies to help us say no in our every day lives. Our Guest; Rachel Morris trained as a GP, before leaving the

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45:53

Prostate cancer screening with Andrew Vickers and Sam...

Deep Breath In ·

2023/06/30

Common themes for discussion on this podcast include overdiagnosis, approaches to the testing, the ins and outs of explanations, as well as other issues facing GPs who are overburdened, and have limited time and resources to treat patients. A topic which draws all of these themes together is prostate cancer screening. The BMJ recently published a feature which asked whether the UK is ready to roll out a nationwide prostate cancer screening programme, and the linked analysis paper, authored by Dr

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52:23

Long covid update with Trish Greenhalgh and Harsha...

Deep Breath In ·

2023/06/09

While the pandemic has officially declared over, the ongoing effects of a covid-19 infection are still being felt in the community. In this Deep Breath In, Jenny, Tom, and Navjoyt are joined by two leading experts on long covid. They discuss the changing profile of people being referred to specialist clinics, the way in which different strains may have different long term outcomes, and what can be done to limit the risk of developing long covid. Our guests: Trish Greenhalgh is a former GP of 30

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01:06:49

Supporting the sexual wellbeing of older adults -...

Deep Breath In ·

2023/05/05

Talking about sexual health may be common-place with younger patients, but the sexual wellbeing of older adults is often neglected in a consultation. However it's important for doctors to be aware of changes to patients sex lives, given the link between intimacy and wellbeing. In this podcast, the team discuss how to create that culture of openness that encourages older adults to share problems they may find embarrassing, what signs may indicate that it's worth initiating a question about sexual

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51:36

Antidepressant withdrawal with Tony Kendrick and Mark...

Deep Breath In ·

2023/03/27

The theory that depression is caused by serotonin deficiency has become embedded in our practice over the years, and can be a persuasive explanation of the condition for patients considering starting antidepressants. We talk to Tony Kendrick about the evidence (or lack thereof) to support this hypothesis, and what that means for the efficacy of antidepressants, particularly SSRIs. Later on, we speak to Mark Horowitz to discuss how to come off antidepressants safely, and manage withdrawal symptoms,

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43:30

Time needed to treat, with Minna Johansson

Deep Breath In ·

2023/03/10

How long would it take GPs to enact all of the guideline recommendations that they might be expected too? Far more GP hours than exist in any healthcare system, but as medicine has turned its attention to primary prevention, and expanded the populations whose health we seek to improve, those guidelines are taking up more and more time. A recent analysis in The BMJ has proposed the concept of “Time Needed to Treat” and implores guideline makers to take account consultation time as a precious,

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46:37

Reproductive coercion and narrative medicine with...

Deep Breath In ·

2023/02/04

Reproductive coercion may feel like something that we don’t see very often in general practice, but a 2022 poll carried out for BBC Radio 4 of 1,060 UK women between the ages of 18 and 44 found that half of them had experienced some form of reproductive coercion. This week, we speak to returning guest Annabel Sowemimo about the various forms that reproductive coercion can take, and who might be at risk of experiencing it. We discuss how we, as GPs, can identify these patients, and, once we’ve done

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53:13

Coaching with Claire Kaye

Deep Breath In ·

2022/12/31

In general practice, it can often feel like a lot is changing beyond our grasp. On top of this, the pandemic has left many healthcare professionals self-reflecting on their careers and lives, and trying to work out what they really want going forward. This week, we speak to Claire Kaye about her role as a coach for doctors. Claire talks to us about the benefits of coaching, including helping to get rid of internal & external noise, shaping the mindset, and coping better with change. She also

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01:00:27

Patient access to notes with Charlotte Blease, Brian...

Deep Breath In ·

2022/12/16

The possibility that patients will suddenly have access to their notes has caused some anxiety for GPs in England. The department of health's plans to allow patients to prospectively access their medical record lead to fears about increased workloads, misunderstandings, and safety - and the plans have now been pushed back. In this podcast the Deep Breath In team are joined by the authors of a recent article in The BMJ to explore those fears, hear about the potential benefits, and understand the

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47:13

Surrogate endpoints with Huseyin Naci

Deep Breath In ·

2022/11/11

This week, we’re joined by Huseyin Naci to discuss the recent press release from Eisai and Biogen announcing the Phase III trial results for lecanemab for use in Alzheimer’s disease, and the FDA’s decision to accept the drug onto its accelerated approval pathway. We talk about the pros and cons of using surrogate endpoints to predict clinical outcomes. How can we strike a better balance in clinical trials between generating high-quality and trustworthy evidence, and the urgent needs of patients with

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55:15

GP Crisis with Rebecca Rosen

Deep Breath In ·

2022/10/20

The GP crisis with Rebecca Rosen This week, we discuss the ongoing GP crisis, an ever-topical subject, in light of recent UK governmental changes. In early September, Thérèse Coffey laid out her plans for the NHS in the House of Commons, but, with general practice struggling so much as it is, is she proposing practical and feasible solutions, or will her initiatives be merely papering over the cracks? We’re joined by Rebecca Rosen to discuss whether or not there’s any real substance behind the

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50:22

Physician experience, and gout with Katherine Hall...

Deep Breath In ·

2022/10/12

In this episode of Deep Breath In, we'll be considering how a physicians personal experience of illness - either themselves, or as a parent or carer, might affect their approach to management of it in a patient. We'll also have an update on the NICE guideline for treatment of Gout - particularly highlighting changes around uses of urate lowering therapy, and how often we should be testing patient's serum urate levels when they're experiencing flare-ups. Our Guests. Katherine Hall is the

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52:54

Musculoskeletal pain and osteoarthritis with Imran Sajid

Deep Breath In ·

2022/09/14

Musculoskeletal (MSK) pain and osteoarthritis are clinically common in general practice, but with the new draft NICE guideline on osteoarthritis (published in April 2022) recommending a move away from pharmacological treatments and instead promoting self-management, some GPs have been left wondering how best to manage MSK pain going forwards . In this week’s episode, Dr. Imran Sajid talks to us about the importance of educating patients on what arthritis really is – moving away from the term “wear

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38:29

Retention with Pamela Curtis and GP trainees

Deep Breath In ·

2022/08/24

Despite the Conservation party manifesto for the 2019 general election promising to deliver 6,000 additional full-time equivalent GPs, worryingly, the NHS lost 717 FTE GPs between March 2019 and March 2022, and the Health and Social Care Committee’s July 2022 report on workforce was scathing about the Government’s failure to act decisively on the chronic staff shortages across healthcare in the UK. This week, we speak to more colleagues from the RCGP conference: first, we talk to Pamela Curtis about

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44:13

Continuity with Martin Marshall and Emma Gladwinfield

Deep Breath In ·

2022/08/01

In this week’s episode, we share our experiences of attending the recent RCGP Annual Conference, and our thoughts on the topics that were covered in the talks at this year’s event. We talk to RCGP Chair, Martin Marshall, about continuity of care, which he states is one of the defining features of general practice. Evidence has shown that continuity of care is associated with better health outcomes for patients, but how can doctors convince politicians and policymakers of the benefits of it? We also

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42:43

Adverse drug reactions with Anders Holt and Corine...

Deep Breath In ·

2022/07/11

As more and more pharmaceutical products come onto the market, there are so many potential drug interactions, and adverse reactions, to bear in mind during a consultation in primary care. In this week’s episode, we speak to Anders Holt, the author of a recent research paper looking at co-prescribing nitrates and sildenafil, which is surprisingly common, and adverse events associated with this. We also discuss the neuropsychiatric side effects of montelukast with Corine Ekhart, and talk about the

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