BMJ Best Practice Podcast

BMJ Group
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14 snips
Mar 30, 2026 • 28min

Pulmonary embolism

Scott Woller, Director of the Thrombosis Clinic and Professor of Medicine, shares clinical insight on pulmonary embolism. He walks through diagnosis: pretest probability, D-dimer strategies, imaging choices and pitfalls of over-testing. Discussion covers subsegmental PE, anticoagulation choices including DOACs, catheter-directed therapies and questions around intermediate-risk management and treatment duration.
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37 snips
Mar 2, 2026 • 23min

Migraine

Timothy Collins, Associate Professor of Neurology and Chief of the Headache Division at Duke, offers expert clinical perspective. He discusses how migraine is diagnosed by history, core symptom patterns and common diagnostic pitfalls. He compares migraine with cluster headache, reviews acute treatments including triptans and new agents, outlines preventive options including CGRP therapies, and covers imaging red flags and medication overuse.
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12 snips
Feb 2, 2026 • 23min

Comorbidities

Preethi Pirlamarla, an advanced heart failure and transplant cardiologist at the University of Washington, discusses managing multiple illnesses in hospitalized patients. She covers how common comorbidities are, overlooked issues like frailty and malnutrition, coordinating multidisciplinary care, and balancing treatments when conditions conflict. Practical approaches for assessment and early specialist involvement are highlighted.
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16 snips
Dec 22, 2025 • 25min

Shared decision making

In this engaging discussion, Emma Doble, the Patient and Public Strategy Editor at BMJ, shares her invaluable insights as an advocate for patient engagement in healthcare. She highlights the importance of shared decision making, emphasizing it as a dialogue between clinicians and patients that respects individual preferences. Emma also outlines tools and resources for both clinicians and patients to facilitate these conversations, tackles barriers to effective communication, and encourages healthcare providers to embrace this collaborative approach for better outcomes.
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Nov 6, 2025 • 25min

Mumps

In this insightful discussion, Dr. Kristine Macartney, Director of the National Centre for Immunisation Research and Surveillance, sheds light on the resurgence of mumps, a disease once largely controlled by vaccination. She explains the nuances of diagnosing mumps, including testing methodologies like PCR and serology. Dr. Macartney also addresses vaccine effectiveness and the importance of herd immunity, while tackling common misconceptions about vaccine safety. The conversation emphasizes the critical role of vaccination and public health in preventing outbreaks.
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Oct 16, 2025 • 25min

Pertussis

Professor Sir Andrew Pollard, a leading expert in vaccines and infectious diseases, dives into the critical topic of pertussis. He discusses the clinical features, from the hallmark whooping cough to severe cases in infants. Pollard elaborates on the nuances of diagnosing the disease, the importance of timely PCR tests, and the role of antibiotics in treatment. He also highlights the significance of vaccination strategies, including maternal immunization, while addressing concerns about vaccine effectiveness and declining uptake. A must-listen for those eager to understand pertussis better!
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15 snips
Sep 25, 2025 • 25min

Social anxiety disorder

Professor Craig Sawchuk, a leading expert in social anxiety disorder from the Mayo Clinic, dives into the common yet debilitating condition that affects millions. He explains the critical differences between shyness and social anxiety, revealing fascinating insights into diagnosis and treatment approaches. The discussion spans effective cognitive behavioral therapy (CBT) techniques, the role of medication, and the significant delays many face before seeking help. Listeners will also learn about emerging online therapy options and how to navigate the path to improvement.
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14 snips
Sep 8, 2025 • 18min

Measles

Linda Nield, a Professor of Medical Education and Pediatrics at West Virginia University, shares critical insights on the resurgence of measles. She highlights the importance of accurate diagnosis and effective management strategies, including the use of vitamin A supplementation. The conversation also tackles vaccine hesitancy among parents, navigating their concerns about vaccination timing, and the complexities of addressing unvaccinated children during outbreaks. Nield emphasizes the vital role of healthcare communication in building trust and ensuring safe immunization practices.
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18 snips
Aug 21, 2025 • 24min

Asthma in children

Helen Brough, a Consultant in Paediatric Allergy at King’s College London, discusses the challenges of diagnosing asthma in children, emphasizing nocturnal cough as a key symptom. She outlines critical management strategies, including the use of inhaled corticosteroids and the necessity of recognizing triggers. The conversation touches on the impact of air pollution on rising asthma rates and the misconceptions about outgrowing the condition. Brough also highlights innovative solutions like smart inhalers to improve adherence and overall care.
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11 snips
Jul 22, 2025 • 21min

Factitious disorders

Join James Levenson, a Professor of Psychiatry at Virginia Commonwealth University and author on factitious disorders, as he unravels the complexities of this elusive condition. Delve into the diagnostic detective work needed to differentiate factitious disorder from genuine illnesses, including the significance of specific medical details. The discussion also touches on the moral dilemmas when children are involved and how social media can complicate situations. Levenson highlights the balance required in treating patients who present deceptive histories, intertwining empathy with skepticism.

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