Clinical Update

‘Up to 20% of people with type 2 diabetes may actually have type 3c diabetes,' GP Dr Patrick Holmes tells Dawn Liz Powell in this episode of the Clinical Update podcast.Type 3c diabetes, also known as pancreatic diabetes, occurs as a result of damage to the pancreas. Risk factors include chronic pancreatitis, excessive alcohol use, prior pancreatic surgery, and conditions such as cystic fibrosis.Dr Holmes says that distinguishing between type 3c diabetes and type 2 diabetes can be difficult, but features that may be suggestive of type 3c diabetes include lack of response to traditional oral therapies, rapid progression to insulin, or weight loss.A key concern, though, in a person presenting with signs and symptoms of pancreatic disease is pancreatic cancer. You can access the website version of this podcast on MIMS Learning to make notes for your appraisal. MIMS Learning offers hundreds of hours of CPD for healthcare professionals, along with a handy CPD organiser.Educational objectivesAfter listening to this podcast, GPs and other healthcare professionals should be more aware of:The risk factors for type 3c diabetesFeatures suggestive of type 3c diabetesHow to diagnose and manage type 3c diabetesThe link between type 3c diabetes and pancreatic cancerPlease 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 LearningCardio-renal-metabolic disease: clinical reviewCystic fibrosis: clinical reviewGuidance update: latest NICE guidelines on type 2 diabetes in adultsCase study: latent autoimmune diabetes in adultsPancreatic cancer - red flag symptomsPatient, Presentation, Pathway for CancerRegister for a FREE healthcare professional accountMIMSDrug shortages - live tracker Hosted on Acast. See acast.com/privacy for more information.

The General Medical Council (GMC) says that patients should be considered to be ‘approaching the end of life' when they are likely to die within the next 12 months, adding that one of the most challenging decisions — for healthcare professionals and patients — is when/if to withdraw life-prolonging treatment.In this episode of the Clinical Update, the MIMS Learning team explores how to identify when a patient is entering into the last stages of their life and what the role of the GP is in supporting them. We also look at how to approach conversations about end-of-life care with patients and their loved ones, including when a patient lacks capacity.Additionally, we discuss the NICE guidelines on end-of-life care for both adults and children.You can access the website version of this podcast on MIMS Learning to make notes for your appraisal. MIMS Learning offers hundreds of hours of CPD for healthcare professionals, along with a handy CPD organiser.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 LearningEnd of life care: a guide for GPs and nursesGuidance update: care of dying adults in the last days of lifeGuidance update: latest NICE guidelines on end of life care in childrenGuidance update: SIGN guidelines for support of people with dementia and their carersManaging respiratory problems in palliative carePolypharmacy in a patient with dementia: nursing home case studyUnsafe swallow in a patient who lacks capacity: nursing home case studyRegister for a FREE healthcare professional accountRelated podcastsTalking General Practice: should assisted dying be legalised? Hosted on Acast. See acast.com/privacy for more information.

In this episode of the Clinical Update Podcast, GP Dr Kevin Barrett speaks to MIMS Learning's medical editor Sangeeta Krishnan about bowel problems in older people. Dr. Barrett provides invaluable insights into the gastrointestinal issues in older patients encountered in primary care.He explores the spectrum of GI conditions seen in older adults, with a particular focus on diagnostic challenges as a result of polypharmacy, comorbidities and frailty. He also discusses managing constipation, IBD and diverticulitis, and their management in older people. The discussion also covers the critical role of the gut microbiome and dietary interventions, and the availability of newer treatments and diagnostic methods.Educational objectivesAfter listening to this podcast, healthcare professionals should be better able to:Recognise the challenges in diagnosing bowel disorders in older individualsImplement holistic management strategies for constipation in the elderlyUnderstand the varied presentations of IBD in older populations Appreciate the impact of polypharmacy and lifestyle factors on GI healthYou can access the website version of this podcast on MIMS Learning to make notes for your appraisal and find key learning points. MIMS Learning offers hundreds of hours of CPD for healthcare professionals, along with a handy CPD organiser.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.Useful linksMIMS LearningIrritable bowel syndrome: clinical reviewMild to moderate IBD IBD in older people: diagnosis and management strategies Extra-intestinal manifestations in IBD Frailty: clinical reviewRegister for a free healthcare professional account Hosted on Acast. See acast.com/privacy for more information.

MIMS Learning editor Pat Anderson and deputy editor Rhiannon Ashman outline how this year's MIMS Learning Live South 2025 event programme aligns with GPs' learning needs, and how the programme design meets delegate preferences.Find out which hot topics we'll be covering at the event, listen to clips from speakers about why their topics are important and what they're looking forward to, and recall the additional benefits of attending this live event.You can access the website version of this podcast on MIMS Learning - it has a list of key learning points and enables you to make notes for your appraisal. MIMS Learning offers hundreds of hours of CPD for healthcare professionals, along with a handy CPD organiser.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.For more information and bookings for the live event, visit mimslearninglive.com/london Hosted on Acast. See acast.com/privacy for more information.

People with learning disabilities have a lower life expectancy than those without, Professor Carolyn Chew-Graham tells medical editor Dawn Liz Powell in this episode of the Clinical Update podcast. She adds that while this can relate to  comorbid physical conditions, it can also be because of health inequalities . ‘ Possibly they don't receive the same quality of care that the general population receives…. Or there's lack of coordination and integration of care', Professor Chew-Graham explains.As well as having poorer physical health than the general population, people with learning disabilities can also have poorer mental health. This can be because common mental health problems, such as anxiety and depression, can present differently in this population — making them difficult to diagnose and treat.Professor Chew-Graham, in this interview, outlines how GPs and other primary care professionals can support patients with learning disabilities, including ensuring information is presented in an accessible format and that the person has as much autonomy as possible.You can access the website version of this podcast on MIMS Learning to make notes for your appraisal. MIMS Learning offers hundreds of hours of CPD for healthcare professionals, along with a handy CPD organiser.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 modulesGuidance update: NICE guidelines on mental health problems in people with learning disabilitiesPodcast: Professor Carolyn Chew-Graham on supporting people with severe mental illnessAutism spectrum disorder: clinical reviewMental health conditions in autistic children and adolescents Hosted on Acast. See acast.com/privacy for more information.

From laryngitis to Parkinson's disease, vocal overuse to malignancy, this episode of the Clinical Update podcast explores some common and other more serious causes of speech and voice disorders. Listen for practical insights on patient assessment, red flags to look out for, vocal hygiene, and when to refer, so you can manage these presentations more confidently.You can access the website version of this podcast on MIMS Learning to make notes for your appraisal. MIMS Learning offers hundreds of hours of CPD for healthcare professionals, along with a handy CPD organiser.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 from MIMS LearningHoarse voice - red flag symptomsUnderstanding and identifying inducible laryngeal obstructionSpeech disturbance in adults - red flag symptomsWebinar: Diagnosis and treatment of hypothyroidismStroke: clinical reviewDelirium – red flag symptomsDelirium: clinical reviewSchizophrenia: clinical reviewFurther readingPestana PM, Vaz-Freitas S, Manso MC. Prevalence of Voice Disorders in Singers: Systematic Review and Meta-Analysis. J Voice 2017; 31(6): 722–7. Hosted on Acast. See acast.com/privacy for more information.

As Women's Health Ambassador for England, Professor Dame Lesley Regan leads the implementation of the Government's Women's Health Strategy. In this episode of the Clinical Update Podcast she talks to MIMS Learning's Deputy Editor Rhiannon Ashman about her focus on improving women's healthcare across their lives. Professor Regan emphasises, ‘when we get it right for women, we get it right for everybody else in their family, their community and in wider society.' She highlights two key questions all clinicians should ask their female patients. The discussion also covers the importance of preventative care, the role of women's health hubs, HRT, cancer diagnosis, and the need for better information to empower patients. Content warning: this episode includes a brief mention of maternal suicide at 32.45–33.33.Educational objectivesAfter listening to this podcast, healthcare professionals should be better able to:Explain the benefits of a ‘one-stop shop' approach to women's health servicesUnderstand the goals and challenges of implementing the Women's Health StrategyUnderstand the concept of patient-initiated follow-up and its benefitsExplain how pregnancy can serve as a ‘window' to a woman's future health risksRecall the two key questions all clinicians should ask womenYou can access the website version of this podcast on MIMS Learning to make notes for your appraisal. MIMS Learning offers hundreds of hours of CPD for healthcare professionals, along with a handy CPD organiser.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.Useful linksDepartment of Health and Social Care. Women's health strategy for England. 30 August 2022. McKinsey Health Institute. Closing the women's health gap: A $1 trillion opportunity to improve lives and economies. 17 January 2024. MIMS LearningGuidance update: NICE guidelines on menopauseHealth inequalities in women: menopause, pelvic floor disorders and endometriosisEquity in maternity care - lessons from MBRRACE-UKRegister for a free healthcare professional account Hosted on Acast. See acast.com/privacy for more information.

Tired all the time' is a common presentation in primary care. In this episode of the Clinical Update podcast, the MIMS Learning editors discuss this symptom from a clinical perspective. This episode looks at some of the common causes of tiredness and fatigue, including sleep apnoea, nutritional deficiencies, thyroid problems, and myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS). It also makes the distinction between tiredness resulting from sleep deprivation and tiredness despite having sufficient sleep.You can access the website version of this podcast on MIMS Learning to make notes for your appraisal. MIMS Learning offers hundreds of hours of CPD for healthcare professionals, along with a handy CPD organiser.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.Further learning on MIMS LearningTired all the time - red flag symptomsDiagnosis and treatment of hypothryoidismAdult obstructive sleep apnoea syndrome: clinical reviewGuidance update: NICE guidance on myalgic encephalomyelitis/chronic fatigue syndromeGuidance: NICE guidelines on vitamin B12 deficiency in adults Hosted on Acast. See acast.com/privacy for more information.

Asthma is the most common long-term medical condition in UK children, affecting about 1 in 11 children or young people. Dr Cara Bossley, consultant in pediatric respiratory medicine at King's College Hospital, talks to MIMS Learning editor Sangeeta Krishnan about the risk factors, prevalence, mortality, and diagnosis of childhood asthma. She also discusses the NICE/SIGN/BTS guidelines on asthma, including recommended therapies. Finally, Dr Bossley looks at how inhaler emissions contribute to the carbon footprint of the NHS, and ways that clinicians could address this.After listening to this podcast, healthcare professionals should be better able to:Identify key risk factors for childhood asthmaDescribe the diagnostic procedures for paediatric asthmaSummarise the current treatment guidelines for childhood asthmaExplain the link between environmental factors and asthmaDiscuss the environmental impact of asthma inhalersYou can access the website version of this podcast on MIMS Learning to make notes for your appraisal. MIMS Learning offers hundreds of hours of CPD for healthcare professionals, along with a handy CPD organiser.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 LearningAsthma: diagnosis and 7 differentialsGuidance update: BTS/NICE/SIGN guidelines on diagnosis, monitoring and chronic asthma management Hosted on Acast. See acast.com/privacy for more information.

About 40% of people with diabetes will develop chronic kidney disease (CKD), making diabetes the leading cause of CKD. Mortality in people with both diabetes and CKD is higher than in those with either condition alone.In this episode of the Clinical Update podcast, the MIMS Learning editors look at diabetes-related kidney disease. They discuss the mortality and morbidity associated with the condition, its diagnosis and its management — including the role of SGLT2 inhibitors.The editors also review what NICE says about glycaemic and lipid targets in this population, noting that glycaemic targets become less strict as CKD progresses.You can access the website version of this podcast on MIMS Learning to make notes for your appraisal. MIMS Learning offers hundreds of hours of CPD for healthcare professionals, along with a handy CPD organiser.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.Further learning on MIMS LearningAddressing polypharmacy in cardio-renal-metabolic diseaseDiabetes-related kidney disease: prevalence, diagnosis, and impactDiabetes-related kidney disease: five steps to optimise managementDiabetes-related kidney disease: therapy optionsGuidance update: latest NICE guidelines on cardiovascular disease risk assessment and reductionGuidance update: NICE guidelines on chronic kidney diseaseMIMS resourcesSGLT2 inhibitors for the treatment of type II diabetesGLP-1 agonists and GIP/GLP-1 agonists for the treatment of type II diabetes Hosted on Acast. See acast.com/privacy for more information.

GP and training programme director Dr Pipin Singh provides tips on when to use FIT tests, how to adhere to guidelines on their use, and discusses the need for clear protocols around referrals and safety netting to avoid delayed cancer diagnosis. This podcast aims to help healthcare professionals to recall which test results are significant within the context of community testing and within GP management of symptomatic patients. It also provides pointers from NICE guidelines on when to use FIT testing in patients of varying ages, and aims to help GPs to confront challenges such as dealing with false positives and handling referrals while waiting for FIT testing results. Dr Singh stresses the importance of clear protocols around referrals and safety netting.You can access the website version of this podcast on MIMS Learning to make notes for your appraisal. MIMS Learning offers hundreds of hours of CPD for healthcare professionals, along with a handy CPD organiser.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.Further learning on MIMS LearningColorectal cancer: clinical reviewGlobal trends in gastrointestinal cancersRectal bleeding - red flag symptomsPancreatic cancer - red flag symptomsUnintentional weight loss - red flag symptoms Hosted on Acast. See acast.com/privacy for more information.

Autoimmune conditions are common, and people may be affected by more than one. In this episode of the Clinical Update podcast, the MIMS Learning editors discuss tips on identifying key symptoms and the importance of timely referral.Conditions discussed include type 1 diabetes, rheumatoid arthritis, psoriasis, coeliac disease and the blistering skin condition bullous pemphigoid. Learn about the ‘4 Ts' that could suggest type 1 diabetes in children, the three 3 key symptoms that should prompt timely referral for suspected rheumatoid arthritis, and possible variations in presentations of psoriasis. Also covered are the non-classical symptoms associated with undiagnosed coeliac disease, and how bullous pemphigoid may present in older peopleYou can access the website version of this podcast on MIMS Learning to make notes for your appraisal. MIMS Learning offers hundreds of hours of CPD for healthcare professionals, along with a handy CPD organiser.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.Further learning on MIMS LearningThe presentation and management of type 1 diabetes in young peopleRheumatoid arthritis: clinical reviewPsoriasis in primary care: clinical reviewCoeliac disease: clinical reviewBullous pemphigoid: clinical reviewReferenceConrad N, Misra S, Verbakel J et al. Incidence, prevalence and co-occurrence of autoimmune disorders over time and by age, sex and socioeconomic status: a population-based cohort study of 22 million individuals in the UK. The Lancet 2023; 401: 10391, 1878-1890. Hosted on Acast. See acast.com/privacy for more information.

In this episode of the Clinical Update podcast, Professor Willie Hamilton talks to MIMS Learning deputy editor Rhiannon Ashman about how cancer risk assessment tools can be used in primary care, why patients don't respond how we expect when faced with the possibility of cancer, and why some of what we thought we knew about cancer diagnostics is no longer true.He emphasises that, where cancer is concerned, ‘investigating smarter is not enough; you actually do have to investigate more' – and puts this in the context of how cancer diagnostics has changed in the past two decades, and the success of general practice in contributing to improved survival. After listening to this podcast, healthcare professionals should be better able to:Understand how cancer diagnostics have evolved in the past two decades, and the impact this has had on patients and GPsRecall the three potential uses of cancer risk assessment tools in general practiceConsider the benefits and drawbacks of using risk assessment tools to guide cancer referral decisionsReflect on patients' understanding and interpretation of cancer riskConsider the potential applications of AI in cancer diagnostics You can access the website version of this podcast on MIMS Learning to make notes for your appraisal. MIMS Learning offers hundreds of hours of CPD for healthcare professionals, along with a handy CPD organiser.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.Useful linksResources from MIMS LearningPodcast: NHS England's Professor Peter Johnson on optimising early cancer diagnosisGuidance update: latest NICE guidelines on recognition and referral of suspected cancerUnintentional weight loss - red flag symptomsPancreatic cancer - red flag symptomsMelanoma risk factors and identificationMIMS LearningRegister for a free healthcare professional account Hosted on Acast. See acast.com/privacy for more information.

Skin conditions are common in children, but their diagnosis can pose a large challenge. Join the MIMS Learning editors Sangeeta Krishnan and Rhiannon Ashman for a discussion on paediatric and neonatal skin conditions, ranging from rashes to eczema. Learn how to identify key symptoms, distinguish between conditions based on their presentation, and manage them effectively in clinical practice.You can access the website version of this podcast on MIMS Learning to make notes for your appraisal. MIMS Learning offers hundreds of hours of CPD for healthcare professionals, along with a handy CPD organiser.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.Further learning on MIMS LearningNeonatal dermatologyMeasles updateVaricella zosterPaediatric dermatology in skin of colourScarlet feverReferencesJoint Committee on Vaccination and Immunization (JCVI). Statement on a childhood varicella (chickenpox) vaccination programme. November 2023.O'Mahony E, Sherman SM, Marlow R et al. UK paediatricians' attitudes towards the chicken pox vaccine: The SPOTTY study. Vaccine 2024; 42(22): 126199. Hosted on Acast. See acast.com/privacy for more information.

In the ever-changing world of GP appraisal, there is a new emphasis on personal wellbeing and treating patients and colleagues with compassion and respect in line with General Medical Council (GMC) guidance. In this episode of the Clinical Update podcast, MIMS Learning editor Pat Anderson talks to GP appraiser Dr Ravi Ramanathan about the latest developments and what they mean for individual GPs. After listening to this podcast, healthcare professionals should be better able to:Understand the latest developments around the GP appraisal process Reflect on how GMC requirements affect GP practicePlan effectively for their next appraisalYou can access the website version of this podcast on MIMS Learning to make notes for your appraisal. MIMS Learning offers hundreds of hours of CPD for healthcare professionals, along with a handy CPD organiser.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 from MIMS LearningWellbeing masterclassTransgender healthcare: why is it important?Supporting people with severe mental illnessRegister for a free healthcare professional accountHow to positively influence change and enhance impact Hosted on Acast. See acast.com/privacy for more information.

At least 1 in 50 people in the UK are living with an eating disorder, and it's important to keep an open mind as to which patients may be affected and how they may present to primary care. Join the MIMS Learning editors Rhiannon Ashman and Dawn Liz Powell for a discussion on possible physical symptoms of eating disorders, screening tools, and atypical eating disorders, as well as tips on referral, and support for patients awaiting specialist input.You can access the website version of this podcast on MIMS Learning to make notes for your appraisal. MIMS Learning offers hundreds of hours of CPD for healthcare professionals, along with a handy CPD organiser.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.Further learning on MIMS LearningUnderstanding atypical eating disordersEating disorders: clinical reviewDisordered eating in people living with type 1 diabetesAmenorrhoea - red flag symptomsUnintentional weight loss - red flag symptomsMental health conditions in autistic children and adolescentsResourcesBeat eating disordersNICE. Eating disorders: recognition and treatment. NG69. Published: 23 May 2017. Updated: 16 December 2020. Hosted on Acast. See acast.com/privacy for more information.

Diagnosis and treatment of cancers such as leukaemia and myeloma poses unique challenges. In this episode of the Clinical Update podcast, MIMS Learning editor Pat Anderson talks to haemato-oncologist Dr Majid Kazmi about how GPs and specialists can work together to build on progress in this area.After listening to this podcast, healthcare professionals should be better able to:Understand the heterogeneity of haematological cancersAppreciate important differences in staging and treatment between haematological and other cancersRecall key pointers on symptoms, patient history, and presentation patterns that could suggest haematological cancersReflect on how outcomes for patients with haematological cancers have changed in the last 20 yearsMake best use of referral pathways for haematological cancersYou can access the website version of this podcast on MIMS Learning to make notes for your appraisal. MIMS Learning offers hundreds of hours of CPD for healthcare professionals, along with a handy CPD organiser.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.Useful linksResources from MIMS LearningChronic myeloid leukaemia: staging and managementSkin problems in haematological diseaseAbnormal full blood count - red flagsMIMS Learning LiveMIMS LearningRegister for a free healthcare professional account Hosted on Acast. See acast.com/privacy for more information.

Broken heart syndrome, which is left ventricular dysfunction in the absence of coronary artery disease, is so-called because it can be triggered by extreme stress, such as loss of a loved one. Stress can also, in people with existing disease, trigger an acute coronary event and exacerbate arrhythmias.In this episode, the MIMS Learning editors Dawn Liz Powell and Rhiannon Ashman review how stress — both in the short and long term — can affect the heart. They look at broken heart syndrome (also known as takotsubo syndrome) and how stress can lead to an unhealthy lifestyle and, consequently, is a risk factor for cardiovascular disease.The editors also discuss how GPs and other primary care health professionals can support patients who are chronically stressed both by helping them to manage their stress levels and by addressing the risk factors that can develop as a consequence, directly or indirectly, of stress.You can access the website version of this podcast on MIMS Learning to make notes for your appraisal. MIMS Learning offers hundreds of hours of CPD for healthcare professionals, along with a handy CPD organiser.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.Further learning on MIMS LearningAchieving new cholesterol targets in primary careCoronary artery disease in womenGuidance update: latest NICE guidelines on cardiovascular disease risk assessment and reductionGuidance update: latest NICE guidelines on type 2 diabetes in adultsGuidance update: NICE guidelines on hypertensionObesity in adultsPodcast: Professor Alex Miras on supporting people with obesityPodcast: NASP's Monica Boulton on making best use of social prescribing in primary careResources for supporting people to improve their mental wellbeingTakotsubo syndrome: clinical reviewWellbeing masterclass Hosted on Acast. See acast.com/privacy for more information.

Around  25% of the total NHS carbon footprint comes from primary care, and a lot of that relates to medication, Drs Matt Sawyer and Mike Tomson – both former GPs – explain to deputy editor Rhiannon Ashman in this episode of the Clinical Update podcast.They go on to describe how remembering that there are ‘50 shades of green' can help practices to make small tweaks – for example, to prescribing – to benefit patients and the planet, do some myth-busting about air pollution, and give examples of practices who have tackled problems in innovative, environmentally (and financially) sustainable ways. You can access the website version of this podcast on MIMS Learning to make notes for your appraisal. MIMS Learning offers hundreds of hours of CPD for healthcare professionals, along with a handy CPD organiser.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 modulesGuidance update: BTS/NICE/SIGN guidelines on diagnosis, monitoring and chronic asthma managementPodcast: GP appraisal tips and sustainable asthma careHealth outcomes with plant-based nutritionRegister for a FREE MIMS Learning accounthttps://www.mimslearning.co.uk/registerMIMS resourcesMIMS Table of inhaler carbon emissions Hosted on Acast. See acast.com/privacy for more information.

MIMS Learning editors Pat Anderson and Sangeeta Krishnan discuss the progress that the NHS is making with cancer diagnosis, and pass on some tips for GPs on symptoms and signs of oesophageal and pancreatic cancers.After listening to this podcast, healthcare professionals should be better able to:Appreciate how the NHS is making progress with earlier cancer diagnosisReflect on which cancers tend to be diagnosed late and how deprivation can affect stage at diagnosisRecall key symptoms associated with oesophageal cancerBe more aware of signs and symptoms of pancreatic cancerYou can access the website version of this podcast on MIMS Learning to make notes for your appraisal. MIMS Learning offers hundreds of hours of CPD for healthcare professionals, along with a handy CPD organiser.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.Useful linksResources from MIMS LearningPancreatic cancer - red flag symptomsDyspepsia - red flag symptomsUnintentional weight loss - red flag symptomsPodcast: NHS England's Professor Peter Johnson on optimising early cancer diagnosisMIMS LearningRegister for a free healthcare professional accountExternal resourcesUICC. World Cancer Day, 4 February 2025.NHS England. Cancer registration statistics, England, 2022. 17 October 2024.Cancer Research UK. Bowel cancer rates rising in younger adults around the world. 11 December 2024.Cancer Research UK. Oesophageal cancer. September 2023. Cancer Research UK. Symptoms of pancreatic cancer. Accessed 29 January 2025.Pancreatic Cancer UK. Signs and symptoms of pancreatic cancer. Accessed 29 January 2025. Hosted on Acast. See acast.com/privacy for more information.

Biology accounts for about 70% of a person's predisposition to obesity, Professor Alex Miras says to medical editor Dawn Liz Powell in this episode of the MIMS Learning Clinical Update podcast. However, environmental factors, such as deprivation, also play an important role in whether someone becomes obese.Professor Miras, who is clinical professor of medicine at Ulster University, also talks about how to sensitively approach the issue of weight with a patient. Additionally, he looks at the use of weight loss medications and their availability on the NHS. You can access the website version of this podcast on MIMS Learning to make notes for your appraisal. MIMS Learning offers hundreds of hours of CPD for healthcare professionals, along with a handy CPD organiser.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 modulesObesity in adultsGuidance update: latest NICE guidelines on cardiovascular disease risk assessment and reductionRegister for a FREE MIMS Learning accounthttps://www.mimslearning.co.uk/registerMIMS resourcesObesity treatments Hosted on Acast. See acast.com/privacy for more information.

More than 2 million people in the UK are living with sight loss, and this is expected to rise to 2. 7 million people by 2030. In this episode, we look at a selection of eye-related symptoms, including thyroid eye disease symptoms, vision loss, double and blurred vision, and eye pain, and considerations for primary care clinicians who may encounter patients with these symptoms.After listening to this podcast, healthcare professionals should be better able to:Recall the red flag symptoms for eye pain, vision loss, diplopia, and blurred visionThink about when to refer patients presenting with eye-related symptomsLearn about the presentation and epidemiology of thyroid eye diseaseYou can access the website version of this podcast on MIMS Learning to make notes for your appraisal. MIMS Learning offers hundreds of hours of CPD for healthcare professionals, along with a handy CPD organiser.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.Useful linksResources from MIMS LearningEye pain - red flag symptoms Diplopia - red flag symptomsBlurred vision - red flag symptomsLoss of vision - red flag symptomsThyroid eye diseaseMIMS LearningRegister for a free healthcare professional accountExternal resourcesHouse of Commons Library. A blueprint for eye health in Englandand the devolved nations. December 2022. Department of Health & Social Care. Vision. December 2024.Action on Smoking and Health. Smoking and eye disease. February 2019.Cleveland Clinic. Diplopia (double vision). June 2024. Cleveland Clinic. Blurred vision. April 2022. Hosted on Acast. See acast.com/privacy for more information.

In this episode of the Clinical Update podcast, Dr Sarah Bull talks to MIMS Learning editor Pat Anderson about her experience of running a diagnostic clinic for non-site specific symptoms suggestive of cancer.She describes how GPs make referrals to the clinic, what happens there and how the clinic can speed up cancer diagnosis. Through case studies, she presents learning points for GPs on when to consider referral to non-site-specific diagnostic services, and how to prevent patients from `falling through the net'.Educational objectivesAfter listening to this podcast, healthcare professionals should be better able to:Recall why non-site-specific services are importantUnderstand how to make a referral and which tests should be performed beforehandRecall on what happens in the clinic Reflect on the case studies presented You can access the website version of this podcast on MIMS Learning to make notes for your appraisal. MIMS Learning offers hundreds of hours of CPD for healthcare professionals, along with a handy CPD organiser.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 from MIMS LearningNHS England's Professor Peter Johnson on optimising early cancer diagnosis3 key pieces of the primary care puzzle around earlier cancer diagnosisColorectal cancer: clinical reviewOther resourcesNorth West London Integrated Care System. Haematology guidelines. Accessed 13 January 2025.Cancer Research UK. Health professional. Accessed 13 January 2025.Macmillan Cancer Support. 10 top tips for healthcare professionals. Accessed 13 January 2025.MIMS LearningRegister for a free healthcare professional account Hosted on Acast. See acast.com/privacy for more information.

In this episode of the Clinical Update podcast, Professor Peter Johnson, National Clinical Director for Cancer, at NHS England, talks to MIMS Learning deputy editor, Rhiannon Ashman about the state of play of cancer diagnosis in England. He gives an update on the NHS Long Term Plan, discusses proactive case finding, the success of the lung cancer screening programme, and pilots being launched in primary care to pick up specific cancers earlier. Earlier cancer diagnosis is a national priority, and MIMS Learning's ‘Patient, Presentation, Pathway for Cancer' campaign aims to help GPs to have a positive influence where they can, during consultations and within referral processes, to ensure the best outcomes for patients. To find more free CPD on this topic, click here.Educational objectivesAfter listening to this podcast, healthcare professionals should be better able to:Describe the roll out and success of the lung cancer screening programmeExplain the role of primary care in proactive cancer case finding Recall how referral numbers and patterns have changed over the last 15 yearsUnderstand the barriers that may prevent people with suspected cancer presenting to their GPDiscuss pilots being trialed in primary care to improve early cancer diagnosis, access to investigations, and safety nettingYou can access the website version of this podcast on MIMS Learning to make notes for your appraisal. MIMS Learning offers hundreds of hours of CPD for healthcare professionals, along with a handy CPD organiser.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 from MIMS LearningGuidance update: latest NICE guidelines on recognition and referral of suspected cancer. Colorectal cancer: clinical reviewCervical cancer: clinical reviewOther resourcesCancer Research UK. Cancer risk statistics. Accessed 18 December 2024.Cancer Research UK. Early cancer diagnosis data hub. Accessed 18 December 2024. MIMS LearningRegister for a free healthcare professional account Hosted on Acast. See acast.com/privacy for more information.

In this episode, editor Pat Anderson and deputy editor Rhiannon Ashman explain why MIMS Learning has chosen the topic of earlier cancer diagnosis for its 2025 campaign, and the 3 key elements – patient, presentation and pathway – that the campaign will address. Earlier cancer diagnosis is a national priority, and the campaign aims to help GPs to have a positive influence where they can, during consultations and within referral processes, to ensure the best outcomes for patients.Educational objectivesAfter listening to this podcast, healthcare professionals should be better able to:Recall the NHS goal for earlier diagnosis of cancer List red flags associated with unintentional weight lossRecall which test results should raise concerns about cancerConsider the importance of genetics and deprivation in cancer riskBe able to find information to support earlier cancer diagnosisYou can access the website version of this podcast on MIMS Learning to make notes for your appraisal. MIMS Learning offers hundreds of hours of CPD for healthcare professionals, along with a handy CPD organiser.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 from MIMS LearningEarlier cancer diagnosis campaign pageGuidance update: latest NICE guidelines on recognition and referral of suspected cancer. Unintentional weight loss - red flag symptoms. Global trends in gastrointestinal cancers. Other resourcesCancer Research UK. Cancer risk statistics. Accessed 18 December 2024.Cancer Research UK. GP and practice insight guides. Accessed 18 December 2024. Cancer Research UK. Early cancer diagnosis data hub. Accessed 18 December 2024. King's College London. Early GP referrals are leading to cancer patients surviving longer. 21 April 2020. Macmillan Cancer Support. 10 top tips for primary care professionals. Accessed 18 December 2024. NHS. Cancer detection rate. Accessed 18 December 2024. Hosted on Acast. See acast.com/privacy for more information.

We've had some brilliant guests this year, and you'll hear clips from interviews with the experts on health inequalities in cancer care, severe mental illness, how to support members of the LGBTQ+ community, and inspiration for tackling vaccine hesitancy, as well as tips on frailty and care of nursing home residents. Our guests include Dr Ravi Ramanathan, Professor Carolyn Chew-Graham, Dr Susru Sukumaran, Dr Anthony Cunliffe, Dr Mark Nelson, Dr Pipin Singh, Dr Alistair Robertson, Dr Tom Crabtree, and Dr Farzana Hussain.After listening to this podcast, healthcare professionals should be more able to:Recall key areas to cover in a consultation with someone experiencing worsening mental healthUnderstand the barriers the LGBTQ+ people may face in disclosing drug or alcohol useExplain the specific drivers of health inequalities pertaining to cancer careOutline five clinical signs that may indicate frailtyDescribe how frailty may affect diabetes managementYou can access the website version of this podcast on MIMS Learning to make notes for your appraisal. MIMS Learning offers hundreds of hours of CPD for healthcare professionals, along with a handy CPD organiser.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.Useful linksResources from MIMS LearningTargeting Health Inequalities campaignProfessor Carolyn Chew-Graham on supporting people with severe mental illnessSupporting the LGBTQ+ community and displaced people, and managing PEHealth inequalitiesHIV stigma, cervical cancer, and depressionDr Pipin Singh on best care for nursing home patientsDr Alistair Robertson on identifying and managing frailtyBreathlessness, diabetes and frailty, and measlesVaccine hesitancyMIMS LearningRegister for a free healthcare professional account Hosted on Acast. See acast.com/privacy for more information.

In this episode, Dr Prina Ruparelia, joint clinical director for respiratory medicine at St Bartholomew's and Royal London Hospitals, talks to Dawn Liz Powell about identifying and managing chronic cough in primary care.Dr Ruparelia explains that after ‘worrying conditions', such as lung cancer, have been excluded in patients with chronic cough, a thorough history should be taken to identify any potentially ‘treatable traits'. Treatable traits, she says, are factors (for example, smoking) that might cause a cough. Once identified, these traits can be addressed to help manage the cough.One trait, in particular, discussed in this episode is cough hypersensitivity. Dr Ruparelia explains that this is ‘under-recognised' and probably relates to a dysregulation of the neuronal pathways that control cough — resulting in a cough response to relatively minor irritants,such as perfume or laughing. You can access the website version of this podcast on MIMS Learning to make notes for your appraisal. MIMS Learning offers hundreds of hours of CPD for healthcare professionals, along with a handy CPD organiser.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 modules Persistent cough - red flag symptomsManagement of chronic cough in childrenPresentation and management of chronic ventilatory failureRegister for a free healthcare professional account https://www.mimslearning.co.uk/register Hosted on Acast. See acast.com/privacy for more information.

Are you aware of the recommended steps in managing anaphylaxis on your surgery premises? When could back pain be an emergency? Find out with this episode of the Clinical Update podcast, discussing just a few of the potential emergencies that you could encounter as a GP.After listening to this podcast, healthcare professionals should be better able to:Reflect on management of epistaxisRecall the current recommendations from the Resuscitation Council UK on the management of anaphylaxisIdentify when back pain should be treated as an emergencyRecall key considerations around supply of emergency contraceptionYou can access the website version of this podcast on MIMS Learning to make notes for your appraisal. MIMS Learning offers hundreds of hours of CPD for healthcare professionals, along with a handy CPD organiser.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.Useful linksResources from MIMS LearningChoices in emergency contraceptionAcute low back pain: initial presentation to primary careGuidance update: anaphylaxisChest pain - red flag symptomsEpistaxis - red flag symptomsExternal resourcesNHS. Chest pain. August 2023.BSACI. Adrenaline auto-injector prescription for patients at risk of anaphylaxis: BSACI guidance for primary care. June 2023.BASS. Cauda equina syndrome. Accessed November 2024.Champions Charity. Cauda equina syndrome red flags. Accessed November 2024. Hosted on Acast. See acast.com/privacy for more information.

Grief is a universal human experience, and the support people receive in the aftermath of a bereavement can have ongoing implications for their health and wellbeing. Linda Magistris, CEO and Founder of The Good Grief Trust, talks to MIMS Learning deputy editor Rhiannon Ashman about effective signposting for bereaved people, appropriate language around death, peer-to-peer support for healthcare professionals, and the popularity of ‘grief cafes'. After listening to this podcast, healthcare professionals should be more able to:Recall how to effectively signpost people who have been bereaved to support and up-to-date informationUse appropriate and thoughtful language around death and bereavementUnderstand the implications on people's mental and physical health of not receiving the right support at the right timeHelp to normalise feelings of grief for those who have been bereavedKnow where to access peer support around grief and bereavementYou can access the website version of this podcast on MIMS Learning to make notes for your appraisal. MIMS Learning offers hundreds of hours of CPD for healthcare professionals, along with a handy CPD organiser.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.Useful linksResources from MIMS LearningEnd of life care: a guide for GPs and nursesManaging diabetes in people nearing the end of lifeManaging respiratory problems in palliative careEnd of life care in childrenExternal resourcesThe Good Grief Trust Hosted on Acast. See acast.com/privacy for more information.

In this episode of the MIMS Learning podcast, the MIMS Learning editors look at the diagnosis and management of chronic obstructive pulmonary disease (COPD) in primary care. They explore why the Global Initiative for Chronic Obstructive Lung Disease (GOLD) has changed its definition of COPD in recent years and why this is important. They also look at the risk factors for COPD, how it is diagnosed, management options, and identifying and treating exacerbations.After listening to this podcast, healthcare professionals should be more able to:Discuss the mortality and morbidity associated with COPDReview the risk factors for COPD, including alpha-1 antitrypsin deficiencyState which tests are used for identifying airflow obstructionUnderstand management strategies, including dual and triple therapiesAppreciate the need to identify and treat exacerbationsYou can access the website version of this podcast on MIMS Learning to make notes for your appraisal. MIMS Learning offers hundreds of hours of CPD for healthcare professionals, along with a handy CPD organiser.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 from MIMS LearningGuidance update: global strategy for prevention, diagnosis and management of COPDCOPD pathology and diagnosisCOPD monitoring and exacerbationsCOPD management and comorbiditiesCOPD and mental wellbeingPulmonary rehabilitation for people with breathlessnessInterstitial lung disease: clinical reviewThe role of integrated care in the management of COPDInhaler prescribing for better outcomesMIMS LearningRegister for a free healthcare professional account Hosted on Acast. See acast.com/privacy for more information.

Prostate cancer is common: one in four Black men will develop it, and one in eight white men. Professor Mike Kirby talks to MIMS Learning editor Pat Anderson about how GPs should approach diagnosis, and provides tips on best care for people who are undergoing or have undergone prostate cancer treatment. He says GPs have a vital role to play in managing cardiovascular risk and managing treatment-related problems.After listening to this podcast, healthcare professionals should be more able to:Identify symptoms associated with prostate cancerAppreciate why symptoms alone do not paint the whole pictureUnderstand the role of PSA testing for prostate cancerUnderstand what investigations patients with suspected prostate cancer will be offeredReflect on the advantages and disadvantages of different treatment options Manage cardiovascular risk and treatment-related problems in men who have had treatmentYou can access the website version of this podcast on MIMS Learning to make notes for your appraisal. MIMS Learning offers hundreds of hours of CPD for healthcare professionals, along with a handy CPD organiser.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.Useful linksResources from MIMS LearningGuidance update: NICE guidelines on prostate cancerManaging complications of treatments for prostate cancerBenign prostatic hyperplasia: clinical reviewCharitiesProstate Cancer ResearchProstate Cancer UKThe Errol McKellar Foundation Hosted on Acast. See acast.com/privacy for more information.

Skin, hair and nail symptoms that may indicate a systemic illness are the focus of this episode of the podcast, including pruritus, skin pigmentation, and hair loss. We also discuss how oral symptoms can act as a marker of deteriorating glycaemic control in patients with diabetes, the link between inflammatory skin conditions and cardiovascular risk, and some cutaneous manifestations of psychological distress.After listening to this podcast, healthcare professionals should be more able to:Spot serious conditions that might present with pruritusRecall the common culprits for drug-induced skin reactionsIdentify potential underlying systemic causes of erythemaDescribe the oral signs and symptoms that can indicate malignancy or autoimmune disordersConsider skin, hair and oral manifestations of psychological distressYou can access the website version of this podcast on MIMS Learning to make notes for your appraisal. MIMS Learning offers hundreds of hours of CPD for healthcare professionals, along with a handy CPD organiser.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.Useful linksResources from MIMS LearningCase study: pruritusSkin problems in haematological diseaseErythema - red flag symptomsSkin problems in transgender peopleThe identification and management of diabetes-related foot complicationsOral signs and symptoms of systemic diseaseSmoking, alcohol and psoriasisPsoriasis in primary care: clinical reviewExtra-intestinal manifestations in IBDA case of acne excoriée with multiple psychosocial comorbiditiesA case of delusional infestation and coexisting psoriasisMIMS LearningRegister for a free healthcare professional account Hosted on Acast. See acast.com/privacy for more information.

Frailty is a state akin to walking on a tightrope - a relatively small `wobble' can have significant consequences. In an interview with MIMS Learning editor Pat Anderson, frailty GP Dr Alistair Robertson explains the concept of frailty and how it can be usefully applied in general practice.After listening to this podcast, healthcare professionals should be more aware of:The definition of frailtyThe benefits of identifying and managing frailtyHow to identify frail patients in your practiceHow to involve colleaguesServices that can help you to manage frailtyProfessional development around frailtyYou can access the website version of this podcast on MIMS Learning to make notes for your appraisal. MIMS Learning offers hundreds of hours of CPD for healthcare professionals, along with a handy CPD organiser.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.Useful linksMIMS Learning resourcesFrailty: clinical reviewPodcast: breathlessness, diabetes and frailty, and measlesDiabetes and older peopleExternal resourcesRCGP. How to develop and maintain a role in frailty. August 2023.RCGP. The GP+ Careers podcast. 3: GP+ Frailty with Dr Alistair Robertson. [Spotify] September 2024. Hosted on Acast. See acast.com/privacy for more information.

Though women often experience sexual health difficulties, few seek medical help for these difficulties. In this studio discussion, the MIMS Learning editors review the potential reasons for this under-reporting, and they also discuss the various ways in which GPs can improve consultations for sexual health issues. The editors also talk about some commonly encountered conditions, like vulvodynia, chlamydia and dyspareunia. After listening to this podcast, healthcare professionals should be more aware of:How to conduct initial consultations in women with psychosexual disordersThe different types of vulval pain and their treatment optionsRed flags for patients presenting with dyspareuniaClinical features of and treatment for chlamydiaYou can access the website version of this podcast on MIMS Learning to make notes for your appraisal. MIMS Learning offers hundreds of hours of CPD for healthcare professionals, along with a handy CPD organiser.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.Useful linksMIMS Learning resourcesPsychosexual disorders in womenBenign vulval conditionsDyspareunia in women - red flag symptomsAmenorrhoea - red flag symptomsHeavy menstrual bleeding - red flag symptomsEquity in maternity care - Lessons from MBRRACEExternal resourcesNICE. Child abuse and neglect. NG76. October 2017. Hosted on Acast. See acast.com/privacy for more information.

In this episode, GP Professor Lesley Kavi (chairperson of the charity PoTS UK) talks to Dawn Liz Powell about diagnosing and managing postural tachycardia syndrome (PoTS) in primary care. Professor Kavi explains that PoTS refers to an abnormal response to an upright posture — defined as a persistent increase in heart rate of more than 30 beats per minute (40 beats per minute in children) upon standing. While the exact aetiology of PoTS is not known, it can occur after a virus (such as COVID) and is strongly associated with joint hypermobility syndrome. The condition can cause a range of symptoms, including (but not limited to) fatigue, dizziness, syncope, and brain fog. This can make diagnosis difficult, with Professor Kavi noting that many people with PoTS attend several medical appointments without getting a clear diagnosis or are categorised as having ‘medically unexplained symptoms'. You can access the website version of this podcast on MIMS Learning to make notes for your appraisal. MIMS Learning offers hundreds of hours of CPD for healthcare professionals, along with a handy CPD organiser.Please note:This podcast is intended for healthcare professionals. If you are a person with PoTS, or suspect you have PoTS, the information in this episode should not be seen as a replacement for medical advice from a trained professional. Please consult with your doctor before making any changes to your lifestyle and/or to any medications you may be taking. 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.In this interview, Professor Kavi refers to ‘CFS/ME'. However, the term is now ‘ME/CFS'. MIMS Learning modules Diagnosis and management of functional seizuresGuidance update: latest NICE guidelines on neurological conditionsGuidance update: NICE guidance on myalgic encephalomyelitis/chronic fatigue syndromeRegister for a free healthcare professional account https://www.mimslearning.co.uk/registerPoTS UK Managing PoTS Hosted on Acast. See acast.com/privacy for more information.

GPs commonly see patients who are experiencing hearing loss, ear pain or inflammation, or who can hear sounds with no external cause (tinnitus). In this episode the MIMS learning editors focus on how to eliminate red flags, how to address causes of hearing loss, manage acute otitis externa, and support patients with tinnitus.After listening to this podcast, healthcare professionals should be more aware of:How hearing loss is linked to the risk of dementiaThe Brighton grading scheme for classifying acute otitis externa, and how it is treatedSigns and symptoms of necrotising otitis externaRed flag symptoms in hearing lossPresentations of tinnitus, and what it can sound likeManagement options for tinnitusYou can access the website version of this podcast on MIMS Learning to make notes for your appraisal. MIMS Learning offers hundreds of hours of CPD for healthcare professionals, along with a handy CPD organiser.Further support for people with tinnitus can be found from the Tinnitus UK online chat or helpline on 0800 018 0527.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.Useful linksResources from MIMS LearningPrimary care research briefing July 2024 Otitis externa clinical reviewENT emergenciesHearing loss - red flag symptomsTinnitus - red flag symptomsMIMS LearningRegister for a free healthcare professional account Hosted on Acast. See acast.com/privacy for more information.

In this episode, Monica Boulton, healthcare integration lead at the National Academy for Social Prescribing talks to Rhiannon Ashman, deputy editor at MIMS Learning, about how all members of the primary care team can embed the ethos of social prescribing into their practice. Monica highlights the importance of finding out from patients, ‘not what's the matter with you, but what matters to you'. She also discusses the role of social prescribing in the care pathway for long-term conditions, its applicability for children and young people, and how link workers can help to connect with hard-to-reach communities to tackle health inequalities.You can access the website version of this podcast on MIMS Learning to make notes for your appraisal. MIMS Learning offers hundreds of hours of CPD for healthcare professionals, along with a handy CPD organiser.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.ResourcesRegister for a free healthcare professional accountNational Academy for Social Prescribing SIGN guidelines for support of people with dementia and their carersResources for supporting people to improve their mental wellbeingCOPD and mental wellbeingSelf-harm in children and young peopleGeneralised anxiety disorder: clinical review Hosted on Acast. See acast.com/privacy for more information.

Chronic pain is pain that lasts for more than 3 months, and it can be primary (with no underlying cause identified) or secondary (with an underlying cause identified). In this episode, the MIMS Learning editors look at the diagnosis and management of chronic pain in primary care. They review what NICE says about assessing chronic pain, the possible causes of chronic pain, and management options. Educational objectivesAfter listening to this podcast, healthcare professionals should be more aware of:The definition of chronic primary pain and when to consider it as a diagnosis The different types of neuropathic pain, including postherpetic neuralgia Non-pharmacological and pharmacological options for managing chronic painThe relationship between chronic pain and mental healthYou can access the website version of this podcast on MIMS Learning to make notes for your appraisal. MIMS Learning offers hundreds of hours of CPD for healthcare professionals, along with a handy CPD organiser.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.Useful linksGuidance update: NICE guidelines on chronic pain in over 16sBest use of neuropathic pain medicationUnderstanding painful diabetic neuropathyDepression and anxiety in people with chronic painPost-herpetic neuralgia and herpes zoster vaccinesAcute pelvic pain - red flag symptomsRegister for a free MIMS Learning healthcare professional accountwww.mimslearning.co.uk/register Hosted on Acast. See acast.com/privacy for more information.

In this episode of the Clinical update podcast, neurogastroenterology clinical fellow Dr Mohsin Butt talks to Sangeeta Krishnan about the stigma around the term ‘functional gut disorders', which are now called ‘disorders of gut brain interaction' (DGBI). He discusses some of the most common DGBI, evidence implicating the microbiome in the pathogenesis of DGBI, and research investigating faecal transplantation.He also explores how GPs can recognise DGBI in primary care and what current guidelines have to say about using probiotics for individuals with DGBI symptoms. You can access the website version of this podcast on MIMS Learning to make notes for your appraisal. MIMS Learning offers hundreds of hours of CPD for healthcare professionals, along with a handy CPD organiser.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.Useful linksResources from MIMS LearningDisorders of gut brain interactionBloatingMIMS LearningRegister for a free healthcare professional account Hosted on Acast. See acast.com/privacy for more information.

Hair loss can be distressing for patients, and many over-the-counter remedies are expensive and ineffective. In this episode, the MIMS Learning team consider red flags for hair loss, possible causes, and which treatments are effective. Types of alopecia that are more common in Black women are discussed, including how you can offer sensitive advice on hair-styling practices. Educational objectivesAfter listening to this podcast, healthcare professionals should be more aware of:Red flags to look out for in a patient presenting with hair lossPossible causes of hair loss, including psychological problems, medications and hormonal factorsHairstyles that are implicated in traction alopecia and how to offer appropriate advice to patientsHow to spot a kerion, and how to treatWhen is it reasonable to refer and what the management options are for hair loss conditionsYou can access the website version of this podcast on MIMS Learning to make notes for your appraisal. MIMS Learning offers hundreds of hours of CPD for healthcare professionals, along with a handy CPD organiser.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.Useful linksResources from MIMS LearningHair loss - red flag symptomsTraction alopeciaCentral centrifugal cicatricial alopeciaSelf-harm in children and young peopleResource from British Association of DermatologistsPatient information leaflet - Tinea capitis (May 2023)News story from MIMSAlopecia drug to be available on the NHSMIMS LearningRegister for a free healthcare professional account Hosted on Acast. See acast.com/privacy for more information.

In this episode, Professor Carolyn Chew-Graham OBE talks to Dawn Liz Powell about how to support people with severe mental illness in primary care. She discusses how severe mental illness might present in primary care, how to take a comprehensive history, and how to build a good relationship with a person with severe mental illness.Professor Chew-Graham also looks at the physical health needs of people with severe mental illness. She notes that people with severe mental illness die, on average, 15 to 20 years earlier than those without mental illness; therefore, GPs should remember the adage ‘don't just screen, intervene' when identifying risk factors for physical conditions in this group.You can access the website version of this podcast on MIMS Learning to make notes for your appraisal. MIMS Learning offers hundreds of hours of CPD for healthcare professionals, along with a handy CPD organiser.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 LearningStrategies for the safe deprescribing of antidepressantsSmoking cessation for people with mental illnessAddressing the needs of people with diabetes and mental illnessRegister for a free healthcare professional account Hosted on Acast. See acast.com/privacy for more information.

Consultations for neurological conditions and for headache are very common in primary care. In this episode the MIMS learning editors focus on blackouts, dizziness and vertigo, facial pain, gait disturbance, and alterations in taste and smell. They also highlight the recommendations of NICE and SIGN on migraine prophylaxis, including drug therapies, acupuncture, botulinum toxin and oxygen therapy. After listening to this podcast, healthcare professionals should be more aware of:How to differentiate between epileptic seizures, syncope and functional seizuresSymptoms associated with potentially serious neurological conditions such as stroke, giant cell arteritis and malignancyPossible causes of gait disturbanceQuestions to consider in presentations of facial painRecommendations from NICE and SIGN on migraine prophylaxisYou can access the website version of this podcast on MIMS Learning to make notes for your appraisal. MIMS Learning offers hundreds of hours of CPD for healthcare professionals, along with a handy CPD organiser.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.Useful linksResources from MIMS LearningGuidance update: latest NICE guidelines on neurological conditionsDiagnosis and management of functional seizuresDizziness - red flag symptomsFacial pain - red flag symptomsGuidance update: NICE guidelines on vitamin B12 deficiency in adultsGuidance update: NICE and SIGN guidelines on headacheResource from Oxford University Hospitals NHS TrustUnlicensed and `off label' medicinesMIMS LearningRegister for a free healthcare professional account Hosted on Acast. See acast.com/privacy for more information.

In this episode, Dr Pipin Singh talks to MIMS Learning editor Pat Anderson about how to provide care for nursing home residents that meets their needs and enables them to have the best possible quality of life.His practice's approach makes best use of time and draws in the support of pharmacists and nursing home teams to plan and deliver care and to plan ahead so that frail, older residents are treated in accordance with their wishes.As part of the episode, Dr Singh focuses on medication review, using a case study example to work through the issues faced by one elderly resident with multiple health problems and multiple prescribed medications. He outlines how medication review has affected this patient's quality of life, and how providing continuity of care to patients in this situation is very professionally rewarding. This episode is supported by the Faculty of Pharmaceutical Medicine, which has recently released an e-learning course entitled Managing Respiratory Diseases. You can access the website version of this podcast on MIMS Learning to make notes for your appraisal. MIMS Learning offers hundreds of hours of CPD for healthcare professionals, along with a handy CPD organiser.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.Useful linksUnsafe swallow in a patient who lacks capacity: nursing home case studyPolypharmacy in a patient with dementia: nursing home case studyMultiple morbidity: nursing home case studyRecurrent falls in older peopleAssessment of older peopleMIMS LearningRegister for a free healthcare professional account Hosted on Acast. See acast.com/privacy for more information.

In this episode of the Clinical Update podcast, the MIMS Learning editors discuss the potential causes of chest pain, with a focus on diagnosis and management in primary care, including cardiac causes, gastrointestinal causes, and psychosocial causes.This episode explores how misconceptions about coronary artery disease in women can lead to its underdiagnosis, how changes to diet and sleep can help with reflux, and how chest pain can cause anxiety (and vice versa).The editors also touch upon respiratory causes of chest pain, looking at COPD, interstitial lung disease, and pneumonia.You can access the website version of this podcast on MIMS Learning to make notes for your appraisal. MIMS Learning offers hundreds of hours of CPD for healthcare professionals, along with a handy CPD organiser.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.Useful linksCardiac causesChest pain - red flag symptomsIschaemic heart disease: clinical reviewCoronary artery disease in womenAortic dissection: clinical reviewAortic valve disease: clinical review​​PCI as a first-line treatment for stable anginaGastrointestinal causesDyspepsia - red flag symptomsPsychological causesGeneralised anxiety disorder: clinical reviewRespiratory causesInterstitial lung disease: clinical reviewGuidance update: global strategy for prevention, diagnosis and management of COPD Hosted on Acast. See acast.com/privacy for more information.

Breast cancer is the most common cancer in the UK, accounting for 15% of all new cancer cases. In this episode, MIMS Learning editor Sangeeta Krishnan speaks to consultant medical oncologist Dr Jay Naik about the GP's role in breast cancer screening and red flags, and the management breast cancer. Discussing a memorable case, Dr Naik touches upon the importance of team effort in dealing with complex scenarios, and the far-reaching impact of cancer on the friends and families of patients.You can access the website version of this podcast on MIMS Learning to make notes for your appraisal. MIMS Learning offers hundreds of hours of CPD for healthcare professionals, along with a handy CPD organiser.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.Useful linksFurther learning on MIMS LearningBreast pain - red flag symptomsEarlier cancer diagnosisGuidance update: latest NICE guidelines on recognition and referral of suspected cancerExplaining genomic profiling results in breast cancerWhy do adverse events occur in immunotherapy?Managing the oncology patient's expectationsRegister to access contentRegister for a free MIMS Learning healthcare professional account Hosted on Acast. See acast.com/privacy for more information.

What are the symptoms of hypothyroidism and hyperthyroidism? Are some persons at a higher risk of thyroid disorders than others? This week, the MIMS Learning editors discuss symptoms and risk factors for various thyroid disorders, the physiology of the thyroid gland, and how to interpret thyroid function tests. They also discuss NICE guidelines on management, as well as the latest consensus statement by the British Thyroid Association and the Society for Endocrinology on treatment for hypothyroidism. After listening to this module, healthcare professionals should be more aware of symptoms, risk factors, and management of thyroid disease.You can access the website version of this podcast on MIMS Learning to make notes for your appraisal. MIMS Learning offers hundreds of hours of CPD for healthcare professionals, along with a handy CPD organiser.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.Useful linksMIMS Learning modules discussed in this episodeDiagnosis and treatment of hypothyroidismHyperthyroidism: diagnosis and managementLatest NICE guidelines on thyroid diseaseGenomic testing for thyroid cancerRegister to access contentRegister for a free MIMS Learning healthcare professional account Hosted on Acast. See acast.com/privacy for more information.

In this episode, Dr Sundhya Raman speaks to Dawn Liz Powell about how to ensure that lifestyle advice is culturally appropriate, specifically for people who are South Asian. She says that while white European people tend to eat more ultra-processed food, South Asian people are more likely to cook with the ‘wrong sorts of fat'. Therefore, lifestyle advice should take account of these cultural differences. Dr Raman also discusses how to encourage people (of all cultures) to engage with lifestyle modifications. She states that healthcare professionals should try to make ‘every contact count' and ask what they can do to help patients make lifestyle changes. You can access the website version of this podcast on MIMS Learning to make notes for your appraisal. MIMS Learning offers hundreds of hours of CPD for healthcare professionals, along with a handy CPD organiser.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.Useful linksType 2 diabetes in South Asian and African-Caribbean populationsIdentifying and managing young-onset type 2 diabetesManagement of diabetes during RamadanThe five S's of 24-hour physical behaviours for type 2 diabetesMIMS LearningRegister for a free healthcare professional account Hosted on Acast. See acast.com/privacy for more information.

How might the all-party parliamentary report on birth trauma impact primary care? What red flags should clinicians look for in pregnant patients? Are you confident in managing diabetes in pregnancy? And what are the latest recommendations on diagnosing hyperemesis gravidarum?Join the MIMS Learning editors for this episode of the Clinical Update podcast, in which we consider the all-party parliamentary report on birth trauma, and health inequalities in maternity care, as well as common challenges in pregnancy such as pre-eclampsia, hyperemesis and coexisting diabetes.You can access the website version of this podcast on MIMS Learning to make notes for your appraisal. MIMS Learning offers hundreds of hours of CPD for healthcare professionals, along with a handy CPD organiser.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.Useful linksMIMS Learning modules discussed in this episodeA guide to providing trauma-informed maternity carePregnancy - red flag symptomsEctopic pregnancy: clinical reviewNausea and vomiting of pregnancy and hyperemesis gravidarum: clinical reviewDiabetes in pregnancy: clinical reviewSafer prescribing for chronic conditions in pregnancyEquity in maternity care - lessons from MBRRACE-UKFurther readingMBRRACE-UK. Saving Lives, Improving Mothers' Care Lessons learned to inform maternity care from the UK and Ireland Confidential Enquiries into Maternal Deaths and Morbidity 2019-21. October 2023.The All-Party Parliamentary Group on Birth Trauma. Listen to Mums: Ending the Postcode Lottery on Perinatal Care. 13 May 2024.Register to access contentRegister for a free MIMS Learning healthcare professional account Hosted on Acast. See acast.com/privacy for more information.

Join us for this episode of the Clinical Update podcast, in which our guest, GP Dr Farzana Hussain, talks about the insights she gained from talking to patients who declined COVID vaccination, how these lessons can be extrapolated to other vaccination programmes, and what primary care professionals can do – on a practical level – to tackle vaccine hesitancy. You can access the website version of this podcast on MIMS Learning to make notes for your appraisal. MIMS Learning offers hundreds of hours of CPD for healthcare professionals, along with a handy CPD organiser.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.Useful linksEquity in maternity care - lessons from MBRRACE-UKTackling health inequalities through inclusion: homelessnessPodcast: health inequalitiesCOVID-related myocarditis: infection versus vaccineFurther readingNHS England. Dr Farzana Hussain. A ‘simple and convenient front door' is vital in ensuring everyone can easily get their life-saving vaccinations. 13 December 2023.The Strategy Unit. Increasing Vaccine Uptake: A Good Practice Example. Accessed July 2024. Register to access contentRegister for a free MIMS Learning healthcare professional account Hosted on Acast. See acast.com/privacy for more information.

Is this child's rash an infectious disease, or something else? It can be hard for GPs to tell. Infectious conditions affecting children are the topic of this Clinical Update podcast, with our presenters, the MIMS Learning editors, passing on expert clinicians' tips on diagnosing paediatric pertussis, measles, skin rashes, and scarlet fever. They also discuss the MIMS Learning campaign on health inequalities.After listening to this module, healthcare professionals should be more aware of signs and symptoms of common conditions, and of how to manage contacts and cases.You can access the website version of this podcast on MIMS Learning to make notes for your appraisal. MIMS Learning offers hundreds of hours of CPD for healthcare professionals, along with a handy CPD organiser.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.Useful linksDownloadable PDF of health inequalities resourcesHealth inequalities PDFMIMS Learning modules discussed in this episodePaediatric pertussis clinical reviewAcute erythematous rashes in childrenMeasles updatePodcast: breathlessness, diabetes and frailty and measlesScarlet feverInvasive group A streptococcusFever of unknown origin in childrenFurther readingUK HSA. Whooping cough cases continue to rise. 9 May 2024.UK HSA. Latest data on scarlet fever. 4 April 2024.Register to access contentRegister for a free MIMS Learning healthcare professional account Hosted on Acast. See acast.com/privacy for more information.

What clinical features set hayfever apart from COVID and/or asthma? What are the major risk factors for developing melanoma? And what key conditions do you need to be aware of in the hotter months?In this episode of the Clinical Update podcast, MIMS Learning editors Rhiannon Ashman and editor Pat Anderson will discuss how to distinguish hayfever from COVID-19, red flags of more serious conditions, and advice around treatment. For our interview section, Rhiannon speaks to consultant dermatologist Dr Suchitra Chinthapalli about what GPs need to know about the prevalence of melanoma, its risk factors and guidelines for safe sun exposure. Finally, we will look at three key points on summer illnesses, including Lyme disease, diarrhoea and fever in adults.You can access the website version of this podcast on MIMS Learning to make notes for your appraisal. MIMS Learning offers hundreds of hours of CPD for healthcare professionals, along with a handy CPD organiser.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.Useful linksHayfeverKey questions on hayfeverSkin cancerDermatology research briefing: focus on melanomaManagement of non-melanoma skin cancer in older people Seasonal conditionsErythema - red flagsDiarrhoea - red flag symptomsRegister to access contentRegister for a free MIMS Learning healthcare professional account Hosted on Acast. See acast.com/privacy for more information.