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If you're a woman in your 50s or 60s who has been doing all the right things, eating well, moving your body, managing stress, and yet you still find yourself wondering if there is more you could be doing to protect your health for the long run, this episode is for you. In this conversation on Pleasure in the Pause, host Gabriella Espinosa sits down with Dr. Noor Al-Humaidhi, a board-certified family physician, menopause specialist, and founder of Lifestyles by Noor, to build what Gabriella calls the Midlife Vitality Blueprint. This is not about living longer. This is about living stronger, with vitality, confidence, and energy for the next 20, 30, even 40 years. Because midlife is not the beginning of decline. It is the beginning of design.Dr Noor Al-Humaidhi is a Board Certified Family Physician and Menopause Society Certified Practitioner. She is affectionately known as Dr Noor in the community. She grew up in Kuwait before attending medical school in Dublin, Ireland. She then moved to the UK where she trained in General Practice and started her career. She moved to the Seacoast 7 years ago to be nearer to family and restarted her family practice career after overcoming the hurdles of Board certification here in the US. After her own experience with perimenopause coupled with her difficulty accessing care she founded Lifestyles by Noor. Lifestyles is a midlife wellness destination practice. Her aim is to arm clients with the data that they need to maximize their health span. She has a particular focus on women in perimenopause and menopause who are having difficulty accessing appropriate care to manage their symptoms. Her goal is to educate, empower and help clients feel their best. Highlights from our discussion include:Why lifting heavy weights (40, 50, 60 pounds and beyond) is the single most important lifestyle intervention.The essential labs that most doctors don't run.How to advocate for hormone therapy after age 60.The metabolic syndrome of menopause.Why DEXA scans should start at age 35, not 60.CONNECT WITH Dr. Noor:Website Personal | PracticeInstagramResources:Estrogen Matters by Avrum Bluming and Carol TavrisThe Menopause SocietyLet's Talk MenopauseQuest Diagnostics or LabCorp for labsCONNECT WITH GABRIELLA ESPINOSA:InstagramLinkedInWork with Gabriella! Go to https://www.gabriellaespinosa.com/ to book a call.Full episodes on YouTube. The information shared on Pleasure in the Pause is for educational and informational purposes only and is not intended as medical advice. Always consult your healthcare provider before making any decisions about your health or treatment. The views expressed by guests are their own and do not necessarily reflect the views of the host or Pleasure in the Pause.
What happens when the system meant to protect the public fails? In this compelling episode of See You In Court, hosts Robin Frazer Clark and Lester Tate sit down with veteran Georgia trial lawyer and mediator Nick Moraitakis to discuss one of the most sobering chapters in Atlanta's legal history. From an unwritten drug arrest quota to a tragic police raid that ended in the death of an innocent woman, Nick walks us through how civil litigation uncovered planted evidence, false affidavits, and systemic misconduct. Nick's career spans decades in Georgia courtrooms. After beginning as a defense lawyer representing corporations and insurance companies, he transitioned to representing individuals and families harmed by negligence, medical malpractice, trucking accidents, product liability, and other wrongful acts. He has tried dozens of cases to verdict, served in the Georgia General Assembly, and now devotes his practice fully to mediation. His perspective is grounded in experience on both sides of the courtroom. In this conversation, we explore: • The real-world consequences of unchecked power • How civil lawsuits expose facts that might otherwise remain hidden • The role of courageous lawyers in protecting constitutional rights • Why the civil justice system remains essential to accountability Nick's Awards: -American College of Trial Lawyers, Fellow -American Board of Trial Advocates, Advocate -Best Lawyers in America®, Listed (2007 – present) -Tradition of Excellence Award, General Practice and Trial Section, State Bar of Georgia) -State Bar Chair of Advisory Committee on Legislation This episode is a powerful reminder that civil justice is not abstract. It is personal. It is practical. And at times, it is the only path to the truth. Watch the full episode on YouTube: https://youtu.be/RTqwiQj2kjA Listen on Podbean: https://seeyouincourt.podbean.com/e/righting-wrongs-with-nick-moraitakis Learn more about the podcast: https://seeyouincourtpodcast.org/ Other Links: Rick Moraitakis Lester Tate Robin Frazer Clark To learn more about the Georgia Civil Justice Foundation, visit fairplay.org
Send a textGrief touches every consulting room. In this episode we gently unpick how to support people after loss, using the RCGP framework “A Compassionate Bereavement Response”. Practical language you can use tomorrow, how to recognise prolonged grief disorder (including in children) and when to refer. The overlap with PTSD, and realistic ways we can look after ourselves as clinicians.Then we change gear for an update on NICE's 2024 guideline covering bacterial meningitis and meningococcal disease: the red flag combination that demands 999, when prehospital antibiotics are (and aren't) advised, the easy to miss early signs, and robust safety netting. Press play for compassionate care, sharper suspicions, and help to make the right clinical decisions when under pressure. Useful linksGriefGood Grief Festival (free events, YouTube Channel and curated resources)RCGP framework “A Compassionate Bereavement Response”Bacterial meningitis and meningococcal diseaseMeningitis Now We are currently looking for 4 new clinicians to join the Red Whale team to help us create and curate our educational content. For more information, on the Join Us section of our website. https://www.redwhale.co.uk/join-usSend us your feedback podcast@redwhale.co.uk or send a voice message Sign up to receive Pearls here. Pearls are available for 3 months from publish date. After this, you can get access them plus 100s more articles when you buy a one-day online course from Red Whale OR sign up to Red Whale Unlimited. Find out more here. Follow us: Facebook, Instagram, LinkedInDisclaimer: We make every effort to ensure the information in this podcast is accurate and correct at the date of publication, but it is of necessity of a brief and general nature, and this should not replace your own good clinical judgement, or be regarded as a substitute for taking professional advice in appropriate circumstances. In particular, check drug doses, side-effects and interactions with the British National Formulary. Save insofar as any such liability cannot be excluded at law, we do not accept any liability for loss of any type caused by reliance on the information in this podcast.
This podcast episode unpacks the General Practice Survival Kit, offering a clear guide to both the physical tools and the professional mindset every new registrar needs. We move beyond the literal contents of the kit to discuss the practical strategies required to navigate the unique hurdles of your first few months, helping you transition from "survival mode" to truly thriving in general practice.
How did telehealth reshape GP training in Australia? This study found it disrupted in-consultation learning, reduced feedback, and limited clinical exposure—highlighting the need for telehealth-specific training. #MedEd #Telehealth #GPTraining Read the accompanying article here: https://doi.org/10.1111/medu.70061Digital Object Identifier (DOI)
In this episode of the Clinical Update podcast, academic GP Dr Sam Finnikin speaks to MIMS Learning's medical editor Sangeeta Krishnan about the essential role of shared decision-making in modern primary care. Sam talks about why shared decision-making is a legal and ethical responsibility, and how GPs can effectively integrate it into the standard 10-minute consultation. They also discuss the unique challenges of polypharmacy, the art of ‘not doing' as an active clinical choice, and how to communicate complex risks to patients in a way they can best understand.Educational objectivesAfter listening to this podcast, healthcare professionals should be better able to:Evaluate the role of shared decision making as a fundamental, non-optional approach to every clinical decision.Implement strategies to achieve shared decision-making within 10-minute consultations by leveraging continuity of care and splitting decisions over time.Apply evidence-based medicine with care to individual patients, particularly those with multimorbidity and polypharmacy who are often excluded from research populations.Understand the concept of ‘not doing' (active watchful waiting) and how it can improve healthcare efficiency and patient outcomes.Communicate risks effectively using absolute numbers, natural frequencies, and positive/negative framing to aid patient deliberation.Encourage patient autonomy while providing tailored recommendations that incorporate a patient's individual values and preferences. You can access the website version of this podcast, along with a list of key learning points, on MIMS Learning - and 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 LearningRegister for a FREE accountStrategies for the safe deprescribing of antidepressantsCase series: polypharmacy in older people with mental health conditionsPolypharmacy in a patient with dementia: nursing home case studyDr Pipin Singh on best care for nursing home patientsMultiple morbidity: nursing home case studyGuidance update: latest NICE guidelines on hypertensionDepression: clinical review Hosted on Acast. See acast.com/privacy for more information.
Today, we're speaking to Prof Emma Crosbie, Professor of Gynaecological Oncology based at the University of Manchester.Title of paper: Urine human papillomavirus testing for cervical screening in a UK general screening population: a diagnostic test accuracy studyAvailable at: https://doi.org/10.3399/BJGP.2025.0105The switch from primary cytology to primary human papillomavirus testing has enabled innovations in self-sampling for cervical screening. This study shows that urine self-collected with a first-void urine collection device has similar diagnostic test accuracy and acceptability to cervical sampling in a general screening population. Urine self-sampling has real-world potential as an alternative cervical screening option.TranscriptThis transcript was generated using AI and has not been reviewed for accuracy. Please be aware it may contain errors or omissions.Speaker A00:00:01.440 - 00:01:07.140Hello and welcome to BJGP Interviews. I'm Nada Khan and I'm one of the Associate Editors of the bjgp. Thanks for listening to this podcast today.In today's episode, we're speaking to Professor Emma Crosby, who is professor of Gynecological Oncology based at the University of Manchester. We're here to talk about her really exciting paper that's recently been published in the December 2025 issue of the BJGP.The paper is titled Urine Human Papillovirus Testing for Cervical Screening in UK General Screening Population A Diagnostic Test Accuracy Study. So, hi Emma, it's lovely to meet you and to talk about this paper.I really just wanted to start off talking a bit around cervical screening in the uk, and you mentioned this in the introduction to the paper as well, that cervical screening really does have variable uptake rates and we know that there are some, some barriers to access. But can you talk us through these and tell us a bit about why you decided to do this research?Speaker B00:01:07.940 - 00:03:41.440So, as you've just really nicely summarised, cervical screening is really important weapon against cervical cancer.So we know that it prevents cervical cancer and since the introduction of the NHS Cervical Screening program in the UK, we've seen deaths from cervical cancer drop by around 70%. So we know that it's very effective.But in the uk, the number of people attending is declining year on year and currently, currently only around 68% of those people who are eligible for cervical screening actually attend. There are a whole range of different reasons for non attendance.These include things to do with the speculum examination, so having to have an intimate examination to be examined. The anticipated embarrassment or fear of pain related to that procedure, I think are important barriers.But there are also barriers associated with access to reaching screening appointments, taking time off work, having childcare and so on and so forth. So we thought that there was some really important barriers there that could potentially be addressed by self sampling.Now, vaginal self sampling is actually been incorporated in many cervical screening programs around the world.Some cervical screening programs are using it just for people who are non attenders or underscreened by traditional screening routes and other countries are using it as a choice for everybody.Now, in the uk, we haven't yet taken up vaginal self sampling sampling, but it will be introduced this year in 2026, principally for under screened groups. And there is some work looking at whether or not it will be introduced as a choice for everyone in the future.But we know from research that's been done in the UK that only around 12 to 13% of people who are...
Born and raised in Melbourne, it took GP and musician Dr Halimah Perez-Torres a journey to Spain (where she met her husband) and back to settle on a career in medicine. Nowadays, Dr Perez-Torres balances a demanding general practice career with family and her passion for music, including writing and releasing her own musical compositions.
This episode covers plagiocephaly and brachycephaly.Written notes can be found at https://zerotofinals.com/paediatrics/neurology/plagiocephaly/Questions can be found at https://members.zerotofinals.com/Books can be found at https://zerotofinals.com/books/The audio in the episode was expertly edited by Harry Watchman.
Welcome to the Hot Topics podcast from NB Medical with Dr Neal Tucker.Three new pieces of research to talk about in today's podcast. First, in the NEJM - could patients stop anti-coagulation after ablation for AF? Conventional practice says no. Does this paper change that?Second, in JAMA - can spinal manipulation, or clinician-guided self-management, or both help with low back pain? This paper is a good crack.Finally, in the BJGP - what do our patients think about advance care planning? Should we be talking about this more, and, if so, in whom and how?ReferencesNEJM Anti-coags after ablation in AFNEJM EditorialJAMA Low back painBJGP Advance care planningwww.nbmedical.com/podcast
Emma speaks to Professor Bola Owolabi, a practising GP in the Midlands and the chief inspector of primary care and community services at the CQC. Before this she director of the National Healthcare Inequalities Improvement Programme at NHS England, where she led the Core20PLUS5 approach to tackling healthcare inequalities.Bola took on her role at the CQC in July last year at a particularly turbulent time for the regulator.In this conversation, she discusses how the CQC is working to turn things around after facing significant criticism about its work, the development of a new sector-specific assessment framework for primary care, and how she hopes inspections will become a less stressful experience for GPs, practice managers and the rest of the practice team.Bola also talks about her own experience of leading the turnaround of a GP practice in a deprived area that was rated inadequate, the role of the CQC in improving care and tackling health inequalities, and how the regulator views the move towards neighbourhood health and the use of AI in general practice.This episode was presented by GPonline editor Emma Bower. It was produced by Czarina Deen.Useful linksCQC regulators pioneers' fund informationLack of investment in community services will hit plans to shift care out of hospitals, says CQCCQC mythbuster on AI in general practice Hosted on Acast. See acast.com/privacy for more information.
Advice and Guidance (A&G) services provide primary care with continued access to specialist clinical advice, enabling a patient's care to be managed in the most appropriate setting. In the latest episode of the Transforming Primary Care podcast, Dr Cath Dixon, former GP and Associate Medical Director at Harrogate & District NHS Foundation Trust leads a panel of North-East and Yorkshire based GPs and consultants to discuss how the scheme supports general practice with increasing complexity, helping build relationships between primary and secondary care colleagues – improving the so-called ‘primary secondary care interface,' For more information on Advice and Guidance visit: https://www.england.nhs.uk/elective-care/best-practice-solutions/advice-and-guidance/ A full transcript of this episode is available on our website - https://www.england.nhs.uk/long-read/tpc-podcast-s4-e6-how-does-advice-guidance-scheme-support-gp/ Please get in touch if you have any questions regarding this episode - england.ney.pctransformation@nhs.net
In this week's episode, brought to you in partnership with Practice Index, we welcome back podcast regulars Claire Houston & Robyn Clark to explore why appraisals are a vital part of staff development in general practice, and how to make them meaningful rather than just a tick-box exercise. They discuss whether 'appraisal season' is helpful or whether reviews should be spread throughout the year, how to structure objectives so they align with wider practice goals, and why appraisals should never contain surprises. The conversation covers practical tips on preparation, 360° feedback, handling difficult conversations, and setting SMART objectives that genuinely support both individual growth and organisational strategy. The episode also explores the unique challenge of appraising practice managers, the benefits of a four point scoring system, and how digital tools like the Appraisals Manager within the Practice Index Hub can streamline the entire appraisal cycle, from scheduling and documentation to tracking objectives and progress. Introduction (0:09) Practice Index Appraisals Manager: what it offers (00:35) Is there such a thing as 'appraisal season'? (01:25) Why appraisals should never contain surprises (02:15) Formal appraisals (03:10) Aligning individual objectives with practice strategy (04:00) Setting meaningful objectives (and how many to set) (06:30) Using SMART objectives effectively (08:30) The importance of preparation and pre-appraisal questionnaires (10:30) 360° feedback and gathering wider perspectives (11:30) Avoiding difficult conversations, and why you shouldn't (13:45) A practical structure for giving constructive feedback (14:45) Rethinking scoring: why move from five points to four? (16:50) Documenting objectives and tracking progress digitally (18:20) Who appraises the practice manager? (19:15) Using the IGPM appraisal toolkit (20:30) Accessing the HR package and Appraisals Manager in the Hub (23:30) Episode summary and close (24:30) Book an HR Package demo here To access the IGPM Appraisal Toolkit, join IGPM here. To visit the Practice Index website, click here or contact James Dillon here. For all enquiries about the Ockham podcast, please contact Ben Gowland here.
Dr Richard Fieldhouse sits down with GP, trainer, and author Dr Martin Brunet to explore the "art" of general practice. Martin shares his journey from hospital medicine to finding his "tribe" in GP, where he developed a passion for the mechanics of communication. We dive deep into his "Two Houses" consultation model—a practical way to navigate complex patient agendas—and discuss the clinical reality of burnout. Martin introduces the vital concept of "moral distress," explaining how system pressures force us away from our core values and, crucially, how "shared moral purpose" and creative self-care can help us stay resilient.Resources:“Your Worry Makes Sense: Anxiety and Burnout are Logical (and You Can Overcome Them) “The GP Consultation Reimagined: a Tale of Two Houses” NASGP LocumDeck Professional ToolkitInstagram Key Quotes:"Surgeons operate, GPs communicate... we're all better as doctors and people if we communicate well"."Moral distress is when you're being put in a position where you're asked to, or expected to, or have to operate outside your values".
Contact us and share your opinionIn this episode we discuss the recent visit by BMA GPC Chair Katie Bramal-Stainer to a Derbyshire-Lincolnshire-Nottinghamshire LMC event. What were some of the questions in the room and what did we learn about contract timelines, content and the future of collective action for General Practice? We also discuss news stories covering some sudden and disruptive changes to GP Trainee assessment software, the shortage of yet another common drug (Aspirin!), and additional funding for cancer screening in areas of high deprivation.And… opportunities to join Gandhi and Andy at two upcoming eGPlearning events…GP5T11 Online GP Trainer Conference https://events.ringcentral.com/events/gp5t-11/registration PCNPlus26 Conference in Nottingham or online https://www.thcprimarycare.co.uk/pcnplus2026 Boost your triage skills with our dynamic 5-session live webinar course, tailored for primary care clinicians. Led by Dr. Gandalf and Dr. Ed Pooley, this comprehensive training covers all facets of remote patient triage—digital, on-call, and more. Gain practical knowledge, exclusive tips, and direct access to our experts through open Q&A sessions. Elevate your ability to manage primary care challenges effec Subscribe and hear the latest EPIC episode. Join Dr Mike as he shares how to get started and fly using EMIS to make your life easier with this clinical systembit.ly/EMIScourse
In this episode, host Alyssa Watson, DVM, is joined by Kate Boatright, VMD, to discuss her recent Clinician's Brief article, “Top 5 Tips for Managing Emergencies in General Practice.” These critical “surprises” can really throw a day off. Dr. Boatright shares her practical approach to handling emergency cases, even when you've got a smaller team and a fuller schedule.Resource:https://www.cliniciansbrief.com/article/veterinary-emergencies-top-tipsContact:podcast@instinct.vetWhere To Find Us:Website: CliniciansBrief.com/PodcastsYouTube: Youtube.com/@clinicians_briefFacebook: Facebook.com/CliniciansBriefLinkedIn: LinkedIn.com/showcase/CliniciansBrief/Instagram: @Clinicians.BriefX: @CliniciansBriefThe Team:Alyssa Watson, DVM - HostAlexis Ussery - Producer & Multimedia Specialist
More health professionals may be able to prescribe ADHD meds from the outset from today - but impacts are expected to be gradual. From this month, trained GPs and nurse practitioners can start a patients treatment without a specialist's recommendation. A specialist appointment can take up to a year to secure in some areas. General Practice Owners' Association Chair Dr Angus Chambers says this ends a 'bureaucratic barrier', but it's unclear how long it'll take positive change to happen. "We're generalists, not specialists, so we've got a good working knowledge of the condition...so people will need to take some extra time to train to get the right sort of skillset." LISTEN ABOVESee omnystudio.com/listener for privacy information.
Contact us and share your opinionJoin Andy and Gandhi of eGPlearning as they review the latest guidance on vaccinations and immunisations for 2026 and moreService specification: General practice seasonal vaccination services – COVID-19 and influenza vaccination enhanced services19/1/26https://www.england.nhs.uk/publicatio... Letter…For the first time, we have combined the COVID-19 and adult influenza service specifications into 1 documentpractices can still sign up to deliver only the adult influenza vaccination servicestreamlined and further aligned the COVID-19 and adult influenza vaccination requirementsSee bullet points in letter…PRactice individualy, not just as part of PCNNo housebound covid vacs fee (was £10)ThoughtsWelcome change to be able to sign up individually - less hassle = more uptakeCost effective to combineMain Doc… Can look at sectionsSign up process and datesCOVID 19 Vaccine - centrally provided by commissioner - via FDPGovernment's current vaccination strategy is ‘a failure' and must be replaced, say MPshttps://www.pulsetoday.co.uk/news/cli... Cocodamol shortage:https://primarycare.lancashireandsout...WavelengthNew 10-year plan contracts should not be created without GP approval, says BMABoost your triage skills with our dynamic 5-session live webinar course, tailored for primary care clinicians. Led by Dr. Gandalf and Dr. Ed Pooley, this comprehensive training covers all facets of remote patient triage—digital, on-call, and more. Gain practical knowledge, exclusive tips, and direct access to our experts through open Q&A sessions. Elevate your ability to manage primary care challenges effec Subscribe and hear the latest EPIC episode. Join Dr Mike as he shares how to get started and fly using EMIS to make your life easier with this clinical systembit.ly/EMIScourse
What are the career opportunities in general practice and is it a good place for newly registered nurses to start out?In this episode of the Nursing Standard podcast, Betsi Cadwaladr University Health Board lead primary care nurse Frances Baverstock challenges some common misconceptions about working in general practice, and outlines the opportunities and challenges for nurses in this sector at all stages of their careers.Ms Baverstock is joined by nursing student Ben Jones, who describes how his placement in primary care sparked a passion for general practice nursing.Follow the Nursing Standard podcast on Apple Podcasts, Spotify, Acast or wherever you get your podcasts.For more episodes of the Nursing Standard podcast, visit rcni.com/podcast Hosted on Acast. See acast.com/privacy for more information.
Dr Andy Purbrick, Wessex LMCs Joint CEO, had the opportunity to talk to BBC Radio Wiltshire about the challenges facing General Practice and posed a question live to the Health Secretary, Wes Streeting. Listen back to the recording from 22nd January 2026.
What are the career opportunities in general practice and is it a good place for newly registered nurses to start out?In this episode of the Nursing Standard podcast, Betsi Cadwaladr University Health Board lead primary care nurse Frances Baverstock challenges some common misconceptions about working in general practice, and outlines the opportunities and challenges for nurses in this sector at all stages of their careers.Ms Baverstock is joined by nursing student Ben Jones, who describes how his placement in primary care sparked a passion for general practice nursing.Follow the Nursing Standard podcast on Apple Podcasts, Spotify, Acast or wherever you get your podcasts.For more episodes of the Nursing Standard podcast, visit rcni.com/podcast Hosted on Acast. See acast.com/privacy for more information.
In this episode, Ben is joined by Catherine Pope, Professor of Medical Sociology at Nuffield Department of Primary Care Health Sciences, to explore how access to general practice really works in practice and what happens to appointment systems over time. Drawing on over 30 years of research and findings from a recent study, the discussion examines the sustainability of different access models, the legacy of initiatives such as Advanced Access, and why practices continually adapt systems to manage demand. The episode explores the limitations of top-down, standardised and digital first solutions, the impact of access systems on patients, reception teams and clinicians, and why variation is often necessary to meet the needs of local populations. The conversation also highlights patient experiences of navigating access, the risks of diversion and looping between services, creative approaches such as the 'Phones and Ladders' game to illustrate access challenges, and the case for more patient-centred, locally adaptable models that prioritise need, continuity and sustainable general practice. Introduction (00:08) Your recent study on access to general practice (01:00) Did you find that practices were able to sustain the benefits of new access systems? (04:04) Have practices managed to stick with the changes they made over time? (09:41) Does this impact sustainability, because eventually people stop doing it? (13:39) 'Phones and Ladders' (15:30) Should access start with local population needs? (19:28) Are current access outcome measures too crude if they focus only on waiting times? (22:05) If people want to access the research or learn more, where can they find it? (24:33) Visit the 'General Practice: Innovation, impact and sustainable change' research here. For all enquiries about the Ockham podcast, please contact Ben Gowland here.
Welcome to the Hot Topics podcast from NB Medical with Dr Neal Tucker. In this episode, we have three new and interesting research papers to look at. First, hitting the headlines this week, weight regain after cessation of GLP1 receptor agonists. Not a surprise, perhaps, but how fast does the weight come back, can anything be done to prevent it, and what are the implications for patients and the NHS?Second, orforglipron - the new GLP1ra on the block and an oral treatment. Can it help weight loss and improvement in cardiometabolic markers in patients with obesity and type 2 diabetes? Finally, which is better for treating scabies - permethrin or oral ivermectin? Would a tablet be an easier option, or is it just not as good? ReferencesBMJ Weight regain after cessation of weight loss medicationsBMJ EditorialBMJ Opinion BMJ Side Effects of GLP1rasNEJM Orforglipron RCT in obesityLancet Orforglipron RCT in obesity and T2DMBMJ Scabies treatment - ivermectin or permethrin?PCDS Scabies guidelineBAD Scabies guidelinewww.nbmedical.com/podcast
Emma speaks to Patrick Denston about how GP practices can make the best use of new tech and what the next five years could hold.Patrick is a PCN digital transformation and change manager and a practice business manager based in Farnborough, Hampshire, as well as an NHS England AI peer ambassador.He has a proven track record of successfully introducing new technology into general practice. In this conversation, Patrick explains how his practice has moved away from manual, paper-based processes to embrace digital and AI tools and advanced data analytics.He discusses how these tools are helping to improve access and address other challenges in the practice and also shares some very practical advice for other practices looking to embrace new tech, including how to navigate the busy market of tech suppliers.Emma and Patrick also look ahead to the future of general practice, discussing the government's 10-year plan and how AI and data-led population health management could fundamentally change the way practices operate over the next five years.This episode was presented by GPonline editor Emma Bower. It was produced by Czarina Deen.Useful linksViewpoint: How can general practice make best use of AI?AI tools in general practice and liability - advice for GPsUsing AI transcribing software in general practice - medicolegal considerations Hosted on Acast. See acast.com/privacy for more information.
Dry January often raises big questions: how much alcohol is actually safe, and do you need to stop drinking altogether to protect your health? In this episode, world-leading alcohol expert Professor David Nutt explains why alcohol ranks as one of the most harmful drugs to society, how even “normal” drinking can affect your health, and what the science really says about cutting back without giving it up completely. David, a neuropsychopharmacologist and former UK government drug adviser, explains why alcohol was ranked the most harmful drug overall in a landmark comparison of 20 drugs, how harm rises sharply as drinking increases, and unpacks common beliefs like red wine being “good for you”. The conversation also covers the social benefits of alcohol and why the goal isn't necessarily to stop drinking, but to drink with awareness. If you drink at all - whether it's a glass most nights or more on weekends - this episode helps you understand where the real risks begin, and how to make alcohol work for you, not against you. And for listeners using dry January as a reset, David shares practical, science-based advice on how to cut down safely and sustainably. If you're pausing and reflecting this dry January, what might change when you start drinking again? And which habits are worth leaving behind for good? Unwrap the truth about your food
Contact us and share your opinionJoin Andy and Gandhi as they cover the impact of local and national events in General Practice as we kick off 2026Join Andy and Gandhi for the first update of 2026 in General PracticeWelcome to 2026Waiting for Neighbourhood Guidance???GP suspended after blocking out appointments to collect children???https://www.pulsetoday.co.uk/news/reg... 5m suspensionSpecific facts available if you want to explore thisLinks to public record of the hearingMany suggest sanction is excessiveWe will discuss the issues around itLong hoursLack of flexibilityCulture of not being able to admit or address pressuresTo pick up kids - pressure, child care, culture…Calls to end GP-issued fit notes after 40,000 per day issued in 2025https://www.pulsetoday.co.uk/news/cli... Some 40,000 people were signed off with fit notes each working day last yearCentre for Social Justice (CSJ) estimated 11 million fit notes were issued in 2025 – the majority by GPs. The CSJ recommended fit note responsibility be moved away from ‘overstretched' GPs and into a new Work and Health Service and ‘embed employment and occupational health support at the point of sign-off'. See boxThey also said the total includes fit notes signed off as ‘may be fit for work' as well as ‘not fit for work'.This is despite the Government introducing legislation in 2022 which expanded fit note certification to other professionals such as nurses, physiotherapists, and occupational therapists. Last year, Government-commissioned research found limited take up of healthcare professionals other than GPs writing fit notes since the 2022 reforms.ThoughtsDifficult to treat, maintain relationship, trust whilst enforcing a need to return to work?Move to online consultations removing direct engagement with patients and losing opportunities to support back to work - something thats good for patientsTalk of removing this responsibility from GP s for some timeUsed to be that 3-6m sickness DWP service assessed - this was Boost your triage skills with our dynamic 5-session live webinar course, tailored for primary care clinicians. Led by Dr. Gandalf and Dr. Ed Pooley, this comprehensive training covers all facets of remote patient triage—digital, on-call, and more. Gain practical knowledge, exclusive tips, and direct access to our experts through open Q&A sessions. Elevate your ability to manage primary care challenges effec Subscribe and hear the latest EPIC episode. Join Dr Mike as he shares how to get started and fly using EMIS to make your life easier with this clinical systembit.ly/EMIScourse
Contact us and share your opinionA BONUS episode to welcome you to 2026!Will there be an imposed contract on general practice in April 2026?!Gandhi and I make our predictions for General Practice in 2026. We cover what will be the key themes in GP Technology, and AI, and the policy and contracting landscapeOur review of previous predictions from our New Year's episode 2020 to present, and whether they came true, are available in our last video. This is the last segment of that video – published separately for those who just want to get down to what we think is coming up this year.As ever we are looking forward to tech enhancing your primary care and learning in 2026!Boost your triage skills with our dynamic 5-session live webinar course, tailored for primary care clinicians. Led by Dr. Gandalf and Dr. Ed Pooley, this comprehensive training covers all facets of remote patient triage—digital, on-call, and more. Gain practical knowledge, exclusive tips, and direct access to our experts through open Q&A sessions. Elevate your ability to manage primary care challenges effec Join Dr Mike as he shares how to get started and fly using EMIS to make your life easier with this clinical systembit.ly/EMIScourse
Contact us and share your opinionIts prediction time for General Practice in 2026!We review our review previous predictions from our New Year's episode 2020 to present, and whether they came true, are available in our last video. And make our predictions for General Practice in 2026. We cover what will be the key themes in GP Technology, and AI, and the policy and contracting landscape.Will there be an imposed contract on general practice in April?Find out what we are expecting!As ever we are looking forward to tech enhancing your primary care and learning in 2026!Boost your triage skills with our dynamic 5-session live webinar course, tailored for primary care clinicians. Led by Dr. Gandalf and Dr. Ed Pooley, this comprehensive training covers all facets of remote patient triage—digital, on-call, and more. Gain practical knowledge, exclusive tips, and direct access to our experts through open Q&A sessions. Elevate your ability to manage primary care challenges effec Join Dr Mike as he shares how to get started and fly using EMIS to make your life easier with this clinical systembit.ly/EMIScourse
Emma speaks to the new chair of the Royal College of GPs Dr Victoria Tzortziou Brown, who took on the post at the end of November.Victoria is the first international medical graduate to chair the college and has worked as a GP in East London for 20 years.In this conversation, Victoria sets out her priorities for her time as chair, including defining the role of general practice in a changing healthcare system, tackling workload pressures and ensuring new technology supports GPs in practice - and why the college is running a consultation with members on these key issues.She explains why she wants to bring hope back to the profession and help make general practice a sustainable and fulfilling career once again and highlights the importance of the college championing continuity of care as part of this.Victoria also talks about the college's relationship with the government, her views on plans for a neighbourhood NHS and the current jobs crisis facing GPs, as well as the college's ongoing campaign to secure better visa rights for IMG GP registrars.This episode was presented by GPonline editor Emma Bower. It was produced by Czarina Deen.Useful linksDetails of the RCGP consultation on its key prioritiesLow pay could force IMG GPs to quit UK, doctors warnQuarter of GPs use AI but 'wild west' rollout sparks safety fearsNuffield Trust/RCGP report on how GPs are using AI Hosted on Acast. See acast.com/privacy for more information.
A possible win for the General Practice Owners Association, as they take on the so-called healthcare duopoly and cost pressures. Their proposal for a breakaway Primary Health Organisation is gaining traction, with 116 GP practices, covering 833,000 enrolled patients, showing interest. If approved by Health New Zealand, it would become the country's largest PHO, representing around 16% of total enrolments. General Practice Owners Association Chair Dr Angus Chambers told Heather du Plessis-Allan that there's widespread dissatisfaction within the GP community. He says some of it's because PHOs have gone off their path and are doing things that aren't best for GPs, but they've also had years of underfunding and woeful workforce planning. LISTEN ABOVE See omnystudio.com/listener for privacy information.
In this episode, Ben is joined by Judy Oliver from Oliver & Company to discuss the role of the voluntary, community and social enterprise (VCSE) sector in healthcare and general practice. Judy explains why the voluntary sector is essential yet often misunderstood. She explores how social prescribing and asset mapping can better connect patients with non-clinical support, highlights successful collaborative models such as the Bromley by Bow Centre, and discusses the challenges VCSE organisations face around funding and visibility. The conversation focuses on practical ways PCNs and practices can work more effectively with local voluntary groups, move towards neighbourhood-based care, and take simple next steps to build meaningful partnerships that improve patient outcomes. Introduction (00:08) The Voluntary Sector in General Practice (00:22) What does VCSE mean? (02:23) Does it deliver real benefit? (03:21) How have PCNs worked with the voluntary sector? (05:22) How to find what's available in your area (07:40) Finding the right people (10:22) From PCNs to neighbourhood working (15:01) Next steps (18:18) Getting in touch (19:47) Visit the Oliver & Company website here, or contact Judy via email here, or Charlotte here. For all enquiries about the Ockham podcast, please contact Ben Gowland here.
Doctors Lisa and Sara speak to Consultant Neurologist Dr Antonella Macerollo about Essential Tremor (ET). We take a case and go through what ET is, how it might present, differentials and the differences between other conditions, how it might affect people and what management options there are. This is the first of two Episodes with Dr Antonella Macerollo, our next one is about Parkinson's Disease. Thanks to Alison Day at Parkison's UK for making the connection between ourselves and Antonella to make these episodes possible. You can use these podcasts as part of your CPD - we don't do certificates but they still count :) Resources: More Differentials and details of clinical assessment of Tremors: https://patient.info/doctor/history-examination/tremor-pro?utm_source=gpoptin Revisiting the assessment of tremor: clinical review. Vijiaratnam N, Wirth T and Morris HR. British Journal of General Practice 2020; 70 (701): 611-614. https://bjgp.org/content/70/701/611 Treatment for essential tremor: a systematic review and Bayesian Model-based Network Meta-analysis of RCTs. Zhang, Junjiao et al. eClinicalMedicine, Volume 77, 102889: https://www.thelancet.com/action/showCitFormats?doi=10.1016%2Fj.eclinm.2024.102889&pii=S2589-5370%2824%2900468-1 Parkinson's UK: https://www.parkinsons.org.uk/ The epidemiological link between Essential Tremor and Parkinson's Disease: https://www.nature.com/articles/s41531-023-00577-y ___ We really want to make these episodes relevant and helpful: if you have any questions or want any particular areas covered then contact us on Twitter @PCKBpodcast, or leave a comment on our quick anonymous survey here: https://pckb.org/feedback Email us at: primarycarepodcasts@gmail.com ___ This podcast has been made with the support of GP Excellence and Greater Manchester Integrated Care Board. Given that it is recorded with Greater Manchester clinicians, the information discussed may not be applicable elsewhere and it is important to consult local guidelines before making any treatment decisions. The information presented is the personal opinion of the healthcare professional interviewed and might not be representative to all clinicians. It is based on their interpretation of current best practice and guidelines when the episode was recorded. Guidelines can change; To the best of our knowledge the information in this episode is up to date as of it's release but it is the listeners responsibility to review the information and make sure it is still up to date when they listen. Dr Lisa Adams, Dr Sara MacDermott and their interviewees are not liable for any advice, investigations, course of treatment, diagnosis or any other information, services or products listeners might pursue as a result of listening to this podcast - it is the clinicians responsibility to appraise the information given and review local and national guidelines before making treatment decisions. Reliance on information provided in this podcast is solely at the listeners risk. The podcast is designed to be used by trained healthcare professionals for education only. We do not recommend these for patients or the general public and they are not to be used as a method of diagnosis, opinion, treatment or medical advice for the general public. Do not delay seeking medical advice based on the information contained in this podcast. If you have questions regarding your health or feel you may have a medical condition then promptly seek the opinion of a trained healthcare professional.
In today's episode, I sit down with the incredible Dr. Sofya Kats, a Milwaukee-based general dentist whose practice takes a whole-patient approach to health. From infants to older adults, she focuses on airway, sleep, growth, and function — because the mouth is more than teeth; it's the gateway to lifelong health. This conversation has been months in the making, and it was so worth the wait. Dr. Sofya and I explore how early oral function, feeding, and nasal breathing shape a child's development — and how airway issues continue to affect adults who may not even realize they're struggling. Whether you're a parent, a patient searching for answers, or a provider wanting to better understand the dental–airway connection, this episode is full of clarity, insight, and direction. How Dr. Sofya's son led her into airway-focused dentistry Early signs of airway issues in infants and children Why breastfeeding challenges play a major role in growth and development Key symptoms of sleep-disordered breathing in kids and adults What an airway-focused dental exam actually includes Treatment options: therapy, releases, expansion, referrals Dr. Sofya's top advice for both parents and adults seeking answers Dr. Sofya Kats is local to Milwaukee, WI. She grew up in Bayside and attended Nicolet HS, UW-Milwaukee and Marquette University School of Dentistry. She received her DDS degree in 2007 and then completed a two year General Practice residency program in Brooklyn, NY at NY Methodist Hospital. Dr. Kats is passionate about the artistry of her profession. She helps patients understand the link between beauty and health and restores smiles with an airway focused-approach. Outside of the office, she enjoys volunteering her time to treat patients both locally, nationally and internationally, and she has participated in many mission trips. Dr Kats is the proud Mom of two sons and her free time is dedicated to her family and friends. Dr. Kats is a member of: Greater Milwaukee Dental Association Wisconsin Dental Association American Dental Association The Forum Study Club (oldest Dental Study Club in the United States) American Academy of Physiological Medicine & Dentistry American Academy of Dental Sleep Medicine Member American Laser Study Club Dental Online Training Mommy Dentist in Business: Official Member Connect with Dr. Sofya Kats Website: https://www.riverwalkdentistry.com/team/sofya-kats-dds Facebook: https://www.facebook.com/katsdentistry/ Instagram: https://www.instagram.com/sofyakatsdds/?hl=en About Meghna Dassani Dr. Meghna Dassani is passionate about promoting healthy sleep through dental practices. In following the ADA's 2017 guideline on sleep apnea screening and treatment, she has helped many children and adults improve their sleep, their breathing, and their lives. Her books and seminars help parents and practitioners understand the essential roles of the tongue, palate, and jaw in promoting healthy sleep. Connect with Dr. Meghna Dassani Website: https://www.meghnadassani.com Facebook: https://www.facebook.com/healthysleeprevolution Instagram: https://www.instagram.com/meghna_dassani/ Youtube: https://www.youtube.com/@meghna-dassani
Welcome back to the Hot Topics podcast from NB Medical with Dr Neal Tucker. In this episode, we look at three new pieces of research and have a special interview in conjunction with Prostate Cancer UK. First, do antidepressants have physiological side effects? How do they compare to each other, and how does this influence what we prescribe to whom?Second, exercise is a key treatment for knee osteoarthritis, but which type is best? What should we recommend to our patients?Third, how has PSA testing changed over the past two decades? Is there variation in testing in high-risk groups? Discussing this further, we are joined by Dr Bunmi Olajide, a GP with a special interest in cancer, and Kevin Howell, Black Health Equity Engagement manager for Prostate Cancer UK.ResourcesLancet Anti-depressants and physiological side effectsBMJ Knee OA and Best ExercisesNEJM Knee pain and home exercisesBMJ PSA testing trends in EnglandPCUK PSA Consensus statement 2024PCUK Guide for Counselling Patients on the PSA Blood TestPCUK Online Educationwww.nbmedical.com/podcast
Contact us and share your opinionAmbient Voice Scribes are part of the NHSE plan to increase productivity in General Practice by providing an AI assistant who listens in on consultations and then provides documentation of encounters and can even convert what it has heard into referral letters and reports.Andy and Gandhi discuss this technology, moving from a brief introduction to practical tips for getting started with this technology in your practice with the right governance in place.Listen to the end and you might even know your DCB0129s from your DCB0160s…Thanks to Dr Devin Gray & Wandsworth GP Federation who's guidance we explore.NHSE comprehensive guidance on AVS implementation in Health Care from April 2025 can be found here… https://www.england.nhs.uk/long-read/guidance-on-the-use-of-ai-enabled-ambient-scribing-products-in-health-and-care-settings/ Boost your triage skills with our dynamic 5-session live webinar course, tailored for primary care clinicians. Led by Dr. Gandalf and Dr. Ed Pooley, this comprehensive training covers all facets of remote patient triage—digital, on-call, and more. Gain practical knowledge, exclusive tips, and direct access to our experts through open Q&A sessions. Elevate your ability to manage primary care challenges effec Subscribe and hear the latest EPIC episode. Join Dr Mike as he shares how to get started and fly using EMIS to make your life easier with this clinical systembit.ly/EMIScourse
Host Michelle welcomes two guests for a special episode exploring the role of General Practice (GP) in modern HIV care. She speaks with Dr. Marlon Morais, a GP and leading champion for HIV awareness in Greater Manchester, and Richard Scarborough, an experienced Public Health Specialist. They discuss the nuances of managing HIV in primary care settings, focusing on how GPs and public health initiatives collaborate to address stigma, promote testing, and ensure effective, integrated care within the community.Episode GuestDr Ghadeer ElrefaeyGhadeer Elrefaey is a dedicated psychiatrist in training at the Central and North West London NHS Foundation Trust, currently working within the General Adult Psychiatry Community Team. Passionate about global health and community service, she aims to bridge knowledge gaps and improve healthcare access. Her commitment to advocacy and health promotion is evident in her work, including her involvement with CNWL's Improvement Academy.Richard ScarboroughRichard Scarborough is an Experienced Public Health Specialist with a strong background in government administration and service development. His expertise lies in developing and managing public health strategies, with skills encompassing procurement, change management, and reproductive health. Richard works to ensure that effective services are developed and delivered to meet community health needs.Additional Information and Links CW Plushttps://www.cwplus.org.uk/HIV Matters Bookstorehttps://uk.bookshop.org/shop/HIVMattersHow to contact the show Hello@hivmatterspodcast.co.ukhttps://hiv-matters.captivate.fm
Doctors Lisa and Sara are joined by Dr Cheryl Fitzgerald who is a retired gynaecologist with an extensive background in subfertility. Using a hypothetical case we discuss the definition of subfertility, important components of a history with this presenting complaint, and comorbidities to be aware of. We talk about who should be referred to secondary care, and what patients can expect from that referral. We also think about useful investigations in primary care before referral. You can use these podcasts as part of your CPD - we don't do certificates but they still count :) Resources: Human Fertilisation and Embryology Authority (HFEA): https://www.hfea.gov.uk/ NICE Fertility problems: assessment and treatment: https://www.nice.org.uk/guidance/cg156 Green Top Guidelines: https://www.rcog.org.uk/guidance/browse-all-guidance/green-top-guidelines/ RCGP Infertility: https://elearning.rcgp.org.uk/mod/book/view.php?id=12534&chapterid=82 ___ We really want to make these episodes relevant and helpful: if you have any questions or want any particular areas covered then contact us on Twitter @PCKBpodcast, or leave a comment on our quick anonymous survey here: https://pckb.org/feedback Email us at: primarycarepodcasts@gmail.com ___ This podcast has been made with the support of GP Excellence and Greater Manchester Integrated Care Board. Given that it is recorded with Greater Manchester clinicians, the information discussed may not be applicable elsewhere and it is important to consult local guidelines before making any treatment decisions. The information presented is the personal opinion of the healthcare professional interviewed and might not be representative to all clinicians. It is based on their interpretation of current best practice and guidelines when the episode was recorded. Guidelines can change; To the best of our knowledge the information in this episode is up to date as of it's release but it is the listeners responsibility to review the information and make sure it is still up to date when they listen. Dr Lisa Adams, Dr Sara MacDermott and their interviewees are not liable for any advice, investigations, course of treatment, diagnosis or any other information, services or products listeners might pursue as a result of listening to this podcast - it is the clinicians responsibility to appraise the information given and review local and national guidelines before making treatment decisions. Reliance on information provided in this podcast is solely at the listeners risk. The podcast is designed to be used by trained healthcare professionals for education only. We do not recommend these for patients or the general public and they are not to be used as a method of diagnosis, opinion, treatment or medical advice for the general public. Do not delay seeking medical advice based on the information contained in this podcast. If you have questions regarding your health or feel you may have a medical condition then promptly seek the opinion of a trained healthcare professional.
Welcome to the Hot Topics podcast from NB Medical with Dr Neal Tucker! In this episode, we talk about some real research rather than stuff made up by over-tanned heads of state. Three papers. First, can researchers fill the gap on whether anti-inflammatory reliever therapy is best for mild asthma? Second, how effective are SCAN pathways for suspected cancer in patients with non-specific symptoms who don't meet site-specific referral criteria, and what lessons can we learn from years of referrals?Third, how do the numbers of licensed GPs differ from actual GPs working, and how does this all compare to what's happening with hospital consultants?ReferencesLancet AIR for kids asthmaLancet Primary Care SCAN referrals BMJ Trends in practising GPswww.nbmedical.com/podcast
Contact us and share your opinionWhat is going on and will General Practice stop in October with the threat of industrial action and contract changes..find out with Andy and Gandhi of eGPlearningBMA letter…https://bma-mail.org.uk/t/cr/AQiEtRUQ... The contract variation noticehttps://www.england.nhs.uk/wp-content... Original variation from April 2023… https://drive.google.com/drive/folder...Boost your triage skills with our dynamic 5-session live webinar course, tailored for primary care clinicians. Led by Dr. Gandalf and Dr. Ed Pooley, this comprehensive training covers all facets of remote patient triage—digital, on-call, and more. Gain practical knowledge, exclusive tips, and direct access to our experts through open Q&A sessions. Elevate your ability to manage primary care challenges effec Subscribe and hear the latest EPIC episode. Join Dr Mike as he shares how to get started and fly using EMIS to make your life easier with this clinical systembit.ly/EMIScourse
A rural doctor says the government's hospital investment is still not enough. Health Minister Simeon Brown's announced a $100million boost for 21 local projects, aimed at improving clinical spaces and support services. General Practice Aotearoa chair Dr Buzz Burrell told Mike Hosking that the investment will be only for touch ups. He says there will only be $5million per project over two years, it's not going to be world changing. Health New Zealand's also allocating $20million dollars to increasing frontline ED staff. LISTEN ABOVESee omnystudio.com/listener for privacy information.
Our guest on this week's episode of My Veterinary Life Podcast is Dr. Jon Cudiamat. Dr. Cudiamat is a small animal general practitioner in the Chicago suburbs. He shares his journey into veterinary medicine, experiences with a modern vet school curriculum, and the challenges and rewards of general practice. The conversation highlights the importance of communication, adaptability, and self-care, especially when navigating client expectations and financial constraints. Dr. Cudiamat offers helpful advice for new graduates on balancing emotional highs and lows, emphasizing the value of celebrating successes and maintaining resilience in a demanding but rewarding profession. This is a fun and refreshing conversation and we can't wait to share it with you!Thank you to our podcast partner, NVA General Practice, a community of 1,000 neighborhood veterinary clinics across the U.S. and Canada. Learn how NVA invests in your career journey at https://GP.NVA.com.Remember, we want to hear from you! Please be sure to subscribe to our feed on Apple Podcasts and leave us a rating and review. You can also contact us at MVLpodcast@avma.orgFollow us on social media @AVMAVets #MyVetLife #MVLPodcast
Contact us and share your opinionWhat is happening in General Practice? Find out with Andy and Gandhi...Join GP5TX: https://bit.ly/GP5TXStreeting announces 43 neighbourhood pilots of which GPs will be ‘cornerstone'https://www.pulsetoday.co.uk/news/con...GP contract changed to require premises and phones remain open during core hourshttps://www.pulsetoday.co.uk/news/202... GPs need to triage patient requests but not give next-day clinical advice, NHSE clarifieshttps://www.pulsetoday.co.uk/news/bre...GPC England chair could face vote of no confidence amid contract changes rowhttps://www.pulsetoday.co.uk/news/pol... BMA leaders to debate whether GPs should re-enter dispute over 10-year planBoost your triage skills with our dynamic 5-session live webinar course, tailored for primary care clinicians. Led by Dr. Gandalf and Dr. Ed Pooley, this comprehensive training covers all facets of remote patient triage—digital, on-call, and more. Gain practical knowledge, exclusive tips, and direct access to our experts through open Q&A sessions. Elevate your ability to manage primary care challenges effec Subscribe and hear the latest EPIC episode. Join Dr Mike as he shares how to get started and fly using EMIS to make your life easier with this clinical systembit.ly/EMIScourse
Veterinary general practice is undergoing a dramatic transformation. What used to be a steady stream of wellness check-ups and minor issues has shifted into a relentless wave of sick pets, urgent care needs, and same-day emergencies. Across the country, clinics are feeling the pressure, and many teams are struggling to keep up. In this week's episode of The Veterinary Viewfinder, Dr. Ernie Ward and Beckie Mossor, MPA, RVT, break down why this shift is happening and how practices can adapt before burnout sets in. They explore how urgent, unpredictable cases disrupt scheduling, overwhelm support staff, and create an emotionally charged environment that's exhausting for everyone, from veterinarians to client service representatives. The hosts share practical strategies to regain control, starting with improved team communication: daily huddles to align priorities, triage systems to manage the rush, and debriefs to help staff process tough cases. They also discuss the importance of educating clients and setting realistic expectations to reduce chaos and improve workflow. Whether you're a practice owner, manager, or team member, this episode offers a clear roadmap for navigating today's urgent-care-driven landscape. Success isn't about working harder; it's about working smarter together to protect your team, your patients, and your passion for veterinary medicine. #VeterinaryPodcast #VetMed #VetLife #VeterinaryMedicine #VetTechLife #VeterinaryProfession #VetClinicLife #AnimalHealth
Contact us and share your opinionJoin Andy and Gandhi for their reunion after a Summer break and loads of updates, including the 'You and Your Practice' reviewYou and Your General Practice Charter: https://www.england.nhs.uk/long-read/...Digital Transformation summit: https://bit.ly/MPDIGITAL25GP5TX sign up: https://bit.ly/GP5TXFeedback form: https://bit.ly/eGPlearningF2025Games from eGPlearning: https://egplearning.podia.com/egplear...Boost your triage skills with our dynamic 5-session live webinar course, tailored for primary care clinicians. Led by Dr. Gandalf and Dr. Ed Pooley, this comprehensive training covers all facets of remote patient triage—digital, on-call, and more. Gain practical knowledge, exclusive tips, and direct access to our experts through open Q&A sessions. Elevate your ability to manage primary care challenges effec Subscribe and hear the latest EPIC episode. Join Dr Mike as he shares how to get started and fly using EMIS to make your life easier with this clinical systembit.ly/EMIScourse
Today I have the pleasure of interviewing Dr. Ezra J. Ameis, DVM. Located in Los Angeles, CA, Dr. Ezra opened his veterinary practice, Paw Priority, with the goal of offering both Urgent Care and General Practice with a personal touch. Most veterinarian offices today are owned or being bought by large corporations, which often values serving a large quantity of patience over care giving care with compassion. It's often hard to get the same veterinarian for all appointments, too, which mean continuity of care for the pets they see is often lost, sometimes leading to misdiagnosis. Tune in and listen as Dr. Ezra explains how his veterinarian practice focuses on pet care in a compassionate setting. His clinic, is “dedicated to delivering the highest standard of medical care that your pet rightfully deserves”. As a bonus, we'll also be discussing how Acupuncture for our pets has changed many pets' lives for the better.EPISODE NOTES: Breaking the Corporate Mold: A Vet Who Puts Pets First Become a supporter of this podcast: https://www.spreaker.com/podcast/19-cats-and-counting-on-pet-life-radio-petliferadio-com--6667858/support.
Is Veterinary General Practice Dying? On this week's Veterinary Viewfinder, veterinarian Dr. Ernie Ward and credentialed veterinary technician, Beckie Mossor, MPA, RVT, ask the question many teams are whispering. Routine wellness is slipping while urgent and ER traffic rises. The hosts dig into what is driving the shift: cost sensitivity, weekday access barriers, and changing client expectations after COVID. They explain why prevention must mean more than vaccines and a fecal test, and how to reframe value around early disease detection, chronic care, and client outcomes. Our hosts discuss some practical fixes you can try: add short sick-visit blocks without disrupting the schedule, pilot limited urgent-care hours, rotate doctors to conserve energy, and coach teams for tougher conversations and better handoffs. They also share ways to keep pets from “ping-ponging” across town by coordinating with nearby clinics. The goal is not to turn back the clock. It is to meet current demand while keeping general veterinary medicine strong, margins healthy, and staff morale intact. #VeterinaryViewfinder #VetMed #VeterinaryMedicine #VeterinaryPodcast #GeneralPractice #UrgentCare #PreventiveCare #AccessToCare #PracticeManagement #ClientCommunication #VeterinaryTeam #ContinuingEducation
Our guest on this episode of My Veterinary Life Podcast is Dr. Sandra Faeh. Dr. Faeh is the Chief Medical Officer for NVA General Practice as well as the immediate past president of the AVMA. Dr. Faeh shares insights on mentorship, leadership, and team development, reflecting on her early challenges (or as we like to say opportunities) and growth. She highlights NVA General Practice's innovative mentorship programs and the launch of a new training center, emphasizing support for all veterinary team members. The conversation highlights Dr. Faeh's ongoing dedication to fostering resilience, continuous learning, and professional growth within veterinary medicine. It's a great conversation and we can't wait to share it with you! Thank you to our podcast partner, NVA General Practice, a community of 1,000 neighborhood veterinary clinics across the U.S. and Canada. Learn how NVA invests in your career journey at https://GP.NVA.com. Remember, we want to hear from you! Please be sure to subscribe to our feed on Apple Podcasts and leave us a rating and review. You can also contact us at MVLpodcast@avma.org Follow us on social media @AVMAVets #MyVetLife #MVLPodcast
Struggling to read dental x-rays with confidence? https://ivdi.org/rad Unlock the secrets of radiographic interpretation in our FREE training – perfect for techs and vets alike! Want to stand out in veterinary dentistry? https://ivdi.org/inv Take your skills to the next level with the Veterinary Dental Practitioner Program — our most comprehensive training yet. ----------------------------- Host: Dr. Brett Beckman, Board Certified Veterinary Dentist In this episode of The Vet Dental Show, Dr. Brett Beckman guides you through the essential techniques for successful veterinary dental extractions. You'll master periodontal pocket management, learn the importance of proper patient positioning, and discover the benefits of hyaluronic acid application for enhanced dental procedures. What You'll Learn: ✅ How to identify periodontal pockets using a periodontal probe. ✅ The technique for curettage to remove granulation tissue from periodontal pockets. ✅ The application of hyaluronic acid for pocket management. ✅ Why hyaluronic acid is a superior alternative to Doxyrobe. ✅ Proper patient positioning for various dental extractions (mandibular canine, first molar, maxillary first molar). ✅ How technicians should assist in patient positioning for optimal exposure. ✅ Incision techniques for canine extractions. Key Takeaways: ✅ Bleeding on probing indicates the presence of granulation tissue in periodontal pockets. ✅ Curettage is essential for removing diseased tissue and promoting healing. ✅ Hyaluronic acid is easy to apply and promotes tissue regeneration. ✅ Correct patient positioning is crucial for successful extractions and suturing. ✅ Proper technician assistance ensures optimal visibility and efficiency during procedures. ----------------------------- What are your biggest challenges with managing periodontal pockets or performing extractions? Share your questions and experiences in the comments below! ----------------------------- Keyword Tags: Veterinary Dentistry, Surgical Extractions, Radiographic Interpretation, Veterinary Dental Practitioner Program, Periodontal Disease, Dental Radiography, Veterinary Medicine, Dr. Brett Beckman, IVDI, Hyaluronic Acid, Curettage, Patient Positioning, Veterinary Dental Care, General Practice, Doxyrobe, Veterinary Dental Extractions
Want to feel more confident reading dental x-rays? Join our FREE training on radiographic interpretation! https://ivdi.org/rad Ready to elevate your veterinary dentistry skills? Request an invite to the Veterinary Dental Practitioner Program: https://ivdi.org/inv --------------------------- Host: Dr. Brett Beckman, DVM, DAVDC, FAVD In this episode, we tackle key aspects of surgical extractions and radiographic interpretation. Learn practical tips to enhance your dental procedures and improve patient outcomes. What You'll Learn: ✅ How to determine the best time to perform an extraction. ✅ Proper patient positioning for comfortable and efficient extractions. ✅ Optimal incision placement for effective flap creation. ✅ Correct instrument handling, from scalpel to diamond bur. ✅ Techniques for successful root tip removal. ✅ How to approach radiographic interpretation. ✅ Treatment options based on owner compliance and bone loss severity. ✅ The importance of curettage and hyaluronic acid in periodontal defect management. Key Takeaways: ✅ Knowing when to extract is crucial for efficient case management. ✅ Patient positioning significantly impacts extraction ease. ✅ Proper debridement of granulation tissue is essential for preventing disease progression. ✅ Owner compliance plays a vital role in determining treatment success. ✅ Hyaluronic acid can be a valuable tool in managing minor bone loss. --------------------------- What are your biggest challenges with surgical extractions? Share your thoughts and questions in the comments below! --------------------------- veterinary dentistry, surgical extractions, radiographic interpretation, vet dental show, Brett Beckman, DVM, DAVDC, FAVD, periodontal disease, dental extractions, veterinary education, veterinary CE, IVDI, dental radiography, root tip removal, hyaluronic acid, curettage, bone grafting, veterinary practice, general practice, veterinary technician
Too many women are being told NO to getting hormone replacement therapy (HRT) for their menopause symptoms in midlife. But the truth is… the benefits of HRT can WAY outweigh the risks for helping you feel like yourself again. The problem? The massive knowledge gap in hormonal medicine. That's why this week, I'm joined by the incredible Dr. Louise Newson, a trailblazing general practitioner and menopause specialist who's transforming the conversation around hormone health. We're diving into the real risks of not prescribing HRT, why hormones can be a game changer for your symptoms, and the surprising link between menopause, migraines, and inflammation. Dr. Newson is bringing the science and clarity to the HRT convo, and she's here to help you reclaim your voice—and your hormonal health. Listen here to set the record straight and start advocating for what you truly deserve! Dr. Louise Newson Dr. Louise Newson is a physician, women's hormone specialist, and member of the UK Government's Menopause Taskforce. She's an award-winning doctor, educator, and author, dedicated to raising awareness of women's health in perimenopause and menopause. Dr Louise studied Medicine and Pathology at The University of Manchester in England and worked in hospital medicine before switching to specialize in General Practice and medical writing. IN THIS EPISODE The revolution of bioidentical hormone replacement therapy Synthetic vs. bioidentical hormones Advocating for yourself and addressing the conversation of hormone replacement therapy options with your doctor Individualizing hormone replacement therapies Hormones for addressing conditions like migraine How hormones affect women's long-term health HRT for mitigating inflammation in the entire body Lifestyle suggestions and habits to promote hormonal balance QUOTES “Let's just remind ourselves that hormones are an evidence-based treatment and the guidelines are telling us that it has more benefits than risks for the majority of women. Yet… It's only a minority of women in our countries and other countries that are receiving it.” “It's harrowing what people are being told by their clinicians. And they often just want advice. They don't always want treatment, or they want to know the treatment options available to them in the future. But they're not getting any answers, and I think this is a great disservice to women.” “I see a lot in the clinic, women who have seen all sorts of specialists, have all sorts of treatments, but no one's spoken about their hormones.” RESOURCES MENTIONED Dr. Louise Newson's Website Dr. Newson's Instagram Dr. Newson's Podcast Get Dr. Newson's FREE Balance App: Your go-to for Menopause Health Pre-order my new book: The Perimenopause Revolution HERE! RELATED EPISODES #647: Hormone Optimization Therapy (HOT) Isn't Your Mom's HRT + It's One Of The Best Strategies For Longevity with Dr. Amy Killen #648: This Changes Everything: The Perimenopause Revolution Every Woman Needs Now #620: What You Need to Know About Premature Menopause, Perimenopause, HRT and Your Options with Dr. Salome Masghati #605: Breaking the HRT Confusion: The Truth Behind Hormone Replacement Therapy for Perimenopausal Women with Karen Martel