Alarming to hear the GPs in this discussion.  They have no idea of the risks of the antidepressants they prescribe.  Please see also the BMJ Rapid responses to the reference BMJ article - including this one: https://www.bmj.com/content/378/bmj.o1993/rr

It is welcome to hear a primary care perspective, particularly in the open way this podcast considers the knowns and unknowns. It was disappointing that Professor Kendrick, a career-long key opinion leader, who has helped shape guidelines and national policies on antidepressant prescribing, failed to address, in any practical way, antidepressant dependence and withdrawal. Until recent times, Professor Kendrick was a paid partner of the pharmaceutical industry and part of this influential group of ‘educators’ on prescribing. The interview with Dr Horowitz, in contrast, felt like a new horizon.  I agree that Dr Horowitz is “a good example of how listening to patients can help.” I note that it was commented by one of the Editors of this BMJ podcast that Dr Horowitz may have given “one of our most useful interviews ever”. I reckon that many patients taking antidepressants might agree.

Please see also Clinical Practice article 'Withdrawing from SSRI antidepressants: advice for primary care' in March BJGP journal - and its important set of eLetters: https://bjgp.org/content/73/728/138 .   There is a ref to this video for GPs: https://www.youtube.com/watch?v=PSjYH044-2Q

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

Deep Breath In

Navigate B1 Coursebook Audio 01 - 01

Ervaar totale ontspanning om #stress te laten gaan. Deze oefening kan liggend worden gedaan. Neem tijd voor jezelf en kalmeer je lichaam en geest.

Wil je de meditatietekst lezen, kijk dan op mijn blog: https://trendbubbles.nl/totale-ontspanning-om-stress-te-laten-gaan-25-minuten/

Laat me weten hoe deze #ontspanningsoefening je bevalt. Daar doe je me een plezier mee.

Totale Ontspanning om Stress te Laten Gaan (25 minuten)

Was ist ein Liebestöter? Kann man Kabelsalat essen? Und warum gibt es keine Hexen, aber einen Hexenschuss? Oft bedeuten diese Wörter etwas anderes, als man denkt. Viele von ihnen stehen nicht im Wörterbuch. Jede Woche erklären wir hier ein kurioses deutsches Wort zum Beispiel aus der Umgangssprache oder aus Redewendungen – lustig, ernst oder einfach schwierig zu verstehen.

Klickt hier für mehr kuriose Wörter: dw.com/wortderwoche

Deutsch lernen (B2) | Die Zitterpartie

In general practice, it can often feel like a lot is changing beyond our grasp. On top of this, the pandemic has left many healthcare professionals self-reflecting on their careers and lives, and trying to work out what they really want going forward. 

This week, we speak to Claire Kaye about her role as a coach for doctors. Claire talks to us about the benefits of coaching, including helping to get rid of internal & external noise, shaping the mindset, and coping better with change. She also offers advice on the best ways to approach coaching in order to achieve a positive outcome. 

Our guest:
Claire Kaye, formerly a GP, is an executive coach. She specialises in career development. 
Instagram: @drclairekayecoaching 
LinkedIn: @drclairekaye 
Website: www.drclairekaye.com

Coaching with Claire Kaye

Reproductive coercion may feel like something that we don’t see very often in general practice, but a 2022 poll carried out for BBC Radio 4 of 1,060 UK women between the ages of 18 and 44 found that half of them had experienced some form of reproductive coercion. This week, we speak to returning guest Annabel Sowemimo about the various forms that reproductive coercion can take, and who might be at risk of experiencing it. We discuss how we, as GPs, can identify these patients, and, once we’ve done so, how we might be able to help them. Later on, we talk to our BMJ columnist, John Launer, about how narrative medicine approaches can help to reach a better & more satisfying resolution to a consultation “puzzle” for you and for the patient.


Our guests:

Annabel Sowemimo is a community sexual health registrar, based in Leicester. She is also a PhD candidate at King’s College London, and is the co-founder of the charity Reproductive Justice Initiative.

John Launer is a GP educator, working for Health Education England. He is also a freelance educator and writer, as well as being a columnist for ‘The BMJ’.


Further reading:

‘How to recognise and respond to reproductive coercion’. BMJ 2022;378:e069043. https://www.bmj.com/content/378/bmj-2021-069043

‘John Launer: The art of paying attention’. BMJ 2022;378:o2294. https://www.bmj.com/content/378/bmj.o2294

‘Careful, kind care is our compass out of the pandemic fog’. BMJ 2022;379:e073444. https://www.bmj.com/content/379/bmj-2022-073444

Reproductive coercion and narrative medicine with Annabel Sowemimo and John Launer

How long would it take GPs to enact all of the guideline recommendations that they might be expected too? Far more GP hours than exist in any healthcare system, but as medicine has turned its attention to primary prevention, and expanded the populations whose health we seek to improve, those guidelines are taking up more and more time.

A recent analysis in The BMJ has proposed the concept of “Time Needed to Treat” and implores guideline makers to take account consultation time as a precious, finite, resource when thinking about their recommendations.

In this episode of Deep Breath In, we’re joined by Minna Johansson, family doctor and director Global Center for Sustainable Healthcare, who co-authored that analysis to talk about how the concept has gone down, and what it might mean for rethinking what primary care is supposed to do.

Reading list:
Guidelines should consider clinicians’ time needed to treat
https://www.bmj.com/content/380/bmj-2022-072953

Time needed to treat, with Minna Johansson

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


Our guests:

Tony Kendrick is a retired GP, and NICE committee member for the 2022 guideline update on depression in adults. He is also a professor of Primary Medical Care at the University of Southampton.

Mark Horowitz is a training psychiatrist, working as a clinical research fellow at North East NHS Trust, and as an honorary clinical research fellow at UCL, he is also the co-founder of outro.com.


Further reading:

‘Antidepressants and the serotonin hypothesis of depression’. BMJ 2022;378:o1993 https://www.bmj.com/content/378/bmj.o1993

‘Stopping antidepressants’. Royal College of Psychiatrists. 2020. https://www.rcpsych.ac.uk/mental-health/treatments-and-wellbeing/stopping-antidepressants

Antidepressant withdrawal with Tony Kendrick and Mark Horowitz

This week, we're going to be returning to a guest we heard from a while ago - Claire Kaye. 

Claire was a GP before deciding to become a coach, and we found her way of thinking through our wants and needs so useful, we decided to invite her back. 

This week we're going to be talking about that holding onto that feeling of excitement you had at the beginning of your career, a feeling that's difficult to hold onto, as the pressures on general practice mount.

Our guest:
Claire Kaye, formerly a GP, is an executive coach. She specialises in career development.
Instagram: @drclairekayecoaching
LinkedIn: @drclairekaye
Website: www.drclairekaye.com

Getting the joy back - With Claire Kaye

In this episode of the IJGC podcast, Editor-in-Chief, Dr. Pedro Ramirez, is joined by Dr. David Cibula to discuss the 2023 ESGO-ESTRO-ESP Guidelines for Cervical Cancer. Dr. Cibula is the Chair of the Department of Obstetrics and Gynecology at the General Faculty Hospital in Prague, Professor at the First Medical Faculty of the Charles University, Chair of the Central and Eastern European Gynaecologic Oncology Group (CEEGOG), member of the Strategic group of the ENGOT (European Network for Gynaecological Oncological Trial Groups) as well as a Former ESGO president.

 Highlights:

- Multidisciplinary clinical practice guidelines developed jointly by ESGO/ESTRO/ESP in the field of gynaecological oncology, radiation oncology and pathology.

- Guidelines cover the management of all stages of cervical cancer, including separate sections dedicated to pathology reporting and management in pregnancy.

- The guidelines include recommendations, algorithms, and summaries of recent evidence published as supplements.

ESGO-ESTRO-ESP Guidelines for Cervical Cancer 2023 with David Cibula

Testet euer Wissen mit interaktiven Übungen: 

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Mit dem Top-Thema könnt ihr euch gleichzeitig über Neues aus aller Welt informieren und euren Wortschatz erweitern. Wir bieten euch zwei leicht verständliche Berichte mit Vokabelangaben und Fragen zum Text pro Woche. 

Hier geht's zur Übersichtsseite: dw.com/topthema

Deutsch lernen (B1) | Dem Unwetter auf der Spur

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If you want to be comfortable in any situation, then you just need to know and remember how to behave. Manners and etiquette aren't just for snobs! Etiquette expert Jihan Murray-Smith joins the Curiosity Podcast this week to explain the guidelines behind proper etiquette in any situation. Whether you're at a family dinner, business lunch, or first date, you'll want to listen so you can act with confidence in any social situation.

As founder of the etiquette and public speaking consulting firm Tea & Crumpets, Jihan Murray-Smith has been facilitating workshops on college campuses, high schools, elementary schools for 15 years. To learn more about this topic and many others, check out Curiosity.com, download our 5-star iOS or Android app, and join the conversation on Facebook and Twitter. Subscribe on iTunes, Stitcher, Google Play Music, and everywhere else podcasts are found so you don't miss an episode!

Antidepressant withdrawal with Tony Kendrick and Mark Horowitz

BMJ talk medicine

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