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

Diagnosis is a complex categorisation task driven by mental models  that reside in long term memory. Through education and experience, clinicians form scripts that encapsulate their knowledge of specific conditions and develop diagnostic schemas that structure their approach to a specific health problem. 

This cognitive process also intersects with systems, teamwork, and social factors that can enhance or reduce diagnostic accuracy.

In this podcast, we hear about five techniques that can help with the accuracy of those mental models, and mitigate against some of the external factors which may reduce diagnostic accuracy.

Our guests;

Hardeep Singh trained as a GP before moving to becoming a general internist and professor of patient safety research at Michael E DeBakey Veterans Affairs Medical Center and Baylor College of Medicine Houston.

Denise Connor is an associate professor of medicine at University of California San Francisco and a practicing internist at San Francisco Veterans Affairs Medical Center.

Gurpreet Dhaliwal is a general internist at the San Francisco Veterans Affairs Medical Center, and a clinician educator.

Diagnostic excellence with Hardeep Singh, Denise Connor, and Gurpreet Dhaliwal

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) | Lärm in den Weltmeeren

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

Talk about your dream job (nói về nghề nghiệp mà bạn mơ ước) là chủ đề khá quen thuộc và cơ bản trong bài thi IELTS Speaking. Các bạn hãy cùng IELTS CITY tham khảo các bài mẫu band 7.5 về nghề kỹ sư qua Podcast này nhé!
Nguồn: https://ieltscity.vn/talk-about-your-dream-job/

IELTS Speaking

Talk about your dream job - Engineer

Klickt hier, um zum Manuskript zu gelangen: 

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Die Langsam gesprochenen Nachrichten der Deutschen Welle bieten von Montag bis Samstag aktuelle Tagesnachrichten aus aller Welt. Das langsam und verständlich gesprochene Audio trainiert das Hörverstehen. Zusätzlich gibt es den vollständigen Text zum Mitlesen. Die Audio-Datei kann auch heruntergeladen werden.

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

Deutsch lernen (B2/C1) | Langsam Gesprochene Nachrichten vom 26.05.2023

For my finest tutor now and always. The ever brilliant Robert Brookes. The greatest teacher anyone could hope to have. Close reading and careful study of his miraculous scores, guarantees nothing short of transformational progress in your understanding and appreciation of music, and will supercharge your understanding of composition.

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Catherine Mayer is a journalist, a best selling author and a former president of the foreign press association in London - she accidentally co founded a political party at the Woman of the World festival in March 2015. She's watched the Woman's Equality Party grow from an idea to a vibrant political force across the UK  - she is now president. 

Gender equality is good for everyone so why are women everywhere at best second class citizens. What will it take to reach gender equality?
Catherine's new book 'Attack of the 50 ft. Women' offers a tantilising preview of a gender equal future that could be ours. It's a brilliant, original book and Catherine takes us on a journey discussing global issues and debates impacting every one of us. She talks to co founder of the Women's Equality Party and actress Tanya Moodie who happens to be the reader of the audiobook. Halla Gunnarsdóttir is also involved in today's episode - a former advisor to the Icelandic government as well as Head of partnerships and policy for the Woman's Equality Party.

Catherine Mayer: "What does gender equality look like?"

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Keep those emotions as our own beautiful memories...

Diagnostic excellence with Hardeep Singh, Denise Connor, and Gurpreet Dhaliwal

BMJ talk medicine

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