How do I progress in a system that doesn’t feel designed for people like me? There are strategies you can use to help advance your career despite feeling like you don’t fit in www.bmj.com/content/394/...
The BMJ
@bmj.com
The BMJ is patient centred, evidence based, and independent. Help us improve the health of our world with the best science, journalism, education, and comment.
Recent legislation prioritises UK medical graduates for training. If the NHS continues to recruit IMGs for service delivery while limiting their access to training, it has the potential to lead to a cycle of brain gain, waste, strain, and drain, argues Analysis
Brain gain, waste, strain, and drain: international medical graduates after UK medical training legislation
Jun Jie Lim and Mo Al-Haddad argue that credible career pathways for international medical graduates must be maintained after legislation to prioritise UK graduates for specialty training The UK’s M...
bmj.com
"As doctors, we have a reason and a licence to ask the kinds of questions that have no place in polite society, and asking them is part of our job." @helensalisbury.bsky.social reflects on curiosity and being the rubber duck for patients’ problems www.bmj.com/content/394/...
New #BMJResearch: Among patients with tumour lysis syndrome, early rasburicase treatment was associated with about one third lower risk of acute kidney injury requiring kidney replacement therapy or death compared with delayed or no treatment https://bit.ly/4hJ0Hfv
Early treatment with rasburicase and risk of kidney replacement therapy and death in adults with tumour lysis syndrome: emulated target trial
Objectives To examine the association between early rasburicase treatment and acute kidney injury requiring kidney replacement therapy or death among patients with tumour lysis syndrome (TLS). Design...
bit.ly
The #GlobalHealth reform agenda has made strides – but has its limits. Read why a future multipolar world is an illusion. NEW in The BMJ: https://bit.ly/3Toq2kY Part of the series on the Geopolitics of Global Health: https://bit.ly/44OGptD
Who owns our health service? Who owns our data? These questions are hitting us hard because of a combustible mix of market forces and artificial intelligence, says @kamranabbasi.bsky.social in Editor's Choice https://bit.ly/4yLn61T
"Previous debates about social care reform have very quickly descended into political mudslinging about inheritance and tax, stunting productive conversations about what is needed." How can we do it differently this time? @nuffieldtrust.org.uk https://bit.ly/3RqiWvL
Social care reform: 23rd time lucky?
On Wednesday 29 July, after many days of fevered speculation, the UK’s new prime minister Andy Burnham gave his first speech on social care since taking office. He had already signalled his commitment...
bmj.com
Adding oral antihistamines to existing eczema treatments is unlikely to lead to clinically important reductions in eczema and itch severity, and may not reduce sleep disturbance or flare-ups, finds a review of the latest trial evidence #BMJResearch @dkchu https://bit.ly/4wxFwBQ
Needed change to the #GlobalHealth architecture will not be achieved by organisational reform alone. Instead, social murder in the current political economy must be confronted. NEW in The BMJ: https://bit.ly/4vPYrGH Part of the Geopolitics of Global Health series: https://bit.ly/4gW3gut
Polymyalgia rheumatica is the most common inflammatory disease in patients of 50 and over. How is it diagnosed and why is this condition missed? #MedEd https://bit.ly/4vVDE4S
Around one in six people experience health related infertility globally, which can have a profound psychological impact. How can doctors approach assessing and treating fertility problems? https://bit.ly/3TlJNcP
Improvements in life expectancy in the UK have slowed markedly, more so than in all other rich countries except Iceland and the US. @michaelmarmot.bsky.social & @jessjallen.bsky.social look at how local action will be an important part of solving the UK’s health inequalities @marmotihe.bsky.social
Devolution can create new opportunities for better health
Manchester shows that real change in the social determinants of health is possible, write Michael Marmot and Jessica Allen Andy Burnham, the new prime minister, faces considerable challenges, but th...
bmj.com
China has banned an unproven Alzheimer’s operation and detained its inventor, but international clinical trials of dcLVA are still going ahead—why? www.bmj.com/content/394/...
"Burnham is rightly focused on the cost of living crisis, but the evidence for a “health first, health in all policies” approach continues to mount." In this Editor's Choice, @kamranabbasi.bsky.social explains why Andy Burnham must take “health first” mainstream www.bmj.com/content/394/...
Use of GLP-1 drugs is associated with an increased risk of hair loss (alopecia) in adults with type 2 diabetes, finds a new study published by The BMJ. Although the absolute risk is low, awareness of this potential effect may help to inform shared treatment decisions, say the researchers
GLP-1 diabetes drugs linked to increased risk of hair loss
Open access research
bmj.com
Emergency departments can be as loud as construction sites, but they don’t have to be. Quiet is part of safe care and should be designed into departments, monitoring equipment, and everyday practice, writes @docib.bsky.social www.bmj.com/content/394/...
Has someone inspired you during your medical career? @abi_rimmer wants to hear from you. Please get in touch via arimmer@bmj.com and they could be featured in The BMJ.
In this Editor's Choice @kamranabbasi.bsky.social offers a seven point health plan for Prime Minister Andy Burnham to restore public and professional trust www.bmj.com/content/394/...
New #BMJResearch finds that epidural analgesia during labour was not associated with clinically significant risks of harm to newborn babies or children, including risks of neonatal morbidity, death, or cerebral palsy https://bit.ly/4hehDKz
Epidurals not linked to increased harm for newborns or children
bmj.com
"Physical punishment is universally harmful to children and ineffective as discipline." Children should have the same legal protection from assault as adults www.bmj.com/content/394/...
#BMJExclusive Black and Asian doctors in the UK are up to 30 times less likely to be offered medical training posts in some specialties than white candidates, shows data published exclusively by The BMJ today.
Black and Asian doctors up to 30 times less likely to get training posts in some specialties
BMJ Exclusive
bmj.com
New research: Contemporary hormonal contraception and colorectal cancer in premenopausal women: nationwide cohort study www.bmj.com/content/394/...
wrt latest report from Covid Inquiry, reposting this FOI-based story i did for @bmj.com in which trusts employing NHS clinicians denied the issues en masse despite their legal/reg obligations Covid-19: NHS trusts deny restricting PPE during pandemic www.bmj.com/content/372/...
Covid-19: NHS trusts deny restricting PPE during pandemic
NHS trusts have denied issuing instructions to staff to restrict their use of personal protective equipment (PPE) during the pandemic, despite hundreds of reports from doctors that trusts did so last ...
bmj.com
Riz Ahmed’s TV series Bait and Hafeez Lakhani’s debut novel Abundance join a growing number of stories about South Asian families that tangle with the messy costs of assimilation. @thelakshmik.bsky.social looks at how health is part of that reckoning https://bit.ly/4vvPVga
The paradox of Abundance: Hafeez Lakhani’s novel and Riz Ahmed’s series Bait on the cost of the immigrant dream
The American Dream offers the illusion of abundance but illness exposes abundance’s limits.
bmj.com
Has someone inspired you during your medical career? @abi_rimmer wants to hear from you. Please get in touch via arimmer@bmj.com and they could be featured in The BMJ.
The startling safety data from two new reviews on maternity services might be expected to trigger immediate measures for improvement. But other reviews have failed to stop the crisis. @kamranabbasi.bsky.social looks at the lack of progress so far in Editor's Choice
Natural birth ideology and the unavoidable challenge of avoidable harms
The startling safety data from two new reviews on maternity services might be expected to trigger immediate measures for improvement. However, the likelihood is that nothing will change quickly. The r...
bmj.com
Despite substantial weight loss, most obesity drugs such as Wegovy and Mounjaro do not meaningfully improve quality of life and few show cardiovascular benefits at one year, finds a new study in The BMJ https://bit.ly/4gmXim6 Read the linked commentary https://bit.ly/4f67A7I
"Data held on UK servers may still fall under US legal jurisdiction if controlled by a US company." The potential for foreign access to NHS data reminds us why sovereignty must underpin the federated data platform, writes David Strain www.bmj.com/content/394/...
“This is systemic, structural violence against families." In the wake of a 2 year old’s death from mould exposure, doctors are battling to get children into safer homes that won’t wreck their health https://bit.ly/4p51okW
Doctors are fighting to protect children from mouldy homes after death of Awaab Ishak
In the wake of 2 year old’s death from mould exposure, doctors are battling to get children into safer homes that won’t wreck their health. Emma Wilkinson reports When Sonia Destouche moved into a lo...
bmj.com