The problem with Silicon Valley medicine
Modern medicine has been shaped by technology, but there’s no guarantee that the newest iteration…
Author: British Medical Journal
Are hard collars necessary for older people with odontoid neck fractures?
What you need to knowPatient age, frailty, comorbidities, and injury severity are important predictors of…
Obituary: Traute Lafrenz—doctor and White Rose member
The online version of this obituary (doi:10.1136/bmj.p695, published 23 March 2023) features a photograph of…
Tom Nolan’s research reviews—1 June 2023
Scanning for pulmonary embolismWe all know that feeling when a colleague comes up to you…
Facial ageing . . . and other stories
Looking young for your ageFacial ageing reflects ageing in other parts of the body. When…
One-stage hip revisions are as good as two-stage surgery to replace infected artificial hips
The studyBlom AW, Lenguerrand, Strange S, et al. Clinical and cost effectiveness of single stage…
A Pott diagnosis
This is spinal tuberculosis on a midline T2 weighted sagittal magnetic resonance image of the…
Good health for its own sake
For too long, societies around the world have tended to see money that is spent…
Prevention of venous thromboembolism in patients with cancer
AbstractVenous thromboembolism (VTE) is a major cause of both morbidity and mortality in patients with…
Interdepartmental hostility undermines patient care and demoralises staff
The tribalism and toxicity in maternity care reported by Wilkinson is all too familiar for…
Staff emotional safety in maternity care
Wilkinson highlights “tribalism and toxicity” as contributing to failing maternity services, citing Kirkup’s report attributing…
Douglas Ellis: pioneer in fertility treatment
bmj;381/may31_18/p1251/FAF1faWhen teaching trainees vaginal repair surgery, the legendary Douglas Ellis demonstrated a dissection technique using…
Race-free estimated glomerular filtration rate equation in kidney transplant recipients: development and validation study
AbstractObjectiveTo compare the performance of a newly developed race-free kidney recipient specific glomerular filtration rate…
Doctors raise concerns about possible discriminatory action against trainee who was suspended after patient complaint
A decision to suspend a junior doctor from the medical register for falsely recording that…
Safeguarding NICE from patient groups’ conflicts of interest
Since its creation, the National Institute for Health and Care Excellence (NICE) has committed to…
NICE recommends oral treatment for preventing episodic migraine
The first oral treatment for the prevention of migraines has been recommended by the National…
Gambling: RCGP is criticised for holding conference with organisation dependent on industry funding
Doctors have criticised the Royal College of General Practitioners (RCGP) for holding a conference about…
Covid-19: WHO treaty on future pandemics is being watered down, warn health leaders
The World Health Organization’s new pandemic preparedness treaty is being watered down and stripped of…
Comparing death rates in the pandemic: hundreds of millions could be disabled by covid
Islam and Djanov’s use of the past tense to refer to the pandemic is unfortunate.1…
Lost your identity at medical school? Try doing something different
Being a medical student can feel really isolating. You’re passed from team to team like…
Could Brazil’s community health model ease pressure on NHS general practice?
In a GP surgery in Pimlico, London, Cornelia Junghans-Minton meets with a small group. The…
New Yorkers rally against care cuts
bmj;381/may31_5/p1222/FAF1faMichael M Santiago/GettyYoung people participated in a Care Not Criminalization rally at Foley Square, New…
“Poverty proofing” and a national strategy for the cost-of-living crisis
A meeting of medical experts and academics on poverty and the cost-of-living crisis, which took…
Alcohol withdrawal
BMJ Best Practice takes healthcare professionals quickly and accurately to the latest clinical information, whenever…
Labour’s health “mission”
The UK is heading towards a general election—expected sometime in 2024—and the Labour party is…
Government “crackdown” on free vapes for children is too little and very late, say public health leaders
The government has said that it will close a loophole that has allowed retailers to…
When I use a word . . . Commercial clinical trials
A reviewEarlier this year, the UK government appointed Lord James O’Shaughnessy, senior partner at a…
Systemic problems in maternity services are part of wider systemic problems in the NHS in England
Wilkinson’s article1 on Kirkup’s review2 of recurring problems in maternity services highlights the cultural and…
Helen Salisbury: Rebranding our experts in family medicine
What is a GP? I suspect that if you asked a representative sample of people…
Nigeria considers law that would prevent doctors from leaving for five years after training
Doctors’ groups in Nigeria have condemned a bill before Congress that would deny newly qualified…
Surgeon is struck off for sexually assaulting a junior female colleague
A surgeon has been struck off the UK medical register after a tribunal found that…
John Launer: Ask a good question
Around 20 years ago I had a consultation with a cardiologist that I’ve never forgotten,…
“The Irish giant” and the questions haunting medical museums
The remains of Charles Byrne, known as the “Irish giant,” have become the subject of…
Give doctors financial incentives to take part in clinical trials, review recommends
Doctors, nurses, and NHS organisations should be offered financial incentives to take part in clinical…
Risk stratified monitoring for methotrexate toxicity in immune mediated inflammatory diseases: prognostic model development and validation using primary care data from the UK
AbstractObjectiveTo develop and validate a prognostic model to inform risk stratified decisions on frequency of…
How can we make changing rotations easier?
Provide key information ahead of timeEleanor Morris, academic foundation year 2 doctor, says, “As a…
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Monitoring methotrexate toxicity: Are we being over-vigilant?
Despite the advent of new disease modifying antirheumatic drugs in the past 20 years, low…
Hampshire consultant’s dismissal for whistleblowing is “unacceptable,” says BMA
A senior consultant obstetrician and gynaecologist who was dismissed after raising patient safety concerns was…
Labour’s promises on health are setting the party up to fail
Keir Starmer is making big, conflicting, and unrealistic promises on health, without a clear plan…
Harassment in the NHS: could the solution be the problem?
Harassment and discrimination have been my daily work for over two decades as a partner…
“We reduced sexual safety incidents with better reporting systems and talking to patients about sex”
“When you make reporting clearer, you get an increase in reported incidents because people understand…
Battle to retain GPs: defining “generalism” is key
We previously emphasised that undergraduate training in general practice is critical for retaining general practitioners.1…
Anaphylaxis: public autoinjectors and a recognition app
A senior coroner has called for action from the government to prevent deaths from anaphylaxis.1…
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US surgeon general warns about excessive social media use by young people
Children and adolescents are endangered by too much use of social media at a time…
A step-by-step approach for selecting an optimal minimal important difference
When measuring a health state experienced and best known by patients, physiological measures and clinicians’…
Cardiovascular disease risk assessment and reduction: summary of updated NICE guidance
What you need to knowManage cardiovascular disease (CVD) risk using an individualised approach, with lifestyle…
Eight hospital rebuilds are likely to be delayed beyond 2030, government says
A number of major building works included in the government’s “new hospitals programme” will not…
“I thought I would be safe in hospital, but I wasn’t”
“One day at the beginning of November 2020 I had been told by my consultant…
Reporting anaphylaxis deaths to UK Fatal Anaphylaxis Registry (UKFAR)
The UK Fatal Anaphylaxis Registry (UKFAR) thanks The BMJ for highlighting the regulation 28 report…
Virtual wards: Staffing gaps threaten national plan, warn leaders
An initiative to provide care for patients in “virtual wards” such as their own homes…