Workforce crisis has left mental health staff at “breaking point” as demand rises
Staff working in mental healthcare are at “breaking point” as they try to handle rising…
Category: BMJ
Rude behaviour towards SAS doctors is unacceptable, says GMC
About one in four doctors in specialty and associate specialist (SAS) and “locally employed” (LE)…
Seven days in medicine: 1-7 Jan 2020
AlcoholNew commission calls for doctors to share evidence on harmHealthcare professionals were asked to submit…
The BMJ Appeal Christmas 2019: How WaterAid is bringing a sanitation revolution to all
In a 2007 poll 11 300 BMJ readers voted on the greatest medical advance since…
A pigmented lesion on the eye
A 46 year old white woman was referred for ophthalmologic evaluation of a pigmented lesion…
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Vesicular rash in a young child
This picture shows eczema coxsackium, an atypical presentation of hand, foot, and mouth disease caused…
Cascades of care . . . and other stories
Incidental findingsNearly 50 years ago, Ivan Illich in his book Medical Nemesis accused modern medicine…
Teva pays $54m to settle claims it paid doctors kickbacks to prescribe its drugs
Three subsidiaries of the Israeli pharmaceutical giant Teva, including Teva USA, will pay $54m (£41m;…
Plans for same day emergency care are being “grossly derailed” by winter pressures
An NHS plan to provide urgent care to patients without admitting them to hospital to…
Pneumonia in China: lack of information raises concerns among Hong Kong health workers
An outbreak of pneumonia of unknown cause in Wuhan, China, has prompted authorities in neighbouring…
Measles: Democratic Republic of the Congo recorded over 6000 deaths last year
More than 6000 people in the Democratic Republic of the Congo died in 2019 in…
Racist abuse demoralises staff, making NHS unsustainable
Sokol describes the Red Card to Racism campaign launched by North Bristol NHS Trust to…
Government orders urgent review of date rape drugs
The UK government has asked the Advisory Council on the Misuse of Drugs (ACMD) to…
Healthy lifestyle and life expectancy free of cancer, cardiovascular disease, and type 2 diabetes: prospective cohort study
AbstractObjectiveTo examine how a healthy lifestyle is related to life expectancy that is free from…
David Oliver: Staff hydration matters more than keeping up appearances
Working as a clinician is physically and emotionally intense, often leaving little time to drink…
Telling me you don’t know is ok
When I arrived at the emergency department my movements were uncoordinated, I had difficulty balancing,…
Why I . . . do triathlons
Sometimes, taking the scenic route during a career can help remind you why being a…
Defending transparency at European drug regulator
In response to pressure, mainly from civil society, the European Medicines Agency introduced a policy…
Clare Gerada: Doctors deserve to work in an environment that doesn’t make them sick
I recently had a big birthday, one that allows me to have a free London…
Helen Salisbury: GPs are stretched too thin
Few people would disagree that general practice is at breaking point, buckling under the weight…
New primary care network contract won’t work, GPs warn
A proposed new contract for general practices to participate in primary care networks contains unrealistic…
Thyroid nodules: diagnostic evaluation based on thyroid cancer risk assessment
ABSTRACTThyroid nodules are extremely common and can be detected by sensitive imaging in more than…
Samoan measles crisis is diverting resources from non-communicable diseases
The Samoan government’s decision to suspend the national immunisation programme after two paediatric deaths (later…
How do we make feedback meaningful?
As a junior doctor, there’s no escape from feedback.Multiscore feedback at least once a year…
Containing pneumonic plague
On 13 November 2019 two cases of plague pneumonia, caused by the bacterium Yersinia pestis,…
Public health priorities for 2020: five minutes with . . . Peter English
“There is a brilliant recent paper1 from a team including Michael Marmot emphasising yet again…
Socioeconomic status is associated with physical activity in leisure time only
The BMA says that the government should tackle inequalities in physical activity in the UK.1…
Efficacy and safety of gastrointestinal bleeding prophylaxis in critically ill patients: systematic review and network meta-analysis
AbstractObjectiveTo determine, in critically ill patients, the relative impact of proton pump inhibitors (PPIs), histamine-2…
Emergency bowel surgery: organisational change is needed to improve outcomes
Just a fifth of patients (19.4%) who underwent emergency laparotomy and who had signs of…
Gastrointestinal bleeding prophylaxis for critically ill patients: a clinical practice guideline
AbstractClinical questionWhat is the role of gastrointestinal bleeding prophylaxis (stress ulcer prophylaxis) in critically ill…
Rising to the challenge of multimorbidity
Life expectancy has improved remarkably over the past four decades thanks to improved medical and…
Working in New Zealand
New Zealand has a shortage of medical staff across many different fields. The Royal New…
Government to spend {pound}40m on streamlining NHS staff logins
The government has pledged £40m (€47m; $53m) to cut the time it takes staff in…
Guidance for communicating research findings to participants
I support Taylor’s call for research findings to be shared with the patients who took…
AI system outperforms radiologists in first reading of breast cancer screening, study claims
An artificial intelligence (AI) system designed to read mammogram images and identify breast cancer “outperformed”…
Protests in India: doctors condemn police violence and restrictions on hospital access
Doctors in India have condemned police violence towards people protesting against the government’s changes to…
FDA bans most flavoured e-cigarettes as lung injury epidemic slows
The US Food and Drug Administration will ban most flavoured electronic cigarettes from 1 February.1…
Chinese researcher who made CRISPR babies is sentenced to three years in prison
He Jiankui, the researcher and entrepreneur who in 2018 announced the birth of the world’s…
Keyhole hysterectomy is effective for women with heavy menstrual bleeding
The studyCooper K, Breeman S, Scott NW, et al. Laparoscopic supracervical hysterectomy versus endometrial ablation…
Star studded mental health film to be shown at 32 football games over weekend
A short film featuring famous footballers including Frank Lampard, Jesse Lingard, and Dele Alli will…
How should we assess the clinical and cost effectiveness of histology independent cancer drugs?
A histology independent cancer drug targets all solid tumours with a certain genomic mutation, regardless…
New onset unilateral arm swelling in a child with periorbital oedema
An 8 year old girl was referred to the paediatric assessment unit with four weeks…
Author’s reply to Sharvill
Sharvill raises valid concerns about women accessing early pregnancy care.12 The National Institute for Health…
Only one in 10 outpatient appointments use video despite appetite for greater use of the technology, survey finds
Most UK physicians have not conducted any outpatient consultations by video recently, despite 70% thinking…
Ectopic pregnancy and miscarriage: how long should a woman have to wait for a scan?
The summary of updated NICE guidance on ectopic pregnancy and miscarriage seems mainly aimed at…
Universal health coverage in the UK
The UK’s national health service was founded on the principles of treatment based on need…
Sixty seconds on . . . cling film
Cling film?This is not just any cling film. This is bacteria resistant cling film invented…
Isotretinoin: experts convene to investigate new concerns over suicide risk
An expert group has been reconvened to review recent safety data relating to the acne…
More than 80% of total knee replacements can last for 25 years
The studyEvans JT, Walker R, Evans W, Blom AW, Sayers A, Whitehouse MRHow long does…
More than 50% of hip replacements seem to last 25 years
The studyHow long does a hip replacement last? A systematic review and meta-analysis of case…