Listen to BJGP Interviews for the latest updates on primary care and general practice research. Hear from researchers and clinicians who will update and guide you to the best practice. We all want to deliver better care to patients and improve health through better research and its translation into practice and policy. The BJGP is a leading international journal of primary care with the aim to serve the primary care community. Whether you are a general practitioner or a nurse, a researcher, ...
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The Practical Neurology Podcast is the essential guide for the everyday life of all neurologists. Just like our journal Practical Neurology, this podcast is useful for everyone who sees neurological patients and who wants to keep up-to-date and safe in managing them. In other words, this is a podcast for jobbing neurologists who plough through the tension headaches and funny turns week in and week out. Subscribe to enjoy deep dives into each journal issue with editors Prof. Philip Smith and ...
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The ‘new kid on the block’ – same day versus routine care appointment systems in general practice
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17:24Today, we’re speaking to Dr Jamie Scuffell, GP and NIHR In Practice Fellow at King’s College London. Title of paper: Patterns in GP Appointment Systems: a cluster analysis of 3480 English practices Available at: https://doi.org/10.3399/BJGP.2024.0556 GP practices in the UK are using a wide range of different appointment systems to meet patient dema…
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More chest x-rays lead to earlier lung cancer diagnoses and better cancer survival – what we can be doing differently in practice
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18:49
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18:49Today, we’re speaking to Dr Steve Bradley, GP and Senior Clinical Lecturer based within the School of Medicine and Population Health at the University of Sheffield. Title of paper: General practice chest X-ray rate is associated with earlier lung cancer diagnosis and reduced all-cause mortality: a retrospective observational study Available at: htt…
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Using artificial intelligence techniques for early diagnosis of lung cancer in general practice
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20:10Today, we’re speaking to Professor Martijn Schut, Professor of Translational AI in Laboratory Medicine and Professor Henk CPM van Weert, GP and Emeritus Professor of General Practice, both based at Amsterdam University Medical Center. Title of paper: Artificial intelligence for early detection of lung cancer in GPs’ clinical notes: a retrospective …
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Nutritional perils, the immunoglobulin paradox, and a flickering candle - Editors' Highlights June 2025
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55:05This episode’s theme is new diseases, whether they are newly described, or old diseases back in a new form. We start off with IgG4-related disease, a chronic multisystem disorder that is still being understood. Then there is a genetics paper on repeat expansion disorders, a group of conditions often thought as disparate but with quite a few commona…
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‘See the symptom, not the pregnancy’- a look at cancer diagnosis during pregnancy
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14:58Today, we’re speaking to Dr Afrodita Marcu, a Research Fellow in Cancer Care at the University of Surrey. Title of paper: Symptom appraisal and help- seeking before a cancer diagnosis during pregnancy: a qualitative study Available at: https://doi.org/10.3399/BJGP.2024.0208 There is a gap in current understanding about the experiences of women diag…
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Fragmented sleep with delusions of theft, and falls after eye shingles - Case Reports April 2025
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36:51Two wide open cases from the latest issue of the journal. Starting with a case from Italy (1:18), of a 63-yo man having a history of behavioural and cognitive problems since retiring. His many changes included low mood, significant weight loss, and problems with sleep and temperature regulation. He had a background of type 2 diabetes. Initial treat…
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Prescribing testosterone in hypoactive sexual desire disorder – how to initiate it, and how to monitor it in general practice
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18:27Today, we’re speaking to Dr Stephen Gibbons, Consultant Clinical Biochemist at Leeds Teaching Hospitals NHS Trust, and Dr Clare Spencer, GP Partner and Menopause Specialist at the Meanwood Group Practice in Leeds. Title of paper: Optimising testosterone therapy in patients with hypoactive sexual desire disorder Available at: https://doi.org/10.3399…
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How do new cancer drugs affect our brains? A practical guide to immune checkpoint inhibitors
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57:41Immune checkpoint inhibitors can significantly improve cancer survival rates. But resulting immune-related toxicities are common, requiring multidisciplinary cooperation between oncology and neurology. This episode, PN's podcast editor Dr. Amy Ross Russell speaks with a panel of experts on the balancing act required when treating cancer patients wi…
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Looking back at the BJGP Research Conference 2025
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13:38Today, we’re going to do something a bit different and take a look back at the recent BJGP Research Conference, which was held on the 21st of March 2025 in Manchester. I’m going to discuss some of the highlights and really focus on what the conference is about and how to get involved in the future. Here are some of the links I discussed in the podc…
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Guidelines on disease-modifying treatment in MS: a decade-long update
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36:05The latest guidelines on disease-modifying treatment in multiple sclerosis (MS) from the Association of British Neurologists is discussed in this intercontinental podcast with perspectives from the UK, the USA, and Australia. Participants: Professor Alasdair Coles is Head of Department for Clinical Neuroscience and also Co-Director of the Cambridge…
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The challenges to diagnosing vulval lichen sclerosus and how to get it right
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18:19Today, we’re speaking to Dr Louise Clarke, a GP and researcher based at the University of Nottingham. Title of paper: Barriers to diagnosing and treating vulval lichen sclerosus: a survey study Available at: https://doi.org/10.3399/BJGP.2024.0360 Previous research has identified a significant diagnostic delay and misdiagnosis of vulval lichen scler…
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Differential attainment in the MRCGP exam – the impact of language of study and what this means for the future of RCGP exams
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10:51Today, we’re speaking to Dr Victoria Tzortziou Brown, a GP and Reader in Primary Healthcare and Health Policy at Queen Mary University of London, and Vice Chair for External Affairs at the Royal College of General Practitioners. Title of paper: Language of primary medical qualification and differential MRCGP exam attainment: an observational study …
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Localisation myths, brain fog, and small fibre neuropathies - Editors' Highlights April 2025
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42:52It's a podcast of pairs this time, for the latest issue of the journal. There's two hosts, two halves of the brain, two sides to a clinical debate, and two themes to the episode itself. Leading off is a discussion on peripheral neurology, taking a look at the editors' choice paper on immune checkpoint inhibitors. That's followed by a paper on seco…
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The increasing digitalisation of general practice systems – how it’s impacting patients and what we can do about it
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16:22Today, we’re speaking to Professor Helen Atherton, Professor of Primary Care Research at the University of Southampton. Title of paper: Supporting patients to use online services in general practice: focused ethnographic case study Available at: https://doi.org/10.3399/BJGP.2024.0137 Use of, and access to, online services are increasing within gene…
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Intestinal obstruction, and new-onset refractory status epilepticus (NORSE) - Case Reports February 2025
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47:39A puzzling pair of Case Reports from the most recent issue of the journal. First up (1:35) is a man in his mid-fifties, presenting with lumbar spine fractures, which then developed into confusion, vomiting, and abdominal pain. An x-ray showed dilated intestinal loops and his blood sodium levels were low. https://pn.bmj.com/content/25/1/87 The seco…
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Using the PSA test in general practice – how should we approach testing in asymptomatic men?
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17:43Today, we’re speaking to Dr Sam Merriel, a GP, and NIHR Academic Clinical Lecturer in General Practice based at the University of Manchester. Title of paper: Factors affecting prostate cancer detection through asymptomatic PSA testing in primary care in England: Evidence from the 2018 National Cancer Diagnosis Audit Available at: https://doi.org/10…
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How to approach safety netting in general practice
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20:43Today, we’re speaking to Dr Pete Edwards, a GP and NIHR Research Fellow based at the University of Bristol. Pete has published a research article in the February issue of the BJGP titled,’ Safety-netting advice documentation in out-of-hours primary care: a retrospective cohort from 2013 to 2020’ along with an editorial about safety netting that we’…
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Intermittent painful spasms, stiffness and rigidity of the proximal and truncal muscles are only a few symptoms of the relatively uncommon Stiff-person syndrome (SPS). In this podcast, we delve into the characteristics and diagnosis of this complex autoimmune condition. PN's podcast editor Dr. Amy Ross Russell interviews Professor Saiju Jacob (Univ…
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ReSPECT forms in general practice – more than just a DNACPR
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20:32Today, we’re speaking to Professor Anne Slowther, Emeritus Professor of Clinical Ethics based at the University of Warwick. Title of paper: Experiences of using the Recommended Summary Plan for Emergency Care and Treatment (ReSPECT) in English general practice: a qualitative study among key primary health and social care professionals, patients, an…
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Providing digital support for cancer survivors – the Renewed trial
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14:05In this episode, we talk to Professor Paul Little, Professor in Primary Care Research at the University of Southampton. Title of paper: A randomised controlled trial of a digital intervention (Renewed) to support symptom management, wellbeing and quality of life in cancer survivors Available at: https://doi.org/10.3399/BJGP.2023.0262 There are incr…
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It’s that time of the year again! This episode, we have a round table discussion with the editorial team of Sam Merriel, Tom Round and Nada Khan. This collection of the BJGP’s top 10 research most read and published in 2024 brings together high-profile primary care research and clinical innovation. And here are the top 10 most read papers of 2024: …
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Standing up for general practice – what it means to be a GP
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15:46
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15:46The BJGP podcast is back for a new season! Today, we’re speaking to Professor Joanne Reeve, who is a GP and Professor of Primary Care Research at Hull York Medical School. Joanne has published an editorial in the recent January edition of the BJGP titled, ‘Standing up for general practice’, and today we’re going to speak about this article and what…
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Posterior cortical atrophy, mascara staining, and careers in stroke - Editors' Highlights February 2025
39:07
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39:07The practice of neurology is constantly changing, and the papers in this issue exemplify that trend. On this episode, journal editors Dr. Geraint Fuller and Prof. Philip Smith discuss their highlights from the latest issue of Practical Neurology, for February 2025. They begin with the editors' choice paper on stiff person syndrome, then speak about…
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Episodic headaches after travel, and declining cognition with treated HIV - Case Reports
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44:43Two more fascinating Case Reports from the latest issue of the journal. The first case (1:15) is of a 57-yo woman, with an intermittent posterior headache, which had an associated bilateral pressure-like sensation. Her symptoms had begun on a recent trip to Sri Lanka. https://pn.bmj.com/content/24/6/526 Following on is the second case (22:18), whic…
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It’s the Christmas Special for 2024! Joining Amy in the studio is Dr. Steven Lewis. Current secretary general of the World Federation of Neurology, Steven is based in the United States, where he works as a general neurologist. Their conversation builds on a recent article by Dr. Bas Bloem, "Islands and bridges in healthcare: the importance of gener…
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Diagnosing neuromuscular junction disorders: red flags and atypical presentations
36:15
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36:15The often challenging diagnosis of neuromuscular junction (NMJ) disorders can be explained by suspicious red flags for the key differential diagnoses (mimics) and atypical presentations (chameleons). In the latest Editor's Choice paper podcast, PN's podcast editor Dr. Amy Ross Russell interviews Dr Stephen Reddel and Dr Shadi El-Wahsh, both from th…
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Christmas break, and a return in 2024 with a new podcast!
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1:10We’re taking a break over Christmas and new year, but we’ll be back at the end of January 2025 with a new BJGP podcast. Look forward to seeing you then!By The British Journal of General Practice
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Getting ‘bang for your buck’ for good quality general practice, and why hybrid working leads to fragmented and inefficient care
18:32
18:32
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18:32Today, we’re speaking to Dr Rebecca Payne and Professor Trish Greenhalgh. Rebecca is a GP and an NIHR In Practice Fellow, and works alongside Trish at the Nuffield Department of Primary Health Care Sciences at the University of Oxford. Title of paper: What are the challenges to quality in modern, hybrid general practice? A multi-site longitudinal s…
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What's it like working in the Deep End Network in Northern Ireland? It's challenging, but ultimately rewarding
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16:01Today, we’re speaking to Dr Dan Butler, a portfolio GP completing his PhD at Queen’s University Belfast. Title of paper: “Challenging but ultimately rewarding”: A qualitative analysis of Deep End GPs’ experiences Available at: https://doi.org/10.3399/BJGP.2024.0167 GPs working in the highest need, socioeconomically deprived areas, the “Deep End”, f…
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Upward tingling, racing glaucoma and the toppling tower of frailty - Editors’ Highlights December 2024
49:24
49:24
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49:24Neuromuscular junction disorders can present in a variety of challenging ways, with the potential to mislead neurologists. Journal editors Prof. Philip Smith and Dr. Geraint Fuller begin with this subject as they talk through the latest issue of Practical Neurology, for December 2024. The conversation moves to neck flexion and brain zaps, reflects …
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Looking at how people access (and can’t access) general practice – lessons to take into action
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18:52
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18:52Today, we’re speaking to Dr Carol Sinnott, a GP and a Senior Clinical Research Associate based at The Healthcare Improvement Studies Institute. Title of paper: Understanding access to general practice through the lens of candidacy: a critical review of the literature Available at: https://doi.org/10.3399/BJGP.2024.0033 Dominant conceptualisations o…
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Predicting psychosis in general practice - opportunities for earlier diagnosis using PRisk
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12:17Today, we’re speaking to Dr Sarah Sullivan, a Senior Research Fellow based within the Centre for Academic Mental Health at the University of Bristol. Title of paper: External validation of a prognostic model to improve prediction of psychosis in primary care Available at: https://doi.org/10.3399/BJGP.2024.0017 This paper reports the external valida…
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Postpartum paraesthesia, and myasthenia with melanoma - Case Reports
36:20
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36:20The immune system is a recurring feature in the cases discussed in this edition of the Case Reports podcast. The first paper details the cases of two young women, sisters, presenting with overlapping conditions but resulting in tragically different outcomes (1:16). Both were in their twenties, had given birth recently, and developed limb weakness a…
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What’s behind decisions to do a diagnostic test in a child in general practice? Lessons from the Netherlands
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12:42Today, we’re speaking to Dr Sophie Ansems, a GP and PhD candidate, and Dr Lianne Mulder, both based at the Department of Primary and Long-term Care at the University of Groningen in the Netherlands. Title of paper: General practitioners’ perspectives on diagnostic testing in children with persistent non-specific symptoms Available at: https://doi.o…
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Why current clinical scoring systems don’t work when assessing acutely ill children in general practice
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15:43Today, we’re speaking to Dr Amy Clark and Dr Kathryn Hughes. Amy is a resident doctor in North West Anglia Foundation Trust, and Kathryn who is a GP and a Senior Clinical Lecturer based at PRIME Centre Wales within Cardiff University. Title of paper: Assessing acutely ill children in general practice using the National PEWS and LqSOFA clinical scor…
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The triple whammy effect: Why people from ethnic minorities may not get adequate care for Long Covid
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15:26Today, we’re speaking to Professor Carolyn Chew-Graham, Professor of General Practice Research at Keele University. Title of paper: People from ethnic minorities seeking help for Long Covid: a qualitative study. Available at: https://doi.org/10.3399/BJGP.2023.0631 People from ethnic minority groups are less likely to present to primary healthcare f…
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"Could this presenting syndrome be caused by a neurotoxin?" Oftentimes neurologists will pass over toxins when diagnosing. Yet disease caused by neurotoxins is widespread, with many having quite typical syndromes. In the studio to discuss this is the first author of the October 2024 Editors' Choice paper, Dr. Frederick Vonberg¹. He draws attention …
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