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Clinical Update

Clinical Update

Hosted by MIMS Learning

BusinessHealthFitnessInterviews guests

Episodes

150

Latest episode

Oct 2026

Language

EN

About the show

<p>Welcome to the Clinical Update podcast – the fortnightly podcast that brings you thought-provoking clinical education from MIMS Learning, that you can fit into your busy life. The podcast is aimed at UK healthcare professionals and may count for up to 0.5 hours of CPD towards your appraisal.</p><br><p>We interview the experts to provide you with key insights linked to the e-learning on MIMS Learning and the education we deliver at our live virtual and in-person events. </p><br><p>Topics covered include primary care, dermatology, oncology, diabetes, cardiology, gastroenterology, mental health, respiratory medicine and women’s health. Dive in, learn in a new way and get inspiration for your daily practice.</p> <hr><p style='color:grey; font-size:0.75em;'> Hosted on Acast. See <a style='color:grey;' target='_blank' rel='noopener noreferrer' href='https://acast.com/privacy'>acast.com/privacy</a> for more information.</p>

Listen to episodes

60 recent
October 21, 202624 min

Identifying epilepsy in primary care with Dr Fergus Rugg-Gunn

<p>A key message about epilepsy for GPs, according to Dr Fergus Rugg-Gunn, is that the condition is increasingly a condition of advancing age and distinguishing epilepsy from other conditions is even more challenging in older age groups because there are ‘many other potential health issues that could mimic seizures’.</p><br><p>In this episode of the Clinical Update podcast, Dr Rugg-Gunn speaks to Dawn Liz Powell about how taking a thorough patient history can help determine when symptoms may indicate epilepsy and when they may indicate another condition (such as syncope). He also discusses how to support a patient with a suspected diagnosis of epilepsy and how to support them after a diagnosis.</p><br><p>Common comorbidities associated with epilepsy, side-effects of anti-seizure medications, and potential drug interactions also reviewed in this episode.</p><br><p><strong>Educational objectives</strong></p><br><p>After listening to this podcast, healthcare professionals should be more aware of:</p><ul><li>The prevalence of epilepsy in different age groups and how incidence is changing</li><li>Symptoms and signs that indicate epilepsy</li><li>The common seizure mimics, such as syncope, that can be confused with epilepsy</li><li>How taking a thorough patient history can help determine whether referral to an epilepsy specialist, or another specialist, is warranted</li><li>Why providing information on safety (for example around driving) is important for people with epilepsy</li><li>The potential side-effects of anti-seizure medications</li><li>The potential interactions between anti-seizure medications and other drugs</li></ul><p><br></p><p>You can access the <a href="https://www.mimslearning.co.uk/courses/podcast-identifying-epilepsy-in-primary-care-with-dr-fergus-rugg-gunn" rel="noopener noreferrer" target="_blank">website version</a> of this podcast, along with key learning points, on MIMS Learning. MIMS Learning offers hundreds of hours of CPD for healthcare professionals, along with a handy CPD organiser and note-taking for appraisal.</p><br><p>Please note: this podcast is presented by medical editors and discusses educational content written or presented by doctors, nurses and other healthcare professionals on the MIMS Learning website and at live events.</p><br><p><strong>MIMS Learning</strong></p><p><u><a href="https://www.mimslearning.co.uk/courses/practice-on-a-page-epilepsy-in-pregnancy" rel="noopener noreferrer" target="_blank">Practice on a page: epilepsy in pregnancy</a></u></p><p><u><a href="https://www.mimslearning.co.uk/courses/loss-of-consciousness-red-flag-symptoms-audiovisual" rel="noopener noreferrer" target="_blank">Loss of consciousness - red flag symptoms (audiovisual)</a></u></p><br><p><strong>Epilepsy Society</strong></p><p><u><a href="https://epilepsysociety.org.uk/understanding-epilepsy/info-for-professionals" rel="noopener noreferrer" target="_blank">Information for professionals</a></u></p><p><u><a href="https://epilepsysociety.org.uk/living-epilepsy/driving-and-epilepsy" rel="noopener noreferrer" target="_blank">Driving and epilepsy</a></u></p> <hr><p style='color:grey; font-size:0.75em;'> Hosted on Acast. See <a style='color:grey;' target='_blank' rel='noopener noreferrer' href='https://acast.com/privacy'>acast.com/privacy</a> for more information.</p>

October 7, 202631 min

Identifying and managing childhood food allergy, with Professor Adam Fox

<p>0.5 CPD hours</p><br><p>The bulk of childhood food allergy is dealt with in primary care, yet access to educational opportunities for GPs have been ‘limited’, according to Professor Adam Fox in conversation with MIMS Learning editor Pat Anderson.</p><br><p>In this interview recorded in August 2026, he provides tips for GPs on spotting symptoms, conducting investigations, and advising parents. He also highlights management options including the use of adrenaline auto-injectors, the introduction of nasal adrenaline, and the potential of biologics and immunotherapy.</p><br><p>NB: the nasal adrenaline product mentioned received marketing authorisation in July 2025, and a lower-dose formulation for younger children received marketing authorisation in June 2026.</p><br><p>Educational objectives</p><br><p>After listening to this podcast, GPs and other healthcare professionals should be better able to:</p><ul><li>Take an allergy-focused history and advise on the role of allergy testing</li><li>Distinguish between immediate and delayed allergic reactions</li><li>Understand the link between eczema and food allergy</li><li>Advise parents on early introduction of common allergenic foods</li><li>Understand what to consider when deciding whether to prescribe an adrenaline auto-injector</li><li>Understand the role of nasal adrenaline as an alternative to injected adrenaline</li><li>Find useful resources such as NICE guidance and BSACI resources</li></ul><p><br></p><p>You can access the <a href="https://www.mimslearning.co.uk/courses/podcast-childhood-food-allergy-with-professor-adam-fox" rel="noopener noreferrer" target="_blank">website version</a> of this podcast, along with key learning points, on MIMS Learning. MIMS Learning offers hundreds of hours of CPD for healthcare professionals, along with a handy CPD organiser and note-taking for appraisal.</p><br><p>Please note: this podcast is presented by medical editors and discusses educational content written or presented by doctors, nurses and other healthcare professionals on the MIMS Learning website and at live events.</p><br><p>Resources</p><p>MIMS Learning</p><p><u><a href="https://www.mimslearning.co.uk/courses/guidance-update-anaphylaxis" rel="noopener noreferrer" target="_blank">Guidance update: anaphylaxis</a></u></p><p><u><a href="https://www.mimslearning.co.uk/courses/feeding-difficulties-in-infants" rel="noopener noreferrer" target="_blank">Feeding difficulties in infants</a></u></p><p><u><a href="https://www.mimslearning.co.uk/courses/eczema-management-latest-therapies" rel="noopener noreferrer" target="_blank">Eczema management: latest therapies</a></u></p> <hr><p style='color:grey; font-size:0.75em;'> Hosted on Acast. See <a style='color:grey;' target='_blank' rel='noopener noreferrer' href='https://acast.com/privacy'>acast.com/privacy</a> for more information.</p>

September 23, 202624 min

Podcast: the past, present, and future of GLP-1 medications with Professor John Wilding

<p>GLP-1 medications, long-established as treatments for type 2 diabetes, are now recognised as highly effective treatments for managing obesity. In this episode of the Clinical Update podcast, Professor John Wilding talks to Dawn Liz Powell about how evidence is building for new ways to support people living with obesity.</p><br><p>As well as the development of subcutaneous and oral GLP-1 medications and how they work, Professor Wilding discusses their current role in the management of type 2 diabetes and obesity, their potential additional benefits (such as cardiovascular risk reduction), and their possible side-effects.&nbsp;</p><br><p>Looking to the future, he says that there are ‘over 50 drugs in either phase II or phase III development’ including amylin analogues, triple analogues, and a monthly GLP-1/GIP antibody injection.&nbsp;</p><br><p><strong>Educational objectives</strong></p><p>After listening to this podcast, healthcare professionals should be more aware of:</p><ul><li>How GLP-1 medications work for both type 2 diabetes and for obesity</li><li>Their current role in the management of obesity</li><li>The risks and benefits of GLP-1 medications</li><li>What new oral preparations for weight loss are emerging&nbsp;</li><li>New and combination medications that may be available in the future</li></ul><p><br></p><p>You can access the website version of this <a href="https://www.mimslearning.co.uk/courses/podcast-the-past-present-and-future-of-glp-1-medications-with-professor-john-wilding" rel="noopener noreferrer" target="_blank">podcast</a>, along with key learning points, on MIMS Learning. MIMS Learning offers hundreds of hours of CPD for healthcare professionals, along with a handy CPD organiser and note-taking for appraisal.</p><br><p>Please note: this podcast is presented by medical editors and discusses educational content written or presented by doctors, nurses and other healthcare professionals on the MIMS Learning website and at live events.</p><br><p><strong>MIMS Learning</strong></p><p><a href="https://www.mimslearning.co.uk/courses/obesity-in-adults" rel="noopener noreferrer" target="_blank">Obesity in adults</a></p><p><a href="https://www.mimslearning.co.uk/courses/obesity-and-pregnancy" rel="noopener noreferrer" target="_blank">Obesity and pregnancy</a></p><p><a href="https://www.mimslearning.co.uk/courses/obesity-podcourse-with-dr-patrick-holmes-part-1-metabolic-vulnerability" rel="noopener noreferrer" target="_blank">Obesity podcourse with Dr Patrick Holmes, part 1: metabolic vulnerability</a></p><p><a href="https://www.mimslearning.co.uk/courses/obesity-podcourse-with-dr-patrick-holmes-part-2-established-metabolic-disease" rel="noopener noreferrer" target="_blank">Obesity podcourse with Dr Patrick Holmes, part 2: established metabolic disease</a></p><p><a href="https://www.mimslearning.co.uk/courses/obesity-podcourse-with-dr-patrick-holmes-part-3-obesity-and-multiple-comorbidities" rel="noopener noreferrer" target="_blank">Obesity podcourse with Dr Patrick Holmes, part 3: obesity and multiple comorbidities</a></p><br><p><strong>MIMS</strong></p><p><a href="https://www.mims.co.uk/obesity-treatments/obesity/article/1879247" rel="noopener noreferrer" target="_blank">Obesity treatments</a></p> <hr><p style='color:grey; font-size:0.75em;'> Hosted on Acast. See <a style='color:grey;' target='_blank' rel='noopener noreferrer' href='https://acast.com/privacy'>acast.com/privacy</a> for more information.</p>

September 9, 202621 min

Supporting patients with Parkinson’s disease, with Dr Alistair Church

<p>0.5 CPD hours</p><br><p>Parkinson’s disease is ‘not a condition of one person’ because the families of people with Parkinson’s are very much affected by the condition, according to Dr Alistair Church.&nbsp;</p><br><p>In this episode of the Clinical Update podcast, he talks to MIMS Learning editor Pat Anderson about the role of GPs in the management of the condition. He says GPs are ‘the spider in the middle’ of support for patients — first in picking up signs and symptoms, referring promptly, and helping patients with all the aspects of the condition that can be managed in primary care.&nbsp;</p><br><p>Dr Church also highlights ‘lots of energy’ around the development of disease-modifying therapy for Parkinson’s in the medium term.</p><br><p>Educational objectives</p><br><p>After listening to this podcast, healthcare professionals should be better able to:</p><ul><li>Recall the prevalence of Parkinson’s disease</li><li>Understand how Parkinson’s is a ‘family disease’ in terms of the family’s role</li><li>Pick up signs and symptoms that may suggest Parkinson’s</li><li>Be alert to the possibility of Parkinson’s in younger patients</li><li>Distinguish Parkinson’s from other neurological conditions</li><li>Understand the key role of exercise in managing Parkinson’s</li><li>Support patients by managing non-motor aspects of the disease</li><li>Be aware of the prospects for disease-modifying therapy in future</li></ul><p><br></p><p>You can access the <a href="https://www.mimslearning.co.uk/courses/podcast-supporting-patients-with-parkinsons-disease-with-dr-alistair-church" rel="noopener noreferrer" target="_blank">website version</a> of this podcast, along with key learning points, on MIMS Learning. MIMS Learning offers hundreds of hours of CPD for healthcare professionals, along with a handy CPD organiser and note-taking for appraisal.</p><br><p>Please note: this podcast is presented by medical editors and discusses educational content written or presented by doctors, nurses and other healthcare professionals on the MIMS Learning website and at live events.</p><br><p>Resources</p><br><p>MIMS Learning</p><p><a href="https://www.mimslearning.co.uk/courses/guidance-update-latest-nice-guidelines-on-neurological-conditions" rel="noopener noreferrer" target="_blank">Guidance update: latest NICE guidelines on neurological conditions</a></p><p><a href="https://www.mimslearning.co.uk/courses/tremor-red-flag-symptoms" rel="noopener noreferrer" target="_blank">Tremor - red flag symptoms</a></p><p><a href="https://www.mimslearning.co.uk/courses/guidance-update-latest-nice-guidelines-on-neurological-conditions" rel="noopener noreferrer" target="_blank">Guidance update: latest NICE guidelines on neurological conditions</a></p> <hr><p style='color:grey; font-size:0.75em;'> Hosted on Acast. See <a style='color:grey;' target='_blank' rel='noopener noreferrer' href='https://acast.com/privacy'>acast.com/privacy</a> for more information.</p>

September 2, 202612 min

Obesity podcourse with Dr Patrick Holmes, part 1: metabolic vulnerability

<p>Sophie is 28 years old, lives with obesity, and has just discovered that she is pregnant with her second child. Prior to her pregnancy, a blood glucose test indicated that she had pre-diabetes. In this episode, the first of a three-part podcourse, GP Dr Patrick Holmes reviews how to support Sophie through pregnancy, and after delivery,how to reduce the risk of further weight gain and progression to type 2 diabetes.</p><br><p><strong>Educational objectives</strong></p><p>After listening to this podcourse episode, healthcare professionals should be more aware of:</p><ul><li>How to raise the issue of weight sensitively</li><li>The modifiable and non-modifiable factors that can drive obesity</li><li>Management priorities in a pregnant woman with obesity</li><li>Long-term goals after pregnancy in a woman living with obesity</li></ul><p><br></p><p>Listen to this three-part audio series, then go to <a href="http://mimslearning.co.uk" rel="noopener noreferrer" target="_blank">mimslearning.co.uk</a> to read downloadable worksheets and test your knowledge, to ensure you are up to speed with all the key points primary care professionals need to know about obesity management.</p><br><p>If you enjoy a blend of online learning and podcast-style listening that you can fit into your busy life, then this podcourse is for you.</p><br><p><strong>MIMS Learning</strong></p><p><a href="https://www.mimslearning.co.uk/courses/obesity-podcourse-with-dr-patrick-holmes-part-1-metabolic-vulnerability" rel="noopener noreferrer" target="_blank">Obesity podcourse with Dr Patrick Holmes, part 1: metabolic vulnerability</a></p><p><a href="https://www.mimslearning.co.uk/courses/obesity-podcourse-with-dr-patrick-holmes-part-2-established-metabolic-disease" rel="noopener noreferrer" target="_blank">Obesity podcourse with Dr Patrick Holmes, part 2: established metabolic disease</a></p><p><a href="https://www.mimslearning.co.uk/courses/obesity-podcourse-with-dr-patrick-holmes-part-3-obesity-and-multiple-comorbidities" rel="noopener noreferrer" target="_blank">Obesity podcourse with Dr Patrick Holmes, part 3: obesity and multiple comorbidities</a></p> <hr><p style='color:grey; font-size:0.75em;'> Hosted on Acast. See <a style='color:grey;' target='_blank' rel='noopener noreferrer' href='https://acast.com/privacy'>acast.com/privacy</a> for more information.</p>

September 2, 202611 min

Obesity podcourse with Dr Patrick Holmes, part 2: established metabolic disease

<p>In the second episode of this three-part podcourse, Sophie is now 35 years old and is approaching obesity class 3. She has also developed young-onset type 2 diabetes, dyslipidaemia, and hypertension. This represents disease progression from when we first met Sophie in episode 1 where she was 28 years old and living with obesity class 1. GP Dr Patrick Holmes discusses available treatment options for Sophie now that she has established metabolic disease, and how to reduce the risk of further disease progression.&nbsp;</p><br><p><strong>Educational objectives</strong></p><p>After listening to this podcourse episode, healthcare professionals should be more aware of:</p><ul><li>The available treatment options for established metabolic disease</li><li>NICE recommendations for managing young-onset type 2 diabetes</li><li>The effect of established metabolic disease on quality of life</li><li>How parental obesity can affect the health of the whole family</li></ul><p><br></p><p>Listen to this three-part audio series, then go to <a href="http://mimslearning.co.uk" rel="noopener noreferrer" target="_blank">mimslearning.co.uk</a> to read downloadable worksheets and test your knowledge to ensure you are up to speed with all the key points primary care professionals need to know about obesity management.</p><br><p>If you enjoy a blend of online learning and podcast-style listening that you can fit into your busy life, then this podcourse is for you.</p><br><p><strong>MIMS Learning</strong></p><p><a href="https://www.mimslearning.co.uk/courses/obesity-podcourse-with-dr-patrick-holmes-part-1-metabolic-vulnerability" rel="noopener noreferrer" target="_blank">Obesity podcourse with Dr Patrick Holmes, part 1: metabolic vulnerability</a></p><p><a href="https://www.mimslearning.co.uk/courses/obesity-podcourse-with-dr-patrick-holmes-part-2-established-metabolic-disease" rel="noopener noreferrer" target="_blank">Obesity podcourse with Dr Patrick Holmes, part 2: established metabolic disease</a></p><p><a href="https://www.mimslearning.co.uk/courses/obesity-podcourse-with-dr-patrick-holmes-part-3-obesity-and-multiple-comorbidities" rel="noopener noreferrer" target="_blank">Obesity podcourse with Dr Patrick Holmes, part 3: obesity and multiple comorbidities</a></p> <hr><p style='color:grey; font-size:0.75em;'> Hosted on Acast. See <a style='color:grey;' target='_blank' rel='noopener noreferrer' href='https://acast.com/privacy'>acast.com/privacy</a> for more information.</p>

September 2, 202611 min

Obesity podcourse with Dr Patrick Holmes, part 3: multiple comorbidities

<p>After seeing Sophie at 28 years (first episode) and at 35 years (second episode), the third and final episode of this podcourse looks at Sophie at 40 years old. She now has multiple obesity-related comorbidities — hypertension, type 2 diabetes, dyslipidaemia, obstructive sleep apnoea and metabolic dysfunction-associated steatotic liver disease. GP Dr Patrick Holmes reviews how to reduce Sophie's risk of experiencing a cardiac event and improve her quality of life.</p><br><p><strong>Educational objectives</strong></p><p>After listening to this episode, healthcare professionals should be more aware of:</p><ul><li>The effect of having multiple obesity-related comorbidities on life expectancy and quality of life</li><li>How weight loss medication, such as tirzepatide, could improve the health status of a person living with multiple obesity-related comorbidities</li><li>The need to provide non-pharmacological support to people living with obesity, regardless of whether they are taking weight loss medications</li><li>How, without effective intervention, a person with obesity can progress from metabolic vulnerability, to established metabolic disease, and to having multiple comorbidities</li></ul><p><br></p><p>Listen to this three-part audio series, then go to <a href="http://mimslearning.co.uk" rel="noopener noreferrer" target="_blank">mimslearning.co.uk</a> to read downloadable worksheets and test your knowledge to ensure you are up to speed with all the key points primary care professionals need to know about obesity management.</p><br><p>If you enjoy a blend of online learning and podcast-style listening that you can fit into your busy life, then this podcourse is for you.</p><br><p><strong>MIMS Learning</strong></p><p><a href="https://www.mimslearning.co.uk/courses/obesity-podcourse-with-dr-patrick-holmes-part-1-metabolic-vulnerability" rel="noopener noreferrer" target="_blank">Obesity podcourse with Dr Patrick Holmes, part 1: metabolic vulnerability</a></p><p><a href="https://www.mimslearning.co.uk/courses/obesity-podcourse-with-dr-patrick-holmes-part-2-established-metabolic-disease" rel="noopener noreferrer" target="_blank">Obesity podcourse with Dr Patrick Holmes, part 2: established metabolic disease</a></p><p><a href="https://www.mimslearning.co.uk/courses/obesity-podcourse-with-dr-patrick-holmes-part-3-obesity-and-multiple-comorbidities" rel="noopener noreferrer" target="_blank">Obesity podcourse with Dr Patrick Holmes, part 3: obesity and multiple comorbidities</a></p> <hr><p style='color:grey; font-size:0.75em;'> Hosted on Acast. See <a style='color:grey;' target='_blank' rel='noopener noreferrer' href='https://acast.com/privacy'>acast.com/privacy</a> for more information.</p>

August 26, 202623 min

Deprescribing opioids in primary care, with Dr Faheem Shakur

<p>‘Successful opioid deprescribing is built on trust. Listen to patients, acknowledge that their pain is real, avoid stigmatising language, and involve them in every decision. Patients are much more likely to engage when they feel supported rather than judged,’ Dr Faheem Shakur says in this episode of the Clinical Update podcast.</p><br><p>Dr Shakur explains that while opioids do have a role in the management of acute pain, they should not routinely be used to manage chronic pain. He reviews how primary care teams can identify patients who may benefit from coming off opioids, how best to reduce opioid use while deploying other ways to manage pain, and how to build trust with patients so that they engage in the process.</p><br><p>If an opioid is appropriate, according to Dr Shakur, it should be prescribed at the lowest effective dose for the shortest possible duration with a clear stop date or review date. Patients should be informed, from the beginning, that the opioid will only be used for a limited time.&nbsp;</p><br><p><strong>Educational objectives</strong></p><p>After listening to this podcast, healthcare professionals should be more aware of:</p><ul><li>When prescribing an opioid is, and is not, appropriate in primary care</li><li>The place of opioid deprescribing within strategies for better pain management&nbsp;</li><li>How to ensure patients are not left on opioids long term</li><li>How practices can identify patients on opioids who would benefit from a medication review</li><li>Red flags that indicate a patient may be dependent on opioids</li><li>Strategies for deprescribing opioids, including how to engage patients in the process</li><li>How to identify and manage withdrawal symptoms&nbsp;&nbsp;</li></ul><p><br></p><p>You can access the <a href="https://www.mimslearning.co.uk/courses/podcast-deprescribing-opioids-in-primary-care-with-dr-faheem-shakur" rel="noopener noreferrer" target="_blank">website version</a> of this podcast, along with key learning points, on MIMS Learning. MIMS Learning offers hundreds of hours of CPD for healthcare professionals, along with a handy CPD organiser and note-taking for appraisal.</p><p>Please note: this podcast is presented by medical editors and discusses educational content written or presented by doctors, nurses and other healthcare professionals on the MIMS Learning website and at live events.</p><br><p><strong>MIMS Learning</strong></p><p><a href="https://www.mimslearning.co.uk/courses/osteoarthritis-clinical-review" rel="noopener noreferrer" target="_blank">Osteoarthritis: clinical review</a></p><p><a href="https://www.mimslearning.co.uk/courses/case-study-chronic-pain-review" rel="noopener noreferrer" target="_blank">Case study: chronic pain review</a></p><p><a href="https://www.mimslearning.co.uk/courses/guidance-update-latest-nice-guidelines-on-chronic-pain-in-over-16s" rel="noopener noreferrer" target="_blank">Guidance update: NICE guidelines on chronic pain in over 16s</a></p> <hr><p style='color:grey; font-size:0.75em;'> Hosted on Acast. See <a style='color:grey;' target='_blank' rel='noopener noreferrer' href='https://acast.com/privacy'>acast.com/privacy</a> for more information.</p>

August 12, 202623 min

Providing best transgender healthcare in primary care, with Dr Kamilla Kamaruddin

<p>0.5 CPD hours</p><br><p>‘There are a lot of things the GP can do’ for transgender patients, according to GP lead for East of England gender services Dr Kamilla Kamaruddin, interviewed for the Clinical Update podcast by MIMS Learning editor Pat Anderson. She says this begins with listening to patients and using preferred names and pronouns, and develops into long-term support as patients navigate their way through gender identity clinics and other services.&nbsp;</p><br><p>She says providing support in this way promotes the physical and mental health of transgender individuals, who are at substantial risk of self-harm and suicide, and addresses inequalities in healthcare.</p><br><p>This podcast episode contains references to self-harm and suicide. Sources of support include the <a href="https://www.samaritans.org/how-we-can-help/contact-samaritan/" rel="noopener noreferrer" target="_blank">Samaritans</a>, BMA <a href="https://www.bma.org.uk/advice-and-support/your-wellbeing" rel="noopener noreferrer" target="_blank">Your Wellbeing</a> service, and NHS <a href="https://www.practitionerhealth.nhs.uk/" rel="noopener noreferrer" target="_blank">Practitioner Health</a>.</p><br><p>Educational objectives</p><br><p>After listening to this podcast, healthcare professionals should be better able to:</p><ul><li>Reflect on the high prevalence of self-harm and suicidality among transgender individuals</li><li>Listen to transgender patients and communicate sensitively</li><li>Understand that supporting transgender patients is a long-term process</li><li>Consider how best to meet the needs of transgender patients&nbsp;</li><li>Provide services for patients on gender identity clinic waiting lists</li><li>Help patients attending gender identity services</li><li>Provide long-term care for transgender patients</li><li>Know where to find more support to improve their practice</li></ul><p><br></p><p>You can access the <a href="https://www.mimslearning.co.uk/courses/podcast-providing-best-transgender-healthcare-in-primary-care-with-dr-kamilla-kamaruddin" rel="noopener noreferrer" target="_blank">website version</a> of this podcast, along with key learning points, on MIMS Learning. MIMS Learning offers hundreds of hours of CPD for healthcare professionals, along with a handy CPD organiser and note-taking for appraisal.</p><br><p>Please note: this podcast is presented by medical editors and discusses educational content written or presented by doctors, nurses and other healthcare professionals on the MIMS Learning website and at live events.</p><br><p>Resources</p><br><p>MIMS Learning</p><p><a href="https://www.mimslearning.co.uk/courses/transgender-healthcare-why-is-it-important" rel="noopener noreferrer" target="_blank">Transgender healthcare: why is it important?</a></p><p><a href="https://www.mimslearning.co.uk/courses/transgender-healthcare-consultation-skills" rel="noopener noreferrer" target="_blank">Transgender healthcare: consultation skills</a></p><p><a href="https://www.mimslearning.co.uk/courses/transgender-healthcare-gender-identity-clinic-referrals-and-clinical-management" rel="noopener noreferrer" target="_blank">Transgender healthcare: management and referral to gender identity clinics</a></p><p><a href="https://www.mimslearning.co.uk/courses/skin-problems-in-transgender-people" rel="noopener noreferrer" target="_blank">Skin problems in transgender people</a></p> <hr><p style='color:grey; font-size:0.75em;'> Hosted on Acast. See <a style='color:grey;' target='_blank' rel='noopener noreferrer' href='https://acast.com/privacy'>acast.com/privacy</a> for more information.</p>

July 29, 202627 min

Identifying and managing resistant hypertension, with Professor Terry McCormack

<p>‘Resistant hypertension is when you’re taking three or more medications and you’ve not reached target, and usually one of those medications is a diuretic,’ Professor Terry McCormack explains in this episode of the Clinical Update podcast. He adds that determining whether patients are truly resistant or just not taking their medication can be difficult. However, he recommends asking subtle questions such as ‘We all forget to take our tablets. How, how often do you forget to take your medication’ to gain meaningful answers.</p><br><p>Professor McCormack also looks at management options — including combination pills, NICE-recommended therapies, and new treatments that are on the horizon. He observes that patients with resistant hypertension are the ‘highest risk patients’ for adverse outcomes such as stroke and, therefore, ‘we need to try our best to get them to take at least the three medications that are available to us at this time, to consider single pill combinations and, in the future, consider other treatments,’.</p><br><p><strong>Educational objectives</strong></p><p>After listening to this podcast, healthcare professionals should be better able to:</p><ul><li>Sensitively ask patients about their adherence to antihypertensive medications</li><li>Encourage patients to adhere to medications regimens by discussing of risks of not taking their medications (such as a debilitating stroke)</li><li>Understand the pros and cons of single-pill combination therapy for managing hypertension</li><li>Review NICE recommendations on managing resistant hypertension</li><li>Discuss new treatments on the horizon for managing resistant hypertension</li></ul><p><br></p><p>You can access the <a href="https://www.mimslearning.co.uk/courses/podcast-identifying-and-managing-resistant-hypertension-with-professor-terry-mccormack" rel="noopener noreferrer" target="_blank">website version</a> of this podcast, along with key learning points, on MIMS Learning. MIMS Learning offers hundreds of hours of CPD for healthcare professionals, along with a handy CPD organiser and note-taking for appraisal.</p><p>Please note: this podcast is presented by medical editors and discusses educational content written or presented by doctors, nurses and other healthcare professionals on the MIMS Learning website and at live events.</p><br><p><strong>MIMS Learning</strong></p><p><a href="https://www.mimslearning.co.uk/courses/guidance-update-latest-nice-guidelines-on-hypertension" rel="noopener noreferrer" target="_blank">Guidance update: NICE guidelines on hypertension</a></p><p><a href="https://www.mimslearning.co.uk/courses/ischaemic-heart-disease-clinical-review" rel="noopener noreferrer" target="_blank">Ischaemic heart disease: clinical review</a></p><p><a href="https://www.mimslearning.co.uk/courses/stroke-clinical-review" rel="noopener noreferrer" target="_blank">Stroke: clinical review</a></p> <hr><p style='color:grey; font-size:0.75em;'> Hosted on Acast. See <a style='color:grey;' target='_blank' rel='noopener noreferrer' href='https://acast.com/privacy'>acast.com/privacy</a> for more information.</p>

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