PODCAST: Preventing Overdiagnosis 2017 - from theory to practice by BMJ talk medicine

My first Podcast!

Dr Navjoyt Ladher of BMJ talk medicine kindly invited a few colleagues and me to participate in an informal discussion at the Preventing Overdiagnosis 2017 conference in Quebec, Canada.

As working clinicians, we explored moments in our careers that got us interested in tackling overdiagnosis, scratched our heads thinking a little bit about why we (and not all of our colleagues) are taking this on, and reflected on take away messages from the conference.

Have a listen, and go to the original site if you wish to join the discussion.

Source: https://soundcloud.com/bmjpodcasts/prevent...

PODCAST: Questioning Medicine - Statin showdown

When it comes to statin dosing, um, what is the right dose?

Drs Joe Weatherly and Andrew Buelt of Questioning Medicine tackle this question as they review the evidence on statin dosing in their latest podcast. They also do a nice shout out to Less is More Med, but get into dangerous territory by bragging to a Canadian about their hockey team.*

Anyway, they do know a lot more about statins than they know about hockey; this is the fourth in a series of 5 shows devoted to critical appraisal of statin studies. The whole collection is here at Podomatic. 

The pair also run a blog at MedPage Today, Questioning Medicine; though less frequently updated, their posts are great at tackling some of the assumptions we make.

Kayexelate to lower potassium? Maybe not that effective. Pelvic Exams? Probably unnecessary and likely harmful. What Joe and Andrew write always provides a gentle reminder to readers that our thinking "it might not help but it probably doesn't hurt" is off-base; there's plenty of evidence to back a change in practice for the better.

Like their style? You'll also love the other groups that act as Evidence-Based Medicine champions and 'medical mythbusters,' providing sharp (and sometimes hilarious) critical reviews of the latest evidence.

 

* While Tampa Bay did pretty well this NHL Playoff season, these guys will have to be careful about bragging about their success, given that the Lightening's roster is primary comprised of Canadian players. 

Source: http://questioningmed40708.podomatic.com/e...

"#Overdiganosis is in the eye of the beholder" The challenge begins with definition

Stacy Carter headed a great session at the Preventing Overdiagnosis 2014 conference in Oxford, which is where I met her for the first time.

 This BMJ talk Medicine interview expands on that session and on the paper written with Rogers, Heath, Degeling, Doust, and Barratt. They explore the culture (ethical and social aspects) and science behind "overdiagnosis," why it is so hard to define, and limitations of the term.

Listen at the BMJ and read the paper, which I am delighted to report, cites this website!

Source: http://www.bmj.com/content/350/bmj.h869

When is Medical Treatment Overtreatment? Maine Doctors Take New Look

I found a great 5 minute radio clip about Overtreatment, focussing on how healthcare providers and patients are finding the "right treatment" in Maine.

For those who'd rather listen than read, this is a great interview Patty Wright did with a Nurse Practitioner, Senior Vice President of the Lown Institute (Shannon Brownlee), the Director of a Maine Hospital Emergency Department, and a patient.

We have a lot of clinical guidelines we're supposed to follow. We sort of follow them like a cookbook. I was following them blindly, as I suppose many people do. They have no idea of the data behind it.

It's a really easy to understand and balanced summary of the problems of overtreatment.

Listen HERE!

Source: http://news.mpbn.net/post/when-medical-tre...