Advertise on podcast: Clinical Update

0.5 CPD hours NICE guidance on type 2 diabetes recommends a patient-centred approach, providing advice and treatment based on the individual patient’s needs. It also recommends taking action on comorbidities and making use of newer diabetes medications. GP partner and educator Dr Pipin Singh provides insights for GPs in how to implement the guidance, using a case study on changes to advice and medication for a 72-year old patient with multiple comorbidities. Educational objectives After listening to this podcast, GPs and other healthcare professionals should be better able to: Recall why NICE guidance on type 2 diabetes has changedReflect on how implementing the guidance can benefit patientsRecall the 7 treatment arms listed in the guidanceUnderstand the place of newer therapies in diabetes managementConsider how the guidance is being rolled out in their practiceRecall the benefits of the diabetes prevention programmeSeek support and education from recommended sources You can access the website version 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. 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. Episode produced by Jude Owen. Useful resources MIMS Learning Guidance update: NICE guidelines on type 2 diabetes in adults Type 2 diabetes in South Asian and African-Caribbean populations Identifying and managing young-onset type 2 diabetes MIMS. SGLT2 inhibitors for the treatment of type II diabetes. MIMS. GLP-1 agonists and GIP/GLP-1 agonists for the treatment of type II diabetes. Hosted on Acast. See acast.com/privacy for more information.

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’. 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. Common comorbidities associated with epilepsy, side-effects of anti-seizure medications, and potential drug interactions also reviewed in this episode. Educational objectives After listening to this podcast, healthcare professionals should be more aware of: The prevalence of epilepsy in different age groups and how incidence is changingSymptoms and signs that indicate epilepsyThe common seizure mimics, such as syncope, that can be confused with epilepsyHow taking a thorough patient history can help determine whether referral to an epilepsy specialist, or another specialist, is warrantedWhy providing information on safety (for example around driving) is important for people with epilepsyThe potential side-effects of anti-seizure medicationsThe potential interactions between anti-seizure medications and other drugs You can access the website version 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. 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. MIMS Learning Practice on a page: epilepsy in pregnancy Loss of consciousness - red flag symptoms (audiovisual) Epilepsy Society Information for professionals Driving and epilepsy Hosted on Acast. See acast.com/privacy for more information.

0.5 CPD hours 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. 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. 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. Educational objectives After listening to this podcast, GPs and other healthcare professionals should be better able to: Take an allergy-focused history and advise on the role of allergy testingDistinguish between immediate and delayed allergic reactionsUnderstand the link between eczema and food allergyAdvise parents on early introduction of common allergenic foodsUnderstand what to consider when deciding whether to prescribe an adrenaline auto-injectorUnderstand the role of nasal adrenaline as an alternative to injected adrenalineFind useful resources such as NICE guidance and BSACI resources You can access the website version 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. 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. Resources MIMS Learning Guidance update: anaphylaxis Feeding difficulties in infants Eczema management: latest therapies Hosted on Acast. See acast.com/privacy for more information.

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. 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.  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.  Educational objectives After listening to this podcast, healthcare professionals should be more aware of: How GLP-1 medications work for both type 2 diabetes and for obesityTheir current role in the management of obesityThe risks and benefits of GLP-1 medicationsWhat new oral preparations for weight loss are emerging New and combination medications that may be available in the future You can access the website version 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. 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. MIMS Learning Obesity in adults Obesity and pregnancy Obesity podcourse with Dr Patrick Holmes, part 1: metabolic vulnerability Obesity podcourse with Dr Patrick Holmes, part 2: established metabolic disease Obesity podcourse with Dr Patrick Holmes, part 3: obesity and multiple comorbidities MIMS Obesity treatments Hosted on Acast. See acast.com/privacy for more information.

0.5 CPD hours 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.  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.  Dr Church also highlights ‘lots of energy’ around the development of disease-modifying therapy for Parkinson’s in the medium term. Educational objectives After listening to this podcast, healthcare professionals should be better able to: Recall the prevalence of Parkinson’s diseaseUnderstand how Parkinson’s is a ‘family disease’ in terms of the family’s rolePick up signs and symptoms that may suggest Parkinson’sBe alert to the possibility of Parkinson’s in younger patientsDistinguish Parkinson’s from other neurological conditionsUnderstand the key role of exercise in managing Parkinson’sSupport patients by managing non-motor aspects of the diseaseBe aware of the prospects for disease-modifying therapy in future You can access the website version 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. 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. Resources MIMS Learning Guidance update: latest NICE guidelines on neurological conditions Tremor - red flag symptoms Guidance update: latest NICE guidelines on neurological conditions Hosted on Acast. See acast.com/privacy for more information.

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. Educational objectives After listening to this episode, healthcare professionals should be more aware of: The effect of having multiple obesity-related comorbidities on life expectancy and quality of lifeHow weight loss medication, such as tirzepatide, could improve the health status of a person living with multiple obesity-related comorbiditiesThe need to provide non-pharmacological support to people living with obesity, regardless of whether they are taking weight loss medicationsHow, without effective intervention, a person with obesity can progress from metabolic vulnerability, to established metabolic disease, and to having multiple comorbidities Listen to this three-part audio series, then go to mimslearning.co.uk 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. 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. MIMS Learning Obesity podcourse with Dr Patrick Holmes, part 1: metabolic vulnerability Obesity podcourse with Dr Patrick Holmes, part 2: established metabolic disease Obesity podcourse with Dr Patrick Holmes, part 3: obesity and multiple comorbidities Hosted on Acast. See acast.com/privacy for more information.

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.  Educational objectives After listening to this podcourse episode, healthcare professionals should be more aware of: The available treatment options for established metabolic diseaseNICE recommendations for managing young-onset type 2 diabetesThe effect of established metabolic disease on quality of lifeHow parental obesity can affect the health of the whole family Listen to this three-part audio series, then go to mimslearning.co.uk 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. 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. MIMS Learning Obesity podcourse with Dr Patrick Holmes, part 1: metabolic vulnerability Obesity podcourse with Dr Patrick Holmes, part 2: established metabolic disease Obesity podcourse with Dr Patrick Holmes, part 3: obesity and multiple comorbidities Hosted on Acast. See acast.com/privacy for more information.

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. Educational objectives After listening to this podcourse episode, healthcare professionals should be more aware of: How to raise the issue of weight sensitivelyThe modifiable and non-modifiable factors that can drive obesityManagement priorities in a pregnant woman with obesityLong-term goals after pregnancy in a woman living with obesity Listen to this three-part audio series, then go to mimslearning.co.uk 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. 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. MIMS Learning Obesity podcourse with Dr Patrick Holmes, part 1: metabolic vulnerability Obesity podcourse with Dr Patrick Holmes, part 2: established metabolic disease Obesity podcourse with Dr Patrick Holmes, part 3: obesity and multiple comorbidities Hosted on Acast. See acast.com/privacy for more information.

‘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. 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. 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.  Educational objectives After listening to this podcast, healthcare professionals should be more aware of: When prescribing an opioid is, and is not, appropriate in primary careThe place of opioid deprescribing within strategies for better pain management How to ensure patients are not left on opioids long termHow practices can identify patients on opioids who would benefit from a medication reviewRed flags that indicate a patient may be dependent on opioidsStrategies for deprescribing opioids, including how to engage patients in the processHow to identify and manage withdrawal symptoms   You can access the website version 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. 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. MIMS Learning Osteoarthritis: clinical review Case study: chronic pain review Guidance update: NICE guidelines on chronic pain in over 16s Hosted on Acast. See acast.com/privacy for more information.

0.5 CPD hours ‘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.  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. This podcast episode contains references to self-harm and suicide. Sources of support include the Samaritans, BMA Your Wellbeing service, and NHS Practitioner Health. Educational objectives After listening to this podcast, healthcare professionals should be better able to: Reflect on the high prevalence of self-harm and suicidality among transgender individualsListen to transgender patients and communicate sensitivelyUnderstand that supporting transgender patients is a long-term processConsider how best to meet the needs of transgender patients Provide services for patients on gender identity clinic waiting listsHelp patients attending gender identity servicesProvide long-term care for transgender patientsKnow where to find more support to improve their practice You can access the website version 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. 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. Resources MIMS Learning Transgender healthcare: why is it important? Transgender healthcare: consultation skills Transgender healthcare: management and referral to gender identity clinics Skin problems in transgender people Hosted on Acast. See acast.com/privacy for more information.

‘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. 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,’. Educational objectives After listening to this podcast, healthcare professionals should be better able to: Sensitively ask patients about their adherence to antihypertensive medicationsEncourage patients to adhere to medications regimens by discussing of risks of not taking their medications (such as a debilitating stroke)Understand the pros and cons of single-pill combination therapy for managing hypertensionReview NICE recommendations on managing resistant hypertensionDiscuss new treatments on the horizon for managing resistant hypertension You can access the website version 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. 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. MIMS Learning Guidance update: NICE guidelines on hypertension Ischaemic heart disease: clinical review Stroke: clinical review Hosted on Acast. See acast.com/privacy for more information.

0.5 CPD hours 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.  Listen to this three-part audio series, then go to mimslearning.co.uk to read downloadable worksheets and complete a multiple choice quiz to ensure you are up to speed with all the key points primary care professionals need to know about migraine.  This episode continues the case of Simone, focusing on her children, with learning points provided by GP Dr Deborah Kerr. She provides advice on recognising migraine in children, eliminating red flags, addressing lifestyle and routine, and pharmacological therapy for acute management and prevention. MIMS Learning offers hundreds of hours of CPD for healthcare professionals, along with a handy CPD organiser.  Educational objectives After listening to this podcourse, healthcare professionals should be better able to: Recall the characteristics of migraine and abdominal migraine in children and adolescentsReflect on red flag symptoms and differentials to consider Provide advice on lifestyle and use of supplements Advise on pharmacological options for acute attacks and prophylaxisBe aware of links between neurodiversity and migraineKnow where to find more information about prescribing and support MIMS Learning Migraine podcourse with Dr Deborah Kerr, part 1: diagnosis and management Migraine podcourse with Dr Deborah Kerr, part 2: menstrual-related migraine Guidance update: NICE and SIGN guidelines on headache Headache - red flag symptoms Headaches in children - red flag symptoms Hosted on Acast. See acast.com/privacy for more information.

0.5 CPD hours 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.  Listen to this three-part audio series, then go to mimslearning.co.uk to read downloadable worksheets and complete a multiple choice quiz to ensure you are up to speed with all the key points primary care professionals need to know about migraine.  This episode continues the case of Simone, with learning points provided by GP Dr Deborah Kerr. She provides advice on the definitions of menstrual and menstrual-related migraine, tips on lifestyle and pharmacological management, pregnancy planning and looking ahead to menopause management.  MIMS Learning offers hundreds of hours of CPD for healthcare professionals, along with a handy CPD organiser.  Educational objectives After listening to this podcourse, healthcare professionals should be better able to: Recall the characteristics of menstrual migraine and menstrual-related migraineProvide advice on lifestyle and use of supplements Understand how hormones such as the contraceptive pill may be used in patients wit migraineKnow which medications could be used to try and prevent menstrual-related attacksProvide advice to women planning a pregnancy, and those who are breastfeedingRecall treatment options for acute management and preventative therapyUnderstand when to refer patients to specialist care MIMS Learning Migraine podcourse with Dr Deborah Kerr, part 1: diagnosis and management Migraine podcourse with Dr Deborah Kerr, part 3: migraine in children Guidance update: NICE and SIGN guidelines on headache Headache - red flag symptoms Headaches in children - red flag symptoms Hosted on Acast. See acast.com/privacy for more information.

0.5 CPD hours 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.  Listen to this three-part audio series, then go to mimslearning.co.uk to read downloadable worksheets and complete a multiple choice quiz to ensure you are up to speed with all the key points primary care professionals need to know about migraine.  In this episode, work through the case of Simone, with learning points provided by GP Dr Deborah Kerr. She provides practical advice to give patients on managing attacks, and tips on lifestyle and pharmacological management – including newer medications. MIMS Learning offers hundreds of hours of CPD for healthcare professionals, along with a handy CPD organiser.  Educational objectives After listening to this podcourse episode, healthcare professionals should be better able to: Recall the characteristics of migraine and distinguish between chronic and episodic migraineUnderstand how migraine differs from medication overuse headache, trigeminal autonomic cephalalgia, and idiopathic intracranial hypertensionUnderstand the importance of examination to eliminate red flagsUnderstand how lifestyle affects migraine and provide advice to patientsKnow which medications should be avoided and what patients should do at the first sign of an attackRecall treatment options for acute management and preventative therapyUnderstand when to refer patients to specialist care MIMS Learning Migraine podcourse with Dr Deborah Kerr, part 2: menstrual-related migraine Migraine podcourse with Dr Deborah Kerr, part 3: migraine in children Guidance update: NICE and SIGN guidelines on headache Headache - red flag symptoms Headaches in children - red flag symptoms Hosted on Acast. See acast.com/privacy for more information.

0.5 CPD hours A GP partner is juggling her work and parenting responsibilities - as well as arranging care for her ageing mother - and feels ‘like she is missing symptoms’. A locum GP has back pain, but fears that his relationship with those he works for might be jeopardised if he asks for suitable adaptations. A salaried GP is experiencing mental health problems, but fears that disclosure might mean she ‘loses her role’. Experienced GP appraiser Dr Ravi Ramanathan discusses each of these scenarios with MIMS Learning editor Pat Anderson, and recommends action that the GPs concerned could take, to look after themselves and to avoid burnout. Educational objectives After listening to this podcast, healthcare professionals should be better able to: Understand the role of appraisal in providing support for professional and personal life pressuresAppreciate the importance of clear communication with colleagues to resolve issues that could lead to burnoutReflect on the importance of disclosure of stress-related or mental health problems to their appraiserUnderstand how acknowledging problems and seeking help are positive steps that can help GPs to continue to practise successfullyRecall sources of support that may be useful to them or their colleagues If you are affected by issues discussed in this podcast, remember that support is available to all doctors through the BMA Your Wellbeing service, NHS Practitioner Health and The Cameron Fund. You can access the website version 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. 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. Resources MIMS Learning Podcast: pursuing a GP career after addiction recovery, with Dr Michael Blackmore Podcast: Dr Farnaaz Sharief on finding balance in a pressured system Wellbeing masterclass Podcast: Dr Ravi Ramanathan on changes to GP appraisal Hosted on Acast. See acast.com/privacy for more information.