logo
episode-header-image
Aug 2023
49m 44s

The problem with trainees - The GMC’s Na...

The BMJ
About this episode
In our final episode of this season, we're going quantitative, with the newly released data on how trainees in the UK are faring. Each year the UK's General Medical Council, the doctor's regulator, surveys trainees in the NHS to ask them questions about stress and burnout, harassment and discrimination, and how well supported they feel in their training. The ... Show More
Up next
Oct 9
Simon Wessely on the ADHD, and autism review
Referrals for ADHD and autism assessments have reached unprecedented levels, leaving NHS waiting lists stretched into years and families struggling to access support. But is the rise driven by a genuine increase in neurodevelopmental conditions, increased awareness, or systemic o ... Show More
1 h
Oct 2
A clinical protocol for physician assistants in the NHS
Last year, in July 2025, the independent review of the physician associate and anaesthesia associate roles, carried out by professor Gillian Leng, was published. The review followed the contentious role out of PAs in the NHS - where their scope of practice differed across trusts, ... Show More
50m 31s
Sep 25
Why patients choose an assisted death, and vaccine monitoring gaps
The VAERS system in the US monitors adverse events following vaccines, but a new investigation on BMJ.com has found problems with the data mining systems used to spot patterns - and more worryingly, that the agencies involved were alerted about the issues, and didn’t take steps t ... Show More
37m 37s
Recommended Episodes
Apr 2024
Walking the Dog
<p>This episode considers what happens when the rigors of training and the pursuit of excellence in in medicine collide with the mental health needs of trainees.</p> <p>A full transcript of this episode is available at nejm.org/doi/full/10.1056/NEJMp2400698.</p> 
44m 52s
Mar 2021
Balancing Demands: Determinants of Burnout Reported by Fellows in Pulmonary and Critical Care Medicine
Burnout is common among physicians who care for critically ill patients and is known to contribute to worse patient outcomes. Fellows training in pulmonary and critical care medicine (PCCM) have risk factors that make them susceptible to burnout; for example, clinical environment ... Show More
28m 24s
Apr 2024
Building Up without Breaking Down
<p>This episode asks how medical educators should navigate between demanding intense commitment and hard-won excellence from trainees and seriously threatening their well-being.</p> <p>A full transcript of this episode is available at nejm.org/doi/full/10.1056/NEJMp2400697.</p> < ... Show More
44m 32s
Feb 2024
Tough Love
<p>In this episode, a medical educator goes on the record with widespread but rarely publicly voiced concerns about the slippery slope from “wellness days” to inadequate medical training.</p> <p>A full transcript of this episode is available at nejm.org/doi/full/10.1056/NEJMp2400 ... Show More
39m 59s
Mar 2025
Journal Review in Vascular Surgery: Burnout in Vascular Surgery Trainees
The Vascular Surgery Subspecialty Team dives into the pressing issue of burnout among vascular surgery trainees. Unveiling surprising statistics and expert insights, they explore the alarming prevalence of burnout, its causes like work-home conflict and physical discomfort, and t ... Show More
30m 5s
Apr 2024
Injured, Not Sidelined
<p>This season finale examines the moral injury that the current U.S. health care system inflicts on physicians and trainees — and how they may be able to offer care that aligns with their values.</p> <p>A full transcript of this episode is available at nejm.org/doi/full/10.1056/ ... Show More
39m 10s
Sep 2023
Harnessing Data to Enhance Healthcare, With Omar Shaker
<p>How can tracking health data enhance overall healthcare? This week, Sandi sits down with FMCA graduate Omar Shaker to discuss doctor burnout and health data. After working as a doctor, Omar experienced burnout firsthand. He thought he was the only one, but it turns out burnout ... Show More
22m 29s
Aug 2023
Lifting The Lid - Episode 111 - Are you at your best as coach? - The one where fitness comes into question
"How does one know to say you're not fit for a session as a coach?" This was the group supervision question raised recently that Steve and Clare explore. Maybe you are physically, mentally or emotionally not at your 'best' level, but don't want to cancel with your client as they ... Show More
29m 29s
Jun 2025
Facing Burnout and Moral Injury in Radiology Practice
In this episode, host Dr. Refky Nicola speaks with Dr. Bettina Siewert about her compelling article on moral distress, moral injury, and burnout in radiology. Together, they explore the systemic challenges radiologists face today and practical strategies for fostering a healthier ... Show More
20m 54s