Clinical Update

Increasing ambulance wait times and patient complexity have shifted the role of primary care in managing emergencies.  In this episode of the Clinical Update podcast, GP and clinical lecturer Dr. Tim Sanders speaks to medical editor Sangeeta Krishnan about the need for extended stabilisation of a patient in primary care because of longer wait times for an ambulance, high-acuity low-occurrence...

People who live with obesity can be malnourished if they are eating a high-calorie diet that has low nutritional value, president of British Obesity Society and obesity nurse specialist Jane DeVille-Almond tells Dawn Liz Powell (medical editor at MIMS Learning) in this episode of the Clinical Update podcast.  Jane adds that people on weight loss medications can also be at risk of malnutrition...

In the first Clinical Update episode of 2026, MIMS Learning editors Dawn Liz Powell and Rhiannon Ashman look at the goals of MIMS Learning’s new editorial campaign — Confidence in Obesity Care.  One of the goals of the campaign is to help GPs and other healthcare professionals better understand the role of GLP-1 medications (also known as weight loss medications) in the management of obe...

In this episode of the Clinical Update podcast, MIMS Learning deputy editor Rhiannon looks back at a year of thought-provoking clinical education from the podcast.  The episode begins with a focus on cancer diagnosis, revisiting a conversation with NHS England’s Professor Peter Johnson on the success of the Lung Cancer Screening Programme. We also hear from pancreatic cancer specialist nurse...

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 3-part audio series, then go to MIMSLearning.co.uk to read the downloadable worksheets and complete the multiple-choice quizzes, to get up to speed with all the key points primary care professionals need to know about chronic kidney disease (CKD)....

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 3-part audio series, then go to MIMSLearning.co.uk to read the downloadable worksheets and complete the multiple-choice quizzes, to get up to speed with all the key points primary care professionals need to know about chronic kidney disease...

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 3-part audio series, then go to MIMSLearning.co.uk to read the downloadable worksheets and complete the multiple-choice quizzes, to get up to speed with all the key points primary care professionals need to know about chronic kidney disease (CKD)....

In this episode of the Clinical Update podcast, recorded at MIMS Learning Live North in Liverpool in November 2025, MIMS Learning deputy editor Rhiannon interviews three expert speakers on hot topics in primary care. Consultant ophthalmologist Miss Sajeevika Amarakoon offers practical tips on examining children and adults with eye problems. She outlines when eye problems can be managed in primary...

Dr Deborah Kerr, GP with an extended role in headache at the National Migraine Centre, advises GPs on how to diagnose migraine, how to advise patients on self-management of acute attacks, and the range of pharmacological therapy to prescribe, in this 3-part podcourse. This three-part series is exclusive to MIMS Learning subscribers and follows the case of Simone, a patient with migraine, who prese...

In this episode of the Clinical Update podcast, MIMS Learning editors Sangeeta and Dawn look at skin and hair conditions that might have a different presentation in skin of colour. They discuss the importance of early diagnosis in traction alopecia to prevent permanent scarring and hair loss. They also look at possible causes of hypopigmentation, and how certain signs, such as erythema, may be mor...

Achieving balance is not about a ‘perfect sense of calm’, but is about learning how to realign when you are pulled off-centre, according to Dr Farnaaz Sharief. She says that part of resilience is about ‘small, intentional pauses’ that can help you manage your energy and regain your clarity and focus. In this podcast, Dr Sharief talks to MIMS Learning editor Pat Anderson about practical steps that...

Asthma and COPD may be the ‘bread and butter’ of the respiratory conditions seen in primary care, but other respiratory conditions, such as bronchiectasis, will also be seen.  In this episode of the MIMS Learning Clinical Update podcast, MIMS Learning editors Dawn and Pat survey the wide range of respiratory conditions seen in primary care that are not COPD or asthma. They look at the di...

Pancreatic cancer is the deadliest common cancer, with more than half of people dying within three months of diagnosis and 80% of people diagnosed at a late stage. In this episode of the Clinical Update podcast, part of MIMS Learning's ‘ Patient, Presentation, Pathway for Cancer ’ campaign, Rhiannon speaks to Rachel Richardson, a pancreatic cancer specialist nurse at Pancreatic Cancer UK. During t...

In this episode of the Clinical Update podcast, MIMS Learning medical editors Sangeeta and Dawn discuss the management of thyroid and hypertensive disorders during the antenatal period, including latest guidelines and prescribing recommendations.  Educational objectives After listening to this podcast, healthcare professionals should be better able to: Recall the target TSH level for women wh...

Pat from MIMS Learning speaks to GP Dr Pipin Singh about diagnosis, management and referral in this episode of the Clinical Update podcast. Dr Pipin Singh presents a way through the diagnostic maze, emphasising the need to distinguish between acute and chronic presentations, and the importance of taking time to get to the bottom of chronic symptoms. His thorough discussion of this topic emphasises...

Dementia is a major challenge for the NHS, with one in six people in their eighties developing the condition. For many people, fear and stigma surrounds the condition, so the GP's role as the first port of call is crucial. In this episode of the Clinical Update podcast, MIMS Learning’s Rhiannon and Sangeeta draw on the expertise of MIMS Learning’s professional clinical writers and speakers to disc...

‘Alcohol use disorder is very, very prevalent and the harm occurs long before people have physical dependence,’ Dr Steve Brinksman says in this episode of the MIMS Learning Clinical Update podcast. He adds that if patients are concerned that they are drinking too much, they may hesitate to raise the issue with their GP because they might fear being told to stop drinking completely, and GPs may fee...

In this episode of the Clinical Update podcast, MIMS Learning editor Pat Anderson and deputy editor Rhiannon Ashman discuss chickenpox and shingles, their prevention, diagnosis and management. This podcast draws on the expertise of MIMS Learning’s professional clinical writers and speakers, to bring you key learning points on prevention, diagnosis and management.   Educational objectives...

In this episode of the Clinical Update podcast, guests from Future Dreams and Breast Cancer Now talk to MIMS Learning deputy editor Rhiannon Ashman. In the first section of this podcast, you'll learn about the varied presentations of breast cancer and how to sensitively approach consultations with breast cancer survivors. In the second section, the podcast focuses on signs and symptoms of secondar...

In this episode of the Clinical Update podcast, MIMS Learning’s medical editor Sangeeta Krishnan and editor Pat Anderson discuss neurodiversity and how to approach consultations with neurodivergent patients. This podcast, which includes excerpts from a MIMS Learning interview with Dr Heidi Philips, founder of the British Association for Neurodiversity, discusses common neurodivergent conditions li...

One in five children and young people have a diagnosable mental health condition. In this episode of the Clinical Update podcast, GP DrAmina Al-Yassin, clinical lead for Children’s Services in the London borough of Brent, talks to medical editor Sangeeta Krishnan about why prevalence is increasing, key risk factors, the importance of early intervention, and practical tools GPs can use to support t...

The traditional approach to up-titrating medication in chronic kidney disease (CKD) has been slow and cautious, meaning that many patients do not attain maximal benefits, and this is something ‘we need to change’, Dr Andrew Frankel says in a new three-part podcourse on CKD. This series is exclusive to MIMS Learning subscribers and follows the case of a patient with CKD, from initial diagnosis to t...

The Government’s 10-year plan for the NHS (‘Fit for the future’) has a dedicated section on prevention, including a ‘moonshot’ to end the obesity epidemic. But what is the role of GP in the prevention of cardiovascular disease (CVD)? In this episode of the Clinical Update podcast, the MIMS Learning editors explore NICE recommendations for combination therapy to help patients achieve lipid targets...

The updated NICE guidance on asthma is ‘absolutely superb’, advanced nurse practitioner Beverely (Bev) Bostock tells Dawn Liz Powell in this episode of the Clinical Update podcast.  She explains that the guidance could help to improve asthma outcomes in the UK. ‘We’re right at the top of the league for poor outcomes with asthma, and I suspect that that’s about to change because we’ve finally...

In this episode of the Clinical Update podcast, MIMS Learning editor Pat Anderson and medical editor Dawn Liz Powell discuss common and less common presentations of nasal problems. This podcast draws on the expertise of MIMS Learning’s professional clinical writers and speakers, to bring you key learning points on nasal problems.  Potential problems include loss of sense of smell, obstruction...