Shared decision-making in difficult circumstances

Type 2 diabetes is common and its prevalence is increasing worldwide. And it is associated with a range of complications - from heart disease to kidney disease to stroke. So it is important that we get the diagnosis and management of this condition right. To tell us how to diagnose and manage patients, please do listen to this BMJ Best Practice podcast with Dr Surya Rajeev, Consultant Physician in Diabetes and Endocrinology, Cheshire and Merseyside Diabetes Clinical Network Lead at University Hospitals Liverpool Group. For more on type 2 diabetes, visit BMJ Best Practice. COI: SR has received reimbursement from Novo Nordisk for conferences, and has presented paid lectures.

The purpose of BMJ Best Practice is to help get evidence into practice. We use GRADE to ensure that we use the highest quality evidence. GRADE helps us to assess evidence for risk of bias, inconsistency, indirectness, imprecision, and the degree to which it may be subject to publication bias. To find out what all these things mean, please do listen to this podcast with Dr Anna Ellis, Head of Editorial at BMJ Digital Health. Competing interests: KW and AE work for BMJ. 

Tremor is an involuntary oscillatory and rhythmic movement of a body part. It commonly affects the upper extremities but can also affect the head, chin, voice, or legs. Tremor may impair activities of daily living or occupation, and may lead to embarrassment and social withdrawal. To find out how to diagnose and manage patients, please do listen to this podcast with Camilla Kilbane, who is an Associate Professor of Neurology, Case Western Reserve University. COI: CK has served as a consultant for Medtronic, including participation on the Data Safety Monitoring Board for the ADAPT-PD trial. CK has participated in the speakers bureau for Teva Pharmaceuticals and has served as an expert witness in one legal case.

Hypertension is a common disorder that affects a large proportion of the community. It is usually asymptomatic and is detected on routine examination or after the occurrence of a complication such as heart attack or stroke. To find out how to diagnose and manage patients, please do listen to this podcast with Greg Lip, Price-Evans Professor of Cardiovascular Medicine, University of Liverpool. For more on hypertension, visit BMJ Best Practice. COI: GL is a consultant and speaker for BMS/Pfizer, Boehringer Ingelheim, Anthos, and Huawei. No fees are received personally.    

This podcast is an interview with Dr Jing Ouyang. He is Co-Founder of Patchwork Health, Doctor, Podcaster and Healthtech Advisor. The interview covers a range of topics including: • Workforce management and flexible careers and how clinical decision support can help  • How best to learn from podcasts and  • Healthtech COI: JO is co-founder of and retains shares in Patchwork Health, where he previously served as COO and CGO. BMJ is an investor in Patchwork Health. JO also hosts the "Out of Programme" podcast. All views expressed are his own.

According to the WHO, over 200,000 people die from drowning globally every year. So it is vital that we get the diagnosis and management of this condition right. To find out how to prevent and manage drowning, please do have a listen to this BMJ Best Practice podcast interview with Dr David Szpilman, Medical Director of the Brazilian Lifesaving Society and Co-founder of the International Drowning Researcher's Alliance. For more on drowning, visit BMJ Best Practice. Competing interests: DS is an author of references cited in the BMJ Best Practice topic.   

Traveller's diarrhoea is common. But it is difficult to put a percentage on it as a lot depends on lots of different factors. However, we do know that traveller's diarrhoea can be serious and can cause complications - from lactose intolerance to irritable bowl syndrome. To find out more, please have a listen to this podcast with Daniel Leung, Professor at the Division of Infectious Diseases, Dr Thomas D. Rees and Natalie B. Rees Presidential Endowed Chair in Global Medicine University of Utah School of Medicine. For more on traveller's diarrhoea, visit BMJ Best Practice. Competing interests: DTL receives authorship royalties from UpToDate, Inc, for a chapter on travel medicine; is an author of upcoming chapters on traveller's diarrhoea for the US CDC Yellow Book; is the past president of the American Committee on Clinical Tropical Medicine and Travelers' Health - Clinical Group within the American Society of Tropical Medicine and Hygiene; and is an author of some of the references cited in this topic.

BMJ Best Practice is our clinical decision support resource. It is designed to help healthcare professionals make better decisions in partnership with their patients.   To find out more about shared decision making in a range of difficult circumstances, please do listen to this BMJ Best Practice podcast interview with Amber Washington, Patient Advisory Coordinator, Tampa General Hospital.   View BMJ Best Practice's patient information here.   Competing interests: None

Bipolar disorder is common and important. So it is vital that we get the diagnosis and management of this condition right.   To find out more about this condition, please do listen to this BMJ Best Practice podcast interview with Adrian Preda, Professor of Clinical Psychiatry at the University of California, Irvine.   For more on bipolar disorder, visit BMJ Best Practice.   Competing interests:  AP has been compensated as an expert consultant by GLG, Atheneum, Guidepoint, and as the Editor-in-Chief of Psychiatric News.

Pulmonary embolism is common and important. So it is vital that we get the diagnosis and management of this condition right. To find out more about this condition, please do listen to this BMJ Best Practice podcast interview with Scott Woller, Director of the Thrombosis Clinic, Intermountain Medical Center and Professor of Medicine at the University of Utah. For more on pulmonary embolism, visit BMJ Best Practice. Competing interests: SCW declares that he is expecting to receive funding of an investigator initiated grant from Janssen Pharmaceuticals to Intermountain Health - with no direct compensation to himself.