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The BMJ

@bmj.com
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The BMJ is patient centred, evidence based, and independent. Help us improve the health of our world with the best science, journalism, education, and comment.

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The BMJ @bmj.com · 10h
The use of a surrogate endpoint in a clinical trial may allow faster approval of a novel treatment, but at the cost of increased uncertainty about treatment benefit. This paper presents a framework for surrogate endpoint evaluation bit.ly/4daxpUf
bmj.com
Recommendations for evaluating a single surrogate endpoint (REASSurE): consensus based, surrogate evaluation framework with explanation and elaboration
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The BMJ @bmj.com · 29/09/2026
"To fast track their AI ambitions, tech companies are pressuring leaders to accept severe and largely avoidable harms." Coordinated international action from governments is needed to mitigate the health and environmental harms of data centres, @ucs.org www.bmj.com/content/394/...
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The BMJ @bmj.com · 28/09/2026
Implementing equality, diversity, and inclusion (EDI) in healthcare research is critical to increasing the generalisability of findings. This new tool can be used to assess and monitor the quality of EDI implementation
bmj.com
Development and evaluation of a quality assessment tool for equality, diversity, and inclusion (QUALITY-EDI) within healthcare research
Implementing equality, diversity, and inclusion (EDI) in healthcare research is critical to ensuring findings are translatable and provide the greatest benefit to patients who need it most. A quality ...
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The BMJ @bmj.com · 28/09/2026
"The national drive to get everyone off the streets by Christmas must be viewed as a short term fix only." Plans to end rough sleeping must focus on health exclusion and specialist services, @homelesslink.bsky.social www.bmj.com/content/394/...
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The BMJ @bmj.com · 28/09/2026
How do I gain leadership experience early in my career? www.bmj.com/content/394/...
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The BMJ @bmj.com · 24/09/2026
Chris Whitty: Doctors must be trained in managing risk in patient care, CMO says. The BMJ and @acmedsci.bsky.social inaugural joint annual lecture given by Prof. Whitty covered risk, uncertainty, and medical decision-making. Watch the full lecture now: bit.ly/4AxqLBq
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The BMJ @bmj.com · 24/09/2026
"If holding too much risk is dangerous, holding too little means that doctors aren’t working to the level of their professional ability." In this Editor's Choice, @kamranabbasi.bsky.social asks: can the profession fix risk holding? www.bmj.com/content/394/...
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The BMJ @bmj.com · 24/09/2026
Compared with no use of hormone therapy, oral menopausal hormone therapy was associated with increased venous thromboembolic risk regardless of dosage & treatment duration, finds study. No increased thrombotic risks were observed with transdermal therapy bit.ly/4cZ0BgN
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The BMJ @bmj.com · 22/09/2026
Girls denied education today become women with poorer health. Nadia Akseer and colleagues look at why Afghanistan's bans on girls and women’s education and engagement in public life also represents a profound public health threat
bmj.com
Afghanistan’s restrictions on women are becoming a public health emergency
Girls denied education today become women with poorer health, write Nadia Akseer and colleagues It’s been five years since the Taliban returned to power, and restrictions on Afghan girls and women h...
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The BMJ @bmj.com · 19/09/2026
In a new BMJ Collection, Chelsea Clinton calls on leaders “to seize the opportunity to build lasting systems for governance, financing, and delivery of sexual and reproductive health, rights, and justice.” Read & share all the articles in the Collection: bit.ly/3VwdBo0
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The BMJ @bmj.com · 18/09/2026
GLP-1 and SGLT-2 diabetes drugs may also help to slow decline in kidney function in people with type 2 diabetes and albuminuria, but little evidence of benefit was seen among people without albuminuria, concludes new BMJ Research bit.ly/4isAJ0k
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The BMJ @bmj.com · 17/09/2026
How do people pursuing assisted suicide in Switzerland report the motivations underpinning their decision? New BMJ Research finds people describe the decision not only as a response to suffering, but also as a deliberate way of shaping the end of life bit.ly/4rhIxoa
bmj.com
How patients explain and make sense of their decision for assisted suicide in Switzerland (the Exit Project): qualitative exploratory study
Objective To explore how people actively pursuing assisted suicide in Switzerland frame and report the motivations underpinning their decision. Design Qualitative exploratory study using semistructur...
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The BMJ @bmj.com · 16/09/2026
As the #UNGA81 debates UN reform, experts in a NEW BMJ Collection warn that the proposed merger of UN Women and UNFPA—two vital institutions for protecting sexual and reproductive health and rights—will weaken global commitments to #GenderEquality. Read & share the articles: bit.ly/4hccNvZ
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The BMJ @bmj.com · 16/09/2026
Cellulitis is a bacterial infection of the skin and subcutaneous tissue. How is lower limb cellulitis diagnosed, what important differential diagnoses should you consider, and how is it treated? #MedEd bit.ly/4h9norm
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The BMJ @bmj.com · 15/09/2026
"It doesn’t make sense that specialties as different as psychiatry and anaesthetics use the same exam for recruitment despite requiring completely different skill sets." Specialty recruitment relies too heavily on the MSRA, says Azreen Afzal
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The MSRA is a one-size-fits-all approach to specialty job selection
Widespread use of the MSRA prioritises administrative convenience over testing candidates’ competence and suitability to a specialty, writes Azreen Afzal The multi-specialty recruitment assessment (...
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The BMJ @bmj.com · 15/09/2026
Sexual & reproductive health & rights are fundamental for health, gender equality, and wider development. But they are under threat. Explore the new BMJ Collection on protecting global #SRHR: bit.ly/4xQSY4h #UNGA81
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The BMJ @bmj.com · 12/09/2026
Skin and soft tissues infections are common conditions, affecting millions worldwide. What's an evidence-based approach to diagnosis and management? #MedEd bit.ly/4iXjWTc
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The BMJ @bmj.com · 11/09/2026
This week a study suggesting that very hot drinks can triple the risk of oesophageal cancer gained much attention in the media. But how strong is the link, and should doctors be advising patients to avoid piping hot tea and coffee?
bmj.com
Hot drinks and oesophageal cancer: the facts behind the headlines
This week a study suggesting that very hot drinks can triple the risk of oesophageal cancer gained much attention in the media.1 But how strong is the link, and should doctors be advising patients to...
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The BMJ @bmj.com · 10/09/2026
Nearly half of health boards in England are deliberately delaying care for patients by imposing minimum waiting times, The BMJ can reveal. Find out if your ICB has imposed minimum waiting times at the link below bit.ly/4cDyx2t
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The BMJ @bmj.com · 10/09/2026
Nearly a third of the government’s nutrition advisors still have “significant” ties to the food industry including Coca Cola, Sainsbury’s, and Danone, reveals our new investigation. Despite a new code of conduct banning links to the food industry, members with ties are allowed to remain in post
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A third of UK government’s nutrition advisers are still paid by food industry, including Coca-Cola and Nestlé
Financial conflicts of interest remain rife in the Scientific Advisory Committee on Nutrition (SACN), BMJ analysis reveals. Despite a new code of conduct banning links to the food industry, members wi...
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The BMJ @bmj.com · 08/09/2026
How can you follow a structured approach for evaluating and managing hypomagnesaemia in community settings? This Practice Pointer offers guidance #MedEd bit.ly/4qXAtsm
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The BMJ @bmj.com · 04/09/2026
"People with relevant competing interests, particularly financial ones, should not be members of clinical or public policy guideline committees." @kamranabbasi.bsky.social on why the notion that transparency alone is enough hasn’t stood the test of time
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The £50m case for eliminating financial interests from clinical guidelines
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The BMJ @bmj.com · 03/09/2026
Altitude illness is potentially life threatening; however, it is preventable and manageable with adequate pre-travel planning and preparation. How should doctors advise patients?
bmj.com
Prevention of altitude illness in adults: preparing people for travel to high altitude
### What you need to know Altitude illness is a collective term for syndromes that can occur in unacclimatised people who travel to destinations higher than 2500 metres above sea level.1,2,3 Altitud...
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The BMJ @bmj.com · 02/09/2026
Cases of giardiasis have reached a 10 year high in England. Why has this happened, and what do doctors and patients need to know? www.bmj.com/content/394/bmj-2026-10…
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The BMJ @bmj.com · 28/08/2026
Building a stronger NHS: an open letter from past and present presidents and chairs of the Royal College of General Practitioners www.bmj.com/content/394/...
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The BMJ @bmj.com · 27/08/2026
The passing of Dolly Parton is a reminder that she was not only a legendary artist, she was also a stalwart supporter of medicine and science www.bmj.com/content/394/...
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The BMJ @bmj.com · 25/08/2026
At least one in four former NFL players who died in 2016-21 had CTE neuropathology at death, finds new study published in The BMJ. More severe CTE was associated with dementia among brain donors bit.ly/4gzFfHS
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The BMJ @bmj.com · 23/08/2026
Hyperkalaemia is a common and potentially life threatening electrolyte abnormality. This state of the art review summarises data on the epidemiology, identifies key risk factors and diagnostic considerations, and reviews approaches to management bit.ly/4ztlTN0
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The BMJ @bmj.com · 21/08/2026
Evidence based medicine is surprisingly new—and doesn’t have all the answers. Helen Pearson tells @bmj.com what she learnt from conversations with pioneers and critics of evidence based practice across medicine for her new book www.bmj.com/content/394/...
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The BMJ @bmj.com · 20/08/2026
"The guidelines require grant recipients to incorporate education on sexual risk avoidance—also known as abstinence-only education." Trump administration’s new adolescent sex education policy pushes the conservative agenda, @guttmacher.org www.bmj.com/content/394/...
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Centre on Climate Change & Planetary Health, LSHTM @lshtm-planet.bsky.social · 20/08/2026
🌍The UK drought is a warning: Climate change is a food & public health emergency In @bmj.com, @lshtm.bsky.social's Tafadzwa Mabhaudhi warns UK drought is hitting food production, prices and health inequalities, calling for joined-up action across food, water & health. 👉 www.bmj.com/content/394/...
bmj.com
The UK drought is a warning: Climate change is a food and public health emergency
The UK has entered a new era of climate volatility, in which record breaking temperatures and droughts are expected rather than exceptional events.1 On 14 August, 71.3% of England was declared to be ...
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The BMJ @bmj.com · 20/08/2026
Giving intravenous iron to patients with anaemia before heart surgery reduces the need for a red blood transfusion and results in an extra day at home in the first 90 days after surgery, finds a clinical trial published by The BMJ bit.ly/4ijjmyN
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Intravenous iron to treat anaemia before cardiac surgery
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The BMJ @bmj.com · 20/08/2026
Junk food suppliers have a “shocking” major presence at the UK’s biggest school food event, finds #BMJInvestigation. More than a third of exhibitors supply hot dogs, pizza, muffins, and fizzy drinks
bmj.com
Junk food suppliers have “shocking” major presence at UK’s biggest school food event
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The BMJ @bmj.com · 19/08/2026
#BMJResearch: Opioid prescribing after Joint Commission hospital accreditation inspections: quasi-experimental analysis www.bmj.com/content/394/...
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The BMJ @bmj.com · 18/08/2026
"I want to spend my time working for my patients, not devising ways to jump through new hoops." @helensalisbury.bsky.social writes on micromanagement and the GP Appointments Data dashboard www.bmj.com/content/394/...
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The BMJ @bmj.com · 14/08/2026
"Inertia or the challenge of delivering change may mean that services are stuck in their old ways." Healthcare must be built around patients, not profits, writes @tommoberly.bsky.social in this Editor's Choice www.bmj.com/content/394/...
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The BMJ @bmj.com · 13/08/2026
Donald Trump signed an executive order this week that will require the MMR vaccine to be delivered in separate doses. US policies are making a resurgence of vaccine-preventable diseases inevitable www.bmj.com/content/394/...
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Jocalyn Clark @jocalynclark.bsky.social · 13/08/2026
AI. AI. AI. Taking over my life as an editor 🫠 Artificial intelligence - it claims. Almost intelligence - it delivers. Actual intelligence - sought. My new Editor’s Choice in @bmj.com ⬇️ www.bmj.com/content/394/...
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The BMJ @bmj.com · 12/08/2026
Increasingly, health authorities are announcing new regulation in medical journals instead of traditional routes with full transparency and public consultation. This new @bmj.com analysis examines the pitfalls of this approach www.bmj.com/content/394/...
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The BMJ @bmj.com · 12/08/2026
Fact check: Are GLP-1 weight loss drugs linked to hundreds of fatalities? www.bmj.com/content/394/...
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The BMJ @bmj.com · 11/08/2026
New @bmj.com research: Evidence based interventions for bipolar disorder across phases and age groups www.bmj.com/content/394/...
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The BMJ @bmj.com · 10/08/2026
Practice Pointer: Assessing, diagnosing, and managing hip osteoarthritis in primary care #BMJInfographic www.bmj.com/content/394/...
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The BMJ @bmj.com · 07/08/2026
Republican members of the Senate committee have voted to hold Anthony Fauci in contempt of Congress. When politics replaces science as the arbiter of truth, the ultimate casualty is not Fauci: it is the health of the American public, say @gavinyamey.bsky.social and @boghuma.bsky.social
bmj.com
Fauci’s Senate hearing riled up the MAGA base—but at the cost of damaging public health
The vilification of Anthony Fauci by Senate Republicans will erode trust in science, curtail international research collaborations, and deter scientists and health experts from entering public service...
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The BMJ @bmj.com · 06/08/2026
Adding the GLP-1 receptor agonist drug tirzepatide (Mounjaro) to standard care for patients with type 2 diabetes and heart disease is associated with a lower risk of a major cardiovascular event, finds study bit.ly/4pVMu0O Linked commentary bit.ly/4hgd3f9
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The BMJ @bmj.com · 06/08/2026
"As a scholarly journal we need some guardrails to ensure scholarship, not slop." In this Editor's Choice, @jocalynclark.bsky.social writes on seeking actual, not artificial, intelligence www.bmj.com/content/394/...
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The BMJ @bmj.com · 06/08/2026
Four fifths of NHS trusts are still using pen and paper for record keeping, finds The BMJ. 25 years after the government's first push to digitise the NHS, only about a fifth of hospital trusts are using fully electronic systems for clinical record-keeping bit.ly/4hgYism
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The BMJ @bmj.com · 05/08/2026
"We have an urgent, existential crisis in the medical workforce." David Oliver on why keeping the promise of 4500 additional specialty training places for the NHS is so crucial
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David Oliver: We still lack clarity and urgency on the future of specialty training posts
When the BMA Resident Doctors Committee called off its last round of industrial action in England in June, it was partly because the government had promised to increase the number of specialty trainin...
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The BMJ @bmj.com · 05/08/2026
How do I progress in a system that doesn’t feel designed for people like me? There are strategies you can use to help advance your career despite feeling like you don’t fit in www.bmj.com/content/394/...
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The BMJ @bmj.com · 04/08/2026
Recent legislation prioritises UK medical graduates for training. If the NHS continues to recruit IMGs for service delivery while limiting their access to training, it has the potential to lead to a cycle of brain gain, waste, strain, and drain, argues Analysis
bmj.com
Brain gain, waste, strain, and drain: international medical graduates after UK medical training legislation
Jun Jie Lim and Mo Al-Haddad argue that credible career pathways for international medical graduates must be maintained after legislation to prioritise UK graduates for specialty training The UK’s M...
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The BMJ @bmj.com · 04/08/2026
"As doctors, we have a reason and a licence to ask the kinds of questions that have no place in polite society, and asking them is part of our job." @helensalisbury.bsky.social reflects on curiosity and being the rubber duck for patients’ problems www.bmj.com/content/394/...
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