Oxford University Press's
Academic Insights for the Thinking World

Are we losing a generation of younger doctors?

We live in challenging times for physicians, who are required to do things that are wearing them out and making them feel bad about their jobs. Surveys showing large percentages of doctors burned out, dissatisfied with their work or regretting their career choice point to something deeply psychological that is happening to many doctors—something that should make all of us very concerned.

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Invest in food security; end hunger

World Food Day is celebrated on 16th October each year, commemorating the founding of the Food and Agriculture Organization of the United Nations (FAO). Various events take place around the world, promoting worldwide awareness and action for those who suffer from hunger, and the need to ensure food security and nutrition for everyone. Some of the statistics provided by the FAO are staggering:

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Understanding physician-assisted death [excerpt]

When it comes to end-of-life treatment, patients currently have a few different options available to them. One option, refusal of treatment, is when a decisionally capable patient is put in the driver’s seat with respect to medical treatment under the doctrine of informed consent. Another option is pain management, where palliative medicine is administered to entirely eliminate, or reduce pain to a level that the patient finds tolerable.

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How does circadian rhythm affect our lives?

The 2017 Nobel Prize in Physiology or Medicine was awarded to American biologists Jeffrey C. Hall, Michael Rosbash, and Michael W. Young for their discoveries of the molecular mechanisms that control circadian rhythm in organisms. Their work began in the 1980s with the study of fruit flies, from which they were able to identify the […]

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World Mental Health Day 2017: History of the treatment of mental illness

The tenth of October marks World Mental Health Day. Organized by the World Health Organization, the day works toward “raising awareness of mental health issues around the world and mobilizing efforts in support of mental health.” Mental health has been a concern for thousands of years, but different cultures have treated mental illnesses very differently throughout time.

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Fire prevention: the lessons we can learn

The United States spends more on health than any other economically comparable country, yet sees a consistently mediocre return on this investment. This could be because the United States invests overwhelmingly in medicine and curative care, at the expense of the social, economic, and environmental determinants of health—factors like quality education and housing, the safety of our air and water, and the nutritional content of our food.

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The frailty industry: too much too soon?

Fashions come and go, in clothing, news, and even movie genres. Medicine, including geriatric medicine, is no exception. When I was a trainee, falls and syncope was the “next big thing,” pursued with huge enthusiasm by a few who became the many. But when does a well-meaning medical fashion become a potentially destructive fad? Frailty, quite rightly, has developed from something geriatricians and allied professionals always did to become a buzz word even neurosurgeons bandy about.

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More than just sanctuary, migrants need social citizenship

In 1975, the English author John Berger wrote about the political implications of immigration, at a time when one in seven workers in the factories of Germany and Britain was a male migrant – what Berger called the ‘seventh man’. Today, every seventh person in the world is a migrant. Migrants are likely to settle in cities.

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Bracing for the worst flu season on record

This year, 2017, is braced to historically be the worst flu season ever recorded, according to the Nation Health Service (NHS). Doctors and hospitals may struggle to cope with the increase in demand, following the spike of influenza cases from Australia and New Zealand, who have recently come out of their winter season.

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The story behind the image

A clinical placement abroad is a unique and eye-opening experience for any young medic. Away from the organised bustle of the hospital wards and state-of-the art lab equipment, they must learn to overcome cultural, linguistic, and environmental barriers in order to deliver exceptional care to those in need. In June, our 2017 Clinical Placement Competition came to a close.

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Integrative Environmental Medicine

How ‘green’ are you at work? [quiz]

With sea level rising and ice caps rapidly melting, the danger signs of global warming are evident, increasing the need to be environmentally friendly. However, much of this focus is on being environmentally friendly at home. Many of us spend a large proportion of our time at work, making it just as crucial to be ‘green’ at work, as we are at home.

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Seven reasons to get your memory evaluated

A question that I am often asked by family members, friends, and even by other physicians and nurses that I work with, is “Should I get my memory evaluated?” Partly, the question is asked because they have noticed memory problems, and are struggling to sort out whether theses lapses are an inevitable part of normal aging versus the start of something more ominous, such as Alzheimer’s disease.

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A Q&A with oncologist Pamela Goodwin

Like many oncologists, Dr. Pamela Goodwin first developed an interest in oncology following seeing a family member affected by cancer. Today, she leads JNCI Cancer Spectrum as Editor-in-Chief, publishing cancer research in an array of topics. Recently, we interviewed Dr. Goodwin, who shared her thoughts about the journal, the field of oncology, and her visions for the future.

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Healthcare during Harvey

As an emergency room doctor, I was boots on the ground! I work at several companies and have several different hospitals I go to, Houston and Beaumont. Just after the storm hit Beaumont, record floods swamped the area. And I drove in to work. Through two feet of water. But after arrival, I manned my post and an extraordinary thing happened. Most of us in my neighborhood are pilots with small planes and it’s a great life.

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How a failed suicide affects the brain

The numerous factors that induce someone to think about suicide, the “ideators,” are often different from those who actually attempt suicide, the “attempters.” For example, the traditional risk factors for suicide, such as depression, hopelessness, many psychiatric disorders, and impulsivity, strongly predict suicide ideation but weakly predict suicide attempts among ideators.

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Discussing family medicine: Q&A with Jeffrey Scherrer

Family medicine plays a large role in day-to-day healthcare. To further our knowledge of the primary care landscape, we’re thrilled to welcome Jeffrey Scherrer, PhD, as the new Editor-in-Chief of Family Practice, a journal that takes an international approach of the problems and preoccupations in the field. Jeffrey sat down with us recently to discuss his vision for the journal’s future and his work in research and mentorship.

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