Once upon a podcast…

By | Ethics, Medicine, Uncategorized | No Comments

The Great Ormond Street Hospital Bioethics podcast brings you discussion about important moral issues in the treatment of children – reflecting hot topics, complex themes and featuring a range of exciting, informative guests.

I had the pleasure of being a guest on the GOSH podcast recently. Dr Joe Brierley and I had a conversation about a paper I wrote with Dr Peter Ellerton called How to read an ethics paper which was published in the BMJ’s Journal of Medical Ethics a few years ago. Turns out it has become one of the team at GOSH’s favourite papers! Just as I had hoped, the paper is being used by clinicians to help analyse ethics papers both for professional development and to assist in peer review for ethics journals.

Joe and I talked a lot about arguments, spoke about how clinical ethicists and ethics committees should do a lot more argument, but found we mostly preached to the converted / sang from the same hymn sheet / insert-other-metaphor-for-emphatic-agreement here. It was lively emphatic agreement! Have a listen next time you’ve got a spare 30 minutes.

Listen to the podcast wherever you get your podcasts. A link to the Apple page is here.

My previous blog post about this paper is here.

Hippocrates Poetry in Medicine Initiative

By | Arts, Medicine | No Comments

Poetry and medicine have long been entwined. The experience of serious illness – your own or a loved one’s – is often a sentinel event in life. A point around which we orientate past and future happenings. Serious illness forces us outside of the routine. Serious illness forces reflection – it shoves mortality, morbidity, identity to the front of our minds.

Enter poetry – one of the tools with which humankind has made sense of itself since the beginning. A medium into which we can pour hurt, sorrow, anger, joy, disgust, love. Words not constrained by narrative. An art form taking rhythm from music, words from literature, and painting them into whatever shapes we may need at that moment. As long or as short as you like. As comforting or as shocking as the occasion requires. Softly spoken or made with iron. Pick up and read or slip into your pocket for later.

I am one of many doctors throughout history who has worked this lyrical tool to make sense of the practice of medicine. Poetry allows me to tell stories I do not want forgotten, gives solace to families, creates space for reflection, smooths balm for pain, and pays tribute to living.

The Hippocrates Initiative for Poetry in Medicine began in 2009. On the website, the founders describe it as, “…an interdisciplinary venture that investigates the synergy between medicine, the arts and health.” The founders published a reflective paper in the Lancet. It’s discussion of the history of poetry in medicine is informative and inspiring.

The 2022 poetry competition attracted more than 5000 entries from 22 different countries. I am honoured to be one of the commended poets in the Health Professional category, for my poem Love Alone. To read my thoughts on the poem, and to check out the other poets, click here. All poems will be published in the 2022 Hippocrates Prize Anthology which can be bought from the Hippocrates Press and will be released after the awards ceremony on 30th May, 830pm UK time.

As the world still reels from the COVID-19 pandemic, the awards ceremony will be virtual this year. If you’d like to dial in, entry is free but requires registering at this link.

If you would like to hear me, and others, reading our poems, there will be a virtual poetry reading featuring all the commended poets from the Health Professional category on Thursday 16th June at 6 – 730am Australian time. Click here to register.


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Gender equality is a significant determinant of health for all people, of all genders, the world over. For example, people that don’t conform to strict male/female gender norms face discrimination, social isolation, and mental health issues arising from this. Restrictive gender norms that force women into economically and socially subservient positions provide fertile ground for violence against women. Norms that force men into traditionally masculine roles of toughness, breadwinning, and invincibility feed into potentially fatal risk taking behaviours and serious mental health issues.

Achieving gender equality is a global challenge. Science and medicine have a major role to play in this. We need research to deepen our understanding of the issues, ensuring the data we collect is rich and nuanced. We need to develop strategies to address inequality at international, national, and community levels. The healthcare workforce need to provide equitable care for all people and educate the community in practical ways that will support equality. We need to do cross-disciplinary research to ensure we understand how gender intersects with other social determinants of health such as socioeconomic status and race.

To do this well we need to look closely at our own backyard. Why are there persistent gender inequities in scientific, medical, and global health workforces? What pressures and unconscious biases cause the ‘leaky pipeline’ that squanders female talent in these sectors? How can we ensure that male researchers and doctors have equal opportunities to engage with their home and family life? The corporate world has shown us that more diverse workforces lead to greater productivity. There is evidence emerging that the gender of your healthcare provider may significantly affect how well they communicate with you, how accurately they interpret your symptoms, whether they offer you lifestyle advice, and may even affect your mortality. Imagine the meaningful change we could effect if we uncovered the drivers of these phenomena. We could use this knowledge to develop nuanced research questions and create precisely targeted, practical, effective healthcare strategies. In the corporate world, diversity is pursued to ensure that the corporate team understands their market better, leading to better advertising, more precise product targeting, ultimately translating into higher profits. In science and healthcare, we should pursue diversity in our workforce so that we understand our population better, enabling us to collect more meaningful data, communicate more effectively, understand their healthcare needs more fully, ultimately translating into the best health outcomes possible.

On February 8th, The Lancet medical journal will launch a special theme issue on women in science, medicine, and global health. For a journal of such stature to engage with these issues is heartening and inspiring. I look forward to the rich array of content and the resulting insights and new directions we will discover. In a review paper for the Lancet Women issue, Dr Geordan Shannon, I, and a team of other authors set out to review the evidence for why gender equality in science, medicine, and global health matters. We conclude that, “…we are in the position to demand more from the evidence, to innovate beyond current discourses, and to realise true gender equality for everyone, everywhere. Achieving gender equality is not simply instrumental for health and development; its impact has wide-ranging benefits and is a matter of fairness and social justice for everyone.” Bravo, #LancetWomen – I am privileged to be one of you.