Carl Heneghan

We're really going to look at this in some way to say, is there something really happening here?

And if so, what it is.

and then I'll come back to you.

And so this is to say it's not always quantitative, and sometimes it's about qualitative issues.

I know people will be shocked at that as an evidence-based medicine, but this is about going in-depth to try and understand the issue.

It'll be something about the uselessness of big data in 2020.

than men and yet still in the most cited papers in different positions there are there are uh there are fewer well i think it's interesting you see because i think if you go into primary care in general practice i think that's that is the case and that's been the case for quite some time so the sort of you know the shared responsibility and most of the issues that people find in primary care around families and juggling

that sort of aspect of the of the care whereas in other specialties that's not the case is it and so you do get these isolated areas in medicine and i think it's an interesting issue is there are difficulties in some areas like surgery where it must be more difficult to to survive as a woman and in the gender issues are more prominent but in general practice for quite some time it's very been a very balanced speciality

And once you're a GP, you're all pretty equal in the practice.

So actually, it's a very level playing field of what you do and how you go about managing the practice.

Don't get me into a rant about the sort of metrics that we use in academia to promote people and push them on because that is really... Shall we save that for January?

We'll save that for another January.

But one issue I think is worth saving for next year and being thoughtful about is the workforce issues because I do not think this will be an easy thing to solve because the stresses and strains of clinical practice are making it more difficult to be a 100% person

in terms of the clinical responsibilities because the stresses of it are significant.

And it's very draining to do full days of clinical practice and to do that day after day and not get burnt out.

So I think there's a big problem on the horizon.

It's goodbye from me.

Hi, my name's Carl Hennigan.

I am editor-in-chief of BMJ Evidence-Based Medicine, a GP and also an academic.

Well, I'm sort of slightly distracted because I was thinking of the idea that we were just abreast of all the evidence in the world and we were on top of everything, which is complete nonsense.