TRD

The Recommended Dose podcast

Hosted by acclaimed journalist and health researcher Dr Ray Moynihan, The Recommended Dose tackles the big questions in health and explores the insights, evidence and ideas of extraordinary researchers, thinkers, writers and health professionals from around the globe. The series is produced by Cochrane Australia and co-published with the BMJ.

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Latest show:  Iona Heath
EPISODE 15: Iona Heath
Long-time London GP 

This week a very different kind of conversation on the Recommended Dose – one that considers the art of medicine more than the science. Iona Heath is a long-time family doctor who has worked in a London GP clinic for over 30 years, and at one time became President of the Royal College of General Practitioners. With an international profile, gained in part through her much-loved writing in the BMJ, Iona is unlike many of our previous guests. For a start, she loves words more than numbers, and literature more than clinical guidelines. Host Ray Moynihan caught up with Iona at a recent conference in Helsinki – where she'd just presented little data but much food for thought from the likes of novelists EM Forster and James Baldwin. Here, she shares more of her love of literature and thoughtful commitment to the best kind of patient care.

Download a full transcript of this episode


Gordon Guyatt
EPISODE 14: Gordon Guyatt
Godfather of Evidence Based Medicine

This week Ray sits down with the man best known as the godfather of Evidence Based Medicine (or EBM), Professor Gordon Guyatt. Together they explore the past, present and future of EBM, and look at how an approach encouraging doctors to look more rigorously at the evidence grew into a global reform movement to better inform all our healthcare decisions.

Like most global movements, EBM is not without its critics. Acknowledging this, Gordon shares his thoughts on prominent critiques that argue EBM has been 'hijacked' by commercial interests. And on a more personal note, he reflects on his early dreams of being a novelist, his four tilts at election to Canada's Parliament, and the many ways his two very different parents have shaped his world view.

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Iain Chalmers
EPISODE 13: IAIN CHALMERS
Founder, Cochrane Collaboration & James Lind Alliance

This week, a very special conversation with a maverick British medico who set up a tiny research centre in Oxford and watched it grow into a global collaboration of over 40,000 people across 130 countries. Three decades on, the Cochrane Collaboration now produces the world's most trusted health evidence that is used by patients, health professionals, researchers and policy makers around the world every day.

Cochrane co-founder Iain Chalmers joins Ray to look back on the origins of the organisation and the extraordinary life of its namesake, Archie Cochrane. Iain also reflects on his work beyond the collaboration - from working in refugee camps in Gaza to teaching children in Uganda how to detect ‘bullshit’ health claims and more recently, establishing the James Lind Alliance. It's no surprise he's received the BMJ’s most prestigious award for a lifetime of achievement in healthcare, along with a knighthood from the Queen.

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Alex Barratt
EPISODE 12: ALEXANDRA BARRATT
Professor of Public Health, The University of Sydney

This week’s guest has led something of a double life, using both medicine and the media to explore and promote the critical role of evidence in healthcare. Now based at the University of Sydney, Alexandra Barratt's journey from clinician to journalist to global advocate for evidence based medicine and shared decision-making is a fascinating one. 

Here she talks with Ray about her varied career and the reasons she's ended up challenging conventional wisdom. She also talks about her research into the pros and cons of breast cancer screening and questions the widely-accepted idea that early detection is always the best medicine.

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Norman Swan
EPISODE 11: NORMAN SWAN
Producer and presenter of ABC RN's Health Report

A familiar voice to millions, Dr Norman Swan is Australia’s best known health reporter. Having presented the ABC’s Health Report for more than three decades, this week he’s on the other side of the microphone.

Norman joins Ray to talk frankly about medicine and the media. He shares some of the joys and challenges of his work inside and outside of the ABC - including his stint as resident medic on commercial TV show The Biggest Loser and his work establishing a private media company that advertises in health clinics across Australia.  A multi-award winning journalist and now popular podcaster, the common thread running through Norman Swan's distinguished career is a life-long interest in bringing new ideas, information and evidence to audiences of all kinds.

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Rita Redberg
EPISODE 10: RITA REDBERG
Editor-in-Chief, JAMA Internal Medicine

This week influential Editor-in-Chief of JAMA Internal Medicine Dr Rita Redberg joins Ray for a wide ranging conversation on all things health. A Professor at the University of California San Francisco and high profile contributor to The Washington Post and New York Times, Rita is also a practising cardiologist who loves to see patients. She says that ‘being a doctor is really a privilege’.

Together, Ray and Rita canvas many topics including shared decision making between doctors and patients, the tricky territory of medical device approvals, the controversy surrounding both statins and CT scans, and the implications of not including enough women in clinical trials.

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John Ioannidis
EPISODE 9: JOHN IOANNIDIS
Professor of Medicine and of Health Research and Policy at Stanford University 

Series two of The Recommended Dose kicks off with polymath and poet, Dr John Ioannidis. Recognised by The Atlantic as one the most influential scientists alive today, he’s a global authority on genetics, medical research and the nature of scientific inquiry itself – among many other things.

A professor at Stanford University, John has authored close to 1,000 academic papers and served on the editorial boards of 30 of the world's top journals. He is best known for seriously challenging the status quo. His trailblazing 2005 paper Why Most Published Research Findings Are False has been viewed over 2.5 million times and is the most cited article in the history of PLoS Medicine. In it, he argues that much medical research is biased, overblown or simply wrong. Here, he talks to Ray about the far-reaching implications of these findings for people both inside and outside the world of health.

While most closely associated with exploring cutting-edge conundrums across science, genomics and even economics, John is also something of a humanist. He’d be right at home with the philosophers of ancient Greece, seeking as he does to find answers to the big questions of the day in science and medicine, as well as in nature and narratives. 

A voracious reader himself, John has a lifelong love of ‘swimming in books’ and has penned seven literary works of his own in Greek – two of which have been nominated for prestigious literary prizes. And fittingly, he finds inspiration for his myriad of multi-disciplinary pursuits on Antipaxi, one of Greece’s most beautiful and secluded islands. 

He shares some of his distinctive logic, reason - and even a little of his poetry - on this very special episode of The Recommended Dose.

> Show notes

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EPISODE 8: JULIAN ELLIOTTJulian Elliott
Lead for Evidence Systems at Cochrane & Head of Clinical Research in the Department of Infectious Diseases at the Alfred Hospital and Monash University

Ray’s guest this week is Julian Elliott - the well-travelled Australian doctor, researcher and big picture thinker who aims to use new technology to radically improve health systems and access to evidence for people around the world – whether they’re in high or low income countries.

Download a full transcript of this episode

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EPISODE 7: SARAH MOSSSarah Moss
Acclaimed British novelist

Hailed as one of the best British novelists writing today, Sarah Moss is our very special literary guest on TRD this week. She joins Ray to explore the intersection between fiction and health, and to talk about the doctors, patients, parents and families she portrays so vividly in her five highly acclaimed novels. The role of the writer, Sarah says, is to ‘ask hard questions beautifully’. Here she talks to Ray about the research and reflection that goes into illuminating both historical and contemporary medical worlds that raise critical questions about the way we live today. 

Download a full transcript of this episode 

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EPISODE 6: PRATHAP THARYANPrathap Tharyan
Psychiatrist and Director of Cochrane South Asia

Psychiatrist and would-be international DJ Prathap Tharyan joins Ray from his home in India this week to explore a fascinating fraction of his work, life and philosophy. His work with people in the midst of humanitarian crises has consistently shown that good intentions are no substitute for good evidence.

Prathap’s wide-ranging agenda reflects a decidedly down-to-earth and original take on understanding and improving the human condition. Be it tending to victims of the Boxing Day tsunami, ensuring humanistic care for the homeless or working with Wikipedia to get better health information to millions around the globe. 

Download a full transcript of this episode  

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EPISODE 5: PAUL GLASZIOUPaul Glasziou
Professor of Evidence Based Medicine, Bond University

Paul Glasziou (aka The Surfing Professor) joins Ray this week to share insights from his stellar career as both a family doctor in Brisbane and a global evidence guru at Oxford and Bond Universities. He explores big picture health issues like overdiagnosis, overtreatment and the implications of genomic testing, alongside important questions for our everyday health - like how you can find and use evidence and put it to good use when visiting or choosing your own doctor or specialist.

Ray braves a chilly Gold Coast beach at the crack of dawn to find Paul and his close colleague/best surfing buddy Professor Chris Del Mar catching waves, spotting whales and agreeing that fun is actually a surprisingly essential part of serious research work.  

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EPISODE 4: JIMMY VOLMINKJimmy Volmink
Professor of Epidemiology, Dean of Medicine and Health Sciences at Stellenbosch University, South Africa & Founding Director of Cochrane South Africa

This week Professor Jimmy Volmink joins Ray to trace an extraordinary personal and professional journey that defied the odds. From his childhood with little educational opportunity in apartheid South Africa to a stellar international research career, he shares the critical moments, chance meetings and inspiring influences that have shaped his life and work. 

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EPISODE 3: LISA BEROLisa Bero
Global authority on industry influence in science & former Cochrane Co-Chair

This week Ray catches up with Professor Lisa Bero - one of the world’s leading experts on industry influence on science. Her groundbreaking research continues to show how the tactics of big tobacco, big pharma and increasingly the food industry influence the decisions of health professionals and distort research findings. Lisa shares her thoughts on leaving California to become a fully-fledged, ocean-swimming Sydneysider, who finds daily inspiration in the story of Charles Perkins – the first Aboriginal graduate of The University of Sydney.  

> Show notes

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EPISODE 2: ALLEN FRANCESAllen Frances
Leading US psychiatrist and author of Twilight of American Sanity

Described as one of world's most prominent psychiatrists, Dr Allen Frances recently made the controversial claim that 'Donald Trump isn't mad, we are'. In this episode, he shares the thinking behind this now infamous statement that attracted both praise and condemnation from mental health professionals and media around the globe. He also talks to Ray about the influential psychiatric manual of mental disorders, the DSM-5. Once a major author of the manual, now he's become one of its loudest critics - claiming that ever-expanding disease and disorder definitions are turning more and more of our ordinary lives into mental illness.

Download a full transcript of this episode

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EPISODE 1: FIONA GODLEEFiona Godlee
Editor-in-Chief, The BMJ

Who better to kick off a series on all things health and evidence than the exceptional and erudite Editor-in-Chief of The BMJ, Dr Fiona Godlee. Fiona chats to Ray about the BMJ's ongoing and often controversial campaigns to change medicine - and broader society - for the better. She also looks to a future that addresses the distorting influence of industry funding on health evidence and outcomes, and let's us in on what drives and inspires her to achieve so much in her influential role at the helm of one of the world's oldest, most popular and prestigious journals.

Download a full transcript of this episode 

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THE EXPLAINER EPRay Moynihan and Paul Glasziou

Who's Ray?
What's Cochrane?
Why listen to The Recommended Dose?
This super-quick mini-episode offers a snapshot of what we're all about... 

A little more about us...

Ray

Ray is a man with many hats - all of them very impressive... Currently a Senior Research Fellow at Bond University’s Centre for Research in Evidence-Based Practice, and an NHMRC Early Career Fellow, he is an award-winning journalist, broadcaster and author. 

Ray spent plenty of time as a producer at the ABC’s flagship investigative TV program Four Corners, as a reporter at the ABC TV’s 7:30 Report and as a presenter on Radio National. He’s written 4 books on the business of medicine, including Selling Sickness, which has been translated into 12 languages. He's also a former Harkness fellow at Harvard University, has been a columnist with the BMJ and the Medical Journal of Australia, and has also had original research published in The New England Journal of Medicine, The Lancet, PLOS Medicine and the British Medical Journal - to name a few. Regularly interviewed by media globally, and invited to speak around the world, Ray has a long-time interest in the evidence-informed approach and the work of Cochrane.  

The TRD Team

The Recommended Dose is produced in Melbourne by Cochrane Australia's Shauna Hurley and edited in Byron Bay by audio aficionado Jan Muths. 

Our eye-catching orange artwork and assorted imagery is all thanks to Chris Scanlan at Visualism.

For more details or to suggest a guest for the show, email us at media@cochrane.org.au

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