{"id":35367,"date":"2015-10-02T11:30:46","date_gmt":"2015-10-02T10:30:46","guid":{"rendered":"https:\/\/blogs.bmj.com\/bmj\/?p=35367"},"modified":"2015-10-02T11:31:28","modified_gmt":"2015-10-02T10:31:28","slug":"the-bmj-today-the-active-role-clinicians-can-play-in-tackling-societys-inequalities","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bmj\/2015\/10\/02\/the-bmj-today-the-active-role-clinicians-can-play-in-tackling-societys-inequalities\/","title":{"rendered":"The BMJ Today: The active role clinicians can play in tackling society\u2019s inequalities"},"content":{"rendered":"<p><a href=\"https:\/\/blogs.bmj.com\/bmj\/files\/2015\/10\/hiv_particles.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-35369\" src=\"https:\/\/blogs.bmj.com\/bmj\/files\/2015\/10\/hiv_particles-150x150.jpg\" alt=\"hiv_particles\" width=\"150\" height=\"150\" \/><\/a><strong>Major update to HIV treatment guidance<\/strong><br \/>\n<a href=\"http:\/\/www.bmj.com\/content\/351\/bmj.h5239\">The World Health Organisation has released guidance<\/a> which would dramatically affect the threshold at which patients with HIV are offered antiretroviral medication. At present, highly effective medications are routinely offered when the immune system shows signs of decline. The new guidance suggests that these medications should be offered from diagnosis. This could have major implications for the costs of treating the infection, but could also represent a fantastic opportunity to reduce onward transmission of HIV; individuals with a low HIV viral load are much less likely to pass the infection to others.<!--more--><\/p>\n<p><strong><a href=\"https:\/\/blogs.bmj.com\/bmj\/files\/2015\/10\/doctors_computers.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-35370\" src=\"https:\/\/blogs.bmj.com\/bmj\/files\/2015\/10\/doctors_computers-150x150.jpg\" alt=\"doctors_computers\" width=\"150\" height=\"150\" \/><\/a>Should the EU interfere in CPD?<\/strong><br \/>\nContinuing professional development (CPD) is a familiar concept to clinicians across the world. The EU have released a directive to monitor and control the CPD that healthcare professionals undertake. Their goal is to improve patient safety, <a href=\"http:\/\/www.bmj.com\/content\/351\/bmj.h5229\">but Zilling and Grant draw our attention to the lack of evidence<\/a> for this assertion, and the potential negative consequences of the regulations: \u201cWe want to warn against unitary, mandatory political regulation of CPD in the EU and of the danger that it will contribute to a negative trend, reducing or restricting the freedom of professional action with no guaranteed effect on patient care and safety. We recommend a professional vision of CPD and the freedom for each EU country to choose its own way.\u201d<\/p>\n<p><strong><a href=\"https:\/\/blogs.bmj.com\/bmj\/files\/2015\/10\/migrant_boat_wreckage_mediterranean_2015.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-35371\" src=\"https:\/\/blogs.bmj.com\/bmj\/files\/2015\/10\/migrant_boat_wreckage_mediterranean_2015-150x150.jpg\" alt=\"migrant_boat_wreckage_mediterranean_2015\" width=\"150\" height=\"150\" \/><\/a>Holding a mirror up to inequality<\/strong><br \/>\n<a href=\"http:\/\/www.bmj.com\/content\/351\/bmj.h5187\">When James Meiring comes face to face with a patient the same age as him<\/a>, he reflects on the lives they have had and the inequalities resulting purely from being born in different countries. He uses the experience to consider the media\u2019s portrayal of refugees, and the role that healthcare professionals can play in highlighting the real human suffering they have escaped. His conclusion emphasises the active role clinicians can play in tackling society\u2019s inequalities.<\/p>\n<p><em><strong>Deborah Kirkham<\/strong> is a clinical fellow at <\/em>The BMJ.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Major update to HIV treatment guidance The World Health Organisation has released guidance which would dramatically affect the threshold at which patients with HIV are offered antiretroviral medication. At present, [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/bmj\/2015\/10\/02\/the-bmj-today-the-active-role-clinicians-can-play-in-tackling-societys-inequalities\/\">More&#8230;<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[5750],"tags":[],"class_list":["post-35367","post","type-post","status-publish","format-standard","hentry","category-the-bmj-today"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>The BMJ Today: The active role clinicians can play in tackling society\u2019s inequalities - The BMJ<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/bmj\/2015\/10\/02\/the-bmj-today-the-active-role-clinicians-can-play-in-tackling-societys-inequalities\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"The BMJ Today: The active role clinicians can play in tackling society\u2019s inequalities - The BMJ\" \/>\n<meta property=\"og:description\" content=\"Major update to HIV treatment guidance The World Health Organisation has released guidance which would dramatically affect the threshold at which patients with HIV are offered antiretroviral medication. 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