Chris Parker
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ccparker.bsky.social
Chris Parker
@ccparker.bsky.social

Prostate oncologist, cyclist, budding climate activist, croquet player

Computer science 25%
Business 23%

This lucid editorial on prostate cancer screening is worth reading: Early Detection of Prostate Cancer — Time to Fish or Cut Bait | New England Journal of Medicine www.nejm.org/doi/10.1056/...
Early Detection of Prostate Cancer — Time to Fish or Cut Bait | NEJM
Approaches to early detection of cancer often seem contentious, but the big-picture view is actually one of remarkable consensus. All major guideline groups recommend the Papanicolaou smear, mammog...
www.nejm.org

Reposted by Chris Parker

"We would regard it as a positive step if oncologists were discouraged from accepting personal payments from Pharma."

💯 Let's stop pretending industry COI is a good thing!

Must-read commentary from Ian Tannock, Saroj Niraula in @ascocancer.bsky.social JCO-OP.

ascopubs.org/doi/full/10....
Conflict of Interest: Moving From Disclosure to Avoidance | JCO Oncology Practice
ascopubs.org

Reposted by Chris Parker

Sad you didn’t get along tonight to our Living with the Planet Late? Check out the rest of the season which includes several events you can watch online
www.thebritishacademy.ac.uk/seasons/livi...
Living with the planet season
Delve into some of today's most urgent challenges and explore the latest research around biodiversity loss, nature recovery, the future of food and environmental justice. Living with the Planet will e...
www.thebritishacademy.ac.uk
Does the news reflect what we die from?

One of the many joys of commuting by bike: stopping to watch the sunrise

Reposted by Chris Parker

🚨New Simply Oncology Podcast Out 28.8.25
Calling all #ProstateCancer
We discuss the challenges of managing patients with rising PSA after prostatectomy.
We talk to the excellent
@ccparker.bsky.social
who has led the RADICALS trial.

@royalmarsden.org@prostatecanceruk.bsky.social @icr.ac.uk

Reposted by Chris Parker

@simplyoncology.bsky.social August Menu Specials🥗

Starter - Dr Anthony Cunliffe
Language of Oncology

Main Course #ClinicalTrials with Dr Mohini Varughese
Catch of the day -Early phase trials with
@oncocook.bsky.social

🎙️Desert- Post RALP Mx with Prof
@ccparker.bsky.social

A tasty month!!
The UK’s flagship health research programme promises breakthroughs, but beneath an NHS branded facade, critics are asking who really benefits from this vast database, heavily backed by industry and government.

@mgtmccartney.bsky.social and I investigate

www.bmj.com/content/390/...

Reposted by Chris Parker

My take on the Leng review.
Still some confusion as PAs can't make diagnoses but can see patients after triage - which is not diagnosis
bmj.com/cgi/content/...
Helen Salisbury: Physician assistant roles in general practice after the Leng review
After some delay, Gillian Leng’s report on physician associates (PAs) and anaesthesia associates (AAs) in the NHS was published on 16 July.1 Her remit was to look at the safety and effectiveness of th...
bmj.com

Reposted by Chris Parker

My @bmj_latest piece this week

Hard to distil 150 pages to 800 words - can never cover it all. So i will do a follow up on implications for medical workforce

David Oliver: The NHS 10 year plan—more a set of ambitions than a plan www.bmj.com/content/390/...
David Oliver: The NHS 10 year plan—more a set of ambitions than a plan
The government’s 10 year plan for England’s NHS, Fit for the Future , was published on 3 July.1 But can it deliver the goal set in its title? Is it an actual plan or more a set of ambitions, and what ...
www.bmj.com

Reposted by Chris Parker

This review discusses the contemporary management of all stages of prostate cancer, enabling holistic individualization of treatment, and describes the promise of future research to further improve outcomes.

Open Access
acsjournals.onlinelibrary.wiley.com/doi/10.3322/...

Reposted by Chris Parker

NEW STUDY: A new study “confirms what many riders already know—cycling to work makes you healthier, more productive, and even reduces sick days.”

“The most active cyclists chalked up 531 fewer sick days per 100 person-years compared to non-cyclists.”

Via @momentummag.bsky.social
Study Shows Bike Commuting Is Still the Smartest and Healthiest Way to Get to Work
For urban cyclists navigating city streets every day, the benefits of bike commuting often speak for themselves
momentummag.com
NHS has a major problem - it has a leak - retention crisis

18,000 UK-trained doctors have left to work abroad
That's nearly one in seven UK-trained drs, representing a 50% increase since 2008

Imagine investing £𝟮𝟯𝟬,𝟬𝟬𝟬 𝗽𝗲𝗿 dr, only for it to benefit another country

That’s UK workforce planning

Reposted by Chris Parker

Happy to share our review on hypo- and ultra-hypofractionation for prostate cancer radiotherapy, just published in Seminars in Radiation Oncology

@alison-tree.bsky.social @harshanigreen.bsky.social

Full-text link:
authors.elsevier.com/a/1lFrI3lXQo...

“a switch to electric vehicles, electric stoves and heat pumps will make us happier and healthier”

Reposted by Chris Parker

Reposted by Chris Parker

GPs really would appreciate easy and efficient routes to ask advice from consultant colleagues - but getting a complicated list of instructions isn't appreciated, and nor is having our referrals rejected with the offer of 'guidance' instead.
doi.org/10.1136/bmj....
Helen Salisbury: New incentives to ask for advice and guidance
The waiting list for NHS hospital appointments currently sits at 7.4 million, with three million patients waiting more than 18 weeks.1 Reducing unnecessary hospital visits is clearly one way of helpin...
doi.org

Reposted by Chris Parker

Amazing! My free Talking Climate newsletter -- that shares good news, not so good news, and something you can do about climate change every week -- has almost at 20,000 subscribers from 151 countries around the world!

(Plus 109k on LI, 5k on IG/Threads and 15k on email)

Join: www.talkingclimate.ca
Will we miss NHS England?
Possibly not but reorganisations take time and energy and 'reform' often just means cuts.
doi.org/10.1136/bmj....
Helen Salisbury: Goodbye to NHS England
After a flurry of resignations by NHS England’s (NHSE) top brass in the past few weeks—and while commentators and staff were still busy digesting the announcement of a 50% reduction in head count at t...
doi.org

Reposted by Chris Parker

More details about the NPCA can be found here buff.ly/4kiLhxy and reports buff.ly/4klANxy and publications buff.ly/4kn1HF1. Enquiries can be made to npca@rcseng.ac.uk. Closing date 31st March 2025.

Please share widely @alison-tree.bsky.social @natcan-news.bsky.social @prostateukprofs.bsky.social
National Prostate Cancer Audit
buff.ly

Reposted by Chris Parker

If the answer to these questions is yes, look no further! The National Prostate Cancer Audit (NPCA) is recruiting a Clinical Fellow to work with our large and detailed outcome-linked dataset to undertake research for patient benefit. Apply here www.jobs.ac.uk/job/DMB374/c...
Clinical Fellow for the National Prostate Cancer Audit at The Royal College of Surgeons of England
Start your UK & international job search for academic jobs, research jobs, science jobs and managerial jobs in leading universities and top...
www.jobs.ac.uk

Reposted by Chris Parker

Do you want to help strengthen NHS cancer services & reduce variation in prostate cancer care? Are you a clinical oncological or urological trainee looking to pursue an MD or PhD with an expert clinical/audit team at the National Cancer Audit Collaborating Centre (NATCAN) buff.ly/4hW4zHz?

Reposted by Chris Parker

"How do you think health professionals as a group might best respond to the climate and nature crisis, which is becoming rapidly worse" Part 2 of our interview with Pat Hart, a GP sent to prison for a year for climate activism ukhealthalliance.org/news-item/pa... @richardswsmith.bsky.social
Part 2: An interview with Pat Hart, a GP sent to prison for a year for climate activism - UK Health Alliance on Climate Change
The first part of this interview has already been published (link below). We went ahead and published the first part of the interview because of the delay and limitations in getting responses by email...
ukhealthalliance.org

Reposted by Chris Parker

Dr Sarah Benn, retired GP, gets a mention in this week’s @bmj.com.

A prison sentence and suspension from the Medical Register, are the consequences for her climate activism.

#ClimateCrisis
#MedSky

Reposted by Chris Parker

I am taking the flight free challenge!
Could you join me? #FlightFree2025 
@flightfreeuk.bsky.social  
www.flightfree.co.uk
Flight Free UK
Fight climate change: make the pledge to be flight free in 2025
www.flightfree.co.uk

Reposted by Chris Parker

#PEACE3 confirmed efficacy of combo of #Enzalutamide & #Ra223. For any treatment, safety & toxicity equally important. Read our recommendations on use of bone protection @eortc.bsky.social @mcrcnews.bsky.social @ccparker.bsky.social
👇🏽👇🏽👇🏽👇🏽👇🏽👇🏽👇🏽
www.sciencedirect.com/science/arti...
Decrease in Fracture Rate with Mandatory Bone-protecting Agents in the EORTC 1333/PEACE-3 Trial Comparing Radium-223 Combined with Enzalutamide Versus Enzalutamide Alone: A Safety Analysis
Bone health is central to the management of patients with metastatic castration-resistant prostate cancer (mCRPC). International guidelines recommend …
www.sciencedirect.com

Has any bisphosphonate clinical trial ever shown a benefit for higher or more frequent dosing, compared with lower or less frequent? Not to my knowledge #medsky

Interesting to see how effective a single zoledronate infusion is in preventing fragility fractures for years afterwards

Reposted by Chris Parker

NEJM.org @nejm.org · Jan 17
Editorial: Infrequent Zoledronate — Small Individual Gain, Larger Population Gain nej.md/4hgR1Wh