Dr Phil Reid, a Respiratory Consultant in Edinburgh, talks about assessing the patient with lung cancer in the acute medical admissions unit. -- Follow us -- https://www.instagram.com/rcpedintrainees -- Upcoming RCPE events -- https://www.rcpe.ac.uk/events -- Become an RCPE Member -- https://www.rcpe.ac.uk/membership/join-college Feedback: cme@rcpe.ac.uk This podcast is from the Trainees & Members' Committee (T&MC) of the Royal College of Physicians of Edinburgh (RCPE).
Sep 27, 2021•42 min
Dr Tina Ryan interviews Dr Lara Mitchell about syncope. They discuss assessment, the importance of a history taking, driving advice, and how to setup a syncope service. Dr Mitchell is a Consultant Geriatrician at the Queen Elizabeth University Hospital in Glasgow where she setup a syncope service. -- Resources -- Syncope Unit Rationale - https://doi.org/10.1093/europace/euv115 Syncope pathway article (Br J Cardiol 2019;26:133–6) - http://dx.doi.org/10.5837/bjc.2019.040 ESC Guidelines - https://w...
Sep 13, 2021•23 min
Dr Anda Bularga interviews Dr Justin McKee, Consultant in Medical Ophthalmology in NHS Lothian. He talks about the ocular manifestations of systemic illnesses and clinical presentation and management of these patients. Dr McKee also gives an overview of the training path and a career in Medical Ophthalmology. Dr McKee works between the Princess Alexandra Eye Pavilion and Department of Clinical Neurology in Edinburgh, specialising in diabetic retinopathy, Uveitis, Thyroid eye disease and Neuro-op...
Aug 30, 2021•30 min
Dr Tina Ryan talks to Dr Rosie Baruah about microaggressions, how to recognise them and actions you can take. Dr Baruah is a Consultant in Intensive Care Medicine, Western General Hospital and Hon. Clinical Senior Lecturer, University of Edinburgh -- The Seven Acts of Allyship -- Appetite – Do you have the appetite to immerse yourself in the complex, emotive world of race equality? Ask – Ask questions about race, be curious, read, learn and educate yourself. Accept – Accept there is really a pro...
Aug 16, 2021•23 min
Dr Jonathan Bardgett interviews Dr Murray Blackstock, a Consultant in Intensive Care Medicine and Anaesthesia. He talks about the presentation and management of patients with subarachnoid haemorrhage (SAH) and gives some useful advice on how to refer these patients to neurosurgery and critical care. He refers to NICE guidance and his own personal experience of managing the patient with acute onset headache. NICE Guidelines - https://www.nice.org.uk/guidance/conditions-and-diseases/cardiovascular...
Aug 02, 2021•23 min
Dr Jonathan Bardgett interviews Dr Snehashish Banik about the importance and practicalities of using point of care ultrasound in the acute medical admissions unit. He talks about how trainees can learn this specialist skill. Dr Banik is Consultant Physician in Acute and General Internal Medicine. He is a FAMUS (Focused Acute Medicine Ultrasound) supervisor in Scotland. www.acutemedicine.org.uk/famus/ www.famus.org.uk FAMUS YouTube - www.youtube.com/channel/UCW5COwTFePkExC2CMkgj-gA/videos -- Foll...
Jul 19, 2021•28 min
Dr David Ryan interviews Prof Emma Baker and Dr Dipender Gill about Clinical Pharmacology discussing their day to day experiences and why everyone should consider it as a specialty. British Pharmacological Society www.bps.ac.uk Professor Baker is Professor of Clinical Pharmacology, St George's, University of London with an interest in polypharmacy, translational research and education. Clinical Vice President of the British Pharmacological Society, with the remit of promoting Clinical Pharmacolo...
Jul 05, 2021•27 min
Dr Martin Wilson, a Consultant in Medicine of the Elderly, talks about Frailty and Polypharmacy. Dr Wilson is a Consultant in Care of the Elderly, Raigmore Hospital, Inverness. Interest in care of the elderly in remote rural areas, community hospitals and Parkinson's Disease. Commissioner on Committee for Human Medicines MHRA. Long standing interest in Polypharmacy and involved in NHS Scotland's Polypharmacy Guideline from the outset. Polypharmacy Guidance: Realistic Prescribing, 3rd edition (20...
Jun 21, 2021•32 min
Dr Roger Smyth, Consultant Liaison Psychiatrist, talks about the mental health aspects of alcohol misuse, management of alcohol withdrawal syndrome and the process of liver transplantation assessment. -- Follow us -- https://www.instagram.com/rcpedintrainees -- Upcoming RCPE events -- https://www.rcpe.ac.uk/events -- Become an RCPE Member -- https://www.rcpe.ac.uk/membership/join-college Feedback: cme@rcpe.ac.uk This podcast is from the Trainees & Members' Committee (T&MC) of the Royal C...
Jun 07, 2021•36 min
Dr Alastair MacGilchrist talks about alcohol-related liver disease and alcohol dependence. He discusses how to prevent, assess and treat patients with this disease and talks about public health initiatives on this area of medicine. Scottish Health Action on Alcohol Problems (SHAAP): https://shaap.org.uk -- Follow us -- https://www.instagram.com/rcpedintrainees -- Upcoming RCPE events -- https://www.rcpe.ac.uk/events -- Become an RCPE Member -- https://www.rcpe.ac.uk/membership/join-college Feedb...
Jun 07, 2021•26 min
Dr Jack Andrews gives an overview of the recent updates in the assessment and management of patients with acute coronary syndrome. We discuss immediate management and long term risk stratification of patients with myocardial infarction. Dr Jack Andrews is a senior cardiology registrar specialising in interventional cardiology, currently working at the Royal Infirmary of Edinburgh. -- Follow us -- https://www.instagram.com/rcpedintrainees -- Upcoming RCPE events -- https://www.rcpe.ac.uk/events -...
May 24, 2021•32 min
Dr Vicky Tallentire discusses her career in medical education and explains how medical trainees can get involved in simulation training and research. She reflects on her time as an education fellow, an education coordinator at the Scottish Centre for Simulation and Clinical Human Factors (SCSChf) and her other roles. Dr Tallentire is a Consultant in Acute Medicine, an Associate Postgraduate Dean and a simulation enthusiast and facilitator at SCSChf. She is a passionate believer in being able to ...
May 10, 2021•21 min
Dr Jonathan Bardgett interviews Prof Najib Rahman about the assessment and management of patient's presenting with pleural effusion. Professor Rahman runs the Oxford Pleural Unit and Directs the Oxford Respiratory Trials Unit. He is co-chair of the BTS Pleural Guidelines 2021, Chair of the BTS Pleural Intervention Committee, and Chair of multiple ERS guidelines on pleural disease. British Thoracic Society - Guidelines https://www.brit-thoracic.org.uk/quality-improvement/guidelines/ American Thor...
Apr 26, 2021•50 min
Dr Jonathan Bardgett talks to Dr Ingrid Hoeritzauer about functional neurological disorders, how to diagnose them and discuss the positive features necessary to make a diagnosis with patients and their families. Resources: Recognising and explaining functional neurological disorder https://www.bmj.com/content/371/bmj.m3745/infographic https://www.neurosymptoms.org https://twitter.com/FndPortal -- Follow us -- https://www.instagram.com/rcpedintrainees -- Upcoming RCPE events -- https://www.rcpe.a...
Apr 12, 2021•23 min
Dr Rachel Sutherland interviews Prof Mark Strachan about how to approach the hyperglycaemic patient who presents in the acute receiving unit. Professor Mark Strachan is a Consultant Physician in Endocrinology, Diabetes and Acute Medicine at the Western General Hospital, Edinburgh and Honorary Professor of the University of Edinburgh. Dr Sutherland is a Consultant in Stroke and General Medicine in the South East of Scotland. She has an interest in integrated, real time analytics and spent some ti...
Mar 29, 2021•38 min
Dr Rachel Sutherland talks to Prof Mark Strachan about C-Peptide, and how it can be used to help identify the underlying cause of diabetes. Professor Mark Strachan is a Consultant Physician in Endocrinology, Diabetes and Acute Medicine at the Western General Hospital, Edinburgh and Honorary Professor of the University of Edinburgh. Feedback and suggested future topics are very welcome, please contact us via email at: cme@rcpe.ac.uk -- Follow us -- https://www.instagram.com/rcpedintrainees -- Upc...
Mar 15, 2021•24 min
Dr Claire Gordon talks about 'Leadership and management in the Acute Medical Unit' with Dr Jonathan Bardgett. Dr Gordon is an Acute Medical Consultant working South East Scotland. She shares her experience of leadership and management during the COVID-19 pandemic and discusses working with Acute Internal Medicine. Recording date: 15 February 2021 -- Follow us -- https://www.instagram.com/rcpedintrainees -- Upcoming RCPE events -- https://www.rcpe.ac.uk/events -- Become an RCPE Member -- https://...
Mar 01, 2021•30 min
Dr Xan Hughes (pronouns they/them) talks to Dr David Ryan (pronouns he/him) about being an openly transgender doctor working in the NHS. The topics covered include an introduction to some common terminology relevant to talking about trans healthcare and about how easy changes to practices can help both trans colleagues and patients have a better experience. Dr Xan Hughes, is a Foundation Year Two (FY2) doctor working at a large London teaching hospital. Their research interests include barriers ...
Feb 22, 2021•28 min
Dr Dominique Baker, senior Registrar in Obstetrics and Gynaecology in the South East of Scotland Deanery gives us an overview of acute medical problems in pregnancy, we talk about the clinical assessment and multidisciplinary management of these patients. Resources Maternity Early Warning Score: https://ihub.scot/media/5308/national-mews-chart_web.pdf Prescribing in pregnancy(BUMPS: https://www.medicinesinpregnancy.org Recording date: 1 February 2021 -- Follow us -- https://www.instagram.com/rcp...
Feb 15, 2021•30 min
Dr James Tiernan, a Respiratory Consultant in South East Scotland, talks about the investigation and management of acute pulmonary embolism and the follow up of this disease in the current COVID-19 pandemic. PE Wells Score: https://www.mdcalc.com/wells-criteria-pulmonary-embolism Simplified Geneva Score: https://www.mdcalc.com/geneva-score-revised-pulmonary-embolism NICE Guidelines: https://cks.nice.org.uk/topics/pulmonary-embolism/ Recording date: 18 January 2021 -- Follow us -- https://www.ins...
Feb 01, 2021•57 min
Dr Jonathan Bardgett and Dr Francesca Moroni discuss the importance of recognising and treating malnutrition in the acutely ill patient. This episode offers practical advice on assessing malnourished patients and provides an overview on available interventions from simple dietary adjustments to artificial feeding. Particular interest is posed on recognising patient at risk of refeeding syndrome and how to prevent it. A multidisciplinary approach to the malnourished patient is key in the successf...
Jan 18, 2021•38 min
Dr Addy McLeod and Dr Paul Coulter discuss the importance of resilience training and mental wellbeing for a successful career. Dr Coulter shares his experience of a holistic approach to building resilience and confidence. Dr Addy McLeod is a senior geriatrics registrar in the North East Deanery and Chair of the Trainees and Members' Committee at the Royal College of Physicians of Edinburgh. Stories from Patient Voices open workshops http://www.patientvoices.org.uk/pilgrim.htm Help me! I'm only h...
Dec 07, 2020•23 min
Dr Colin Stirrat, Consultant Cardiologist at the Royal Infirmary of Edinburgh gives us an overview of the updated clinical guidelines on the assessment and management of patients with atrial fibrillation. European Society of Cardiology Guidelines: https://www.escardio.org/Guidelines/Clinical-Practice-Guidelines/Atrial-Fibrillation-Management We discuss the recommended integrated approach to managing AF patients with stroke prevention, better symptom control and risk factors evaluation and manage...
Nov 16, 2020•34 min
Dr Tina Ryan and Dr Neil Brain discuss the clinical assessment and management of critically unwell patients. This podcast covers some key aspects in these patients' care such as the importance of monitoring, fluid resuscitation, referral to Intensive Care Unit and life support. Dr Tina Ryan is a senior Geriatric Medicine Registrar in the West of Scotland; Dr Neil Brain is a senior Intensive Care Specialist Registrar in the West of Scotland. -- Follow us -- https://www.instagram.com/rcpedintraine...
Nov 02, 2020•26 min
Dr Ailsa Oswald interviews Dr Mark Stares. In this episode of 'Clinical Conversations', Dr Ailsa Oswald, our Vice Chair for Education and Oncology Trainee interviews Dr Mark Stares, Senior Oncology Registrar in NHS Lothian. They discuss in depth the topic of 'Cancer of Unknown Primary' and give some useful insights on the latest evidence on investigating, managing, and caring for oncology patients in whom the primary tumour is not identified. Feedback and suggested future topics are very welcome...
Oct 19, 2020•17 min
Dr Tina Ryan and Dr Greg Waddell discuss quality improvement (QI) projects, the difference between clinical audits and QI projects, how to approach, and to avoid the pitfalls. QI projects are an annual requirement for trainees to undertake towards their ARCP. Dr Ryan is a Geriatric Medicine Registrar in the West of Scotland Dr Waddell is a Geriatric Medicine Consultant, QI Lead, and Scottish Quality and Safety Fellow. Feedback and suggested future topics are very welcome, please contact us via e...
Oct 05, 2020•23 min
Dr Adelina Mcleod and Dr Alisha Khanna discuss the prevalence of social isolation in an ageing population, the impacts of COVID-19 on Geriatric Medicine, and how hospital-based care could change to better support elderly patients. Dr Khanna has just completed FY1, now an FY2 working in London. Dr Mcleod is Chair or the RCPE T&MC committee, and specialty trainee in geriatrics with a specialist interest in cognition and delirium. Please share this episode with your colleagues and suggest futur...
Sep 21, 2020•29 min
Dr Ailish Nimmo is joined by Dr Wilf Okoroafor, a senior renal registrar in Bristol with a keen interest in clinical education. They discuss the investigations and management of patients with proteinuria. -- Follow us -- https://www.instagram.com/rcpedintrainees -- Upcoming RCPE events -- https://www.rcpe.ac.uk/events -- Become an RCPE Member -- https://www.rcpe.ac.uk/membership/join-college Feedback: cme@rcpe.ac.uk This podcast is from the Trainees & Members' Committee (T&MC) of the Roy...
Aug 24, 2020•21 min
Dr Kerri Baker joins us for an interesting discussion on training, changes over time and some practical advice regarding Internal Medicine Training and the application process. If you want to find out more information about IMY3 application process please follow this link: https://www.imtrecruitment.org.uk/imy3/overview/ Please share this episode with your colleagues and suggest future interviewees by emailing us at cme@rcpe.ac.uk Recorded: 3 August 2020 -- Follow us -- https://www.instagram.com...
Aug 10, 2020•32 min
Welcome to Clinical Conversations! This podcast series is brought to you by the Trainees & Members' Committee of the Royal College of Physicians of Edinburgh. We aim to discuss a multitude of clinical topics ranging from interesting clinical cases and diagnostic conundrums to updates on clinical guidelines. These clinical podcasts will be relevant for doctors at any stage of training and we hope you enjoy them and share them with colleagues. Feedback and suggested future topics are very welc...
Aug 09, 2020•4 min
