Will we still be using warfarin in 5 years time? CotEcast returns in a new shorter format, designed to get listeners thinking and talking about issues related to the care of older patients. Pete, Mark and Nick discuss the pros and cons of warfarin vs NOACs in AF, strategies for choosing the most appropriate anticoagulants, and how to involve patients in shared decision-making. Agree, disagree, or have anything to add? Join in the discussion online using the hashtag #cotecast Links: NICE AF Antic...
Sep 22, 2016•13 min•Season 3Ep. 3
How do we keep patient with PD safe in hospital? CotEcast returns in a new shorter format, designed to get listeners thinking and talking about issues related to the care of older patients. Mark, James and Vicky discuss common issues that clinical staff encounter when managing inpatients with Parkinson’s Disease, and consider practical strategies to improve care. Agree, disagree, or have anything to add? Join in the discussion online using the hashtag #cotecast Links: Management of Parkinson’s d...
Jun 23, 2016•14 min•Season 3Ep. 2
CotEcast returns in a new shorter format, designed to get listeners thinking and talking about issues related to the care of older patients. Do we have an attitude problem towards older patients on hospital wards? Mark, Pete and Vicky debate whether there is still a cultural problem in NHS hospitals with regards to older patients, and discuss ways that individual clinicians could help to make a difference. Links: King's Fund: Continuity of Care for Older Hospital Patients - A Call for Action Alz...
May 19, 2016•16 min•Season 3Ep. 1
Title: The FaSS and the Furious Hosts: Vicky Gibson, Mark Garside Guest(s): James Frith Opening question: What was your most embarrassing fall? Main Topic: Falls and Syncope Discussion Points: Why are falls an issue? Why are some patients resistant to seeking help? What are the common and easily overlooked causes of falls? How should you assess someone who has presented following a fall? What can be done on the wards to prevent falls? What happens in a Falls and Syncope department (and what exac...
Oct 29, 2015•46 min•Season 2Ep. 6
Title: Med Reg Fears Part 3 - Views from the other side Host(s): Mark Garside, Pete Brock Guests: Donna Kelly (Anaesthetics & Critical Care), Peter Coyne (Surgery), Fiona Leith (Emergency Care) Opening Question: Which Disney character would you most like to be? Main Topic: What do other specialties think about the Med Reg role? Discussion Points: Who considered being a med reg? What puts people off, and is this fair? What do you want from a med reg? Examples? What makes a good med reg? What ...
Oct 07, 2015•41 min•Season 2Ep. 5
Title: CotE On-Call Host(s): Mark Garside, Pete Brock, Vicky Gibson Opening Question: What song would you not want to hear on hospital radio? Main Topic: Covering the Geriatrics Wards Out of Hours Discussion Points: Suggestions for a general approach Delirium / Increasing confusion EWS & atypical presentations Requests for sedation Fluids Falls Things not to miss CotEcast Commandments: Don’t miss hypoactive delirium Think when prescribing analgesia Always ask why! References, Links, Resource...
Aug 31, 2015•40 min•Season 2Ep. 4
Title: Top of the POPS Host(s): Mark Garside, James Fisher Guest(s): Andrew Deane, Philip Braude Opening Question: What’s the best medical TV theme song/tune? Main Topic: Issues to consider for junior doctors involved in preoperative care of older patients Discussion Points: What is POPS? Why/how is this different from orthogeriatrics? Why are older patients at risk? What special considerations should be made in the medical care of these patients (e.g. Pain management, IV fluids)? How can you ge...
Jun 25, 2015•49 min•Season 2Ep. 3
Title: Stroke Medicine - FAQs for F1s Host(s): Pete Brock Guest(s): Mark Garside, Gemma Smith, James Muggleton & Eve Braithwaite Opening Question: If for 24 hours you could do any other job in the hospital, what would it be? Main Topic: Addressing the issues related to stroke we commonly find difficult Discussion Points: Assessing patients who will not comply with your examination What are the stroke mimics Face a bit droopy, speech a bit slurred, bit confused – is this a stroke? How do you ...
Apr 22, 2015•44 min•Season 2Ep. 2
CotEcast #7 - Shownotes Title: Applying to ST3 - and Geriatrics! Date: 20/01/2015 Host(s): Pete Guest(s): Mark & Vicky Gibson Opening Question: What would you call a group of Geriatricians? Main Topic: Applying to be a Geriatrics Reg Discussion Points: Why pick Geriatrics over other medical specialties? The application form: tips on how to score well on audit, presentations, publications, teaching Commitment to specialty - how to show you have some Interview experiences and tips References, ...
Feb 18, 2015•1 hr•Season 2Ep. 1
CotEcast #6 - Shownotes *Apologies for slight noise/feedback issues in this episode - it was due to a technical issue that has now been resolved* Title: Breaking Bad Bones Host(s): Mark/Pete Guest(s): Iain Wilkinson, Francis Collin Opening Question: What is your biggest pet hate when watching medical dramas? Main Topic: Orthogeriatrics Discussion Points: Overview of orthogeriatrics (what is it, why is it needed, evidence?) National targets - Blue book (2007) All patients with hip fracture should...
Dec 06, 2014•47 min•Season 1Ep. 6
CotEcast #5: Shownotes Title: The F Word Host(s): Mark & James Guest(s): Matt Rudd (Geriatrics Specialty Trainee), Zoe Wyrko (Consultant Geriatrician) Opening Question: Which medical eponym would you re-name after yourself? Main Topic: Frailty and FrailSafe Discussion Points: What is frailty? Discussion around the common misconceptions, why is it important to recognise, and whether it can be measured Overview of Frailsafe project, including explanation, aims, and discussion of why needed How...
Nov 07, 2014•41 min•Season 1Ep. 5
Title: The morning after the night shift before (Med Reg fears, part 2) Date: 8th October 2014 Host(s): Mark Guest(s): Pete, Vicky Gibson (ST3 Geriatrics) Opening Question: What’s the best thing you’ve ever eaten in a hospital canteen? Main Topic: Confessions of new Medical Registrars Discussion Points: Why did you want to be a med reg? (or why did it not put you off?) What were your worries about it before starting? Did you do anything to prepare? Tell us about your first on-call shift Any new ...
Oct 11, 2014•35 min•Season 1Ep. 4
CotEcast #3 - Shownotes Title: Fear, Loathing and the 'Med Reg’ Date: 28th August 2014 Host: Pete Guest(s): Mark, James, Kelly Opening Question: When you were a child, what did you really want to be (and don't say a doctor!)? Main Topic: Addressing the 'Med Reg' issue Discussion Points: G4J data identified that being a Med Reg put people off applying to Geriatrics, so we are going to try and address some of these issues. The guests will be challenged with each med reg fear and have to convince t...
Sep 07, 2014•48 min•Season 1Ep. 3
CotEcast #2 - Shownotes Title: Geriatrics and the GMC Date: 18/08/14 Host(s): Mark Garside (ST7 Geriatric Medicine), Pete Brock (ST3 Geriatric Medicine) Guest(s): Rachel Woodall (GMC Regional Liaison Advisor) Opening Question:What is your favourite medical TV show? Main Topic: Geriatric Medicine, E-Learning, and the GMC Discussion Points: General state of e-learning resources related to Geriatric Medicine Benefit of GMC site signposting to other resources GMC’s ‘Better Care for Older People' res...
Aug 24, 2014•32 min•Season 1Ep. 2
CotEcast #1 - Shownotes Title: Old Tricks for New Dogs Date: Mon 14th July Host(s): Mark Garside, James Fisher, Pete Brock Guest(s): Sean Ninan Opening Question: Which fictional doctor would you most like to be? Main Topic: Top tips for new doctors dealing with older patients Discussion Points: Each participant to identify one ‘top tip’ and one ‘pet hate’ (inc. how to avoid doing it) James Pet Hate: "As far as I'm aware" Top Tip: Rule of 'stuff' Know your stuff Give a stuff Take no stuff and Rem...
Jul 15, 2014•53 min•Season 1Ep. 1
