Clinical Conversations

This week Dr Kat Ralston discusses the concept of civility with Dr Catherine Stretton. They reflect on their own personal experiences and explore the evidence on the impact incivility has on our ability to do our jobs effectively. They discuss recognising the factors that can lead to incivility, explore strategies to challenge incivility with compassion and consider how we can influence our workpl...

In this episode Dr Jonathan Bardgett interviews Dr Ganesh Arunagirinathan about hyponatraemia. They discuss the importance of recognising hyponatraemia and how to manage patients presenting at the front door. Dr Arunagirinathan is a Consultant Physician in Diabetes & Endocrinology in Edinburgh. Recording Date: 12 December 2022 -- Follow us -- https://www.instagram.com/rcpedintrainees -- Upcoming R...

In this episode, Edward Foo discusses spontaneous bleeding presentations and their identification and management with Dr Andrew Page. Dr Andrew Page is a Consultant Haematologist with a special interest in bleeding and thrombotic disorders at the Royal Infirmary of Edinburgh, and Director of the Edinburgh Haemophilia Centre. Before training as a medic, he worked in basic scientific research in the...

In this episode, Dr Marilena Giannoudi discusses the role of the 'first fit' clinic and seizure diagnosis and management with Dr Richard Davenport. Dr Richard Davenport has been a Consultant Neurologist since 1999. While very much a general neurologist, he undertakes NHS first seizure, movement disorder and MND clinics, and has particular interests in education and training. Dr Davenport became Pr...

This week Dr Jonny Bardgett discusses Guillain–Barré syndrome (GBS) with Dr Gavin Langlands. Topics include; what GBS is, when to suspect GBS and diagnose, when to start treatment and escalate and the prognosis and rehabilitation of patients. Dr Gavin Langlands is in their penultimate year of neurology Registrar training at the Institute of Neurological Sciences, Glasgow in the West of Scotland, w...

Dr Jonathan Bardgett talks with Dr Zoë Fritz about treatment escalation plans and the ReSPECT process, contextualised with patient case vignettes. Dr Zoë Fritz is a Wellcome fellow in Society and Ethics, and a Consultant Physician in Acute Medicine at Addenbrooke’s Hospital, Cambridge. Her research is focused on identifying areas of clinical practice that raise ethical questions and applying rigor...

In this episode Dr Hannah Preston interviews Dr Emma Lunan about physical activity, what advice to give patients about moving more and how doctors can get involved in the interesting field of Sports & Exercise Medicine. Dr Lunan (@emma_lunan) is a GP Partner and Consultant in Sports & Exercise Medicine and Chair of Movement for Health. --Useful Links-- Moving Medicine - https://scotland.movingmedi...

In this episode, Dr Amy Prideaux interviews Professor Patrick Kiely about giant cell arteritis (GCA; a.k.a. temporal arteritis), covering diagnosis and management of this rheumatology emergency. Professor Patrick Kiely is a consultant rheumatologist and Professor of Practice in Clinical Rheumatology. -- Links -- British Society for Rheumatology guideline on diagnosis and treatment of giant cell ar...

This week Dr Jonny Bardgett and Dr Jonny Guckian discuss abnormal skin lesions and how medics should approach them during the acute medical take. Dr Jonny Guckian is a dermatology registrar in Leeds. He is Co-Chair of the RCPE Trainees and Members' Committee, Director for Social Media and Communications for ASME and Podcast Associate Editor for the British Journal of Dermatology. --Useful Links--...

Dr Marilena Giannoudi talks with Victoria Watson about the role of the rapid access chest pain clinic (RACPC). Victoria Watson is an Advanced Clinical Practitioner in Cardiology at Bradford Teaching Hospitals and leads the chest pain service. Victoria has been qualified for 23 years always having worked in Cardiology. Dr Marilena Giannoudi is the T&MC Podcast Lead and Vice-Chair for Careers and Co...

In this episode Lynsey Alexander gives us a valuable insight into the role, involvement and contribution of Occupational Therapists working in the Acute Medical Unit, as an essential part of the Multi-Disciplinary Team. Lynsey Alexander is an Occupational Therapist within the Medical assessment Unit. She also has a keen interest in quality improvement. Recording date: 9 August 2022 -- Follow us --...

Dr Hannah Preston discusses toxidromes with Dr Euan Sandilands. In this episode of Clinical Conversations, Dr Hannah Preston discusses toxidromes (different poisoning presentations) and their management in the acute medical unit (AMU) with Dr Euan Sandilands, with a focus on hyperthermic toxidromes. Dr Euan Sandilands is Consultant Physician at the Royal Infirmary of Edinburgh, Honorary Senior Cli...

This week on Clinical Conversations we have two episodes on clinical skills. In the first episode, Dr Jonathan Bardgett and Dr Anda Bularga talk with Professor Andrew Elder about clinical skills in postgraduate medicine. They discuss how medical education has changed over the years internationally. Professor Andrew Elder is the President of the Royal College of Physicians of Edinburgh (RCPE) and a...

This week on Clinical Conversations we have two episodes on clinical skills. In the second episode, Dr Jonathan Bardgett talks with Dr Sarbjit Clare about Point of Care Ultrasound (PoCUS) and its use in clinical practice. Dr Sarb Clare MBE is the Deputy Medical Director and Acute Medical Consultant at Sandwell and West Birmingham NHS Trust. She is the NHSEI Midlands Regional Advisor for AIM. She w...

Dr Marilena Giannoudi discusses pericardial disease with Professor Abdallah Al-Mohammad. In this episode of Clinical Conversations, Dr Marilena Giannoudi discusses pericardial disease with Professor Abdallah Al-Mohammad. Professor Al-Mohammad provides a detailed overview of pericardial disease and offers helpful insights, especially highlighting the importance of gaining detailed histories and req...

In this episode, Dr Kate McLaren shares her experiences with Dr Hannah Preston of non-invasive ventilation (NIV), also discussing who needs to be involved in the process. Dr Kate McLaren is a Consultant in Respiratory Medicine with a particular interest in the integrated management of chronic lung disease. Recording date: 28 June 2022. -- Follow us -- https://www.instagram.com/rcpedintrainees -- U...

This week on Clinical Conversations Dr Jonathan Bardgett talks with Mr James Milburn and Dr Umesh Basavaraju about jaundice and patients presenting with or without accompanying pain. By discussing cases and highlighting the surgical and gastroenterological focus, both speakers offer helpful advice and advocate for the multidisciplinary approach when treating jaundiced patients. Mr Milburn is a Con...

In this episode of Clinical Conversations Dr Jonathan Bardgett interviews Dr Gourab Choudhury on Chronic Obstructive Pulmonary Disease (COPD). Drs Bardgett and Choudhury discuss what COPD is, why it is important to recognise its symptoms and talk through a case to give advice on how to manage a COPD exacerbation in the Acute Medical Unit. Dr Choudhury is a Respiratory Consultant at the Royal Infir...

Drs Bardgett and Guckian in conversation about recruitment. This week, Drs Jonny Bardgett and Jonny Guckian share their experiences of medical recruitment, discuss the application points system and give advice on how to utilise your skills and experience in application and interview. --Useful Links-- Oriel - https://www.oriel.nhs.uk/Web/ IMT Recruitment - https://www.imtrecruitment.org.uk/recruitm...

Dr Marilena Giannoudi discusses with Drs Jivendra Gosai and Louise Mundy, their experience of taking part in Out of Programme Opportunities, the variety of opportunities available and how to get the most out of these opportunities. -- Follow us -- https://www.instagram.com/rcpedintrainees -- Upcoming RCPE Events -- https://www.rcpe.ac.uk/events Feedback: cme@rcpe.ac.uk This podcast is from the Tra...

Dr Hannah Preston interviews Professor Tony Heagerty on the clinical management of hypertension, including lifestyle changes to lower blood pressure. Professor Tony Heagerty is Head of the School of Medical Sciences in The University of Manchester and Honorary Consultant Physician/Professor of Medicine at Manchester Foundation Trust. He is Past President of the British Hypertension Society, Europe...

Dr Kate Gatenby discusses with Dr Marilena Giannoudi the various aspects of this fascinating specialty and describes her journey so far. Recording date: 18 March 2022 -- Follow us -- https://www.instagram.com/rcpedintrainees -- Upcoming RCPE Events -- https://www.rcpe.ac.uk/events Feedback: cme@rcpe.ac.uk This podcast is from the Trainees & Members' Committee (T&MC) of the Royal College of Physici...

Dr Jonny Guckian and Dr Jonny Bardgett discuss the variety and severity of dermatological conditions presenting in Acute Medicine. Dr Jonny Guckian is a dermatology registrar in Leeds. He is Co-Chair of the RCPE Trainees and Members' Committee, Director for Social Media and Communications for ASME and Podcast Associate Editor for the British Journal of Dermatology. Recording date: 5 May 2022 -- Fo...

Dr Jonathan Bardgett interviews Dr Damian Fogarty on why Acute Kidney Injury and Chronic Kidney Disease is so important and talk through cases to give tips on managing a patient in the acute take. Dr Fogarty is a Consultant Nephrologist in the Belfast Trust. His current post, in a tertiary referral centre, manages patients with Acute Kidney Injury and Chronic Kidney Disease including those requiri...

T&MC members Jonathan Bardgett and Anda Bularga interview Drs Matthew Watto and Paul Williams, founding members of the US Internal Medicine podcast ‘The Curbsiders’. The group compare the similarities and differences in medical training pathways within the United States and United Kingdom and discuss their experiences of creating a medical podcast series. --Useful Links-- Curbsiders Podcast - http...