Clinical Conversations

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 Vi...

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 P...

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://ww...

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:...

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 --...

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 a...

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...

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 --...

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...

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 cont...

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/rcpedintr...

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...

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.me...

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.ni...

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 an...

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. Storie...

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 managi...

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 S...

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...

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 Quali...

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 inte...

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 Feedb...

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 interviewee...

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 y...

Dr Felicity Baines and Dr Rachel Sutherland in conversation. In our twelfth and final episode of COVID-19 Conversations, Dr Felicity Baines from the Borders General Hospital discusses her experiences and tips as an FY1 during COVID-19 with Dr Rachel Sutherland. Due to the rapidly changing nature of scientific understanding and clinical practice regarding COVID-19, information here may no longer be...