Clinical Conversations

00:23:30

Long COVID - Part 1 (27 Nov 2023)

Clinical Conversations ·

2023/11/27

In the first of two episodes on Long COVID, Dr Hannah Preston discusses Long COVID and ME/CFS (Myalgic Encephalomyelitis / Chronic Fatigue Syndrome) with Dr Binita Kane. Long COVID, also known as Post-Covid Syndrome, is explored in depth, including prevalence, risk factors, symptoms and impact, pathophysiology, and management. Dr Kane also busts some common myths about Long COVID. Dr Binita Kane is a Consultant respiratory physician in Manchester. She has worked on the frontline of the pandemic

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00:03:34

10 things a doctor can do to combat climate change

Clinical Conversations ·

2023/11/13

Dr Kat Ralston and Dr Sarah Bartlett discuss free e-learning on the '10 things a doctor can do to combat climate change' initiative from the Royal College of Physicians of Edinburgh's College Advisory Forum on the Environment (CAFE). This initiative has featured in The BMJ, the College's journal JRCPE and in Scotland's Chief Medical Officer's Annual Report. Dr Sarah Bartlett is Co-Chair of RCPE's CAFE with Dr Marion Slater, and Registrar in Geriatric Medicine, General Internal Medicine and Stroke

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00:37:50

Sustainability - be lazy to save the planet (30 Oct...

Clinical Conversations ·

2023/10/30

This week Dr Kat Ralston discusses sustainability in healthcare with Dr Shauna Golden. They explore why striving for individual perfection isn't the answer, and discuss the importance of using your sphere of influence to drive change. They share practical tips on how you can improve sustainability where you work, including projects that are 'win-win' - saving the planet, saving money and improving staff and patient experience. Dr Shauna Golden has a background in Emergency Medicine and was the

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01:01:40

The Red Hot Painful Swollen Foot (16 Oct 2023)

Clinical Conversations ·

2023/10/16

This week Dr Jonathan Bardgett discusses how to manage patients with a red hot painful swollen foot with Dr Callum Mutch. Jonathan and Callum discuss diagnostics, treatment and examples of different case presentations. Dr Mutch is an infection doctor working in Edinburgh with his time split between the microbiology lab and the infectious diseases ward. He has recently undertaken a medical education fellowship focusing on Simulation Based Mastery Learning and Digital Education. Outside of work he

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00:46:24

Peripheral Neuropathy (2 Oct 2023)

Clinical Conversations ·

2023/10/02

In this episode Dr Marilena Giannoudi discusses the approach to patients with peripheral neuropathy with Dr Louise Davidson. Dr Davidson first covers the basic anatomy and function of the peripheral nervous system and describes lower motor neurone signs. They discuss different peripheral neuropathy presentations and types. Dr Davidson emphasises the importance of a thorough history before moving on to examination, testing/investigations, and management. Dr Louise Davidson is a Consultant

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00:27:23

Living with HIV (18 Sep 2023)

Clinical Conversations ·

2023/09/18

In this episode Drs Dáire O'Shea and Sarah Clifford discuss what the acute medic needs to know about HIV (human immunodeficiency virus) with Dr Jonny Bardgett, including the patient journey following diagnosis, opportunistic infections, advances in diagnosis and management, treatment side effects, and use of PrEP (pre-exposure prophylaxis) and PEP (post-exposure prophylaxis) to reduce transmission and acquisition of HIV. Dr Sarah Clifford recently completed training in Infectious Diseases and

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00:30:38

Adrenal insufficiency and steroid replacement (4 Sep...

Clinical Conversations ·

2023/09/04

In this episode, Dr Libby Sampey interviews Dr Catriona Kyle about adrenal insufficiency and steroid replacement. They discuss the different types of adrenal insufficiency and relevant physiology before exploring recognition, investigations and diagnosis, and links to other autoimmune diseases. They go on to discuss management including ‘sick day rules’, and patient follow-up. Dr Catriona Kyle is a Consultant Endocrinologist at the Western General Hospital in Edinburgh, and has a PhD in steroid

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00:26:35

Management of Diabetes Patients in Medical Wards (21...

Clinical Conversations ·

2023/08/21

Today Dr Marilena Giannoudi discusses treating diabetic patients on the wards with Dr Evgenia Foteinopoulou. Dr Evgenia Foteinopoulou is a Consultant in Endocrinology & Diabetes at NHS Lothian with a special interest in Diabetic Nephropathy and Diabetes classification. Dr Foteinopoulou is also involved in Undergraduate and Postgraduate medical teaching. Dr Marilena Giannoudi is the T&MC Podcast Lead and Vice-Chair for Careers and Communications, and a clinical academic trainee in cardiology in

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00:39:53

Data & Patient Care (07 Aug 2023)

Clinical Conversations ·

2023/08/07

This week Dr Marilena Giannoudi interviews Professor Mahmood Adil on data, how it can be used in healthcare and what opportunities are available for healthcare workers interested in medical data. Professor Adil has over 25 years of medical, public health, executive management and policy experience and delivered on key senior positions in the UK & USA including; Medical Director (Public Health Scotland), National Quality & Efficiency Advisor (Department of Health, England), Visiting Faculty (Yale

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00:45:06

Impromptu Teaching on the Wards (24 Jul 2023)

Clinical Conversations ·

2023/07/24

This week, Dr Libby Sampey interviews Ian Lee on impromptu teaching on the medical ward. Ian discusses the importance in facilitating teaching on the wards and how to recognise and overcome challenges, as both educators and learners, to provide good quality training in a clinical setting. Ian Lee is a Lecturer in Medical Education and Senior Fellow of the Higher Education Academy who works mainly on the University of Edinburgh's Clinical Educator Programme. With a background in nursing, Ian's

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00:26:00

QI for Junior Doctors (10 Jul 2023)

Clinical Conversations ·

2023/07/10

In this episode Dr Sampey discusses with Dr Gurney what QI is. Why it is beneficial in a healthcare setting. How it affects patient outcomes and helps to deliver patient centred care. Dr Gurney is Lecturer on MSc Clinical Education at the University of Edinburgh & Co-leader of a 40 credit course on Quality Improvement in relation to Clinical Education within the MSc. Additionally she clinically works in medicine of the elderly and acute medicine. Recording Date: 23 Feb 2023 -- Follow us

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00:40:42

The Power of Civility (26 Jun 2023)

Clinical Conversations ·

2023/06/26

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 workplace culture to improve patient safety. Kat is a Specialist Trainee in Geriatric and General Medicine

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00:41:33

Hyponatraemia (12 Jun 2023)

Clinical Conversations ·

2023/06/12

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 https://twitter.com/RCPEdinTrainees -- Upcoming RCPE Events -- https://events.rcpe.ac.uk/ Feedback:

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00:34:02

Spontaneous Bleeding (29 May 2023)

Clinical Conversations ·

2023/05/29

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 field of genetics. This continues to inform his clinical interests, and Dr Page is also the Clinical

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00:29:22

Seizures (15 May 2023)

Clinical Conversations ·

2023/05/15

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 President of the Association of British Neurologists (ABN) in May 2023. Outside of neurology, Dr

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00:31:36

Guillain–Barré syndrome (01 May 2023)

Clinical Conversations ·

2023/05/01

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, with a developing interest in neuromuscular disorders. Recording Date: 07 December 2022 -- Upcoming

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00:23:47

Treatment Escalation Plans (17 Apr 2023)

Clinical Conversations ·

2023/04/17

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 rigorous empirical and ethical analysis to explore the issues and find effective solutions. This applied

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00:16:37

Movement Medicine (03 Apr 2023)

Clinical Conversations ·

2023/04/03

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.movingmedicine.ac.uk/ Movement for Health - https://www.movementforhealth.scot/ British Association of

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00:24:36

Rheumatology in MAU: Giant cell arteritis (20 Mar 2023)

Clinical Conversations ·

2023/03/20

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 arteritis https://doi.org/10.1093/rheumatology/kez672 Trial of Tocilizumab in Giant-Cell

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00:24:59

The Abnormal Skin Lesion (06 Mar 2023)

Clinical Conversations ·

2023/03/06

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-- https://dermnetnz.org/topics/seborrhoeic-keratosis - Seb

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