In this episode, Dr Marilena Giannoudi speaks with Dr Sarah Schoeman about the genitourinary medicine (GUM) clinic. Dr Schoeman discusses the prevalence of sexually transmitted infections, provides non-GUM specialists tips on how to ask a patient's sexual health and describes some interesting cases from her clinical experience. Dr Sarah Schoeman is a GUM Consultant in Leeds based at the Leeds Teaching Hospitals Trust. She is also Clinical Lead for the Leeds Teaching Hospitals Trust HIV service. She is currently co-Chair of the GUM SAC alongside Dr Andy Williams and together they represent the GUM SAC on the BASHH board. In addition Sarah is a current clinical member of the HIV CRG, Clinical Lead for the West Yorkshire HIV Network, Clinical Lead for the Leeds Fast Tack Cities project, a BASHH Sexual Health Dermatology SIG member and BSSVD council member. Dr Marilena Giannoudi is a cardiology registrar based in Leeds. She is Co-Chair of the Trainees and Members’ Committee (T&MC), a Fellow of the Higher Education Academy, and is currently undertaking a PhD. Recording Date: 3 October 2024 -- Useful Links -- LoveGUM - https://lovegum.bashh.org Get involved in GUM - https://padlet.com/stashh1/get-involved-in-gum-kz9569d4dbswatyz -- Follow us -- https://www.instagram.com/rcpedintrainees https://twitter.com/RCPEdinTrainees -- Upcoming RCPE events -- https://events.rcpe.ac.uk/ -- Become an RCPE Member -- https://www.rcpe.ac.uk/membership/join-college Feedback: cme@rcpe.ac.uk

For Sepsis Awareness Month, Dr Marilena Giannoudi speaks with Dr Ron Daniels about sepsis. They discuss the causes, investigation, management, and prevention of sepsis. Topics include the Sepsis 6 and escalation of care, use of blood cultures, septic shock, and post-sepsis syndrome. Dr Ron Daniels is an NHS Consultant in Intensive Care, based at University Hospitals Birmingham, U.K. He’s also Founder and Chief Executive of the UK Sepsis Trust and Vice-President of the Global Sepsis Alliance. In 2016 he was awarded the British Empire Medal for services to patients. Ron’s expertise lies in translational medicine and leadership. He leads the team driving dissemination of the Sepsis 6 treatment pathway and is part of the team responsible for much of the policy and media engagement around sepsis in the U.K. and elsewhere, including as a core member of the team securing the adoption of the 2017 Resolution on Sepsis by the World Health Organization (WHO). At home, Ron’s worked with the NHS over the last 9 years to ensure that by 2019, in England, more than 80% of patients presenting with suspected sepsis were receiving appropriate antimicrobials rapidly. He is now leading a team working with His Majesty’s Government to once again drive sepsis improvement work in the post pandemic era. He’s ever mindful of the perceived conflict, and the synergies and need for collaboration, with the antimicrobial stewardship agenda. Dr Marilena Giannoudi is a clinical academic trainee in cardiology in the Yorkshire and Humber region. Her current interests include heart failure, endothelial dysfunction, and medical education. She is a Fellow of the Higher Education Academy and is currently pursuing a PhD. Dr Giannoudi is passionate about ensuring that trainees' voices are heard and that educational opportunities are available to foster confidence and independence throughout their training. She has developed core medical training (now IMT) teaching programs in hospitals across her deanery. Additionally, she uses her position on the local junior doctor body to advocate for and implement necessary changes. -- Links -- The UK Sepsis Trust's Clinical Tools - https://sepsistrust.org/healthcare-professionals/clinical-tools/ NICE guidelines on suspected sepsis - https://www.nice.org.uk/guidance/NG51 Global Sepsis Alliance - https://globalsepsisalliance.org/ -- Choose RCPE as your College of Entry for PACES -- We encourage you to sit PACES with our College. We have a friendly and experienced examinations team who expertly support candidates, and we deliver PACES at centres across the UK. Select RCPE as your College of Entry when applying online through your My MRCP(UK) online account. Recording date: 11 September 2024 -- Follow us -- https://www.instagram.com/rcpedintrainees https://twitter.com/RCPEdinTrainees -- Upcoming RCPE events -- https://events.rcpe.ac.uk/ -- Become an RCPE Member -- https://www.rcpe.ac.uk/membership/join-college Feedback: cme@rcpe.ac.uk

In this episode, released to coincide with World TB Day 2024, Dr Ben Warner discusses pulmonary tuberculosis (TB) with Dr David Connell. Dr David Connell first explains his personal interest in TB. They then discuss pulmonary TB in depth, including: epidemiology; pathogenesis, immune response, and transmission (a 'lymphatic disease with respiratory spread'); how TB presents and differential diagnoses; latent TB infection and reactivation; and management including the importance of the multidisciplinary team (MDT) and the role of public health in contact tracing and the end goal of elimination. Dr David Connell completed higher specialist training in Respiratory and General Internal Medicine in North-West London including at St.Mary’s Hospital, where he completed a PhD in the immunology of Tuberculosis, before becoming a Consultant at Ninewells Hospital in 2017 where he has a specialist interest in Complex Pulmonary Infections and TB. He is Co-Chair of the Scottish Health Protection Tuberculosis Network and is a Clinical Service Advisor to the BTS MDR-TB Advice Service. Dr Ben Warner is a Respiratory Medicine Specialty Registrar with clinical and academic experience of global public health, having completed the LSHTM’s East African Diploma in Tropical Medicine and then worked for 18 months in rural South Africa, where he encountered the sharp end of the global TB pandemic. He is currently undertaking a PhD in multimorbidity in Malawi as part of the Wellcome-funded Multimorbidity PhD Programme for Health Professionals fellow with the University of Glasgow. Recording date: 1 March 2024 -- Follow us -- https://www.instagram.com/rcpedintrainees https://twitter.com/RCPEdinTrainees -- Upcoming RCPE Events -- https://events.rcpe.ac.uk/ Feedback: cme@rcpe.ac.uk

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 welcome, please contact us via email at: cme@rcpe.ac.uk

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 accurate. It remains available for historical interest. Recording date: 16 April 2020

Dr Adelina McLeod interviews Dr Anna Olsson-Brown. For our eleventh episode Chair of the Trainees and Members' Committee (T&MC) Dr Adelina McLeod interviews Dr Anna Olsson-Brown, T&MC Elected Member(England & Wales) where they discuss trainee representatives during COVID-19. Due to the rapidly changing nature of scientific understanding and clinical practice regarding COVID-19, information here may no longer be accurate. It remains available for historical interest. Recording date: 3 April 2020

Dr Rachel Sutherland interviews Prof Martin Dennis. For our tenth episode, Dr Rachel Sutherland interviews Professor Martin Dennis, Chair of Stroke Medicine at The Centre for Clinical Brain Sciences, University of Edinburgh to discuss stroke and COVID-19. Due to the rapidly changing nature of scientific understanding and clinical practice regarding COVID-19, information here may no longer be accurate. It remains available for historical interest. Recording date: 9 April 2020

Professors Liz Grant and Abraham Verghese discuss Coronavirus (COVID-19). Due to the rapidly changing nature of scientific understanding and clinical practice regarding COVID-19, information here may no longer be accurate. It remains available for historical interest. Recording date: 30 April 2020.

Advice from Julie McDonald, educational psychologist. In this episode, educational psychologist Julie McDonald shares advice on ways to deal with stress and uncertainty. Due to the rapidly changing nature of scientific understanding and clinical practice regarding COVID-19, information here may no longer be accurate. It remains available for historical interest.

Julie McDonald, educational psychologist, shares advice for looking after your mental health. In this episode, educational psychologist Julie McDonald shares advice for looking after your mental health. Due to the rapidly changing nature of scientific understanding and clinical practice regarding COVID-19, information here may no longer be accurate. It remains available for historical interest.

Dr Paolo Davide D'arienzo, Dr David Ryan and Dr Jemma Proudfoot in conversation. For our seventh episode, Dr Paolo Davide D'arienzo, CT1 Internal Medicine at Barts Health NHS Trust, Dr David Ryan, FY1 Doctor at St George's University Hospital NHS Foundation Trust and Dr Jemma Proudfoot, Academic FY2 at Liverpool University Hospitals Trust, discuss their top tips for new FY1s. Due to the rapidly changing nature of scientific understanding and clinical practice regarding COVID-19, information here may no longer be accurate. It remains available for historical interest. Recording date: 15 April 2020

Dr Ailish Nimmo interviews Dr Pippa Bailey. For our sixth episode, Dr Ailish Nimmo, ST5 (renal), interviews Dr Pippa Bailey, consultant and senior lecturer in nephrology at Southmead Hospital Bristol. Together they discuss the impact COVID-19 has on renal disease. Due to the rapidly changing nature of scientific understanding and clinical practice regarding COVID-19, information here may no longer be accurate. It remains available for historical interest. Recording date: 21 April 2020

Dr Adelina McLeod interviews Dr Mike Jones. For our fifth episode, Dr Mike Jones, RCPE Director of Training and Consultant Physician and Clinical Director, University Hospital of North Durham covers questions and concerns trainee doctors may have during this time. Due to the rapidly changing nature of scientific understanding and clinical practice regarding COVID-19, information here may no longer be accurate. It remains available for historical interest. Recording date: 2 April 2020

This week Dr Marilena Giannoudi focuses on the topic of Frailty with Dr Sean Ninan. They discuss recognising frailty, the different ways to measure the severity of frailty and the importance of adapting treatment for frail patients. Dr Sean Ninan is a Consultant Geriatrician and Clinical Lead for Dementia and Delirium at Leeds Teaching Hospitals NHS Trust. Dr Ninan is also Course Director of Leeds Frailty Education. Dr Marilena Giannoudi is a cardiology registrar based in Leeds. She is Co-Chair of the Trainees and Members’ Committee, a Fellow of the Higher Education Academy, and is currently undertaking a PhD. Recording Date: 04 December 2023 -- Useful Links -- CGA Toolkit - https://www.cgakit.com/frailty CGA in Primary Care Settings - https://www.bgs.org.uk/cgatoolkit GIRFT Geriatric Medicine - https://gettingitrightfirsttime.co.uk/medical_specialties/geriatric-medicine/ Rapid Delirium Test - https://www.the4at.com Clinical Frailty Scale - https://www.dal.ca/sites/gmr/our-tools/clinical-frailty-scale.html -- Follow us -- https://www.instagram.com/rcpedintrainees https://twitter.com/RCPEdinTrainees -- Upcoming RCPE Events -- https://events.rcpe.ac.uk/ Feedback: cme@rcpe.ac.uk

Dr Oliver Thomas, a junior doctor, discusses ethical decision-making in the time of the COVID-19 pandemic, through scenarios, in a two-part series. Due to the rapidly changing nature of scientific understanding and clinical practice regarding COVID-19, information here may no longer be accurate. It remains available for historical interest. Recording date: 27 April 2020.

Dr Oliver Thomas, a junior doctor, discusses ethical decision-making in the time of the COVID-19 pandemic, through scenarios, in a two-part series. Due to the rapidly changing nature of scientific understanding and clinical practice regarding COVID-19, information here may no longer be accurate. It remains available for historical interest. Recording date: 27 April 2020.

Sandy Cameron and Annie Gunner-Logan in conversation. Sandy Cameron, former Director of Social Services in the Scottish Borders and South Lanarkshire, and the Chair of the board for several social care organisations in the third sector and Annie Gunner-Logan, Director of the Coalition of Care and Support Providers Scotland (CCPS), discuss social care during the COVID-19 pandemic. Due to the rapidly changing nature of scientific understanding and clinical practice regarding COVID-19, information here may no longer be accurate. It remains available for historical interest. Recording date: 24 April 2020.

Dr Rachel Sutherland interviews Dr Mike Farquhar. For our fourth episode, Vice-Chair for Career and Communications of the Trainees and Members' Committee (T&MC), Dr Rachel Sutherland interviews Dr Mike Farquhar a Consultant in Sleep Medicine at Evelina London Children’s Hospital, who discusses strategies for a better night's sleep during COVID-19. Due to the rapidly changing nature of scientific understanding and clinical practice regarding COVID-19, information here may no longer be accurate. It remains available for historical interest. Recording date: 1 April 2020

Dr Adelina McLeod interviews Dr Marcus Cassop-Thompson, FY1. For our third episode, Chair of the Trainees and Members' Committee (T&MC) Dr Adelina McLeod interviews Dr Marcus Cassop-Thompson, a recent graduate from Newcastle University talking about his perspectives on becoming an FY1 during a global pandemic. Due to the rapidly changing nature of scientific understanding and clinical practice regarding COVID-19, information here may no longer be accurate. It remains available for historical interest.

Dr Adelina McLeod interviews a GP, Dr Mike Cooke. For our second episode Chair of the Trainee and Members' Committee (T&MC) Dr Adelina McLeod interviews Dr Mike Cooke, a GP working in Newcastle, who shares the impact COVID-19 has on GPs. Due to the rapidly changing nature of scientific understanding and clinical practice regarding COVID-19, information here may no longer be accurate. It remains available for historical interest. Recording date: 31 March 2020

Welcome to COVID-19 Conversations, the Royal College of Physicians of Edinburgh (RCPE)’s podcast series which presents the latest guidance and advice on COVID-19 from physicians on the frontline. Trainees and Members’ Committee (T&MC)Chair, Dr Adelina McLeod and Vice-Chair for Career and Communications, Dr Rachel Sutherland will be interviewing colleagues from across the UK, to hear how they’re responding to the global pandemic. Due to the rapidly changing nature of scientific understanding and clinical practice regarding COVID-19, information shared in this podcast series may no longer be accurate. It remains available for historical interest.

Dr Rachel Sutherland interviews Prof Mark Strachan. For our first episode, Vice-Chair for Career and Communications, Dr Rachel Sutherland interviews Professor Mark Strachan, Consultant Physician in Endocrinology, Diabetes and Acute Medicine at the Western General Hospital, Edinburgh and Honorary Professor of the University of Edinburgh. Professor Strachan's major research interest is in cognitive impairment in Type 2 diabetes and he is one of the principal investigators of the Edinburgh Type 2 Diabetes Study. He has published over 100 original articles and book chapters. Professor Strachan and Dr Sutherland discuss the impact COVID-19 has on diabetes patients. Due to the rapidly changing nature of scientific understanding and clinical practice regarding COVID-19, information here may no longer be accurate. It remains available for historical interest. Recording date: 24 March 2020

This week, Dr Kat Ralston takes a fresh look at the geriatric giants with Dr Clare Bostock. They explore frailty syndromes using the “5M’s” approach (matters most, mind, mobility, medications, and multi-complexity) and discuss the importance of a detective mindset to make the diagnosis. They share practical tips on the assessment and management of patients with frailty at the front door. Clare Bostock is a consultant geriatrician at NHS Grampian. Her areas of special interest include acute assessment, polypharmacy, falls, and quality improvement. She works in the geriatric assessment unit at Aberdeen Royal Infirmary. The geriatric medicine team at ARI started daily reviews of older people with frailty in the Acute Medical Admissions area in July 2022. She spent nearly 3 years working in the hospital at home team alongside acute work at ARI, and now works in ARI and at an intermediate care facility at Rosewell House. Dr Kat Ralston is a Geriatric Medicine Registrar and member of the RCPE Trainees and Members’ Committee, currently working in Edinburgh. --Useful Links-- Managing multiple medicines- https://rightdecisions.scot.nhs.uk/polypharmacy-guidance/ British Geriatrics Society Frailty module - https://www.bgs.org.uk/elearning/2023-frailty-identification-and-interventions Clinical Frailty Scale - https://www.bgs.org.uk/sites/default/files/content/attachment/2018-07-05/rockwood_cfs.pdf Think Delirium Toolkit-https://learn.nes.nhs.scot/2442/rrheal/education-networks/rural-teams-education-network/think-delirium-improving-the-care-for-older-people-delirium-toolkit The Geriatric 5M’s - https://agsjournals.onlinelibrary.wiley.com/doi/10.1111/jgs.14979 Silver Book II – Geriatric Syndromes (British Geriatrics Society) - https://www.bgs.org.uk/resources/silver-book-ii-geriatric-syndromes ACB Calculator - https://www.acbcalc.com/ Managing Multiple Medicines: Anticholinergics Recommendations - https://rightdecisions.scot.nhs.uk/polypharmacy-guidance/hot-topics/anticholinergics/ Top Tips for Clinical Frailty Scale - https://www.dal.ca/sites/gmr/our-tools/clinical-frailty-scale/cfs-guidance.html -- Follow us -- https://www.instagram.com/rcpedintrainees https://twitter.com/RCPEdinTrainees -- Upcoming RCPE Events -- https://events.rcpe.ac.uk/ Feedback: cme@rcpe.ac.uk

In this episode, Dr Kat Ralston talks to Dr Sam Hopkins about growth mindset. They talk about what growth and fixed mindsets are, and why thinking about your mindset is critical to successful learning and development as doctors. They discuss practical tips on ways to influence your mindset and the mindset of others around you, including effective ways to seek and give feedback and the power of role-modelling that failure is not only normal but an essential part of growth as a doctor. Sam Hopkins is a Specialty Trainee in Medical Oncology at the Edinburgh Cancer Centre and a Senior Medical Education Fellow for the Medical Education Directorate, NHS Lothian. She is also an Honorary Clinical Fellow at the University of Edinburgh. Her research interests are growth mindset, specifically how to increase trainee adoption of a growth mindset in the clinical learning environment, and innovative simulation methodology, such as her novel table top simulation board game. She is Canadian of origin and her passions include cooking, positive psychology and yoga. Dr Kat Ralston is a Geriatric Medicine Registrar and member of the RCPE Trainees and Members’ Committee, currently working in Edinburgh. -- Useful Links -- Carol Dweck TED talk "Developing a Growth Mindset" - https://www.youtube.com/watch?v=hiiEeMN7vbQ Hopkins SR, Rae VI, Smith SE, Meldrum S, Tallentire VR. From safety net to trampoline: elevating learning with growth mindset in healthcare simulation. Advances in Simulation. 2023 Nov 10;8(1):26. - https://link.springer.com/article/10.1186/s41077-023-00264-1 Hopkins SR, Rae VI, Smith SE, Mutch CP, Oliver N, Tallentire VR. Growing a growth mindset: a tabletop simulation board game. International Journal of Healthcare Simulation. 2023 Jul 10(null):1-3. - https://www.ijohs.com/article/doi/10.54531/cjfe6207?q= Dweck CS, Leggett EL. A social-cognitive approach to motivation and personality. Psychological review. 1988 Apr;95(2):256. - https://psycnet.apa.org/record/1988-29536-001 Yeager DS, Dweck CS. What can be learned from growth mindset controversies?. American psychologist. 2020 Dec;75(9):1269. - https://psycnet.apa.org/record/2020-99903-019 Wolcott MD, McLaughlin JE, Hann A, Miklavec A, Beck Dallaghan GL, Rhoney DH, Zomorodi M. A review to characterise and map the growth mindset theory in health professions education. Medical Education. 2021 Apr;55(4):430-40. - https://asmepublications.onlinelibrary.wiley.com/doi/abs/10.1111/medu.14381 Recording date: 23 November 2023 -- Follow us -- https://www.instagram.com/rcpedintrainees https://twitter.com/RCPEdinTrainees -- Upcoming RCPE Events -- https://events.rcpe.ac.uk/ Feedback: cme@rcpe.ac.uk

In this brief episode, Dr Marilena Giannoudi, Co-Chair of the Trainees and Members’ Committee, gives an overview of the Royal College of Physicians of Edinburgh's podcasts relevant to doctors-in-training. These include: this podcast, 'Clinical Conversations'; 'Career Conversations' including the new 'Demystifying PACES' series; and the Recently Appointed Consultants' Committee's podcast, 'Consultant Conversations', relevant to senior trainees. All RCPE podcasts can be found at https://podcasts.rcpe.ac.uk/ The 'Demystifying PACES' podcast series can be found at https://podcasts.rcpe.ac.uk/show/career-conversations/category/paces/ Recording date: 23 January 2024 -- Follow us -- https://www.instagram.com/rcpedintrainees https://twitter.com/RCPEdinTrainees -- Upcoming RCPE Events -- https://events.rcpe.ac.uk/ -- Become a Member -- https://www.rcpe.ac.uk/membership/join-college Feedback: cme@rcpe.ac.uk

In the second 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 further explored. Dr Preston and Kane discuss Postural Tachycardia Syndrome (PoTS), immune dysregulation, Mast Cell Activation Syndrome (MCAS), the impact of Long COVID on women's and men's health, investigations, emerging research and treatments, and the importance of listening to your patient. Dr Binita Kane is a Consultant respiratory physician in Manchester. She has worked on the frontline of the pandemic since 2020 and set up the first COVID virtual ward model in the UK and has advised nationally on the role of virtual wards across England. In January 2021, Dr Kane’s 10 year old daughter developed COVID and subsequently Long COVID. This has led her on an international search for answers, culminating in her becoming a campaigner, researcher, patient advocate, champion for the Long COVID Kids charity and now a specialist Long COVID physician. Dr Kane is a member of the World Health Network Long COVID Executive Committee, Independent SAGE and a campaigner for clean air. Dr Hannah Preston is a Renal Registrar in Edinburgh and RCPE Trainees and Members' Committee (T&MC) Co-Chair. Listen to Part 1: https://podcasts.rcpe.ac.uk/show/clinical-conversations/long-covid-part-1-27-nov-2023/ -- Links -- PoTS UK: https://www.potsuk.org Standing up to PoTS: https://www.standinguptopots.org/videos-about-pots Visible app - Visible Health https://www.makevisible.com BMJ Long COVID - an update for primary care (2022): https://www.bmj.com/content/378/bmj-2022-072117 Nature review article: Long COVID, major findings, mechanisms and recommendations: https://www.nature.com/articles/s41579-022-00846-2 Review article: Long COVID pathophysiological factors and abnormalities of coagulation https://pubmed.ncbi.nlm.nih.gov/37080828/ Dr Kane's YouTube channel 'The Long COVID Clinic - What you CAN do' in partnership with The Long COVID Support Charity: https://www.youtube.com/@LCCWYCD Gez Medinger YouTube channel - interviews with the world's leading Long COVID researchers and more: https://www.youtube.com/channel/UCln_SCEd4JiGkHIUZd1VlXw The World Health Network - Long COVID resources, bringing together knowledge from across the world: https://whn.global/long-covid/ Long COVID Kids Charity - resources for children and families affected by Long COVID: https://www.longcovidkids.org World Physio Long COVID resources - international repository of resources regarding safe rehabilitation approaches: https://world.physio/covid-19-information-hub/long-covid -- Related RCPE content -- For RCPE's COVID-19 content, see https://learning.rcpe.ac.uk/tag/index.php?tc=1&tag=COVID-19&ta=2&excl=1 Recording date: 26 November 2023 -- Follow us -- https://www.instagram.com/rcpedintrainees https://twitter.com/RCPEdinTrainees -- Upcoming RCPE Events -- https://events.rcpe.ac.uk/ Feedback: cme@rcpe.ac.uk

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 since 2020 and set up the first COVID virtual ward model in the UK and has advised nationally on the role of virtual wards across England. In January 2021, Dr Kane’s 10 year old daughter developed COVID and subsequently Long COVID. This has led her on an international search for answers, culminating in her becoming a campaigner, researcher, patient advocate, champion for the Long COVID Kids charity and now a specialist Long COVID physician. Dr Kane is a member of the World Health Network Long COVID Executive Committee, Independent SAGE and a campaigner for clean air. Dr Hannah Preston is a Renal Registrar in Edinburgh and RCPE Trainees and Members' Committee (T&MC) Co-Chair. -- Links -- BMJ Long COVID - an update for primary care (2022): https://www.bmj.com/content/378/bmj-2022-072117 Nature review article: Long COVID, major findings, mechanisms and recommendations: https://www.nature.com/articles/s41579-022-00846-2 Review article: Long COVID pathophysiological factors and abnormalities of coagulation https://pubmed.ncbi.nlm.nih.gov/37080828/ Dr Kane's YouTube channel 'The Long COVID Clinic - What you CAN do' in partnership with The Long COVID Support Charity: https://www.youtube.com/@LCCWYCD Gez Medinger YouTube channel - interviews with the world's leading Long COVID researchers and more: https://www.youtube.com/channel/UCln_SCEd4JiGkHIUZd1VlXw The World Health Network - Long COVID resources, bringing together knowledge from across the world: https://whn.global/long-covid/ Long COVID Kids Charity - resources for children and families affected by Long COVID: https://www.longcovidkids.org World Physio Long COVID resources - international repository of resources regarding safe rehabilitation approaches: https://world.physio/covid-19-information-hub/long-covid -- Related RCPE content -- For RCPE's COVID-19 content, see https://learning.rcpe.ac.uk/tag/index.php?tc=1&tag=COVID-19&ta=2&excl=1 Recording date: 16 October 2023 -- Follow us -- https://www.instagram.com/rcpedintrainees https://twitter.com/RCPEdinTrainees -- Upcoming RCPE Events -- https://events.rcpe.ac.uk/ Feedback: cme@rcpe.ac.uk

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 in Edinburgh. Dr Kat Ralston is a Geriatric Medicine Registrar and member of the RCPE Trainees and Members’ Committee, currently working in Edinburgh. -- Links -- CAFE '10 things...' e-learning https://learning.rcpe.ac.uk/10things Last podcast episode: Sustainability - be lazy to save the planet https://podcasts.rcpe.ac.uk/show/clinical-conversations/sustainability-be-lazy-to-save-the-planet-30-oct-2023/ CAFE '10 things...' in The BMJ https://doi.org/10.1136/bmj.o2650 CAFE '10 things...' in JRCPE https://doi.org/10.1177/14782715231158878 CAFE '10 things...' in CMO Annual Report (page 56) https://www.gov.scot/publications/realistic-medicine-doing-right-thing-cmo-annual-report-2022-2023/ -- Related content -- RCPE Fellows & Members can explore planetary health content on the Education Portal: https://learning.rcpe.ac.uk/tag/index.php?tc=1&tag=Planetary%20Health&ta=2&excl=1 Recording dates: 23 August 2023 (Dr Bartlett) and 3 November 2023 (Dr Ralston) -- Follow us -- https://www.instagram.com/rcpedintrainees https://twitter.com/RCPEdinTrainees -- Upcoming RCPE Events -- https://events.rcpe.ac.uk/ Feedback: cme@rcpe.ac.uk

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 first Medical Education Fellow in Sustainability in NHS Lothian. She studied and trained in Ireland, became interested in the climate crisis while working in Australia, and thereafter completed a Masters in Global Health Policy at The University of Edinburgh. Dr Kat Ralston is a Geriatric Medicine Registrar and member of the RCPE Trainees and Members’ Committee, currently working in Edinburgh. -- Links -- Sustainable QI https://www.susqi.org/ Sustainable QI specialties https://sustainablehealthcare.org.uk/what-we-do/sustainable-specialties Mary Robinson podcast https://www.mothersofinvention.online/ NHS Scotland Strategy https://www.gov.scot/publications/nhs-scotland-climate-emergency-sustainability-strategy-2022-2026/ NHS Lothian Climate Challenge Grants https://nhslothiancharity.org/apply-for-funding/climate-challenge-grants/ Charing Cross Quality Improvement project https://www.england.nhs.uk/greenernhs/whats-already-happening/reducing-unnecessary-cannulation-at-charing-cross-hospital/ Centre of sustainable healthcare https://sustainablehealthcare.org.uk -- Related content -- RCPE Fellows & Members can explore planetary health content on the Education Portal: https://learning.rcpe.ac.uk/tag/index.php?tc=1&tag=Planetary%20Health&ta=2&excl=1 Recording date: 6 July 2023 -- Follow us -- https://www.instagram.com/rcpedintrainees https://twitter.com/RCPEdinTrainees -- Upcoming RCPE Events -- https://events.rcpe.ac.uk/ Feedback: cme@rcpe.ac.uk

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 is the co-host of the Infectious Diseases Insight of Two Specialists (ID:IOTS) podcast. Disclaimer: Please always refer to the most up-to-date local antimicrobial guidelines -- Useful Links-- NICE guideline [NG141]: Cellulitis and erysipelas: antimicrobial prescribing - https://www.nice.org.uk/guidance/NG141 Sullivan T, de Barra E. Diagnosis and management of cellulitis. Clin Med (Lond). 2018 Mar;18(2):160-163. - doi: https://doi.org/10.7861/clinmedicine.18-2-160 MicroGuide App: https://apps.apple.com/gb/app/microguide/id447171786 / https://play.google.com/store/apps/details?id=com.xancu.utreat&pli=1 NHS Scotland Antimicrobial Companion app: https://www.antimicrobialcompanion.scot/ Shorter is better - https://www.bradspellberg.com/shorter-is-better NG141 Summary of the Evidence on Antibiotic prophylaxis for the prevention of recurrent cellulitis and erysipelas - https://www.nice.org.uk/guidance/ng141/chapter/Summary-of-the-evidence#antibiotic-prophylaxis-for-the-prevention-of-recurrent-cellulitis-and-erysipelas Differentials: Lipodermatosclerosis - https://cks.nice.org.uk/topics/venous-eczema-lipodermatosclerosis/, DVT NICE guideline NG158 - https://www.nice.org.uk/guidance/NG158 Fernando SM, Tran A, Cheng W, Rochwerg B, Kyeremanteng K, Seely AJE, Inaba K, Perry JJ. Necrotizing Soft Tissue Infection: Diagnostic Accuracy of Physical Examination, Imaging, and LRINEC Score: A Systematic Review and Meta-Analysis. Ann Surg. 2019 Jan;269(1):58-65. - doi: https://doi.org/10.1097/sla.0000000000002774 Infectious diseases tag on Education Portal - https://learning.rcpe.ac.uk/tag/index.php?tc=1&tag=Infectious%20Diseases ID:IOTS podcast - https://idiotspodcasting.buzzsprout.com/ (https://idiotspodcasting.buzzsprout.com/1782416/9227705-6-skin-and-soft-tissue-infection and https://idiotspodcasting.buzzsprout.com/1782416/9227743-7-necrotising-fasciitis) Recording Date: 28 June 2023 -- Follow us -- https://www.instagram.com/rcpedintrainees https://twitter.com/RCPEdinTrainees -- Upcoming RCPE Events -- https://events.rcpe.ac.uk/ Feedback: cme@rcpe.ac.uk

In this episode, Professor Eylem Levelt and Dr Marilena Giannoudi discuss the early stages of cardiometabolic disease, its asymptomatic challenges, and key risk factors. They cover how junior doctors can protect at-risk patients and the prevalence of diabetes and weight issues among those diagnosed. Reflecting on trends over the past decades, they share insights into improving patient outcomes. Looking ahead, they discuss reducing heart failure and managing conditions like obesity-related heart disease. Prof Levelt offers practical advice for junior doctors on identifying and managing at-risk patients. Prof Eylem Levelt is an academic cardiologist with a specialist interest in cardiovascular imaging and diabetic heart disease. Dr Marilena Giannoudi is a cardiology registrar based in Leeds. She is Co-Chair of the Trainees and Members’ Committee, a Fellow of the Higher Education Academy, and is currently undertaking a PhD. --Links-- For clinicians: European Society of Cardiology (ESC) Clinical Practice Guidelines: https://www.escardio.org/Guidelines/Clinical-Practice-Guidelines/CVD-and-Diabetes-Guidelines American College of Cardiology (ACC) Guidelines: https://www.acc.org/Guidelines For patients: British Heart Foundation (BHF): https://www.bhf.org.uk --Related listening-- Inherited Cardiac Conditions, Clinical Conversations https://podcasts.rcpe.ac.uk/show/clinical-conversations/inherited-cardiac-conditions-3-june-2024/ Women in Cardiology [Re-release], Career Conversations https://podcasts.rcpe.ac.uk/show/career-conversations/women-in-cardiology-re-release-8-march-2024/ Medical Specialties - Clinical Genetics, Career Conversations https://podcasts.rcpe.ac.uk/show/career-conversations/medical-specialties-clinical-genetics-07-jun-2023/ Demystifying PACES - Cardiovascular [Station 3], Career Conversations https://podcasts.rcpe.ac.uk/show/career-conversations/demystifying-paces-cardiovascular-station-3-29-jan-2024/ Movement Medicine, Career Conversations https://podcasts.rcpe.ac.uk/show/clinical-conversations/movement-medicine-03-apr-2023/ Follow Professor Levelt on X @EylemLevelt Recording date: 25 June 2024 -- Follow us -- www.instagram.com/rcpedintrainees twitter.com/RCPEdinTrainees -- Upcoming RCPE Events -- events.rcpe.ac.uk/ Feedback: cme@rcpe.ac.uk

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 Neurologist based in Edinburgh. Dr Davidson works full time for the National Health Service with interests in epilepsy, general neurology and botulinum toxin for dystonia. Dr Davidson was awarded an MD degree following her research into the diagnostics of Sporadic Creutzfeldt-Jakob Disease. During her general neurology practice, Dr Davidson has managed a number of different cases of peripheral neuropathy and has previously discussed the topic at college meetings and at general medical grand round meetings. Dr Davidson is also actively involved in medical education and is the current local programme lead for neurology training. Dr Marilena Giannoudi is a cardiology registrar based in Leeds. She is a member of the Trainees and Members’ Committee, a Fellow of the Higher Education Academy, and is currently undertaking a PhD. -- Related content -- RCPE Fellows & Members can explore neurology content on the Education Portal: https://learning.rcpe.ac.uk/tag/index.php?tc=1&tag=Neurology Recording date: 26 June 2023 -- Follow us -- https://www.instagram.com/rcpedintrainees https://twitter.com/RCPEdinTrainees -- Upcoming RCPE Events -- https://events.rcpe.ac.uk/ Feedback: cme@rcpe.ac.uk

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 General Medicine, and is currently working as an acting consultant in the Regional Infectious Diseases Unit at the Western General Hospital in Edinburgh. Clinical interests include HIV medicine and tropical medicine. Dr Clifford is a graduate of the Liverpool School of Tropical Medicine & Hygiene, and the Gorgas Course in Tropical Medicine (Lima, Peru). Dr Dáire O'Shea is a Consultant Physician in Infectious Disease at the Regional Infectious Diseases Unit Edinburgh and Honorary Clinical Senior Lecturer at University of Edinburgh. He is a graduate of Trinity College Dublin, Ireland and undertook Internal Medicine and specialist Infectious Diseases Training in Ireland. In 2011 Dr O'Shea was awarded a Transplant Infectious Diseases fellowship with the Alberta Transplant Institute in Canada continuing to take on a position with the Infectious Diseases Academic Faculty of the University of Alberta. In 2014 he took up his current position in Edinburgh. Subspecialist interests include infection in immunocompromised hosts, in particular infection post transplantation; HIV medicine, and Viral hepatitis. Research interests focus on immunopathogenesis and immune determinants of infection outcomes. -- Link -- HIV drug interactions https://www.hiv-druginteractions.org/ Recording date: 31 May 2023 Sound issues: We apologise for some lower quality audio in this episode. -- Follow us -- https://www.instagram.com/rcpedintrainees https://twitter.com/RCPEdinTrainees -- Upcoming RCPE Events -- https://events.rcpe.ac.uk/ Feedback: cme@rcpe.ac.uk

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 physiology from the University of Edinburgh. Dr Libby Sampey is a member of RCPE’s Trainees and Members’ Committee podcast team and a Foundation Year Doctor. -- Links -- Society for Endocrinology - Adrenal Crisis Information https://www.endocrinology.org/clinical-practice/clinical-guidance/adrenal-crisis/ Diagnosis and Treatment of Primary Adrenal Insufficiency: An Endocrine Society Clinical Practice Guideline (Bornstein et al., 2016) https://doi.org/10.1210/jc.2015-1710 Society for Endocrinology https://www.endocrinology.org/ Recording date: 8 June 2023 -- Follow us -- https://www.instagram.com/rcpedintrainees https://twitter.com/RCPEdinTrainees -- Upcoming RCPE Events -- https://events.rcpe.ac.uk/ Feedback: cme@rcpe.ac.uk

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 Yorkshire and Humber. Recording Date: 21 April 2023 -- Follow us -- https://www.instagram.com/rcpedintrainees https://twitter.com/RCPEdinTrainees -- Upcoming RCPE Events -- https://events.rcpe.ac.uk/ Feedback: cme@rcpe.ac.uk

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 School of Public Health). He has been responsible for national health intelligence and health protection functions and helped to improve quality/patient outcomes, reduce cost and innovate health care services for populations in the UK and internationally. Dr Marilena Giannoudi is the T&MC Podcast Lead and Vice-Chair for Careers and Communications, and a clinical academic trainee in cardiology in Yorkshire and Humber. Recording Date: 24 February 2023 -- Useful Links -- TOPOL - https://topol.hee.nhs.uk/ TOPOL Digital Fellowships - https://topol.hee.nhs.uk/digital-fellowships/ FCI - https://fci.org.uk/ FutureLearn Course: Data for Health & Care - https://www.futurelearn.com/courses/data-for-health-and-care Florence Nightingale Foundation Digital Fellowships - https://florence-nightingale-foundation.org.uk/academy/digital-fellowships/ NHSE elfh Hub - https://portal.e-lfh.org.uk/ EDRIS - https://www.isdscotland.org/products-and-services/edris/ NHS Digital - https://digital.nhs.uk/data -- Follow us -- https://www.instagram.com/rcpedintrainees https://twitter.com/RCPEdinTrainees -- Upcoming RCPE Events -- https://events.rcpe.ac.uk/ Feedback: cme@rcpe.ac.uk

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 past clinical teaching includes; teaching resuscitation and clinical skills; ALS instruction; roles in simulation based education and of course supporting medical and nursing students on clinical placement in patient facing clinical settings which is what forms the basis of today's Clinical Conversation. Now in full time academia, Ian continues to share his experiences of working with learners in clinical settings and augments this with evidence from the literature as well as insights developed from hosting workshops on similar topics. Recording Date: 31 March 2023 --Useful Links-- Clinical Educator Programme website - https://www.clinicaleducator.org/en-gb/ A five-step "microskills" model of clinical teaching, by Neher et al. (1992) - https://pubmed.ncbi.nlm.nih.gov/1496899/ Teaching That Counts: The One-Minute Preceptor Model from CanadiEM - https://canadiem.org/teaching-that-counts-the-one-minute-preceptor-model/ SNAPPS: a learner-centered model for outpatient education, by Wolpaw, Wolpaw & Papp (2003) - https://doi.org/10.1097/00001888-200309000-00010 Learning and teaching in the clinical environment, by Spencer (2003) - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1125480/ -- Follow us -- https://www.instagram.com/rcpedintrainees https://twitter.com/RCPEdinTrainees -- Upcoming RCPE Events -- https://events.rcpe.ac.uk/ Feedback: cme@rcpe.ac.uk

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 -- https://www.instagram.com/rcpedintrainees https://twitter.com/RCPEdinTrainees -- Upcoming RCPE Events -- https://events.rcpe.ac.uk/ Feedback: cme@rcpe.ac.uk

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 and a Medical Education Fellow, currently working in Edinburgh. Cath is a Consultant Anaesthetist in St. John's Hospital, Livingston. Alongside her clinical work, she is very interested in staff experience and how this translates into to the quality of healthcare that our teams deliver to our patients. She is also interested in utilising Quality Improvement science to achieve excellence in these two areas, so both patients and staff get the best possible experience from our healthcare system. --Useful Links-- Civility saves lives website - https://www.civilitysaveslives.com/ The Price of Incivility by Christine Porath and Christine Pearson (2013) in Harvard Business Review - https://hbr.org/2013/01/the-price-of-incivility The Impact of Rudeness on Medical Team Performance: A Randomized Trial – Riskin, Erez et al. (2015) - https://doi.org/10.1542/peds.2015-1385 Exposure to incivility hinders clinical performance in a simulated operative crisis – Katz et al. (2019) - http://dx.doi.org/10.1136/bmjqs-2019-009598 Paul Stretton’s Twitter - (@psquantumsafety) The ‘just culture’: why it is not just, and how it could be – Stretton (2020) - https://doi.org/10.12968/bjhc.2020.0058 -- Follow us -- https://www.instagram.com/rcpedintrainees https://twitter.com/RCPEdinTrainees -- Upcoming RCPE Events -- https://events.rcpe.ac.uk/ Feedback: cme@rcpe.ac.uk

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: cme@rcpe.ac.uk

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 Lead of the Scottish Bleeding and Platelet Disorders Genetic Diagnostic Service. Edward Foo is a medical student at the University of Edinburgh and Student Observer of the RCPE Trainees and Members' Committee (T&MC). --- Notes for the listener --- At c. 10.55, Dr Page discusses European licensing for gene therapy in haemophilia B. The situation has changed since recording (13/12/2022), and gene therapy in haemophilia B now has conditional authorisation in Europe: https://www.ema.europa.eu/en/news/first-gene-therapy-treat-haemophilia-b At c. 24.23, Dr Page discusses reversal of warfarin. Dr Page mentions Beriplex, which is the brand of prothrombin complex concentrate (PCC) used in NHS Lothian, where Dr Page works. However, it should be noted that other brands are available and Beriplex is just being given as an example. Other brands can be found in the BNF: https://bnf.nice.org.uk/drugs/dried-prothrombin-complex/medicinal-forms/ --- Link --- The ISTH Bleeding Assessment Tool is available from: https://www.isth.org/page/reference_tools Recording date: 13 December 2022 -- Follow us -- https://www.instagram.com/rcpedintrainees https://twitter.com/RCPEdinTrainees -- Upcoming RCPE Events -- https://events.rcpe.ac.uk/ Feedback: cme@rcpe.ac.uk

This week Dr Ben Warner interviews Professor Tom Fardon on the topic of asthma. Through a case study, Prof Fardon discusses how to assess and treat a severe exacerbation of asthma and what needs to be considered when discharging patients. Tom and Ben also discuss diagnosing asthma and the treatments available to patients. Professor Fardon is a Consultant Respiratory Physician at NHS Tayside and Honorary Professor at the University of Dundee. They are also Clinical Lead for the Scottish Government's Respiratory Specialty Delivery Group. Dr Ben Warner is a Respiratory Medicine Specialty Registrar with clinical and academic experience of global public health. He is currently undertaking a PhD in multimorbidity in Malawi as part of the Wellcome-funded Multimorbidity PhD Programme for Health Professionals with the University of Glasgow. --Useful Links-- Current NICE guideline on Asthma: Diagnosis, monitoring and chronic asthma management - https://www.nice.org.uk/guidance/ng80 Current BTS/SIGN British Guideline on the Management of Asthma - https://www.brit-thoracic.org.uk/quality-improvement/guidelines/asthma/ Upcoming SIGN updates - https://www.sign.ac.uk/our-guidelines/british-guideline-on-the-management-of-asthma/ BTS Clinical Statement on the medical management of inpatients with tobacco dependency - https://thorax.bmj.com/content/79/Suppl_1/3 Treatable traits approach in asthma - https://treatabletraits.org.au/wp-content/uploads/2022/02/MJA-TT-Case-Final.pdf Environmental impact of inhalers toolkit produced by ‘Greener Practice' - https://www.greenerpractice.co.uk/high-quality-and-low-carbon-asthma-care/ Greener Practice guide on reducing the carbon footprint of inhalers - https://s40639.pcdn.co/wp-content/uploads/Reducing-Carbon-Footprint-of-Inhaler-Prescribing-v3.3.2.pdf National Review of Asthma Deaths (NRAD) - https://www.hqip.org.uk/resource/asthma-deaths-nrad-report-2014/ British Thoracic Society asthma attack care bundle - https://www.brit-thoracic.org.uk/quality-improvement/clinical-resources/asthma/bts-asthma-care-bundles/ Asthma exacerbations and sputum eosinophil counts: a randomised controlled trial - https://doi.org/10.1016/S0140-6736(02)11679-5 Clinical remission in severe asthma with biologic therapy: an analysis from the UK Severe Asthma Registry - https://erj.ersjournals.com/content/62/6/2300819 Low Dose Inhaled Budesonide and Formoterol in Mild Persistent Asthma - https://doi.org/10.1164/ajrccm.164.8.2104102 Recording date: 22 May 2024 -- Follow us -- https://www.instagram.com/rcpedintrainees https://twitter.com/RCPEdinTrainees -- Upcoming RCPE Events -- https://events.rcpe.ac.uk/ Feedback: cme@rcpe.ac.uk

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 Davenport enjoys cycling. Dr Marilena Giannoudi is the T&MC Podcast Lead and Vice-Chair for Careers and Communications. -- Link -- https://www.gov.uk/epilepsy-and-driving Recording date: 24 January 2023 -- Follow us -- https://www.instagram.com/rcpedintrainees https://twitter.com/RCPEdinTrainees -- Upcoming RCPE Events -- https://events.rcpe.ac.uk/ Feedback: cme@rcpe.ac.uk

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 RCPE Events -- https://events.rcpe.ac.uk/ Feedback: cme@rcpe.ac.uk

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 clinical ethics research allows her to translate ethical analysis into improving healthcare experience and outcomes. -- Links -- ReSPECT - https://www.resus.org.uk/respect REDMAP - https://www.spict.org.uk/red-map/ Recording date: 26 October 2022 -- Follow us -- https://www.instagram.com/rcpedintrainees https://twitter.com/RCPEdinTrainees -- Upcoming RCPE Events -- https://events.rcpe.ac.uk/ Feedback: cme@rcpe.ac.uk

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 Sports & Exercise Medicine (BASEM) - https://basem.co.uk/ Recording Date: 26 September 2022 -- Follow us -- https://www.instagram.com/rcpedintrainees https://twitter.com/RCPEdinTrainees -- Upcoming RCPE Events -- https://events.rcpe.ac.uk/ Feedback: cme@rcpe.ac.uk

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 Arteritis https://doi.org/10.1056/NEJMoa1613849 Tocilizumab for treating giant cell arteritis – NICE Technology appraisal guidance [TA518] https://www.nice.org.uk/guidance/ta518 Sound issues: We apologise for the audio disturbances in this episode. Recording date: 24 August 2022 -- Follow us -- https://www.instagram.com/rcpedintrainees https://twitter.com/RCPEdinTrainees -- Upcoming RCPE Events -- https://events.rcpe.ac.uk/ Feedback: cme@rcpe.ac.uk

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 K https://dermnetnz.org/topics/cutaneous-squamous-cell-carcinoma - SCC https://dermnetnz.org/topics/basal-cell-carcinoma - BCC https://dermnetnz.org/topics/melanoma - Melanoma https://dermnetnz.org/topics/abcdes-of-melanoma - ABCD https://www.royalmarsden.nhs.uk/information-gps/gp-resources/skin-cancer/skin-cancer-diagnosis - Glasgow 7 point checklist https://www.aad.org/media/stats-indoor-tanning - sunbed stats https://www.blackandbrownskin.co.uk/ and https://www.blackandbrownskin.co.uk/mindthegap - clinical signs on black and brown skin Recording Date: 21 July 2022 -- Follow us -- https://www.instagram.com/rcpedintrainees https://twitter.com/RCPEdinTrainees -- Upcoming RCPE Events -- https://events.rcpe.ac.uk/ Feedback: cme@rcpe.ac.uk

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 Communications, and a clinical academic trainee in cardiology in Yorkshire and Humber. Recording date: 26 September 2022 -- Follow us -- https://www.instagram.com/rcpedintrainees https://twitter.com/RCPEdinTrainees -- Upcoming RCPE Events -- https://events.rcpe.ac.uk/ Feedback: cme@rcpe.ac.uk

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 -- www.instagram.com/rcpedintrainees twitter.com/RCPEdinTrainees -- Upcoming RCPE Events -- events.rcpe.ac.uk/ Feedback: cme@rcpe.ac.uk