MRCPI Bedside – Détails, épisodes et analyse

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MRCPI Bedside

Dr Christine Condon and Dr Harry Economos

Éducation

Fréquence : 1 épisode/31j. Total Éps: 25

MRCPI Bedside is a podcast with bite sized episodes for doctors who are preparing to sit the tremulously tricky MRCPI Part II Clinical in General Medicine. Hosted by two Irish junior doctors fresh out of sitting their exam, we hope to break it down and provide you with the need-to-know info and preparation tips to help take the fear out of the exam. We hope you enjoy listening and best of luck! Email: mrcpibedside@gmail.com Instagram: @MRCPIBedside Twitter: @MRCPIBedside Show Music: Stepping on Lego Enquires: steppingonlegoband@gmail.com or socials Consultant Lead Professor Declan Byrne

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#21 Neurology Extra Tips 🧠

mardi 9 juillet 2024 • Durée 14:19

In this episode we are joined by Neurology Specialist Registrar Dr Emma Dolan to discuss some general tips for neurology cases in MRCPI Part II clinical exam.

Sign up to Pastest MRCP Clinical revision resource via our affiliate link below: ⁠⁠⁠https://www.awin1.com/cread.php?awinmid=46017&awinaffid=1651835&campaign=MRCPi+Bedisde&ued=https%3A%2F%2Fwww.pastest.com%2Fmrcp-part-1%2F⁠⁠⁠

Consultant supervisor Professor Declan Byrne, consultant physician St James's Hospital, Dublin

Show music by Stepping on Lego - email: steppingonlegoband@gmail.com - socials: @steppingonlego_

Get in touch with us by email mrcpibedside@gmail.com or social media @mrcpibedside

Good luck!

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#20 Cerebellar disorders 🧠

mardi 9 juillet 2024 • Durée 09:42

In this episode we are joined by Neurology Specialist Registrar Dr Emma Dolan to discuss the examination, investigations and differentials for cerebellar disorder case in the MRCPI Part II clinical exam.

Sign up to Pastest MRCP Clinical revision resource via our affiliate link below: ⁠⁠https://www.awin1.com/cread.php?awinmid=46017&awinaffid=1651835&campaign=MRCPi+Bedisde&ued=https%3A%2F%2Fwww.pastest.com%2Fmrcp-part-1%2F⁠⁠

Consultant supervisor Professor Declan Byrne, consultant physician St James's Hospital, Dublin

Show music by Stepping on Lego - email: steppingonlegoband@gmail.com - socials: @steppingonlego_

Get in touch with us by email mrcpibedside@gmail.com or social media @mrcpibedside

Good luck!

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#11 Splenomegaly🩸

vendredi 13 octobre 2023 • Durée 18:49

In this episode we are joined by Haematology Specialist Registrar Dr Claire Kelly to discuss splenomegaly and some important haematological disorders as potential stations in the MRCPI Part II clinical exam.

We discuss the approach, physical findings, a differential diagnosis, investigations and management. We then go on to briefly talk through some potential follow-up questions including differentiating a large spleen versus a large kidney, management of Chronic Myeloid Leukaemia (CML) and Myelofibrosis, a brief review of Autoimmune Haemolytic Anaemia (AIHA) and Immune Thrombocytopenia (ITP), splenectomy indications and splenectomy precautions.

Common causes of splenomegaly in exams are CML and myelofibrosis.

A possible way to learn and work through a splenomegaly differential diagnosis (taken from Pastest Splenomegaly case notes):

The causes of splenomegaly can be stratified into three main categories:

"1 . Infiltration, malignant or benign - (including myeloproliferative and lymphoproliferative disorders), lymphomas, amyloidosis, sarcoidosis, Gaucher’s disease (ie lipid storage disease), thyrotoxicosis.

2. Increased function – with increased removal of defective red blood cells with spherocytes, thalassaemia, nutritional anaemias and early sickle cell anaemia. Also there is immune hyperplasia in response to infection (viral, bacterial, fungal or parasitic) including tropical splenomegaly with chronic malaria and visceral leishmaniosis i.e. Kala-azar. Also consider glandular fever, infectious hepatitis, subacute bacterial endocarditis, brucellosis and disordered immunoregulation (rheumatoid arthritis with Felty’s syndrome, SLE, sarcoidosis)

3. Abnormal blood flow, either with cirrhosis, or secondary to a vascular problem, such as hepatic or portal vein obstruction. As there are so many causes of splenomegaly, you may find the examiner will give you a clue to guide you to the diagnosis. Listen carefully for this. So, for example, if the examiner asks you to examine this farmer’s abdomen, they may be likely to have Brucellosis. If you were only asked to examine the abdomen itself but given an opportunity to examine elsewhere, you may request to examine the throat for glandular fever. If the examiner asks you to examine this man and informs you he is an Ashkenazi Jew, there may be increased likelihood that the patient may have type 1 Gaucher’s. If you are informed the patient has recently returned from Africa, then you should consider chronic malaria, although there would likely be other clinical features such as anaemia."

#10 Thyroid Disorders

vendredi 6 octobre 2023 • Durée 19:59

In this episode we are joined by Dublin based Endocrinology Specialist Registrar Dr Michelle Maher to discuss how thyroid disorders may appear as a case in the MRCPI Part II clinical exam.

We discuss the approach, physical findings, a differential diagnosis, investigations and management for a number of thyroid conditions for the clinical exam format. We then go on to briefly talk through some potential follow-up questions.

Sign up to Pastest MRCP Clinical revision resource via our affiliate link below: ⁠https://www.awin1.com/cread.php?awinmid=46017&awinaffid=1651835&campaign=MRCPi+Bedisde&ued=https%3A%2F%2Fwww.pastest.com%2Fmrcp-part-1%2F⁠ Episode external review by Endocrinology SpR Dr Liam O'Murchadha, Dublin

Consultant supervisor Professor Declan Byrne, consultant physician St James's Hospital, Dublin

Show music by Stepping on Lego - email: steppingonlegoband@gmail.com - socials: @steppingonlego_

Get in touch with us by email mrcpibedside@gmail.com or social media @mrcpibedside

Good luck!

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#9 Aortic Stenosis 🫀

Saison 2 · Épisode 9

vendredi 29 septembre 2023 • Durée 13:41

In this episode we are joined by Dublin based Cardiology Specialist Registrar Dr Roisin Gardiner to discuss aortic stenosis as a station in the MRCPI Part II clinical exam.

We discuss the approach, physical findings, a differential diagnosis, investigations and management. We then go on to briefly talk through some potential follow-up questions including Heyde's syndrome, symptoms of aortic stenosis, echocardiogram findings of severe aortic stenosis, surgical repair versus TAVI and benefits of mechanical versus bioprosthetic valves.

Consultant supervisor Professor Declan Byrne, consultant physician St James's Hospital, Dublin

Show music by Stepping on Lego - email: steppingonlegoband@gmail.com - socials: @steppingonlego_

Get in touch with us by email mrcpibedside@gmail.com or social media @mrcpibedside

Good luck!

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#8 The Communication and Ethics Short Case - Format, Common Situations, Consent, The Pillars of Medical Ethics ⚖️

Saison 1 · Épisode 8

mercredi 15 février 2023 • Durée 21:32

In this episode we talk through the structure and how to prepare for short case station 1 , the Communication and Ethics station, one of the most failed stations outside of candidates who sit their exam outside of Ireland. Sign up to Pastest MRCP Clinical revision resource via our affiliate link below: ⁠https://www.awin1.com/cread.php?awinmid=46017&awinaffid=1651835&campaign=MRCPi+Bedisde&ued=https%3A%2F%2Fwww.pastest.com%2Fmrcp-part-1%2F⁠ The cases will include communication scenarios relating to: Information giving–example: discussing of treatment options with a patient with sexually transmitted infection, MRSA. SLE communication Breaking bad news – example: telling a person her husband died, or telling a patient they have cancer, their father was given too much methotrexate (daily instead of weekly) and now has neutropenic sepsis, intracranial bleed post thrombolysis now GCS 7 post same - explain to daughter, drug error Consent – example: obtaining consent for treatment from a patient with a mild cognitive impairment Confidentiality–example:maintaining confidentiality under pressure from family members Managing challenging situations – example: discussing organ donation with next of kin of a ventilated patient who has an organ donor card in her pocket but the next of kin objects because it is against his/her religion, paracetamol overdose wanting to DAMA, counselling poorly controlled T1DM, verbally de-escalating an angry patient who wants to leave the ward who may not have capacity Ethics – example: telling a colleague that you need to report their drug abuse as they are unsafe to continue to practice As mentioned the SPIKES mnemonic as a potential tool for working through communication stations: S - Setting - how can you optimise the setting? e.g. A family member being present for support, ideally a quiet private place etc. P - Perception - clarifying what is the patient or family member's current perception of events to date? I - Invitation - inviting the patient or family the opportunity to say how much or what exactly they want to know K - Knowledge - giving the knowledge or information you need to deliver E - Empathy - Displaying empathy throughout the consultation S - Summarise for the patient or the family what you have discussed and offer the opportunity for the to ask questions The 4 pillars of Medical Ethics: 1. Autonomy - respecting a patient's right to make their own decisions 2. Beneficence - Making decisions to benefit the patient 3. Non-maleficence - Do no harm to the patient 4. Justice - fair allocation of time and resources for all patients' benefit Click here for the RCPI MRCPI Clinical Info and Resource page The Irish Medical Council's Guide to Professional Conduct and Ethics for Registered Medical Practitioners PDF https://www.medicalcouncil.ie/news-and-publications/reports/guide-to-professional-conduct-and-ethics-for-registered-medical-practitioners-amended-.pdf Get in touch with us at mcrpibedside@gmail.com or via our socials Twitter and Instagram @mrcpibedside Show music: Stepping on Lego. Instagram @steppingonlego_

#7 The Short Cases (part 2) - Examinations to Know, Presenting Your Findings, Follow-Up Questions

Saison 1 · Épisode 7

vendredi 20 janvier 2023 • Durée 16:49

In part two of The Short Cases episode we continue on from where we left off, going through what to expect in the 4 minutes of question time with the consultant examiner. We talk through the presentation of your physical examination findings, and the structure of the questions along with some tips for both. The VITAMIN CDE mnemonic as a potential helpful tool for working through a differential diagnosis: V - Vascular I - Infectious/Inflammatory T - Trauma/Toxic A - Autoimmune M - Metabolic I - Iatrogenic/Idiopathic N - Neoplastic C - Congenital D - Degenerative E - Endocrine Get in touch with any questions or to share any of your own tips with us at mcrpibedside@gmail.com Check out our Twitter @mrcpibedside for more helpful tips and tricks Instagram (neww!!) @mrcpibedside Sign up to Pastest MRCP Clinical revision resource via our affiliate link below: ⁠https://www.awin1.com/cread.php?awinmid=46017&awinaffid=1651835&campaign=MRCPi+Bedisde&ued=https%3A%2F%2Fwww.pastest.com%2Fmrcp-part-1%2F⁠

Show music: Stepping on Lego. Instagram @steppingonlego_

Forward any enquiries to SteppingOnLegoBand@gmail.com

Consultant Lead: Professor Declan Byrne, St. James Hospital, Dublin

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#6 The Short Cases (part 1) - Format, What to Expect, Examination Skills 💯

Saison 1 · Épisode 6

dimanche 15 janvier 2023 • Durée 17:24

Welcome back to MRCPI Bedside, hosted by Dr. Christine Condon and Dr. Harry Economos. This is part one of The Short Cases episodes. In this episode we will talk through the need-to-know information to get you through the five short cases. Good preparation is the key to ensure that you’re not thrown on the day. Keep calm and achieve the marks you deserve. Get in touch with us at mcrpibedside@gmail.com Check out our Twitter @mrcpibedside for more helpful tips and tricks Sign up to Pastest MRCP Clinical revision resource via our affiliate link below: ⁠https://www.awin1.com/cread.php?awinmid=46017&awinaffid=1651835&campaign=MRCPi+Bedisde&ued=https%3A%2F%2Fwww.pastest.com%2Fmrcp-part-1%2F⁠ Show music: Stepping on Lego. Instagram @steppingonlego_

Forward any enquiries to SteppingOnLegoBand@gmail.com

Consultant Lead: Professor Declan Byrne

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#5 The Long Cases (part 2) - Long Cases Experiences and Examples 📜

Saison 1 · Épisode 5

samedi 7 janvier 2023 • Durée 15:12

Welcome back to MRCPI Bedside, hosted by Dr. Christine Condon and Dr. Harry Economos. This is part two of our intro guide about the long cases where we discuss our own personal experiences.

Get in touch with us at mcrpibedside@gmail.com or Twitter @mrcpibedside Show music: Stepping on Lego. Forward any enquiries to SteppingOnLegoBand@gmail.com. Consultant Lead: Professor Declan Byrne

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#4 The Long Cases (part 1) - Format, Timing, History and Examination ⏱️

Saison 1 · Épisode 4

vendredi 9 décembre 2022 • Durée 18:22

Welcome back to MRCPI Bedside, hosted by Dr. Christine Condon and Dr. Harry Economos. This is part one of our how to guide on passing your long cases. How to guide: 1. Get to know the layout and timing early on. Check out the RCPI page here for more information. 2. Familiarise yourself with medical conditions from the following conditions >>> Cardiology, Respiratory, Abdominal, Endocrine, Dermatology, Neurology and Rheumatology. 3. Take each clinical encounter as the admitting doctor in ED as a mock run for your long cases. 4. Time yourself from the very start. 5. Don’t underestimate the value of a systems review. 6. Keep your examination focused. 7. Do a mock long case. 8. Reference a book when practicing to ensure that you’re not missing anything big. We recommend Rupa Bessant’s ‘The Pocketbook for PACES’. Access it here. 9. Sign up to Pastest MRCP Clinical revision resource via our affiliate link below: ⁠https://www.awin1.com/cread.php?awinmid=46017&awinaffid=1651835&campaign=MRCPi+Bedisde&ued=https%3A%2F%2Fwww.pastest.com%2Fmrcp-part-1%2F⁠ An online resource, that will provide you not only with hundreds of videos with real life patients with physical signs but also model physical exams, example questions and answers to prepare you for exam day. 10. At the time of uploading this podcast, there are COVID-19 specific changes to the exam. More information here. This is subject to change. For more information, get in touch with us at mcrpibedside@gmail.com or via our Twitter @mrcpibedside.

Show music: Stepping on Lego. Instagram @steppingonlego_

Forward any enquiries to SteppingOnLegoBand@gmail.com. Consultant Lead: Professor Declan Byrne

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MRCPI Bedside – Détails, épisodes et analyse

Détails du podcast

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