RCP Medicine Podcast

Listen to Dr Rohan Mehra (Infectious diseases/microbiology SPR), Dr Pippa Medcalf and Peter Bull as they discuss health inequalities for people experiencing homelessness. Pete shares some powerful accounts of times he has interacted with healthcare when he was without a permanent residence. He highlights the negatives, but also important steps healthcare professionals can take to make the situation better. Pippa describes how her hospital have introduced systems to best help those experiencing homelessness and what healthcare professionals can do to try and make a difference. 

Dr Pippa Medcalf is a consultant in acute medicine in Gloucester Hospital where she established the hospital homeless healthcare team. She now advises the RCP and other organisations on the care of the homeless in hospital.

This resource has been funded by Novartis by the provision of a grant, Novartis has had no editorial input or control over the content of these materials. 

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Listen to Dr Rohan Mehra (RCP education fellow/Infectious diseases and microbiology SPR), Dr Merle Henderson and Dr Josh Elliott as they discuss research as a trainee. They discuss what a day as a trainee involved in research looks like and how varied that can be, whilst providing helpful tips to anyone thinking of getting involved in research, and what the RCP is doing to promote research in healthcare.

Dr Merle Henderson is undertaking a PhD exploring biomarkers of neuronal inflammation, immune activation, and injury in people with HIV.

Dr Josh Elliott is a National institute for Health and Care research and British Research Council Clinical Research Fellow in Multi-omics, School of Public Health.

Links:
RCP research and innovation hub
https://www.rcplondon.ac.uk/projects/rcp-research-and-innovation-hub

NIHR-AoMRC Clinician Researcher Credentials Framework
https://sites.google.com/nihr.ac.uk/crcredentials/home

Research in practice programme, RCP and NIHR
https://www.rcplondon.ac.uk/education-practice/courses/new-research-practice-programme-coordinated-royal-college-physicians-nihr 

This podcast has been made with an educational grant from Bristol-Myers Squibb Pharmaceuticals Limited (“BMS”). BMS has had no input or involvement in the design, development or content of the podcast whatsoever. 

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Listen to Dr Mark Harber (RCP special adviser on healthcare sustainability and Consultant Nephrologist at the Royal Free Hospital) and Dr Rebecca Kuruvilla (RCP clinical education fellow and Clinical pharmacology/GIM registrar) discuss why sustainability is an issue that all clinicians working in the NHS need to be concerned about. They also discuss simple ways healthcare workers can have an impact on climate change in their day-to-day practice. Below are links to some of the documents discussed during the podcast: 

Links 

This podcast has been made with an educational grant from Bristol-Myers Squibb Pharmaceuticals Limited (“BMS”). BMS has had no input or involvement in the design, development or content of the podcast whatsoever. 

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Listen to Dr Rohan Mehra (RCP education fellow/Infectious diseases and microbiology SPR) and Professor Catherine Meads as they discuss the vast Health inequalities facing LGBTQIA+ communities. They outline practical steps that you as a clinician can take to ensure you do not contribute to or worsen health inequalities in your local environment as well as suggestions at national level to help tackle this issue. 

Professor Catherine Meads is a senior systematic reviewer at Anglia Ruskin university and has published numerous systematic reviews and has been conducting research into lesbian, gay, bisexual and transgender (LGBT) health since 1992 and has published several ground-breaking papers in this area.

https://assets.publishing.service.gov.uk/media/5b39e91ee5274a0bbef01fd5/GEO-LGBT-Action-Plan.pdf

https://ec.europa.eu/assets/sante/health/videos/2018_lgbti_trainingvideo_en.mp4

https://health.ec.europa.eu/social-determinants/projects/european-parliament-projects_en#health4lgbti-reducing-health-inequalities-experienced-by-lgbti-people

https://www.aru.ac.uk/research/safe-and-inclusive-communities/improving-healthcare-service-provision-for-lgbtq-plus-patients

https://www.stonewall.org.uk/system/files/lgbt_in_britain_health.pdf

https://www.stonewall.org.uk/resources-creating-lgbtq-inclusive-workplace

This resource has been funded by Novartis by the provision of a grant, Novartis has had no editorial input or control over the content of these materials. 



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Haemophagocytic lymphohistiocytosis or HLH, heard of the concept but never certain when it applies? Unsure of how to diagnose or manage it? 

Listen along as Dr Rohan Mehra (RCP education fellow/Infectious diseases and microbiology SPR) and Dr Alexis Jones (Rhematology consultant, UCLH) discuss a clinical case and provide key points to remember so that you can identify when HLH might be the problem, who to call and what to do to tackle this potentially devastating condition.

Links
https://www.histiouk.org/

https://www.uclh.nhs.uk/our-services/find-service/medical-specialties-1/hlh-service

https://www.uptodate.com/contents/clinical-features-and-diagnosis-of-hemophagocytic-lymphohistiocytosis  

https://www.mdcalc.com/calc/10089/hscore-reactive-hemophagocytic-syndrome

This podcast has been made with an educational grant from Bristol-Myers Squibb Pharmaceuticals Limited (“BMS”). BMS has had no input or involvement in the design, development or content of the podcast whatsoever. 

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In the second podcast in this two-part series Dr Raisah Khaliq and Dr Joseph Cox, both education fellows at the RCP, explore how trainees can approach teaching on clinical procedures. They explore the difficulties of teaching practical skills with the recent NHS service demands, and proactive approaches to make the most of opportunities that arise. They also discuss the potential benefits to the workforce of changing the culture towards procedural education.

In the second part of this podcast we will explore some educational theories that can be applied in practice and introduce the RCP Never too busy to learn.

This podcast is the first in a two-part series. In this podcast, Dr Raisah Khaliq, a clinical education fellow at the RCP, interviews Dr Androniki Abelidis who is an acute physician. The podcast explores ways in which on the job teaching can be embedded into the day regardless of however busy the clinical environment may be. Tried and tested tips and tricks are shared as well as ways in which junior clinicians can be made to take the lead on their own learning. There is also an introduction to the RCP Never too busy to learn document.

In this episode Dr Rohana Wright, consultant in diabetes and endocrinology, and Dr Rory Conn, consultant child and adolescent psychiatrist, explore adolescent healthcare and the importance of positive interactions during this period of life. To learn more you can visit the RCP Young Adults and Adolescents Steering Group (YAASG) webpage. 

Rohana and Rory mention several resources during this podcast, you can access them here:

Music credit: Bensound.com

In this podcast Dr Jasmine Lee, education fellow at the RCP, is joined by Dr Kyra Neubauer, consultant geriatrician. They explore the poor physical health of patients with serious mental illness and discuss how over many decades the lost opportunities to address this problem has meant there has been no improvement in the significant morbidity and reduced life expectancy of this group.

To learn more about this topic access the Royal College of Physicians signs UK-wide consensus statement on working together to help patients with mental health needs in acute hospitals.




Music credit: Bensound.com

In part two of this podcast Dr Alastair Thompson, fellow of the RCP, consultant paediatrician and expert in medico-legal work is joined by Jenny Tetlow, a solicitor who represents claimants in clinical negligence claims. They explore the process by which clinical negligence claims are managed by NHS Trusts, record keeping and how we can learn from mistakes.

Profile link for Jenny Tetlow 

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In part one of this podcast Dr Alastair Thompson, fellow of the RCP, consultant paediatrician and expert in medico-legal work is joined by Jenny Tetlow, a solicitor who represents claimants in clinical negligence claims. They explore clinical negligence claims from both the claimant’s and defendant’s point of view, and why patients may make a legal claim for compensation.

Profile link for Jenny Tetlow 

Sound credit: bensound.com

This episode continues the conversation between Professor Sir Michael Marmot and Dr Jasmine Lee as they discuss the challenges faced now following over a decade of growing health inequity and the current cost of living crisis. 

Professor Sir Michael Marmot is a Professor of Epidemiology at University College London, the Director of the UCL Institute of Health Equity and the author of The Health Gap: the challenge of an unequal world (Bloomsbury: 2015). He has over four decades of experience leading research teams on health inequities and chaired commissions. 

Dr Jasmine Lee is a palliative medicine specialist registrar and trainee, RCP clinical education fellow and Association of Palliative Medicine trainees committee co-chair based in London. 

This episode was recorded in August 2022 before the results of the Conservative party leadership election for the UK Prime minister on 7th September 2022.

Listen to Professor Sir Michael Marmot and Dr Jasmine Lee discuss the impact of social determinants of health inequity looking at research and policies over the years, the important relationship they have to the health of our population and the impact of the Coronavirus-19 pandemic. 

Professor Sir Michael Marmot is a Professor of Epidemiology at University College London, the Director of the UCL Institute of Health Equity and the author of The Health Gap: the challenge of an unequal world (Bloomsbury: 2015). He has over four decades of experience leading research teams on health inequities and chaired commissions. 

Dr Jasmine Lee is a palliative medicine specialist registrar and trainee, RCP clinical education fellow and Association of Palliative Medicine trainees committee co-chair based in London. 

This episode was recorded in August 2022 before the results of the Conservative party leadership election for the UK Prime minister on 7th September 2022.

In this episode of Medicine Zoë Fleet, Curriculum and credentials manager at the RCP and previous Curriculum and assessment manager at the Joint Royal Colleges of Physicians Training Board (JRCPTB), discusses the practicalities of transferring to the new group 1 General Internal Medicine/Internal Medicine Stage 2 curricula and carrying out a gap analysis with Anastasia-Vasiliki Madenidou, rheumatology specialist advisory committee (SAC) trainee representative. Anastasia shares her approach to successfully completing a gap analysis as a rheumatology and general internal medicine registrar.

Website: www.rcp.ac.uk








Music: BenSound.com

Listen to Dr Ian Sinha and Dr Laura Gordge discuss the effects of air pollution, in recognition of ‘Clean Air day’ on 16 June 2022. 

Dr Ian Sinha is a Consultant Respiratory Paediatrician, with a special interest in childhood asthma and neonatal lung disease, Dr Sinha is also heavily involved in the campaign against air pollution. Dr Laura Gordge is an Education fellow at the RCP. 


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Today's episode sees one of the RCP's clinical fellows, Laura Gordge, discussing PA exams and how to best prepare for them.

For more information see: www.rcp.ac.uk/PAQB 

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 Dr Seun Anyiam and Dr Molly Bradbury discuss the impact of drug abuse. Dr Seun Anyiam is a regional representative of the RCP Trainees committee, working in the specialty of, and studying for a PhD in, obesity medicine. Dr Molly Bradbury is a junior doctor with a special interest in inclusion health, health inequality and addiction

Credit: Bensound.com

Listen to Dr Veena Raleigh, epidemiologist and Senior Fellow of The King's Fund and Dr Ajay Verma, consultant gastroenterologist at Kettering General Hospital discuss ethnicity and health inequalities along with relevant statistics.  

 The relationship patterns between life expectancy and ethnicity may surprise you.

Dr Jenny Baverstock and Professor Stephen Holgate discuss air pollution and health.

In this episode, Florence Wedmore, a junior doctor and education fellow, talks about sustainable healthcare with Jyoti Baharani, a renal physician.

In today's episode, Amie and Dr Nerys Conway discuss toxicology, specifically the effects of paracetamol, and the treatment of overdose in acute care.

In this special episode for World Obesity Day, Dr Seun Anyiam and Professor John Wilding discuss all things obesity, including how to tackle the increasing prevalence of obesity in society and the increased risk of worse outcomes in COVID-19. They also tackle the important issue of obesity stigma, and how the existence of this among healthcare professionals can lead to inequality in the treatment of people living with obesity.

Dr Seun Anyiam is a regional representative of the RCP Trainees committee, working in, and studying a PHD in obesity medicine. 

Professor John Wilding is a Professor of Medicine at the University of Liverpool, a specialist in obesity, diabetes and endocrinology, and is the President of the World Obesity Federation.

References:
Caterson et al 2019, Diabetes, Obesity and Metabolism
Flint Narrative NHS Long term plan
Bray Lancet review

In this special episode, Dr Seun Anyiam and Professor Carol Brayne discuss the issue of health inequalities and explore how the unconscious biases of clinicians may be contributing to ongoing inequalities in the health outcomes of patients.

In today's episode, Doctor Burbridge speaks again with Cat Atkin, and they discuss being on the overnight stroke team.


This podcast has been made with an educational grant from Celgene. They have had no input or involvement in the design, development or content of the podcast.

Today Doctor Burbridge is joined by Cat Atkin, an acute medicine trainee, to discuss the case of a 37 year-old lady with lower back pain and vomiting.


This podcast has been made with an educational grant from Celgene. They have had no input or involvement in the design, development or content of the podcast.

Amie chats with Professor Andrew Goddard, President of the RCP, about how Covid-19 has altered the clinical landscape, and also about his personal experiences with the virus over the last 6 months.

This podcast has been made with an educational grant from Celgene. They have had no input or involvement in the design, development or content of the podcast.

In the second of a two-parter, Amie and Hussain discuss a case of a 90 year-old lady who also has a shortness of breath...



This podcast has been made with an educational grant from Celgene. They have had no input or involvement in the design, development or content of the podcast.

In the first of a two-parter, Hussain and Amie discuss a 70 year-old man admitted with breathlessness...


This podcast has been made with an educational grant from Celgene. They have had no input or involvement in the design, development or content of the podcast.

Amie recollects a serious case which highlights the importance of prompt recognition, and treatment, of meningitis.Music: 'Impressive Deals' - Nicolai Heidlas

In today's episode, Hussain returns to talk to Amie about a case she dealt with early on in the Covid-19 pandemic.


This podcast has been made with an educational grant from Celgene. They have had no input or involvement in the design, development or content of the podcast.

In this special episode, Amie and Dr Chris Bassford discuss decision making during this especially challenging time.


This podcast has been made with an educational grant from Celgene. They have had no input or involvement in the design, development or content of the podcast.

In episode 34, Amie considers the case of a woman, 3 days postpartum, who is admitted with a headache.

Episode 33: Inflammatory Bowel by RCP London

This week Amie and special guest, Cat Atkin (acute medicine trainee), talk about a case of an elderly patient who's recently been feeling more and more tired.

Episode 31: Breathlessness by RCP London

In episode 30, Amie and Cat Atkin, a NIHR clinical lecturer and acute medical registrar, discuss acute back pain on call and who best to turn to for advice.

This week Amie and guest presenter Dr Nerys Conway discuss commonly misused drugs and their effects.

This week Amie is joined by the Academic Vice president of the RCP, Professor Cheng-Hock Toh.Amie and Cheng-Hock discuss a difficult case of bleeding and oral anti-coagulation use. We also take a brief look at Medicine 2020.

Amie and Bryony discuss breaking bad news, using some difficult cases they have been involved in.

In the first episode of series 2, Amie and Bryony discuss a rock climber with uncommon symptoms...

Amie and Hussain are back with another medical emergency. This week it’s diabetic ketoacidosis. Investigations and management are discussed. Amie explains why hyperchloraemic acidosis develops and covers the all-important pathophysiology of DKA.

Amie and Akon approach a difficult case of jaundice. How to manage decompensated liver disease and the latest guidelines are discussed. Amie covers the physiology of the liver, and the huge impact of poor communication is realised.

Amie and Hussain discuss a case with a very unexpected cause. Amie revisits the Kreb's cycle. Hussain remains baffled.

Episode 22: Acute Kidney Injury by RCP London

Amie and Dr Becky Chubb take us through the case of an 82 year old who has a surprising diagnosis...

Education Fellow, Dr Akon Esara, takes us through the key points of a frequent attender.Music: 'Impressive Deals' - Nicolai Heidlas

In this episode, Hussain and Amie discuss their general medical approach to Upper GI bleed management, with a little help from a couple of famous names...Music: 'Impressive Deals' - Nicolai Heidlas

In her second guest episode, consultant psychiatrist Dr Becky Chubb goes through the key points of delirium diagnosis and management.Music: 'Impressive Deals' - Nicolai Heidlas

Hussain and Amie delve into an unusual case where a very commonly prescribed drug becomes the focus.Music: 'Impressive Deals' - Nicolai Heidlas

Amie and Hussain unpick a case with this most common of symptoms, presenting to an ambulatory care unit. Music: 'Impressive Deals' - Nicolai Heidlas

Amie and guest consultant psychiatrist- Dr Becky Chubb- take us through the key points of mental health in medicine, including the all-important mental state examination.Music: 'Impressive Deals' - Nicolai Heidlas

In this episode of the RCP Medicine podcast, Amie and Hussain de-brief about a case presenting with fever, weight loss and night sweats. All is not as it seems...Music: 'Impressive Deals' - Nicolai Heidlas

In episode 13, Hussain and Amie compare their generalist approaches to the ‘low sodium’ resultMusic: 'Impressive Deals' - Nicolai Heidlas

Hussain recalls the drainage of a hepatic hydrothorax, and a rare complication.Music: 'Impressive Deals' - Nicolai Heidlas

This week Amie explores the investigation and management of hypercalcaemia.Music: 'Impressive Deals' - Nicolai Heidlas

Amie gives her take on the guidelines of pneumonia management, sometimes complicated by influenza.Music: 'Impressive Deals' - Nicolai Heidlas

This week Hussain recalls a case presenting to the acute medical take with a unilateral pleural effusion, highlighting key initial investigations and management.Music: 'Impressive Deals' - Nicolai Heidlas

This week Amie investigates the evidence-base behind lumbar punctures and headachesMusic: 'Impressive Deals' - Nicolai Heidlas

Amie takes us through a hard-hitting case of infective endocarditis.Music: 'Impressive Deals' - Nicolai Heidlas

In Episode 5, Hussain discusses a tragic case that highlights the challenges of having difficult conversations during a busy on-call shift.Music: 'Impressive Deals' - Nicolai Heidlas

In this episode, Hussain runs through the management of COPD presentations on the acute take, with some important points about smoking (and vaping!).Music: 'Impressive Deals' - Nicolai Heidlas

In the third episode, Amie gives us a quick run-through of the investigation and management of the acute, hot joint.Music: 'Impressive Deals' - Nicolai Heidlas

Hussain recounts an evocative neurology case from a weekend on-call.Music: 'Impressive Deals' - Nicolai Heidlas

In this episode, Amie explores the investigation and management of suspected pulmonary emboli on the acute take, and discusses the merits of ambulatory care with references to NICE and BTS guidelines.Music: 'Impressive Deals' - Nicolai Heidlas

FYI: The pulmonary embolism guidelines have recently been updated, so please refer to the most up-to-date guidelines.