Clinical Conversations

By Royal College of Physicians of EdinburghMedicine

Clinical Conversations episodes

January 31, 2022 Pneumothorax (31 Jan 2022)
Dr Jonathan Bardgett interviews Dr Rob Hallifax about Pneumothoraces.
Dr Hallifax is an NIHR Academic Clinical Lecturer the University of Oxford. He studied an MSc in Natural Sciences in Cambridge before training in medicine at the University of Oxford. He won an MRC Clinical Training Fellowship for his DPhil: "Understanding Pneumothorax: epidemiology, physiology and outcomes". Dr Hallifax was the trial coordinator for RAMPP (Randomised
Ambulatory Management of Primary Pneumothorax) - the largest primary pneumothorax trial in Europe. He has recently published on pneumothorax in JAMA and Lancet.
== Recent publications ==
Management of primary spontaneous pneumothorax: less is more - http://doi.org/10.1016/s0140-6736(20)32676-3
Trends in the Incidence and Recurrence of Inpatient-Treated Spontaneous Pneumothorax, 1968-2016 - http://doi.org/10.1001/jama.2018.14299
Conservative versus Interventional Treatment for Spontaneous Pneumothorax - http://doi.org/10.1056/NEJMoa1910775
Ambulatory management of primary spontaneous pneumothorax: an open-label, randomised controlled trial - https://doi.org/10.1016/S0140-6736(20)31043-6
https://www.ndm.ox.ac.uk/team/robert-hallifax
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This podcast is from the Trainees & Members' Committee (T&MC) of the Royal College of Physicians of Edinburgh (RCPE).
33 min
December 20, 2021 Experience from Malawi (Part 2) - COVID-19 Pandemic (20 Dec 2021)
Dr Bularga discusses the effects of the COVID-19 pandemic in Malawi and its impact on the country's healthcare system. Dr Isaac Chirwa and Dr Michael MacKenzie share their experience over the past 18 months including the set up of the vaccination programme.
We also give a timely update on the Omicron variant and its impact on the healthcare system in Malawi and other parts of Africa so far.
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This podcast is from the Trainees & Members' Committee (T&MC) of the Royal College of Physicians of Edinburgh (RCPE).
43 min
December 20, 2021 Experience from Malawi (Part 1) - Medical Training and Healthcare (20 Dec 2021)
Dr Bularga discusses medical training and delivery of healthcare in Malawi with Dr Isaac Chirwa, Consultant Endocrinologist in Lilogwe and Dr Michael MacKenzie, Consultant in Infectious Diseases in Lilogwe. Both Dr Chirwa and Dr MacKenzie have experience of undergraduate and postgraduate medical training in the UK and Malawi.
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This podcast is from the Trainees & Members' Committee (T&MC) of the Royal College of Physicians of Edinburgh (RCPE).
38 min
December 06, 2021 Parkinson's Disease in the AMU (6 Dec 2021)
Dr Jonathan Bardgett interviews Dr David Breen about Parkinson's Disease. How PD is diagnosed, and discussion of different therapies used to treat, therapies to avoid, and side-effects of medications.
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This podcast is from the Trainees & Members' Committee (T&MC) of the Royal College of Physicians of Edinburgh (RCPE).
Dr Breen is a Senior Clinical Research Fellow at the University of Edinburgh and Honorary Consultant Neurologist at NHS Lothian.
He completed neurology and research training in Cambridge and London, before moving to Toronto as a post-CCT Movement Disorders Fellow.
He specialises in the assessment and treatment of people with all types of movement disorders.
30 min
November 22, 2021 Taking the Referral about a Suspected Case of Meningoencephalitis (22 Nov 2021)
Dr Jonathan Bardgett interviews Dr Ollie Lloyd about the types and causes of meningitis and the approach to identifying when the patient presents, management and when to carry out a lumbar puncture and what to look for.
Dr Lloyd is a registrar (ST5) in Infectious Diseases at RIDU, Western General Hospital, Edinburgh
-- Resources --
https://doi.org/10.1002/14651858.cd004405.pub5
https://doi.org/10.1016/j.jinf.2016.01.007
https://doi.org/10.1136/emj.2009.075598
https://doi.org/10.1056/nejmoa040845
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This podcast is from the Trainees & Members' Committee (T&MC) of the Royal College of Physicians of Edinburgh (RCPE).
36 min
November 08, 2021 How to Approach the Patient with Suspected Thyroid Disease (8 Nov 2021)
Dr Rachel Williamson discusses the assessment and management of patients presenting to the Acute Medical Unit with signs and symptoms of thyroid disease.
Dr Williamson is a consultant endocrinologist at the Borders General Hospital, with an interest in teaching and medical education. She is also Secretary of the Scottish Society of Physicians.
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This podcast is from the Trainees & Members' Committee (T&MC) of the Royal College of Physicians of Edinburgh (RCPE).
40 min
October 25, 2021 Clinical AI (25 Oct 2021)
Dr David Ryan interviews Dr Xiao Liu about machine learning in diagnostic testing, the current state of research and use in real-world medicine.
Dr Liu is an ophthalmology doctor and clinical researcher at the University of Birmingham and University Hospitals Birmingham. She is interested in clinical evaluation and implementation of digital health technologies (particularly machine learning algorithms as diagnostic tests) to improve patient care and healthcare delivery.
Her recent work has been around identifying gaps in reporting and methodology in clinical AI studies, and providing guidance for clinicians to critically appraise the evidence supporting AI health systems. She led the development of the SPIRIT-AI and CONSORT-AI guidelines - new reporting guidelines for AI clinical trials. She also plays an advisory role to NHS X, the AI in health and care award and the WHO/ITU focus group for AI for Health.
-- Resources --
A comparison of deep learning performance against health-care professionals in detecting diseases from medical imaging: a systematic review and meta-analysis - https://doi.org/10.1016/S2589-7500(19)30123-2
-Spirit and Consort AI-
https://www.spirit-statement.org/
http://www.consort-statement.org/
In silico - by means of computer modelling or computer simulation.
26 min
October 11, 2021 SAS Doctors (11 Oct 2021)
Dr George Thomas interviews Dr Mike Wilkinson about the role of SAS doctors, how and why doctors might consider this type of role, and the route to the specialist register via CESR.
Dr Wilkinson is an Associate Specialist in Geriatrics and SAS Tutor for Gateshead Health NHS Foundation Trust. HEE NE & North Cumbria Associate Dean for SAS Doctors & Dentists, and SAS Representative for RCPE Trainees & Members’ Committee.
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This podcast is from the Trainees & Members' Committee (T&MC) of the Royal College of Physicians of Edinburgh (RCPE).
27 min
September 27, 2021 Lung Cancer in the AM Take (27 Sept 2021)
Dr Phil Reid, a Respiratory Consultant in Edinburgh, talks about assessing the patient with lung cancer in the acute medical admissions unit.
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This podcast is from the Trainees & Members' Committee (T&MC) of the Royal College of Physicians of Edinburgh (RCPE).
42 min
September 13, 2021 Syncope (13 Sept 2021)
Dr Tina Ryan interviews Dr Lara Mitchell about syncope. They discuss assessment, the importance of a history taking, driving advice, and how to setup a syncope service.
Dr Mitchell is a Consultant Geriatrician at the Queen Elizabeth University Hospital in Glasgow where she setup a syncope service.
-- Resources --
Syncope Unit Rationale - https://doi.org/10.1093/europace/euv115
Syncope pathway article (Br J Cardiol 2019;26:133–6) - http://dx.doi.org/10.5837/bjc.2019.040
ESC Guidelines - https://www.escardio.org/Guidelines/Clinical-Practice-Guidelines/Syncope-Guidelines-on-Diagnosis-and-Management-of
Nice Guidelines - https://www.nice.org.uk/guidance/conditions-and-diseases/neurological-conditions/transient-loss-of-consciousness
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This podcast is from the Trainees & Members' Committee (T&MC) of the Royal College of Physicians of Edinburgh (RCPE).
23 min