Clinical Conversations

Dr Anda Bularga interviews Dr Justin McKee, Consultant in Medical Ophthalmology in NHS Lothian. He talks about the ocular manifestations of systemic illnesses and clinical presentation and management of these patients. Dr McKee also gives an overview of the training path and a career in Medical Ophthalmology.

Dr McKee works between the Princess Alexandra Eye Pavilion and Department of Clinical Neurology in Edinburgh, specialising in diabetic retinopathy, Uveitis, Thyroid eye disease and Neuro-ophthalmology.

Ophthalmology specialty training

- https://www.jrcptb.org.uk/specialties/medical-ophthalmology

- https://www.rcophth.ac.uk/

Recording date: 9 July 2021

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This podcast is from the Trainees & Members' Committee (T&MC) of the Royal College of Physicians of Edinburgh (RCPE).

Dr Tina Ryan talks to Dr Rosie Baruah about microaggressions, how to recognise them and actions you can take.

Dr Baruah is a Consultant in Intensive Care Medicine, Western General Hospital and Hon. Clinical Senior Lecturer, University of Edinburgh

-- The Seven Acts of Allyship --

Appetite – Do you have the appetite to immerse yourself in the complex, emotive world of race equality?

Ask – Ask questions about race, be curious, read, learn and educate yourself.

Accept – Accept there is really a problem. More data aren’t needed.

Acknowledge – Openly acknowledge that the problem needs to be dealt with.

Apologise – Express sympathy that racism is affecting people of certain races.

Assume – Don’t. Instead develop informed views by seeking to understand individuals.

Action – Take demonstrable action steps to establish equality and be accountable.

7 A's Infographic - https://twitter.com/yvonnecoghill1/status/1280744970102636550

https://twitter.com/rosieICM

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This podcast is from the Trainees & Members' Committee (T&MC) of the Royal College of Physicians of Edinburgh (RCPE).

Dr Jonathan Bardgett interviews Dr Murray Blackstock, a Consultant in Intensive Care Medicine and Anaesthesia. He talks about the presentation and management of patients with subarachnoid haemorrhage (SAH) and gives some useful advice on how to refer these patients to neurosurgery and critical care. He refers to NICE guidance and his own personal experience of managing the patient with acute onset headache.

NICE Guidelines - https://www.nice.org.uk/guidance/conditions-and-diseases/cardiovascular-conditions/cranial-aneurysms

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This podcast is from the Trainees & Members' Committee (T&MC) of the Royal College of Physicians of Edinburgh (RCPE).

Dr Jonathan Bardgett interviews Dr Snehashish Banik about the importance and practicalities of using point of care ultrasound in the acute medical admissions unit. He talks about how trainees can learn this specialist skill.

Dr Banik is Consultant Physician in Acute and General Internal Medicine. He is a FAMUS (Focused Acute Medicine Ultrasound) supervisor in Scotland.

www.acutemedicine.org.uk/famus/

www.famus.org.uk

FAMUS YouTube - www.youtube.com/channel/UCW5COwTFePkExC2CMkgj-gA/videos

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This podcast is from the Trainees & Members' Committee (T&MC) of the Royal College of Physicians of Edinburgh (RCPE).

Dr David Ryan interviews Prof Emma Baker and Dr Dipender Gill about Clinical Pharmacology discussing their day to day experiences and why everyone should consider it as a specialty.

British Pharmacological Society

www.bps.ac.uk

Professor Baker is Professor of Clinical Pharmacology, St George's, University of London with an interest in polypharmacy, translational research and education. Clinical Vice President of the British Pharmacological Society, with the remit of promoting Clinical Pharmacology and Therapeutics as a medical specialty. Training Programme Director for Clinical Pharmacology and Therapeutics in London with a passion for making sure that specialty training is excellent!

Dr Gill work at St. George's Hospital and St. George's, University of London, where he is appointed as a an NIHR Clinical Lecturer. Dipender also works flexibly as a Specialist in the Genetics Department of the Novo Nordisk Research Centre in Oxford and has continued an honorary affiliation at Imperial College London, where he is supported by the British Heart Foundation Centre of Research Excellence.

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This podcast is from the Trainees & Members' Committee (T&MC) of the Royal College of Physicians of Edinburgh (RCPE).

Dr Martin Wilson, a Consultant in Medicine of the Elderly, talks about Frailty and Polypharmacy.

Dr Wilson is a Consultant in Care of the Elderly, Raigmore Hospital, Inverness.

Interest in care of the elderly in remote rural areas, community hospitals and Parkinson's Disease. Commissioner on Committee for Human Medicines MHRA. Long standing interest in Polypharmacy and involved in NHS Scotland's Polypharmacy Guideline from the outset.

Polypharmacy Guidance: Realistic Prescribing, 3rd edition (2018)

https://managemeds.scot.nhs.uk/

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This podcast is from the Trainees & Members' Committee (T&MC) of the Royal College of Physicians of Edinburgh (RCPE).

Dr Roger Smyth, Consultant Liaison Psychiatrist, talks about the mental health aspects of alcohol misuse, management of alcohol withdrawal syndrome and the process of liver transplantation assessment.

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This podcast is from the Trainees & Members' Committee (T&MC) of the Royal College of Physicians of Edinburgh (RCPE).

Dr Alastair MacGilchrist talks about alcohol-related liver disease and alcohol dependence. He discusses how to prevent, assess and treat patients with this disease and talks about public health initiatives on this area of medicine.

Scottish Health Action on Alcohol Problems (SHAAP): https://shaap.org.uk

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This podcast is from the Trainees & Members' Committee (T&MC) of the Royal College of Physicians of Edinburgh (RCPE).

Dr Jack Andrews gives an overview of the recent updates in the assessment and management of patients with acute coronary syndrome. We discuss immediate management and long term risk stratification of patients with myocardial infarction.

Dr Jack Andrews is a senior cardiology registrar specialising in interventional cardiology, currently working at the Royal Infirmary of Edinburgh.

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This podcast is from the Trainees & Members' Committee (T&MC) of the Royal College of Physicians of Edinburgh (RCPE).

Dr Vicky Tallentire discusses her career in medical education and explains how medical trainees can get involved in simulation training and research. She reflects on her time as an education fellow, an education coordinator at the Scottish Centre for Simulation and Clinical Human Factors (SCSChf) and her other roles.

Dr Tallentire is a Consultant in Acute Medicine, an Associate Postgraduate Dean and a simulation enthusiast and facilitator at SCSChf. She is a passionate believer in being able to admit, understand and learn from mistakes in all aspects of life.

Resources:

https://www.asme.org.uk

https://scschf.org/courses/

https://www.scotlanddeanery.nhs.scot/trainee-information/internal-medicine-training-imt-simulation-programme/

https://www.ed.ac.uk/medicine-vet-medicine/postgraduate/clinical-education

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This podcast is from the Trainees & Members' Committee (T&MC) of the Royal College of Physicians of Edinburgh (RCPE).