Clinical Conversations

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

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

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

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

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

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

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

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

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

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

Dr Hannah Preston discusses toxidromes with Dr Euan Sandilands.

In this episode of Clinical Conversations, Dr Hannah Preston discusses toxidromes (different poisoning presentations) and their management in the acute medical unit (AMU) with Dr Euan Sandilands, with a focus on hyperthermic toxidromes.

Dr Euan Sandilands is Consultant Physician at the Royal Infirmary of Edinburgh, Honorary Senior Clinical Lecturer at the University of Edinburgh, and Director of the National Poisons Information Service - Edinburgh unit.

Dr Hannah Preston is a Renal Registrar in Edinburgh and Co-Chair of RCPE's Trainees and Members' Committee (T&MC).

-- Link --

TOXBASE: https://www.toxbase.org/

Recording date: 1 August 2022

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

This week on Clinical Conversations we have two episodes on clinical skills.

In the second episode, Dr Jonathan Bardgett talks with Dr Sarbjit Clare about Point of Care Ultrasound (PoCUS) and its use in clinical practice.

Dr Sarb Clare MBE is the Deputy Medical Director and Acute Medical Consultant at Sandwell and West Birmingham NHS Trust. She is the NHSEI Midlands Regional Advisor for AIM. She was the first appointed Acute Physician at City Hospital in 2008 where she set up Acute Medicine from infancy and she has been pivotal in developing acute medicine regionally and nationally. She is a national pioneer in Point of Care Ultrasound (POCUS) which she lectures and teaches on nationally. She runs a yearly course “Ultrasound at the Front Door” and has created many free online learning tools and released her first medical book “Ultrasound For the Generalist – A Guide to Point of Care Imaging” with Cambridge University Press in 2021.

Recording date: 11 August 2022

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

This week on Clinical Conversations we have two episodes on clinical skills.

In the first episode, Dr Jonathan Bardgett and Dr Anda Bularga talk with Professor Andrew Elder about clinical skills in postgraduate medicine. They discuss how medical education has changed over the years internationally.

Professor Andrew Elder is the President of the Royal College of Physicians of Edinburgh (RCPE) and an NHS Consultant in Medicine for Older People. Since 2013 he has built collaborations with a number of centres in North America, most notably Stanford and Johns Hopkins, serving as a Visiting Scholar and Fellow at the former, where he has supported teaching and assessment of core bedside skills and co-founded the Society of Bedside Medicine to promote those skills.

Recording date: 19 July 2022

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

Dr Marilena Giannoudi discusses pericardial disease with Professor Abdallah Al-Mohammad.

In this episode of Clinical Conversations, Dr Marilena Giannoudi discusses pericardial disease with Professor Abdallah Al-Mohammad. Professor Al-Mohammad provides a detailed overview of pericardial disease and offers helpful insights, especially highlighting the importance of gaining detailed histories and requesting targeted investigations when receiving these patients at the front door.

Professor Al-Mohammad is a Consultant Cardiologist and Professor of Cardiology for Sheffield Teaching Hospital. Their interests are in heart failure, infective endocarditis and cardiac imaging.

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

In this episode, Dr Kate McLaren shares her experiences with Dr Hannah Preston of non-invasive ventilation (NIV), also discussing who needs to be involved in the process.

Dr Kate McLaren is a Consultant in Respiratory Medicine with a particular interest in the integrated management of chronic lung disease.

Recording date: 28 June 2022.

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