Clinical Conversations

This week on Clinical Conversations Dr Jonathan Bardgett talks with Mr James Milburn and Dr Umesh Basavaraju about jaundice and patients presenting with or without accompanying pain. By discussing cases and highlighting the surgical and gastroenterological focus, both speakers offer helpful advice and advocate for the multidisciplinary approach when treating jaundiced patients.

Mr Milburn is a Consultant General & Hepatobiliary Surgeon at Aberdeen Royal Infirmary.

Dr Basavaraju is a Consultant Gastroenterologist at Aberdeen Royal Infirmary. Their main interest is interventional endoscopy in biliary and pancreatic conditions.

Recording date: 21 June 2022.

-- Follow us --

https://www.instagram.com/rcpedintrainees

-- Upcoming RCPE Events --

https://www.rcpe.ac.uk/events

Feedback: [email protected]

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

In this episode of Clinical Conversations Dr Jonathan Bardgett interviews Dr Gourab Choudhury on Chronic Obstructive Pulmonary Disease (COPD). Drs Bardgett and Choudhury discuss what COPD is, why it is important to recognise its symptoms and talk through a case to give advice on how to manage a COPD exacerbation in the Acute Medical Unit.

Dr Choudhury is a Respiratory Consultant at the Royal Infirmary of Edinburgh and the Respiratory Managed Clinical Network Lead in NHS Lothian.

Recording date: 28 June 2022.

-- Follow us --

https://www.instagram.com/rcpedintrainees

-- Upcoming RCPE Events --

https://www.rcpe.ac.uk/events

Feedback: [email protected]

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

Drs Bardgett and Guckian in conversation about recruitment.

This week, Drs Jonny Bardgett and Jonny Guckian share their experiences of medical recruitment, discuss the application points system and give advice on how to utilise your skills and experience in application and interview.

--Useful Links--

Oriel - https://www.oriel.nhs.uk/Web/

IMT Recruitment - https://www.imtrecruitment.org.uk/recruitment-process/applying/application-scoring

HST Recruitment - https://phstrecruitment.org.uk/recruitment-process/applying/application-scoring

Recording date: 21 July 2022.

-- Follow us --

https://www.instagram.com/rcpedintrainees

-- Upcoming RCPE Events --

https://www.rcpe.ac.uk/events

Feedback: [email protected]

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

Dr Marilena Giannoudi discusses with Drs Jivendra Gosai and Louise Mundy, their experience of taking part in Out of Programme Opportunities, the variety of opportunities available and how to get the most out of these opportunities.

-- Follow us --

https://www.instagram.com/rcpedintrainees

-- Upcoming RCPE Events --

https://www.rcpe.ac.uk/events

Feedback: [email protected]

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

Dr Hannah Preston interviews Professor Tony Heagerty on the clinical management of hypertension, including lifestyle changes to lower blood pressure.

Professor Tony Heagerty is Head of the School of Medical Sciences in The University of Manchester and Honorary Consultant Physician/Professor of Medicine at Manchester Foundation Trust. He is Past President of the British Hypertension Society, European Society of Hypertension and International Society of Hypertension. His research interests are in hypertension management, diabetes and obesity.

Recording date: 17 May 2022

-- Follow us --

https://www.instagram.com/rcpedintrainees

-- Upcoming RCPE Events --

https://www.rcpe.ac.uk/events

Feedback: [email protected]

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

Dr Kate Gatenby discusses with Dr Marilena Giannoudi the various aspects of this fascinating specialty and describes her journey so far.

Recording date: 18 March 2022

-- Follow us --

https://www.instagram.com/rcpedintrainees

-- Upcoming RCPE Events --

https://www.rcpe.ac.uk/events

Feedback: [email protected]

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

Dr Jonny Guckian and Dr Jonny Bardgett discuss the variety and severity of dermatological conditions presenting in Acute Medicine.

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.

Recording date: 5 May 2022

-- Follow us --

https://www.instagram.com/rcpedintrainees

-- Upcoming RCPE Events --

https://www.rcpe.ac.uk/events

Feedback: [email protected]

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

Dr Jonathan Bardgett interviews Dr Damian Fogarty on why Acute Kidney Injury and Chronic Kidney Disease is so important and talk through cases to give tips on managing a patient in the acute take.

Dr Fogarty is a Consultant Nephrologist in the Belfast Trust. His current post, in a tertiary referral centre, manages patients with Acute Kidney Injury and Chronic Kidney Disease including those requiring dialysis or transplantation.

https://twitter.com/DamianFog

--Useful Information--

This podcast although pre-recorded is a spontaneous conversation & as such recommendations and advice need taken in context with written and proof-read reviews such as within these references:

Acute kidney injury: prevention, detection and management

NICE guideline Published: 18 December 2019

www.nice.org.uk/guidance/ng148

PDF at https://www.nice.org.uk/guidance/ng148/resources/acute-kidney-injury-prevention-detection-and-management-pdf-66141786535621

BMJ Quality Improvement Programme

Acute Kidney Injury: It’s as easy as ABCDE

Caroline Forde, Jennifer McCaughan, Niall Leonard

https://bmjopenquality.bmj.com/content/1/1/u200370.w326

BMJ Quality Improvement Reports 2013; 2, No. 1 u200370.w326 doi: 10.1136/bmjquality.u200370.w326

The 'ABCDE' checklist (Address drugs, Boost blood pressure, Calculate fluid balance, Dip urine, Exclude obstruction) was introduced to prompt AKI management.

In NHS England there is a mandated AKI programme under the umbrella term of ‘Think Kidneys’ (https://www.thinkkidneys.nhs.uk/).

As part of this there is a national audit with data collection using laboratory AKI e-alerts and managed by the UK Renal Registry-UK Kidney Association in association with NHS England.

This service estimates that one in five emergency admissions into hospital are associated with acute kidney injury and potentially up to 100,000 deaths in secondary care are associated with acute kidney injury with perhaps 25-30% potentially preventable.

(National Confidential Enquiry into Patient Outcome and Death (NCEPOD) Adding Insult to Injury 2009)https://www.ncepod.org.uk/2009aki.html.

AKIN stages:

An increase of more than 26μmol/l above baseline (within a 48hr period)

OR An increase of more than or equal to 1.5 to 2 fold from baseline

An increase of more than or equal to 2 to 3 fold from baseline

An increase of more than 3 fold from baseline

OR

Serum creatinine ≥355μmol/l with an acute rise of at least 45μmol/l

OR

Initiation of RRT

Recording date: 30 May 2022

-- Follow us --

https://www.instagram.com/rcpedintrainees

-- Upcoming RCPE Events --

https://www.rcpe.ac.uk/events

Feedback: [email protected]

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

T&MC members Jonathan Bardgett and Anda Bularga interview Drs Matthew Watto and Paul Williams, founding members of the US Internal Medicine podcast ‘The Curbsiders’. The group compare the similarities and differences in medical training pathways within the United States and United Kingdom and discuss their experiences of creating a medical podcast series.

--Useful Links--

Curbsiders Podcast - https://thecurbsiders.com/

https://twitter.com/thecurbsiders

https://twitter.com/DoctorWatto

https://twitter.com/PaulNWilliamz

Recording date: 10 June 2022

-- Follow us --

https://www.instagram.com/rcpedintrainees

-- Upcoming RCPE Events --

https://www.rcpe.ac.uk/events

Feedback: [email protected]

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

Dr Hussun-Ara Shah interviews Dr Phil Crosbie about the Lung Health Check Pilot, the new national lung health checks and supporting patients with smoking cessation.

Dr Crosbie is a Senior Lecturer and Honorary Consultant in Respiratory Medicine at the University of Manchester. His main clinical and research interest is lung cancer with a specific focus on early detection and screening. Phil is research lead for the Manchester Lung Health Check Service and co-chief investigator of the Yorkshire Cancer Research funded Yorkshire Lung Screening Trial. He is also member of the national Targeted Lung Health Check Expert Advisory Group and Early Detection lead for Cancer Research UK’s Lung Cancer Centre of Excellence.

Recording date: 4 March 2022

-- Follow us --

https://www.instagram.com/rcpedintrainees

-- Upcoming RCPE Events --

https://www.rcpe.ac.uk/events

Feedback: [email protected]

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