MRCPI Bedside

MRCPI Bedside

By Dr Christine Condon and Dr Harry EconomosEducationHow To
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MRCPI Bedside episodes

  • #15 Polycystic Kidney Disease 🫘

    In this episode we are joined by Nephrology Specialist Registrar Dr Sarah Cormican to discuss polycystic kidney disease as potential station in the MRCPI Part II clinical exam.

    Sign up to Pastest MRCP Clinical revision resource via our affiliate link below:
    ⁠https://www.awin1.com/cread.php?awinmid=46017&awinaffid=1651835&campaign=MRCPi+Bedisde&ued=https%3A%2F%2Fwww.pastest.com%2Fmrcp-part-1%2F⁠
    Consultant supervisor Professor Declan Byrne, consultant physician St James's Hospital, Dublin

    Show music by Stepping on Lego - email: [email protected] - socials: @steppingonlego_

    Get in touch with us by email [email protected] or social media @mrcpibedside

    Good luck!

    17 min
  • #14 Interstitial Lung Disease 🫁

    In this episode we are joined by Respiratory Consultant Dr Brian Kent to discuss Interstitial Lung Disease as potential station in the MRCPI Part II clinical exam.


    Sign up to Pastest MRCP Clinical revision resource via our affiliate link below:
    ⁠https://www.awin1.com/cread.php?awinmid=46017&awinaffid=1651835&campaign=MRCPi+Bedisde&ued=https%3A%2F%2Fwww.pastest.com%2Fmrcp-part-1%2F⁠
    Episode external review by Dr Margaret Higgins, Respiratory SpR

    Consultant supervisor Professor Declan Byrne, consultant physician St James's Hospital, Dublin

    Show music by Stepping on Lego - email: [email protected] - socials: @steppingonlego_

    Get in touch with us by email [email protected] or social media @mrcpibedside

    14 min
  • #13 Bronchiectasis 🫁

    In this episode we are joined by Respiratory Consultant Dr Brian Kent to talk through bronchiectasis as a potential station in the MRCPI Part II clinical exam.


    Sign up to Pastest MRCP Clinical revision resource via our affiliate link below:
    ⁠https://www.awin1.com/cread.php?awinmid=46017&awinaffid=1651835&campaign=MRCPi+Bedisde&ued=https%3A%2F%2Fwww.pastest.com%2Fmrcp-part-1%2F⁠
    Episode external review by Dr Margaret Higgins, Respiratory SpR

    Consultant supervisor Professor Declan Byrne, consultant physician St James's Hospital, Dublin

    Show music by Stepping on Lego - email: [email protected] - socials: @steppingonlego_

    Get in touch with us by email [email protected] or social media @mrcpibedside

    Good luck!

    20 min
  • #12 Ankylosing Spondylitis

    In this episode we are joined by Rheumatology Specialist Registrar Dr Aine Connerton to discuss Ankylosing Spondylitis as a potential station in the Irish MRCPI Part II clinical exam.

    We discuss the approach, physical findings, a differential diagnosis, investigations and management. We then go on to briefly talk through some potential follow-up questions including radiological findings, and extra articular manifestations.

    Episode external review by Dr Eleanor Connolly, Rheumatology Specialist Registrar


    This podcast is supported by Pastest and their excellent online education resource to help candidates sit their clinical exams.


    Sign up to Pastest MRCP Clinical revision resource via our affiliate link below:
    ⁠https://www.awin1.com/cread.php?awinmid=46017&awinaffid=1651835&campaign=MRCPi+Bedisde&ued=https%3A%2F%2Fwww.pastest.com%2Fmrcp-part-1%2F⁠
    For Irish based candidates you can apply to claim back the cost through the training support scheme (up to date as of July 2023)


    Consultant supervisor Professor Declan Byrne, consultant physician St James's Hospital, Dublin


    Show music by Stepping on Lego - email: [email protected] - socials: @steppingonlego_

    Get in touch with us by email [email protected] or social media @mrcpibedside

    Good luck!

    15 min
  • #11 Splenomegaly🩸

    In this episode we are joined by Haematology Specialist Registrar Dr Claire Kelly to discuss splenomegaly and some important haematological disorders as potential stations in the MRCPI Part II clinical exam.

    We discuss the approach, physical findings, a differential diagnosis, investigations and management. We then go on to briefly talk through some potential follow-up questions including differentiating a large spleen versus a large kidney, management of Chronic Myeloid Leukaemia (CML) and Myelofibrosis, a brief review of Autoimmune Haemolytic Anaemia (AIHA) and Immune Thrombocytopenia (ITP), splenectomy indications and splenectomy precautions.

    Common causes of splenomegaly in exams are CML and myelofibrosis.


    A possible way to learn and work through a splenomegaly differential diagnosis (taken from Pastest Splenomegaly case notes):

    The causes of splenomegaly can be stratified into three main categories:

    "1 . Infiltration, malignant or benign - (including myeloproliferative and
    lymphoproliferative disorders), lymphomas, amyloidosis, sarcoidosis, Gaucher’s
    disease (ie lipid storage disease), thyrotoxicosis.

    2. Increased function – with increased removal of defective red blood cells with
    spherocytes, thalassaemia, nutritional anaemias and early sickle cell anaemia.
    Also there is immune hyperplasia in response to infection (viral, bacterial, fungal or
    parasitic) including tropical splenomegaly with chronic malaria and visceral
    leishmaniosis i.e. Kala-azar. Also consider glandular fever, infectious hepatitis,
    subacute bacterial endocarditis, brucellosis and disordered immunoregulation
    (rheumatoid arthritis with Felty’s syndrome, SLE, sarcoidosis)

    3. Abnormal blood flow, either with cirrhosis, or secondary to a vascular
    problem, such as hepatic or portal vein obstruction.
    As there are so many causes of splenomegaly, you may find the examiner will give you a clue
    to guide you to the diagnosis. Listen carefully for this.
    So, for example, if the examiner asks you to examine this farmer’s abdomen, they may be likely
    to have Brucellosis. If you were only asked to examine the abdomen itself but given an
    opportunity to examine elsewhere, you may request to examine the throat for glandular fever.
    If the examiner asks you to examine this man and informs you he is an Ashkenazi Jew, there may
    be increased likelihood that the patient may have type 1 Gaucher’s.
    If you are informed the patient has recently returned from Africa, then you should consider
    chronic malaria, although there would likely be other clinical features such as anaemia."

    Sign up to Pastest MRCP Clinical revision resource via our affiliate link below:
    ⁠https://www.awin1.com/cread.php?awinmid=46017&awinaffid=1651835&campaign=MRCPi+Bedisde&ued=https%3A%2F%2Fwww.pastest.com%2Fmrcp-part-1%2F⁠
    Episode external review by Dr Louisa Shackleton, Haematology SpR

    Consultant supervisor Professor Declan Byrne, consultant physician St James's Hospital, Dublin

    Show music by Stepping on Lego - email: [email protected] - socials: @steppingonlego_

    Get in touch with us by email [email protected] or social media @mrcpibedside

    Good luck!

    19 min
  • #10 Thyroid Disorders

    In this episode we are joined by Dublin based Endocrinology Specialist Registrar Dr Michelle Maher to discuss how thyroid disorders may appear as a case in the MRCPI Part II clinical exam.

    We discuss the approach, physical findings, a differential diagnosis, investigations and management for a number of thyroid conditions for the clinical exam format. We then go on to briefly talk through some potential follow-up questions.


    Sign up to Pastest MRCP Clinical revision resource via our affiliate link below:
    ⁠https://www.awin1.com/cread.php?awinmid=46017&awinaffid=1651835&campaign=MRCPi+Bedisde&ued=https%3A%2F%2Fwww.pastest.com%2Fmrcp-part-1%2F⁠
    Episode external review by Endocrinology SpR Dr Liam O'Murchadha, Dublin

    Consultant supervisor Professor Declan Byrne, consultant physician St James's Hospital, Dublin

    Show music by Stepping on Lego - email: [email protected] - socials: @steppingonlego_

    Get in touch with us by email [email protected] or social media @mrcpibedside

    Good luck!

    20 min
  • #9 Aortic Stenosis 🫀

    In this episode we are joined by Dublin based Cardiology Specialist Registrar Dr Roisin Gardiner to discuss aortic stenosis as a station in the MRCPI Part II clinical exam.

    We discuss the approach, physical findings, a differential diagnosis, investigations and management. We then go on to briefly talk through some potential follow-up questions including Heyde's syndrome, symptoms of aortic stenosis, echocardiogram findings of severe aortic stenosis, surgical repair versus TAVI and benefits of mechanical versus bioprosthetic valves.


    Sign up to Pastest MRCP Clinical revision resource via our affiliate link below:
    ⁠https://www.awin1.com/cread.php?awinmid=46017&awinaffid=1651835&campaign=MRCPi+Bedisde&ued=https%3A%2F%2Fwww.pastest.com%2Fmrcp-part-1%2F⁠
    Episode external review by Dr Rory Durand, Dublin

    Consultant supervisor Professor Declan Byrne, consultant physician St James's Hospital, Dublin

    Show music by Stepping on Lego - email: [email protected] - socials: @steppingonlego_

    Get in touch with us by email [email protected] or social media @mrcpibedside

    Good luck!


    14 min
  • #8 The Communication and Ethics Short Case - Format, Common Situations, Consent, The Pillars of Medical Ethics ⚖️

    In this episode we talk through the structure and how to prepare for short case station 1 , the Communication and Ethics station, one of the most failed stations outside of candidates who sit their exam outside of Ireland. 

    Sign up to Pastest MRCP Clinical revision resource via our affiliate link below:
    ⁠https://www.awin1.com/cread.php?awinmid=46017&awinaffid=1651835&campaign=MRCPi+Bedisde&ued=https%3A%2F%2Fwww.pastest.com%2Fmrcp-part-1%2F⁠
    The cases will include communication scenarios relating to:
    Information giving–example: discussing of treatment options with a patient with sexually transmitted infection, MRSA. SLE communication
    Breaking bad news – example: telling a person her husband died, or telling a patient they have cancer, their father was given too much methotrexate (daily instead of weekly) and now has neutropenic sepsis, intracranial bleed post thrombolysis now GCS 7 post same - explain to daughter, drug error
    Consent – example: obtaining consent for treatment from a patient with a mild cognitive impairment
    Confidentiality–example:maintaining confidentiality under pressure from family members
    Managing challenging situations – example: discussing organ donation with next of kin of a ventilated patient who has an organ donor card in her pocket but the next of kin objects because it is against his/her religion, paracetamol overdose wanting to DAMA, counselling poorly controlled T1DM, verbally de-escalating an angry patient who wants to leave the ward who may not have capacity 
    Ethics – example: telling a colleague that you need to report their drug abuse as they are unsafe to continue to practice
    As mentioned the SPIKES mnemonic as a potential tool for working through communication stations:
    S - Setting - how can you optimise the setting? e.g. A family member being present for support, ideally a quiet private place etc. 
    P - Perception - clarifying what is the patient or family member's current perception of events to date?
    I - Invitation - inviting the patient or family the opportunity to say how much or what exactly they want to know
    K - Knowledge - giving the knowledge or information you need to deliver
    E - Empathy - Displaying empathy throughout the consultation
    S - Summarise for the patient or the family what you have discussed and offer the opportunity for the to ask questions
    The 4 pillars of Medical Ethics:
    1. Autonomy - respecting a patient's right to make their own decisions
    2. Beneficence - Making decisions to benefit the patient
    3. Non-maleficence - Do no harm to the patient
    4. Justice - fair allocation of time and resources for all patients' benefit
    Click here for the RCPI MRCPI Clinical Info and Resource page
    The Irish Medical Council's Guide to Professional Conduct and Ethics for Registered Medical Practitioners PDF
    https://www.medicalcouncil.ie/news-and-publications/reports/guide-to-professional-conduct-and-ethics-for-registered-medical-practitioners-amended-.pdf
     
    Get in touch with us at [email protected] or via our socials Twitter and Instagram  @mrcpibedside 
    Show music: Stepping on Lego. Instagram @steppingonlego_

    Forward any enquiries to [email protected]

    Consultant Lead: Professor Declan Byrne, Consultant physician in general internal and geriatric medicine at St. James Hospital, Dublin


    22 min
  • #7 The Short Cases (part 2) - Examinations to Know, Presenting Your Findings, Follow-Up Questions

    In part two of The Short Cases episode we continue on from where we left off, going through what to expect in the 4 minutes of question time with the consultant examiner. We talk through the presentation of your physical examination findings, and the structure of the questions along with some tips for both.

    The VITAMIN CDE mnemonic as a potential helpful tool for working through a differential diagnosis:
    V - Vascular
    I - Infectious/Inflammatory
    T - Trauma/Toxic
    A - Autoimmune 
    M - Metabolic
    I - Iatrogenic/Idiopathic 
    N - Neoplastic
    C - Congenital 
    D - Degenerative 
    E - Endocrine
    Get in touch with any questions or to share any of your own tips with us at [email protected]
    Check out our Twitter @mrcpibedside for more helpful tips and tricks
    Instagram (neww!!) @mrcpibedside 
    Sign up to Pastest MRCP Clinical revision resource via our affiliate link below:
    ⁠https://www.awin1.com/cread.php?awinmid=46017&awinaffid=1651835&campaign=MRCPi+Bedisde&ued=https%3A%2F%2Fwww.pastest.com%2Fmrcp-part-1%2F⁠

    Show music: Stepping on Lego. Instagram @steppingonlego_

    Forward any enquiries to [email protected]

    Consultant Lead: Professor Declan Byrne, St. James Hospital, Dublin


    17 min
  • #6 The Short Cases (part 1) - Format, What to Expect, Examination Skills 💯

    Welcome back to MRCPI Bedside, hosted by Dr. Christine Condon and Dr. Harry Economos. This is part one of The Short Cases episodes. In this episode we will talk through the need-to-know information to get you through the five short cases. Good preparation is the key to ensure that you’re not thrown on the day. Keep calm and achieve the marks you deserve.

    Get in touch with us at [email protected]
    Check out our Twitter @mrcpibedside for more helpful tips and tricks
    Sign up to Pastest MRCP Clinical revision resource via our affiliate link below:
    ⁠https://www.awin1.com/cread.php?awinmid=46017&awinaffid=1651835&campaign=MRCPi+Bedisde&ued=https%3A%2F%2Fwww.pastest.com%2Fmrcp-part-1%2F⁠
    Show music: Stepping on Lego. Instagram @steppingonlego_

    Forward any enquiries to [email protected]

    Consultant Lead: Professor Declan Byrne


    18 min

About MRCPI Bedside

From the publisher's feed

MRCPI Bedside is a podcast with bite sized episodes for doctors who are preparing to sit the tremulously tricky MRCPI Part II Clinical in General Medicine. Hosted by two Irish junior doctors fresh out of sitting their exam, we hope to break it down and provide you with the need-to-know info and preparation tips to help take the fear out of the exam. We hope you enjoy listening and best of luck!