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Richard welcomes Dr Mai Elftise to the podcast who is a GPwSI in respiratory medicine.  During the episode we discuss the assessment of patients who present with protentional respiratory pathology.   This includes history taking , red flags, investigations and referrals.  We use Dr Mai's knowledge to introduce a case of a patient with possible COPD to assess and arrange appropriate investigations and referrals when needed.

As always thank you to Scott for your help and support.

Please follow us on X @FCPParamedicpodcast

Primary Care Respiratory Society
Inspiring best practice in respiratory care | Primary Care Respiratory Society (pcrs-uk.org)

GOLD guidelines
Global Initiative for Chronic Obstructive Lung Disease - Global Initiative for Chronic Obstructive Lung Disease - GOLD (goldcopd.org)

NICE gudielines
Chronic obstructive pulmonary disease | Health topics A to Z | CKS | NICE

MRC Dyspnoea Scale
MRC Dyspnoea Scale | Primary Care Respiratory Society (pcrs-uk.org)

Spirometry
Spirometry | Primary Care Respiratory Society (pcrs-uk.org)
Spirometry Interpretation | Obstructive vs Restrictive | Geeky Medics
Diagnosis - COPD | Diagnosis | Chronic obstructive pulmonary disease | CKS | NICE

Coventry and Warwickshire Training Hub
Home - Coventry & Warwickshire Training Hub (cwtraininghub.co.uk)

PCRS respiratory conference
PCRS Respiratory Conference | Primary Care Respiratory Society (pcrs-uk.org)

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Richard and Emma welcome back FCP ambassador and physio Ed Baker to discuss hip pain assessment.  Ed discus's his assessments of patients that present in his clinics with hip pain.  Ed discus's history taking , physical examination and potential pathology's of the hip joint.  Ed, then discus's a case of hip osteoarthritis and how he applies his assessment skills to this case. 

As always thank to Scott and Martin for your help and support.

Please follow us on X @FCPParamedicpod and leave comments and reviews.

Red Flags

Trauma
Unexplained weight loss
Neurological systems
Age
Fever
IV drug use
Steroids
History

Consideration for referral

Walking aid
Sleep
Walking distance

Hip Quadrant test
Hip Quadrant Test | Clinical Physio (youtube.com)

Great trochanter joint syndrome
Greater trochanteric pain syndrome | Health topics A to Z | CKS | NICE

Femoroaceabular impingement
Diagnosis and management of femoroacetabular impingement | British Journal of General Practice (bjgp.org)

Osteoarthritis of the hip
Osteoarthritis (OA) of the hip | Hip pain | Versus Arthritis

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Richard and Emma welcome back Ed Baker who is a FCP - MSK physio in general practice and a FCP ambassador at Coventry and Warwickshire Training Hub.  During the episode we discuss the approach to patients that present with knee pain and how to carry out a effective knee assessment.  Including, history taking, common examination findings and knee pathology.  Ed discus's when we should be investigating knee pain and what investigations should requested.  Ed then relates his assessment to discuss a case related to osteoarthritis presenting in general practice.

Please feel free to rate the podcast and comment, follow us on twitter @FCPParamedicpod.

As always thank you to Scott and Martin for you input on developing the podcast.

Coventry and Warwickshire Training hub
Home - Coventry & Warwickshire Training Hub (cwtraininghub.co.uk)

Physiopedia
Physiopedia - universal access to rehabilitation knowledge (physio-pedia.com)

Physiotutors
Physiotutors | Online Learning for Physiotherapists

https://www.youtube.com/watch?time_continue=13&v=ebraZ4jM36A&embeds_referring_euri=https%3A%2F%2Fwww.bing.com%2F&embeds_referring_origin=https%3A%2F%2Fwww.bing.com&source_ve_path=Mjg2NjIsMjg2NjY&feature=emb_logo

Anterior Drawers Test
https://www.youtube.com/watch?time_continue=2&v=X2sDFK76xNo&embeds_referring_euri=https%3A%2F%2Fwww.bing.com%2F&embeds_referring_origin=https%3A%2F%2Fwww.bing.com&source_ve_path=Mjg2NjY&feature=emb_logo

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Richard and Emma welcome back Dr David Palmer, who is a GPwSI in mental health.  During the the podcast we discuss patient presentations including substance abuse, psychosis and post natal depression.  David give us his incite into mental health assessments including history taking , investigations and appropriate referrals.

As always special thank you to Scott and Martin for your support in the podcast and for David for giving up his time to record the episode.

Please rate and subscribe to the podcast, we are also on twitter @FCPparamedicpod

Psychosis NICE guidelines
Psychosis and schizophrenia | Health topics A to Z | CKS | NICE

Postnatal depression NICE guidelines
Depression - antenatal and postnatal | Health topics A to Z | CKS | NICE

Alcohol abuse NICE guideline
Alcohol - problem drinking | Health topics A to Z | CKS | NICE

Edinburgh scoring tool
EDPS_text_added.pdf (stanford.edu)

Coventry and Warwickshire Training Hub 
Home - Coventry & Warwickshire Training Hub (cwtraininghub.co.uk)

College of Paramedics 
Home (collegeofparamedics.co.uk)

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Emma's back and we are discussing mental health assessment with Dr David Palmer, who is a GP with a keen interest in mental health.  During the episode we discuss the importance of mental health assessment, David give his guidance of how he approach's mental health assessment.  We they apply his knowledge to two cases including depression and anxiety.

Thank you to Martin and Scott for you help as always.

Please feel free to rate the podcast and follow us on @FCPParamedicpod on twitter.

Basic Human needs
Maslow's Hierarchy of Needs (simplypsychology.org)

PHQ9
PHQ-9 Depression Test Questionnaire | Patient

GAD7
GAD7 Anxiety Test Questionnaire | Patient

Depression
 Depression | Health topics A to Z | CKS | NICE

Anxiety
Generalized anxiety disorder | Health topics A to Z | CKS | NICE

Talking therapies
NHS talking therapies - NHS (www.nhs.uk)  

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Richard welcomes back Dr David Lupini who is a GP partner and GPwSI in dermatology.  During the episode we discuss the assessment of skin lesions.  Dr Lupini discus's how he started to assess skin lesions in primary care without the use of a dermatoscope.  We apply the assessment to 3 cases including melanoma , squamous cell carcinoma and basal cell carcinoma.  Within the cases we discuss red flags in skin lesions and the correct referral pathway for these patients.

Please feel free to leave us comments and rate the podcast.  We are on twitter @FCPParamedicpod.

As always special thanks to Scott and Martin for your help and Dr Lupini for giving up your time to record the episode.

Skin Lesion Assessment
Dermoscopic assessment (pcds.org.uk)

Coventry and Warwickshire Training Hub
Home - Coventry & Warwickshire Training Hub (cwtraininghub.co.uk)

College of Paramedic - Primary and Urgent Care
Primary and Urgent Care (collegeofparamedics.co.uk)

Melanoma
Melanoma (pcds.org.uk)

Squamous Cell Carcinoma
Squamous cell carcinoma (pcds.org.uk)

Basal Cell Carcinoma
Basal cell carcinoma (pcds.org.uk)

Actinic Keratosis
Actinic (solar) keratosis (pcds.org.uk)

Bowen disease
Bowen's disease (pcds.org.uk)
 
Gateway C - Skin Cancer Early Diagnosis
New course: Skin Cancer – Early Diagnosis - GatewayC

Fitzpatrick Skin Type
Skin phototype (Fitzpatrick skin type) | DermNet (dermnetnz.org)

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Richard welcomes Jo Taylor a personalised care ambassador and Katie Chuter a heath and well being coach.  Within the episode we look to celebrate the new role within  heath care which is health and wellbeing coaching.  During the episode we discuss where heath and wellbeing coaching came from, who is a heath and wellbeing coach and what does the training involved.  We look to identify what the expected benefits for the patient, the service and what the future looks like in health and well being coaching.

The aim of heath and wellbeing coaching awareness is to - 

•Raise awareness of the opportunities and benefits of health coaching by highlighting how it can increase people’s capability to self-manage major conditions.

•Highlight how health coaching can support people to make more informed and conscious choices that prevent the escalation of illness and improve health outcomes.

•Showcase how health coaches’ unique expertise can bring about positive changes for individuals and the health and care system, such as reducing demand on services and the need for clinical interventions.

•Showcase good practice and the impact of health coaching across the NHS in primary, secondary and community care.

·Highlight that health and care professionals from any specialism can learn to take a health coaching approach, with the right training.

Please follow us on twitter @FCPparamedicpod

As always special thanks to Scott and Martin for your support.

Coventry and Warwickshire Training Hub
 Home - Coventry & Warwickshire Training Hub (cwtraininghub.co.uk)

Personalised Care Institute
personalisedcareinstitute.org.uk

NHS Futures platfrom
FutureNHS Collaboration Platform - FutureNHS Collaboration Platform 

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Richard welcomes FCP ambassador and MSK physio Ed Baker to the podcast . During the episode we discuss the assessment of patients with lower back pain, including red flags , pertinent history taking and investigations in general practice.  We apply this knowledge in some cases, including a patient with mechanical  back pain and inflammatory  spondyloarthropathy.

Please follow us on twitter @FCPParamedicpod

As always special thank you Scott and Martin for your help.

Versus Arthritis
Back pain | Causes, exercises, treatments | Versus Arthritis
Examination of the spine | Versus Arthritis

Patient info
Back and Spine Pain | Causes and Treatment | Patient

Coventry and Warwickshire Training Hub
Home - Coventry & Warwickshire Training Hub (cwtraininghub.co.uk)

NICE guidelines 
Sciatica (lumbar radiculopathy) | Health topics A to Z | CKS | NICE

Babinski sign
The Babinski Sign or Reflex | Upper Motor Neuron Lesion - YouTube

Clonus
Clonus - YouTube

Straight leg raise
Straight Leg Raise or Lasègue's Test for Lumbar Radiculopathy - YouTube

Human leukocyte antigen B27 (HLA-B27)
HLA-B27 (labtestsonline.org.uk)

Coventry and Warwickshire Training Hub
Home - Coventry & Warwickshire Training Hub (cwtraininghub.co.uk)

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Richard and Emma welcome back Dr Heidi Kerr who is a GPwSI in Women's Health.  Within the episode Dr Heidi Kerr discus's the assessment of Women who present with pelvic pain and vaginal bleeding.

 Dr Heidi Kerr has given up her free time, please feel free to give feedback, I know I enjoyed the episode and learnt lots I will use in my practice. 

As always thank you to Martin and Scott for your input.

Coventry and Warwickshire Training Hub
Home - Coventry & Warwickshire Training Hub (cwtraininghub.co.uk)

VHK Education
VHK Education – Delivering bespoke education in women’s health

Gynaecological cancers - recognition and referral | Health topics A to Z | CKS | NICE

Dr Heidi Kerr's 5 C's - PV bleeding
Conception - what are they taking?
Compliance - how are they taking the medication?
Chlamydia (STI's)
Cervix
Cancer
Consider drug history

Primary Care Women's Heath forum
Home - Primary Care Women's Health Forum (pcwhf.co.uk)

Mittelschmerz
Mittelschmerz - Symptoms and causes - Mayo Clinic

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Richard and Emma welcome Dr Heidi Kerr who is a GPwSI in Women's Health to the podcast.  Within the episode Dr Kerr discus's her approach to patient assessments in women's health.  We then discuss common general practice presentations including breast pains and vaginal discharge.

Please feel free to leave comments and follow us on twitter @FCPParamedicpod.

As always special thank you to Martin and Scott for your input on the podcast.

If you wish to contact Dr Heidi Kerr about training in Women’s Heath please contact - [email protected].

VHK Education
VHK Education – Delivering bespoke education in women’s health

Breast cancer reconition
https://cks.nice.org.uk/topics/breast-cancer-recognition-referral/diagnosis/symptoms-suggestive-of-breast-cancer/

NHS Breast Cancer screening program
https://www.nhs.uk/conditions/breast-screening-mammogram/when-youll-be-invited-and-who-should-go/

Breast cancer managing FH
https://cks.nice.org.uk/topics/breast-cancer-managing-fh/

Dr Kerr’s funnel questions for sexual history
When did you last have sexual intercourse?
Was it a new or regular partner?
Was it a male or female?
What sort of sexual intercourse?
Was protection used?

Coventry and Warwickshire Training hub
https://www.cwtraininghub.co.uk/