Clinical Conversation‪s‬ Royal College of Physicians of Edinburgh

In this episode Dr Claire Gordon talks about 'Leadership and management in the Acute Medical Unit' with Dr Jonathan Bardgett. Dr Gordon is an Acute Medical Consultant working South East Scotland. She shares her experience of leadership and management during the COVID-19 pandemic and discusses working with Acute Internal Medicine.

In this episode Dr Xan Hughes (pronouns they/them) talks to Dr David Ryan (pronouns he/him) about being an openly transgender doctor working in the NHS. The topics covered include an introduction to some common terminology relevant to talking about trans healthcare and about how easy changes to practices can help both trans colleagues and patients have a better experience.

Dr Xan Hughes, is a Foundation year two doctor working at a large London teaching hospital. Their research interests include barriers to healthcare and widening access especially to preventative care.

Dr Dominique Baker, senior Registrar in Obstetrics and Gynaecology in the South East of Scotland Deanery gives us an overview of acute medical problems in pregnancy, we talk about the clinical assessment and multidisciplinary management of these patients.

Resources

Maternity Early Warning Score: https://ihub.scot/media/5308/national-mews-chart_web.pdf
Prescribing in pregnancy(BUMPS: https://www.medicinesinpregnancy.org

This episode of Clinical Conversations is with Dr James Tiernan, a Respiratory Consultant in South East Scotland. He talks about the investigation and management of acute pulmonary embolism and the follow up of this disease in the current COVID-19 pandemic.

PE Wells Score: https://www.mdcalc.com/wells-criteria-pulmonary-embolism
Simplified Geneva Score: https://www.mdcalc.com/geneva-score-revised-pulmonary-embolism
NICE Guidelines: https://cks.nice.org.uk/topics/pulmonary-embolism/

In this episode Dr Jonathan Bardgett and Dr Francesca Moroni discuss the importance of recognising and treating malnutrition in the acutely ill patient. This podcast offers practical advice on assessing malnourished patients and provides an overview on available interventions from simple dietary adjustments to artificial feeding. Particular interest is posed on recognising patient at risk of refeeding syndrome and how to prevent it. A multidisciplinary approach to the malnourished patient is key in the successful management of malnutrition with specific focus on the fundamental role of the dieticians.

Dr Moroni touches upon different tubes and feed modalities and practical advice on managing high NG aspirates. A brief mention on parenteral nutrition can stimulate the listener to read more about it. The extreme malnutrition scenario is offered by patients with anorexia nervosa who require admission in acute medicine. These patients should be treated with extreme caution and involvement of gastroenterologist, dietician and psychiatrist should be priority.

MUST Tool: https://www.bapen.org.uk/screening-and-must/must/introducing-must

Reefeeding risks: National Institute for Health and Care Excellence. Nutrition support in adults. Clinical guideline 32: https://www.nice.org.uk/guidance/CG32

Moroni F, Metcalfe E, McKinlay A. Assessing the nutritional status of an acutely ill patient. BMJ 2017; 357 doi: https://doi.org/10.1136/sbmj.j1448 (Published 31 May 2017)

MARSIPAN Guidelines: https://www.rcpsych.ac.uk/docs/default-source/improving-care/better-mh-policy/college-reports/college-report-cr189.pdf

Dr Addy McLeod and Dr Paul Coulter discuss the importance of resilience training and mental wellbeing for a successful career. Dr Coulter shares his experience of a holistic approach to building resilience and confidence.

Dr Addy McLeod is a senior geriatrics registrar in the North East Deanery and Chair of the Trainees and Members Committee at the Royal College of Physicians Edinburgh.

Stories from Patient Voices open workshops
http://www.patientvoices.org.uk/pilgrim.htm

Help me! I'm only human... | Adam Crizzle | TEDx
https://www.youtube.com/watch?v=w7JSDvJh23M