70 episodes

Welcome to Clinical Conversations! This new podcast series is brought to you by the Trainees & Member’s Committee of the Royal College of Physicians Edinburgh. We aim to discuss a multitude of clinical topics ranging from interesting clinical cases and diagnostic conundrums to updates on clinical guidelines. These clinical podcasts will be relevant for doctors at any stage of training and we will also provide discussion on other related topics such as training, MRCP examinations and quality improvement.
We hope you enjoy them and share them with colleagues. Feedback and suggested future topics are very welcome, please contact us via email at: cme@rcpe.ac.uk
Dr Anda Bularga (Podcast lead) & Dr Ailsa Oswald (Vice Chair for Education),Trainee & Member’s Committee.

Clinical Conversations Royal College of Physicians of Edinburgh

    • Science

Welcome to Clinical Conversations! This new podcast series is brought to you by the Trainees & Member’s Committee of the Royal College of Physicians Edinburgh. We aim to discuss a multitude of clinical topics ranging from interesting clinical cases and diagnostic conundrums to updates on clinical guidelines. These clinical podcasts will be relevant for doctors at any stage of training and we will also provide discussion on other related topics such as training, MRCP examinations and quality improvement.
We hope you enjoy them and share them with colleagues. Feedback and suggested future topics are very welcome, please contact us via email at: cme@rcpe.ac.uk
Dr Anda Bularga (Podcast lead) & Dr Ailsa Oswald (Vice Chair for Education),Trainee & Member’s Committee.

    Dermatology in Acute Medicine (08 Aug 2022)

    Dermatology in Acute Medicine (08 Aug 2022)

    In this episode Drs Guckian and Bardgett discuss the variety and severity of dermatological conditions presenting in Acute Medicine.

    -- Follow us --
    https://www.instagram.com/rcpedintrainees
    https://twitter.com/RCPEdinTrainees

    -- Upcoming RCPE Events --
    https://events.rcpe.ac.uk/

    Feedback: cme@rcpe.ac.uk

    • 43 min
    When the Kidneys Stop Working (25 July 2022)

    When the Kidneys Stop Working (25 July 2022)

    In this episode of Clinical Conversations 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



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    Feedback: cme@rcpe.ac.uk

    • 44 min
    Medical Training in the US & UK (11 July 2022)

    Medical Training in the US & UK (11 July 2022)

    This week, TMC 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


    -- Follow us --
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    -- Upcoming RCPE Events --
    https://events.rcpe.ac.uk/

    Feedback: cme@rcpe.ac.uk

    • 50 min
    Lung Health Check (27 June 2022)

    Lung Health Check (27 June 2022)

    In today's episode of Clinical Conversations 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.


    -- Follow us --
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    -- Upcoming RCPE Events --
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    Feedback: cme@rcpe.ac.uk

    • 36 min
    Cognitive Bias & Clinical Decision Making (13 June 2022)

    Cognitive Bias & Clinical Decision Making (13 June 2022)

    In this episode of Clinical Conversations Dr Anda Bularga interviews Dr Eoin O'Sullivan about cognitive bias and how it impacts on clinical decision making.

    Dr Eoin O'Sullivan is a Kidney Research UK Research Fellow at the University of Edinburgh and a Renal Registrar at the Department of Renal Medicine at the Royal Infirmary of Edinburgh.


    -- Useful Links --
    https://twitter.com/eoinrenal
    Society to Improve Diagnosis in Medicine - https://www.improvediagnosis.org/

    -- Follow us --
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    https://twitter.com/RCPEdinTrainees

    -- Upcoming RCPE Events --
    https://events.rcpe.ac.uk/

    Feedback: cme@rcpe.ac.uk

    • 30 min
    Clinical Education (30 May 2022)

    Clinical Education (30 May 2022)

    In today's episode of Clinical Conversations, Dr Jonathan Bardgett interviews Dr Gill Aitken, Programme Director of Clinical Education postgraduate study at the University of Edinburgh.

    Gill and Jonathan discuss the difference between Medical Education and Clinical Education, mentorship and tips on creating helpful teaching sessions.

    -- Follow us --
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    https://twitter.com/RCPEdinTrainees

    -- Upcoming RCPE Events --
    https://events.rcpe.ac.uk/

    Feedback: cme@rcpe.ac.uk

    • 36 min

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