108 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
    • 4.9 • 23 Ratings

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.

    Pulmonary TB (24 March 2024)

    Pulmonary TB (24 March 2024)

    In this episode, released to coincide with World TB Day 2024, Dr Ben Warner discusses pulmonary tuberculosis (TB) with Dr David Connell.

    Dr David Connell first explains his personal interest in TB. They then discuss pulmonary TB in depth, including: epidemiology; pathogenesis, immune response, and transmission (a 'lymphatic disease with respiratory spread'); how TB presents and differential diagnoses; latent TB infection and reactivation; and management including the importance of the multidisciplinary team (MDT) and the role of public health in contact tracing and the end goal of elimination.

    Dr David Connell completed higher specialist training in Respiratory and General Internal Medicine in North-West London including at St.Mary’s Hospital, where he completed a PhD in the immunology of Tuberculosis, before becoming a Consultant at Ninewells Hospital in 2017 where he has a specialist interest in Complex Pulmonary Infections and TB. He is Co-Chair of the Scottish Health Protection Tuberculosis Network and is a Clinical Service Advisor to the BTS MDR-TB Advice Service.

    Dr Ben Warner is a Respiratory Medicine Specialty Registrar with clinical and academic experience of global public health, having completed the LSHTM’s East African Diploma in Tropical Medicine and then worked for 18 months in rural South Africa, where he encountered the sharp end of the global TB pandemic. He is currently undertaking a PhD in multimorbidity in Malawi as part of the Wellcome-funded Multimorbidity PhD Programme for Health Professionals fellow with the University of Glasgow.

    Recording date: 1 March 2024

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    • 42 min
    Frailty for the Non-Specialist (11 Mar 2024)

    Frailty for the Non-Specialist (11 Mar 2024)

    This week Dr Marilena Giannoudi focuses on the topic of Frailty with Dr Sean Ninan. They discuss recognising frailty, the different ways to measure the severity of frailty and the importance of adapting treatment for frail patients.

    Dr Sean Ninan is a Consultant Geriatrician and Clinical Lead for Dementia and Delirium at Leeds Teaching Hospitals NHS Trust. Dr Ninan is also Course Director of Leeds Frailty Education.

    Dr Marilena Giannoudi is a cardiology registrar based in Leeds. She is Co-Chair of the Trainees and Members’ Committee, a Fellow of the Higher Education Academy, and is currently undertaking a PhD.

    Recording Date: 04 December 2023

    -- Useful Links --
    CGA Toolkit - https://www.cgakit.com/frailty
    CGA in Primary Care Settings - https://www.bgs.org.uk/cgatoolkit
    GIRFT Geriatric Medicine
    - https://gettingitrightfirsttime.co.uk/medical_specialties/geriatric-medicine/
    Rapid Delirium Test - https://www.the4at.com
    Clinical Frailty Scale - https://www.dal.ca/sites/gmr/our-tools/clinical-frailty-scale.html

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

    • 24 min
    A Fresh Look at the Geriatric Giants – Front Door and Beyond (26 Feb 2024)

    A Fresh Look at the Geriatric Giants – Front Door and Beyond (26 Feb 2024)

    This week, Dr Kat Ralston takes a fresh look at the geriatric giants with Dr Clare Bostock. They explore frailty syndromes using the “5M’s” approach (matters most, mind, mobility, medications, and multi-complexity) and discuss the importance of a detective mindset to make the diagnosis. They share practical tips on the assessment and management of patients with frailty at the front door.

    Clare Bostock is a consultant geriatrician at NHS Grampian. Her areas of special interest include acute assessment, polypharmacy, falls, and quality improvement. She works in the geriatric assessment unit at Aberdeen Royal Infirmary. The geriatric medicine team at ARI started daily reviews of older people with frailty in the Acute Medical Admissions area in July 2022. She spent nearly 3 years working in the hospital at home team alongside acute work at ARI, and now works in ARI and at an intermediate care facility at Rosewell House.

    Dr Kat Ralston is a Geriatric Medicine Registrar and member of the RCPE Trainees and Members’ Committee, currently working in Edinburgh.

    --Useful Links--

    Managing multiple medicines- https://rightdecisions.scot.nhs.uk/polypharmacy-guidance/
    British Geriatrics Society Frailty module - https://www.bgs.org.uk/elearning/2023-frailty-identification-and-interventions
    Clinical Frailty Scale - https://www.bgs.org.uk/sites/default/files/content/attachment/2018-07-05/rockwood_cfs.pdf
    Think Delirium Toolkit-https://learn.nes.nhs.scot/2442/rrheal/education-networks/rural-teams-education-network/think-delirium-improving-the-care-for-older-people-delirium-toolkit
    The Geriatric 5M’s - https://agsjournals.onlinelibrary.wiley.com/doi/10.1111/jgs.14979
    Silver Book II – Geriatric Syndromes (British Geriatrics Society) - https://www.bgs.org.uk/resources/silver-book-ii-geriatric-syndromes
    ACB Calculator - https://www.acbcalc.com/
    Managing Multiple Medicines: Anticholinergics Recommendations - https://rightdecisions.scot.nhs.uk/polypharmacy-guidance/hot-topics/anticholinergics/
    Top Tips for Clinical Frailty Scale - https://www.dal.ca/sites/gmr/our-tools/clinical-frailty-scale/cfs-guidance.html

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    Feedback: cme@rcpe.ac.uk

    • 32 min
    Sowing the Seeds - How can doctors grow a growth mindset? (12 Feb 2024)

    Sowing the Seeds - How can doctors grow a growth mindset? (12 Feb 2024)

    In this episode, Dr Kat Ralston talks to Dr Sam Hopkins about growth mindset. They talk about what growth and fixed mindsets are, and why thinking about your mindset is critical to successful learning and development as doctors. They discuss practical tips on ways to influence your mindset and the mindset of others around you, including effective ways to seek and give feedback and the power of role-modelling that failure is not only normal but an essential part of growth as a doctor.

    Sam Hopkins is a Specialty Trainee in Medical Oncology at the Edinburgh Cancer Centre and a Senior Medical Education Fellow for the Medical Education Directorate, NHS Lothian. She is also an Honorary Clinical Fellow at the University of Edinburgh.
    Her research interests are growth mindset, specifically how to increase trainee adoption of a growth mindset in the clinical learning environment, and innovative simulation methodology, such as her novel table top simulation board game.
    She is Canadian of origin and her passions include cooking, positive psychology and yoga.

    Dr Kat Ralston is a Geriatric Medicine Registrar and member of the RCPE Trainees and Members’ Committee, currently working in Edinburgh.

    -- Useful Links --
    Carol Dweck TED talk "Developing a Growth Mindset" - https://www.youtube.com/watch?v=hiiEeMN7vbQ
    Hopkins SR, Rae VI, Smith SE, Meldrum S, Tallentire VR. From safety net to trampoline: elevating learning with growth mindset in healthcare simulation. Advances in Simulation. 2023 Nov 10;8(1):26. - https://link.springer.com/article/10.1186/s41077-023-00264-1
    Hopkins SR, Rae VI, Smith SE, Mutch CP, Oliver N, Tallentire VR. Growing a growth mindset: a tabletop simulation board game. International Journal of Healthcare Simulation. 2023 Jul 10(null):1-3. - https://www.ijohs.com/article/doi/10.54531/cjfe6207?q=
    Dweck CS, Leggett EL. A social-cognitive approach to motivation and personality. Psychological review. 1988 Apr;95(2):256. - https://psycnet.apa.org/record/1988-29536-001
    Yeager DS, Dweck CS. What can be learned from growth mindset controversies?. American psychologist. 2020 Dec;75(9):1269. - https://psycnet.apa.org/record/2020-99903-019
    Wolcott MD, McLaughlin JE, Hann A, Miklavec A, Beck Dallaghan GL, Rhoney DH, Zomorodi M. A review to characterise and map the growth mindset theory in health professions education. Medical Education. 2021 Apr;55(4):430-40. - https://asmepublications.onlinelibrary.wiley.com/doi/abs/10.1111/medu.14381

    Recording date: 23 November 2023

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    • 28 min
    RCPE podcasts including 'Demystifying PACES' series (5 Feb 2024)

    RCPE podcasts including 'Demystifying PACES' series (5 Feb 2024)

    In this brief episode, Dr Marilena Giannoudi, Co-Chair of the Trainees and Members’ Committee, gives an overview of the Royal College of Physicians of Edinburgh's podcasts relevant to doctors-in-training. These include: this podcast, 'Clinical Conversations'; 'Career Conversations' including the new 'Demystifying PACES' series; and the Recently Appointed Consultants' Committee's podcast, 'Consultant Conversations', relevant to senior trainees.

    All RCPE podcasts can be found at https://podcasts.rcpe.ac.uk/

    The 'Demystifying PACES' podcast series can be found at https://podcasts.rcpe.ac.uk/show/career-conversations/category/paces/

    Recording date: 23 January 2024

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    • 3 min
    Long COVID - Part 2 (11 Dec 2023)

    Long COVID - Part 2 (11 Dec 2023)

    In the second of two episodes on Long COVID, Dr Hannah Preston discusses Long COVID and ME/CFS (Myalgic Encephalomyelitis / Chronic Fatigue Syndrome) with Dr Binita Kane.

    Long COVID, also known as Post-Covid Syndrome, is further explored. Dr Preston and Kane discuss Postural Tachycardia Syndrome (PoTS), immune dysregulation, Mast Cell Activation Syndrome (MCAS), the impact of Long COVID on women's and men's health, investigations, emerging research and treatments, and the importance of listening to your patient.

    Dr Binita Kane is a Consultant respiratory physician in Manchester. She has worked on the frontline of the pandemic since 2020 and set up the first COVID virtual ward model in the UK and has advised nationally on the role of virtual wards across England.

    In January 2021, Dr Kane’s 10 year old daughter developed COVID and subsequently Long COVID. This has led her on an international search for answers, culminating in her becoming a campaigner, researcher, patient advocate, champion for the Long COVID Kids charity and now a specialist Long COVID physician.

    Dr Kane is a member of the World Health Network Long COVID Executive Committee, Independent SAGE and a campaigner for clean air.

    Dr Hannah Preston is a Renal Registrar in Edinburgh and RCPE Trainees and Members' Committee (T&MC) Co-Chair.

    Listen to Part 1: https://podcasts.rcpe.ac.uk/show/clinical-conversations/long-covid-part-1-27-nov-2023/

    -- Links --

    PoTS UK:
    https://www.potsuk.org

    Standing up to PoTS:
    https://www.standinguptopots.org/videos-about-pots

    Visible app - Visible Health
    https://www.makevisible.com

    BMJ Long COVID - an update for primary care (2022):
    https://www.bmj.com/content/378/bmj-2022-072117

    Nature review article: Long COVID, major findings, mechanisms and recommendations:
    https://www.nature.com/articles/s41579-022-00846-2

    Review article: Long COVID pathophysiological factors and abnormalities of coagulation
    https://pubmed.ncbi.nlm.nih.gov/37080828/

    Dr Kane's YouTube channel 'The Long COVID Clinic - What you CAN do' in partnership with The Long COVID Support Charity:
    https://www.youtube.com/@LCCWYCD

    Gez Medinger YouTube channel - interviews with the world's leading Long COVID researchers and more:
    https://www.youtube.com/channel/UCln_SCEd4JiGkHIUZd1VlXw

    The World Health Network - Long COVID resources, bringing together knowledge from across the world:
    https://whn.global/long-covid/

    Long COVID Kids Charity - resources for children and families affected by Long COVID:
    https://www.longcovidkids.org

    World Physio Long COVID resources - international repository of resources regarding safe rehabilitation approaches:
    https://world.physio/covid-19-information-hub/long-covid

    -- Related RCPE content --
    For RCPE's COVID-19 content, see https://learning.rcpe.ac.uk/tag/index.php?tc=1&tag=COVID-19&ta=2&excl=1

    Recording date: 26 November 2023

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    • 33 min

Customer Reviews

4.9 out of 5
23 Ratings

23 Ratings

locum GP ,

Very useful. It feel like a lecture. Thank you very much

Thanks

Yu Htwe ,

DR

brilliant coversation, very informative.

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