RCP Medicine Podcast

Ever been unsure of how to deal with the patient that turns up in A&E having travelled to some far flung places sweating profusely? Then this one is for you! Listen along as Dr Alex Kew delivers a masterclass on how to treat a patient with an acute undifferentiated fever, at times, ably assisted by Dr Rohan Mehra (Infectious diseases/Microbiology SPR). They provide you with a framework to help with even the trickiest cases that will allow you to get to the bottom of what is going on. Dr Alex Kew, Alex is an Infectious diseases and microbiology consultant at the hospital for tropical diseases and royal free NHS trust his Specialist interests include bites, stings and parasitology having studied zoology and further animal related injury research at the natural history museum and imperial college London. Resources Please always contact your local infection team in the first instance, however here are some useful resources if you require further help or the infection team advise you to call them. HOSPITAL FOR TROPICAL DISEASES LONDON https://www.uclh.nhs.uk/our-services/find-service/tropical-and-infectious-diseases/how-refer-infectious-and-tropical-diseases Please note the contact number for inpatient advice 020 3456 7890- ask to speak to the on call tropical medicine registrar. LIVERPOOL SCHOOL OF TROPICAL MEDICINE https://www.lstmed.ac.uk/clinical-services 0151 705 3100 0151 705 3223 IMPORTED FEVER SERVICE https://www.gov.uk/guidance/imported-fever-service-ifs 0844 778 8990 Where to look for outbreak information/local disease prevalence: National Travel Health Network and Centre (NaTHNaC) https://travelhealthpro.org.uk/outbreaks Programme for Monitoring Emerging Diseases (ProMED) https://promedmail.org/ World Health Organisation (WHO)- disease outbreak news https://www.who.int/emergencies/disease-outbreak-news Centres for Disease control and Prevention https://www.cdc.gov/ Viral haemorrhagic fever risk assessment https://www.gov.uk/government/publications/viral-haemorrhagic-fever-algorithm-and-guidance-on-management-of-patients This podcast has been made with an educational grant from Bristol-Myers Squibb Pharmaceuticals Limited (“BMS”). BMS has had no input or involvement in the design, development or content of the podcast whatsoever. Sound by bensound.com

Listen to Dr Rohan Mehra (Infectious diseases/microbiology SPR), Dr Pippa Medcalf and Peter Bull as they discuss health inequalities for people experiencing homelessness. Pete shares some powerful accounts of times he has interacted with healthcare when he was without a permanent residence. He highlights the negatives, but also important steps healthcare professionals can take to make the situation better. Pippa describes how her hospital have introduced systems to best help those experiencing homelessness and what healthcare professionals can do to try and make a difference. Dr Pippa Medcalf is a consultant in acute medicine in Gloucester Hospital where she established the hospital homeless healthcare team. She now advises the RCP and other organisations on the care of the homeless in hospital. This resource has been funded by Novartis by the provision of a grant, Novartis has had no editorial input or control over the content of these materials. Sound by bensound.com

Listen to Dr Rohan Mehra (RCP education fellow/Infectious diseases and microbiology SPR), Dr Merle Henderson and Dr Josh Elliott as they discuss research as a trainee. They discuss what a day as a trainee involved in research looks like and how varied that can be, whilst providing helpful tips to anyone thinking of getting involved in research, and what the RCP is doing to promote research in healthcare. Dr Merle Henderson is undertaking a PhD exploring biomarkers of neuronal inflammation, immune activation, and injury in people with HIV. Dr Josh Elliott is a National institute for Health and Care research and British Research Council Clinical Research Fellow in Multi-omics, School of Public Health. Links: RCP research and innovation hub https://www.rcplondon.ac.uk/projects/rcp-research-and-innovation-hub NIHR-AoMRC Clinician Researcher Credentials Framework https://sites.google.com/nihr.ac.uk/crcredentials/home Research in practice programme, RCP and NIHR https://www.rcplondon.ac.uk/education-practice/courses/new-research-practice-programme-coordinated-royal-college-physicians-nihr This podcast has been made with an educational grant from Bristol-Myers Squibb Pharmaceuticals Limited (“BMS”). BMS has had no input or involvement in the design, development or content of the podcast whatsoever. Sound by bensound.com

Listen to Dr Mark Harber (RCP special adviser on healthcare sustainability and Consultant Nephrologist at the Royal Free Hospital) and Dr Rebecca Kuruvilla (RCP clinical education fellow and Clinical pharmacology/GIM registrar) discuss why sustainability is an issue that all clinicians working in the NHS need to be concerned about. They also discuss simple ways healthcare workers can have an impact on climate change in their day-to-day practice. Below are links to some of the documents discussed during the podcast: Links https://www.england.nhs.uk/greenernhs/https://www.england.nhs.uk/greenernhs/whats-already-happening/12 things we can do as individuals to become greenerRCP view on healthcare sustainability and climate change This podcast has been made with an educational grant from Bristol-Myers Squibb Pharmaceuticals Limited (“BMS”). BMS has had no input or involvement in the design, development or content of the podcast whatsoever. Sound by bensound.com

Listen to Dr Rohan Mehra (RCP education fellow/Infectious diseases and microbiology SPR) and Professor Catherine Meads as they discuss the vast Health inequalities facing LGBTQIA+ communities. They outline practical steps that you as a clinician can take to ensure you do not contribute to or worsen health inequalities in your local environment as well as suggestions at national level to help tackle this issue. Professor Catherine Meads is a senior systematic reviewer at Anglia Ruskin university and has published numerous systematic reviews and has been conducting research into lesbian, gay, bisexual and transgender (LGBT) health since 1992 and has published several ground-breaking papers in this area. https://assets.publishing.service.gov.uk/media/5b39e91ee5274a0bbef01fd5/GEO-LGBT-Action-Plan.pdf https://ec.europa.eu/assets/sante/health/videos/2018_lgbti_trainingvideo_en.mp4 https://health.ec.europa.eu/social-determinants/projects/european-parliament-projects_en#health4lgbti-reducing-health-inequalities-experienced-by-lgbti-people https://www.aru.ac.uk/research/safe-and-inclusive-communities/improving-healthcare-service-provision-for-lgbtq-plus-patients https://www.stonewall.org.uk/system/files/lgbt_in_britain_health.pdf https://www.stonewall.org.uk/resources-creating-lgbtq-inclusive-workplace This resource has been funded by Novartis by the provision of a grant, Novartis has had no editorial input or control over the content of these materials. Sound by bensound.com

Haemophagocytic lymphohistiocytosis or HLH, heard of the concept but never certain when it applies? Unsure of how to diagnose or manage it? Listen along as Dr Rohan Mehra (RCP education fellow/Infectious diseases and microbiology SPR) and Dr Alexis Jones (Rhematology consultant, UCLH) discuss a clinical case and provide key points to remember so that you can identify when HLH might be the problem, who to call and what to do to tackle this potentially devastating condition. Links https://www.histiouk.org/ https://www.uclh.nhs.uk/our-services/find-service/medical-specialties-1/hlh-service https://www.uptodate.com/contents/clinical-features-and-diagnosis-of-hemophagocytic-lymphohistiocytosis https://www.mdcalc.com/calc/10089/hscore-reactive-hemophagocytic-syndrome This podcast has been made with an educational grant from Bristol-Myers Squibb Pharmaceuticals Limited (“BMS”). BMS has had no input or involvement in the design, development or content of the podcast whatsoever. Sound by bensound.com

In the second podcast in this two-part series Dr Raisah Khaliq and Dr Joseph Cox, both education fellows at the RCP, explore how trainees can approach teaching on clinical procedures. They explore the difficulties of teaching practical skills with the recent NHS service demands, and proactive approaches to make the most of opportunities that arise. They also discuss the potential benefits to the workforce of changing the culture towards procedural education. In the second part of this podcast we will explore some educational theories that can be applied in practice and introduce the RCP Never too busy to learn.

This podcast is the first in a two-part series. In this podcast, Dr Raisah Khaliq, a clinical education fellow at the RCP, interviews Dr Androniki Abelidis who is an acute physician. The podcast explores ways in which on the job teaching can be embedded into the day regardless of however busy the clinical environment may be. Tried and tested tips and tricks are shared as well as ways in which junior clinicians can be made to take the lead on their own learning. There is also an introduction to the RCP Never too busy to learn document.

In this episode Dr Rohana Wright, consultant in diabetes and endocrinology, and Dr Rory Conn, consultant child and adolescent psychiatrist, explore adolescent healthcare and the importance of positive interactions during this period of life. To learn more you can visit the RCP Young Adults and Adolescents Steering Group (YAASG) webpage. Rohana and Rory mention several resources during this podcast, you can access them here: www.e-lfh.org.uk/programmes/adolescent-health/www.northumbria.nhs.uk/about-us/quality-and-safety/research-and-clinical-trials/developmentally-appropriate-healthcare-toolkit#0b742aa3www.nice.org.uk/guidance/ng43www.gov.uk/government/publications/quality-criteria-for-young-people-friendly-health-serviceswww.readysteadygo.net/home.htmlwww.uptodate.com/contents/image/print?imageKey=PEDS%2F68041 Music credit: Bensound.com

In this podcast Dr Jasmine Lee, education fellow at the RCP, is joined by Dr Kyra Neubauer, consultant geriatrician. They explore the poor physical health of patients with serious mental illness and discuss how over many decades the lost opportunities to address this problem has meant there has been no improvement in the significant morbidity and reduced life expectancy of this group. To learn more about this topic access the Royal College of Physicians signs UK-wide consensus statement on working together to help patients with mental health needs in acute hospitals. Music credit: Bensound.com

In part two of this podcast Dr Alastair Thompson, fellow of the RCP, consultant paediatrician and expert in medico-legal work is joined by Jenny Tetlow, a solicitor who represents claimants in clinical negligence claims. They explore the process by which clinical negligence claims are managed by NHS Trusts, record keeping and how we can learn from mistakes. Profile link for Jenny Tetlow Sound credit: bensound.com

In part one of this podcast Dr Alastair Thompson, fellow of the RCP, consultant paediatrician and expert in medico-legal work is joined by Jenny Tetlow, a solicitor who represents claimants in clinical negligence claims. They explore clinical negligence claims from both the claimant’s and defendant’s point of view, and why patients may make a legal claim for compensation. Profile link for Jenny Tetlow Sound credit: bensound.com

This episode continues the conversation between Professor Sir Michael Marmot and Dr Jasmine Lee as they discuss the challenges faced now following over a decade of growing health inequity and the current cost of living crisis. Professor Sir Michael Marmot is a Professor of Epidemiology at University College London, the Director of the UCL Institute of Health Equity and the author of The Health Gap: the challenge of an unequal world (Bloomsbury: 2015). He has over four decades of experience leading research teams on health inequities and chaired commissions. Dr Jasmine Lee is a palliative medicine specialist registrar and trainee, RCP clinical education fellow and Association of Palliative Medicine trainees committee co-chair based in London. This episode was recorded in August 2022 before the results of the Conservative party leadership election for the UK Prime minister on 7th September 2022.

Listen to Professor Sir Michael Marmot and Dr Jasmine Lee discuss the impact of social determinants of health inequity looking at research and policies over the years, the important relationship they have to the health of our population and the impact of the Coronavirus-19 pandemic. Professor Sir Michael Marmot is a Professor of Epidemiology at University College London, the Director of the UCL Institute of Health Equity and the author of The Health Gap: the challenge of an unequal world (Bloomsbury: 2015). He has over four decades of experience leading research teams on health inequities and chaired commissions. Dr Jasmine Lee is a palliative medicine specialist registrar and trainee, RCP clinical education fellow and Association of Palliative Medicine trainees committee co-chair based in London. This episode was recorded in August 2022 before the results of the Conservative party leadership election for the UK Prime minister on 7th September 2022.

In this episode of Medicine Zoë Fleet, Curriculum and credentials manager at the RCP and previous Curriculum and assessment manager at the Joint Royal Colleges of Physicians Training Board (JRCPTB), discusses the practicalities of transferring to the new group 1 General Internal Medicine/Internal Medicine Stage 2 curricula and carrying out a gap analysis with Anastasia-Vasiliki Madenidou, rheumatology specialist advisory committee (SAC) trainee representative. Anastasia shares her approach to successfully completing a gap analysis as a rheumatology and general internal medicine registrar. Website: www.rcp.ac.uk Music: BenSound.com

Listen to Dr Ian Sinha and Dr Laura Gordge discuss the effects of air pollution, in recognition of ‘Clean Air day’ on 16 June 2022. Dr Ian Sinha is a Consultant Respiratory Paediatrician, with a special interest in childhood asthma and neonatal lung disease, Dr Sinha is also heavily involved in the campaign against air pollution. Dr Laura Gordge is an Education fellow at the RCP. Credit: Bensound.com

Today's episode sees one of the RCP's clinical fellows, Laura Gordge, discussing PA exams and how to best prepare for them. For more information see: www.rcp.ac.uk/PAQB Credit: Bensound.com

Dr Seun Anyiam and Dr Molly Bradbury discuss the impact of drug abuse. Dr Seun Anyiam is a regional representative of the RCP Trainees committee, working in the specialty of, and studying for a PhD in, obesity medicine. Dr Molly Bradbury is a junior doctor with a special interest in inclusion health, health inequality and addiction Credit: Bensound.com

Listen to Dr Veena Raleigh, epidemiologist and Senior Fellow of The King's Fund and Dr Ajay Verma, consultant gastroenterologist at Kettering General Hospital discuss ethnicity and health inequalities along with relevant statistics. The relationship patterns between life expectancy and ethnicity may surprise you.

Dr Jenny Baverstock and Professor Stephen Holgate discuss air pollution and health.