RCP Medicine Podcast

In this episode of the RCP Medicine Podcast, we explore the pressing challenges facing resident doctors in the NHS and the transformative work of the Next Generation campaign. Joining us is Professor Mumtaz Patel, President of the Royal College of Physicians, Vice President for Education and Training, and Chair of the Next Generation Oversight Group. Professor Patel shares her extensive experience in medical education and workforce planning, offering candid insights into recruitment pressures, training reform, and the future of postgraduate medical education. Alongside Professor Patel, Dr Jemima Sellicks, a resident doctor and committee representative, brings a frontline perspective on the realities of training today. Together, they discuss competition ratios, the IMT application process, exam integrity, and the results of the recent Next Generation survey, which revealed stark concerns about burnout and retention. Whether you’re a trainee, educator, or policymaker, this episode offers practical solutions, hope for systemic change, and a call to action for shaping a fairer, more supportive training environment. RCP Links EducationEventsMembershipImproving carePolicy and campaigns RCP Social Media InstagramLinkedInFacebookXBluesky Music: Episode 50 onward - Bensound.com Episodes 1 - 49 'Impressive Deals' - Nicolai Heidlas

In this episode of the RCP Medicine Podcast, we explore the critical issue of health inequalities during pregnancy and the postpartum period. Joining us is Dr Maria Mouyis, Consultant Physician & Rheumatologist with Specialist Interest in Obstetric Medicine, alongside Dr Vasiliki Thanopoulou, RCP clinical education fellow, Rheumatology/GIM Specialist Registrar. Together, they unpack why pregnancy itself can be a risk factor for health inequality, the findings from the MBRRACE report, and the systemic, cultural, and clinical challenges that impact maternal and neonatal outcomes. From disparities in maternal mortality among ethnic minority groups to the role of unconscious bias and digital exclusion, this conversation highlights practical steps clinicians can take to improve equity in care. We also discuss innovative initiatives such as maternal medicine networks, preconception clinics, and community engagement projects that aim to empower women and reduce adverse outcomes. Whether you’re a clinician, policymaker, or advocate, this episode offers actionable insights and resources to help drive change. Resources: UK Obstetric Surveillance System (UKOSS) | UKOSS | NPEU Reports | MBRRACE-UK | NPEU Special interest groups | British Society for Rheumatology Eastern Obstetric Medicine Group: EOMG Meetings | MacDonald Obstetric Medicine Society Multidisciplinary Approaches to Maternal Health - elearning for healthcare Racism in pain management causes needless suffering | The BMJ FIVEXMORE RCP Links EducationEventsMembershipImproving carePolicy and campaigns RCP Social Media InstagramLinkedInFacebookXBluesky Music: Episode 50 onward - Bensound.com Episodes 1 - 49 'Impressive Deals' - Nicolai Heidlas

In this collaborative episode between the RCP Medicine Podcast and the British Society for Rheumatology’s Talking Rheumatology series, consultant rheumatologist Dr Tam Malley from the Royal Free Hospital joins Dr Vasiliki Thanopoulou, RCP Clinical Education Fellow and registrar, to explore the complexities of inflammatory myositis. Through a compelling case study and rich clinical discussion, they unpack the diagnostic challenges, multidisciplinary considerations, and treatment strategies for this rare autoimmune condition. Listeners will gain insights into recognising subtle signs, interpreting investigations, and understanding the importance of early intervention. Whether you're a rheumatologist, general physician, or trainee, this episode offers practical pearls and thoughtful reflections on managing inflammatory myositis in real-world settings. Resources Idiopathic inflammatory myopathies - Symptoms, diagnosis and treatment | BMJ Best Practice British Society for Rheumatology guideline on management of paediatric, adolescent and adult patients with idiopathic inflammatory myopathy | Rheumatology | Oxford Academic International Guideline for Idiopathic Inflammatory Myopathy-Associated Cancer Screening: an International Myositis Assessment and Clinical Studies Group (IMACS) initiative | Nature Reviews Rheumatology Polymyositis Masquerading as Motor Neuron Disease | Neurology | JAMA Neurology | JAMA Network RCP Links EducationEventsMembershipImproving carePolicy and campaigns RCP Social Media InstagramLinkedInFacebookXBluesky Music: Episode 50 onward - Bensound.com Episodes 1 - 49 'Impressive Deals' - Nicolai Heidlas

In this RCP Medicine podcast and BSR Talking Rheumatology podcast collaboration Dr Roz Benson and Dr Lisa Waters discuss a challenging case of a patient with an acute hot joint who presented to the acute medical unit. It covers wide ranging topics including diagnosis and management of gout, investigation of the acute hot joint and how to treat septic arthritis. Dr Roz Benson is a Consultant Rheumatologist at NHS University Hospitals of Liverpool Group, BSR Digital Learning Editor, and Talking Rheumatology host and Dr Lisa Waters is a Rheumatology and Acute Medicine Consultant at Manchester University Hospitals. She is clinical lead for Acute Medicine and a former RCP Chief Registrar. Resources NICE: Diagnosis and management of gout https://www.nice.org.uk/guidance/ng219/chapter/Recommendations The British Society for Rheumatology Guideline for the Management of Gout https://academic.oup.com/rheumatology/article-abstract/56/7/e1/3855179?redirectedFrom=fulltext If you liked this check out related Talking Rheumatology spotlight episodes RCP Links EducationEventsMembershipImproving carePolicy and campaigns RCP Social Media InstagramLinkedInFacebookXBluesky Music: Episode 50 onward - Bensound.com Episodes 1 - 49 'Impressive Deals' - Nicolai Heidlas

In this episode of the RCP Medicine Podcast, Dr Sagen Zac-Varghese, Consultant in Diabetes and Endocrinology, East and North Herts Teaching NHS Trust is joined by Dr Samantha Scholtz , Consultant Psychiatrist, Imperial Weight Centre, St Mary’s Hospital to explore the complex relationship between obesity and mental health. Drawing on clinical experience and recent research, they discuss the stigma surrounding obesity, its psychological impact, and how healthcare professionals can better support patients. The conversation covers the physiological drivers of weight regain, and the evolving role of bariatric surgery and GLP-1 agonists in treatment. Dr Scholtz also shares practical advice on screening for mental health disorders, managing eating behaviours, and navigating sensitive conversations in clinical settings. Resources RCP elearning - Obesity Binge eating disorder: https://www.beateatingdisorders.org.uk/ https://www.rcpsych.ac.uk/mental-health/mental-illnesses-and-mental-health-problems/binge-eating-disorder https://www.nationaleatingdisorders.org/feast-resources/ Weight stigma: https://www.worldobesity.org/what-we-do/our-policy-priorities/weight-stigma RCP Links EducationEventsMembershipImproving carePolicy and campaigns RCP Social Media InstagramLinkedInFacebookXBluesky Music: Episode 50 onward - Bensound.com Episodes 1 - 49 'Impressive Deals' - Nicolai Heidlas

In this episode of the RCP Medicine Podcast, Dr Lisa Hamza, HIV and Sexual Health Consultant at St George’s Hospital, London, joins Dr Rohan Mehra, Infectious Diseases and Microbiology Registrar, to explore the evolving landscape of HIV care. Together, they delve into the virology, history, and treatment of HIV, highlighting the remarkable progress made over the past four decades - from the early days of the epidemic to today’s cutting-edge therapies and prevention strategies. Dr Hamza shares insights from her work as HIV Network Lead in South West London and co-chair of the HIV London Forum, discussing the challenges of stigma, late diagnosis, and health inequalities. The conversation also covers the UK’s HIV Action Plan, the impact of opt-out testing, and the promise of long-acting treatments and pre-exposure prophylaxis (PrEP). This episode is a powerful reminder of how far we've come and how much further we must go to reach zero transmissions, zero deaths, and zero stigma. RCP Links EducationEventsMembershipImproving carePolicy and campaigns RCP Social Media InstagramLinkedInFacebookXBluesky Music: Episode 50 onward - Bensound.com Episodes 1 - 49 'Impressive Deals' - Nicolai Heidlas

In this episode of the RCP Medicine podcast, we delve into the complexities of obesity and the importance of person-centred care. Hosted by Dr Vasiliki Thanopoulou, a rheumatology and general internal medicine specialist registrar and RCP Clinical Education Fellow, she is joined by Dr Charles Fox and Dr Anne Kilverts, both retired consultant diabetes physicians with over 30 years of experience in teaching healthcare professionals how to deliver empowering, person-centred care. Together, they explore how stigma, unconscious bias, and assumptions can hinder effective communication and care for people living with obesity. Drawing on NICE guidelines and their own clinical experiences, Anne and Charles offer practical strategies for fostering empathy, respect, and shared decision-making in clinical encounters. This episode complements the RCP’s e-learning modules on obesity and is part of the broader initiative to address health inequalities. Whether you're a clinician, educator, or learner, this conversation will challenge you to rethink how you approach weight-related discussions and empower patients to take control of their health journey. Resources RCP elearning - Obesity NICE guidelines: Overweight and obesity management | Guidance | NICE Lancet: Definition and diagnostic criteria of clinical obesity - The Lancet Diabetes & Endocrinology The European Association for the Study of Obesity: A new framework for the diagnosis, staging and management of obesity in adults - EASO Dr Charles Fox and Dr Anne Kilverts: www.diabetescounselling.co.uk RCP Links EducationEventsMembershipImproving carePolicy and campaigns RCP Social Media InstagramLinkedInFacebookXBluesky Music: Episode 50 onward - Bensound.com Episodes 1 - 49 'Impressive Deals' - Nicolai Heidlas

In this episode of the RCP Medicine Podcast, Dr Vincent Simpson, diabetes and endocrine registrar based in Derriford, Plymouth joins Dr Bryony Alderman, palliative medicine consultant and RCP Education Fellow in Sustainability. Together, they explore the intersection of diabetes care and environmental sustainability, focusing on Vincent’s pioneering work around reusable cartridge insulin pens. From the initial spark of curiosity during a training session to national-level conversations with NHS England, Vincent shares his journey of uncovering the environmental impact of diabetes devices and advocating for change. The discussion covers practical steps clinicians can take, the importance of behavioural change, and how small interventions can lead to significant improvements in both patient care and environmental outcomes. Whether you're a physician, policymaker, or someone living with diabetes, this episode offers valuable insights into how sustainability can be seamlessly integrated into clinical practice. Dr Vincent Simpson and team recently won an RCP Excellence in Patient Care award for Sustainability – reducing the environmental impact of healthcare Resources Paper: https://onlinelibrary.wiley.com/doi/10.1111/dme.15409 Local guidelines: https://sustainablediabetes.short.gy/guidelines Website: https://sustainablediabetescare.com Linkedin: https://uk.linkedin.com/in/dr-vincent-simpson Bluesky:https://bsky.app/profile/drvsimpson.bsky.social Credits Dr Bryony Alderman, consultant in palliative medicine, is the RCP Sustainability Fellow. Financial support for this clinical fellowship was provided as an Independent Medical Education Grant from Pfizer Limited. Pfizer Limited had no involvement in candidate selection, and no influence on the work of the clinical fellowship. RCP Links EducationEventsMembershipImproving carePolicy and campaigns RCP Social Media InstagramLinkedInFacebookXBluesky Music: Episode 50 onward - Bensound.com Episodes 1 - 49 'Impressive Deals' - Nicolai Heidlas

In this episode of the RCP Medicine Podcast, Consultant Respiratory Physician Milind Savani joins Respiratory Registrar Daniella Draicchio and Foundation Doctor Masooma Ali to explore a compelling case of progressive breathlessness in a 45-year-old woman. What begins as a seemingly routine presentation unfolds into a diagnostic journey. Together, the team discusses the challenges of diagnosing chronic type 2 respiratory failure, the importance of recognising paradoxical breathing, and the role of non-invasive ventilation and surgical intervention. This episode is a masterclass in clinical reasoning, multidisciplinary collaboration, and the value of thorough bedside examination. References https://doi.org/10.1183/23120541.00953-2020Diagnosis and management of nontraumatic unilateral diaphragmatic paralysis (complete or partial) in adults - UpToDatehttps://doi.org/10.1183/13993003.congress-2018.PA806https://doi.org/10.1183/20734735.0218-2024 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. RCP Links EducationEventsMembershipImproving carePolicy and campaigns RCP Social Media InstagramLinkedInFacebookXBluesky Music: Episode 50 onward - Bensound.com Episodes 1 - 49 'Impressive Deals' - Nicolai Heidlas

In this RCP Medicine podcast and BSR Talking Rheumatology podcast collaboration Dr Pip Watson and Dr Rik Patel discuss an interesting case of a patient presenting with headache to the acute take. Topics include tips on history and examination, an update on treatment including the use of tocilizumab and the role of fast-track pathways. Pip is a Rheumatology Consultant in Manchester, BSR Digital Learning Editor, and Talking Rheumatology host, Rick is a Rheumatology and Acute Medicine consultant in Manchester, working at one of the specialist centres for vasculitis. If you liked this check out related Talking Rheumatology spotlight episodes Resources NICE GCA guideline https://cks.nice.org.uk/topics/giant-cell-arteritis/ BSR GCA guideline https://academic.oup.com/rheumatology/article-abstract/59/3/e1/5714024?redirectedFrom=fulltext GCAPS paper https://ard.bmj.com/content/83/Suppl_1/1100.2 RCP Links EducationEventsMembershipImproving carePolicy and campaigns RCP Social Media InstagramLinkedInFacebookXBluesky Music: Episode 50 onward - Bensound.com Episodes 1 - 49 'Impressive Deals' - Nicolai Heidlas

In this episode of the RCP Medicine podcast, Professor Mark Harber, nephrologist, and RCP sustainability advisor, is joined by Chris Gormley, Chief Sustainability Officer at NHS England, to explore the NHS’s groundbreaking journey toward net zero. Together, they discuss the origins of the NHS’s green strategy, the global health implications of climate change, and the ambitious targets set for 2040 and 2045. Chris shares insights into the NHS’s leadership on sustainability, the economic and health drivers behind the movement, and the practical steps being taken - from decarbonising the supply chain to rolling out solar energy across NHS estates. Listeners will gain a deeper understanding of the challenges and opportunities in embedding sustainability into clinical practice, the importance of international collaboration, and how clinicians and staff can get involved through green plans and toolkits. Resources 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 changeCourses | Centre for Sustainable HealthcareEnvironmentally Sustainable Healthcare - elearning for healthcare (e-lfh.org.uk)Step-by-step guide | Centre for Sustainab (susqi.org)Greener NHS (england.nhs.uk) Resource library | Sustainable Healthcare Networks HubNetworks | Sustainable Healthcare Networks HubRCP Links EducationEventsMembershipImproving carePolicy and campaigns RCP Social Media InstagramLinkedInFacebookXBluesky Music: Episode 50 onward - Bensound.com Episodes 1 - 49 'Impressive Deals' - Nicolai Heidlas

In this episode of the RCP Medicine podcast, Dr Helen Banks, Consultant in Rehabilitation Medicine and Training Programme Director for Rehabilitation Northwest/Mersey, talks to Dr Ganesh Bavikatte, Consultant and Clinical Lead for Rehabilitation Medicine at The Walton Centre in Liverpool. They discuss disability after stroke and the role of specialist rehabilitation to help patients optimise their activity and independence. Their discussion describes the rehabilitation pathway, from acute and through to the community, and highlights medical issues that may arise along the way. Dr Ganesh Bavikatte has been a consultant and clinical lead at The Walton Centre NHS Trust and Cheshire and Merseyside Rehabilitation Network since 2012. The Walton Centre is a Neuroscience Specialist NHS Trust, and the Cheshire and Mersey rehabilitation network has a pathway from hyperacute to community care for patients following severe injury, illness, and injuries, including those with stroke. Resources Spasticity in adults: management using botulinum toxin | RCPhttps://www.cmrehabnetwork.nhs.uk/RCP Links EducationEventsMembershipImproving carePolicy and campaigns RCP Social Media InstagramLinkedInFacebookXBluesky Music: Episode 50 onward - Bensound.com Episodes 1 - 49 'Impressive Deals' - Nicolai Heidlas

In this episode of the RCP Medicine Podcast, Dr Neil Stone, consultant in infectious diseases and microbiology at University College London Hospitals and associate professor at UCL, joins host Dr Rohan Mehra to explore the often overlooked and increasingly important field of clinical mycology. The conversation covers a wide spectrum of fungal infections—from diagnosing and managing invasive candidiasis to understanding the global emergence of Candida auris, and the clinical complexities of Cryptococcus and Aspergillus infections. Dr Stone also sheds light on dimorphic fungi, discussing their unique biology, geographical distribution, and the diagnostic challenges they present. Beyond individual pathogens, the episode emphasizes the broader environmental and global health implications of fungal disease, highlighting the need for a One Health approach. Whether you're a clinician, student, or simply curious about the fungal kingdom, this episode is rich with clinical insights, diagnostic tips, and global perspectives on one of medicine’s most challenging and evolving frontiers. Resources WHO Antifungals Report 2025 Antifungal agents in clinical and preclinical development: overview and analysis WHO Antifungal diagnostics report 2025 Landscape analysis of commercially available and pipeline in vitro diagnostics for fungal priority pathogens WHO Priority Fungal Pathogens list https://www.who.int/publications/i/item/9789240060241 IDSA Aspergillosis Guidelines 2016 https://www.idsociety.org/practice-guideline/aspergillosis/ Global Guideline for Candiasis 2025 Lancet 2025 https://www.thelancet.com/journals/laninf/article/PIIS1473-3099(24)00749-7/fulltext RCP Links EducationEventsMembershipImproving carePolicy and campaigns RCP Social Media InstagramLinkedInFacebookXBluesky Music: Episode 50 onward - Bensound.com Episodes 1 - 49 'Impressive Deals' - Nicolai Heidlas

In this episode of RCP Medicine Podcast, Dr Dale Seviar a Consultant Haematologist at Guy's and St Thomas' NHS Foundation Trust is welcomed by Dr Rebecca Kuruvilla, a previous RCP clinical education fellow and an ST7 Clinical Pharmacology and GIM registrar. Together, they discuss the management of sickle cell disease using a hypothetical case study, providing valuable insights and practical tips for medical professionals. Sickle cell disease is one of the fastest growing genetic conditions that there is, and it's likely that many of you will be exposed to people living with sickle cell. This episode aims to provide a comprehensive understanding of the condition, acute complications and management strategies. Resources Sickle Cell Disease - RCEMLearning RCEM_BPG_Sickle-Cell-Disease_v3.2.pdf Inherited anaemias: sickle cell and thalassaemia - ScienceDirect Overview | Sickle cell disease: managing acute painful episodes in hospital | Guidance | NICE Management of Acute Chest Syndrome in Sickle Cell Disease Hemolytic transfusion reactions in sickle cell disease: underappreciated and p RCP Links Education and learningEventsMembershipImproving carePolicy and campaigns RCP Social Media InstagramLinkedInFacebookXBluesky Music: Episode 50 onward - Bensound.com Episodes 1 - 49 'Impressive Deals' - Nicolai Heidlas

In this episode RCP Medicine Podcast, we are joined by Dr John Dean, Clinical Vice President at the Royal College of Physicians and a physician in East Lancashire, and Dr John Ford, an academic public health doctor and Senior Clinical Lecturer at Queen Mary University. Together. They explore the multifaceted nature of health inequalities and discuss actionable steps physicians can take to address these disparities. Both share their personal experiences and professional insights into health inequalities and how it shaped their understanding of social and economic disadvantages. They discuss the structural factors within society that lead to health inequalities and emphasise the importance of creating a fairer, more inclusive society. The conversation focusses on the role of clinicians in addressing health care inequalities and the need for continuous improvement in healthcare design and delivery. Resources Bridging the gap: a guide to making health inequalities a strategic priority for NHS leaders A snapshot of UK doctors: experiences of health inequalities Supporting clinicians to address health inequalities in practice RCP view on health inequalities: a call to action for a cross-government strategy RCP Links Education and learning | RCP Events | RCP Membership | RCP Improving care | RCP Policy and campaigns | RCP RCP Social Media Instagram LinkedIn Facebook X Bluesky Credits Music by bensound.com Funding This episode was funded by Vertex Pharmaceuticals (Europe) Limited. Vertex had no involvement in the creation and elaboration of this episode and all views and opinions expressed by the presenter and guests are solely their own. Outro - Rohan and music

In this episode of the RCP Medicine podcast, Professor Ailsa Hart and Dr Eathar Shakweh discuss how to approach managing Inflammatory Bowel Disease (IBD) in the acute medical setting. This is the second episode of a 2-part series, with a focus on Crohn's disease. IBD is a common condition, affecting 1 in 123 people in the UK. The 2024 State of the IBD Care in the UK report highlighted the urgent need to shorten time to diagnosis and initiate early treatment to minimise the risk of IBD-related complications. Acute and general medicine physicians have an important role to play in diagnosing and managing IBD. This podcast will equip medics at all stages of training with the necessary knowledge to approach this heterogenous and complex condition. Professor Hart is Director of IBD Research at St Mark’s Hospital, London, United Kingdom and a world-leading expert in IBD. Eathar is an IBD Clinical Research Fellow at St Mark’s and Imperial, with a special interest in perianal fistulising Crohn’s disease. Crohn's & Colitis UK (CCUK) Website https://crohnsandcolitis.org.uk/ This is a valuable resource for patients and healthcare professionals alike, containing a wealth of information on IBD investigation and management. British Society of Gastroenterology (BSG) guidelines on Inflammatory Bowel Disease (IBD) - 2019 Lamb, Christopher Andrew et al. “British Society of Gastroenterology consensus guidelines on the management of inflammatory bowel disease in adults.” Gut vol. 68,Suppl 3 (2019): s1-s106. doi:10.1136/gutjnl-2019-318484 https://pubmed.ncbi.nlm.nih.gov/31562236/ For interested listeners, these are the national guidelines for IBD diagnosis and management. Please note, the new guidelines for 2025 are pending release. ECCO Guidelines on Therapeutics in Crohn's disease: Medical Treatment Torres, Joana et al. “ECCO Guidelines on Therapeutics in Crohn's Disease: Medical Treatment.” Journal of Crohn's & colitis vol. 14,1 (2020): 4-22. doi:10.1093/ecco-jcc/jjz180 https://pubmed.ncbi.nlm.nih.gov/38877997/ ECCO Guidelines on Surgery in Crohn's disease: Surgical Treatment Adamina, Michel et al. “ECCO Guidelines on Therapeutics in Crohn's Disease: Surgical Treatment.” Journal of Crohn's & colitis vol. 18,10 (2024): 1556-1582. doi:10.1093/ecco-jcc/jjae089 https://pubmed.ncbi.nlm.nih.gov/38878002/ These are the European Crohn's and Colitis Organisation (ECCO) guidelines on therapeutics in Crohn's disease, divided into medical and surgical treatment. RCP Education and learning | RCP Credits Music bensound.com

In this episode of the RCP Medicine podcast, Professor Ailsa Hart and Dr Eathar Shakweh discuss how to approach managing Inflammatory Bowel Disease (IBD) in the acute medical setting. This is the first episode of a 2-part series, with a focus on ulcerative colitis. IBD is a common condition, affecting 1 in 123 people in the UK. The 2024 State of the IBD Care in the UK report highlighted the urgent need to shorten time to diagnosis and initiate early treatment to minimise the risk of IBD-related complications. Acute and general medicine physicians have an important role to play in diagnosing and managing IBD. This podcast will equip medics at all stages of training with the necessary knowledge to approach this heterogenous and complex condition. Professor Hart is Director of IBD Research at St Mark’s Hospital, London, United Kingdom and a world-leading expert in IBD. Eathar is an IBD Clinical Research Fellow at St Mark’s and Imperial, with a special interest in perianal fistulising Crohn’s disease. Crohn's & Colitis UK (CCUK) Website https://crohnsandcolitis.org.uk/ This is a valuable resource for patients and healthcare professionals alike, containing a wealth of information on IBD investigation and management. British Society of Gastroenterology (BSG) guidelines on Inflammatory Bowel Disease (IBD) - 2019 Lamb, Christopher Andrew et al. “British Society of Gastroenterology consensus guidelines on the management of inflammatory bowel disease in adults.” Gut vol. 68,Suppl 3 (2019): s1-s106. doi:10.1136/gutjnl-2019-318484 https://pubmed.ncbi.nlm.nih.gov/31562236/ For interested listeners, these are the national guidelines for IBD diagnosis and management. Please note, the new guidelines for 2025 are pending release. RCP Links Education and learning | RCP Events | RCP Membership | RCP Improving care | RCP Policy and campaigns | RCP Credits Music by bensound.com

In this episode of the RCP Medicine podcast, Rebecca Kuruvilla, a previous RCP clinical education fellow and an ST7 Clinical Pharmacology and GIM registrar talks with Professor Sir Ian Gilmore, an honorary consultant physician with a specialist interest in liver disease. They discuss the rising issue of alcohol-related harm in the UK, the impact of Covid-19 on alcohol misuse, and the role of regulation in reducing health harms. Professor Gilmore also shares insights on the changing drinking culture, the influence of the alcohol industry, and the importance of evidence-based policies to address this significant public health challenge. Professor Sir Ian Gilmore is an honorary consultant physician at the Royal Liverpool University Hospital and holds an honorary chair at the University of Liverpool. With a specialist interest in liver disease, he has served as the president of the Royal College of Physicians and is the founding chair of the Alcohol Health Alliance UK, a coalition of over 50 organizations working together to reduce the harm caused by alcohol. Professor Gilmore has been a vocal advocate for evidence-based policies to tackle alcohol misuse and has contributed significantly to public health research and policy. Resources Alcohol Health Alliance Alcohol advice - NHS RCP Links Education and learning | RCP Events | RCP Membership | RCP Improving care | RCP Policy and campaigns | RCP Credits music by bensound.com

In this episode of RCP Medicine podcasts Dr Racheal Cheek and Dr Ben Chadwick discuss an interesting case involving a deteriorating patient and the challenges around appropriate escalation of care in the acute setting. We discuss the difficulties that can occur when dealing with a deteriorating patient, and think about different strategies to ensure that the right care can be given in the right environment. Dr Ben Chadwick is an Acute Medicine Consultant at Southampton General Hospital. He has a specialist interest in Medical Education and has previously been Training Programme Director for Acute Internal Medicine in Wessex and has chaired the Acute Internal Medicine Specialist Advisory Committee. He has recently been appointed to the Deputy Registrar role at the Royal College of Physicians. Dr Racheal Cheek is an Acute Internal Medicine Registrar training in Wessex. She has been Chief Resident at University Hospitals Dorset, leading projects focused on improving patient safety. She is embracing new adventures whilst currently on maternity leave. Resources IDSA/ATS 2007 - NICE suggest for decisions regarding ICU admission that this clinical decision aid should be considered superior to PSI/CURB-65 for pneumonia https://academic.oup.com/cid/article/44/Supplement_2/S27/372079 SBAR tool - https://www.england.nhs.uk/improvement-hub/wp-content/uploads/sites/44/2017/11/SBAR-Implementation-and-Training-Guide.pdf NEWS2 - https://www.rcp.ac.uk/improving-care/resources/national-early-warning-score-news-2/ RCP Links Education and learning | RCP Events | RCP Membership | RCP Improving care | RCP Policy and campaigns | RCP Credits Music by bensound.com

In this episode of RCP Medicine podcasts Dr Racheal Cheek and Dr Ben Chadwick discuss a challenging case of Deep Venous Thrombosis in a young patient. We discuss potential causes, and options for treatment, with reference to NICE guidance Dr Ben Chadwick is an Acute Medicine Consultant at Southampton General Hospital. He has a specialist interest in Medical Education and has previously been Training Programme Director for Acute Internal Medicine in Wessex and has chaired the Acute Internal Medicine Specialist Advisory Committee. He has recently been appointed to the Deputy Registrar role at the Royal College of Physicians. Dr Racheal Cheek is an Acute Internal Medicine Registrar training in Wessex. She has been Chief Resident at University Hospitals Dorset, leading projects focused on improving patient safety. She is embracing new adventures whilst currently on maternity leave. References Editor's Choice – European Society for Vascular Surgery (ESVS) 2021 Clinical Practice Guidelines on the Management of Venous Thrombosis - https://www.ejves.com/article/S1078-5884(20)30868-6/fulltext NICE: Venous thromboembolic diseases: diagnosis, management and thrombophilia testing - https://www.nice.org.uk/guidance/ng158 RCP Links Education and learning | RCP Events | RCP Membership | RCP Improving care | RCP Policy and campaigns | RCP Credits Music:bensound.com