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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

In this episode of clinical conversations Dr Colin Stirrat, Consultant Cardiologist at the Royal Infirmary of Edinburgh gives us an overview of the updated clinical guidelines on the assessment and management of patients with atrial fibrillation. European Society of Cardiology Guidelines: https://www.escardio.org/Guidelines/Clinical-Practice-Guidelines/Atrial-Fibrillation-Management We discuss the recommended integrated approach to managing AF patients with stroke prevention, better symptom control and risk factors evaluation and management. Please join us for the 60th St Andrew's Day Festival symposium: Updates on Acute Medicine from the 24th to the 27th of November 2020. https://events.rcpe.ac.uk

In this episode of Clinical Conversations Dr Tina Ryan and Dr Brain discuss the clinical assessment and management of critically unwell patients. This podcast covers some key aspects in these patients' care such as the importance of monitoring, fluid resuscitation, referral to Intensive Care Unit and life support. Dr Tina Ryan is a senior Geriatric Medicine Registrar in the West of Scotland Dr Neil Brain is a senior Intensive Care Specialist Registrar in the West of Scotland

In this episode of 'Clinical Conversations' Dr Ailsa Oswald, our Vice Chair for Education and Oncology Trainee interviews Dr Mark Stares, Senior Oncology Registrar in NHS Lothian. They discuss in depth the topic of 'Cancer of Unknown Primary' and give some useful insights on the latest evidence on investigating, managing, and caring for oncology patients in whom the primary tumour is not identified. Feedback and suggested future topics are very welcome, please contact us via email at: cme@rcpe.ac.uk

Dr Tina Ryan and Dr Greg Waddell discuss quality improvement (QI) projects, the difference between clinical audits and QI projects, how to approach, and to avoid the pitfalls. QI projects are an annual requirement for trainees to undertake towards their ARCP. Dr Ryan is a Geriatric Medicine Registrar in the West of Scotland Dr Waddell is a Geriatric Medicine Consultant, QI Lead, and Scottish Quality and Safety Fellow. Feedback and suggested future topics are very welcome, please contact us via email at: cme@rcpe.ac.uk

Dr Adelina Mcleod and Dr Alisha Khanna discuss the prevalence of social isolation in an ageing population, the impacts of COVID-19 on Geriatric Medicine, and how hospital-based care could change to better support elderly patients. Dr Khanna has just completed FY1, now an FY2 working in London. Dr Mcleod is Chair or the RCPE T&MC committee, and specialty trainee in geriatrics with a specialist interest in cognition and delirium. Please share this episode with your colleagues and suggest future interviewees by emailing us at cme@rcpe.ac.uk

In this episode Dr Paolo d'Arienzo and Dr Nicola Robinson discuss how the COVID-19 pandemic has impacted the MRCP(UK) PACES exam and what changes candidates can expect. Dr d'Arienzo is a CT2 IM Trainee at Barts Health NHS Trust, London, and a junior member of the RCPE Trainees and Members’ Committee. Dr Robinson is a clinical research fellow and ST6 in Respiratory and General Medicine, MRCPUK trainee representative for PACES, and is Vice Chair of the RCPE Trainee and Members' Committee. For more information on PACES and RCPE Diploma Ceremonies: https://www.rcpe.ac.uk/careers-training/preparing-paces-exams Please share this episode with your colleagues and suggest future interviewees by emailing us at cme@rcpe.ac.uk

In this episode Dr Ailish Nimmo is joined by Dr Wilf Okoroafor, a senior renal registrar in Bristol with a keen interest in clinical education. They discuss the investigations and management of patients with proteinuria

Welcome to Clinical Conversations! Dr Baker joins us for an interesting discussion on training, changes over time and some practical advice regarding Internal Medicine Training and the application process. If you want to find out more information about IMY3 application process please follow this link: https://www.imtrecruitment.org.uk/imy3/overview/ Please share this episode with your colleagues and suggest future interviewees by emailing us at cme@rcpe.ac.uk Recorded: 3 August 2020

Welcome to Clinical Conversations! This new podcast series is brought to you by the Trainees & Members' 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 wWelcome to Clinical Conversations! 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

Welcome to COVID-19 Conversations, the Royal College of Physicians of Edinburgh’s podcast series which presents different perspectives on COVID-19 from health care professionals on the frontline. In this episode Dr Felicity Baines, from The Borders General Hospital discusses her experiences and tips as an FY1 during COVID-19 with Dr Rachel Sutherland. Please share this episode with your colleagues and suggest future interviewees by emailing us at standards@rcpe.ac.uk

Welcome to COVID-19 Conversations, the Royal College of Physicians of Edinburgh’s podcast series which presents different perspectives on COVID-19 from health care professionals on the frontline. For our eleventh episode Chair of the Trainee and Members Committee Dr Adelina McLeod interviews Dr Anna Olsson-Brown, Trainees and Members Committee Elected Member(England & Wales) where they discuss trainee representatives during Covid-19. Please share this episode with your colleagues and suggest future interviewees by emailing us at standards@rcpe.ac.uk

Welcome to COVID-19 Conversations, the Royal College of Physicians of Edinburgh’s podcast series which presents different perspectives on COVID-19 from health care professionals on the frontline. For our tenth episode Dr Rachel Sutherland interviews Dr Martin Dennis, Chair of Stroke Medicine at The Centre for Clinical Brain Sciences, University of Edinburgh to discuss stroke and Covid-19. Please share this episode with your colleagues and suggest future interviewees by emailing us at standards@rcpe.ac.uk

Welcome to COVID-19 Conversations, the Royal College of Physicians of Edinburgh’s new podcast series which presents the latest on COVID-19 from health care prrofessionals on the frontline. For our fifth episode, Dr Mike Jones, RCPE Director of Training and Consultant Physician and Clinical Director, University Hospital of North Durham covers questions and concerns trainee doctors may have during this time. Please share this episode with your colleagues and suggest future interviewees by emailing us at: standards@rcpe.ac.uk

Welcome to COVID-19 Conversations, the Royal College of Physicians of Edinburgh’s podcast series which presents different perspectives on COVID-19 from health care professionals on the frontline. For our seventh episode, Dr Paolo Davide D'arienzo, CT1 Internal Medicine at Barts Health NHS Trust, Dr David Ryan, F1 Doctor at St George's University Hospital NHS Foundation Trust and Dr Jemma Proudfoot, Academic FY2 at Liverpool University Hospitals Trust, discuss their top tips for new FY1s. Recorded on 15 April 2020. Please share this episode with your colleagues and suggest future interviewees by emailing us at: standards@rcpe.ac.uk

Welcome to COVID-19 Conversations, the Royal College of Physicians of Edinburgh’s new podcast series which presents the latest on COVID-19 from health care professionals on the frontline. For our sixth episode, Dr Ailish Nimmo, ST5 (renal), interviews Dr Pippa Bailey, consultant and senior lecturer in nephrology at Southmead Hospital Bristol. Together they discuss the impact COVID-19 has on renal disease. Please share this episode with your colleagues and suggest future interviewees by emailing us at: standards@rcpe.ac.uk

Welcome to COVID-19 Conversations, the Royal College of Physicians of Edinburgh’s podcast series which presents different perspectives on COVID-19 from health care professionals on the frontline. For our eighth episode, educational psychologist Julie McDonald shares advice for looking after your mental health. Please share this episode with your colleagues and suggest future interviewees by emailing us at: standards@rcpe.ac.uk

Prof Liz Grant and Prof Abraham Verghese Discuss Coronavirus Recorded 30 April 2020

Welcome to COVID-19 Conversations, the Royal College of Physicians of Edinburgh’s podcast series which presents different perspectives on COVID-19 from health care professionals on the frontline. For our ninth episode, educational psychologist Julie McDonald shares advice on ways to deal with stress and uncertainty. Please share this episode with your colleagues and suggest future interviewees by emailing us at: standards@rcpe.ac.uk