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In this episode of Clinical Conversations Dr Jim Parry talks to Dr Ashling Lillis about Acute Oncology and Oncology in the AMU. Dr Ashling Lillis is a consultant and Clinical Lead for Acute Medicine at Whittington Hospital in London and is also a National Clinical Advisor for Macmillan Cancer Support. -- Follow us -- https://www.instagram.com/rcpedintrainees https://twitter.com/RCPEdinTrainees -- Upcoming RCPE Events -- https://events.rcpe.ac.uk/ Feedback: cme@rcpe.ac.uk

In this episode of Clinical Conversations Dr Hannah Preston interviews Professor James Dear on paracetamol overdose in the Acute Medical Unit, the role of NAC and the new SNAP regime. Professor Dear is Professor of Clinical Pharmacology at the University of Edinburgh and Consultant Clinical Toxicologist in NHS Lothian and for the National Poisons Information Service. -- Useful Links -- https://www.toxbase.org/ https://toxandhound.com/ https://twitter.com/EdinClinTox -- Follow us -- https://www.instagram.com/rcpedintrainees https://twitter.com/RCPEdinTrainees -- Upcoming RCPE Events -- https://events.rcpe.ac.uk/ Feedback: cme@rcpe.ac.uk

In this episode Dr Kiely discusses with Dr Prideaux the advances made in his career in rheumatology, what this has meant to patients, and why this is such a fascinating specialty. -- Follow us -- https://www.instagram.com/rcpedintrainees https://twitter.com/RCPEdinTrainees -- Upcoming RCPE Events -- https://events.rcpe.ac.uk/ Feedback: cme@rcpe.ac.uk

In this episode of Clinical Conversations Dr James Parry talks to Dr Anna Olsson-Brown about Immuno-oncology and managing patients on immunotherapies during the acute take. Dr Olsson-Brown is a consultant medical oncologist at the Clatterbridge Cancer Centre. Throughout her clinical work she has been involved with the use of oncological immunotherapies, their uses and toxicities. -- Follow us -- https://www.instagram.com/rcpedintrainees https://twitter.com/RCPEdinTrainees -- Upcoming RCPE Events -- https://events.rcpe.ac.uk/ Feedback: cme@rcpe.ac.uk

In this episode Dr Anda Bularga discusses with Dr Meghan Perry, the variety and complexity of cases which present with pyrexia of unknown origin, and how experience, clinical skill and detective work contribute in this fascinating area of 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

In this podcast Dr Bardgett asks Drs Koch and Weidanz about their ongoing experiences of the COVID pandemic. -- Follow us -- https://www.instagram.com/rcpedintrainees https://twitter.com/RCPEdinTrainees -- Upcoming RCPE Events -- https://events.rcpe.ac.uk/ Feedback: cme@rcpe.ac.uk

In this episode of Clinical Conversations, Dr Rachel Sutherland talks to Dr Jon Miles about the importance of good management of ambulatory care patients in a same day emergency care setting. Dr Miles is a recently retired Consultant in Acute & General Medicine with particular interest in Same Day Emergency Care. Dr Rachel Sutherland is Consultant in Acute Medicine specialising in Same Day Emergency Care. -- Follow us -- https://www.instagram.com/rcpedintrainees https://twitter.com/RCPEdinTrainees -- Upcoming RCPE Events -- https://events.rcpe.ac.uk/ Feedback: cme@rcpe.ac.uk

In this episode of Clinical Conversations, Dr Jonathan Bardgett interviews Dr Gillian Bain about managing Inflammatory Bowel Disease. Dr Bain is a consultant gastroenterologist at Aberdeen Royal Infirmary and is Trainee Programme Director for Gastroenterology in the north of Scotland. -- Follow us -- https://www.instagram.com/rcpedintrainees https://twitter.com/RCPEdinTrainees -- Upcoming RCPE Events -- https://events.rcpe.ac.uk/ Feedback: cme@rcpe.ac.uk

In this first episode of 2022 Dr Jonathan Bardgett interviews Dr Rob Hallifax about Pneumothoraces. Dr Hallifax is an NIHR Academic Clinical Lecturer the University of Oxford. He studied an MSc in Natural Sciences in Cambridge before training in medicine at the University of Oxford. He won an MRC Clinical Training Fellowship for his DPhil: "Understanding Pneumothorax: epidemiology, physiology and outcomes". Dr Hallifax was the trial coordinator for RAMPP (Randomised Ambulatory Management of Primary Pneumothorax) - the largest primary pneumothorax trial in Europe. He has recently published on pneumothorax in JAMA and Lancet. == Recent publications == Management of primary spontaneous pneumothorax: less is more - http://doi.org/10.1016/s0140-6736(20)32676-3 Trends in the Incidence and Recurrence of Inpatient-Treated Spontaneous Pneumothorax, 1968-2016 - http://doi.org/10.1001/jama.2018.14299 Conservative versus Interventional Treatment for Spontaneous Pneumothorax - http://doi.org/10.1056/NEJMoa1910775 Ambulatory management of primary spontaneous pneumothorax: an open-label, randomised controlled trial - https://doi.org/10.1016/S0140-6736(20)31043-6 https://www.ndm.ox.ac.uk/team/robert-hallifax

In this podcast Dr Bularga discusses medical training and delivery of healthcare in Malawi with Dr Isaac Chirwa, Consultant Endocrinologist in Lilogwe and Dr Michael MacKenzie, Consultant in Infectious Diseases in Lilogwe. Both Dr Chirwa and Dr MacKenzie have experience of undergraduate and postgraduate medical training in the UK and Malawi.

In this podcast Dr Bularga discusses the effects of the COVID-19 pandemic in Malawi and its impact on the country's healthcare system. Dr Isaac Chirwa and Dr Michael MacKenzie share their experience over the past 18 months including the set up of the vaccination programme. We also give a timely update on the Omicron variant and its impact on the healthcare system in Malawi and other parts of Africa so far.

Dr Jonathan Bardgett interviews Dr David Breen about Parkinson's Disease. How PD is diagnosed, and discussion of different therapies used to treat, therapies to avoid, and side-effects of medications. Dr Breen is a Senior Clinical Research Fellow at the University of Edinburgh and Honorary Consultant Neurologist at NHS Lothian. He completed neurology and research training in Cambridge and London, before moving to Toronto as a post-CCT Movement Disorders Fellow. He specialises in the assessment and treatment of people with all types of movement disorders.

Dr Jonathan Bardgett interviews Dr Ollie Lloyd about the types and causes of meningitis and the approach to identifying when the patient presents, management and when to carry out a lumbar puncture and what to look for. Dr Lloyd is a registrar (ST5) in Infectious Diseases at RIDU, Western General Hospital, Edinburgh -- Resources -- https://doi.org/10.1002/14651858.cd004405.pub5 https://doi.org/10.1016/j.jinf.2016.01.007 https://doi.org/10.1136/emj.2009.075598 https://doi.org/10.1056/nejmoa040845

In this episode of Clinical Conversations, Dr Rachel Williamson talks about the assessment and management of patients presenting to the Acute Medical Unit with signs and symptoms of thyroid disease. Dr Williamson is a consultant endocrinologist at the Borders General Hospital, with an interest in teaching and medical education. She is also Secretary of the Scottish Society of Physicians. -- Follow us -- https://www.instagram.com/rcpedintrainees https://twitter.com/RCPEdinTrainees -- Upcoming RCPE Events -- https://events.rcpe.ac.uk/ Feedback: cme@rcpe.ac.uk

Dr David Ryan interviews Dr Xiao Liu about machine learning in diagnostic testing, the current state of research and use in real-world medicine. Dr Liu is an ophthalmology doctor and clinical researcher at the University of Birmingham and University Hospitals Birmingham. She is interested in clinical evaluation and implementation of digital health technologies (particularly machine learning algorithms as diagnostic tests) to improve patient care and healthcare delivery. Her recent work has been around identifying gaps in reporting and methodology in clinical AI studies, and providing guidance for clinicians to critically appraise the evidence supporting AI health systems. She led the development of the SPIRIT-AI and CONSORT-AI guidelines - new reporting guidelines for AI clinical trials. She also plays an advisory role to NHS X, the AI in health and care award and the WHO/ITU focus group for AI for Health. -- Resources -- A comparison of deep learning performance against health-care professionals in detecting diseases from medical imaging: a systematic review and meta-analysis - https://doi.org/10.1016/S2589-7500(19)30123-2 -Spirit and Consort AI- https://www.spirit-statement.org/ http://www.consort-statement.org/ In silico - by means of computer modelling or computer simulation.

Dr George Thomas interviews Dr Mike Wilkinson about the role of SAS doctors, how and why doctors might consider this type of role, and the route to the specialist register via CESR. Dr Wilkinson is an Associate Specialist in Geriatrics and SAS Tutor for Gateshead Health NHS Foundation Trust. HEE NE & North Cumbria Associate Dean for SAS Doctors & Dentists, and SAS Representative for RCPE Trainees & Members’ Committee. -- Follow us -- https://www.instagram.com/rcpedintrainees https://twitter.com/RCPEdinTrainees

In this episode we are joined by Dr Phil Reid, a Respiratory Consultant in Edinburgh who talks about assessing the patient with lung cancer in the acute medical admissions unit. -- Follow us on Instagram -- https://www.instagram.com/rcpedintrainees

Dr Tina Ryan interviews Dr Lara Mitchell about syncope. They discuss assessment, the importance of a history taking, driving advice, and how to setup a syncope service. Dr Mitchell is a Consultant Geriatrician at the Queen Elizabeth University Hospital in Glasgow where she setup a syncope service. -- Resources -- Syncope Unit Rationale - https://doi.org/10.1093/europace/euv115 Syncope pathway article (Br J Cardiol 2019;26:133–6) - http://dx.doi.org/10.5837/bjc.2019.040 ESC Guidelines - https://www.escardio.org/Guidelines/Clinical-Practice-Guidelines/Syncope-Guidelines-on-Diagnosis-and-Management-of Nice Guidelines - https://www.nice.org.uk/guidance/conditions-and-diseases/neurological-conditions/transient-loss-of-consciousness -- Follow us on Instagram -- https://www.instagram.com/rcpedintrainees

In this episode Dr Anda Bularga interviews Dr Justin McKee, Consultant in Medical Ophthalmology in NHS Lothian. He talks about the ocular manifestations of systemic illnesses and clinical presentation and management of these patients. Dr McKee also gives an overview of the training path and a career in Medical Ophthalmology. Dr McKee works between the Princess Alexandra Eye Pavilion and Department of Clinical Neurology in Edinburgh, specialising in diabetic retinopathy, Uveitis, Thyroid eye disease and Neuro-ophthalmology. Ophthalmology specialty training - https://www.jrcptb.org.uk/specialties/medical-ophthalmology - https://www.rcophth.ac.uk/

Dr Tina Ryan talks to Dr Rosie Baruah about microaggressions, how to recognise them and actions you can take. Dr Baruah is a Consultant in Intensive Care Medicine, Western General Hospital and Hon. Clinical Senior Lecturer, University of Edinburgh -- The Seven Acts of Allyship -- Appetite – Do you have the appetite to immerse yourself in the complex, emotive world of race equality? Ask – Ask questions about race, be curious, read, learn and educate yourself. Accept – Accept there is really a problem. More data aren’t needed. Acknowledge – Openly acknowledge that the problem needs to be dealt with. Apologise – Express sympathy that racism is affecting people of certain races. Assume – Don’t. Instead develop informed views by seeking to understand individuals. Action – Take demonstrable action steps to establish equality and be accountable. 7 A's Infographic - https://twitter.com/yvonnecoghill1/status/1280744970102636550 https://twitter.com/rosieICM