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Dr Alastair MacGilchrist talks about alcohol-related liver disease and alcohol dependence. He discusses how to prevent, assess and treat patients with this disease and talks about public health initiatives on this area of medicine. Scottish Health Action on Alcohol Problems (SHAAP): https://shaap.org.uk

In this episode of Dr Roger Smyth, a Consultant Liaison Psychiatrist, talks about the mental health aspects of alcohol misuse, management of alcohol withdrawal syndrome and the process of liver transplantation assessment.

In this episode on Clinical Conversations Dr Jack Andrews gives as an overview of the recent updates in the assessment and management of patients with acute coronary syndrome. We discuss immediate management and long term risk stratification of patients with myocardial infarction. Dr Jack Andrews is a senior cardiology registrar specialising in interventional cardiology, currently working at the Royal Infirmary of Edinburgh.

This episode is on medical education, focussing mainly on simulation training. Dr Vicky Tallentire discusses her career in medical education and explains how medical trainees can get involved in simulation training and research. She reflects on her time as an education fellow, an education coordinator at the Scottish Centre for Simulation and Clinical Human Factors (SCSChf) and her other roles. Feedback on this episode: https://bit.ly/CCRCPEFeedback Dr Tallentire is a Consultant in Acute Medicine, an Associate Postgraduate Dean and a simulation enthusiast and facilitator at SCSChf. She is a passionate believer in being able to admit, understand and learn from mistakes in all aspects of life. Resources: https://www.asme.org.uk https://scschf.org/courses/ https://www.scotlanddeanery.nhs.scot/trainee-information/internal-medicine-training-imt-simulation-programme/ https://www.ed.ac.uk/medicine-vet-medicine/postgraduate/clinical-education

Dr Jonathan Bardgett interviews Prof Najib Rahman about the assessment and management of patient's presenting with pleural effusion. Feedback on this episode: https://bit.ly/CCRCPEFeedback Professor Rahman runs the Oxford Pleural Unit and Directs the Oxford Respiratory Trials Unit. He is co-chair of the BTS Pleural Guidelines 2021, Chair of the BTS Pleural Intervention Committee, and Chair of multiple ERS guidelines on pleural disease. British Thoracic Society - Guidelines https://www.brit-thoracic.org.uk/quality-improvement/guidelines/ American Thoracic Society - Guidelines https://doi.org/10.1513/AnnalsATS.201809-620CME My Pleural Effusion https://mypleuraleffusionjourney.com/ Training Standards for Thoracic Ultrasound http://dx.doi.org/10.1136/bmjresp-2019-000552 RAPID Score for Pleural Infection https://www.mdcalc.com/rapid-score-pleural-infectionl

Dr Jonathan Bardgett talks to Dr Ingrid Hoeritzauer about functional neurological disorders, how to diagnose them and discuss the positive features necessary to make a diagnosis with patients and their families. Feedback on this episode: https://bit.ly/CCRCPEFeedback Resources: Recognising and explaining functional neurological disorder https://www.bmj.com/content/371/bmj.m3745/infographic https://www.neurosymptoms.org https://twitter.com/FndPortal

Dr Rachel Sutherland interviews Professor Mark Strachan about how to approach the hyperglycaemic patient who presents in the acute receiving unit. Feedback on this episode: https://bit.ly/CCRCPEFeedback Professor Mark Strachan is a Consultant Physician in Endocrinology, Diabetes and Acute Medicine at the Western General Hospital, Edinburgh and Honorary Professor of the University of Edinburgh. Dr Sutherland is a Consultant in Stroke and General Medicine in the South East of Scotland. She has an interest in integrated, real time analytics and spent some time outside of medicine working as a medical informaticist. She is a passionate advocate for Flexible working and training for doctors. Feedback and suggested future topics are very welcome, please contact us via email at: cme@rcpe.ac.uk

Dr Rachel Sutherland talks to Professor Mark Strachan about C-Peptide, and how it can be used to help identify the underlying cause of diabetes. Professor Mark Strachan is a Consultant Physician in Endocrinology, Diabetes and Acute Medicine at the Western General Hospital, Edinburgh and Honorary Professor of the University of Edinburgh. Feedback and suggested future topics are very welcome, please contact us via email at: cme@rcpe.ac.uk

In this episode Dr Claire Gordon talks about 'Leadership and management in the Acute Medical Unit' with Dr Jonathan Bardgett. Dr Gordon is an Acute Medical Consultant working South East Scotland. She shares her experience of leadership and management during the COVID-19 pandemic and discusses working with Acute Internal Medicine.

In this episode Dr Xan Hughes (pronouns they/them) talks to Dr David Ryan (pronouns he/him) about being an openly transgender doctor working in the NHS. The topics covered include an introduction to some common terminology relevant to talking about trans healthcare and about how easy changes to practices can help both trans colleagues and patients have a better experience. Dr Xan Hughes, is a Foundation year two doctor working at a large London teaching hospital. Their research interests include barriers to healthcare and widening access especially to preventative care.

Dr Dominique Baker, senior Registrar in Obstetrics and Gynaecology in the South East of Scotland Deanery gives us an overview of acute medical problems in pregnancy, we talk about the clinical assessment and multidisciplinary management of these patients. Resources Maternity Early Warning Score: https://ihub.scot/media/5308/national-mews-chart_web.pdf Prescribing in pregnancy(BUMPS: https://www.medicinesinpregnancy.org

This episode of Clinical Conversations is with Dr James Tiernan, a Respiratory Consultant in South East Scotland. He talks about the investigation and management of acute pulmonary embolism and the follow up of this disease in the current COVID-19 pandemic. PE Wells Score: https://www.mdcalc.com/wells-criteria-pulmonary-embolism Simplified Geneva Score: https://www.mdcalc.com/geneva-score-revised-pulmonary-embolism NICE Guidelines: https://cks.nice.org.uk/topics/pulmonary-embolism/

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