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.

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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.

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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.

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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
Greener NHS plan website - https://www.england.nhs.uk/greenernhs/

Greener NHS – case studies https://www.england.nhs.uk/greenernhs/whats-already-happening/

12 things we can do as individuals to become greener

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.

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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.



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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.

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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.

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 the first 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.