In this episode of RCP Medicine podcasts Dr Racheal Cheek and Dr Ben Chadwick discuss a common presentation to Acute Medicine. We use this as a springboard to discuss the differences that near patient testing can make in assisting rapid diagnosis and management on the Acute Medicine Unit, and how this can influence length of stay.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. ResourcesClinical impact of syndromic molecular point-of-care testing for gastrointestinal pathogens in adults hospitalised with suspected gastroenteritis (GastroPOC): a pragmatic, open-label, randomised controlled trial. Brendish, Nathan J et al. The Lancet Infectious Diseases, Volume 23, Issue 8, 945 - 955RCP LinksEducation and learning | RCP Events | RCP Membership | RCP Improving care | RCP Policy and campaigns | RCP Creditsmusic by bensound.com
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Episode 82: Alcohol
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.ResourcesAlcohol Health AllianceAlcohol advice - NHSRCP LinksEducation and learning | RCP Events | RCP Membership | RCP Improving care | RCP Policy and campaigns | RCP Creditsmusic by bensound.com
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Episode 81: Sepsis
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/S27/372079SBAR tool - https://www.england.nhs.uk/improvement-hub/wp-content/uploads/sites/44/2017/11/SBAR-Implementation-and-Training-Guide.pdfNEWS2 - https://www.rcp.ac.uk/improving-care/resources/national-early-warning-score-news-2/RCP LinksEducation and learning | RCP Events | RCP Membership | RCP Improving care | RCP Policy and campaigns | RCP CreditsMusic by bensound.com
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Episode 80: Deep Venous Thrombosis (DVT)
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. ReferencesEditor'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/fulltextNICE: Venous thromboembolic diseases: diagnosis, management and thrombophilia testing - https://www.nice.org.uk/guidance/ng158RCP LinksEducation and learning | RCP Events | RCP Membership | RCP Improving care | RCP Policy and campaigns | RCP CreditsMusic:bensound.com
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Episode 79: Understanding Behavioural Science to Address Health Inequalities
In this episode of the RCP Medicine Podcast, Dr. Rohan Mehra, an Infectious Diseases/Microbiology SPR, discusses the critical role of behavioural science in addressing health inequalities. Decreased vaccine uptake and lack of engagement with healthcare services are pressing issues, particularly among those affected by health disparities. To shed light on these challenges, Rohan is joined by Professor Susan Michie, a leading expert in health psychology and behaviour change from University College London. With her extensive research and practical expertise, Professor Michie explores how we can apply behavioural science to improve healthcare engagement and design effective interventions. Tune in to discover how understanding human behaviour can drive meaningful change in health outcomes.References:A synthesis of evidence for policy from behavioural science during COVID-19, Ruggeri et al.https://www.nature.com/articles/s41586-023-06840-9The human behaviour change project www.humanbehaviourchange.orgComplex Systems for Sustainability and Health https://www.ucl.ac.uk/complex-urban-systems/cussh.Behaviour Change Wheel: A Guide to Designing Interventions www.behaviourchangewheel.comWHO behavioural science grouphttps://www.who.int/initiatives/behavioural-sciences
The RCP Medicine podcast is a discussion of different topics relevant to physicians. Episodes discuss and explore different topics including real-life clinical cases, new evidence-based guidelines and specific physician issues in the modern healthcare environment. The views expressed in this podcast are those of the presenters and not necessarily the RCP.
Ireland