Episode 68: Inequalities in healthcare - differential attainment podcast

In this episode of RCP medicine podcast, Dr Zeina Al-Matlik is joined by Dr John Williamson, a consultant Neurologist and Stroke Physician working in Liverpool,  to discuss one of the leading causes worldwide for disability - Strokes. Whether you are a healthcare provider, caregiver, or a stroke survivor, this podcast covers everything you need to know about the vital ins and outs of stroke. 

This episode unpacks essential topics such as recognizing the warning signs of strokes and acting FAST, ( Face, Arm, Slurred speech, Time - acronym used for identification of potential stroke), understanding the difference between TIAs ( Transient Ischemic Attacks) and Ischemic and haemorrhagic strokes and their managements, prevention of strokes including lifestyle and medical modifications of risk factors, and finally discussing common Stroke mimics and how to recognize them. Listeners will also get a chance to explore the latest breakthrough advancements and guidelines in stroke research and treatments such as life saving thrombolysis - also known as clot busting medication and thrombectomies - whereby a catheter is inserted into blood vessel to help retrieve and remove clots.

This episode is designed to educate, empower, and provide practical tips for both healthcare providers and patients to spread awareness, understand strokes and take prompt action to improve outcomes as Time is brain. 🧠

Resources
National Clinical Guideline for Stroke for the UK and Ireland - https://www.strokeguideline.org/

Functional Neurological Disorder (FND) - https://neurosymptoms.org/en/

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In this episode of RCP Medicine podcasts, Dr Rebecca Kuruvilla discusses Sustainability in Quality Improvement,  also known as the SusQI Framework with Dr Ayoma Ratnappuli. Ayoma is an HIV/Genitourinary Medicine specialist registrar working in South London has an out of programme experience with the Centre for Sustainable Healthcare as an Education Fellow, a role she now continues with alongside her clinical training. The Centre for Sustainable Healthcare works to embed and spread SusQI into undergraduate and postgraduate education as well as healthcare delivery organisations

 The SusQI Framework aims to deliver the best possible health outcomes with minimal financial and environmental costs whilst adding positive social value at every opportunity. This framework has been pioneered by the Centre for Sustainable Healthcare. During their conversation Ayoma breaks down the steps of the SusQI framework, explains the benefits of using this alongside traditional QI methodology, and explores an example of one of Rebecca’s own QI projects and how it could be adapted to add more sustainable value.

Resources
CSH Courses Courses | Centre for Sustainable Healthcare

e-learning for Health – Environmentally Sustainable Healthcare Environmentally Sustainable Healthcare - elearning for healthcare (e-lfh.org.uk)

SusQI.org (step by step guide) Step-by-step guide | Centre for Sustainab (susqi.org)

Greener NHS Greener NHS (england.nhs.uk)

CSH Resource Library Resource library | Sustainable Healthcare Networks Hub

CSH Networks Networks | Sustainable Healthcare Networks Hub

This episode was funded by Vertex Pharmaceuticals (Europe) Limited. Vertex had the opportunity to suggest the topic of this episode, however, all views and opinions expressed by the presenter and guests are solely their own.

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In this episode of RCP Medicine podcasts, Dr Rebecca Kuruvilla discusses e-cigarettes and vaping with the RCP’s special advisor on Tobacco, Professor Sanjay Agrawal. It is an area that many physicians are unclear on how to advise their patients on. In this episode, Sanjay aims to shed a light on e-cigarettes and their role on health and he will also discuss the recent report he has co-authored “E-cigarettes and harm reduction: an evidence review” (can link) for the RCP. Sanjay will explain how we should be advising our patients on e-cigarettes looking at the current evidence.  

Sanjay is a Consultant in Respiratory and Critical care medicine at the University Hospitals of Leicester NHS Trust. He has a specialist interest in treatment of tobacco dependency and NHS financial management, alongside clinical care for patients with interstitial lung disease, lung cancer and patients with critical illness. Sanjay Chairs the RCP Tobacco advisory group and is the National Speciality Advisor on Tobacco to NHS England.  

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 this episode of the RCP Medicine podcast's Health Inequalities series, Dr. Rohan Mehra delves into the commercial determinants of health—how private sector activities influence health outcomes and deepen inequalities. This episode focuses on the food industry, examining how corporate actions like product design, marketing, and lobbying can negatively impact public health.

Joining Rohan is Dr. Chris Van Tulleken, an infectious diseases consultant at the Hospital for Tropical Diseases in London, associate professor at University College London, and an acclaimed researcher and BAFTA wining broadcaster. Chris’ work, including his bestselling book Ultra-Processed People, shines a light on how corporations, particularly in the food industry, affect health, especially in the context of child nutrition. Together, they explore the pressing issue of corporate influence on health and discuss practical ways to address these challenges.

Resources:

Lancet commercial determinants of health series: 

https://www.thelancet.com/series/commercial-determinants-health

Commercial determinants of health- WHO fact sheet

https://www.who.int/news-room/fact-sheets/detail/commercial-determinants-of-health

LSHTM research on commercial determinants of health (CDRG workgroup)

https://www.lshtm.ac.uk/research/centres-projects-groups/cdrg 

 
Music: www.bensound.com

Osteoporosis

Listen along to Dr Sagen Zac-Varghese, Dr Amy Purohit and Dr Elinor Roderick as they discuss osteoporosis. 

They discuss identifying people with osteoporosis, investigating for causes of falls and secondary causes of osteoporosis, use of FRAX, understanding bone mineral density, and, management to reduce fracture risk, including diet, exercise and medications. 

Sagen Zac-Varghese is a consultant in diabetes, endocrinology and general internal medicine and lead for undergraduate students at the East and North Herts NHS Trust. She is the RCP education representative for the RCP Advisory Group on Nutrition Weight and Health.

Elinor Roderick is an academic foundation doctor at the East and North Herts Trust. 

Amy Purohit is an academic foundation doctor at the East and North Herts Trust.

Links

Royal Osteoporosis Society 

https://theros.org.uk/ 

National Osteoporosis Guideline Group 

https://www.nogg.org.uk/

FRAX

https://frax.shef.ac.uk/FRAX/

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Listen along to Dr Sagen Zac-Varghese and Dr Elinor Roderick as they discuss hyponatraemia. Using analogies and a structured framework (a five-step approach), they talk you through diagnosing and managing people with hyponatraemia, walk you through a case and, illustrate how to discuss this with your patients. 

Sagen Zac-Varghese is a consultant in diabetes, endocrinology and general internal medicine and lead for undergraduate students at the East and North Herts NHS Trust. She is the RCP education representative for the RCP Advisory Group on Nutrition Weight and Health.

Elinor Roderick is an academic foundation doctor at the East and North Herts Trust. 

Links

European Society of Endocrinology Clinical guideline for the management of hyponatraemia

https://www.ese-hormones.org/publications/directory/ese-clinical-guideline-for-the-management-of-hyponatraemia/

Society for Endocrinology Emergency management of severe and moderately severely symptomatic hyponatraemia in adult patients

https://www.endocrinology.org/media/xhrhxhxm/emergency-management-of-severe-and-moderately-severely-symptomatic-hyponatraemia-in-adult-patients-2022.pdf

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In this episode of the RCP Medicine podcast, Dr Rohan Mehra, an Infectious Diseases and Microbiology registrar with an interest in conflict and catastrophe medicine, delves into the critical issue of pandemic preparedness. As we reflect on the challenges faced during the COVID-19, and other pandemics, the question remains: how ready are we for the next inevitable outbreak? Joining Dr. Mehra is Professor Tom Solomon, a leading expert with nearly three decades of experience in emerging infections.  

Professor Solomon is the Professor of Neurological Science and Head of the Brain Infections Group at the University of Liverpool. He led the University of Liverpool’s Institute of Infection and Global Health and founded the National Institute for Health Research (NIHR) Health Protection Research Unit in Emerging and Zoonotic Infections. His work has been pivotal in responding to Ebola, Zika, COVID-19, and mpox (formerly monkeypox).

As Director of The Pandemic Institute in Liverpool and Vice President (International) of the Academy of Medical Sciences, Professor Solomon is a leading expert in pandemic preparedness. He also engages with the public through his media appearances and the Scouse Science Podcast.

Together, they explore the lessons learned from past pandemics and discuss what needs to be done to safeguard our future.

Links and resources:

The pandemic institute

https://www.thepandemicinstitute.org/

The WHO pandemic hub

https://pandemichub.who.int/ 

CEPI (coalition for epidemic preparedness Innovations) 

https://cepi.net/ 

Music: bensound.com 

Listen to Dr Rohan Mehra, RCP clinical education fellow, (Infectious diseases/microbiology SPR) and Dr Mumtaz Patel, as they shine a spotlight on female leadership in healthcare. They discuss many of the issues facing women in leadership position within healthcare and the challenges faced in reaching those positions. Inequality remains deeply engrained within the healthcare workforce and urgently needs addressed and Mumtaz and Rohan outline how this could be done.
Dr Mumtaz Patel is a consultant in nephrology in Manchester as well as senior censor and vice president for education performing presidential duties including chair of council for the RCP. Mumtaz previously launched a global women leaders programme, on which she remains an active educator, which empowers female physicians to advance into leadership roles, which continues to be hugely successful to this day. This programme aims to narrow the gender leadership gap globally and is tailored to a local context to address these issues in smart sustainable targeted ways. It is also aligned to the Emerging women’s leaders programme which focuses on the same issues within the UK which Mumtaz has also been instrumental in creating. Mumtaz also recently won the prestigious ‘Outstanding Leader award’ at the Global women in Healthcare awards.

Resources:

https://www.rcp.ac.uk/events-and-education/education-and-learning/clinicians-as-leaders/emerging-women-leaders-programme

https://www.rcp.ac.uk/news-and-media/news-and-opinion/celebrating-international-women-s-day-2024-global-women-leaders-programme/ 

References:

1. Female global health leadership: data-driven approaches to close the gender gap. Lancet 2019; 393: 521-523.
2. Downs JA, Reif LK, Hokororo A, Fitzgerald DW. Increasing women in leadership in global health. Acad Med 2014; 89: 1103–07.
3. HRH Global Resource Center. Resource spotlight: gender and health workforce statistics. https://www.hrhresourcecenter.org/gender_stats (accessed Dec 25, 2020).
4. Kwedi Nolna SK, Essama Mekongo PE, Leke RGF. Mentoring for early-career women in health research: the HIGHER Women Consortium approach. Glob Health Epidemiol Genom 2017; 2: e3.
5. https://www.who.int/docs/default-source/health-workforce/en-exec-summ-delivered-by-women-led-by-men.pdf 
6. Linkage Inc, Intersectionality in the Workplace and the Advancement of Women Leaders, 2020
7. Power, privilege and priorities 
8. Boylan J, Dacre J, Gordon, H. Addressing women’s under-representation in medical leadership. Lancet, 2019, Volume 393: e14.
9. Ferry G. Inspirational women in medicine. Lancet 2017; 390: 1825.
10. RCP strategy 2022-24 
11. RCP global strategy
12. RCP - A 2020 Vision
13. World Economic Forum. Global gender gap report, 2018.  

Music: bensound.com
This episode was funded by Vertex Pharmaceuticals (Europe) Limited. Vertex had no involvement in the creation and elaboration of this episode and all views and opinions expressed by the presenter and guests are solely their own.

Listen to Dr Rohan Mehra, RCP clinical education fellow, (Infectious diseases/microbiology SPR) and Professor Habib Naqvi as they highlight health inequalities that exist due to race and what you can do to improve this situation. Sadly, racism is still pervasive in society and healthcare is not immune from this and needs urgently addressed. They explore some of the inequalities that exist due to race, how they need to be tackled and what you can do in your daily practice to try and address these ongoing  challenges.

Professor Habib Naqviis Chief Executive of the NHS Race and Health Observatory in the UK, which works to identify and tackle ethnic inequalities in healthcare by facilitating evidence, making health policy recommendations, and enabling long-term transformational change. Habib has worked in healthcare for 25 years, he’s spoken and written widely on health equity and was awarded an MBE in the 2019 Queen’s Birthday Honours for services to equality and diversity in the NHS. Habib is listed in the Health Service Journal’s ‘100 most influential people in health’.

Further information on the NHS Race and Health Observatory can be found here: https://www.nhsrho.org/ 

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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. 

Listen to Dr Charly Annesley (Consultant Learning Disability physician) and Dr Rebecca Kuruvilla (RCP clinical education fellow and Clinical Pharmacology and GIM registrar) discuss health inequalities in the population of patients living with a learning disability and why we need more physicians who are trained in this area of medicine. They also talk to Dr Alex Tyler who is an ST6 registrar in Geriatrics and GIM who is completing a PG certificate in Medical Practice in Adult Learning Disability.

Dr Charly Annesley is a consultant learning disability physician. She works at North Middlesex University hospital in London, having set up the first and only post of its kind in the country. She is also an honorary clinical lecturer and course lead for a postgraduate certificate in Learning Disability Medicine that is run with the RCP and Edge hill university.

Links:
Training Programme to meet the Medical Needs of Adults with a Learning Disability | RCP London

Learning from Lives and Deaths - people with a learning disability and autistic people (LeDeR) - King's College London (kcl.ac.uk)

BTS clinical statement on aspiration pneumonia | Thorax (bmj.com)

BTS Clinical Statement on the prevention and management of community-acquired pneumonia in people with learning disability | Thorax (bmj.com)

Master LeDeR 2023 (2022 report) (kcl.ac.uk)

RCP Toolkit:  Acute medical care for people with a learning disability

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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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
• RCP view on healthcare sustainability and climate change

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.

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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.

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In this episode Dr Rohana Wright, consultant in diabetes and endocrinology, and Dr Rory Conn, consultant child and adolescent psychiatrist, explore adolescent healthcare and the importance of positive interactions during this period of life. To learn more you can visit the RCP Young Adults and Adolescents Steering Group (YAASG) webpage. 

Rohana and Rory mention several resources during this podcast, you can access them here:

• Adolescent Health Programme: www.e-lfh.org.uk/programmes/adolescent-health/
• Developmentally Appropriate Healthcare toolkit: www.northumbria.nhs.uk/about-us/quality-and-safety/research-and-clinical-trials/developmentally-appropriate-healthcare-toolkit#0b742aa3
• NICE Guidance on Transition from children's to adult services: www.nice.org.uk/guidance/ng43
• You're Welcome (DoH): www.gov.uk/government/publications/quality-criteria-for-young-people-friendly-health-services
• Ready Steady Go: www.readysteadygo.net/home.html
• HEEADSSS: www.uptodate.com/contents/image/print?imageKey=PEDS%2F68041

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In this podcast Dr Jasmine Lee, education fellow at the RCP, is joined by Dr Kyra Neubauer, consultant geriatrician. They explore the poor physical health of patients with serious mental illness and discuss how over many decades the lost opportunities to address this problem has meant there has been no improvement in the significant morbidity and reduced life expectancy of this group.

To learn more about this topic access the Royal College of Physicians signs UK-wide consensus statement on working together to help patients with mental health needs in acute hospitals.




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In part two of this podcast Dr Alastair Thompson, fellow of the RCP, consultant paediatrician and expert in medico-legal work is joined by Jenny Tetlow, a solicitor who represents claimants in clinical negligence claims. They explore the process by which clinical negligence claims are managed by NHS Trusts, record keeping and how we can learn from mistakes.

Profile link for Jenny Tetlow 

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In part one of this podcast Dr Alastair Thompson, fellow of the RCP, consultant paediatrician and expert in medico-legal work is joined by Jenny Tetlow, a solicitor who represents claimants in clinical negligence claims. They explore clinical negligence claims from both the claimant’s and defendant’s point of view, and why patients may make a legal claim for compensation.

Profile link for Jenny Tetlow 

Sound credit: bensound.com

This episode continues the conversation between Professor Sir Michael Marmot and Dr Jasmine Lee as they discuss the challenges faced now following over a decade of growing health inequity and the current cost of living crisis. 

Professor Sir Michael Marmot is a Professor of Epidemiology at University College London, the Director of the UCL Institute of Health Equity and the author of The Health Gap: the challenge of an unequal world (Bloomsbury: 2015). He has over four decades of experience leading research teams on health inequities and chaired commissions. 

Dr Jasmine Lee is a palliative medicine specialist registrar and trainee, RCP clinical education fellow and Association of Palliative Medicine trainees committee co-chair based in London. 

This episode was recorded in August 2022 before the results of the Conservative party leadership election for the UK Prime minister on 7th September 2022.

Listen to Professor Sir Michael Marmot and Dr Jasmine Lee discuss the impact of social determinants of health inequity looking at research and policies over the years, the important relationship they have to the health of our population and the impact of the Coronavirus-19 pandemic. 

Professor Sir Michael Marmot is a Professor of Epidemiology at University College London, the Director of the UCL Institute of Health Equity and the author of The Health Gap: the challenge of an unequal world (Bloomsbury: 2015). He has over four decades of experience leading research teams on health inequities and chaired commissions. 

Dr Jasmine Lee is a palliative medicine specialist registrar and trainee, RCP clinical education fellow and Association of Palliative Medicine trainees committee co-chair based in London. 

This episode was recorded in August 2022 before the results of the Conservative party leadership election for the UK Prime minister on 7th September 2022.

In this episode of Medicine Zoë Fleet, Curriculum and credentials manager at the RCP and previous Curriculum and assessment manager at the Joint Royal Colleges of Physicians Training Board (JRCPTB), discusses the practicalities of transferring to the new group 1 General Internal Medicine/Internal Medicine Stage 2 curricula and carrying out a gap analysis with Anastasia-Vasiliki Madenidou, rheumatology specialist advisory committee (SAC) trainee representative. Anastasia shares her approach to successfully completing a gap analysis as a rheumatology and general internal medicine registrar.

Website: www.rcp.ac.uk








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Listen to Dr Ian Sinha and Dr Laura Gordge discuss the effects of air pollution, in recognition of ‘Clean Air day’ on 16 June 2022. 

Dr Ian Sinha is a Consultant Respiratory Paediatrician, with a special interest in childhood asthma and neonatal lung disease, Dr Sinha is also heavily involved in the campaign against air pollution. Dr Laura Gordge is an Education fellow at the RCP. 


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 Dr Seun Anyiam and Dr Molly Bradbury discuss the impact of drug abuse. Dr Seun Anyiam is a regional representative of the RCP Trainees committee, working in the specialty of, and studying for a PhD in, obesity medicine. Dr Molly Bradbury is a junior doctor with a special interest in inclusion health, health inequality and addiction

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Listen to Dr Veena Raleigh, epidemiologist and Senior Fellow of The King's Fund and Dr Ajay Verma, consultant gastroenterologist at Kettering General Hospital discuss ethnicity and health inequalities along with relevant statistics.  

 The relationship patterns between life expectancy and ethnicity may surprise you.

Dr Jenny Baverstock and Professor Stephen Holgate discuss air pollution and health.

In this episode, Florence Wedmore, a junior doctor and education fellow, talks about sustainable healthcare with Jyoti Baharani, a renal physician.

In today's episode, Amie and Dr Nerys Conway discuss toxicology, specifically the effects of paracetamol, and the treatment of overdose in acute care.

In this special episode for World Obesity Day, Dr Seun Anyiam and Professor John Wilding discuss all things obesity, including how to tackle the increasing prevalence of obesity in society and the increased risk of worse outcomes in COVID-19. They also tackle the important issue of obesity stigma, and how the existence of this among healthcare professionals can lead to inequality in the treatment of people living with obesity.

Dr Seun Anyiam is a regional representative of the RCP Trainees committee, working in, and studying a PHD in obesity medicine. 

Professor John Wilding is a Professor of Medicine at the University of Liverpool, a specialist in obesity, diabetes and endocrinology, and is the President of the World Obesity Federation.

References:
Caterson et al 2019, Diabetes, Obesity and Metabolism
Flint Narrative NHS Long term plan
Bray Lancet review

In this special episode, Dr Seun Anyiam and Professor Carol Brayne discuss the issue of health inequalities and explore how the unconscious biases of clinicians may be contributing to ongoing inequalities in the health outcomes of patients.

In today's episode, Doctor Burbridge speaks again with Cat Atkin, and they discuss being on the overnight stroke team.


This podcast has been made with an educational grant from Celgene. They have had no input or involvement in the design, development or content of the podcast.

Today Doctor Burbridge is joined by Cat Atkin, an acute medicine trainee, to discuss the case of a 37 year-old lady with lower back pain and vomiting.


This podcast has been made with an educational grant from Celgene. They have had no input or involvement in the design, development or content of the podcast.

Amie chats with Professor Andrew Goddard, President of the RCP, about how Covid-19 has altered the clinical landscape, and also about his personal experiences with the virus over the last 6 months.

This podcast has been made with an educational grant from Celgene. They have had no input or involvement in the design, development or content of the podcast.

In the second of a two-parter, Amie and Hussain discuss a case of a 90 year-old lady who also has a shortness of breath...



This podcast has been made with an educational grant from Celgene. They have had no input or involvement in the design, development or content of the podcast.

In the first of a two-parter, Hussain and Amie discuss a 70 year-old man admitted with breathlessness...


This podcast has been made with an educational grant from Celgene. They have had no input or involvement in the design, development or content of the podcast.

In today's episode, Hussain returns to talk to Amie about a case she dealt with early on in the Covid-19 pandemic.


This podcast has been made with an educational grant from Celgene. They have had no input or involvement in the design, development or content of the podcast.

In this special episode, Amie and Dr Chris Bassford discuss decision making during this especially challenging time.


This podcast has been made with an educational grant from Celgene. They have had no input or involvement in the design, development or content of the podcast.

In episode 34, Amie considers the case of a woman, 3 days postpartum, who is admitted with a headache.

Episode 33: Inflammatory Bowel by RCP London

This week Amie and special guest, Cat Atkin (acute medicine trainee), talk about a case of an elderly patient who's recently been feeling more and more tired.

Episode 31: Breathlessness by RCP London

In episode 30, Amie and Cat Atkin, a NIHR clinical lecturer and acute medical registrar, discuss acute back pain on call and who best to turn to for advice.

This week Amie and guest presenter Dr Nerys Conway discuss commonly misused drugs and their effects.

This week Amie is joined by the Academic Vice president of the RCP, Professor Cheng-Hock Toh.Amie and Cheng-Hock discuss a difficult case of bleeding and oral anti-coagulation use. We also take a brief look at Medicine 2020.

Amie and Bryony discuss breaking bad news, using some difficult cases they have been involved in.

In the first episode of series 2, Amie and Bryony discuss a rock climber with uncommon symptoms...

Amie and Hussain are back with another medical emergency. This week it’s diabetic ketoacidosis. Investigations and management are discussed. Amie explains why hyperchloraemic acidosis develops and covers the all-important pathophysiology of DKA.

Amie and Akon approach a difficult case of jaundice. How to manage decompensated liver disease and the latest guidelines are discussed. Amie covers the physiology of the liver, and the huge impact of poor communication is realised.

Amie and Hussain discuss a case with a very unexpected cause. Amie revisits the Kreb's cycle. Hussain remains baffled.

Episode 22: Acute Kidney Injury by RCP London

Amie and Dr Becky Chubb take us through the case of an 82 year old who has a surprising diagnosis...

Education Fellow, Dr Akon Esara, takes us through the key points of a frequent attender.Music: 'Impressive Deals' - Nicolai Heidlas

In this episode, Hussain and Amie discuss their general medical approach to Upper GI bleed management, with a little help from a couple of famous names...Music: 'Impressive Deals' - Nicolai Heidlas

In her second guest episode, consultant psychiatrist Dr Becky Chubb goes through the key points of delirium diagnosis and management.Music: 'Impressive Deals' - Nicolai Heidlas

Hussain and Amie delve into an unusual case where a very commonly prescribed drug becomes the focus.Music: 'Impressive Deals' - Nicolai Heidlas

Amie and Hussain unpick a case with this most common of symptoms, presenting to an ambulatory care unit. Music: 'Impressive Deals' - Nicolai Heidlas

Amie and guest consultant psychiatrist- Dr Becky Chubb- take us through the key points of mental health in medicine, including the all-important mental state examination.Music: 'Impressive Deals' - Nicolai Heidlas

In this episode of the RCP Medicine podcast, Amie and Hussain de-brief about a case presenting with fever, weight loss and night sweats. All is not as it seems...Music: 'Impressive Deals' - Nicolai Heidlas

In episode 13, Hussain and Amie compare their generalist approaches to the ‘low sodium’ resultMusic: 'Impressive Deals' - Nicolai Heidlas

Hussain recalls the drainage of a hepatic hydrothorax, and a rare complication.Music: 'Impressive Deals' - Nicolai Heidlas

This week Amie explores the investigation and management of hypercalcaemia.Music: 'Impressive Deals' - Nicolai Heidlas

Amie gives her take on the guidelines of pneumonia management, sometimes complicated by influenza.Music: 'Impressive Deals' - Nicolai Heidlas

This week Hussain recalls a case presenting to the acute medical take with a unilateral pleural effusion, highlighting key initial investigations and management.Music: 'Impressive Deals' - Nicolai Heidlas

Amie recollects a serious case which highlights the importance of prompt recognition, and treatment, of meningitis.Music: 'Impressive Deals' - Nicolai Heidlas

This week Amie investigates the evidence-base behind lumbar punctures and headachesMusic: 'Impressive Deals' - Nicolai Heidlas

Amie takes us through a hard-hitting case of infective endocarditis.

Resources:
2023 ESC Guidelines for the management of endocarditis | European Heart Journal | Oxford Academic

Infective endocarditis - Symptoms, diagnosis and treatment | BMJ Best Practice


Music: 'Impressive Deals' - Nicolai Heidlas 

In Episode 5, Hussain discusses a tragic case that highlights the challenges of having difficult conversations during a busy on-call shift.Music: 'Impressive Deals' - Nicolai Heidlas

In this episode, Hussain runs through the management of COPD presentations on the acute take, with some important points about smoking (and vaping!).Music: 'Impressive Deals' - Nicolai Heidlas

In the third episode, Amie gives us a quick run-through of the investigation and management of the acute, hot joint.Music: 'Impressive Deals' - Nicolai Heidlas

Hussain recounts an evocative neurology case from a weekend on-call.Music: 'Impressive Deals' - Nicolai Heidlas

In this episode, Amie explores the investigation and management of suspected pulmonary emboli on the acute take, and discusses the merits of ambulatory care with references to NICE and BTS guidelines.Music: 'Impressive Deals' - Nicolai Heidlas

FYI: The pulmonary embolism guidelines have recently been updated, so please refer to the most up-to-date guidelines.