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

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Clinical Conversations

Syncope (13 Sept 2021)

In this episode, released to coincide with World TB Day 2024, Dr Ben Warner discusses pulmonary tuberculosis (TB) with Dr David Connell.

Dr David Connell first explains his personal interest in TB. They then discuss pulmonary TB in depth, including: epidemiology; pathogenesis, immune response, and transmission (a 'lymphatic disease with respiratory spread'); how TB presents and differential diagnoses; latent TB infection and reactivation; and management including the importance of the multidisciplinary team (MDT) and the role of public health in contact tracing and the end goal of elimination.

Dr David Connell completed higher specialist training in Respiratory and General Internal Medicine in North-West London including at St.Mary’s Hospital, where he completed a PhD in the immunology of Tuberculosis, before becoming a Consultant at Ninewells Hospital in 2017 where he has a specialist interest in Complex Pulmonary Infections and TB. He is Co-Chair of the Scottish Health Protection Tuberculosis Network and is a Clinical Service Advisor to the BTS MDR-TB Advice Service.

Dr Ben Warner is a Respiratory Medicine Specialty Registrar with clinical and academic experience of global public health, having completed the LSHTM’s East African Diploma in Tropical Medicine and then worked for 18 months in rural South Africa, where he encountered the sharp end of the global TB pandemic. He is currently undertaking a PhD in multimorbidity in Malawi as part of the Wellcome-funded Multimorbidity PhD Programme for Health Professionals fellow with the University of Glasgow.

Recording date: 1 March 2024

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Feedback: cme@rcpe.ac.uk

Pulmonary TB (24 March 2024)

A Q&A about the new Internal Medicine Training (IMT) curriculum. Dr Anna Olsson-Brown, Chair, Trainees and Members' Committee, RCPE and Dr Mike Jones, Medical Director for Training and Development of the Federation of Royal Colleges of the UK, in conversation.

IMT Q&A February 2019

Dr Paul Baughan and Dr Deans Buchanan discuss Anticipatory Care Plans.

https://learning.rcpe.ac.uk/course/view.php?id=707

Due to the rapidly changing nature of scientific understanding and clinical practice regarding COVID-19, information here may no longer be accurate. It remains available for historical interest.

Recorded 14 April 2020.

Anticipatory Care Planning (14 April 2020)

Advice from Julie McDonald, educational psychologist.

In this episode, educational psychologist Julie McDonald shares advice on ways to deal with stress and uncertainty.

Due to the rapidly changing nature of scientific understanding and clinical practice regarding COVID-19, information here may no longer be accurate. It remains available for historical interest.

Covid-19 Conversations

Dealing with Uncertainty and Stress

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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

Quality Improvement (QI): Why and How?

Quality Improvement (QI): Why and How? (5 October 2020)

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.

Recording date: 15 February 2021

Leadership in the Acute Medical Unit

Leadership in the Acute Medical Unit (1 Mar 2021)

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.

Resources:

Recognising and explaining functional neurological disorder
https://www.bmj.com/content/371/bmj.m3745/infographic

https://www.neurosymptoms.org

https://twitter.com/FndPortal

Functional Neurological Disorders

Functional Neurological Disorders (12 Apr 2021)

RCPE's Podcast Series 'Clinical Conversations' by the Trainees & Members' Committee (T&MC) and 'COVID-19 Conversations'.

Pulmonary TB (24 March 2024)

Royal College of Physicians of Edinburgh

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