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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:
Female global health leadership: data-driven approaches to close the gender gap. Lancet 2019; 393: 521-523.Downs JA, Reif LK, Hokororo A, Fitzgerald DW. Increasing women in leadership in global health. Acad Med 2014; 89: 1103–07.HRH Global Resource Center. Resource spotlight: gender and health workforce statistics. https://www.hrhresourcecenter.org/gender_stats (accessed Dec 25, 2020).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.https://www.who.int/docs/default-source/health-workforce/en-exec-summ-delivered-by-women-led-by-men.pdf Linkage Inc, Intersectionality in the Workplace and the Advancement of Women Leaders, 2020Power, privilege and priorities Boylan J, Dacre J, Gordon, H. Addressing women’s under-representation in medical leadership. Lancet, 2019, Volume 393: e14.Ferry G. Inspirational women in medicine. Lancet 2017; 390: 1825.RCP strategy 2022-24 RCP global strategyRCP - A 2020 VisionWorld 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. -
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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 LondonLearning 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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Listen to Dr Rohan Mehra, RCP clinical education fellow, (Infectious diseases/microbiology SPR) and Dr Mumtaz Patel, as they shine a spotlight on differential attainment in healthcare. This is a pervasive issue within UK healthcare which requires work from everyone. Here Rohan and Mumtaz illustrate the issue, how it impacts people and what you can do to try and make a difference.
Dr Mumtaz Patel is a consultant in nephrology in Manchester as well as Senior censor and Vice President for education for the RCP. Mumtaz led nationally on the research around Differential Attainment for over 5 years and has led cross-collaborative research across organisations such as GMC, NHSE, royal colleges and within different specialties with a focus on earlier interventions and support to improve educational outcomes and trainee experience. Mumtaz has helped produce national guidance around supporting trainers and trainees in addressing and narrowing the Differential attainment gap. This work has had national and international recognition with presentations at multiple conferences.
Resources:
GMC: tackling differential attainment.
https://www.gmc-uk.org/education/standards-guidance-and-curricula/guidance/tackling-differential-attainment
Academic papers highlighting differential attainment and steps that need taken:
Woolf K, Potts HW. Ethnicity and academic performance in UK-trained doctors and medical students: systematic review and meta-analysis. BMJ 2011;342:d901.
Regan de Bere S, Nunn S, Nasser M. Understanding differential attainment across medical training pathways: a rapid review of the literature Final report prepared for The General Medical Council. 2015. https://www.gmc-uk.org/-/media/documents/gmc-understanding-differential-attainment_pdf-63533431.pdf
Woolfe K, Rich A, Viney R, Needleman S, Griffin A. Perceived causes of differential attainment in UK postgraduate medical training: a national qualitative study. BMJ Open 2016;6:e013429
https://www.gmc-uk.org/education/14105.asp
Hawkridge A, Molyneux D. (2019) A description and evaluation of an educational programme for North West England GP trainees who have multiple fails in the Clinical Skills Assessment (CSA). Education for Primary Care. 30(3):167-172.
https://www.gmc-uk.org/-/media/documents/gmc-da-final-report-success-factors-in-training-211119_pdf-80914221.pdf
Jeremy Brown, Liam Jenkins, John Sandars, Julie Bridson, Mumtaz Patel (2023) Evaluation of the Impact of the Workshop ‘EQiT – Embedding Compassionate, Courageous, Cross-cultural Conversations into Training’ General Medical Council
Jeremy Brown, Liam Jenkins, John Sandars, Julie Bridson, Mumtaz Patel (2023) Evaluation of the impact of the Royal College of Psychiatrists Clinical Assessment of Skill and Applied Knowledge masterclass on reducing the attainment gap General Medical Council
Academy of Medical Royal Colleges, 2023 Principles for exam preparation, feedback and support for candidates to address the awarding gap.
Patel, M. Differential Attainment and implementing successful strategies, RCP commentary 2023, https://70b706f2.flowpaper.com/CommAugust2023v2/#page=18
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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. -
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.
ResourcesPlease 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 greenerRCP 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.pdfhttps://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. -
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#0b742aa3NICE Guidance on Transition from children's to adult services: www.nice.org.uk/guidance/ng43You're Welcome (DoH): www.gov.uk/government/publications/quality-criteria-for-young-people-friendly-health-servicesReady Steady Go: www.readysteadygo.net/home.htmlHEEADSSS: 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
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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.
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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.
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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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