Christina, Dilani, Emma and Hannah get together this week to talk about their top tips for the new doctors! 

CotEcast

AEME's top tips for new doctors

Welcome to the twelfth episode in the "What we've learnt this week..." series. These are short 15 minute or so podcasts where we discuss topics we have encountered in the preceding weeks; whether it be on the wards, in a journal, at teaching or even on Twitter!   This week Chris, Christina, Dilani, Hannah and Emma discuss clues pointing to malabsorptive syndromes, the MUST score, the HALT-IT trial, the short-comings of an erect chest xray and alcohol histories in our older patients! 

"What we've learnt this week...."Episode 12

Welcome back to CotEcast! After a bit of a break from recording Chris, Emma, Christina and Dilani are back to reflect on some of the learning points they have taken from away looking after older people during the Covid-19 pandemic.    Useful links this week:    1. Covid 19 in the older adult poster BGS website, Dr Lara Mitchell  https://www.bgs.org.uk/sites/default/files/content/attachment/2020-06-02/COVID19intheolderadultposterFINAL.pdf 2. Health Education England SupportT digital resources/webinars https://www.hee.nhs.uk/our-work/doctors-training/supporting-doctors-returning-training-after-time-out/supportt-digital-online-resources   3. Newcastle COVOP (COvid Vulnerable Older People) Report https://research.ncl.ac.uk/ageresearchgroup/coronavirus/   4. Action on Hearing Loss - Communication tips for healthcare professionals  https://actiononhearingloss.org.uk/information-and-support/support-for-health-and-social-care-professionals/communication-tips-for-healthcare-professionals/  

CotEcast Reflections on Covid-19

Welcome to the eleventh episode in the "What we've learnt this week..." series. These are short 15 minute or so podcasts where we discuss topics we have encountered in the preceding weeks; whether it be on the wards, in a journal, at teaching or even on Twitter! This week Nick, Christina and Emma discuss causes of vertigo, how to correctly take a bisphosphonate, managing diabetes at the end of life and restless leg syndrome.   Useful links: Vertigo: https://www.bmj.com/content/366/bmj.l5215/infographic Mini-gem: http://aeme.org.uk/mini-gem-shake-rattle-and-roll-the-epley-manoeuvre/ NECN palliative care guidelines:  http://www.northerncanceralliance.nhs.uk/wp-content/uploads/2018/11/NECNXPALLIATIVEXCAREX2016-1.pdf.

"What we've learnt this week..." Episode 11

 Welcome to the tenth episode in the "What we've learnt this week..." series. These are short, 15 minute podcasts where we discuss topics that we have encountered the preceding week; whether it be on the wards, in a journal, at teaching or even on Twitter! This week Nick, Christina and Emma discuss silver trauma.   Useful links:   https://www.rcem.ac.uk/RCEM/Quality-Policy/Clinical_Standards_Guidance/RCEM_Guidance.aspx?WebsiteKey=b3d6bb2a-abba-44ed-b758-467776a958cd&hkey=862bd964-0363-4f7f-bdab-89e4a68c9de4&RCEM_Guidance=5.   https://www.rcemlearning.co.uk/foamed/silver-trauma/.   https://mobile.twitter.com/hectorcares?lang=en  

"What we've learnt this week"....Episode 10

Welcome to the ninth episode of "What we have learnt this week…..”. These are short, 15minute, podcasts where we discuss topics that we have encountered the preceding week; whether it be on the wards, in a journal, at teaching or even on twitter! This week Chris, Emma and Vicky are recording during lunch at their regional geriatrics teaching day. They will be discussing myeloma and MGUS; attendance and carers allowance and dual anti platelet therapy in minor stroke and high risk TIAs.   Useful links this week are: https://www.gov.uk/attendance-allowance https://www.gov.uk/carers-allowance https://b-s-h.org.uk/guidelines/guidelines/investigation-of-newly-detected-m-proteins-and-the-management-of-mgus/ https://www.stroke.nih.gov/documents/NIH_Stroke_Scale_508C.pdf https://www.bmj.com/content/363/bmj.k5130/rr-0        

"What we've learnt this week..." Episode 9

Welcome to the 8th episode in the series of "What we have learnt this week...". Tonight Vicky, Emma and Christina talk about UTI guidelines in the over 65s, AF and anticoagulation risk calculators, DOLs and antibiotics in the older patient.  Useful links this week:  PHE UTI in >65s:   https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/755890/PHE_UTI_flowchart_-_Under_65_women.pdf CHADsVASc and HASBLED scoring systems: https://www.chadsvasc.org Anticoagulation risk in falls:  Risk of Falls and Major Bleeds in Patients on Oral Anticoagulation Therapy; Donze, J; Clair, Carole; The American Journal of Medicine; Volume 125, Issue 8; August 2012,Pages 773-778   BMA guidance on DOLS: https://www.bma.org.uk/advice/employment/ethics/mental-capacity/deprivation-of-liberty-safeguards E-LFH learning module on DOLS: https://www.e-lfh.org.uk/programmes/deprivation-of-liberty-safeguards/

"What we've learnt this week..." Episode 8

The AEME team catch up over a few drinks post G4J 2018 to discuss a few of the top tips we will take away from the conference. Useful links: www.pdmedcalc.co.ukm.youtube.com/watch?v=Lp3pFjKoZl8www.nuemblog.com/blog/hints

G4J18 Top Tips

Welcome to the 6th episode in the "What we've learnt this week" series. Nick and Emma are in Berlin for the European Geriatric Medicine Society International Congress and share some of the top tips they have picked up from the conference. Heard of "prognostic paralysis"? "Theraputic illusion"? Gamification in medical education? We hadn't either!   Useful links this week: 1. https://www.jamda.com/article/S1525-8610(17)30130-5/fulltext Morin L, Vetrano DL, Grande G, Fratiglioni L, Fastbom J, Johnell K. Use of medications of questionable benefit during the last year of life of older adults with dementia. J Am Med Dir Assoc. 2017;Epub. 2. http://www.deliriumexperience.nl/ You have to pay for the full game but the trailer is experience enough! 3. https://academic.oup.com/ndt/article/32/1/9/2931168  European Renal Best Practice Group summary document on Management of older patients with chronic kidney disease  

"What we've learnt this week....Episode 6"

Join Vicky, Pete and Emma in the first of our new series of CotEcasts entitled "What we have learnt this week....". These are short, 15minute, podcasts where we discuss topics that we have encountered the preceding week; whether it be on the wards, in a journal, at teaching or even on twitter! This week we discuss a useful analogy for frailty, myth-busting MSUs, a brief review of fluid prescriptions and top tips of managing patients with Parkinson's disease . Useful links: Paper Boats BGS blog atbritishgeriatricssociety.wordpress.com/2018/07/09/the-paper-boat/ MSU and fluid Mini-gems at aeme.org.uk/mini-gems/ NICE fluid guidelines at www.nice.org.uk/guidance/cg174 PD medication calculator at www.pdmedcalc.co.uk

"What we've learnt this week..." Episode 1

Join Pete, Christine and Emma for the fifth episode in the "What we've learnt this week.." series. We've got some useful tips on iron supplements, urological conditions in the elderly and renal impairment. Let us know your thoughts @ElderlyMedEd    

"What we've learnt this week..." Episode 5

Welcome to the fourth episode of "What we've learnt this week..." Vicky, Emma and new AEME member Christina discuss confusing C.Diff results, alcohol in the elderly, geriatric trauma and consider the language we use when talking to relatives of patients with dementia.   Useful links this week: https://www.nhs.uk/live-well/alcohol-support/calculating-alcohol-units/ https://www.bgs.org.uk/resources/silver-book http://www.heftemcast.co.uk/wp-content/uploads/2015/07/About-HECTOR.pdf https://twitter.com/dr_shibley?lang=en

"What we've learnt this week....." Episode 4

Welcome to the third episode of "What we have learnt this week…..”. These are short, 15minute, podcasts where we discuss topics that we have encountered the preceding week; whether it be on the wards, in a journal, at teaching or even on twitter! This week Chris, Emma, Pete and Nick are discussing steroid therapy in pneumonia; tips for picking up dysphasia; drooling in Parkinson's disease and online tools to aid shared decision making in relation to medication ie. Statin therapy   Useful links this week: https://statindecisionaid.mayoclinic.org/ https://www.cochrane.org/CD007720/ARI_treatment-corticosteroids-beneficial-and-safe-people-pneumonia

"What we have learnt this week...." Episode 3

Listen to Pete, Emma and Nick talk through their top tips in the 2nd episode of "What we have learnt this week.....". These are short, 15minute, podcasts where we discuss topics that we have encountered the preceding week; whether it be on the wards, in a journal, at teaching or even on twitter! This week we talk about sick day rules; antidepressants in the elderly; potentially inappropriate medications and mobility assessment centres.    Useful links this week: Polypharmacy Guidance, Realistic prescribing: https://www.therapeutics.scot.nhs.uk/wp-content/uploads/2018/04/Polypharmacy-Guidance-2018.pdf Drug burden in older people approaching the end of life: https://britishgeriatricssociety.wordpress.com/2018/05/29/drug-burden-in-older-people-approaching-end-of-life/#more-5388 STOPPFrail https://academic.oup.com/ageing/article/46/4/600/2948308 Mobility Advice and Assessment Centres: http://www.olderdrivers.org.uk/driver-assessment/find-a-driver-assessment/england/north-east/

"What we've learnt this week...." Episode 2

The AEME gang sit down to discuss the recently updated British Geriatric Society guidelines on the assessment of pain in the older patient.       Discussion topics: 1. Do we assess pain in the older patient well? If not, why not?! 2. What are the barriers to eliciting a good pain history? 3. What analgesics should you start and how? 4. Are there any non-pharmacological options for pain relief out there?   Our CotEcast Commandments:  1. Do not think pain is part of the normal ageing process 2. Remember to ask about pain  3. Start low and go slow  4. Remember to regularly reassess response and side effects of analgesia    References, Links and Resources: The Assessment of Pain in Older people: UK National Guidelines; Pat Schofield, Age and Ageing, Volume 47, Issue supp_1, 1 March 2018  https://doi.org/10.1093/ageing/afx192   Guidance on the management of pain in older people; Age and Ageing 2013; 42: i1–i57. doi: 10.1093/ageing/afs200   http://www.bgs.org.uk/pdfs/pain/age_ageing_pain_supplement.pdf  

How to make managing your patient's pain less painful!

CotEcast (Care of the Elderly podcast) is for clinicians who look after older patients. Entertaining discussion, debate, analysis and interviews related to Geriatric and General Medicine. Produced by AEME, the Association for Elderly Medicine Education. Presented by Dr Mark Garside & Dr Peter Brock

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CotEcast

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