RCP Medicine Podcast

In this episode RCP Medicine Podcast, we are joined by Dr John Dean, Clinical Vice President at the Royal College of Physicians and a physician in East Lancashire, and Dr John Ford, an academic public health doctor and Senior Clinical Lecturer at Queen Mary University. Together. They explore the multifaceted nature of health inequalities and discuss actionable steps physicians can take to address these disparities. Both share their personal experiences and professional insights into health inequalities and how it shaped their understanding of social and economic disadvantages. They discuss the structural factors within society that lead to health inequalities and emphasise the importance of creating a fairer, more inclusive society. The conversation focusses on the role of clinicians in addressing health care inequalities and the need for continuous improvement in healthcare design and delivery. Resources Bridging the gap: a guide to making health inequalities a strategic priority for NHS leaders [https://www.rcp.ac.uk/improving-care/resources/bridging-the-gap-a-guide-to-making-health-inequalities-a-strategic-priority-for-nhs-leaders/] A snapshot of UK doctors: experiences of health inequalities [https://www.rcp.ac.uk/policy-and-campaigns/policy-documents/a-snapshot-of-uk-doctors-experiences-of-health-inequalities/] Supporting clinicians to address health inequalities in practice [https://www.rcp.ac.uk/improving-care/resources/supporting-clinicians-to-address-health-inequalities-in-practice/] RCP view on health inequalities: a call to action for a cross-government strategy [https://www.rcp.ac.uk/policy-and-campaigns/policy-documents/rcp-view-on-health-inequalities-a-call-to-action-for-a-cross-government-strategy/] Funding 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. RCP Links * Education and learning [https://www.rcp.ac.uk/events-and-education/education-and-learning/] * Events [https://www.rcp.ac.uk/events-and-education/events/] * Membership [https://www.rcp.ac.uk/membership/] * Improving care [https://www.rcp.ac.uk/improving-care/] * Policy and campaigns [https://www.rcp.ac.uk/policy-and-campaigns/] RCP Social Media * Instagram [https://www.instagram.com/rcphysicians%20] * LinkedIn [https://uk.linkedin.com/company/royal-college-of-physicians] * Facebook [https://www.facebook.com/RoyalCollegeofPhysicians] * X [https://x.com/RCPhysicians] * Bluesky [https://bsky.app/profile/rcphysicians.bsky.social] Music: Episode 50 onward - Bensound.com Episodes 1 - 49 'Impressive Deals' - Nicolai Heidlas

In this episode of the RCP Medicine podcast, Professor Ailsa Hart and Dr Eathar Shakweh discuss how to approach managing Inflammatory Bowel Disease (IBD) in the acute medical setting. This is the second episode of a 2-part series, with a focus on Crohn's disease.  IBD is a common condition, affecting 1 in 123 people in the UK. The 2024 State of the IBD Care in the UK report highlighted the urgent need to shorten time to diagnosis and initiate early treatment to minimise the risk of IBD-related complications. Acute and general medicine physicians have an important role to play in diagnosing and managing IBD. This podcast will equip medics at all stages of training with the necessary knowledge to approach this heterogenous and complex condition.  Professor Hart is Director of IBD Research at St Mark’s Hospital, London, United Kingdom and a world-leading expert in IBD. Eathar is an IBD Clinical Research Fellow at St Mark’s and Imperial, with a special interest in perianal fistulising Crohn’s disease.  Crohn's & Colitis UK (CCUK) Website https://crohnsandcolitis.org.uk/ [https://links.uk.defend.egress.com/Warning?crId=68382dc3191db762d337cc39&Domain=rcp.ac.uk&Threat=eNpzrShJLcpLzAEADmkDRA%3D%3D&Lang=en&Base64Url=eNrLKCkpKLbS108uys_IK07MS0nOz8ksySzWyy9K1yvN1gcAzEgMNg%3D%3D&@OriginalLink=crohnsandcolitis.org.uk] This is a valuable resource for patients and healthcare professionals alike, containing a wealth of information on IBD investigation and management. British Society of Gastroenterology (BSG) guidelines on Inflammatory Bowel Disease (IBD) - 2019 Lamb, Christopher Andrew et al. “British Society of Gastroenterology consensus guidelines on the management of inflammatory bowel disease in adults.” Gut vol. 68,Suppl 3 (2019): s1-s106. doi:10.1136/gutjnl-2019-318484 https://pubmed.ncbi.nlm.nih.gov/31562236/ [https://links.uk.defend.egress.com/Warning?crId=68382dc3191db762d337cc39&Domain=rcp.ac.uk&Threat=eNpzrShJLcpLzAEADmkDRA%3D%3D&Lang=en&Base64Url=eNrLKCkpKLbS1y8oTcpNTdHLS07K1MvLydXLy8zQS88v0zc2NDUzMjI20wcANLENaQ%3D%3D&@OriginalLink=pubmed.ncbi.nlm.nih.gov] For interested listeners, these are the national guidelines for IBD diagnosis and management. Please note, the new guidelines for 2025 are pending release. ECCO Guidelines on Therapeutics in Crohn's disease: Medical Treatment Torres, Joana et al. “ECCO Guidelines on Therapeutics in Crohn's Disease: Medical Treatment.” Journal of Crohn's & colitis vol. 14,1 (2020): 4-22. doi:10.1093/ecco-jcc/jjz180 https://pubmed.ncbi.nlm.nih.go [https://links.uk.defend.egress.com/Warning?crId=68382dc3191db762d337cc39&Domain=rcp.ac.uk&Threat=eNpzrShJLcpLzAEADmkDRA%3D%3D&Lang=en&Base64Url=eNrLKCkpKLbS1y8oTcpNTdHLS07K1MvLydXLy8zQS88v0ze2sDA3t7Q01wcANU0Nhw%3D%3D&@OriginalLink=pubmed.ncbi.nlm.nih.gov] RCP Links * Education and learning [https://www.rcp.ac.uk/events-and-education/education-and-learning/] * Events [https://www.rcp.ac.uk/events-and-education/events/] * Membership [https://www.rcp.ac.uk/membership/] * Improving care [https://www.rcp.ac.uk/improving-care/] * Policy and campaigns [https://www.rcp.ac.uk/policy-and-campaigns/] RCP Social Media * Instagram [https://www.instagram.com/rcphysicians%20] * LinkedIn [https://uk.linkedin.com/company/royal-college-of-physicians] * Facebook [https://www.facebook.com/RoyalCollegeofPhysicians] * X [https://x.com/RCPhysicians] * Bluesky [https://bsky.app/profile/rcphysicians.bsky.social] Music: Episode 50 onward - Bensound.com Episodes 1 - 49 'Impressive Deals' - Nicolai Heidlas

In this episode of the RCP Medicine podcast, Professor Ailsa Hart and Dr Eathar Shakweh discuss how to approach managing Inflammatory Bowel Disease (IBD) in the acute medical setting. This is the first episode of a 2-part series, with a focus on ulcerative colitis.   IBD is a common condition, affecting 1 in 123 people in the UK. The 2024 State of the IBD Care in the UK report highlighted the urgent need to shorten time to diagnosis and initiate early treatment to minimise the risk of IBD-related complications. Acute and general medicine physicians have an important role to play in diagnosing and managing IBD. This podcast will equip medics at all stages of training with the necessary knowledge to approach this heterogenous and complex condition.  Professor Hart is Director of IBD Research at St Mark’s Hospital, London, United Kingdom and a world-leading expert in IBD. Eathar is an IBD Clinical Research Fellow at St Mark’s and Imperial, with a special interest in perianal fistulising Crohn’s disease.  Crohn's & Colitis UK (CCUK) Website https://crohnsandcolitis.org.uk/ [https://links.uk.defend.egress.com/Warning?crId=68382dc3191db762d337cc39&Domain=rcp.ac.uk&Threat=eNpzrShJLcpLzAEADmkDRA%3D%3D&Lang=en&Base64Url=eNrLKCkpKLbS108uys_IK07MS0nOz8ksySzWyy9K1yvN1gcAzEgMNg%3D%3D&@OriginalLink=crohnsandcolitis.org.uk] This is a valuable resource for patients and healthcare professionals alike, containing a wealth of information on IBD investigation and management. British Society of Gastroenterology (BSG) guidelines on Inflammatory Bowel Disease (IBD) - 2019 Lamb, Christopher Andrew et al. “British Society of Gastroenterology consensus guidelines on the management of inflammatory bowel disease in adults.” Gut vol. 68,Suppl 3 (2019): s1-s106. doi:10.1136/gutjnl-2019-318484 https://pubmed.ncbi.nlm.nih.gov/31562236/ [https://links.uk.defend.egress.com/Warning?crId=68382dc3191db762d337cc39&Domain=rcp.ac.uk&Threat=eNpzrShJLcpLzAEADmkDRA%3D%3D&Lang=en&Base64Url=eNrLKCkpKLbS1y8oTcpNTdHLS07K1MvLydXLy8zQS88v0zc2NDUzMjI20wcANLENaQ%3D%3D&@OriginalLink=pubmed.ncbi.nlm.nih.gov] For interested listeners, these are the national guidelines for IBD diagnosis and management. Please note, the new guidelines for 2025 are pending release. RCP Links * Education and learning [https://www.rcp.ac.uk/events-and-education/education-and-learning/] * Events [https://www.rcp.ac.uk/events-and-education/events/] * Membership [https://www.rcp.ac.uk/membership/] * Improving care [https://www.rcp.ac.uk/improving-care/] * Policy and campaigns [https://www.rcp.ac.uk/policy-and-campaigns/] RCP Social Media * Instagram [https://www.instagram.com/rcphysicians%20] * LinkedIn [https://uk.linkedin.com/company/royal-college-of-physicians] * Facebook [https://www.facebook.com/RoyalCollegeofPhysicians] * X [https://x.com/RCPhysicians] * Bluesky [https://bsky.app/profile/rcphysicians.bsky.social] Music: Episode 50 onward - Bensound.com Episodes 1 - 49 'Impressive Deals' - Nicolai Heidlas

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.    Resources Clinical 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 - 955 RCP Links * Education and learning [https://www.rcp.ac.uk/events-and-education/education-and-learning/] * Events [https://www.rcp.ac.uk/events-and-education/events/] * Membership [https://www.rcp.ac.uk/membership/] * Improving care [https://www.rcp.ac.uk/improving-care/] * Policy and campaigns [https://www.rcp.ac.uk/policy-and-campaigns/] RCP Social Media * Instagram [https://www.instagram.com/rcphysicians%20] * LinkedIn [https://uk.linkedin.com/company/royal-college-of-physicians] * Facebook [https://www.facebook.com/RoyalCollegeofPhysicians] * X [https://x.com/RCPhysicians] * Bluesky [https://bsky.app/profile/rcphysicians.bsky.social] Music: Episode 50 onward - Bensound.com Episodes 1 - 49 'Impressive Deals' - Nicolai Heidlas

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. Resources Alcohol Health Alliance [https://ahauk.org/] Alcohol advice - NHS [https://www.nhs.uk/live-well/alcohol-advice/] RCP Links * Education and learning [https://www.rcp.ac.uk/events-and-education/education-and-learning/] * Events [https://www.rcp.ac.uk/events-and-education/events/] * Membership [https://www.rcp.ac.uk/membership/] * Improving care [https://www.rcp.ac.uk/improving-care/] * Policy and campaigns [https://www.rcp.ac.uk/policy-and-campaigns/] RCP Social Media * Instagram [https://www.instagram.com/rcphysicians%20] * LinkedIn [https://uk.linkedin.com/company/royal-college-of-physicians] * Facebook [https://www.facebook.com/RoyalCollegeofPhysicians] * X [https://x.com/RCPhysicians] * Bluesky [https://bsky.app/profile/rcphysicians.bsky.social] Music: Episode 50 onward - Bensound.com Episodes 1 - 49 'Impressive Deals' - Nicolai Heidlas