Event Details

57th St Andrew's Day Festival Symposium: Updates on Acute Medicine

Fully booked

RCPE Symposium Edinburgh

Date: Thursday, 30 November 2017 - Friday, 1 December 2017


The Great Hall
Royal College of Physicians of Edinburgh,
9 Queen Street,


This symposium is now fully booked. The waiting list is now full.

Waiting list contact: Marie Allan m.allan@rcpe.ac.uk

Please do not book your travel or accommodation until your place has been confirmed by the RCPE.  

Live webstream to Manchester

In addition to our overseas sites, we will be live streaming the symposium to Manchester. For further information and to book, please visit our separate event listing

The St Andrew’s Day Festival Symposium is the highlight of the RCPE’s educational year and brings together a vast array of international leaders covering the breadth of medicine and its specialties. The symposium will be of great interest to clinicians from all areas including those involved with acute and general medicine, emergency medicine and those physicians who require updates on advances outside their own specialty. The programme will also be relevant to doctors at all levels of training, general practitioners, specialist nurse practitioners and allied health professionals.

Symposium capacity
Due to the renovation works being carried out in the College Conference Centre, the symposium will be held in the Great Hall and participant numbers are limited to 120.

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Thursday 30 November


Registration and Coffee


by Professor Derek Bell, President, Royal College of Physicians of Edinburgh

Session 1 - Acute care

Chair: Dr Helen Hopkinson, Consultant in General Medicine and Diabetes & Endocrinology, Greater Glasgow and Clyde, Glasgow


Upper gastrointestinal haemorrhage
Dr Lyn Smith, Consultant Gastroenterologist, Glasgow Royal Infirmary
* evidence-based protocols * co-morbidity * lessons from the National Confidential Enquiry into Patient Outcome and Death (NCEPOD)


Dr James Coulson, Senior Lecturer in Clinical Pharmacology, Cardiff University
* epidemiology of poisoning * novel psychoactive substances *core pharmacology * National Poisons Information Service and how best to use it


Diabetic ketoacidosis (DKA)
Dr Nicola Zammitt, Consultant in Endocrinology & Diabetes, Royal Infirmary of Edinburgh
* best practice * euglycaemic DKA in Sodium-glucose co-transporter-2 (SGLT2) inhibitor therapy * preventing recurrence



Session 2 - Oncology and haematology

Chair: Dr Alison Stillie, Consultant Clinical Oncologist, Western General Hospital, Edinburgh


Anticoagulation – direct oral anticoagulants (DOACs) for everything?
Dr Catherine Bagot, Consultant Haematologist, Glasgow Royal Infirmary
* uses * limitations * reversal


Acute oncology emergencies    
Dr Pauline Leonard, Consultant Medical Oncologist, Whittington Hospital, London
* emergency presentations of cancer * treatment-induced diarrhoea * immune-mediated toxicity


Acute haematological emergencies
Dr Huw Roddie, Consultant Haematologist, Western General Hospital, Edinburgh
* neutropenic sepsis * thrombocytopenia * sickle cell crisis



Session 3 - Dermatology and rheumatology

Chair: Dr Ruth Richmond, Consultant Rheumatologist, Borders General Hospital


Rashes in the emergency department
Dr Mike Tidman, Consultant Dermatologist, Old Royal Infirmary, Edinburgh
* which not to miss * what to do


The acute joint
Dr Anne McEntegart, Consultant Rheumatologist, Glasgow Royal Infirmary
* infective * non-infective * steroids?



Session 4 - Psychiatry and care of older people 

Chair: Dr Anil Kumar, Consultant in Geriatric Medicine, County Hospital, Stafford


Functional, not medically unexplained symptoms
Dr Ingrid Hoeritzauer, Neurologist, University of Edinburgh
* chronic pain  * somatisation * functional neurological disorders


Delirium – how to diagnose and manage
Dr Dearbhail Lewis, Consultant Psychiatrist, Belfast Health & Social Care Trust
* dementia vs delirium * care on the general wards *which drugs to use and to avoid


Frailty - implications for the modern NHS
Dr Adam Gordon, Clinical Associate Professor, University of Nottingham
* definition * assessment * service configuration



Friday 1 December


Registration and Coffee

Session 1 - Surgical interface at the front 

Chair: Dr Peter Watson, Consultant Gastroenterologist, Royal Victoria Hospital, Belfast


When to call the GI surgeon?
Mr Simon Paterson-Brown, Consultant General & Upper Gastrointestinal Surgeon & Honorary Senior Lecturer, University of Edinburgh
* what’s surgical, what’s medical? 


When to call the urologist?
Mr Ben Thomas, Consultant Urological Surgeon, Western General Hospital, Edinburgh
* renal colic * obstruction * gross haematuria


When to call the neurosurgeon?
Mr Nigel Suttner Glasgow, Consultant Neurosurgeon, NHS Greater Glasgow & Clyde
* head injury * brain tumours * hydrocephalus *cauda equina syndromes



Session 2 - Education

Chair: Dr Michael Trimble, Consultant Physician in Acute Medicine, Belfast Health & Social Care Trust


Rational clinical examination
Professor Andrew Elder, Medical Director, MRCP(UK)
* role of the clinical examination in 21st-century medicine * what is useful, easy or traditional but of limited value? * poorly understood signs/examination techniques 


“Safety is no accident” - lessons from aviation for medicine
Dr Jerry Marsden, Commercial Pilot Licence Instructor, RVL, East Midlands Airport
* is aviation safety as good as we think? * what can its successes and failures teach doctors and the NHS?


Chair: Professor Derek Bell, President, Royal College of Physicians of Edinburgh
Rational clinical decision making
Professor Pat Croskerry, Professor of Emergency Medicine, Dalhousie University, Halifax, Canada


Lunch & RCPE AGM (for RCPE Fellows and Members) 

Session 3 - Infection

Chair: Dr Sara Hedderwick, Consultant in Infectious Diseases, Belfast Hospital Trust 


New insights into brain infections
Dr Michael Griffiths, Senior Clinical Lecturer, University of Liverpool & Honorary Paediatric Neurology Consultant, Alder Hey Children’s NHS Trust, Liverpool
* epidemiology – a global perspective * diagnosis * prevention


Antimicrobial stewardship: managing risks and optimising outcomes
Dr Andrew Seaton, Consultant in Infectious Diseases, Queen Elizabeth University Hospital, Glasgow
* global and local threats of drug-resistant infections *from antibiotic "restriction" to "preservation" *"ground up" approach to antimicrobial stewardship *successes and challenges of a national programme



Session 4 - Cases that changed my practice 

Chair: Professor Mark Strachan, Western General Hospital, Edinburgh


Case 1 Dr Sue Pound, Consultant in Medicine of the Elderly, Victoria Hospital, Kirkcaldy

Case 2 Dr Tom Mackay, Consultant Respiratory Physician, Royal Infirmary of Edinburgh

Case 3: Dr Caroline Whitworth, Consultant Renal Physician, Royal Infirmary of Edinburgh






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This symposium is now fully booked. The waiting list is now full.

Waiting list contact: Marie Allan m.allan@rcpe.ac.uk

Please do not book your travel or accommodation until your place has been confirmed by the RCPE. 

Registration fees per day


Early Bird fee
until Wed 1 November

from Thurs 2 November

Standard fee



RCPE Fellow



RCPE Collegiate / Associate / Foundation Member



Nurse / AHP / Pharmacist / Postgraduate student



Retired FRCPE, including lunch



Retired FRCPE, no lunch



Medical student



Long term / other leave – Fellows and Members, please contact the Symposium Co-ordinator as some discretion may be available.

Collegiate and Associate Members of the RCPE in clinical research posts may be eligible for funding - please contact the Symposium Co-ordinator for further information.

Trainees – Scotland Deanery medical specialty trainees can attend any number of eligible symposia for a one-off payment from their study leave budget (block grant scheme).

Further details can be obtained from the Symposium Co-ordinator.

Free places

Unpaid post – Nil, if confirmation of status provided – please contact the Symposium Co-ordinator.

Refugee doctors – free places are available to refugee doctors who are Associate Members of the College. Associate Membership for refugee doctors is available free of charge. Please email g.mcalister@rcpe.ac.uk to join as an Associate Member, and then apply to the Symposium Co-ordinator for your free place.

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Further Info

This symposium is now fully booked. The waiting list is now full.

Waiting list contact: Marie Allan m.allan@rcpe.ac.uk

Please do not book your travel or accommodation until your place has been confirmed by the RCPE. 

This event is open to all grades of medical, health care and scientific staff and to students. If you are unsure about eligibility, or the correct fee category, please contact the RCPE member of staff responsible for the event (see Fees page).

All relevant events are approved for Continuing Professional Development (CPD). A certificate of attendance with CPD information will be issued electronically to individual delegates via email. Please note - certificates can only be issued to attendees who have signed against their name on the CPD Register/Delegate List available at each event and completed feedback forms have been received.

Please note that on occasion event programmes may be subject to change due to unforeseen circumstances.

A professional photographer may be in attendance at this event. Photographs may be used by the College in digital and printed publicity material. If you do not wish to be photographed, please let a member of staff know at the registration desk.


As a listed building, the College has restricted disabled access. A wheelchair lift is provided at the rear of the College giving access to themain historic rooms For further information and assistance please contact the RCPE Co-ordinator responsible for the event.

An induction loop system is available in the Great Hall.

Accommodation and Directions to the College

The College has negotiated special rates with a number of local hotels.

Parking is available on street (metered) or at the Omni Centre car park, 10 minute's walk from the College.

Download pdf map and directions

Bicycle racks are available for cyclists at the door to 8 Queen Street. For access to further bicycle racks, please ask at reception.

Local walking routes

Three short walks can be enjoyed from the College. So if you are visiting us, why not explore the local area. Details can be found at Medal Routes.

Commercial Sponsorship

Many events are supported by commercial companies taking stand space. Health professionals and NHS managers are invited to visit the company stands during the breaks. Companies interested in sponsoring this, or other events listed on the Calendar, should contact the Co-ordinator responsible for the event.

Exhibitors/sponsors play no part in the planning or delivery of the event and the College has developed an Ethical Sponsorship Policy to support organising committees and committee chairs in their negotiations with potential commercial partners for education and other events.


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