62nd St Andrew's Day Festival Symposium: Updates on Acute Medicine

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Thursday to Friday

24 to 25 November

2022

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Overview

Live Stream

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*Starts at 09:25. Please refer to your email for access information - do check which email you registered with, and your junk/spam folder if you can't find it.

***** Good news! - Athough the live symposium has ended, you can still book to view all presentations which will be available to view on-demand by the second working day after the live event (30th November), for 28 days, allowing you to catch-up in your own time *****

We invite you to ‘get yer kilt oot’ and join us in commemorating our 62nd St. Andrews Day Symposium and uphold its tradition of bringing together healthcare professionals from diverse global origins and specialisms – AHPs, Students, Doctors in training, General Practitioners and Consultants in all medical specialties.

An array of national and international experts will be sharing their knowledge and experiential wisdom on how to manage common conundrums in the workplace, be these clinical, pharmacological; or pertaining to global health, civility, and well-being.

Topics will cover updates on diagnosing and managing conditions, which:
1. Are common yet present complexity, e.g., recurrent infections
2. Have increased prevalence due to population dynamics, i.e., frailty and socio-economic factors
3. Trigger an equivalent ‘SIRS’ response in the managing clinician e.g., dizziness, maternal emergencies, and recognition of rashes and metabolic disorders

We aim to provoke healthy discussion on matters of global health, equity, civility, and well-being; and how well we uphold these values.

We hope to invoke thought on our clinical decision making, in relevance to appropriateness of our interventions.

The symposium promises to strengthen connections between professionals from diverse backgrounds to help enhance skills, knowledge and expertise in delivery of healthcare locally and globally.

Dr Ishwinder Thethy,
Chair, Organising Committee, Edinburgh

Organising Committee:
Dr Hani Abuelgasim (Edinburgh), Dr Ganesh Arunagirinathan (Edinburgh), Dr Lewis Bain (Edinburgh), Dr Daniel Beckett (Larbert), Dr Eileen Capek (Glasgow), Dr Peter Gallacher (Edinburgh), Dr Jane Goddard (Melrose/Edinburgh), Dr Elizabeth Hird (Edinburgh), Dr Robert Hunter (Edinburgh), Dr Morag Patterson (Kirkcaldy)

Event Delivery:

This event will be run as a hybrid event, with the option to attend the event in-person at the College or to view online from home. Please note that there will be a mix of speakers presenting from the College and online via web-link.

This event gives delegates the opportunity to watch the presentations live, or at their convenience for up to 28 days following the original broadcast. Please note that talks will be available to view on-demand by the second working day after the live event. Delegates can continue to register for on-demand access only after the live event has taken place. Please note that access closes 28 days after the original broadcast, not after the point of booking.

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Programme

***** Good news! - Athough the live symposium has ended, you can still book to view all presentations which will be available to view on-demand by the second working day after the live event (30th November), for 28 days, allowing you to catch-up in your own time *****

Day 1: Thursday 24 November

09:00	Registration
09:25	Welcome Professor Andrew Elder, President, Royal College of Physicians of Edinburgh

Session 1 - Common complexities, avoiding facile familiarity

Chair: Dr Robert Hunter, Consultant in Renal Medicine, Royal Infirmary, Edinburgh

09:30	Can we fix it? Recurrent infections and antimicrobial stewardship Dr Morgan Evans, Consultant in Infectious Diseases, Western General Hospital Edinburgh * when are recurrent infections clinically significant and how to manage these * when to initiate antibiotics and when to watch and wait * importance of antibiotic stewardship * role of long term prophylaxis?
10:05	Preserved ejection fraction heart failure – when to call the cardiologist Dr Alan Japp, Consultant Cardiologist, Royal Infirmary of Edinburgh * aetiology * significance * pathophysiology * detection * characterisation * prognosis and management
10:40	Rashes for the acute physician Dr Sarah Walsh, Consultant Dermatologist, Kings College Hospital, London * common need to know and not to miss * how to spot a limited cutaneous disorder versus systemic disorder * management
11:15	Break

Session 2 - Equity in a pandemic

Chair: Dr Ishwinder Thethy, Consultant in Acute and General Medicine, Royal Infirmary, Edinburgh

11:35	Covid 19 outcomes based on race and gender Professor Vittal Katikireddi, Public Health & Health Inequalities, University of Glasgow * data on whether race and gender affect morbidity and mortality from covid-19 * how to use this data to mitigate risks
12:10	Award of Chiron Medal RCPE President & Recipient
12:15	SIR JAMES CAMERON LECTURE Chair: Professor Andrew Elder, President, Royal College of Physicians of Edinburgh COVAX and vaccine equity: lessons learnt Dr Ayoade Alakija, WHO Special Envoy for Access to Covid-19 Tools Accelerator (ACT-Accelerator) and Co-Chair, Africa Union's Vaccine Delivery Alliance * reflective account on whether vaccine distribution has been globally equitable and the challenges faced in procurement and roll out in developing countries
13:00	Award of President's Medal RCPE President & Recipient
13:05	Lunch break

Session 3 - Inclusivity and diversity in healthcare

Chair: Dr Hani Abuelgasim, Consultant in Acute and General Medicine

13:45	Differential attainment in healthcare workforce education and training in the UK Professor Mala Rao, Medical Adviser to NHS England on Workforce Race Equality & Senior Clinical Fellow, Imperial College, London * workforce race equality standards – what has changed? * where are we with it? * why it is important?
14:20	Civility saves lives Dr Neil Spenceley, Clinical Director and Consultant Paediatric Intensivist, Royal Hospital for Children, Glasgow * importance of civility in the workplace * how to cultivate a culture of civility * the evidence of impact on well-being, clinical decision making and overall patient outcomes
14:55	Break

Session 4 - The ailing abdomen: what’s the ‘matter’?

Chair: Dr Ganesh Arunginathan, Consultant Physician, Western General Hospital, Edinburgh

15:15	Nephrotic syndrome: primary and secondary Professor Georgi Abraham, Professor and Senior Consultant, Pondicherry Institute of Medical Sciences, India * when to consider and distinguish from other causes of fluid overload * aetiology * diagnosis * investigations * complications * management and prognostication
15:50	Diarrhoea at the front door: updates in inflammatory bowel disease Dr Elaine Robertson, Consultant Gastroenterologist, Hairmyres Hospital, Glasgow * when to consider and distinguish from other causes * when to call the gastroenterologist * diagnosis * investigations * complications and management in acute and chronic setting and primary care
16:25	Medical and surgical challenges of the bariatric patient Mr Andrew Robertson, Consultant General and Bariatric Surgeon, NHS Fife * the common challenges of managing obesity * role for bariatric surgery * effective weight loss management
17:00	Close

Day 2: Friday 25 November

09:00

Registration

Session 1 - Making good decisions in medical admissions

Chair: Dr Eileen Capek, Consultant in Elderly Medicine, Queen Elizabeth University Hospital, Glasgow

09:30	Use of non-invasive ventilation in acute and chronic respiratory failure (COPD and Sleep Apnoea Dr Patrick Murphy, Consultant in Sleep, Ventilation and Respiratory Medicine, Guy’s and St Thomas’ Hospital, London * indications * which patients benefit the most * settings and target aims * evidence Base i.e. effect on admission rates, morbidity and mortality
10:05	Front door frailty and realistic medicine in action Dr Rowan Wallace, Chair, British Geriatric Society Scotland & Clinical Lead for Frailty and Co-ordinated Care, NHS Ayrshire and Arran * common presentations * managing condition specific risk * patient and family expectations and pragmatic decision making
10:40	High yield radiology at the front door Dr Simon Jackson, Consultant Radiologist, Western General Hospital, Edinburgh * judicious use of imaging at the front door - choosing and interpreting the modality wisely
11:15	Break

Session 2 - Changing lives

Chair: Dr Peter Gallacher, Clinical Research Fellow, University of Edinburgh

11:40	Adverse childhood experiences Professor Sir Harry Burns, Professor of Practice & Special Adviser, University of Strathclyde, Glasgow * the impact of childhood experiences on health and well-being in adulthood * build trusting relationships and putting in place useful interventions
12:15	Healthcare for prisoners - “A new option to tackle drug-related deaths” Dr Craig Sayers, Clinical Lead Prison Healthcare, NHS Forth Valley and Clinical Lead - National Prison Care Network * experience of forensic medicine and primary care management in prisoners
12:50	Lunch break

Session 3 - Is it a horse or is it a zebra?

Chair: Dr Daniel Beckett, Consultant Physician in Acute Medicine, NHS Forth Valley

13:35	Be aware of the rare: how not to miss inherited metabolic disorders in adults Dr Eve Miller-Hodges, Consultant Nephrologist, NHS Lothian, Edinburgh * spotting a metabolic disorder * working out the acid/base * managing accordingly * transition from paediatrics to adult medicine
14:10	Maternal medicine – how to keep your NEWS lower than the patient Professor Catherine Nelson-Piercy, Professor of Obstetric Medicine, St Thomas’ Hospital, London * overview of medical problems in pregnancy: venous thromboembolism, headache, seizures, chest pain, epilepsy and autoimmune disease
14:45	Dizziness for the general physician Professor Susan Whitney, Co-Director and Professor, Physical Therapy Post-Professional MS Program, University of Pittsburgh, USA * clinical assessment: distinguishing vestibular causes from central causes * investigations and management
15:20	Break

Session 4 - Novel drug therapies

Chair: Dr Elizabeth Hird, Renal Unit, Royal Infirmary of Edinburgh

15:40	SGLT-2 inhibitors (Gliflozins) – should we put them in tap water? Dr Gemma Currie, Consultant in Diabetes and Endocrinology, Glasgow Royal Infirmary * mechanism of action * indications and which to use when * which patients * overall benefits and adverse effects
16:15	Complications from contemporary cancer treatments Dr Ninian Lang, Consultant Cardiologist, Queen Elizabeth University Hospital, Glasgow * overview mechanism of action * indications and which to use when * which patients * overall benefits and adverse effects
16:50	Closing remarks Dr Ishwinder Thethy, Chair of Organising Committee and Consultant in Acute and General Medicine, Royal Infirmary, Edinburgh

Fees

Attendance options

RCPE are delighted that delegates can again, attend events in person at the College. Delegates can book for in-person, in the College attendance up until the before/day of the event, or for online only attendnace up until 16 December. All delegates will have on-demand access to all talks for 28 days following the live event. If you would like to attend in person, please select the add-on fee (see table below for costs) to cover lunch, coffee, networking opportunities to meet speakers and colleagues in the historic surroundings of the College, and to view our Heritage exhibition.

An early bird discount applies until Wednesday 26 October 2022.

Registration fees - for in-person, online and on-demand attendance
	Early Bird fee (until 26 October) for one full day	Early Bird fee (until 26 October) for two full days	Fee (from 27 October) for one full day	Fee (from 27 October) for two full days
Standard fee	£160	£296	£170	£306
RCPE Fellow & Member in UK or other high income country	£100	£188	£110	£198
Nurse / AHP / Pharmacist / Postgraduate student/ RCPE Fellow in upper-middle income country	£80	£152	£90	£162
Retired RCPE Fellow	£10	£26	£20	£36
RCPE Fellow in low or lower-middle income country	£0	£0	£0	£0
Medical/Physician Associate student	£10	£16	£20	£26
Add-on - Attending in-person	£47	£84	£47	£84

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).

Invoices

If you wish us to invoice an employer/organisation, please contact the Symposium Coordinator. Payment via invoice is not available for online booking.

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 visit our website for instructions on how to join, and then apply to the Symposium Co-ordinator for your free place.

Cancellation policy

If you have to cancel your place within seven days of this event, we regret that we are unable to provide a refund. However, you may nominate someone else to take your place at the discretion of the event co-ordinator.

If you are no longer able to attend in-person, you can still view the event online. We will only reimburse the in-person fee under exceptional circumstances. The event will be available to view on-demand for 28 days after the live event, therefore, there is still opportunity to view the talks if you are not able to attend on the day.

In the event that the College is unable to host the in-person element of this event, all those registered to attend the College in-person will be reimbursed the additional in-person fee.

Further Information

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).

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

Certificates

All relevant events are approved for Continuing Professional Development (CPD). To receive a CPD certificate delegates must have completed the online feedback survey. The survey will close 28 days after the original broadcast of the event, with certificates being issued shortly after this.

Certificates cannot be issued after the survey has closed.

On-demand Access

All presentations will be available to view on-demand by the second working day after the live event for 28 days, allowing you to catch-up in your own time. All delegates, including those attending in-person, will have access to view the talks on-demand again during this period.

If you are attending the event in-person at the College, please be aware of the following:

Photography

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.

Access

A wheelchair lift and internal lift are in place at the College, allowing access to the conference centre and historic rooms. However, as a listed building, meeting rooms 4 & 5 have restricted access. For further information and assistance, please contact the Event Co-ordinator responsible for the event.

An induction loop system is available in the Great Hall and Conference Centre Auditorium.

Parent Room

We can provide a Parent Room at our events. If you are interested in using this facility, please contact the Co-ordinator for further information.

Directions to the College

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

Plan a cycle journey here with CycleStreets!

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 event Co-ordinator.

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.

Venue:

Royal College of Physicians Edinburgh, 11 Queen Street, Hybrid, EH2 1JQ

Credits

12

Activity Code

141296

#rcpeStAs22

Event Coordinator

Eileen Strawn

Telephone

+ 44 (0)131 247 3619

Email

e.strawn@rcpe.ac.uk

THIS IS AN ARCHIVED EVENT LISTING.