<description>In this episode, Dr Kat Ralston speaks to Professor Edwin Jesudason about how his experience of whistleblowing as a paediatric surgeon changed his practice. They reflect on the importance of listening and creating a shared dialogue with patients, discuss how experiencing moral injury can help clinicians better understand and navigate patient suffering and explore the art of being human in medicine.

Professor Edwin Jesudason is a Consultant in Rehabilitation Medicine in NHS Lothian. 

Dr Kat Ralston is a geriatric medicine registrar in Edinburgh. She is also the Education Co-Vice Chair and the joint Podcast Lead for the RCPE Trainee &amp; Members' Committee (T&amp;MC).

Recording date: 24 July 2025

-- Useful Links --
Jesudason, 'The 4D Model: Rehabilitating Unrealistic Medicine', BJHM (2025) https://doi.org/10.12968/hmed.2024.084

Jesudason, 'Manufacturing safer medics', J Med Ethics (2022) https://doi.org/10.1136/jme-2022-108581

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Feedback: cme@rcpe.ac.uk</description>

In this episode, Dr Kat Ralston speaks to Profess…

In this episode, Dr Kat Ralston speaks to Professor Edwin Jesudason about how his experience of whistleblowing as a paediatric surgeon changed his practice. They reflect on the importance of listening and creating a shared dialogue with patients, discuss how experiencing moral injury can help clinicians better understand and navigate patient suffering and explore the art of being human in medicine.

Professor Edwin Jesudason is a Consultant in Rehabilitation Medicine in NHS Lothian. 

Dr Kat Ralston is a geriatric medicine registrar in Edinburgh. She is also the Education Co-Vice Chair and the joint Podcast Lead for the RCPE Trainee & Members' Committee (T&MC).

Recording date: 24 July 2025

-- Useful Links --
Jesudason, 'The 4D Model: Rehabilitating Unrealistic Medicine', BJHM (2025) https://doi.org/10.12968/hmed.2024.084

Jesudason, 'Manufacturing safer medics', J Med Ethics (2022) https://doi.org/10.1136/jme-2022-108581

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https://twitter.com/RCPEdinTrainees

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https://www.rcpe.ac.uk/events

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https://www.rcpe.ac.uk/membership/join-college

Feedback: cme@rcpe.ac.uk

Cases that Changed Me - Whistleblowing (17 Nov 2025)

<description>In this episode, Dr Kat Ralston speaks to Dr Jane Rimer about a challenging clinical case which had an unexpected outcome. They discuss the importance of reflection with trusted colleagues and consider systems to help us cover the basics well. They explore how we can reduce the sense of isolation and vulnerability that is often encountered when we have to navigate complaints, adverse event reviews and legal processes, as illustrated by the title 'Defence against The Dark Arts'. 

Dr Jane Rimer is a Consultant Physician and Geriatrician in NHS Lothian. She  is also Associate Postgraduate Dean for Medical Training in South East Scotland. 

Dr Kat Ralston is a geriatric medicine registrar in Edinburgh. She is also the Education Co-Vice Chair and the joint Podcast Lead for the RCPE Trainee &amp; Members' Committee (T&amp;MC).

Recording Date: 29 July 2025

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https://www.rcpe.ac.uk/events

-- Become an RCPE Member --
https://www.rcpe.ac.uk/membership/join-college

Feedback: cme@rcpe.ac.uk</description>

In this episode, Dr Kat Ralston speaks to Dr Jane…

In this episode, Dr Kat Ralston speaks to Dr Jane Rimer about a challenging clinical case which had an unexpected outcome. They discuss the importance of reflection with trusted colleagues and consider systems to help us cover the basics well. They explore how we can reduce the sense of isolation and vulnerability that is often encountered when we have to navigate complaints, adverse event reviews and legal processes, as illustrated by the title 'Defence against The Dark Arts'. 

Dr Jane Rimer is a Consultant Physician and Geriatrician in NHS Lothian. She  is also Associate Postgraduate Dean for Medical Training in South East Scotland. 

Dr Kat Ralston is a geriatric medicine registrar in Edinburgh. She is also the Education Co-Vice Chair and the joint Podcast Lead for the RCPE Trainee & Members' Committee (T&MC).

Recording Date: 29 July 2025

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https://twitter.com/RCPEdinTrainees

-- Upcoming RCPE events --
https://www.rcpe.ac.uk/events

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https://www.rcpe.ac.uk/membership/join-college

Feedback: cme@rcpe.ac.uk

Cases that Changed Me - Defence against The Dark Arts (3 Nov 2025)

<description>In this episode, Dr Marilena Giannoudi hears about a case that changed the practice of Professor James Dear.

They discuss the challenges of caring for a patient without a diagnosis, who to talk to if you are feeling uncertain in how to treat a patient, and how you can own up to and move on from mistakes you may make.

Professor James Dear is a Consultant in Clinical Pharmacology at the Royal Infirmary of Edinburgh and Personal Chair of Clinical Pharmacology at the Centre for Cardiovascular Science at the University of Edinburgh.

Dr Marilena Giannoudi is a cardiology registrar based in Leeds. She is Co-Chair of the Trainees and Members &amp; Committee, a Fellow of the Higher Education Academy, and is currently undertaking a PhD.

Recording date: 9 June 2025

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Feedback: cme@rcpe.ac.uk</description>

In this episode, Dr Marilena Giannoudi hears abou…

In this episode, Dr Marilena Giannoudi hears about a case that changed the practice of Professor James Dear.

They discuss the challenges of caring for a patient without a diagnosis, who to talk to if you are feeling uncertain in how to treat a patient, and how you can own up to and move on from mistakes you may make.

Professor James Dear is a Consultant in Clinical Pharmacology at the Royal Infirmary of Edinburgh and Personal Chair of Clinical Pharmacology at the Centre for Cardiovascular Science at the University of Edinburgh.

Dr Marilena Giannoudi is a cardiology registrar based in Leeds. She is Co-Chair of the Trainees and Members & Committee, a Fellow of the Higher Education Academy, and is currently undertaking a PhD.

Recording date: 9 June 2025

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https://www.rcpe.ac.uk/events

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Cases that changed me - managing mystery diagnoses (23 June 2025)

<description>In this episode, Dr Kat Ralston hears about a case that changed the practice of Dr Chris Tiplady. They discuss the importance of recognising when a patient may be entering the last phase of life, what we owe to patients and families in understanding what matters to them, and how we can navigate managing uncertainty and being wrong as clinicians.

Dr Chris Tiplady has been a Consultant Haematologist in Northumbria since 2001 and has held a number of roles in postgraduate and undergraduate medical education over the years. He has been a Director of Medical Education in two trusts and now leads the Master of Medical Education course at Sunderland University. He also has a regular blog published by the Royal College of Pathologists, discussing professionalism in medicine.

Dr Kat Ralston is a geriatric medicine registrar in Edinburgh. She is also the Education Co-Vice Chair and the joint Podcast Lead for the RCPE Trainee &amp; Members' Committee (T&amp;MC).

Recording date: 14 April 2025

-- Useful Links --
NHS England, Last 1000 days - https://www.youtube.com/watch?v=HynytVepxZc
REDMAP toolkit for future care planning conversations - https://www.spict.org.uk/red-map/
The King's Fund, Patients' preferences matter: stop the silent misdiagnosis (May 2012) - https://www.kingsfund.org.uk/insight-and-analysis/reports/patients-preferences-matter

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https://www.rcpe.ac.uk/events

-- Become an RCPE Member --
https://www.rcpe.ac.uk/membership/join-college

Feedback: cme@rcpe.ac.uk</description>

In this episode, Dr Kat Ralston hears about a cas…

In this episode, Dr Kat Ralston hears about a case that changed the practice of Dr Chris Tiplady. They discuss the importance of recognising when a patient may be entering the last phase of life, what we owe to patients and families in understanding what matters to them, and how we can navigate managing uncertainty and being wrong as clinicians.

Dr Chris Tiplady has been a Consultant Haematologist in Northumbria since 2001 and has held a number of roles in postgraduate and undergraduate medical education over the years. He has been a Director of Medical Education in two trusts and now leads the Master of Medical Education course at Sunderland University. He also has a regular blog published by the Royal College of Pathologists, discussing professionalism in medicine.

Dr Kat Ralston is a geriatric medicine registrar in Edinburgh. She is also the Education Co-Vice Chair and the joint Podcast Lead for the RCPE Trainee & Members' Committee (T&MC).

Recording date: 14 April 2025

-- Useful Links --
NHS England, Last 1000 days - https://www.youtube.com/watch?v=HynytVepxZc
REDMAP toolkit for future care planning conversations - https://www.spict.org.uk/red-map/
The King's Fund, Patients' preferences matter: stop the silent misdiagnosis (May 2012) - https://www.kingsfund.org.uk/insight-and-analysis/reports/patients-preferences-matter

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https://www.rcpe.ac.uk/membership/join-college

Feedback: cme@rcpe.ac.uk

Cases that changed me - why you should ask about the beetroot (26 May 2025)

<description>In this episode of Clinical Conversations, Dr Aoife Duignan  chats with Dr Claire Steel and Dr Shelagh O'Riordan about Hospital at Home. 

They explore what Hospital at Home is, and the evidence base behind it, thinking through which patients may benefit from it. They also consider how technology can enable patients to receive care in their own homes and what a day in the life might look like. Finally they consider some top tips for becoming involved with Hospital at Home. 

Dr Claire Steel is a consultant physician in older people’s medicine in NHS Lanarkshire. She is the President of the UK Hospital at Home Society and clinical lead for Hospital at Home in NHS Lanarkshire. She works closely with Healthcare Improvement Scotland to support the growth and development of H@H in Scotland.

Dr Shelagh O'Riordan is a consultant physician and lead for the Hospital at Home service in East Kent. She is President Elect of the UK Hospital at Home Society and National Clinical Lead for Hospital at Home/Virtual Wards for NHS England. 

Dr Aoife Duignan is a geriatric medicine registrar in Edinburgh. She is also the Representation Co-Vice Chair for the RCPE Trainees and Members' Committee (T&amp;MC). 

Recording date: 16 April 2025

-- Useful links --
Hospital at Home Society Health Improvement Scotland Toolkit - https://www.ihub.scot/project-toolkits/hospital-at-home-toolkit/hospital-at-home-toolkit/
Hospital at Home RCT - https://pubmed.ncbi.nlm.nih.gov/35129936/
PPL South East Region Virtual Wards Evaluation - https://ppl.org.uk/what-we-do/virtual-wards-consultancy/
Cochrane Review - https://www.cochrane.org/CD007491/EPOC_hospital-home-services-avoid-admission-hospital
UK Hospital at Home Society - https://www.hospitalathome.org.uk/
NHS England Virtual wards operational framework - https://www.england.nhs.uk/long-read/virtual-wards-operational-framework/

-- Follow us --
https://www.instagram.com/rcpedintrainees
https://twitter.com/RCPEdinTrainees

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https://www.rcpe.ac.uk/events

-- Become an RCPE Member --
https://www.rcpe.ac.uk/membership/join-college

Feedback: cme@rcpe.ac.uk</description>

In this episode of Clinical Conversations, Dr Aoi…

In this episode of Clinical Conversations, Dr Aoife Duignan  chats with Dr Claire Steel and Dr Shelagh O'Riordan about Hospital at Home. 

They explore what Hospital at Home is, and the evidence base behind it, thinking through which patients may benefit from it. They also consider how technology can enable patients to receive care in their own homes and what a day in the life might look like. Finally they consider some top tips for becoming involved with Hospital at Home. 

Dr Claire Steel is a consultant physician in older people’s medicine in NHS Lanarkshire. She is the President of the UK Hospital at Home Society and clinical lead for Hospital at Home in NHS Lanarkshire. She works closely with Healthcare Improvement Scotland to support the growth and development of H@H in Scotland.

Dr Shelagh O'Riordan is a consultant physician and lead for the Hospital at Home service in East Kent. She is President Elect of the UK Hospital at Home Society and National Clinical Lead for Hospital at Home/Virtual Wards for NHS England. 

Dr Aoife Duignan is a geriatric medicine registrar in Edinburgh. She is also the Representation Co-Vice Chair for the RCPE Trainees and Members' Committee (T&MC). 

Recording date: 16 April 2025

-- Useful links --
Hospital at Home Society Health Improvement Scotland Toolkit - https://www.ihub.scot/project-toolkits/hospital-at-home-toolkit/hospital-at-home-toolkit/
Hospital at Home RCT - https://pubmed.ncbi.nlm.nih.gov/35129936/
PPL South East Region Virtual Wards Evaluation - https://ppl.org.uk/what-we-do/virtual-wards-consultancy/
Cochrane Review - https://www.cochrane.org/CD007491/EPOC_hospital-home-services-avoid-admission-hospital
UK Hospital at Home Society - https://www.hospitalathome.org.uk/
NHS England Virtual wards operational framework - https://www.england.nhs.uk/long-read/virtual-wards-operational-framework/

-- Follow us --
https://www.instagram.com/rcpedintrainees
https://twitter.com/RCPEdinTrainees

-- Upcoming RCPE events --
https://www.rcpe.ac.uk/events

-- Become an RCPE Member --
https://www.rcpe.ac.uk/membership/join-college

Feedback: cme@rcpe.ac.uk

Hospital at Home (12 May 2025)

RCPE's Podcast Series 'Clinical Conversations' by the Trainees & Members' Committee (T&MC) and 'COVID-19 Conversations'.

Clinical Conversations

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