Master the MRCPCH

GOSH Learning Academy

GOSHpods presents Master the MRCPCH, a regular podcast for doctors training in paediatrics brought to you by the Great Ormond Street Hospital Learning Academy. Whether you're preparing for your membership exams, or just fancy a run through of a clinically relevant, interesting topic, hopefully this is the podcast for you. Our sister podcast GOSHpods has a range of podcasts highlighting the work of the GOSH Learning Academy; you can find GOSHpods on your preferred podcast platform. We would love to get your feedback on our podcasts, as well as your suggestions for future topics you would like to hear about. Please help us by filling out our feedback survey at: www.smartsurvey.co.uk/s/GOSHpodcasts/ This podcast is brought to you the GOSH Learning Academy. To find more about our work you can visit our website here: https://www.gosh.nhs.uk/working-here/gosh-learning-academy/  Twitter: @GOSHLearnAcad Instagram: @GOSHLearnAcad Sound effects obtained from https://www.zapsplat.com read less
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Episodes

Haemophilia with Dr Mary Mathias (Part 1)
25-09-2024
Haemophilia with Dr Mary Mathias (Part 1)
In today's episode, we're going to be talking to Dr. Mary Mathias, a consultant haematologist and the Haemophilia Centre Director at Great Ormond Street Hospital. We're going to be talking about haemophilia. In part one, we're going to cover a pathophysiology presentation and diagnosis, and then part two, which will come next week, we're going to cover management complications and prognosis. * Resources mentioned: Biss T, Sibson K, Baker P, Macartney C, Grayson C, Grainger J, et al Haematological evaluation of bruising and bleeding in children undergoing child protection investigation for possible physical maltreatment: A British Society for Haematology Good Practice Paper. Br J Haematol. 2022; 199(1): 45–53. https://doi.org/10.1111/bjh.18361 United Kingdom Haemophilia Centre Doctors Organisation: https://www.ukhcdo.org/guidelines/ British Society of Haematology guidelines: https://b-s-h.org.uk/guidelines/guidelines * We would love to get your feedback on our podcasts, and your suggestions for future topics you would like to hear. Please help us by filling out our feedback survey at: https://www.smartsurvey.co.uk/s/GOSHpodcasts/ This podcast is brought to you the GOSH Learning Academy. To find more about our work you can visit our website here: https://www.gosh.nhs.uk/working-here/gosh-learning-academy/  Twitter: @GOSHLearnAcad | Instagram: @GOSHLearnAcad Sound effects obtained from https://www.zapsplat.com
Physical Abuse with Dr Deborah Zeitlin (Part 2)
11-09-2024
Physical Abuse with Dr Deborah Zeitlin (Part 2)
Join us on this episode as we speak to Dr Deborah Zeitlin about non-accidental injury and physical abuse. Dr. Zeitlin is a consultant general paediatrician here at GOSH where she is the named Doctor for Safeguarding for Children and Young People. This is the second part of this two part episode.  Child abuse is not an easy topic to talk about or listen to. Remember to look after yourselves. There are some resources in the episode description of places you can go to for help if you've been affected by anything that we've discussed. * Resources mentioned  Royal College of Radiologists: The radiological investigation of suspected physical abuse in children 2018: https://www.rcr.ac.uk/media/nznl1mv4/rcr-publications_the-radiological-investigation-of-suspected-physical-abuse-in-children-revised-first-edition_november-2018.pdf  RCPCH Child Protection Evidence: Systematic reviews: https://childprotection.rcpch.ac.uk/child-protection-evidence/  RCPCH Bruising: Systematic review: https://childprotection.rcpch.ac.uk/child-protection-evidence/bruising-systematic-review/  RCPCH Fractures: Systematic review: https://childprotection.rcpch.ac.uk/child-protection-evidence/fractures-systematic-review/  RCPCH Head and Spinal Injuries: Systematic review: https://childprotection.rcpch.ac.uk/child-protection-evidence/head-and-spinal-injuries-systematic-review/ NSPCC Physical Abuse: Statistics briefing: https://learning.nspcc.org.uk/research-resources/statistics-briefings/physical-abuse#:~:text=Concerns%20around%20physical%20abuse%20have,Northern%20Ireland%20in%202022%2F2023.  Working Together to Safeguard Children 2023: https://assets.publishing.service.gov.uk/media/669e7501ab418ab055592a7b/Working_together_to_safeguard_children_2023.pdf Children Act 1989: https://www.legislation.gov.uk/ukpga/1989/41/contents  British Association of Haematology Guidance on haematological investigations when abuse is suspected: https://onlinelibrary.wiley.com/doi/full/10.1111/bjh.18361  Child Protection System in England: https://learning.nspcc.org.uk/child-protection-system/england#:~:text=the%20child%20is%20in%20need,of%20the%20Children%20Act%201989 RCPCH Wellbeing Support: https://www.rcpch.ac.uk/resources/where-go-help-support-doctors-wellbeing * We would love to get your feedback on our podcasts, and your suggestions for future topics you would like to hear. Please help us by filling out our feedback survey at: https://www.smartsurvey.co.uk/s/GOSHpodcasts/ This podcast is brought to you the GOSH Learning Academy. To find more about our work you can visit our website here: https://...
Physical Abuse with Dr Deborah Zeitlin (Part 1)
04-09-2024
Physical Abuse with Dr Deborah Zeitlin (Part 1)
Join us on this episode as we speak to Dr Deborah Zeitlin about non-accidental injury and physical abuse. Dr. Zeitlin is a consultant general paediatrician here at GOSH where she is the named Doctor for Safeguarding for Children and Young People. We're gonna split this episode into two parts. Look out for part two coming soon. Child abuse is not an easy topic to talk about or listen to. Remember to look after yourselves. There are some resources in the episode description of places you can go to for help if you've been affected by anything that we've discussed. * Resources mentioned   Royal College of Radiologists: The radiological investigation of suspected physical abuse in children 2018: https://www.rcr.ac.uk/media/nznl1mv4/rcr-publications_the-radiological-investigation-of-suspected-physical-abuse-in-children-revised-first-edition_november-2018.pdf  RCPCH Child Protection Evidence: Systematic reviews: https://childprotection.rcpch.ac.uk/child-protection-evidence/  RCPCH Bruising: Systematic review: https://childprotection.rcpch.ac.uk/child-protection-evidence/bruising-systematic-review/  RCPCH Fractures: Systematic review: https://childprotection.rcpch.ac.uk/child-protection-evidence/fractures-systematic-review/  RCPCH Head and Spinal Injuries: Systematic review: https://childprotection.rcpch.ac.uk/child-protection-evidence/head-and-spinal-injuries-systematic-review/ NSPCC Physical Abuse: Statistics briefing: https://learning.nspcc.org.uk/research-resources/statistics-briefings/physical-abuse#:~:text=Concerns%20around%20physical%20abuse%20have,Northern%20Ireland%20in%202022%2F2023.  Working Together to Safeguard Children 2023: https://assets.publishing.service.gov.uk/media/669e7501ab418ab055592a7b/Working_together_to_safeguard_children_2023.pdf Children Act 1989: https://www.legislation.gov.uk/ukpga/1989/41/contents  British Association of Haematology Guidance on haematological investigations when abuse is suspected: https://onlinelibrary.wiley.com/doi/full/10.1111/bjh.18361  Child Protection System in England: https://learning.nspcc.org.uk/child-protection-system/england#:~:text=the%20child%20is%20in%20need,of%20the%20Children%20Act%201989 RCPCH Wellbeing Support: https://www.rcpch.ac.uk/resources/where-go-help-support-doctors-wellbeing * We would love to get your feedback on our podcasts, and your suggestions for future topics you would like to hear. Please help us by filling out our feedback survey at: https://www.smartsurvey.co.uk/s/GOSHpodcasts/ This podcast is brought to you the GOSH Learning Academy. To find more about our work y...
Blood Transfusions with Dr Anne Kelly (Part 2)
28-08-2024
Blood Transfusions with Dr Anne Kelly (Part 2)
Join us as we talk to Dr Anne Kelly, consultant haematologist at GOSH, about blood transfusions. In part one, we covered patient blood management, including safe prescribing and transfusion thresholds. In part two we're going to discuss major complications, risk management and rules around taking consent. *Resources mentioned Blood components website/app: https://www.bloodcomponents.org.uk/ Current UK Neonatal/Paediatric transfusion guideline: https://b-s-h.org.uk/guidelines/guidelines/transfusion-for-fetuses-neonates-and-older-children UK Guideline on irradiation of blood components: Foukaneli T et al; Guidelines on the use of irradiated blood components. Br J Haematol. 2020 Dec;191(5):704-724. SHOT: https://www.shotuk.org/ Patient Blood Management (NHSBT): https://hospital.blood.co.uk/patient-services/patient-blood-management/ Haematological evaluation of bruising and bleeding in children undergoing child protection investigation for possible physical maltreatment: A British Society for Haematology Good Practice Paper: https://onlinelibrary.wiley.com/doi/full/10.1111/bjh.18361 * We would love to get your feedback on our podcasts, and your suggestions for future topics you would like to hear. Please help us by filling out our feedback survey at: https://www.smartsurvey.co.uk/s/GOSHpodcasts/ This podcast is brought to you the GOSH Learning Academy. To find more about our work you can visit our website here: https://www.gosh.nhs.uk/working-here/gosh-learning-academy/  Twitter: @GOSHLearnAcad | Instagram: @GOSHLearnAcad Sound effects obtained from https://www.zapsplat.com
Blood Transfusions with Dr Anne Kelly (Part 1)
21-08-2024
Blood Transfusions with Dr Anne Kelly (Part 1)
Join us as we talk to Dr Anne Kelly, consultant haematologist at GOSH, about blood transfusions. In part one, we cover patient blood management, including safe prescribing and transfusion thresholds. In part two (coming next week), we're going to discuss major complications, risk management and rules around taking consent. *Resources mentioned Blood components website/app: https://www.bloodcomponents.org.uk/ Current UK Neonatal/Paediatric transfusion guideline: https://b-s-h.org.uk/guidelines/guidelines/transfusion-for-fetuses-neonates-and-older-children UK Guideline on irradiation of blood components: Foukaneli T et al; Guidelines on the use of irradiated blood components. Br J Haematol. 2020 Dec;191(5):704-724. SHOT: https://www.shotuk.org/ Patient Blood Management (NHSBT): https://hospital.blood.co.uk/patient-services/patient-blood-management/ Haematological evaluation of bruising and bleeding in children undergoing child protection investigation for possible physical maltreatment: A British Society for Haematology Good Practice Paper: https://onlinelibrary.wiley.com/doi/full/10.1111/bjh.18361 * We would love to get your feedback on our podcasts, and your suggestions for future topics you would like to hear. Please help us by filling out our feedback survey at: https://www.smartsurvey.co.uk/s/GOSHpodcasts/ This podcast is brought to you the GOSH Learning Academy. To find more about our work you can visit our website here: https://www.gosh.nhs.uk/working-here/gosh-learning-academy/  Twitter: @GOSHLearnAcad | Instagram: @GOSHLearnAcad Sound effects obtained from https://www.zapsplat.com
An approach to the febrile child with Dr Alexis Bouvier
30-04-2024
An approach to the febrile child with Dr Alexis Bouvier
Join us as we talk to Dr Alexis Bouvier, consultant in General Paediatrics at Great Ormond Street Hospital, about how to approach the child who presents with a fever. We talk about definitions and epidemiology, what to look for in the history and examination, how to manage these children, and tips on communicating with parents.  This episode corresponds to learning outcomes in the Infection, Immunology and Allergy section of the MRCPCH exam curriculum.  Peer reviewed by Dr Keir Sheils.  * Resources mentioned: NICE Guideline: Fever in under 5s - https://www.nice.org.uk/guidance/ng143 NICE Guideline: Suspected Sepsis - https://www.nice.org.uk/guidance/ng51 NICE Guideline: Urinary tract infection in under 16s - https://www.nice.org.uk/guidance/ng224 NICE Guideline: Neonatal infection - https://www.nice.org.uk/guidance/ng195 Podcast - Kawasaki Disease with Dr Alexis Bouvier https://episodes.castos.com/62162485066d05-64145298/38520/2524331c-f42a-4729-98f3-6f02db9f7ca6/MRCPCH-Kawasaki-AB-final.mp3    * Did you know that GOSH runs exam prep courses for the MRCPCH? Find out more here: https://www.gosh.nhs.uk/working-here/gosh-learning-academy/education-and-training/postgraduate-medical-education/mrcpch-examinations/ * We would love to get your feedback on our podcasts, and your suggestions for future topics you would like to hear. Please help us by filling out our feedback survey at: https://www.smartsurvey.co.uk/s/GOSHpodcasts/ This podcast is brought to you the GOSH Learning Academy. To find more about our work you can visit our website here: https://www.gosh.nhs.uk/working-here/gosh-learning-academy/  Twitter: @GOSHLearnAcad | Instagram: @GOSHLearnAcad Sound effects obtained from https://www.zapsplat.com
Cardiomyopathies with Professor Juan Kaski (Part 2)
03-04-2024
Cardiomyopathies with Professor Juan Kaski (Part 2)
This is the second of a two-part episode on cardiomyopathies. Join us as we talk to Prof Juan Kaski, consultant paediatric cardiologist and Director of the Inherited Cardiovascular Diseases Unit at Great Ormond Street Hospital. In the first episode we defined what a cardiomyopathy is and discussed epidemiology and causes. In this second part we're going to go into more detail about the types of cardiomyopathy - dilated, hypertrophic and restrictive.  Prof Kaski has previously recorded an episode for us specifically on Hypertrophic Cardiomyopathy for our Practicing Paediatrics series on GOSHpods. You can find it here: https://open.spotify.com/episode/653b9wwxKVgGRSvebXidsT?si=pckd2XMzQH6r-1fSTJ3Atg or wherever you get your pods.  Peer reviewed by Dr Gabrielle Norrish * Resources mentioned: British Heart Foundation: https://www.bhf.org.uk/for-professionals Cardiomyopathy UK: https://www.cardiomyopathy.org/healthcare-professionals 2023 European Society of Cardiology guidelines: https://www.escardio.org/Guidelines/Clinical-Practice-Guidelines/Cardiomyopathy-Guidelines Rath A and Weintraub R (2021) Overview of Cardiomyopathies in Childhood. Front. Pediatr. 9:708732. doi: 10.3389/fped.2021.708732, https://www.frontiersin.org/articles/10.3389/fped.2021.708732/full * Did you know that GOSH runs mock exams for the MRCPCH? Find out more here: https://www.gosh.nhs.uk/working-here/gosh-learning-academy/education-and-training/postgraduate-medical-education/mrcpch-examinations/ * We would love to get your feedback on our podcasts, and your suggestions for future topics you would like to hear. Please help us by filling out our feedback survey at: https://www.smartsurvey.co.uk/s/GOSHpodcasts/ This podcast is brought to you the GOSH Learning Academy. To find more about our work you can visit our website here: https://www.gosh.nhs.uk/working-here/gosh-learning-academy/  Twitter: @GOSHLearnAcad | Instagram: @GOSHLearnAcad Sound effects obtained from https://www.zapsplat.com
Cardiomyopathies with Professor Juan Kaski (Part 1)
27-03-2024
Cardiomyopathies with Professor Juan Kaski (Part 1)
This is the first of a two-part episode on cardiomyopathies. Join us as we talk to Prof Juan Kaski, consultant paediatric cardiologist and Director of the Inherited Cardiovascular Diseases Unit at Great Ormond Street Hospital. In this first episode, we're going to define what a cardiomyopathy is and discuss epidemiology and causes. In part two we'll go into more detail about the types of cardiomyopathy - look out for this next week. Prof Kaski has previously recorded an episode for us specifically on Hypertrophic Cardiomyopathy for our Practicing Paediatrics series on GOSHpods. You can find it here: https://open.spotify.com/episode/653b9wwxKVgGRSvebXidsT?si=pckd2XMzQH6r-1fSTJ3Atg or wherever you get your pods.  Peer reviewed by Dr Gabrielle Norrish * Did you know that GOSH runs mock exams for the MRCPCH? Find out more here: https://www.gosh.nhs.uk/working-here/gosh-learning-academy/education-and-training/postgraduate-medical-education/mrcpch-examinations/ * We would love to get your feedback on our podcasts, and your suggestions for future topics you would like to hear. Please help us by filling out our feedback survey at: https://www.smartsurvey.co.uk/s/GOSHpodcasts/ This podcast is brought to you the GOSH Learning Academy. To find more about our work you can visit our website here: https://www.gosh.nhs.uk/working-here/gosh-learning-academy/ Twitter: @GOSHLearnAcad | Instagram: @GOSHLearnAcad Sound effects obtained from https://www.zapsplat.com
Non-Epileptic Attacks with Dr Maria Gogou
14-02-2024
Non-Epileptic Attacks with Dr Maria Gogou
Join us today as we talk to Dr Maria Gogou, senior clinical fellow in neurology at GOSH, about non-epileptic attacks. This comes under the Neurology section of the MRCPCH curriculum. We cover what constitutes a non-epileptic attack, presentation, diagnosis and management.  Peer reviewed by Dr Krishna Das * Resources mentioned: Paediatric Epilepsy Training 1 (British Paediatric Neurology Association): https://courses.bpna.org.uk/index.php?page=paediatric-epilepsy-training European Paediatric Neurology Society webinars: https://www.epns.info/epns-webinars/ Non-Epileptic Seizures (International League Against Epilepsy): https://www.ilae.org/patient-care/non-epileptic-seizures/non-epileptic-seizures Caring for someone with functional seizures: Shannon Guinard's story (ILAE Podcast): https://www.ilae.org/journals/epigraph/epigraph-vol-25-issue-3-summer-2023/caring-for-someone-with-functional-seizures-shannon-guinard-s-story Epilepsy Foundation: https://www.epilepsy.com/diagnosis/imitators-epilepsy/psychogenic-nonepileptic-seizures GOSHpods: Functional Neurological Disorder with Dr Prab Prabhakar: https://on.soundcloud.com/1xZ8v * We would love to get your feedback on our podcasts, and your suggestions for future topics you would like to hear. Please help us by filling out our feedback survey at: https://www.smartsurvey.co.uk/s/GOSHpodcasts/ This podcast is brought to you the GOSH Learning Academy. To find more about our work you can visit our website here: https://www.gosh.nhs.uk/working-here/gosh-learning-academy/  You can find resources from the GLA at the GOSH DEN here https://den.gosh.nhs.uk/?new_loc=%2Fultra%2Finstitution-page Twitter: @GOSHLearnAcad | Instagram: @GOSHLearnAcad Sound effects obtained from https://www.zapsplat.com
Shock with Dr Andrew Jones (Part 2)
07-02-2024
Shock with Dr Andrew Jones (Part 2)
This is the second of a two-part episode on shock. Join us as we talk to Dr Andrew Jones, a consultant in the CATS retrieval service and a PICU consultant at GOSH. In this second episode we're going to move on to talk about septic shock, neurogenic shock, and cardiogenic shock. You can find the first episode, where we spoke about definitions, haemorrhagic and hypovolaemic shock, wherever you get your podcasts. * Resources mentioned: Deranged Physiology: https://derangedphysiology.com/main/home Up to Date: https://www.uptodate.com/login Life in the Fast Lane: https://litfl.com/ Don't Forget the Bubbles: https://dontforgetthebubbles.com/ * Did you know that GOSH runs mock exams for the MRCPCH? Find out more here: https://www.gosh.nhs.uk/working-here/gosh-learning-academy/education-and-training/postgraduate-medical-education/mrcpch-examinations/ * We would love to get your feedback on our podcasts, and your suggestions for future topics you would like to hear. Please help us by filling out our feedback survey at: https://www.smartsurvey.co.uk/s/GOSHpodcasts/ This podcast is brought to you the GOSH Learning Academy. To find more about our work you can visit our website here: https://www.gosh.nhs.uk/working-here/gosh-learning-academy/  . You can find resources from the GLA at the GOSH DEN here https://den.gosh.nhs.uk/?new_loc=%2Fultra%2Finstitution-page Twitter: @GOSHLearnAcad | Instagram: @GOSHLearnAcad Sound effects obtained from https://www.zapsplat.com
Congenital CMV with Dr Seilesh Kadambari
17-01-2024
Congenital CMV with Dr Seilesh Kadambari
We are sorry that the audio in this episode is not as clear as it usually is.  Join us as we talk to Dr Seilesh Kadambari, Infectious Disease consultant at GOSH and honorary associate professor at the UCL Great Ormond Street Institute of Child Health, about congenital CMV. We discuss aetiology and epidemiology, presentation, investigation, and management.  Peer reviewed by Kajal Bhagwandas, CNS at GOSH.  Resources mentioned:  "Stop, think SCORTCH: rethinking the traditional 'TORCH' screen in an era of re-emerging syphilis" (Penner J, Hernstadt H, Burns JE, Randell P, Lyall H. Stop, think SCORTCH: rethinking the traditional 'TORCH' screen in an era of re-emerging syphilis. Arch Dis Child. 2021;106(2):117-124. doi:10.1136/archdischild-2020-318841) "Valganciclovir for symptomatic congenital cytomegalovirus disease" (Kimberlin DW, Jester PM, Sánchez PJ, et al. Valganciclovir for symptomatic congenital cytomegalovirus disease. N Engl J Med. 2015;372(10):933-943. doi:10.1056/NEJMoa1404599) CMV Action (https://cmvaction.org.uk/) "Fifteen-minute consultation: diagnosis and management of congenital CMV" (Shah T, Luck S, Sharland M, Kadambari S, Heath P, Lyall H. Fifteen-minute consultation: diagnosis and management of congenital CMV. Arch Dis Child Educ Pract Ed. 2016;101(5):232-235. doi:10.1136/archdischild-2015-309656) We would love to get your feedback on our podcasts, and your suggestions for future topics you would like to hear. Please help us by filling out our feedback survey at: https://www.smartsurvey.co.uk/s/GOSHpodcasts/ This podcast is brought to you the GOSH Learning Academy. To find more about our work you can visit our website here: https://www.gosh.nhs.uk/working-here/gosh-learning-academy/  . You can find resources from the GLA at the GOSH DEN here https://den.gosh.nhs.uk/?new_loc=%2Fultra%2Finstitution-page Twitter: @GOSHLearnAcad | Instagram: @GOSHLearnAcad Sound effects obtained from https://www.zapsplat.com