FICMlearning

Welcome to the FICM Learning Podcast, where we explore key topics shaping Intensive Care Medicine. This episode, recorded in Summer 2024, features an update from the Professional Affairs and Safety Committee on their ongoing workstreams. Joining us are:

Join us for an insightful episode of the FICM learning podcast featuring Dr. Sonya Daniel as we delve into the complex and essential topic of treatment escalation planning. In this episode, Dr. Daniel shares her expertise on how to approach conversations around treatment limitations, the ethical considerations involved, and the practical challenges clinicians face when balancing patient autonomy with clinical judgment. We'll discuss strategies for engaging patients and their families, how to navigate difficult discussions, and the importance of interdisciplinary collaboration in ensuring patient-centered care. Don't miss this vital conversation aimed at enhancing your understanding and confidence in treatment escalation planning. 

In this podcast episode, Gilly Fleming interviews Shashi Chandrasekhariah and Sarah Clark from the Training, Assessment and Quality Group. They discuss the activities of the group, including training, assessment, and quality assurance for doctors in training. They also talk about the portfolio pathway program and the increasing demand for non-traditional training pathways. The group has been working on addressing issues raised in the STR lead training survey, such as differential training experiences and undermining behaviors. The podcast concludes with an invitation for members to get involved in the group's work. Would you like to be involved in FICMlearning? Whether it is a blog post, an e-ICM post, simulation or a podcast episode we would love to hear from you! Contact us on twitter through @FICMnews or email contact@ficm.ac.uk with your ideas!

This FICM Learning podcast episode discusses perioperative medicine, its history, current state, and future direction. The panel includes Prof Ramani Moonesinghe, Professor of Perioperative medicine at UCL, Dr David Murray, Chair of the National Laparotomy Audit project, and Dr Luke Flowers, Chair of the trainee research network. The panel members, who have extensive experience in establishing perioperative medicine as a specialty, provide insights into risk assessment, risk prediction models, and the importance of shared decision-making. They emphasize the need to consider not only mortality but also other patient-centered outcomes, such as discharge destination and length of hospital stay. The future of perioperative medicine lies in optimizing patient pathways, integrating multidisciplinary teams, and investing in pre- and post-operative interventions. The panel also highlights the importance of conveying the value of perioperative care to the healthcare system. Would you like to be involved in FICMlearning? Whether it is a blog post, an e-ICM post, simulation or a podcast episode we would love to hear from you! Contact us on twitter through @FICMnews or email contact@ficm.ac.uk with your ideas!

Gareth (@garemlyn) speak with Dr Alicia Waite (@_aacw) about her journey as a trainee involved in research. They discuss the challenges and barriers to research and those specific to being a trainee focussed and acadaemia.   The TRIC network is a collective of trainees with a passion for research in ICM. They are interested in hearing from any trainee who wishes to be involved in research at any level. So far they have conducted the PIM-COVID study and are collaborating on more. Follow them on Twitter @tricnetwork or check out their website https://tricnetwork.co.uk/ Would you like to be involved in FICMlearning? Whether it is a blog post, an e-ICM post, simulation or a podcast episode we would love to hear from you! Contact us on twitter through @FICMnews or email contact@ficm.ac.uk with your ideas!

Gareth Thomas speaks with Dr Michael Slattery (@mkyslattery), the Clinical Lead of the Adult Critical Care Transfer Service Cymru (@CritCareCymru), on the topic of Critical Care transfers. They discuss how a service can be established to meet the needs of a geographically challenging systems, the challenges faced and how they can be overcome. An essential highlight is the important role undertaken by Retrieval & Transfer Practitioners and the potential to alter the landscape of transfer medicine. #processnotlocation Would you like to be involved in FICMlearning? Whether it is a blog post, an e-ICM post, simulation or a podcast episode we would love to hear from you! Contact us on twitter through @FICMnews or email contact@ficm.ac.uk with your ideas!

“Point of Care UltraSound training on the ICU – With Hannah Conway – Assistant Professor of Clinical Practice and member of the ICS Focused UltraSound in Intensive Care committee. This episode outlines the use and benefits of ultrasound on intensive care, as well as the training pathway to accreditation in this valuable skill. “

Burns for the Intensivist   Mr Sanjay Varma, Burn Care Speciality Service Lead and Consultant Plastic Surgeon talks about burns management on the intensive care unit. Airway management, fluid management and surgical care of the burns patient.

From Faculty to College – an interview with Dr Danny Bryden and Dr Jack Parry-Jones FICM recently released a statement detailing the desire to progress from being a Faculty to an independent, standalone College. Gareth Thomas (@garemlyn) and Ricky Bell (@renalricky) talk with the Dean and Vice-Dean of FICM, Dr Daniele Bryden and Dr Jack Parry-Jones about the path to becoming a college. The interview is split into three parts. This second part considers the process itself, the effects on members and those involved in providing critical care in the UK. The first part investigated the timing of the announcement and why we are undertaking this process now. The third part looks more to the future and some of the issues that will become important the further into this process we go. Would you like to be involved in FICMlearning? Whether it is a blog post, an e-ICM post, simulation or a podcast episode we would love to hear from you! Contact us on twitter through @FICMnews or email contact@ficm.ac.uk with your ideas!

From Faculty to College – an interview with Dr Danny Bryden and Dr Jack Parry-Jones FICM recently released a statement detailing the desire to progress from being a Faculty to an independent, standalone College. Gareth Thomas (@garemlyn) and Ricky Bell (@renalricky) talk with the Dean and Vice-Dean of FICM, Dr Daniele Bryden and Dr Jack Parry-Jones about the path to becoming a college. The interview is split into three parts. This first part looks at the timing of this announcement, why now? The second part considers the process itself, the effects on members and those involved in providing critical care in the UK. The third part looks more to the future and some of the issues that will become important the further into this process we go. Would you like to be involved in FICMlearning? Whether it is a blog post, an e-ICM post, simulation or a podcast episode we would love to hear from you! Contact us on twitter through @FICMnews or email contact@ficm.ac.uk with your ideas!

From Faculty to College – an interview with Dr Danny Bryden and Dr Jack Parry-Jones FICM recently released a statement detailing the desire to progress from being a Faculty to an independent, standalone College. Gareth Thomas (@garemlyn) and Ricky Bell (@renalricky) talk with the Dean and Vice-Dean of FICM, Dr Daniele Bryden and Dr Jack Parry-Jones about the path to becoming a college. The interview is split into three parts.  This third part looks more to the future and some of the issues that will become important the further into this process we go. The first part looked at the timing of this announcement and why begin this process now? The second part considers the process itself, the effects on members and those involved in providing critical care in the UK. Would you like to be involved in FICMlearning? Whether it is a blog post, an e-ICM post, simulation or a podcast episode we would love to hear from you! Contact us on twitter through @FICMnews or email contact@ficm.ac.uk with your ideas!

Gareth Thomas @garemlyn speaks with Mr Peter Coyne @petercoyne1982, a Consultant Colorectal Surgeon in Newcastle with a special interest in advanced cancer and robotic surgery. This second part of the discussion looks at some the aspects of surgical patients on ICU that may not receive as much focus including laparostomies, complex wounds, stomas, abdominal compartment syndrome. Common themes surround each issue in their management that they tease out in the discussion. Missed Part 1? Check it out to understand more about the viewpoint of a surgeon towards patients on ICU and how communication can be improved. Would you like to be involved in FICMlearning? Whether it is a blog post, an e-ICM post, simulation or a podcast episode we would love to hear from you! Contact us on twitter through @FICMnews or email contact@ficm.ac.uk with your ideas!

Title – The Surgical Viewpoint on ICU   Intro text – Gareth Thomas @garemlyn speaks with Mr Peter Coyne @petercoyne1982, a Consultant Colorectal Surgeon in Newcastle with a special interest in advanced cancer and robotic surgery. This first part of the discussion homes in on the viewpoint of the surgeon regarding patients on ICU. Areas of particular focus are who has ownership of their care? Who should know if there is a deterioration? How are decisions made when more than one specialty has a vested interest?   Part 2 will cover common and serious complications affecting the general surgical patient on ICU and how to deal with them.   Would you like to be involved in FICMlearning? Whether it is a blog post, an e-ICM post, simulation or a podcast episode we would love to hear from you! Contact us on twitter through @FICMnews or email contact@ficm.ac.uk with your ideas!

The final episode of our two part interview with Dr Caroline Sampson, ECMO and ICM Consultant. 

This podcast is a two part interview with Dr Caroline Sampson, ECMO and intensive care consultant, on the topic of the clinical management of ARDS . This first part discusses some aspects of who benefits from escalation to intensive care, as well as strategies to avoid intubation, and how the decision to intubate is made. 

Gareth speaks with Dr Chelcie Jewitt (@ByChelcie), a doctor in Liverpool about her personal experiences of sexism in the workplace. Following this, she worked with the BMA to survey UK doctors and produce a report on sexism in medicine (link below). The discussion talks through the findings of the survey, lived experiences of sexism and discrimination and what can be done to improve the environment. Link to full report: https://www.bma.org.uk/media/4487/sexism-in-medicine-bma-report.pdf

This episode we are taking a different slant than previous ones and turning more clinical. Gareth (@garemlyn) speaks with fellow podcast lead, Dr Ricky Bell, a consultant in Nephrology and Intensive Care Medicine, on the subject of Renal Replacement Therapy in Acute Kidney Injury. The discussion is designed to be practical in nature and as such does not constitute guidance from FICM and the views expressed are those of Gareth and Ricky only.  We would really appreaciate your feedback on these clincal segments so please do get in touch via the FICM website, the FICM twitter feed or by any other means available. We would especially like to hear about future clinical topics that you would like covering or if you are interested in helping wiht the production of the podcast as a resource.

This episode Gareth speaks with Dr Liz Thomas (@lizgoingon), Consultant in Anaesthesia and Intensive Care Medicine and chair of the Women In Intensive Care Medicine sub-committee within FICM. The blogs for WICM can be found and the FICMlearning website www.ficmlearning.org and their twitter handle is @womenICM A second, follow up episode looking more closely at sexism in medicine will follow in the near future. If you enjoy the podcast then please subscribe if not already, share with others who you think will benefit and rate us to help others find the resource.

Intro text – Gareth Thomas speaks with Dr Carol Davies (Consultant in Palliative Medicine at Southampton), Dr David Harvie (Higher Trainee in Anaesthetics and Intensive Care in Wessex) and Dr Rob Chambers (Consultant in Intensive Care in Southampton). In this two-part series, we discuss the role that palliative medicine can play within the ICU both for patients and staff, the surprising impact when dealing with referrals. Part two focusses more on the future of palliative medicine within ICU and where development of closer working can lead the two services.

Gareth Thomas speaks with Dr Carol Davies (Consultant in Palliative Medicine at Southampton), Dr David Harvie (Higher Trainee in Anaesthetics and Intensive Care in Wessex) and Dr Rob Chambers (Consultant in Intensive Care in Southampton). In this two-part series, we discuss the role that palliative medicine can play within the ICU both for patients and staff, the surprising impact when dealing with referrals. Part two focusses more on the future of palliative medicine within ICU and where development of closer working can lead the two services.

In this podcast James Sira talks to Hugh Montgomery about the application of Artificial Intelligence in critical care and the wider healthcare environment.

Matt Morgan, Segun Olusanya, Alex Scott, Ben Jones and Ben Ivory deliver some interesting and useful thoughts and reflections from their own experiences of pursuing a career in Intensive Care Medicine. Whilst these aren't the things that you would read in evidence-based journals and they may not necessarily help you pass the FFICM exams, they do provide some useful insights into the art of being an effective clinician and leader in Intensive Care Medicine.

In this podcast Gareth Thomas talks to Alex Scott and John Cully about the relatively new role of the ACCP and their experiences of training and working as an ACCP at Liverpool University Hospitals NHS Foundation Trust.

Next Nicki talks about the impact of the recent COVID pandemic on critical care nurses and gives some important insights into the future of critical care nursing in the UK.

In this podcast Gareth Thomas talks to Nicki Credland about the roles of the critical care nurse and briefly summarises the training & career structure.

Gareth Thomas has a discussion with Sarah Clarke about the involvement of intensivists in decisions about admission to critical care, building effective working relationships with other hospital specialties and the need for more people to be aware of what critical care entails and the limitations of treatment.

Next Andrew talks about how the rest of the hospital views the role of an intensivist and the importance of having a calming influence on the critical care team. He also talks about the balance between academic and clinical roles and gives some key tips on how to maintain a good career balance.

In this podcast Gareth Thomas talks to Andrew Davies about how the role of the intensivist has changed over the course of his career and focusses on the importance of the ‘human touch' and having meaningful discussions with patients about the priorities of care.

Next Gareth has a discussion with Julie Highfield and Dorothy Wade about the role of the psychologist in the recovery of patients and staff from the traumatic experiences associated with critical illness. This podcast gives an excellent summary of the important aspects of psychological support in critical care with a particular focus on delirium and staff well-being.

In this podcast Gareth Thomas talks to Lauren Maher and James Bruce about what can be gained by involving occupational therapy in both the acute and rehabilitation phases of critical illness. Lauren and James are both occupational therapist who work in the critical care units of Kingston Hospital, London and Torbay Hospital respectively.

Next Gareth has a discussion with Susan McGowan, Helen Newman & Rachel Jones about the role of speech and language therapy in the recovery and rehabilitation of critical care patients.

In this podcast Gareth Thomas talks to Paul Twose and Gareth Cornell about the importance of the critical care physiotherapist and some common misconceptions about their roles.

In this podcast Gareth Thomas has a discussion with Ella Terblanche and Danielle Bear about the role of the critical care dietician and common misconceptions.

In this podcast Gareth Thomas talks to Greg Barton about the importance of the critical care pharmacist.

Bev then goes on to talk about giving evidence at the coroner’s inquest, and how to communicate effectively with families to prevent misunderstanding and complaints.

In this podcast, Bev talks about how to write a statement that may prevent you needing to attend an inquest and how to prepare if you do need to attend.

In this podcast, Derek talk's about the coroner’s inquest and gives a clear and insightful account of the process and its purpose.

In this podcast, Derek talks about the role of the coroner and medical examiner, and how to decide which cases should be referred.

Phil Walton is the Project Lead for Deemed Consent Legislation at NHSBT and played a pivotal role in the implementation of Max & Keira’s law in Wales. In this podcast he talks about his experiences of introducing a mass behaviour change strategy, which also involved getting help from a professor of linguistics and a hostage negotiator.

Dale Gardiner is the National Clinical Lead for Organ Donation. In this podcast he gives a clinical perspective of the new legislation relating to deemed consent, with a particular focus on communication with families.

Matt Bromley talks to Professor Simon Conroy about understanding frailty and how it impacts care for older people.

Martin Huntley introduces the latest FICMLearning podcast on frailty in critical care.

Matt Bromley talks to John Fletcher and Manoj Wickramasinghe about the practicalities of developing a high-fidelity simulation course for critical care with an MDT focus. 

Matt Bromley talks to Andrew Jacques about how he developed an in-situ simulation program on their intensive care unit in Reading.

Martin Huntley introduces the second part of the series of podcasts on simulation as an educational tool in critical care.

James Sira talks to Dominic Bell about the ethical and legal aspects of managing conflict around decisions to provide, withhold or withdraw treatment.

James Sira talks to Dominic Bell about the concept of futility and how it can be used as a framework when making decisions.

Martin Huntley introduces the second part of the series on difficult decision making in critical care. 

Dale Gardiner introduces the MORAL balance framework in this podcast, and describes its use in decision making around admission to critical care.

Danny Bryden talks to FICMLearning about decision making on critical care admission during the COVID-19 pandemic and how to maintain your wellbeing as an intensive care consultant.

Martin Huntley introduces a series of podcasts on difficult decision making in critical care.