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What does it mean to be a good doctor when so much illness is produced beyond the walls of healthcare? In this episode of the RCP Medicine Podcast, Dr Rohan Mehra speaks with paediatrician, public health researcher and broadcaster Dr Guddi Singh about health inequality, medical professionalism and her emerging concept of Justice-Based Medicine. Drawing on clinical experience, doctoral research and her BBC Radio 4 series Three Ages of Child, Dr Singh explores how poverty, housing, food insecurity, education and structural inequality enter the consulting room - and why understanding these conditions makes us not only more compassionate, but more clinically effective. The conversation examines the moral injury clinicians experience when they know what patients need but cannot provide it; the limits of the traditional “heroic fixer” model of medicine; and how physicians can combine scientific excellence with social understanding, collaboration and moral courage. The episode also highlights communities already creating health beyond formal healthcare settings, and the work of WHAM - the Wellbeing and Health Action Movement - to help clinicians turn concern about inequality into practical, collective action. BIOGRAPHY: Dr Guddi Singh is a Cambridge- and Harvard-trained neurodevelopmental and social paediatrician, public health researcher and broadcaster whose work explores what it means to practise good medicine when so much ill health is socially produced. Working clinically on the frontline and academically at King’s College London, her doctoral research examines how health professionals experience and respond to the social determinants of health. Through this work, she is developing the concept of Justice-Based Medicine, combining scientific excellence with social understanding, moral literacy and action on inequality. Guddi has worked with the World Health Organization, co-founded WHAM - the Wellbeing and Health Action Movement - and leads the award-finalist Powering Up programme. She was named a Global Top 30 Improver by the International Forum on Quality and Safety in Healthcare. Her broadcasting includes work for the BBC, Channel 4 and Al Jazeera, including the award-winning BBC One documentary, Why Is Covid Killing People of Colour?, and BBC Radio 4’s hugely influential Three Ages of Child. Resources  WHAM: https://www.whamproject.co.uk/Three Ages of Child: https://www.bbc.co.uk/sounds/series/m002k385Race and Health Matters, a podcast on workforce inequality for the NHS Race and Health Observatory https://www.youtube.com/@nhsraceandhealthobservatoryMore than Medicine substack: https://drguddisingh.substack.com/"Leadership from below, change from within: revitalising medical professionalism through social justice": https://bmjleader.bmj.com/content/7/Suppl_2/e000817RCP Commentary - https://www.rcp.ac.uk/126813 Explore our CPD portfolio by your career stage Education and professional development Leadership CPD Teach the teacher Educational supervisor Six-step programme  RCP Social Media Instagram LinkedIn Facebook Bluesky Music Ep 50 onward - Bensound.com   Ep 1 - 49 'Impressive Deals' - Nicolai Heidlas  Any adverts within this podcast may use computer generated voices

In this episode of the RCP Medicine Podcast, Dr Raj Amarnani, consultant in sport, exercise and musculoskeletal medicine, Fellow of the Faculty of Sport and Exercise Medicine, and current president of the Royal Society of Medicine Rheumatology and Rehabilitation Section, joins Dr Alice Cole, clinical education fellow at the Royal College of Physicians, to explore how motivational interviewing can support the NHS shift from treatment to prevention. Raj explains why patients are often not lacking information but are instead overwhelmed, ambivalent or unsure where to start. Together, Raj and Alice discuss how motivational interviewing helps clinicians unlock a patient's own reasons for change, making conversations about physical activity, medication adherence, smoking cessation and other health behaviours more effective and patient-centred. Using practical examples and role-play scenarios, they demonstrate simple techniques clinicians can introduce immediately, including the OARS framework, ask-offer-ask conversations, confidence scaling and strategies for supporting sustainable behaviour change. They also discuss physical activity guidance, exercise "microdosing" and how even brief conversations can have a lasting impact on patient outcomes. Explore our CPD portfolio by your career stage Education and professional development Leadership CPD Teach the teacher Educational supervisor Six-step programme  RCP Social Media Instagram LinkedIn Facebook Bluesky Music Ep 50 onward - Bensound.com   Ep 1 - 49 'Impressive Deals' - Nicolai Heidlas  Any adverts within this podcast may use computer generated voices

Coeliac disease is often viewed as a straightforward gastrointestinal condition, but its presentation, diagnosis and long-term management can be far more complex than many clinicians appreciate. In this episode of the RCP Medicine Podcast Dr. Dushen Murugiah, Consultant Gastroenterologist and Trust Lead for Nutrition at Royal Surrey County Hospital NHS Foundation Trust, joins Dr Abhishek Ray to explore the modern approach to coeliac disease. Together they discuss classical and non-classical presentations, the challenges of diagnosing an often under-recognised condition, the role of serology and small bowel biopsy, and the importance of considering celiac disease in patients presenting with unexplained anaemia, nutritional deficiencies and other extraintestinal manifestations. The conversation also explores refractory celiac disease, practical challenges associated with lifelong gluten avoidance, and promising future therapies currently under investigation. This episode offers practical, evidence-informed insights for physicians, trainees and healthcare professionals involved in the assessment and management of patients with suspected or confirmed coeliac disease.   Explore our CPD portfolio by your career stage Education and professional development Leadership CPD Teach the teacher Educational supervisor Six-step programme  RCP Social Media Instagram LinkedIn Facebook Bluesky Music Ep 50 onward - Bensound.com   Ep 1 - 49 'Impressive Deals' - Nicolai Heidlas  Any adverts within this podcast may use computer generated voices

In this episode of the RCP Medicine Podcast, respiratory consultant and clinical lead for environmental sustainability Dr Thom Daniels joins host Dr David Charles to explore why air quality should be treated as a core clinical issue rather than a distant environmental concern. Drawing on landmark coroner’s cases, including the deaths of Ella Adoo Kissi Debrah and Awaab Ishak, they examine how outdoor and indoor pollution contribute to asthma, COPD, cardiovascular disease, stroke, dementia and health inequalities across the life course. The discussion covers practical ways to ask about air quality in consultations, from unexplained coughs to secondary prevention clinics, and sets out simple, evidence informed advice clinicians can offer to patients. They also consider policy and global perspectives, racial and social justice dimensions, and how clinicians can support patients who feel fatalistic about the environment. Resources  https://www.rcp.ac.uk/policy-and-campaigns/policy-documents/a-breath-of-fresh-air-responding-to-the-health-challenges-of-modern-air-pollution/  https://www.rcp.ac.uk/news-and-media/news-and-opinion/air-pollution-linked-to-30-000-uk-deaths-in-2025-and-costs-the-economy-and-nhs-billions-warns-royal-college-of-physicians/ https://www.rcp.ac.uk/media/5r2kmmi4/rcp-full-report-a-breath-of-fresh-air-responding-to-the-health-challenges-of-modern-air-pollution.pdf Explore our CPD portfolio by your career stage Education and professional development Leadership CPD Teach the teacher Educational supervisor Six-step programme  RCP Social Media Instagram LinkedIn Facebook Bluesky Music Ep 50 onward - Bensound.com   Ep 1 - 49 'Impressive Deals' - Nicolai Heidlas  Any adverts within this podcast may use computer generated voices

In this powerful and timely episode, Dr Ahmed Seedat — respiratory and general internal medicine consultant, global health specialist, and former policy fellow — joins Dr Krishna Misra, an experienced GP in inclusion health, for an in‑depth exploration of migrant and refugee health. Together with host Dr Rohan Mehra, they unpack the realities facing displaced populations today: from the impact of geopolitical instability and the climate emergency, to the language and stigma shaping public attitudes, to the structural barriers embedded within UK health systems. Through expert insight and frontline experience, the conversation delves into the drivers of forced migration, the consequences of restricted safe routes, the challenges created by the UK asylum backlog, and the complex interplay between trauma, mental health, and chronic disease. Importantly, the episode also highlights a successful collaborative model between primary and secondary care in South East London — demonstrating the power of relationships, community, and advocacy to improve outcomes for some of the most marginalised people in society. Listeners will leave with a richer understanding of migrant health, actionable advice for clinicians, and a hopeful reminder that community truly is a superpower. Resources Doctors of the World: Advice line - Doctors of the World urgent_care_guidelines.pdf  Home 2026 | Refugee Week BMA: Refugee and asylum seeker health resource updated 2025 BMJ: Knights F, Munir S, Ahmed H, Hargreaves S. Initial health assessments for newly arrived migrants, refugees, and asylum seekers BMJ 2022 Initial health assessments for newly arrived migrants, refugees, and asylum seekers | The BMJ Other Maslow's Hierarchy of Needs Explore our CPD portfolio by your career stage Education and professional development Leadership CPD Teach the teacher Educational supervisor Six-step programme  RCP Social Media Instagram LinkedIn Facebook Bluesky Music Ep 50 onward - Bensound.com   Ep 1 - 49 'Impressive Deals' - Nicolai Heidlas  Any adverts within this podcast may use computer generated voices

In this episode of the RCP Medicine Podcast, Dr Aula Abbara, consultant in infectious diseases and internal medicine at Imperial College Healthcare NHS Trust and an infectious diseases and malaria advisor to MSF Amsterdam, joins Dr Bryony Alderman, palliative medicine consultant and RCP Sustainability Education Fellow. Together, they explore how climate change is reshaping global health, with a particular focus on infectious diseases, health inequalities, forced displacement, and the increasingly complex connections between environment, conflict, and disease transmission. Resources MSF UK | Médecins Sans Frontières Explore our CPD portfolio by your career stage Education and professional development Leadership CPD Teach the teacher Educational supervisor Six-step programme  RCP Social Media Instagram LinkedIn Facebook Bluesky Music Ep 50 onward - Bensound.com   Ep 1 - 49 'Impressive Deals' - Nicolai Heidlas  Any adverts within this podcast may use computer generated voices

In this episode of the RCP Medicine Podcast, Professor Jeremy Levy, consultant nephrologist in London, joins Dr Alex Crowe, consultant physician in Liverpool, for an insightful and practical conversation about chronic kidney disease (CKD). Together, they explore why CKD is so common, and often silent. How to distinguish acute from chronic kidney problems, and which investigations matter most. The discussion also highlights the growing importance of cardiorenal metabolic medicine, offering clinicians a clear approach to assessing risk, optimising treatment, and supporting long‑term health. From EGFR trends to SGLT2 inhibitors, from lifestyle change to coding accuracy, this episode provides an essential, up‑to‑date guide for managing CKD in everyday practice. Resources  For kidney sake podcast:  Home | ForKidneysSake.com  Excellent resources on CKD here from NHS NW London:  Chronic kidney disease NICE guidelines: Overview | Chronic kidney disease: assessment and management | Guidance | NICE  Hypertension in CKD from UK kidney association  FINAL UKKA NICE-KDIGO commentary December 2022.pdf Exercise and Lifestyle in CKD from UK kidney association   Exercise and Lifestyle in CKD clinical practice guideline33_v4_FINAL_0.pdf  SGLT2i in CKD  from UK kidney association  Sodium Glucose Co transporter 2 - UK Kidney Association. KDIGO (international) guidelines on CKD management   CKD Evaluation and Management – KDIGO KIDGO prognosis of CKD by Albuminuria Categories: KIDGO 2012 S126 American Diabetes Association guidelines including CKD   Volume 48 Issue Supplement_1 | Diabetes Care | American Diabetes Association For Kidneys Sake For Kidneys Sake is a clinician-led podcast from Imperial College Healthcare NHS Trust and North West London Integrated Care Board, offering practical, evidence-based insight into chronic kidney disease and cardio-renal care. Through short, accessible conversations with experts across primary and secondary care, the series supports shared learning on CKD detection, risk management and integrated patient care. The podcast is for GPs, pharmacists, nurses and multidisciplinary teams, and is relevant for clinicians, patients and anyone interested in improving kidney health. Explore our CPD portfolio by your career stage Education and professional development Leadership CPD Teach the teacher Educational supervisor Six-step programme  RCP Social Media Instagram LinkedIn Facebook Bluesky Music Ep 50 onward - Bensound.com   Ep 1 - 49 'Impressive Deals' - Nicolai Heidlas  Any adverts within this podcast may use computer generated voices

In this episode, Dr Bryony Alderman, palliative care consultant and RCP sustainability clinical education fellow, joins Dr Vasiliki Thanopoulou, rheumatology registrar and RCP clinical education fellow, for a wide‑ranging discussion demystifying modern palliative care. Together they explore how the specialty has evolved beyond end‑of‑life support, highlighting early integration, symptom management across disease groups, and the importance of compassionate, individualised care. The conversation dives deep into practical clinical considerations: appropriate timing of referrals, anticipatory prescribing, managing medications in renal/hepatic failure, handling chronic disease therapies at the end of life, and common misconceptions around syringe drivers. They also discuss communication challenges, including uncertainty in prognostication, hydration and nutrition decisions, and supporting families during difficult conversations. This is an essential episode for clinicians looking to enhance confidence and skill in end‑of‑life care, while keeping person‑centred care at the heart of practice. Resources  https://www.spict.org.uk/ Lee C, Tran TT, Ross J Anticipatory prescribing in community end-of-life care BMJ Supportive & Palliative Care 2024;14:353-357 https://www.parkinsons.org.uk/professionals/resources/nil-mouth-medication-dose-calculators-and-guidelines https://www.diabetes.org.uk/for-professionals/improving-care/clinical-recommendations-for-professionals/diagnosis-ongoing-management-monitoring/end-of-life-care https://www.nacel.nhs.uk/about-nacel Explore our CPD portfolio by your career stage Education and professional development Leadership CPD Teach the teacher Educational supervisor Six-step programme  RCP Social Media Instagram LinkedIn Facebook Bluesky Music Ep 50 onward - Bensound.com   Ep 1 - 49 'Impressive Deals' - Nicolai Heidlas  Any adverts within this podcast may use computer generated voices

In this episode of the RCP Medicine Podcast, Professor Ewan Forrest, Consultant Hepatologist at the Glasgow Royal Infirmary, joins Dr Jennifer Tham, Gastroenterology Trainee in the West of Scotland, to explore the diagnosis and management of alcohol related hepatitis. A common but often misunderstood emergency presentation.   Through a detailed case, they unpack diagnostic challenges, key blood markers, distinguishing features from decompensated cirrhosis, and the practical steps clinicians should take in the first 72–96 hours. The episode also demystifies prognostic scoring systems, steroid use, nutritional support, and the future direction of ARH research and management. Note: This recording was made in 2025. In March 2026 NHS Blood and Transplant agreed to a further pilot of liver transplantation for selected patients with Alcohol-related hepatitis.   Explore our CPD portfolio by your career stage Education and professional development Leadership CPD Teach the teacher Educational supervisor Six-step programme  RCP Social Media Instagram LinkedIn Facebook Bluesky Music Ep 50 onward - Bensound.com   Ep 1 - 49 'Impressive Deals' - Nicolai Heidlas  Any adverts within this podcast may use computer generated voices

In this episode of the RCP Medicine Podcast, transplant hepatologist Dr Mhairi Donnelly joins gastroenterology trainee Dr Jennifer Tham to explore the high‑stakes world of acute liver failure. Through a detailed case of a young woman presenting with severe transaminitis and paracetamol toxicity, Mhairi and Jennifer guide listeners through the crucial steps in recognising acute liver injury, identifying early markers of deterioration, and escalating care at the right time. The discussion covers the most common causes of acute liver failure in the UK, how to interpret markedly raised transaminases, the role of NAC beyond confirmed paracetamol toxicity, the importance of monitoring lactate and INR trends, management of hepatic encephalopathy in acute liver failure, and how psychiatric assessment influences transplant suitability. A must‑listen for anyone managing acutely unwell medical patients or seeking to deepen their understanding of this life‑threatening condition. Explore our CPD portfolio by your career stage Education and professional development Leadership CPD Teach the teacher Educational supervisor Six-step programme  RCP Social Media Instagram LinkedIn Facebook Bluesky Music Ep 50 onward - Bensound.com   Ep 1 - 49 'Impressive Deals' - Nicolai Heidlas  Any adverts within this podcast may use computer generated voices

In this episode of the RCP Medicine Podcast, we explore the pressing challenges facing resident doctors in the NHS and the transformative work of the Next Generation campaign. Joining us is Professor Mumtaz Patel, President of the Royal College of Physicians, Vice President for Education and Training, and Chair of the Next Generation Oversight Group. Professor Patel shares her extensive experience in medical education and workforce planning, offering candid insights into recruitment pressures, training reform, and the future of postgraduate medical education.   Alongside Professor Patel, Dr Jemima Sellicks, a resident doctor and committee representative, brings a frontline perspective on the realities of training today. Together, they discuss competition ratios, the IMT application process, exam integrity, and the results of the recent Next Generation survey, which revealed stark concerns about burnout and retention.   Whether you’re a trainee, educator, or policymaker, this episode offers practical solutions, hope for systemic change, and a call to action for shaping a fairer, more supportive training environment. Explore our CPD portfolio by your career stage Education and professional development Leadership CPD Teach the teacher Educational supervisor Six-step programme  RCP Social Media Instagram LinkedIn Facebook Bluesky Music Ep 50 onward - Bensound.com   Ep 1 - 49 'Impressive Deals' - Nicolai Heidlas  Any adverts within this podcast may use computer generated voices

In this episode of the RCP Medicine Podcast, we explore the critical issue of health inequalities during pregnancy and the postpartum period. Joining us is Dr Maria Mouyis, Consultant Physician & Rheumatologist with Specialist Interest in Obstetric Medicine, alongside Dr Vasiliki Thanopoulou, RCP clinical education fellow, Rheumatology/GIM Specialist Registrar. Together, they unpack why pregnancy itself can be a risk factor for health inequality, the findings from the MBRRACE report, and the systemic, cultural, and clinical challenges that impact maternal and neonatal outcomes. From disparities in maternal mortality among ethnic minority groups to the role of unconscious bias and digital exclusion, this conversation highlights practical steps clinicians can take to improve equity in care. We also discuss innovative initiatives such as maternal medicine networks, preconception clinics, and community engagement projects that aim to empower women and reduce adverse outcomes. Whether you’re a clinician, policymaker, or advocate, this episode offers actionable insights and resources to help drive change. Resources:  UK Obstetric Surveillance System (UKOSS) | UKOSS | NPEU Reports | MBRRACE-UK | NPEU Special interest groups | British Society for Rheumatology Eastern Obstetric Medicine Group: EOMG Meetings | MacDonald Obstetric Medicine Society Multidisciplinary Approaches to Maternal Health - elearning for healthcare Racism in pain management causes needless suffering | The BMJ FIVEXMORE Explore our CPD portfolio by your career stage Education and professional development Leadership CPD Teach the teacher Educational supervisor Six-step programme  RCP Social Media Instagram LinkedIn Facebook Bluesky Music Ep 50 onward - Bensound.com   Ep 1 - 49 'Impressive Deals' - Nicolai Heidlas  Any adverts within this podcast may use computer generated voices

In this collaborative episode between the RCP Medicine Podcast and the British Society for Rheumatology’s Talking Rheumatology series, consultant rheumatologist Dr Tam Malley from the Royal Free Hospital joins Dr Vasiliki Thanopoulou, RCP Clinical Education Fellow and registrar, to explore the complexities of inflammatory myositis. Through a compelling case study and rich clinical discussion, they unpack the diagnostic challenges, multidisciplinary considerations, and treatment strategies for this rare autoimmune condition. Listeners will gain insights into recognising subtle signs, interpreting investigations, and understanding the importance of early intervention. Whether you're a rheumatologist, general physician, or trainee, this episode offers practical pearls and thoughtful reflections on managing inflammatory myositis in real-world settings. Resources Idiopathic inflammatory myopathies - Symptoms, diagnosis and treatment | BMJ Best Practice British Society for Rheumatology guideline on management of paediatric, adolescent and adult patients with idiopathic inflammatory myopathy | Rheumatology | Oxford Academic International Guideline for Idiopathic Inflammatory Myopathy-Associated Cancer Screening: an International Myositis Assessment and Clinical Studies Group (IMACS) initiative | Nature Reviews Rheumatology Polymyositis Masquerading as Motor Neuron Disease | Neurology | JAMA Neurology | JAMA Network Explore our CPD portfolio by your career stage Education and professional development Leadership CPD Teach the teacher Educational supervisor Six-step programme  RCP Social Media Instagram LinkedIn Facebook Bluesky Music Ep 50 onward - Bensound.com   Ep 1 - 49 'Impressive Deals' - Nicolai Heidlas  Any adverts within this podcast may use computer generated voices

In this RCP Medicine podcast and BSR Talking Rheumatology podcast collaboration Dr Roz Benson and Dr Lisa Waters discuss a challenging case of a patient with an acute hot joint who presented to the acute medical unit. It covers wide ranging topics including diagnosis and management of gout, investigation of the acute hot joint and how to treat septic arthritis. Dr Roz Benson is a Consultant Rheumatologist at NHS University Hospitals of Liverpool Group, BSR Digital Learning Editor, and Talking Rheumatology host and Dr Lisa Waters is a Rheumatology and Acute Medicine Consultant at Manchester University Hospitals. She is clinical lead for Acute Medicine and a former RCP Chief Registrar. Resources  NICE: Diagnosis and management of gout https://www.nice.org.uk/guidance/ng219/chapter/Recommendations The British Society for Rheumatology Guideline for the Management of Gout  https://academic.oup.com/rheumatology/article-abstract/56/7/e1/3855179?redirectedFrom=fulltext If you liked this check out related Talking Rheumatology spotlight episodes  Episode 9 - Diagnosis and management of goutBonus episode - a tricky case of infection and arthritis Explore our CPD portfolio by your career stage Education and professional development Leadership CPD Teach the teacher Educational supervisor Six-step programme  RCP Social Media Instagram LinkedIn Facebook Bluesky Music Ep 50 onward - Bensound.com   Ep 1 - 49 'Impressive Deals' - Nicolai Heidlas  Any adverts within this podcast may use computer generated voices

In this episode of the RCP Medicine Podcast, Dr Sagen Zac-Varghese, Consultant in Diabetes and Endocrinology, East and North Herts Teaching NHS Trust is joined by Dr Samantha Scholtz , Consultant Psychiatrist, Imperial Weight Centre, St Mary’s Hospital to explore the complex relationship between obesity and mental health. Drawing on clinical experience and recent research, they discuss the stigma surrounding obesity, its psychological impact, and how healthcare professionals can better support patients. The conversation covers the physiological drivers of weight regain,  and the evolving role of bariatric surgery and GLP-1 agonists in treatment. Dr Scholtz  also shares practical advice on screening for mental health disorders, managing eating behaviours, and navigating sensitive conversations in clinical settings. Resources RCP elearning - Obesity Binge eating disorder:  https://www.beateatingdisorders.org.uk/ https://www.rcpsych.ac.uk/mental-health/mental-illnesses-and-mental-health-problems/binge-eating-disorder https://www.nationaleatingdisorders.org/feast-resources/ Weight stigma: https://www.worldobesity.org/what-we-do/our-policy-priorities/weight-stigma Explore our CPD portfolio by your career stage Education and professional development Leadership CPD Teach the teacher Educational supervisor Six-step programme  RCP Social Media Instagram LinkedIn Facebook Bluesky Music Ep 50 onward - Bensound.com   Ep 1 - 49 'Impressive Deals' - Nicolai Heidlas  Any adverts within this podcast may use computer generated voices