Perioperative Medicine : The Past, the Present and the Future

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 [email protected] 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 [email protected] 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 [email protected] 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 [email protected] 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 [email protected] 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 [email protected] 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 [email protected] with your ideas!