Remote Consultation Masterclass

In the final episode of our podcast series, Dane catches up with Dr David Salman, a GP specialising in physical activity, sports and exercise, and musculoskeletal medicine. They discuss the key points from David’s recently published British Medical Journal (BMJ) paper on ‘Returning to Physical Activity after COVID-19’, the importance of a phased approach when returning to physical activity post-COVID, and the role of physical activity in those with long COVID. Read the full BMJ paper here: https://www.bmj.com/content/372/bmj.m4721 (01:07) Episode introduction (01:39) Introduction to Dr David Salman (02:10) The BMJ paper (‘Returning to Physical Activity after COVID-19’) (04:24) Key points from the BMJ paper (08:05) The importance of a ‘phased approach’ when returning to physical activity (10:50) Criticisms of the approach (14:49) The role of physical activity and long COVID (19:29) Differences between the approaches to primary and secondary care services during remote consultations (23:03) Future projects You can listen and subscribe to Remote Consultation Masterclass on our website, Apple Podcasts, YouTube, Spotify or wherever you get your podcasts from. If you enjoy the show, please leave us a rating and review on Apple Podcasts. Produced by Arc Health in collaboration with Doctors.net.uk. Explore more educational resources for remote consultations at archealth.io/education. Arc Health helps clinicians save time with remote consultations. Our technology is used in hundreds of NHS GP surgeries, care homes, hospitals and pharmacies. Find out more at archealth.io

Dane catches up with Dr Victoria Agunloye, a Senior Paediatric Registrar who is involved with the paediatrician-designed iPhone app ‘Juno’ - which gives parents direct access to paediatric registrars and consultants. She’s also involved with ‘On-Call Mummy’, a platform used to teach parents and carers first aid and paediatric first aid. In the episode, Dane and Victoria discuss the types of questions to ask during a remote paediatric consultation, tips and tricks for clinicians, how to use images and video to identify types of rashes and how to manage symptoms of COVID-19 in children remotely. (00:39) Episode introduction  (01:00) Introduction to Dr Victoria Agunloye (01:38) Introduction to the iPhone app, Juno  (02:32) Introduction to On-Call Mummy  (02:54) Dr Agunloye explains how Juno works in more detail (05:09) Most frequently seen cohort during the rise of remote consultations (06:19) Types of questions that are asked during a remote paediatric consultation (12:30) How to use pictures/stills to identify types of rashes using Juno (17:00) Remote paediatrics tips and tricks for clinicians (19:18) How to manage symptoms of COVID-19 in children remotely (26:15) Summary of the main points covering remote paediatrics  You can listen and subscribe to Remote Consultation Masterclass on our website, Apple Podcasts, YouTube, Spotify or wherever you get your podcasts from. If you enjoy the show, please leave us a rating and review on Apple Podcasts. Produced by Arc Health in collaboration with Doctors.net.uk. Explore more educational resources for remote consultations at archealth.io/education. Arc Health helps clinicians save time with remote consultations. Our technology is used in hundreds of NHS GP surgeries, care homes, hospitals and pharmacies. Find out more at archealth.io

Dane catches up with Dr Adam Abbs, a GP and author of the RCGP accredited ‘Remote Consultations Handbook’. They discuss the challenges of remote consultations, the inability of performing face-to-face examinations, how to assess body language remotely and tips on how to deal with medico-legal concerns during a remote consultation. (01:07) Episode introduction  (01:38) Introduction to Dr Adam Abbs (04:08) Doctors’ concerns about their inability to perform face-to-face examinations   (08:01) How to manage concerns about eliciting clinical signs during a remote consultation (12:42) How to assess body language during a remote consultation    (18:32) Advice on how to alleviate medico-legal concerns   (23:52) How to encourage patient confidence with remote consultations   (27:21) Summary of the main points on how to deal with the challenges of remote consultations You can listen and subscribe to Remote Consultation Masterclass on our website, Apple Podcasts, YouTube, Spotify or wherever you get your podcasts from. If you enjoy the show, please leave us a rating and review on Apple Podcasts. Produced by Arc Health in collaboration with Doctors.net.uk. Explore more educational resources for remote consultations at archealth.io/education. Arc Health helps clinicians save time with remote consultations. Our technology is used in hundreds of NHS GP surgeries, care homes, hospitals and pharmacies. Find out more at archealth.io

Dane catches up with Dr Christos Kasparis, a consultant dermatologist. They discuss the challenges and advantages of remote dermatology, finding the right tools and platforms to use, how not to miss significant conditions, and the medico-legal aspects of working remotely in dermatology. (00:23) Episode introduction (01.02) Introduction to Dr Christos Kasparis (02:37) Different ways of working remotely in dermatology (03:34) What do you need in a platform to do your job well? (05:34) Advantages and disadvantages of remote working in dermatology (09:44) How have your treatment pathways and decisions changed during the pandemic (12:42) How do you mitigate the risks of missing things when working remotely? (17:00) Are there any medico-legal aspects that you need to consider when carrying out remote consultations? (21:43) Tips and tricks around identifying and managing dermatological issues remotely You can listen and subscribe to Remote Consultation Masterclass on our website, Apple Podcasts, YouTube, Spotify or wherever you get your podcasts from. If you enjoy the show, please leave us a rating and review on Apple Podcasts. Produced by Arc Health in collaboration with Doctors.net.uk. Explore more educational resources for remote consultations at archealth.io/education. Arc Health helps clinicians save time with remote consultations. Our technology is used in hundreds of NHS GP surgeries, care homes, hospitals and pharmacies. Find out more at archealth.io

Dane catches up with Dr Rebecca Robinson, a Consultant in Sport and Exercise Medicine with a special interest in female athlete health and oncology. They discuss cancer and exercise, Covid-19, long Covid and remote consultations. (00.50) Introduction to Dr Rebecca Robinson (02:37) Service developed for cancer and exercise (06:50) Impact of remote medicine (10:55) Returning to exercise after Covid-19 (18:30) When further tests are needed post-covid (21:22) What is long Covid? (23:30) Long Covid clinics and Covid rehab clinics You can listen and subscribe to Remote Consultation Masterclass on our website, Apple Podcasts, YouTube, Spotify or wherever you get your podcasts from. If you enjoy the show, please leave us a rating and review on Apple Podcasts.   Produced by Arc Health in collaboration with Doctors.net.uk.   Explore more educational resources for remote consultations at archealth.io/education.    Arc Health helps clinicians save time with remote consultations. Our technology is used in hundreds of NHS GP surgeries, care homes, hospitals and pharmacies. Find out more at archealth.io

Dane catches up with Dr Alex Maxwell, a GP and a Director of the British Society of Lifestyle Medicine. They discuss lifestyle medicine, social prescribing and how to deliver both remotely.   (00:00) Episode introduction (01:05) Introduction to Alex Maxwell   (2:20) What is lifestyle medicine? (04:14) Career advice on learning / doing more lifestyle medicine? (05:44) Courses & resources for lifestyle medicine (06:44) How to tell patients to make lifestyle changes (10:50) Innovative practices that helped embed lifestyle medicine into practice (13:01) How to deliver lifestyle medicine remotely? (16:21) What is social prescribing? (22:08) How do you see social prescribing evolving? (25:16) How to set up group consultations? (31:18) What have been the outcomes of group consultations? (33:54) Advice and tips around video or remote consultations? You can listen and subscribe to Remote Consultation Masterclass on our website, Apple Podcasts, YouTube, Spotify or wherever you get your podcasts from. If you enjoy the show, please leave us a rating and review on Apple Podcasts. Produced by Arc Health in collaboration with Doctors.net.uk. Explore more educational resources for remote consultations at archealth.io/education. Arc Health helps clinicians save time with remote consultations. Our technology is used in hundreds of NHS GP surgeries, care homes, hospitals and pharmacies. Find out more at archealth.io

Dane catches up with Andrew Latham, a lawyer at Capsticks who specialises in public law in the healthcare context. They discuss data protection, recording consultations and the challenges with video consultation from a legal perspective. (00:00) Episode introduction (00:32) Introduction to Andrew Latham (01:27) Challenges around video consultation from a legal perspective (03:21)  Should we be making recordings? (04:40) How long should recordings be kept for? (06:10) What happens when a patient wants to make a recording? (09:23) What to consider when choosing the right software? (12:21) What happens if your computer technology is not up to the task? (14:44) What do we need to have in place legally to have video consultations? (16:57) Does the COVID pandemic offer any legal protection when taking calculated risks? (19:02) Top tips for doctors to protect themselves during video consultations You can listen and subscribe to Remote Consultation Masterclass on our website, Apple Podcasts, YouTube, Spotify or wherever you get your podcasts from. If you enjoy the show, please leave us a rating and review on Apple Podcasts. Produced by Arc Health in collaboration with Doctors.net.uk. Explore more educational resources for remote consultations at archealth.io/education. Arc Health helps clinicians save time with remote consultations. Our technology is used in hundreds of NHS GP surgeries, care homes, hospitals and pharmacies. Find out more at archealth.io

Dane catches up with Dr Anthony Waring to discuss how MSK consultations have changed over the course of the pandemic and share tips on remote examination techniques. (00:00) Episode introduction (00:29) Introduction to Anthony Waring (02:43) How MSK consultations have changed (04:06) Key differences between video and F2F MSK consultations (06:13) Setting up your space for MSK video consultations (07:48) Tech for remote MSK consultations (10:23) Most common MSK presentations at the moment (11:20) Common conditions shoulder-wise (14:42) Common conditions knee-wise (15:43) Advice on remote examination techniques (18:26) When do we need to do a F2F consultation (21:04) Common MSK presentations back-wise You can listen and subscribe to Remote Consultation Masterclass on our website, Apple Podcasts, YouTube, Spotify or wherever you get your podcasts from. If you enjoy the show, please leave us a rating and review on Apple Podcasts. Produced by Arc Health in collaboration with Doctors.net.uk. Explore more educational resources for remote consultations at archealth.io/education. Arc Health helps clinicians save time with remote consultations. Our technology is used in hundreds of NHS GP surgeries, care homes, hospitals and pharmacies. Find out more at archealth.io

In the second part of our interview with Dr Roger Neighbour (OBE MA DSc FRCP FRACGP FRCGP), we discuss safety netting in regard to remote consultations and when it's not appropriate to consult with a patient over video. (00:27) Modifications on how we safety net patients remotely (01:48) When you need to have a face-to-face consultation (03:10) Delegating your triaging (05:46) Key points around housekeeping and time-management (08:15) Time pressures with video consultations (11:45) Language to use to help patients take control of their health (14:16) Influencing behaviour changes (16:52) Changes in medical education (23:17) CSA and exam changes during COVID-19 (28:50) Roger Neighbour’s top tips on video consultations You can listen and subscribe to Remote Consultation Masterclass on our website, Apple Podcasts, YouTube, Spotify or wherever you get your podcasts from. If you enjoy the show, please leave us a rating and review on Apple Podcasts. Produced by Arc Health in collaboration with Doctors.net.uk. Explore more educational resources for remote consultations at archealth.io/education. Arc Health helps clinicians save time with remote consultations. Our technology is used in hundreds of NHS GP surgeries, care homes, hospitals and pharmacies. Find out more at archealth.io

With the COVID-19 pandemic, more doctors are triaging and treating patients remotely via video or phone calls, in order to protect staff and patients from infection. Dr Dane Vishnubala kicks off the series exploring remote consultations with a one-on-one interview with Dr Roger Neighbour (OBE MA DSc FRCP FRACGP FRCGP) and author of The Inner Consultation (1987), The Inner Apprentice (1992), and The Inner Physician (2016). (00:00) Episode introduction (00:46) Introduction to Roger Neighbour (01:35) How Roger’s career in experimental psychology began (09:02) Key differences in video consultation vs face-to-face (10:39) Opportunities and challenges with video consultations (14:18) Setting up for video consultations (17:03) Tips on improving video consultations (21:36) Solving connectivity (Wi-Fi) issues (23:12) Being alert and connecting with your patients remotely You can listen and subscribe to Remote Consultation Masterclass on our website, Apple Podcasts, YouTube, Spotify or wherever you get your podcasts from. If you enjoy the show, please leave us a rating and review on Apple Podcasts. Produced by Arc Health in collaboration with Doctors.net.uk. Explore more educational resources for remote consultations at archealth.io/education. Arc Health helps clinicians save time with remote consultations. Our technology is used in hundreds of NHS GP surgeries, care homes, hospitals and pharmacies. Find out more at archealth.io