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News from the 10th British Society for Heart Failure Day for revalidation and training

October 2018 Br J Cardiol 2018;25(4) Online First

News from the 10th British Society for Heart Failure Day for revalidation and training

Dr Andrew D’Silva

Abstract

Drug therapy From treating dropsy… Treating congestion is an essential role of the heart failure specialist with diuretic therapy being the cornerstone of treatment. There is an evidence vacuum, however, in how best to relieve congestion. For example, which agents to use, at what doses and with what escalation strategy? Dr Peter Cowburn (Southampton General Hospital) delivered an exemplary lecture highlighting the importance of relieving congestion, the current evidence base and practical advice from his personal experience on how best to achieve the goal of euvolaemia. Relieving congestion matters and, when achieved, is associated with lo

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Global health and data science: future needs for tomorrow’s cardiologist

August 2016 Br J Cardiol 2016;23:87–8 doi:10.5837/bjc.2016.026

Global health and data science: future needs for tomorrow’s cardiologist

Jonathan Evans, Amitava Banerjee

Abstract

Opportunity for global health Over 40% of UK medical students gain experience in a developing country during their elective rotation, broadening perspective on disease and healthcare, as well as personal development by experiencing different cultures.3 Experience in low- and middle-income countries (LMICs) during postgraduate training offers similar benefits, but the number of trainees who embark on such rotations is comparatively small and restricted to particular specialties in the UK. According to the 2012 British Junior Cardiologists Association trainee survey, 66% of trainees had completed or planned to undertake a clinical fellowship, w

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April 2016 Br J Cardiol 2016;23:49–50 doi:10.5837/bjc.2016.014 Online First

Growing need for trainees in adult congenital heart disease in the UK

Kate English, Aisling Carroll, S M Afzal Sohaib, Michael Stewart, Russell Smith, J Ian Wilson

Abstract

The consultant workforce in ACHD in the UK is small, and faces substantial shortages. With very few trainees currently opting to train in ACHD, the workforce will fall even further behind, as patient numbers and complexity increase.5 A career in congenital heart disease – what does it offer the cardiologist? A career in ACHD offers a professional lifetime of endless variation. In outpatients, you will see patients with infinitely variable anatomy and often complex physiology, over the course of many years, and through many medical and non-medical lifetime events. Fewer patients need inpatient care, and, when required, this is usually due to

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Healthcare professional’s guide to cardiopulmonary exercise testing

December 2015 Br J Cardiol 2015;22:156 doi:10.5837/bjc.2015.042

Healthcare professional’s guide to cardiopulmonary exercise testing

Sathish Parasuraman, Konstantin Schwarz, Nicholas D Gollop, Brodie L Loudon, Michael P Frenneaux

Abstract

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FY1 in heart failure: the good, the bad and the ugly! Reflections by the FY1 doctors in heart failure and their supervisor on the first year of a new post

July 2015 Br J Cardiol 2015;22:(3) doi:10.5837/bjc.2015.023 Online First

FY1 in heart failure: the good, the bad and the ugly! Reflections by the FY1 doctors in heart failure and their supervisor on the first year of a new post

Laura Styles, Sarah Soar, Philippe Wheeler, Abdallah Al-Mohammad

Abstract

The three trainees and their supervisor. From left to right: Dr Sarah Soar, Dr Philippe Wheeler,Dr Laura Styles and Dr Abdallah Al-Mohammad Introduction For newly qualified doctors, the Foundation Programme provides a stimulating and exciting entry into a career in medicine. As the name suggests, doctors work within a range of specialties and environments in order to build on the knowledge learnt at medical school, and develop as a clinician in preparation for specialty training. We had the privilege of being the first to work as foundation doctors in a new role – FY1 in heart failure – and, in this article, we hope to outline some of the

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Breaking the deadlock

March 2015 Br J Cardiol 2015;22:10–11 doi:10.5837/bjc.2015.007

Breaking the deadlock

Miriam J Johnson

Abstract

Professor Miriam J Johnson Overcoming barriers The misunderstanding that palliative care is only for those in the last few days or weeks of life, only to be implemented once all other options are gone and irreversible deterioration is certain, forms a major barrier to access to palliative care. Attempts to identify a prognostic tool to identify when palliative care should be employed have failed, and the consensus is that a problem-based approach is more fit for purpose.11–12 Such a model would enable the “concerns of today” facing the patient to be addressed in the context of the management options appropriate at their stage of disease

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Audit of cardiac catheterisation in a DGH: implications for training and patient safety 

September 2014 Br J Cardiol 2014;21:118–19 doi:10.5837/bjc.2014.029

Audit of cardiac catheterisation in a DGH: implications for training and patient safety 

Yasir Parviz, Alex Rothman, C Justin Cooke 

Abstract

Introduction In the modern era, patient safety has become one of the most important issues facing doctors and institutions. Cardiology is a craft speciality. Procedures must be learnt by trainees, but there is a risk, in so doing, of harming patients. The purpose of this study was to ask whether it is possible, albeit within a single institution, to provide training in coronary angiography at a district general hospital (DGH) without causing harm, by comparing the complication rate of trainees with consultants in a large case series. Methods Between August 2010 and December 2013, procedural complications resulting from cardiac catheterisation

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April 2014 Br J Cardiol 2014;21:47–8 doi:10.5837/bjc.2014.010 Online First

ECG interpretation in the NHS

Derek Rowlands, Philip Moore

Abstract

Moreover, the quality of ECG interpretation remains completely obscure to the patient. When any healthcare professional speaks to a patient about that patient’s ECG, the patient automatically assigns to the healthcare professional a degree of competence in the said professional’s ability to read the ECG, which the patient (very reasonably) presumes the professional to have. Sadly, this confidence is usually misplaced. Furthermore, the healthcare workers themselves are often completely unaware of their lack of competence. Possible solutions There are three possible approaches to the alleviation of this problem: (i) the use of computers in

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Training opportunities in preventive cardiology: MSc, Diploma and Certificate in Preventive Cardiology

December 2013 Br J Cardiol 2013;20(suppl 3):S1–S19 doi:10.5837/bjc.2013.s09

Training opportunities in preventive cardiology: MSc, Diploma and Certificate in Preventive Cardiology

Jennifer Jones, Suzanne Barr, Catriona Jennings, Tim Grove, Kornelia Kotseva, Susan Connolly, Anne Dornhorst, Gary Frost, Paul Bassett, David A Wood

Abstract

Introduction The scientific evidence for cardiovascular (CVD) disease prevention is compelling but, as demonstrated by the EUROASPIRE and ASPIRE-2-PREVENT surveys, translating this evidence into effective patient care in the real-world in clinical practice is challenging.1,2 However, the same academic group have undertaken a number of trials and have shown that it is possible to implement national and international clinical guidelines and achieve the lifestyle, medical and therapeutic targets associated with reduced cardiovascular events and improved health outcomes.3-5 In recognising the need to bridge the implementation gap for prevention a

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September 2013 Br J Cardiol 2013;20:103-5 doi:10.5837/bjc.2013.022 Online First

Cardiovascular magnetic resonance training in the UK: an update from the BSCMR trainee observers

David P Ripley, Nigel J Artis, John Paul Carpenter, Francisco Leyva

Abstract

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