Anaesthesia 2018 podcast | geriatric care and the value of teamwork

This talk was recorded on the 23rd May 2018.

How do we best negotiate working in a multidisciplinary team? Generalisations regarding surgeons and anaesthetists only ever work generally, the specifics of each practitioner and their priorities inevitably contrast. How do we keep sight of these broad differences without falling foul of stereotypes?

The conversation evolves; how does the surgical journey fully utilise the team based perioperative approach? With specific focus on geriatric care there is further discussion regarding shared decision making, something which has been part of that discipline for many years.

The debate regarding when a patient becomes geriatric is explored. Is it age which defines that or do symptoms and comorbidities qualify the term?

Recorded on the first day of the Royal College of Anaesthetists’ annual conference at The British Museum. Desiree Chappell and Monty Mythen interview their guests Professor Jenifer Weller, Head of the Centre for Medical and Health Sciences Education, University of Auckland and Dr Jugdeep Dhesi, Clinical Lead, POPS and Consultant Geriatrician, Guys and St Thomas’ NHS Trust.

Recorded by TopMed Talks

Professor Monty Mythen
Smiths Medical Professor of Anaesthesia and Critical Care, University College London London, UK

Professor Monty Mythen is the Smiths Medical Professor of Anaesthesia and Critical Care at University College London and Adjunct Professor, Department of Anaesthesiology, Duke University, USA. Monty is also the founding Director of Evidence-Based Perioperative Medicine International.

Dr Jugdeep Dhesi
Dr Jugdeep Dhesi, Clinical Lead, POPS and Consultant Geriatrician, Guys and St Thomas’ NHS Trust.

 

Jugdeep Dhesi is a clinical lead for the innovative and award winning Proactive Care of Older People Undergoing Surgery (POPS) service. She is honorary reader at King’s College London, with research interests including preoperative optimisation of frail older people, health services research focusing on surgical patient pathways and postoperative delirium.

Jugdeep was involved in establishing the first foundation and specialist registrar training programmes in perioperative medicine.

Jugdeep has also held national roles including President of Age Anaesthesia Association, Vice President of Clinical Quality at the British Geriatrics Society (BGS), Chair of POPS SIG at the BGS, and involvement in a variety of steering, advisory and guideline groups.

Professor Jennifer Weller
Head of the Centre for Medical and Health Sciences Education at the University of Auckland, and a specialist anaesthetist at Auckland City Hospital.

Jennifer Weller is Head of the Centre for Medical and Health Sciences Education at the University of Auckland, and a specialist anaesthetist at Auckland City Hospital. She is on the Editorial Board for the British Journal of Anaesthesia. Her research includes workplace-based assessment, simulation, teamwork and patient safety. She leads a national, government-funded program aimed at establishing multidisciplinary simulation-based team training for surgical staff. Her research in workplace-based assessment explores both the psychometric properties of assessment tools, qualitative analysis of how these assessments work in clinical practice. Jennifer holds positions with the Australian and New Zealand College of Anaesthetists in education, assessment and research, with a current focus on competency-based education.

Desiree Chappell

Board of Directors, American Society of Enhanced Recovery (ASER). A passionate ambassador of Enhanced Recovery and Perioperative Care. Desiree is the creator of the popular Roundtable perioperative care blog: http://periopcareblog.com/