The Education Hub - Conversation with the experts

LEAP: 5 senses

LEAP, Listen, Empower, Adapt, Perform. Mindfulness for health care workers by health care workers, developed and narrated by Dr Amanda Stock and Dr Anna Englin.Disclaimer: This podcast has been produced by The Education Hub, a collaboration between the Royal Children's Hospital and the University of Melbourne Department of Paediatrics. The producers have made considerable efforts to ensure the information contained in the podcast is accurate, evidence-based and up to date at the time of publication however the information and advice offered is intended as a guide only and does not replace the need for clinical expertise and the application of clinical judgment to each individual presentation. This podcast should not be reproduced without the written permission of The Education Hub (Education.Hub@rch.org.au)

LEAP: For keeping the hands safe: an exercise for keeping the hands away from the face

This exercise will help you keep your hands safe and away from your face. It is most effective when the recording is listened to in a quiet space with the eyes closed or the gaze kept soft. LEAP, Listen, Empower, Adapt, Perform. Mindfulness for health care workers by health care workers, developed and narrated by Dr Amanda Stock and Dr Anna Englin.Disclaimer: This podcast has been produced by The Education Hub, a collaboration between the Royal Children's Hospital and the University of Melbourne Department of Paediatrics. The producers have made considerable efforts to ensure the information contained in the podcast is accurate, evidence-based and up to date at the time of publication however the information and advice offered is intended as a guide only and does not replace the need for clinical expertise and the application of clinical judgment to each individual presentation. This podcast should not be reproduced without the written permission of The Education Hub (Education.Hub@rch.org.au)

LEAP: At the end of a shift: preparing for home - option 2

Exercises for processing difficult events at work. LEAP, Listen, Empower, Adapt, Perform. Mindfulness for health care workers by health care workers, developed and narrated by Dr Amanda Stock and Dr Anna Englin.Disclaimer: This podcast has been produced by The Education Hub, a collaboration between the Royal Children's Hospital and the University of Melbourne Department of Paediatrics. The producers have made considerable efforts to ensure the information contained in the podcast is accurate, evidence-based and up to date at the time of publication however the information and advice offered is intended as a guide only and does not replace the need for clinical expertise and the application of clinical judgment to each individual presentation. This podcast should not be reproduced without the written permission of The Education Hub (Education.Hub@rch.org.au)

LEAP: At the end of a shift: preparing for home - option 1

Exercises for processing difficult events at work. LEAP, Listen, Empower, Adapt, Perform. Mindfulness for health care workers by health care workers, developed and narrated by Dr Amanda Stock and Dr Anna Englin.Disclaimer: This podcast has been produced by The Education Hub, a collaboration between the Royal Children's Hospital and the University of Melbourne Department of Paediatrics. The producers have made considerable efforts to ensure the information contained in the podcast is accurate, evidence-based and up to date at the time of publication however the information and advice offered is intended as a guide only and does not replace the need for clinical expertise and the application of clinical judgment to each individual presentation. This podcast should not be reproduced without the written permission of The Education Hub (Education.Hub@rch.org.au)

LEAP: Keeping cool whilst wearing PPE

LEAP, Listen, Empower, Adapt, Perform. Mindfulness for health care workers by health care workers, developed and narrated by Dr Amanda Stock and Dr Anna Englin.Disclaimer: This podcast has been produced by The Education Hub, a collaboration between the Royal Children's Hospital and the University of Melbourne Department of Paediatrics. The producers have made considerable efforts to ensure the information contained in the podcast is accurate, evidence-based and up to date at the time of publication however the information and advice offered is intended as a guide only and does not replace the need for clinical expertise and the application of clinical judgment to each individual presentation. This podcast should not be reproduced without the written permission of The Education Hub (Education.Hub@rch.org.au)

LEAP: Clear thinking in a crisis

Many of us have experienced the sensation of freezing during a crisis. This is because our thinking/rational mind is overwhelmed and shuts down. This exercise helps to interrupt the panic cycle and allows us to think clearly. This is best practised when you are feeling calm so it can be easily accessed during a crisis. LEAP, Listen, Empower, Adapt, Perform. Mindfulness for health care workers by health care workers, developed and narrated by Dr Amanda Stock and Dr Anna Englin.Disclaimer: This podcast has been produced by The Education Hub, a collaboration between the Royal Children's Hospital and the University of Melbourne Department of Paediatrics. The producers have made considerable efforts to ensure the information contained in the podcast is accurate, evidence-based and up to date at the time of publication however the information and advice offered is intended as a guide only and does not replace the need for clinical expertise and the application of clinical judgment to each individual presentation. This podcast should not be reproduced without the written permission of The Education Hub (Education.Hub@rch.org.au)

LEAP: When you’re feeling overwhelmed

These exercises may help you when you feel overwhelmed. If possible, practise these in a calm setting so that you become familiar with them. LEAP, Listen, Empower, Adapt, Perform. Mindfulness for health care workers by health care workers, developed and narrated by Dr Amanda Stock and Dr Anna Englin.Disclaimer: This podcast has been produced by The Education Hub, a collaboration between the Royal Children's Hospital and the University of Melbourne Department of Paediatrics. The producers have made considerable efforts to ensure the information contained in the podcast is accurate, evidence-based and up to date at the time of publication however the information and advice offered is intended as a guide only and does not replace the need for clinical expertise and the application of clinical judgment to each individual presentation. This podcast should not be reproduced without the written permission of The Education Hub (Education.Hub@rch.org.au)

LEAP: Preparing for a shift - option 2

This exercise may help more "visual" learners. Listen, Empower, Adapt, Perform. Mindfulness for health care workers by health care workers, developed and narrated by Dr Amanda Stock and Dr Anna Englin.Disclaimer: This podcast has been produced by The Education Hub, a collaboration between the Royal Children's Hospital and the University of Melbourne Department of Paediatrics. The producers have made considerable efforts to ensure the information contained in the podcast is accurate, evidence-based and up to date at the time of publication however the information and advice offered is intended as a guide only and does not replace the need for clinical expertise and the application of clinical judgment to each individual presentation. This podcast should not be reproduced without the written permission of The Education Hub (Education.Hub@rch.org.au)

LEAP: Preparing for a shift - option 1

To enhance clear thinking and control anxiety. This exercise works very well in a group setting, such as a huddle or handover. Mindfulness for health care workers by health care workers, developed and narrated by Dr Amanda Stock and Dr Anna Englin.Disclaimer: This podcast has been produced by The Education Hub, a collaboration between the Royal Children's Hospital and the University of Melbourne Department of Paediatrics. The producers have made considerable efforts to ensure the information contained in the podcast is accurate, evidence-based and up to date at the time of publication however the information and advice offered is intended as a guide only and does not replace the need for clinical expertise and the application of clinical judgment to each individual presentation. This podcast should not be reproduced without the written permission of The Education Hub (Education.Hub@rch.org.au)

LEAP: Introduction

LEAP, Listen, Empower, Adapt, Perform.Mindfulness for health care workers by health care workers, developed and narrated by Dr Amanda Stock and Dr Anna Englin.Disclaimer: This podcast has been produced by The Education Hub, a collaboration between the Royal Children's Hospital and the University of Melbourne Department of Paediatrics. The producers have made considerable efforts to ensure the information contained in the podcast is accurate, evidence-based and up to date at the time of publication however the information and advice offered is intended as a guide only and does not replace the need for clinical expertise and the application of clinical judgment to each individual presentation. This podcast should not be reproduced without the written permission of The Education Hub (Education.Hub@rch.org.au)

CWTE: RCH ED Point-of-Care Ultrasound

In this episode, we interview Dr Adam O'Brien and Ms Tania Griffiths about the development of the RCH ED POCUS Project and the work they do in ED and around the hospital to educate doctors and nurses about bedside ultrasound.PODCAST DISCLAIMER:This podcast has been produced by The Education Hub, a collaboration between the Royal Children's Hospital and the University of Melbourne Department of Paediatrics.The producers have made considerable efforts to ensure the information contained in the podcast is accurate, evidence-based and up to date at the time of publication however t​he information and advice offered is intended as a guide only and does not replace the need for clinical expertise and the application of clinical judgment to each individual presentation.This podcast should not be reproduced without the written permission of The Education Hub (education.hub@rch.org.au​).

CWTE: How and when to report to child protection

When might we suspect child abuse, maltreatment or neglect? What do we do with those concerns? How do you make a report to child protection?Dr Anne Smith (Director of the Victorian Forensic Paediatric Medical Services) discusses this and much more - including a step-by-step guide on what a conversation with Child Protection Services might be like.The Victorian Forensic Paediatric Medical Services (VFPMS) has state-wide responsibilities in relation to forensic medical assessments and care for abused, assaulted and neglected children. The service structure is a 'hub and spoke' model, with a Melbourne-based 'hub' at two sites - the Royal Children's and Monash Children's Hospitals - and 'spokes' in regional Victoria at the major hospitals and health services. The Royal Children's Hospital, Melbourne, governs the VFPMS and provides administrative oversight. We encourage early consultation with the VFPMS when concerns arise regarding child maltreatment. Early conversations regarding concerns about child maltreatment may minimise later complications and reduce angst experienced by abused or neglected children, their family members and the professionals who care for them. Services provided at The Royal Children's Hospital and Monash Medical Centre can be arranged by calling 1300 66 11 42.Resources:Information on how to refer to the VFPMSInformation about guidelines for forensic assessment and learning toolsPODCAST DISCLAIMER:This podcast has been produced by The Education Hub, a collaboration between the Royal Children's Hospital and the University of Melbourne Department of Paediatrics.The producers have made considerable efforts to ensure the information contained in the podcast is accurate, evidence-based and up to date at the time of publication however t​he information and advice offered is intended as a guide only and does not replace the need for clinical expertise and the application of clinical judgment to each individual presentation.This podcast should not be reproduced without the written permission of The Education Hub (education.hub@rch.org.au​).

CWTE: How to take a forensic history

Assessing for child abuse can be very confronting. Dr Anne Smith (Director of the Victorian Forensic Paediatric Medical Services) ​discusses how forensic history taking differs from other day-to-day assessments, important salient history and examination details to include and helpful hints when doing one.The Victorian Forensic Paediatric Medical Services (VFPMS) has state-wide responsibilities in relation to forensic medical assessments and care for abused, assaulted and neglected children. The service structure is a 'hub and spoke' model, with a Melbourne-based 'hub' at two sites - the Royal Children's and Monash Children's Hospitals - and 'spokes' in regional Victoria at the major hospitals and health services. The Royal Children's Hospital, Melbourne, governs the VFPMS and provides administrative oversight. We encourage early consultation with the VFPMS when concerns arise regarding child maltreatment. Early conversations regarding concerns about child maltreatment may minimise later complications and reduce angst experienced by abused or neglected children, their family members and the professionals who care for them. Services provided at The Royal Children's Hospital and Monash Medical Centre can be arranged by calling 1300 66 11 42.Resources:Information on how to refer to the VFPMSInformation about guidelines for forensic assessment and learning toolsPODCAST DISCLAIMER:This podcast has been produced by The Education Hub, a collaboration between the Royal Children's Hospital and the University of Melbourne Department of Paediatrics.The producers have made considerable efforts to ensure the information contained in the podcast is accurate, evidence-based and up to date at the time of publication however t​he information and advice offered is intended as a guide only and does not replace the need for clinical expertise and the application of clinical judgment to each individual presentation.This podcast should not be reproduced without the written permission of The Education Hub (education.hub@rch.org.au​).

CWTE: How to talk to families about forensic concerns

Discussions about child abuse are stressful - for both clinicians and carers. Dr Anne Smith (Director of the Victorian Forensic Paediatric Medical Services) ​talks to us about how to navigate these tricky conversations.The Victorian Forensic Paediatric Medical Services (VFPMS) has state-wide responsibilities in relation to forensic medical assessments and care for abused, assaulted and neglected children. The service structure is a 'hub and spoke' model, with a Melbourne-based 'hub' at two sites - the Royal Children's and Monash Children's Hospitals - and 'spokes' in regional Victoria at the major hospitals and health services. The Royal Children's Hospital, Melbourne, governs the VFPMS and provides administrative oversight. We encourage early consultation with the VFPMS when concerns arise regarding child maltreatment. Early conversations regarding concerns about child maltreatment may minimise later complications and reduce angst experienced by abused or neglected children, their family members and the professionals who care for them. Services provided at The Royal Children's Hospital and Monash Medical Centre can be arranged by calling 1300 66 11 42.Resources:Information on how to refer to the VFPMS: https://www.rch.org.au/vfpms/refer/Information about guidelines for forensic assessment and learning tools: https://www.rch.org.au/vfpms/guidelines/Information about learning tools: https://www.rch.org.au/vfpms/tools/PODCAST DISCLAIMER:This podcast has been produced by The Education Hub, a collaboration between the Royal Children's Hospital and the University of Melbourne Department of Paediatrics.The producers have made considerable efforts to ensure the information contained in the podcast is accurate, evidence-based and up to date at the time of publication however t​he information and advice offered is intended as a guide only and does not replace the need for clinical expertise and the application of clinical judgment to each individual presentation.This podcast should not be reproduced without the written permission of The Education Hub (education.hub@rch.org.au​).

CWTE: How to speak with families about NOT doing tests

"More is not always better when it comes to healthcare" is the mantra of the Choosing Wisely Australia campaign, which seeks to reduce unnecessary medical interventions. In this episode, Dr Joanna Lawrence, medical lead of the Choosing Wisely campaign at RCH, talks with A/Prof Ed Oakley about low value care. They discuss clinician reasons for performing low value tests and the potential harms. Ed discusses examples of low value care in the setting of bronchiolitis and pneumonia and how to approach discussing this issue with families. They reflect on the recommendation to treat on clinical grounds, trust your clinical judgement and reflect on the conscious decision to not perform tests.Resources:Top 5 'not to do practices' (low value care) as nominated by the RACP, Paediatric and Child Health division Royal Australasian College of Physicians PaCHdLawrence J, Andrew L, Bracken J, Voskoboynik A, Oakley E, South M, Middleton K, Scanlan B, Marshall T, Hiscock H. Bronchiolitis at a specialist paediatric centre: The electronic medical record helps to evaluate low value care. Journal of Paediatrics and Child Health/ Early View. Published online 25 August 2019 https://onlinelibrary.wiley.com/doi/epdf/10.1111/jpc.14602PODCAST DISCLAIMER:This podcast has been produced by The Education Hub, a collaboration between the Royal Children's Hospital and the University of Melbourne Department of Paediatrics.The producers have made considerable efforts to ensure the information contained in the podcast is accurate, evidence-based and up to date at the time of publication however t​he information and advice offered is intended as a guide only and does not replace the need for clinical expertise and the application of clinical judgment to each individual presentation.This podcast should not be reproduced without the written permission of The Education Hub (education.hub@rch.org.au​).

CWTE: Asthma in outpatients

Respiratory Physician Professor Colin Robertson discusses outpatient management of child and adolescents with asthma with Dr Amy Gray. Professor Robertson discusses what we are talking about when we refer to asthma, the need to ensure our diagnosis is correct, and reflects on when we may consider different types of preventative treatment.Resources:The RCH Asthma Clinical Practice GuidelinesThe RCH patient education videosPODCAST DISCLAIMER:This podcast has been produced by The Education Hub, a collaboration between the Royal Children's Hospital and the University of Melbourne Department of Paediatrics.The producers have made considerable efforts to ensure the information contained in the podcast is accurate, evidence-based and up to date at the time of publication however t​he information and advice offered is intended as a guide only and does not replace the need for clinical expertise and the application of clinical judgment to each individual presentation.This podcast should not be reproduced without the written permission of The Education Hub (education.hub@rch.org.au​).

CWTE: Preparing children and families for procedures

Patient comfort and safety are paramount when caring for children, especially in a daunting healthcare setting. Dr. Amanda Stock (Emergency Physician) talks to Sophie Karavaras from Child Life Therapy about different strategies and how to tailor your approach to different developmental stages and individual temperaments. Offer realistic choices, be direct with praise, give parents a role and use positive language.Resources:Child Life Therapy at The Royal Children's HospitalPODCAST DISCLAIMER:This podcast has been produced by The Education Hub, a collaboration between the Royal Children's Hospital and the University of Melbourne Department of Paediatrics.The producers have made considerable efforts to ensure the information contained in the podcast is accurate, evidence-based and up to date at the time of publication however t​he information and advice offered is intended as a guide only and does not replace the need for clinical expertise and the application of clinical judgment to each individual presentation.This podcast should not be reproduced without the written permission of The Education Hub (education.hub@rch.org.au​).

CWTE: Asthma

What is the difference between preschool wheeze and asthma? Professor Sarath Ranganathan joins us to explain why it is important to be cautious about the use of steroids and other asthma preventers in the preschool group. He offers insights into potential new therapies or opportunities for prevention of asthma with evidence coming from research in early childhood.Resources:The RCH Asthma Clinical Practice GuidelinesThe RCH patient education videosPODCAST DISCLAIMER:This podcast has been produced by The Education Hub, a collaboration between the Royal Children's Hospital and the University of Melbourne Department of Paediatrics.The producers have made considerable efforts to ensure the information contained in the podcast is accurate, evidence-based and up to date at the time of publication however t​he information and advice offered is intended as a guide only and does not replace the need for clinical expertise and the application of clinical judgment to each individual presentation.This podcast should not be reproduced without the written permission of The Education Hub (education.hub@rch.org.au​).

CWTE: Junior medical staff

In this episode A/Prof Lionel Lubitz reflects on his experiences of mentoring and learning from junior medical staff during his 30 year career at The Royal Children's Hospital.Lionel is an experienced paediatrician having worked at the RCH for the past 30 years as a consultant general paediatrician. He was formerly deputy director in the Dept. of General Medicine at the Royal Children's Hospital and is an Associate Professor in the Dept. of Paediatrics, University of Melbourne. He is a revered educator and mentor. PODCAST DISCLAIMER:This podcast has been produced by The Education Hub, a collaboration between the Royal Children's Hospital and the University of Melbourne Department of Paediatrics.The producers have made considerable efforts to ensure the information contained in the podcast is accurate, evidence-based and up to date at the time of publication however t​he information and advice offered is intended as a guide only and does not replace the need for clinical expertise and the application of clinical judgment to each individual presentation.This podcast should not be reproduced without the written permission of The Education Hub (education.hub@rch.org.au​).

CWTE: Chronic fatigue

Chronic Fatigue Syndrome can be hard to define and hard to diagnose. A/Prof Lionel Lubitz shares his tips for overcoming these challenges and provides useful management strategies.Lionel is an experienced paediatrician having worked at the RCH for the past 30 years as a consultant general paediatrician. He was formerly deputy director in the Dept. of General Medicine at the Royal Children's Hospital and is an Associate Professor in the Dept. of Paediatrics, University of Melbourne. He is a revered educator and mentor. PODCAST DISCLAIMER:This podcast has been produced by The Education Hub, a collaboration between the Royal Children's Hospital and the University of Melbourne Department of Paediatrics.The producers have made considerable efforts to ensure the information contained in the podcast is accurate, evidence-based and up to date at the time of publication however t​he information and advice offered is intended as a guide only and does not replace the need for clinical expertise and the application of clinical judgment to each individual presentation.This podcast should not be reproduced without the written permission of The Education Hub (education.hub@rch.org.au​).