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© 2025 Home of Medicine with Dr Amie Burbridge and Dr Ben Lovell
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Home of Medicine Podcast | Challenging Medical Cases & Clinical Insights
Welcome to the Home of Medicine podcast, brought to you by EFIM Academy in partnership with the European Federation of Internal Medicine (EFIM). Hosted by Dr. Amie Burbridge and Dr. Ben Lovell, both experienced Consultants in Acute and General Medicine in the UK, this podcast delves into complex medical cases faced in Acute and General Medicine.
Each episode focuses on challenging clinical cases, with a particular emphasis on the impact of cognitive biases in medical decision-making. We also explore the latest clinical guidelines to keep you up-to-date with the most current practices in internal medicine.
Join us as we reflect on real-world cases, unpack critical thinking in medicine, and provide valuable insights for healthcare professionals navigating the fast-paced world of Acute and General Medicine.
Stay connected with EFIM Academy for more resources and continuing education at EFIM Academy.
70 Episodes
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When did we first feel like a real doctor? When we did form our professional identity and what helped guide this? We introduce FORDEC as an aide to decision making and there may also be an outtake or two. We love to hear from you, get in touch at a.burbridge@nhs.net Disclaimer: All patient stories discussed in Home of Medicine are anonymised. Identifiable details have been altered or omitted to protect patient confidentiality. The cases are shared for educational purposes only and...
This week we take you back to our first ever episode, nearly four years ago! We discuss headaches and how to differentiate between primary and secondary causes. This is where it all started!!! We love to hear from you. Get in touch at a.burbridge@nhs.net.
Ben presents a case of excessive yawning. What could it be? We reflect on the importance of history taking and how talking to people brings us so much joy. Get in touch at a.burbridge@nhs.net, we love to hear from you.
We revisit one of Ben's earliest episodes from 2022, when we discuss a case of a gentleman I reviewed who presented with shortness of breath. This is also our most listened to episode and highlights how Ben works through a case in the Emergency Department. Get in touch at a.burbridge@nhs.net. We love to hear from you
A young man presents with a sore throat and aching muscles - but what could be the cause? Ben and I dig into the possibilities, with Ben (of course) pulling out another gem from the depths of medical trivia: the Lacto-Bolo reflex. You’ll be both educated and entertained. Got thoughts or questions? We’d love to hear from you. Drop us a line at a.burbridge@nhs.net
Confusion in the older adult, must be a UTI? We discuss a frequent referral to the medical team and how we approach it. The importance of thorough clinical examination is highlighted. We reminisce on being foundation doctors and recap anchoring bias. Get in touch at a.burbridge@nhs.net, we love to hear from you
What happens when someone doubts your clinical ability and asks for a second opinion? Ben and I discuss a case of collapse and what to do next. Please subscribe and spread the word. Get in touch, we love to hear from you. a.burbridge@nhs.net
Is it ok to cancel an investigation that someone else has requested? Ben and I reflect on this as we analyse a case of shortness of breath and weight loss. What would you do in this situation? If you enjoy the episode, please share it with colleagues, and don’t forget to rate and review the podcast — it really helps others find us!
Does haemoptysis alarm you? In this episode, Ben solves the case of a gentleman presenting with haemoptysis and weight loss. We unpack how investigate and manage this case. Can you figure out the cause before Ben does? If you enjoy the episode, please share it with colleagues, and don’t forget to rate and review the podcast!
Ben and I are back with another fantastic episode, with my knowledge once again being tested by Ben. This is a very special episode all the way from a very sunny Florence. This is our very first live recording of the podcast with a studio audience, at the European Congress of Internal Medicine. We have audience participation, back pain, DOACs and as always we reflect on the all important clinical reasoning and why we do what we do! Please get in touch with any questions or feedbac...
Welcome back to the Home of Medicine. In this episode, Ben and I dive into the causes of headaches, uncovering an unexpected diagnosis that will keep you thinking. This fascinating internal medicine case is one you won’t want to miss. Plus, Ben takes a trip down memory lane, reminiscing about his medical school days, and we revisit the fundamentals with a quick discussion on clubbing. Have thoughts or cases to share? Email us at a.burbridge@nhs.net
Abdominal Pain – What Could It Be? In this episode of Home of Medicine, Ben and I dive into the complexities of abdominal pain—a symptom with countless potential causes. We explore the importance of history taking, the Framing Effect, and how cognitive biases can influence clinical decision-making. We also discuss the value of peer-to-peer consultant observations—could this improve patient care and professional growth? And, as always, we reflect on our own mistakes along the way! Got thoughts...
Chest Pain & a Critical Decision: Our Most Memorable Case Yet In this episode, Ben and I discuss a high-stakes Same Day Emergency Care Case—a patient presenting with chest pain and the critical decision I made that could have led to devastating consequences. This case has stayed with me, and we break down the challenges of clinical decision-making, the weight of responsibility in acute care, and the moments that shape us as medical professionals. Join us for an in-depth discussion on ches...
Seizures, Weakness & the Lumbar Puncture Debate – A Tough Emergency Case In this episode, Ben and I tackle a complex Emergency Department case—a patient presenting with seizures and left arm weakness. It’s a tricky scenario that sparks a key debate: Should we perform a lumbar puncture? We break down the decision-making process, discuss the challenges of diagnosing neurological conditions in Acute Medicine, and reflect on the bigger question: How is Acute Medicine Perceived? Join us ...
Navigating Challenging Conversations in Medicine We’re back for the second episode of Season 3! In this episode of Home of Medicine, Ben and I explore how to handle tough conversations in healthcare. Reflecting on navigating challenging consultations, Ben walks us through a case of fatigue: What happens when your patient doesn’t want to go home? What can you do if they insist on admission? Ben explains the HALT Criteria, and, as ever, Amie never stops learning with...
New year, new season! We are back with some great episodes for 2025. In this episode we reflect on a case of shoulder pain and how this has impacted the way that I practice every day. Ben has a light bulb moment! Get in touch a.burbridge@nhs.net or find us on Linkedin/Bluesky
In this episode Ben and I delve into fluid assessments during the acute take and how to manage hyponatraemia. We reflect on how to manage an ED admission with incidental finding of a low sodium level. How would you manage this? Did we do things right or wrong? Would you have done anything differently? For more clinical reasoning; https://www.efimacademy.org/login/index.php Get in touch at a.burbridge@nhs.net @amieburbridge @DrBenLovell
It's the middle of the night and a patient presents with seizures. What would you do and what could be causing this? Ben and I are baffled, can you figure out what is going on?........ For more clinical reasoning; https://www.efimacademy.org/login/index.php Get in touch at a.burbridge@nhs.net
Ben and I go back to our roots and discuss a patient who presented with a headache to the Same Day Emergency Care unit. Things aren't always as they seem. Can you guess what is going on before Ben? We discuss how bias affects our decision making, especially when we are tired. For more clinical reasoning; https://www.efimacademy.org/login/index.php Get in touch at a.burbridge@nhs.net
Ben and I reflect on the complexities of a case of lethargy and Immunotherapy. We discuss the importance of cross-speciality working and how we can learn so much from each other at work. ** I mistakenly say metastatic multiple melanoma, instead of metastatic melanoma at the beginning of the episode, apologies ** For more clinical reasoning; https://www.efimacademy.org/login/index.php Get in touch at a.burbridge@nhs.net
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Excellent podcast!