Katie Honney obtained her MBBS BSc (Hons) at University College London. She completed her foundation and core training in the eastern deanery and is currently working at the Queen Elizabeth Hospital, King’s Lynn, as a specialty registrar in geriatric medicine.
On the 24th June 2016 the inaugural BGS Eastern Region Geriatric SpR Research & Audit Presentation Day took place at NAPP Pharmaceuticals, Cambridge Science Park. The wealth of excellent research and audit work conducted by trainees within the region prompted the need for an opportunity in which this work could be shared among colleagues.
The day commenced with an informative presentation from Prof John Potter relating to blood pressure control and cognitive function. Prof. Potter told the audience about the rising prevalence of hypertension with age, as well as discussing how cognitive impairment is associated with the extremes of blood pressure. Dr Sarah Hopkins (Geriatric Medicine SpR, Addenbrooke’s Hospital) followed with a thought provoking presentation of her audit considering the importance of DNACPR discussions and the factors affecting whether they were had in a timely manner (predominantly lack of time!). Three Cambridge Medical School students presented Quality Improvement Projects pertaining to stroke research that they had completed under the guidance of Dr Nick Evans (Clinical Research Fellow in Stroke Medicine). Their work highlighted how long term cardiac monitoring with implantable loop recorders has helped aid AF detection in cryptogenic stroke and has identified age as being a factor independently associated with developing AF.
After lunch Dr Max Yates (Arthritis Research UK Clinical Research Fellow, Rheumatology SpR) delivered a stimulating presentation on retinal vascular morphology in giant cell arteritis and gave some very helpful clinical guidance for managing older patients presenting with the condition. Dr Isuru Induruwa (ST4 Geriatrics/ACF Stroke Medicine) followed Dr Yates with a topical discussion and presentation of his work on optimising stroke prevention in AF and frailty. His talk highlighted that anticoagulation prescription rates are around 55% within the eastern region and that being judged to be frail negatively impacts on anticoagulation prescribing. Dr Induruwa emphasised the need for further work determining whether explicit frailty measurements can add another dimension to making anticoagulation decisions in older people.
The day ended with another topical and thought provoking research presentation from Dr Nick Evans (Clinical Research Fellow) relating to the multimodal imaging of carotid atheroma in stroke. His work established how non-invasive metabolic vascular imaging using PET can identify important pathological mechanisms in atheroma destabilisation in vivo and how detection of these different components of the atherosclerotic process has provided fresh insight into how inflammation influences stroke severity and subsequent recovery.
The day was very well attended by consultant geriatricians, consultant stroke physicians and geriatric medicine registrars from around the region. The feedback was extremely positive and we hope to make this an annual event open to those both within and beyond the borders of East Anglia!