The update conference is designed to provide valuable updates on relevant topics, while also giving the opportunity to meet with the president of the Royal College of Physicians who will host an ‘open forum’ session.ProgrammeTopics to be covered at this conference include:diagnosis and management of thyroid diseasessepsis update ICU – who benefits and at what cost to the patient?Turner-Warwick lecture Hepatitis Cinherited cardiac disease on the acute medical takefaecal microbiota transplant rheumatology in the emergency room.