About to start the Foundation Programme?Making the transition from medical school to professional life? The Hands-on Guide to the Foundation Programme, Fifth Edition is a practical guide for medical students and foundation doctors, dealing with the many challenges of the programme. With hints, tips and realistic advice on various aspects of the course, from self-care to prescribing, this guide provides invaluable support, with up-to-date information on postgraduate training and recruitment, practical management skills and career pathways to help build confidence, enabling you to hit the ground running. This edition features newly expanded sections on emergencies, psychiatric evaluation, the Situational Judgement Test, and the common calls and conditions you will encounter on a daily basis. The Hands-on Guide to the Foundation Programme is a perfect companion to assist the junior doctor in preparing for the intellectual and emotional challenges of the foundation years.Take the stress out of the Foundation Programme with The Hands-on Guide!
Autorentext
Anna Donald, late of Bazian Ltd, London
Michael Stein is Chief Medical Officer, Map of Medicine, London, and Medical Advisor, Hearst Business Media, Hearst Corporation, New York
Ciaran Scott Hill is Neurosurgery Registrar, The Royal London Hospital, Honorary Senior Lecture in Neuroscience, Univesity College London, and Prehospital Care Physician, London Air Ambulance
Selina Chavda is NIHR Academic Clinical Fellow in Haemato-Oncology, The Royal Marsden NHS Foundation Trust and the Institute of Cancer Research
Zusammenfassung
About to start the Foundation Programme?
Making the transition from medical school to professional life?
The Hands-on Guide to the Foundation Programme, Fifth Edition is a practical guide for medical students and foundation doctors, dealing with the many challenges of the programme. With hints, tips and realistic advice on various aspects of the course, from self-care to prescribing, this guide provides invaluable support, with up-to-date information on postgraduate training and recruitment, practical management skills and career pathways to help build confidence, enabling you to hit the ground running.
This edition features newly expanded sections on emergencies, psychiatric evaluation, the Situational Judgement Test, and the common calls and conditions you will encounter on a daily basis. The Hands-on Guide to the Foundation Programme is a perfect companion to assist the junior doctor in preparing for the intellectual and emotional challenges of the foundation years.
Take the stress out of the Foundation Programme with The Hands-on Guide!
Inhalt
Introduction xiii
How to use this book xiv
Acknowledgements xv
Abbreviations xvi
1 Starting up 1
Panic? 1
People to help you 1
Three basic tips 2
Other useful start-up information 2
Dress 2
Equipment 3
Geography 4
Ward rounds 4
Social rounds 5
Night rounds 5
Discharging patients 6
Work environment 6
Bibliography 6
2 Getting Organized or 'The Folder' 8
Personal folder and the lists 8
How to make a personal folder 8
Keeping track of patients (List 1) 10
List of things to do (List 2) 10
Results sheet (List 3) 10
Data protection and confidentiality 11
3 Paperwork and electronic medical records 12
Patient notes 12
Incident forms 13
Blood forms and requesting bloods tests 14
Discharge summaries (TTO/TTA) 15
Handovers 16
Referral letters 17
Self-discharge 17
Sick notes 17
4 Accident and emergency 19
General advice 19
Admitting and allocating patients 20
Keeping track of patients 21
Medicine 21
Medical and surgical assessment units 22
Fast-track patients 22
5 Becoming a better doctor 23
Foundation Programmes (United Kingdom) 23
Academic Foundation
Programmes 24
Assessments 24
Situational judgement tests 25
Moving on from the Foundation Programme 26
Information technology 26
The internet 27
Online medical databases 27
Keeping up with the literature 28
Evidence-based medicine 28
Clinical audit 29
Quality improvement projects 30
Case reports 30
Courses 30
Professionalism 31
Communication 31
Consultants and senior registrars 32
GPs 32
Nurses 33
Patients 34
Patients' families 35
Confidentiality 36
Exceptions to keeping confidentiality 36
References 36
6 Emergencies 37
Acute coronary syndrome 37
Stroke 37
DVT and PE 40
Haematemesis 40
Acute asthma 41
Life-threatening asthma 42
Acute severe asthma 42
Brittle asthma 42
Acute pneumothorax 42
Anaphylaxis 43
Meningitis 43
Collapse or reduced mobility 45
Overdose 45
In general 46
Treating the patient 46
Surgery 48
7 Cardiac arrests and crash calls 49
Cardiac arrest calls 49
'Do not resuscitate' orders 52
8 Common calls 54
How to use this section 56
Considerations for all ward calls 56
Abdominal pain 57
Differential diagnoses 57
Anaemia 58
Arrhythmia 60
Calcium 62
Hypercalcaemia 64
Hypocalcaemia 64
Chest pain 65
Confusion 66
Differential diagnoses 66
Constipation 68
Differential diagnoses 68
Diarrhoea 69
Differential diagnoses 69
Electrocardiograms 70
Important ECG abnormalities to recognize 74
Eye complaints 74
The acute red eye 74
Sudden loss of vision in one or both eyes 75
Floaters 75
Falls 75
Differential diagnoses 75
Fever 76
Differential diagnosis 77
The immunocompromised patient with fever 78
Fits 78
Differential diagnoses 78<...