Acute General Medicine FY1
Wessexshire Trust, John Doe Hospital
Main Handover Paragraph:
Normal day is 9-5. Meet for handover in Doctors Mess on Level 3, by the canteen. Usually ward rounds are in the morning and jobs in the afternoon. You are responsible for anywhere between 5 - 50 patients at a time along with an SHO, SpR and Consultant. Evening on-calls are either medical take, AGM + medical outliers ward cover or CMU ward cover.
On nights you are medical ward cover (not EAU and not medical take).
On weekend you either cover EAU, the short stay medical wards (5A, 5B, 5E-F) or outliers throughout the hospital.
Average number of:
Hours worked per week: 45 hours
Night shifts: 1 set of nights per 6 weeks on average
On-calls: 1 on call per week but very variable
Weekends: 1 weekend per month on average
How is SDT allocated? Mostly half-days. Occasional full day.
Team Structure: 1 FY1, 1 SHO, 1 SpR and 1 Consultant
Who do you escalate clinical concerns to? SHO --> SpR --> Consultant
Training/portfolio opportunities: Lots of training opportunities throughout
Common prescriptions: Laxido, Paracetamol and much more - utilise the intranet Medicine Information Leaflets, the BNF and Microguide.
Tips and Tricks:
- Make sure to prioritise tasks appropriately.
- Time management is key, especially after a take day.
- Be familiar and confident about ECGs and CXRs as you will see and need to interpret a lot of these during the rotation.