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Showing posts from August, 2019

How to clerk medial patients safely and efficiently

This blog post is for medical doctors and other allied health professionals who clerk patients. I am going to go through some basics first. What is clerking? This is a process whereby patients admitted under the medical specialty are seen by a junior member of the team and then the patient is seen by a consultant ( known as post take). There is a special clerking proforma which has the following sections: 1. Clerking doctors details: Name, role, GMC number, signature, Time and date 2. Presenting complaint and history of presenting complaint. 3. Past medical history 4. Social history *SMOKING - Smoker/ex smoker/non smoker -How much does/did (s)he smoke a day - If nicotine replacement therapy has been advised - if the patient has accepted/declined it *ALCOHOL -How many units a week - High/low risk? *Social circumstances - Whether (s)he lives alone - Any carers - if yes, how many times a day - Dependence level with activities of daily living ( whether needs assistance with washing, dr...

My first week as a medical registrar ( ward and nights)

I have started as a ST3 trainee registrar in acute internal medicine (AIM) in Scarborough General Hospital. WARD DAY 1 AND 2 I had 2 days of induction whereby the local protocols were explained and I got my ID badge and car park pass. Although I worked as a core medical trainee year 2 in York Hospital ( which is the same trust and has the same system), some things were a bit different and it is always useful to attend induction for this purpose. DAY 3 I have been placed in respiratory for 6 months as part of my AIM training. The respiratory ward is shared with diabetes and endocrinology patients as well. On my first day ( which was the 9th of August - 7th and 8th were induction days), I arrived on the ward an hour early and introduced myself to the nursing team, ward clerks and discharge coordinator. The first thing as a doctor is that you want to make sure that there are no sick patients who need your immediate attention...

My experience of relocating ( 2019)

This is my experience of relocating from a 2 bedroom furnished apartment to a 2 bed unfurnished apartment. This move was different than my previous 2 moves in the UK because of the following reasons: 1. I was moving into an unfurnished apartment. 2. I had a toddler, who like all toddlers is very active. 3. I did not have a lot of time. Despite searching on the usual websites (rightmove, primelocation, onthemarket, facebook marketplace, spareroom, etc) and viewing around 20 apartments, my wife and I could not find anything suitable. We finally managed to find a suitable accommodation on the 11th of July, 3 weeks before my new job was due to start. Unfortunately, because of delays in clearance from the landlord and then I was on nights , the agency handed the keys over to us on the 2nd of August. Given that it was unfurnished, we had to get out own furniture. We visited IKEA a good few weeks in advance and had already shortlisted items we needed and had saved the links for ...