Ahmed

I am currently working in acute internal medicine as a specialty registrar and I am thoroughly enjoying my training. When I came to the UK, I wanted to do gastroenterology. In core medical training (CMT) year 1, I wanted to do respiratory and then in CMT year 2, I wanted to do renal. I changed my mind again as I found the acute elderly unit a joy to work in . I ended up applying for acute internal medicine (AIM) and geriatrics, got selected in both in my deanery of choice and ended up taking acute internal medicine. Everyone has their reasons of why they choose a particular specialty. Some reasons seem completely stupid and some tend to stick in other peoples' head paving their way to the same specialty. Before you read this, please remember that every specialty has its own charm. Also read this blog: https://omarsguidelines.blogspot.com/2018/12/what-is-best-specialty-for-me.html Here are some of my reasons: 1. THE ACUTE PART OF AIM: I came to the UK in January, 2016 and was pu...

Given the pandemic and how it has affected almost every organization and person in the country, I thought it is best to share my experience here as a separate post.  This is my 4th year in the UK and I have rented the following accommodations: From Jan, 2016 to July,2017 - 3 bed house as hospital accommodation in Slough (non training SHO post) From August, 2017 to July, 2018 - 2 bed furnished apartment in Harrogate via estate agents ( core medical training year 1): https://www.rightmove.co.uk/property-to-rent/property-60004801.html?utm_source=sendtofriend&utm_medium=email&utm_campaign=letting From August 2018 to July 2019 - 2 bed furnished apartment in York via estate agents (core medical training year 2) https://www.martinco.com/property/to-rent/339844 From August 2019 to July, 2020 - 2 bed unfurnished apartment in Scarborough via estate agents (ST3 post in acute internal medicine). Link not available   August,2020 to 2021- 3 bed unfurnished house in Beve...

I am going to share my experience of management of common emergencies I see on the acute take. This is no way an official guideline and is just my experience. Please refer to your local guidelines and always escalate if you are not sure. Read the national NICE guidance here: https://www.nice.org.uk/ Other useful websites:   http://www.bcs.com/pages/default.asp https://www.escardio.org/ https://www.gov.uk/guidance/cardiovascular-disorders-assessing-fitness-to-drive ACS: This may be STEMI/NSTEMI Every trust has its own guidelines so please follow them when it comes to this. Tips: Learn basic interpretation of ECGs here: https://litfl.com/ecg-library/ Patients with a new left bundle branch block, ST elevation/depression, T wave changes, dynamic ECG changes, active chest pain who are high risk need to be discussed with the PPCI center. There might be other criteria as well and follow your local guidelines. Learn your local protocols ASAP. Whatever they are, ALWAYS call the PPCI ...

I am going to share my experience of working in ambulatory care.  Please note that each trust has its own pathways, guidelines and which patients are acceptable for the ambulatory pathway.  The team- This varies from trust to trust and how big the ambulatory care unit is.  1. HCA who can do cannulas, bloods, ECGs.  2. Nurse who runs ambulatory care unit.  3. ACP - This stands for advanced clinical practioner.  Their role is explained here:  https://www.nhsemployers.org/your-workforce/plan/workforce-supply/education-and-training/advanced-clinical-practice 4. SHO  5. Registrar 6. Consultant.  Some units have additional team members like: 1. Occupational therapists  2. Physiotherapists  These are mainly in Elderly ambulatory units.  The process of admission to the ambulatory unit varies from trust to trust. In some trusts, the consultant takes phone calls from ED, GPs and outpatient clinics to accept patients....