Category: IMG

Clerking Patients: A few tips

Here we assume you know the basics, and instead we focus on the common pitfalls with tips on how to be safe & well reasoned. Not all FY1s have the opportunity to clerk patients but the underlying principles are of great value if you’re doing an FY1-led ward round.Be ThoroughThe expectation is that you are

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Breaking Bad News

As a junior doctor, you will have face situations where you have to convey potentially distressing information, whether it is explaining a diagnosis or blood results to a patient or giving difficult news to relatives. Breaking bad news well is an essential communication skill which can strengthen the relationship between a patient and a doctor

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Audits & Quality Improvement Projects (QIPs)

Audits & QIPs are a way to identify issues, drive changes and assess the effects they have. It is your way of making improvements in your workplace, where you can assess the impact they have to see if they were worthwhile. It is easy to make a poster, provide education or tell people to do

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e-Portfolio

Your e-Portfolio is an online tool to gather and store evidence of progression throughout your time as a Foundation Doctor (FD). You can store clinical competencies, reflections on learning, interactions and any extra-curricula events or contributions that you feel demonstrate your progress in the Medical Career. The purpose of the e-portfolio is to demonstrate that

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Documentation

Medical documentation should authentically represent every consultation and is primarily intended to support patient care. Good record-keeping means you or a colleague can reconstruct key parts of each patient contact without relying on memory.  In an event of a complaint or clinical negligence claim, evidence in the clinical records will be largely considered. Key points

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Death Certification

After a patient has died you may be asked to complete the death certificate. It may be issued by a doctor who has provided care during the last illness and who has seen the deceased within 14 days of death (28 days in Northern Ireland) or after death although note that many of these rules

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Deteriorating Patient

The deteriorating patient is often the worst nightmare for new FY1s.  I remember when I started FY1, I was terrified of coming across a deteriorating patient whilst on call and having to manage them all alone. However, it is important to remember that although you will definitely come across deteriorating patients, help will always be

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Discussing Treatment Escalation & DNAR

As an FY1 you should not be expected to make decisions regarding treatment escalation and DNAR, but you may need to prompt seniors to consider them & explain these decisions to your patients and/or relatives. Definitions and abbreviations Do Not Attempt Resuscitation (DNAR/ DNA CPR) – this is a medical decision that states if a

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Leave

As an FY1 doctor, there are different types of leave you will come across during the year and the rest of your career. This article will talk about annual leave, study leave and sick leave. Annual leave As an FY1 Doctor, you are allowed 9 annual leave days per four-month rotation which is 27 days

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Venepuncture

Equipment Procedure Blood Cultures Very similar to basic venepuncture, however it is imperative that you maintain an aseptic non-touch technique in order to not contaminate the sample and lead to a false result! This could lead to patients being erroneously treated or lead to the hospital getting fined.Things to remember: Bloods from central lines Always

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