Acute Medicine of the Elderly (AME/EAU4)

Consultants

(trust code)

Dr R W S Biram (RWSB)
Dr T Burton (TB)
Dr D R Forsyth (DRF)
Dr J L Hampton (JLH)
Dr C G Nicholl (CGN)
Dr M Vindlacheruvu (MV)
Dr S J Wallis (SJW)
Dr K J Wilson (KJW)

Summary

In AME there is 1 HO, 1 SHO, 1 Registrar and 1 Consultant. The HO spends approximately 8-‐10 weeks on the AME firm and 4-‐6weeks on “acute block” (clerking patients in Emergency Department) and remaining weeks can be as “service doctor” (providing support for other firms). ‘Normal days’ are scheduled from 0830 – 1800. You hand over any sick patients or jobs to the on-‐call (bleep 152 208) after 1800. Every week there is a different Consultant and Registrar, so you and the SHO will have to work together to be familiar with the patients. You can divide the ward amongst yourselves. It is an acute ward with a rapid turn-‐over; many patients are there for few days, however those that stay longer, it is mainly due to social issues. There is an extremely efficient team working together to ensure the patient is discharged with the appropriate support and care needs.

Important Weekly Meetings

• MDT meetings – Daily at 1400 (discuss patients’ medical/social issues and enable efficient discharge planning) • Friday DME meeting at 1300 – usually a presentation from a drug rep and opportunity to have decent lunch (sometimes curry is provided) A typical day • 0830 – Update the bloods of the new patients and update the list for post take ward round (consultant lead).

A Typical Day

On Monday the Consultant likes to see all patients, however this varies with consultant• s.
* It is a good idea to know your patients as it makes referrals/discharge easier, this will improve with time and sacrifice.
Establish good team work with your SHO, working together to order particular scans/tests during ward round. Split jobs between each other.
15.30 – chase blood results, updating them in blood result folder. Working with SHO, you can order and update bloods in a synchronized fashion.
1600 – Evening post take ward round of any new patients with registrar including consultant.
Before leaving (~1800) hand over jobs on oncall bleep 152 208.

Before you start (e.g. people to meet, preparation, etc.)

The department (e.g. location/layout, important places/things, etc.)

The speciality team (e.g. MDT, other hospitals/depts, team structure, consultants/SpRs/CTs/other, etc.)

The typical rotation (e.g. acute block, ward block, annual/study leave, etc.)

The typical week (e.g. meetings, MDTs, clinics, theatres, teaching, etc.)

The typical day (e.g. timetable, patient list, ward round, jobs, handover, dos & don'ts, etc.)

The typical patient (common cases/workup/investigations/surgical/medical issues/differential diagnoses/management plans)

Admission/discharge/patient turnover (e.g. routes of admission, admission clerking, typical patient stay, turnover, discharge issues, social, hospital@home, follow-up, etc.)

Common jobs and how to do them

Patient responsibility (e.g. senior support, handover, out of hours)

Useful telephone numbers/bleeps (seniors, juniors, other departments/hospitals)

Money, pay, rotas and work/life balance

Definitions/glossary

Important learning tools (e.g. resources, papers, books, seniors, hospital policies)

Other important information (top tips, the reality, what you wish you'd known)

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Table of Contents

Acute Medicine of the Elderly (AME/EAU4)

Consultants

Summary

Important Weekly Meetings

A Typical Day

Before you start (e.g. people to meet, preparation, etc.)

The department (e.g. location/layout, important places/things, etc.)

The speciality team (e.g. MDT, other hospitals/depts, team structure, consultants/SpRs/CTs/other, etc.)

The typical rotation (e.g. acute block, ward block, annual/study leave, etc.)

The typical week (e.g. meetings, MDTs, clinics, theatres, teaching, etc.)

The typical day (e.g. timetable, patient list, ward round, jobs, handover, dos & don'ts, etc.)

The typical patient (common cases/workup/investigations/surgical/medical issues/differential diagnoses/management plans)

Admission/discharge/patient turnover (e.g. routes of admission, admission clerking, typical patient stay, turnover, discharge issues, social, hospital@home, follow-up, etc.)

Common jobs and how to do them

Patient responsibility (e.g. senior support, handover, out of hours)

Useful telephone numbers/bleeps (seniors, juniors, other departments/hospitals)

Money, pay, rotas and work/life balance

Definitions/glossary

Important learning tools (e.g. resources, papers, books, seniors, hospital policies)

Other important information (top tips, the reality, what you wish you'd known)

WikiFY

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Sidebar

Navigation

External Links

Table of Contents

Acute Medicine of the Elderly (AME/EAU4)

Consultants

Summary

Important Weekly Meetings

A Typical Day

Before you start (e.g. people to meet, preparation, etc.)

The department (e.g. location/layout, important places/things, etc.)

The speciality team (e.g. MDT, other hospitals/depts, team structure, consultants/SpRs/CTs/other, etc.)

The typical rotation (e.g. acute block, ward block, annual/study leave, etc.)

The typical week (e.g. meetings, MDTs, clinics, theatres, teaching, etc.)

The typical day (e.g. timetable, patient list, ward round, jobs, handover, dos & don'ts, etc.)

The typical patient (common cases/workup/investigations/surgical/medical issues/differential diagnoses/management plans)

Admission/discharge/patient turnover (e.g. routes of admission, admission clerking, typical patient stay, turnover, discharge issues, social, hospital@home, follow-up, etc.)

Common jobs and how to do them

Patient responsibility (e.g. senior support, handover, out of hours)

Useful telephone numbers/bleeps (seniors, juniors, other departments/hospitals)

Money, pay, rotas and work/life balance

Definitions/glossary

Important learning tools (e.g. resources, papers, books, seniors, hospital policies)

Other important information (top tips, the reality, what you wish you'd known)

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