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Welcome to the University Hospital Care of the Medical Patient specialist block.
You will find that UHCW is very student friendly. Clinicians are generally keen to teach and you will be well supported by the admin team. There is no shortage of learning opportunities and interesting cases on the wards. You will, however, have to show initiative and be pro-active in organising your learning.
During your six week attachment you will be expected to attend clinics, ward rounds, Investigations and procedure sessions. You should embed yourself into each team that you are with in order to get the most out of the block. You have been learning medicine since day one at medical school so you should not feel that you have to cover all of the learning objectives within 6 weeks. Rather, you should build on your previous experience, fill in gaps and put your knowledge into practice. The programme is not meant to be prescriptive but it will hopefully give you a rounded experience of the elements of General Medicine that we deliver at University Hospital.
You will be provided with a structure within which to focus your learning, however you should focus on applying your knowledge through history taking, examination, forming management plans and performing OSLERS.
You should attend at least one outpatient clinic per week, one ward round per week and take advantage of the many learning opportunities that are available to you. A fuller list of the mandatory requirements for the block are listed on Moodle and in the block handbook.
A series of consultant led tutorials will be organised for you. A hard back version will be included in your Induction pack.
Additional Learning Opportunities:
There are a host of opportunities available to you.You will find that most consultants and specialist nurses are more than happy for you to attend their sessions.Please identify which sessions will be of most use to you and contact the relevant person early in your block to make arrangements for you to attend.
You will receive a full timetable of available learning opportunities at induction.
Cardiology – CCU and Ward 10
Respiratory – Ward 30/31
Gastroenterology – Ward 33
Endocrinology – Ward 1 / Diabetes Centre – Wisdem Centre
Elderly Care – Ward 20/21/40
Stroke – Ward 41
Oncology/ haematology – Ward 34/35
Echocardiography, ECGs, ambulatory monitoring, pulmonary function testing – Cardiac Investigation & respiratory Physiology (located in main outpatients).
Endoscopy/ Brochoscopy – Endoscopy Unit.
Specialist outpatient clinics – You will receive a timetable of these at induction.
We hope that you find the block enjoyable and intellectually stimulating. If you have any questions then please contact the undergraduate coordinator, Helen Perdue, the local Phase 3 lead (Dr Chris Harrold) or myself.
Here are some useful hints from your colleagues who have already completed the block which you may find useful:
Attend as many tutorials as possible as they were extremely useful!
Really integrate with the team on the ward you are based on. Even if your consultant is busy, get involved with the F1/F2's and registrars and get to know their jobs and help out in any way you can. Attending ward rounds, taking bloods, clerking etc are all really useful learning opportunities and practical exposure. Read around common things and learn your normal values for interpreting bloods/investigations!
When on the ward ask to review a patient as if you were an F1. Go through the notes and write a summary of their stay and then see the patient, examine them fully, and make a note of what you would do next in their management.
Be as interactive as possible in the wards because the more engaged you are, the more keen consultants and junior doctors are to teach you and watch you do examinations/ take histories/ take bloods from patients- the overall experience is better if you are more engaged
Go to everything.
Focus just on chronic conditions and make sure to do a lot of reading at home as it is a very heavy block. Don't expect to be able to cover all the material in six weeks as you'll only disappoint yourself.
Plan your week at the end of the previous week and be prepared to adjust slightly if things change unexpectedly. Offer to help summarise notes prior to ward rounds as it is a good learning experience in reading doctors' handwriting!
Use the learning outcomes to help guide you and start OSLER type practice with your clinical partners, as it’s a good block to have something different everyday
Dr Rajiv Nair
Lead for Care of the Medical Patient