This post is split into 3 months Ambulatory Medicine (see below) and 3 months Medicine (see medicine in hospital rotations).
Working with a variety of Medical Consultants. Daily review of day hospital patients. Regular review of patients on emergency assessment unit (EAU). Daily rapid access clinic patients referred from GPs. Clerking of new ambulatory referrals.
This is an acute medicine job managing patients who need secondary care investigations and treatment but don't need admission to a hospital bed. You will clerk new referrals from GPs and sometimes from ED. Patients return over a number of days for further tests and treatments so it's a bit like having a virtual ward. There are also follow-up reviews of patients recently discharged from the wards and EAU.
The evening shifts in EAU are clerking on the medical take.
The weekend shifts are primarily based on the medical wards. There will be a list of patients needing more senior review over the weekend. You will also support the F1 covering the wards. If time allows you will also clerk on EAU.
Rowan Ambulatory Unit
The Horton General Hospital, Banbury
Normal working days of 8 hours with varied start times between 8am and 11am and varied finish times between 4pm and 7pm. Start and finish times are agreed together with the team - you are a constant member of the team and so are in charge of coordinating the weekly rota.
One late shift (5-10pm) on EAU per week (1 in 5).
Weekend ward cover 9am-7pm on one in five rota.
When needed liaise closely with radiology, cardiac investigations and specialist consultants. This can ensure better outcomes for patients, avoid admissions and also give you lots of advice and tips about managing cases.
This was a very busy job but it was also good fun and I learnt a lot. Many of the cases are just beyond the management options of primary care so it's still very relevant for GP training and helps you to see things which could have been done differently or earlier which might have avoided the need to refer to secondary care.
There is always consultant cover but you have the opportunity to work very independently forming management plans and discharging patients so it’s really important to be confident but also to know your limitations.
The details are correct at the time of writing but are subject to change.