| Contents | 5 |
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| Introduction | 9 |
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| Acknowledgements | 11 |
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| A Brief History of the National Health Service | 12 |
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| Modern National Health Service Trusts | 14 |
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| Applying for Pre-registration House Officer Posts | 16 |
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| The Pre-registration House Officer Is in Danger of Extinction… and What Will Replace It? | 16 |
| Foundation Schemes | 17 |
| Teaching Hospital or District General Hospital? | 18 |
| Matching Schemes: Job or No Job? | 20 |
| Finding a Vacant Post | 20 |
| Applying for a Post | 21 |
| Interviews | 22 |
| Surviving the Pre-registration House Officer Post | 24 |
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| Introduction | 24 |
| Prioritising the Working Day | 24 |
| To Take Away Sheets | 24 |
| Note Keeping | 26 |
| Medical Notes and Medical Records | 26 |
| Radiographs and the Film Library | 27 |
| Equipment | 28 |
| Pre-admission Clinics | 28 |
| Out-patient Clinics | 29 |
| Admitting, Discharging and Transferring Patients | 29 |
| Ward Layout/Putting Things Back | 31 |
| Consent | 32 |
| Performing Procedures | 33 |
| How to Deal with the Death of Your Patient | 35 |
| Death Certificates | 37 |
| Cremation Forms | 37 |
| The Coroner and Post-mortems | 38 |
| Dress Code and Personal Hygiene | 38 |
| The Team | 44 |
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| The Department | 44 |
| The Firm | 44 |
| Your Consultant: Keeping Them Happy | 48 |
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| Roles and Responsibilities of the Boss | 48 |
| Staffing: Permanent Staff Versus Fluid Staff | 48 |
| What Does Your Consultant Need from Their Pre- Registration House Officer? | 49 |
| Why Your Consultant Does Not Know Your Name | 50 |
| What You Can Do to Ease the Pressure | 50 |
| Nurses | 52 |
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| What to Say/Not to Say | 52 |
| Ten Things Doctors Do That Nurses Hate | 54 |
| Ten Things Nurses Do That Doctors Hate | 55 |
| Giving Instructions | 56 |
| Relationships with Nursing Staff and Allied Health Professionals | 57 |
| Radiologists and Radiographers | 60 |
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| Requesting Investigations: Urgent Versus Non-urgent | 60 |
| Radiological Procedures: What Information Is Required and What to Do | 62 |
| Specialist Radiology | 63 |
| Therapists and Professionals Allied to Medicine | 66 |
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| Physiotherapists | 66 |
| Occupational Therapists | 67 |
| Speech and Language Therapists | 67 |
| Dieticians | 67 |
| Referring and Requesting | 70 |
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| Why Refer? | 70 |
| Types of Referral | 71 |
| Refer to Whom? | 71 |
| The ‘Art’ | 72 |
| Clinics | 76 |
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| Out-patient Clinics | 76 |
| Fracture Clinics | 76 |
| Pre-admission/Pre-assessment Clinics | 77 |
| The Operating Theatre | 78 |
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| Getting to Know the Staff | 78 |
| Learning Anatomy | 79 |
| Dos | 79 |
| Don’ts | 80 |
| Laboratory Investigations | 82 |
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| Getting Registered and Applying for Senior House Office Posts | 84 |
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| Clinical Tutor | 84 |
| General Medical Council Registration | 84 |
| Rotations | 85 |
| Stand Alones | 86 |
| Location | 86 |
| Where Is the Dole Of.ce? | 87 |
| Getting on in Your Senior House Officer Post | 88 |
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| What Is Expected of You | 88 |
| Writing Police Statements | 89 |
| Going to Court | 91 |
| When Patients Are Mismanaged | 92 |
| Locum Posts | 93 |
| Postgraduate Examinations: Member of the Royal College of Surgeons/ Member of the Royal College of Physicians | 96 |
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| Study Leave | 96 |
| Examination Structure | 97 |
| Courses | 98 |
| Clinical Governance | 100 |
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| Audit | 104 |
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| The Audit Cycle | 104 |
| A Break from the Norm… | 106 |
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| Taking Time Off: How to Go About It | 106 |
| Taking Time Off: Applying for Deferred Entry | 108 |
| Taking Time Off: Before You Go | 108 |
| An Unusual Career | 109 |
| What If Medicine Is Not for You? | 111 |
| Index | 114 |