Volume 24, Issue 3, Pages 109 – 148 (2025)

Procalcitonin use in Acute Medicine in the United Kingdom: a survey of practice, barriers and facilitators

Introduction: Use of procalcitonin (PCT) across Acute Medical Units (AMUs) in the United Kingdom (UK) post-COVID-19 is not well understood. We aim to explore clinician knowledge and behaviours relating to PCT-guided antimicrobial decision making for patients managed in NHS AMUs across the UK.Methods: A web-based survey was sent via email to members of the Society...

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What does a job in Acute Medicine look like? Insights from the RCP 2023 Workforce Census

Acute Internal Medicine (AIM) is a dynamic specialty that addresses the urgent medical needs of adult patients. This study analyses data from the RCP 2023 workforce census to understand for the first time how Acute Physicians allocate their clinical working time across key service areas. Results reveal that the majority of AIM consultants focus on...

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Embedding penicillinde-labelling in the AMU: a feasibility and safety pilot study with exploratory economic and environmental analysis

Background: Penicillin allergy labels affect 6-10% of the UK population, yet over 95% are inaccurate. These labels drive unnecessary broad-spectrum antibiotic use, antimicrobial resistance, healthcare costs, adverse patient outcomes and carbon emissions.Methods: This pilot study embedded a penicillin allergy de-labelling (PADL) clinic within an Acute Medical Unit, using a direct oral amoxicillin challenge for patients...

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‘Not All Swellings Are Angioedema’ – An Overview And Systematic Approach For Acute Medical Physicians

Angioedema refers to a localised area of swelling affecting the subcutaneous and submucosal tissues due to release of vasoactive peptides, such as histamine or bradykinin. Despite being a relatively common presentation in the emergency room, the diagnosis can present a challenge to many healthcare professionals. Several conditions presenting with muco-cutaneous swellings may be misdiagnosed as...

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The experiences of international medical graduates (IMGs) new to the NHS: an interpretive phenomenological analysis

Introduction: International Medical Graduates (IMGs) comprise a large portion of the NHS workforce and within Acute Medicine. There is little research exploring the lived experiences of IMGs in the context of their own socio-cultural background and past experiences. This study aimed to explore these experiences.Methods: Semi-structured interviews were conducted with 6 IMGs in a university...

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Editorial – Differential attainment in training in the United Kingdom

The current issue of the journal includes an article providing unique insight into the experiences of international medical graduates (IMGs) new to the NHS, offering a unique perspective on their views, feelings and struggles. An important, connected and often underestimated matter is the thorny issue of differential attainment, and how it affects and blights IMGs’

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