Volume 17, Issue 2, Pages 57 – 116 (2018)

HIV testing in Acute Care

Guest Editorial, Volume 17, Issue 2, Pages 57 – 116 (2018)

Readers may be aware of the need to improve uptake of HIV testing in health care-settings to reduce the number of individuals with undiagnosed infection who later present with advanced disease. Late presentation of HIV infection is associated with a poorer immune response to antiretroviral therapy, an increased morbidity and mortality with a resultant higher cost burden to health-care services. Individuals with undiagnosed HIV infection who inadvertently transmit their infection to others are thought to be responsible for more than half of new HIV infections in the USA.

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Getting information across the acute medicine and primary care interface – steps in the right direction

Guest Editorial, Volume 17, Issue 2, Pages 57 – 116 (2018)

In the acute care pathway, patients often need to move from home to hospital and for the majority, back again. This movement across care interfaces ensures that assessments and interventions are delivered to reduce risk of harm and enhance recovery. However, information needs to move across interfaces too, which enables the clinician taking over care to understand the problem, what has been done and what remains to be done. This is as important for the journey into hospital as it is for the journey home again and is highlighted in the forthcoming NICE guidance on Emergency and Acute Medical Care.

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Is the AIM curriculum, for higher specialty training, fit for purpose? – response

Correspondence, Volume 17, Issue 2, Pages 57 – 116 (2018)

I read the article, ‘Is the AIM curriculum, for higher specialty training, fit for purpose’ with interest.
However, I disagree with the author on a number of points. First, a curriculum is ‘everything that happens in relation to an educational programme’, not a document setting out intentions and expectations.

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Shaping the future of Acute Medical training

Correspondence, Volume 17, Issue 2, Pages 57 – 116 (2018)

I read with interest the Viewpoint article by Dr Chadwick regarding the future of Acute Internal Medicine (AIM) training, particularly the development of Capabilities in Practice (CiPs) and their potential to promote a greater identity within the specialty training. Dr Chadwick highlights the struggle we face in asserting why our specialty is so vibrant and vital. In my experience, Acute Internal Medicine training suffers from an identity crisis whereby the specialty is seen as being permanently on call, with trainees working more shifts as the Duty Medical Registrar (DMR) than on other specialty training programs, without the variability of outpatient and skill-based training. Indeed, the recent Joint Royal Colleges of Physicians Training Board (JRCPTB) statement regarding quality criteria for GIM/AIM Registrars appears to regard the role of the AIM registrar as that of the DMR rather than a specialist in their own field.

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Editorial Volume 17 Issue 2

Editorials, Volume 17, Issue 2, Pages 57 – 116 (2018)

As those working in Acute Medicine gather at SAMsterDAM2, the spring conference of the Society for Acute Medicine, the growth, reputation and global representation of the specialty continues to grow. Alongside, the traditional strongholds of the UK, Ireland, Netherlands, Denmark and Australia growth in Asia continues with an AMU now established in Pakistan among other countries.

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