Acute Physicians

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

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

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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Guest Editorial – Bad NEWS: standing still is risky for patients admitted to hospital (even with normal vital signs)

Volume 22, Issue 3, Pages 109 – 168 (2023)

Acute Physicians care for acutely unwell patients. Recognising and prioritising those at greatest risk of death is therefore at the heart of our specialty. The risk of catastrophic deterioration in the Acute Medical Unit is usually quantified through the measurement of vital signs. These are being summarised into the National Early Warning Score or similar instruments. Those with higher Early Warning Scores are usually prioritised by clinicians in and out of hospital1,2 and being seen before those with lower grades of abnormalities and preferably assessed by a more senior clinician.

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Following National Guidelines in Acute Care can improve emergency access and patient flow

Original Articles, Volume 9, Issue 3, Pages 97 - 148 (2010)

Abstract

This paper describes how a Foundation Trust was able to meet emergency access targets. The Acute Medical Unit (AMU) was expanded from 29 to 81 beds and patients with expected length of stay (LOS) of less than 5 days were managed by the acute medical team only. Acute physicians provided twice-daily ward rounds on the expanded facility, including weekends, supported by specialist teams, allied healthcare professionals and investigation facilities. Within three weeks, the admission process had improved dramatically. Average LOS had decreased by 1.3 days and bed-occupancy was reduced from 98% to 91%. Having failed to achieve the 98% target for 4 consecutive months prior to these changes, the target was subsequently attained consistently. Re-admission rates, percentage mortality rate and numbers of complaints were unaffected.

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