Consultant

Acute Medicine Finishing School: Preparing for the next step

Training and Education, Volume 16, Issue 1, Pages 1 – 48 (2017)

The transition from registrar to consultant in medicine is one that trainees feel ill prepared for and can be extremely stressful. We devised the concept of an Acute Medicine “Finishing School” for senior trainees in London training programmes and ran sessions on CV writing, a simulated consultant interview, consultant job planning, responding to complaints and an out of hospital emergency scenario. Our feedback survey indicated that our delegates’ confidence levels in all of the above aspects increased following the sessions. Both formal and informal feedback highlighted the need and appetite for such a course. By ensuring trainees are trained and supported through this transition process, we can ensure the process is a less stressful one.

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No substitute for experience: do consultants that have been practising for longer lead faster post-take medical ward rounds?

Research Audit and Clinical Practice, Volume 12, Issue 3, Pages 125 - 184 (2013)

Abstract

Aim: To ascertain whether consultants that have been practising for longer lead faster post-take medical ward rounds.

Method: Single-centre observational study of nine consultant physicians at morning post-take medical ward rounds at a district general hospital in the North West of London.

Results: Data were gathered from 25 post-take medical ward rounds. Multivariate regression analysis revealed that less time is spent per patient when consultants have been practising for longer (p<0.01), or have spent more time on the specialist register (p<0.01), with no discernible relation to the outcomes for the patients seen. This time is further reduced when a greater number of patients are seen on the ward round. Conclusion: More experienced consultant physicians conduct faster post-take medical ward rounds.

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