Trainee Section

Trainee Section

Acute Internal Medicine Trainee Survey 2017

Trainee Section, Volume 18, Issue 1, Pages 1 – 60 (2019)

Introduction: Survey to ascertain views of Acute Internal Medicine trainees regarding their training programme.

Methods: Online survey circulated to higher specialty trainees (HSTs) via the Society of Acute Medicine (SAM), Training programme Directors (TPDs) and social media platforms.

Results: A total of 57 trainees participated in the survey; 43.86% trainees are either ‘happy’ or ‘very happy’ with their training, 10.53% are ‘quite unhappy’ with their training. Trainees enjoy the variety of workload and the variety of specialist exposure.

Discussion: The number of trainees who responded to this years survey was significantly lower than the previous two years. Perhaps this is because trainees feel that there is a lack of change/improvement over time and hence do not feel the need to participate in such a survey.

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Trainee Report, Spring 2016

Trainee Section, Volume 15, Issue 1, Pages 1 - 48 (2016)

takeAIM update

Acute Medical registrars across the country have continued to drive the enthusiasm to Take AIM! Following the success of the first national takeAIM conference in Manchester in November, the takeAIM fellows are organising regional conferences to drum up interest. The first of these conferences was held in London on February 25th, followed by conferences in Bristol, Bradford, Birmingham, Durham and Newcastle. We are looking forward to an exciting program of clinical updates from specialists followed by break out groups where interested trainees can engage with current AIM trainees to talk about AIM as a career and the opportunities to broaden their clinical practice through specialist skills. Further details on the different projects under development can be found on the takeAIM website (takeaim.org.uk). If you would like to run a session in your area or have any careers events, please contact the takeAIM team and they can help you with materials and assistance!

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‘Non Surgical’ jaundice- how to manage on the medical take

Trainee Section, Volume 14, Issue 4, Pages 145 - 196 (2015)

Malignancy and alcoholic hepatitis are cited as the most common causes of jaundice seen in secondary care. A patient with non-alcohol related jaundice, however, may require extensive investigations and early involvement of specialists. This article utilises a case presenting to the Acute Medical Unit, (AMU) to illustrate the importance of a careful and systematic assessment of non-alcoholic related jaundice.

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Ambulatory Outpatient Management of patients with low risk febrile neutropaenia

Trainee Section, Volume 14, Issue 4, Pages 145 - 196 (2015)

Patients with febrile neutropenia are a heterogeneous group with only a minority developing significant medical complications. Scoring systems, such as the Multinational Association for Supportive Care in Cancer (MASCC) score, have been developed and validated to identify low risk patients. Caring for patients with low risk febrile neutropenia in an ambulatory setting is proven to be safe and effective. Benefits include admission avoidance, cost savings and reduced risk of nosocomial infections, as well as improved patient experience and satisfaction. Implementation of an ambulatory pathway for low risk febrile neutropenia provides an excellent opportunity for Acute Physicians and Oncologists to collaborate in delivering care for this group of patients.

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Trainee Report Winter 2015

Trainee Section, Volume 14, Issue 4, Pages 145 - 196 (2015)

You will hopefully be aware that the first national takeAIM conference was run in Manchester on Saturday November 14th. It was attended by around 150 Foundation and Core trainees who had a morning of lectures followed by an afternoon of small group workshops, all for only £50. Feedback was very positive and will be used to shape future takeAIM events. These are likely to include regional and/or national conferences, alongside teaching workshops and possibly simulation events. For further information or to contact the fellows, please tweet (@take__AIM – remember there’s two underscores), or e-mail takeaim@acutemedicine.org.uk.

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Problem based review: The patient with hypercalcaemia

Trainee Section, Volume 14, Issue 3, Pages 97 - 144 (2015)

Hypercalcaemia is a common problem which may present to the Acute Medical Unit. Primary hyperparathyroidism (PHPT) and malignancy are the commonest causes of hypercalcaemia, accounting for over 90% of cases. Assessment of parathyroid hormone (PTH) levels is key to determining whether hypercalcaemia is parathyroid-mediated. Initial systematic assessment and adequate rehydration are important to help make the underlying diagnosis and determine longer-term management. The medical management of primary hyperparathyroidism not requiring surgery, with Cinacalcet is highlighted.

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‘Take AIM’ – Raising awareness of Acute Internal Medicine

Trainee Section, Volume 14, Issue 3, Pages 97 - 144 (2015)

Acute Internal Medicine (AIM) may be the ‘new kid on the block’ as a medical specialty but it lies at the heart of our health service. Recognition of the importance of early senior review in managing medical patients admitted to hospital in an emergency has led to a dramatic expansion in the number of consultant posts being created in acute medical units across the UK. This has been matched by a similar rise in the number of higher speciality training positions, with over 100 posts being advertised every year. Although the majority of these posts have been filled, this expansion, combined with a relative lack of awareness of the speciality, has meant that vacancies remain in many Deaneries. This needs to be addressed in order for the speciality to continue to expand, and deliver high quality, consultant-led acute medical care in every hospital in the UK.

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