Training and Education

SAM Trainee Report Spring 2017

Our spring conference this year heads to Cardiff. Ex SAM trainee representative and new acute medicine consultant Nerys Conway will be hosting us on May 4th and 5th 2017 at a conference entitled ‘Together Stronger.’ Along with our regular favourites like Cases that changed my practice, we have an exciting trainee session organised including reflections from a past attendee at the EFIM winter school, an update on the Chief Registrars’ program and insight into choosing Neurology as your specialist skill.

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Acute Medicine Finishing School: Preparing for the next step

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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Cruising through the journey without getting drowned: The saga of a PhD student in the Netherlands

Young medical trainees all over the world are encouraged to investigate unknown areas of medicine that need clarification. This often leads them to undertake a PhD (Doctor of Philosophy). Being curious, critical, and creative are necessary competences which enable us to engender scientific research within acute (internal) medicine. Worldwide, huge numbers of professionals are pursuing a PhD, with the aim of receiving a ‘Doctor’-title. These PhD trajectories vary distinctly between countries. Since the distances in the scientific world are getting smaller and it is becoming more easy
to work with each other across borders, it might be interesting to know what it requires to become an academic ‘doctor’ overseas. Hereby, we provide a concise insight in to the differences between doing PhD in (acute) medicine in the Netherlands and in the UK

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Book Review: Oxford Desk Reference, Acute Medicine

This book was published in hardback by Oxford University Press in 2016. Comprising 824 pages of small font text, it covers the full range of conditions which would be encountered on the acute medical take in considerable detail. The book is laid out in a traditional format, with most of the chapters defined by a physiological system – cardiovascular, respiratory, endocrinology, etc, and subsections for individual diagnoses within each of the chapters.

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Trainee Report Autumn 2016

New Trainee Representative

After providing years of sterling representation, Nick Smallwood will be moving on to a consultant job. Neil Patel takes his place formally at SAMEdinburgh. Neil is an ST5 trainee in Thames Valley with special interest in medical education and medical leadership. He has been working on projects to improve GIM recruitment and training, establishing trainee networks, and developing strategies to improve trainee morale over last few years with various local to national organisations. He is looking forward to bringing this project experience to his new role with SAM to improve and develop the trainee experience in Acute Medicine.

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Providing a navigable route for acute medicine nurses to advance their practice: a framework of ascending levels of practice

This article conveys concerns raised by delegates at the International SAM Conference (Manchester, 2015) regarding how to advance nursing practice in acute medicine. It endeavours to capture the essence of ‘how to advance practice’ and ‘how to integrate advanced practice’ within the workforce structures of an acute medicine unit (AMU). It addresses the production of tacit knowledge and the recognition and integration of this to developing the nursing workforce. The current context of NHS efficiencies and recruitment issues emphasize the value of retaining tacit knowledge. Uniquely, this article offers an early conceptual framework through which levels of advancement and potential transition points to advance nursing practice in acute medicine are articulated. Determining how to advance requires identification of prior accomplishments such as, tacit knowledge, experiential learning, CPD, specialist courses and management experience. This requires nurses to make judicious decisions to advance their practice and the distinction between ‘amassing experience’ and ‘career progression’. It aims to stimulate thinking around the practicalities of advancement, the value of tacit knowledge and potential realization through the framework trajectory.

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Acute Internal Medicine Trainee Survey 2016

Objectives: To ascertain the views of current Acute Internal Medicine (AIM) trainees on the strengths and weakness of the specialty, their training programmes, practical procedures and the provision of training days.

Methods: Online electronic survey circulated to all Higher Specialty Trainees (HST) in AIM. Participation was voluntary and all answers confidential. A total of 108 trainees responded.

Results: There were respondents from across the United Kingdom. The majority of respondents are happy or quite happy with their training (61%), with 11% unhappy or very unhappy. The variety of workload (68%), specialty exposure (69%) and practical procedures (67%) were strengths while lack of respect from other specialties (55%) and rota gaps (59%) remain significant problems. 53% of respondents feel they are expected to cover more rota gaps than their GIM colleagues, and 54% trainees feel they do not get a session a week allocated to them for specialist skill training/admin. Only 33% of trainees expect to get dedicated leadership and/or management training during their programme, and a large proportion of trainees (78%) feel that some form of ultrasound training should be a core part of the curriculum. Despite the difficulties, 85% of respondents would recommend AIM as a specialty.

Conclusions: This survey highlights some of the positives and negatives of training in AIM, and highlights areas where potential improvements to programmes could be made. Comparison of the data with 2015 shows small improvements in a number of areas, but still some significant concerns remain. The findings were fed back to the Training Committee in March.

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