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My first piece of advice for all aspiring medical leaders would be this, ‘don’t bother’ with a leadership course, as nothing can fully prepare you for the role. That said, please continue reading

Conducting research on the Acute Medical Unit (AMU) poses unique challenges; the environment is one that sees a diverse range of patient groups and pathologies and holds the potential for easy patient

It had become a familiar routine. My seventh admission with diabetic ketoacidosis (DKA) in a year. Each time I was admitted it was the same; a DKA protocol, a diabetes specialist nurse visit, and

Introduction It’s a Monday morning; the week-end has seen the re-admission of a retired teacher with a dry cough, increasing dyspnoea and no physical signs. His chest X-ray ten days previously

Which is more painful: an unsolicited PPI telephone call during clinic? Your hospital email on returning from two weeks annual leave? The strong realisation on waking at 3am that you have contracted

Abstract The Acute GP Service has operated in Plymouth for the last 7 years. We have a mandate to improve patient care through supporting community GPs and their patients at the point of…

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Abstract Ambulatory Emergency Care is a key component of the service for many Acute Medical units across the United Kingdom. A well-functioning ambulatory care unit facilitiates early senior review

Abstract This edition’s paper on ‘How doctors spend their time on an AMU’ defines ‘training’ as time spent on senior ward rounds. But the idea that senior ward rounds are training and the…

Introduction Sepsis- the life-threatening response of the body to an infection- is one of the more common reasons for presentation to an Acute Medical Unit, and a major health and economic burden to…

Abstract Proponents of Lean Philosophy believe that successful businesses must reduce waste in working time and resources to a minimum, and maximise their use in productive work. The productive work