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Training in Acute Medicine in 2004

There is a school of thought that believes that if something is going right then the downturn is just around the corner! As work progressed to get Acute Medicine recognised as a sub speciality there were many occasions when it was felt that we could still stumble as we came to the final hurdle. Happily that did not occur and by July 2003 Acute Medicine was officially recognised as a new sub speciality within General Internal Medicine. Can we expect any further hurdles? It is often appropriate to recognise the challenges which occur and regard them as opportunities that have to be used for our advantage. Sometimes this is very difficult.

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A view from the dark side… “How to… persuade a grumpy radiologist to help in the investigation of your acute patient”

The pressure of acute admissions continues to place a great strain on those staff fighting on the front line. I stand in awe of those with enthusiasm for the battle but am occasionally aware of grumbles directed at compatriots with more comfortable lives, in the shelter of the Radiology department.

How many of you have approached your friendly radiologist with a request slip in hand to be greeted with “no”, “I’m busy”, “it’s a waste of time anyway”, “is that all you can tell me about the patient”; or worse, not greeted at all, but ignored for the next ten minutes whilst Dr Grumpy FRCR finishes his ultrasound scan/report/cup of coffee? Isn’t it sad that, as intelligent professionals, with the patients’ wellbeing as our common goal, we sometimes interact so poorly.

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A view from the dark side… “How to… persuade a grumpy radiologist to help in the investigation of your acute patient” Read More

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