{"product_id":"the-handson-guide-to-the-foundation-programme-9781118767467","title":"The Handson Guide to the Foundation Programme","description":"\u003cb\u003eBook Synopsis\u003c\/b\u003e\u003cbr\u003eAbout to start the Foundation Programme? Making the transition from medical school to professional life?     The Hands-on Guide to the Foundation Programme, Fifth Edition is a practical guide for medical students and foundation doctors, dealing with the many challenges of the programme.\u003cbr\u003e\u003cbr\u003e\u003cb\u003eTable of Contents\u003c\/b\u003e\u003cbr\u003e\u003cp\u003eIntroduction xiii\u003c\/p\u003e \u003cp\u003eHow to use this book xiv\u003c\/p\u003e \u003cp\u003eAcknowledgements xv\u003c\/p\u003e \u003cp\u003eAbbreviations xvi\u003c\/p\u003e \u003cp\u003e\u003cb\u003e1 Starting up 1\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003ePanic? 1\u003c\/p\u003e \u003cp\u003ePeople to help you 1\u003c\/p\u003e \u003cp\u003eThree basic tips 2\u003c\/p\u003e \u003cp\u003eOther useful start-up information 2\u003c\/p\u003e \u003cp\u003eDress 2\u003c\/p\u003e \u003cp\u003eEquipment 3\u003c\/p\u003e \u003cp\u003eGeography 4\u003c\/p\u003e \u003cp\u003eWard rounds 4\u003c\/p\u003e \u003cp\u003eSocial rounds 5\u003c\/p\u003e \u003cp\u003eNight rounds 5\u003c\/p\u003e \u003cp\u003eDischarging patients 6\u003c\/p\u003e \u003cp\u003eWork environment 6\u003c\/p\u003e \u003cp\u003eBibliography 6\u003c\/p\u003e \u003cp\u003e\u003cb\u003e2 Getting Organized \u003ci\u003eor \u003c\/i\u003e‘The Folder’ 8\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003ePersonal folder and the lists 8\u003c\/p\u003e \u003cp\u003eHow to make a personal folder 8\u003c\/p\u003e \u003cp\u003eKeeping track of patients (List 1) 10\u003c\/p\u003e \u003cp\u003eList of things to do (List 2) 10\u003c\/p\u003e \u003cp\u003eResults sheet (List 3) 10\u003c\/p\u003e \u003cp\u003eData protection and confidentiality 11\u003c\/p\u003e \u003cp\u003e\u003cb\u003e3 Paperwork and electronic medical records 12\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003ePatient notes 12\u003c\/p\u003e \u003cp\u003eIncident forms 13\u003c\/p\u003e \u003cp\u003eBlood forms and requesting bloods tests 14\u003c\/p\u003e \u003cp\u003eDischarge summaries (TTO\/TTA) 15\u003c\/p\u003e \u003cp\u003eHandovers 16\u003c\/p\u003e \u003cp\u003eReferral letters 17\u003c\/p\u003e \u003cp\u003eSelf-discharge 17\u003c\/p\u003e \u003cp\u003eSick notes 17\u003c\/p\u003e \u003cp\u003e\u003cb\u003e4 Accident and emergency 19\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003eGeneral advice 19\u003c\/p\u003e \u003cp\u003eAdmitting and allocating patients 20\u003c\/p\u003e \u003cp\u003eKeeping track of patients 21\u003c\/p\u003e \u003cp\u003eMedicine 21\u003c\/p\u003e \u003cp\u003eMedical and surgical assessment units 22\u003c\/p\u003e \u003cp\u003eFast-track patients 22\u003c\/p\u003e \u003cp\u003e\u003cb\u003e5 Becoming a better doctor 23\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003eFoundation Programmes (United Kingdom) 23\u003c\/p\u003e \u003cp\u003eAcademic Foundation\u003c\/p\u003e \u003cp\u003eProgrammes 24\u003c\/p\u003e \u003cp\u003eAssessments 24\u003c\/p\u003e \u003cp\u003eSituational judgement tests 25\u003c\/p\u003e \u003cp\u003eMoving on from the Foundation Programme 26\u003c\/p\u003e \u003cp\u003eInformation technology 26\u003c\/p\u003e \u003cp\u003eThe internet 27\u003c\/p\u003e \u003cp\u003eOnline medical databases 27\u003c\/p\u003e \u003cp\u003eKeeping up with the literature 28\u003c\/p\u003e \u003cp\u003eEvidence-based medicine 28\u003c\/p\u003e \u003cp\u003eClinical audit 29\u003c\/p\u003e \u003cp\u003eQuality improvement projects 30\u003c\/p\u003e \u003cp\u003eCase reports 30\u003c\/p\u003e \u003cp\u003eCourses 30\u003c\/p\u003e \u003cp\u003eProfessionalism 31\u003c\/p\u003e \u003cp\u003eCommunication 31\u003c\/p\u003e \u003cp\u003eConsultants and senior registrars 32\u003c\/p\u003e \u003cp\u003eGPs 32\u003c\/p\u003e \u003cp\u003eNurses 33\u003c\/p\u003e \u003cp\u003ePatients 34\u003c\/p\u003e \u003cp\u003ePatients’ families 35\u003c\/p\u003e \u003cp\u003eConfidentiality 36\u003c\/p\u003e \u003cp\u003eExceptions to keeping confidentiality 36\u003c\/p\u003e \u003cp\u003eReferences 36\u003c\/p\u003e \u003cp\u003e\u003cb\u003e6 Emergencies 37\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003eAcute coronary syndrome 37\u003c\/p\u003e \u003cp\u003eStroke 37\u003c\/p\u003e \u003cp\u003eDVT and PE 40\u003c\/p\u003e \u003cp\u003eHaematemesis 40\u003c\/p\u003e \u003cp\u003eAcute asthma 41\u003c\/p\u003e \u003cp\u003eLife-threatening asthma 42\u003c\/p\u003e \u003cp\u003eAcute severe asthma 42\u003c\/p\u003e \u003cp\u003eBrittle asthma 42\u003c\/p\u003e \u003cp\u003eAcute pneumothorax 42\u003c\/p\u003e \u003cp\u003eAnaphylaxis 43\u003c\/p\u003e \u003cp\u003eMeningitis 43\u003c\/p\u003e \u003cp\u003eCollapse or reduced mobility 45\u003c\/p\u003e \u003cp\u003eOverdose 45\u003c\/p\u003e \u003cp\u003eIn general 46\u003c\/p\u003e \u003cp\u003eTreating the patient 46\u003c\/p\u003e \u003cp\u003eSurgery 48\u003c\/p\u003e \u003cp\u003e\u003cb\u003e7 Cardiac arrests and crash calls 49\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003eCardiac arrest calls 49\u003c\/p\u003e \u003cp\u003e‘Do not resuscitate’ orders 52\u003c\/p\u003e \u003cp\u003e\u003cb\u003e8 Common calls 54\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003eHow to use this section 56\u003c\/p\u003e \u003cp\u003eConsiderations for all ward calls 56\u003c\/p\u003e \u003cp\u003eAbdominal pain 57\u003c\/p\u003e \u003cp\u003eDifferential diagnoses 57\u003c\/p\u003e \u003cp\u003eAnaemia 58\u003c\/p\u003e \u003cp\u003eArrhythmia 60\u003c\/p\u003e \u003cp\u003eCalcium 62\u003c\/p\u003e \u003cp\u003eHypercalcaemia 64\u003c\/p\u003e \u003cp\u003eHypocalcaemia 64\u003c\/p\u003e \u003cp\u003eChest pain 65\u003c\/p\u003e \u003cp\u003eConfusion 66\u003c\/p\u003e \u003cp\u003eDifferential diagnoses 66\u003c\/p\u003e \u003cp\u003eConstipation 68\u003c\/p\u003e \u003cp\u003eDifferential diagnoses 68\u003c\/p\u003e \u003cp\u003eDiarrhoea 69\u003c\/p\u003e \u003cp\u003eDifferential diagnoses 69\u003c\/p\u003e \u003cp\u003eElectrocardiograms 70\u003c\/p\u003e \u003cp\u003eImportant ECG abnormalities to recognize 74\u003c\/p\u003e \u003cp\u003eEye complaints 74\u003c\/p\u003e \u003cp\u003eThe acute red eye 74\u003c\/p\u003e \u003cp\u003eSudden loss of vision in one or both eyes 75\u003c\/p\u003e \u003cp\u003eFloaters 75\u003c\/p\u003e \u003cp\u003eFalls 75\u003c\/p\u003e \u003cp\u003eDifferential diagnoses 75\u003c\/p\u003e \u003cp\u003eFever 76\u003c\/p\u003e \u003cp\u003eDifferential diagnosis 77\u003c\/p\u003e \u003cp\u003eThe immunocompromised patient with fever 78\u003c\/p\u003e \u003cp\u003eFits 78\u003c\/p\u003e \u003cp\u003eDifferential diagnoses 78\u003c\/p\u003e \u003cp\u003eIntravenous fluids 79\u003c\/p\u003e \u003cp\u003eUpper gastrointestinal bleeds 81\u003c\/p\u003e \u003cp\u003eLower gastrointestinal bleeds 82\u003c\/p\u003e \u003cp\u003eGlucose 82\u003c\/p\u003e \u003cp\u003eHaematuria 83\u003c\/p\u003e \u003cp\u003eHeadaches 84\u003c\/p\u003e \u003cp\u003eDifferential diagnoses and key symptoms 84\u003c\/p\u003e \u003cp\u003eHypertension 85\u003c\/p\u003e \u003cp\u003ePeri operative hypertension 86\u003c\/p\u003e \u003cp\u003eHypotension 86\u003c\/p\u003e \u003cp\u003eDifferential diagnoses 86\u003c\/p\u003e \u003cp\u003eInsomnia 88\u003c\/p\u003e \u003cp\u003eDifferential diagnoses and suggested management 88\u003c\/p\u003e \u003cp\u003eManagement with benzodiazepines 88\u003c\/p\u003e \u003cp\u003eItching 88\u003c\/p\u003e \u003cp\u003eDifferential diagnoses (if no visible skin lesions or rash) 88\u003c\/p\u003e \u003cp\u003eMajor trauma 89\u003c\/p\u003e \u003cp\u003eMinor trauma 90\u003c\/p\u003e \u003cp\u003eThe moribund patient 91\u003c\/p\u003e \u003cp\u003eNausea and vomiting 92\u003c\/p\u003e \u003cp\u003eDifferential diagnoses 92\u003c\/p\u003e \u003cp\u003eOxygen therapy 93\u003c\/p\u003e \u003cp\u003eMethods of oxygen delivery 93\u003c\/p\u003e \u003cp\u003ePulse oximetry 94\u003c\/p\u003e \u003cp\u003ePhlebitis 94\u003c\/p\u003e \u003cp\u003eManagement 94\u003c\/p\u003e \u003cp\u003ePotassium 94\u003c\/p\u003e \u003cp\u003eHyperkalaemia 94\u003c\/p\u003e \u003cp\u003eHypokalaemia 95\u003c\/p\u003e \u003cp\u003eRashes and skin lesions 96\u003c\/p\u003e \u003cp\u003eDisease categories 1–10 96\u003c\/p\u003e \u003cp\u003eShortness of breath 97\u003c\/p\u003e \u003cp\u003eDifferential diagnoses 97\u003c\/p\u003e \u003cp\u003eThe sick patient 98\u003c\/p\u003e \u003cp\u003eSodium 98\u003c\/p\u003e \u003cp\u003eHyponatraemia 98\u003c\/p\u003e \u003cp\u003eDifferential diagnoses 99\u003c\/p\u003e \u003cp\u003eTransfusions 99\u003c\/p\u003e \u003cp\u003eBlood transfusions 99\u003c\/p\u003e \u003cp\u003ePlatelet transfusions 100\u003c\/p\u003e \u003cp\u003eUrine: Low output (oliguria\/anuria) 101\u003c\/p\u003e \u003cp\u003eBasic emergency routine 102\u003c\/p\u003e \u003cp\u003eObstetrics and gynaecology calls 103\u003c\/p\u003e \u003cp\u003eTalking to the patient 103\u003c\/p\u003e \u003cp\u003eGynaecological examination 103\u003c\/p\u003e \u003cp\u003eObstetric examination 104\u003c\/p\u003e \u003cp\u003eBeing a male 104\u003c\/p\u003e \u003cp\u003eCommon gynaecological calls 105\u003c\/p\u003e \u003cp\u003eTermination of pregnancy 106\u003c\/p\u003e \u003cp\u003e\u003cb\u003e9 Death and dying 107\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003eTerminal care 107\u003c\/p\u003e \u003cp\u003eCommunication 107\u003c\/p\u003e \u003cp\u003eBreaking bad news 107\u003c\/p\u003e \u003cp\u003eOngoing communication with dying patients 108\u003c\/p\u003e \u003cp\u003ePain control 110\u003c\/p\u003e \u003cp\u003eSymptom control 110\u003c\/p\u003e \u003cp\u003ePrescribing for the dying 110\u003c\/p\u003e \u003cp\u003eSupport for the dying and for you 111\u003c\/p\u003e \u003cp\u003eDeath 111\u003c\/p\u003e \u003cp\u003eWhat to do when a patient dies 111\u003c\/p\u003e \u003cp\u003eTelling relatives about the patient’s death 112\u003c\/p\u003e \u003cp\u003eReligious practices on death 112\u003c\/p\u003e \u003cp\u003ePMs 112\u003c\/p\u003e \u003cp\u003eDeath certificates 113\u003c\/p\u003e \u003cp\u003eWriting the death certificate 113\u003c\/p\u003e \u003cp\u003eReferring to the coroner (Scotland: Procurator fiscal) 114\u003c\/p\u003e \u003cp\u003eCremation forms and fees 114\u003c\/p\u003e \u003cp\u003eTo check for pacemakers 114\u003c\/p\u003e \u003cp\u003eFurther reading 114\u003c\/p\u003e \u003cp\u003e\u003cb\u003e10 Drugs 116\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003eGeneral 116\u003c\/p\u003e \u003cp\u003ePrescribing drugs 116\u003c\/p\u003e \u003cp\u003eDrug charts 116\u003c\/p\u003e \u003cp\u003eWriting prescriptions 117\u003c\/p\u003e \u003cp\u003eControlled drugs 117\u003c\/p\u003e \u003cp\u003eVerbals 118\u003c\/p\u003e \u003cp\u003eGiving drugs 118\u003c\/p\u003e \u003cp\u003eDrug infusions 119\u003c\/p\u003e \u003cp\u003ePrescribing drug infusions 119\u003c\/p\u003e \u003cp\u003eIntravenous drugs 120\u003c\/p\u003e \u003cp\u003eSpecific drug topics 122\u003c\/p\u003e \u003cp\u003eAntibiotics 122\u003c\/p\u003e \u003cp\u003eAnticoagulation 122\u003c\/p\u003e \u003cp\u003eDigoxin 125\u003c\/p\u003e \u003cp\u003eTherapeutic drug levels 126\u003c\/p\u003e \u003cp\u003eMiscellaneous tips 126\u003c\/p\u003e \u003cp\u003e\u003cb\u003e11 Handle with care 134\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003eAlcoholism 134\u003c\/p\u003e \u003cp\u003eAlcohol withdrawal 135\u003c\/p\u003e \u003cp\u003eCapacity 136\u003c\/p\u003e \u003cp\u003eChildren 137\u003c\/p\u003e \u003cp\u003eDepression 137\u003c\/p\u003e \u003cp\u003eElderly patients 138\u003c\/p\u003e \u003cp\u003eHaemophilia patients 139\u003c\/p\u003e \u003cp\u003eTaking blood 139\u003c\/p\u003e \u003cp\u003eFor theatre 139\u003c\/p\u003e \u003cp\u003eHIV\/AIDS 140\u003c\/p\u003e \u003cp\u003eTaking blood 140\u003c\/p\u003e \u003cp\u003eHIV testing 140\u003c\/p\u003e \u003cp\u003eJehovah’s Witnesses\/Christian Scientists 141\u003c\/p\u003e \u003cp\u003ePregnant women 141\u003c\/p\u003e \u003cp\u003eSickle cell anaemia 142\u003c\/p\u003e \u003cp\u003eThe patient on steroids 142\u003c\/p\u003e \u003cp\u003eSide effects of steroids 142\u003c\/p\u003e \u003cp\u003eManaging ill patients on steroids 143\u003c\/p\u003e \u003cp\u003eTreating common side effects 143\u003c\/p\u003e \u003cp\u003eWithdrawing steroid therapy 143\u003c\/p\u003e \u003cp\u003eHaematological and oncological emergencies 144\u003c\/p\u003e \u003cp\u003eSpinal cord compression 144\u003c\/p\u003e \u003cp\u003eSuperior vena cava obstruction and airway compromise 144\u003c\/p\u003e \u003cp\u003eRaised intracranial pressure 145\u003c\/p\u003e \u003cp\u003eTumour lysis syndrome 145\u003c\/p\u003e \u003cp\u003eHyperviscosity 145\u003c\/p\u003e \u003cp\u003e\u003cb\u003e12 Approach to the medical patient 147\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003eHistory and examination 147\u003c\/p\u003e \u003cp\u003eGetting to know the disease 148\u003c\/p\u003e \u003cp\u003eHistory and examination 151\u003c\/p\u003e \u003cp\u003eClinical stalemate 151\u003c\/p\u003e \u003cp\u003ePreparing patients for medical procedures 151\u003c\/p\u003e \u003cp\u003eCardiac catheterization 152\u003c\/p\u003e \u003cp\u003eElective DC cardioversion 152\u003c\/p\u003e \u003cp\u003eUpper gastrointestinal endoscopy 153\u003c\/p\u003e \u003cp\u003eColonoscopy 154\u003c\/p\u003e \u003cp\u003eFlexible sigmoidoscopy 154\u003c\/p\u003e \u003cp\u003eLiver biopsy 155\u003c\/p\u003e \u003cp\u003ePacemaker insertion 155\u003c\/p\u003e \u003cp\u003eRenal biopsy 156\u003c\/p\u003e \u003cp\u003eSpecialist referrals and investigating the medical case 156\u003c\/p\u003e \u003cp\u003eCardiology 157\u003c\/p\u003e \u003cp\u003eGastroenterology 158\u003c\/p\u003e \u003cp\u003eHaematology 159\u003c\/p\u003e \u003cp\u003eNeurology 160\u003c\/p\u003e \u003cp\u003eRenal medicine 161\u003c\/p\u003e \u003cp\u003eRespiratory medicine 161\u003c\/p\u003e \u003cp\u003eRheumatology 162\u003c\/p\u003e \u003cp\u003e\u003cb\u003e13 Practical procedures 163\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003eGeneral hints 163\u003c\/p\u003e \u003cp\u003eInterpreting ABGs 165\u003c\/p\u003e \u003cp\u003eBladder catheterization 167\u003c\/p\u003e \u003cp\u003eMen 168\u003c\/p\u003e \u003cp\u003eWomen 169\u003c\/p\u003e \u003cp\u003eBlood cultures 169\u003c\/p\u003e \u003cp\u003eVenepuncture 169\u003c\/p\u003e \u003cp\u003eCannulation (Venflon\/line insertion) 170\u003c\/p\u003e \u003cp\u003eProblems with temporary and tunnelled central lines 173\u003c\/p\u003e \u003cp\u003eUsing central lines 173\u003c\/p\u003e \u003cp\u003eChest drains 173\u003c\/p\u003e \u003cp\u003eManaging a chest drain 174\u003c\/p\u003e \u003cp\u003eHow to remove a drain 175\u003c\/p\u003e \u003cp\u003eDC cardioversion 175\u003c\/p\u003e \u003cp\u003eElectrocardiogram 176\u003c\/p\u003e \u003cp\u003eExercise stress test 176\u003c\/p\u003e \u003cp\u003eRelative contraindications (discuss with senior) 176\u003c\/p\u003e \u003cp\u003eThe procedure 176\u003c\/p\u003e \u003cp\u003eInjections 177\u003c\/p\u003e \u003cp\u003eSubcutaneous 177\u003c\/p\u003e \u003cp\u003eIntramuscular 178\u003c\/p\u003e \u003cp\u003eJoint aspiration\/injection 179\u003c\/p\u003e \u003cp\u003eAspiration 179\u003c\/p\u003e \u003cp\u003eInjecting joints 180\u003c\/p\u003e \u003cp\u003eLocal anaesthesia (for any procedure) 180\u003c\/p\u003e \u003cp\u003eLumbar puncture 181\u003c\/p\u003e \u003cp\u003eContraindications (get help) 181\u003c\/p\u003e \u003cp\u003eMantoux test 184\u003c\/p\u003e \u003cp\u003eNasogastric tubes 184\u003c\/p\u003e \u003cp\u003ePeritoneal tap (paracentesis) 185\u003c\/p\u003e \u003cp\u003ePleural aspiration 185\u003c\/p\u003e \u003cp\u003eIndications 185\u003c\/p\u003e \u003cp\u003ePulsus paradoxus 188\u003c\/p\u003e \u003cp\u003eRespiratory function tests 188\u003c\/p\u003e \u003cp\u003eSpirometry 188\u003c\/p\u003e \u003cp\u003ePeak expiratory flow rate 189\u003c\/p\u003e \u003cp\u003eSutures 190\u003c\/p\u003e \u003cp\u003e\u003cb\u003e14 Radiology 191\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003eRequesting investigations 191\u003c\/p\u003e \u003cp\u003eMinimizing radiation 192\u003c\/p\u003e \u003cp\u003eCommon concerns about X-rays 192\u003c\/p\u003e \u003cp\u003ePregnancy 193\u003c\/p\u003e \u003cp\u003ePlain films 193\u003c\/p\u003e \u003cp\u003eChest X-rays 193\u003c\/p\u003e \u003cp\u003eAbdominal films 194\u003c\/p\u003e \u003cp\u003eUltrasound 194\u003c\/p\u003e \u003cp\u003eComputed tomography 195\u003c\/p\u003e \u003cp\u003eGeneral 195\u003c\/p\u003e \u003cp\u003eCT head – Some emergency indications 195\u003c\/p\u003e \u003cp\u003eRadioisotope scanning 196\u003c\/p\u003e \u003cp\u003e\u003cb\u003e15 Approach to the surgical patient 198\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003eIntroduction 198\u003c\/p\u003e \u003cp\u003ePreoperative care 198\u003c\/p\u003e \u003cp\u003eClerking 198\u003c\/p\u003e \u003cp\u003ePreoperative tests 199\u003c\/p\u003e \u003cp\u003eRequesting blood preoperatively 200\u003c\/p\u003e \u003cp\u003ePreoperative fasting 200\u003c\/p\u003e \u003cp\u003eConsent 201\u003c\/p\u003e \u003cp\u003eMarking 203\u003c\/p\u003e \u003cp\u003eBooking theatre lists 203\u003c\/p\u003e \u003cp\u003eWHO checklist 205\u003c\/p\u003e \u003cp\u003ePerioperative prescribing 205\u003c\/p\u003e \u003cp\u003eAnti-emetics 205\u003c\/p\u003e \u003cp\u003eAnalgesia 205\u003c\/p\u003e \u003cp\u003eLaxatives 205\u003c\/p\u003e \u003cp\u003eBowel preparation 205\u003c\/p\u003e \u003cp\u003eThromboprophylaxis 207\u003c\/p\u003e \u003cp\u003eInsulin infusion 207\u003c\/p\u003e \u003cp\u003ePost-operative care 207\u003c\/p\u003e \u003cp\u003eWound checks 208\u003c\/p\u003e \u003cp\u003eStoma care 209\u003c\/p\u003e \u003cp\u003eEnhanced recovery after surgery 209\u003c\/p\u003e \u003cp\u003eTheatre 210\u003c\/p\u003e \u003cp\u003eFurther reading 210\u003c\/p\u003e \u003cp\u003e\u003cb\u003e16 General practice 212\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003eWhat you can and cannot do 212\u003c\/p\u003e \u003cp\u003eYou can 212\u003c\/p\u003e \u003cp\u003eYou cannot 212\u003c\/p\u003e \u003cp\u003eReferral letters and note keeping 212\u003c\/p\u003e \u003cp\u003eGeneral points 212\u003c\/p\u003e \u003cp\u003ePublic health and health promotion 213\u003c\/p\u003e \u003cp\u003eRisks 213\u003c\/p\u003e \u003cp\u003eBenefits 213\u003c\/p\u003e \u003cp\u003eCondoms 214\u003c\/p\u003e \u003cp\u003eIntrauterine system 214\u003c\/p\u003e \u003cp\u003eIntrauterine device 214\u003c\/p\u003e \u003cp\u003eContraceptive injection 214\u003c\/p\u003e \u003cp\u003eContraceptive implants 214\u003c\/p\u003e \u003cp\u003eSmoking 215\u003c\/p\u003e \u003cp\u003eLifestyle advice 215\u003c\/p\u003e \u003cp\u003eNotifiable diseases 215\u003c\/p\u003e \u003cp\u003eVaccinations 215\u003c\/p\u003e \u003cp\u003eBreast screening 215\u003c\/p\u003e \u003cp\u003eCervical screening 215\u003c\/p\u003e \u003cp\u003eSexual health 216\u003c\/p\u003e \u003cp\u003eThe hidden agenda and health beliefs 216\u003c\/p\u003e \u003cp\u003eFollow-up 216\u003c\/p\u003e \u003cp\u003eHome visits 217\u003c\/p\u003e \u003cp\u003e\u003cb\u003e17 Self-care 218\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003eAccommodation 218\u003c\/p\u003e \u003cp\u003eAlternative careers 218\u003c\/p\u003e \u003cp\u003eBleep 219\u003c\/p\u003e \u003cp\u003eBritish Medical Association 219\u003c\/p\u003e \u003cp\u003eCar insurance 219\u003c\/p\u003e \u003cp\u003eClothes (laundry\/stains) 220\u003c\/p\u003e \u003cp\u003eContacting medical colleagues 220\u003c\/p\u003e \u003cp\u003eContract and conditions of service 220\u003c\/p\u003e \u003cp\u003eWhat you need to know about your contract 220\u003c\/p\u003e \u003cp\u003eDoctors’ mess 225\u003c\/p\u003e \u003cp\u003eMaking money for the mess 225\u003c\/p\u003e \u003cp\u003eInsurance (room contents) 225\u003c\/p\u003e \u003cp\u003eJobs 225\u003c\/p\u003e \u003cp\u003eCurriculum vitae 225\u003c\/p\u003e \u003cp\u003eThe interview 226\u003c\/p\u003e \u003cp\u003eConsultant career prospects 226\u003c\/p\u003e \u003cp\u003eLocums 226\u003c\/p\u003e \u003cp\u003eMeals 227\u003c\/p\u003e \u003cp\u003eMedical defence 227\u003c\/p\u003e \u003cp\u003eMoney 228\u003c\/p\u003e \u003cp\u003eIncome protection if long-term sick or disabled 228\u003c\/p\u003e \u003cp\u003eStudent debt 228\u003c\/p\u003e \u003cp\u003eMortgages 228\u003c\/p\u003e \u003cp\u003ePayslip deductions 228\u003c\/p\u003e \u003cp\u003ePensions 229\u003c\/p\u003e \u003cp\u003eTax 229\u003c\/p\u003e \u003cp\u003eTelephone and online banking 230\u003c\/p\u003e \u003cp\u003eNeedlestick injuries 230\u003c\/p\u003e \u003cp\u003eIf the patient is known to be HIV positive 231\u003c\/p\u003e \u003cp\u003eIf the patient is known to be hepatitis positive 231\u003c\/p\u003e \u003cp\u003eNot coping 231\u003c\/p\u003e \u003cp\u003ePart-time work (flexible training) 232\u003c\/p\u003e \u003cp\u003eRepresentation of junior doctors 232\u003c\/p\u003e \u003cp\u003eSleep and on-call rooms 232\u003c\/p\u003e \u003cp\u003eWhen things go wrong 233\u003c\/p\u003e \u003cp\u003eBullying and psychological stress 233\u003c\/p\u003e \u003cp\u003eWhistle-blowing 233\u003c\/p\u003e \u003cp\u003e\u003cb\u003eAppendix I: Scoring systems 235\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003eCardiovascular 235\u003c\/p\u003e \u003cp\u003eCHA2DS2 VASc 235\u003c\/p\u003e \u003cp\u003eHASBLED score 235\u003c\/p\u003e \u003cp\u003eGRACE score 235\u003c\/p\u003e \u003cp\u003eTIMI Risk Index 236\u003c\/p\u003e \u003cp\u003eNYHA scoring system (New York Heart Failure Association Scoring System) 236\u003c\/p\u003e \u003cp\u003eNeurology 236\u003c\/p\u003e \u003cp\u003eTIA-ABCD2 scoring 236\u003c\/p\u003e \u003cp\u003eAMTS (abbreviated\u003c\/p\u003e \u003cp\u003emental test score) 237\u003c\/p\u003e \u003cp\u003eAVPU score 237\u003c\/p\u003e \u003cp\u003e(GCS) Glasgow Coma score 237\u003c\/p\u003e \u003cp\u003eAnaesthetics 237\u003c\/p\u003e \u003cp\u003eMallampatti classification for intubation 237\u003c\/p\u003e \u003cp\u003eBMI 238\u003c\/p\u003e \u003cp\u003eCalculating anion gap 238\u003c\/p\u003e \u003cp\u003eCalculating serum osmolality 238\u003c\/p\u003e \u003cp\u003eRespiratory 238\u003c\/p\u003e \u003cp\u003eGastroenterology 239\u003c\/p\u003e \u003cp\u003eChild Pugh classification 240\u003c\/p\u003e \u003cp\u003eRenal 241\u003c\/p\u003e \u003cp\u003eTrauma 241\u003c\/p\u003e \u003cp\u003eBarthel score 242\u003c\/p\u003e \u003cp\u003eBathing 242\u003c\/p\u003e \u003cp\u003eBladder 242\u003c\/p\u003e \u003cp\u003eBowels 242\u003c\/p\u003e \u003cp\u003eDressing 242\u003c\/p\u003e \u003cp\u003eFeeding 242\u003c\/p\u003e \u003cp\u003eGrooming 242\u003c\/p\u003e \u003cp\u003eMobility 242\u003c\/p\u003e \u003cp\u003eStairs 242\u003c\/p\u003e \u003cp\u003eToilet 242\u003c\/p\u003e \u003cp\u003eTransfer 242\u003c\/p\u003e \u003cp\u003e\u003cb\u003eAppendix II: Useful tests, numbers and other information 243\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003eAddresses 243\u003c\/p\u003e \u003cp\u003eMental Health Act 243\u003c\/p\u003e \u003cp\u003eNotifiable diseases 244\u003c\/p\u003e \u003cp\u003eResults 244\u003c\/p\u003e \u003cp\u003eHaematology 244\u003c\/p\u003e \u003cp\u003eBiochemistry 245\u003c\/p\u003e \u003cp\u003eUseful biochemical formulae 245\u003c\/p\u003e \u003cp\u003eFitness to drive 246\u003c\/p\u003e \u003cp\u003eFurther resources 248\u003c\/p\u003e \u003cp\u003eIndex 249\u003c\/p\u003e","brand":"John Wiley and Sons Ltd","offers":[{"title":"Default Title","offer_id":49406918852951,"sku":"9781118767467","price":31.3,"currency_code":"GBP","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0817\/1739\/5799\/files\/9781118767467.jpg?v=1730497557","url":"https:\/\/bookcurl.com\/products\/the-handson-guide-to-the-foundation-programme-9781118767467","provider":"Book Curl","version":"1.0","type":"link"}