Dr. Sushil Dhungana

• Observed consultant-led ward rounds, preparation of ward rounds, patient assessments, and clinical documentation.
• Gained exposure to the diagnosis and management of a wide range of acute and chronic medical conditions.
• Learned when to escalate and de-escalate cases based on clinical status and findings.
• Assisted with history taking, general systemic examinations, microbiology discussion and discussion with different specialities for clinical decisions, expert opinions and clinical documentation.
• Learned about referral pathways via different web portals and reviews with different departments for decision-making and planning.
• Gained in-depth understanding of NHS trust clinical guidelines, ward workflow, and patient management pathways.
• Maintained strict patient confidentiality and adhered to infection prevention and control policies.
• Demonstrated professional behaviour while gaining insight into patient-centred care within the NHS.
• Involvement in clinical audit for data collection and entries with the supervising consultant.

• Observed triaging, initial patient assessment, history-taking, and discussion with the registrar/consultant.
• Assisted in history taking and examination with patient consent, under supervision by a clinical supervisor.
• Observed Clerking and assisted in performing procedures under supervision.
• Attended teaching sessions and carried out a teaching session for JCF on a teaching day.
• Observed acute management, referral pathways following trust protocols, escalation/de-escalation, and discussion with a specialist.
• Gained Knowledge in understanding modules of clinical documentation, investigations, appropriate referrals, and discharge of patients.

• Meanwhile, preparing for Plab 1 and 2, worked in an NHS service provider chemist.
• Helped to dispense medication and dispense prescriptions to be checked by a pharmacist.
• Attended to walk-in clinic patients for minor illness consultations under the supervision of a responsible pharmacist.
• Assisted a pharmacist in different areas of work, including blood

pressure checkup, ABPM, pharmacy first services, and NHS contraception services under the supervision of a pharmacist.

• Served customers and attended phone calls.

• Gained first oppourtunity to observe the NHS healthcare system in a community GP setting.
• Learned Communication skills and NHS workflow in a GP setting.
• Observed Patient Consultation with GP, management protocols, and referral pathways.
• Learned history taking format, relevant examination, investigations, and management in different cases.
• Had a learning opportunity to understand the safeguarding concerns and CAMHS referrals
• Observed clinical documentation by the supervising GP and safety-netting.

Worked on-call shifts and ward cover.

Prepared ward rounds and discharge for inpatient.

Performed procedures like foleys catheterization, venipuncture for bloods, urine dipstick, CPR on cardiac arrest call.

Attended acutely unwell patient and peri-arrest calls.

Assesment of inpatient and preparation of ward rounds, clinical documentation.

Follow up arrangement for fracture clinic appointments,discharge documentation.

Worked as front line health worker during covid pandemic.

Involved in audit and teaching to junior trainees and staffs through educational training programme and workshop.

Attended and prepared consultant led ward rounds.

Patient assessment,examination,attending on calls and clinical documentation.

Chase up bloods, pending reports, referrals and discharge summary.

Worked as front line health worker during covid pandemic.

Prepared general ward, post-op, and ICU rounds on a rota basis.

Prepared daily progress reports of inpatients and discharge summaries.

History taking, relevant examination, and documentation of cases attended.

Attended teaching and performed teaching presentations at the hospital site.

Patient history taking and physical examination.

Performed basic clinical procedures, such as:

Inserting IV lines,Venipuncture, Catheterization, Wound dressing, Minor Suturing

Monitored acutely unwell patient, vital signs and performed documentation.

Assisted in preparing patients for surgeries or medical procedures.

Provide post-operative care under supervision.

Various clinical responsibilities on Departmental Rotations of Internal Medicine,General Surgery,Emergency Department,Pediatrics,Obstetrics and Gynecology,Orthopedics,ENT (Ear, Nose, Throat),Psychiatry,Dermatology,Anaethesia.

Participated in ward rounds and clinical discussions/meetings.

Attended on-calls and night shifts, responding to bleeps.

Maintained manual logbook throughout the rotational posting.

Prepared daily progress reports of in-patient admission and presented them on ward rounds and handover.