Jamie leigh Macfarlane

• Share the responsibility for the assessment, resuscitation and treatment of all patients referred to the Critical Care Unit, working as part of a team with the on-call ICU consultant.
• Review patients in the Emergency Department, theatre recovery and the wards following referral from colleagues in other specialities.
• Form part of medical emergency team.
• Share the responsibility for direct clinical supervision and teaching of the trainee staff, nurses and medical students.
• Assist in the provision and development of a safe, effective and efficient critical care service and support the Trust in its aim to provide the best possible care to patients.
• Take an active role in the departmental clinical governance activity.
• Participate in active audit programmes.
• Attend the departments offer regular weekly educational meetings including audit meetings and M&M meetings

• To provide safe and effective care of patients.
• Have delegated responsibility for all the patients under the care of the Consultant, and for the patients of all the Consultants when undertaking emergency cover or when the other SHOs are off duty.
• Refer to the Consultant(s) when problems arise which are beyond my authority and/or experience.
• Oversee and advise the more junior doctors (FY1/FY2).
• Provide diagnosis and treatment for all categories of patients in the department.
• Identified health conditions through targeted physical examinations.
• Assess diagnostic findings to determine patient treatment plans.
• Liaised with families in assessing patient care needs.
• Keep detailed, accurate patient notes for thorough medical records.

Emergency medicine (May 2022 - August 2022)

Key responsibilities: To provide initial assessment, stabilisation and management of patient who present to the emergency department. This would include obtaining a relevant medical history and performing a focused physical examination. I would order and interpret diagnostic tests including blood test, imaging studies and other relevant investigations before initiating appropriate treatment and interventions for patients based on their presenting symptoms and conditions. I performed basic medical procedures such as suturing, wound care and catheterisation. During this time I also contributed to a quality improvement project which aimed to highlight and effectively disseminate key messages to junior doctors in the emergency department. This involved the creation of infographics.

Respiratory medicine (January 2022- April 2022)

Key responsibilities: General ward duties which included attended ward rounds, ordering investigations, prescribing medications and performing procedures. I also had the opportunity to attend clinics relevant to respiratory medicine.

Palliative care medicine (August 2021 - December 2021)

Key responsibilities: While I attended ward rounds and reviewed patients at the hospice, I spent a lot of my time admitting patients. This would consist of clerking palliative patients with more emphasis on a holistic approach, considering the spiritual and psychological needs of each patient. I was able to support both the patients and their families throughout the disease with the aim of improving quality of life.

General Practice (Weekly, August 2021-2022)

Key responsibilities: During this time, I had exposure to both acutely ill patients and those with chronic health problems in the community setting. Consultations were carried out either face to face, over the telephone or via e-consultations. I had the opportunity to manage any acute problems, review and manage chronic issues as well as providing the patient with opportunistic health promotion. I also attended weekly tutorials where I had the opportunity to attend teaching and give short teaching sessions to practice members.

Rotations: General medical ward (Diabetes and Endocrine), trauma and orthopaedics and acute medicine

There were slight variations in the role depending on the rotation, generally the role of the FY1 doctor can be divided into ward duties and on call duties.

Ward duties: The FY1 doctor would be expected to attend ward rounds and complete tasks such as ordering investigations, prescribing and performing procedures.

On call duties: Out of hours, the FY1 doctor was responsible for certain wards. You would be expected to complete any outstanding tasks from the day team and review acutely ill patients.

This post was a unique opportunity for final year medical students to graduate early, gain provisional registration with the GMC and to contribute to the healthcare workforce during the
COVID-19 pandemic. Main day-to-day duties included note taking, ordering investigations, inter-speciality referrals and completing discharge documentation. The role was limited to your existing level of competence and did not involve any legal or final decision duties of a doctor e.g. prescribing, death certification, discharge or radiological
test booking.