Shivika Gupta

Currently working at registrar level across Acute and General Internal Medicine, independently managing acutely unwell patients from initial presentation through to inpatient care and discharge. As frontline clinician, I lead assessment and stabilisation of complex cases in Medical Assessment Unit, coordinate multidisciplinary care, and provide clinical supervision to junior colleagues.

I am also an active member of Acute Medicine Resident Forum, contributing to national discussions around training, service improvement, and professional development in Acute Medicine.

• Serve as front-door doctor for acute medical take, leading triage, assessment, and management
• Manage wide range of acute and chronic presentations independently across AMU and inpatient wards
• Lead and respond to cardiac arrest calls and medical emergencies with effective clinical judgement
• Supervise junior doctors and students, providing bedside teaching and procedural guidance
• Perform and oversee core procedures: ABGs, IV cannulation, lumbar puncture, NG tube insertion
• Contribute to safe discharge planning and smooth patient flow through liaison with specialty teams
• Maintain accurate electronic records and safe prescribing practices in line with local policies
• Participate in departmental audits, QI projects, and M&M meetings
• Actively involved in Acute Medicine Resident Forum, supporting training advocacy and national quality discussions
• Committed to ongoing professional development and evidence-based, patient-centred care

Completed Internal Medicine Training across Hereford County Hospital, Queen Elizabeth Hospital Birmingham, and Birmingham Heartlands Hospital. Rotations included Geriatric Medicine, Respiratory Medicine, Gastroenterology, Oncology, Renal Medicine, Infectious Diseases, and Acute Medicine—providing broad clinical exposure and solid foundation in managing acute and chronic conditions.

Developed strong diagnostic and decision-making skills through regular assessments, early identification of deterioration, and timely intervention. Managed medical emergencies with focus on safety, escalation, and prioritisation. Maintained accurate electronic documentation to support safe, coordinated care.

Worked collaboratively within multidisciplinary teams, upholding medical ethics and delivering compassionate, patient-centred care. Engaged in teaching, audit, and ongoing learning to enhance clinical practice and remain aligned with evidence-based guidelines.

Worked as SHO and managed broad range of medical presentations across Acute and Stroke Medicine. In Acute Medicine, assessed and stabilised patients on Acute Medical Unit, initiated investigations, performed core clinical procedures, and contributed to prompt decision-making and safe handovers in high-pressure environment.

In Stroke Medicine, participated in hyper-acute stroke care, managed post-stroke complications, and supported rehabilitation and discharge planning through multidisciplinary collaboration. Maintained accurate clinical documentation, contributed to audits and teaching sessions, and consistently upheld high standards of patient care and professionalism.

In this role, I conducted initial patient assessments, including detailed history-taking and full systemic examinations. I contributed to differential diagnoses, initiated investigations, and supported development of management plans. My responsibilities included reviewing drug charts, prescribing under supervision, and monitoring patients across acute settings. I communicated diagnoses and treatment plans to patients and families, promoting clarity and shared decision-making.

Worked closely with multidisciplinary teams to ensure safe, coordinated care, and developed proficiency in core procedures such as venepuncture, cannulation, ABGs, IM injections, wound care, suturing, and NG tube insertion. Under supervision, I also performed lumbar puncture, ascitic tapping, and endotracheal intubation, and assisted with central and femoral line placements. I contributed to discharge planning, ensuring smooth and effective transitions of care.

Managed inpatients in Coronary Care Unit, delivering safe and effective care under supervision. Conducted thorough history-taking, clinical examinations, and formulated differential diagnoses. Completed and adjusted drug charts, monitored treatment responses, and supported discharge planning. Carried out procedures including venepuncture, IV cannulation, ABG sampling, IM injections, NG tube insertion, and assisted with advanced procedures such as lumbar puncture, ascitic tapping, and intubation.

Communicated diagnoses and treatment plans clearly to patients and relatives, including counselling and breaking bad news. Gained confidence in BLS and ACLS during emergency scenarios. Developed clinical competence in managing acute cardiac and respiratory conditions including myocardial infarction, ACS, DVT, chest pain, pneumonia, and acute asthma.

Completed one-year, structured clinical training programme focused on hands-on medical exposure across various specialties. Rotated through multiple departments, assisting senior physicians in daily ward work, procedures, and clinical decision-making.

Gained practical experience in history-taking, initial patient assessment, vital signs monitoring, and medical documentation. Performed core procedures under supervision, including urinary catheterisation, lumbar puncture, sample collection, and minor biopsies. Assisted in both normal and surgical deliveries and observed range of surgical interventions. This internship strengthened my clinical foundation and provided valuable insight into multidisciplinary hospital care.