Sommy Ugwu

Clinical Roles:

• Clerking new patients
• Assessing and managing physical health conditions of the patients on the ward
• Completing regular mental state examinations and risk assessments for admitted patients
• Liaison with external agencies such as GPs and acute medical staff
• Attending ward rounds and documentation of ward rounds
• Completing discharge summaries and discharge prescriptions

Leadership Roles:

• Be involved in clinical governance related activities such as audits and quality improvement projects.

Educational Roles:

• Provide teaching to medical students and doctors in training working in the Trust

I work as a Senior House Officer in various
departments, Internal medicine, Psychiatry, General outpatient clinic/wellness clinic, Emergency department. 4 -6 monthly rotation across all departments for 7 years.
PSYCHIATRY
In and out patient Management.
Obtain adequate history, perform relevant
general including mini mental state examination.
Perform venepuncture and collect blood
samples for various laboratory investigations.
Formulate diagnosis and institute initial
management plans which may include talk
therapy, pain relief, fluid therapy or drug therapy.
Discuss impressions with seniors and institute any
changes to management plan.
Inform patients about findings and their condition
and answer any queries or concerns.
Monitor confirmed psychiatry patient organ and
systemic function for those on long-term drug
treatment.
Refer patients for cognitive behavioural therapy,
detoxification program.
Participate in Multidisciplinary Team management of patients.
Maintain high index of suspicion for compromise
of patient safety.
Summarize patients history to the team during
ward rounds and document details of agreed
plans.
Perform concluded post round orders and ensure
proper handover to supporting staff.
Writing prescriptions , discharge summaries,
clinical notes.
Make appropriate specialist consult referrals where needed.
INTERNAL MEDICINE
Provide daily medical out patient and inpatient
management
Obtain adequate history, perform relevant
examination.
Requesting and interpreting laboratory and
radiology investigations.
Performing and interpreting ECG.
Writing prescriptions , discharge summaries,
clinical notes and referrals.
Discuss complex diagnoses with seniors to
facilitate treatment plans.
Discuss medical conditions with patients in effort
to provide most effective medical advice.
Directed patients on medication use and lifestyle
modifications to improve health.
Counselled patients on newly diagnosed health
conditions and maintenance of existing
conditions.
Collaborating with team members.
Monitored patients' conditions and progress to
re-evaluate treatments.
Explained procedures and discussed test results
or prescribed treatments with patients.
Conducted rounds to monitor patient progress
and recovery.
Referred patients to medical specialists for other
needed interventions.
Admitted and treated patients as part of hospital's 24-hour on-call services.
Participate in monthly journal meetings and
weekly teachings in the department.
Participate in departmental audit for service
improvement.
EMERGENCY DEPARTMENT
Stabilize patients and all emergency cases for
later specialist care.
I received traumatized patients from RTA, did
primary survey and manage whatever was life
threatening in the patients and then transfer for
specialist care.
Investigated with imaging and interpreted X-rays
for immediate decision in emergency and then
sent for expert report later.
Evaluated preliminary results and administered
initial treatment such as stitching lacerations,
splinting, casting broken bones or installing tubes
and devices.
Performed and preliminary reading of ECG for
emergency care.
Point of care interpretation of CT scan, X-rays and
ultrasound scans for emergency clinical decisions
Recorded patient electronic record information
regarding physical findings, treatment rendered,
formulated plan and prognosis based on
patient's condition.
Referred patients to specialists or other
practitioners for expert management.
GENERAL OUTPATIENT/WELLNESS CLINIC
Worked in the general outpatient regularly.
Clerking, examination and formulating
management plans.
E-Consultation with patients.
Running of hypertension and diabetic clinics.
Conduct Pre- employment health check.
Advised patients on diet, hygiene and methods
for disease prevention.
Schedule follow- up visit.

I worked in the General out-patient department

(GOPD). My duties include:

Collected patient history, conducted General

examination and relevant physical examination,

requested diagnostic investigation.

Formulated initial management plans and

requested specialist consult when necessary.

Prepared and administered medications to

alleviate patient symptoms

Explained diagnostic test results to patient.

Conducted pre and post operative assessment of

patients.

Performed minor surgical procedures.

Participated in departmental audit for service

improvement.

Processed patient discharge documentation.

Adhered to hospital guidelines to protect patient

privacy.

Conducting HIV counselling, Anti-retroviral drug

administration and monitoring.

I attained the equivalent of the FY1 competencies.

I went through four departments:

Internal medicine, Paediatrics, Obstetrics and

Gynaecology and General Surgery and observed call

duty at the A&E

INTERNAL MEDICINE: I rotated through respiratory,

endocrinology and dermatology.

Attended to both out and in-patient care. I

managed both new and follow up cases.

I was responsible for taking detailed patient

history and performing examinations, requesting

laboratory investigations and interpretation.

I managed and prescribed medications for

patients, taking into consideration co existing

medical conditions and drug interactions.

I presented patient history during consultant ward

rounds and this formed basis of patient

management.

I performed basic procedures like insertion of IV

cannulas, blood sample collection, blood

transfusion, administration of IV medications.

I performed basic bedside investigations like PCV,

urinalysis, and random blood sugar.

I carried out post round orders & case

presentation at departmental meetings/ audits

In the Medical emergency unit, I carried out initial

patient history taking and resuscitation.

I was exposed to cases such as diabetic

emergencies (DKA, HHS), pneumonia, acute

asthma, anaphylaxis, psoriasis flares, pulmonary

embolism, seizure disorders, peptic ulcer diseases,

stroke, TIA.

PSYCHIATRY:

Embedded in all department postings, I learnt to

clerk patient and have a high index of suspicion of

psychiatric disorders.

I managed cases such as eating disorders, mood

disorders, sleeping disorders, drug and substance

abuse

PAEDIATRICS:

I had rotations in Neonatology, Emergency Paediatric

Unit, Special Care Baby Unit.

In each unit I was responsible for history taking

and examinations, venepunctures and

Cannulation.

I performed procedures such as paediatric

exchange blood transfusions, paediatric

cannulation, acute management of paediatric

emergencies such as acute severe asthma,

bronchiolitis, pneumonia, diarrhoea diseases,

malnutrition.

I was also on the rota for calls as the first on call

with other unit officers. I did my duty under the

supervision of senior medical officers and

paediatric consultants.

OBSTETRICS AND GYNAECOLOGY:

I attended to gynaecological emergencies, clinic

duty and labour ward.

In clinic duties, I attended to focused antenatal

care and gynaecological care .

I monitored pregnancies and ensured attending

pregnant women where on antenatal

medications like folic acids and haematinics,

malaria prophylaxis and tetanus cover.

I also cared for pregnancy women with co

existing medical conditions

In the Labour ward, I monitored labour, assisted in

the delivery of babies, I carried out deliveries of

babies in normal labour, actively managed the

3rd stage of labour, managed post partum

haemorrhage.

I assisted in caesarean sessions, myomectomy and

ovarian cyst removal, conducted blood

transfusions, cared for patients with

gynaecological emergencies like ectopic

pregnancies, severe menstrual pain, emergency

contraception, vaginal bleeding.

SURGERY:

I attended rotations in General Surgery, Orthopaedics

and Plastic Surgery.

I was responsible for taking detailed history,

physical examination of patients in surgical

emergencies and clinics.

I conducted pre and post operative assessments

of patients, obtaining consent for surgic