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What They Didn't Teach You at Medical School

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When I graduated I started work in a 950-plus bed then district general hospital, which subsequently became the flagship teaching hospital of the UK, that is the first private funding initiative hospital to be built.Not only was it chaotic to move an entire hospital from one building to another several miles down the road, but I was thrown in at the deep end clinically, to say the least. In my second week as a house officer I was scheduled to do nights, which meant looking after all the medical in-patients alone. In cases of emergency I could call the medical senior house officer (SHO) from the medical assessment unit. It was a case of sink or swim and swim hard I did. The Hands-on Guide for House Officers1 and the Oxford Handbook of Clinical Medicine2 (Cheese and Onion) became my best friends, but I could not help but notice that there were certain things in the day-to-day tasks that I had not learnt at medical school and were not in the books. There are some skills that medical students are expected to learn by ‘osmosis’ while on placement and under the guidance of junior doctors. These skills are never officially taught or examined in medical school. They are, however, a fundamental part of being a safe, good and efficient doctor.

During medical training there are certain tasks that are not taught at medical school nor in the common reference books. There are some skills that medical students are expected to learn by ‘osmosis’. These skills are never officially taught or examined in medical school, but are, however, a fundamental part of being a safe, good and efficient doctor. This book includes ‘golden rules’ or important points to remember and case examples, both of which are given as displayed extracts. This book will help the junior doctor unlock their potential and improve their performance, cutting the time it takes to achieve certain medical objectives. It is meant to fill in the gaps where the medical school and clinical guides stop. It gives the reader the information needed to organise themselves so that they can hit the ground running. It is not intended as a clinical survival guide, but more a friendly hand to allow the reader to get ahead in medicine and how to keep on track and develop a career path.

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