The Junior Medical Officer's Guide to the Hospital Universe: A Survival Manual

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"something special, out-of-the-ordinary … I wish I had had a manual like this one at that stage of my career. I would have found the multitude of templates and lists a godsend … an accessible, entertaining work about ‘life in medicine’." Professor David Bennett AO, Adolescent Health Physician, Developmental Paediatrics, Sydney, Australia "As a doctor who has recently completed her internship, on reflection, there are so many things I wish I knew before starting. The author has done an exceptional job in providing a great summary of advice to assist JMOs survive their first years in the hospital which is very relevant to their day-to-day work. The writing style is relatable and makes for an easy-to-read book which is also comical at times." Dr Mitsi Blazos, Basic Physician Trainee, The Alfred Hospital, Melbourne, Australia The JMO Years… Insane Hours. Endless patients. Mountains of paperwork. Inexorable pressure. Interminable years of training. No life outside work. How will you get the job done well? How will you survive? Look no further. This is the essential guide to the real life of and in the hospital. Providing invaluable guidance throughout, with this book as your companion you will be able to clear those discharges, get those consults, survive after hours, get your work-life balance in order and, ultimately, be the doctor you really want to be. Addressing every facet of the JMO’s true role, the book enables and supports junior doctors and medical students to thrive in their new position within the hospital system, aiding the streamlined completion of administration, maximising efficiency with no compromise in accuracy, all with the final objective of ensuring the best possible outcome for patients while maintaining the health, function and happiness of the health care provider.

Author(s): John Shi
Publisher: CRC Press
Year: 2022

Language: English
Pages: 320
City: Boca Raton

Cover
Half Title
Title
Copyright
Dedication
Contents
Author
Glossary
1 Introduction
How to use this book
Exhortation to read, and do this asap
For all Doctors
2 Before the Term
Things to bring
Things to do
People to know
3 The Term: Life Rounds
What is a Life Round?
An exhortation to look after yourself: Justification for the Life Round
An exhortation against exhaustion
Practical tips
4 The Term: IT
Mindset
Lists
Setting up a List
List maintenance
Personalised List/Excel List
Rounds List
Handover/Multi-Patient Task List
Task Manager: JMO Jobs List
Emergency Department: When not in ED
Journey Board
Finding stuff
PowerNotes
Clinical Docs
Continuous Docs
Offsite data
Other places to look
Home Screen (aka Patient Summary)
Viewing Investigations
Radiology
Ordering Investigations
Principles
Setting up your Favourites
Folders/categories
Modifications
Blood rules and myths
eMeds
Ordering Medications/Fluids
Modifying Medications/Fluids
Viewing Medications/Fluids
Other key functions
Documenting
Templating methodology
Ward Rounds
Other documentation
Attaching external documentation/media
Emergency Department Documenting
External referrals
Discharges
Methodology
The Template
Major components
The Plan
Useful documents to attach, but painful to do so
No eMR
Benefits
The Intranet
Rosters
Resources
Miscellaneous
Doctor View
FirstNet
A justification for automation, efficiency and minimising menial tasks
Templates: vice or virtue?
On pettiness
On errors
5 The Term: Organisation
On the Ward Round
Off the Ward Round
Logistics of the unexpected
6 The Term: Human Relations
Introduction: how to help other people help you
Phone contacts
Numbers
Ad interim
Home team
Who?
Roles
Mindset
Organisation/prioritisation
Learning
Admin
Working hours
Ward staff
Ward Clerk
Nurses
Pharmacist
Allied Health
Consults (Other Medical Teams)
Who are you talking to: Hospital hierarchy
Before the Consult: preparation
Getting to the Team
Making the Consult
After the Consult
Follow-up and future Consults: smoothing access
Radiology
General rules
Imaging types
Special services
Getting them
The process: for now and ever after
Family
Getting in touch: contacting the family
NESB: contacting the patient
Interacting with/reassuring the family
7 End of the Term
Getting Handover
Giving Handover
Closing the Term
8 After Hours
Staying alive: After Hours Life Rounds
Organising After Hours: Jobs
Clinical Reviews
Deaths
9 COVID-19
General health/pressure area care
Hygiene
Protocol
Documenting
10 Money matters
Employment matters
IT matters
Financial matters
Other areas of interest
Notes
11 To conclude
Index