Wardround 3viii18
Welcome to C5. The ward ' s Consultants, Drs McMahon, Jones, Munang, Russell and Buabeng, look forward to working with you and hope you will get the most out of your attachment.This blog will be a reminder of your training assignments each week. In addition to the departmental teaching sessions we have three ward based events:1. Read& think :Each Tuesday there is a discussion of a subject or paper. I will usually set a paper but if you come across something which you believe we should read, I am happy to include it. Give yourself time to think.2. Two Minute talks: each Friday you will give the team ...
Source: MJM Wardrounds - July 13, 2018 Category: Universities & Medical Training Source Type: blogs
Wardround 1viii18
Welcome to C5. The ward ' s Consultants, Drs McMahon, Jones, Munang, Russell and Buabeng, look forward to working with you and hope you will get the most out of your attachment.This blog will be a reminder of your training assignments each week. In addition to the departmental teaching sessions we have three ward based events:1. Read& think :Each Tuesday there is a discussion of a subject or paper. I will usually set a paper but if you come across something which you believe we should read, I am happy to include it. Give yourself time to think.2. Two Minute talks: each Friday you will give the team ...
Source: MJM Wardrounds - July 13, 2018 Category: Universities & Medical Training Source Type: blogs
Wardround 2xii11
Our Topic for discussion this week was Driving and Medical illness with regard to the DVLA medical regulations. It was instructive to look how these would impact on patients on the ward.One way to bring driving history into our routine assessments is to regard driving as part of our ambulation/motility questions. If it is missed during initial clerking it should then come up as we approach discharge planning.The DVLA has its at a glance guide which can be easily assessed but a good aide memoire for fitness to drive at patient.co.uk.I missed the discussion about avoiding finding yourself out of your dept...
Source: MJM Wardrounds - December 2, 2011 Category: Universities & Medical Training Source Type: blogs
Wardround 25xi11
Reading for TuesdayHow to Handle Being Out of Your Depth: 6 Tips from a Con ManCan be found on websitewww.artofmanliness.comTwo minute talks for FridayIf each of the patients on today ’s wardround had asked “can I drive when I go home?” what would be the answer?Have a look at the DVLA guidance on driving and tell us what you have learnedClinical QuestionHow common are serious infusion reactions with Infliximab and how should they be managed?Review and Expert Opinion on Prevention and Treatment of Infliximab-related Infusion Reactions. Medscape. LLA Lecluse, et alAudit questionIf patients have a condition that would r...
Source: MJM Wardrounds - November 25, 2011 Category: Universities & Medical Training Source Type: blogs
Have you fallen? Not a question of morals.
An interesting set of talks about nosocomial illness. I liked the Falls in Hospital handout: Simple, clear, no waffle. We have agreed that " have you had any falls " should be a routine question. I tend to put it in the neurology section of systems review.It was good to see our local data for C. difficile. Always good to include local information in a talk. SS will read one of the C. Difficile ICP sheets.Next Friday ' s topic is Electrolyte disturbance. Research, cogitate and give the group two minutes on one of the topics below. Clarity, practicality and memorability (for the right reasons) will be assessed.SodiumPotassiu...
Source: MJM Wardrounds - August 19, 2011 Category: Universities & Medical Training Source Type: blogs
Glucocorticoid adverse effects
Our topic today wasadverse effects of glucocorticoids. These are commonly used drugs with significant adverse effects. If we wish to limit unwanted effects we need to know how common they are, harness patient ' s concerns to help us and have a plan for when we use steroids.Your talks showed that you had put effort into researching the topic, but there needs to be a little more planning on the presentation side. The time allowed means that you have to be concise, and to make it sharp you must always be precise. Numbers (10%) not descriptors (quite common). List your sources on the handout so the audience can follow up if th...
Source: MJM Wardrounds - August 12, 2011 Category: Universities & Medical Training Source Type: blogs
11viii11
The two minute tutorials for Friday are focused on the adverse effects of corticosteroid therapy:General overviewHow to work up a patient prior to treatmentHow to assess a patient on treatmentWhat are patient ' s views on steoid side effectsTuesday ' sread and think will beA 76-Year-Old Man With Multiple Medical Problems and Limited Health Literacy.Amy Ship.JAMA August 10 2011.Interesting topicsIlliteracy in rheumatoid arthritis patients as determined by the Rapid Estimate of Adult Literacy in Medicine (REALM) score. Gordon et al.Rheumatology (2002) 41 (7): 750-754It ' s Good to Feel Better But It ' s Better To Feel Good a...
Source: MJM Wardrounds - August 11, 2011 Category: Universities & Medical Training Source Type: blogs
It starts again: August 2011
Welcome to Ward 10. I hope you will both enjoy your stay with us and make the most of it. Learning does require a little effort but hopefully we can help each other by sharing the task.The two minute tutorial topic for Friday is The Normal ECG. I would like you to choose amongst yourselves from: P wave, QRS complex, T wave, PR interval, Axis. The goal is for us to be able to recognise a normal ECG. You are limited to two minutes. Be precise yet concise and tell us your sources.The paper to read, digest (intellectually) and then discuss on Tuesday isThe Road to Recovery, by David Psetsky.We usually have a weekly topic for a...
Source: MJM Wardrounds - August 3, 2011 Category: Universities & Medical Training Source Type: blogs
Interesting Publication
EXPERT CONSENSUS DOCUMENTACCF/ACG/AHA 2010 Expert Consensus Document on the Concomitant Use of Proton Pump Inhibitors and Thienopyridines: A Focused Update of the ACCF/ACG/AHA 2008 Expert Consensus Document on Reducing the Gastrointestinal Risks of Antiplatelet Therapy and NSAID UseThere is a brief comment inJAMA 2011;305(2):135-136. (Source: MJM Wardrounds)
Source: MJM Wardrounds - January 12, 2011 Category: Universities & Medical Training Source Type: blogs
Welcome to 2011
My Work related NYR for 2011 is to reanimate this blog. Wish me luck.MJM (Source: MJM Wardrounds)
Source: MJM Wardrounds - January 12, 2011 Category: Universities & Medical Training Source Type: blogs
Reading for Tuesday 31viii10
RANDOMISED TRIAL OF INTRAVENOUS STREPTOKINASE, ORAL ASPIRIN, BOTH, OR NEITHER AMONG 17 187 CASES OF SUSPECTED ACUTE MYOCARDIAL INFARCTION: ISIS-2.The Lancet, Volume 332, Issue 8607, Pages 349 - 360, 13 August 1988Why have I chosen this paper.MJM (Source: MJM Wardrounds)
Source: MJM Wardrounds - August 25, 2010 Category: Universities & Medical Training Source Type: blogs
16viii10
The reading for Tuesday 24th will beAssessing a learning disabled patient ' s capacity to manage his own care and make important decisions. Read the material and share your thoughts with the team.Friday 2oth two minute talks are on the topic of cellulitis: epidemiology; diagnosis; treatment (uncomplicated case); complicated cellulitis; recurrent cellulitis. Keep it concise yet precise. Quote your sources.Pre-warning for Friday 27th because it might take a little more work...Thucydides described of the plague of Athens, in 431BC inThe History of the Peloponnesian War. If you click on the link it will take you to a copy of t...
Source: MJM Wardrounds - August 16, 2010 Category: Universities & Medical Training Source Type: blogs
Wardround 11viii10
The read and think for Tuesday isCommunication discrepancies between Physicians and Hospitalized patients. DP Olsen, DM Windish. Arch Intern Med 2010: 170 (15); 1302-1307.Two minute talks for Friday: Reducing adverse effects from:NSAIDsGlucocorticoidsAnticoagulantsAntibioticsStatinsPilot Audit for Monday:DVT prophylaxis; standard=handbook.Interesting Topics:New classification criteria for Rheumatoid arthritisGlioblastomaGIFTASUPMJM (Source: MJM Wardrounds)
Source: MJM Wardrounds - August 11, 2010 Category: Universities & Medical Training Source Type: blogs
Welcome to ward 10
Welcome to your attachment on Ward 10Farewell to the old guard and welcome to the new batch. Get ready to gorge yourself on fruit from the tree of knowledge.This blog will be a reminder of your training assignments each week. In addition to the departmental teaching sessions we have three ward based events:1.Read& think :Each Tuesday there is a discussion of a subject or paper. I will usually set a paper but if you come across something which you believe we should read, I am happy to include it. Give yourself time to think.2.Two Minute talks:each Friday you will give the team a talk on a subject you have researched tha...
Source: MJM Wardrounds - August 4, 2010 Category: Universities & Medical Training Source Type: blogs
