• ▪Elective placement in Emergency Medicine, four weeks, 2023.
• ▪Awarded departmental prize for the best final-year case presentation, 2023.

• ▪Three months. Covered a 40-bed medical ward with three other house officers on a one-in-four night rota.
• ▪Clerked around 12 admissions per on-call shift, including diabetic ketoacidosis, chronic liver disease decompensation and community-acquired pneumonia.
• ▪Performed venepuncture, cannulation and arterial blood gas sampling independently after supervised sign-off in the first month.
• ▪Prepared daily ward round documentation and discharge summaries for consultant review.

• ▪Three months. Covered a 30-bed surgical ward with two other house officers.
• ▪Assisted in approximately 45 procedures including appendicectomy, cholecystectomy and hernia repair.
• ▪Performed simple wound closure and suture removal under direct supervision; managed post-operative drains and dressings.
• ▪Prepared pre-operative checklists and consent documentation for consultant countersignature.

• ▪Three months. Clerked paediatric admissions including bronchiolitis, acute gastroenteritis with dehydration and febrile illness.
• ▪Calculated and prescribed maintenance fluids under supervision using weight-based protocols.
• ▪Attended the neonatal unit twice weekly and observed neonatal resuscitation per unit protocol.

• ▪Three months, in progress. Attend labour ward, antenatal clinic and gynaecology outpatients.
• ▪Assisted at caesarean sections and observed approximately 30 normal vaginal deliveries under obstetric and midwifery supervision.
• ▪Maintain partogram documentation and carry out post-natal ward reviews under supervision.

• ▪Reviewed 100 medical admissions against the hospital standard requiring assessment within 24 hours.
• ▪First cycle by a previous house officer had found 68% completion; added a prompt to the admission proforma with the ward sister.
• ▪Re-audit at three months showed completion at 91%. Presented at the departmental clinical meeting, February 2025.

• ▪Reviewed 60 surgical discharge summaries against four required elements.
• ▪Found follow-up arrangements documented in 71%; findings contributed to a revised template now in use on the ward.

Poster: re-audit of VTE risk assessment completion following a proforma change.

• ▪Run four teaching sessions per rotation on interpreting common ward investigations for third-year students.
• ▪Wrote the one-page night shift handover guide now given to incoming house officers on the medical ward.

• ▪Attend a monthly screening camp offering blood pressure and blood glucose checks in underserved neighbourhoods.
• ▪Recorded findings and arranged onward referral for attendees with abnormal results, under supervising physician sign-off.