Clinical Classic

• ▪Degree awarded on completion of the rotating internship in June 2024; final examinations passed June 2023.
• ▪Distinction in Pathology and Community Medicine.
• ▪Institute prize for the best undergraduate research project, 2022.

• ▪Hold the medical admissions bleep one night in five: first assessment, initial plan and escalation to the registrar, with ten to fourteen new patients on a typical shift.
• ▪Responsible for fourteen to eighteen inpatients on the post-take list, including the investigation plan and the discharge letter for each.
• ▪Presented twice at the weekly mortality and morbidity meeting; the same-day senior review flag for transfers from the emergency department came out of the second.
• ▪Briefed and supervised two interns collecting data for the second cycle of the insulin audit.

• ▪Completed the full twelve-month rotating internship across four core specialties with one concurrent attachment; logbook countersigned by the responsible consultant for each posting.
• ▪Independent in venepuncture, cannulation and arterial blood gas sampling from the second month of the first posting, recorded against the sign-off date rather than claimed for the year as a whole.
• ▪Carried the written record for a 28-bed unit: admission clerking, daily entries, investigation requests and the discharge letter.

• ▪Three months, 62 on-call clerkings recorded in the logbook, including diabetic ketoacidosis, community-acquired pneumonia and acute coronary syndrome presentations.
• ▪Held the list for one of two ward teams, ten to fourteen patients, reviewed each morning with the consultant.
• ▪Signed off for venepuncture, cannulation and arterial blood gas sampling in the second month and worked unsupervised for those three thereafter.

• ▪Three months on the emergency surgical take: clerking, pre-operative preparation and consent documentation for consultant countersignature.
• ▪Held the post-operative ward on the days the theatre list ran without me - fluid balance, analgesia review, drains and wound care under registrar supervision.
• ▪Nineteen wound closures and suture removals performed under direct supervision, all logged; assisting in theatre otherwise, not operating.

• ▪Three months clerking paediatric admissions, most often bronchiolitis, acute gastroenteritis and febrile illness, with weight-based fluid and drug calculations checked by the registrar before prescribing.
• ▪Two half-days a week in the neonatal unit; present at four resuscitations at delivery in an observing role, which is what the logbook records.
• ▪Carried out discharge safety-netting conversations with families with the registrar present.

• ▪Three months across the labour ward, antenatal clinic and gynaecology outpatients; second assistant at caesarean section on eleven occasions.
• ▪Kept the labour record on the shifts I covered and reviewed post-natal patients ahead of the registrar's discharge round.
• ▪Attended approximately 25 vaginal deliveries led by the midwifery team, observing and assisting rather than conducting.

• ▪Six weeks alongside the obstetrics posting, two shifts a week: triage support and first assessment of ambulatory presentations.
• ▪Recorded and interpreted ECGs with every reading reviewed by the senior on shift before action.

• ▪Standard: unit policy requires four-times-daily capillary glucose and a written correction scale for every inpatient prescribed insulin.
• ▪First cycle, 90 consecutive medical admissions on insulin: both present in 54%, with the correction scale the more common omission.
• ▪Change agreed with the diabetes team: a single insulin block added to the drug chart, plus a ten-minute briefing at intern induction.
• ▪Re-audit at four months (n=85): 88%. Presented at the departmental clinical meeting, May 2026. Second-cycle data collection shared with two interns I briefed.

• ▪Traced 128 attendees referred from three camps with a first raised blood pressure reading; 47 had attended the health centre within eight weeks.
• ▪One cycle only, reported as such: the re-measurement needs the next camp round and has not been done.
• ▪Reported to the camp organisers as a one-page note recommending a written referral slip naming the centre and a date.

Poster: insulin prescribing and glucose documentation, two cycles and what changed between them.

Sessions on acute coronary syndrome management and antimicrobial stewardship.

• ▪Ran a weekly bedside session for final-year students across two postings, on history taking and arterial blood gas interpretation.
• ▪Collected written feedback from 22 of the students who attended; mean score 4.6 of 5.

• ▪Monthly camp in villages without a resident physician: blood pressure and blood glucose screening, with referral to the nearest health centre for anything newly abnormal.
• ▪Built the follow-up list that became the second audit, and wrote the referral slip the camp now issues.

• ▪Deliver direct care on a 28-bed acute medical ward, typically holding a bay of six to eight patients with respiratory, cardiac and frailty presentations at a ratio of one nurse to seven.
• ▪Escalate deterioration using NEWS2 and structured SBAR handover to the medical registrar; initiated the sepsis bundle within the first hour on four occasions in the last year.
• ▪Take charge of the ward on late shifts approximately twice a week, coordinating four nurses and three healthcare assistants and managing admissions and discharges.
• ▪Practice supervisor for six third-year student nurses across two academic years, including competency assessment sign-off and mid-placement interviews.
• ▪Support patients on non-invasive ventilation, including mask fitting, tolerance monitoring and escalation when settings are not achieving target.
• ▪Led a re-audit of pressure area risk assessment completion within six hours of admission (n=80), which rose from 72% to 94% after the assessment was moved into the admission checklist.

• ▪Work additional shifts across surgical, respiratory and short-stay wards, adapting to different specialties and documentation systems.
• ▪Regularly requested by the respiratory ward for familiarity with non-invasive ventilation.

• ▪Provided personal care, mobility support and observations on a 20-bed rehabilitation ward while studying.
• ▪Trained new healthcare assistants on the ward’s falls prevention procedure.

• ▪Placements across acute medicine, surgery, community nursing and the emergency department.

• ▪Reviewed 80 admissions against the trust standard requiring assessment within six hours.
• ▪Baseline completion was 72%; worked with the ward sister to move the assessment into the admission checklist.
• ▪Re-audit at four months showed 94% completion. Presented at the ward governance meeting.

• ▪Supervise third-year student nurses on placement, including competency sign-off and mid-placement review.
• ▪Deliver a short teaching session each rotation on NEWS2 escalation and structured handover.

• ▪Provide first aid cover at around six community events a year, including a half marathon and two festivals.

• ▪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.