Who is in my medical team and where do I fit in?
The people you will work the most closely with are the other doctors in your team or “firm”.
'Overseas doctors need to have an open minded approach irrespective of their seniority.
- Your consultant (most senior)
- Senior or specialist registrar (in training)
- Foundation Programme trainee (within the first two years of qualification).
Other doctors you may come into contact with include:
- Staff grades (a non-training grade doctor who often is very experienced)
- Clinical fellows (a trainee grade doctor undertaking research).
Who is in the multidisciplinary team?
For patients to receive the best possible clinical care, several healthcare professionals may be involved. This is what is known as a multidisciplinary team.
- Nurses provide practical direct care for patients and often will provide you with direct support on the wards and in clinics.
They have often worked in the department for a long time and can provide invaluable advice – don’t be afraid to ask them questions.
- Specialist nurses – Macmillan cancer support nurses, “stoma” care nurses
- Midwives – work within maternity and can deliver low risk patients. They have limited prescribing abilities.
- Pharmacists – provide essential advice on which medications to prescribe and dispense drugs. Every hospital prescription is reviewed by them and you can contact them directly for advice when prescribing.
- Phlebotomists – most hospitals employ phlebotomists to take blood from patients, usually in the morning, so that results are available in the afternoon.
It’s essential that you make sure request forms are put out early in the day if you would like phlebotomists to take blood from your patients as if you miss their ward round, you will have to bleed the patient yourself!
- Physiotherapists –assess patient mobility and may provide specialist input into care eg. for patients with chest infections
- Social workers – help assemble relevant discharge packages for patients being released from hospital back into the community.
- Physician’s assistants – in some departments, physicians assistants take on the routine tasks performed by junior doctors such as blood taking, requesting simple investigations and assisting in operations.
Next... Find out what happens on a ward round