Practical and Professional Clinical Skills

Description

Practical and Professional Clinical Skills sets out the full range of clinical skills that medicine students must be able to demonstrate to become effective medical professionals. Compiled by editors with expertise in clinical skills education, the book has a focus on professionalism, and on treating the patient with respect, dignity, and kindness.

• Provides coverage of the full range of clinical skills required of medical students as set out in Tomorrow's Doctors.
• Goes beyond clinical examination and history-taking to cover the full range of clinical skills, with a major emphasis on professionalism skills.
• Includes OSCE-style competency assessment forms throughout, to encourage students to assess both their understanding and implementation of the skills addressed.
• Stunning, fully-annotated anatomical images provide unrivalled clarity and aid quick assimilation of the information and guidance given.

About the Author(s)

Edited by Vinod Patel, Associate Professor for Clinical Skills, Institute of Clinical Education, Warwick Medical School, and John Morrissey, Honorary Associate Clinical Professor, Warwick Medical School

Dr Vinod Patel is Associate Professor in Clinical Skills at Warwick Medical School, University of Warwick. He is also Honorary Consultant Physician in Endocrinology and Diabetes, Acute Medicine and Medical Obstetrics at the George Eliot Hospital NHS Trust in Nuneaton, Warwickshire. Whilst his specialist area of research is prevention of diabetic complications, he has a passion for clinical diabetes care. He is jointly qualified in Hospital Medicine and General Practice and has this has allowed him to work across the primary care/secondary care interface and improve effectiveness in delivery of diabetes care for the local Community. His Diabetes Care Team was instrumental in developing the "Alphabet Strategy" for patient-centred, evidence-based, multi-professional diabetes care. This preventative and treatment-orientated strategy has been taught in numerous courses and seminars across UK and at two workshops in Bahrain, which were sponsored by the UN Development Programme.

John Morrissey is Honorary Associate Clinical Professor at the Medical School, University of Warwick. Prior to his retirement from clinical practice he was Clinical Lead for Diabetes at the George Eliot Hospital, Nuneaton, Warwickshire. He has also worked in acute and general internal medicine and as a general practitioner. He now works full time in undergraduate and postgraduate medical education. His main interests in medical education are clinical skills teaching, medical humanities and professionalism.

Table of Contents

Suite 1 : History & Examination Skills Unit 1 Introduction and history taking 2
1.1:History taking and examination skills: introduction 2
1.2:Clinical history taking 5
Systems Examination 9
2.1:General examination 9
2.2:Cardiovascular examination 12
2.3:Gastrointestinal examination 15
2.4:Respiratory examination 19
2.5: Neurology I: general and cranial nerves examination 22
2.6:Neurology II: examination of the limbs 25
Musculoskeletal Examination 28
9:GALS assessment 28
10:Knee examination 32
11:Hip examination 35
12:Spine examination 38
13:Hands examination 42
Specialities History and Examination
21:Paediatric history and examination
22:Obstetric history and examination
23:Psychiatric history and examination
24:Diabetes history and examination
25:Endocrine history and examination
26:Dermatology history and examination
The Full Consultation
27:The full history and examination
Suite 2 : Procedural Skills
General: Infection Control
28:Hand washing
29:Infection control, safe disposal of waste and sharps, and surgical scrubbing up
30:Use of personal protective equipment
Diagnostic
31:BP, Pulse, Temp, Oxygen Sats, B Glucose
32:Venepuncture, samples and blood cultures
33:Performing and interpreting 12-lead ECG and monitor
34:Peak flow measurement inhalers and nebs
35:Spirometry respiratory function test
36:Urinalysis and pregnancy testing
37:Microbiology sampling: MSU, throat and skin swabs
38:Nutritional assessment
39:Lumbar puncture
40:Arterial blood gases
Therapeutic
41:Oxygen therapy
42:Peripheral cannulation and setting up IVI
43:Making up drugs for parenteral administration
44:SC, IM, ID Injections
45:Blood transfusion
46:Urinary catheterisation: male and female
47:Use of local anaesthetics
48:Skin suturing
49:Wound care and dressing: pressure sores
50:Moving and handling
51:NG Tube
Suite 3 : Emergency Skills
Emergency Life Support Skills
52:Assessment of the acutely ill patient: ABCDE
53:Adult basic life support
54:Paediatric basic life support
55:Adult advanced life support
56:Paediatric advanced life support
57:Cardiac arrest
58:Periarrest arrhythmias
59:Laryngeal mask airway
60:Nasopharyngeal airway and combitube
General Clinical Emergencies
61:Sepsis
62:Acute abdomen
63:Respiratory failure
64:Cardiac chest pain
65:Cardiac failure
66:Acute liver failure
67:Gastrointestinal bleeding
68:Acute renal failure
69:Thromboembolism
70:Chest infection
71:Coma
72:Stroke
73:DKA and metabolic emergencies
74:Acute single episode of headache
75:Trauma
Suite 4 : Professional Skills
76:Public health: health promotion and health inequalities
Prescribing
77:Legal prescribing
78:Ensuring patient safety
79:Prescribing bundles
80:Drug charts
81:Controlled drugs
82:IV rota
83:Anti-coagulation
84:Insulin prescribing and glucose monitoring
Certificates and Forms
85:Consent Forms inc. capacity
86:Blood test requests and data interpretation
87:KMR Forms
88:Infectious disease notifications
89:Death certificate
90:Cremation form
Information Management
91:Confidentiality and data protection
92:Ward notes
93:Surgical checklist and pre-clerking
94:Referral letters
95:Discharge and summary
96:Clinical knowledge, IT Skills, audit and EBM
97:Data Interpretation
Radiology
98:Chest X-ray
99:Abdominal X-ray
100:Head CT and MRI
Advanced Clinical Skills
101:Communication in special circumstances
102:Care of the dying patient
103:Clinical Leadership Skills
Conclusion