General Internal Medicine.
The SpR is responsible for the day-to-day management of the general medical patients. There are two Consultant-led ward rounds per week, allowing a balance between sufficient senior support and registrar autonomy. The SpR looks after the patients from the time they are admitted to their discharge home, ensuring that continuity of care and recognising fitness for discharge is learned. The SpR is responsible for the supervision of the junior staff, in terms of practical management problems, and has a commitment to undergraduate and postgraduate bedside teaching.
The SpR sees both new referrals and discharge follow ups (if there are specific ongoing medical problems) in clinic. The
Endocrinology Department is one of the few specialities within The Trust which has retained its general medical component as a major part of its' clinical work and hence patients referred by General Practitioners to the 'General
Physician' are often targeted to the Endocrinology Clinic. This allows the SpR to investigate patients whose diagnosis may be unclear, and provides good training in ordering the correct investigations from the outset of a clinical problem.