Practical and Professional Clinical Skills

Medical students are required to assimilate a huge amount of knowledge. However, to be effective practitioners, they must also be able to apply this knowledge in the context of patient care. Practical and Professional Clinical Skills sets out the full range of clinical skills that medicine students must be able to demonstrate. Compiled by editors with expertise in clinical skills education, the book has at its core a focus on professionalism, and on treating the patient with respect, dignity, and kindness. The book is divided into four suites: · History and Examination Skills · Procedural Skills · Emergency Skills · Professional Skills Taken together, these suites provide unrivalled coverage of the subject. The book: Provides step-by-step procedures: with a balance of guidance, rationale and illustrative content. Relates skills to relevant basic science , be this anatomical (e.g. sites of injection), physiological (reactions), or microbiological (maintaining a sterile environment). Encourages the blended development of practical flair and professional competence , promoting the importance of learning skills in the context of professional domains, including communication skills. Encourages students to take advantage of appropriate opportunities to improve their techniques , maximise their confidence and foster a safe learning environment for themselves, and a safe clinical environment for their patients. Ensures students are mindful of patient status , seeking appropriate opportunities to undertake skills, and raising awareness of the well / unwell patient Prepares students to encounter medical emergencies , with indications of important first line management, and detail on structured management as part of the medical team. Alongside clear, step-by-step guidance, the book uses OSCE-style competency assessment checklists throughout to encourage the student to verify that they can correctly implement the guidance and skills presented. Practical and Professional Clinical Skills is the one resource you won't want to be without to ensure mastery of all clinical skills - and to ensure professional success. 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