List of contributors 7
Preface 9
Acknowledgements 10
List of abbreviations 11
How to use your textbook 13
Part 1 Making the most of the foundation programme
1 Shadowing and induction 16
2 The e-portfolio - how to plan, manage and evidence your learning 18
3 Supervised learning events and assessments 20
4 Reflective learning 22
5 Managing your medical career 24
6 Applying to specialty training 26
Part 2 The foundation doctor as a professional and a scholar
Safety and clinical governance
7 Quality improvement and clinical leadership 28
8 Quality improvement projects 30
Relationship and communication with patients
9 Breaking bad news and handling complaints 32
10 Assessing capacity and informed consent 34
Professionalism and working with colleagues
11 Handover and communicating with colleagues 36
12 Communication between primary and secondary care 38
Maintaining good medical practice
13 Introduction to evidence-based medicine 40
14 Critical appraisal of randomized controlled trials 42
15 Critical appraisal of systematic reviews and meta-analyses 44
16 Making the most of guidelines and protocols 46
Teaching and training
17 Running a teaching session and presentation skills 48
18 Assessment and feedback 50
Part 3 The foundation doctor as a safe and effective practitioner
Good clinical care
19 Assessing and managing the acutely ill patient 52
20 Rational prescribing 54
21 Medical record keeping 56
22 Time management 58
23 Fluid management 60
24 Blood transfusion 63
Patients with long-term conditions
25 Discharge planning 66
26 Nutrition 68
27 Health promotion and public health 70
Resuscitation and end of life care
28 Do not attempt CPR decisions 72
29 Palliative care 74
30 Certifying death 76
Part 4 Recognition and management of patients with common conditions
Airway problems
31 The unconscious patient 78
32 Stridor 80
33 Anaphylaxis 82
Breathing/respiratory problems
34 Asthma 84
35 Pneumothorax and pulmonary embolism 86
36 Chronic obstructive pulmonary disease 90
37 Community-acquired pneumonia 92
Circulation problems
38 Acute chest pain 94
39 Palpitations 96
40 Hypotension 98
41 Severe sepsis 100
Renal, genitourinary and metabolic problems
42 Oliguria - including acute kidney injury 102
43 Electrolyte derangement-hyperkalaemia 104
44 Electrolyte derangement - hyponatraemia 106
Diabetes
45 Diabetic ketoacidosis 108
46 Hypoglycaemia 110
Gastrointestinal problems
47 Abdominal pain 112
48 Gastrointestinal bleeds 114
Musculoskeletal problems
49 Back pain and large joint pain 116
50 Fractures and dislocations 118
Neurological and visual problems
51 Coma 120
52 Seizures 122
53 Meningitis and encephalitis 124
54 Stroke/acute onset of focal neurological signs 126
55 Acute visual impairment 128
Psychiatric and behavioural symptoms
56 Depression 130
57 Psychosis 132
58 Anxiety disorders 134
59 Harmful drinking and alcohol dependence 136
Child health
60 Child abuse and protection 138
61 The febrile child, and recognizing the seriously ill child (including UTI and meningitis) 140
62 Cough and wheeze 142
63 Diarrhoea, vomiting and constipation in young children 145
Care of the elderly
64 Confusion, dementia and delirium 148
65 Fits, faints and falls 150
Index 152
