Medical teams

Hospital staff

General practitioner 2

Unit 2

The people who work in any type of workplace, including hospitals, are called the staff.

Up until the year 2005, a General Practitioner of medicine had to do a minimum of the following postgraduating training:

· A pre-registration house officer (PRHO), or house officer, is a newly graduated doctor in the first year of postgraduate training. After a year, he or she becomes a registered medical practitioner in which the trainee usually spends 6 months on a general surgical ward and 6 months on a general ward in a hospital. In the current system of training, it is called the Foundation Programme, the name for these junior doctors is Foundation Year 1 doctor (FY1).

· A senior house officer (SHO) is in the second year of postgraduate training in which the trainee normally completes four 6-month jobs in hospital specialties such as obstetrics and gynecology, paediatrics, geriatric medicine, accident and emergency or psychiatry. The title is now Foundation Year 2 doctor (FY2), but the old terms senior house officer and SHO are still used.

· A specialist registrar (SpR) is a doctor who has completed the Foundation Programme, and is training in one of the medical specialties. There are also some non-training registrars- doctors who have completed their training but do not wish to specialize yet.

· A consultant is a fully qualified specialist. There may also be some associate specialists as senior doctors who do not wish to become consultants. In addition, there is at least one medical (or clinical) director, who is responsible for all of the medical staff.

Consultant physicians and surgeons are responsible for a specific number of patients in the hospital. Each consultant has a team of junior doctors to help patients to be treated. Many hospitals have multidisciplinary teams which consist of physiotherapists and other allied health professionals except doctors.

When patients are admitted to hospital, they are usually examined first by one of the junior doctors on the ward where they will receive treatment and care. The junior doctor clerks them - takes their medical history and examines them.

Sometime later, the registrar also sees the patients, and may order investigations or tests, for example X-rays or an ECG, make a provisional diagnosis, and begin treatment.

The consultant usually sees the new admissions - people who have recently been admitted to the ward - for the first time on one of the regular ward rounds, when the management of the patients is discussed with the registrar. Consultants also decide when a patient is ready to be discharged from the hospital (sent home). On the ward round, the consultant is accompanied by the team and a nurse, and they visit all the patients in the consultant's care.

Дата добавления: 2014-12-10