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Practical and Professional Clinical Skills
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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

SUITE 1 : HISTORY & EXAMINATION SKILLS; 1. Introduction; 2. History taking; SYSTEMS EXAMINATION; 3. General examination; 4. Cardiovascular examination; 5. Abdominal examination; 6. Respiratory examination; 7. Neurology: cranial nerves examination; 8. Neurology: limbs examination; MUSCULOSKELETAL EXAMINATION; 9. GALS; 10. Knee; 11. Hip spine; 12. Spine; 13. Hands; SPECIALISED EXAMINATION; 14. Breast examination; 15. Thyroid examination; 16. Digital rectal examination; 17. Male groin and hernias; 18. Pelvic and vaginal examination; 19. Eye examination; 20. Ear examination; 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

About the Author

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.

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