I am ST6 in Acute Internal Medicine with North West HEE. It is not by accident that I found myself training inAcute Medicine as I have tested many medical specialties both oversea and in the UK. I started training in haematology oversea until I came to UK and applied for Core Medical Training in the North West.
I rotated through most of the medical specialties and my stay at the Medical Assessment unit changed my future decision in choosing Acute Medicine. In acute medicine, you are able to use all the skills you have acquired since your graduation at the front door as each day present differently from the other.
Before taking up position as ST3 in Acute Medicine, I already had MSc in Oncology and PGD in Diabetes with UK universities and these have been useful in my career so far. I am currently studying PGCert. In Medical Education with the University of Manchester to help sharpen my teaching skill which is needed in the Acute Medicine as we come face to face with the medical students and junior colleagues.
Acute Medicine presents you with choices to develop a special interest or subspecialty during your five year training and in my own situation, I chose Stroke Medicine as both specialties offer acute challenges at the front door and I can be flexible with the role. As a takeAIM fellow, I will enjoy the great time of talking with both medical students and junior doctors about the fascinating career in acute medicine, and the day to day fulfilling experience we encounter.
"Acute Medicine presents you with choices to develop a special interest or subspecialty during your five year training and in my own situation, I chose Stroke Medicine as both specialties offer acute challenges at the front door and I can be flexible with the role."
I am currently an ST4 in Acute internal medicine in Mersey Deanery. I have always enjoyed working with the acutely sick adult medical patient at the front door. I was very much medically orientated, ever since medical school and this has never changed.
I always knew I wanted to do internal medicine. My specialist skills along with AIM is ultrasounding with FAMUS, which I am getting of a lot of opportunity to do with ultrasound machines now being readily available in most acute medical units and A+E. Outside of hospital I like to get to the gym regularly.
I seem to have a thing for spinning at the moment. When the weather is warmer I like to get out for a run along the docks at Liverpool. I also like to sign up for runs and tough mudders.
I joined takeAIM after seeing the enjoyment Ratna, another takeAIM fellow, got out of promoting the world of acute medicine, and I will hopefully continue this on during my term.
"My specialist skills along with AIM is ultrasounding with FAMUS, which I am getting of a lot of opportunity to do with ultrasound machines now being readily available in most acute medical units and A+E."
I’m an ST3 training in South London. Acute Medicine was my first job as an FY1 and I immediately loved it.
During this year as a takeAIM fellow, I hope to spread the love.
I was particularly attracted towards the huge variety and high turnover of patients, working on a busy (and very sociable) unit and the opportunity to perform procedures from chest drains to central lines. And although it’s early days as yet, I’ve started developing my specialist skills in maternal medicine and management – although every time I look at the list of interests, I get tempted by another.
It’s definitely a specialty in which you are encouraged to work hard and play hard. When I’m not at work, I can usually be found enjoying London or scuba diving in an exotic location – but I’ll always make time to chat to people who have questions or are interested in the specialty!
"It’s definitely a specialty in which you are encouraged to work hard and play hard."
Declarations: I have always had medic blood in me.
Background: I have passed through different countries with different healthcare systems throughout my training. From Iraq to Dubai to Lebanon to finally settling in the great Northwest of England.
Acute medicine was a novelty to me at that time, I suppose it’s a novelty to anyone working outside the UK. I first applied for my Intensive Care number in 2012 and as soon as I joined the training I had one of those “where have you been all my life moments”.
When I got to learn more about Acute Medicine, a light bulb went on and before I knew it I was applying my Acute Medical number the following round in 2013. Acute Medicine offers unique training opportunities that you won’t find anywhere else. I have managed to develop many interests: ultrasound, ECHO, management and quality improvement which all naturally align with my day job.
AIM is my specialist skill for ICM and ICM is my specialist skill for AIM. I really think the combination works. AIM & ICM complement one another and provide a good balance in the nature of clinical encounters that one would come across. A patient’s journey may well start on AMU carry on to ICU and then back to the community. So go on, takeAIM and have an adventure with it, on it's own, with a dual speciality or a specialist skill!
"I consider myself lucky to be able to train in both AIM & ICM as it allows me to experience a spectrum of illness from the stable but chronically ill to the extremely unstable acutely ill patient. I like to be kept on my toes yet have some less intense time at work and this combination does it for me."
I have always known that I am a medical physician at heart though I struggled to know what to specialise in during my CMT training as I loved every specialty rotation. I noticed that the AIM trainees I worked with were great doctors, loved their job and were enthusiastic role models. I thrived on working in a busy and sometimes stressful environment, managing a variety of acutely unwell patients, so started to consider AIM as a career.
Being the medical registrar can be stressful and requires a broad range of knowledge and the ability to independently manage sick patients as well as the team. Every day as an AIM registrar allows you to develop that knowledge breadth through regular AIM sessions whilst not on-call, as well as dedicated time in other specialties (such as ICU, elderly, cardiology and respiratory).
Every AIM trainee can pick a special skill, and mine is leadership and management... Whilst I would never before have considered myself to be interested in management, I am keen to develop AMUs to make them more efficient whilst also improving patient safety.
I am the STC trainee Rep for West Yorkshire which involves organising regional training days and attending meetings to feedback any training concerns. I am very passionate about ensuring that AIM trainees get the most out of their training to provide a sustainable workforce for the future.
I love the flexibility that AIM offers. I am training less than full time after having a baby and the sessional work of AIM lends itself well to this. The work-life balance this offers me ensures that I can spend precious time watching my daughter grow up whilst also enjoying my time at work as a senior decision maker, managing the acute take.
As an SpR, I frequently get asked ‘but why acute medicine’ or ‘why are you doing this to yourself’. I love my job and I am genuinely passionate about my specialty. I cannot emphasise enough how diverse and exciting AIM is. We work at the front door and deal with the simple to the most complex cases. We interact daily with most specialties and we really get to know everyone in the hospital.
I am currently doing an MSc in Medical Leadership as my Specialist skill. I have trained for Level 1 Pleural USS, which is very handy when assessing patients on admission. Both of these have been made possible with the shape of our AIM training.
Medical school and endless exams finally made sense the day I became an Acute Medicine SpR. I really wish to share my AIM enthusiasm with you, so if you enjoy working in a fast paced yet fun environment, please get in touch!
My hobby is to sign up for running events. I am currently training for my fifth half marathon. Watch this space for hopefully a PB!
I started off my SHO years doing CMT and then applied for my SpR number in AIM and never ever looked back.AIM offers the right amount of variety and pace. I love that it really is a team approach to holistic patient care – with Consultants, junior doctors, nurses, pharmacists and therapists working towards the same goal with each patient.
AIM also supports (and mandates!) the development of a subspecialty skill - mine is stroke medicine but there are many more to choose from!
It allows plenty of time for work life balance – I am a keen hiker, cyclist and like most things outdoors!
In short Acute Internal Medicine encompasses all the reasons why I wanted to become a doctor and I encourage you to join us!
You always feel supported in AMU as your team is usually within a short distance from you! There are plenty of opportunities for bedside teaching – especially in ambulatory care units, a part of AIM I really enjoy.