The Medical Take
The Medical Take is a great opportunity to practise your acute medical skills: reviewing new patients in the Emergency Department, making diagnoses and devising management plans.
The Medical Take runs out of Majors in ED. All patients for admission will be referred to the Medical Registrar on-call. At the beginning of the shift, you should make yourself known to the Med Reg so they can add you to the Take Team chat on EPIC.
Every patient admitted should have a post-take review within 6 hours if admitted during the day, or 14 hours if admitted overnight. If you are clerking during the day, you should review your patients with the on-call consultant and receive feedback on your plans.
We view the take as essential to your educational experience at Frimley. We want you to feel autonomous but if you have any concerns about your patient, escalate them early to a senior clinician.
A Day on the Take
08:00
Morning Handover
Weekday morning takes place at 08:00 in Medical SDEC. The post-take FY1s will join the post-take consultants, seeing the night patients awaiting a post-take. The day clerking team - under the supervision of the medical registrar - will start seeing the patients who are waiting to be clerked.
13:00
Afternoon Touch Point
The Acute Medicine consultant covering the Emergency Department and the General Medicine consultant on-call will meet with the medical registrars in ED to assess the state of the take. If they haven't already, the consultants will begin post-taking patients from the day.
20:30
Night Handover
Night handover takes place in the Postgraduate Centre at 20:30. The day medical registrar will hand patients over to the night medical registrar. If your clerking shift finishes at 21:00, you should attend this meeting to hand over. If your shift finishes later, you should make sure you hand over any outstanding jobs to the night team directly.
Post-Take Shifts
Post-Take
You will see patients from the Night Take with one of the Post-Take Consultants.
You should attend Morning Handover at 08:00 in SDEC, before proceding to resus with the Consultant.
This round can take most of the morning. Once patients move to the ward, you should hand them over to the resident who will then be responsible for them.
If you finish the jobs from this round before the end of your shift, you should join the Medical Take to help clerk new patients.
Day 2
You will review patients who are on Day 2 of their admission, but still in ED.
You should attend Morning Handover at 08:00 in SDEC to report in.
In Winter, the Day 2 list can be long. You should prioritise patients who are unstable or potentially for discharge.
Later in the morning, one of the consultants will catch up with you to discuss these patients. If you are worried, you can find one of the post-take consultants in ED for a more urgent discussion.
You will sometimes be rostered to review patients from the previous shift, who remain in the Emergency Department.
Post-take shifts are usually assigned to FY1s, while Day 2 shifts are usually assigned to SHOs.