Search research articles

ABOUT JoVE

Overview Leadership Blog JoVE Help Center

AUTHORS

Publishing Process Editorial Board Scope & Policies Peer Review FAQ Submit

LIBRARIANS

Testimonials Subscriptions Access Resources Library Advisory Board FAQ

RESEARCH

JoVE Journal Methods Collections JoVE Encyclopedia of Experiments Archive

EDUCATION

JoVE Core JoVE Business JoVE Science Education JoVE Lab Manual Faculty Resource Center Faculty Site

Terms & Conditions of Use

Search research articles

Related Experiment Videos

What the SHO really does.

R M Pearse¹, A V Mitra, T D Heymann

¹Department of Medicine, Kingston Hospital, Surrey.

Journal of the Royal College of Physicians of London

|January 14, 2000

Summary

This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by

Same author

Sugammadex to prevent postoperative pulmonary complications: a practice survey.

British journal of anaesthesia·2024

Same author

A systematic review and meta-analysis of the clinimetric properties of the core outcome measurement instruments for clinical effectiveness trials of nutritional and metabolic interventions in critical illness (CONCISE).

Critical care (London, England)·2023

Same author

Health Resource Utilisation and Disparities: an Ecological Study of Admission Patterns Across Ethnicity in England Between 2017 and 2020.

Journal of racial and ethnic health disparities·2022

Same author

Ethnic disparities in hospitalisation and hospital-outcomes during the second wave of COVID-19 infection in east London.

Scientific reports·2022

Same author

Enhanced peri-operative care to improve outcomes for high-risk surgical patients in Brazil: a single-centre before-and-after cohort study.

Anaesthesia·2022

Same author

Towards the quantification of perioperative cardiovascular risk in the African context: A sub-analysis of the South African Surgical Outcomes Study and the African Surgical Outcomes Study.

South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde·2021

Same journal

A Change of Government and Its Effect on the NHS Hospital Outpatient Service.

Journal of the Royal College of Physicians of London·2019

Same journal

Erratum: Model for the Organisation of a Community-Based Rehabilitation Service.

Journal of the Royal College of Physicians of London·2019

Same journal

Telemedicine and beyond.

Journal of the Royal College of Physicians of London·2019

Same journal

Palliative Care in General Medicine.

Journal of the Royal College of Physicians of London·2019

Same journal

Medical Negligence.

Journal of the Royal College of Physicians of London·2019

Same journal

In Response.

Journal of the Royal College of Physicians of London·2019

See all related articles

Senior house officer (SHO) training in general medicine offers exposure to common conditions but limited rare cases. Recent NHS changes haven't altered this, highlighting a need for practical procedural training improvements.

Area of Science:

Medical Education
Internal Medicine Training
Clinical Practice Assessment

Background:

Follow-up study assessing training in a general medical senior house officer (SHO) post five years after initial description.
Investigates the impact of subsequent changes on SHO training and practical procedure learning opportunities.

Purpose of the Study:

Evaluate the acute caseload and training experiences of SHOs in general medicine.
Assess opportunities for learning and practicing essential practical procedures during unselected medical take.

Main Methods:

Analysis of patient caseload over a six-month period for a general medical SHO post.
Review of the frequency of common and rare diagnostic categories encountered.
Assessment of the utilization of recommended practical procedures and identification of training gaps.

Related Experiment Videos

Main Results:

Patient numbers increased by 29% over five years, with the ten most common categories comprising 53% of cases.
Despite increased overall caseload, the number of patients seen per SHO decreased with additional staffing.
Frequently used procedures like lumbar puncture were common, while others like vital capacity measurement were not needed; some required procedures were under specialist training.

Conclusions:

General medical SHO posts provide good exposure to common conditions but limited experience with rare diseases, unaffected by recent NHS changes.
Recommendations for practical procedure training need refinement, possibly through specific teaching arrangements for infrequently needed techniques.
Findings support updated Royal College of Physicians' general professional training requirements and the use of logbooks to track experience gaps.