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Raine Tim - Oxford Handbook for the Foundation Programme

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Raine Tim Oxford Handbook for the Foundation Programme

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Contents
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OXFORD MEDICAL PUBLICATIONS Oxford Handbook for the Foundation Programme - photo 1
OXFORD MEDICAL PUBLICATIONS
Oxford Handbook for the
Foundation
Programme

Published and forthcoming Oxford Handbooks

Oxford Handbook for the Foundation Programme, 5e

Oxford Handbook of Acute Medicine, 3e

Oxford Handbook of Anaesthesia, 4e

Oxford Handbook of Applied Dental Sciences

Oxford Handbook of Cardiology, 2e

Oxford Handbook of Clinical and Healthcare Research

Oxford Handbook of Clinical and Laboratory Investigation, 3e

Oxford Handbook of Clinical Dentistry, 6e

Oxford Handbook of Clinical Diagnosis, 3e

Oxford Handbook of Clinical Examination and Practical Skills, 2e

Oxford Handbook of Clinical Haematology, 4e

Oxford Handbook of Clinical Immunology and Allergy, 3e

Oxford Handbook of Clinical Medicine Mini Edition, 9e

Oxford Handbook of Clinical Medicine, 10e

Oxford Handbook of Clinical Pathology

Oxford Handbook of Clinical Pharmacy, 3e

Oxford Handbook of Clinical Rehabilitation, 2e

Oxford Handbook of Clinical Specialties, 10e

Oxford Handbook of Clinical Surgery, 4e

Oxford Handbook of Complementary Medicine

Oxford Handbook of Critical Care, 3e

Oxford Handbook of Dental Patient Care

Oxford Handbook of Dialysis, 4e

Oxford Handbook of Emergency Medicine, 4e

Oxford Handbook of Endocrinology and Diabetes, 3e

Oxford Handbook of ENT and Head and Neck Surgery, 2e

Oxford Handbook of Epidemiology for Clinicians

Oxford Handbook of Expedition and Wilderness Medicine, 2e

Oxford Handbook of Forensic Medicine

Oxford Handbook of Gastroenterology & Hepatology, 2e

Oxford Handbook of General Practice, 4e

Oxford Handbook of Genetics

Oxford Handbook of Genitourinary Medicine, HIV, and Sexual Health, 2e

Oxford Handbook of Geriatric Medicine, 3e

Oxford Handbook of Infectious Diseases and Microbiology, 2e

Oxford Handbook of Key Clinical Evidence, 2e

Oxford Handbook of Medical Dermatology, 2e

Oxford Handbook of Medical Imaging

Oxford Handbook of Medical Sciences, 2e

Oxford Handbook of Medical Statistics

Oxford Handbook of Neonatology, 2e

Oxford Handbook of Nephrology and Hypertension, 2e

Oxford Handbook of Neurology, 2e

Oxford Handbook of Nutrition and Dietetics, 2e

Oxford Handbook of Obstetrics and Gynaecology, 3e

Oxford Handbook of Occupational Health, 2e

Oxford Handbook of Oncology, 3e

Oxford Handbook of Operative Surgery, 3e

Oxford Handbook of Ophthalmology, 3e

Oxford Handbook of Oral and Maxillofacial Surgery

Oxford Handbook of Orthopaedics and Trauma

Oxford Handbook of Paediatrics, 2e

Oxford Handbook of Pain Management

Oxford Handbook of Palliative Care, 2e

Oxford Handbook of Practical Drug Therapy, 2e

Oxford Handbook of Pre-Hospital Care

Oxford Handbook of Psychiatry, 3e

Oxford Handbook of Public Health Practice, 3e

Oxford Handbook of Reproductive Medicine & Family Planning, 2e

Oxford Handbook of Respiratory Medicine, 3e

Oxford Handbook of Rheumatology, 3e

Oxford Handbook of Sport and Exercise Medicine, 2e

Handbook of Surgical Consent

Oxford Handbook of Tropical Medicine, 4e

Oxford Handbook of Urology, 3e

Oxford Handbook for the Foundation Programme - image 2

Great Clarendon Street, Oxford, OX2 6DP,

United Kingdom

Oxford University Press is a department of the University of Oxford. It furthers the Universitys objective of excellence in research, scholarship, and education by publishing worldwide. Oxford is a registered trade mark of Oxford University Press in the UK and in certain other countries

Oxford University Press 2018

The moral rights of the authors have been asserted

First Edition published in 2005

Second Edition published in 2008

Third Edition published in 2011

Fourth Edition published in 2014

Fifth Edition published in 2018

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All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, without the prior permission in writing of Oxford University Press, or as expressly permitted by law, by licence or under terms agreed with the appropriate reprographics rights organization. Enquiries concerning reproduction outside the scope of the above should be sent to the Rights Department, Oxford University Press, at the address above

You must not circulate this work in any other form

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Published in the United States of America by Oxford University Press

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British Library Cataloguing in Publication Data

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Library of Congress Control Number: 2018938674

ISBN 9780198813538

eISBN 9780192543240

Oxford University Press makes no representation, express or implied, that the drug dosages in this book are correct. Readers must therefore always check the product information and clinical procedures with the most up-to-date published product information and data sheets provided by the manufacturers and the most recent codes of conduct and safety regulations. The authors and the publishers do not accept responsibility or legal liability for any errors in the text or for the misuse or misapplication of material in this work. Except where otherwise stated, drug dosages and recommendations are for the non-pregnant adult who is not breast-feeding

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Preface

It seems that every new edition of this book has arrived fresh on the tail of some major change impacting the training and lives of junior doctors in the NHS. Previous new appointments into the Foundation Programme had to contend with the traumas of the introduction of Modernising Medical Careers. More recently, we have seen the treatment of junior doctors reach the national media once more with the new junior doctors contract and the ensuing, unprecedented industrial relations dispute of 20152016. If there is a theme, beyond the constant upheaval that our junior doctors are being subjected to, it is the increasing void between those delivering healthcare on the shop floor and those planning what is best for the health service, often based upon misinformation and misunderstanding. In a landscape where a Secretary of State for Health so wilfully misquotes data as to lead to questions regarding his honesty and his intelligence, what message of hope can we send to newly appointed junior doctors? And as we wrote in a previous preface, through all of this turbulence, the fact remains that the leap from being a final year medical student to a junior doctor remains immense. No matter what elements may be introduced to final year curricula, or to Foundation Programme inductions, the psychological and professional gear-shift is a change that many feel unprepared for. Overnight the new doctor inherits huge responsibility, an incessantly active bleep, and an inflexible working rota.

But something else happens, overnight. The new doctor also becomes a valued member of the medical team, someone who patients look to for help and someone with the capacity to provide that help to both patients and their relatives. Despite changes in training structure, the new doctor has the potential and flexibility to learn and shape a career in just about any area of medicine they wish to pursue. And if the assault of politicians might well distress some, take solace in over two decades of UK polling data, showing doctors as representing the profession consistently rated highest for trustworthiness, with politicians languishing consistently at the very opposite end of the spectrum.

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