List of contributors 7 Preface 9 Acknowledgements 10 List of abbreviations 11 How to use your textbook 13 Part 1 Making the most of the foundation programme 1 Shadowing and induction 16 2 The e-portfolio - how to plan, manage and evidence your learning 18 3 Supervised learning events and assessments 20 4 Reflective learning 22 5 Managing your medical career 24 6 Applying to specialty training 26 Part 2 The foundation doctor as a professional and a scholar Safety and clinical governance 7 Quality improvement and clinical leadership 28 8 Quality improvement projects 30 Relationship and communication with patients 9 Breaking bad news and handling complaints 32 10 Assessing capacity and informed consent 34 Professionalism and working with colleagues 11 Handover and communicating with colleagues 36 12 Communication between primary and secondary care 38 Maintaining good medical practice 13 Introduction to evidence-based medicine 40 14 Critical appraisal of randomized controlled trials 42 15 Critical appraisal of systematic reviews and meta-analyses 44 16 Making the most of guidelines and protocols 46 Teaching and training 17 Running a teaching session and presentation skills 48 18 Assessment and feedback 50 Part 3 The foundation doctor as a safe and effective practitioner Good clinical care 19 Assessing and managing the acutely ill patient 52 20 Rational prescribing 54 21 Medical record keeping 56 22 Time management 58 23 Fluid management 60 24 Blood transfusion 63 Patients with long-term conditions 25 Discharge planning 66 26 Nutrition 68 27 Health promotion and public health 70 Resuscitation and end of life care 28 Do not attempt CPR decisions 72 29 Palliative care 74 30 Certifying death 76 Part 4 Recognition and management of patients with common conditions Airway problems 31 The unconscious patient 78 32 Stridor 80 33 Anaphylaxis 82 Breathing/respiratory problems 34 Asthma 84 35 Pneumothorax and pulmonary embolism 86 36 Chronic obstructive pulmonary disease 90 37 Community-acquired pneumonia 92 Circulation problems 38 Acute chest pain 94 39 Palpitations 96 40 Hypotension 98 41 Severe sepsis 100 Renal, genitourinary and metabolic problems 42 Oliguria - including acute kidney injury 102 43 Electrolyte derangement-hyperkalaemia 104 44 Electrolyte derangement - hyponatraemia 106 Diabetes 45 Diabetic ketoacidosis 108 46 Hypoglycaemia 110 Gastrointestinal problems 47 Abdominal pain 112 48 Gastrointestinal bleeds 114 Musculoskeletal problems 49 Back pain and large joint pain 116 50 Fractures and dislocations 118 Neurological and visual problems 51 Coma 120 52 Seizures 122 53 Meningitis and encephalitis 124 54 Stroke/acute onset of focal neurological signs 126 55 Acute visual impairment 128 Psychiatric and behavioural symptoms 56 Depression 130 57 Psychosis 132 58 Anxiety disorders 134 59 Harmful drinking and alcohol dependence 136 Child health 60 Child abuse and protection 138 61 The febrile child, and recognizing the seriously ill child (including UTI and meningitis) 140 62 Cough and wheeze 142 63 Diarrhoea, vomiting and constipation in young children 145 Care of the elderly 64 Confusion, dementia and delirium 148 65 Fits, faints and falls 150 Index 152.