The Foundation Programme at a Glance
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More About This Title The Foundation Programme at a Glance


Providing an overview of the formative years of a junior doctor’s career, The Foundation Programme at a Glance consolidates the generic and condition-specific skills required to excel in this stage of training. Taking a simple and holistic approach to providing support for junior doctors, it integrates text and image content to suit all learning styles.

Sections include advice on making the most of your training, tips on good clinical practice, communication, and common presentations and conditions. Edited by the National Director and Deputy National Director of the UK Foundation Programme, each section is written by experts in their respective fields, presenting insights into the programme with unrivalled authority.

The Foundation Programme at a Glance:
• Uses diagrams, line drawings and flow charts to clearly illustrate concepts
• Follows the current Foundation Programme curriculum
• Integrates theory and practice

This comprehensive and practical volume contains all the vital information you need to reach excellence during the foundation years, and to get the most out of your time on the programme.


Stuart Carney is Dean of Medical Education, King's College London, Guy's Campus, and Deputy National Director, UK Foundation Programme Office, Cardiff

Derek Galen is Postgraduate Dean for Wales, Cardiff University, and National Director, UK Foundation Programme Office, Cardiff


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


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