The MDT

It has been a smooth transition for me, from being a student to working as a doctor. There is not too much work to be done on the Stroke Unit, unlike the other units which have the interns flying around and coming in over an hour before they need to and clocking way more hours than they are paid to do. I think it is testament to how well the multidisciplinary team works in this setting. The Stroke NUM, physios, speech pathologist, occupational therapists and dieticians spend most, and sometimes all of their time working on our patients. We have a pharmacist, who covers all of this ward (so not just the stroke patients) and then there are the doctors.

The allied health people, coordinated mainly by the dedicated Stroke NUM communicate every morning about our limited number of patients. By the time the doctors are in from our morning handovers the NUM is able to update us and let us know about any pressing issues. Then there are admissions, and tests to be ordered, but when everything is so organised, and set out so well for us, when the stroke NUM (being dedicated solely to stroke patients) is so well versed with what should happen with the patients, it just makes any additional input by doctors so easy, sometimes, almost unnecessary. I guess the situation is similar to Obs & Gyn where midwives are capable of carrying out normal births and doctors are there mainly to deal with complicated pregnancies or manage any problems that arise, but as a junior doctor still trying to find my feet, it's been such a blessing to have the experience and guidance of the MDT.

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