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Here is a day in the life of an ACP in Diabetes, Endocrinology and General Medicine. Early start working up patients on the ward, reviewing their case notes, bloods, imaging, news2 etc and preparing them to present at ward round. ordering any outstanding bloods or xrays..
But this is a Wednesday so instead of presenting I make sure the summary is concise and let one of the junior docs present on my behalf whilst I go to clinic for 9am. It's the MDT diabetic foot clinic, this is about keeping my yolk, my indivisible, identity that I bring to ACP
I am a Podiatrist by background so a lower limb specialist. I work in the clinic as part of the medical team so, I approach the patient from the holistic perspective of an advanced clinical practitioner, reviewing their diabetes management, CV risk management,
and infection management. I give clinical supervision and leadership to my Podiatry colleagues, whilst being guided and taught my self by my consultant.
Then in the afternoon, I'm back on the ward, helping to complete referrals, review results, images.
Then in the afternoon, I'm back on the ward, helping to complete referrals, review results, images.
I help review a patient who has started with chest pain, I do the ecg, we get the trop I, my colleague prescribes morphine and gtn. We liaise with cardiology and start ACS meds. I Update family members who are distanced from their loved ones. Facilitate a call to a patients wife.
I run around putting in a few cannulas and check the results are back for our patients, one has an AKI so we srop their nephrotoxic mess, I prescri e some IV fluids and hold their metformin. I then hand some results that aren't back to the FY1 on call to follow up.
I check the nurses are ok, they don't have anything for me to do so I check the rest of the medical team are OK and they have all finished their jobs. We all leave the ward together, no man (or woman) left behind. Home only 30 minutes later than I was meant to.. But happy 
