Considering a career in acute medicine? Suresh Chandran makes a compelling case for this stimulating subspecialty
The past decade has seen dramatic changes in the provision of hospital medicine. One of the most important changes has been a new subspecialty-acute medicine. The speed of change and the considerable regional variation in enthusiasm for this concept has led to some confusion and misconceptions about training.
Most consultants in acute medicine have trained in other fields. In June 1999 in Southampton, Chris Roseveare, who originally trained in gastroenterology and general internal medicine, was one of the first UK consultants in acute medicine to be appointed. “I could see a clear need for trained clinicians to provide more hands on care as part of the general medical take,” he told me. “I had always enjoyed my on-call days, and could not see myself spending the rest of my career in an outpatient clinic” (box 1).
Seven years on, Dr Roseveare still maintains two weekly endoscopy sessions, but has committed