Overall a friendly AMU with friendly, supportive seniors, but IT and logistics in the hospital are piss poor. Lister is stuck halfway between being paperless, and still having paper notes.
Rota is universal across all medical specialties; as a foundation doc, you're on the same rota as all the FYs on cardio, resp, endo etc.
The day job on acute med involves staffing one of several AMUs- the physical department has been shuffled around different parts of the hospital several times due to COVID. Staffing is typically one junior to 15 beds during the day.
Handovers are well-established in person, at 0830, 1630 (for ward cover), and 2030.
Nursing teams are usually very skilled, but because their training was usually abroad or out of trust, often aren't officially allowed to take bloods/do cannulas etc. Developing good working relationships really helps with this.
Night team is usually four juniors- F1s will either clerk or cover Strathmore Wing (AMU + stroke/rehab wards). F2s will either clerk or cover the "towers", i.e. every other medical inpatient ward. Usually 1x Strathmore F1, 1x towers SHO, and 2x juniors clerking.
Day on-call shifts are spent clerking. The take is run by one med reg, with an additional med reg on call to cover all the ward stuff. The med reg covering the take will receive referrals, and dispatch juniors to clerk accordingly. One consultant will be around to post-take (occasionally two if one is doing a early or late shift). PCIs, renal, and stroke are all clerked by their own specialties, so the med reg running the take doesn't get caught up in thrombolysis etc.
Medical consultants on the whole are extremely friendly. The consultant in charge of the junior medical rota is extremely hard working (and eccentric)- they are very approachable and friendly, but also expect juniors to work as hard as they do (which is very hard!). No toxic personalities consultant-wise, clinical supervisors are keen to get you involved.
Consultants usually have some projects going that juniors can get involved in.
The medical take room is decent enough, recently got new comfier chairs but nothing to write home about. Mess has TV, PS4, and reclining armchairs. All the medical wards have small offices available to eat lunch, take a break etc.
Main downsides: IT is honestly atrocious. Lorenzo (for discharge summaries/TTOs) is the free version of abandoned government software, and is a buggy mess. NerveCentre is used for recording obs and documentation in A&E, and is the best software in the trust- this could easily be used for all documentation, but trust won't pay for the IT infrastructure needed. Paper notes are always falling apart or lost. Random things e.g. endoscopy still use paper requests that require hand delivery (ridiculous).
The trust uses lots of specialist nurses to carry out practical procedures that have historically been taught to junior docs, e.g. Seldinger chest drains and ascitic drains. This can make it frustrating as you essentially have to fight for training in these skills.
The medical education centre can be difficult to work with. Instead of having information in a centrally accessible place, they will bombard you with emails and random attachments for various local curriculum requirements. You need to stay on top of these, as the ed centre staff are reluctant to do things any differently.
Overall, acute med is a good department within the hospital, but the trust management/infrastructure lets every department down.