TY - JOUR T1 - Rota changes in acute and general internal medicine: delivering improved patient care and junior doctor training at the front and back door – acute medical unit placement blocks the way forward for Midland Met! JF - Future Healthcare Journal JO - Future Healthc J SP - 42 LP - 42 DO - 10.7861/futurehosp.6-1-s42 VL - 6 IS - Suppl 1 AU - Richard Buka AU - Donna Best AU - Sarbjit Clare Y1 - 2019/03/01 UR - http://www.rcpjournals.org/content/6/Suppl_1/42.abstract N2 - Introduction of a rota to provide consistency of care for patients and improved training for junior doctors.Initial meetings were held with stakeholders from medical staffing, consultant and junior doctors. Following consultation, a prototype rota was agreed for foundation doctors and ‘senior house officer’ grades whereby doctors rotate into acute medicine for 5 or 6-week blocks once every 4 months. Within this block is two sets of nights, three to four weekends, late shifts and some normal working days. The remainder of the 4-month block would be spent back in their specialty rotation mostly working weekdays 9am–5pm. Two 9am–5pm ward cover doctors were added to support the … ER -