DOHNS

❌ ST3: Parental concerns on day of surgery

The father of Luca, a 4 year old boy awaiting an adenotonsillectomy for OSA on today’s theatre list, has told the nurse that he does not want the procedure to go ahead. Luca’s mother has signed the consent form with you earlier this morning. You are asked to address the fathers concerns.

🤹‍♂️ ST3: Multiple Commitments

You are the ST3 on your first clinical day at a new hospital. You are scheduled to be in clinic with a consultant you haven’t met before, however you are called by the SHO on call about a stridulous child in A+E. There is no other middle grades onsite.

PSIRF (Patient Safety Incident Response Framework)

PSIRF (Patient Safety Incident Response Framework) is arguably the most important governance topic you can master. It represents a fundamental shift in how the NHS handles mistakes.

Incident Forms (Datix)

In a local Trust setting, this is often a digital form on the Datix system. Definition: It records any unintended or unexpected event that did or could have led to harm for patients, staff, or visitors. This includes clinical issues like medication errors or surgical device failures.

🦋 Inconclusive FNAC Results

🦴 Missed Nasal Fracture Follow-Up

🚛 Heavy Goods Vehicle Driver

🔮 ST3: Nasal Foreign Body

🧮 Statistical Fundamentals for Surgeons

Statistics are integral to modern surgical practice, aiding in understanding research, improving patient outcomes, and supporting evidence-based decisions.

🏋️‍♂️ ST3: Poor Training