Physicians on the general ward
Who they are, what they do and which devices they use: a research-based profile for recruiting this target group for MedTech and pharma projects.
Overview
Physicians on the general ward take the medical history, examine patients, make diagnoses and set treatment plans. They conduct informed consent discussions, document findings, are responsible for drug therapy with attention to medication safety and hand over patients in a structured way. For further diagnostics they interpret laboratory and imaging findings and use point-of-care testing. In daily ward work they write discharge letters, code diagnoses and procedures and contribute to discharge management. They care for the seriously ill and dying, talk with relatives and act in medical emergencies.
Profession by country
Fields of use and typical tasks
Internal medicine
Evidence from: DE, AT, CH
- Medical care of about 12 to 15 patients on the general ward
- Consent clinic before examinations and procedures
- Care of gastroenterology patients placed on wards of other specialties
- Documentation, orders and discharge letters in the hospital information system
- Presenting new admissions and imaging in the daily department meeting
- Working in the ultrasound and endoscopy unit
Surgery and trauma surgery
Evidence from: DE, AT, CH
- Ward rounds for trauma and orthopaedic patients on the assigned ward and in the intensive care unit
- Preparing and accompanying senior consultant and head of department rounds
- Drawing up treatment plans including parenteral and enteral fluid balance
- Ongoing documentation as well as brief, discharge and transfer reports
- Informed consent discussions and talks with relatives
- Requesting consultations from other specialties and presenting pathological fractures at the tumour board
Neurology (stroke unit)
Evidence from: DE, AT, CH
- Neurological history taking and examination on the general ward
- Indicating immunotherapy and chemotherapy as well as neurological, pain and psychopharmacological drug therapy
- Taking part in the daily consultant ward round on the stroke unit
- Indicating and evaluating neuroradiological procedures
- Assessing language, speech and swallowing disorders several times a day on the stroke unit
- Systemic thrombolysis and transfer for thrombectomy following a fixed procedure with bridging thrombolysis
Specializations
Devices and systems they use
- Ultrasound system
- Electronic health record (EHR)
- Clinical communication & alarming system
- Clinical knowledge database
- Point-of-care ultrasound device
- Chest drainage system
- Picture Archiving and Communication System (PACS)
- Computed tomography (CT) scanner
- Electroencephalography (EEG) system
- EMG / nerve conduction system
- Endoscopy video system
- Quality & risk management system
- Hospital Information System (HIS)
- Magnetic resonance imaging (MRI) scanner
- Patient-controlled analgesia pump
- Resting 12-lead ECG machine
Who they work with
- Ward nursing staff
- Functional diagnostics staff
- Specialists from other disciplines
Frequently asked questions
Which devices do physicians on the general ward use themselves?
As an example from an internal medicine department, a curriculum names ultrasound of the abdomen, thyroid and pleura as well as arterial blood gas analyses. The training regulations mention point-of-care testing.
What software is relevant?
The sources name the electronic patient record and the electronic health professional card (example from one facility) as well as digital applications for history taking, diagnostics and therapy.
Which invasive procedures do they perform on the ward?
As an example from one facility, venepuncture, blood sampling, peripheral lines and ascites, pleural and lumbar punctures are named, with central venous catheters placed under supervision.
When is there time for an interview?
The daily structure is shaped by fixed meetings, such as a morning meeting and a radiology conference at midday (example from one facility). The sources do not name free time slots.
How are patients handed over between shifts?
Structured patient handover is a general component of postgraduate medical training.
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Related target groups
Same work area
Same specialty
Sources
- Allgemeine Inhalte der Weiterbildung für Abschnitt B unter Berücksichtigung gebietsspezifischer Ausprägungen (WBO 2020), Ärztekammer des Saarlandes (DE)
- Ausbildungs- und Fortbildungscurriculum für Weiterbildungsassistentinnen und -assistenten, Innere Medizin Grevenbroich, Rheinland Klinikum, Abteilung für Innere Medizin Grevenbroich (DE)
- Arzt/Ärztin, Berufsinformation, ibw Institut für Bildungsforschung der Wirtschaft (Berufsinformationscomputer) (AT)
- Unser Einarbeitungskonzept (Klinik für Innere Medizin und Gastroenterologie), Rhein-Maas Klinikum GmbH, Klinik für Innere Medizin und Gastroenterologie (DE)
- Aus- und Weiterbildung, Klinik für Innere Medizin 2, Kepler Universitätsklinikum GmbH (AT)
- Weiterbildungskonzept Innere Medizin, Spital Dornach, Solothurner Spitäler AG, Spital Dornach (CH)
- Weiterbildungskonzept Orthopädie und Unfallchirurgie, Gesundheit Nord, Klinikum Bremen-Ost, Klinik für Allgemein-, Viszeral- und Unfallchirurgie, Fachbereich Unfallchirurgie und Orthopädie (DE)
- Akutschmerztherapie: Keine Angst vor Schmerzen (Patienteninformation), LA-Regio Kliniken, Klinik Landshut-Achdorf, Anästhesie und Akutschmerzdienst (DE)
- Strukturierte Basisweiterbildung Chirurgie, Klinikum Dortmund gGmbH, Chirurgische Klinik (DE)
- Konzept für die Ausbildung zum Facharzt für Orthopädie und Traumatologie, Uniklinikum Salzburg (SALK), Universitätsklinik für Orthopädie und Traumatologie der PMU (AT)
- Schmerzpumpe (Patienteninformation), Vorarlberger Landeskrankenhäuser, LKH Feldkirch, Abteilung Anästhesie und Intensivmedizin, Schmerzdienst (AT)
- Weiterbildungskonzept Facharzt Chirurgie, Schwerpunkte Allgemeinchirurgie und Traumatologie sowie Viszeralchirurgie, Spitalzentrum Biel AG, Chirurgische Klinik (CH)
- Weiterbildungskonzept Neurologie (Klinik für Neurologie und Klinische Neurophysiologie), Gesundheit Nord gGmbH, Klinikum Bremen-Nord (DE)
- Stroke Unit, Öffentliches Gesundheitsportal Österreichs (Redaktion Gesundheitsportal, fachlich geprüft durch eine Fachärztin für Neurologie) (AT)
- Österreichisches Stroke-Unit-Register, Bericht 2024, Gesundheit Österreich GmbH im Auftrag des Bundesministeriums für Arbeit, Soziales, Gesundheit, Pflege und Konsumentenschutz (AT)
- Stroke Unit, Abteilung für Neurologie, Oberösterreichische Gesundheitsholding GmbH, Pyhrn-Eisenwurzen Klinikum Steyr (AT)
- Weiterbildungskonzept Klinik für Neurologie und Neurorehabilitation, Version 1.4, Luzerner Kantonsspital, Neurozentrum (CH)
- Aufenthalt auf der Stroke Unit, Informationsbroschüre für Patientinnen, Patienten und Angehörige, Kantonsspital Winterthur (CH)
- Updating the Core Competencies in Hospital Medicine, 2017 Revision: Introduction and Methodology, Society of Hospital Medicine, Journal of Hospital Medicine Vol. 12 No. 4 (US)
- Division of Hospital Medicine, About Us, UMass Chan Medical School, UMass Memorial Medical Center (US)