Churchill's Pocketbook of Clinical Practical Procedures for Junior Doctors
By Nisha Patel, BSc(Hons), MBBS, MRCP, Specialist Registrar in Gastroenterology, Chelsea and Westminster Hospital NHS Trust, London, UK
and Daniel Knight, BSc(Hons), MBBS, MRCP, Specialist Registrar in Cardiology, Royal Free Hampstead NHS Trust, London, UK

ISBN: 9780443068065
Published July 2009
Paperback
224 pages /. 120 ills
Churchill Livingstone
Ive started using this book a week before my Final MB OSCE and I now wish I had it when I started my clinical years. On the wards I find a good way to learn is if you see a case to read up about it later that day. Then everything you’ve seen in that case falls into place and you get a very logical grasp of that disease. However, I haven’t applied this approach to preocedures, for 2 reasons, ive dismissed them thinking “oh I don’t need to know that until I’m an FY1” but actually more because procedures like lumbar puncture central venous catheter insertion etc are not covered in my normal armoury of books. You might be surprised to find they are not covered in the big mainstream clinical examination books or if they are they are not explained in the instruction manual type way you need to perform these procedures. The only similar book I have used is the Oxford Handbook of Foundation Programme however, I found it fell down in procedures by lack of surface anatomy diagrams, assumed knowledge and simple explanation. I found this book, well laid out, back to basics with a step by step approach augmented with pictures as you go through the procedure.
Increasingly OSCE’s are very clinical practice focused so expect to write up fluids, do 5 sutures, take blood cultures under aseptic technique, site an NG tube and aspirate a swollen joint on a model etc. At the end of the day you need to know it as a house officer and with the chance of it appearing in your clinical finals, you do well to make a start on grasping procedures as early as you can.. I should note, the procedure of chest drain insertion came up in out final MB written paper too so there not exclusively a clinically assessed skill.
I really do recommend you have a look at this pocket book and start early in your clinical years of medical school to become familiar with these everyday procedures.
At the end of the day come 1st of August for you final years, someone’s going to come paging you at 01:00 in the morning for a diagnostic tap on an patient with ascites, are you familiar with what tests your going to request the lab to run on your sample?
Posted 14th Feb 2010
This is a neat little book with a protective cover, encouraging use on the wards. I would recommend this to medical students starting firms as it has good explanations of basic procedures. There are a few procedures that would be useful for junior doctors too if they have not covered them during student years, but I would not wait until qualification to buy it. The text is well structured with headings such as tips, contraindications, equipment needed and complications. The clear anatomical pictures aid understanding. There is no superfluous information; the brief historical facts that preceed each chapter are an interesting, original addition to the main text. Though not specifically written with this purpose, I beleive this is one of the best publications available for those preparing for medical school exams and PBL involving explaining procedures.
Posted 8th Sep 2009