Acute medicine , also known as acute internal medicine ( AIM ), is a specialty within internal medicine concerned with the immediate and early specialist management of adult patients with a wide range of medical conditions who present in hospital as emergencies . It developed in the United Kingdom in the early 2000s as a dedicated field of medicine, together with the establishment of acute medical units in numerous hospitals. Acute medicine is distinct from the broader field of emergency medicine , which is concerned with the management of all people attending the emergency department , not just those with internal medicine diagnoses.
14-567: The Royal Bournemouth Hospital is an acute general hospital in Bournemouth , Dorset, England. It is managed by the University Hospitals Dorset NHS Foundation Trust . The hospital was managed by The Royal Bournemouth and Christchurch Hospitals NHS Foundation Trust until the merger with Poole Hospital NHS Foundation Trust on 1 October 2020. The hospital is located a short distance from
28-685: A clinic or an assessment area a number of times while their progress is monitored. This is now a very common approach to suspected deep vein thrombosis , but the NHS Institute for Innovation and Improvement has identified a number of other conditions that can be managed in an ambulatory emergency care setting. In 2009, the General Medical Council approved acute medicine as a distinct specialty, allowing doctors to specialise in it in order to receive their Certificate of Completion of Training . The Society for Acute Medicine
42-457: A lavender garden at the hospital dedicated to hospital staff who died during the Covid-19 pandemic. It has a 24-hour accident & emergency department. It also provides district-wide services for vascular surgery and urology . Outpatient clinics are provided for oral surgery , paediatrics , plastic surgery , ENT (ears, nose and throat) , cardiothoracic and neurology . It is also
56-451: A long-term future, if at some point UK government ED targets ceased to exist. However, Robert Wachter has stated that acute medical units "have been associated with lower inpatient mortality, improved patient and staff satisfaction, reduced hospital stays, and increased throughput." A further development has been the increase of ambulatory care . Where patients were previously admitted to hospital, it may now be possible for them to attend
70-725: Is an academic physician and author. He is on the faculty of University of California, San Francisco , where he is chairman of the Department of Medicine, the Lynne and Marc Benioff Endowed Chair in Hospital Medicine, and the Holly Smith Distinguished Professor in Science and Medicine. He is generally regarded as the academic leader of the hospitalist movement, the fastest growing specialty in
84-618: The Wessex Way ( A338 ) in Castle Lane East ( A3060 ) in Bournemouth . It is served by bus routes operated by Wilts & Dorset . Bournemouth railway station is approximately 1.5 miles (2.4 km) from the hospital. The first phase of the hospital, which replaced the Royal Victoria Hospital , opened in 1989. A second phase of the hospital was opened by Princess Anne in 1992. A Cardiac Intervention Unit
98-561: The development of acute medicine as a dedicated specialty, and in 2003 it was recognised by the Specialist Training Authority as a subspecialty of General Internal Medicine. Around the same time, it was recognised that care for acutely admitted patients should ideally be concentrated in "medical assessment units" (MAUs), later named "acute medical units" (AMUs). A physician experienced in the management of acute medical problems could assess and treat these patients in
112-626: The faculty at UCSF in 1990. In 2011, Wachter studied patient safety and hospital medicine at Imperial College London as a Fulbright Scholar. He was a visiting scholar at the Harvard Chan School of Public Health in 2015, where he studied and wrote about the digital transformation of healthcare. During the COVID-19 pandemic , Wachter gained attention for his posts on Twitter . His tweets on Covid-19 were viewed over 300 million times by more than 250,000 followers and served, for some, as
126-569: The history of modern medicine. He and a colleague, Lee Goldman, are known for coining the term "hospitalist" in a 1996 New England Journal of Medicine article. Wachter attended college and medical school at the University of Pennsylvania . He completed a residency and chief residency in internal medicine at UCSF, then was a Robert Wood Johnson Clinical Scholar in Health Policy, Ethics, and Epidemiology at Stanford University. He joined
140-626: The home to a diabetic unit called BDEC, which treats and educates local patients diagnosed with the disease. The independent regulator, the Care Quality Commission (CQC), rated the Royal Bournemouth Hospital as "Good" overall in March 2018. The findings of the report are summarised in the table below: A 12-minute film entitled Porters made by students from Newport Film School at the hospital in 2015, told
154-410: The most appropriate fashion for the first 48 hours of their admission, aiming either for an early discharge with appropriate outpatient follow-up or transfer to a specialist ward. Severely ill patients who need close observation but do not require intensive care may be treated in a dedicated area such as a physician-run high-dependency unit . In 2007, some questioned whether the specialty would have
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#1732776081571168-659: The story of the hospital's porters. It won a number of awards and was added to the British Film Institute's national archives. Acute medicine The field developed in the United Kingdom after the Royal College of Physicians of Edinburgh and the Royal College of Physicians and Surgeons of Glasgow published a joint report in 1998 emphasising the importance of appropriate care for people with acute medical problems. Further reports led to
182-709: Was founded in 2000. It is "the national representative body for staff caring for medical patients in the acute hospital setting. In the Netherlands, the Dutch Acute Medicine (DAM) society was formed in 2012 and held its first Congress on 28 September 2012 in the VU University Medical Center in Amsterdam. Its curriculum aimed to ensure 12 training posts throughout the Netherlands. Robert Wachter Robert M. "Bob" Wachter
196-666: Was opened in April 2005 and the Derwent Hospital, a 28-bed unit previously operated as a private hospital, was purchased in 2007. Various acute services were transferred from Christchurch Hospital to the Royal Bournemouth Hospital in 2010. On 3 November 2021, a ceremony was carried out to mark the start of construction work on building a new wing. The project is part of a £250 million reorganisation of healthcare in Dorset . On 6 May 2022, Charles, Prince of Wales opened
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