LISA JOY AFRICA

• Cardiology 4months 1 month 2022, 3 months 2024- Becoming familiar with the cardiac consultation, managing adult congenital heart disease, heart failure, coronary artery disease, valvular disease, arrhythmias. Understanding preventative cardiovascular medicine and cardiac rehabilitation. Understanding basics about cardiovascular investigations, echo,doppler , nuclear medicine, cardiovascular MRI/CTA, electrocardiography, stress testing and angiography. Managing patients in an outpatient continuity clinic
• C15/C12 (Medical Emergencies and High care Unit) 11 months- managing patients with acute medical emergencies, including managing patients with circulatory emergencies (including shock, NSTEMIs, thrombolysing STEMIs etc), respiratory emergencies (acute exacerbations of Ashma and COPD, pneumonias, spontaneous pneumothrorax), neurological emergencies (being part of an efficient stroke team and thrombolysing patients within window) and some surgical emergencies (UGIB etc) Managing of medical patients in high care, including quick recognition and management of dysrhythmias (eg, cardioverting SVTs) and cardiogenic shock post MI (initiating inotrope infusions), Diabetic Ketoacidosis overdoses
• Haematology 3 months- general management of a broad range of hematologic and oncologic conditions commonly seen by the practicing physician.Becoming comfortable with prevention, screening, initial diagnostic evaluation and management, indications for prompt referral, and appropriate co-management of a plethora of hematologic and oncologic conditions. Becoming knowledgeable regarding indications for transfusion of blood components, management of neutropenia and immunosuppression, care for treatment-related side effects, and palliative care.Managing patients on an outpatient basis
• Mitchells Plain District Hospital General Medicine 15 months (current post) understanding the role of the specialist physician, applying scientific knowledge and clinical expertise to the diagnosis, treatment, and compassionate care of adults across the spectrum from health to complex illness and knowing when to refer to subspecialist units. Monitored patient progress and adjusted treatments accordingly.Coordinated with multidisciplinary teams and allied health teams to develop comprehensive care plans for patients with complex health needs. Mentored junior medical staff members(interns and medical students) through hands-on training sessions, reinforcing key concepts and guiding their professional growth.
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Locum shifts at MPH, ERH in Intern Medicine and emergency medicine.

• Family medicine ward: during the pandemic acted as the 'person under investigation' ward Stabilizing patients and working them up for causes of lower respiratory tract infections, including Covid 19
• Detoxification/72 hour ward: managing patients acutely intoxicated, as well as patients admitted under the Mental Health Care Act
• HAST Unit (HIV and AIDS, STI, TB): Primarily based in this ward, during the first half of the year, managing patients with a variety of infectious diseases associated with HIV and AIDS
• Thutuzela Crisis centre: Managing patients from the vulnerable population (Children, women, elderly) who are victims of abuse (sexual or physical) This involved medicolegal documentation
• Emergency Centre: All overtime done in casualty. Primarily based in this department during the second half of the year
• Managing both surgical and medical emergencies
• Other responsibilities include teaching interns and medical students

Medical internal in the following disciplines

Internal Medicine

General Surgery

Obstectrics and Gynaecology

Family Medicine

Orthopedics

Psychiatry