Individual Placement Descriptions
Gloucestershire Hospitals NHS Foundation Trust

  • F1 Acute Medicine

    Placement

    F1 Acute Medicine

    Gloucestershire Royal Hospital

    The department

    Gloucestershire Royal Hospital (GRH) is a busy district general hospital admitting an average of 60 acute medical patients a day. The acute medical team consists of an enthusiastic and vibrant team committed to providing high quality patient care presenting to the trust with an acute medical need. The department is well supported by medical specialty input. The Acute Medical Unit has 40 beds with a co-located 10-bedded Frailty Assessment Unit and a separate Acute Medical Initial Assessment Unit. A short stay unit comprising of 12 beds is situated on the 9th floor of the tower block.

    The medical staff on AMU work closely with the ED.  The aim is that an initial, targeted, rapid assessment is made by a senior doctor, so that the correct treatment is started early.  The junior doctors undertake their detailed assessment either in ED or AMU. GP referrals to medicine and ambulatory medical patients are assessed in AMIA with senior input. Advanced nurse practitioners play a valuable role in assessing patients in AMIA. Admitted patients are then seen again by an Acute Medical Consultant to review results, assess response to initial treatment, and set out an ongoing management plan.

    There are 3 F1 doctors, 3 F2 doctors, 4 ACCS trainees, and visiting CMT’s/GPVTS’s and trust doctors. There are 7 Acute Medical Consultant’s based in the trust and 4 General Physicians who help provide 7 day a week cover.  During the week days consultants are present from 8.00 – 20.30, and at weekends from 8.00 – 17.00. 

    The type of work to expect and learning opportunities

    The work involves the assessment and treatment of acute medical admissions and their ongoing care on AMU/short stay ward.  Time will also be spent on the AMIA assessing and treating ambulatory outpatients with conditions such as cellulitis and DVTs. The extending hours provided by the Acute Medical Consultants and General Physicians means there is ample opportunity to present and discuss management with senior doctors.  There are opportunities to gain experience in practical procedures such as lumbar puncture, abdominal and pleural aspirations and chest drains.  There is a weekly Grand Round, an AMU teaching session and a journal club. 4 Teaching fellows provide excellent opportunities for WPBA’s.

    Where the placement is based

    AMU, Gloucester Royal Hospital

    Clinical Supervisor(s) for the placement

    Professor Mark Pietroni, Dr Emma Wylie, Dr Jelena Sinkevica, Dr Chris Custard and Dr Peter Maginnis

    Main duties of the placement

    Our doctors are expected to clerk acute medical admissions using a proforma.  They will order basic investigations and start treatment where appropriate, including VTE prophylaxis.  If a patient is particularly unwell (Early Warning Score of 3 or more) they will be expected to highlight this to a medical registrar or consultant.

    They will also support the post take ward rounds, ordering further investigations, making referrals, looking up and acting on results.  Any outstanding jobs at the end of a shift should be handed over to a colleague.

    All doctors working on AMU are expected to complete the discharge summaries for patients at the time of discharge.

    Typical working pattern in this placement

    1 in 5 weekends performing post take ward round/clerking with evening clerking shifts

    Employer information

    (Confirmation of working pattern will be issued in work Schedule)

    Gloucestershire Hospitals NHS Foundation Trust delivers acute health care services to the communities of Gloucestershire and surrounding areas. Our services are provided from Cheltenham General and Gloucestershire Royal Hospitals, both sites have medical and surgical take.

    There is a shuttle bus that runs between Cheltenham General and Gloucester Royal on a regular basis throughout the day. This bus is free for staff providing a Trust ID badge is presented on boarding There is ample parking for staff and patients.

    On occasions you may be required to work across site.

     

    It is important to note that this description is a typical example of your placement and may be subject to change.

  • F1 Acute Medicine, ACU-C

    Placement

    F1 Acute Medicine, ACU-C
    Cheltenham General Hospital

    The department

    Cheltenham General Hospital is a busy district general assessing with an admission average of 25-40 medical patients a day.  The Acute Care Unit C (ACUC) is a 24 bedded unit on the 3rd floor above the Emergency Department (ED) in St. Luke’s Wing. In general all patients are admitted into the unit for assessment, treatment and medical care with an aim of length of stay less than 48 hrs. Approximately 40-50% of all patients admitted to the ward are directly discharged out home or to a community hospital. The remaining patients are transferred onto specialist wards in the hospital for further medical care.  We are situated close to the ED department and work closely with the ED staff on offering admitted patients early assessment and treatment which is regularly started within the ED department. The majority of medical admissions are clerked by the medical team, either in ED or on the ACUC.

    Following a focussed and efficient clerking an early review is performed with the Acute Care Consultant where initial investigations are reviewed (i.e. bloods, XR, CT etc.) and ongoing management plan are discussed. Discharge planning is initiated involving a Community Discharge assessment Team to consider which patients are most appropriately treated in a Community Hospital.  An EDD (estimated date of discharge) is discussed and criteria for early nurse led discharge are discussed in a number of our newly admitted patients.

    Daily ward rounds are performed on all new admissions as well as those who remain on the ward.

    There are 6 F1 doctors, 5 F2 doctors, 1 ACCS trainee. 1 CMT trainee and an Acute Medical SpR. The Team is complemented by the On-Call Registrar who works on a 4 week day and 3 day weekend rota in 12 hr shifts and an SHO on call who joins the team at 17:00 as well as a SHO (CST/VTS) who covers the nights.

    There are currently 3 core Acute Medical Consultant’s based on ACU-C with occasional support from other Acute Medical Locum Consultants from Gloucester Royal Hospital and General Physicians who help provide a 7 day week and evening cover.  During the weekdays Acute Medicine consultants are present from 8.00 – 17.00, and at weekends from 8.00 – 17.00.  The department has a linked Ambulatory Emergency Care Unit (AEC) located on the second floor of St.Luke’s wing.

    The type of work to expect and learning opportunities

    The work involves the assessment and treatment of acute medical admissions and their ongoing care on ACUC.  The extended hours provided by the Acute Medical Consultants and General Physicians means there is ample opportunity to present and discuss management with senior doctors.  There are opportunities to learn practical procedures such as lumbar puncture, abdominal and pleural aspirations and chest drains. There is a weekly teaching session and a journal club and centralized Foundation Doctor teaching.

     

    With the presence of Acute Physicians continuous teaching occurs on ward rounds and while assessing newly admitted patients. There is a strong ethos focusing on teaching and training

    Where the placement is based

    Ward ACUC – Cheltenham General Hospital

    Clinical Supervisor(s) for the placement

    Each junior doctor is allocated a Clinical Supervisor for the placements. There are ample opportunities to teach and conduct WBA. This is enforced by designated teaching fellows during the week.

    Main duties of the placement

    There are clear duties for every junior during the week.

    Depending on the shift pattern, 2 junior doctors are focused on Ward cover for the acute admissions Unit and conduction Ward rounds with the Consultants every working day of the week. The 2 other Junior doctors are expected to clerk acute medical admissions using a generic admission’s Performa. They will order basic investigations and start treatment where appropriate, including VTE prophylaxis.  If a patient is particularly unwell (National Early Warning Score of 6 or more) they will be expected to highlight this to a registrar or consultant. 

    As mentioned above at times they will be scheduled to support the morning post- take ward rounds, ordering further investigations, making referrals, looking up and acting on results.  Any outstanding jobs at the end of a shift should be handed over to a colleague.

    All doctors working on ACUC are expected to complete the discharge summaries for patients at the time of discharge.

    Both F1 and F2 doctors make up part of the Hospital-at-Night Team and do their night shift with the admitting teams. All Foundation doctors conduct medical nights cover surgical nights with the support of the surgical team.

    Typical working pattern in this placement

    These are the shift patterns during the working week.

    One F1/F2 starts at 8am -17:00

    One F1 / F2 starts at 9am -18:00

    One F1/ F2 starts at 9:30am – 21:30

    One F1/2 starts a 15:00- 00:00

    One Fy1/2 starts at 20:00- 9:00 am (surgery)

    One FY1/2 starts at 21:00- 9:00 am (Medicine)

    There is also a midshift from 12noon-20;00.

    Weekends there are 2 shifts working 12 hr shifts both days and nights. One junior will focus on supporting the morning post take ward round and the ward work and one will be involved in clerking and the admissions-process.

    Annual leave is Rota’d. Study leave is granted during working hours when staffing levels permit.

    Employer information

    (Confirmation of working pattern will be issued in work Schedule)

    Gloucestershire Hospitals NHS Foundation Trust delivers acute health care services to the communities of Gloucestershire and surrounding areas. Our services are provided from Cheltenham General and Gloucestershire Royal Hospitals, both sites have medical and surgical take.

    Cheltenham General Hospital is the hub of the Three Counties Cancer Centre. The specialist Oncology Centre is a centre of excellence for Gloucestershire. Gloucestershire Royal Hospital has a new state of the art Children's Centre as well as a multi-million pound Women’s Centre which opened in January 2011. We are proud of the services we provide and some, such as our ophthalmology services are award winning and recognised nationally and internationally.

    There is a shuttle bus that runs between Cheltenham General and Gloucester Royal on a regular basis throughout the day. This bus is free for staff providing a Trust ID badge is presented on boarding There is ample parking for staff and patients.

    On occasions you may be required to work across site.

     

    It is important to note that this description is a typical example of your placement and may be subject to change.

  • F1 Anaesthetics & ICU

    Placement

    F1 Anaesthetics & ICU

    Gloucestershire Royal Hospital

    The department

    The department covers 14 operating theatres covering all general surgical specialties, orthopaedics and gynaecology.

    The ICU is a 14 bed unit (level 3 and 2) and has a separate 4-bedded Surgical HDU. The Surgical HDU is designed for patients requiring overnight monitoring post-surgery

    The type of work to expect and learning opportunities

    The trainee will be based in theatre for 2 months and ICU for 2 months where they will work under supervision of consultants or senior anaesthetists. The trainee will learn about the management of acutely ill patients requiring surgery and also the management of patients for elective surgery and the implications of comorbidities for anaesthesia. They will gain practical skills in airway management, intravenous lines and lumbar puncture. On ICU they will learn about the management of critically ill patients, join outreach teams to assess ICU ward referrals, and form part of the junior doctor team during the day and evening. They will learn about acute pain management. They will experience team working throughout the placement.

    During this post you will be expected to cover the weekend specialty ward rounds approx. 5 -7 shifts per 4 month placement.

    Where the placement is based

    Theatres/ICU Gloucestershire Royal Hospital

    Clinical Supervisor(s) for the placement

    Dr Judith Stedeford

    Main duties of the placement

    They will assess patients preoperatively and manage them intraoperatively with the trained anaesthetist. They will be expected to assess patients in recovery. They will be involved in both elective and emergency work. In emergency theatre they will review patients booked for theatre and help in their optimization prior to theatre. They will attend pre assessment clinic once a week to review patients’ notes and ECGs. They will also spend time with the acute pain nurses and in the Chronic pain clinic.

    On ICU they will be a member of the junior doctor team during the day and evenings. They will join ward rounds and handovers and carry out ward tasks alongside the team. They will review patients outside the ICU with more experienced doctors and ANPs. They will admit patients from theatre recovery to the surgical HDU for overnight stay.

    Typical working pattern in this placement

    In theatres:

    Mon: 0800-18.00

    Tues: 0800-1800   

    Wed:  0800-1800      

    Thurs: 0800-1800

    Fri:     0800-1300

    On call requirements:  None

    In ICU:

    3 daytime shifts per week

    07.30-20.30

    On call requirements:  None

     

    Employer information

    (Confirmation of working pattern will be issued in work Schedule)

    Gloucestershire Hospitals NHS Foundation Trust delivers acute health care services to the communities of Gloucestershire and surrounding areas. Our services are provided from Cheltenham General and Gloucestershire Royal Hospitals, both sites have medical and surgical take.

    Cheltenham General Hospital is the hub of the Three Counties Cancer Centre. The specialist Oncology Centre is a centre of excellence for Gloucestershire. Gloucestershire Royal Hospital has a new state of the art Children's Centre as well as a multi-million pound Women’s Centre which opened in January 2011. We are proud of the services we provide and some, such as our ophthalmology services are award winning and recognised nationally and internationally.

    There is a shuttle bus that runs between Cheltenham General and Gloucester Royal on a regular basis throughout the day. This bus is free for staff providing a Trust ID badge is presented on boarding There is ample parking for staff and patients.

    On occasions you may be required to work across site.

     

    It is important to note that this description is a typical example of your placement and may be subject to change.

  • F1 Cardiac Ward

    Placement

    F1 Cardiac Ward
    Cheltenham General Hospital

    The department

    We are a department of three Consultant Cardiologists, all of whom undertake invasive coronary work, including a Primary PCI rota.  We work in collaboration with five Consultant colleagues in Gloucester and between all eight Consultants cover all the major specialties in Cardiology.

    The type of work to expect and learning opportunities

    See main duties

    Where the placement is based

    Cheltenham General Hospital

    Clinical Supervisor(s) for the placement

    Dr V Challenor

    Main duties of the placement

    Ward work, looking after a broad spectrum of patients with cardiovascular disease including acute myocardial infarction, post interventional patients, pacing and heart failure.

    Typical working pattern in this placement

    (Confirmation of working pattern will be issued in work Schedule)

    Mon:   Ward round a.m. & p.m.

    Tues:  Ward round a.m. ward work p.m.

    Wed:   Ward round a.m. teaching pm.

    Thurs: Ward round a.m., ward work p.m.

    Fri:      Ward round a.m. ward meeting 12.30-1.30, ward work p.m.    

    Employer information

    Gloucestershire Hospitals NHS Foundation Trust delivers acute health care services to the communities of Gloucestershire and surrounding areas. Our services are provided from Cheltenham General and Gloucestershire Royal Hospitals, both sites have medical and surgical take.

    Cheltenham General Hospital is the hub of the Three Counties Cancer Centre. The specialist Oncology Centre is a centre of excellence for Gloucestershire. Gloucestershire Royal Hospital has a new state of the art Children's Centre as well as a multi-million pound Women’s Centre which opened in January 2011. We are proud of the services we provide and some, such as our ophthalmology services are award winning and recognised nationally and internationally. 

    There is a shuttle bus that runs between Cheltenham General and Gloucester Royal on a regular basis throughout the day. This bus is free for staff providing a Trust ID badge is presented on boarding There is ample parking for staff and patients.

    On occasions you may be required to work across site.

     

    It is important to note that this description is a typical example of your placement and may be subject to change.

  • F1 Care of the Elderly

    Placement

    F1 Care of the Elderly
    Cheltenham General Hospital

    The department

    The Department consists of 3 Consultants plus other grades, with special interests in Falls, Osteoporosis, Movement Disorders and Dementia. We cover a population of 225,000; there are several Community Hospitals, where patients are transferred for further rehab.

    The type of work to expect and learning opportunities

    This placement will provide experience of the management of acute general medical patients (generally over the age of 75) with exposure to acute unselected medical emergencies.

     

    •Take a history and examine a patient

    •Identify and synthesize problems

    •Prescribe safely

    •Keep an accurate and relevant medical record

    •Formulate an appropriate differential diagnosis and management plan

    •Manage time and clinical priorities effectively

    •Communicate effectively with patients, relatives and colleagues

    •Use evidence, guidelines and audit to benefit patient care

    •Act in a professional manner at all times

    •Educate patients effectively

    •Become life-long learners and researchers

    •Essential clinical and practical skills

    •Communication skills

    •Teaching and learning skills

    •Personal and professional skills

    •Gain experience and competence in the management of common medical presentations and chronic disease in the elderly; taking a holistic approach.

    • Gain experience in managing medical complexity (essential to any future practice in view of the growing older population)

    • Multidisciplinary approach to assessing patients’ needs. Attending regular multi-disciplinary meetings

    • Shadowing of physiotherapists / occupational therapists

    • Close liaison with social workers for placement in residential/nursing homes

    •Learning the importance of good team working skills

    •Experience in managing end of life issues

    •An approach to ethical issues such as mental capacity, withholding & withdrawing treatment

    •Attending and participating in trust and departmental education programme

    Where the placement is based

    Cheltenham General Hospital, Woodmancote Ward

    Clinical Supervisor(s) for the placement

    Dr Helen Alexander / Dr Robert Welding

    Main duties of the placement

    The F1 doctor will primarily be located on one base ward where, under the direct supervision of 1 or 2 consultants, they will be responsible for the day-to-day care of general medical and specialty inpatients. Their team will also include 2 ST1/2s and a registrar. Multidisciplinary working is an essential component of these posts, in collaboration with nursing staff, physiotherapists, dieticians, occupational therapists and social workers.  This F1 placement will give experience of ongoing management of common medical problems through to discharge within a robust and stable learning framework.

    Typical working pattern in this placement

    Mon:      9 am Consultant W/R
                 1-2 pm  Dept Academic meeting
                  PM  Ward work

    Tues:    9 am Consultant W/R
                 F1 trust teaching                          

                 PM  Ward work

    Wed:     9 am Reg W/R

                 PM  Ward Work

    Thurs:   9 am Cons W/R

                 PM  Ward Work

    Fri:        9 am Cons W/R

                 PM  Ward Work 

    On call requirements:

    1:6 evening cover 17:00 – 21:30, 1 in 6 weekends 09:00 – 21:30

    Employer Information

    (Confirmation of working pattern will be issued in work Schedule)

    Gloucestershire Hospitals NHS Foundation Trust delivers acute health care services to the communities of Gloucestershire and surrounding areas. Our services are provided from Cheltenham General and Gloucestershire Royal Hospitals, both sites have medical and surgical take.

    Cheltenham General Hospital is the hub of the Three Counties Cancer Centre. The specialist Oncology Centre is a centre of excellence for Gloucestershire. Gloucestershire Royal Hospital has a new state of the art Children's Centre as well as a multi-million pound Women’s Centre which opened in January 2011. We are proud of the services we provide and some, such as our ophthalmology services are award winning and recognised nationally and internationally. 

    There is a shuttle bus that runs between Cheltenham General and Gloucester Royal on a regular basis throughout the day. This bus is free for staff providing a Trust ID badge is presented on boarding There is ample parking for staff and patients.

    On occasions you may be required to work across site.

     

    It is important to note that this description is a typical example of your placement and may be subject to change.

  • F1 Care Of The Elderly

    Placement

    F1 Care Of The Elderly

    Gloucestershire Royal Hospital

    The department

    The Department consists of 5 Consultants with special interests in Falls, Osteoporosis, Orthogeriatrics, Peri-operative Medicine, Movement Disorders, OPALS (front door acute assessment and liaison service), Community hospital work and Research. 

    We cover a population of 320,000; there are several Community Hospitals, where patients are transferred for further rehabilitation.

    We are also closely linked to the Stroke Team who have 4 Consultants running the Stroke Unit and TIA service.

    The Consultants have a keen interest in education and training.

    The type of work to expect and learning opportunities

    This placement will provide experience of the management of acute general medical patients (generally over the age of 75) with exposure to acute unselected medical emergencies.

    •Take a history and examine a patient

    •Identify and synthesize problems

    •Prescribe safely

    •Keep an accurate and relevant medical record

    •Formulate an appropriate differential diagnosis and management plan

    •Manage time and clinical priorities effectively

    •Communicate effectively with patients, relatives and colleagues

    •Use evidence, guidelines and audit to benefit patient care

    •Act in a professional manner at all times

    •Educate patients effectively

    •Become life-long learners and researchers

    •Essential clinical and practical skills

    •Communication skills

    •Teaching and learning skills

    •Personal and professional skills

    •Gain experience and competence in the management of common medical presentations and chronic disease in the elderly; taking a holistic approach.

    • Gain experience in managing medical complexity (essential to any future practice in view of growing older population)

    • Multidisciplinary approach to assessing patients’ needs. Attending regular multi-disciplinary meetings

    • Shadowing of physiotherapists / occupational therapists

    • Close liaison with social workers for placement in residential/nursing homes

    •Learning the importance of good team working skills

    •Experience in managing end of life issues

    •An approach to ethical issues such as mental capacity, withholding & withdrawing treatment

    •Attending and participating in trust and departmental education programme

    Where the placement is based

    General and Old Age Medicine Wards at Gloucestershire Royal Hospital.

    Clinical Supervisor(s) for the placement

    Dr Andy Monro, Dr Ian Donald, Dr Muhammad Asghar, Dr Sangeeta Kulkarni, Dr Novoneel Nandi.

    Main duties of the placement

    The F1 doctor will primarily be located on one base ward where, under the direct supervision of 1 or 2 consultants, they will be responsible for the day-to-day care of general medical inpatients (generally over 75s). The team will also include 1 ST1/2/ or GP VTS trainee. There is regular Registrar input on these wards. Multidisciplinary working is an essential component of this post, in collaboration with nursing staff, physiotherapists, dieticians, speech and language therapists, occupational therapists and social workers.  This F1 placement will give experience of ongoing management of common medical problems through to discharge within a robust and stable learning framework.

    Typical working pattern in this placement

    Typical example working pattern for FI post on ward 9B, GRH.

     

    Mon:      9am Consultant W/R

                  PM ward work                      

    Tues:     9am Consultant W/R

                  1pm Medical Grand Round

                  2pm F1 trust teaching

    Wed:      9am Consultant PTWR

                   1pm Departmental education   

                           meeting

                    PM ward work  

    Thurs:    9am Cons PTWR / StR W/R

                   PM ward work

    Fri:         9am Cons W/R

                  1pm Departmental education   

                          meeting

                   PM ward work       

     

    On call requirements:

    1:6 evening cover 17:00 – 21:30, 1in 6 weekends 09:00 – 21:30

    Employer information

    (Confirmation of working pattern will be issued in work Schedule)

    Gloucestershire Hospitals NHS Foundation Trust delivers acute health care services to the communities of Gloucestershire and surrounding areas. Our services are provided from Cheltenham General and Gloucestershire Royal Hospitals, both sites have medical and surgical take.

    Cheltenham General Hospital is the hub of the Three Counties Cancer Centre. The specialist Oncology Centre is a centre of excellence for Gloucestershire. Gloucestershire Royal Hospital has a new state of the art Children's Centre as well as a multi-million pound Women’s Centre which opened in January 2011. We are proud of the services we provide and some, such as our ophthalmology services are award winning and recognised nationally and internationally.

    There is a shuttle bus that runs between Cheltenham General and Gloucester Royal on a regular basis throughout the day. This bus is free for staff providing a Trust ID badge is presented on boarding There is ample parking for staff and patients.

    On occasions you may be required to work across site.

     

    It is important to note that this description is a typical example of your placement and may be subject to change.

  • F1 Emergency Medicine

    Placement

    F1 Emergency Medicine
    Cheltenham General Hospital

    The department

    The Emergency Department (ED) sees 50,000 new patients a year.

    The Department has Consultant shop floor presence 365 days per year. Weekdays are covered from 8.00 – 22.00 h. 

    The Department provides a full ED service from 8.00-20.00 h. Ambulances do not attend after 20.00 h and overnight there is an Emergency Nurse Practitioner led service.

    There is a wide variety cases seen within the ED. All unscheduled admissions come through the Emergency Department which gives great exposure to a spectrum of cases.

    The type of work to expect and learning opportunities

    The ED sees a wide variety of patients who self-present with injuries and illness. All unscheduled admissions are seen and initially managed within the department. The F1 will be expected to participate in all aspects of patient care within the Department.  This will include initial assessment of patients with minor injuries, acutely ill patients and patients requiring immediate resuscitation.  There will also be the opportunity to perform practical procedures. F1 doctors will be supported by senior colleagues and will discuss their findings and management plans.

     

    The post has been a great success, proving popular with the Foundation trainees, it has been rated as excellent by the foundation quality panel.

     

    Educational Opportunities

     

    There is protected weekly Foundation Programme teaching.

     

    There is regular teaching at handovers.

     

    There is continuous shop floor teaching on all cases seen by the F1 doctor.

     

    During this post you will be expected to cover the weekend specialty ward rounds approx. 5 -7 shifts per 4 month placement.

    Where the placement is based

    Cheltenham General Hospital

    Clinical Supervisor(s) for the placement

    Dr Tom Mitchell – Educational and Clinical Supervisor for F1 trainees

    Main duties of the placement

    The F1 doctor will make an initial assessment of patients presenting to the ED. They will not be expected to assess patients at risk of acute deterioration unless under direct supervision. They will formulate a plan for further investigation and initial treatment and discuss this with a senior colleague who will then review the case with them. The vast majority of their cases will be reviewed by the shop floor consultant

    Typical working pattern in this placement

    2 F1 Drs work a 2 week rolling rota:

    Week 1

    Mon:   9.00-17.00

    Tues:  9.00-17.00

    Wed:   9.00-17.00

    Thurs: 9.00-17.00

    Fri:      9.00-17.00

    Sat:

    Sun:

    Week 2

    Mon:   11.00-19.00

    Tues:  11.00-19.00

    Wed:   11.00-19.00

    Thurs: 11.00-19.00

    Fri:      11.00-19.00

    Sat:

    Sun:

    Employer information

    (Confirmation of working pattern will be issued in work Schedule)

    Gloucestershire Hospitals NHS Foundation Trust delivers acute health care services to the communities of Gloucestershire and surrounding areas. Our services are provided from Cheltenham General and Gloucestershire Royal Hospitals, both sites have medical and surgical take.

    Cheltenham General Hospital is the hub of the Three Counties Cancer Centre. The specialist Oncology Centre is a centre of excellence for Gloucestershire. Gloucestershire Royal Hospital has a new state of the art Children's Centre as well as a multi-million pound Women’s Centre. We are proud of the services we provide and some, such as our ophthalmology services are award winning and recognised nationally and internationally.

    There is a shuttle bus that runs between Cheltenham General and Gloucester Royal on a regular basis throughout the day. This bus is free for staff providing a Trust ID badge is presented on boarding There is ample parking for staff and patients.

    On occasions you may be required to work across site.

     

    It is important to note that this description is a typical example of your placement and may be subject to change.

  • F1 Emergency Medicine

    Placement

    F1 Emergency Medicine

    Gloucestershire Royal Hospital

    The department

    The Emergency Department sees 75,000 new patients a year.

    The Department has Consultant shop floor presence 365 days per yearfrom 8.00 – Midnight.  There is a 24 hour middle grade rota with the Consultant on-call from home.

    There is a wide variety cases seen within the ED. All unscheduled admissions come through the Emergency Department which gives great exposure to a spectrum of cases.

    The type of work to expect and learning opportunities

    The ED sees a wide variety of patients who self-present with injuries and illness. All unscheduled admissions are seen and initially managed within the department. The F1 will be expected to participate in all aspects of patient care within the Department.  This will include initial assessment of patients with minor injuries, acutely ill patients and patients requiring immediate resuscitation.  There will also be the opportunity to perform practical procedures. F1 doctors will be supported by senior colleagues and will discuss their findings and management plans.

     

    The post has been a great success, proving popular with the Foundation trainees, it has been rated as excellent by the foundation quality panel.

     

    Educational Opportunities

     

    There is protected weekly Foundation Programme teaching.

     

    There is regular teaching at handovers.

     

    There is continuous shop floor teaching on all cases seen by the F1 doctor.

    During this post you will be expected to cover the weekend specialty ward rounds approx. 5 -7 shifts per 4 month placement.

    Where the placement is based

    Gloucestershire Royal Hospital

    Clinical Supervisor(s) for the placement

    Dr Emma Tilley – Educational and Clinical Supervisor for F1 trainees

    Main duties of the placement

    The F1 doctor will make an initial assessment of patients presenting to the ED. They will not be expected to assess patients at risk of acute deterioration unless under direct supervision. They will formulate a plan for further investigation and initial treatment and discuss this with a senior colleague who will then review the case with them. The vast majority of their cases will be reviewed by the shop floor consultant

    Typical working pattern in this placement

    2 F1 Drs work a 2 week rolling rota:

    Week 1

    Mon:   8.00-16.00

    Tues:  8.00-16.00

    Wed:   8.00-16.00

    Thurs: 8.00-16.00

    Fri:      8.00-16.00

    Sat:            

    Sun:          

    Week 2

    Mon:   11.00-19.00    

    Tues:  11.00-19.00            

    Wed:   11.00-19.00                 

    Thurs: 11.00-19.00            

    Fri:      11.00-19.00                  

    Sat:            

    Sun:     

         

    Employer information

    (Confirmation of working pattern will be issued in work Schedule)

    Gloucestershire Hospitals NHS Foundation Trust delivers acute health care services to the communities of Gloucestershire and surrounding areas. Our services are provided from Cheltenham General and Gloucestershire Royal Hospitals, both sites have medical and surgical take.

    Cheltenham General Hospital is the hub of the Three Counties Cancer Centre. The specialist Oncology Centre is a centre of excellence for Gloucestershire. Gloucestershire Royal Hospital has a new state of the art Children's Centre as well as a multi-million pound Women’s Centre. We are proud of the services we provide and some, such as our ophthalmology services are award winning and recognised nationally and internationally.

    There is a shuttle bus that runs between Cheltenham General and Gloucester Royal on a regular basis throughout the day. This bus is free for staff providing a Trust ID badge is presented on boarding There is ample parking for staff and patients.

    On occasions you may be required to work across site.

     

     

    It is important to note that this description is a typical example of your placement and may be subject to change.

  • F1 Endocrinology

    Placement

    F1 Endocrinology

    Cheltenham General Hospital

    The department

    There are 2 consultants in the department with responsibility for 12 general medical and specialty in-patients on Woodmancote Ward and outlying medical patients on Guiting Ward. We also have 1 CMT and 1 SPR on our team We offer expertise in all areas of Endocrinology and Diabetes. Our in-patients reflect this work. In addition the department has a full range of allied professionals including specialists nurses, dietitians and podiatrist in diabetes care..

    The type of work to expect and learning opportunities

    This placement will provide excellent experience in the management of patients on acute general medical wards with an emphasis on diabetes care and endocrine problems.

     

    Key learning opportunities consist of:

    •Take a history and examine a patient

    •Identify and synthesise problems coming to a provisional diagnosis

    •Prescribe safely

    •Keep an accurate and relevant medical record

    •Manage time and clinical priorities effectively

    •Communicate effectively with patients, relatives and colleagues

    •Use evidence, guidelines and audit to benefit patient care

    •Act in a professional manner at all times

    •Cope with ethical and legal issues which occur during the management of patients with general medical problems

    •Educate patients effectively

    •Become life-long learners and teachers.

    •Essential clinical and practical skills

    •Personal and professional skills

    •Competent adjustment of insulin doses in a variety of circumstances including transitioning from variable rate insulin infusion to subcutaneous insulin

    •Assessment of the diabetic foot

    •Management of electrolyte disturbances

    Where the placement is based

    Cheltenham General Hospital

    Clinical Supervisor(s) for the placement

    Dr A Evans [full time]; Dr H Gray [part time]

    Main duties of the placement

     

    Typical working pattern in this placement

    Mon:    Con WR am

    Tues:   Con WR am

    Wed:

    Thurs:   Cons WR am + pm

    Fri:

    Sat:

    Sun:

    On call requirements:  1 in 5 ward cover evenings/ weekends – no nights

    Employer information

    (Confirmation of working pattern will be issued in work Schedule)

    Gloucestershire Hospitals NHS Foundation Trust delivers acute health care services to the communities of Gloucestershire and surrounding areas. Our services are provided from Cheltenham General and Gloucestershire Royal Hospitals, both sites have medical and surgical take.

    Cheltenham General Hospital is the hub of the Three Counties Cancer Centre. The specialist Oncology Centre is a centre of excellence for Gloucestershire. Gloucestershire Royal Hospital has a new state of the art Children's Centre as well as a multi-million pound Women’s Centre. We are proud of the services we provide and some, such as our ophthalmology services are award winning and recognised nationally and internationally.

    There is a shuttle bus that runs between Cheltenham General and Gloucester Royal on a regular basis throughout the day. This bus is free for staff providing a Trust ID badge is presented on boarding There is ample parking for staff and patients.

    On occasions you may be required to work across site.

     

    It is important to note that this description is a typical example of your placement and may be subject to change.

     

     

  • F1 Gastroenterology

    Placement

    F1 Gastroenterology
    Cheltenham General Hospital

    The department

    There are 6 consultant gastroenterologists in the department who rotate ward duties, 4 registrars, 2 CMTs and 1 F1.  Our main ward, where you will be based is Snowshill ward. The consultants and secretaries offices are close by so if we are not on the ward we are readily to hand. We have 18 beds on Snowshill and a variable number on two outlying surgical wards (Bibury & Prescott). The majority of patients on Snowshill will have gastroenterological problems. The department carries out the full range of gastrointestinal investigations and endoscopic procedures including therapeutic gastroscopy, colonoscopy, ERCP and capsule endoscopy.

    The type of work to expect and learning opportunities

    This placement will provide experience of the management of patients with gastroenterological disease, in particular liver disease, inflammatory bowel disease and gastrointestinal bleeding.

    •Take a history and examine a patient

    •Identify and synthesize problems

    •Prescribe safely

    •Keep an accurate and relevant medical record

    •Manage time and clinical priorities effectively

    •Communicate effectively with patients, relatives and colleagues

    •Use evidence, guidelines and audit to benefit patient care

    •Act in a professional manner at all times

    •Cope with ethical and legal issues which occur during the management of patients with general medical problems

    •Educate patients effectively

    •Become life-long learners and researchers

    •Essential clinical and practical skills

    •Communication skills

    •Teaching and learning skills

    •Personal and professional skills •Investigation and management of patients with decompensated liver disease, liver failure, inflammatory bowel disease, gastrointestinal malignancy, gastrointestinal bleeding

    •Preparation of patients for procedures such as ERCP, liver biopsy, colonoscopy, gastroscopy.

    •Competence in performing paracentesis

    Where the placement is based

    Cheltenham General Hospital, Snowshill Ward, with outlying patients on Bibury & Prescott wards

    Clinical Supervisor(s) for the placement

    Drs Kriel, Makins, Di Mambro, Hollywood, Shaw and Sinha

    Main duties of the placement

    The F1 doctor will primarily be located on Snowshill ward where, under the direct supervision of a consultant, they will be responsible for the day-to-day care of gastroenterology inpatients.  Multidisciplinary working is an essential component of these posts, in collaboration with nursing staff, physiotherapists, dieticians, occupational therapists and social workers.  These F1 placements will give experience of ongoing management of common medical and gastroenterological problems through to discharge within a robust and stable learning framework.

    Typical working pattern in this placement

     

    Monday:
    Cons WR at 0915
    Lunchtime meeting (journal club)
    Jobs from WR

    Bloods + forms
    Update list

    Tuesday:
    CMT/ F1 WR
    Jobs

    F1 teaching 1400-1700
    Bloods + forms
    Update list

     Wednesday:

    Cons WR at 0915
    Bloods + forms
    Update list

    Thursday:

    Reg WR/ jobs
    Cons board round (lunchtime)
    CMT teaching 1415-1630
    Bloods + forms
    Update list

     
    Friday:

    Cons WR 0915
    Jobs
    Bloods + forms
    Update list

    Write weekend handover list and take to ACUC – file in “Up Wards” folder.

    On call requirements:

    During this post the F1 doctor will participate in out of hours ward cover and the admission of unselected acute general medical patients.

    Employer information

    (Confirmation of working pattern will be issued in work Schedule)

    Gloucestershire Hospitals NHS Foundation Trust delivers acute health care services to the communities of Gloucestershire and surrounding areas. Our services are provided from Cheltenham General and Gloucestershire Royal Hospitals, both sites have medical and surgical take.

    Cheltenham General Hospital is the hub of the Three Counties Cancer Centre. The specialist Oncology Centre is a centre of excellence for Gloucestershire. Gloucestershire Royal Hospital has a new state of the art Children's Centre as well as a multi-million pound Women’s Centre which opened in January 2011. We are proud of the services we provide and some, such as our ophthalmology services are award winning and recognised nationally and internationally.

    There is a shuttle bus that runs between Cheltenham General and Gloucester Royal on a regular basis throughout the day. This bus is free for staff providing a Trust ID badge is presented on boarding There is ample parking for staff and patients.

    On occasions you may be required to work across site

     

    It is important to note that this description is a typical example of your placement and may be subject to change.

     

     

  • F1 Haematology

    Placement

    F1 Haematology
    Cheltenham General Hospital

    The department

    The Gloucestershire Oncology Centre is located in Cheltenham General Hospital, and provides comprehensive cancer services for a catchment population of just over one million people living in Gloucestershire, Herefordshire, South Worcestershire and parts of Shropshire and Powys.

    The purpose built centre provides accommodation for inpatient, day case and outpatient treatment. The department comprises two wards (totalling 40 beds), chemotherapy and radiotherapy suites, cancer information centre and clinical trials department all shared with the Oncology Department.

    The eight haematology consultants covering the in-patient workload in Cheltenham on a three-weekly rotational basis. The two Specialty Trainees rotate between the Gloucester and Cheltenham on a three monthly basis. The patients are also supported by an Advanced Nurse Practitioner and three Clinical Nurse Specialists.

    The type of work to expect and learning opportunities

    The Foundation Doctor is based on one of two wards in the Oncology Centre and has responsibility for the Haematology and small numbers of Oncology inpatients in their area under the clinical supervision of the attending Consultant and Specialist Trainee.

     

    The placement affords them experience in managing patients with the full range of haematological malignancies and some exposure to patients with non-haematological cancer sharing the bed base

     

    They gain experience in the management of complications of leukaemia, lymphoma and chemotherapy treatments, including supportive care and symptom control.

     

    They gain experience from discussing issues surrounding cancer and palliative care with patients, and shadowing Consultants and other health professionals engaged in these discussions.

     

    During the attachment they are encouraged to attend the hospital foundation teaching programme. There is a weekly Oncology departmental teaching programme at which the trainees are encouraged to present. There is also a weekly mortality and morbidity case presentation to which the trainees contribute.

     

    During this post you will be expected to cover the weekend specialty ward rounds approx. 5 -7 shifts per 4 month placement.

    Where the placement is based

    Gloucestershire Oncology Centre, Cheltenham General Hospital. The department has are 40 beds on two wards, including an 8 bedded specialist unit for the care of neutropenic patients.

    Clinical Supervisor(s) for the placement

    All trainees are allocated a clinical supervisor who is a Consultant Haematologist.

    Main duties of the placement

    The F1 post is ward based. Ward care is Consultant led, with an Attending Consultant being present on the ward during day time hours and an On-Call Consultant available overnight and at weekends.

    Each day starts with a multidisciplinary team meeting on the ward, where all Oncology and Haematology inpatients are discussed. Each Thursday, the meeting is expanded to involve all the medical staff, specialist nurses, palliative care team and occupation therapy and physiotherapy staff.

    Typically there is full Consultant Ward round every Monday and Thursday with Specialty Trainee led rounds on other days. This provides an opportunity to review all inpatients, to teach the junior staff and to reflect on decisions made in the previous twenty-four hours. The F1 doctor is then available during the remainder of the day to carry out appropriate tasks, with a degree of independence to fit in with their experience and capability.

    Support to them is provided by the Consultant, Specialty Trainee, the team of Oncology F2 and CT1/2 doctors and the Haematology Specialist Nurses.

    Typical working pattern in this placement

    0900 Daily

    Multidisciplinary/shift handover meeting attended by representatives of the specialties attending the ward. All Oncology and Haematology junior doctors on duty attend and lead the discussions.1000 Daily

    Consultant/ST3+ led ward round.

    0900 Wednesday

    Cancer Network Haematological Malignancies MDT –optional training opportunity (videoconference with Specialty Trainee with Gloucestershire Royal and Hereford County Hospital)

    0900 Thursday

    Multidisciplinary ward meeting expanded to involve all the medical staff, specialist nurses, palliative care team and occupation therapy and physiotherapy staff.

    1030 Thursday

    Weekly mortality and morbidity meeting and regular teaching session led by the junior doctors. Monthly audit presentations.

    1300 Monday

    Microbiology Review Meeting involving the attending team and Consultant Medical Microbiologist and their trainees.

    1400-1700 Tuesday (alternate weeks)

    Trust F1 Teaching Programme

    Employer information

    (Confirmation of working pattern will be issued in work Schedule)

    Gloucestershire Hospitals NHS Foundation Trust delivers acute health care services to the communities of Gloucestershire and surrounding areas. Our services are provided from Cheltenham General and Gloucestershire Royal Hospitals, both sites have medical and surgical take.

    Cheltenham General Hospital is the hub of the Three Counties Cancer Centre. The specialist Oncology Centre is a centre of excellence for Gloucestershire. Gloucestershire Royal Hospital has a new state of the art Children's Centre as well as a multi-million pound Women’s Centre. We are proud of the services we provide and some, such as our ophthalmology services are award winning and recognised nationally and internationally.

    There is a shuttle bus that runs between Cheltenham General and Gloucester Royal on a regular basis throughout the day. This bus is free for staff providing a Trust ID badge is presented on boarding There is ample parking for staff and patients.

    On occasions you may be required to work across site.

     

    It is important to note that this description is a typical example of your placement and may be subject to change.

     

     

  • F1 Neurology

    Placement

    F1 Neurology

    Gloucestershire Royal Hospital

    The department

    Neurology and Stroke

    The type of work to expect and learning opportunities

    Ward-based Neurology work: exposure to acute neurological admissions transferred after initial assessment in the admissions ward by medical team; exposure to planned admissions for investigation; management of ward referrals taken over by neurology team including head injuries (post stabilisation by orthopaedic/trauma team). Also the postholder helps manage Stroke rehabilitation patients alongside the other junior doctors on the ward, with training in management of stroke complications, risk factor management and rehabilitiation, as well as complex discharge planning. The current ward consists of 30 beds and this includes a small number of general medical patients on the ward managed by the Stroke Consultant team, giving the opportunity to gain exposure in general medicine training too.

    Case mix includes acute and chronic Neurology, acute brain injury (which includes trauma, encephalitis, hypoxia) and spinal cord injury & stroke; Small numbers of general medical patients.

     

    Learning opportunities: training in lumbar puncture, training in multidisciplinary team working and discharge planning.

    Where the placement is based

    Ward 8A, Gloucestershire Royal Hospital

    Clinical Supervisor(s) for the placement

    Dr Roswell Martin, Consultant Neurologist

    Main duties of the placement

    Ward work: clerking, presentation on ward round, maintenance of patient records, ordering of investigations, collection of results, liaison with therapy teams including specific brain injury team, stroke team and Neurophysiology investigations department

    Typical working pattern in this placement

     Mon:    am ward work; lunchtime journal  club; 

                pm ward round    

    Tues:   am ward work;  lunchtime Medical Meeting;

                pm ward work    

     

    Wed:    am scan meeting; ward work     

    Thurs:  am ward work; pm multidisciplinary meeting followed by ward round

    Fri:       am ward work, pm ward work  

    Sat:            

    Sun:           

    On call requirements:  None

    NB: Daily morning consultant ward rounds with Neurology and/or Stroke Consultants

    Employer information

    (Confirmation of working pattern will be issued in work Schedule)

    Gloucestershire Hospitals NHS Foundation Trust delivers acute health care services to the communities of Gloucestershire and surrounding areas. Our services are provided from Cheltenham General and Gloucestershire Royal Hospitals, both sites have medical and surgical take.

    Cheltenham General Hospital is the hub of the Three Counties Cancer Centre. The specialist Oncology Centre is a centre of excellence for Gloucestershire. Gloucestershire Royal Hospital has a new state of the art Children's Centre as well as a multi-million pound Women’s Centre which opened in January 2011. We are proud of the services we provide and some, such as our ophthalmology services are award winning and recognised nationally and internationally.

    There is a shuttle bus that runs between Cheltenham General and Gloucester Royal on a regular basis throughout the day. This bus is free for staff providing a Trust ID badge is presented on boarding There is ample parking for staff and patients.

    On occasions you may be required to work across site.

     

    It is important to note that this description is a typical example of your placement and may be subject to change.

  • F1 Obstetrics and Gynaecology

    Placement

    F1 Obstetrics and Gynaecology

    Gloucestershire Royal Hospital

    The department

    The Obstetrics and Gynaecology department of Gloucester Royal Unit is based in the Women’s centre. We have over 6000 deliveries per annum, and a very busy gynaecology service. There are specialist services in fetal medicine, maternal medicine,  urogynaecology and gynaecological oncology.

    The type of work to expect and learning opportunities

    The placement will involve supervised obstetric work- which includes labour ward, antenatal and postnatal ward cover. There will also be gynaecology ward work including postoperative ward rounds, assessment and management of gynaecological emergencies and exposure to routine gynaecology clinics, specialist clinics and early pregnancy assessment clinics to maximise learning opportunities in early pregnancy problems including assessment of ectopic pregnancies and assessment of patient with abdominal pain.

     

    Where the placement is based

    Gloucestershire Royal Hospital, Women’s Centre.

      

    Clinical Supervisor(s) for the placement

    Dr Rebecca Swingler

    Main duties of the placement

    The F1 doctor is responsible along with support from the registrar and consultant on call for the day for the care of in patients both on gynaecology ward and maternity wards especially postoperative patients. They would also participate in covering gynaecological ward work and emergencies. There is a full shift system.

    Placement will also include preoperative assessment clinics, early pregnancy assessment clinics and teaching clinics at gynaecology clinics, special interest Gynaecology clinics and antenatal clinics. One in 6 weeks involves Gynaecology Oncology ward work, including care of in patients in Cheltenham General Hospital.

    There is also a structured teaching programme in place covering all aspects of gynaecology and obstetrics including perinatal morbidity meetings and weekly CTG meetings, monthly departmental educational meetings and quarterly audit meetings.

    By the end of the placement the F1 would be expected to have:-

    •Understanding of common gynaecological and obstetric conditions.

    •Good understanding of diagnosis, investigation and treatment of all gynaecological

    •Good understanding of postoperative care of in patients.

    •Counselling and management of early pregnancy problems including miscarriage

    •Initial assessment and management of patients presenting with acute gynaecological problems

    •Initial assessment of patients presenting in obstetric triage department.

    Typical working pattern in this placement

    The placement is largely traditionally ward-based, while incorporating structured training in outpatient clinics, gynaecological emergencies and labour ward.

     

    Daily ward rounds and handover at 8.30, 13.00 & 17.00.

     

    EWTD and Junior Doctors compliant Rota:

    1:8 week day night

    1:8 weekend Nights

    1:8 weekend cover

    Employer information

    (Confirmation of working pattern will be issued in work Schedule)

    Gloucestershire Hospitals NHS Foundation Trust delivers acute health care services to the communities of Gloucestershire and surrounding areas. Our services are provided from Cheltenham General and Gloucestershire Royal Hospitals, both sites have medical and surgical takes.

    There is a shuttle bus that runs between Cheltenham General and Gloucester Royal on a regular basis throughout the day. This bus is free for staff providing a Trust ID badge is presented on boarding There is ample parking for staff and patients.

    On occasions you may be required to work across site.

     

    It is important to note that this description is a typical example of your placement and may be subject to change.

     

  • F1 Oncology

    Placement

    F1 Oncology
    Cheltenham General Hospital

    The department

    The Gloucestershire Oncology Centre is located in Cheltenham General Hospital, and provides comprehensive cancer services for a catchment population of just over one million people living in Gloucestershire, Herefordshire, South Worcestershire and parts of Shropshire and Powys.

    The purpose built centre provides accommodation for inpatient, day case, and outpatient non surgical oncological treatments. The department consists of oncology wards (totalling 40 beds), a patient hostel, chemotherapy and radiotherapy suites, cancer information centre, clinical trials department.

    The medical staff, consist of thirteen Consultant Clinical Oncologists, three Consultant Medical Oncologist, seven Staff Grades, three Specialist Registrars. We share the inpatient beds with clinical haematology department, supported by the Palliative care team consisting of Consultant, Registrar and Specialist Nurses.

    The patients are also attended by Specialist Nurses in specific treatment sites as well as a Consultant Nurse and Nurse Practitioners from oncology.

    All cancer sites are treated in the department apart from paediatric cancers and some rare treatment sites.

    The type of work to expect and learning opportunities

    The Foundation Doctor is based on one of two wards in the Oncology Centre and has responsibility for the oncology inpatients in their area under the clinical supervision of the attending Consultant and Specialist Trainees.

     

    The placement affords them experience in managing patients with the full range of cancers and some exposure to patients with haematological cancers sharing the bed base

     

    They gain experience in the management of cancer, and the complications of cancer treatment. They also gain experience of palliative care and acute oncology..

     

    They gain experience from discussing issues surrounding cancer and symptom control with patients, and shadowing Consultants and other health professionals engaged in these discussions.

     

    During the attachment they are encouraged to attend the hospital foundation teaching programme. There is a weekly Oncology departmental teaching programme at which the trainees are encouraged to present. There is also a weekly mortality and morbidity case presentation to which the trainees contribute.

     

    During this post you will be expected to cover the weekend specialty ward rounds approx. 5 -7 shifts per 4 month placement.

    Where the placement is based

    Gloucestershire Oncology Centre, Cheltenham General Hospital. The department has are 40 beds on two wards, including an 8 bedded specialist unit for the care of neutropenic patients.

    Clinical Supervisor(s) for the placement

    All trainees are allocated a clinical supervisor who is a consultant clinical oncologist.

    Main duties of the placement

    Each day starts with a multidisciplinary team meeting on the ward, where all patients are discussed. Further to this the meeting is expanded to involve all the medical staff, some specialist nurses, palliative care team and occupation therapy/physiotherapy.

    The care for the inpatients is consultant led with typically a ward round each day joined by the appropriate junior doctors. This provides an opportunity to review unwell patients, to teach the junior staff and to reflect on decisions made in the previous twenty-four hours. The F1 doctor is then available during the day to carry out appropriate tasks, with a degree of independence to fit in with their experience and capability.

    Support to them is provided by the senior trainees on the ward as well as the Consultant, who performs a further ward round later in the afternoon.

    The F1 doctors have an opportunity to join the more experienced doctors on call, and therefore gain experience from assessing patients presenting with complications of cancer and cancer treatment, and building confidence in their appropriate management.

    Typical working pattern in this placement

    9.00am – daily multidisciplinary ward meeting attended by representatives of the specialties attending the ward. All the junior doctors on duty attend and lead the discussions.

    On Thursday mornings there is an meeting of all the medical staff in the department as well as nursing staff and representatives from the other professions. Again the junior staff lead the discussions on the patients.

    A Chart round at 4.00pm – reviewing patients who are unwell or may need to be discharged or those who need an updated decision.

    Thursday morning after the ward round, regular teaching session.

     

    Tuesday morning – case based teaching with  Monthly audit presentations.

    Tuesday alternate afternoons – F1 teaching (Hospital Foundation Programme).

    Employer information

    (Confirmation of working pattern will be issued in work Schedule)

    Gloucestershire Hospitals NHS Foundation Trust delivers acute health care services to the communities of Gloucestershire and surrounding areas. Our services are provided from Cheltenham General and Gloucestershire Royal Hospitals, both sites have medical and surgical takes.

    Cheltenham General Hospital is the hub of the Three Counties Cancer Centre. The specialist Oncology Centre is a centre of excellence for Gloucestershire. Gloucestershire Royal Hospital has a new state of the art Children's Centre as well as a multi-million pound Women’s Centre. We are proud of the services we provide and some, such as our ophthalmology services are award winning and recognised nationally and internationally.

    There is a shuttle bus that runs between Cheltenham General and Gloucester Royal on a regular basis throughout the day. This bus is free for staff providing a Trust ID badge is presented on boarding There is ample parking for staff and patients.

    On occasions you may be required to work across site.

     

    It is important to note that this description is a typical example of your placement and may be subject to change.

     

  • F1 Palliative Medicine

    Placement

    F1 Palliative Medicine

    Gloucestershire Royal Hospital

    The department

    Palliative Medicine

    The type of work to expect and learning opportunities

    Supervised role within a specialist palliative care hospital team who provide an advisory service supporting all clinical departments in caring for patients with advanced life limiting illness.

     

    Trainees will work under the supervision of senior team members and would not be expected to provide advice without discussion of plan with senior team members. Regular assessments of inpatients with complex pain/symptom control/psychological distress. Review of patients at end of life. Supporting teams with complex ethical decisions. Supporting families during patients illness and in bereavement follow-up. Supporting patients discharge to preferred place of care.

     

    During this post you will be expected to cover the weekend specialty ward rounds approx. 5 -7 shifts per 4 month placement.

    Where the placement is based

    Gloucestershire Royal Hospital

    Clinical Supervisor(s) for the placement

    Dr Catherine Morrison.

    Main duties of the placement

    Inpatient reviews as mentioned above, these will initially be with team colleagues but it is expected that trainees will undertake solo reviews and then discuss management plan by the end of the placement

    Typical working pattern in this placement

    Mon:   am/pm ward reviews, am consultant op clinic

    Tues:  am MDT and consultant led ward round, pm alt teaching afternoon, ward reviews     

    Wed:   am consultant op clinic/ward reviews, lunchtime every 3rd week Journal club, pm ward reviews

    Thurs: am/pm ward reviews

    am consultant op clinic

    Fri:      am/pm ward reviews

    Sat:     n/a

    Sun:    n/a

     

    Opportunities during placement for attachments with Hospice, Community Specialist palliative care teams.

     

    On call requirements:  no on call for palliative care.

    Employer information

    (Confirmation of working pattern will be issued in work Schedule)

    Gloucestershire Hospitals NHS Foundation Trust delivers acute health care services to the communities of Gloucestershire and surrounding areas. Our services are provided from Cheltenham General and Gloucestershire Royal Hospitals, both sites have medical and surgical take.

    Cheltenham General Hospital is the hub of the Three Counties Cancer Centre. The specialist Oncology Centre is a centre of excellence for Gloucestershire. Gloucestershire Royal Hospital has a new state of the art Children's Centre as well as a multi-million pound Women’s Centre. We are proud of the services we provide and some, such as our ophthalmology services are award winning and recognised nationally and internationally.

    There is a shuttle bus that runs between Cheltenham General and Gloucester Royal on a regular basis throughout the day. This bus is free for staff providing a Trust ID badge is presented on boarding There is ample parking for staff and patients.

     

    It is important to note that this description is a typical example of your placement and may be subject to change.

     

  • F1 Psychiatry

    Placement

    F1 Psychiatry – Wotton Lawn (Abbey Ward)

    The department

    The placement is at the Wotton Lawn Hospital, Gloucester which is a purpose built inpatient facility. There are 66 ‘acute’ and 10 ‘intensive care’ beds

    The type of work to expect and learning opportunities

    The placement begins with an induction. The F1 is based on the wards. Usually there is 1 ward round per week, a multi-disciplinary business meeting, an in house teaching session and dedicated Foundation year teaching session on alternate weeks. The F1 gets 1 hour supervision with the Consultant every week.

    During this post you will be expected to cover the weekend specialty ward rounds approx. 5 -7 shifts per 4 month placement.

    Where the placement is based

    The placement is based on Abbey Ward, Wotton Lawn. The F1 doctors are not expected to cover out of hours on calls.   

    Clinical Supervisor(s) for the placement

    TBA (Currently a locum)

    Main duties of the placement

    Admitting, clerking and day to day medical care of the patients admitted under the care of their supervising Consultant. Clear and defensible documentation of patient interactions. Preparing discharge summaries and updating the GPs for continuity of care

    Typical working pattern in this placement

    Mon  AM – Ward work & Supervision

             PM – local Academic Programme

     

    Tues AM – MDT Abbey Ward

             PM – alternative weeks F1 Teaching

     

    Wed  AM – Ward work

             PM – Community Session

     

    Thur  AM – Ward work

             PM – Ward work & admin

     

    Fri     AM – PICU Reviews

             PM – Ward work & admin        

    Employer information

    (Confirmation of working pattern will be issued in work Schedule)

    2Gether NHS Foundation Trust provides mental health services to the people of Gloucestershire and Hereford.

    The Trust employs an electronic record system (RiO)

     

    It is important to note that this description is a typical example of your placement and may be subject to change.

     

     

  • F1 Psychiatry

    Placement

    F1 Psychiatry – Wotton Lawn (Kingsholm Ward)

    The department

    The placement is at the Wotton Lawn Hospital, Gloucester which is a purpose built inpatient facility. There are 66 ‘acute’ and 10 ‘intensive care’ beds

    The type of work to expect and learning opportunities

    The placement begins with an induction. The F1 is based on the wards. Usually there is 1 ward round per week, a multi-disciplinary business meeting, an in house teaching session and dedicated Foundation year teaching session on alternate weeks. The F1 gets 1 hour supervision with the Consultant every week.

    During this post you will be expected to cover the weekend specialty ward rounds approx. 5 -7 shifts per 4 month placement.

    Where the placement is based

    The placement is based on Kingsholm Ward, Wotton Lawn. The F1 doctors are not expected to cover out of hours on calls.   

    Clinical Supervisor(s) for the placement

    Dr Carlos Pardo-Vincente

    Main duties of the placement

    Admitting, clerking and day to day medical care of the patients admitted under the care of their supervising Consultant. Clear and defensible documentation of patient interactions. Preparing discharge summaries and updating the GPs for continuity of care

    Typical working pattern in this placement

    Mon  AM – Ward work & Supervision

             PM – local Academic Programme

     

    Tues AM – MDT Kingsholm Ward

             PM – alternative weeks F1 Teaching

     

    Wed  AM – Ward work

             PM – Community Session

     

    Thur  AM – Ward work

             PM – Ward work & admin

     

    Fri     AM – PICU Reviews

             PM – Ward work & admin        

    Employer information

    (Confirmation of working pattern will be issued in work Schedule)

    2Gether NHS Foundation Trust provides mental health services to the people of Gloucestershire and Hereford.

    The Trust employs an electronic record system (RiO)

     

     

    It is important to note that this description is a typical example of your placement and may be subject to change.

  • F1 Psychiatry

    Placement

    F1 Psychiatry – Wotton Lawn (Dean Ward)

    The department

    The placement is at the Wotton Lawn Hospital, Gloucester which is a purpose built inpatient facility. There are 66 ‘acute’ and 10 ‘intensive care’ beds

    The type of work to expect and learning opportunities

    The placement begins with an induction. The F1 is based on the wards. Usually there is 1 ward round per week, a multi-disciplinary business meeting, an in house teaching session and dedicated Foundation year teaching session on alternate weeks. The F1 gets 1 hour supervision with the Consultant every week.

    During this post you will be expected to cover the weekend specialty ward rounds approx. 5 -7 shifts per 4 month placement.

    Where the placement is based

    The placement is based on Dean Ward, Wotton Lawn. The F1 doctors are not expected to cover out of hours on calls.   

    Clinical Supervisor(s) for the placement

    TBA (Currently a locum)

    Main duties of the placement

    Admitting, clerking and day to day medical care of the patients admitted under the care of their supervising Consultant. Clear and defensible documentation of patient interactions. Preparing discharge summaries and updating the GPs for continuity of care

    Typical working pattern in this placement

    Mon  AM – Ward work & Supervision

             PM – local Academic Programme

     

    Tues AM – MDT Dean Ward

             PM – alternative weeks F1 Teaching

     

    Wed  AM – Ward work

             PM – Community Session

     

    Thur  AM – Ward work

             PM – Ward work & admin

     

    Fri     AM – PICU Reviews

             PM – Ward work & admin        

    Employer information

    (Confirmation of working pattern will be issued in work Schedule)

    2Gether NHS Foundation Trust provides mental health services to the people of Gloucestershire and Hereford.

    The Trust employs an electronic record system (RiO)

     

    It is important to note that this description is a typical example of your placement and may be subject to change.

     

  • F1 Psychiatry

    Placement

    F1 Psychiatry – Wotton Lawn (Priory Ward)

    The department

    The placement is at the Wotton Lawn Hospital, Gloucester which is a purpose built inpatient facility. There are 66 ‘acute’ and 10 ‘intensive care’ beds

    The type of work to expect and learning opportunities

    The placement begins with an induction. The F1 is based on the wards. Usually there is 1 ward round per week, a multi-disciplinary business meeting, an in house teaching session and dedicated Foundation year teaching session on alternate weeks. The F1 gets 1 hour supervision with the Consultant every week.

    During this post you will be expected to cover the weekend specialty ward rounds approx. 5 -7 shifts per 4 month placement.

    Where the placement is based

    The placement is based on Priory Ward, Wotton Lawn. The F1 doctors are not expected to cover out of hours on calls.   

    Clinical Supervisor(s) for the placement

    Dr Faisal Khan

    Main duties of the placement

    Admitting, clerking and day to day medical care of the patients admitted under the care of their supervising Consultant. Clear and defensible documentation of patient interactions. Preparing discharge summaries and updating the GPs for continuity of care

    Typical working pattern in this placement

    Mon  AM – Ward work & Supervision

             PM – local Academic Programme

     

    Tues AM – MDT Priory Ward

             PM – alternative weeks F1 Teaching

     

    Wed  AM – Ward work

             PM – Community Session

     

    Thur  AM – Ward work

             PM – Ward work & admin

     

    Fri     AM – PICU Reviews

             PM – Ward work & admin        

    Employer information

    (Confirmation of working pattern will be issued in work Schedule)

    2Gether NHS Foundation Trust provides mental health services to the people of Gloucestershire and Hereford.

    The Trust employs an electronic record system (RiO)

     

     

    It is important to note that this description is a typical example of your placement and may be subject to change.

  • F1 Respiratory Medicine

    Placement

    F1 Respiratory Medicine

    Gloucestershire Royal Hospital

    The department

    The Department of Respiratory Medicine comprises 5 Consultant Physicians,

    Dr Meecham-Jones, Dr Message, Dr White, Dr Sharp and Dr Steer. GRH provides modern outpatients facilities and lung function laboratories whilst ward 8B provides specialist nursing for general medical and respiratory patients, including those requiring NIV. There are special interests in difficult asthma, COPD + bronchiectasis, sleep, lung cancer, pleural disease, interstitial lung disease and home ventilation. There are large numbers of patients with thoracic malignancy.  All respiratory and general medical pathology is represented.

    The department works closely with that of Cheltenham and together serves Gloucestershire with a catchment population of approximately 650 000.

    The department is closely linked with tertiary services in Bristol for thoracic surgery.

    The type of work to expect and learning opportunities

    All F1 Doctors in hospital posts will generally be ward based during the ‘normal’ working day except when on call and expected to deliver the daily medical care of all the patients on their ward irrespective of specialty. Whilst in the ACU the F1 will be involved with the generic clerking of patients being admitted and the ongoing care of the patients in the unit.

     

    The overall educational objectives of the F1 year are to provide the trainee with the knowledge, skills and attitudes to be able to

    •Take a history and examine a patient

    •Identify and synthesise problems

    •Request and analyse appropriate investigations

    •To get some experience of outpatient activity

    •Use evidence, guidelines and audit to benefit patient care Using evidence in the best interest of patients

    •Prescribe safely

    •Keep an accurate and relevant medical record

    •Manage time and clinical priorities effectively

    •Communicate effectively with patients, relatives and colleagues

    •Provide timely and accurate discharge summaries

    •Act in a professional manner at all times

    •Cope with ethical and legal issues which occur during the management of patients with general medical problems

    •Educate patients effectively / aid decision making through communication with patients

    •Become life-long learners and teachers.

    •Understanding consent and explaining risk

    •Managing clinical complaints and learning from them

    •Taking responsibility for the future of the NHS, i.e. teaching others effectively

    •Specific skills to the respiratory medicine job include

    •Interpretation of peak flow charts

    •Knowledge of good inhaler technique and use of nebulisers

    •Assessment of need for long-term oxygen therapy

    •Competence in pleural aspirations / chest drain insertion, setup of non invasive ventilation

    •experience of pleural ultrasound, medical thoracoscopy, cystic fibrosis, sleep medicine and clinical research trials.

     

    Where the placement is based

    Ward 8B, Gloucestershire Royal Hospital

    Clinical Supervisor(s) for the placement

    Dr Simon Message

    Main duties of the placement

    The F1 doctor is responsible with other staff for the ward care of patients and the maintenance of the patient’s medical record, taking responsibility for problems arising in General Medicine or respiratory patients on the ward. They are expected to attend the structured teaching programmes provided by the department and by the Trust foundation programme. The doctor will be responsible for such other specific clinical duties as allocated by consultants including performing other duties in occasional emergencies and unforeseen circumstances.

    Typical working pattern in this placement

    Daily: 1:2 0830 Respiratory post take / triage ward round

     

    Mon:  0900-1300 SpR led ward round

              1400-1700 ward work

     

    Tues: 0930-1300 Consultant ward round

              1300-1400 Grand Round

              1400-1500 Journal Club / M+M 1:2

              1400-1630  F1 teaching

     

    Wed:  0900-1300 SHO led ward round

              1300-1400 Postgraduate lecture

              1400-1700 Ward work

     

    Thurs 0900-1230 Consultant ward round

              1300-1400 lung cancer MDT

              1400-1700 ward work

     

    Fri:     0900-1300 SHO led ward round

              1300-1400 department X-ray meeting

              1400-1700 Ward work

    Employer information

    (Confirmation of working pattern will be issued in work Schedule)

    Gloucestershire Hospitals NHS Foundation Trust delivers acute health care services to the communities of Gloucestershire and surrounding areas. Our services are provided from Cheltenham General and Gloucestershire Royal Hospitals, both sites have medical and surgical take.

    Cheltenham General Hospital is the hub of the Three Counties Cancer Centre. The specialist Oncology Centre is a centre of excellence for Gloucestershire. Gloucestershire Royal Hospital has a new state of the art Children's Centre as well as a multi-million pound Women’s Centre which opened in January 2011. We are proud of the services we provide and some, such as our ophthalmology services are award winning and recognised nationally and internationally.

    There is a shuttle bus that runs between Cheltenham General and Gloucester Royal on a regular basis throughout the day. This bus is free for staff providing a Trust ID badge is presented on boarding There is ample parking for staff and patients.

    On occasions you may be required to work across site.

     

    It is important to note that this description is a typical example of your placement and may be subject to change.

  • F2 Acute Medicine, ACU-C

    Placement

    F2 Acute Medicine, ACU-C

    Cheltenham General Hospital

    The department

    Cheltenham General Hospital is a busy district general assessing with an admission average of 40 medical patients a day.  The Acute Care Unit C (ACUC) is a 24-bedded unit on the 3rd floor above the Emergency Department (ED) in St. Luke’s Wing. In general all patients are admitted into the unit for assessment, treatment and medical care with an aim of length of stay less than 48 hrs. Approximately 40-50% of all patients admitted to the ward are discharged either home or to a community hospital. The remaining patients are transferred onto specialist wards for further medical care.  We are situated close to the ED department and work closely with the ED staff on offering admitted patients early assessment and treatment which is regularly started within the ED department. The majority of medical admissions are clerked by the medical team, either in ED or on the ACUC.

    Following a more detailed clerking an early review is performed with the Acute Care Consultant where initial investigations are reviewed (i.e. bloods, XR, CT etc.) and ongoing management plan are discussed. Discharge planning is initiated involving a Community Discharge assessment Team to consider which patients are most appropriately treated in a Community Hospital.  An EDD (estimated date of discharge) is discussed and criteria for early nurse led discharge are discussed in a number of our newly admitted patients.

     

    Daily ward rounds are performed on all new admissions as well as those who remain on the ward.

    There are 6 F1 doctors, 5 F2 doctors, 1 ACCS and 1 CMT trainee as well as an Acute Medical SpR. The Team is complemented by the On-Call Registrar who worked on a 4 week day and 3 day weekend rota in 12 hr shifts and an SHO on call who joins the team at 17:00 as well as a SHO (CST/VTS) who covers the nights.

    There are currently 3 core Acute Medical Consultant’s based on ACU-C with other Acute Medical and Locum Consultants from Gloucester Royal Hospital rotating cross county. The General Physicians help to provide a 7 day week and evening cover.  During the week Acute Medicine consultants are present from 8.00 – 17.00.  The department has a linked Ambulatory Emergency Care Unit (AEC) located on the second floor of St.Luke’s wing.

    The type of work to expect and learning opportunities

    The work involves the assessment and treatment of acute medical admissions and their ongoing care on ACUC.  The extended hours provided by the Acute Medical Consultants and General Physicians means there is ample opportunity to present and discuss management with senior doctors.  There are opportunities to learn practical procedures such as lumbar puncture, abdominal and pleural aspirations and chest drains. There is a weekly ACUC teaching session and a journal club and centralized Foundation Doctor teaching.          

    There is a strong ethos focusing on teaching and training.

    Where the placement is based

    Ward ACUC – Cheltenham General Hospital

    Clinical Supervisor(s) for the placement

    Each junior doctor is allocated a Clinical Supervisor for the placements. There are ample opportunities to teach and conduct WBA. This is enforced by designated teaching fellows during the week.

    Main duties of the placement

    There are clear duties for every junior during the week.

    Depending on the shift pattern, 2 junior doctors are focused on ward cover for the Acute Admissions Unit and conduction ward rounds with the Consultants every working day of the week. The 2 other junior doctors are expected to clerk acute medical admissions using a generic admission’s Performa. They will order basic investigations and start treatment where appropriate, including VTE prophylaxis.  If a patient is particularly unwell (Early Warning Score of 3 or more) they will be expected to highlight this to a registrar or consultant. 

    As mentioned above at times they will be scheduled to support the morning post- take ward rounds, ordering further investigations, making referrals, looking up and acting on results.  Any outstanding jobs at the end of a shift should be handed over to a colleague.

    All doctors working on ACUC are expected to complete the discharge summaries for patients at the time of discharge.

    Both F1 and F2 doctors make up part of the Hospital-at-Night Team and do their night shift with the admitting teams. Both, F1 and F2 grades work medical nights and cover surgical nights with the support of the surgical team. The frequency of working surgical and medical nights is currently under review.

    Typical working pattern in this placement

    There are different shift patterns during the working week.

    One F1/F2 starts at 8am -17:00

    One F1 / F2 starts at 9am -18:00

    One F1/ F2 starts at 9:30am – 21:30

    One F1/2 starts a 15:00- 00:00

    One Fy1/2 starts at 20:00- 9:00 am (surgery)

    One FY1/2 starts at 21:00- 9:00 am (Medicine)

    There is also a midshift from 12noon-20.00 and a normal working day shift from 10-18;00.

    On weekends there are 2 shifts working 12 hr shifts both days and nights. One junior will focus on supporting the morning post take ward round and the ward work and one will be involved in clerking and the admissions-process.

    Annual leave can be booked once rota published. This is usually done for the whole four month block two months before the post commences. Trainees are entitled to 9 days in four months. Study leave is granted during working hours when staffing levels permit.

    Employer information

    (Confirmation of working pattern will be issued in work Schedule)

    Gloucestershire Hospitals NHS Foundation Trust delivers acute health care services to the communities of Gloucestershire and surrounding areas. Our services are provided from Cheltenham General and Gloucestershire Royal Hospitals, both sites have medical and surgical take.  

    Cheltenham General Hospital is the hub of the Three Counties Cancer Centre. The specialist Oncology Centre is a centre of excellence for Gloucestershire. Gloucestershire Royal Hospital has a new state of the art Children's Centre as well as a multi-million pound Women’s Centre. We are proud of the services we provide and some, such as our ophthalmology services are award winning and recognised nationally and internationally. 

    There is a shuttle bus that runs between Cheltenham General and Gloucester Royal on a regular basis throughout the day. This bus is free for staff providing a Trust ID badge is presented on boarding There is ample parking for staff and patients.

    With the ongoing re-configuration of the Acute Medical services in the next two years you may be required to work across site.

     

     

    It is important to note that this description is a typical example of your placement and may be subject to change.

  • F2 Acute Medicine

    Placement

    F2 Acute Medicine
    Gloucestershire Royal Hospital

    The department

    Gloucestershire Royal Hospital (GRH) is a busy district general hospital admitting an average of 60 acute medical patients a day. The acute medical team consists of an enthusiastic and vibrant team committed to providing high quality patient care presenting to the trust with an acute medical need. The department is well supported by medical specialty input. The Acute Medical Unit has 40 beds with a co-located 10-bedded Frailty Assessment Unit and a separate Acute Medical Initial Assessment Unit. A short stay unit comprising of 12 beds is situated on the 9th floor of the tower block.

    The medical staff on AMU work closely with the ED.  The aim is that an initial, targeted, rapid assessment is made by a senior doctor, so that the correct treatment is started early.  The junior doctors undertake their detailed assessment either in ED or AMU. GP referrals to medicine and ambulatory medical patients are assessed in AMIA with senior input. Advanced nurse practitioners play a valuable role in assessing patients in AMIA. Admitted patients are then seen again by an Acute Medical Consultant to review results, assess response to initial treatment, and set out an ongoing management plan.

    There are 3 F1 doctors, 3 F2 doctors, 4 ACCS trainees, and visiting CMT’s/GPVTS’s and trust doctors. There are 7 Acute Medical Consultant’s based in the trust and 4 General Physicians who help provide 7 day a week cover.  During the week days consultants are present from 8.00 – 20.30, and at weekends from 8.00 – 17.00. 

    The type of work to expect and learning opportunities

    The work involves the assessment and treatment of acute medical admissions and their ongoing care on AMU/short stay ward.  Time will also be spent on the AMIA assessing and treating ambulatory outpatients with conditions such as cellulitis and DVTs. The extending hours provided by the Acute Medical Consultants and General Physicians means there is ample opportunity to present and discuss management with senior doctors.  There are opportunities to gain experience in practical procedures such as lumbar puncture, abdominal and pleural aspirations and chest drains.  There is a weekly Grand Round, an AMU teaching session and a journal club. 4 Teaching fellows provide excellent opportunities for WPBA’s.

    Where the placement is based

    Gloucestershire Royal Hospital

    Clinical Supervisor(s) for the placement

    Professor Mark Pietroni, Dr Emma Wylie, Dr Jelena Sinkevica, Dr Chris Custard and Dr Peter Maginnis

    Main duties of the placement

    Our doctors are expected to clerk acute medical admissions using a proforma.  They will order basic investigations and start treatment where appropriate, including VTE prophylaxis.  If a patient is particularly unwell (Early Warning Score of 3 or more) they will be expected to highlight this to a medical registrar or consultant. 

    They will also support the post take ward rounds, ordering further investigations, making referrals, looking up and acting on results.  Any outstanding jobs at the end of a shift should be handed over to a colleague. 

    All doctors working on AMU are expected to complete the discharge summaries for patients at the time of discharge.

    Typical working pattern in this placement

    On call rota featuring 3 week on call blocks every 9 weeks with some additional ward cover shifts.

    Employer information

    (Confirmation of working pattern will be issued in work Schedule)

    Gloucestershire Hospitals NHS Foundation Trust delivers acute health care services to the communities of Gloucestershire and surrounding areas. Our services are provided from Cheltenham General and Gloucestershire Royal Hospitals, both sites have medical and surgical take.  

    Cheltenham General Hospital is the hub of the Three Counties Cancer Centre. The specialist Oncology Centre is a centre of excellence for Gloucestershire. Gloucestershire Royal Hospital has a new state of the art Children's Centre as well as a multi-million pound Women’s Centre which opened in January 2011. We are proud of the services we provide and some, such as our ophthalmology services are award winning and recognised nationally and internationally. 

    There is a shuttle bus that runs between Cheltenham General and Gloucester Royal on a regular basis throughout the day. This bus is free for staff providing a Trust ID badge is presented on boarding There is ample parking for staff and patients.

    On occasions you may be required to work across site.

     

     

     

    It is important to note that this description is a typical example of your placement and may be subject to change.

  • F2 Anaesthetics & ICU

    Placement

    F2 Anaesthetics & ICU
    Gloucestershire Royal Hospital

    The department

    The department covers 14 operating theatres covering all general surgical specialties, orthopaedics and gynaecology.

    The ICU is a 14 bed unit (level 3 and 2) and has a separate 4-bedded Surgical HDU. The Surgical HDU is designed for patients requiring overnight monitoring post-surgery.

    The type of work to expect and learning opportunities

    The trainee will be based in theatre for the first 2 weeks where they will work under supervision of a consultant or senior anaesthetist. The trainee will learn about the management of acutely ill patients requiring surgery and also the management of patients for elective surgery and the implications of comorbidities for anaesthesia. They will gain practical skills in airway management, intravenous lines and lumbar puncture.

    On ICU they will learn about the management of critically ill patients, join outreach teams to assess ICU ward referrals, and form part of the junior doctor team during the day and evening. They will learn about acute pain management. They will experience team working throughout the placement.

    During this post you will be expected to cover the weekend specialty ward rounds approx. 5 -7 shifts per 4 month placement.

    Where the placement is based

    Theatres/ICU Gloucestershire Royal Hospital

    Clinical Supervisor(s) for the placement

    Dr Ian Crabb

    Main duties of the placement

    They will assess patients preoperatively and manage them intraoparatively with the trained anaesthetist. They will be expected to assess patients in recovery. They will be involved in both elective and emergency work. In emergency theatre they will review patients booked form theatre and help in their optimization prior to theatre.

    On ICU they will be a member of the junior doctor team during the day and evenings. They will join ward rounds and handovers and carry out ward tasks alongside the team. They will review patients outside the ICU with more experienced doctors and ANPs. They will admit patients from theatre recovery to the surgical HDU for overnight stay.

    Typical working pattern in this placement

    No nights and 8 weekend days over 16 weeks.

     

    Employer information

    (Confirmation of working pattern will be issued in work Schedule)

    Gloucestershire Hospitals NHS Foundation Trust delivers acute health care services to the communities of Gloucestershire and surrounding areas. Our services are provided from Cheltenham General and Gloucestershire Royal Hospitals, both sites have medical and surgical take.  

    Cheltenham General Hospital is the hub of the Three Counties Cancer Centre. The specialist Oncology Centre is a centre of excellence for Gloucestershire. Gloucestershire Royal Hospital has a new state of the art Children's Centre as well as a multi-million pound Women’s Centre which opened in January 2011. We are proud of the services we provide and some, such as our ophthalmology services are award winning and recognised nationally and internationally. 

    There is a shuttle bus that runs between Cheltenham General and Gloucester Royal on a regular basis throughout the day. This bus is free for staff providing a Trust ID badge is presented on boarding There is ample parking for staff and patients.

    On occasions you may be required to work across site.

     

    It is important to note that this description is a typical example of your placement and may be subject to change.

  • F2 Care of the Elderly

    Placement

    F2 Care of the Elderly

    Gloucestershire Royal Hospital

    The department

    The Department consists of 5 Consultants with special interests in Falls, Osteoporosis, Orthogeriatrics, Peri-operative Medicine, Movement Disorders, OPALS (front door acute assessment and liaison service), Community hospital work and Research. 

    We cover a population of 320,000; there are several Community Hospitals, where patients are transferred for further rehabilitation.

    We are also closely linked to the Stroke Team who have 4 Consultants running the Stroke Unit and TIA service.

    The Consultants have a keen interest in education and training.

    The type of work to expect and learning opportunities

    This placement will provide experience of the management of acute general medical patients (generally over the age of 75) with exposure to acute unselected medical emergencies.

    •Take a history and examine a patient

    •Identify and synthesize problems

    •Prescribe safely

    •Keep an accurate and relevant medical record

    •Formulate an appropriate differential diagnosis and management plan

    •Manage time and clinical priorities effectively

    •Communicate effectively with patients, relatives and colleagues

    •Use evidence, guidelines and audit to benefit patient care

    •Act in a professional manner at all times

    •Educate patients effectively

    •Become life-long learners and researchers

    •Essential clinical and practical skills

    •Communication skills

    •Teaching and learning skills

    •Personal and professional skills

    •Gain experience and competence in the management of common medical presentations and chronic disease in the elderly; taking a holistic approach.

    • Gain experience in managing medical complexity (essential to any future practice in view of growing older population)

    • Multidisciplinary approach to assessing patients’ needs. Attending regular multi-disciplinary meetings

    • Shadowing of physiotherapists / occupational therapists

    • Close liaison with social workers for placement in residential/nursing homes

    •Learning the importance of good team working skills

    •Experience in managing end of life issues

    •An approach to ethical issues such as mental capacity, withholding & withdrawing treatment

    •Attending and participating in trust and departmental education programme

    Where the placement is based

    General and Old Age Medicine Wards at Gloucestershire Royal Hospital.

    Clinical Supervisor(s) for the placement

    Dr Andy Monro, Dr Ian Donald, Dr Muhammad Asghar, Dr Sangeeta Kulkarni, Dr Novoneel Nandi.

    Main duties of the placement

    The F2 doctor will primarily be located on one base ward where, under the direct supervision of 1 or 2 consultants, they will be responsible for the day-to-day care of general medical inpatients (generally over 75s). The team will also include 1 ST1/2/ or GP VTS trainee. There is regular Registrar input on these wards. Multidisciplinary working is an essential component of this post, in collaboration with nursing staff, physiotherapists, dieticians, speech and language therapists, occupational therapists and social workers.  This F2 placement will give experience of ongoing management of common medical problems through to discharge within a robust and stable learning framework.

    Typical working pattern in this placement

    Typical example working pattern for F2 post on ward 9B, GRH.

     

    Mon:      9am Consultant W/R

                  PM ward work                      

    Tues:     9am Consultant W/R

                  1pm Medical Grand Round

                  2pm F2 trust teaching,                 

                          alternate weeks

    Wed:      9am Consultant PTWR

                   1pm Departmental education   

                           meeting

                    PM ward work  

    Thurs:    9am Cons PTWR / StR W/R

                   PM ward work

    Fri:         9am Cons W/R

                  1pm Departmental education   

                          meeting

                   PM ward work       

     

    On call requirements:

    1:6 evening cover 17:00 – 21:30, 1in 6 weekends 09:00 – 21:30

     Employer information

    (Confirmation of working pattern will be issued in work Schedule)

    Gloucestershire Hospitals NHS Foundation Trust delivers acute health care services to the communities of Gloucestershire and surrounding areas. Our services are provided from Cheltenham General and Gloucestershire Royal Hospitals, both sites have medical and surgical take.  

    Cheltenham General Hospital is the hub of the Three Counties Cancer Centre. The specialist Oncology Centre is a centre of excellence for Gloucestershire. Gloucestershire Royal Hospital has a new state of the art Children's Centre as well as a multi-million pound Women’s Centre which opened in January 2011. We are proud of the services we provide and some, such as our ophthalmology services are award winning and recognised nationally and internationally. 

    There is a shuttle bus that runs between Cheltenham General and Gloucester Royal on a regular basis throughout the day. This bus is free for staff providing a Trust ID badge is presented on boarding There is ample parking for staff and patients.

    On occasions you may be required to work across site.

     

    It is important to note that this description is a typical example of your placement and may be subject to change.

  • F2 Care of the Elderly

    Placement

    F2 Care of the Elderly
    Cheltenham General Hospital

    The department

    The Department consists of 3 Consultants plus other grades, with special interests in Falls, Osteoporosis, Movement Disorders and Dementia. We cover a population of 225,000; there are several Community Hospitals, where patients are transferred for further rehab.

    The type of work to expect and learning opportunities

    This placement will provide experience of the management of acute general medical patients (generally over the age of 75) with exposure to acute unselected medical emergencies.

     

    •Take a history and examine a patient

    •Identify and synthesize problems

    •Prescribe safely

    •Keep an accurate and relevant medical record

    •Formulate an appropriate differential diagnosis and management plan

    •Manage time and clinical priorities effectively

    •Communicate effectively with patients, relatives and colleagues

    •Use evidence, guidelines and audit to benefit patient care

    •Act in a professional manner at all times

    •Educate patients effectively

    •Become life-long learners and researchers

    •Essential clinical and practical skills

    •Communication skills

    •Teaching and learning skills

    •Personal and professional skills

    •Gain experience and competence in the management of common medical presentations and chronic disease in the elderly; taking a holistic approach.

    • Gain experience in managing medical complexity (essential to any future practice in view of the growing older population)

    • Multidisciplinary approach to assessing patients’ needs. Attending regular multi-disciplinary meetings

    • Shadowing of physiotherapists / occupational therapists

    • Close liaison with social workers for placement in residential/nursing homes

    •Learning the importance of good team working skills

    •Experience in managing end of life issues

    •An approach to ethical issues such as mental capacity, withholding & withdrawing treatment

    •Attending and participating in trust and departmental education programme

    Where the placement is based

    Cheltenham General Hospital, Ryeworth Ward

    Clinical Supervisor(s) for the placement

    Dr Helen Alexander

    Main duties of the placement

    The F2 doctor will primarily be located on one base ward where, under the direct supervision of 2 consultants, they will be responsible for the day-to-day care of general medical and specialty inpatients. Their team will also include 2 ST1/2s and a registrar. Multidisciplinary working is an essential component of these posts, in collaboration with nursing staff, physiotherapists, dieticians, occupational therapists and social workers.  This F2 placement will give experience of ongoing management of common medical problems through to discharge within a robust and stable learning framework.

    Typical working pattern in this placement

    Mon:      9 am Consultant W/R
                 1-2 pm  Dept Academic meeting
                  PM  Ward work

    Tues:    9 am Consultant W/R
                 F2 trust teaching, alternate weeks                          

                 PM  Ward work

    Wed:     9 am Reg W/R

                 PM  Ward Work

    Thurs:   9 am Cons W/R

                 PM  Ward Work

    Fri:        9 am Cons W/R

                 PM  Ward Work 

    On call requirements:

    1:6 evening cover 17:00 – 21:30, 1 in 6 weekends 09:00 – 21:30

    Employer Information

    (Confirmation of working pattern will be issued in work Schedule)

    Gloucestershire Hospitals NHS Foundation Trust delivers acute health care services to the communities of Gloucestershire and surrounding areas. Our services are provided from Cheltenham General and Gloucestershire Royal Hospitals, both sites have medical and surgical take.  

    Cheltenham General Hospital is the hub of the Three Counties Cancer Centre. The specialist Oncology Centre is a centre of excellence for Gloucestershire. Gloucestershire Royal Hospital has a new state of the art Children's Centre as well as a multi-million pound Women’s Centre which opened in January 2011. We are proud of the services we provide and some, such as our ophthalmology services are award winning and recognised nationally and internationally. 

    There is a shuttle bus that runs between Cheltenham General and Gloucester Royal on a regular basis throughout the day. This bus is free for staff providing a Trust ID badge is presented on boarding There is ample parking for staff and patients.

    On occasions you may be required to work across site.

     

    It is important to note that this description is a typical example of your placement and may be subject to change.

  • F2 Emergency Medicine

    Placement

    F2 Emergency Medicine
    Gloucestershire Royal Hospital

    The department

    The Emergency Department sees 75,000 new patients a year. It is a busy inner city department. 

    The Department has Consultant shop floor presence 365 days per year.Weekdays are coveredfrom 8.00 – Midnight.  There is a 24 hour middle grade rota with the Consultant on-call from home. 

    There is a wide variety cases seen within the ED. All unscheduled admissions come through the Emergency Department which gives great exposure to a spectrum of cases.

    The type of work to expect and learning opportunities

    The ED sees a wide variety of patients who self-present with injuries and illness. All unscheduled admissions are seen and initially managed within the department. The F2 will be expected to participate in all aspects of patient care within the Department.  This will include initial assessment of patients with minor injuries, acutely ill patients and patients requiring immediate resuscitation.  There will also be the opportunity to perform practical procedures. F2 doctors will be supported by senior colleagues and will discuss their findings and management plans. They will also have the opportunity to see and treat patients independently. 

    The F2 Doctors are an integral and valued part of GRH ED team.

    Where the placement is based

    Gloucestershire Royal Hospital Emergency Department

    Clinical Supervisor(s) for the placement

    Dr Heather Clark, Dr Cerys Griffiths and Dr Tanya Dewaymarn – Educational and Clinical Supervisors

    Main duties of the placement

    The F2 doctor will make an initial assessment of patients presenting to the ED. They will be expected to assess all types of patients, including Children. 25 % of attendances are Children. 

    There will always be a more senior clinician in the department at all times to provide them with support.

    There is Consultant shop floor presence from 8.00 – Midnight 7 days per week. There is a middle grade available 24 hours a day, 7 days a week..

    Typical working pattern in this placement:

     

    Example of section of rota included

     

     

     

     

     

     

     

     

     

     

     

     

     

    The ED rota is a full shift rota.

    It is a 24 person, 24 week rota incorporating F2 trainees, GPSTs and ACCS trainees.

    The shifts types include day shifts (0800-1630), mid-shifts (1400-2200) and night shifts (2200-0800).

    Night shifts occur at frequency of 1 in 8 weeks and are divided into runs of 3 or 4 nights.

    Weekend frequency is 1 in 2.

    Induction and Foundation Teaching is protected and provided during paid hours.


    An example of 8 weeks of the rota is provided below:

     

    Week

    Mon

    Tue

    Wed

    Thu

    Fri

    Sat

    Sun

    1

    8:00 - 16:00

    8:00 - 17:00

    8:00 - 16:00

    8:00 - 16:00

     

    12:00 - 22:00

    12:00 - 22:00

    2

     

    14:00 - 17:00

    14:00 - 22:00

    14:00 - 22:00

    14:00 - 22:00

     

     

    3

    14:00 - 22:00

    14:00 - 22:00

    14:00 - 22:00

     

    22:00 - 24:00

    00:00 - 8:15, 22:00 - 24:00

    00:00 - 8:15, 22:00 - 24:00

    4

    00:00 - 8:15

     

    14:00 - 22:00

    14:00 - 22:00

    14:00 - 22:00

     

     

    5

    16:00 - 24:00

    14:00 - 24:00

    16:00 - 24:00

     

    8:00 - 16:00

    12:00 - 22:00

    12:00 - 22:00

    6

    22:00 - 24:00

    00:00 - 8:15, 22:00 - 24:00

    00:00 - 8:15, 22:00 - 24:00

    00:00 - 8:15, 22:00 - 24:00

    00:00 - 8:15

     

     

    7

    8:00 - 16:00

    8:00 - 17:00

    8:00 - 16:00

    8:00 - 16:00

     

    16:00 - 24:00

    00:00 - 2:00, 16:00 - 24:00

    8

    00:00 - 2:00, 16:00 - 24:00

    14:00 - 24:00

     

    16:00 - 24:00

    16:00 - 24:00

     

     

    A finalised version of the rota will be provided in the work schedule issued prior to commencing the post.

    Employer information

    (Confirmation of working pattern will be issued in work Schedule)

    Gloucestershire Hospitals NHS Foundation Trust delivers acute health care services to the communities of Gloucestershire and surrounding areas. Our services are provided from Cheltenham General and Gloucestershire Royal Hospitals, both sites have medical and surgical take.

    Cheltenham General Hospital is the hub of the Three Counties Cancer Centre. The specialist Oncology Centre is a centre of excellence for Gloucestershire. Gloucestershire Royal Hospital has a new state of the art Children's Centre as well as a multi-million pound Women’s Centre which opened in January 2011. We are proud of the services we provide and some, such as our ophthalmology services are award winning and recognised nationally and internationally. 

    There is a shuttle bus that runs between Cheltenham General and Gloucester Royal on a regular basis throughout the day. This bus is free for staff providing a Trust ID badge is presented on boarding There is ample parking for staff and patients.

    On occasions you may be required to work across site.

     

    It is important to note that this description is a typical example of your placement and may be subject to change.

  • F2 ENT

    Placement

    F2 ENT
    Gloucestershire Royal Hospital

    The department

    ENT department at Gloucestershire Royal Hospital. The department comprises of 7 consultants whose subspecialty interests include otology, head & neck malignancy, rhinology and paediatrics. We cover all aspects of ENT other than advanced paediatric airway and skull base work. We are the largest stand-alone ENT department in the region. We also have an Otology fellow and 2-3 SAS doctors.

    The type of work to expect and learning opportunities

    The ENT F2 placement provide a broad range of experience covering the general ENT workload. This includes:

    • Daily business ward rounds
    • Regular teaching ward rounds
    • Scheduled attendance at teaching clinics (supernumerary)
    • Scheduled attendance to theatre sessions
    • Designated ward duties for clerking admissions & management of post-operative patients
    • Management of emergency patients through running of the emergency clinic.
    • Participation in the ENT on-call daytime rota (1 in 5)
    • Out-of-hours rota participation, shared with orthopaedics (1 in 13) 

    Teaching: a regular departmental teaching programme is run on Friday afternoons (2 hours). Additional teaching comes via ward rounds and clinic attendance. F2s are timetabled to be able to attend generic F2 teaching sessions (Tuesday afternoons). 

    By the end of the placement the F2 should achieved various competencies:

    • How to perform an ENT examination
    • How to manage acute ENT patients (including epistaxis, drainage of peritonsillar abscess, acute airway problems, neck sepsis, post-tonsillectomy haemorrhage)
    • How to consent for basic ENT procedures and care for patients post-operatively
    • How to use the flexible nasendoscope and microscope for ear examination and microsuction.

    Where the placement is based

    The department is based at Gloucestershire Royal Hospital, but clinics are also conducted at Cheltenham, Stroud, Lydney, Cirencester and Tewkesbury. F2s are not expected to attend peripheral clinics. 

    Our ward at GRH is 2B in the Tower Block.

    Clinical Supervisor(s) for the placement

    All consultants in the department act in either clinical or educational supervisor roles. Mr Matthew Clark is the Specialty Tutor.

    Main duties of the placement

    To be responsible, as a member of the team, for the care of patients on the ward (both elective and emergency) and the maintenance of the patient’s medical record. To attend clinics and theatre sessions as timetabled. To perform an audit during the placement and contribute to the collection of M&M data.

    Typical working pattern in this placement

    Examples given:

    Mon:    clinic am, emergency clinic pm
    Tues:   theatre
    Wed:    emergency clinic am, clinic pm
    Thurs:  day off
    Fri:       theatre am, teaching pm
    Sat:             
    Sun:            

    Mon:      ward cover         
    Tues:     ward cover
    Wed:      ward cover
    Thurs:    ward cover
    Fri:         theatre am, teaching pm
    Sat:             
    Sun:            

    On call requirements:  Participation in the daytime ENT on-call rota (1 in 5); out-of-hours rota participation, shared with orthopaedics (1 in 13).

    Employer information

    (Confirmation of working pattern will be issued in work Schedule)

    Gloucestershire Hospitals NHS Foundation Trust delivers acute health care services to the communities of Gloucestershire and surrounding areas. Our services are provided from Cheltenham General and Gloucestershire Royal Hospitals, both sites have medical and surgical take.  

    Cheltenham General Hospital is the hub of the Three Counties Cancer Centre. The specialist Oncology Centre is a centre of excellence for Gloucestershire. Gloucestershire Royal Hospital has a new state of the art Children's Centre as well as a multi-million pound Women’s Centre which opened in January 2011. We are proud of the services we provide and some, such as our ophthalmology services are award winning and recognised nationally and internationally. 

    There is a shuttle bus that runs between Cheltenham General and Gloucester Royal on a regular basis throughout the day. This bus is free for staff providing a Trust ID badge is presented on boarding There is ample parking for staff and patients.

     

    It is important to note that this description is a typical example of your placement and may be subject to change.

  • F2 General Practice

    Placement

    F2 General Practice

    The department

    Primary Care

    The type of work to expect and learning opportunities

    The GP is the first point of contact for most medical services and GPs provide a complete spectrum of care within the local community. You will learn to deal with problems that often combine physical, psychological and social components.

    You will work as part of a team with other professionals, helping patients to take responsibility for their own health. 

    During the attachment you will build on your knowledge of medical conditions, your ability to assess a huge variety of problems, and your skills in independent decision-making. 

    You will learn how and when to intervene, through treatment, prevention and education, to promote the health of your patients and their families. 

    The diversity of General Practice is one of the major attractions and you will have the opportunity to experience a different way of working and provide continuity for patients with a variety of health problems.

    During this post you will be expected to cover the weekend specialty ward rounds approx. 5 -7 shifts per 4 month placement.

    Where the placement is based

    GP training practices in Gloucestershire.

    Clinical Supervisor(s) for the placement

    Each GP F2 will be in an approved teaching practice, where your supervisor will be an accredited GP Trainer or GP Clinical Supervisor.

    Main duties of the placement

    Your duties will include:

    • Helping patients with diverse health problems. You will gain skills in history-taking, investigation, diagnosis, and management.
    • Practicing preventative medicine and promoting health education.
    • Working as part of a team that might include nurses, midwives, pharmacists, social workers, receptionists and administrators.
    • Managing resources as effectively as possible.
    • Maintaining confidentiality and impartiality.
    • Using basic IT skills and recording information using the practice's clinical IT system.
    • Attending the practice's clinical and educational meetings.
    • You may also be asked to make home visits if your GP Supervisor feels this is appropriate.

    Typical working pattern in this placement

    Morning: surgery followed by discussion with your supervisor of patients seen

    Lunchtime: administrative work

    Early afternoon: clinical meetings or home visits

    Afternoon/early evening: surgery followed by discussion with your supervisor of patients seen

    There will be a weekly tutorial lasting at least an hour. 

    The exact timetable varies from practice to practice. Practices may ask you to work the same pattern that most GPs do, with longer working days but time off in lieu. 

    On call requirements:  While it may be in your contract to do on-call hospital work during your GP attachment, there will be no GP on-call requirements.

    Employer information

    (Confirmation of working pattern will be issued in work Schedule)

    Your employer will be your acute Trust, not the GP practice. 

    Gloucestershire Hospitals NHS Foundation Trust delivers acute health care services to the communities of Gloucestershire and surrounding areas. Our services are provided from Cheltenham General and Gloucestershire Royal Hospitals, both sites have medical and surgical take.  

    Cheltenham General Hospital is the hub of the Three Counties Cancer Centre. The specialist Oncology Centre is a centre of excellence for Gloucestershire. Gloucestershire Royal Hospital has a new state of the art Children's Centre as well as a multi-million pound Women’s Centre. We are proud of the services we provide and some, such as our ophthalmology services are award winning and recognised nationally and internationally. 

    There is a shuttle bus that runs between Cheltenham General and Gloucester Royal on a regular basis throughout the day. This bus is free for staff providing a Trust ID badge is presented on boarding There is ample parking for staff and patients.

     

     

    It is important to note that this description is a typical example of your placement and is subject to change.

  • F2 Genitourinary Medicine

    Placement

    F2 Genitourinary Medicine

    The department

    Sexual Health and HIV

    The type of work to expect and learning opportunities

    Outpatient GU patient management. Occasional opportunities to be involved in review of HIV infected ward patients.

    During this post you will be expected to cover the weekend specialty ward rounds approx. 5 -7 shifts per 4 month placement.

    Where the placement is based

    Hope House Clinic, Gloucestershire Royal Hospital and Milsom Street Clinic, off site down lower High Street, Cheltenham 

    Clinical Supervisor(s) for the placement

    Dr Andrew de Burgh-Thomas

    Main duties of the placement

    To diagnose treat and manage patients with common genital infections, conditions, + to advise and implement appropriate contraceptive advice. To identify vulnerable people and direct them to appropriate safeguarding systems within the department. To appropriately record consultations on our bespoke stand alone system. To maintain absolute confidentiality accepting Sexual Health pertains to the most personal area of health.

    Typical working pattern in this placement

    Mon:       Clinic AM/PM       

    Tues:      Teaching clinic AM
                 Personal study/F2 teaching PM

    Wed:      Clinic AM/PM       

    Thurs:     Clinic AM/Personal study PM       

    Fri:         Clinic AM/PM       

    Sat/Sun: Off  

    On call requirements: None

    Employer information

    (Confirmation of working pattern will be issued in work Schedule)

    Gloucestershire Hospitals NHS Foundation Trust delivers acute health care services to the communities of Gloucestershire and surrounding areas. Our services are provided from Milsom Street Clinic, (lower High Street, close to Tesco/ Royal mail Sorting Office)  and Gloucestershire Royal Hospital, the latter site has Medical and Surgical take.

    Gloucestershire Hospitals NHS Foundation Trust delivers acute health care services to the communities of Gloucestershire and surrounding areas. Our services are provided from Cheltenham General and Gloucestershire Royal Hospitals, both sites have medical and surgical takes.

    There is a shuttle bus that runs between Cheltenham General and Gloucester Royal on a regular basis throughout the day. This bus is free for staff providing a Trust ID badge is presented on boarding There is ample parking for staff and patients.

    On occasions you may be required to travel between Cheltenham and Gloucester in the same day.

     

    It is important to note that this description is a typical example of your placement and may be subject to change.

     

     

  • F2 ICM (Intensive Care Medicine)

    Placement

    F2 ICM (Intensive Care Medicine)
    Cheltenham General Hospital

    The department

    There will be one F2 at any one time who  will work with trainees from CMT, ACCS and Anaesthesia. The department of critical care has 12 beds, patients are admitted for close observation and supportive treatment either after major surgery or during the most acute phase of an illness. the common clinical problems seen are sepsis, respiratory failure (including non-invasive ventilation), cardiovascular collapse, post-operative general, vascular, orthopaedic and oncology surgery

    There are 8 consultants who cover the ICU.

    The type of work to expect and learning opportunities

    The unit has a mixture of medical and surgical as well as emergency and elective admissions. As well as general medical there is a regional haem-oncology service. The hospital currently has the following elective specialist surgical services:  vascular, urology, general surgical, orthopaedic and gynae-oncology.

    During this post you will be expected to cover the weekend specialty ward rounds approx. 5 -7 shifts per 4 month placement.

    Where the placement is based

    Department of Critical Care (DCC) Cheltenham General Hospital

    Clinical Supervisor(s) for the placement

    Dr Warren Doherty

    Main duties of the placement

    The work involves reviewing all the patients on DCC in the morning as part of the ICU team, and dealing with all normal ward issues.  The F2 will be involved in reviews, admissions and discharge of patients.

    The individual should gain experience in managing a wide range of critically ill patients.

    Learning opportunities include but are not limited to: 

    • The recognition and immediate treatment of critically ill/injured patients
    • The ongoing care of critically ill/injured patients through to discharge
    • Practical procedures under direct supervision according to their own individual needs and proficiency.
    • Experience in advanced monitoring techniques, cardiovascular management, respiratory care including (basic) airway and ventilator management, and renal support.

    The F2 is supported by the ITU team and will always be supervised by one of the senior trainees/speciality doctors when on call.  There are always more senior trainees and consultants on hand to help.  There is a regular teaching programme in addition to the hospitals F2 teaching that the trainee will be expected to attend & contribute.

    Typical working pattern in this placement

    Mon: 0800-17.00

    Tues: 0800-1700    Teaching 0800-0845

    Wed:  0800-1700       Mon-Fri            

    Thurs: 0800-1700

    Fri:     0800-1300

    Sat:

    Sun: 

    On call requirements:  None

    Employer information

    (Confirmation of working pattern will be issued in work Schedule)

    Gloucestershire Hospitals NHS Foundation Trust delivers acute health care services to the communities of Gloucestershire and surrounding areas. Our services are provided from Cheltenham General and Gloucestershire Royal Hospitals, both sites have medical and surgical take.

    Cheltenham General Hospital is the hub of the Three Counties Cancer Centre. The specialist Oncology Centre is a centre of excellence for Gloucestershire. Gloucestershire Royal Hospital has a new state of the art Children's Centre as well as a multi-million pound Women’s Centre which opened in January 2011. We are proud of the services we provide and some, such as our ophthalmology services are award winning and recognised nationally and internationally. 

    There is a shuttle bus that runs between Cheltenham General and Gloucester Royal on a regular basis throughout the day. This bus is free for staff providing a Trust ID badge is presented on boarding There is ample parking for staff and patients.

    On occasions you may be required to work across site.

     

    It is important to note that this description is a typical example of your placement and may be subject to change.

  • F2 Obstetrics and Gynaecology

    Placement

    F2 Obstetrics and Gynaecology

    Gloucestershire Royal Hospital

    The department

    The Obstetrics and Gynaecology department of Gloucester Royal Unit is based in the Women’s centre. We have over 6000 deliveries per annum, and a very busy gynaecology service. There are specialist services in fetal medicine, maternal medicine, urogynaecology and gynaecological oncology.

    The type of work to expect and learning opportunities

    The placement will involve supervised obstetric work- which includes labour ward, antenatal and postnatal ward cover. There will also be gynaecology ward work including postoperative ward rounds, assessment and management of gynaecological emergencies and exposure to routine gynaecology clinics, specialist clinics and early pregnancy assessment clinics to maximise learning opportunities in early pregnancy problems including assessment of ectopic pregnancies and assessment of patient with abdominal pain.

     

    Where the placement is based

    Gloucestershire Royal Hospital, Women’s Centre.

      

    Clinical Supervisor(s) for the placement

    Mr Mark Whittaker

    Main duties of the placement

    The F2 doctor is responsible along with support from the registrar and consultant on call for the day for the care of in patients both on gynaecology ward and maternity wards especially postoperative patients. They would also participate in covering gynaecological ward work and emergencies. There is a full shift system.

    Placement will also include preoperative assessment clinics, early pregnancy assessment clinics and teaching clinics at gynaecology clinics, special interest Gynaecology clinics and antenatal clinics. One in 6 weeks involves Gynaecology Oncology ward work, including care of in patients in Cheltenham General Hospital.

    There is also a structured teaching programme in place covering all aspects of gynaecology and obstetrics including perinatal morbidity meetings and weekly CTG meetings, monthly departmental educational meetings and quarterly audit meetings.

    By the end of the placement the F1 would be expected to have:-

    •Understanding of common gynaecological and obstetric conditions.

    •Good understanding of diagnosis, investigation and treatment of all gynaecological

    •Good understanding of postoperative care of in patients.

    •Counselling and management of early pregnancy problems including miscarriage

    •Initial assessment and management of patients presenting with acute gynaecological problems

    •Initial assessment of patients presenting in obstetric triage department.

    Typical working pattern in this placement

    The placement is largely traditionally ward-based, while incorporating structured training in outpatient clinics, gynaecological emergencies and labour ward.

     

    Daily ward rounds and handover at 8.30, 13.00 & 17.00.

     

    EWTD and Junior Doctors compliant Rota:

    1:8 week day night

    1:8 weekend Nights

    1:8 weekend cover

    Employer information

    (Confirmation of working pattern will be issued in work Schedule)

    Gloucestershire Hospitals NHS Foundation Trust delivers acute health care services to the communities of Gloucestershire and surrounding areas. Our services are provided from Cheltenham General and Gloucestershire Royal Hospitals, both sites have medical and surgical takes.

    There is a shuttle bus that runs between Cheltenham General and Gloucester Royal on a regular basis throughout the day. This bus is free for staff providing a Trust ID badge is presented on boarding There is ample parking for staff and patients.

    On occasions you may be required to work across site.

     

     

    It is important to note that this description is a typical example of your placement and may be subject to change.

  • F2 Oncology

    Placement

    F2 Oncology
    Cheltenham General Hospital

    The department

    The Gloucestershire Oncology Centre is located in Cheltenham General Hospital, and provides comprehensive cancer services for a catchment population of just over one million people living in Gloucestershire, Herefordshire, South Worcestershire and parts of Shropshire and Powys. 

    The purpose built centre provides accommodation for inpatient, day case, and outpatient non-surgical oncological treatments. The department consists of oncology wards (totalling 40 beds), a patient hostel, chemotherapy and radiotherapy suites, cancer information centre, clinical trials department. 

    The medical staff, consist of thirteen Consultant Clinical Oncologists, three Consultant Medical Oncologist, seven Staff Grades, three Specialist Registrars. We share the inpatient beds with clinical haematology department, supported by the Palliative care team consisting of Consultant, Registrar and Specialist Nurses. 

    The patients are also attended by Specialist Nurses in specific treatment sites as well as a Consultant Nurse and Nurse Practitioners from oncology. 

    All cancer sites are treated in the department apart from paediatric cancers and some rare treatment sites.

    The type of work to expect and learning opportunities

    The F2 post is ward based. Ward care is Consultant led, with an attending Consultant being present on the ward during day time hours and available 24 hours a day on an on call basis. The ward patients are distributed between the F2 and ST1/2’s. The F2s are expected to know their group of patients, be able to present them to the consultant on call and be involved with any discussions with other healthcare professionals. Depending on their experience and competence, they may be able to take a central role in the patients care and lead discussions regarding their care. 

    Our trainees are encouraged to attend outpatient clinics to see how new patients are informed about their treatment, as well as chemotherapy and radiotherapy sessions. They also have the opportunity to spend time with the palliative care team. 

    During the attachment they are encouraged and able to attend the hospital foundation teaching programme. There is also a weekly teaching programme which the trainees are encouraged to present at.   There is also a three monthly mortality morbidity case presentation, which again the trainees are asked to present at. 

    Their oncology attachment will afford them experience at managing patients with advanced malignancy including symptom control. They also gain experience in the management of complications of cancer and cancer treatments. 

    They gain experience from discussing issues surrounding cancer and palliative care with patients, and shadowing Consultants and other professionals also engaged in such discussions. 

    They also learn about how patients with cancer are treated, and the use of common treatment modalities and their indications.

    Where the placement is based

    There are placements based at the Gloucestershire Oncology Centre, Cheltenham General Hospital. The department has are 40 beds on two wards, including an 8 bedded specialist neutropenia unit.

    Clinical Supervisor(s) for the placement

    All trainees are allocated a clinical supervisor who is a clinical oncologist.

    Main duties of the placement

    Each day starts with a multidisciplinary team meeting on the ward, where all patients are discussed 

    F2 doctors are expected to review all the patients under their care on a daily basis and discuss the problems with the consultant on call. 

    F2 doctors are on call with cover from the consultant oncologist and gain experience from assessing patients presenting with complications of cancer and cancer treatment and building confidence in their appropriate management

    Typical working pattern in this placement

    9.00am – daily multidisciplinary ward meeting attended by representatives of the specialties attending the ward. All the junior doctors on duty attend and lead the discussions. 

    On Thursday mornings there is an meeting of all the medical staff in the department as well as nursing staff and representatives from the other professions. Again the junior staff lead the discussions on the patients. 

    A chart  round at 4.00pm – reviewing patients who are unwell or may need to be discharged or those who need an updated decision. 

    Thursday morning after the ward round, regular teaching session consultant or registrar led. 

    Monthly audit presentations. 

    Tuesday alternate afternoons – F2 teaching (Hospital Foundation Programme). 

    On-call

    The F2s participate in the junior doctor on-call rota, involving 8 - F2 and ST1/2s. It is a partial shift system, with support  (not all the time) and a consultant. After midnight the surgical and oncology F2s work as a team to cover surgical and oncology patients.

    Employer Information

    (Confirmation of working pattern will be issued in work Schedule)

    Gloucestershire Hospitals NHS Foundation Trust delivers acute health care services to the communities of Gloucestershire and surrounding areas. Our services are provided from Cheltenham General and Gloucestershire Royal Hospitals, both sites have medical and surgical take.  

    Cheltenham General Hospital is the hub of the Three Counties Cancer Centre. The specialist Oncology Centre is a centre of excellence for Gloucestershire. Gloucestershire Royal Hospital has a new state of the art Children's Centre as well as a multi-million pound Women’s Centre. We are proud of the services we provide and some, such as our ophthalmology services are award winning and recognised nationally and internationally. 

    There is a shuttle bus that runs between Cheltenham General and Gloucester Royal on a regular basis throughout the day. This bus is free for staff providing a Trust ID badge is presented on boarding There is ample parking for staff and patients.

     

     

    It is important to note that this description is a typical example of your placement and may be subject to change.

  • F2 Paediatrics

    Placement

    F2 Paediatrics
    Gloucestershire Royal Hospital

    The department

    We are a team of 14 acute, 5 neonatal and 8 community Consultant Paediatricians providing acute and outpatient care to the child population of Gloucestershire. 

    There are 12 ST4-8 Paediatric trainees on the Tier 2 rota with 4 ST1-2 Paediatric trainees and 8 GP St1-2 trainees as well as 4 F2 trainees on the Tier 1 rota.

    The type of work to expect and learning opportunities

    Foundation Trainees will gain experience of working in PAU assessing and managing children sent up to hospital acutely by primary care or the emergency department and on the children’s inpatient ward. There is a comprehensive teaching programme for paediatric trainees including daily morning teaching sessions.

    Where the placement is based

    Primarily at Gloucestershire Royal Hospital with occasional days spent in Paediatric out patients at Cheltenham General Hospital if opportunity for learning. 

    Patients are triaged within the inpatient unit (Paediatric Assessment Unit known as PAU) before transfer to the short stay observation area, or to the main inpatient ward. There is a 4 bed paediatric oncology unit and a 2 bedded paediatric HDU within the 44 bed paediatric ward.

    Clinical Supervisor(s) for the placement

    Dr Charlotte McAuley and Dr Alison Rushforth

    Main duties of the placement

    Along with the ST1-2 doctors the F2 doctors are responsible for the initial assessment and management of infants and children presenting acutely to hospital via either GP referral or from the emergency department to the Paediatric in patient unit at Gloucestershire Royal. They are also involved in overseeing the medical needs of surgical patients (general surgery, ENT, orthopaedics) on the ward as well as management of the ‘general Paediatric’ patient. They will work closely with, and be supervised by, senior medical and nursing staff. There is a resident Tier 2 grade paediatrician at all times to support the Foundation Dr as well as a Paediatric Nurse Practitioner.   

    There are opportunities to attend Paediatric outpatient clinics and to gain experience in Community Paediatrics. 

    By the end of the placement the foundation doctor can expect to be able to take a targeted and thorough Paediatric history and be able to examine children of all ages in order to be able to formulate a differential diagnosis and initial management plan, be confident at blood taking and cannulation at all ages and to be able to deal with common Paediatric emergencies and common Paediatric conditions. 

    Typical working pattern in this placement

    Teaching 8.30am Mon-Fri

    Handover followed by morning ward round. Rostering is to ward work or PAU.

    On call rota includes GP trainees (StR1-2) and Paediatric trainees (StR1-2) to provide cover 24 hours/day and seven days a week.

    Employer information

    (Confirmation of working pattern will be issued in work Schedule)

    Gloucestershire Hospitals NHS Foundation Trust delivers acute health care services to the communities of Gloucestershire and surrounding areas. Our services are provided from Cheltenham General and Gloucestershire Royal Hospitals.

    Cheltenham General Hospital is the hub of the Three Counties Cancer Centre. The specialist Oncology Centre is a centre of excellence for Gloucestershire. Gloucestershire Royal Hospital has a new state of the art Children's Centre as well as a multi-million pound Women’s Centre. We are proud of the services we provide and some, such as our ophthalmology services are award winning and recognised nationally and internationally. 

    There is a shuttle bus that runs between Cheltenham General and Gloucester Royal on a regular basis throughout the day. This bus is free for staff providing a Trust ID badge is presented on boarding.

    On occasions you may be required to work across site-only to attend Out Patients in Paediatrics.

     

     

    It is important to note that this description is a typical example of your placement and may be subject to change.

  • F2 Psychiatry

    Placement

    F2 Psychiatry – Wotton Lawn (Dean & Kingsholm Wards)

    The department

    The placement is at the Wotton Lawn Hospital, Gloucester which is a purpose built inpatient facility. There are 66 ‘acute’ and 10 ‘intensive care’ beds

    The type of work to expect and learning opportunities

    The placement begins with an induction. The F2 is based on the wards. Usually there is 1 ward round per week, a multi-disciplinary business meeting, an in house teaching session and dedicated Foundation year teaching session on alternate weeks. The F2 gets 1 hour supervision with the Consultant every week.

    Where the placement is based

    The placement is based across Dean & Kingsholm Wards, Wotton Lawn. The Trust operates a Partial Shift on-call system. Travel to Charlton Lane Hospital in Cheltenham and other 2gether Trust locations in Gloucestershire will be required. 

    Clinical Supervisor(s) for the placement

    Dr Svetlin Vrabtchev

    Main duties of the placement

    Admitting, clerking and day to day medical care of the patients admitted under the care of their supervising Consultant. Clear and defensible documentation of patient interactions. Preparing discharge summaries and updating the GPs for continuity of care

    Typical working pattern in this placement

    Mon  AM – Ward work & Supervision

             PM – local Academic Programme

     

    Tues AM – MDT Kingsholm/Dean

             PM – alternative weeks F1 Teaching

     

    Wed  AM – Ward work

             PM – Community Session

     

    Thur  AM – Ward work

             PM – Ward work & admin

     

    Fri     AM – PICU Reviews

             PM – Ward work & admin        

    Employer information

    (Confirmation of working pattern will be issued in work Schedule)

    2Gether NHS Foundation Trust provides mental health services to the people of Gloucestershire and Hereford.

    The Trust employs an electronic record system (RiO)

     

     

    It is important to note that this description is a typical example of your placement and may be subject to change.

  • F2 Psychiatry

    Placement

    F2 Psychiatry – Charlton Lane Centre (Mulberry Ward)

    The department

    The placement is at the Charlton Lane Centre in Cheltenham, a mental health inpatient facility for Older Persons. 3 mixed-sex wards (Mulberry, Chestnut & Willow). Mulberry caters for functional (eg depression or psychosis) patients.

    The type of work to expect and learning opportunities

    The placement begins with an induction. The F2 is based on the wards. Usually there is 1 ward round per week, a multi-disciplinary business meeting, an in house teaching session and dedicated Foundation year teaching session on alternate weeks. The F2 gets 1 hour supervision with the Consultant every week.

    Where the placement is based

    The placement is based on Mulberry Ward. The Trust operates a Partial Shift on-call system. On-call is based at Wotton Lawn, Gloucester but travel to Charlton Lane Hospital in Cheltenham and other 2gether Trust locations in Gloucestershire will be required. 

    Clinical Supervisor(s) for the placement

    Dr Anna Walters (Locum)

    Main duties of the placement

    Admitting, clerking and day to day medical care of the patients admitted under the care of their supervising Consultant. Clear and defensible documentation of patient interactions. Preparing discharge summaries and updating the GPs for continuity of care

    Typical working pattern in this placement

    Mon  AM – MDT Mulberry Ward

             PM – local Academic Programme

     

    Tues AM – Ward work

             PM – alternative weeks F2 Teaching

     

    Wed  AM – Ward work

             PM – Community Session

     

    Thur  AM – Ward work

             PM – Ward work & admin

     

    Fri     AM – Ward work & Supervision

             PM – Ward work & admin        

    Employer information

    (Confirmation of working pattern will be issued in work Schedule)

    2Gether NHS Foundation Trust provides mental health services to the people of Gloucestershire and Hereford.

    The Trust employs an electronic record system (RiO)

     

     

    It is important to note that this description is a typical example of your placement and may be subject to change.

  • F2 Psychiatry

    Placement

    F2 Psychiatry – Charlton Lane Centre (Willow Ward)

    The department

    The placement is at the Charlton Lane Centre in Cheltenham, a mental health inpatient facility for Older Persons. 3 mixed sex wards (Mulberry, Chestnut & Willow). Willow caters for organic (dementia) patients.

    The type of work to expect and learning opportunities

    The placement begins with an induction. The F2 is based on the wards. Usually there is 1 ward round per week, a multi-disciplinary business meeting, an in house teaching session and dedicated Foundation year teaching session on alternate weeks. The F2 gets 1 hour supervision with the Consultant every week.

    Where the placement is based

    The placement is based on Willow Ward. The Trust operates a Partial Shift on-call system. On-call is based at Wotton Lawn, Gloucester but travel to Charlton Lane Hospital in Cheltenham and other 2gether Trust locations in Gloucestershire will be required. 

    Clinical Supervisor(s) for the placement

    Dr Emma Abbey

    Main duties of the placement

    Admitting, clerking and day to day medical care of the patients admitted under the care of their supervising Consultant. Clear and defensible documentation of patient interactions. Preparing discharge summaries and updating the GPs for continuity of care

    Typical working pattern in this placement

    Mon  AM – Ward work & Supervision

             PM – local Academic Programme

     

    Tues AM – Ward work

             PM – alternative weeks F2 Teaching

     

    Wed  AM – Ward work

             PM – Community Session

     

    Thur  AM – Ward work

             PM – Ward work & admin

     

    Fri     AM – Willow Ward Round

             PM – Ward work & admin        

    Employer information

    (Confirmation of working pattern will be issued in work Schedule)

    2Gether NHS Foundation Trust provides mental health services to the people of Gloucestershire and Hereford.

    The Trust employs an electronic record system (RiO)

     

     

    It is important to note that this description is a typical example of your placement and may be subject to change.

  • F2 Respiratory Medicine

    Placement

    F2 Respiratory Medicine
    Gloucestershire Royal Hospital

    Currently linked to F1 Rotation in North Bristol Trust, NB/F1/09

    The department

    The Department of Respiratory Medicine comprises 6 Consultant Physicians, Dr Sharp, Dr Meecham-Jones, Dr Message, Dr White, Dr Kaminski and Dr Steer. GRH provides modern outpatients facilities and lung function laboratories whilst ward 8B provides specialist nursing for general medical and respiratory patients, including those requiring NIV. There are special interests in difficult asthma, COPD + bronchiectasis, lung cancer, pleural disease, Interstitial lung disease, sleep and home ventilation . There are large numbers of patients with thoracic malignancy.  All respiratory and general medical pathology is represented. 

    The department works closely with that of Cheltenham and together serves Gloucestershire with a catchment population of approximately 650 000. 

    The department is closely linked with tertiary services in Bristol for thoracic surgery.

    The type of work to expect and learning opportunities

    All F2 Doctors in hospital posts will generally be ward based during the ‘normal’ working day except when on call and expected to deliver the daily medical care of all the patients on their ward irrespective of specialty. Whilst in the ACU the F2 will be involved with the generic clerking of patients being admitted and the ongoing care of the patients in the unit. 

    The overall educational objectives of the F2 year are to provide the trainee with the knowledge, skills and attitudes to be able to

    • Take a history and examine a patient
    • Identify and synthesise problems
    • Request and analyse appropriate investigations
    • To get some experience of outpatient activity
    • Use evidence, guidelines and audit to benefit patient care Using evidence in the best interest of patients
    • Prescribe safely
    • Keep an accurate and relevant medical record
    • Manage time and clinical priorities effectively
    • Communicate effectively with patients, relatives and colleagues
    • Provide timely and accurate discharge summaries
    • Act in a professional manner at all times
    • Cope with ethical and legal issues which occur during the management of patients with general medical problems
    • Educate patients effectively / aid decision making through communication with patients
    • Become life-long learners and teachers.
    • Understanding consent and explaining risk
    • Managing clinical complaints and learning from them
    • Taking responsibility for the future of the NHS, i.e. teaching others effectively
    • Interpretation of peak flow charts
    • Knowledge of good inhaler technique and use of nebulisers
    • Assessment of need for long-term oxygen therapy
    • Competence in pleural aspirations and experience of chest drain insertion.
    • Competence in setup of non invasive ventilation
    • Experience of pleural ultrasound, medical thoracoscopy, cystic fibrosis, sleep medicine and clinical research trials.

    Where the placement is based

    Ward 8B Gloucestershire Royal Hospital

    Clinical Supervisor(s) for the placement

    Dr Henry Steer

    Main duties of the placement

    The F2 doctor is responsible with other staff for the ward care of patients and the maintenance of the patient’s medical record. They will have opportunity to work with the consultants in outpatients clinics for at least one day each week, and also take responsibility for problems arising in General Medicine or respiratory patients on the ward. They are expected to attend the structured teaching programmes provided by the department. The doctor will be responsible for such other specific clinical duties as allocated by consultants including performing other duties in occasional emergencies and unforeseen circumstances.

    Typical working pattern in this placement

    Daily: 1:2 0830 Respiratory post take / triage ward round 

    Mon:   0900-1300 Consultant led ward round
             1400-1700 Ward work

    Tues:  0930-1300 GPVTS/F2 led ward round
             1300-1400 Grand Round
             1400-1500 Journal Club/M&M 1:2
             1400-1630 F2 teaching

    Wed:   0900-1300 SpR led ward round
              1300-1400 Postgraduate lecture
              1400-1700 Ward work. Pleural    procedures

    Thurs: 0900-1230 Consultant led ward round
             1300-1400 Lung cancer MDT
             1400-1700 Ward work

    Fri:      0900-1300 GPVTS/F2 led ward round 
              1300-1400 Department X-ray meeting
              1400-1700 Ward work

    Employer information

    (Confirmation of working pattern will be issued in work Schedule)

    Gloucestershire Hospitals NHS Foundation Trust delivers acute health care services to the communities of Gloucestershire and surrounding areas. Our services are provided from Cheltenham General and Gloucestershire Royal Hospitals, both sites have medical and surgical takes.

    There is a shuttle bus that runs between Cheltenham General and Gloucester Royal on a regular basis throughout the day. This bus is free for staff providing a Trust ID badge is presented on boarding There is ample parking for staff and patients.

    On occasions you may be required to work across site.

     

     

    It is important to note that this description is a typical example of your placement and may be subject to change.

  • F2 Respiratory Medicine

    Placement

    F2 Respiratory Medicine
    Cheltenham General Hospital

    The department

    The Department of Respiratory Medicine at Gloucestershire Hospitals NHS FT comprises 9 chest physicians.  There is cross-county working but 4 consultants work predominantly at Cheltenham, with others providing occasional ward cover. The Lung Function department provides excellent pulmonary physiology including full pulmonary function testing and sleep studies, whilst Avening ward provides specialist nursing for respiratory failure as well as general Respiratory Medicine patients.  All respiratory and general medical pathology is represented.

    The department works closely with the team in Gloucester and together serves Gloucestershire with a catchment population of approximately 650 000. 

    The department is closely linked with tertiary services in Bristol and Birmingham.

    The type of work to expect and learning opportunities

    All F2 Doctors in hospital posts will generally be ward based during the ‘normal’ working day except when on call and expected to deliver the daily medical care of all the patients on their ward irrespective of specialty.

     

    Whilst in the ACU the F2 will be involved with the generic clerking of patients being admitted and the ongoing care of the patients in the unit. 

    The overall educational objectives of the F2 year are to provide the trainee with the knowledge, skills and attitudes to be able to

    • Take a history and examine a patient
    • Identify and synthesise problems
    • Request and analyse appropriate investigations
    • To get some experience of outpatient activity
    • Use evidence, guidelines and audit to benefit patient care Using evidence in the best interest of patients
    • Prescribe safely
    • Keep an accurate and relevant medical record
    • Manage time and clinical priorities effectively
    • Communicate effectively with patients, relatives and colleagues
    • Provide timely and accurate discharge summaries
    • Act in a professional manner at all times
    • Cope with ethical and legal issues which occur during the management of patients with general medical problems
    • Educate patients effectively / aid decision making through communication with patients
    • Become life-long learners and teachers.
    • Understanding consent and explaining risk
    • Managing clinical complaints and learning from them
    • Taking responsibility for the future of the NHS, i.e. teaching others effectively
    • Interpretation of peak flow charts
    • Knowledge of good inhaler technique and use of nebulisers
    • Assessment of need for long-term oxygen therapy
    • Competence in pleural aspirations.  Gain experience of chest drain insertion, setup of non-invasive ventilation

    Experience of pleural ultrasound, sleep medicine and clinical research trials.

    Where the placement is based

    Avening and Knightsbridge Wards, Cheltenham General Hospital

    Clinical Supervisor(s) for the placement

    Dr Usher, Dr Raghuram, Dr Bintcliffe and Dr Slade

    Main duties of the placement

    The F2 doctors are responsible with other staff for the ward care of patients and the maintenance of the patient’s medical record. They also take responsibility for problems arising in General Medicine or respiratory patients on the ward. They are expected to attend the structured teaching programmes provided by the department. The doctors will be responsible for such other specific clinical duties as allocated by consultants including performing other duties in occasional emergencies and unforeseen circumstances.

    Typical working pattern in this placement

    Daily:        0830 Handover meeting with nursing staff

    Mon:0900-1300 Cons ward round 1300- 1400 dept teaching/ audit meeting/ M &M 1400-1700 ward round/ admin

    Tues: 0900-1300 Cons ward round 1300-1700 alternate week teaching countywide

    Wed: 0830-0930 xray / lung cancer MDT meeting  0930-1300 registrar ward round       1400-1700 ward work

    Thurs: 0900-1230 Cons ward round:, 1400 ward admin procedures

    Fri:  0900-1300 Cons ward round  1400-1700 ward admin procedures

    On call requirements:1 in 6 ward cover and weekend ward cover - takes are done when doing ACUC attachment.

    Employer information

    (Confirmation of working pattern will be issued in work Schedule)

    Gloucestershire Hospitals NHS Foundation Trust delivers acute health care services to the communities of Gloucestershire and surrounding areas. Our services are provided from Cheltenham General and Gloucestershire Royal Hospitals, both sites have medical and surgical take.

    Gloucestershire Royal Hospital has a new state of the art Children's Centre as well as a multi-million pound Women’s Centre which opened in January 2011. We are proud of the services we provide and some, such as our ophthalmology services are award winning and recognised nationally and internationally.

    There is a shuttle bus that runs between Cheltenham General and Gloucester Royal on a regular basis throughout the day. This bus is free for staff providing a Trust ID badge is presented on boarding There is ample parking for staff and patients.

    On occasions you may be required to work across site.

     

    It is important to note that this description is a typical example of your placement and may be subject to change.

  • F2 Trauma and Orthopaedics

    Placement

    F2 Trauma and Orthopaedics
    Cheltenham General Hospital

    The department

    The Orthopaedic Department works in 4 teams on 3 wards. The 3 foundation programme doctors are team based during their 4 month attachment. There is an emphasis on making time for the trainees to attend theatre, clinic and organized teaching as well as develop particular career aims they have with the use of taster days etc. 

    There is a busy, well run elective practice providing modern management of orthopaedic conditions with multidisciplinary working. This facilitates nurse led discharge as part of the Enhanced Recovery Programme now being trialled. Close working with foundation programme doctor representatives has ensured the rotations are constantly being monitored and improved as necessary.

    Trust wide initiatives including early warning scores have been introduce Trust wide to improve patient safety and aid junior doctors in identifying potentially unwell patients at an early stage. 

    The type of work to expect and learning opportunities

    The workload is mainly elective although there is exposure to trauma patients through teaching and fracture clinics. As well as learning the management of common orthopaedic conditions (wrist/ankle/hip/knee/spine etc.) FY2 doctors also develop skills in the pre-operative assessment of patients who are likely to need orthopaedic treatment and also the medical management of 
    co-morbidities and post-operative complications. This post helps develops competencies in assessing and managing patients with orthopaedic conditions which are very common especially in an ageing population.

    Elective work involves the management of patients undergoing surgery, thromboprophylaxis assessment as well as planning discharge and interaction with the multidisciplinary team. 

    Teaching opportunities

    As well as encouraging spending supernumery time in clinic and theatres, organised teaching as follows:

    • Tues, Thurs, Friday teaching xray meetings
    • Tues pm – hospital wide protected teaching programme for FY2 doctors
    • Weds lunchtime dedicated FY2 teaching
    • Friday am journal club/junior doctor presentations
    • Monthly journal clubs
    • Dry bone sessions for implants

    We firmly encourage our trainees to develop their careers and skills in line with the GMC’s template of Good Medical Practice.

    Where the placement is based

    Cheltenham General Hospital

    Alstone, Dixton and Ryeworth Wards

    Clinical Supervisor(s) for the placement

    Consultant Orthopaedic Surgeons with experience of the seven domains required to be educational and clinical supervisors as required by the Severn Deanery:

    Mr Mutimer, Mr Field, Mr Gosal,Mr Clint, Mr Holt, Mr Tredgett, Mr Bigsby and Mr Barksfield

    Main duties of the placement

    Daily meeting to review clinical work and organised teaching followed by ward round at 0900hrs to assess new admissions from previous 24 hrs, all doctors attend. This meeting is a forum for elective and trauma teaching for junior staff and is consultant led (orthopaedic and radiology consultants present). It is an opportunity to present cases and learn about orthopaedic conditions and associated x-ray findings. Foundation programme doctors, in conjunction with the rest of the team, are responsible for reviewing their patients on a daily basis, writing in the notes and performing the required investigations. They are an invaluable part of the team to ensure the patients are provided the highest standard of care.

    Typical working pattern in this placement

    On call requirements:

    The rota is EWTD compliant. There is a 1 in 13 on call rota. 

    Elective work:

    We try to accommodate trainees interests (eg maximize exposure to those interested in hand/shoulder/knee /hip surgery) as we are able. 

    FY doctors can take leave as required (only rule is no more than 2 off at one time) with a floating trust doctor to cover their work whilst they are away. 

    The team based system ensures FY2 trainees get to work with their consultant (usually their clinical supervisor) and do their weekly ward round. They also do daily ward rounds with the orthopaedic registars who are close by for assistance as required. When on call there is always an orthopaedic registrar and consultant in clinic for advice. 

    As mentioned above there are countless learning opportunities for learning experiences. There is ample opportunity to perform DOPS/mini CEX/CBDs.

    Employer information

    (Confirmation of working pattern will be issued in work Schedule)

    Gloucestershire Hospitals NHS Foundation Trust delivers acute health care services to the communities of Gloucestershire and surrounding areas. Our services are provided from Cheltenham General and Gloucestershire Royal Hospitals, both sites have medical and surgical take.

    Cheltenham General Hospital is the hub of the Three Counties Cancer Centre. The specialist Oncology Centre is a centre of excellence for Gloucestershire. Gloucestershire Royal Hospital has a new state of the art Children's Centre as well as a multi-million pound Women’s Centre which opened in January 2011. We are proud of the services we provide and some, such as our ophthalmology services are award winning and recognised nationally and internationally. 

    There is a shuttle bus that runs between Cheltenham General and Gloucester Royal on a regular basis throughout the day. This bus is free for staff providing a Trust ID badge is presented on boarding There is ample parking for staff and patients.

    On occasions you may be required to work across site.

     

    It is important to note that this description is a typical example of your placement and may be subject to change.

  • F1 Surgery

    Placement

    F1  Surgery

    The department

    Placements in Sub-Specialties of Surgery across both Cheltenham General Hospital and Gloucestershire Royal Hospital in Lower GI Surgery, Upper GI Surgery and Vascular  Surgery

    The type of work to expect and learning opportunities

    Experience will be gained in the identification, assessment and management of the common surgical emergencies.  Trainees will develop an awareness of issues in perioperative care such as management of diabetes, and will become familiar with longer-term post-operative management.  There will be opportunities to attend operating theatres and surgical outpatients.

    •Develop confidence in assessing general surgical patients through history taking and clinical examination

    •To learn the management of common surgical emergencies

    •To develop an awareness of those issues which affect a patient’s fitness for an operation and how these might be managed – e.g. the perioperative management of the diabetic

    •To learn how to recognise the critically ill patient

    •How to resuscitate the critically ill patient

    •To become familiar with the post-operative management of surgical patients

    •To attend operating theatre sessions in order to develop an understanding of the principles underlying the practice of surgery with an emphasis on wound care and suturing

    •Opportunities exist for audit, research and  Quality Improvement activity

     

    Where the placement is based

    Cheltenham General Hospital or Gloucestershire Royal Hospital

    Clinical Supervisor(s) for the placement

    Each F1 doctor is allocated a Consultant Surgeon as their Clinical Supervisor for the placements.

    Main duties of the placement

    The F1 doctor is responsible, with other staff, for the ward care of patients, the maintenance of the patient’s medical record and take responsibility for problems arising with patients on the ward. They are expected to attend the structured teaching programmes provided by the Trust and departmental teaching sessions. The doctor will be responsible for such other specific clinical duties as allocated by consultants including performing other duties in occasional emergencies and unforeseen circumstances

    Typical working pattern in this placement

    Typical working pattern in this post  e.g. ward rounds, clinics, theatre sessions

    The day starts with an 8am ward round of all the patients. There will be opportunities to present and discuss cases. Following the ward round the morning will typically be spent completing jobs from the ward round eg requesting diagnostic tests, chasing results, completing discharge summaries and assessing any unwell patients.

    If the wards are busy then the ward management of patients takes priority. However, there will be the opportunity to attend theatre sessions and outpatient clinics. The Nurse Practitioners are very proactive at supporting and training the F1 doctors.

    There will be pre-assessment clinics run by the F1 doctors.

    At the end of the day, the F1 will be expected to liaise with their senior colleagues in order to go through the results and outcomes for that day.

    On call requirements:

    During the post the F1 doctor will participate in out of hours ward cover and the admission of unselected acute general surgical patients. On occasions, the F1 will be expected to assist in theatre as per need.

    Employer information

    (Confirmation of working pattern will be issued in work Schedule)

    Gloucestershire Hospitals NHS Foundation Trust delivers acute health care services to the communities of Gloucestershire and surrounding areas. Our services are provided from Cheltenham General and Gloucestershire Royal Hospitals and currently both sites have a medical and surgical take.

    Cheltenham General Hospital is the hub of the Three Counties Cancer Centre. The specialist Oncology Centre is a centre of excellence for Gloucestershire. Gloucestershire Royal Hospital has a new state of the art Children's Centre as well as a multi-million pound Women’s Centre. We are proud of the services we provide and some, such as our ophthalmology services are award winning and recognised nationally and internationally.

    There is a shuttle bus that runs between Cheltenham General and Gloucester Royal on a regular basis throughout the day. This bus is free for staff providing a Trust ID badge is presented on boarding. There is ample parking for staff and patients.

    On occasions you may be required to work across site.

     

    It is important to note that this description is a typical example of your placement and may be subject to change.

  • F1 Urology

    Placement

    F1 Urology
    Cheltenham General Hospital

    The department

    This is a very busy urology department now centralised on one mixed sex ward. Cheltenham is the Cancer Centre for the 3 Counties (Gloucestershire, Herefordshire and South Worcestershire).

    There are 10 Consultants in the Urology department with one Consultant on call each week. In addition to this, the team includes 3 ST Trainees, 2 Clinical Fellows, 2 CT Trainees, 4 Advanced Nurse Practitioners, 7 Cancer Nurse Specialists and the 2 F1 doctors. The day to day care is led by the ST trainees and clinical fellows attached to the department.

    There are daily Consultant ward rounds.  In addition to the large amounts of general Urology, each of the consultants also has a specialist interest. This includes Uro-Oncology (both major open and laparoscopic oncological and reconstructive surgery), Paediatrics Urology, Endourology and Stone Disease, Incontinence and Andrology.

    The type of work to expect and learning opportunities

    All the juniors are encouraged to work as part of a team. Routine attachment to the Urology team with on call duties for General Surgery, Vascular Surgery and Urology.

     

    There will be ample opportunity to gain a large amount of experience in the management of common surgical and urological emergencies, as well as in the day to day care of patients with urological problems. This would also include the care of patients undergoing major cancer surgery as well as some palliative care. Trainees will gain experience in the perioperative management of comorbidites such as Diabetes and cardiovascular disease. There will be opportunities to attend operating theatres and surgical outpatients.

    •Develop skills and confidence in assessing general surgical and urological patients through history taking and clinical examination

    •To learn the management of common surgical and urological emergencies

    •To develop an awareness of those issues which affect a patient’s fitness for an operation and how these might be managed – e.g. the perioperative management of the diabetic

    •To learn how to recognise and initiate management of the critically ill patient

    •How to resuscitate the critically ill patient

    •To become familiar with the post operative management of surgical patients

    •Develop skills in common practical procedures such as urethral catheterisation, insertion of suprapubic catheters

    Where the placement is based

    Cheltenham General Hospital (Prescott Ward)

    Clinical Supervisor(s) for the placement

    Ms Kim Davenport

    Main duties of the placement

    Day to day management of urological and surgical patients (both elective and emergency)

    Daily ward rounds with the Senior Trainees and consultants

    To attend operating theatre sessions in order to develop an understanding of the principles underlying the practice of surgery with an emphasis on wound care and suturing, as well as common urological procedures

    To attend OP clinics and diagnostic lists to understand the basic management of the full range of Urological presentations including paediatrics.

    Attend the weekly Multidisciplinary Team Meetings, X-Ray meetings and the regular Clinical Governance, Audit and Journal Club meetings. F1s will be encouraged to help with departmental audits.

    Typical working pattern in this placement

    The day starts with an 8am ward round of all the Urology patients. There will be opportunities to present and discuss cases and complete formal learning assessments. Following the ward round the morning will typically be spent completing jobs from the ward round eg ordering diagnostic tests, chasing results, completing discharge summaries and assessing any unwell patients.

    If the wards are busy then the ward management of patients takes priority. However, there will be the opportunity to attend theatre sessions and out patient clinics. The Urology Nurse Practitioners are proactive at supporting and training the F1 doctors.

    At the end of the day, the F1 will be expected to liaise with their senior colleagues in order to go through the results and outcomes for that day.

    The Consultants all help the F1s with interview practice and encourage a diverse and full portfolio for future career opportunities.

    On Friday afternoons, there will be regular clinical governance, audit and research and teaching meetings plus the weekly MDT meetings.

    On call requirements:

    During this post the F1 doctor will participate in out of hours ward cover and the admission of unselected acute general surgical, vascular and urological patients.

    Employer information

    (Confirmation of working pattern will be issued in work Schedule)

    Gloucestershire Hospitals NHS Foundation Trust delivers acute health care services to the communities of Gloucestershire and surrounding areas. Our services are provided from Cheltenham General and Gloucestershire Royal Hospitals and both sites have Emergency Departments and medical & surgical takes.

    Cheltenham General Hospital is the hub of the Three Counties Cancer Centre. The specialist Oncology Centre is a centre of excellence for Gloucestershire. Gloucestershire Royal Hospital has a new state of the art Children's Centre as well as a multi-million pound Women’s Centre. We are proud of the services we provide and some, such as our ophthalmology services are award winning and recognised nationally and internationally.

    There is a shuttle bus that runs between Cheltenham General and Gloucester Royal on a regular basis throughout the day. This bus is free for staff providing a Trust ID badge is presented on boarding There is ample parking for staff and patients.

    On occasions you may be required to work across site

     

    It is important to note that this description is a typical example of your placement and may be subject to change.