Individual Placement Descriptions
Great Western Hospitals NHS Foundation Trust

Employer Information

The employer for these posts, except psychiatry, is Great Western Hospitals NHS Foundation Trust. 

The GWH is a modern medium sized acute NHS Foundation Trust providing emergency care, surgery, diagnostics, paediatrics, maternity, out-patient and day case services. 

The hospital opened in December 2002, replacing the Princess Margaret Hospital in Old Town, Swindon. The GWH is superbly designed and equipped and offers a first class environment for patients, visitors and staff, with over 30% of our beds provided in single rooms with en-suite facilities, helping maintain patients’ privacy and dignity whilst under our care. 

With more than 600 beds, the GWH offers a range of services and facilities from a busy Emergency Department, a dynamic radiology department and one of the best maternity units in the country which includes the new ‘White Horse Birthing Centre’. 

Employer Information for Psychiatry Posts 

The employer for this post Great Western Hospitals NHS Foundation Trust seconded to Avon & Wiltshire Mental Health Partnership NHS Trust (AWP) 

Avon and Wiltshire Mental Health Partnership NHS Trust (AWP) is a significant provider of specialist mental health services to adults and older people in: Bath and North East Somerset (BANES), Bristol, North Somerset, South Gloucestershire, Wiltshire and Swindon. 

They provide specialist drug and alcohol services and specialist and secure mental health services including prison mental health services, to people living across a wider area. 

Increasingly AWP provide treatment and care in people’s own homes and other community settings, reflecting the preferences of our service users. AWPs community services are supported by high quality inpatient services that provide short term assessment, treatment and care. 

The Trust is a National Health Service (NHS) organisation which fits into the structure of the NHS as a service provider to six Primary Care Trusts (PCTs). 

The role of PCTs is to provide services that meet the needs of their communities. The six PCTs which commission our mental health services are: Bath and North East Somerset (BANES) PCTBristol PCTNorth Somerset PCTSouth Gloucestershire PCTSwindon PCT and Wiltshire PCT.  

 

 

Placement

F1 AAU

The department

The AAU is a 32 bedded ward including 9 monitored beds (2 of them side rooms). There is a short stay Unit in the ward with 14 beds (2 side rooms). Ambulatory care is also close to AAU.

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 and expected to deliver the daily medical care of all the patients on their ward irrespective of specialty. Whilst in the AAU rotation the F1 will be involved with the generic clerking of patients being admitted and the ongoing care of the patients in the unit. They will also assess patients in ambulatory care on Friday afternoons from 12-8pm. 

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 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 teachers

Where the placement is based

Acute Assessment Unit

Clinical Supervisor(s) for the placement

Allocated upon commencement of the  rotation

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.  Whilst in the AAU rotation the F1 will be involved with clerking patients being admitted and the ongoing care of the patients in the unit. 

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 emergencies and unforeseen circumstances.

Typical working pattern in this placement

AAU Variable shift pattern

5 weeks ,followed by 2 weeks annual leave

Mon-Friday 12-7 pm. Then Sat/Sun 8am-5pm

 Mon-Friday 4.30-12pm jobs and clerking

Mon-Thursday 9pm-9am nights in  medical ward

Mon-Tuesday 8.15am-8.15pm

Friday/Sat/Sunday 8.15am-8.15pm

Wed/Thursday 8.15am-8.15pm

Friday/Sat/Sun 9pm-9am nights in medical ward

 

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

 

 

Placement

F1 Diabetes & Endocrinology

The department

The Diabetes Care Team is made up of four Consultants, eight Diabetes Specialist Nurses, two Dieticians, two Podiatrists, a Clinical Psychologist, three Medical Secretaries and one Diabetes Specialist Nurse Secretary.

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 and expected to deliver the daily medical care of all the patients on their ward irrespective of specialty. 

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 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 teachers

Where the placement is based

Mercury Ward (Endocrine side) 18 beds

Clinical Supervisor(s) for the placement

Allocated upon commencement of the rotation

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. 

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

Mon:  Ward work am. Consultant WR pm

Tues:  Ward round til lunch. Ward jobs afterwards

Wed:  Ward round til 1245. F1 teaching til 2pm. Jobs afterwards

Thurs:  Ward round all day different cons

Fri:  Ward til lunch. Departmental teaching at 1245 – 2pm. Jobs afterwards

Sat:   off or ward cover (1100 to 2000)

Sun:  off or ward cover (1100 to 2000) 

On call requirements:  ONCE A WEEK, WARD COVER FROM 5PM TO 9PM. WEEKEND ONCALL EVERY FEW WEEKS

 

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

 

 

Placement

F1 Gastroenterology

The department

Neptune Ward isa 39 bed medical ward which specialises in treating adult male and female patients with gastro-intestinal conditions.

We are on Level 4 of the Great Western Hospital.

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 and expected to deliver the daily medical care of all the patients on their ward irrespective of specialty. 

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 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 teachers

Where the placement is based

Neptune Ward

Clinical Supervisor(s) for the placement

Allocated upon commencement of the  rotation

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. 

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

Mon: Registrar Morning wards rounds/Jobs/ Consultant afternoon ward rounds

Tues:   Consultant Morning ward rounds/afternoon registrar rounds/jobs

Wed:  All day Registrar ward rounds/jobs afternoon journal club/ SWIFT teaching

Thurs: Morning registrar ward rounds/ward jobs/consultant afternoon ward rounds

Fri: Consultant morning ward rounds/ward jobs/Lunch time Gastro radiology meeting/registrar afternoon ward rounds

Sat:    as per rota

Sun:  As per rota   

On call requirements:  Once weekly ward cover

 

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

 

 

Placement

F1 Geriatric Medicine

The department

DOME is a Directorate of Adult Medicine and is responsible for a wide range of services including:

  • Stroke
  • TIA
  • Movement Disorder
  • Falls

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 and expected to deliver the daily medical care of all the patients on their ward irrespective of specialty. 

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 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 teachers

Where the placement is based

Department Of Medicine for the Elderly (DOME)

Clinical Supervisor(s) for the placement

Allocated upon commencement of the rotation

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.

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:        0900 – 1200 Ward round 

Mon:    1500 discharge meeting.

Tues:    Ward work

Wed:    1230 – 1400 F1 teaching

Thurs:   Ward work

Fri:       Ward work
           Teaching 1400-1500 

One night oncall a week until 9pm

One weekend oncall every 1:5 and 1:9 alternating   

On call requirements: 

1 month block oncall with 4 nights followed by:

One week of 12-7pm shift
Two weeks of 9-9pm with one 8-9pm shift
3 more nights
2 weeks annual leave
Then 4pm – midnight for one week

 

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

 

 

Placement

F1 ICU

The department

The ICU/HDU is a 12 bedded critical care area located on the first floor in the Great Western Hospital which cares for critically ill patients 

Patients can be admitted from all areas of the hospital.

The type of work to expect and learning opportunities

You will gain significant experience in recog nising and managing critically ill patients, in a controlled environment.  There will be great opportunities to become proficient in practical procedures (IV cannulae, central line, arterial lines, chest drains etc) under close supervision. 

The F1 is supported by the ITU team.  There are always senior trainees and consultants on hand to help.  

The F1 can attend the ITU teaching programme. All F1 Doctors in hospital posts will generally be ward based during the ‘normal’ working day and expected to deliver the daily medical care of all the patients on their ward irrespective of specialty. 

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 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 teachers

Where the placement is based

ICU – 1st Floor

Clinical Supervisor(s) for the placement

Allocated upon commencement of the rotation.

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. 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 emergencies and unforeseen circumstances.

Typical working pattern in this placement

F1s working in ICU will do a 10hour shift pattern consisting of the following shifts: 

Day: 0800 – 1800

Late: 1200 – 2200 

1 in 3 weekends covering 0800 - 1600 

 

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

 

 

Placement

F1 Respiratory Medicine

The department

The Respiratory department consists of 5 Consultants who are supported by a team of junior doctors and nurses.  They provide care for patients with a wide range of general respiratory complaints as well sub-specialty areas including Sleep medicine, Chronic Obstructive Airways Disease, Interstitial Lung Disease and Lung Cancer.

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 and expected to deliver the daily medical care of all the patients on their ward. Whilst in the Respiratory attachment 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
  • 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.

Where the placement is based

Saturn / Teal Ward

Clinical Supervisor(s) for the placement

Allocated upon commencement of the rotation.

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. 

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

Mon: 9am Board Round (all team &* nurse) followed by consultant WR
Grand round 12.30
2pm: Ward        

Tues:  9am -5 Ward cover

Wed: 9am ward cover
10.30 am Ward MDT
12.30 F1 teaching    
2-5 ward cover  

Thurs: 8am Lung CA MDT
10 am Consultant ward round

Fri: 9am Board Round
9.20 Ward Round with consultants
12.30pm   Respiratory team teaching            

On call requirements:  one twilight oncall shift a week (5-9)  and 1 weekend in 6 and  then we rotate onto a 6 week acute medicine block for 6 weeks

 

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

 

 

Placement

F1 Stroke Medicine

The department

Falcon Ward Acute Stroke Unit is an 18 bed ward specialising in Stroke Care. We are located on the third floor of the Great Western Hospital.

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 and expected to deliver the daily medical care of all the patients on their ward irrespective of specialty. 

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
  • 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.

Where the placement is based

Falcon Ward

Clinical Supervisor(s) for the placement

Allocated upon commencement of the rotation.

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. They will be responsible for the day-to-day care of stroke inpatients.  This will involve clerking direct admissions to the ward from the emergency department or primary care. 

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

Mon: 0900-1700
0930 full ward round
1300-1400 grand round

Tues:  0900-1700
0930 New/sick pt WR
1200-1300 MDT

Wed:   0900-1700
0930 New/sick pt WR
1230-1400 F1 teaching

Thurs: 0900-1700
0930 New/sick pt WR

Fri:  0900-1700
0930 full ward round
1300-1400 X ray meeting
1400-1500 DOME teaching

Sat:

1100-2000 ward cover  1 in 7
0800-1700 AAU cover  1 in 7

Sun:

1100-2000 ward cover  1 in 7
0800-1700 AAU cover  1 in 7

On call requirements: 

Whilst on falcon 1 in 5 1700-2100 evening cover.

 

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

 

 

Placement

F1 Surgery (Breast and General Surgery)

The department

The Breast Surgical department comprises 4 Consultants, 3 registrars and an F2 as well as a team of nurses who also work alongside the Breast Care Centre providing patients with the necessary full breast surgery treatment and reconstruction.  They also cover emergency General Surgical on calls on 1:8 basis.

SAU

The Surgical Assessment Unit is currently an 15-bedded mixed-sex assessment unit for surgical patients located adjacent to A and E. At present there is the capacity to accommodate a further four patients who require surgical assessment on either chairs or within an extra bed area between 8am and 8pm

There is a daily SAU clinic for assessment of surgical patients, run by the SAU consultants and staffed by the on-call junior staff..

The type of work to expect and learning opportunities

The breast F1 doctors work as a team with the F2 and breast registrars, deliver the daily medical care of all the patients on the wards. They work as firm. 

The Great Western Surgical Department provides a dedicated week of F1 training in specialities allied to surgery, ENT, radiology, orthopaedics and breast imaging. Each F1 is assigned a week rotating through these departments and have 1 to 1 consultant led training. During this week F1s have no on call or ward commitments. It is an excellent opportunity to be trained in other skills. 

The 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
  • 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.

Where the placement is based

Brunel Treatment Centre & SAU

Clinical Supervisor(s) for the placement

Allocated upon commencement of the rotation.

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. 

They are expected to attend the structured teaching programmes provided by the department, including the F1 training week. 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- rounds with SHO and SpR. Usually finished by 10:30. Rest of day doing jobs/EDS/ etc. Opportunity to attend theatre and out-patient clinics 

Weekly- consultant ward round 

Mon:  8:00 – 18:00

Tues:  8:00 – 18:00

Wed:  8:00 – 18:00 with teaching 12:30 -14:00

Thurs:  8:00 – 18:00 with breast MDT 1300-1400

Fri:  8:00 – 18:00 

On call requirements:  Over 12 weeks - 7 days on call 08:00 – 21:00 and 7 nights 20:30 – 10:00 with annual leave and time in lieu in between 

Each F1 has at least one week of “rest” allocated as well as two weeks of annual leave in each 4 month attachment

 

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

 

 

Placement

F1 Surgery (GI)

The department

The GI Surgical department comprises 5 Consultants, 4 colorectal registrars, 2 F2 and a team of nurses who are based in the Brunel Treatment Centre.  They also cover General Surgical cases. 

SAU

The Surgical Assessment Unit is currently an 15-bedded mixed-sex assessment unit for surgical patients located adjacent to A and E. At present there is the capacity to accommodate a further four patients who require surgical assessment on either chairs or within an extra bed area between 8am and 8pm

There is a daily SAU clinic for assessment of surgical patients, run by the SAU consultants and staffed by the on-call junior staff.

The type of work to expect and learning opportunities

The General Surgery and GI team F1 doctors work as a team with the F2s and colorectal registrars, deliver the daily medical care of all the patients on the wards. They work as firm with their consultants. There will be opportunities to attend theatre and outpatient clinics and endoscopy. 

The Great Western Surgical Department provides a dedicated week of F1 training in specialities allied to surgery, ENT, radiology, orthopaedics and breast imaging. Each F1 is assigned a week rotating through these departments and have 1 to 1 consultant led training. During this week F1s have no on call or ward commitments. It is an excellent opportunity to be trained in other skills. 

The 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
  • 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.

Where the placement is based

Brunel Treatment Centre / SAU

Clinical Supervisor(s) for the placement

Allocated upon commencement of the rotation.

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. 

They will be responsible for prioritizing duties on the ward, including the medical care of patients with surgical complications. They are expected to attend the structured teaching programmes provided by the department, including the F1 training week. 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- rounds with SHO and SpR. Usually finished by 10:30. Rest of day doing jobs/EDS/ etc. Opportunity to attend theatre and out-patient clinics 

Mon:  8:00 – 18:00

Tues:  8:00 – 18:00 with GI MDT at 0815

Wed:  8:00 – 18:00 with teaching 12:30 -14:00

Thurs:  8:00 – 18:00

Fri:  8:00 – 18:00 

Friday x2 consultant ward rounds 

On call requirements:  Over 12 weeks - 7 days on call 08:00 – 21:00 and 7 nights 20:30 – 10:00 with annual leave and time in lieu in between 

Each F1 has at least one week of “rest” allocated as well as two weeks of annual leave in each 4 month attachment

 

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

 

 

Placement

F1 Surgery (Urology)

The department

The Urology Surgical department comprises 3 Consultants, junior doctors and a team of nurses who are based in the Brunel Treatment Centre.  They also cover General Surgical cases. 

SAU

The Surgical Assessment Unit is currently an 15-bedded mixed-sex assessment unit for surgical patients located adjacent to A and E. At present there is the capacity to accommodate a further four patients who require surgical assessment on either chairs or within an extra bed area between 8am and 8pm

There is a daily SAU clinic for assessment of surgical patients, run by the SAU consultants and staffed by the on-call junior staff.

The type of work to expect and learning opportunities

You will be attached to the Urology team with on call duties for both General Surgery and Urology where you will gain experience in the identification, assessment and management of the common surgical emergencies.  

The Urology F1 Doctors work as a team with the urology registrar, staff grade and consultants. Most of the urology patients are based on one urology ward although the urology F1 may be caring for urology patients on other wards. The urology F1 will work on the urology firm There will be opportunities to attend theatre and outpatient clinics and endoscopy. 

The Great Western Surgical Department provides a dedicated week of F1 training in specialities allied to surgery, ENT, radiology, orthopaedics and breast imaging. Each F1 is assigned a week rotating through these departments and have 1 to 1 consultant led training. During this week F1s have no on call or ward commitments. It is an excellent opportunity to be trained in other skills. 

The 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
  • 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

Where the placement is based

Brunel Treatment Centre / SAU

Clinical Supervisor(s) for the placement

Allocated upon commencement of the  rotation.

Main duties of the placement

You will attend ward rounds and manage the ward patients on a daily basis with support from the Urology team.  You will also be expected to attend operating theatre sessions where possible to develop an understanding of the principles underlying the practice of surgery. 

The F1 doctor is responsible with other staff for the ward care of patients and the maintenance of the patient’s medical record. 

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

Mon: 0800 Ward round with the Urology registrar
Tues: 0815 MDT followed by ward round
Wed: 0800 ward round  1230 F1 teaching
Thurs: 0800 ward round
Fri: 0800 2 x consultant ward rounds 

On call requirements:  Over 12 weeks - 7 days on call 08:00 – 21:00 and 7 nights 20:30 – 10:00 with annual leave and time in lieu in between 

Each F1 has at least one week of “rest” allocated as well as two weeks of annual leave in each 4 month attachment

 

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

 

 

Placement

F1 Surgery (General Surgery)

The department

The Surgical department comprises 3 Emergency and General Surgical Consultants, 3 registrars, an F2 and a team of nurses who are based in the Brunel Treatment Centre.  They also cover General Surgical cases.

SAU

The Surgical Assessment Unit is currently an 15-bedded mixed-sex assessment unit for surgical patients located adjacent to A and E. At present there is the capacity to accommodate a further four patients who require surgical assessment on either chairs or within an extra bed area between 8am and 8pm

There is a daily SAU clinic for assessment of surgical patients, run by the SAU consultants and staffed by the on-call junior staff.

The type of work to expect and learning opportunities

You will gain experience in the identification, assessment and management of the common surgical emergencies. 

All F1 Doctors in General Surgery are team based, working in the firm with their seniors and are expected to deliver the daily medical care of all the patients under the care of their 3 consultants There is opportunity to attend theatre and outpatients for further training. 

The Great Western Surgical Department provides a dedicated week of F1 training in specialities allied to surgery, ENT, radiology, orthopaedics and breast imaging. Each F1 is assigned a week rotating through these departments and have 1 to 1 consultant led training. During this week F1s have no on call or ward commitments. It is an excellent opportunity to be trained in other skills. 

The 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
  • 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.

Where the placement is based

Brunel Treatment Centre / SAU

Clinical Supervisor(s) for the placement

Allocated upon commencement of the  rotation.

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. These duties will include the preoperative assessment and preparation of patients for elective or emergency inpatient surgery, postoperative assessment and management and effective discharge communication including ensuring appropriate follow-up arrangements. They will have opportunity to work with the consultants in outpatients clinics, attend theatre lists, and also take responsibility for identifying and managing problems arising in on the ward. 

The on call commitment includes exposure to both general surgical and urological emergencies. 

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- ward rounds with SHO and SpR assessing each consultants’ patients. Usually finished by lunchtime. Rest of day doing jobs/EDS/ etc.

Mon: 8:00 – 18:00
Tues: 8:00 – 18:00
Wed: 8:00 – 18:00
12:30 -14:00 F1 teaching
Thurs: 8:00 – 18:00
Fri: 8:00 – 18:00

On call requirements:  Over 12 weeks - 7 days on call 08:00 – 21:00 and 7 nights 20:30 – 10:00 with annual leave and time in lieu in between

Each F1 has at least one week of “rest” allocated as well as two weeks of annual leave in each 4 month attachment

 

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

 

 

 

Placement

F1 Old Age Psychiatry

The department

The Victoria Centre located on the GWH site which provides inpatient services for older people with mental health problems.

The type of work to expect and learning opportunities

The F1will be supervised by Dr Manchip, Consultant in Old Age Psychiatry. Trainees will be responsible, under supervision, for the day to day medical management of patients on the dementia assessment ward and the functional ward. In both case there will be a higher trainee covering the ward too  (for advice and for example to complete a section 5(2)) 

There will be one memory clinic/week. This will be under supervision and will be new assessments and cognitive testing for people with early dementia. 

There is the opportunity for joint visits with other trainees into care homes and community- there will  be no visits alone. 

Recent trainees have been encouraged in audit and in the last 3 years, 6 have had articles published in peer reviewed journals. 

There is one hour weekly clinical/educational supervision. The consultant is directly contactable for advice. 

There is a weekly academic programme that takes place every Wednesday afternoon. 

There is also the Foundation Doctor training programme on the Great Western Campus site. 

Opportunities are available to go out with the community team, speech and language therapists, physiotherapists and OT to get a broad multi disciplinary experience. 

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
  • 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 mental health problems, special attention/training in this post is given to understanding of legal frameworks such as the Mental Capacity Act
  • Educate patients effectively
  • Become life-long learners and teachers.

Where the placement is based

The Victoria Centre

Clinical Supervisor(s) for the placement

Dr Simon Manchip

Main duties of the placement

The F1 doctor is responsible with other staff for the care of patients and the maintenance of the patient’s medical record. They will have the opportunity to work with the consultants in outpatients clinics, and also take responsibility for problems arising in their area of Psychiatry. 

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. 

Assessment of Medically Ill Patients: Guidance for Foundation trainees. 

As a Foundation doctor, you may be called on to assess patients who are medically unfit either in the psychiatry in-patient units or possibly in the community.  It is important to be aware that psychiatric hospitals do not have facilities to support patients with serious physical health problems and you are not in a position working in these settings to facilitate urgent investigation, or initiate immediate and complex treatment such as IV support, catheterisation. In many respects the support available may even be less than in a standard community setting as there is a lack of access to GP level medical advice. In the event that a patient needs more immediate and complex physical assessment, it is advisable to discuss with a senior psychiatry colleague and it is generally necessary to have these individuals seen in the nearest A&E department.  It would of course be helpful if a patient was referred, to discuss the case with the casualty team, while the transfer is being organised.  This would normally require an ambulance, which the in-patient team would generally organise. 

As a Foundation doctor working in psychiatry, you would not normally be expected to initiate complex physical treatments.  If you are uncertain about appropriate physical care of an individual, you should always discuss this issue with a senior psychiatry colleague, who may be the local core/advanced trainee in your unit or your consultant or the consultant on-call.  It may be useful to contact the specialist team in the general hospital for advice, but where a complex decision is being made this should always be shared with senior colleagues in the psychiatric team, who will be responsible for the treatment while the patient is in a psychiatric hospital. Note that discussion of the physical problems with a more senior psychiatric colleague is not generally to get expert medical advice (bearing in mind that as the psychiatric specialists become more senior their physical medicine skills tend to become out of date), but to bring the concerns to their attention so they can advise on the need to contact local acute medical/surgical services and how best to do this.

Typical working pattern in this placement

Mon
1000-1230  Functional Ward Round
1400-1630  Memory Clinic 

Tue
1100- 1200  Supervision
1300-1400   Community team meeting
1400- 1630  Dementia care ward round 

Wed
1000-1300    ward work
1400- 1700   teaching

Thurs
1000- 1300   ward work
1400-1700    audit 

Fri
1000-1300    ward work
1400 1700    admin 

There is no on call, but the F1 may shadow one of the higher trainees on their on call during the day 

Note: Access to a car preferable but not essential

 

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

 

 

Placement

F1 Old Age Psychiatry

The department

The Victoria Centre located on the GWH site which provides inpatient services for older people with mental health problems.

The type of work to expect and learning opportunities

The F1will be supervised by Dr Gowers, Consultant in Old Age Psychiatry. Trainees will be responsible, under supervision, for the day to day medical management of patients on the dementia assessment ward (Liddington) and the functional ward (Hodson) In both cases there will also be a higher trainee covering the ward.

There will be one memory clinic/week. The work will be new assessments and cognitive testing for people with early dementia, under supervision. 

There is the opportunity for joint visits with other trainees into care homes and community- there will be no visits alone. 

Recent trainees have been encouraged in audit and in the last 3 years, 6 have had articles published in peer reviewed journals.  

There is one hour weekly clinical/educational supervision.  The consultant is directly contactable for advice. 

There is a weekly academic programme that takes place every Wednesday afternoon. 

There is also the Foundation Doctor training programme on the Great Western Campus site. 

Opportunities are available to go out with the community team, speech and language therapists, physiotherapists and OT to get a broad multi disciplinary experience. 

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
  • 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 mental health problems, special attention/training in this post is given to understanding of legal frameworks such as the Mental Capacity Act
  • Educate patients effectively
  • Become life-long learners and teachers.

Where the placement is based

The Victoria Centre, Great Western Hospital

Clinical Supervisor(s) for the placement

Dr  Lesley Gowers

Main duties of the placement

The F1 doctor is responsible with other staff for the care of patients and the maintenance of the patient’s medical record. They will have the opportunity to work with the consultants in outpatients clinics, and also take responsibility for problems arising in their area of Psychiatry. 

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. 

Assessment of Medically Ill Patients: Guidance for Foundation trainees. 

As a Foundation doctor, you may be called on to assess patients who are medically unfit either in the psychiatry in-patient units or possibly in the community.  It is important to be aware that psychiatric hospitals do not have facilities to support patients with serious physical health problems and you are not in a position working in these settings to facilitate urgent investigation, or initiate immediate and complex treatment such as IV support, catheterisation. In many respects the support available may even be less than in a standard community setting as there is a lack of access to GP level medical advice. In the event that a patient needs more immediate and complex physical assessment, it is advisable to discuss with a senior psychiatry colleague and it is generally necessary to have these individuals seen in the nearest A&E department.  It would of course be helpful if a patient was referred, to discuss the case with the casualty team, while the transfer is being organised.  This would normally require an ambulance, which the in-patient team would generally organise. 

As a Foundation doctor working in psychiatry, you would not normally be expected to initiate complex physical treatments.  If you are uncertain about appropriate physical care of an individual, you should always discuss this issue with a senior psychiatry colleague, who may be the local core/advanced trainee in your unit or your consultant or the consultant on-call.  It may be useful to contact the specialist team in the general hospital for advice, but where a complex decision is being made this should always be shared with senior colleagues in the psychiatric team, who will be responsible for the treatment while the patient is in a psychiatric hospital. Note that discussion of the physical problems with a more senior psychiatric colleague is not generally to get expert medical advice (bearing in mind that as the psychiatric specialists become more senior their physical medicine skills tend to become out of date), but to bring the concerns to their attention so they can advise on the need to contact local acute medical/surgical services and how best to do this.

Typical working pattern in this placement

Monday
AM Ward work – Liddington
PM Ward Round - Liddington 

Tuesday
AM Memory clinic
PM Supervision – 2pm - 3pm 

Wednesday
AM Ward Round - Hodson
PM Academic programme 

Thursday
AM Community visits
PM Ward work / Admin 

Friday
AM Ward work
PM Audit / Admin 

There is no on call, but the F1 may shadow one of the higher trainees on their on call during the day.

 

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

 

 

Placement

F2 AAU

The department

The AAU is a 31 bedded ward including 8 monitored beds. It is adjacent to the current Emergency Department and has 3 side rooms. The Emergency Department's observation bay is also part of this ward which ensures we always have good links with the Emergency Department.

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 and expected to deliver the daily medical care of all the patients on their ward irrespective of specialty. Whilst in the AAU attachment 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
  • 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.

Where the placement is based

Acute Assessment Unit – Ground Floor

Clinical Supervisor(s) for the placement

Allocated upon commencement of the rotation.

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 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

AAU Variable Shift Pattern

The rota is an 8 week rolling rota, so on week 9 it starts from the beginning again.  9 days annual leave worked into rota along with days off. 

Shifts Monday – Sunday include: 

Early: 0800 – 1400
Late: 1500 – 2200
Night: 2100 – 0930
0800 – 2030
0800 – 2000
0900 – 1500

 

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

 

 

Placement

F2 Cardiology

The department

The Wiltshire Cardiac Centre is made up of:

  • Cardiology Outpatients Department
  • Coronary Care Unit
  • Cardiac Physiology Team  
  • Cardiac Rehabilitation Team
  • Heart Failure Team
  • Mercury Ward.

The Coronary Care Unit (CCU) is a busy 14 bed high dependency unit.  Mercury Ward - Our team consists of six Consultant Cardiologists, a Modern Matron and a team of nurses

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 and expected to deliver the daily medical care of all the patients on their ward irrespective of specialty. 

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
  • 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.

Where the placement is based

Wiltshire Cardiac Centre/CCU / Mercury Ward

Clinical Supervisor(s) for the placement

Allocated upon commencement of the rotation.

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. These posts will give experience of ongoing management of common medical problems within a stable learning environment.

F2s will be exposed to the management of the full range of cardiological emergencies and there will be the opportunity for them to witness the majority of cardiac procedures. 

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

Un-banded post:

Mon:  0900-1700
Tues:  0900-1700
Wed:  0900-1700
Thurs:  0900-1700
Fri:  0900-1700 

Banded post: (1 in 16)

Mon:  0900-1700
Tues:  0900-1700
Wed:  0900-1700
Thurs:  0900-1700
Fri:  0900-1700
Sat: 0900 - 1800 (short day)
       0900 – 2130 (long day)            
Sun:0900 - 1800 (short day)
       0900 – 2130 (long day)            

Nights are split into 2 blocks:

Fri – Tues: 2045 – 0915
Wed – Thurs: 2045 - 0915

On call requirements (1 in 10):

Evenings  1700 – 2100 (General Medicine Cover inc. AAU)

 

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

 

 

Placement

F2 Stroke Medicine

The department

Falcon Ward Acute Stroke Unit is an 18 bed ward specialising in Stroke Care. We are located on the third floor of the Great Western Hospital.

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 and expected to deliver the daily medical care of all the patients on their ward irrespective of specialty. 

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
  • 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.

Where the placement is based

Falcon Ward

Clinical Supervisor(s) for the placement

Allocated upon commencement of the rotation.

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 be responsible for the day-to-day care of stroke inpatients.  This will involve clerking direct admissions to the ward from the emergency department or primary care. 

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

Mon: 0900-1700
0930 full ward round
1300-1400 grand round

Tues:  0900-1700
0930 New/sick pt WR
1200-1300 MDT

Wed:   0900-1700
0930 New/sick pt WR
1230-1400 F2 teaching

Thurs: 0900-1700
0930 New/sick pt WR

Fri:  0900-1700
0930 full ward round
1300-1400 X ray meeting
1400-1500 DOME teaching

Sat:

1100-2000 ward cover  1 in 7
0800-1700 AAU cover  1 in 7

Sun:

1100-2000 ward cover  1 in 7
0800-1700 AAU cover  1 in 7 

On call requirements: 

Whilst on falcon 1 in 5 1700-2100 evening cover.

 

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

 

 

Placement

F2 Emergency Medicine

The department

The Emergency Department is a busy and lively department with 9 Consultants and a vast team of junior doctors and nurses.  It provides services for the population of Swindon and surrounding areas.

The type of work to expect and learning opportunities

As the F2 in Emergency Medicine you will work alongside specialty trainees and Consultants.  You will see both minor and major cases during your rotation. Senior colleagues are able to offer advice and guidance. You will learn a number of new skills and broaden your knowledge base.   

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
  • 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.

Where the placement is based

Emergency Department

Clinical Supervisor(s) for the placement

Allocated upon commencement of the rotation.

Main duties of the placement

The F2 doctor will make a focused assessment of patients presenting to the ED and formulate a plan for further investigation and treatment. This may involve liaison with senior medical or nursing staff within the department, or staff from other specialties. 

They are expected to attend the structured teaching programmes provided by the department.

Typical working pattern in this placement

As an F2 you can expect to work a variety of shifts.  The following is an example of a two week rota pattern:  

Mon: 0800 - 1200
Tues:0800 - 1200
Wed: Day off
Thurs:1200 - 1700
Fri: 1200 - 2200
Sat:1200 - 2200
Sun:1200 - 2200

Mon: 0900 - 1800
Tues: 0900 - 1800
Wed: 0900 - 1800
Thurs: Day off
Fri: Day off
Sat: 0800 - 1800
Sun: Day off 

On call requirements:  There are no on call requirements for F2s.

 

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

 

 

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. Most work is carried out during consultations in the surgery and some during home visits. 

GPs and their GP F2s provide a complete spectrum of care within the local community. You will need to deal with problems that often combine physical, psychological and social components. 

You will work in teams with other professions, helping patients to take responsibility for their own health. 

In your GP attachment, you will build on your knowledge of medical conditions, your ability to assess a problem, and your skills in deciding on the appropriate course of action. 

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

The wide mix of General Practice is one of the major attractions. There can be huge variation in the needs of individual patients during a single surgery.

Where the placement is based

Community-based post

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:

- seeing patients in surgeries
- responding to health problems presented by patients, including history-taking, investigation, diagnosis, and management
- practicing preventative medicine
- promoting health education
- working closely with other health professionals
- helping with repeat prescriptions and other administrative aspects of day-to-day patient care
- helping the practice meet targets
- managing resources as effectively as possible
- maintaining confidentiality and impartiality
- using basic IT skills and using the practice's clinical IT system
- attending the practice's clinical meetings
- you may also be asked to make domiciliary visits, if your GP Supervisor feels this is appropriate

Typical working pattern in this placement

Morning surgery: followed by discussion patients seen with Supervisor.

Lunchtime: administrative work.

Early afternoon: clinical meetings, domiciliary visits.

Afternoon/early evening: surgery. 

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

This pattern 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:  No GP on-call requirements.

 

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

 

 

Placement

F2 General Surgery

The department

The Dept of General Surgery comprises 11 Consultants, Junior Doctors and a team of nurses who are based in the Brunel Treatment Centre. 

Meldon Ward is a surgical ward which cares for patients who have been admitted for emergency surgery and patients who require Gastrointestinal Surgery, Head and Neck Surgery and Eye Surgery (Ophthalmology). 

Ampney ward specialises in vascular and urology conditions. We care for patients who may be having a planned or emergency procedure. 

SAU

The Surgical Assessment Unit is currently an 15-bedded mixed-sex assessment unit for surgical patients located adjacent to A and E. At present there is the capacity to accommodate a further four patients who require surgical assessment on either chairs or within an extra bed area between 8am and 8pm

There is a daily SAU clinic for assessment of surgical patients, run by the SAU consultants and staffed by the on-call junior staff.

The type of work to expect and learning opportunities

All Surgical F2 Doctors are team based, working in a firm with their F1 and registrars and consultants. This allows for excellent training and support as well as ample opportunity to attend theatre with their consultant when required. 

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
  • 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.

Where the placement is based

Meldon & Ampney Wards/ Theatres

Clinical Supervisor(s) for the placement

Allocated upon commencement of the rotation.

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 outpatient clinics and theatres, and also take responsibility for problems arising on the General Surgical wards. 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 - Ward round 0800
          Theatre when required 

Mon: 0800-1800
1300-1400 - Grand Round

Tues:  0800-1800
1230-1400 - F2 teaching

Wed:  0800-1800

Thurs:  0800-1800

Fri:  0800-1800

Sat/Sun:        1 in 4 weekends 

Daily:  0800 – ward rounds
          18:00 – handover
          (Theatre when required) 

On call requirements:  Over 8 weeks - 7 days on call 08:00 – 21:00 and 7 nights 20:30 – 10:00 with one week annual leave and one week of “rest” for every eight weeks worked. 

Each F1 has at least one week of “rest” allocated as well as two weeks of annual leave in each 4 month attachment08:00-21:00 post take ward round. assessment of new patients and ward reviews after normal hours (6-9pm mon-fri and all day sat/sun) 

Or night shifts 21:00-9:00 assessment of new patients and ward reviews.

 

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

 

 

Placement

F2 Trauma & Orthopaedics

The department

The T&O department has 14 Orthopaedic Consultants and Podiatric Surgeons who provide a wide range of specialty knowledge and expertise.  The consultants have teams of doctors working with them who visit the ward daily.  We work closely with all members of the multidisciplinary team and have close links with Pre admission Clinic, Theatre Admissions Lounge and the Joint Replacement follow up clinics.   We have a team of physiotherapists and occupational therapists who are based on the ward to provide care to our patients. 

Aldbourne Ward is a 36 bedded elective orthopaedic ward.  We care for patients who are having planned surgery on bones and joints. This includes major joint replacement and spinal surgery but also a variety of smaller orthopaedic operations. 

We have implemented the Productive Ward project which enables us to organise our work efficiently and effectively in order to spend as much time providing direct patient care as possible.

The type of work to expect and learning opportunities

The F2 doctor will be expected to develop skills in the pre-operative assessment of emergency patients who are likely to need orthopaedic treatment as well as the medical management of post operative complications. They will also have the opportunity to gain experience in the assessment and management of acute trauma and other Orthopaedic emergencies. 

They are expected to attend the structured teaching programmes provided by the department. 

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
  • 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.

Where the placement is based

Aldbourne & Teal Ward

Clinical Supervisor(s) for the placement

Allocated upon commencement of the rotation.

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 are expected to attend ward rounds and will have the opportunity to work with the consultants in outpatients clinics, and also take responsibility for problems arising on the T&O wards. 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

Mon: 0800-1730 ward cover
Tues: 0800-1730 ward cover
Wed:  800-1730 ward cover
Thurs: 0800-1730 ward cover
Fri: 0800-1730 ward cover
Sat/Sun: 1 in 3 on call 

On call requirements:  On-call blocks , 1/8 rota.

 

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

 

 

Placement

F2 Geriatric Medicine

The department

DOME is a Directorate of Adult Medicine and is responsible for a wide range of services including: 

  • Stroke
  • TIA
  • Movement Disorder
  • Falls

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 and expected to deliver the daily medical care of all the patients on their ward. 

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
  • 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.

Where the placement is based

Department of Medicine for the Elderly (DOME)

Clinical Supervisor(s) for the placement

Allocated upon commencement of the rotation.

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 outpatient clinics and on ward rounds and also take responsibility for problems arising in Geriatric Medicine. 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

Mon:  0900-1700

Tues: 0900-1700
1230-1400 F2 Teaching
Wed: 0900-1700
Thurs: 0900-1700
Fri: 0900-1700
1700-2100 on-call ward cover
Sat: 0900-2100
Sun: 0900-1700 

Mon: 0900-1700
Tues: 0900-1700
1230-1400 F2 Teaching
Wed: 2100-0900
Thurs: 2100-0900
Fri:  2100-0900    

On call requirements:

1 in 14 days
1in 8 weeks nights

 

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

 

 

Placement

F2 Ortho-Geriatric Medicine

The department

The Dept of Ortho-Geriatric medicine consists of 1 Consultant, 1 Associate Specialist and a team of nurses which comes under the Department of Medicine for the Elderly which is a Directorate of Adult Medicine.

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 and expected to deliver the daily medical care of all the patients on their ward irrespective of specialty. Whilst in Ortho-Geriatrics 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
  • 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.

Where the placement is based

Department of Medicine for the Elderly (DOME)

Clinical Supervisor(s) for the placement

Allocated upon commencement of the rotation.

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 outpatient clinics and on ward rounds and also take responsibility for problems arising in Ortho-Geriatric Medicine. 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

Mon:   consultant ward round   1100 and 1500

Tues:  1100 MDT. F2 ward round and jobs through day

Wed:   am: F2 ward round and jobs. 
         1400 (alternate weeks) clinic

Thurs:  F2 ward round and jobs through day

Fri:     consultant ward round   1100 and 1500 
          1400 Departmental teaching

Sat: none
Sun:  none

Each day starts with orthopaedic screens meeting form 0830 to 0900.  

 

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

 

 

Placement

F2 Paediatrics

The department

Children’s Unit

The inpatient ward has 26 beds, the three bays being divided out to accomodate peer group nursing for babies, children and adolescents. Ages range from birth to 17 or 18 depending on their individual paediatric needs. We have 10 cubicles to care for children with infection, the very young and the immuno-suppressed. 

The Children’s Day Area or CDA is an assessment area situated alongside the ward. These children may need day admission for routine procedures such as urinary investigations, CT/MRI scans, allergy tests, tolerance tests, growth hormone investigations. Reviews following discharges and emergency referrals from either GP's or A/E also attend for medical opinion. 

Our nursing staff include many with specialist knowledge for oncology, respiratory, diabetes, renal, A/E, tracheostomy care and special needs as well as mandatory links to eg, health and safety and infection control. 

SCBU

The Special Care Baby Unit is situated within the Women and Children's unit providing close links with the Delivery Suite, Ante/Post Natal wards and the Children's ward. The admission rate in the unit is approximately 350 babies per annum. This figure represents babies admitted from Delivery Suite and referring hospitals. The average number of intensive care days per annum is 500 - 550. With the exception of cardiac and surgical referrals the unit is fully equipped to provide total care for babies requiring special high dependency intensive care.

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 and expected to deliver the daily medical care of all the patients on their ward irrespective of specialty. 

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
  • 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.

Where the placement is based

Children’s Unit & SCBU – 2nd Floor

Clinical Supervisor(s) for the placement

Allocated upon commencement of the rotation.

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 take responsibility for problems arising in General Paediatrics or neonatal 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

SCBU/Hazel/Ward:

Monday – Sunday 0830 – 1700
On-call: 1630 – 2115 

Day Area (clinics):

Monday – Friday 0830 – 1700
On-call: 1100 – 1900 

Night shift: 2030 – 0900
On-call: 1330 – 2100

 

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

 

 

Placement

F2 Old Age Psychiatry

The department

The Victoria Centre located on the GWH site which provides inpatient services for older people with mental health problems.

The type of work to expect and learning opportunities

The F2 will be supervised by Dr Manchip, Consultant in Old Age Psychiatry. Trainees will be responsible, under supervision, for the day to day medical management of patients on the dementia assessment unit. There is also supervised community work to care homes and home visits; these come into the job as the trainee feels ready. 

Recent trainees have been encouraged in audit and in the last 3 years, 6 have had articles published in peer reviewed journals. 

There is one hour weekly clinical/educational supervision. The consultant is directly contactable for advice. 

There is a weekly academic programme that takes place every Wednesday afternoon. 

There is also the Foundation Doctor training programme on the Great Western Campus site. 

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
  • 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 mental health problems
  • Educate patients effectively
  • Become life-long learners and teachers.

Where the placement is based

The Victoria Centre

Clinical Supervisor(s) for the placement

Dr Simon Manchip

Main duties of the placement

The F2 doctor is responsible with other staff for the care of patients and the maintenance of the patient’s medical record. They will have the opportunity to work with the consultants in outpatients clinics, and also take responsibility for problems arising in their area of Psychiatry. 

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. 

Assessment of Medically Ill Patients: Guidance for Foundation trainees. 

As a Foundation doctor, you may be called on to assess patients who are medically unfit either in the psychiatry in-patient units or possibly in the community.  It is important to be aware that psychiatric hospitals do not have facilities to support patients with serious physical health problems and you are not in a position working in these settings to facilitate urgent investigation, or initiate immediate and complex treatment such as IV support, catheterisation. In many respects the support available may even be less than in a standard community setting as there is a lack of access to GP level medical advice. In the event that a patient needs more immediate and complex physical assessment, it is advisable to discuss with a senior psychiatry colleague and it is generally necessary to have these individuals seen in the nearest A&E department.  It would of course be helpful if a patient was referred, to discuss the case with the casualty team, while the transfer is being organised.  This would normally require an ambulance, which the in-patient team would generally organise. 

As a Foundation doctor working in psychiatry, you would not normally be expected to initiate complex physical treatments.  If you are uncertain about appropriate physical care of an individual, you should always discuss this issue with a senior psychiatry colleague, who may be the local core/advanced trainee in your unit or your consultant or the consultant on-call.  It may be useful to contact the specialist team in the general hospital for advice, but where a complex decision is being made this should always be shared with senior colleagues in the psychiatric team, who will be responsible for the treatment while the patient is in a psychiatric hospital. Note that discussion of the physical problems with a more senior psychiatric colleague is not generally to get expert medical advice (bearing in mind that as the psychiatric specialists become more senior their physical medicine skills tend to become out of date), but to bring the concerns to their attention so they can advise on the need to contact local acute medical/surgical services and how best to do this.

Typical working pattern in this placement

Mon
1000-1230 Functional Ward Round
1400-1700 ward work 

Tue
1000- 1100 Supervision
1400- 1630 Dementia care ward round 

Wed
1000-1300 community visits/ward work
1400- 1700 teaching 

Thurs
1000- 1300 community visits
1400-1700 ward work/admin 

Fri
1000-1300 ward work
1400 1700 admin/audit 

Sat/Sun: On call 1 w/e in 9 from 0900 Sat morning to 0900 Mon morning. Covering all inpatient wards, rehab wards, GWH ward referrals and patients in A+E. 

Weekday on calls: 1 in 9 week days on call from 0900 on first day finishing 0900 following morning  with same responsibilities as w/e on-calls      

Note: The F2 will need access to own transport to carry out on call duties.

 

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

 

 

Placement

F2 General Adult Inpatient Psychiatry

The department

Applewood Ward, is located on Sandalwood Court site in Swindon. It is an 18 bed, acute psychiatric unit for Adults of Working Age of both sexes.  The average stay of patients is about 3 week.

The type of work to expect and learning opportunities

The F2 will be supervised by Dr Malhotra, Consultant Psychiatrist. Trainees will be responsible, under supervision for day to day management of patients on acute psychiatry ward. They will be supported by a full time core psychiatry trainee, a part time speciality grade doctor and a full time Consultant Psychiatrist.

Responsibilities  of Foundation year doctor include:

  • Admitting patients: to include taking a full psychiatric history, mental state examination, collateral information from other professionals and relatives involved in care; physical examination, performing necessary investigations and initiating treatment having discussed with nursing staff/seniors.
  • Regular review of inpatients, usually before ward review.
  • Attendance at ward reviews and contemporaneous recording of discussion and care plans on RIO (electronic patient record).
  • Preparation of admission/discharge summaries 

Trainees will be encouraged to do audits and quality improvement projects. 

There is one hour weekly clinical/educational supervision. The consultant is directly contactable for advice. 

There is a weekly academic programme that takes place every Wednesday afternoon. 

There is also the Foundation Doctor training programme on the Great Western Campus site. 

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
  • 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 mental health problems
  • Educate patients effectively
  • Become life-long learners and teachers.

Where the placement is based

Sandalwood Court

Clinical Supervisor(s) for the placement

Dr Tina Malhotra

Main duties of the placement

The F2 doctor is responsible with other staff for the care of patients and the maintenance of the patient’s medical record. They will have the opportunity to work with the consultants in outpatients clinics, and also take responsibility for problems arising in their area of Psychiatry. 

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. 

Assessment of Medically Ill Patients: Guidance for Foundation trainees. 

As a Foundation doctor, you may be called on to assess patients who are medically unfit either in the psychiatry in-patient units or possibly in the community.  It is important to be aware that psychiatric hospitals do not have facilities to support patients with serious physical health problems and you are not in a position working in these settings to facilitate urgent investigation, or initiate immediate and complex treatment such as IV support, catheterisation. In many respects the support available may even be less than in a standard community setting as there is a lack of access to GP level medical advice. In the event that a patient needs more immediate and complex physical assessment, it is advisable to discuss with a senior psychiatry colleague and it is generally necessary to have these individuals seen in the nearest A&E department.  It would of course be helpful if a patient was referred, to discuss the case with the casualty team, while the transfer is being organised.  This would normally require an ambulance, which the in-patient team would generally organise. 

As a Foundation doctor working in psychiatry, you would not normally be expected to initiate complex physical treatments.  If you are uncertain about appropriate physical care of an individual, you should always discuss this issue with a senior psychiatry colleague, who may be the local core/advanced trainee in your unit or your consultant or the consultant on-call.  It may be useful to contact the specialist team in the general hospital for advice, but where a complex decision is being made this should always be shared with senior colleagues in the psychiatric team, who will be responsible for the treatment while the patient is in a psychiatric hospital. Note that discussion of the physical problems with a more senior psychiatric colleague is not generally to get expert medical advice (bearing in mind that as the psychiatric specialists become more senior their physical medicine skills tend to become out of date), but to bring the concerns to their attention so they can advise on the need to contact local acute medical/surgical services and how best to do this.

Typical working pattern in this placement

Mon
0900-1000 Bed capacity meeting
1000-1300 Ward round with Consultant
1330-1700 Ward work

Tues
0900-1300 Ward round with Consultant
1400-1700 Ward work

Wed
0930-1300 Ward round
1330-1700 Academic meeting

Thurs
0900-1300 Ward round with Consultant
1330-1700 Admin

Fri
0900-1230 Ward work
1400 -1500 Supervision
1500- 1700 Admin/audit 

Sat/Sun: On call 1 w/e in 9 from 0900 Sat morning to 0900 Mon morning. Covering all inpatient wards, rehab wards, GWH ward referrals and patients in A+E. 

Weekday on calls: 1 in 9 week days on call from 0900 on first day finishing 0900 following morning  with same responsibilities as w/e on-calls 

Note: The F2 will need access to own transport to carry out on call duties.

 

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

 

 

Placement

F2 Gastroenterology

The department

Neptune Ward isa 39 bed medical ward which specialises in treating adult male and female patients with gastro-intestinal conditions.

We are on Level 4 of the Great Western Hospital.

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 and expected to deliver the daily medical care of all the patients on their ward. 

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
  • 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.

Where the placement is based

Neptune Ward

Clinical Supervisor(s) for the placement

Allocated upon commencement of the rotation

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 outpatient clinics and on ward rounds and also take responsibility for problems arising in Gastroenterology. 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

Mon: Registrar Morning wards rounds/Jobs/ Consultant afternoon ward rounds

Tues:   Consultant Morning ward rounds/afternoon registrar rounds/jobs

Wed:  All day Registrar ward rounds/jobs afternoon journal club/ SWIFT teaching

Thurs: Morning registrar ward rounds/ward jobs/consultant afternoon ward rounds

Fri: Consultant morning ward rounds/ward jobs/Lunch time Gastro radiology meeting/registrar afternoon ward rounds 

On call requirements:

1 in 14 days
1 in 8 weeks nights

 

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