Individual Placement Descriptions
Taunton & Somerset NHS Foundation Trust

 

Placement

F1 HDU / ITU

The department

The High Dependency Unit (HDU) cares for critically ill patients who require support at a level below intensive care, that is single organ failure requiring support or at a high risk of deterioration. Rarely, intensive care patients are admitted to HDU. 

There are six high dependency beds. Patients are admitted from all areas of the hospital, and are cared for jointly by the Intensive Treatment Unit (ITU) team and their referring team. The unit is closely allied to the ITU.

The type of work to expect and learning opportunities

The F1 doctor will gain significant experience in recognising and managing critically ill patients, in a controlled environment.  Whilst the unit admits patients from virtually every speciality at times, the common clinical problems seen are sepsis, respiratory failure (including noninvasive ventilation), cardiovascular collapse, post operative general, vascular, spinal and bariatric surgery.  Experience in post operative management, and complications will be gained.  There is also much scope for becoming 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.

Where the placement is based

Musgrove Park Hospital, ITU / HDU

Clinical Supervisor(s) for the placement

Richard Gibbs, Stephen Harris, Richard Innes, Nick Kennedy, Helene Lindsay, James Sidney, Joe Silsby, Barney Kyle

Main duties of the placement

The work involves seeing all the patients on HDU in the morning, and dealing with all normal ward issues.  The F1 is expected to review, admit, and discharge all patients.  The F1 will be expected to attend the ITU ward round and also attend when other teams visit the Unit.

Typical working pattern in this placement

There is a sit down handover round from the night speciality trainee to the whole team from 0900-1000. The FY1 is then expected to review all the HDU patients in preparation for the ward round that starts in ICU and arrives on HDU at approximately 11:30.

We have daily input from Consultant Microbiologist at 12:30 and a weekly X-Ray meeting at 13:00 on Mondays with a Consultant Radiologist.

There is a further evening ward round from 17:00-18:00. 

Mon:     0900-1800    
Tues:    0830-1800     (teaching at 0830)
Wed:    0900-1800  
Thurs:   0900-1800
Fri:       0800-1200       (teaching at 0800)
Sat:             
Sun:             

On call requirements: 
No on-call

Employer information

Musgrove Park Hospital is the largest hospital in Somerset, with a comprehensive range of medical, surgical and diagnostic services. We became an NHS Foundation Trust in December 2007 and were awarded ‘Medium Sized Trust of the Year’ by independent health analyst Dr Foster in May 2007, showing that we are on our way to achieving consistently high performance. Our Intensive Care Unit is consistently in the top 3 of like-for-like units and our bariatric service is internationally recognised. We are a level 2 trauma centre. 

We are a leader in the Deanery for the IHI’s Quality Improvement program, with previous trainees presenting their work at national & international conferences. 

We are renowned for our friendly atmosphere and were recently voted as the top placed acute Trust in the Deanery for trainee satisfaction. The support from our Academy staff is commended by the highest levels of the Deanery. 

Geographically, we are ideally placed with fast rail links to London, whilst the beaches are only an hour away. We have an active junior doctors mess.

 

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

 

 

Placement

F1 Upper GI & Bariatric Surgery

The department

The department of Upper GI & Bariatrics comprises 3 consultants, 2 clinical fellows, 1 SpR, 1 ST2 and 2 F1s. 

The consultants are on-call for unselected adult and paediatric surgical emergencies for a population of 340,000 and do elective upper GI surgical work for the same. This is also a tertiary referral centre for complex bariatric surgical work, including revisional surgery, for a population of 5.5 million.

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. The trainee should: 

  • Develop confidence in assessing general surgical patients through history taking and clinical examination
  • Learn to manage the common surgical emergencies
  • 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
  • Learn how to recognise the critically ill patient
  • Learn how to resuscitate the critically ill patient
  • Become familiar with the post operative management of surgical patients
  • 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
  • Undertake a departmental audit project

Where the placement is based

Musgrove Park Hospital, Barrington Ward

Clinical Supervisor(s) for the placement

David Mahon, Hamish Noble, Richard Welbourn 

Main duties of the placement

The F1 doctors are responsible with other staff for the ward care of patients and the maintenance of the patient’s medical record. They will generally be the first doctor to assess the acute surgical take patient and will be responsible for prioritising duties on the ward, including the medical care of patients with surgical complications. Whilst the duties do not specifically include time in theatre, this is encouraged if other duties have been completed and time is available. 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, ward cover

Monday/Tuesday/Friday: Opportunity to attend theatre

Wed/Thursday: Formal F1 teaching program

Thursday lunchtime: XRay MDT/teaching

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 patients. 1 in 11

Employer information

Musgrove Park Hospital is the largest hospital in Somerset, with a comprehensive range of medical, surgical and diagnostic services. We became an NHS Foundation Trust in December 2007 and were awarded ‘Medium Sized Trust of the Year’ by independent health analyst Dr Foster in May 2007, showing that we are on our way to achieving consistently high performance. Our Intensive Care Unit is consistently in the top 3 of like-for-like units and our bariatric service is internationally recognised. We are a level 2 trauma centre. 

We are a leader in the Deanery for the IHI’s Quality Improvement program, with previous trainees presenting their work at national & international conferences. 

We are renowned for our friendly atmosphere and were recently voted as the top placed acute Trust in the Deanery for trainee satisfaction. The support from our Academy staff is commended by the highest levels of the Deanery. 

Geographically, we are ideally placed with fast rail links to London, whilst the beaches are only an hour away. We have an active junior doctors mess.

 

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

 

 

Placement

F1 Neurology & Rheumatology

The department

The Neurology Department

The type of work to expect and learning opportunities

This placement will provide experience of the management of patients on acute general medical wards with regular exposure to acute neurological & other unselected medical emergencies. 

Neurology & Neuro rehabilitation

Ability to obtain a full neurological history, perform a neurological examination and arrive at a differential diagnosis. Where neurorehabilitation is considered, there will be an emphasis on function. Organise/request appropriate investigations, with some limited exposure to result interpretation e.g. MRI

Prescribe safely

Keep an accurate and relevant medical record

Manage time and clinical priorities effectively

Adopt a multidisciplinary approach to care of patients including participating in MDT meetings, with emphasis on interdisciplinary working with therapists, nurses, social workers and others

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 neurological & 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

Supervision and training in neuro-rehabilitation

Training in performing lumbar punctures

Twice weekly neurology ward rounds

 

Rheumatology

Rheumatology history taking

Examination of hand, spine, knee, shoulder

Differentiation between inflammatory and mechanical arthritis

Knowledge of basic laboratory and radiological tests to order in patients with a rheumatic complaint

Aspiration and injection of knee and shoulder

Differential diagnosis of inflammatory monoarthritis and oligo/polyarthritis

Hand and spine x-ray evaluation

Where the placement is based

Musgrove Park Hospital, Triscombe Ward

Clinical Supervisor(s) for the placement

Edward Fathers, Mark Fish, Leslie Goh, Cathy Laversuch, Luke Gompels, Chris Price, Edmund Bonikowski

Main duties of the placement

The F1 doctor will primarily be located on one base ward where, under the direct supervision of a consultant, they will be responsible for the day-to-day care of general medical and specialty 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 problems through to discharge within a robust and stable learning framework.

Typical working pattern in this placement

Mon:   Ward work   am & pm    
Tues:    Ward round (am); ward work & lumbar punctures; Xray meeting monthly   
Wed:    MDT & ward work ; Grand round   
Thurs: Ward work + procedures
Fri:       Ward round (am), ward work pm        
Sat:     On call as rota        
Sun:    On call as rota   

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

Musgrove Park Hospital is the largest hospital in Somerset, with a comprehensive range of medical, surgical and diagnostic services. We became an NHS Foundation Trust in December 2007 and were awarded ‘Medium Sized Trust of the Year’ by independent health analyst Dr Foster in May 2007, showing that we are on our way to achieving consistently high performance. Our Intensive Care Unit is consistently in the top 3 of like-for-like units and our bariatric service is internationally recognised. We are a level 2 trauma centre. 

We are a leader in the Deanery for the IHI’s Quality Improvement program, with previous trainees presenting their work at national & international conferences. 

We are renowned for our friendly atmosphere and were recently voted as the top placed acute Trust in the Deanery for trainee satisfaction. The support from our Academy staff is commended by the highest levels of the Deanery. 

Geographically, we are ideally placed with fast rail links to London, whilst the beaches are only an hour away. We have an active junior doctors mess.

 

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

 

 

Placement

F1 Acute and General Medicine

The department

Care of Older People

The type of work to expect and learning opportunities

This post is on an acute care of older people’s ward.  The post holder will be responsible for the day to day management of patients in conjunction with F2, CT1, SPR and consultant.  It provides opportunities to assess and manage patients with multisystem disorders.  There are also opportunities to develop communication skills as you will be expected to work with a multidisciplinary team and with patients and relatives.  Previous post holders have valued the educational opportunities provided on this ward.

This placement will provide experience of the management of patients on acute general medical wards with regular exposure to acute unselected medical emergencies.

The key learning opportunities include:

  • 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
  • Management of chronic diseases such as Parkinson’s disease
  • Implementation of stroke protocols e.g. when to treat hypertension, anti platelet therapy
  • Competence in initial swallow assessment/assessing need for SALT referral, assessment of nutrition and criteria for NG and PEG feeding
  • Multidisciplinary approach to assessing patients’ needs
  • Shadowing of physiotherapists / occupational therapists

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

Where the placement is based

Eliot Ward, Musgrove Park Hospital.

Clinical Supervisor(s) for the placement

Tarun Solanki and Prabhath Fernando

Main duties of the placement

Day to day management of acutely ill frail older people.  Member of the ward multidisciplinary team.  Discharge planning.  Management of long term conditions.  Management of  the dying patient

Typical working pattern in this placement

Mon:      9 am Consultant W/R
            12-1pm  X-ray Mtg
Tues:      9 am Consultant W/R
Wed:      9 am Reg W/R
             1-2pm Grand Round Postgrad
Thurs:     9 am Cons W/R
Fri:        9 am Cons W/R
            12.30 pm Dept Tutorial Postgrad

The ward duties are from 9am to 5pm.  On call commitments weekdays from 5pm to 9pm and day time weekend cover

Employer information

Musgrove Park Hospital is the largest hospital in Somerset, with a comprehensive range of medical, surgical and diagnostic services. We became an NHS Foundation Trust in December 2007 and were awarded ‘Medium Sized Trust of the Year’ by independent health analyst Dr Foster in May 2007, showing that we are on our way to achieving consistently high performance. Our Intensive Care Unit is consistently in the top 3 of like-for-like units and our bariatric service is internationally recognised. We are a level 2 trauma centre. 

We are a leader in the Deanery for the IHI’s Quality Improvement program, with previous trainees presenting their work at national & international conferences. 

We are renowned for our friendly atmosphere and were recently voted as the top placed acute Trust in the Deanery for trainee satisfaction. The support from our Academy staff is commended by the highest levels of the Deanery. 

Geographically, we are ideally placed with fast rail links to London, whilst the beaches are only an hour away. We have an active junior doctors mess.

 

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

The department consists of 3 consultants and 1 associate specialist. They are supported by 2 stroke practitioners. Dunkery stroke unit is a 23-bed acute stroke unit offering specialist multidisciplinary care to all patients with acute stroke. It serves a population of approximately 330,000. There are between 40 – 50 stroke admissions each month, and the majority of patients are directly admitted, either from A&E or primary care. 

There are close links with the community stroke units in Williton, South Petherton and Shepton Mallet. We are also involved in the Somerset Stroke Early Supported Discharge scheme which facilitates early rehabilitation at home. 

In addition to comprehensive stroke unit care, the department offers stroke thrombolysis to all appropriate patients, working in collaboration with the emergency physicians. There are also daily rapid access stroke / TIA clinics. We also have close links with the neurologists and vascular surgeons. 

The department is part of the Peninsula Stroke Research network. We participate in a growing portfolio of national and international research trials.

The type of work to expect and learning opportunities

This placement will provide experience of the management of patients on acute general medical wards with regular exposure to acute unselected medical emergencies. Other learning opportunities include 

  • Diagnosis & treatment of TIA, stroke & stroke mimics
  • Implementation of stroke protocols e.g. when to treat hypertension, anti platelet therapy
  • Hyperacute management of stroke & post-thrombolysis care
  • Management of chronic diseases such as Parkinson’s disease
  • Competence in initial swallow assessment/assessing need for SALT referral, assessment of nutrition and criteria for NG and PEG feeding
  • An approach to ethical issues such as mental capacity, withholding & withdrawing treatment
  • Palliative and end-of-life care
  • Multidisciplinary approach to assessing patients’ needs
  • Shadowing of physiotherapists / occupational therapists
  • Close liaison with social workers for placement in residential/nursing homes
  • Recruitment to current stroke research trials

Where the placement is based

Musgrove Park Hospital, Dunkery Ward

Clinical Supervisor(s) for the placement

Malik Hussain & Robert Whiting

Main duties of the placement

The F1 doctor will primarily be located on Dunkery Stroke Unit where, under the direct supervision of the consultant and associate specialist. They will be responsible for the day-to-day care of stroke and general medical inpatients.  This will involve clerking direct admissions to the ward from the emergency department or primary care. 

Multidisciplinary working is an essential component of these posts, in collaboration with nursing staff, physiotherapists, occupational therapists, speech & language therapists and social workers.  These F1 placements will give experience of ongoing management of common medical problems through to discharge within a robust and stable learning framework. The F1 will also be involved in co-ordinating a safe & timely discharge for patients, with provision of a clear & detailed discharge summary. 

They will have the opportunity to attend rapid access stroke clinics and, where possible, be involved in both stroke thrombolysis and selection & recruitment of patients for research trials.

Typical working pattern in this placement

Mon:    9am – 12:30pm: Consultant Ward Round
          13:00 – 14:00: Care of Older People education meeting
          14:00 – 16:00: Stroke MDT

Tues:   9am – 13:00: ward round
          14:00 – 17:00: ward work

Wed:   9am – 12:30pm: Consultant ward round
          13:00 – 14:00: Medical Grand Round
          14:00 – 17:00: Ward work

Thurs:  9am – 12:30pm: Associate Specialist ward round
         12:30 – 13:30: stroke multidisciplinary teaching,                     (once/month)
          14:00 – 17:00: ward work

Fri:      9am – 9:30am: Peer-led stroke teaching
          9:30 - 12:30pm: consultant ward round
          12:30 – 13:30: Xray meeting
          14:00 – 17:00: Ward work 

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

Musgrove Park Hospital is the largest hospital in Somerset, with a comprehensive range of medical, surgical and diagnostic services. We became an NHS Foundation Trust in December 2007 and were awarded ‘Medium Sized Trust of the Year’ by independent health analyst Dr Foster in May 2007, showing that we are on our way to achieving consistently high performance. Our Intensive Care Unit is consistently in the top 3 of like-for-like units and our bariatric service is internationally recognised. We are a level 2 trauma centre. 

We are a leader in the Deanery for the IHI’s Quality Improvement program, with previous trainees presenting their work at national & international conferences. 

We are renowned for our friendly atmosphere and were recently voted as the top placed acute Trust in the Deanery for trainee satisfaction. The support from our Academy staff is commended by the highest levels of the Deanery. 

Geographically, we are ideally placed with fast rail links to London, whilst the beaches are only an hour away. We have an active junior doctors mess.

 

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

 

 

Placement

F1 Cardiology

The department

The cardiology department comprises 8 consultant cardiologists, 5 of whom do on-call for primary angioplasty and other acute cardiological emergencies. We have one specialty doctor and 2 Cardiology SpRs who also contribute to the medical on call rota. There are a lot of specialist nurses within the department (chest pain, heart failure, arrhythmia and AF).

We perform angiography and angioplasty, brady and tachy pacing, and most cardiac imaging, including MRI and cardiac CT.

The department serves West Somerset, which has a population of 330,000 and the whole of Somerset for tachy pacing and angioplasty.

We have close links with tertiary services in the Bristol Heart Institute and Harefield Hospital in London.

The type of work to expect and learning opportunities

This placement will provide experience of the management of patients on acute general medical wards with regular exposure to acute unselected medical emergencies. 

Learning objectives

  • 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
    • Competence in basic ECG interpretation
    • Personal and professional skills
    • Recognition and management of acute coronary syndromes
    • Introduction to consent processes for coronary intervention
    • Basic overview of and introduction to further cardiac investigations and treatments

Where the placement is based

Musgrove Park Hospital, Fielding Ward

Clinical Supervisor(s) for the placement

David Beacock, Mark Dayer, Dan McKenzie, Mike Seddon, Oliver Gosling and Tom Mac Connell

Main duties of the placement

The F1 doctor will be located on one base ward where, under the direct supervision of a consultant, they will be responsible for the day-to-day care of general medical and specialty inpatients.  Multidisciplinary working is an essential component of these posts, in collaboration with other specialist teams, nursing staff, physiotherapists, dieticians, occupational therapists and social workers.  These F1 placements 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: Consultant Ward round + Associated Jobs
Tues: Consultant Ward round + Associated Jobs                   
Wed:  Registrar ward round + Associated Jobs, MDT meeting, Grand Round, 1/2 day teaching                    
Thurs: Consultant Ward round + Associated Jobs 
Fri: Consultant Ward round + Associated Jobs                
Sat:              
Sun:             

Once monthly M + M meeting. 

On call requirements:
1 in 8 weeks weekend 9am:9pm (F1)
1 in 4 weeks weekend 9am:1pm (F1)
Long days 1 in 10 weekdays (F1)

Employer information

Musgrove Park Hospital is the largest hospital in Somerset, with a comprehensive range of medical, surgical and diagnostic services. We became an NHS Foundation Trust in December 2007 and were awarded ‘Medium Sized Trust of the Year’ by independent health analyst Dr Foster in May 2007, showing that we are on our way to achieving consistently high performance. Our Intensive Care Unit is consistently in the top 3 of like-for-like units and our bariatric service is internationally recognised. We are a level 2 trauma centre. 

We are a leader in the Deanery for the IHI’s Quality Improvement program, with previous trainees presenting their work at national & international conferences. 

We are renowned for our friendly atmosphere and were recently voted as the top placed acute Trust in the Deanery for trainee satisfaction. The support from our Academy staff is commended by the highest levels of the Deanery. 

Geographically, we are ideally placed with fast rail links to London, whilst the beaches are only an hour away. We have an active junior doctors mess.

 

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

 

 

Placement

F1 Emergency Medicine

The department

The Emergency Department was opened by Her Majesty the Queen in 1987. It provides services for the population of West Somerset and sees 58,000 new patients a year. 

The Department has 24 hour specialty trainee cover, with on-site senior cover (middle grade / consultant) between 0800-0100 hours Monday-Wednesday and 0800-0400 Thursday-Sunday.  Senior cover after this is provided by the on-call consultant from home. 

In addition to a wide variety of medical & surgical emergencies, 25% of all attendances are children.

The type of work to expect and learning opportunities

The ED sees a wide variety of patients who self-present with injuries and illness. 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 Department has had doctors on F1 placements since 2005. The post has been a great success, proving popular with the Foundation trainees and with the staff of the Emergency Department. 

Educational Opportunities 

There is protected teaching for junior medical staff. This is done by the senior staff in the department on a weekly basis. The F1 doctor is also free to attend Trustwide F1 teaching on a weekly basis. There is continuous shopfloor teaching on all cases seen by the F1 doctor.

Where the placement is based

Musgrove Park Hospital, Emergency Department

Clinical Supervisor(s) for the placement

Paul Baines, Gillian Bryce, Jason Louis, Cliff Mann, Jon Tipping, Alistair Billington, James Gagg, Esther Wilson, Crispin Porter

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.

Typical working pattern in this placement

Mon:09:00 – 17:00
Tues: 09:00 – 17:00
Wed: 09:00 – 17:00
Thurs: 09:00 – 17:00
Fri: 09:00 – 17:00
Sat:
Sun:

On call requirements: 
No on call

Employer information

Musgrove Park Hospital is the largest hospital in Somerset, with a comprehensive range of medical, surgical and diagnostic services. We became an NHS Foundation Trust in December 2007 and were awarded ‘Medium Sized Trust of the Year’ by independent health analyst Dr Foster in May 2007, showing that we are on our way to achieving consistently high performance. Our Intensive Care Unit is consistently in the top 3 of like-for-like units and our bariatric service is internationally recognised. We are a level 2 trauma centre. 

We are a leader in the Deanery for the IHI’s Quality Improvement program, with previous trainees presenting their work at national & international conferences. 

We are renowned for our friendly atmosphere and were recently voted as the top placed acute Trust in the Deanery for trainee satisfaction. The support from our Academy staff is commended by the highest levels of the Deanery. 

Geographically, we are ideally placed with fast rail links to London, whilst the beaches are only an hour away. We have an active junior doctors mess.

 

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

 

 

Placement

F1 Urology

The department

There are 5 Consultants in the Urology department with one Consultant on call each week providing daily Consultant-led ward rounds.  There are interests in Oncological Urology, Paediatrics, Laparoscopic Nephrectomy and Radical Prostatectomy, Stones and Incontinence. There are 6 main theatre lists, several day surgery and diagnostic lists as well as several OP clinics per week, and Nurse Specialist Clinics and lists. The Consultant and other staff work as a team with a joint waiting list and cover each others clinics. Junior staff are encouraged to become active members of the team.

The type of work to expect and learning opportunities

Routine attachment to the Urology team with on call duties for both General Surgery and Urology.

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

Where the placement is based

Musgrove Park Hospital, Jubilee Building

Clinical Supervisor(s) for the placement

Nick Burns-Cox, Andrea Cannon, Ru MacDonagh, Mark Speakman, Robert Jones

Main duties of the placement

To attend ward rounds and manage the ward patients on a daily basis with support from the F2, CT 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.

Typical working pattern in this placement

The day starts with an 8am ward round of all the Urology patients. This is a Consultant-led ward round with 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 etc and assessing any unwell patients.

There will be an opportunity in the afternoons to attend xray meetings, oncology MDT and departmental meetings as well as OP clinic and theatres. If the wards are busy then the ward management of patients takes priority, but there should be the time to gain the necessary experience. The Urology Nurse specialists are very proactive at supporting and training the F1 doctors. There is an active Audit and Research programme and F1s will be encouraged to take part in an audit project. The Urology Research Fellow can also help with research projects. The Consultants all help the F1s with interview practice and encourage a diverse and full portfolio for future career opportunities. 

Mon:   WR    lunchtime xray meeting     theatre
Tues:  WR       
Wed:  WR          pm MDT meeting
Thurs: WR  pm departmental/audit meeting/theatre
Fri:       WR       attend OP clinic
Sat:      
Sun:            

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 patients.

Employer information

Musgrove Park Hospital is the largest hospital in Somerset, with a comprehensive range of medical, surgical and diagnostic services. We became an NHS Foundation Trust in December 2007 and were awarded ‘Medium Sized Trust of the Year’ by independent health analyst Dr Foster in May 2007, showing that we are on our way to achieving consistently high performance. Our Intensive Care Unit is consistently in the top 3 of like-for-like units and our bariatric service is internationally recognised. We are a level 2 trauma centre. 

We are a leader in the Deanery for the IHI’s Quality Improvement program, with previous trainees presenting their work at national & international conferences. 

We are renowned for our friendly atmosphere and were recently voted as the top placed acute Trust in the Deanery for trainee satisfaction. The support from our Academy staff is commended by the highest levels of the Deanery. 

Geographically, we are ideally placed with fast rail links to London, whilst the beaches are only an hour away. We have an active junior doctors mess.

 

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

 

 

Placement

F1 Vascular Surgery

The department

The Vascular Surgery Unit at Musgrove is a regional vascular unit providing elective and emergency arterial and venous surgery for patients throughout Somerset and North Devon.

The Unit serves a population of between 500,000 and 700,000 and comprises 4 Consultants- Mr James Coulston, Mr Paul Eyers, Mr Andrew Stewart and Mr Ian Hunter. 2 honorary consultants Mr John Taylor and Mr David Williams primarily based at North Devon District Hospital also provide emergency and elective aortic surgery at Musgrove.

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

Where the placement is based

Musgrove Park Hospital, Jubilee Building

Clinical Supervisor(s) for the placement

James Coulston, Paul Eyers, Andrew Stewart, Ian Hunter

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 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 during which time they will be freed from routine vascular inpatient duties. They are expected to attend the F1 structured teaching 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

Mon:   8am Grand round, ward MDT, inpatient care,
         1.30pm outpatient clinic       
Tues:  8am ward round, inpatient care/main theatre       
Wed:  8am ward round, inpatient care/main theatre               
Thurs: 8am ward round, inpatient care/main theatre       
Fri:     8am ward round, inpatient care, am outpatient clinic
Sat:             
Sun:            

On call requirements: 
During this post the F1 doctor will participate in out of hours ward cover and the admission of unselected acute general surgery, urology and vascular surgery patients

Employer information

Musgrove Park Hospital is the largest hospital in Somerset, with a comprehensive range of medical, surgical and diagnostic services. We became an NHS Foundation Trust in December 2007 and were awarded ‘Medium Sized Trust of the Year’ by independent health analyst Dr Foster in May 2007, showing that we are on our way to achieving consistently high performance. Our Intensive Care Unit is consistently in the top 3 of like-for-like units and our bariatric service is internationally recognised. We are a level 2 trauma centre. 

We are a leader in the Deanery for the IHI’s Quality Improvement program, with previous trainees presenting their work at national & international conferences. 

We are renowned for our friendly atmosphere and were recently voted as the top placed acute Trust in the Deanery for trainee satisfaction. The support from our Academy staff is commended by the highest levels of the Deanery. 

Geographically, we are ideally placed with fast rail links to London, whilst the beaches are only an hour away. We have an active junior doctors mess.

 

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

 

 

Placement

F1 Oncology

The department

The Department of Oncology has undergone major expansion, culminating in the opening of the Beacon Centre in May 2009. The department comprises 8 clinical oncologists and 2 medical oncologist as well as 2 associate specialists. We have a dedicated acute oncology team including a staff grade, 2 specialist nurses with a consultant lead. We all cover oncology on calls, providing acute advice for patients admitted via Mau or A&E, as well as advice for outlying oncology patients.

We cover most cancer sites, including head&neck, lung, Upper and lower GI, Breast, Skin, Urology, Gynaecology,

The type of work to expect and learning opportunities

This placement is predominantly based on the Beacon ward, which is a dedicated 14 bedded oncology ward within the cancer unit at Musgrove.

Experience will be gained in the management of oncology related problems, either related to the disease itself or treatment related eg chemotherapy/ targeted therapy or radiotherapy induced toxicities. There will be exposure and experience in the management of oncology related emergencies eg spinal cord compression, neutropenia and hypercalcaemia. Generic skills such venepuncture, cannulation ascitic drainage and pleural aspiration can also be developed. Opportunities for attending outpatients clinics and gaining insight into the practicalities and techniques of radiotherapy are encouraged.

Skills in palliative care are also developed, such as opioid prescribing, use of syringe drivers and end of life issues, with regular input from the palliative care team, which consists of visiting consultants and palliative care nurses. Both the palliative care team and the oncology consultants deliver in house teaching on a regular basis to enhance the learning experience within this placement. 

Where the placement is based

MusgroveParkHospital, Beacon Centre

Clinical Supervisor(s) for the placement

Dr Mili Barthakur

Main duties of the placement

The F1 doctor is responsible along with support from the F2 and CT1 for the ward care of patients and with the maintenance of the patients record. Beacon ward is a 14 bedded I/P ward providing care and treatment for patients at all stages of their cancer pathway. The ward links closely with radiotherapy and chemotherapy day unit where medical input from the F1 will be required. Daily board round and ward round is provided by the oncology consultants, with whom the F1 will work closely with. Good communication with ward nurses, palliative care, medical and surgical teams and also supporting disciplines such as dieticians, OT, physiotherapy is essential.

There is the opportunity to attend oncology O/P clinics and MDTs.

There is also a structured weekly teaching programme in place covering all aspects of oncology and palliative care, as well as monthly departmental educational meetings, audit and morbidity and mortality meetings. 

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

  • Understanding of oncological conditions and the pathophysiology of the common malignancies and the management of these
  • Good understanding of diagnosis, investigation and treatment of all oncology emergencies
  • Good understanding of chemotherapy, its indications, common toxicities and supportive management of these
  • Basic understanding of radiotherapy, its indications, toxicities, complications and the supportive management of these
  • Good understanding of palliative care, end of life including the implementation of LCP 

F1 would be able to

  • Admit, take a history and examine the patient
  • Prepare for daily consultant ward round
  • Liaise with nursing staff with regards to handover or changes to patient’s treatment during the day.

Typical working pattern in this placement

The placement is largely traditionally ward-based, while incorporating structured training in basic cancer medicine, oncological emergencies and symptom control/ palliative care. 

Daily handover and board round at 9:00 and then handover at 17:00

Generally the post is ward based, with medical input in to the radiotherapy and chemotherapy day unit. 

Mon:09:00 – 17:00
Tues: 09:00 – 17:00
Wed: 09:00 – 17:00
Thurs: 09:00 – 17:00
Fri: 09:00 – 17:00 (14:00 monthly departmental educational meetings)
Sat:             
Sun:  

Weekly oncology teaching- times and days differ week to week depending on which consultant is giving the teaching 

On call requirements: 
No On call

Employer information

Musgrove Park Hospital is the largest hospital in Somerset, with a comprehensive range of medical, surgical and diagnostic services. We became an NHS Foundation Trust in December 2007 and were awarded ‘Medium Sized Trust of the Year’ by independent health analyst Dr Foster in May 2007, showing that we are on our way to achieving consistently high performance. Our Intensive Care Unit is consistently in the top 3 of like-for-like units and our bariatric service is internationally recognised. We are a level 2 trauma centre. 

We are a leader in the Deanery for the IHI’s Quality Improvement program, with previous trainees presenting their work at national & international conferences. 

We are renowned for our friendly atmosphere and were recently voted as the top placed acute Trust in the Deanery for trainee satisfaction. The support from our Academy staff is commended by the highest levels of the Deanery. 

Geographically, we are ideally placed with fast rail links to London, whilst the beaches are only an hour away. We have an active junior doctors mess.

 

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

 

 

Placement

F1 Care of the Elderly

The department

The Department consists of 7 Consultants plus other grades, with special interests in Falls, Stroke, dementia, delirium, Parkinson’s disease, osteoporosis, and Ortho-Geriatric liaison. We cover a large area of a rural county with a population of 360.000; 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 patients on acute general medical wards with regular 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
  • 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
  • Management of chronic diseases such as Parkinson’s disease
  • Assessment of cognition and management of the patients in acute hospital setting
  • Understand complexity of elderly care patients and awareness of comprehensive geriatric assessment and the concept of frailty
  • Implementation of stroke protocols e.g. when to treat hypertension, anti platelet therapy
  • Competence in initial swallow assessment/assessing need for SALT referral, assessment of nutrition and criteria for NG and PEG feeding
  • Multidisciplinary approach to assessing patients’ needs
  • Shadowing of physiotherapists / occupational therapists
  • Close liaison with social workers for placement in residential/nursing homes

Where the placement is based

Musgrove Park Hospital, Wordsworth, Eliot & Sedgemoor Ward

Clinical Supervisor(s) for the placement

Peter Campbell, Simon Cooper, Prabhath Fernando, Vikky Morris, Lucy Pollock, Tarun Solanki, Rachel O Toole

Main duties of the placement

The F1 doctor will primarily be located on one base ward where, under the direct supervision of a consultant, they will be responsible for the day-to-day care of general medical and specialty 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 problems through to discharge within a robust and stable learning framework.

Typical working pattern in this placement

Mon:      9 am Consultant W/R
            12-1 joint radiology meeting
Tues:     9 am Consultant W/R
Wed:     9 am Reg W/R
            1-2pm Grand Round Postgrad
Thurs:    9 am Cons W/R
Fri:        9 am Cons W/R
            1-2pm departmental clinical meeting

On call requirements:  1:13 Rota

Employer information

Musgrove Park Hospital is the largest hospital in Somerset, with a comprehensive range of medical, surgical and diagnostic services. We became an NHS Foundation Trust in December 2007 and were awarded ‘Medium Sized Trust of the Year’ by independent health analyst Dr Foster in May 2007, showing that we are on our way to achieving consistently high performance. Our Intensive Care Unit is consistently in the top 3 of like-for-like units and our bariatric service is internationally recognised. We are a level 2 trauma centre. 

We are a leader in the Deanery for the IHI’s Quality Improvement program, with previous trainees presenting their work at national & international conferences. 

We are renowned for our friendly atmosphere and were recently voted as the top placed acute Trust in the Deanery for trainee satisfaction. The support from our Academy staff is commended by the highest levels of the Deanery. 

Geographically, we are ideally placed with fast rail links to London, whilst the beaches are only an hour away. We have an active junior doctors mess.

 

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

 

 

Placement

F1 Lower GI Surgery

The department

There are 5 Consultants, 2 Staff Grades, 2 SpRs, 2 ST Grades and 3 F1 Doctors in the team.

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

Where the placement is based

Musgrove Park Hospital, Barrington and Hestercombe Ward.

Clinical Supervisor(s) for the placement

Thomas Edwards, Ian Eyre-Brook, Louise Hunt, Paul Mackey, Chris Vickery

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, and take responsibility for problems arising in 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

Mon:           Consultant ward round, team meeting ward cover
Tues:          Ward round, ward cover and jobs
Wed:          Ward round, ward cover and jobs
Thurs:         Ward round, ward cover and jobs
Fri:            Consultant ward round, weekend plans
Sat:            as per rota      
Sun:           as per rota           

On call requirements: 

During this post the F1 doctor will participate in out of hours ward cover and the admission of acute general surgical patients. 1 in 10.

Employer information

Musgrove Park Hospital is the largest hospital in Somerset, with a comprehensive range of medical, surgical and diagnostic services. We became an NHS Foundation Trust in December 2007 and were awarded ‘Medium Sized Trust of the Year’ by independent health analyst Dr Foster in May 2007, showing that we are on our way to achieving consistently high performance. Our Intensive Care Unit is consistently in the top 3 of like-for-like units and our bariatric service is internationally recognised. We are a level 2 trauma centre. 

We are a leader in the Deanery for the IHI’s Quality Improvement program, with previous trainees presenting their work at national & international conferences. 

We are renowned for our friendly atmosphere and were recently voted as the top placed acute Trust in the Deanery for trainee satisfaction. The support from our Academy staff is commended by the highest levels of the Deanery. 

Geographically, we are ideally placed with fast rail links to London, whilst the beaches are only an hour away. We have an active junior doctors mess.

 

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 Department of Respiratory Medicine comprises 4 Consultant Physicians 2/3 of whom do acute General medical on-call.  The Somerset Lung Centre provides modern outpatients facilities and lung function laboratories whilst Coleridge ward provides specialist nursing for High Dependency and general Respiratory Medicine patients.  There are special interests in Cough, Cystic Fibrosis, Sleep, Pleural Disease and Lung cancer.  All respiratory and general medical pathology is represented. We are very active in research and you will gain experience of the consent process and standardized operatine procedures for various clinical trials on the ward.

The department serves Somerset west and central with a catchment population of 370000.

The department is closely linked with tertiary services in Bristol.

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 EAU 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

Coleridge Ward Duchess Building, Musgrove Park Hospital Taunton.

Clinical Supervisor(s) for the placement

Dr Robert Stone, Dr Justin Pepperell and Dr Sarah Foster

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 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:       0900 Ward round
Mon:         0900-1300 ward round
               1400-1700ward procedures admin
Tues:        0830-0930 xray meeting  
               0930-1300 ward round ward procedures admin
Wed:        0900-13 registrar ward round      
               1300  Grand round 1400-1700 teaching
Thurs:       0830-1230 ward round
               1230-1330 lung cancer MDT 
               1400 ward admin procedures
Fri:           0900-1300 ward round  
               1400-1500 department meeting 
               1500-1700 Ward cover

On call requirements:
1 in 12 week leave on MAU.

Employer information

Musgrove Park Hospital is the largest hospital in Somerset, with a comprehensive range of medical, surgical and diagnostic services. We became an NHS Foundation Trust in December 2007 and were awarded ‘Medium Sized Trust of the Year’ by independent health analyst Dr Foster in May 2007, showing that we are on our way to achieving consistently high performance. Our Intensive Care Unit is consistently in the top 3 of like-for-like units and our bariatric service is internationally recognised. We are a level 2 trauma centre. 

We are a leader in the Deanery for the IHI’s Quality Improvement program, with previous trainees presenting their work at national & international conferences. 

We are renowned for our friendly atmosphere and were recently voted as the top placed acute Trust in the Deanery for trainee satisfaction. The support from our Academy staff is commended by the highest levels of the Deanery. 

Geographically, we are ideally placed with fast rail links to London, whilst the beaches are only an hour away. We have an active junior doctors mess.

 

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

 

 

Placement

F1 Acute Medicine

The department

The Medical Admissions Unit (MAU) is the entry point for acute medical admissions to the hospital.  Patients are referred to the MAU from ED and directly from Primary Care.  The unit provides facilities both for assessment of patients who may not require admission and early management of patients prior to transfer to a specialty ward.  The unit is one of the busiest in the hospital processing nearly 1000 patients per month (mean 33 per 24 hour period).  Currently, the route of referral is split 50 / 50 between A & E and Primary Care. 

The consultant cover is provided by five Acute Medicine Consultants, and additional out of hours cover by a “Physician of the Day” system.  They will lead a post take ward round commencing at 0800, reviewing all the patients admitted overnight, with the proviso that the most unwell patients should be seen first.  Then all remaining patients are reviewed, so that there is a consultant led review of all patients on MAU. In the afternoon new patients are reviewed until the consultant of the day arrives to continue seeing patients throughout the evening.

The type of work to expect and learning opportunities

Expectations of the F1 doctor can be summarised as: 

Doctors will work in different roles on MAU. 

They are responsible for providing care for patients on MAU previously admitted and still on the ward, during 08.00 to 16.00. Working with an F2 or StR, their role in ensuring these patients have their planned investigations expedited to facilitate discharge within the identified period is crucial. Patients should move to a specialty ward within 24 hours of admission unless their predicted admission duration is <72 hours.  

or 

Part of several shifts seeing acute admissions via primary care or ED, supported with F2’s and StR’s and an active consultant presence.

Where the placement is based

Musgrove Park Hospital, MAU

Clinical Supervisor(s) for the placement

Stephen Haydock, Andrew Thompson, Nic Wennike, Duncan Whitehead, Matthew Hayman

Main duties of the placement

You should ensure that any acutely admitted patients you see are reviewed, have initial investigations arranged and an agreed management plan is enacted. If you are close to the end of your shift then a detailed handover must be carried out of outstanding investigations, and a full handover is performed with the SpR if they have not yet been reviewed.  If there are specific learning points you could see the patient another time.

Typical working pattern in this placement

Rotation through 08:00 – 16:00, 08:30 – 16:30, 13:00 – 22:00 shifts Monday to Friday        

On call requirements: 

Rotation through night time 21.00 – 10.00 shifts Mon to Sunday and 1 in 6 weekends 09.00 – 21.30

Employer information

Musgrove Park Hospital is the largest hospital in Somerset, with a comprehensive range of medical, surgical and diagnostic services. We became an NHS Foundation Trust in December 2007 and were awarded ‘Medium Sized Trust of the Year’ by independent health analyst Dr Foster in May 2007, showing that we are on our way to achieving consistently high performance. Our Intensive Care Unit is consistently in the top 3 of like-for-like units and our bariatric service is internationally recognised. We are a level 2 trauma centre. 

We are a leader in the Deanery for the IHI’s Quality Improvement program, with previous trainees presenting their work at national & international conferences. 

We are renowned for our friendly atmosphere and were recently voted as the top placed acute Trust in the Deanery for trainee satisfaction. The support from our Academy staff is commended by the highest levels of the Deanery. 

Geographically, we are ideally placed with fast rail links to London, whilst the beaches are only an hour away. We have an active junior doctors’ mess.

 

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

 

 

Placement

F1 Endocrinology

The department

The Department of Metabolism (Endocrinology, Diabetes & Weight Management) is both outward looking and forward thinking. There are 6 consultants in the department with three of us having responsibility for 15 in-patients on Conservators Ward and outlying medical patients on Portman Ward. Each of these three consultants are responsible for in-patient care and inter-specialty referrals for 4 week blocks of time. Between us we offer expertise in all areas of Endocrinology and Diabetes as well as running one of the largest weight management services in the UK. 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 quality improvement methodology 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

Conservators Ward Musgrove Park Hospital, Taunton

Clinical Supervisor(s) for the placement

Dr Paul Lambert, Dr Julia Thomas and Dr Joanne Watson rotating through Conservators Ward as the consultant in charge

Main duties of the placement

The F1 doctor will primarily be located on Conservators Ward where under the direct supervision of the consultant, he/ she will be responsible for the day to day care of general medical and specialty inpatients. 

Multidisciplinary working is an essential component of these posts in collaboration with nursing staff, physiotherapists, occupational therapists, social worker, pharmacist and dietitians. It is essential that professions share both goals and knowledge in patient care and demonstrate mutual respect consistently. The F1 placement will give experience in the ongoing management of common medical problems through to discharge with a robust, learning through doing approach and stable learning framework/ environment.

Typical working pattern in this placement

Daily: 08.30 to 18.00  (Mon to Fri) 
0900 Multi-disciplinary patient discussions
1200 Board-round with nurse in charge

Mon:         09.30 Consultant Ward Round - All Patients
               14.00 Ward based teaching ½ hour
Tues:        09.30 Consultant seeing new pts
              (1400 formal teaching programme or Wed)
Wed:        09.00 SpR Ward Round: consultant
               review of new patients
Thur:        09.30 Consultant Ward Round - All Patients
Fri:          09.30 Consultant Ward Round
               preparation for weekend

Employer information

Musgrove Park Hospital is the largest hospital in Somerset, with a comprehensive range of medical, surgical and diagnostic services. We became an NHS Foundation Trust in December 2007 and were awarded ‘Medium Sized Trust of the Year’ by independent health analyst Dr Foster in May 2007, showing that we are on our way to achieving consistently high performance. Our Intensive Care Unit is consistently in the top 3 of like-for-like units and our bariatric service is internationally recognised. We are a level 2 trauma centre. 

We are a leader in the Deanery for the IHI’s Quality Improvement program, with previous trainees presenting their work at national & international conferences. 

We are renowned for our friendly atmosphere and were recently voted as the top placed acute Trust in the Deanery for trainee satisfaction. The support from our Academy staff is commended by the highest levels of the Deanery. 

Geographically, we are ideally placed with fast rail links to London, whilst the beaches are only an hour away. We have an active junior doctors mess.

 

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

There are 8 WTE consultant gastroenterologists in the department and 1 associate specialist. The department carries out the full range of gastrointestinal investigations and endoscopic procedures including therapeutic gastroscopy, colonoscopy, ERCP. Much of the work of the department is outpatient/daycase based but inpatients are managed on a dedicated 26 bed gastroenterology ward. This is staffed with 2 ward based consultants, 2 specialist registrars, one ST1, one F2 and two F1 doctors. The ward also receives general medical patients although most of the patients have gastroenterological conditions.

The type of work to expect and learning opportunities

This placement will provide experience of the management of patients with gastroenterological disease, general medical admissions with regular 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
  • 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 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

Musgrove Park Hospital, Sheppard Ward

Clinical Supervisor(s) for the placement

Emma Greig, Nikki Hare, Tim Jobson, Rudi Matull, Stirling Pugh, Paul Thomas, Dan Pearl, Emma Wesley

Main duties of the placement

The F1 doctor will primarily be located on one base ward where, under the direct supervision of a consultant, they will be responsible for the day-to-day care of general medical and 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 problems through to discharge within a robust and stable learning framework.

Typical working pattern in this placement

 

Monday

 

 

CONS WR at 9.30am

Jobs from WR

Bloods + forms

Update list

Tuesday

 

 

STI/F1 WR

F2/F1 WR

Jobs

F2 teaching 2pm – 4pm

Bloods + forms

Update list

Wednesday

 

 

F1 WR

STI teaching 9.30am -12.30pm

REG WR  9.30am

STI in clinic 2pm-4pm

F1 teaching 2pm-4pm

Cons  ward visit 2-3pm

Bloods + forms

Update list

Thursday

CONS WR at 9.30am

REG WR at 2pm

F1 teaching 2pm-4pm

 

Bloods + forms

Update list

Friday

 

 

F2/F1 WR

CONS ward visit 2-3pm

 

Jobs

 

Bloods + forms

Update list

Write weekend handover list and take to MAU – 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

Musgrove Park Hospital is the largest hospital in Somerset, with a comprehensive range of medical, surgical and diagnostic services. We became an NHS Foundation Trust in December 2007 and were awarded ‘Medium Sized Trust of the Year’ by independent health analyst Dr Foster in May 2007, showing that we are on our way to achieving consistently high performance. Our Intensive Care Unit is consistently in the top 3 of like-for-like units and our bariatric service is internationally recognised. We are a level 2 trauma centre.

We are a leader in the Deanery for the IHI’s Quality Improvement program, with previous trainees presenting their work at national & international conferences. 

We are renowned for our friendly atmosphere and were recently voted as the top placed acute Trust in the Deanery for trainee satisfaction. The support from our Academy staff is commended by the highest levels of the Deanery. 

Geographically, we are ideally placed with fast rail links to London, whilst the beaches are only an hour away. We have an active junior doctors mess.

 

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

 

 

Placement

F1 Psychiatry

The department

The psychiatry F1 placement is based at Rydon Ward, an inpatient and outpatient facility about 2 miles from Musgrove Park Hospital.  There are two 15 bedded wards and a 10 bed “intensive care unit”.

The type of work to expect and learning opportunities

The F1 placement begins with an intensive 3 day induction.  The working week includes 2 ward rounds and 7 sessions for ward cover, meetings and 1 session  of teaching at PGME.

Where the placement is based

Musgrove Park Hospital, Rydon House, Cheddon Road, TA2 7AZ

Clinical Supervisor(s) for the placement

Dr Amanda Hoar
Dr Annette Downey

Main duties of the placement

The F1 Doctor is responsible with other staff for ward care of patients and the maintenance of patients’ medical records.  They will have the opportunity to work with the Crisis Resolution & Home Treatment team to assess acutely unwell patients.  They will also have an opportunity to perform ECT treatment.  They are expected to attend the structured teaching programme provided by the department.  They will be responsible for other specific clinical duties delegated by the consultant during handover and ward round.  Their duties will also include performing during occasional emergencies and unforeseen circumstances.

Typical working pattern in this placement

Daily 0900 – 1000 handover

Mon:     1000 – 1300 –  PGME
           1300 – 1700 –  Ward Rev/Urg A’ments
Tues:    1000 – 1300 – Ward Review / ECT
           1300 – 1700  - Ward Rounds
Wed:     1000 – 1600 – Ward Round 
Thurs:   1000 – 1400 – Ward Rev/Urg A’ments
           1400 – 1500 – Supervision
           1500 – 1700 – Ward Review
Fri:      1000 – 1700 - Ward Rev/Urg A’ments
Sat:      No on-call shift
Sun:             

On call requirements: 
The F1 has no on-call commitments for ward cover (which includes an adjacent 30 bed old age psychiatry unit) – 1 week of nights, 3 weekends, and a half day per week.

Employer information

Somerset has created an integrated health and social care provision for people with mental health problems, by establishing the first combined provider organisation in the country.  Somerset Partnership is commissioned to provide both the Health and Social Care aspects of Mental Health Services, which allows individualised packages of care to be provided, although the Health and Social Care budget streams are separately audited.  The Partnership became an NHS Foundation Trust on 1 May 2008. 

Rydon Ward covers the catchment area of Taunton, Bridgwater and Burnham-on-Sea with a population of over 300,000.

Services have been developed to provide crisis intervention and home treatment .  Rydon ward links in with other community teams which include the Somerset Team for Early Psychosis (STEP), Assertive Outreach Team, Rehabilitation and Drug & Alcohol teams. 

The Trust uses an Electronic Patient Record [RIO] for mental health and social care.  The system is now operational throughout the Trust and the electronic record is the prime record of clinical activity.

 

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

 

 

Placement

F1 Psychiatry (Old Age)

The department

The psychiatry F1 placement is based at Pyrland Ward, Wellsprings Hospital Site, Taunton, an inpatient and outpatient facility about 2 miles from Musgrove Park Hospital.  There are two 14 bedded OA wards and a OA community team base.

The type of work to expect and learning opportunities

The F1 placement begins with an intensive 3 day induction.  The working week includes 2 ward rounds and 5 sessions for ward cover, meetings and 1 session  of teaching at PGME & 1 session of F1 teaching at Musgrove Park Hospital.  Also on site Rydon Wards 1 & 2 (30 GA beds) and a PICU.

Clinical Supervisor(s) for the placement

Dr Stephen De Souza
Dr Mark Upton

Main duties of the placement

The F1 Doctor is responsible with other staff for ward care of patients and the maintenance of patients’ medical records.  They will have the opportunity to work with the Memory Service & OA community team to assess acutely unwell patients.  They will also have an opportunity to perform ECT treatment.  They are expected to attend the structured teaching programme provided by the department.  They will be responsible for other specific clinical duties delegated by the consultant during handover and ward round.  Their duties will also include performing during occasional emergencies and unforeseen circumstances.  2 GPVTS trainees & psychiatry trainees (CT1-2) are based on Pyrland.  Many more trainees are also based on Rydon & Holford Wards.

Typical working pattern in this placement

Daily     0900 – 1000 - handover

Mon:     1000 – 1300 – Ward work/admin
           1300 – 1700 – Ward Review/Urgent Assessments
Tues:    1000 – 1300 –Ward Work / ECT/Memory                                Service meeting
           1300 – 1700  -Ward Rounds
Wed:    1000 – 1600 – am PGME, 
           pm F1 teaching, Musgrove Park Hospital
Thurs:   1000 – 1400 – Ward Review/Urgent Assessments/
           MDT meeting
           1430 – 1700 – Ward round with consultant
Fri:       1000 – 1400 - Ward Reviews/CPA Meetings 
            with consultant
           1400 – 1500 – Supervision
           1500 – 17-00 - Ward work
Sat       No on-call shift
Sun: 

On call requirements:
The F1 has no on-call commitments for ward cover (which includes an adjacent 30 bed GA psychiatry unit) – 1 week of nights, 3 weekends, and a half day per week.

Employer information

Somerset has created an integrated health and social care provision for people with mental health problems, by establishing the first combined provider organisation in the country.  Somerset Partnership is commissioned to provide both the Health and Social Care aspects of Mental Health Services, which allows individualised packages of care to be provided, although the Health and Social Care budget streams are separately audited.  The Partnership became an NHS Foundation Trust on 1 May 2008. 

Pyrland Ward covers the catchment area of Taunton, Minehead, Bridgwater and Burnham-on-Sea with a population of over 300,000. 

Services have been developed to provide crisis intervention and home treatment .  Pyrland ward links in with other OA community teams. 

The Trust uses an Electronic Patient Record [RIO] for mental health and social care.  The system is now operational throughout the Trust and the electronic record is the prime record of clinical activity.

 

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

 

 

Placement

F2 ITU

The department

There are six intensive care (Level 3) beds. Patients are admitted from all areas of the hospital and are cared for by Intensive Care team in conjunction with the referring team (although the day-day running is the responsibility of the critical care team). The unit is closely allied to the HDU.

The type of work to expect and learning opportunities

The 4 month F2 placement in the Intensive Care Unit (ICU) is a part of a team of 8 consultants, a senior specialty trainee, and 4 other trainees (including the F2). 

The rota comprises a combination of long and short daytime and evening work during the week. There is no night time on call commitment.  The working day starts at 0900. On Tuesday and Friday there is compulsory teaching from 0830-0900. The ICU ward round commences at 0900 daily.  Juniors are expected to attend this and see all the patients.  The job involves caring for the ICU patients and helping oversee HDU patients. In addition the F2 is expected to see at risk patients on the wards, and participate in seeing patients referred to critical care. 

The F2s will participate in competency based assessments during their time in ICU.

Where the placement is based

Musgrove Park Hospital, ITU / HDU

Clinical Supervisor(s) for the placement

Richard Gibbs, Richard Innes, Nick Kennedy, Helene Lindsay, James Sidney, Joe Silsby, Barney Kyle

Main duties of the placement

There is ample opportunity for learning all acute care skills and practical procedures, and F2s should leave ICU competent in the assessment of sick patients. The support from seniors is very good (rated 4.8/5 in trainee feedback)

Typical working pattern in this placement

Mon:     0900-2130    
Tues:    0830-1800 
Wed:     D/O
Thurs:    D/O
Fri:       0800-2130
Sat:      0900-2130
Sun:      0900-2130

On call requirements: 1:4 evenings & long-day weekends

The on call requirements are flexible to enable trainees to take leave wherever possible. Dr Lindsay writes the rota in advance taking into account all received requests. The post is compliant with EWTD.

Trainees who have worked days over the weekend work 0900-1330 on the following Monday. Each day starts with a sit down handover round from 0900-1000, lead by the trainee who was on duty on the previous night shift. The ICU ward round then examines each patient and a plan is formed for the day. FY2 trainees are will be allocated to a patient each day to ensure continuity.

Acutely unwell patients are reviewed by the ICU SpR. As the trainees’ skills develop there are more opportunities to take on responsibilities, such as central and arterial line insertion, in-hospital transfers and reviewing critically ill patients on the ward.

An evening ward round occurs from 17:00-18:00 to review the days progress. The trainee on a long day will then be the sole resident on the unit, covering ICU & HDU, under supervision of the ICU SpR. Although they carry the cardiac arrest bleep, they should only attend this if not busy on ICU as the default person to attend is the anaesthetic trainee from theatres.

Employer information

Musgrove Park Hospital is the largest hospital in Somerset, with a comprehensive range of medical, surgical and diagnostic services. We became an NHS Foundation Trust in December 2007 and were awarded ‘Medium Sized Trust of the Year’ by independent health analyst Dr Foster in May 2007, showing that we are on our way to achieving consistently high performance. Our Intensive Care Unit is consistently in the top 3 of like-for-like units and our bariatric service is internationally recognised. We are a level 2 trauma centre. 

We are a leader in the Deanery for the IHI’s Quality Improvement program, with previous trainees presenting their work at national & international conferences. 

We are renowned for our friendly atmosphere and were recently voted as the top placed acute Trust in the Deanery for trainee satisfaction. The support from our Academy staff is commended by the highest levels of the Deanery. 

Geographically, we are ideally placed with fast rail links to London, whilst the beaches are only an hour away. We have an active junior doctors mess.

 

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

The department consists of 3 consultants and 1 associate specialist. They are supported by 2 stroke practitioners. Dunkery stroke unit is a 23-bed acute stroke unit offering specialist multidisciplinary care to all patients with acute stroke. It serves a population of approximately 330,000. There are between 40 – 50 stroke admissions each month, and the majority of patients are directly admitted, either from A&E or primary care. 

There are close links with the community stroke units in Williton, South Petherton and Shepton Mallet. We are also involved in the Somerset Stroke Early Supported Discharge scheme which facilitates early rehabilitation at home. 

In addition to comprehensive stroke unit care, the department offers stroke thrombolysis to all appropriate patients, working in collaboration with the emergency physicians. There are also daily rapid access stroke / TIA clinics. We also have close links with the neurologists and vascular surgeons. 

The department is part of the Peninsula Stroke Research network. We participate in a growing portfolio of national and international research trials.

The type of work to expect and learning opportunities

This placement will provide experience of the management of patients on acute general medical wards with regular exposure to acute unselected medical emergencies. Other learning opportunities include 

  • Diagnosis & treatment of TIA, stroke & stroke mimics
  • Implementation of stroke protocols e.g. when to treat hypertension, anti platelet therapy
  • Hyperacute management of stroke & post-thrombolysis care
  • Management of chronic diseases such as Parkinson’s disease
  • Competence in initial swallow assessment/assessing need for SALT referral, assessment of nutrition and criteria for NG and PEG feeding
  • An approach to ethical issues such as mental capacity, withholding & withdrawing treatment
  • Palliative and end-of-life care
  • Multidisciplinary approach to assessing patients’ needs
  • Shadowing of physiotherapists / occupational therapists
  • Close liaison with social workers for placement in residential/nursing homes
  • Recruitment to current stroke research trials

Where the placement is based

Musgrove Park Hospital, Dunkery Stroke Unit

Clinical Supervisor(s) for the placement

Robert Whiting & Malik Hussain

Main duties of the placement

The F2 doctor will primarily be located on Dunkery Stroke Unit where, under the direct supervision of a consultant, they will be responsible for the day-to-day care of general medical and specialty inpatients. 

Multidisciplinary working is an essential component of these posts, in collaboration with nursing staff, physiotherapists, occupational therapists, speech & language therapists and social workers.  These F2 placements will give experience of ongoing management of common medical problems through to discharge within a robust and stable learning framework. The F2 will also be involved in co-ordinating a safe & timely discharge for patients, with provision of a clear & detailed discharge summary. 

They will have the opportunity to attend rapid access stroke clinics and, where possible, be involved in both stroke thrombolysis and selection & recruitment of patients for research trials.

Typical working pattern in this placement

Mon:    9am – 12:30pm: Consultant Ward Round
          13:00 – 14:00: Care of Older People education meeting
          14:00 – 16:00: Stroke MDT
Tues:   9am – 13:00: ward round
          14:00 – 17:00: ward work
Wed:   9am – 12:30pm: consultant ward round
          13:00 – 14:00: Medical Grand Round
          14:00 – 17:00: Ward work
Thurs:  9am – 12:30pm: Associate Specialist ward round
          12:30 – 13:30: stroke multidisciplinary teaching                     (once/month)
          14:00 – 17:00: ward work
Fri:      9am – 9:30am: Peer-led stroke teaching
          9:30 - 12:30pm: consultant ward round
          12:30 – 13:30: Xray meeting
          14:00 – 17:00: Ward work

On call requirements: 
During this post the F2 doctor will participate in out of hours ward cover and the admission of unselected acute general medical patients.  This includes participation in the Hospital at Night cross cover rota 1 in 21.

Employer information

Musgrove Park Hospital is the largest hospital in Somerset, with a comprehensive range of medical, surgical and diagnostic services. We became an NHS Foundation Trust in December 2007 and were awarded ‘Medium Sized Trust of the Year’ by independent health analyst Dr Foster in May 2007, showing that we are on our way to achieving consistently high performance. Our Intensive Care Unit is consistently in the top 3 of like-for-like units and our bariatric service is internationally recognised. We are a level 2 trauma centre. 

We are a leader in the Deanery for the IHI’s Quality Improvement program, with previous trainees presenting their work at national & international conferences. 

We are renowned for our friendly atmosphere and were recently voted as the top placed acute Trust in the Deanery for trainee satisfaction. The support from our Academy staff is commended by the highest levels of the Deanery. 

Geographically, we are ideally placed with fast rail links to London, whilst the beaches are only an hour away. We have an active junior doctors mess.

 

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

5 general practices provide F2 placements, three within Taunton, one in Bridgwater (12 miles from Taunton), and one in Axbridge (28 miles north of Taunton via the M5).  All 4 practices have been approved for general practice training for many years.  Each practice has several experienced trainers in addition to the F2 trainer/educational supervisor.  The other partners share in the supervision and teaching and the practice staff are also involved.  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

Axbridge Surgery
Blackbrook Surgery
East Quay Medical Centre
St James Medical Centre
Lyngford Park Surgery
North Petherton Surgery

Clinical Supervisor(s) for the placement

Jo Cox, Elspeth Geraghty, Alison Goldie, Tom Herdman, Helen Burton, Mark Howell

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 main role will be (lightly but safely supervised) consulting with patients. GP trainers find that their patients are usually very supportive of junior doctors, and most of them really like seeing a new face.    In addition your F2 trainer will arrange experience according to your learning needs – the GPs have excellent relationships with the local healthcare community, so working with a variety of professionals can be offered. 

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 on call

Employer information

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

Musgrove Park Hospital is the largest hospital in Somerset, with a comprehensive range of medical, surgical and diagnostic services. We became an NHS Foundation Trust in December 2007 and were awarded ‘Medium Sized Trust of the Year’ by independent health analyst Dr Foster in May 2007, showing that we are on our way to achieving consistently high performance. Our Intensive Care Unit is consistently in the top 3 of like-for-like units and our bariatric service is internationally recognised. We are a level 2 trauma centre. 

We are a leader in the Deanery for the IHI’s Quality Improvement program, with previous trainees presenting their work at national & international conferences. 

We are renowned for our friendly atmosphere and were recently voted as the top placed acute Trust in the Deanery for trainee satisfaction. The support from our Academy staff is commended by the highest levels of the Deanery. 

Geographically, we are ideally placed with fast rail links to London, whilst the beaches are only an hour away. We have an active junior doctors mess.

 

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

 

 

Placement

F2 Cardiology / CCU

The department

The cardiology department comprises 8 consultant cardiologists, 5 of whom do on-call for primary angioplasty and other acute cardiological emergencies. We have one specialty doctor and 2 Cardiology SpRs who also contribute to the medical on call rota. There are a lot of specialist nurses within the department (chest pain, heart failure, arrhythmia and AF).

We perform angiography and angioplasty, simple and complex pacing, and complex including MRI and cardiac CT.

The department serves West Somerset, which has a population of 330,000 and the whole of Somerset for complex pacing and angioplasty.

We have close links with tertiary services in the Bristol Heart Institute and Harefield Hospital in London.

The type of work to expect and learning opportunities

The F2 doctor will primarily be located on one base ward where, under the direct supervision of a consultant, they will be responsible for the day-to-day care of general medical and specialty inpatients. 

  • Decision making through communication with patients
  • Team working and communication with colleagues
  • Understanding consent and explaining risk
  • Managing clinical complaints and learning from them
  • Using evidence in the best interest of patients
  • Understanding how appraisal works to promote lifelong learning and professional development
  • Taking responsibility for the future of the NHS, i.e. teaching others effectively
  • Ethics and law as part of clinical practice
  • Competence in basic ECG interpretation
  • Recognition and management of acute coronary syndromes
  • Introduction to consent processes for coronary intervention
  • Basic overview of and introduction to further cardiac investigations and treatments
  • Understanding the indications for pacemakers and complex devices.

Where the placement is based

Musgrove Park Hospital, Fielding Ward / CCU / Blake Ward.

Clinical Supervisor(s) for the placement

David Beacock, Mark Dayer, Dan McKenzie, Mike Seddon, Oliver Gosling and Tom Mac Connell

Main duties of the placement

Multidisciplinary working is an essential component of this post, in collaboration with other specialists, nursing staff, physiotherapists, dieticians, occupational therapists and social workers.  These F2 placements will give experience of ongoing management of common medical problems through to discharge within a robust and stable learning framework.

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

Typical working pattern in this placement

Mon: 8am-6pm    
Tues: 8am-6pm – Teaching 14:00-16:00          
Wed: 8am-6pm – MDT 12:00 – 13:00, Grand Round 13:00-14:00            
Thurs: 8am-6pm
Fri: 8am-6pm               
Sat:             
Sun:            

M+M meetings once a month

On call requirements:  
17:30-21:30 ward cover ~ 1 in 7
1.5 nights / month

Employer information

Musgrove Park Hospital is the largest hospital in Somerset, with a comprehensive range of medical, surgical and diagnostic services. We became an NHS Foundation Trust in December 2007 and were awarded ‘Medium Sized Trust of the Year’ by independent health analyst Dr Foster in May 2007, showing that we are on our way to achieving consistently high performance. Our Intensive Care Unit is consistently in the top 3 of like-for-like units and our bariatric service is internationally recognised. We are a level 2 trauma centre. 

We are a leader in the Deanery for the IHI’s Quality Improvement program, with previous trainees presenting their work at national & international conferences. 

We are renowned for our friendly atmosphere and were recently voted as the top placed acute Trust in the Deanery for trainee satisfaction. The support from our Academy staff is commended by the highest levels of the Deanery. 

Geographically, we are ideally placed with fast rail links to London, whilst the beaches are less than an hour away. We have an active junior doctors mess.

 

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 was opened by Her Majesty the Queen in 1987. It provides services for the population of West Somerset and sees 58,000 new patients a year. 

The Department has 24 hour specialty trainee cover, with on-site senior cover (middle grade / consultant) between 0800-0100 hours Monday-Wednesday and 0800-0400 Thursday-Sunday.  Senior cover after this is provided by the on-call consultant from home. 

In addition to a wide variety of medical & surgical emergencies, 25% of all attendances are children.

The type of work to expect and learning opportunities

The ED sees a wide variety of patients who self-present with injuries and illness. 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.  The Department has had doctors on F2 placements since 2005. The post has been a great success, proving popular with the Foundation trainees and with the staff of the Emergency Department. 

Educational Opportunities 

There is protected teaching for junior medical staff. This is done by the senior staff in the department on a weekly basis. The F2 doctor is also free to attend Trustwide F2 teaching on a weekly basis. There is continuous shopfloor teaching on all cases seen by the F2 doctor.

Where the placement is based

Musgrove Park Hospital, Emergency Department

Clinical Supervisor(s) for the placement

Paul Baines, Gillian Bryce, Jason Louis, Cliff Mann, Jon Tipping, Alistair Billington, James Gagg, Esther Wilson, Crispin Porter

Main duties of the placement

The F2 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.

Typical working pattern in this placement

The rota consists of a shift pattern with the following shifts:

Weekdays                Weekends:

0800-1515               0800-1800
1200-2000               0900-2100
1300-2215               1300-2215
1500-0000               1600-0200
2200-0815               2200-0815

Night shifts are split into 3 and 4 day runs with rest days to follow.

Employer information

Musgrove Park Hospital is the largest hospital in Somerset, with a comprehensive range of medical, surgical and diagnostic services. We became an NHS Foundation Trust in December 2007 and were awarded ‘Medium Sized Trust of the Year’ by independent health analyst Dr Foster in May 2007, showing that we are on our way to achieving consistently high performance. Our Intensive Care Unit is consistently in the top 3 of like-for-like units and our bariatric service is internationally recognised. We are a level 2 trauma centre. 

We are a leader in the Deanery for the IHI’s Quality Improvement program, with previous trainees presenting their work at national & international conferences. 

We are renowned for our friendly atmosphere and were recently voted as the top placed acute Trust in the Deanery for trainee satisfaction. The support from our Academy staff is commended by the highest levels of the Deanery. 

Geographically, we are ideally placed with fast rail links to London, whilst the beaches are only an hour away. We have an active junior doctors mess.

 

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

 

 

Placement

F2 Vascular Surgery

The department

The Vascular Surgery Unit at Musgrove is a regional vascular unit providing elective and emergency arterial and venous surgery for patients throughout Somerset and North Devon.

The Unit serves a population of between 500,000 and 700,000 and comprises 4 Consultants- Mr Paul Eyers, Mr Andrew Stewart, Mr Ian Hunter and Mr James Coulston. 2 honorary consultants Mr John Taylor and Mr David Williams primarily based at North Devon District Hospital also provide emergency and elective aortic surgery at Musgrove.

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

Where the placement is based

Musgrove Park Hospital, Jubilee Building

Clinical Supervisor(s) for the placement

Andrew Stewart, Ian Hunter, Paul Eyers, James Coulston

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 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 general surgical, vascular and urological emergencies during which time they will be freed from routine vascular inpatient duties. They are expected to attend the F1 structured teaching 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

Mon:   8am ward round preparation
         9am Grand round F1s are expected to present each                  case, ward MDT, inpatient care,
         1.30pm outpatient clinic       
Tues:  8am ward round, inpatient care/main theatre       
Wed:  8am ward round, inpatient care/main theatre  
         12.30 Xray meeting. Inpatient cases presented by F1s     
Thurs: 8am ward round, inpatient care/main theatre       
Fri:     8am ward round, inpatient care, am outpatient clinic
         2pm weeks 2/4 AAA MDT
Sat:             
Sun:            

On call requirements: 

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

Employer information

Musgrove Park Hospital is the largest hospital in Somerset, with a comprehensive range of medical, surgical and diagnostic services. We became an NHS Foundation Trust in December 2007 and were awarded ‘Medium Sized Trust of the Year’ by independent health analyst Dr Foster in May 2007, showing that we are on our way to achieving consistently high performance. Our Intensive Care Unit is consistently in the top 3 of like-for-like units and our bariatric service is internationally recognised. We are a level 2 trauma centre.

We are a leader in the Deanery for the IHI’s Quality Improvement program, with previous trainees presenting their work at national & international conferences. 

We are renowned for our friendly atmosphere and were recently voted as the top placed acute Trust in the Deanery for trainee satisfaction. The support from our Academy staff is commended by the highest levels of the Deanery. 

Geographically, we are ideally placed with fast rail links to London, whilst the beaches are only an hour away. We have an active junior doctors mess.

 

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

 

 

Placement

F2 Oncology

The department

The Department of Oncology has undergone major expansion, culminating in the opening of the Beacon Centre in May 2009. The department comprises 8 clinical oncologists and 2 medical oncologist as well as 2 associate specialists. We have a dedicated acute oncology team including a staff grade, 2 specialist nurses with a consultant lead. We all cover oncology on calls, providing acute advice for patients admitted via Mau or A&E, as well as advice for outlying oncology patients.

We cover most cancer sites, including head&neck, lung, Upper and lower GI, Breast, Skin, Urology, Gynaecology,

The type of work to expect and learning opportunities

This placement is predominantly based on the Beacon ward, which is a dedicated 14 bedded oncology ward within the cancer unit at Musgrove.

Experience will be gained in the management of oncology related problems, either related to the disease itself or treatment related eg chemotherapy/ targeted therapy or radiotherapy induced toxicities. There will be exposure and experience in the management of oncology related emergencies eg spinal cord compression, neutropenia and hypercalcaemia. Generic skills such venepuncture, cannulation ascitic drainage and pleural aspiration can also be developed. Opportunities for attending outpatients clinics and gaining insight into the practicalities and techniques of radiotherapy are encouraged.

Skills in palliative care are also developed, such as opioid prescribing, use of syringe drivers and end of life issues, with regular input from the palliative care team, which consists of visiting consultants and palliative care nurses. Both the palliative care team and the oncology consultants deliver in house teaching on a regular basis to enhance the learning experience within this placement.

There will be opportunities to participate in short “oncology tasters” such as attending outpatients’ clinic in a supervised role, attending radiotherapy planning as well as the busy chemotherapy day unit. Audit and research are encouraged, as well as presentation of collated data at local, national and international meetings.

Where the placement is based

Musgrove Park Hospital, Beacon Centre

Clinical Supervisor(s) for the placement

Dr Mili Barthakur

Main duties of the placement

The F2 doctor is responsible along with support from the F1 and CT1 for the ward care of patients and with the maintenance of the patients record. Beacon ward is a 14 bedded I/P ward providing care and treatment for patients at all stages of their cancer pathway. The ward links closely with radiotherapy and chemotherapy day unit where medical input from the F2 will be required. Daily ward round and board round is provided by the oncology consultants, with whom the F2 will work closely with. Good communication with ward nurses, palliative care, medical and surgical teams and also supporting disciplines such as dieticians, OT, physiotherapy is essential.

There is the opportunity to attend oncology O/P clinics and MDTs.

There is also a structured weekly teaching programme in place covering all aspects of oncology and palliative care as well as monthly departmental educational meetings and quarterly morbidity and mortality meetings.

By the end of the placement the F2 would be expected to have

  • Understanding of oncological conditions and the pathophysiology of the common malignancies and the management of these
  • Good understanding of diagnosis, investigation and treatment of all oncology emergencies
  • Good understanding of chemotherapy, its indications, common toxicities and supportive management of these
  • Basic understanding of radiotherapy, its indications, toxicities, complications and the supportive management of these
  • Good understanding of palliative care, end of life including the implementation of LCP 

F2  would be able to

  • Admit, take a history and examine the patient
  • Prepare for daily consultant ward round
  • Liaise with nursing staff with regards to handover or changes to patient’s treatment during the day.

Typical working pattern in this placement

The placement is largely traditionally ward-based, while incorporating structured training in basic cancer medicine, oncological emergencies and symptom control/ palliative care 

Daily handover and board round at 9:00 and then handover at 17:00

Generally the post is ward based, with medical input in to the radiotherapy and chemotherapy day unit.

Mon:09:00 – 17:00
Tues: 09:00 – 17:00 ( 1400 weekly general F2 teaching)
Wed: 09:00 – 17:00
Thurs: 09:00 – 17:00
Fri: 09:00 – 17:00 (1400 monthly departmental educational meetings)
Sat:             
Sun:  

Weekly oncology teaching- times and days differ week to week depending on which consultant is giving the teaching

On call requirements: 
No On call

Employer information

Musgrove Park Hospital is the largest hospital in Somerset, with a comprehensive range of medical, surgical and diagnostic services. We became an NHS Foundation Trust in December 2007 and were awarded ‘Medium Sized Trust of the Year’ by independent health analyst Dr Foster in May 2007, showing that we are on our way to achieving consistently high performance. Our Intensive Care Unit is consistently in the top 3 of like-for-like units and our bariatric service is internationally recognised. We are a level 2 trauma centre. 

We are a leader in the Deanery for the IHI’s Quality Improvement program, with previous trainees presenting their work at national & international conferences. 

We are renowned for our friendly atmosphere and were recently voted as the top placed acute Trust in the Deanery for trainee satisfaction. The support from our Academy staff is commended by the highest levels of the Deanery. 

Geographically, we are ideally placed with fast rail links to London, whilst the beaches are only an hour away. We have an active junior doctors mess.

 

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

 

 

Placement

F2 Care of the Elderly

The department

The Department consists of 7 Consultants plus other grades, with special interests in Falls, Stroke, dementia, delirium, frailty, Parkinson’s disease, osteoporosis, and Ortho-Geriatric liaison. We cover a large area of a rural county with a population of 360.000; there are several Community Hospitals, where patients are transferred for further rehab.

The type of work to expect and learning opportunities

The F2 doctor will primarily be located on one base ward where, under the direct supervision of a consultant, they will be responsible for the day-to-day care of general medical and specialty inpatients.  

  • Decision making through communication with patients
  • Team working and communication with colleagues
  • Understanding consent and explaining risk
  • Managing clinical complaints and learning from them
  • Ethics and law as part of clinical practice
  • Using evidence in the best interest of patients
  • Understanding how appraisal works to promote lifelong learning and professional development
  • Taking responsibility for the future of the NHS, i.e. teaching others effectively
  • Management of chronic diseases such as Parkinson’s disease
  • Cognitive assessment and management of patients with this in the hospital setting
  • Understand the complexity of health care in the elderly and the concept of frailty
  • Implementation of stroke protocols e.g. when to treat hypertension, anti-platelet therapy
  • Competence in initial swallow assessment/assessing need for SALT referral, assessment of nutrition and criteria for NG and PEG feeding
  • Multidisciplinary approach to assessing patient’s needs and a comprehensive geriatric assessment
  • Shadowing of physiotherapists / occupational therapists
  • Close liaison with social workers for placement in residential/nursing homes

Where the placement is based

Musgrove Park Hospital, Sedgemoor, Eliot & Wordsworth Ward

Clinical Supervisor(s) for the placement

Peter Campbell, Simon Cooper, Prabhath Fernando, Vikky Morris, Lucy Pollock, Tarun Solanki, Rachel O Toole

Main duties of the placement

In-patient care of Acute Care of Elderly patients on Sedgmoor Ward, Eliot ward and Wordsworth Ward 

Multidisciplinary working is an essential component of this post, in collaboration with nursing staff, physiotherapists, dieticians, occupational therapists and social workers.  These F2 placements 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
            12-1pm joint radiology meeting
Tues:     9 am Consultant W/R
Wed:     9 am Reg W/R
            1-2pm Grand Round Postgrad
Thurs:    9 am Cons W/R
Fri:        9 am Cons W/R
            1-2pm departmental clinical meeting
Sat:             
Sun:            

On call requirements:
1:9 Rota (with cross cover nights on 1:21 basis)

Employer information

Musgrove Park Hospital is the largest hospital in Somerset, with a comprehensive range of medical, surgical and diagnostic services. We became an NHS Foundation Trust in December 2007 and were awarded ‘Medium Sized Trust of the Year’ by independent health analyst Dr Foster in May 2007, showing that we are on our way to achieving consistently high performance. Our Intensive Care Unit is consistently in the top 3 of like-for-like units and our bariatric service is internationally recognised. We are a level 2 trauma centre. 

We are a leader in the Deanery for the IHI’s Quality Improvement program, with previous trainees presenting their work at national & international conferences. 

We are renowned for our friendly atmosphere and were recently voted as the top placed acute Trust in the Deanery for trainee satisfaction. The support from our Academy staff is commended by the highest levels of the Deanery. 

Geographically, we are ideally placed with fast rail links to London, whilst the beaches are only an hour away. We have an active junior doctors mess.

 

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

 

 

Placement

F2 Respiratory Medicine

The department

The Department of Respiratory Medicine comprises 3 Consultant Physicians 2/3 of whom do acute General medical on-call. The Somerset Lung Centre provides modern outpatients facilities and lung function laboratories whilst Coleridge ward provides specialist nursing for High Dependency and general Respiratory Medicine patients. There are special interests in Cough, Cystic Fibrosis, Sleep, Pleural Disease and Lung cancer.  All respiratory and general medical pathology is represented

The department serves Somerset west and central with a catchment population of 370000.

The department is closely linked with tertiary services in Bristol.

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 EAU  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 / 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

Coleridge Ward Duchess Building, Musgrove Park Hospital Taunton.

Clinical Supervisor(s) for the placement

Dr Robert Stone, Dr Justin Pepperell and Dr Sarah Foster

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:       0900 Ward round
               1200/1700/2100   Handover 
Mon:         0900-1300 ward round 
               1400-1700ward procedures admin
Tues:        0830-0930 xray meeting  
               0930-1300 ward round ward procedures admin
Wed:        0900-1100 teaching
               1100-1300 ward       
               1300  Grand round 
               1400-1700 clinic
Thurs:       0900-1230 ward round
               1230-1330 lung cancer MDT
               1400 ward admin procedures
Fri:          0900-1300 ward round  
               1400-1500 department meeting 
               1500-1700 Ward cover 

On call requirements:
1 in 5 with flexible twilight shifts.

Employer information

Musgrove Park Hospital is the largest hospital in Somerset, with a comprehensive range of medical, surgical and diagnostic services. We became an NHS Foundation Trust in December 2007 and were awarded ‘Medium Sized Trust of the Year’ by independent health analyst Dr Foster in May 2007, showing that we are on our way to achieving consistently high performance. Our Intensive Care Unit is consistently in the top 3 of like-for-like units and our bariatric service is internationally recognised. We are a level 2 trauma centre. 

We are a leader in the Deanery for the IHI’s Quality Improvement program, with previous trainees presenting their work at national & international conferences. 

We are renowned for our friendly atmosphere and were recently voted as the top placed acute Trust in the Deanery for trainee satisfaction. The support from our Academy staff is commended by the highest levels of the Deanery. 

Geographically, we are ideally placed with fast rail links to London, whilst the beaches are only an hour away. We have an active junior doctors mess.

 

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

 

 

Placement

F2 Acute Medicine

The department

The Medical Admissions Unit (MAU) is the entry point for acute medical admissions to the hospital.  Patients are referred to the MAU from A & E and directly from Primary Care.  The unit provides facilities both for assessment of patients who may not require admission and early management of patients prior to transfer to a specialty ward.  The unit is one of the busiest in the hospital processing nearly 1000 patients per month (mean 33 per 24 hour period).  Currently, the route of referral is split 50 / 50 between A & E and Primary Care. 

The consultant cover is provided by six Acute Medicine Consultants, and additional out of hours cover by a “Physician of the Day” system.  They will lead a post take ward round commencing at 0800, reviewing all the patients admitted overnight, with the proviso that the most unwell patients should be seen first.  Then all remaining patients are reviewed, so that there is a consultant led review of all patients on MAU. In the afternoon new patients are reviewed until the consultant of the day arrives to continue seeing patients throughout the evening. 

The type of work to expect and learning opportunities

The expectations of the F2 doctor can be summarised as follows:- 

The MAAU team is made up of 6 doctors who provide all the care for patients on MAAU. There are 5 staggered shifts; 

  • 0830-1700
  • 1200-2000
  • 1200-2000
  • 1700-0045
  • 2100-1000 

An individual will work one particular shift for a (Monday-Friday) week. Weekend cover is provided by other doctors from the Medical Division (excluding nights).

Where the placement is based

Musgrove Park Hospital, MAAU

Clinical Supervisor(s) for the placement

Stephen Haydock, Andrew Thompson, Nic Wennike, Duncan Whitehead, Yousha Yousuf, Matthew Hayman

Main duties of the placement

The F2 doctor on the shift starting at 0830h will accompany the post take ward round starting at 0830, and will be responsible for completing the tasks from the round. In addition they are responsible for reviewing any other patients on MAU not part of that day’s acute admissions, and providing cover for Jowett Ward (ward attached to A & E where some patients may be placed – they should ensure that Jowett ward has their bleep number each morning). 

F2 doctors on other shifts are responsible for seeing patients admitted acutely via A&E or primary care. Their work should be coordinated by the Specialist Registrar on call who is responsible for triaging admissions. There is a common admissions pro forma for patients. 

F2 doctors are responsible for ordering and chasing up investigations. Any incomplete investigations (where important) should be handed over – there is a handover folder on the ward and a handover meeting between 2100-2130. 

F2 doctors are expected to highlight any unwell patients (all patients are scored as being at risk – PAR scoring, PAR>3 indicates risk of deterioration) either to the on call registrar or consultant.

Typical working pattern in this placement

The MAU team is made up of 6 doctors who provide all the care for patients on MAAU. There are 5 staggered shifts; 

  • 0830-1700
  • 1200-2000
  • 1200-2000
  • 1700-0045
  • 2100-1000

Employer information

Musgrove Park Hospital is the largest hospital in Somerset, with a comprehensive range of medical, surgical and diagnostic services. We became an NHS Foundation Trust in December 2007 and were awarded ‘Medium Sized Trust of the Year’ by independent health analyst Dr Foster in May 2007, showing that we are on our way to achieving consistently high performance. Our Intensive Care Unit is consistently in the top 3 of like-for-like units and our bariatric service is internationally recognised. We are a level 2 trauma centre. 

We are a leader in the Deanery for the IHI’s Quality Improvement program, with previous trainees presenting their work at national & international conferences. 

We are renowned for our friendly atmosphere and were recently voted as the top placed acute Trust in the Deanery for trainee satisfaction. The support from our Academy staff is commended by the highest levels of the Deanery. 

Geographically, we are ideally placed with fast rail links to London, whilst the beaches are only an hour away. We have an active junior doctors mess.

 

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

There are 7 WTE consultant gastroenterologists in the department and 1 associate specialist. The department carries out the full range of gastrointestinal investigations and endoscopic procedures including therapeutic gastroscopy, colonoscopy, ERCP. Much of the work of the department is outpatient/daycase based but inpatients are managed on a dedicated 26 bed gastroenterology ward. This is staffed with 2 ward based consultants, 2 specialist registrars, one ST1, one F2 and two F1 doctors. The ward also receives general medical patients although most of the patients have gastroenterological conditions.

The type of work to expect and learning opportunities

This placement will provide experience of the management of patients with gastroenterological disease, general medical admissions with regular 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
  • 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 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

Musgrove Park Hospital, Sheppard Ward

Clinical Supervisor(s) for the placement

Emma Greig, Nikki Hare, Tim Jobson, Rudi Matull, Stirling Pugh, Paul Thomas, Dan Pearl, Emma Wesley

Main duties of the placement

The F2 doctor will primarily be located on one base ward where, under the direct supervision of a consultant, they will be responsible for the day-to-day care of general medical and gastroenterology inpatients.  Multidisciplinary working is an essential component of these posts, in collaboration with nursing staff, physiotherapists, dieticians, occupational therapists and social workers.  These F2 placements will give experience of ongoing management of common medical problems through to discharge within a robust and stable learning framework. F2 doctors are encouraged to attend gastroenterology outpatient clinics and endoscopy lists to understand the full range of the speciality.

Typical working pattern in this placement

 

Monday

 

 

CONS WR at 9.30am

 

Jobs from WR

Bloods + forms

Update list

Tuesday

 

 

STI/F1 WR

F2/F1 WR

Jobs

F2 teaching 2pm – 4pm

Bloods + forms

Update list

Wednesday

 

 

F1 WR

STI teaching 9.30am -12.30pm

REG WR  9.30am

STI in clinic 2pm-4pm

F1 teaching 2pm-4pm

Cons  ward visit 2-3pm

Bloods + forms

Update list

Thursday

CONS WR at 9.30am

REG WR at 2pm

F1 teaching 2pm-4pm

 

Bloods + forms

Update list

Friday

 

 

F2/F1 WR

CONS ward visit 2-3pm

 

Jobs

 

Bloods + forms

Update list

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

 

During this post the F2 doctor will participate in out of hours ward cover and the admission of unselected acute general medical patients.  This includes participation in the Hospital at Night cross cover rota 1 in 21.

Employer information

Musgrove Park Hospital is the largest hospital in Somerset, with a comprehensive range of medical, surgical and diagnostic services. We became an NHS Foundation Trust in December 2007 and were awarded ‘Medium Sized Trust of the Year’ by independent health analyst Dr Foster in May 2007, showing that we are on our way to achieving consistently high performance. Our Intensive Care Unit is consistently in the top 3 of like-for-like units and our bariatric service is internationally recognised. We are a level 2 trauma centre. 

We are a leader in the Deanery for the IHI’s Quality Improvement program, with previous trainees presenting their work at national & international conferences. 

We are renowned for our friendly atmosphere and were recently voted as the top placed acute Trust in the Deanery for trainee satisfaction. The support from our Academy staff is commended by the highest levels of the Deanery. 

Geographically, we are ideally placed with fast rail links to London, whilst the beaches are only an hour away. We have an active junior doctors mess.

 

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

 

 

Placement

F2 Orthopaedic Perioperative Care

The department

The Orthopaedic Department works in 5 teams on 3 wards.  FY2 doctors are currently based on a single ward, on a rotation system; this may be subject to change.  The rotation includes periods with the opportunity to attend clinics and theatre lists in a supernumerary position for teaching.

The type of work to expect and learning opportunities

During this placement the F2 doctor will 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. They will also gain experience in the assessment and management of acute trauma and other Orthopaedic emergencies.

Where the placement is based

Musgrove Park Hospital Gould, Portman & Sheppard Ward

Clinical Supervisor(s) for the placement

Ben Bolland, Alan Dunkley, James Heal, Andrew Kelly, Colin Ogilvie, Ben Squires, Paul Thorpe, James Williams, Rod Hammett, Barney Sheridan, Ben Squires

Main duties of the placement

There is a daily post take trauma meeting at 8.15 am which aims to set out the management plans for admissions.  Attendance is mandatory except for the FY2 doctors on nights or covering Sheppard Ward.  This meeting is a forum for Trauma teaching for junior staff.  There are also weekly (Tues lunchtime) departmental teaching sessions.  Twice weekly, there is a consultant physician-led ward round for the management of co-morbidities both pre and post operatively in trauma patients.  Physician support is also available from Dr Forrester. 

Weekly Orthopaedic teaching meetings are arranged, and the F2s are encouraged to attend the weekly Post graduate teaching sessions where they are invited to present cases.

Typical working pattern in this placement

Typical working pattern in this post is based around rotation through 9 areas: Gould and Portman ward (trauma); Shepherd ward (elective); early and late on call; Nights and time off post nights; Annual leave; Floater. The Floaters role is to help out where needed but also for self directed education with the opportunity to go to theatre, clinics or the plaster room as they wish.

Every consultant has a weekly ward round.

There is a trauma meeting every morning at 8.15 where the cases admitted the day before are discussed (an excellent learning opportunity). This includes Saturday and Sunday which is followed by a post take ward round. 

On call requirements: 

The Orthopaedic F2s provide cover for the Orthopaedic wards on a 1 in 7 rota until 21.15 (Twilight). They also take part in the night rota with the medical F2s covering the wards in Queens and Duchess building in collaboration with the Hospital at night Clinical Site team.

Employer information

Musgrove Park Hospital is the largest hospital in Somerset, with a comprehensive range of medical, surgical and diagnostic services. We became an NHS Foundation Trust in December 2007 and were awarded ‘Medium Sized Trust of the Year’ by independent health analyst Dr Foster in May 2007, showing that we are on our way to achieving consistently high performance. Our Intensive Care Unit is consistently in the top 3 of like-for-like units and our bariatric service is internationally recognised. We are a level 2 trauma centre. 

We are a leader in the Deanery for the IHI’s Quality Improvement program, with previous trainees presenting their work at national & international conferences. 

We are renowned for our friendly atmosphere and were recently voted as the top placed acute Trust in the Deanery for trainee satisfaction. The support from our Academy staff is commended by the highest levels of the Deanery. 

Geographically, we are ideally placed with fast rail links to London, whilst the beaches are only an hour away. We have an active junior doctors mess.

 

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

 

 

Placement

F2 ENT

The department

The Head & Neck Directorate provides General ENT, Thyroid and Head & Neck oncology services to Taunton and Somerset NHS Foundation Trust. 

Musgrove Park is an award winning, progressive and ambitious District General Hospital, the largest in Somerset, providing acute and community services to over 340,000 people, with an outstanding reputation for the provision of a comprehensive range of medical, surgical and specialist services. A new £20m Oncology Centre opened in May 2009 and plans are in place for a new state of the art, all single room Surgical Block to be completed by 2014. 

There are currently four ENT consultants with different areas of special interest.

The type of work to expect and learning opportunities

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

  • Daily business ward rounds at 8:15 am
  • Regular teaching rounds
  • Scheduled attendance at teaching clinics
  • Scheduled attendance for theatre sessions
  • Designated ward duties for clerking admissions and management of post-operative patients
  • Participation in the ENT on-call rota
  • Participation in the Hospital at Night cross cover rota 1 in 21. 

Teaching 

There are regular teaching rounds and teaching clinics as mentioned above but also a weekly teaching session on Thursdays for one hour at lunchtime. 

At the end of the placement the F2 would achieve the following:

  • Learn how to perform ENT examination
  • To manage acute ENT patients adequately
  • Consenting patients and post-op care
  • Learn how to use the fibre-optic endoscope
  • Learn how to use the microscope and micro-suction for ears
  • Dealing with epistaxis, draining peritonsillar abscess and dealing with acute airway problems.

Where the placement is based

Musgrove Park Hospital, Blake Ward

Clinical Supervisor(s) for the placement

Andrew Drysdale, Ed Chisolm, Sarwat Sadek, Caroline Thompson, Stuart Wells

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’s clinics and theatre for at least one day each week, and also take responsibility for problems arising in General ENT patients on the ward and dealing with ENT emergencies. They are expected to attend contribute to the structured teaching program 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 round 8.15, ward duties all day  
Tues: ward round 815,  OPD all day       
Wed:  ward round 8.15, Theatre 9 am, OPD pm        
Thurs: ward round 8.15, ward duties all day
Fri:      ward round 8.15, ward duties all day         
Sat:     on call 1:5        
Sun:             

Mon:  ward round 8.15, OPD all day        
Tues:  ward round 8.15, ward duties all day        
Wed:   ward round 8.15, theatre 9 am, OPD pm        
Thurs: ward round 8.15, ward duties all day
Fri:      ward round 8.15, ward duties all day         
Sat:             
Sun:            

On call requirements: 
Participation in the ENT on-call rota
Participation in the Hospital at Night cross cover rota 1 in 21.

Employer information

Musgrove Park Hospital is the largest hospital in Somerset, with a comprehensive range of medical, surgical and diagnostic services. We became an NHS Foundation Trust in December 2007 and were awarded ‘Medium Sized Trust of the Year’ by independent health analyst Dr Foster in May 2007, showing that we are on our way to achieving consistently high performance. Our Intensive Care Unit is consistently in the top 3 of like-for-like units and our bariatric service is internationally recognised. We are a level 2 trauma centre. 

We are a leader in the Deanery for the IHI’s Quality Improvement program, with previous trainees presenting their work at national & international conferences. 

We are renowned for our friendly atmosphere and were recently voted as the top placed acute Trust in the Deanery for trainee satisfaction. The support from our Academy staff is commended by the highest levels of the Deanery. 

Geographically, we are ideally placed with fast rail links to London, whilst the beaches are only an hour away. We have an active junior doctors mess.

 

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

 

 

Placement

F2 Psychiatry

The department

The psychiatry F2 placement is based at Rydon House, an inpatient and outpatient facility about 2 miles from Musgrove Park Hospital.  There is a 32 bed unit and a 12 bed “intensive care unit”.

The type of work to expect and learning opportunities

The F2 placement begins with an intensive 3 day induction.  The working week includes 2 out patient clinics, 1 ward round and 7 sessions for ward cover, meetings and teaching.

Where the placement is based

Musgrove Park Hospital, Rydon House, Cheddon Road, TA2 7AZ

Clinical Supervisor(s) for the placement

Dr Abhi Sharma
Dr Waqar Ahmed

Main duties of the placement

The F2 Doctor is responsible with other staff for ward care of patients and the maintenance of patients’ medical records.  They will have the opportunity to work with the Crisis Resolution & Home Treatment team to assess acutely unwell patients.  They will also have an opportunity to perform ECT treatment.  They are expected to attend the structured teaching programme provided by the department.  They will be responsible for other specific clinical duties delegated by the consultant during handover and ward round.  Their duties will also include performing during occasional emergencies and unforeseen circumstances.

Typical working pattern in this placement

Daily     0900 – 1000      handover
Mon:     1000 – 1300 – Ward Review/Urgent Assessments
           1300 – 1700 – New Patient clinic      
Tues:    1000 – 1300 – Ward Review / ECT
           1300 – 1700  - Teaching Programme        
Wed:    1000 – 1600 – Ward Round 
Thurs:   1000 – 1400 – Ward Review/Urgent Assessments
           1400 – 1500 – Supervision
           1500 – 1700 – Ward Review
Fri:      1000 – 1700 - Ward Review/Urgent Assessments   
Sat          on-call shift
Sun:            

On call requirements: 
The F2 has on-call commitments for ward cover (which includes an adjacent 30 bed old age psychiatry unit) – 1 week of nights, 3 weekends, and a half day per week.

Employer information

Somerset has created an integrated health and social care provision for people with mental health problems, by establishing the first combined provider organisation in the country.  Somerset Partnership is commissioned to provide both the Health and Social Care aspects of Mental Health Services, which allows individualised packages of care to be provided, although the Health and Social Care budget streams are separately audited.  The Partnership became an NHS Foundation Trust on 1 May 2008. 

Rydon Ward covers the catchment area of Taunton, Bridgwater and Burnham-on-Sea with a population of over 300,000. 

Services have been developed to provide crisis intervention and home treatment .  Rydon ward links in with other community teams which include the Somerset Team for Early Psychosis (STEP), Assertive Outreach Team, Rehabilitation and Drug & Alcohol teams. 

The Trust uses an Electronic Patient Record [RIO] for mental health and social care.  The system is now operational throughout the Trust and the electronic record is the prime record of clinical activity.

 

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

The Paediatric Department consists of the following areas:

31 bedded general paediatric wards (Acorn and Oak wards)

 2 PHDU beds (situated on Acorn Ward)

6 bedded paediatric day case unit for elective admissions (Woodlands Unit)

Paediatric outpatients (including community paediatrics and other subspeciality clinics)

Acute admissions are referred from GPs or ED and seen on Acorn Assessment Unit (Acorn Ward)

18 bedded level 2 neonatal intensive care unit

The type of work to expect and learning opportunities

The F2 doctor will gain significant experience in:

History taking, initial assessment and plans for acute admissions with supervision from middle grade tier.

Recognition of the unwell child.

General management of ward duties to ensure ward round patient plans are put into place.

Development of phlebotomy and venous cannulation skills in all age groups and opportunity to develop other skills such as lumbar puncture.

Neonatal first day checks and general post natal problems under supervision of neonatal nurse practitioner or middle grade tier. 

The department teaching programme takes place 1-2 pm on Tues – Thurs and there will be weekly opportunity to attend outpatient clinics or arrange a community based observation (as advised by one of the community Paedaitricans).

There will be opportunities to work through prescribed competencies as outlined.

Where the placement is based

Musgrove Park Hospital, Paediatric Department

Clinical Supervisor(s) for the placement

Dr Alexandra Powell

Main duties of the placement

On Mon, Wed, Thurs and Fri you will join the handover at 9am which takes place in the Paediatric Seminar Room.  You will then join the ward rounds on Acorn and Oak accompanying the consultant on service or middle grade on duty.  You will document clearly in the notes the plan for the day, complete discharge summaries and note any jobs in the appropriate jobs book and ensure the handover list is up to date. 

You will coordinate the jobs for the day arranging investigations etc and communicate with the team when these are completed.  You will also clerk new admissions, assess and make basic plans of care under the supervision of ST1, middle grade or consultant.  

On Tuesday morning you will join the team on the neonatal unit for post natal baby checks starting at 08.00. 

On Tuesday afternoon you can attend an outpatient clinic, spend time on the neonatal unit or arrange a community based session via the community consultants.

Typical working pattern in this placement

Mon     AM      Ward
          PM      Ward
Tues    AM      Baby Checks/ NICU
          PM      NICU / Clinic / Community
Wed    AM      Ward
          PM      Ward
Thurs   AM      Ward
          PM      F2 Teaching (14:00 – 15:30)
Fri       AM      Ward
          PM      Ward 

No on-call commitments.

Employer information

Musgrove Park Hospital is the largest hospital in Somerset, with a comprehensive range of medical, surgical and diagnostic services. We became an NHS Foundation Trust in December 2007 and were awarded ‘Medium Sized Trust of the Year’ by independent health analyst Dr Foster in May 2007, showing that we are on our way to achieving consistently high performance. Our Intensive Care Unit is consistently in the top 3 of like-for-like units and our bariatric service is internationally recognised. We are a level 2 trauma centre. 

We are a leader in the Deanery for the IHI’s Quality Improvement program, with previous trainees presenting their work at national & international conferences. 

We are renowned for our friendly atmosphere and were recently voted as the top placed acute Trust in the Deanery for trainee satisfaction. The support from our Academy staff is commended by the highest levels of the Deanery. 

Geographically, we are ideally placed with fast rail links to London, whilst the beaches are only an hour away. We have an active junior doctors mess.

 

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

 

 

Placement

F1 Rehab Medicine, Dene Barton

The department

Neuro-rehabilitation

The type of work to expect and learning opportunities

Ability to take a full, relevant history with a problem-oriented approach.

Ability to formulate a problem list.

Ability to formulate a management plan based on a holistic approach, with emphasis on enabling  patients with cognitive and physical disabilities.

Knowledge of issues related  to return to work and  driving.

Become familiar with different communication strategies.

Become familiar with mental capacity issues.

Participate in family meetings and case conferences.

Participate in MDT meetings.

Awareness of different outcome measures used in neuro-rehabilitation.

Twice weekly senior ward round.

Own ward round three times a week.

Attend daily board round.

Become familiar with indications for use of Botulinum Toxin injection in management of spasticity.

Become familiar with commonly used medications in neuro-rehabilitation patients.

Where the placement is based

Dene Barton Community Placement

Clinical Supervisor(s) for the placement

Mohammad Hai

Main duties of the placement

The F1 doctor will primarily be located on one base ward where, under the direct supervision of a consultant, they will be responsible for the day-to-day care of general medical and specialty 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 problems through to discharge within a robust and stable learning framework.

Typical working pattern in this placement

Monday – Friday 09:00 – 17:00

Employer information

Musgrove Park Hospital is the largest hospital in Somerset, with a comprehensive range of medical, surgical and diagnostic services. We became an NHS Foundation Trust in December 2007 and were awarded ‘Medium Sized Trust of the Year’ by independent health analyst Dr Foster in May 2007, showing that we are on our way to achieving consistently high performance. Our Intensive Care Unit is consistently in the top 3 of like-for-like units and our bariatric service is internationally recognised. We are a level 2 trauma centre. 

We are a leader in the Deanery for the IHI’s Quality Improvement program, with previous trainees presenting their work at national & international conferences. 

We are renowned for our friendly atmosphere and were recently voted as the top placed acute Trust in the Deanery for trainee satisfaction. The support from our Academy staff is commended by the highest levels of the Deanery. 

Geographically, we are ideally placed with fast rail links to London, whilst the beaches are only an hour away. We have an active junior doctors mess.

 

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

 

 

Placement

F2 Community Psychiatry – Dr Mike Campbell

The department

The psychiatry F2 placement is based at Foundation House, Wellsprings Hospital Site, an inpatient and outpatient facility about 2 miles from Musgrove Park Hospital.  There are two 15 bedded wards and a 10 bed “intensive care unit”.

The type of work to expect and learning opportunities

The F2 placement begins with an intensive 3 day induction.  The working week includes 3 clinics and 6 sessions for MDT assessments and  meetings and 1 session  of teaching at PGME.

Where the placement is based

Musgrove Park Hospital, Foundation House, Wellsprings Hospital Site, Cheddon Road, TA2 7PQ

Clinical Supervisor(s) for the placement

Dr Mike Campbell

Main duties of the placement

The F2 Doctor is responsible with other mental health professionals for the care of patients and the maintenance of patients’ medical records.  They will have the opportunity to work with the Crisis Resolution & Home Treatment team to assess acutely unwell patients.  They will also have an opportunity to perform ECT treatment.  They are expected to attend the structured teaching programme provided by the department.  They will be responsible for other specific clinical duties delegated by the consultant during handover and MDT meetings.  Their duties will also include performing during occasional emergencies and unforeseen circumstances.

Typical working pattern in this placement

Mon:     0900 – 1130 –  Admin/visits with Crisis Team
           1130 – 1230 –  Supervision with Consultant
           1300 – 1500 -   New patient with Consultant
           1500 – 1700 -   Clinical admin
Tues:    0900 -  1000 –  Assessment MDT meeting
           1000 -  1200 -  Clinic with Consultant (F/U)
           1230 – 1330  - Rydon Ward Liaison meeting
           1330 – 1500  - New patient with Consultant or MDT
           1500 – 1700  - Admin/urgent work
Wed:    0930 – 1200  - PGME meeting 
           1200 – 1300  - Balint Group
           1330 – 1430  - Recovery MDT meeting
           1430 –1700 - Urgent MDT assessments/admin
           pm Monthly F2 academic programme at Musgrove
Thurs:   0900 – 1230 – Clinic with Consultant (F/U)
           1300 – 1700 -  Ward experience on Holford Ward
Fri:      0900 – 1200 -  Clinic with Consultant (F/U)
           1230 – 1400 -  New patient with Consultant
          1400 - 1700 -   Write up care plans for preceding week

Sat/Sun  Occasional on-call shift

On call requirements: 
The F2 has on-call commitments for ward cover (which includes an adjacent 30 bed old age psychiatry unit) – 1 week of nights, 3 weekends, and a half day per week.

Employer information

Somerset has created an integrated health and social care provision for people with mental health problems, by establishing the first combined provider organisation in the country.  Somerset Partnership is commissioned to provide both the Health and Social Care aspects of Mental Health Services, which allows individualised packages of care to be provided, although the Health and Social Care budget streams are separately audited.  The Partnership became an NHS Foundation Trust on 1 May 2008. 

Rydon Ward covers the catchment area of Taunton, Bridgwater and Burnham-on-Sea with a population of over 300,000. 

Services have been developed to provide crisis intervention and home treatment .  Rydon ward links in with other community teams which include the Somerset Team for Early Psychosis (STEP), Assertive Outreach Team, Rehabilitation and Drug & Alcohol teams. 

The Trust uses an Electronic Patient Record [RIO] for mental health and social care.  The system is now operational throughout the Trust and the electronic record is the prime record of clinical activity.

 

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