Individual Placement Descriptions
Weston Area Health NHS Trust

 

Placement

F1 Acute General Medicine with Cardiology

The department

The Cardiology department in Weston consists of 3 Consultants, 1 middle grade and 1 F1, along with 4 senior cardiology technicians. The department has strong links with the local tertiary centre (the Bristol Heart Institute). 

The department performs cardiac pacing and echocardiography, along with the development of cardiac CT. Invasive coronary procedures are performed in the Bristol Heart Institute.

The type of work to expect and learning opportunities

All F1 Doctors in hospital posts will generally be ward based during the ‘normal’ working day and expected to deliver the daily medical care of all the patients on their ward irrespective of specialty.  When on an on call block the F1 will be based on their own ward during the day and work 12.5 hour shifts for four days (0800-2030) & be involved with the generic clerking of patients being admitted and the ongoing care of the patients on the wards after 1700. Night shifts are split as 3 day weekends and 4 day weeks of nights (2000-0830) Handover is at 0800-0830 and 2000-2030.  The F1 will clerk new admissions under supervision of the registrar/consultant & present their patients on the evening consultant PTWR, and attend handover. 

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

  • Take a history and examine a patient
  • Identify and synthesize problems
  • Prescribe safely
  • Keep an accurate and relevant medical record
  • Manage time and clinical priorities effectively
  • Communicate effectively with patients, relatives and colleagues
  • Use evidence, guidelines and audit to benefit patient care
  • Act in a professional manner at all times
  • Cope with ethical and legal issues which occur during the management of patients with general medical problems
  • Educate patients effectively
  • Become life-long learners and teachers 

In the cardiology placement, specific learning objectives include competence at basic ECG interpretation, understanding of the pathophysiology and treatment of acute coronary syndromes, and an introduction to the indications for more advanced cardiac investigations and treatments.

Where the placement is based

Weston General Hospital, Harptree wards

Clinical Supervisor(s) for the placement

Dr G Dalton, Dr I Diab and Dr A Gerasimou

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 work closely with the consultants and the middle grades to ensure good medical care, along with timely discharge of patients and good communication with primary care. They are expected to attend the structured teaching programmes provided by the department and the foundation programme. The doctor will be responsible for such other specific clinical duties as allocated by consultants including performing other duties in occasional emergencies and unforeseen circumstances. There will be opportunities for audit and presentations at teaching sessions, and we endeavor to provide opportunities to attend cardioversions and pacemaker implants in Weston, and angiography and PCI in the Bristol Heart Institute

Typical working pattern in this placement

Daily:        0900 Ward round
                0900/1700/2130   Handover

Wed:        1300  Grand round
Thurs:      1300  formal teaching programme 

On call requirements:

All F1 doctors (medical and surgical) participate in a generic on call rota.  During the on call block the F1 will be based on their own ward during the day and work 12.5 hour shifts for four days (0800-2030) during week (Monday to Thursday) or weekend (Friday, Saturday/Sunday) & be involved with the generic clerking of patients being admitted to hospital  and the ongoing care of the patients on the wards after 1700. Night shifts are split as 3 day weekends and 4 day weeks of nights (2000-0830) Handover is at 0800-0830 and 2000-2030.  The F1 will clerk new admissions under supervision of the registrar/consultant & present their patients on the evening consultant PTWR, and attend handover. There are two F1s on call at any one time and on weekends and bank holidays there is an additional F1.They cover the ward duties as well as contribute to the take where possible.

Overnight, ward cover is supported by a Night Sister.

Employer information

The employer for this post is Weston Area NHS Trust. 

The post will be based in Weston General Hospital, which is a medium sized acute NHS Trust, with 320 beds and around 1800 employees. The trust provides an extensive range of secondary services for the local community of approximately 200,000, with over 2.5 million visitors to this pleasant West Country seaside town during the summer months.

 

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

 

 

Placement

F1 Acute general medicine/Care of the Elderly and Stroke

The department

The department consists of 3 Full Time Substantive Consultants, 2 Staff Grades, 2 STs, 1 CMT, 3 F2s and 2 F1s, delivering acute care, along with a comprehensive stroke care unit and stroke thrombolysis service.

The type of work to expect and learning opportunities

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

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

  • Take a history and examine a patient
  • Identify and synthesize problems
  • Prescribe safely
  • Keep an accurate and relevant medical record
  • Manage time and clinical priorities effectively
  • Communicate effectively with patients, relatives and colleagues
  • Use evidence, guidelines and audit to benefit patient care
  • Act in a professional manner at all times
  • Cope with ethical and legal issues which occur during the management of patients with general medical problems
  • Educate patients effectively
  • Become life-long learners and teachers 

This placement adds to this by enabling specific learning based on elderly care and stroke care, of note, especially implementation of stroke protocols (e.g. when to treat hypertension, anti platelet therapy), post-thrombolysis care and management of chronic diseases such as Parkinson’s disease.

Where the placement is based

Acute Stroke Unit, Quantock Rehab Unit and Uphill ward Weston General Hospital

Clinical Supervisor(s) for the placement

Dr A George and Dr H Al-Mahdy

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 work closely with the consultants and the middle grades to ensure good medical care, along with timely discharge of patients and good communication with primary care. They are expected to attend the structured teaching programmes provided by the department and the foundation programme. The doctor will be responsible for such other specific clinical duties as allocated by consultants including performing other duties in occasional emergencies and unforeseen circumstances. 

There will be opportunities for audit and presentations at teaching sessions, and we endeavour to provide opportunities to attend Bubble Echo, Neuroradiology, Orthogeriatric Ward Rounds, TIA and Memory Clinics. The multidisciplinary team meeting provides good insight to the complex discharge needs of elderly patients

Typical working pattern in this placement

Daily:        0900 Ward round
                0900/1700/2130 Handover

Mon:         1100 MDTM
               1400 Neuroradiology MDTM
Tue           1230 Journal Club
Wed:         1300  Grand round
Thurs:       1300   Formal teaching programme

On call requirements:

All F1 doctors (medical and surgical) participate in a generic on call rota.  During the on call block the F1 will be based on their own ward during the day and work 12.5 hour shifts for four days (0800-2030) during week (Monday to Thursday) or weekend (Friday, Saturday/Sunday) & be involved with the generic clerking of patients being admitted to hospital  and the ongoing care of the patients on the wards after 1700. Night shifts are split as 3 day weekends and 4 day weeks of nights (2000-0830) Handover is at 0800-0830 and 2000-2030.  The F1 will clerk new admissions under supervision of the registrar/consultant & present their patients on the evening consultant PTWR, and attend handover. There are two F1s on call at any one time and on weekends and bank holidays there is an additional F1.They cover the ward duties as well as contribute to the take where possible.

Overnight, ward cover is supported by a Night Sister.

Employer information

The employer for this post is Weston Area NHS Trust. 

The post will be based in Weston General Hospital, which is a medium sized acute NHS Trust, with 320 beds and around 1800 employees. The trust provides an extensive range of secondary services for the local community of approximately 200,000, with over 2.5 million visitors to this pleasant West Country seaside town during the summer months.

 

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

 

 

Placement

F1 Acute General Medicine and MAU

The department

The department of Acute medicine in Weston consists of 2 Consultants, 2 middle grades, 2 F2, 3 F1s and 1 Physician assistant.

The type of work to expect and learning opportunities

All F1 Doctors in hospital posts will generally be ward based during the ‘normal’ working day and expected to deliver the daily medical care of all the patients on their ward irrespective of specialty. F1 doctors should also be able to attend out patient clinics, depending on the ward staffing.  F1 doctors will contribute towards clerking of patients admitted to MAU as GP referrals.  These will be presented to the MAU consultant on the afternoon post take round with opportunities for WBAs and bed side teaching. 

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

  • Take a history and examine a patient
  • Identify and synthesise problems
  • Prescribe safely
  • Keep an accurate and relevant medical record
  • Manage time and clinical priorities effectively
  • Communicate effectively with patients, relatives and colleagues
  • Use evidence, guidelines and audit to benefit patient care
  • Act in a professional manner at all times
  • Cope with ethical and legal issues which occur during the management of patients with general medical problems
  • Educate patients effectively
  • Become life-long learners and teachers

Where the placement is based

Weston GeneralHospital, Harptree Ward.

Clinical Supervisor(s) for the placement

Dr A Kamour and Dr P Mamilla

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 work closely with the consultants and the middle grades to ensure good medical care, along with timely discharge of patients and good communication with primary care. They are expected to attend the structured teaching programmes provided by the department and the hospital. 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. There will be opportunities for audit and presentations at teaching sessions.

Typical working pattern in this placement

Daily:        0900 Ward round
                0900/1630/2130   Handover 

Tue:        1300 Journal club
Wed:       1300  Grand round
Thurs:      1300 formal teaching programme 

On call requirements:

All F1 doctors (medical and surgical) participate in a generic on call rota.  During the on call block the F1 will be based on their own ward during the day and work 12.5 hour shifts for four days (0800-2030) during week (Monday to Thursday) or weekend (Friday, Saturday/Sunday) & be involved with the generic clerking of patients being admitted to hospital  and the ongoing care of the patients on the wards after 1700. Night shifts are split as 3 day weekends and 4 day weeks of nights (2000-0830) Handover is at 0800-0830 and 2000-2030.  The F1 will clerk new admissions under supervision of the registrar/consultant & present their patients on the evening consultant PTWR, and attend handover. There are two F1s on call at any one time and on weekends and bank holidays there is an additional F1.They cover the ward duties as well as contribute to the take where possible.

Overnight, ward cover is supported by a Night Sister.

Employer information

The employer for this post is Weston Area NHS Trust. 

The post will be based in Weston General Hospital, which is a medium sized acute NHS Trust, with 320 beds and around 1800 employees. The trust provides an extensive range of secondary services for the local community of approximately 200,000, with over 2.5 million visitors to this pleasant West Country seaside town during the summer months.

 

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

 

 

Placement

F1 Acute General Medicine with Gastroenterology

The department

The gastroenterology dept in Weston comprises 2 consultants, 2 StR’s, 1 GP trainee and 1 F1

The type of work to expect and learning opportunities

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

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

  • Take a history and examine a patient
  • Identify and synthesise problems
  • Prescribe safely
  • Keep an accurate and relevant medical record
  • Manage time and clinical priorities effectively
  • Communicate effectively with patients, relatives and colleagues
  • Use evidence, guidelines and audit to benefit patient care
  • Act in a professional manner at all times
  • Cope with ethical and legal issues which occur during the management of patients with general medical problems
  • Educate patients effectively
  • Become life-long learners and teachers 

In addition, the gastroenterology trainees will gain exposure to the investigation and management of patients with liver failure, inflammatory bowel disease, gastrointestinal malignancy and gastrointestinal bleeding, along with preparation of patients for procedures such as ERCP, liver biopsy, colonoscopy and gastroscopy.

Where the placement is based

Weston General Hospital, Kewstoke Ward

Clinical Supervisor(s) for the placement

Dr Parker and Dr Bell

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 work closely with the consultants and the middle grades to ensure good medical care, along with timely discharge of patients and good communication with primary care. They are expected to attend the structured teaching programmes provided by the department and the foundation programme. The doctor will be responsible for such other specific clinical duties as allocated by consultants including performing other duties in occasional emergencies and unforeseen circumstances. There will be opportunities for audit and presentations at teaching sessions, as well as weekly attendance at the gastroenterology governance meeting and we endeavor to provide opportunities to attend endoscopy (interventional and therapeutic) sessions in Weston.

Typical working pattern in this placement

Daily:        0900 Ward round
                0900/1700/2130 Handover

Tues:       1300 Governance Meeting
Wed:       1300  Grand round
Thurs:      1300  Formal teaching programme 

On call requirements:

All F1 doctors (medical and surgical) participate in a generic on call rota.  During the on call block the F1 will be based on their own ward during the day and work 12.5 hour shifts for four days (0800-2030) during week (Monday to Thursday) or weekend (Friday, Saturday/Sunday) & be involved with the generic clerking of patients being admitted to hospital  and the ongoing care of the patients on the wards after 1700. Night shifts are split as 3 day weekends and 4 day weeks of nights (2000-0830) Handover is at 0800-0830 and 2000-2030.  The F1 will clerk new admissions under supervision of the registrar/consultant & present their patients on the evening consultant PTWR, and attend handover. There are two F1s on call at any one time and on weekends and bank holidays there is an additional F1.They cover the ward duties as well as contribute to the take where possible.

Overnight, ward cover is supported by a Night Sister.

Employer information

The employer for this post is Weston Area NHS Trust. 

The post will be based in Weston General Hospital, which is a medium sized acute NHS Trust, with 320 beds and around 1800 employees. The trust provides an extensive range of secondary services for the local community of approximately 200,000, with over 2.5 million visitors to this pleasant West Country seaside town during the summer months.

 

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

 

 

Placement

F1 ICU and Anaesthesia

The department

The anaesthetic department comprises of 11 consultants, 2 staff grades, 7 rotating core trainees, an F1 and an F2 (ICU only). 

There is a 5-bedded ICU/ HDU. The unit has level 3 status, and can support up to 5 ventilated patients. 

The ICU is run by the anaesthetic department. A consultant anaesthetist is present at all times during the day. The junior doctors on the unit comprise of an F1, F2 and CT1/2 doctor, two of whom will typically be present on any one weekday.

The type of work to expect and learning opportunities

Learning opportunities specific to anaesthesia:

  • pre-op assessment of fitness for surgery
  • vascular access
  • airway management
  • management of general and regional anaesthesia
  • assessment and management of fluid status peri-operatively
  • monitoring and care of the unconscious patient
  • post-operative issues such as management of acute pain, nausea and vomiting, delayed recovery

On the ICU:

  • recognition and treatment of the acutely ill patient
  • outreach team management
  • advanced organ support including cardiovascular, respiratory and renal systems
  • vascular access and invasive monitoring
  • infection control measures
  • talking to relatives, including discussion of  bad news
  • liaising between different departments

The trust runs an in-house ALERT course, and all foundation doctors are expected to have attended

Where the placement is based

Theatres and Intensive care unit, Weston General Hospital

Clinical Supervisor(s) for the placement

Dr I Tsagurnis, Dr D Crossley, Dr J Loader, Dr G Hosdurga, Dr M Elias, Dr A Smith, Dr R Moulding, Dr E Herman, Dr Rugonfalvi, Dr P Sukenik, and Dr A Naser

Main duties of the placement

On the ICU, the doctors will provide support to the daytime consultant. They will be expected to examine each patient together with the consultant, assimilate the vital signs chart, lab results, x-rays etc, and help formulate a management plan. Careful documentation of daily findings, admission, and discharge is also part of their duty. They may be called to assess and treat emergencies on the ward or in A+E, and are part of the cardiac arrest team. A consultant and an SHO are immediately available at all times for support in life-threatening emergencies such as airway problems. 

In theatres, the F1 is supernumerary and can concentrate on acquiring new skills. There is one-to-one teaching by a consultant. 

They are encouraged to participate in the trust-wide foundation teaching programme as well as teaching and audit sessions run by the anaesthetic department.

Typical working pattern in this placement

Daily hours of work are from 08.00 to 16.00.

Wed:         1300  Grand round
Thurs:        1300  formal teaching programme

Weekly anaesthetic tutorials
Monthly anaesthetic M+M meetings 

On call requirements:

All F1 doctors (medical and surgical) participate in a generic on call rota.  During the on call block the F1 will be based on their own ward during the day and work 12.5 hour shifts for four days (0800-2030) during week (Monday to Thursday) or weekend (Friday, Saturday/Sunday) & be involved with the generic clerking of patients being admitted to hospital  and the ongoing care of the patients on the wards after 1700. Night shifts are split as 3 day weekends and 4 day weeks of nights (2000-0830) Handover is at 0800-0830 and 2000-2030.  The F1 will clerk new admissions under supervision of the registrar/consultant & present their patients on the evening consultant PTWR, and attend handover. There are two F1s on call at any one time and on weekends and bank holidays there is an additional F1.They cover the ward duties as well as contribute to the take where possible.

Overnight, ward cover is supported by a Night Sister.

Employer information

The employer for this post is Weston Area NHS Trust. 

The post will be based in Weston General Hospital, which is a medium sized acute NHS Trust, with 320 beds and around 1800 employees. The trust provides an extensive range of secondary services for the local community of approximately 200,000, with over 2.5 million visitors to this pleasant West Country seaside town during the summer months.

 

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

 

 

Placement

F1 Acute General Medicine with Respiratory Medicine

The department

The Respiratory department in Weston consists of 1 Consultant, 1 SpR, 1 CMT, 2 F1s, 1 Respiratory CNS and 1 Respiratory technician. The department has strong links with the local thoracic surgical unit at United Hospitals 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 and expected to deliver the daily medical care of all the patients on their ward irrespective of specialty. 

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

  • Take a history and examine a patient
  • Identify and synthesise problems
  • Prescribe safely
  • Keep an accurate and relevant medical record
  • Manage time and clinical priorities effectively
  • Communicate effectively with patients, relatives and colleagues
  • Use evidence, guidelines and audit to benefit patient care
  • Act in a professional manner at all times
  • Cope with ethical and legal issues which occur during the management of patients with general medical problems
  • Educate patients effectively
  • Become life-long learners and teachers 

Learning objectives of the respiratory medicine component job include the Interpretation of peak flow charts, knowledge of inhaler technique and use of nebulisers and the assessment of need for long-term oxygen therapy.  Technical skills which can be developed include pleural aspirations / chest drain insertion and the setup of non invasive ventilation

Where the placement is based

Weston General Hospital, Berrow ward

Clinical Supervisor(s) for the placement

Dr O Perello

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 work closely with the consultants and the middle grades to ensure good medical care, along with timely discharge of patients and good communication with primary care. They are expected to attend the structured teaching programmes provided by the department and the foundation programme. The doctor will be responsible for such other specific clinical duties as allocated by consultants including performing other duties in occasional emergencies and unforeseen circumstances. There will be opportunities for audit and presentations at teaching sessions, and we endeavor to provide opportunities to attend bronchoscopies and to perform practical procedures such as thoracentesis and intercostal chest drain insertion under supervision.

Typical working pattern in this placement

Daily:        0900 Ward round
                0900/1700/2130   Handover 

Wed:         1300  Grand round
Thurs:       1300  formal teaching programme 

On call requirements:

All F1 doctors (medical and surgical) participate in a generic on call rota.  During the on call block the F1 will be based on their own ward during the day and work 12.5 hour shifts for four days (0800-2030) during week (Monday to Thursday) or weekend (Friday, Saturday/Sunday) & be involved with the generic clerking of patients being admitted to hospital  and the ongoing care of the patients on the wards after 1700. Night shifts are split as 3 day weekends and 4 day weeks of nights (2000-0830) Handover is at 0800-0830 and 2000-2030.  The F1 will clerk new admissions under supervision of the registrar/consultant & present their patients on the evening consultant PTWR, and attend handover. There are two F1s on call at any one time and on weekends and bank holidays there is an additional F1.They cover the ward duties as well as contribute to the take where possible.

Overnight, ward cover is supported by a Night Sister.

Employer information

The employer for this post is Weston Area NHS Trust. 

The post will be based in Weston General Hospital, which is a medium sized acute NHS Trust, with 320 beds and around 1800 employees. The trust provides an extensive range of secondary services for the local community of approximately 200,000, with over 2.5 million visitors to this pleasant West Country seaside town during the summer months.

 

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

 

 

Placement

F1 Acute General Surgery (including Breast, Upper GI, Lower GI and Urology services)

The department

General surgery consists of 9 consultants, 2 Specialist Registrars, 4 CT doctors, 3 clinical fellows, 2 F2 doctors and 6 F1 doctors. (Urology consists 2 consultants, 1 ST3, 1 clinical fellow, 1 F1 doctor)

The type of work to expect and learning opportunities

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

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

  • Take a history and examine a patient
  • Identify and synthesise problems
  • Prescribe safely
  • Keep an accurate and relevant medical record
  • Manage time and clinical priorities effectively
  • Communicate effectively with patients, relatives and colleagues
  • Use evidence, guidelines and audit to benefit patient care
  • Act in a professional manner at all times
  • Cope with ethical and legal issues which occur during the management of patients with general medical problems
  • Educate patients effectively
  • Become life-long learners and teachers

Where the placement is based

Surgical wards at WestonGeneralHospital, along with the Emergency Department

Clinical Supervisor(s) for the placement

Mr Gallegos, Mr John, Mr Pye, Mr West, Miss Martin, Mr Krishna,Mr Chandratreya, Miss Ainsworth, Mr Probert, Mr Dickerson, Mr Ajay Gupta

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 work closely with the consultants and the middle grades to ensure good medical care, along with timely discharge of patients and good communication with primary care. They are expected to attend the structured teaching programmes provided by the department and the foundation programme. The doctor will be responsible for such other specific clinical duties as allocated by consultants including performing other duties in occasional emergencies and unforeseen circumstances. There will be opportunities for audit and presentations at teaching sessions, and we endeavor to provide opportunities to attend theatre and endoscopy sessions.

Typical working pattern in this placement

Daily:        0900 Ward round
                0900/1700/2130   Handover 

Thurs:       1300  formal teaching programme 

On call requirements:

All F1 doctors (medical and surgical) participate in a generic on call rota.  During the on call block the F1 will be based on their own ward during the day and work 12.5 hour shifts for four days (0800-2030) during week (Monday to Thursday) or weekend (Friday, Saturday/Sunday) & be involved with the generic clerking of patients being admitted to hospital  and the ongoing care of the patients on the wards after 1700. Night shifts are split as 3 day weekends and 4 day weeks of nights (2000-0830) Handover is at 0800-0830 and 2000-2030.  The F1 will clerk new admissions under supervision of the registrar/consultant & present their patients on the evening consultant PTWR, and attend handover. There are two F1s on call at any one time and on weekends and bank holidays there is an additional F1.They cover the ward duties as well as contribute to the take where possible.

Overnight, ward cover is supported by a Night Sister.

Employer information

The employer for this post is Weston Area NHS Trust. 

The post will be based in Weston General Hospital, which is a medium sized acute NHS Trust, with 320 beds and around 1800 employees. The trust provides an extensive range of secondary services for the local community of approximately 200,000, with over 2.5 million visitors to this pleasant West Country seaside town during the summer months.

 

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

 

 

Placement

F1 Psychiatry (A)

The department

The Long Fox Unit Weston General hospital

The type of work to expect and learning opportunities

Acute adult/older adult psychiatry, candidate encouraged to explore psychiatry as a whole, by attending clinics, ward rounds and assessment on the ward, as well as assessment and visits in the community and Liaison teams.

 

The F1 doctor will be ward based during the ‘normal’ working day but with 1 day per week in Hospital Liaison to gain experience and knowledge around the interface between physical and mental health, providing first-line assessment of all inpatients for both physical and psychiatric disorders with support from more experienced trainees and Consultant. The job will be across the 3 inpatient wards covering older adult functional; older adult organic and acute adult – Thursdays have been set aside for the acute adult ward along with mandatory academic teaching over lunch

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

 

- Take a history and examine a patient with particular emphasis on mental state examination

- Formulate a diagnosis and management plan

- Manage clinical problems independently and seek advice where appropriate

- Prescribe safely with particular emphasis on psychotropic drugs

- Keep accurate and relevant medical records

- Manage time and clinical priorities effectively

- Communicate effectively with patients, relatives and colleagues

- Practice evidence based medicine and use local guidelines in place for the treatment of older adults in the mental health setting

- Act in a professional manner at all times

- Cope with ethical and legal issues with particular reference to the Mental Health Act and Mental Capacity Act

- Teach medical students formally and informally

- Work in a multi-disciplinary setting with particular emphasis on the care planning approach

- Gain experience of risk management and become confident in making decisions associated with risk in the psychiatric setting

Where the placement is based

Long Fox Unit

Clinical Supervisor(s) for the placement

Dr Tiff Earle

Main duties of the placement

The posts is for 4 months, working on Juniper ward  Duties include:

  • Working alongside Core psychiatry trainee and Staff Grade. Doing ward work - including admissions, ward rounds and discharges.
  • Spending 1 day per week with other teams (e.g. PCLS, Hospital Liaison) to gain broad experience of mental health services.
  • Arranging to spend at least 1 x ½ day per placement in specialised services as per lsit given at start of placement (e.g. drug/alcohol services; CAMHS; ECT)
  • Home visits with consultants and other members of psychiatry teams.  There are a crisis/home treatment team and a primary care liaison team based in the unit
  • Shadowing trainees on the unit during day duty on call. 

Trainees will gain basic skills in the psychological assessment of patients that will be of value in future non-psychiatric practice.  These will include the identification of risk factors, the assessment of suicide and parasuicide and the recognition of the most common mental health disorders. 

As for all trainees in the Long Fox Unit, it is expected that the trainee will attend a Balint group and the weekly academic meeting. 

Trainees are encouraged to attend foundation training events in Weston Academy. Trainees are advised to arrange a meeting in advance of their start to plan their time on the unit. 

There are no nighttime on call psychiatry duties due to specialist nature of the work, although the psychiatry F1 will contribute to the generic F1 acute block in Weston Hospital; this is arranged in such a way to minimize disruption to psychiatry experience. 

Assessment of Medically Ill Patients: Guidance for Foundation trainees. 

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

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

Typical working pattern in this placement

9-5 working days.

Once a week personal supervision as mandated trainees. (Fridays at 12pm)

ACUTE BLOCK

On-call requirements:

All F1 doctors (medical and surgical) participate in a generic on call rota involving an “acute block” which occurs twice every 21 weeks. This block consists of on-call days (ward based 9-5pm followed by ward cover of medical and surgical wards 5pm-9.30pm) and a week of nights.  In addition the F1s work weekend (days) covering either acute medical admissions or wards (medical and surgical).  Overnight, ward cover is supported by a Night Sister.

Employer information

The employer for this post is Weston Area NHS Trust, seconded to Avon and Wilthshire Partnership (AWP) Mental Health NHS Trust. 

The post will be based in Weston General Hospital, which is a medium sized acute NHS Trust, with 320 beds and around 1800 employees. The trust provides an extensive range of secondary services for the local community of approximately 200,000, with over 2.5 million visitors to this pleasant West Country seaside town during the summer months.

 

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

 

 

Placement

F1 Psychiatry (B)

The department

The Long Fox Unit Weston General hospital

The type of work to expect and learning opportunities

Acute adult psychiatry, candidate encouraged to explore psychiatry as a whole, by attending clinics, ward rounds and assessment on the ward, as well as assessment and visits in the community. 

The F1 doctor will be ward based during the ‘normal’ working day, providing first-line assessment of all inpatients for both physical and psychiatric disorders. The overall educational objectives are to provide the trainee with the knowledge, skills and attitudes to be able to: 

  • Take a history and examine a patient with particular emphasis on mental state examination
  • Formulate a diagnosis and management plan
  • Manage clinical problems independently and seek advice where appropriate
  • Prescribe safely with particular emphasis on psychotropic drugs
  • Keep accurate and relevant medical records
  • Manage time and clinical priorities effectively
  • Communicate effectively with patients, relatives and colleagues
  • Practice evidence based medicine and use local guidelines in place for the treatment of older adults in the mental health setting
  • Act in a professional manner at all times
  • Cope with ethical and legal issues with particular reference to the Mental Health Act and Mental Capacity Act
  • Teach medical students formally and informally
  • Work in a multi-disciplinary setting with particular emphasis on the care planning approach
  • - Gain experience of risk management and become confident in making decisions associated with risk in the psychiatric setting

Where the placement is based

Long Fox Unit, Weston General Hospital

Clinical Supervisor(s) for the placement

Dr Tiff Earle

Main duties of the placement

The posts is for 2 months, working on Juniper ward  Duties include: 

  • Working alongside Core psychiatry trainee and Staff Grade. Doing ward work - including admissions, ward rounds and discharges.
  • Spending 1 day per week with other teams (e.g. PCLS, Hospital Liaison) to gain broad experience of mental health services.
  • Arranging to spend at least 1 x ½ day per placement in specialised services as per lsit given at start of placement (e.g. drug/alcohol services; CAMHS; ECT)
  • Home visits with consultants and other members of psychiatry teams.  There are a crisis/home treatment team and a primary care liaison team based in the unit
  • Shadowing trainees on the unit during day duty on call. 

Trainees will gain basic skills in the psychological assessment of patients that will be of value in future non-psychiatric practice.  These will include the identification of risk factors, the assessment of suicide and parasuicide and the recognition of the most common mental health disorders. 

As for all trainees in the Long Fox Unit, it is expected that the trainee will attend a Balint group and the weekly academic meeting. 

Trainees are encouraged to attend foundation training events in Weston Academy. Trainees are advised to arrange a meeting in advance of their start to plan their time on the unit. 

There are no nighttime on call psychiatry duties due to specialist nature of the work, although the psychiatry F1 will contribute to the generic F1 acute block in Weston Hospital; this is arranged in such a way to minimize disruption to psychiatry experience. 

Assessment of Medically Ill Patients: Guidance for Foundation trainees. 

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

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

Typical working pattern in this placement

9-5 working days.

Once a week personal supervision as mandated for the royal college trainees. 

ACUTE BLOCK

On-call requirements:

All F1 doctors (medical and surgical) participate in a generic on call rota involving an “acute block” which occurs twice every 21 weeks. This block consists of on-call days (ward based 9-5pm followed by ward cover of medical and surgical wards 5pm-9.30pm) and a week of nights.  In addition the F1s work weekend (days) covering either acute medical admissions or wards (medical and surgical).  Overnight, ward cover is supported by a Night Sister.

Employer information

The employer for this post is Weston Area NHS Trust, seconded to Avon and Wilthshire Partnership (AWP) Mental Health NHS Trust. 

The post will be based in Weston General Hospital, which is a medium sized acute NHS Trust, with 320 beds and around 1800 employees. The trust provides an extensive range of secondary services for the local community of approximately 200,000, with over 2.5 million visitors to this pleasant West Country seaside town during the summer months.

 

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

 

 

Placement

F2 General Medicine with Elderly Care and Stroke Care

The department

The department of Care of the Elderly consists of 2 Consultants, 1 Specialty Doctor, 2 ST3’s, 1 CMT, 3 F2’s and 3 F1’s

The type of work to expect and learning opportunities

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

The overall educational objectives of the F2 year are to build on those of the F1 year, especially providing the trainee with the knowledge, skills and attitudes to be able to

  • Take a history and examine a patient and inform all the members of the MDT
  • Identify and synthesise problem lists
  • Prescribe safely
  • Manage time and clinical priorities effectively
  • Communicate effectively with patients, relatives and colleagues within the MDT
  • Use evidence, guidelines and audit to benefit patient care
  • Act in a professional manner at all times
  • Cope with ethical and legal issues which occur during the management of patients with general medical problems
  • Educate patients effectively
  • Become life-long learners and teachers 

This placement adds to this by enabling specific learning based on elderly care and stroke care, of note, especially implementation of stroke protocols (e.g. when to treat hypertension, anti platelet therapy), post-thrombolysis care and management of chronic diseases such as Parkinson’s disease.

Where the placement is based

Acute Stroke Unit, Quantock Rehab Unit and Uphill Ward, all at Weston General Hospital

Clinical Supervisor(s) for the placement

Dr A George and Dr H Al-Mahdy

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 work closely with the consultants and the middle grades to ensure good medical care, along with timely discharge of patients and good communication with primary care. They are expected to attend the structured teaching programmes provided by the department and the hospital. 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. There will be opportunities for audit and presentations at teaching sessions, and we endeavour to provide opportunities to attend bubble echo sessions, Neuroradiology MDTM, , Orthogeriatric Ward Rounds, TIA and Memory Clinics; the Ward MDTM provides good insight into the complex discharge needs of these patients and the individual roles of the core essential members of the team.

Typical working pattern in this placement

Daily:        0900 Ward round
                0900/1700/2130 Handover
Mon          1100 MDTM
               1400 Neuroradiology MDTM
Tue          1230 Journal Club
Wed:        1300   Grand round

Thurs:   1300 formal teaching programme, although F2 doctors may choose to attend either the foundation or the core medical teaching depending on their learning needs.

On call requirements:

F2 doctors in medicine are on an on call rota with the Core Medical Trainees, providing a 1 in 11 rota of nights/weekends/long days

Employer information

The employer for this post is Weston Area NHS Trust. 

The post will be based in Weston General Hospital, which is a medium sized acute NHS Trust, with 320 beds and around 1800 employees. The trust provides an extensive range of secondary services for the local community of approximately 200,000, with over 2.5 million visitors to this pleasant West Country seaside town during the summer months.

 

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

 

 

Placement

F2 Emergency Department

The department

The Emergency Department in Weston-Super-Mare is located in a very recently rebuilt facility.  It has a 4-bedded resuscitation room, an 8-bedded major area and a 6-bedded minor area.  The department is staffed by 4 Consultants, 8 WTE middle grades, 5 F2s and 3 GPVTS trainees (ST1 / ST2). About 55,000 patients a year are seen (25% are under 16 years of age).

The type of work to expect and learning opportunities

The F2 doctors and the GPVTS trainees are put together onto a fully shift-based rota.  This includes appropriate amounts of weekend and antisocial hour working, supported overnight by a middle grade in the department and a Consultant on call from home.  

The F2 doctors are expected to assess and manage (under supervision) the full range of patients that attend the Emergency Department. 

It is expected that the F2 doctors will be proficient at;

  • Taking a history and examining a patient
  • Producing an appropriate differential diagnosis for a patient
  • Investigating appropriately
  • Giving initial emergency treatments where appropriate (under supervision)
  • Prescribing safely
  • Managing their time and clinical priorities effectively
  • Communicating effectively with patients, relatives and colleagues
  • Using relevant guidelines to inform their decision making and patient management
  • Acting in a professional manner at all times
  • Coping with ethical and legal issues as and when they arise. 

Where the placement is based

The Emergency Department, Weston General Hospital.

Clinical Supervisor(s) for the placement

Dr Newton, Dr Lim and Dr Menon, Dr Jacques, Dr Jambulingham

Main duties of the placement

The F2 doctor is responsible (with other staff in the Emergency Department) for the appropriate care of patients that present to the Emergency Department.

Shop floor supervision is provided 24 / 7 by more experienced doctors (with Consultants covering the shop floor between 0900 – 2300 on weekdays and 0900 – 1800 at weekends).  At other times there is a Consultant on-call and there is always a Staff Grade on duty within the department.  

Shop floor based education is given as often as is possible; in addition there is a weekly teaching session for those doctors that are within the department at that time.  Email-based learning opportunities are also provided, based around case scenarios.

Typical working pattern in this placement

There is a full shift system (rota details are available from the Human Resources Department at Weston General Hospital).

Employer information

The employer for this post is Weston Area NHS Trust. 

The post will be based in Weston General Hospital, which is a medium sized acute NHS Trust, with 320 beds and around 1800 employees. The trust provides an extensive range of secondary services for the local community of approximately 200,000, with over 2.5 million visitors to this pleasant West Country seaside town during the summer months.

 

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

 

 

Placement

F2 General Practice

The department

Primary care practices in the Weston/Woodspring area (actual practices change regularly). All training practices have been approved for general practice training, with 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.

The type of work to expect and learning opportunities

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

GPs and their 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

GP training practices in the Weston/Woodspring area.

Clinical Supervisor(s) for the placement

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

Main duties of the placement

Your 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. 

Exact 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. In addition, the trainees are expected to attend the teaching programme in the Academy in Weston on Thursday lunchtimes. 

On call requirements: 

The GP F2s participate in the weekend on call rota for the admissions unit in Weston (1 in 5).

Employer information

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

The employer for this post is Weston Area NHS Trust.

 

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

 

 

Placement

F2 Orthopaedics, Orthogeriatrics and Trauma

The department

The Orthopaedic department at Weston consists of 7 consultants, 1 specialty doctor, 4 SpR trainees, 4 speciality doctors, 2 F2, 1 CT doctors and 1 nurse practitioner. 

There is daily input from the geriatric department for medical problems and all fractured neck of femurs.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. There is the opportunity to attend theatre and day theatre as well as outpatients. 

The F2 will build on the skills acquired in F1 regarding the assessment and treatment of acutely sick patients, team working and time management. In addition, the F2 will liaise closely with the ortho-geriatric team to ensure appropriate care for the elderly orthopedic patients. 

The on calls are in conjunction with the gynaecology and surgery department, and therefore the F2 doctor will also acquire skills regarding the assessment of acute surgical emergencies

Where the placement is based

Weston General hospital, orthopaedic wards including theatres and outpatients

Clinical Supervisor(s) for the placement

Mr M Bould

Main duties of the placement

Patient care to professional standards.

Knowing their limitations and communicating with the SpRs and consultants.

Attending the F2 teaching programme.

On call for all emergency trauma and orthopaedics, making a management plan, communicating with their seniors (obtaining orthogeriatric input) planning discharge and communicating with relatives and carers. 

Also on call for gynaecology and surgery (out of hours) and discussing each case with the on call gynaecologist and surgeon.  On call 1in 13. 

Attending theatre to learn the basics of surgery and follow the patients under their care. 

Attend A&E to see new trauma and make management plan.

Typical working pattern in this placement

Daily 8:30 teaching and discussion on all trauma patients admitted. Case presentation by the junior doctors.

9:00 trauma round for admissions or business round with SpR

Ward round with consultants 2x a week

Ward round with orthogeriatrician 2x a week.

Daily communication with orthogeriatrician of all fractured neck of femur patients admitted.

Thursday 13:00 formal teaching.

On call on a 1 in 13 for orthopaedics during the day and cross cover with gynaecology and surgery at night, with 20:00 formal handover meeting.

Employer information

The employer for this post is Weston Area NHS Trust. 

The post will be based in Weston General Hospital, which is a medium sized acute NHS Trust, with 320 beds and around 1800 employees. The trust provides an extensive range of secondary services for the local community of approximately 200,000, with over 2.5 million visitors to this pleasant West Country seaside town during the summer months.

 

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 Long Fox Unit Weston General hospital

The type of work to expect and learning opportunities

Old age psychiatry.  Candidate encouraged to explore psychiatry as a whole, by attending clinics, ward rounds and assessment on the ward, as well as assessment and visits in the community. 

The F2 doctor will be ward based during the ‘normal’ working day, providing first-line assessment of all inpatients for both physical and psychiatric disorders. The overall educational objectives are to provide the trainee with the knowledge, skills and attitudes to be able to: 

  • Take a history and examine a patient with particular emphasis on mental state examination
  • Formulate a diagnosis and management plan
  • Manage clinical problems independently and seek advice where appropriate
  • Prescribe safely with particular emphasis on psychotropic drugs
  • Keep accurate and relevant medical records
  • Manage time and clinical priorities effectively
  • Communicate effectively with patients, relatives and colleagues
  • Practice evidence based medicine and use local guidelines in place for the treatment of older adults in the mental health setting
  • Act in a professional manner at all times
  • Cope with ethical and legal issues with particular reference to the Mental Health Act and Mental Capacity Act
  • Manage psychiatric emergencies on call spanning adult of working age and older adult specialties
  • Teach medical students formally and informally
  • Work in a multi-disciplinary setting with particular emphasis on the care planning approach
  • Gain experience of risk management and become confident in making decisions associated with risk in the psychiatric setting

Where the placement is based

Cove and Dune Ward

Clinical Supervisor(s) for the placement

Dr Elizabeth Bennett

Main duties of the placement

This post is based at the Long Fox Unit, Weston-super-Mare which admits older patients with functional illnesses such as depression and psychosis to Cove ward ( 15 beds) and dementia to Dune ward (10 beds). 

The trainee will admit and review patients under the care of one of the inpatient consultant. The F2 will be supported by a GP trainee on the wards. Ward rounds are currently on throughout the week

There is opportunity to shadow community, memory, primary care liaison, crisis service and drug and alcohol teams working locally. There is a local Balint Group and weekly postgraduate meeting to which the trainee is expected to contribute. 

Trainees will gain basic skills in the psychological assessment of patients that will be of value in future non-psychiatric practice.  These will include the identification of risk factors, the assessment of suicide risk and deliberate self harm, and the recognition and management of the most common mental health disorders.  

Assessment of Medically Ill Patients: Guidance for Foundation trainees. 

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

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

Typical working pattern in this placement

9-5 working days. 

Once a week personal supervision as mandated for the royal college trainees. 

On call is 1:8 nights and weekend, covering the older adult and general adult psychiatric wards at Long Fox Unit. Trainees also do two morning or afternoon sessions of day time duty cover weekly, covering the psychiatric wards. 

The candidate will need their own transport to carry out their duties in the community.

Employer information

The employer for this post is Weston Area NHS Trust, seconded to AWP partnership trust. 

The post will be based in WestonGeneralHospital, which is a medium sized acute NHS Trust, with 320 beds and around 1800 employees. The trust provides an extensive range of secondary services for the local community of approximately 200,000, with over 2.5 million visitors to this pleasant West Country seaside town during the summer months.

 

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

 

 

Placement

F2 ICU/Acute General Medicine with MAU

The department

MAU 2 consultants, 2 middle grades, 2 F2, 3 F1 and 1 Physician Associate. 

ICU The anaesthetic department comprises of 11 consultants, 2 staff grades, 7 rotating core trainees, an F1 and an F2 (ICU only).

A consultant anaesthetist is present at all times during the day. The junior doctors on the unit comprise of an F1, F2 and CT1/2 doctor, two of whom will typically be present on any one weekday.

The type of work to expect and learning opportunities

MAU –  Patients clerked by medical on call team will be discussed at the post take ward round on MAU (&ED) as well as general ward rounds on MAU, with opportunities for WBAs and bed side teaching.

Weekly teaching & clinical governance meeting take place on Tuesday 12.45 – 13.45. 

ICU -  Learning opportunities

-pre-op assessment of fitness for surgery
-vascular access
-airway management
-management of general and regional anaesthesia
-assessment and management of fluid status peri-operatively
-monitoring and care of the unconscious patient
-post-operative issues such as management of acute pain, nausea and vomiting, delayed recovery

On the ICU:

-recognition and treatment of the acutely ill patient
-outreach team management
-advanced organ support including cardiovascular, respiratory and renal systems
-vascular access and invasive monitoring
-infection control measures
-talking to relatives, including discussion of  bad news
-liaising between different departments

The trust runs an in-house ALERT course, and all foundation doctors are expected to have attended

Where the placement is based

ICU/MAU

Clinical Supervisor(s) for the placement

MAU –Dr. K. John, Dr. P. Mamilla, Dr. P. Singhal and Dr. A. Badshah

ICU – Dr I Tsagurnis, Dr D Crossley, Dr J Loader, Dr G Hosdurga, Dr M Elias, Dr A Smith, Dr R Moulding, Dr E Herman, Dr Rugonfalvi, Dr P Sukenik, and Dr A Naser

Main duties of the placement

MAU – 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 work closely with the consultants, middle grades & F1 doctors to ensure good medical care, along with timely discharge of patients and good communication with primary care. They are expected to attend the structured teaching programme provided by the department and the hospital. 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. There will be opportunities for audit and presentations at teaching sessions. 

On the ICU - the doctors will provide support to the daytime consultant. They will be expected to examine each patient together with the consultant, assimilate the vital signs chart, lab results, x-rays etc, and help formulate a management plan. Careful documentation of daily findings, admission, and discharge is also part of their duty. They may be called to assess and treat emergencies on the ward or in A+E, and are part of the cardiac arrest team. A consultant and an SHO are immediately available at all times for support in life-threatening emergencies such as airway problems. 

They are encouraged to participate in the trust-wide foundation teaching programme as well as teaching and audit sessions run by the anaesthetic department.

Typical working pattern in this placement

MAU Daily: 0900 Ward round
               0930/1630/2130 Handover

Tues:       1245  Acute medicine teaching / CG
Wed:        1300 Grand round
Thurs:      1300 Formal teaching programme 

ITU daily hours of work are from 08.00 to 16.00 

Wed:         1300  Grand round
Thurs:       1300  formal teaching programme

Weekly anaesthetic tutorials
Monthly anaesthetic M+M meetings 

On call requirements:

F2 doctors in medicine are on a full shift rota with the Core Medical Trainees, providing a 1 in 11 rota of nights/weekends/long days

 

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

 

 

Placement

F2 Acute General Surgery (including Breast, Upper GI, Lower GI and Urology)

The department

General surgery consists of 9 consultants, 2 Specialist Registrars, 4 CT doctors, 3 clinical fellows, 2 F2 doctors and 6 F1 doctors. (Urology consists 2 consultants, 1 ST3, 1 clinical fellow, 1 F1 doctor)

The type of work to expect and learning opportunities

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

The overall educational objectives of the F2 year are to build on the experience of the F1 year, provide the trainee with the knowledge, skills and attitudes to be able to

  • Take a history and examine a patient
  • Identify and synthesise problems
  • Prescribe safely
  • Keep an accurate and relevant medical record
  • Manage time and clinical priorities effectively
  • Communicate effectively with patients, relatives and colleagues
  • Use evidence, guidelines and audit to benefit patient care
  • Act in a professional manner at all times
  • Cope with ethical and legal issues which occur during the management of patients with general medical problems
  • Educate patients effectively
  • Become life-long learners and teachers

Where the placement is based

Surgical wards at Weston General Hospital

Clinical Supervisor(s) for the placement

Mr Gallegos, Mr John, Mr Pye, Mr West, Miss Martin, Mr Krishna,Mr Chandratreya, Miss Ainsworth, Mr Probert, Mr Dickerson, Mr Ajay Gupta

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 work closely with the consultants and the middle grades to ensure good medical care, along with timely discharge of patients and good communication with primary care. They are expected to attend the structured teaching programmes provided by the department and the foundation programme. The doctor will be responsible for such other specific clinical duties as allocated by consultants including performing other duties in occasional emergencies and unforeseen circumstances. 

They will assess and admit emergency patients and formulate an immediate management plan prior to discussion with middle grade or consultant colleagues. 

They will attend outpatient, endoscopy and theatre sessions in an assisting and learning capacity. 

There will be opportunities for audit and presentations at teaching and M&M sessions.

Typical working pattern in this placement

Daily:        0800 Ward round 

Thurs:       1300  formal teaching programme 

On call requirements:

The F2s work with the surgical and gynaecology juniors on the junior planned care rota (1 in 13 on call).

Employer information

The employer for this post is Weston Area NHS Trust. 

The post will be based in Weston General Hospital, which is a medium sized acute NHS Trust, with 320 beds and around 1800 employees. The trust provides an extensive range of secondary services for the local community of approximately 200,000, with over 2.5 million visitors to this pleasant West Country seaside town during the summer months.

 

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

 

 

Placement

F2 Gynaecology

The department

The Gynaecology team at Weston Area Health Trust consists of four consultants, 2 CT doctors and 2 F2 doctors.

The type of work to expect and learning opportunities

The Gynaecology job involves caring for patients both as hospital inpatients and in an outpatient setting. During normal working hours, time is spent reviewing ward patients, attending outpatient clinic, reviewing early pregnancy patients and assisting in theatre. 

Each day one SHO will hold the ‘on call’ bleep and be responsible for ward cover, taking referrals and making the initial assessment of Gynaecology admissions to A&E.

During nights and weekends the Gynaecology F2 will be on the planned care admitting rota and will develop skills in acute surgical emergencies. 

The overall objectives of the Gynaecology F2 position is to continue to build on experience from the F1 year, and more specifically to develop the knowledge, skills and attitudes to be able to

  • Take a history from a patient with a complaint or problem relating to Gynaecology
  • Perform a competent and professional pelvic examination including a vaginal and speculum examination
  • Formulate an initial management plan, both for outpatients and emergency admissions and discuss appropriately with seniors.
  • Prescribe safely
  • Keep an accurate and relevant medical record
  • Manage time and clinical priorities effectively
  • Communicate effectively with patients, relatives and colleagues
  • Use evidence, guidelines and audit to benefit patient care
  • Act in a professional manner at all times
  • Cope with ethical and legal issues which occur during the management of patients with general medical problems
  • Educate patients effectively
  • Become life-long learners and teachers

Where the placement is based

Surgical wards at Weston General Hospital, Ashcombe clinic, Early pregnancy clinic and Ashcombe ward,

Clinical Supervisor(s) for the placement

Mr C Bevan, Mr R Afifi, Mrs N Dwyer, Ms V Mathew.

Main duties of the placement

During normal working hours the F2 and CT jobs involve conducting a ward round of inpatients, both reviewing post operative patients and emergency admissions. The doctor will be expected to record events accurately in the medical record, prescribe medication appropriately and discharge patients safely and efficiently. 

Each week there are Gynaecology outpatient clinics, where F2s review their own set of patients, examine and make management plans jointly with the consultants. 

In addition Weston general hospital runs an Early pregnancy clinic, where patients will occasionally require a medical review and plan made in conjunction with a senior. 

As stated above there is an on call rota where the doctor is responsible for covering the wards, reviewing unwell or unstable patients, reviewing patients in A&E and discussing these cases promptly with the Gynaecology consultant on call when appropriate. On weekend and nights this includes orthopaedic duties. 

The F2 is required to assist the consultants in theatre on a variety of cases. 

Each week there is an opportunity for teaching, led by an F2/CT and supervised by a consultant. 

In addition there is a teaching schedule for all F2 trainees in the trust.

Typical working pattern in this placement

Normal working hours 8am- 5pm

On call shifts 5-8pm (normally once or twice a week)

Nights 8pm-8am plus presenting at following Orthopaedic trauma meeting at 8:30am the following morning.

Employer information

The employer for this post is Weston Area NHS Trust. 

The post will be based in Weston General Hospital, which is a medium sized acute NHS Trust, with 320 beds and around 1800 employees. The trust provides an extensive range of secondary services for the local community of approximately 200,000, with over 2.5 million visitors to this pleasant West Country seaside town during the summer months.

 

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