Individual Placement Descriptions
Yeovil District Hospital NHS Foundation Trust

 

Placement

F1 Cardiology

The department

Cardiology at YDH comprises 3 Consultant Cardiologists, 2 Registrars, a Staff Grade and 5 junior doctors; the department has a  CCU and technicians in the Clinical Investigation Department.

The type of work to expect and learning opportunities

The full range of Medical and Cardiological clinical duties to be expected at your grade in a medium-sized but especially friendly DistrictGeneralHospital.

Where the placement is based

YeovilDistrict Hospital

Clinical Supervisor(s) for the placement

Our F1 and F2s have one of the Consultants as a Clinical Supervisor

Dr G Chung, Dr A Broadley, Dr G Brigden

Main duties of the placement

The F1 doctor will work on the ward directly reporting to an F2 or higher. The F1 is part of a 12 person rota which covers the General Medicine take including nights and weekend working.

 

The overall objectives of the F1 year are to provide the trainee with the knowledge, skill and attitude to be able to :

 

  • Take a history and examine a patient
  • Work towards establishing either a diagnosis or differential diagnostic list
  • Organize appropriate investigations and review and interpret results
  • Prescribe safely
  • Keep accurate medical records
  • Manage time effectively
  • Prioritize clinical tasks
  • Communicate effectively with patients, family, carers and colleagues
  • Use evidence based guidance 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
  • Education patients effectively

 

 

 

 

Employer information

Yeovil Hospital is a rural hospital based in the market town of Yeovil, serving a population of around 185,000 people in south Somerset and Dorset.

In 2015 we were recognised as a national ‘Vanguard’ site for new models of care. We are progressing our work with GPs and local partners in the development of new models of integrated care, which will deliver a sustainable, high quality, health and social care system. These plans are a key element of the Trust’s strategic objectives.

We have maintained positive feedback from patients about their care, reflected in our ‘iWantGreatCare’ survey, in which we achieved an impressive 4.75 out of 5 star rating.

Among our accolades, the Trust has won £50k in the National Lottery’s People’s Projects competition two years running, to improve life in hospital for older patients with dementia through an array of activities such as live music, art, gardening and dance to help combat feelings of isolation and loneliness.

Our fundraising efforts have also seen our plans to build a sensory dementia garden come to fruition, with the recent opening of our hospital garden. This fantastic space offers staff, patients, relatives and carers a quiet space to relax and enjoy being outdoors and features prominently in our ongoing activities for older patients.

 

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

Placement

F1 Acute Paediatrics and Neonates

The department

The Department of Paediatrics at Yeovil District Hospital comprises 7 consultant Paediatricians, who participate in an on-call rota for acute Paediatrics and neonates, and an Associate Specialist. The consultants are General Paediatricians who have varied special interests in Child Protection, Emergency Paediatrics, Neurodevelopmental Disorders, Diabetes, Oncology, Cardiology, Neurology and eating disorders.

 

The Department consists of a 22 bedded Children and Young People’s Ward, with 2 purpose built adolescent rooms. It is adjacent to the dedicated Children’s Outpatient and Day Services area.  The ward is open to children and young people of all specialties and there is joint working with Surgical and Orthopaedic teams. 

 

There are approximately 2000 Paediatric admissions annually and over 1000 new referrals to Paediatric Outpatients each year. 

 

Nurse-Led clinics take place and the work of the department is supported by a team of Community Children’s Nurses. 

 

There is a dedicated Paediatric Assessment Unit sited within the Emergency Department. Children and young people referred by General Practitioners are reviewed here as are children attending the Emergency department. Middle Grade staff oversee the assessment of these children, arranging appropriate discharge or follow up either as an admission or for review.  This is overseen by the Consultant of the Week.

 

The Unit (SCBU) has recently been fully refurbished, thanks to the fundraising efforts of Yeovil Hospital Charity’s Flying Colours Appeal.  The SBCU is located at the far end of Freya Ward (maternity post natal ward). There are facilities to care for up to eight babies. We routinely admit babies from 32 weeks – 37 weeks gestation but we also admit other babies if they require extra special care.

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Community Paediatrics is integrated within the General Paediatric caseload .

 

General Paediatric Outpatient clinics take place daily and peripheral clinics are carried out in Glastonbury, Wincanton, South Petherton, Crewkerne and Sherborne. 

 

The department has strong links with the tertiary centres of Bristol and Southampton, with sub-specialist clinics being held regularly at Yeovil.  These include Oncology, Cardiology, Endocrinology, Neurology, Paediatric Surgery, Nephrology, Paediatric Urology, Rheumatology, Clinical Genetics and Allergy.  Annual reviews in Cystic Fibrosis in the tertiary team also take place locally. Junior medical staff are encouraged to attend these combined clinics.

The type of work to expect and learning opportunities

F1 doctors working within the Paediatric department are based either on the Paediatric ward, SCBU or in the Paediatric Assessment Unit during the ‘normal working day’. At all times the F1 doctor is supported by a middle grade doctor, working under the on-call consultant.

 

When working on SCBU, the F1 doctor will be required, with a middle grade doctor, to see all Neonatal patients each day and will be part of the team responsible for their daily medical care.

 

When working upon the General Paediatric ward, the F1 doctor will form part of the Paediatric team reviewing all patients daily on the morning ward round and providing their inpatient medical care.

 

In the Paediatric Assessment Unit within the emergency department, the F1 doctor will clerk new admissions and, with senior support, assist in planning their ongoing management.

 

There is a robust programme of formal teaching within the department, with twice weekly consultant teaching, weekly middle-grade led teaching, weekly departmental educational meetings and a weekly journal club. It is expected that F1 doctors will attend all teaching sessions and will participate in their delivery also.

 

Where the placement is based

YeovilDistrictHospital: Ward 10, Paediatric Assessment Unit, Special Care Baby Unit, Paediatric Outpatient Department

Clinical Supervisor(s) for the placement

Dr Meridith Kane, Dr Paul Heaton, Dr Megan Eaton, Dr Christopher Zaborowski, Dr Michael Fernando, Dr Tamsyn Nicole,  Dr Camelia Vania

Main duties of the placement

The F1 doctor’s role is to work as part of the team responsible for the ward care of patients, the admission and treatment of new patients, and the ongoing management and planned discharge of patients. Yeovil District Hospital Paediatric Team operates a ‘Consultant of the Week’ system, and all junior paediatric doctors are expected to attend a daily handover meeting where all inpatients are presented and discussed. The F1 doctor’s rota will then allocate them to a ward round, either on the Paediatric ward or on SCBU. The F1 doctors’ rota operates on a 6 week rolling cycle including nights and weekends. Within that cycle all doctors will have an opportunity to work on the SCBU, the Paediatric ward, and the Paediatric Assessment Unit within the Emergency Department.

 

All Paediatric trainees are expected to participate in regular structured departmental teaching sessions and weekly journal club meetings, as well as Trust based Foundation Stage teaching sessions.

Employer information

Yeovil Hospital is a rural hospital based in the market town of Yeovil, serving a population of around 185,000 people in south Somerset and Dorset.

In 2015 we were recognised as a national ‘Vanguard’ site for new models of care. We are progressing our work with GPs and local partners in the development of new models of integrated care, which will deliver a sustainable, high quality, health and social care system. These plans are a key element of the Trust’s strategic objectives.

We have maintained positive feedback from patients about their care, reflected in our ‘iWantGreatCare’ survey, in which we achieved an impressive 4.75 out of 5 star rating.

Among our accolades, the Trust has won £50k in the National Lottery’s People’s Projects competition two years running, to improve life in hospital for older patients with dementia through an array of activities such as live music, art, gardening and dance to help combat feelings of isolation and loneliness.

Our fundraising efforts have also seen our plans to build a sensory dementia garden come to fruition, with the recent opening of our hospital garden. This fantastic space offers staff, patients, relatives and carers a quiet space to relax and enjoy being outdoors and features prominently in our ongoing activities for older patients.

 

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

 

Placement

F1  Medicine - Care of The Elderly

The department

The Dept of Care of The Elderly comprises of 2 Consultant Physicians who partake in the General Medicine on call rota and a consultant in FOPAS (Frail Older Persons Assessment Service) There are interests in stroke. Parkinsons Disease, Falls & orthogeriatrics.  All geriatrics pathology is represented.

 

The department serves East Somerset & North Dorset with a catchment population of 180,000.

 

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

 

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

 

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

Where the placement is based

Yeovil  DistrictHospital

Clinical Supervisor(s) for the placement

Dr K A Rashed, Dr M R Qadiri

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 opportunities to work with the consultants in outpatients clinics, and also take responsibility for problems arising with 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.

 

The F1 doctor will work on the ward directly reporting to an F2 or higher. The F1 is part of a 12 person rota which covers the General Medicine take including nights and weekend working.

 

Employer information

Yeovil Hospital is a rural hospital based in the market town of Yeovil, serving a population of around 185,000 people in south Somerset and Dorset.

In 2015 we were recognised as a national ‘Vanguard’ site for new models of care. We are progressing our work with GPs and local partners in the development of new models of integrated care, which will deliver a sustainable, high quality, health and social care system. These plans are a key element of the Trust’s strategic objectives.

We have maintained positive feedback from patients about their care, reflected in our ‘iWantGreatCare’ survey, in which we achieved an impressive 4.75 out of 5 star rating.

Among our accolades, the Trust has won £50k in the National Lottery’s People’s Projects competition two years running, to improve life in hospital for older patients with dementia through an array of activities such as live music, art, gardening and dance to help combat feelings of isolation and loneliness.

Our fundraising efforts have also seen our plans to build a sensory dementia garden come to fruition, with the recent opening of our hospital garden. This fantastic space offers staff, patients, relatives and carers a quiet space to relax and enjoy being outdoors and features prominently in our ongoing activities for older patients.

 

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

Placement

F1  General Medicine - Diabetes and Endocrinology

The department

The department of Diabetes and Endocrinology comprises of 2 consultants, supported by a middle grade doctor,  Diabetes specialist nurses, specialist diabetes dietician, and hospital podiatrist.

 

The consultants undertake a 1:14 general medical on-call rota, and contribute to post-take ward rounds alongside acute physicians.

 

The sub-specialty of Diabetes and Endocrinology have 12 inpatient beds across 2 wards. They share the main ward with the respiratory team.

The type of work to expect and learning opportunities

There is a good mix of Diabetes, Endocrinology and General Medicine inpatients admitted to the main ward under Endocrinology. The team of junior doctors are responsible for the endocrine patients with occasional cross cover to the respiratory patients.

 

Type of work and opportunities.

  1. Take a history, examine and manage the patient:Junior doctors in the ward are expected to briefly re-clerk patients admitted under endocrinology team, by confirming the history and examination themselves, and checking relevant investigations and create a problem list, and action plan.
  2. They are expected to prescribe safely:
  3. They must complete the Safe use of insulin elearning course (details available from the academy), which is mandatory for all foundation doctors.
  4. Record keeping: ensure accurate and up to date records.
  5. Attend consultant ward rounds (usually Tuesdays AM or PM, and Friday usually AM, and participate in ward round discussions.
  6. Time Management and prioritise duties:
  7. Effective communication with patients and demonstrate empathy
  8. Good team working and mutual respect for colleagues is expected.
  9. Act professionally at all times.

10. Engage in teaching medical students who attend from Bristol, and St George’s London.

11. Undertake discharge summary of all patients via electronic discharge summary, with accurate and concise information of the patient’s episode, and accurate medication list on discharge, with clear instructions onactions for GPs and who the summary has been copied to.

12. Actively participate in presentations at the respiratory and endocrine meetings

13. Participate in the general hospital educational sessions, including journal club, radiology meetings and grand rounds.

14. Consultant led outpatient clinic attendance is voluntary. Please discuss with individual consultant.

15. Undertake an audit and present at local governance meeting.

Where the placement is based

Ward 9A (main ward)

Ward 6B (outlier ward)

Other potential outlier wards include, HDU, ward10 (young adult) and Kingston wing and CDU/CDU-P.

Clinical Supervisor(s) for the placement

Dr Sesha Pramodh & Dr Alex Bickerton.

Typical working pattern in this placement

The F1 doctor will work on the ward directly reporting to an F2 or higher. The F1 is part of a 12 person rota which covers the General Medicine take including nights and weekend working

Employer information

Yeovil Hospital is a rural hospital based in the market town of Yeovil, serving a population of around 185,000 people in south Somerset and Dorset.

In 2015 we were recognised as a national ‘Vanguard’ site for new models of care. We are progressing our work with GPs and local partners in the development of new models of integrated care, which will deliver a sustainable, high quality, health and social care system. These plans are a key element of the Trust’s strategic objectives.

We have maintained positive feedback from patients about their care, reflected in our ‘iWantGreatCare’ survey, in which we achieved an impressive 4.75 out of 5 star rating.

Among our accolades, the Trust has won £50k in the National Lottery’s People’s Projects competition two years running, to improve life in hospital for older patients with dementia through an array of activities such as live music, art, gardening and dance to help combat feelings of isolation and loneliness.

Our fundraising efforts have also seen our plans to build a sensory dementia garden come to fruition, with the recent opening of our hospital garden. This fantastic space offers staff, patients, relatives and carers a quiet space to relax and enjoy being outdoors and features prominently in our ongoing activities for older patients.

 

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

Placement

F1 EAU

The department

The Unit comprises of 4 Consultants in Acute Medicine.  They have interests in Respiratory medicine and COE.  EAU is a newly built ward with 24 new beds. EAU staff also cover CDUP 11-14 beds, Amblatory Care and Outpatient Clinics

The unit is supported by 1 SpR in acute and general medicine and 1 specialty doctor.  The unit serves East Somerset with a catchment of 180 000 people.

The type of work to expect and learning opportunities

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

 

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

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

Where the placement is based

Yeovil District General Hospital; EAU Level 4

Clinical Supervisor(s) for the placement

Dr Thikra Al-Wattar, Dr Siddiqui; Dr Hameed

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 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

There are daily ward rounds between 9am-5pm supported by the Consultants as well as the middle grade doctor.  There are also regular MDT meetings.  They have the opportunity to perform various medical procedures.

 

The F1 doctor will work on the ward directly reporting to an F2 or higher. The F1 is part of a 12 person rota which covers the General Medicine take including nights and weekend working

 

Employer information

Yeovil Hospital is a rural hospital based in the market town of Yeovil, serving a population of around 185,000 people in south Somerset and Dorset.

In 2015 we were recognised as a national ‘Vanguard’ site for new models of care. We are progressing our work with GPs and local partners in the development of new models of integrated care, which will deliver a sustainable, high quality, health and social care system. These plans are a key element of the Trust’s strategic objectives.

We have maintained positive feedback from patients about their care, reflected in our ‘iWantGreatCare’ survey, in which we achieved an impressive 4.75 out of 5 star rating.

Among our accolades, the Trust has won £50k in the National Lottery’s People’s Projects competition two years running, to improve life in hospital for older patients with dementia through an array of activities such as live music, art, gardening and dance to help combat feelings of isolation and loneliness.

Our fundraising efforts have also seen our plans to build a sensory dementia garden come to fruition, with the recent opening of our hospital garden. This fantastic space offers staff, patients, relatives and carers a quiet space to relax and enjoy being outdoors and features prominently in our ongoing activities for older patients.

 

 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 and CDU department provides services for the population of Yeovil and the surrounding areas and sees 42,000 new patients a year.

 

There is 24 hour specialty registrar cover, with on-site senior cover (middle grade / consultant) between 0800-2200 hours.  Senior cover at night is provided by the on-call consultant from home.

 

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

The type of work to expect and learning opportunities

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. 

 

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 Trust wide F1 teaching on a weekly basis. There is continuous shopfloor teaching on all cases seen by the F1 doctor. The department have also recently introduced a series of 15 minute teaching session which cover a variety of useful topics. This teaching is easily accommodated during the normal working day and can be caught up on at any time.

Where the placement is based

Emergency Department, Yeovil District Hospital

Clinical Supervisor(s) for the placement

Dr Paul Ancill, Dr Katalin Fernando, Dr Jon Tipping, Dr Andrew Newton

Main duties of the placement

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

 

The F1 doctor has a four week rolling rota which includes a weekend and shifts finishing no later than 10pm.

 

Employer information

Yeovil Hospital is a rural hospital based in the market town of Yeovil, serving a population of around 185,000 people in south Somerset and Dorset.

In 2015 we were recognised as a national ‘Vanguard’ site for new models of care. We are progressing our work with GPs and local partners in the development of new models of integrated care, which will deliver a sustainable, high quality, health and social care system. These plans are a key element of the Trust’s strategic objectives.

We have maintained positive feedback from patients about their care, reflected in our ‘iWantGreatCare’ survey, in which we achieved an impressive 4.75 out of 5 star rating.

Among our accolades, the Trust has won £50k in the National Lottery’s People’s Projects competition two years running, to improve life in hospital for older patients with dementia through an array of activities such as live music, art, gardening and dance to help combat feelings of isolation and loneliness.

Our fundraising efforts have also seen our plans to build a sensory dementia garden come to fruition, with the recent opening of our hospital garden. This fantastic space offers staff, patients, relatives and carers a quiet space to relax and enjoy being outdoors and features prominently in our ongoing activities for older patients.

 

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

Placement

F1  General and Breast/Urology Surgery

The department

The department of Surgery comprises 8 Consultant Surgeons of whom 7 partake in the acute General surgical on-call.  General Surgery at YDH has a strong emphasis on laparoscopic (keyhole) procedures.

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 wards irrespective of specialty.

 

Whilst in the Emergency On-call Week 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 problems
  • Prescribe safely
  • Keep an accurate and relevant medical record
  • Manage time and clinical priorities effectively
  • Establish 1st line Treatment of Acute Surgical Patient’s
  • 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

YDH Ward 7a

Clinical Supervisor(s) for the placement

Mr Francis, Mr Ockrim, Mr Allison, Mr Spearman, Mr Farooq, Miss C Osborne, Mr B Ansari, Mr Dennison

Main duties of the placement

F1 Doctors have the opportunity to work with the multidisciplinary teams of surgical care including the Stoma Therapist, Physiotherapist, Dietician, Pharmacist and other health care professionals.  They are also encouraged to attend the outpatient clinics, main and day theatre sessions.  In addition they are expected to attend the structured teaching programs provided by the department.

 

The doctor will be responsible for such other activities such as establishing first line of treatment and IV access,  prioritising sick patients, discharge summary’s in timely manner, in addition to accurate and reliable recording of patient progress in their notes..

Typical working pattern in this placement

Daily:        0900 Ward round

                 1200/1700/2100   Handover

 

Mon:          1100 – 1700 Assessment unit.

Tues:        1400  Out patients clinic

Wed:         1300  Grand round

                  (1400 formal teaching programme)

Thurs:       1100  departmental teaching program

Fri - Sun:   Ward cover

Sat:            08.00 – 20.30    1 in 7

Sun:           08.00 – 20.30   1 in 7

 

On call requirements:

1 in 7 with twilight shifts.

Employer information

Yeovil Hospital is a rural hospital based in the market town of Yeovil, serving a population of around 185,000 people in south Somerset and Dorset.

In 2015 we were recognised as a national ‘Vanguard’ site for new models of care. We are progressing our work with GPs and local partners in the development of new models of integrated care, which will deliver a sustainable, high quality, health and social care system. These plans are a key element of the Trust’s strategic objectives.

We have maintained positive feedback from patients about their care, reflected in our ‘iWantGreatCare’ survey, in which we achieved an impressive 4.75 out of 5 star rating.

Among our accolades, the Trust has won £50k in the National Lottery’s People’s Projects competition two years running, to improve life in hospital for older patients with dementia through an array of activities such as live music, art, gardening and dance to help combat feelings of isolation and loneliness.

Our fundraising efforts have also seen our plans to build a sensory dementia garden come to fruition, with the recent opening of our hospital garden. This fantastic space offers staff, patients, relatives and carers a quiet space to relax and enjoy being outdoors and features prominently in our ongoing activities for older patients.

 

 

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

Placement

F1 General Medicine/Gastro

The department

Medicine

The type of work to expect and learning opportunities

Ward based and on-call. Ward based learning and fixed teaching sessions

Where the placement is based

Ward 9B YDH

Clinical Supervisor(s) for the placement

Dr Z H Khan, Dr K Smith, Dr J Gotto

Main duties of the placement

Clerking of patients, conducting ward rounds for the consultants and on-call

 

The FY1 will participate on the acute on call rota gaining experience in the assessment of acute medical admissions and also provide out of hours medical ward cover.

 

The overall objectives of the F1 year are to provide the trainee with the knowledge, skill and attitude to be able to :

  • Take a history and examine a patient
  • Work towards establishing either a diagnosis or differential diagnostic list
  • Organize appropriate investigations and review and interpret results
  • Prescribe safely
  • Keep accurate medical records
  • Manage time effectively
  • Prioritize clinical tasks
  • Communicate effectively with patients, family, carers and colleagues
  • Use evidence based guidance 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
  • Education patients effectively

 

Become life-long learners and teachers

 

 

 

 

Typical working pattern in this placement

The F1 doctor will work on the ward directly reporting to an F2 or higher. The F1 is part of a 12 person rota which covers the General Medicine take including nights and weekend working

 

The Gastroenterology Consultants have a very good ward presence and regularly conduct consultant led ward rounds and board rounds.

 

Employer information

Yeovil Hospital is a rural hospital based in the market town of Yeovil, serving a population of around 185,000 people in south Somerset and Dorset.

In 2015 we were recognised as a national ‘Vanguard’ site for new models of care. We are progressing our work with GPs and local partners in the development of new models of integrated care, which will deliver a sustainable, high quality, health and social care system. These plans are a key element of the Trust’s strategic objectives.

We have maintained positive feedback from patients about their care, reflected in our ‘iWantGreatCare’ survey, in which we achieved an impressive 4.75 out of 5 star rating.

Among our accolades, the Trust has won £50k in the National Lottery’s People’s Projects competition two years running, to improve life in hospital for older patients with dementia through an array of activities such as live music, art, gardening and dance to help combat feelings of isolation and loneliness.

Our fundraising efforts have also seen our plans to build a sensory dementia garden come to fruition, with the recent opening of our hospital garden. This fantastic space offers staff, patients, relatives and carers a quiet space to relax and enjoy being outdoors and features prominently in our ongoing activities for older patients.

 

 

 

 

 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 on Rowan Ward, Summerlands Hospital Site in Yeovil which is an inpatient and outpatient facility approximately 1½ miles from Yeovil District Hospital.  There is one 22 bedded inpatient general adult ward with an adjoining outpatient facility (Holly Court).  There are 2 inpatient consultants, Dr Julian Barnett and Dr Roberta Orton, an F2, a GP ST2 plus core trainee in psychiatry already working on Rowan Ward who can offer support and teaching to the F1 trainee.

The type of work to expect and learning opportunities

The F1 placement begins with an intensive 3 day induction programme.  The working week includes 2 ward rounds and 7 sessions for ward cover, meetings and one session of teaching at the Post Graduate Medical Education meeting on Monday morning.

Where the placement is based

Rowan Ward, Summerlands Hospital Site, 56 Preston Road, Yeovil.

Clinical Supervisor(s) for the placement

Dr Julian Barnett and Dr Roberta Orton

Main duties of the placement

The F1 doctor is responsible with other staff for ward care of patients and the maintenance of patient’s medical records.  They will have the opportunity to work with the Crisis Resolution and Home Treatment Team to assess acutely unwell patients who may require admission to hospital or to facilitate early discharge from hospital.  This work will be supervised by more experienced doctors.  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 a occasional emergencies and unforeseen circumstances. 

Typical working pattern in this placement

Monday 9.30 - 13.00 PGME, 14.00 - 17.00 ward reviews/urgent assessments. 

Tuesday 9.00 - 10.00 handover, 10.00 - 13.00 ward review, 14.00 - 17.00 ward work

Wednesday 9.00 - 10.00 handover, 10.00 - 13.00 crisis/home treatment clinic, 14.00 - 17.00 work work

Thursday 9.00 - 10.00 handover, 10 - 13.;00 ward work, 14.00 - 15.00 supervision, 15.00 - 17.00 ward work

Friday 9.00 - 10.00 handover, 10.00 - 13.00 ward work, 13.00 - 17.00 ward work

 

Saturday and Sunday - no on call shift.  On call requirements - the F1 has no on call commitments out of hours.  9.00 - 17.00 Monday to Friday they will be expected to participate in cover arrangements for the Summerlands Hospital Site which includes an adjacent old age psychiatric unit, Magnolia Ward (18 beds).

Employer information

Yeovil Hospital is a rural hospital based in the market town of Yeovil, serving a population of around 185,000 people in south Somerset and Dorset.

In 2015 we were recognised as a national ‘Vanguard’ site for new models of care. We are progressing our work with GPs and local partners in the development of new models of integrated care, which will deliver a sustainable, high quality, health and social care system. These plans are a key element of the Trust’s strategic objectives.

We have maintained positive feedback from patients about their care, reflected in our ‘iWantGreatCare’ survey, in which we achieved an impressive 4.75 out of 5 star rating.

Among our accolades, the Trust has won £50k in the National Lottery’s People’s Projects competition two years running, to improve life in hospital for older patients with dementia through an array of activities such as live music, art, gardening and dance to help combat feelings of isolation and loneliness.

Our fundraising efforts have also seen our plans to build a sensory dementia garden come to fruition, with the recent opening of our hospital garden. This fantastic space offers staff, patients, relatives and carers a quiet space to relax and enjoy being outdoors and features prominently in our ongoing activities for older patients.

 

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

Placement

F1 General Medicine -  Respiratory

The department

The Respiratory Department is led by 2 Consultants specialising both in general and respiratory medicine.

 

The department is supported by Nurse Specialists covering Lung Cancer, TB, COPD & Sleep. Patients with complex respiratory problems are triaged to the respiratory ward where possible.

The type of work to expect and learning opportunities

All FY1 doctors in hospital posts are largely ward based during the normal working day. They are involved in the delivery of day to day medical care of all patients on their ward, supervised by and FY2 and Registrar. They will be involved in the routine review of all patients and assessment of acute problems as necessary.

 

The FY1 will participate on the acute on call rota gaining experience in the assessment of acute medical admissions and also provide out of hours medical ward cover.

 

The overall objectives of the F1 year are to provide the trainee with the knowledge, skill and attitude to be able to :

  • Take a history and examine a patient
  • Work towards establishing either a diagnosis or differential diagnostic list
  • Organize appropriate investigations and review and interpret results
  • Prescribe safely
  • Keep accurate medical records
  • Manage time effectively
  • Prioritize clinical tasks
  • Communicate effectively with patients, family, carers and colleagues
  • Use evidence based guidance 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
  • Education patients effectively
  • Become life-long learners and teachers

Where the placement is based

YeovilDistrictHospital NHS Foundation Trust

Medical Directorate. Respiratory ward 9a

Clinical Supervisor(s) for the placement

Dr Claire Parker/Dr Phil Raines

Main duties of the placement

The FY1 doctor works as part of a team responsible for the day to day care of medical patients on their ward and under the care of the respiratory team on outlying wards and ICU.

 

They are responsible for the ward care and maintenance of patient medical records.

 

They work with both respiratory consultants.

 

They are expected to attend the structured FY1 core training and attend all other educational meetings such as journal club, x-ray meetings and ward meetings.

 

The doctor will be responsible for such clinical duties allocated by the consultant or other team members; This includes performing duties in occasional emergencies and unforeseen circumstances.

 

The F1 doctor is also expected to cross cover the diabetes patients on the ward to provide cover in times of sickness

Typical working pattern in this placement

The F1 doctor will work on the ward directly reporting to an F2 or higher. The F1 is part of a 12 person rota which covers the General Medicine take including nights and weekend working.

 

 

Employer information

Yeovil Hospital is a rural hospital based in the market town of Yeovil, serving a population of around 185,000 people in south Somerset and Dorset.

In 2015 we were recognised as a national ‘Vanguard’ site for new models of care. We are progressing our work with GPs and local partners in the development of new models of integrated care, which will deliver a sustainable, high quality, health and social care system. These plans are a key element of the Trust’s strategic objectives.

We have maintained positive feedback from patients about their care, reflected in our ‘iWantGreatCare’ survey, in which we achieved an impressive 4.75 out of 5 star rating.

Among our accolades, the Trust has won £50k in the National Lottery’s People’s Projects competition two years running, to improve life in hospital for older patients with dementia through an array of activities such as live music, art, gardening and dance to help combat feelings of isolation and loneliness.

Our fundraising efforts have also seen our plans to build a sensory dementia garden come to fruition, with the recent opening of our hospital garden. This fantastic space offers staff, patients, relatives and carers a quiet space to relax and enjoy being outdoors and features prominently in our ongoing activities for older patients.

 

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

Placement

F1  General and Breast/Urology Surgery

The department

The department of Surgery comprises 8 Consultant Surgeons of whom 7 partake in the acute General surgical on-call.  General Surgery at YDH has a strong emphasis on laparoscopic (keyhole) procedures.

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 wards irrespective of specialty.

 

Whilst working the Emergency On-call Week 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 problems
  • Prescribe safely
  • Keep an accurate and relevant medical record
  • Manage time and clinical priorities effectively
  • Establish 1st line Treatment of Acute Surgical Patient’s
  • 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

YDH Ward 7a

Clinical Supervisor(s) for the placement

Mr Francis, Mr Ockrim, Mr Allison, Mr Spearman, Mr Farooq, Miss C Osborne, Mr B Ansari, Mr Dennison

Main duties of the placement

F1 Doctors have the opportunity to work with the multidisciplinary teams of surgical care including the Stoma Therapist, Physiotherapist, Dietician, Pharmacist and other health care professionals.  They are also encouraged to attend the outpatient clinics, main and day theatre sessions.  In addition they are expected to attend the structured teaching programs provided by the department.

 

The doctor will be responsible for such other activities such as establishing first line of treatment and IV access,  prioritising sick patients, completing discharge summary’s in timely manner, in addition to accurate and reliable recording of patient progress in their notes..

Typical working pattern in this placement

Daily:        0900 Ward round

                 1200/1700/2100   Handover

 

Mon:          1100 – 1700 Assessment unit.

Tues:        1400  Out patients clinic

Wed:         1300  Grand round

                  (1400 formal teaching programme)

Thurs:       1100  departmental teaching program

Fri - Sun:   Ward cover

Sat:            08.00 – 20.30    1 in 7

Sun:           08.00 – 20.30   1 in 7

 

On call requirements:

1 in 7 with twilight shifts.

Employer information

Yeovil Hospital is a rural hospital based in the market town of Yeovil, serving a population of around 185,000 people in south Somerset and Dorset.

In 2015 we were recognised as a national ‘Vanguard’ site for new models of care. We are progressing our work with GPs and local partners in the development of new models of integrated care, which will deliver a sustainable, high quality, health and social care system. These plans are a key element of the Trust’s strategic objectives.

We have maintained positive feedback from patients about their care, reflected in our ‘iWantGreatCare’ survey, in which we achieved an impressive 4.75 out of 5 star rating.

Among our accolades, the Trust has won £50k in the National Lottery’s People’s Projects competition two years running, to improve life in hospital for older patients with dementia through an array of activities such as live music, art, gardening and dance to help combat feelings of isolation and loneliness.

Our fundraising efforts have also seen our plans to build a sensory dementia garden come to fruition, with the recent opening of our hospital garden. This fantastic space offers staff, patients, relatives and carers a quiet space to relax and enjoy being outdoors and features prominently in our ongoing activities for older patients.

 

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

Placement

F2 Cardiology

The department

Cardiology at YDH comprises 3 Consultant Cardiologists, 2 Registrars, a Staff Grade and 5 junior doctors; the department has a  CCU and technicians in the Clinical Investigation Department.

The type of work to expect and learning opportunities

The full range of Medical and Cardiological clinical duties to be expected at your grade in a medium-sized but especially friendly DistrictGeneralHospital.

Where the placement is based

YeovilDistrict Hospital

Clinical Supervisor(s) for the placement

Our F1 and F2s have one of the Consultant as a Clinical Supervisor

Dr G Chung, Dr A Broadley, Dr G Brigden

Main duties of the placement

The F2 doctor will work on the ward directly reporting to ST3 or above. The F2 is part of a 15 person rota which covers the General Medicine take including nights, twilights and weekend working

 

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 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.

 

 

Employer information

Yeovil Hospital is a rural hospital based in the market town of Yeovil, serving a population of around 185,000 people in south Somerset and Dorset.

In 2015 we were recognised as a national ‘Vanguard’ site for new models of care. We are progressing our work with GPs and local partners in the development of new models of integrated care, which will deliver a sustainable, high quality, health and social care system. These plans are a key element of the Trust’s strategic objectives.

We have maintained positive feedback from patients about their care, reflected in our ‘iWantGreatCare’ survey, in which we achieved an impressive 4.75 out of 5 star rating.

Among our accolades, the Trust has won £50k in the National Lottery’s People’s Projects competition two years running, to improve life in hospital for older patients with dementia through an array of activities such as live music, art, gardening and dance to help combat feelings of isolation and loneliness.

Our fundraising efforts have also seen our plans to build a sensory dementia garden come to fruition, with the recent opening of our hospital garden. This fantastic space offers staff, patients, relatives and carers a quiet space to relax and enjoy being outdoors and features prominently in our ongoing activities for older patients.

 

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

Placement

F2  Medicine - Care of The Elderly

The department

The Dept of Care of The Elderly comprises of 2 Consultant Physicians who partake in the General Medicine on call rota and a consultant in FOPAS (Frail Older Persons Assessment Service) There are interests in stroke. Parkinsons Disease, Falls & orthogeriatrics.  All geriatrics pathology is represented.

 

The department serves East Somerset & North Dorset with a catchment population of 180,000.

 

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

 

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

 

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

Where the placement is based

Yeovil  DistrictHospital

Clinical Supervisor(s) for the placement

Dr K A Rashed, Dr M R Qadiri

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, and also 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

The F2 doctor will work on the ward directly reporting to ST3 or above. The F2 is part of a 15 person rota which covers the General Medicine take including nights, twilights and weekend working.

 

 

Employer information

Yeovil Hospital is a rural hospital based in the market town of Yeovil, serving a population of around 185,000 people in south Somerset and Dorset.

In 2015 we were recognised as a national ‘Vanguard’ site for new models of care. We are progressing our work with GPs and local partners in the development of new models of integrated care, which will deliver a sustainable, high quality, health and social care system. These plans are a key element of the Trust’s strategic objectives.

We have maintained positive feedback from patients about their care, reflected in our ‘iWantGreatCare’ survey, in which we achieved an impressive 4.75 out of 5 star rating.

Among our accolades, the Trust has won £50k in the National Lottery’s People’s Projects competition two years running, to improve life in hospital for older patients with dementia through an array of activities such as live music, art, gardening and dance to help combat feelings of isolation and loneliness.

Our fundraising efforts have also seen our plans to build a sensory dementia garden come to fruition, with the recent opening of our hospital garden. This fantastic space offers staff, patients, relatives and carers a quiet space to relax and enjoy being outdoors and features prominently in our ongoing activities for older patients.

 

 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 and CDU department provides services for the population of Yeovil and the surrounding area and sees 42,000 new patients a year.

 

There is 24 hour specialty registrar cover, with on-site senior cover (middle grade / consultant) between 0800-0000 hours.  Senior cover at night is provided by the on-call consultant from home.

 

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

The type of work to expect and learning opportunities

The F2 working in Emergency Medicine functions alongside specialty trainees, working on the same rota. There is a mixture of both minor and major cases throughout the day including the specialties, from paediatrics to ophthalmology, medicine to max fax, and senior colleagues are able to offer advice and guidance. You will learn a number of new skills and broaden your knowledge base. 

Where the placement is based

Emergency Department, Yeovil District Hospital

Clinical Supervisor(s) for the placement

Dr Paul Ancill, Dr Katalin Fernando, Dr Jon Tipping, Dr Andrew Newton

Main duties of the placement

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

 

The F2 doctor will work a six week rolling rota covering nights, twilights and weekends.

Employer information

Yeovil Hospital is a rural hospital based in the market town of Yeovil, serving a population of around 185,000 people in south Somerset and Dorset.

In 2015 we were recognised as a national ‘Vanguard’ site for new models of care. We are progressing our work with GPs and local partners in the development of new models of integrated care, which will deliver a sustainable, high quality, health and social care system. These plans are a key element of the Trust’s strategic objectives.

We have maintained positive feedback from patients about their care, reflected in our ‘iWantGreatCare’ survey, in which we achieved an impressive 4.75 out of 5 star rating.

Among our accolades, the Trust has won £50k in the National Lottery’s People’s Projects competition two years running, to improve life in hospital for older patients with dementia through an array of activities such as live music, art, gardening and dance to help combat feelings of isolation and loneliness.

Our fundraising efforts have also seen our plans to build a sensory dementia garden come to fruition, with the recent opening of our hospital garden. This fantastic space offers staff, patients, relatives and carers a quiet space to relax and enjoy being outdoors and features prominently in our ongoing activities for older patients.

 

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

Placement

F2  General and Breast Surgery

The department

The Dept of Surgery comprises 8 Consultant Surgeons of whom 7 partake in the acute General surgical on-call.  General Surgery at YDH has a strong emphasis on laparoscopic (keyhole) procedures.

Main Duties

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 wards irrespective of specialty.

 

Currently F2 doctors in surgery cross cover orthopaedics as part of hospital at night.  

 

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 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.
  • Familiar and confident in treating and managing trauma and Orthopedic patients

Where the placement is based

Ward 7a

Clinical Supervisor(s) for the placement

Mr Francis, Mr Ockrim, Mr Allison, Mr Spearman, Mr Farooq, Miss C Osborne, Mr B Ansari, Mr Dennison

Employer information

Yeovil Hospital is a rural hospital based in the market town of Yeovil, serving a population of around 185,000 people in south Somerset and Dorset.

In 2015 we were recognised as a national ‘Vanguard’ site for new models of care. We are progressing our work with GPs and local partners in the development of new models of integrated care, which will deliver a sustainable, high quality, health and social care system. These plans are a key element of the Trust’s strategic objectives.

We have maintained positive feedback from patients about their care, reflected in our ‘iWantGreatCare’ survey, in which we achieved an impressive 4.75 out of 5 star rating.

Among our accolades, the Trust has won £50k in the National Lottery’s People’s Projects competition two years running, to improve life in hospital for older patients with dementia through an array of activities such as live music, art, gardening and dance to help combat feelings of isolation and loneliness.

Our fundraising efforts have also seen our plans to build a sensory dementia garden come to fruition, with the recent opening of our hospital garden. This fantastic space offers staff, patients, relatives and carers a quiet space to relax and enjoy being outdoors and features prominently in our ongoing activities for older patients.

 

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

Placement

F2 General Practice

The department

Primary Care

The type of work to expect and learning opportunities

The GP is the first point of contact for most medical services. Most work is carried out during consultations in the surgery and some during home visits.

 

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

 

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

 

In your GP attachment, you will build on your knowledge of medical conditions, your ability to assess a problem, and your skills in deciding on the appropriate course of action.  You will learn how and when to intervene, through treatment, prevention and education, to promote the health of your patients and families.

 

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

Where the placement is based

Hendford Lodge Medical Centre

Penn Hill Surgery

Martock Surgery

Langport Surgery

Clinical Supervisor(s) for the placement

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

Main duties of the placement

Your duties will include:

- seeing patients in surgeries

- responding to health problems presented by patients, including history-taking, investigation, diagnosis, and management

- practicing preventative medicine

- promoting health education

- working closely with other health professionals

- helping with repeat prescriptions and other administrative aspects of day-to-day patient care

- helping the practice meet targets

- managing resources as effectively as possible

- maintaining confidentiality and impartiality

- using basic IT skills and using the practice's clinical IT system

- attending the practice's clinical meetings

- you may also be asked to make domiciliary visits, if your GP Supervisor feels this is appropriate

Typical working pattern in this placement

Morning surgery: followed by discussion patients seen with Supervisor.

Lunchtime: administrative work.

Early afternoon: clinical meetings, domiciliary visits.

Afternoon/early evening: surgery.

 

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

 

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

 

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

Employer information

Yeovil Hospital is a rural hospital based in the market town of Yeovil, serving a population of around 185,000 people in south Somerset and Dorset.

In 2015 we were recognised as a national ‘Vanguard’ site for new models of care. We are progressing our work with GPs and local partners in the development of new models of integrated care, which will deliver a sustainable, high quality, health and social care system. These plans are a key element of the Trust’s strategic objectives.

We have maintained positive feedback from patients about their care, reflected in our ‘iWantGreatCare’ survey, in which we achieved an impressive 4.75 out of 5 star rating.

Among our accolades, the Trust has won £50k in the National Lottery’s People’s Projects competition two years running, to improve life in hospital for older patients with dementia through an array of activities such as live music, art, gardening and dance to help combat feelings of isolation and loneliness.

Our fundraising efforts have also seen our plans to build a sensory dementia garden come to fruition, with the recent opening of our hospital garden. This fantastic space offers staff, patients, relatives and carers a quiet space to relax and enjoy being outdoors and features prominently in our ongoing activities for older patients.

 

 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 - Diabetes and Endocrinology

The department

The department of Diabetes and Endocrinology comprises of 2 consultants, supported by a middle grade doctor,  Diabetes specialist nurses, specialist diabetes dietician, and hospital podiatrist.

 

The consultants undertake a 1:14 general medical on-call rota, and contribute to post-take ward rounds alongside acute physicians.

 

The sub-specialty of Diabetes and Endocrinology have 12 inpatient beds across 2 wards. They share the main ward with the respiratory team.

The type of work to expect and learning opportunities

There is a good mix of Diabetes, Endocrinology and General Medicine inpatients admitted to the main ward under Endocrinology. The team of junior doctors are responsible for  the endocrine patients with occasional cross cover to the respiratory patients.

 

Type of work and opportunities.

16. Take a history, examine and manage the patient:Junior doctors in the ward are expected to briefly re-clerk patients admitted under endocrinology team, by confirming the history and examination themselves, and checking relevant investigations and create a problem list, and action plan.

17. They are expected to prescribe safely:

18. They must complete the Safe use of insulin elearning course (details available from the academy), which is mandatory for all foundation doctors.

19. Record keeping: ensure accurate and up to date records.

20. Attend consultant ward rounds (usually Tuesdays AM or PM, and Friday  usually  AM, and participate in ward round discussions.

21. Time Management and prioritise duties:

22. Effective communication with patients and demonstrate empathy

23. Good team working and mutual respect for colleagues is expected.

24. Act professionally at all times.

25. Engage in teaching medical students who attend from Bristol, and St George’s London.

26. Undertake discharge summary of all patients via electronic discharge summary, with accurate and concise information of the patient’s episode, and accurate medication list on discharge, with clear instructions onactions for GPs and who the summary has been copied to.

27. Actively participate in presentations at the respiratory and endocrine meetings

28. Participate in the general hospital educational sessions, including journal club, radiology meetings and grand rounds.

29. Consultant led outpatient clinic attendance is voluntary. Please discuss with individual consultant.

30. Undertake an audit and present at local governance meeting.

Where the placement is based

Ward 9A (main ward)

Ward 6B (outlier ward)

Other potential outlier wards include, HDU, ward10 (young adult) and Kingston wing and CDU/CDU-P.

Clinical Supervisor(s) for the placement

Dr Sesha Pramodh & Dr Alex Bickerton.

Typical working pattern in this placement

The F2 doctor will work on the ward directly reporting to a specialty doctor. The F2 is part of a 15 person rota which covers the General Medicine take including nights, twilights and weekend working

Employer information

Yeovil Hospital is a rural hospital based in the market town of Yeovil, serving a population of around 185,000 people in south Somerset and Dorset.

In 2015 we were recognised as a national ‘Vanguard’ site for new models of care. We are progressing our work with GPs and local partners in the development of new models of integrated care, which will deliver a sustainable, high quality, health and social care system. These plans are a key element of the Trust’s strategic objectives.

We have maintained positive feedback from patients about their care, reflected in our ‘iWantGreatCare’ survey, in which we achieved an impressive 4.75 out of 5 star rating.

Among our accolades, the Trust has won £50k in the National Lottery’s People’s Projects competition two years running, to improve life in hospital for older patients with dementia through an array of activities such as live music, art, gardening and dance to help combat feelings of isolation and loneliness.

Our fundraising efforts have also seen our plans to build a sensory dementia garden come to fruition, with the recent opening of our hospital garden. This fantastic space offers staff, patients, relatives and carers a quiet space to relax and enjoy being outdoors and features prominently in our ongoing activities for older patients.

 

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

Placement

F2 Obs & Gynae

The department

The department comprises both gynaecology and maternity services.

The maternity services deliver 1200 – 1500 babies a year  in a consultant led unit though there is also opportunity to participate in activities related to low risk antenatal care.

There is a labour ward and an antenatal/ post-natal ward supplemented with a day care unit for the women requiring closure antenatal monitoring.

 

The gynaecology services in YDH comprise of both acute and elective activity. There are inpatient beds on two wards ( Kingston and 6A) where inpatients will be based, but predominantly patients are managed as day cases if stable with attendance through the gynaecology assessment unit and early pregnancy clinics.

There are specialised clinics – colposcopy, fast track gynaecology  for cancer , Urogynaecology and subfertilify

The type of work to expect and learning opportunities

The F1/F2 will be expected to participate in all aspects of patient care within the Department.  This will include initial assessment of patients and there is continual 24 hr senior support in decision making and formulating management plans. It is expected that the F1/F2 will discuss all patients they see with a registrar /consultant before they discharge them home or before hospital admission. F1/F2 will be expected to participate in theatre sessions and outpatient activities as rostered on the duty programme. There will also be the opportunity to perform practical procedures such as catheterization, suturing. F1 doctors will be supported by senior colleagues and will discuss their findings and management plans. 

 

Educational Opportunities

 

There is teaching for junior medical staff within the department weekly with varied topics to ascertain the breadth of both obstetrics and gynaecology relevant to initial evaluation of patients is covered. This is facilitated by the senior staff in the department with expectation that the juniors will participate by preparing given topics each week for discussion.. The F2 doctor is also free to attend Trust wide F2 teaching on a weekly basis. There is continuous shop floor teaching on all cases seen by the F2 doctor.

There is a daily hand over of all patients both obstetric and gynaecology in the unit  which is also utilized as a teaching time for discussion of relevant management of different presenting complaints.

 

This is one of the only F2 rotational posts which provides clinics as part of learning where in a non-acute setting the F2 has opportunity to interact with patients, have case based discussions and develop letter writing / dictation to GP.

There is opportunity to participate in Audit and quality improvement projects.

Where the placement is based

Women’s Hospital,  Yeovil District Hospital

This is a small friendly team where you will be supported by both consultant and senior nursing / Midwifery teams to develop your learning

Clinical Supervisor(s) for the placement

Mrs L Karamura (Education Tutor), Mr A Shah Mrs F Shah, Mrs N Soliman

Main duties of the placement

The F2 doctor will make an initial assessment of patients presenting as emergency attendances to gynaecology assessment unit and early pregnancy unit. 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.

On the labour ward, they will be expected to undertake the initial review of women presenting with non-acute obstetric complaints and discuss the care and management with senior obstetrician or Senior midwife as appropriate for the individual patient care.

In an emergency ability to initiate initial resuscitative emergency care supported by the senior team as plans for individual patient care are formulated.

Be part of theatre teams in both obstetrics and gynaecology participating as either first or second assistant in surgery . Where appropriate the F1/F2 may have opportunity to perform surgical procedures appropriate for their level of training and interest.

You will be expected to participate in governance with attendance at departmental educational sessions that review patient care such as perinatal meetings, obstetric interventional meetings and your contribution will be expected as a learner. These are useful forums for learning more about complex cases that have been managed in the unit, but also participating in professional team discussions involving both nurses, midwives and noting how this works.

In the outpatients setting, you will be expected to see both new and follow up patients, and individually discuss their care with senior doctors in the clinical setting to develop management plans and arrange relevant follow up.

Typical working pattern in this placement

The work pattern is shift based involving night shifts and in keeping with new working time regulations.

Employer information

Yeovil Hospital is a rural hospital based in the market town of Yeovil, serving a population of around 185,000 people in south Somerset and Dorset.

In 2015 we were recognised as a national ‘Vanguard’ site for new models of care. We are progressing our work with GPs and local partners in the development of new models of integrated care, which will deliver a sustainable, high quality, health and social care system. These plans are a key element of the Trust’s strategic objectives.

We have maintained positive feedback from patients about their care, reflected in our ‘iWantGreatCare’ survey, in which we achieved an impressive 4.75 out of 5 star rating.

Among our accolades, the Trust has won £50k in the National Lottery’s People’s Projects competition two years running, to improve life in hospital for older patients with dementia through an array of activities such as live music, art, gardening and dance to help combat feelings of isolation and loneliness.

Our fundraising efforts have also seen our plans to build a sensory dementia garden come to fruition, with the recent opening of our hospital garden. This fantastic space offers staff, patients, relatives and carers a quiet space to relax and enjoy being outdoors and features prominently in our ongoing activities for older patients.

 

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

Placement

F2 Orthopaedics and Trauma

The department

Orthopaedics and Trauma

The type of work to expect and learning opportunities

Daily trauma meeting, Ward cover, Acute on-call, assisting in theatre

Where the placement is based

YeovilDistrict Hospital

Clinical Supervisor(s) for the placement

Mr B Lankester, Mr Hall, Mr Latimer, Mr Donaldson, Mr Grundy,  Mr Hoare

Main duties of the placement

Daily trauma meeting, Ward cover, Acute on-call, assisting in theatre

Typical working pattern in this placement

Daily trauma meeting at 0800

 

Variable rota, typically with whole week blocks spent covering a ward (elective orthopaedics or trauma), assisting in theatre, day time acute on call (including fracture clinic learning) and hospital at night cover.

 

One F2 post (orthogeriatrics) undertakes most weeks as ward cover on 6B, trauma ward.

 

One week in 9 on call daytime, plus one week in 9 hospital at night cross covering orthopaedics and general surgery 

Employer information

Yeovil Hospital is a rural hospital based in the market town of Yeovil, serving a population of around 185,000 people in south Somerset and Dorset.

In 2015 we were recognised as a national ‘Vanguard’ site for new models of care. We are progressing our work with GPs and local partners in the development of new models of integrated care, which will deliver a sustainable, high quality, health and social care system. These plans are a key element of the Trust’s strategic objectives.

We have maintained positive feedback from patients about their care, reflected in our ‘iWantGreatCare’ survey, in which we achieved an impressive 4.75 out of 5 star rating.

Among our accolades, the Trust has won £50k in the National Lottery’s People’s Projects competition two years running, to improve life in hospital for older patients with dementia through an array of activities such as live music, art, gardening and dance to help combat feelings of isolation and loneliness.

Our fundraising efforts have also seen our plans to build a sensory dementia garden come to fruition, with the recent opening of our hospital garden. This fantastic space offers staff, patients, relatives and carers a quiet space to relax and enjoy being outdoors and features prominently in our ongoing activities for older patients.

 

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

Placement

F2 Acute Paediatrics and Neonates

The department

The Department of Paediatrics at Yeovil District Hospital comprises 7 consultant Paediatricians, who participate in an on-call rota for acute Paediatrics and neonates, and an Associate Specialist. The consultants are General Paediatricians have varied special interests in Child Protection, Emergency Paediatrics, Neurodevelopmental Disorders, Diabetes, Oncology, Cardiology, Neurology and eating disorders.

 

The Department consists of a 22 bedded Children and Young People’s Ward, with 2 purpose built adolescent rooms. It is adjacent to the dedicated Children’s Outpatient and Day Services area.  The ward is open to children and young people of all specialties and there is joint working with Surgical and Orthopaedic teams. 

 

There are approximately 2000 Paediatric admissions annually and over 1000 new referrals to Paediatric Outpatients each year. 

 

Nurse-Led clinics take place and the work of the department is supported by a team of Community Children’s Nurses. 

 

There is a dedicated Paediatric Assessment Unit sited within the Emergency Department. Children and young people referred by General Practitioners are reviewed here as are children attending the Emergency department. Middle Grade staff oversee the assessment of these children, arranging appropriate discharge or follow up either as an admission or for review.  This is overseen by the Consultant of the Week.

 

The Unit (SCBU) has recently been fully refurbished, thanks to the fundraising efforts of Yeovil Hospital Charity’s Flying Colours Appeal.  The SBCU is located at the far end of Freya Ward (maternity post natal ward). There are facilities to care for up to eight babies. We routinely admit babies from 32 weeks – 37 weeks gestation but we also admit other babies if they require extra special care.

 

Community Paediatrics is integrated within the General Paediatric caseload .

 

General Paediatric Outpatient clinics take place daily and peripheral clinics are carried out in Glastonbury, Wincanton, South Petherton, Crewkerne and Sherborne. 

 

The department has strong links with the tertiary centres of Bristol and Southampton, with sub-specialist clinics being held regularly at Yeovil.  These include Oncology, Cardiology, Endocrinology, Neurology, Paediatric Surgery, Nephrology, Paediatric Urology, Rheumatology, Clinical Genetics and Allergy.  Annual reviews in Cystic Fibrosis in the tertiary team also take place locally. Junior medical staff are encouraged to attend these combined clinics.

The type of work to expect and learning opportunities

F2 doctors working within the Paediatric department are based either on the Paediatric ward, SCBU or in the Paediatric Assessment Unit during the ‘normal working day’. At all times the F2 doctor is supported by a middle grade doctor, working under the on-call consultant.

 

When working on SCBU, the F2 doctor will be required, with a middle grade doctor, to see all Neonatal patients each day and will be part of the team responsible for their daily medical care.

 

When working upon the General Paediatric ward, the F2 doctor will form part of the Paediatric team reviewing all patients daily on the morning ward round and providing their inpatient medical care.

 

In the Paediatric Assessment Unit within the emergency department, the F2 doctor will clerk new admissions and, with senior support, assist in planning their ongoing management.

 

There is a robust programme of formal teaching within the department, with twice weekly consultant teaching, weekly middle-grade led teaching, weekly departmental educational meetings and a weekly journal club. It is expected that F2 doctors will attend all teaching sessions and will participate in their delivery also.

Where the placement is based

Yeovil District Hospital: Ward 10, Paediatric Assessment Unit, Special Care Baby Unit, Paediatric Outpatient Department

Clinical Supervisor(s) for the placement

Dr Meridith Kane, Dr Paul Heaton, Dr Megan Eaton, Dr Christopher Zaborowski, Dr Michael Fernando, Dr Tamsyn Nicole

Main duties of the placement

As part of the paediatric team, the F2 doctor is responsible for the ward care of patients, the admission and treatment of new patients, and the ongoing management and planned discharge of patients. Yeovil District Hospital Paediatric Team operates a ‘Consultant of the Week’ system, and all junior paediatric doctors are expected to attend a daily handover meeting where all inpatients are presented and discussed. The F2 doctor’s rota will then allocate them to a ward round, either on the general paediatric ward or on the SCBU. The F2 doctors’ rota operates on a 6 week rolling cycle. Within that cycle all doctors will have an opportunity to work on the SCBU, the paediatric ward, the Paediatric Assessment Unit, and attend paediatric outpatient clinics.

 

All paediatric trainees are expected to participate in regular structured departmental teaching sessions and weekly journal club meetings, as well as Trust based Foundation Stage teaching sessions.

Employer information

Yeovil Hospital is a rural hospital based in the market town of Yeovil, serving a population of around 185,000 people in south Somerset and Dorset.

In 2015 we were recognised as a national ‘Vanguard’ site for new models of care. We are progressing our work with GPs and local partners in the development of new models of integrated care, which will deliver a sustainable, high quality, health and social care system. These plans are a key element of the Trust’s strategic objectives.

We have maintained positive feedback from patients about their care, reflected in our ‘iWantGreatCare’ survey, in which we achieved an impressive 4.75 out of 5 star rating.

Among our accolades, the Trust has won £50k in the National Lottery’s People’s Projects competition two years running, to improve life in hospital for older patients with dementia through an array of activities such as live music, art, gardening and dance to help combat feelings of isolation and loneliness.

Our fundraising efforts have also seen our plans to build a sensory dementia garden come to fruition, with the recent opening of our hospital garden. This fantastic space offers staff, patients, relatives and carers a quiet space to relax and enjoy being outdoors and features prominently in our ongoing activities for older patients.

 

 

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