Employer Information

We are a large organisation providing acute services from Gloucestershire Royal Hospital in Gloucester and Cheltenham General Hospital to a population of 850,000 in Gloucestershire as well as caring for patients from surrounding counties and beyond. Our workforce is almost 8,000 strong and our caring and dedicated staff are recognised as providing good and outstanding patient-centred, high quality emergency, elective and specialist care across a range of clinical areas.

We are committed to recruiting the best people to work with us to achieve our Vision of providing Best Care for Everyone and our success depends on the commitment and dedication of our staff, many of whom are world leaders in healthcare, teaching and research.

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

Cross site working is required for some specialties and is subject to change.

Psychiatry, GP & Community Sexual and Reproductive Health Placements

Gloucestershire Hospitals NHS Foundation Trust will remain your employer during these placements.

Psychiatry & Community Sexual and Reproductive Health placements are with Gloucestershire Health and Care NHS Foundation Trust who provide services to the people of Gloucestershire and Hereford. On occasions you may be required to work across site.

F1 Placement Descriptions

Information on the placements that make up the F1 rotations at Gloucestershire Hospitals NHS Foundation Trust. Click on the specialty to learn more.

  • F1 Acute internal medicine (ACU)

    Placement

    		 F1 Acute internal medicine
    Gloucestershire Hospitals NHS Foundation Trust
    The department

    The department Gloucestershire Royal Hospitals NHS Trust (GRH) has two main sites, Gloucester Royal Hospital and Cheltenham General Hospital, and currently medical patients are admitted through the GRH site, a change made in response to the COVID pandemic. The acute medical team consists of an enthusiastic and vibrant multidisciplinary team committed to providing high quality patient care for patients presenting to the trust with an acute medical need in both inpatient and ambulatory settings. Our team stands proudly and resiliently at the forefront of the trust's COVID response.

    The Acute Medical Unit has 50 beds with a separate Frailty Assessment Unit. Ambulatory patients are assessed and treated in the Acute Medical Initial Assessment Unit, situated next to AMU on the GRH site, Same Day Emergency Care (SDEC) which is situated in OP department 1st floor. We also run an Ambulatory Emergency Care Unit at CGH. Currently our short stay beds are being utilised as red COVID beds but envisage these will return as the current pandemic wave subsides. Falling COVID numbers may see the return of some of the medical take to the Acute Care Unit at CGH but there are no imminent plans for this.

    Currently the acute medicine team have taken on assessing patients directly in the red suspected COVID area but would envisage this would revert to a Priority Assessment Unit where non-ambulatory primary care referrals can be seen directly by our team.

    Our junior doctors, Advanced Nurse Practitioners and Physician Associates undertake initial assessment in our clinical areas and senior input is available to supervise and support diagnosis and ongoing management plans. At the trust we have committed specialty teams on hand to assess patients including cardiology, respiratory, gastroenterology, neurology, rheumatology and dermatology.

    Our junior team comprises FY1 and FY2 doctors, ACCS trainees, and IMTs, GPVTS’s, clinical fellows, ANPs and Physician Associates. This team is ably supported by acute medical registrars and education fellows alongside our committed consultant team who are available to offer clinical supervision and meet training needs. There are 10 Acute Medical Consultants based in the trust and General Physicians who help provide 7 day a week cover. During the week days consultants are present from 8.00 – 20.30, and at weekends from 8.00 – 20.00, with an on-call consultant available after 8pm every day.
    The type of work to expect and learning opportunities The work involves the assessment and treatment of acute medical admissions and their ongoing care on AMU/short stay ward. Time will also be spent on the SDEC assessing and treating ambulatory outpatients with conditions such as cellulitis and DVTs. The extending hours provided by the Acute Medical Consultants and General Physicians means there is ample opportunity to present and discuss management with senior doctors. There are opportunities to gain experience in practical procedures such as lumbar puncture, abdominal and pleural aspirations and chest drains. There are weekly Grand Round presentations, radiology meetings with a real educational focus, AMU teaching sessions and a journal club. Teaching fellows provide excellent opportunities for WPBA’s.
    Where the placement is based AMU, Gloucestershire Royal Hospital
    Clinical Supervisor(s) for the placement Dr Emma Wylie, Professor Mark Pietroni, Dr Jelena Sinkevica, Dr Chris Custard, Dr Abrar Almulla, Dr Andi Anduvan, Dr Louise Beckham and Dr Peter Maginnis
    Main duties of the placement

    Our doctors are expected to clerk acute medical admissions using an electronic system and electronic prescribing on EPR. They will order basic investigations and start treatment where appropriate, including VTE prophylaxis. All will be done in the same EPR system. If a patient is particularly unwell (Early Warning Score of 3 or more), they will be expected to highlight this to a medical registrar or consultant.
    They will also support the post take ward rounds, ordering further investigations, making referrals, looking up and acting on results. Any outstanding jobs at the end of a shift should be handed over to a colleague.
    All doctors working on AMU are expected to complete the discharge summaries for patients at the time of discharge.
    Typical working pattern in this placement

    Full shift rota comprising opportunities for clerking shifts.

    Confirmation of working pattern will be issued in work Schedule

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

  • F1 Cardiology

    Placement F1 Cardiology
    Gloucestershire Hospitals NHS Foundation Trust
    The department

    We are a department of 14 Consultant Cardiologists and an Associate Specialist across Gloucestershire (Gloucester & Cheltenham). 

    Invasive procedures including angiography, PCI (including a 24/7 primary PCI rota), pacemaker & ICD  implantation, and transoesophageal echocardiography (TOE) are undertaken. We are a busy team with current bed bases at both sites.
    The type of work to expect and learning opportunities

    See main duties 
    Where the placement is based

    Gloucestershire Hospitals NHS Foundation Trust
    Clinical Supervisor(s) for the placement Dr David Lindsay & Dr Tushar Raina
    Main duties of the placement The cardiology ward includes 8 monitored CCU beds and a step-down ward. We look after a variety of patients with cardiovascular diseases including acute myocardial infarction, post-interventional patients, arrhythmias, acute valve disease, infective endocarditis, and heart failure.
    Typical working pattern in this placement

    Consultant of the week model. Fourteen consultants rotate each week as the ‘on-call’ cardiologist and are responsible for the ward patients that week. There are consultant-led ward rounds every day with close support for junior doctors. There is excellent senior availability and support. A close working relationship is required with the other ward doctors and Physician Associate:
    Mon: Ward round a.m, ward work p.m
    Tues: Ward round a.m., alternate weeks mandatory teaching/ward work afternoons
    Wed: Ward round a.m, Ward work p.m.
    Thurs: Ward round a.m., lunch time weekly departmental presentations (peer-peer teaching amongst juniors, supervised by a cardiology Reg), ward work p.m.
    Fri: Ward round a.m., ward work p.m.

    Educational opportunities: clinics, procedures (catheter laboratory, TOE), community teams, opportunistic teaching during ward rounds, ad-hoc audit meeting and self-development time.

    On call requirements (subject to change):
    2 long days (cardiology 0900-1700, then ward cover or clerking 1700-2130) every 2-3 weeks on average. 1 weekend (Sat and Sun 0900-2130) every 3-4 weeks either on AMU post-take or ward cover. 1 block of ward cover nights (either weekday nights or weekend nights) every 4 weeks on average, can be either at GRH or CGH.
    Employer information

     

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

  • F1 Clinical oncology

    Placement F1 Clinical oncology
    Gloucestershire Hospitals NHS Foundation Trust
    The department

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

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

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

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

    All cancer sites are treated in the department apart from paediatric cancers and some rare treatment sites.
    The type of work to expect and learning opportunities

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

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

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

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

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

    During this post you will be expected to take part in the oncology/haematology on-call rota. This will involve working approximately 1 in 4 weekends and on average 1 evening alternate weeks, providing ward cover to the oncology/haematology in patients
    Where the placement is based

    Gloucestershire Oncology Centre, Cheltenham General Hospital.

    The department has are 40 beds on two wards, including an 8 bedded specialist unit for the care of neutropenic patients.
    Clinical Supervisor(s) for the placement

    All trainees are allocated a clinical supervisor who is a oncologist.
    Main duties of the placement

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

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

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

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

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

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

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

    Thursday morning after the ward round, regular teaching session, M and M meeting or presentation.

    Tuesday alternate afternoons – F1 teaching (Hospital Foundation Programme)

    Confirmation of working pattern will be issued in work Schedule

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

  • F1 Emergency medicine

    Placement

    F1 Emergency medicine
    Gloucestershire Hospitals NHS Foundation Trust
    The department

    The Emergency Departments in Cheltenham and Gloucester see 155,000 new patients a year.
    The Departments have Consultant shop floor presence 365 days per year. Consultants cover from 08.00 – Midnight, 7 days per week in GRH, and from 0800-2200 in CGH. There is a 24-hour middle grade rota with the Consultant on-call from home.
    There is a wide variety of cases seen within the ED. All unscheduled admissions come through the Emergency Department which gives great exposure to a spectrum of cases.
    The type of work to expect and learning opportunities

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

    Educational Opportunities
    There is protected weekly Foundation Programme teaching.
    There is weekly Foundation Emergency Medicine teaching provided by the department.
    There is regular teaching at handovers.
    There is continuous shop floor teaching on all cases seen by the F1 doctor.
    Where the placement is based

    Gloucester Royal Hospital
    Cheltenham General Hospital
    Clinical Supervisor(s) for the placement

    Each doctor is supervised by a named Consultant in Emergency Medicine
    Main duties of the placement The F1 doctor will make an initial assessment of patients presenting to the ED. They will not be expected to assess patients at risk of acute deterioration unless under direct supervision. They will formulate a plan for further investigation and initial treatment and discuss this with a senior colleague who will then review the case with them. The vast majority of their cases will be reviewed by the shop floor consultant.
    Typical working pattern in this placement

    Five F1 doctors work a 4-week rolling rota. There is a 1:4 weekend working pattern. All of the ED medical team work shifts in both CGH and GRH:

    Week 1

    Mon: 8.30-16.30 (GRH)
    Tues: 8.30-16.30 (GRH)
    Wed: 8.30-16.30 (GRH)
    Thurs: 8.30-16.30 (GRH)
    Fri: 8.30-16.30 (GRH)
    Sat: Off
    Sun: Off

    Week 2

    Mon: Off
    Tues: 13.00-21.00 (GRH)
    Wed: 13.00-21.00 (GRH)
    Thurs: 13.00-21.00 (GRH)
    Fri: 13.00-21.00 (GRH)
    Sat: 13.00-21.00 (GRH)
    Sun: 13.00-21.00 (GRH)

    Week 3

    Mon: Off
    Tues: Off
    Wed: 8.30-16.30 (GRH)
    Thurs: 8.30-16.30 (GRH)
    Fri: 8.30-16.30 (GRH)
    Sat: Off
    Sun: Off

    Week 4

    Mon: 11.00-19.00 (CGH)
    Tues: 11.00-19.00 (CGH)
    Wed: 11.00-19.00 (CGH)
    Thurs: 11.00-19.00 (CGH)
    Fri: 11.00-19.00 (CGH)
    Sat: Off
    Sun: Off

    Confirmation of working pattern will be issued in work Schedule

     

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

  • F1 Endocrinology and diabetes mellitus

    Placement

    F1 Endocrinology and diabetes mellitus
    Gloucestershire Hospitals NHS Foundation Trust
    The department There are 3.8 WTE consultants in the department with responsibility for 28 general medical and specialty in-patients on ward 9b at Gloucestershire Royal Hospital. We also have another FY1, 3 x IMT, 1 x F3 and 1 SPR on our team We offer expertise in all areas of Endocrinology and Diabetes. Our in-patients reflect this work. In addition, the department has a full range of allied professionals including specialist’s nurses, dietitians and podiatrists.
    The type of work to expect and learning opportunities

    This placement will provide excellent experience in the management of patients on acute general medical wards with an emphasis on diabetes care and endocrine problems.
    Key learning opportunities consist of:
    • Take a history and examine a patient
    • Identify and synthesise problems coming to a provisional diagnosis
    • Prescribe safely
    • Keep an accurate and relevant medical record
    • Manage time and clinical priorities effectively
    • Communicate effectively with patients, relatives and colleagues
    • Use evidence, guidelines and audit to benefit patient care
    • Act in a professional manner at all times
    • Cope with ethical and legal issues which occur during the management of patients with general medical problems
    • Educate patients effectively
    • Become life-long learners and teachers.
    • Essential clinical and practical skills
    • Personal and professional skills
    • Learn management of a range of diabetes & endocrine emergencies e.g. diabetic ketoacidosis, hyperglycaemia hyperosmolar syndrome, hypoglycaemia, hypercalcaemia, Addisonian crisis
    • Competent adjustment of insulin doses in a variety of circumstances including transitioning from variable rate insulin infusion to subcutaneous insulin
    • Assessment of the diabetic foot
    • Management of electrolyte disturbances
    Where the placement is based Gloucestershire Royal Hospital
    Clinical Supervisor(s) for the placement Dr A Evans [full time]; Dr S Phillips [full time]; Dr S Thrower [full time]; Dr J Sabin [full time]
    Main duties of the placement  
    Typical working pattern in this placement

    Monday – Friday:

    AM: Daily consultant-led ward round
    PM: ward work

    Weekly journal club; quarterly morbidity & mortality meeting; opportunity to attend specialist clinics

    Foundation program teaching alternate weeks

    On call requirements: ward cover at both CGH & GRH – subject to change

    Confirmation of working pattern will be issued in work Schedule

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

  • F1 Gastroenterology

    Placement

    F1 Gastroenterology
    Gloucestershire Hospitals NHS Foundation Trust
    The department There are 7 consultant gastroenterologists in the department who rotate ward duties, 4 registrars, 2 IMTs, and 1 F1. Our main ward where you will be based is Knightsbridge ward. The consultants and secretaries' offices are close by so if we are not on the ward we are readily to hand. We have 18 beds on Knightsbridge ward and a variable number on two outlying wards (Snowshill & Bibury – urology). All of the patients on Knightsbridge will have gastroenterological problems. The department carries out the full range of gastrointestinal investigations and endoscopic procedures including therapeutic gastroscopy, colonoscopy, ERCP and capsule endoscopy.
    The type of work to expect and learning opportunities

    This placement will provide experience of the management of patients with gastroenterological disease, in particular liver disease, inflammatory bowel disease and gastrointestinal bleeding.
    • Take a history and examine a patient
    • Identify problems
    • Prescribe safely
    • Keep an accurate and relevant medical record
    • Manage time and clinical priorities effectively
    • Communicate effectively with patients, relatives and colleagues
    • Use evidence, guidelines and audit to benefit patient care
    • Act in a professional manner at all times
    • Cope with ethical and legal issues which occur during the management of patients with general medical problems
    • Educate patients effectively
    • Become life-long learners and researchers
    • Essential clinical and practical skills
    • Communication skills
    • Teaching and learning skills
    • Personal and professional skills
    • Investigation and management of patients with decompensated liver disease, liver failure, inflammatory bowel disease, gastrointestinal malignancy, gastrointestinal bleeding
    • Preparation of patients for procedures such as ERCP, liver biopsy, colonoscopy, gastroscopy. 
    • Competence in performing paracentesis
    Where the placement is based Cheltenham General Hospital, Knightsbridge Ward, with outlying patients on Snowshill  & Bibury wards. The outlying wards are subject to change.
    Clinical Supervisor(s) for the placement Drs Hollywood, Kriel, Makins, Materacki, Napier, Shaw, and Sinha
    Main duties of the placement The F1 doctor will primarily be located on Knightsbridge ward where, under the direct supervision of a consultant, they will be responsible for the day-to-day care of gastroenterology inpatients. Multidisciplinary working is an essential component of these posts, in collaboration with nursing staff, physiotherapists, dietitians, occupational therapists and social workers. These F1 placements will give experience of ongoing management of common medical and gastroenterological problems through to discharge within a robust and stable learning framework.
    Typical working pattern in this placement

    Monday
    Cons WR at 0900
    Jobs from WR
    Bloods + forms
    Update list

    Tuesday
    Consultant/Reg/IMT/F1 WR
    Jobs
    F1 teaching 1400-1700
    Bloods + forms
    Update list

    Wednesday
    Cons WR at 0900
    Bloods + forms
    Update list

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

    Friday
    Cons WR 0915
    Jobs
    Bloods + forms
    Update list
    Write weekend handover list file in “Up Wards” folder.

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

    Confirmation of working pattern will be issued in work Schedule

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

  • F1 General psychiatry

    Placement F1 General psychiatry
    Wotton Lawn Hospital
    The department The placement is at the Wotton Lawn Hospital, Gloucester which is a purpose-built inpatient facility. There are 66 ‘acute’ and 10 ‘intensive care’ beds
    The type of work to expect and learning opportunities

    The placement begins with 3 days induction. The F1 is based on the wards. Usually there is one ward round per week, a multi-disciplinary business meeting, an in-house teaching session and dedicated Foundation year teaching session on alternate weeks. The F1 gets 1 hour supervision with the Consultant every week.
    Community placement is one day a week in different subspecialties of Psychiatry such as old age, Crisis team, Recovery team and Liaison team are part of F1 Schedule and each F1 would be spending one day in a week for a month in each subspecialty and rotating between the above four subspecialties during their 4 months period.
    Where the placement is based F1 doctors may be based on one of four wards – Abbey and Greyfriars, Dean, Kingsholm, or Priory - at Wotton Lawn Hospital, Gloucester. 
    Clinical Supervisor(s) for the placement

    Dr Dimitra Kleftogianni (Abbey Ward), Dr Kaiser Ikram (Kingsholm Ward), Dr Ross Runciman (Dean Ward) and Dr Joseph Miles (Priory Ward)

    Main duties of the placement

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

    Typical working pattern in this placement

    Monday
    AM – Community placement
    PM – local Academic Programme/ Fortnight lunch time Balint group

    Tuesday
    AM – MDT
    PM – alternative weeks F1 Teaching

    Wednesday
    AM – ward review
    PM – ward work

    Thursday
    AM – Ward work
    PM – Ward work & admin

    Friday
    AM – Community placement/ward work (Liaison community placement is offered on Fridays)
    PM – Community placement/ward work

    Fortnight Lunch time Psychiatry teaching is offered on every other Friday.

    F1 doctors are not expected to cover out of hours on calls.

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

    Confirmation of working pattern will be issued in work Schedule

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

  • F1 General surgery

    Placement

    F1 General Surgery
    Gloucestershire Hospitals NHS Foundation Trust
    The department

    Placements in Surgery in Gloucestershire Royal Hospital in Lower GI Surgery, Upper GI Surgery, or Vascular Surgery
    The type of work to expect and learning opportunities

    F1 doctors will be attached to the one of the lower GI, upper GI or vascular teams. The F1s from all three teams participate in the emergency general surgery rota.

    • Experience will be gained in the identification, assessment and management of the common general and vascular surgical emergencies. Foundation doctors will develop an awareness of issues in perioperative care of elective and emergency patients such as management of diabetes, and will become familiar with longer-term post-operative management. There will be opportunities to attend operating theatres and surgical outpatients. Foundation doctors will develop confidence in assessing general surgical patients through history taking and clinical examination
    • To learn the management of common surgical emergencies
    • To develop an awareness of those issues which affect a patient’s fitness for an operation and how these might be managed – e.g. the perioperative management of the diabetic
    • To learn how to recognise the critically ill patient
    • How to resuscitate the critically ill patient
    • To become familiar with the post-operative management of surgical patients
    • To attend operating theatre sessions in order to develop an understanding of the principles underlying the practice of surgery with an emphasis on wound care and suturing
    • Opportunities exist for audit, research and quality improvement activity
    Where the placement is based

    Gloucestershire Royal Hospital
    Clinical Supervisor(s) for the placement

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

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

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

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

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

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

    Confirmation of working pattern will be issued in work Schedule

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

  • F1 Geriatric medicine

    Placement

    F1 Care of the Elderly and Stroke medicine
    Gloucestershire Hospitals NHS Foundation Trust
    The department

    The Care of the Elderly (CoTE) and Stroke Department is a large department split across Gloucester Royal Hospital and Cheltenham General Hospital. We are a dedicated and dynamic multidisciplinary team delivering holistic care to our patients.

    Inpatient care is delivered in a number of settings, including:

    • General CoTE Wards
    • Short stay Frailty Assessment Unit (FAU)
    • Orthogeriatric Hip Fracture Unit
    • Hyper Acute Stroke Unit (HASU)
    • Stroke Ward

    There is a wide range of subspecialty expertise within the department, including:

    • Falls and Syncope
    • Movement Disorders
    • Osteoporosis
    • Orthogeriatrics
    • Peri-operative Medicine
    • Ambulatory Care
    • Community Care

    The department has a keen interest in education and training. We offer a weekly educational meeting to enhance the learning experience. The teaching programme is co-ordinated by our dedicated CoTE Teaching Fellow.
    The type of work to expect and learning opportunities

    This placement will provide experience of the management of older patients living with frailty and comorbidities. This may include experience in subspecialist areas such as stroke and orthogeriatric medicine. It will provide an opportunity to develop the following skills as part of the Foundation Programme Curriculum:

    • Identify and synthesize problem lists
    • Prescribe safely
    • Keep an accurate and relevant medical record
    • Formulate an appropriate differential diagnosis and management plan
    • Manage time and clinical priorities effectively
    • Communicate effectively with patients, relatives and colleagues
    • Use evidence, guidelines and quality improvement to benefit patient care
    • Act in a professional manner at all times
    • Educate patients effectively
    • Become life-long learners and researchers
    • Essential clinical and practical skills
    • Teaching and learning skills
    • Gain experience and competence in the management of common medical presentations and chronic disease in the elderly; taking a holistic approach.
    • Gain experience in managing medical complexity (essential to any future practice in view of the growing older population)
    • Multidisciplinary approach to assessing patients’ needs. Attending regular multi-disciplinary meetings
    • Learning the importance of good team working skills
    • Experience in managing end of life care
    • An approach to ethical issues such as mental capacity, withholding & withdrawing treatment
    • Attending and participating in trust and departmental education programme
    Where the placement is based

    Care of the Elderly and Stroke Wards at Gloucestershire Hospitals NHS Foundation Trust
    Clinical Supervisor(s) for the placement

    CoTE: Dr Andy Monro, Dr Helen McDonald, Dr Muhammad Asghar, Dr Sangeeta Kulkarni, Dr Vicki Gaunt, Dr Laurenny Guzman, Dr Rachel Tarling, Dr Andrew Cavanagh, Dr Helen Alexander

    Stroke: Dr Kate Heliier, Dr Gita Gramizadeh, Dr Milda Bajoriene
    Main duties of the placement

    The F1 doctor will be located on a base ward where, under the direct supervision of 1 or 2 consultants, they will be responsible for the day-to-day care of CoTE/ Stroke inpatients. The medical team will include other doctors (training and non-training grade) and physician associates (PA’s). There is regular Registrar input on these wards. Multidisciplinary working is an essential component of this post, in collaboration with nursing staff, physiotherapists, occupational therapists, dieticians, SALT, psychology and Advanced Nurse Practitioners (ANP’s). This F1 placement will give experience of inpatient management of common medical problems through to discharge within a supportive learning framework.
    Typical working pattern in this placement

    Monday
    9am Board Round and Consultant W/R
    PM ward work

    Tuesday
    9am Board Round and SpR/SHO W/R
    1pm Medical Grand Round
    2pm F1 trust teaching on alternate weeks

    Wednesday
    9am Board Round and Consultant PTWR
    1pm Departmental education meeting
    PM ward work

    Thursday
    9am Board Round SpR/SHO WR
    PM ward work

    Friday
    9am Board Round and Consultant W/R
    PM ward work

    Self-Development time is encouraged when staffing levels permit.
    On call requirements
    1:6 evening cover 17:00 – 21:30, 1 in 6 weekends 09:00 – 21:30

    Confirmation of working pattern will be issued in work Schedule

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

  • F1 Haematology

    Placement

    F1 Haematology
    Gloucestershire Hospitals NHS Foundation Trust
    The department

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

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

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

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

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

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

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

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

    During this post you will be expected to take part in the oncology/haematology on-call rota. This will involve working approximately 1 in 4 weekends, providing ward cover to the oncology/haematology in patients.
    Where the placement is based Gloucestershire Oncology Centre, Cheltenham General Hospital. The department has are 40 beds on two wards, including an 8 bedded specialist unit for the care of neutropenic patients.
    Clinical Supervisor(s) for the placement All trainees are allocated a clinical supervisor who is a Consultant Haematologist.
    Main duties of the placement

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

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

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

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

    0900 Daily
    Multidisciplinary/shift handover meeting attended by representatives of the specialties attending the ward. All Oncology and Haematology junior doctors on duty attend and lead the discussions.
    1000 Daily
    Consultant/ST3+ led ward round.

    0900 Wednesday
    Cancer Network Haematological Malignancies MDT –optional training opportunity (videoconference with Specialty Trainee with Gloucestershire Royal and Hereford County Hospital)

    0900 Thursday
    Multidisciplinary ward meeting expanded to involve all the medical staff, specialist nurses, palliative care team and occupation therapy and physiotherapy staff.

    1030 Thursday
    Weekly mortality and morbidity meeting and regular teaching session led by the junior doctors. Monthly audit presentations.

    1300 Monday
    Microbiology Review Meeting involving the attending team and Consultant Medical Microbiologist and their trainees.

    1400-1700 Tuesday (alternate weeks)
    Trust F1 Teaching Programme

    Confirmation of working pattern will be issued in work Schedule

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

  • F1 Neurology

    Placement F1 Neurology
    Gloucestershire Hospitals NHS Foundation Trust
    The department Neurology and General Medicine
    The type of work to expect and learning opportunities

    Ward-based Neurology work: exposure to acute neurological admissions transferred after initial assessment in the admissions ward by medical team; exposure to planned admissions for investigation; management of ward referrals taken over by neurology team including head injuries (post stabilisation by orthopaedic/trauma team). The current ward consists of 23-29 beds and these are shared with general medical patients on the ward managed by medical consultants, giving the opportunity to gain exposure to general medicine training.

    Case mix includes acute and chronic Neurology, acute brain injury (which includes trauma, encephalitis, hypoxic-ischaemic brain injury) and spinal cord injury and general medical patients.
    Learning opportunities: training in lumbar puncture, training in multidisciplinary team working and discharge planning.
    Where the placement is based Ward 6A, Gloucestershire Royal Hospital
    Clinical Supervisor(s) for the placement Dr Farhad Golestani, Consultant Neurologist
    Main duties of the placement Ward work: clerking, presentation on ward round, maintenance of patient records, ordering of investigations, collection of results, liaison with therapy teams including brain injury team, and Neurophysiology investigations department
    Typical working pattern in this placement

    Monday

    AM ward work
    PM ward work

    Tuesday
    AM Breakfast Club as per timetable
    ward work
    Lunchtime Grand Round
    PM neuroradiology meeting

    Wednesday
    AM Case presentations for team discussion
    Bristol Regional Neurosciences meeting (MS Teams)
    Ward work
    PM ward work

    Thursday
    AM ward work
    PM ward work

    Friday
    AM ward work + informal ward teaching
    PM ward work

    On call requirements
    None related to attachment; BH’s as per general rota

    NB: Daily morning board rounds/patient review with Neurology +/- medical Consultants from 9.00am
    Daily brief board round/"Huddle" around 4:30-5:00pm.
    Full consultant ward rounds (usually twice a week)

    Confirmation of working pattern will be issued in work Schedule

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

  • F1 Obstetrics and gynaecology

    Placement F1 Obstetrics and gynaecology
    Gloucestershire Hospitals NHS Foundation Trust
    The department The Obstetrics and Gynaecology department of Gloucester Royal Unit is based in the Women’s centre. We have approximately 5800 births per annum, and a very busy gynaecology service. There are specialist services in foetal medicine, maternal medicine, urogynaecology and gynaecological oncology.
    The type of work to expect and learning opportunities The placement will involve supervised obstetric work which includes labour ward, antenatal and postnatal ward cover. There will also be gynaecology ward work including postoperative ward rounds, assessment and management of gynaecological emergencies and exposure to routine gynaecology clinics, specialist clinics and early pregnancy assessment clinics to maximise learning opportunities in early pregnancy problems including assessment of ectopic pregnancies and assessment of patient with abdominal pain.

    Where the placement is based

    		 Women’s Centre, Gloucestershire Royal Hospital

    Clinical Supervisor(s) for the placement

    		 Dr Rebecca Swingler or Dr Ravi Vandhana

    Main duties of the placement

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

    Placement will also include early pregnancy assessment clinics and teaching clinics at gynaecology clinics, special interest Gynaecology clinics and antenatal clinics. One in 8 weeks involves Gynaecology Oncology ward work, including care of in patients in Cheltenham General Hospital.

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

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

    • Understanding of common gynaecological and obstetric conditions.
    • Good understanding of diagnosis, investigation and treatment of all gynaecological
    • Good understanding of postoperative care of in patients.
    • Counselling and management of early pregnancy problems including miscarriage
    • Initial assessment and management of patients presenting with acute gynaecological problems
    • Initial assessment of patients presenting in obstetric triage department.

    Typical working pattern in this placement

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

    Daily ward rounds and handover at 8.30, 20:30.

    EWTD and Junior Doctors compliant Rota:

    1:10 week day night (20:30-09:00)
    1:10 weekend nights (20:30-09:00)
    1:10 long day weekend cover (08:30-21:00)
    1:10 weekend cover (08:30-17:30)

    Confirmation of working pattern will be issued in work Schedule

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

  • F1 Paediatrics

    Placement

    		 F1 Paediatrics
    Gloucestershire Hospitals NHS Foundation Trust
    The department

    We are a large team providing acute, neonatal and neurodisability paediatric care in acute and outpatient settings to the child population of Gloucestershire.

    On the tier 1 rota, there are also 4 WTE ST1-3 Paediatric trainees, 8 WTE GP trainees, 4 F2 doctors, 2 advanced neonatal nurses and 3 locally employed doctors. The Tier 2 rota includes 12 WTE ST4-8 Paediatric trainees, 3 SAS grade Drs and 2 Advanced Paediatric Nurse Practitioners.
    The type of work to expect and learning opportunities

    Foundation doctors will gain experience of working in the Paediatric Assessment Unit, assessing, investigating and managing children sent up to hospital acutely by primary care or the emergency department. They will also manage children on the 38 bedded children’s inpatient ward, which provides care from 0-16 years of age. There is a 4-bed paediatric oncology unit and a 4 bedded paediatric HDU within the ward.

    Neonatal shifts also make up their duties and they will spend time on the 28-bed level 2 neonatal unit, transitional care, maternity ward and attend deliveries on the delivery suite. They will take part in running the tier 1 neonatal outpatient clinic.

    There is a comprehensive teaching programme for paediatric doctors in training including daily morning teaching sessions for tier 1s and near daily lunchtime departmental teaching.
    Where the placement is based Primarily at Gloucestershire Royal Hospital with occasional days spent in Paediatric out patients at Cheltenham General Hospital if opportunity for learning. 
    Clinical Supervisor(s) for the placement Dr Louise Walker
    Main duties of the placement

    Along with other members of the Tier 1 rota, the Foundation doctors are responsible for the initial assessment and management of infants and children presenting acutely to hospital via either GP referral or from the emergency department to the Paediatric assessment unit at Gloucestershire Royal, and their continuing care when in-patients. They are also involved in overseeing the medical needs of surgical patients (general surgery, ENT, orthopaedics) on the ward. They will work closely with, and be supervised by, senior medical and nursing staff. There is a resident Tier 2 grade paediatrician at all times to support the Foundation doctor, and close supervision by consultants.

    On the NNU, Foundation doctors are responsible for newborn physical examinations on the maternity ward, daily review of transitional care babies, and working on the NNU. They will be trained in newborn life support and provide cover for higher risk deliveries on the delivery suite.

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

    By the end of the placement the foundation doctor can expect to be able to take a targeted and thorough Paediatric history and be able to examine children of all ages in order to be able to formulate a differential diagnosis and initial management plan, be confident at blood taking and cannulation at all ages and to be able to deal with common Paediatric emergencies and common Paediatric conditions. They will also be expected to achieve competence in newborn life support, perform newborn infant examinations and recognise the sick neonate.
    Typical working pattern in this placement

    Teaching 8.30-9.00am Mon-Fri
    Handover followed by morning ward round. Rostering is to ward work, PAU, NNU or postnatal ward.
    On call rota includes F2s, GP trainees, Paediatric ST1 trainees, ANNPs and locally employed doctors to provide cover 24 hours/day seven days a week

    Confirmation of working pattern will be issued in work Schedule

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

  • F1 Palliative medicine

    Placement F1 Palliative medicine
    Gloucestershire Hospitals NHS Foundation Trust
    The department Palliative Medicine
    The type of work to expect and learning opportunities

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

    Foundation doctors will work under the supervision of senior team members and would not be expected to provide advice without discussion of plan with senior team members. Regular assessments of inpatients with complex pain/symptom control/psychological distress. Review of patients at end of life. Supporting teams with complex ethical decisions. Supporting families during patient's illness and in bereavement follow-up. Supporting patient discharge to preferred place of care.
    Where the placement is based Gloucestershire Royal Hospital
    Clinical Supervisor(s) for the placement Dr Catherine Morrison
    Main duties of the placement Inpatient reviews as mentioned above, these will initially be with team colleagues but it is expected that foundation doctors will undertake solo reviews and then discuss management plan by the end of the placement
    Typical working pattern in this placement

    Monday

    AM/PM ward reviews

    Tuesday

    AM MDT and consultant led ward round
    PM alt teaching afternoon, ward reviews

    Wednesday

    AM/PM ward reviews

    Thursday

    AM/PM ward reviews

    Friday

    AM/PM ward reviews

    On call requirements
    No on call for palliative care

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

    Confirmation of working pattern will be issued in work Schedule

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

  • F1 Renal medicine

    Placement

    F1 Renal medicine
    Gloucestershire Hospitals NHS Foundation Trust
    The department 6.7 WTE nephrologists, 4 registrars, 3 F1, 2 F2, 2 CMT/IMT, 1 GPVTS, 1-2 trust grade/SHO level doctors, 1 PA. Cover two medical wards and medical outliers on vascular and neurology wards. Total inpatient base 53-75 patients. Based in a small-to-medium renal unit in a DGH, with 240 HD, 30 PD and 290 transplant patients.
    The type of work to expect and learning opportunities

    Ward-based work, mixture of inpatient GIM with a full range of conditions, and a significant minority of renal inpatients. Regular renal ward attenders for review and troubleshooting with appropriate senior support. No speciality specific on-call at present.
    Speciality specific learning opportunities:

    • Assessment of fluid balance Management of AKI
    • Assessment of acutely unwell patient
    • Management of chronic kidney disease
    • Drug prescribing in chronic and acute renal disease
    • HD and PD troubleshooting
    • Dialysis line insertion – observation and possibility of performing under supervision
    • Renal clinic as observer or under supervision; no dedicated list at foundation level
    • In addition there will be exposure to a variety of GIM and generic opportunities relevant to the foundation curriculum.
    • All doctors are encouraged to complete an audit or QI project and there is a good record of these being presented at national meetings.
    Where the placement is based

    Wards 7A/B, Gloucestershire Royal Hospital
    Clinical Supervisor(s) for the placement

    Dr Potluri and Dr Singh
    Main duties of the placement Ward based doctor in team as outlined above and under ultimate supervision of the consultant team. Responsible for smooth running of the firm, clinical continuity, assessment of unwell or deteriorating patient, requesting investigations and obtaining results. Opportunities to gain experience in assessment and management of common renal and general medical conditions. Will have opportunity to work on both 7a (predominantly Gen Med) and 7b (predominantly renal) during the attachment. Expected to work as part of a wider multidisciplinary team with AHPs, specialist nurses, PAs.
    Typical working pattern in this placement

    Daily 9am Consultant led handover, 4.30pm huddle/troubleshooting

    Mon: AM Consultant WR
    Lunchtime XR Meeting
    PM Ward Work

    Tues: AM Ward Work, biopsy meeting
    Lunch Grand Round
    PM Ward Work

    Wed: All Day Ward Work

    Thurs: AM Consultant Round
    Lunch Renal Teaching
    PM Ward Work

    Fri: All Day Ward Work

    Sat:
    Sun:
    On call requirements: No speciality specific on call. Variable contribution to GIM on-call and ward cover.

  • F1 Respiratory medicine

    Placement F1 Respiratory Medicine
    Gloucestershire Hospitals NHS Foundation Trust
    The department

    The Department of Respiratory Medicine comprises 11 Consultant Physicians, Dr Millington, Dr Achaiah, Dr Message, Dr White, Dr Sharp, Dr Swami, Dr Usher, Dr Bintcliffe, Dr Raghuram and Dr Steer.

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

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

    The department is closely linked with tertiary services in Bristol for thoracic surgery.
    The type of work to expect and learning opportunities

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

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

    • Take a history and examine a patient
    • Identify and synthesise problems
    • Request and analyse appropriate investigations
    • Get some experience of outpatient activity
    • Use evidence, guidelines and audit to benefit patient care
    • Prescribe safely
    • Keep an accurate and relevant medical record
    • Manage time and clinical priorities effectively
    • Communicate effectively with patients, relatives and colleagues
    • Provide timely and accurate discharge summaries
    • Act in a professional manner at all times
    • Cope with ethical and legal issues which occur during the management of patients with general medical problems
    • Educate patients effectively / aid decision making through communication with patients
    • Become life-long learners and teachers
    • Understand consent and explain risk
    • Manage clinical complaints and learn from them
    • Take responsibility for the future of the NHS, i.e. teaching others effectively

    Specific skills to the respiratory medicine job include:

    • Interpretation of peak flow charts
    • Knowledge of good inhaler technique and use of nebulisers
    • Assessment of need for long-term oxygen therapy
    • Competence in pleural aspirations / chest drain insertion, setup of non-invasive ventilation
    • Experience of pleural ultrasound, medical thoracoscopy, cystic fibrosis, sleep medicine and clinical research trials.
    Where the placement is based

    Ward 8A and 8B, Gloucestershire Royal Hospital
    Clinical Supervisor(s) for the placement

    Dr Simon Message / alternative consultant
    Main duties of the placement

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

    Monday
    0900-1300 Consultant led ward round
    1400-1700 Ward work

    Tuesday
    0930-1300 IMT/GPVTS/F2 led ward round
    1300-1400 Grand Round
    1400-1630 F1 teaching

    Wednesday
    0900-1300 SpR led ward round
    1300-1400 Postgraduate lecture
    1430-1530 Lung cancer MDT
    1400-1700 Ward work

    Thursday
    0900-1230 Consultant led ward round
    1230-1330 Journal Club/M&M 1:2
    1400-1700 Ward work

    Friday
    0900-1300 GPVTS/F2 led ward round
    1230-1330 Department X-ray meeting
    1400-1700 Ward work. Pleural procedures

    The Trust delivers normal ward working patterns on Bank Holidays with full consultant ward rounds staffed by a Junior Doctor. A day in lieu will be accrued for each Bank Holiday worked.

    Confirmation of working pattern will be issued in work Schedule

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

  • F1 Urology

    Placement F1 Urology
    Gloucestershire Hospitals NHS Foundation Trust
    The department

    This is a busy urology department now centralised on one mixed sex ward.

    There are 11 Consultants in the Urology department with one Consultant on call each week. In addition to this, the team includes 3 ST Trainees, 3 Clinical Fellows, 2 CT Trainees, 4 Advanced Nurse Practitioners, 7 Cancer Nurse Specialists and the 3 F1 doctors. The day-to-day care is led by the ST trainees and clinical fellows attached to the department. There is a daily consultant ward round, 7 days per week.

    In addition to the large amounts of general Urology, each of the consultants also has a specialist interest. This includes Uro-Oncology (major open, laparoscopic and robotic oncological and reconstructive surgery), Paediatrics Urology, Endourology and Stone Disease, Incontinence and Andrology.
    The type of work to expect and learning opportunities

    All the foundation doctors are encouraged to work as part of a team. Routine attachment to the Urology team with on call duties for Urology and Gynae oncology. F1 doctors also provide support for the elective gastrointestinal patients in the hospital.

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

    • Develop skills and confidence in assessing general surgical and urological patients through history taking and clinical examination
    • Learn the management of common surgical and urological emergencies
    • Develop an awareness of those issues which affect a patient’s fitness for an operation and how these might be managed – e.g. the perioperative management of the diabetic
    • Learn how to recognise and initiate management of the critically ill patient
    • How to resuscitate the critically ill patient
    • Become familiar with the post operative management of surgical patients
    • Develop skills in common practical procedures such as urethral catheterisation, insertion of suprapubic catheters

     
    Where the placement is based Cheltenham General Hospital
    Clinical Supervisor(s) for the placement Mr Jeremy Nettleton and Mr Edward Tudor
    Main duties of the placement

    Day to day management of urological patients (both elective and emergency). Daily ward rounds with the Senior Trainees and consultants.

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

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

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

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

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

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

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

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

    On call requirements:
    During this post the F1 doctor will participate in out of hours ward cover and the admission of emergency urological patients.

    Confirmation of working pattern will be issued in work Schedule

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

  • F1 Vascular surgery

    Placement

    F1 Vascular Surgery
    Gloucestershire Hospitals NHS Foundation Trust
    The department

    Placements in Surgery in Gloucestershire Royal Hospital in Lower GI Surgery, Upper GI Surgery, or Vascular Surgery
    The type of work to expect and learning opportunities

    F1 doctors will be attached to the one of the lower GI, upper GI or vascular teams. The F1s from all three teams participate in the emergency general surgery rota.

    • Experience will be gained in the identification, assessment and management of the common general and vascular surgical emergencies. Foundation doctors will develop an awareness of issues in perioperative care of elective and emergency patients such as management of diabetes, and will become familiar with longer-term post-operative management. There will be opportunities to attend operating theatres and surgical outpatients. Foundation doctors will develop confidence in assessing general surgical patients through history taking and clinical examination
    • To learn the management of common surgical emergencies
    • To develop an awareness of those issues which affect a patient’s fitness for an operation and how these might be managed – e.g. the perioperative management of the diabetic
    • To learn how to recognise the critically ill patient
    • How to resuscitate the critically ill patient
    • To become familiar with the post-operative management of surgical patients
    • To attend operating theatre sessions in order to develop an understanding of the principles underlying the practice of surgery with an emphasis on wound care and suturing
    • Opportunities exist for audit, research and quality improvement activity
    Where the placement is based

    Gloucestershire Royal Hospital
    Clinical Supervisor(s) for the placement

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

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

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

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

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

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

    Confirmation of working pattern will be issued in work Schedule

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

  • F1 Trauma & orthopaedic surgery

    Placement F1 Trauma & orthopaedic surgery
    Gloucestershire Hospitals NHS Foundation Trust
    The department

    The Trauma & Orthopaedic Department works across the Trust’s two main hospital sites, while also supporting clinical activity across the many surrounding peripheral community hospitals in the county.

    The trauma services and spinal services are based at Gloucestershire Royal Hospital (GRH). This is a busy, dynamic and cohesive unit that provides excellent exposure to the full breadth of orthopaedic and spinal emergencies through a Consultant led service.

    The FY1 will join the trauma team currently composed of 10 doctors; 3 FY2 doctors, 2 Core Trainees and 5 Trust grade doctors. The junior doctor tier is also well supported by 3 Physicians Associates and 2 Advanced Nurse Practitioners, who support the ward workload. There are a corresponding 9 Severn deanery trainee registrars, 6 Trust grade registrars and a trauma fellow who work alongside 28 Orthopaedic consultants.
    The type of work to expect and learning opportunities

    The key emphasis of this post is to enthuse and inspire foundation programme doctors in this rewarding specialty by engendering confidence through the acquisition of core competencies and transferable surgical skills.
    FY1 will be based at GRH and supported at all times by the on call team. The on call consultant provides daily ward rounds and is on site as well as 2 dedicated registrars and an on call F2 doctor. The role, whilst being a core part of the team, would involve supervised activities at all times.

    There is an emphasis on making time for the foundation doctors to attend theatre, clinic and organized teaching as well as develop particular career aims they have with the use of taster days etc. It remains fundamental to us that our foundation doctors are pastorally well supported to achieve their fullest potential, as they transition to the next stage of their career.

    This is a busy, well run trauma and elective unit providing modern management of acute trauma and elective orthopaedic conditions with multidisciplinary working. On the acute trauma side, foundation doctors will receive exposure in the management of all orthopaedic trauma (hip/knee/foot and ankle/spines/shoulders/wrist and elbow) and all acute MSK conditions including adult and paediatric conditions.

    These clinical skills are acquired through a combination of ward-based exposure, which is supplemented by daily teaching at the trauma meeting and weekly departmental teaching.
    Where the placement is based Ward 3B, 2A and 2A (Annexe), and Orthopaedic outliers at Gloucester Royal Hospital
    Clinical Supervisor(s) for the placement There are numerous consultant Orthopaedic Surgeons with experience of the seven domains required to be educational and clinical supervisors as required by the Severn Deanery, who will support you in achieving all your core competencies in Foundation training.
    Main duties of the placement

    At GRH, the trauma meeting commences at 0745-0845. Our daily ward rounds and trauma on-call service is entirely Consultant-led in addition to a dedicated on-call registrar who will provide continuity, support and further teaching whilst you are on-call.
    Your main duties will include assessing, admitting and managing trauma and elective orthopaedic patients.
    Ensuring a daily clinical record is entered into all our inpatients’ medical records (notes).
    Facilitating our patients’ consultant-led management plans through multi-disciplinary interaction and coordination.
    Foundation programme doctors, in conjunction with the rest of the team, are responsible for reviewing all orthopaedic patients on a daily basis, writing in the notes and performing the required investigations.

    No on-call obligations in the T&O rota are envisioned in the current period for F1 doctors, but ward support duties out-of-hours will be part of the working commitments.
    Our postgraduate doctors in training are an integral part of the team in advocating the delivery of high quality and timely trauma orthopaedic care.

    Foundation doctors are encouraged to actively participate in clinical audits, service evaluation and Qi projects and support the active conduct of clinical research within the department.
    Typical working pattern in this placement

    The rota on both sites are EWTD compliant.
    Normal working days are 08:00- 16:00 with no on-call commitments for F1 doctors. Long days 08:00-20:30 hours 8 in 10 weeks and weekend (Saturday & Sunday) 08:00-16:00 1 in 10 weeks will be part of the duties.

    Confirmation of working pattern will be issued in work Schedule.

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

This page was last updated February 7th 2023 (2 years ago)