Employer Information

We are a large organisation providing acute services from Gloucestershire Royal Hospital in Gloucester and Cheltenham General Hospital to a population of 652,475* 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.

The Gloucestershire Safety & Quality Improvement Academy was established in 2015 and aims to develop a patient safety aware workforce with the knowledge, skills and confidence to continually strive for safety and quality improvement and excellence throughout our Trust.

We have been rated ‘Good’ overall by the Care Quality Commission’s (CQC)

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 There is ample parking for staff and patients.

On occasions you may be required to work across site.

*Figures based CCG data on the number of people registered at a GP surgery in Gloucestershire

Psychiatry and GP Placements

Gloucestershire Hospitals NHS Foundation Trust will remain your employer during your psychiatry or GP placement.

Psychiatry placements are with Gloucestershire Health and Care NHS Foundation Trust who provide mental health services to the people of Gloucestershire and Hereford. The Trust employs an electronic record system (RiO), and 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 (Cheltenham)

    Placement

    F1 Acute internal medicine, ACUC
    Cheltenham General Hospital
    The department

    Cheltenham General Hospital is a busy district general hospital with an average of 25-40 medical admission a day. The Acute Care Unit C (ACUC) is a 24 bedded unit on the 3rd floor above the Emergency Department (ED) in St. Luke’s Wing. In general all patients are admitted into the unit via the Emergency department. Approximately 25-35% of all patients admitted to the ward are directly discharged home or to a community hospital. The remaining patients are transferred onto specialist wards for further medical care. We are situated close to the ED department and work closely with the ED staff on offering admitted patients early assessment and treatment which is regularly started within the ED department. The majority of medical admissions are clerked by the medical team in ED, only a minority on ACUC. There is an increasing drive to assess GP referrals in our Ambulatory Emergency Care (AEC) facility which is located adjacent to our ED on the ground floor of St. Luke’s wing.

    There are 6 F1 doctors, 5 F2 doctors, 1 ACCS trainee. 1 CMT trainee and an Acute Medical SpR. The Team is complemented by the On-Call Registrar who works on a 4 week day and 3 day weekend rota in 12 hr shifts and an SHO on call who joins the team at 17:00 as well as a SHO (CST/VTS) who covers the nights.

    There are currently three core Acute Medical Consultant’s based on ACUC with occasional support from other Acute Medical or Locum Consultants from Gloucester Royal Hospital and General Physicians who help provide a 7 day and evening cover. Acute Medicine consultants are present from 8.00 – 17.00, during week days as well as the weekends.

    The type of work to expect and learning opportunities

    The work involves the assessment and treatment of acute medical admissions and their ongoing cares on ACUC as well as medical and surgical ward cover overnight. The extended 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 learn practical procedures such as lumbar puncture, abdominal and pleural aspirations and chest drains. There is a weekly teaching session and a bimonthly journal club and centralized Foundation Doctor teaching.

    With the presence of Acute Physicians continuous teaching occurs on ward rounds and while assessing newly admitted patients. There is a strong ethos focusing on teaching and training.

    Where the placement is based Ward ACUC – Cheltenham General Hospital
    Clinical Supervisor(s) for the placement Each junior doctor is allocated a Clinical and Educational Supervisor for their placements. These will be announced to you either before you start or during the ACUC induction. You are expected to have at least three formal meetings per block with your supervisors. There are ample opportunities to teach and conduct work based assessments and all senior clinicians including consultants, registrars and middle grade trainees are very happy to support and supervise you to achieve the requirements of your foundation year. There are also designated teaching fellows that support us 2-3 times during the week.
    Main duties of the placement

    There are clear duties for every junior during the week.

    Post take ward round team

    Two junior doctors cover the Acute Admissions Unit (ACUC) from 8-6pm and assist ward rounds with the consultants every day of the week. They support the morning post- take ward round, ordering investigations, making referrals, performing necessary procedures, looking up and acting on investigation results. The morning ward round is expected to finish by latest 12 noon. All urgent investigations are request “live” during this ward round. This is supported by the AIM registrar and the middle grades attending the morning ward round. There is a scheduled board round between 12:45-13:00, where the initial management, specialty consultation outcomes as well as the results of the earlier requested investigations are discussed. This as well as the PTWR are excellent learning opportunities as patient presentations, their working diagnoses and initial management are discussed in detail. Following the board round, the ACUC consultant continues the PTWR with the clerking team but all new tasks are handed over to the AM PTWR team until they leave at 5 and 6pm respectively. An essential part of the responsibilities of the PTWR team is to issue discharge summaries for all discharged patients “live”.

    The PTWR team hands over to the Clerking FY at 18:00.

    The clerking team

    There are two junior doctors clerking acute medical admissions using a generic admission’s proforma. They work 9:30 am- 9:30 pm and 3pm-12am. It is expected that they clerk efficiently and organise appropriate basic work up and management. If a patient is particularly unwell (National Early Warning Score of 6 or more) they are expected to bring this to the immediate attention of the AIM or on call registrar or the ACUC consultant. Following a focussed and efficient clerking, an early review is performed by the Acute Medical Consultant who reviews the initial investigations (i.e. bloods, XR, CT etc.) and discusses the working diagnoses and initial/ ongoing management plans with the clerking foundation doctor. This is an excellent learning and work based assessment opportunity.

    The outcome of this consultant review is documented in a designated PTWR proforma and includes not only the working diagnoses and management plan but also EDD (estimated date of discharge), dispatch (ward), criteria for discharge, CPR status as well as important patient safety measures (VTE etc.).

    Daily consultant led ward rounds are performed on all new admissions as well as those who remain on the ward.

    All doctors working on ACUC are expected to complete the discharge summaries for patients at the time of discharge.

    The Hospital-at-night team

    All F1 and F2 doctors are part of the Hospital-at-Night Team and do their night shifts with the admitting teams. All Foundation doctors work medical and surgical nights covering medical and surgical wards. The medial night cover is supported and supervised by thje on call medical registrar and SHO as well as the night nurse practitioner. The surgical night cover is supervised by the on-site surgical registrar and the Night Nurse practitioner and includes admitting surgical and urological emergencies through ED. These are usually directly referred and accepted by the surgical on call registrar. This provides an excellent opportunity to experience not only medical but also surgical emergencies in well supported and supervised conditions.

    Typical working pattern in this placement

    These are the shift patterns during the working week.

    The PTWR1 FY1/FY2 starts at 08:00 -17:00 hours
    The PTWR 2 FY1/FY2 starts at 09:00-18:00 hours
    The clerking FY1/FY2 starts at 09:30 – 21:30 hrs
    The twilight clerking FY1/FY2 starts a 15:00- 00:00
    The surgical night cover FY1/FY2 starts at 20:00- 08:00 hours.
    The medical night cover FY1/FY2 starts at 21:00- 9:00 am (Mo-Fri) and 21:00- 09:30 hours on Sat/Sun to allow for ward handover

    There is a midshift from 12:00- 20:00 hrs and a Normal working day shift from 10:00- 18:00. These are often used for annual and study leave as well as lieu days for worked bank holidays.

    On weekends there are four shifts to cover on FY level. One junior will focus on supporting the morning post take ward round and the ward work from 08-18:00 hrs (PTWR FY). One FY will be responsible for clerking and the admissions-process from 09:30-21:30 hours. This FY will take over responsibilities for ACUC together with the clerking SHO after the PTWR cover leaves at 18:00. The two night cover FY for the medical and surgical wards start as during the week. The medical night ward cover stays until 09:30 hrs to hand over to the day team during the ACUC handover meeting.

    Annual leave has to be applied for at the begin of the four month rotation.

    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 Acute internal medicine (Gloucester)

    Placement F1 Acute internal medicine, AMU
    Gloucestershire Royal Hospital
    The department

    Gloucestershire Royal Hospital (GRH) is a busy district general hospital admitting an average of 60 acute medical patients a day. The acute medical team consists of an enthusiastic and vibrant team committed to providing high quality patient care presenting to the trust with an acute medical need. The department is well supported by medical specialty input. The Acute Medical Unit has 40 beds with a co-located 10-bedded Frailty Assessment Unit and a separate Acute Medical Initial Assessment Unit. A short stay unit comprising of 12 beds is situated on the 9th floor of the tower block.

    The medical staff on AMU work closely with the ED. The aim is that an initial, targeted, rapid assessment is made by a senior doctor, so that the correct treatment is started early. The junior doctors undertake their detailed assessment either in ED or AMU. GP referrals to medicine and ambulatory medical patients are assessed in AMIA with senior input. Advanced nurse practitioners play a valuable role in assessing patients in AMIA. Admitted patients are then seen again by an Acute Medical Consultant to review results, assess response to initial treatment, and set out an ongoing management plan.

    There are 3 F1 doctors, 3 F2 doctors, 5 ACCS trainees, and visiting CMT’s/GPVTS’s and trust doctors. There are 10 Acute Medical Consultant’s 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 – 17.00.

    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 AMIA 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, X-ray meetings, 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 and Dr Peter Maginnis
    Main duties of the placement

    Our doctors are expected to clerk acute medical admissions using a proforma. They will order basic investigations and start treatment where appropriate, including VTE prophylaxis. 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

    1 in 5 weekends performing post take ward round/clerking with evening 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 (Cheltenham)

    Placement F1 Cardiology, Cardiac Ward
    Cheltenham General Hospital
    The department We are a department of 5 Consultant Cardiologists, 3 of whom undertake invasive coronary work, including contribution to the Primary PCI rota for the county. We work in close collaboration with 7 Consultant colleagues in Gloucester and between us cover all aspects of Cardiology at GHNHSFT.
    The type of work to expect and learning opportunities See main duties
    Where the placement is based Cardiac Ward, Cheltenham General Hospital
    Clinical Supervisor(s) for the placement Dr Tushar Raina
    Main duties of the placement Ward work, looking after a broad spectrum of patients with cardiovascular disease including acute myocardial infarction, post intervention patients, pacing and heart failure.

    Typical working pattern in this placement

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

    Mon: Ward round a.m. & p.m. Lunch time teaching
    Tue: Ward round a.m. Ward work p.m.
    Wed: Ward round a.m. Teaching p.m.
    Thu: Ward round a.m. Ward work p.m.
    Fri: Ward round a.m. Ward meeting 12.30-1.30. Ward work p.m.

    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 (Gloucester)

    Information to follow

  • F1 Clinical oncology (Cheltenham)

    Placement F1 Clinical oncology
    Cheltenham General Hospital
    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, three 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 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 clinical oncologist.

    Main duties of the placement

    Each day starts with a multidisciplinary team meeting on the ward, where all patients are discussed. Further to this 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.

    Tuesday morning – case based teaching with Monthly audit presentations.

    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 (Cheltenham)

    Placement F1 Emergency medicine
    Cheltenham General Hospital
    The department

    The Emergency Department (ED) sees 60,000 new patients a year.

    The Department has Consultant shop floor presence 365 days per year. Weekdays are covered from 8.00 – 22.00 h.

    The Department provides a full ED service from 8.00-20.00 h. Ambulances do not attend after 20.00 h and overnight there is an Emergency Nurse Practitioner led service.

    There is a wide variety 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 trainees, it has been rated as excellent by the foundation quality panel.

    Educational Opportunities

    There is protected weekly Foundation Programme teaching.

    There is regular teaching at handovers.

    There is continuous shop floor teaching on all cases seen by the F1 doctor.

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

    Where the placement is based Cheltenham General Hospital
    Clinical Supervisor(s) for the placement Dr Tom Mitchell – Educational and Clinical Supervisor for F1 trainees
    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

    Two F1 Drs work a 2-week rolling rota:

    Week 1

    Mon: 9.00-17.00
    Tues: 9.00-17.00
    Wed: 9.00-17.00
    Thurs: 9.00-17.00
    Fri: 9.00-17.00
    Sat:
    Sun:

    Week 2

    Mon: 11.00-19.00
    Tues: 11.00-19.00
    Wed: 11.00-19.00
    Thurs: 11.00-19.00
    Fri: 11.00-19.00
    Sat:
    Sun:

    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 (Gloucester)

    Placement F1 Emergency medicine
    Gloucestershire Royal Hospital
    The department

    The Emergency Department sees 95,000 new patients a year.

    The Department has Consultant shop floor presence 365 days per year from 8.00 – Midnight. There is a 24 hour middle grade rota with the Consultant on-call from home.

    There is a wide variety 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 trainees, it has been rated as excellent by the foundation quality panel.

    Educational Opportunities

    There is protected weekly Foundation Programme teaching.

    There is regular teaching at handovers.

    There is continuous shop floor teaching on all cases seen by the F1 doctor.

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

    Where the placement is based Gloucestershire Royal Hospital
    Clinical Supervisor(s) for the placement Dr Faye Noble – Educational and Clinical Supervisor for F1 trainees
    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

    Two F1 Drs work a 2-week rolling rota:

    Week 1

    Mon: 8.00-16.00
    Tues: 8.00-16.00
    Wed: 8.00-16.00
    Thurs: 8.00-16.00
    Fri: 8.00-16.00
    Sat:
    Sun:

    Week 2

    Mon: 11.00-19.00
    Tues: 11.00-19.00
    Wed: 11.00-19.00
    Thurs: 11.00-19.00
    Fri: 11.00-19.00
    Sat:
    Sun:

    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 (Cheltenham)

    Placement F1 Endocrinology and diabetes mellitus
    Cheltenham General Hospital
    The department There are 2 consultants in the department with responsibility for 12 general medical and specialty in-patients on Woodmancote Ward and outlying medical patients on Guiting Ward. We also have 1 CMT 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 specialists nurses, dietitians and podiatrist in diabetes care.
    The type of work to expect and learning opportunities

    This placement will provide excellent experience in the management of patients on acute general medical wards with an emphasis on diabetes care and endocrine problems.

    Key learning opportunities consist of:

    • Take a history and examine a patient
    • Identify and synthesise problems coming to a provisional diagnosis
    • Prescribe safely
    • Keep an accurate and relevant medical record
    • Manage time and clinical priorities effectively
    • Communicate effectively with patients, relatives and colleagues
    • Use evidence, guidelines and 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
    • 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 Cheltenham General Hospital
    Clinical Supervisor(s) for the placement Dr A Evans [full time]; Dr H Gray [part time]
    Main duties of the placement  
    Typical working pattern in this placement

    Mon: Con WR am
    Tues: Con WR am
    Wed:
    Thurs: Cons WR am + pm
    Fri:
    Sat:
    Sun:

    On call requirements: 1 in 5 ward cover evenings/weekends – no nights

    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 (Cheltenham)

    Placement

    F1 Gastroenterology
    Cheltenham General Hospital

    The department There are 6 consultant gastroenterologists in the department who rotate ward duties, 4 registrars, 2 CMTs and 1 F1. Our main ward, where you will be based is Snowshill 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 Snowshill and a variable number on two outlying surgical wards (Bibury & Prescott). The majority of patients on Snowshill 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 and synthesize problems
    • Prescribe safely
    • Keep an accurate and relevant medical record
    • Manage time and clinical priorities effectively
    • Communicate effectively with patients, relatives and colleagues
    • Use evidence, guidelines and audit to benefit patient care
    • Act in a professional manner at all times
    • Cope with ethical and legal issues which occur during the management of patients with general medical problems
    • Educate patients effectively
    • Become life-long learners and researchers
    • Essential clinical and practical skills
    • Communication skills
    • Teaching and learning skills
    • Personal and professional skills
    • Investigation and management of patients with 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, Snowshill Ward, with outlying patients on Bibury & Prescott wards
    Clinical Supervisor(s) for the placement Drs Kriel, Makins, Di Mambro, Hollywood, Shaw and Sinha
    Main duties of the placement The F1 doctor will primarily be located on Snowshill 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, dieticians, 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 0915
    Lunchtime meeting (journal club)
    Jobs from WR

    Bloods + forms
    Update list

    Tuesday

    CMT/ F1 WR
    Jobs

    F1 teaching 1400-1700
    Bloods + forms
    Update list

    Wednesday

    Cons WR at 0915
    Bloods + forms
    Update list

    Thursday

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

    Friday

    Cons WR 0915
    Jobs
    Bloods + forms
    Update list

    Write weekend handover list and take to ACUC – 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 (Gloucester)

    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 an induction. The F1 is based on the wards. Usually there is 1 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.

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

    Where the placement is based F1 trainees may be based on one of four wards - Abbey, Dean, Kingsholm, or Priory - at Wotton Lawn Hospital, Gloucester. 
    Clinical Supervisor(s) for the placement

    Dr Peter Dutton (Abbey Ward)
    Dr Carlos Pardo-Vincente (Kingsholm 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 – Ward work & Supervision
    PM – local Academic Programme

    Tuesday

    AM – MDT
    PM – alternative weeks F1 Teaching

    Wednesday

    AM – Ward work
    PM – Community Session

    Thursday

    AM – Ward work
    PM – Ward work & admin

    Friday

    AM – PICU Reviews
    PM – Ward work & admin

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

    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 (Cheltenham / Gloucester)

    Placement F1 General surgery
    Cheltenham General Hospital / Gloucestershire Royal Hospital
    The department

    Placements in Sub-Specialties of Surgery across both Cheltenham General Hospital and Gloucestershire Royal Hospital in Lower GI Surgery, Upper GI Surgery and Vascular Surgery

    The type of work to expect and learning opportunities

    Experience will be gained in the identification, assessment and management of the common surgical emergencies. Trainees will develop an awareness of issues in perioperative care such as management of diabetes, and will become familiar with longer-term post-operative management. There will be opportunities to attend operating theatres and surgical outpatients.

    • Develop confidence in assessing general surgical patients through history taking and clinical examination
    • To learn the management of common surgical emergencies
    • To develop an awareness of those issues which affect a patient’s fitness for an operation and how these might be managed – e.g. the perioperative management of the diabetic
    • To learn how to recognise the critically ill patient
    • How to resuscitate the critically ill patient
    • To become familiar with the post-operative management of surgical patients
    • To attend operating theatre sessions in order to develop an understanding of the principles underlying the practice of surgery with an emphasis on wound care and suturing
    • Opportunities exist for audit, research and Quality Improvement activity
    Where the placement is based

    Cheltenham General Hospital or 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

    The F1 doctor is 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 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

    Typical working pattern in this post e.g. ward rounds, clinics, theatre sessions

    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 eg 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 (Cheltenham)

    Placement F1 Geriatric medicine
    Cheltenham General Hospital
    The department The Care of the Elderly Department consists of 3 Consultants plus other grades, with special interests in Falls, Osteoporosis, Movement Disorders and Dementia. We cover a population of 225,000; there are several Community Hospitals, where patients are transferred for further rehab.
    The type of work to expect and learning opportunities

    This placement will provide experience of the management of acute general medical patients (generally over the age of 75) with exposure to acute unselected medical emergencies.

    • Take a history and examine a patient
    • Identify and synthesize problems
    • Prescribe safely
    • Keep an accurate and relevant medical record
    • 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 audit 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
    • Communication skills
    • Teaching and learning skills
    • Personal and professional 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
    • Shadowing of physiotherapists / occupational therapists
    • Close liaison with social workers for placement in residential/nursing homes
    • Learning the importance of good team working skills
    • Experience in managing end of life issues
    • 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

    Ryeworth Ward, Cheltenham General Hospital

    Clinical Supervisor(s) for the placement

    Dr Helen Alexander

    Main duties of the placement

    The F1 doctor will primarily be located on Ryeworth Ward, under the direct supervision of 1 or 2 consultants, they will be responsible for the day-to-day care of general medical and specialty inpatients. Their team will also include 2 ST1/2s and a registrar. Multidisciplinary working is an essential component of these posts, in collaboration with nursing staff, physiotherapists, dieticians, occupational therapists and social workers. This F1 placement will give experience of ongoing management of common medical problems through to discharge within a robust and stable learning framework.

    Typical working pattern in this placement

    Monday

    9am Consultant W/R
    1-2 pm Dept Academic meeting
    PM Ward work

    Tuesday

    9am Consultant W/R
    F1 trust teaching
    PM Ward work

    Wednesday

    9am Reg W/R
    PM Ward Work

    Thursday

    9am Cons W/R
    PM Ward Work

    Friday

    9am Cons W/R
    PM Ward Work

    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 Geriatric medicine (Gloucester)

    Placement F1 Geriatric medicine
    Gloucestershire Royal Hospital
    The department

    The Care of the Elderly Department consists of 5 Consultants with special interests in Falls, Osteoporosis, Orthogeriatrics, Peri-operative Medicine, Movement Disorders, Frailty assessment service, Community hospital work and Research.

    We cover a population of 320,000; there are several Community Hospitals, where patients are transferred for further rehabilitation.

    We are also closely linked to the Stroke Team who have 4 Consultants running the Stroke Unit and TIA service.

    The Consultants have a keen interest in education and training.

    The type of work to expect and learning opportunities

    This placement will provide experience of the management of acute general medical patients (generally over the age of 75) with exposure to acute unselected medical emergencies.

    • Take a history and examine a patient
    • Identify and formulate 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 audit 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
    • Communication skills
    • Teaching and learning skills
    • Personal and professional 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 growing older population)
    • Multidisciplinary approach to assessing patients’ needs. Attending regular multi-disciplinary meetings
    • Shadowing of physiotherapists / occupational therapists
    • Experience in managing complex discharge pathways / issues
    • Learning the importance of good team working skills
    • Experience in managing end of life issues
    • 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

    General and Old Age Medicine Wards at Gloucestershire Royal Hospital.

    Clinical Supervisor(s) for the placement

    Dr Andy Monro, Dr Ian Donald, Dr Muhammad Asghar, Dr Sangeeta Kulkarni, Dr Novoneel Nandi.

    Main duties of the placement

    The F1 doctor will primarily be located on one base ward where, under the direct supervision of 1 or 2 consultants, they will be responsible for the day-to-day care of general medical inpatients (generally over 75s). The team will also include 1 ST1/2/ or GP VTS trainee. There is regular Registrar input on these wards. Multidisciplinary working is an essential component of this post, in collaboration with nursing staff, physiotherapists, dieticians, speech and language therapists, occupational therapists and social workers. This F1 placement will give experience of ongoing management of common medical problems through to discharge within a robust and stable learning framework.

    Typical working pattern in this placement

    Typical example working pattern for F1 post on ward 4A, GRH.

    Monday

    9am Consultant W/R
    PM ward work

    Tuesday

    9am Consultant W/R
    1pm Medical Grand Round
    2pm F1 trust teaching

    Wednesday

    9am Consultant PTWR
    1pm Departmental education meeting
    PM ward work

    Thursday

    9am Cons PTWR / StR W/R
    PM ward work

    Friday

    9am Cons W/R
    1pm Departmental education meeting
    PM ward work

    On call requirements

    1:6 evening cover 17:00 – 21:30, 1in 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 (Cheltenham)

    Placement

    F1 Haematology
    Cheltenham General Hospital

    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 (Gloucester)

    Placement F1 Neurology
    Gloucestershire Royal Hospital
    The department Neurology and Stroke
    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). Also the post holder helps manage Stroke rehabilitation patients alongside the other junior doctors on the ward, with training in management of stroke complications, risk factor management and rehabilitation, as well as complex discharge planning. The current ward consists of 24 beds and this includes a small number of general medical patients on the ward managed by the Stroke Consultant team, giving the opportunity to gain exposure in general medicine training too.

    Case mix includes acute and chronic Neurology, acute brain injury (which includes trauma, encephalitis, hypoxia) and spinal cord injury & stroke; Small numbers of general medical patients.

    Learning opportunities: training in lumbar puncture, training in multidisciplinary team working and discharge planning.

    Where the placement is based Ward 8A, Gloucestershire Royal Hospital
    Clinical Supervisor(s) for the placement Dr Roswell Martin, 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 specific brain injury team, stroke team and Neurophysiology investigations department
    Typical working pattern in this placement

    Monday

    AM ward work
    Lunchtime journal club
    PM ward work

    Tuesday

    AM ward work
    Lunchtime Medical Meeting
    PM scan meeting

    Wednesday

    AM ward work
    PM ward work

    Thursday

    AM ward work
    PM multidisciplinary meeting & ward work

    Friday

    AM ward work
    PM ward work

    On call requirements

    None

    NB: Daily morning ward rounds/patient review with Neurology and/or Stroke Consultants from 9.30am

    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 (Gloucester)

    Placement F1 Obstetrics and gynaecology
    Gloucestershire Royal Hospital
    The department The Obstetrics and Gynaecology department of Gloucester Royal Unit is based in the Women’s centre. We have over 6000 deliveries per annum, and a very busy gynaecology service. There are specialist services in fetal 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

    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 preoperative assessment clinics, early pregnancy assessment clinics and teaching clinics at gynaecology clinics, special interest Gynaecology clinics and antenatal clinics. One in 6 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, monthly 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, 13.00 & 17.00.

    EWTD and Junior Doctors compliant Rota:

    1:8 week day night

    1:8 weekend Nights

    1:8 weekend cover

    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 (Gloucester)

    Placement F1 Palliative medicine
    Gloucestershire Royal Hospital
    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.

    Trainees 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 patients illness and in bereavement follow-up. Supporting patients discharge to preferred place of care.

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

    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 trainees 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 (Gloucester)

    Information to follow

  • F1 Respiratory medicine (Cheltenham)

    Placement F1 Respiratory medicine
    Cheltenham General Hospital
    The department

    The Department of Respiratory Medicine at Gloucestershire Hospitals NHS FT comprises 9 chest physicians. There is cross-county working but 3 consultants work predominantly at Cheltenham, with others providing occasional ward cover. The Lung Function department provides excellent pulmonary physiology including full pulmonary function testing and sleep studies, whilst Avening ward provides specialist nursing for respiratory failure as well as general Respiratory Medicine patients. Patients on Knightsbridge needing side rooms are also looked after by the team for example those with complex bronchiectasis. All respiratory and general medical pathology is represented.

    The department serves east Gloucestershire with a catchment population of around 600000.

    The department is closely linked with tertiary services in Bristol and Birmingham.

    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.

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

    • Take a history and examine a patient
    • Identify and synthesise problems
    • Request and analyse appropriate investigations
    • Use evidence, guidelines and audit to benefit patient care Using evidence in the best interest of patients
    • Prescribe safely
    Where the placement is based

    Avening and Knightsbridge Wards, Cheltenham General Hospital

    Clinical Supervisor(s) for the placement

    Dr Usher, Dr Raghuram and Dr Bintcliffe

    Main duties of the placement

    The F1 doctors are responsible with other staff for the ward care of patients and the maintenance of the patient’s medical record. They also take responsibility for problems arising in General Medicine or respiratory patients on the ward. They are expected to attend the structured teaching programmes provided by the department. The 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

    Daily: 0830 Handover meeting with nursing staff

    Mon:0900-1300 Cons ward round 1300- 1400 dept teaching/ audit meeting/ M & M 1400-1700 ward round/ admin

    Tues: 0900-1300 Cons ward round 1300-1700 alternate week teaching countywide

    Wed: 0830-0930 X-ray / lung cancer MDT meeting 0930-1300 registrar ward round 1400-1700 ward work

    Thurs: 0900-1230 Cons ward round:, 1400 ward admin procedures

    Fri: 0900-1300 Cons ward round 1400-1700 ward admin procedures

    On call requirements:1 in 6 ward cover and weekend ward cover - takes are done when doing ACUC attachment.

    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 Respiratory medicine (Gloucester)

    Placement F1 Respiratory Medicine
    Gloucestershire Royal Hospital
    The department The Department of Respiratory Medicine comprises 5 Consultant Physicians,

    Dr Kaminski, Dr Message, Dr White, Dr Sharp and Dr Steer. GRH provides modern outpatients facilities and lung function laboratories whilst ward 8B provides 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 trainee with the knowledge, skills and attitudes to be able to:

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

    Specific skills to the respiratory medicine job include

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

    Ward 8B, Gloucestershire Royal Hospital

    Clinical Supervisor(s) for the placement

    Dr Simon Message

    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

    There is a consultant led board round at 08.30 each day. One junior doctor will be required from each team to attend this meeting and they will be expected to finish their working day at 16.30. This rota is arranged flexibly between the ward teams on a rolling basis according to individual commitments and preferences.

    Daily

    1:2 0830 Respiratory post take / triage ward round

    Monday

    0900-1300 SpR led ward round
    1400-1700 ward work

    Tuesday

    0930-1300 Consultant ward round
    1300-1400 Grand Round
    1400-1500 Journal Club / M+M 1:2
    1400-1630 F1 teaching

    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 (Cheltenham)

    Placement F1 Urology
    Cheltenham General Hospital
    The department

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

    There are 10 Consultants in the Urology department with one Consultant on call each week. In addition to this, the team includes 3 ST Trainees, 2 Clinical Fellows, 2 CT Trainees, 4 Advanced Nurse Practitioners, 7 Cancer Nurse Specialists and the 2 F1 doctors. The day to day care is led by the ST trainees and clinical fellows attached to the department.

    There are daily Consultant ward rounds. In addition to the large amounts of general Urology, each of the consultants also has a specialist interest. This includes Uro-Oncology (both major open and laparoscopic oncological and reconstructive surgery), Paediatrics Urology, Endourology and Stone Disease, Incontinence and Andrology.

    The type of work to expect and learning opportunities

    All the juniors are encouraged to work as part of a team. Routine attachment to the Urology team with on call duties for General Surgery, Vascular Surgery and Urology.

    There will be ample opportunity to gain a large amount of experience in the management of common surgical and 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. Trainees 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
    • To learn the management of common surgical and urological 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 and initiate management of the critically ill patient
    • How to resuscitate the critically ill patient
    • To 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 Prescott Ward, Cheltenham General Hospital
    Clinical Supervisor(s) for the placement Ms Kim Davenport
    Main duties of the placement Day to day management of urological and surgical 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 eg 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 out patient 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 unselected acute general surgical, vascular and 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 (Cheltenham)

    Information to follow