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.

F2 Placement Descriptions

Information on the placements that make up the F2 rotations at Gloucestershire Hospitals NHS Foundation Trust. Click on the specialty to learn more.

  • F2 Acute internal medicine (Cheltenham)

    Placement F2 Acute internal medicine, ACU
    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 the 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. Study leave has to be applied for as early as possible on receipt of the rota. The department will do their utmost to allow for all requested SL but this depends on staffing levels and will be decided by the rota administrator together with the educational/clinical supervisor.

    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.

  • F2 Acute internal medicine (Gloucester)

    Placement F2 Acute internal medicine
    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 Gloucestershire Royal Hospital
    Clinical Supervisor(s) for the placement Professor Mark Pietroni, Dr Emma Wylie, Dr Jelena Sinkevica, Dr Chris Custard 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

    On call rota featuring clerking and AMIA shifts with additional ward cover 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.

  • F2 Anaesthetics (Gloucester)

    Placement F2 Anaesthetics
    Gloucestershire Royal Hospital
    The department

    The department covers 14 operating theatres covering all general surgical specialties, orthopaedics and gynaecology.

    The ICU is a 12 bed unit (level 3 and 2) and has a separate 6-bedded Surgical HDU. The Surgical HDU is designed for patients requiring overnight monitoring post-surgery

    The type of work to expect and learning opportunities

    The trainee will be based in theatre for the first 2 weeks where they will work under supervision of a consultant or senior anaesthetist. The trainee will learn about the management of acutely ill patients requiring surgery and also the management of patients for elective surgery and the implications of comorbidities for anaesthesia. They will gain practical skills in airway management, intravenous lines and lumbar puncture.

    On ICU they will learn about the management of critically ill patients, join outreach teams to assess ICU ward referrals, and form part of the junior doctor team during the day and evening. They will learn about acute pain management. They will experience team working throughout the placement.

    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 Theatres/ICU, Gloucestershire Royal Hospital
    Clinical Supervisor(s) for the placement Dr Ian Crabb
    Main duties of the placement

    They will assess patients preoperatively and manage them intraoparatively with the trained anaesthetist. They will be expected to assess patients in recovery. They will be involved in both elective and emergency work. In emergency theatre they will review patients booked form theatre and help in their optimization prior to theatre.

    On ICU they will be a member of the junior doctor team during the day and evenings. They will join ward rounds and handovers and carry out ward tasks alongside the team. They will review patients outside the ICU with more experienced doctors and ANPs. They will admit patients from theatre recovery to the surgical HDU for overnight stay.

    Typical working pattern in this placement

    No nights and 8 weekend days over 16 weeks.

    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.

  • F2 Clinical oncology (Cheltenham)

    Placement F2 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 F2 post is ward based. Ward care is Consultant led, with an attending Consultant being present on the ward during day time hours and available 24 hours a day on an on call basis. The ward patients are distributed between the F2 and ST1/2’s. The F2s are expected to know their group of patients, be able to present them to the consultant on call and be involved with any discussions with other healthcare professionals. Depending on their experience and competence, they may be able to take a central role in the patients care and lead discussions regarding their care.

    Our trainees are encouraged to attend outpatient clinics to see how new patients are informed about their treatment, as well as chemotherapy and radiotherapy sessions. They also have the opportunity to spend time with the palliative care team.

    During the attachment they are encouraged and able to attend the hospital foundation teaching programme. There is also a weekly teaching programme which the trainees are encouraged to present at. There is also a three monthly mortality morbidity case presentation, which again the trainees are asked to present at.

    Their oncology attachment will afford them experience at managing patients with advanced malignancy including symptom control. They also gain experience in the management of complications of cancer and cancer treatments.

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

    They also learn about how patients with cancer are treated, and the use of common treatment modalities and their indications.

    Where the placement is based There are placements based at the Gloucestershire Oncology Centre, Cheltenham General Hospital. The department has are 40 beds on two wards, including an 8 bedded specialist neutropenia unit.
    Clinical Supervisor(s) for the placement All trainees are allocated a clinical supervisor who is a clinical oncologist.
    Main duties of the placement Each day starts with a multidisciplinary team meeting on the ward, where all patients are discussed

    F2 doctors are expected to review all the patients under their care on a daily basis and discuss the problems with the consultant on call.

    F2 doctors are on call with cover from the consultant oncologist and 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 an 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 consultant or registrar led.

    Monthly audit presentations.

    Tuesday alternate afternoons – F2 teaching (Hospital Foundation Programme).

    On-call

    The F2s participate in the junior doctor on-call rota, involving 8 - F2 and ST1/2s. It is a partial shift system, with support (not all the time) and a consultant. After midnight the surgical and oncology F2s work as a team to cover surgical and oncology 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.

  • F2 Community sexual and reproductive health (Cheltenham/Gloucester)

    Placement F2 Community sexual and reproductive health
    Hope House Clinic / Milsom Street Clinic
     The department  Sexual Health and HIV
    The type of work to expect and learning opportunities

    Outpatient GU patient management. Occasional opportunities to be involved in review of HIV infected ward patients.

    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

    Hope House Clinic, Gloucestershire Royal Hospital and Milsom Street Clinic, off site down lower High Street, Cheltenham

    Clinical Supervisor(s) for the placement

    Dr Andrew de Burgh-Thomas

    Main duties of the placement

    To diagnose treat and manage patients with common genital infections, conditions, + to advise and implement appropriate contraceptive advice. To identify vulnerable people and direct them to appropriate safeguarding systems within the department. To appropriately record consultations on our bespoke stand alone system. To maintain absolute confidentiality accepting Sexual Health pertains to the most personal area of health.

    Typical working pattern in this placement

    Monday
    Clinic AM/PM

    Tuesday
    Teaching clinic AM
    Personal study/F2 teaching PM

    Wednesday
    Clinic AM/PM

    Thursday
    Clinic AM/PM Clinic/audit/study

    Friday
    Clinic AM/PM

    Sat/Sun: Off
    On call requirements: None

    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.

  • F2 Emergency medicine (Gloucester)

    Placement

    F2 Emergency medicine
    Gloucestershire Royal Hospital

    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. Weekdays are covered 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 F2 will be expected to participate in all aspects of patient care within the Department. This will include initial assessment of patients with minor injuries, acutely ill patients and patients requiring immediate resuscitation. There will also be the opportunity to perform practical procedures. F2 doctors will be supported by senior colleagues and will discuss their findings and management plans. They will also have the opportunity to see and treat patients independently.

    The F2 Doctors are an integral and valued part of ED team.

    Where the placement is based

    Emergency Department, Gloucestershire Royal Hospital

    Clinical Supervisor(s) for the placement

    Dr Heather Clark, Dr Cerys Griffiths and Dr Rebecca Whiticar – Educational and Clinical Supervisors

    Main duties of the placement

    The F2 doctor will make an initial assessment of patients presenting to the ED. They will be expected to assess all types of patients, including Children. 25 % of attendances are Children.

    There will always be a more senior clinician in the department at all times to provide them with support.

    There is Consultant shop floor presence from 8.00 – Midnight 7 days per week. There is a middle grade available 24 hours a day, 7 days a week.

    Typical working pattern in this placement

    The ED rota is a full shift rota.

    It is a 24 person, 24 week rota incorporating F2 trainees, GPSTs and ACCS trainees.

    The shifts types include day shifts (0800-1630), mid-shifts (1400-2200) and night shifts (2200-0800).

    Night shifts occur at frequency of 1 in 8 weeks and are divided into runs of 3 or 4 nights.

    Weekend frequency is 1 in 2.

    Induction and Foundation Teaching is protected and provided during paid hours.

    An example of 8 weeks of the rota is provided below:

    Wk

    Mon

    Tue

    Wed

    Thu

    Fri

    Sat

    Sun

    1

    0800-1600

    0800-1700

    0800-1600

    0800-1600

     

    1200-2200

    1200-2200

    2

     

    1400-1700

    1400-2200

    1400-2200

    1400-2200

     

     

    3

    1400-2200

    1400-2200

    1400-2200

     

    2200-2400

    0000-0815
    2200-2400

    0000-0815
    2200-2400

    4

    0000-0815

     

    1400-2200

    1400-2200

    1400-2200

     

     

    5

    1600-2400

    1400-2400

    1600-2400

     

    0800-1600

    1200-2200

    1200-2200

    6

    2200-2400

    0000-0815
    2200-2400

    0000-0815
    2200-2400

    0000-0815
    2200-2400

    0000-0815

     

     

    7

    0800-1600

    0800-1700

    0800-1600

    0800-1600

     

    1600-2400

    0000-0200
    1600-2400

    8

    0000-0200
    1600-2400

    1400-2400

     

    1600-2400

    1600-2400

     

     

    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.

  • F2 General practice

    Placement F2 General practice
    The department Primary Care
    The type of work to expect and learning opportunities

    The GP is the first point of contact for most medical services and GPs provide a complete spectrum of care within the local community. You will learn to deal with problems that often combine physical, psychological and social components.

    You will work as part of a team with other professionals, helping patients to take responsibility for their own health.

    During the attachment you will build on your knowledge of medical conditions, your ability to assess a huge variety of problems, and your skills in independent decision-making.

    You will learn how and when to intervene, through treatment, prevention and education, to promote the health of your patients and their families.

    The diversity of General Practice is one of the major attractions and you will have the opportunity to experience a different way of working and provide continuity for patients with a variety of health problems.

    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 GP training practices in Gloucestershire
    Clinical Supervisor(s) for the placement Each GP F2 will be in an approved teaching practice, where your supervisor will be an accredited GP Trainer or GP Clinical Supervisor.
    Main duties of the placement

    Your duties will include:

    • Helping patients with diverse health problems. You will gain skills in history-taking, investigation, diagnosis, and management.
    • Practicing preventative medicine and promoting health education.
    • Working as part of a team that might include nurses, midwives, pharmacists, social workers, receptionists and administrators.
    • Managing resources as effectively as possible.
    • Maintaining confidentiality and impartiality.
    • Using basic IT skills and recording information using the practice's clinical IT system.
    • Attending the practice's clinical and educational meetings.

     

    You may also be asked to make home visits if your GP Supervisor feels this is appropriate.

    Typical working pattern in this placement

    Morning: surgery followed by discussion with your supervisor of patients seen

    Lunchtime: administrative work

    Early afternoon: clinical meetings or home visits

    Afternoon/early evening: surgery followed by discussion with your supervisor of patients seen

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

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

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

    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 is subject to change.

  • F2 General psychiatry (Cheltenham)

    Placement F2 General psychiatry
    Charlton Lane Centre 
    The department The placement is at the Charlton Lane Centre in Cheltenham, a mental health inpatient facility for Older Persons. Three mixed sex wards (Mulberry, Chestnut and Willow). Mulberry caters for functional (e.g. depression or psychosis) patients, and Willow caters for organic (dementia) patients. 
    The type of work to expect and learning opportunities The placement begins with an induction. The F2 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 F2 gets 1 hour supervision with the Consultant every week. 
    Where the placement is based The placement is based on either Mulberry or Willow Ward. The Trust operates a Partial Shift on-call system. On-call is based at Wotton Lawn, Gloucester but travel to Charlton Lane Hospital in Cheltenham and other 2gether Trust locations in Gloucestershire will be required. 

    Clinical Supervisor(s) for the placement

    Dr Anna Walters (Mulberry)
    Dr Emma Abbey (Willow)

    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

    Mulberry Ward

    Monday
    AM – MDT
    PM – local Academic Programme

    Tuesday
    AM – Ward work
    PM – alternative weeks F2 Teaching

    Wednesday
    AM – Ward work
    PM – Community Session

    Thursday
    AM – Ward work
    PM – Ward work and admin

    Friday
    AM – Ward work and Supervision
    PM – Ward work and admin

    Confirmation of working pattern will be issued in work Schedule

    Willow Ward

    Monday
    AM – Ward work and Supervision
    PM – local Academic Programme

    Tuesday
    AM – Ward work
    PM – alternative weeks F2 Teaching

    Wednesday
    AM – Ward work
    PM – Community Session

    Thursday
    AM – Ward work
    PM – Ward work and admin

    Friday
    AM – Willow Ward Round
    PM – Ward work and admin

    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.

  • F2 General psychiatry (Gloucester)

    Placement F2 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 F2 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 F2 gets 1 hour supervision with the Consultant every week.
    Where the placement is based The placement is based across Dean and Kingsholm Wards, Wotton Lawn. The Trust operates a Partial Shift on-call system. Travel to Charlton Lane Hospital in Cheltenham and other 2gether Trust locations in Gloucestershire will be required.
    Clinical Supervisor(s) for the placement Dr Svetlin Vrabtchev
    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 and Supervision
    PM – local Academic Programme

    Tuesday
    AM – MDT Kingsholm/Dean
    PM – alternative weeks F1 Teaching

    Wednesday
    AM – Ward work
    PM – Community Session

    Thursday
    AM – Ward work
    PM – Ward work and admin

    Friday
    AM – PICU Reviews
    PM – Ward work and admin

    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.

  • F2 General surgery (Gloucester)

    Information to follow

  • F2 Geriatric medicine (Cheltenham)

    Placement F2 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 and Woodmancote Ward, Cheltenham General Hospital

    Clinical Supervisor(s) for the placement

    Dr Helen Alexander

    Main duties of the placement

    The F2 doctor will primarily on Ryeworth and Woodmancote Wards where, under the direct supervision of CoTE 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 F2 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
    F2 trust teaching, alternate weeks
    PM Ward work

    Wednesday
    9 am Reg W/R
    PM Ward Work

    Thursday
    9 am Cons W/R
    PM Ward Work

    Friday
    9 am 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.

  • F2 Geriatric medicine (Gloucester)

    Placement

    F2 Geriatric medicine
    Gloucestershire Royal Hospital

    The department

    The 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 F2 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 F2 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 F2 post on ward 4A, GRH.

    Monday
    9am Consultant W/R
    PM ward work

    Tuesday
    9am Consultant W/R
    1pm Medical Grand Round
    2pm F2 trust teaching alternate weeks

    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

  • F2 Intensive care medicine (Cheltenham)

    Placement F2 Intensive care medicine, Critical Care
    Cheltenham General Hospital
    The department There will be one F2 at any one time who will work with trainees from CMT, ACCS and Anaesthesia. The department of critical care has 12 beds. Patients are admitted for close observation and supportive treatment either after major surgery or during the most acute phase of an illness. the common clinical problems seen are sepsis, respiratory failure (including non-invasive ventilation), cardiovascular collapse, post-operative general, vascular, orthopaedic and oncology surgery

    There are 8 consultants who cover the ICU.

    The type of work to expect and learning opportunities The unit has a mixture of medical and surgical as well as emergency and elective admissions. As well as general medical there is a regional haem-oncology service. The hospital currently has the following elective specialist surgical services: vascular, urology, general surgical, orthopaedic and gynae-oncology.

    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 Department of Critical Care (DCC) Cheltenham General Hospital
    Clinical Supervisor(s) for the placement Dr Warren Doherty
    Main duties of the placement The work involves reviewing all the patients on DCC in the morning as part of the ICU team, and dealing with all normal ward issues. The F2 will be involved in reviews, admissions and discharge of patients.

    The individual should gain experience in managing a wide range of critically ill patients.

    Learning opportunities include but are not limited to:

    • The recognition and immediate treatment of critically ill/injured patients
    • The ongoing care of critically ill/injured patients through to discharge
    • Practical procedures under direct supervision according to their own individual needs and proficiency.
    • Experience in advanced monitoring techniques, cardiovascular management, respiratory care including (basic) airway and ventilator management, and renal support.

     

    The F2 is supported by the ITU team and will always be supervised by one of the senior trainees/speciality doctors when on call. There are always more senior trainees and consultants on hand to help. There is a regular teaching programme in addition to the hospitals F2 teaching that the trainee will be expected to attend & contribute.

    Typical working pattern in this placement Mon: 0800-17.00

    Tues: 0800-1700 Teaching 0800-0845

    Wed: 0800-1700 Mon-Fri

    Thurs: 0800-1700

    Fri: 0800-1300

    Sat:

    Sun:

    On call requirements: None

    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.

  • F2 Obstetrics and gynaecology (Gloucester)

    Placement F2 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 Mr Mark Whittaker
    Main duties of the placement

    The F2 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.

  • F2 Otolaryngology (Gloucester)

    Placement F2 Otolaryngology (ENT)
    Gloucestershire Royal Hospital
    The department ENT department at Gloucestershire Royal Hospital. The department comprises of 8 consultants whose subspecialty interests include otology, head & neck malignancy, rhinology and paediatrics. We cover all aspects of ENT other than advanced paediatric airway and skull base work. We are the largest stand-alone ENT department in the region. We have 4 Speciality registrar, Otology fellow and 3 SAS doctors.
    The type of work to expect and learning opportunities

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

    • Daily business ward rounds
    • Regular teaching ward rounds
    • Scheduled attendance at teaching clinics (supernumerary)
    • Scheduled attendance to theatre sessions
    • Designated ward duties for clerking admissions & management of post-operative patients
    • Management of emergency patients through running of the emergency clinic.
    • Participation in the ENT on-call daytime rota (1 in 6)
    • Out-of-hours rota covers ENT only (1 in 6)

     

    Teaching: a regular departmental teaching programme is run on Tuesday at 10am delivered by the oncall registrar. Additional teaching comes via ward rounds and clinic attendance. F2s are timetabled to be able to attend generic F2 teaching sessions (Tuesday afternoons).

    By the end of the placement the F2 should achieved various competencies:

    • How to perform an ENT examination
    • How to manage acute ENT patients (including epistaxis, drainage of peritonsillar abscess, acute airway problems, neck sepsis, post-tonsillectomy haemorrhage)
    • How to consent for basic ENT procedures and care for patients post-operatively
    • How to use the flexible nasendoscope and microscope for ear examination and microsuction.
    Where the placement is based

    The department is based at Gloucestershire Royal Hospital, but clinics are also conducted at Cheltenham, Stroud, Lydney, Cirencester and Tewkesbury. F2s are not expected to attend peripheral clinics.

    Our ward at GRH is 2B in the Tower Block.

    Clinical Supervisor(s) for the placement All consultants in the department act in either clinical or educational supervisor roles. Mrs Tira Galm is the Specialty Tutor.
    Main duties of the placement To be responsible, as a member of the team, for the care of patients on the ward (both elective and emergency) and the maintenance of the patient’s medical record. To attend clinics and theatre sessions as timetabled. To perform an audit during the placement and contribute to the collection of M&M data.
    Typical working pattern in this placement

    Examples given:

    Mon: clinic am, emergency clinic pm
    Tues: Teaching 10am – theatre pm
    Wed: emergency clinic am, clinic pm
    Thurs: day off
    Fri: theatre am, ward cover/theatre
    Sat:
    Sun:

    Mon: ward cover
    Tues: ward cover
    Wed: ward cover
    Thurs: ward cover
    Fri: theatre am, teaching pm
    Sat:
    Sun:

    On call requirements: Participation in the daytime ENT on-call rota (1 in 6)

    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.

  • F2 Paediatrics (Gloucester)

    Placement F2 Paediatrics
    Gloucestershire Royal Hospital
    The department We are a team of 14 acute, 6 neonatal and 7 community Consultant Paediatricians providing acute and outpatient care to the child population of Gloucestershire.

    The Tier 2 rota includes 12 WTE ST4-8 Paediatric trainees with some non consultant career grade and ANNP nursing support. There are 4 WTE ST1 Paediatric trainees and 8 WTE GP trainees as well as 4 F2 trainees on the Tier 1 rota.

    The type of work to expect and learning opportunities Foundation Trainees will gain experience of working in PAU assessing and managing children sent up to hospital acutely by primary care or the emergency department and on the children’s inpatient ward. Clinical shifts also take place on the neonatal unit and postnatal wards and include cover for delivery suite. There is a comprehensive teaching programme for paediatric trainees including daily morning teaching sessions.

    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.

    Patients are triaged within the inpatient unit (Paediatric Assessment Unit known as PAU) before transfer to the short stay observation area, or to the main inpatient ward. There is a 4 bed paediatric oncology unit and a 4 bedded paediatric HDU within the 44 bed paediatric ward. There is a 28 bed level 2 NNU.

    Clinical Supervisor(s) for the placement

    Dr Charlotte McAuley and Dr Susanna de Gressi

    Main duties of the placement

    Along with other members of the Tier 1 rota, the F2 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 in patient unit at Gloucestershire Royal. They are also involved in overseeing the medical needs of surgical patients (general surgery, ENT, orthopaedics) on the ward as well as management of the ‘general Paediatric’ patient. 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 Dr as well as a Paediatric Nurse Practitioner.

    On the NNU, F2s are responsible for newborn physical examinations as well as working on the NNU and reviewing babies on the postnatal wards.

    There are opportunities to attend Paediatric outpatient clinics and to gain experience in Community 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. He/she will also be expected to achieve competence in newborn life support.

    Typical working pattern in this placement

    Teaching 8.30-9.00am Mon-Fri

    Handover followed by morning ward round. Rostering is to ward work or PAU.

    On call rota includes GP trainees and Paediatric ST1 trainees 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.

  • F2 Renal medicine (Gloucester)

    The department 6.7 WTE nephrologists, 2 registrars, 2 F1, 1 F2, 2 CMT/IMT, 1 GPVTS, 1-2
    trust grade/SHO level doctors, one PA and a specialist nurse working
    exclusively with the medical team. Cover two medical wards and medical outliers
    on an ENT ward. Total inpatient base 53-70 patients. Based in a small-to-medium
    renal unit in a DGH, with 240 HD, 30 PD and 250 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.

    Where the placement is based

    Wards 7A/B, Gloucestershire Royal Hospital

    Clinical Supervisor(s) for the placement Will be allocated from Drs Moriarty, Smith, Babu, Pickett, Boddana,
    Jenkin, Potluri
    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

    PM Ward Work

    Fri: AM Ward Work

    Lunch Renal Teaching

    PM Ward Work

    Sat:

    Sun:

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

    Employer information

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

    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

  • F2 Respiratory medicine (Cheltenham)

    Placement F2 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 works closely with the team in Gloucester and together serves Gloucestershire with a catchment population of approximately 650 000.

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

    The type of work to expect and learning opportunities

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

    Whilst in the ACU the F2 will be involved with the generic clerking of patients being admitted and the ongoing care of the patients in the unit.

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

    • Take a history and examine a patient
    • Identify and synthesise problems
    • Request and analyse appropriate investigations
    • To get some experience of outpatient activity
    • Use evidence, guidelines and audit to benefit patient care Using evidence in the best interest of patients
    • Prescribe safely
    • Keep an accurate and relevant medical record
    • Manage time and clinical priorities effectively
    • Communicate effectively with patients, relatives and colleagues
    • Provide timely and accurate discharge summaries
    • Act in a professional manner at all times
    • Cope with ethical and legal issues which occur during the management of patients with general medical problems
    • Educate patients effectively / aid decision making through communication with patients
    • Become life-long learners and teachers
    • Understanding consent and explaining risk
    • Managing clinical complaints and learning from them
    • Taking responsibility for the future of the NHS, i.e. teaching others effectively
    • Interpretation of peak flow charts
    • Knowledge of good inhaler technique and use of nebulisers
    • Assessment of need for long-term oxygen therapy
    • Competence in pleural aspirations. Gain experience of chest drain insertion, setup of non-invasive ventilation
    • Experience of pleural ultrasound, sleep medicine and clinical research trials.
    • Take part in discussions at M and M meetings. Contribute to and participate in multidisciplinary departmental teaching.

    Where the placement is based

    Avening and Knightsbridge Wards, Cheltenham General Hospital

    Clinical Supervisor(s) for the placement

    Dr Usher, Dr Raghuram, Dr Bintcliffe

    Main duties of the placement

    The F2 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

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

    Tuesday
    0900-1300 Cons ward round
    1300-1700 alternate week teaching countywide

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

    Thursday
    0900-1230 Cons ward round
    1400 - 1700 ward admin procedures

    Friday
    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.

  • F2 Respiratory medicine (Gloucester)

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

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

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

    Main duties of the placement

    The F2 doctor is responsible with other staff for the ward care of patients and the maintenance of the patient’s medical record. They will have opportunity to work with the consultants in outpatients clinics for at least one day each week, and also take responsibility for problems arising in General Medicine or respiratory patients on the ward. Attend and prepare case discussions for monthly morbidity and mortality meeting. They are expected to attend the structured teaching programmes provided by the department. The doctor will be responsible for such other specific clinical duties as allocated by consultants including performing other duties in occasional emergencies and unforeseen circumstances.

    Typical working pattern in this placement

    There 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 Consultant led ward round
    1400-1700 Ward work

    Tuesday
    0930-1300 GPVTS/F2 led ward round
    1300-1400 Grand Round
    1400-1500 Journal Club/M&M 1:2
    1400-1630 F2 teaching

    Wednesday
    0900-1300 SpR led ward round
    1300-1400 Postgraduate lecture
    1400-1700 Ward work. Pleural procedures

    Thursday
    0900-1230 Consultant led ward round
    1300-1400 Lung cancer MDT
    1400-1700 Ward work

    Friday
    0900-1300 GPVTS/F2 led ward round
    1300-1400 Department X-ray meeting
    1400-1700 Ward work

    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.

  • F2 Trauma and orthopaedic surgery (Cheltenham)

    Placement F2 Trauma and orthopaedic surgery
    Cheltenham General Hospital
    The department

    The Orthopaedic Department works as one team that is shared amongst 2 wards (Alstone and Dixton). The 3 foundation programme doctors, 2 trust SHO’s and one CT doctor will be based on these 2 wards during their four month attachment. There is an emphasis on making time for the trainees to attend theatre, clinic and organized teaching as well as develop particular career aims they have with the use of taster days etc.

    This is a busy, well run elective unit providing modern management of orthopaedic conditions with multidisciplinary working (There is no inpatient trauma care on the CGH site). This facilitates nurse led discharge as part of our Enhanced Recovery Programme. Close working with foundation programme doctor representatives has ensured the rotations are constantly being monitored and improved as necessary.

    Trust wide initiatives including early warning scores have been introduce Trust wide to improve patient safety and aid junior doctors in identifying potentially unwell patients at an early stage.

    The type of work to expect and learning opportunities

    The workload is mainly elective although there is exposure to trauma patients through teaching and clerking of fracture clinics. As well as learning the management of common orthopaedic conditions (wrist/ankle/hip/knee/spine etc.) FY2 doctors also develop skills in the pre-operative assessment of patients who are likely to need orthopaedic treatment and also the medical management of co-morbidities and post-operative complications. This post helps develops competencies in assessing and managing patients with orthopaedic conditions which are very common especially in an ageing population.

    Elective work involves the management of patients undergoing surgery, thromboprophylaxis assessment as well as planning discharge and interaction with the multidisciplinary team.

    Teaching opportunities

    As well as encouraging spending supernumerary time in clinic and theatres, organised teaching as follows:

    Tues, Thurs, Friday teaching x-ray meetings
    Tues pm – hospital wide protected teaching programme for FY2 doctors
    Weds lunchtime dedicated FY2 teaching
    Friday am journal club/junior doctor presentations
    Monthly journal clubs
    Dry bone sessions for implants

    We firmly encourage our trainees to develop their careers and skills in line with the GMC’s template of Good Medical Practice.

    Where the placement is based Alstone and Dixton Wards, Cheltenham General Hospital
    Clinical Supervisor(s) for the placement Consultant Orthopaedic Surgeons with experience of the seven domains required to be educational and clinical supervisors as required by the Severn Deanery:

    Mr Mutimer, Mr Field, Mr Gosal, Mr Clint, Mr Holt, Mr Tredgett, Mr Bigsby and Mr Barksfield, Mr Sangster.

    Main duties of the placement Daily ward MDT meeting to review clinical work and organised teaching followed by ward round at 0830hrs. 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. They are an invaluable part of the team to ensure the patients are provided the highest standard of care.
    Typical working pattern in this placement

    On call requirements

    The rota is EWTD compliant. Rota includes a twilight shift and weekend ward cover but does not involve nights.

    Normal ward days are 8am-5pm (weekdays) and are 8am-4pm ward cover weekends.

    Twilights shifts are 5pm-12am weekdays and 12pm-12am weekends. During twilights you cover all the surgical wards.

    On average you are expected to work 1 in 4 weekends.

    Elective work

    We try to accommodate trainees interests (e.g. maximize exposure to those interested in hand/shoulder/knee /hip surgery) as we are able.

    FY doctors can take leave as required (only rule is no more than 2 off at one time) with a floating trust doctor to cover their work whilst they are away.

    The ward-based system ensures FY2 trainees get to work with different consultants in addition to their clinical supervisor. There is also a daily ward round by the orthopaedic registrars/middle grade.

    As mentioned above there are countless learning opportunities for learning experiences and audit. There is ample opportunity to perform DOPS/mini CEX/CBDs.

    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.

  • F2 Trauma and orthopaedic surgery (Gloucester)

    Information to follow