F2 Placement Descriptions

Employer information

The employer for these posts, except psychiatry, is Great Western Hospitals NHS Foundation Trust.

The GWH is a modern medium sized acute NHS Foundation Trust providing emergency care, surgery, diagnostics, paediatrics, maternity, out-patient and day case services.

The hospital opened in December 2002, replacing the Princess Margaret Hospital in Old Town, Swindon. The GWH is superbly designed and equipped and offers a first class environment for patients, visitors and staff, with over 30% of our beds provided in single rooms with en-suite facilities, helping maintain patients’ privacy and dignity whilst under our care.

With more than 600 beds, the GWH offers a range of services and facilities from a busy Emergency Department, a dynamic radiology department and one of the best maternity units in the country which includes the new ‘White Horse Birthing Centre’.

Psychiatry and GP Placements

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

Psychiatry placements are with Avon and Wiltshire Mental Health Partnership NHS Trust (AWP), a significant provider of specialist mental health services to adults and older people in: Bath and North East Somerset (BANES), Bristol, North Somerset, South Gloucestershire, Wiltshire and Swindon.

They provide specialist drug and alcohol services and specialist and secure mental health services including prison mental health services, to people living across a wider area.

Increasingly AWP provide treatment and care in people’s own homes and other community settings, reflecting the preferences of our service users. AWPs community services are supported by high quality inpatient services that provide short term assessment, treatment and care.

F2 Placement Descriptions

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

• F2 Acute internal medicine

  Placement	F2 Acute internal medicine, AAU Great Western Hospital
  The department	F2 doctors attached to the Acute Medical Unit work closely with Consultants and other members of the MDT to look after acutely ill medical patients who are admitted via General Practice and the Emergency department. The department works in 5 different areas of the hospital:  Linnet Ward, a 31 bedded ward with 8 monitored beds; the Medical Admissions Unit and Short Stay Wards Shalbourne and Dorcan: Same Day Emergency Care (SDEC);  and clerking and post taking patients for admission in the Emergency Department
  The type of work to expect and learning opportunities	All F2 Doctors in hospital posts will generally be ward based during the ‘normal’ working day and expected to deliver the daily medical care of all the patients on their ward irrespective of specialty. Whilst in the AAU attachment 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 Prescribe safely Keep an accurate and relevant medical record Manage time and clinical priorities effectively Communicate effectively with patients, relatives and colleagues Use evidence, guidelines and audit to benefit patient care Act in a professional manner at all times Cope with ethical and legal issues which occur during the management of patients with general medical problems Educate patients effectively Become life-long learners and teachers.
  Where the placement is based	Ground Floor: Shalbourne Medical Assessment Unit Dorcan Short Unit Same Day Emergency Care (SDEC) Medically Expected Unit (GP Referrals) Emergency Department - (post-take and clerking) Third Floor Linnet Acute Medical Unit LAMU - admissions from ED
  Clinical Supervisor(s) for the placement	Allocated upon commencement of the rotation.
  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 are expected to attend the structured teaching programmes provided by the Deanery and the department. The doctor will be responsible for such other specific clinical duties as allocated by consultants including performing other duties in occasional emergencies and unforeseen circumstances.
  Typical working pattern in this placement	The F2 shift pattern: 1 in 13 Rotation with IMT and ACCS doctors working on the Acute Medical Unit

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

• F2 Cardiology

  Placement	F2 Cardiology Great Western Hospital
  The department	The Wiltshire Cardiac Centre is made up of: Cardiology Outpatients Department Coronary Care Unit Cardiac Physiology Team Cardiac Rehabilitation Team Heart Failure Team Mercury Ward.   The Coronary Care Unit (CCU) is a busy 14 bed high dependency unit. Mercury Ward - Our team consists of six Consultant Cardiologists, a Modern Matron and a team of nurses
  The type of work to expect and learning opportunities	All F2 Doctors in hospital posts will generally be ward based during the ‘normal’ working day and expected to deliver the daily medical care of all the patients on their ward irrespective of specialty. The overall educational objectives of the F2 year are to provide the trainee with the knowledge, skills and attitudes to be able to Take a history and examine a patient Identify and synthesise problems Prescribe safely Keep an accurate and relevant medical record Manage time and clinical priorities effectively Communicate effectively with patients, relatives and colleagues Use evidence, guidelines and audit to benefit patient care Act in a professional manner at all times Cope with ethical and legal issues which occur during the management of patients with general medical problems Educate patients effectively Become life-long learners and teachers.
  Where the placement is based	Wiltshire Cardiac Centre/CCU / Mercury Ward
  Clinical Supervisor(s) for the placement	Allocated upon commencement of the rotation.
  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. These posts will give experience of ongoing management of common medical problems within a stable learning environment. F2s will be exposed to the management of the full range of cardiological emergencies and there will be the opportunity for them to witness the majority of cardiac procedures. 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	Un-banded post: Mon: 0900-1700 Tues: 0900-1700 Wed: 0900-1700 Thurs: 0900-1700 Fri: 0900-1700 Banded post: (1 in 16) Mon: 0900-1700 Tues: 0900-1700 Wed: 0900-1700 Thurs: 0900-1700 Fri: 0900-1700 Sat: 0900 - 1800 (short day) 0900 – 2130 (long day) Sun:0900 - 1800 (short day) 0900 – 2130 (long day) Nights are split into 2 blocks: Fri – Tues: 2045 – 0915 Wed – Thurs: 2045 - 0915 On call requirements (1 in 10): Evenings 1700 – 2100 (General Medicine Cover inc. AAU)

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

• F2 Community Child Health

  Information to follow

• F2 Emergency medicine

  Placement	F2 Emergency medicine Great Western Hospital
  The department	The Emergency Department is a busy and lively department with 9 Consultants and a vast team of junior doctors and nurses. It provides services for the population of Swindon and surrounding areas.
  The type of work to expect and learning opportunities	As the F2 in Emergency Medicine you will work alongside specialty trainees and Consultants. You will see both minor and major cases during your rotation. Senior colleagues are able to offer advice and guidance. You will learn a number of new skills and broaden your knowledge base. 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 Prescribe safely Keep an accurate and relevant medical record Manage time and clinical priorities effectively Communicate effectively with patients, relatives and colleagues Use evidence, guidelines and audit to benefit patient care Act in a professional manner at all times Cope with ethical and legal issues which occur during the management of patients with general medical problems Educate patients effectively Become life-long learners and teachers.
  Where the placement is based	Emergency Department
  Clinical Supervisor(s) for the placement	Allocated upon commencement of the rotation.
  Main duties of the placement	The F2 doctor will make a focused assessment of patients presenting to the ED and formulate a plan for further investigation and treatment. This may involve liaison with senior medical or nursing staff within the department, or staff from other specialties. They are expected to attend the structured teaching programmes provided by the department.
  Typical working pattern in this placement	As an F2 you can expect to work a variety of shifts. The following is an example of a two week rota pattern: Mon: 0800 - 1200 Tues:0800 - 1200 Wed: Day off Thurs:1200 - 1700 Fri: 1200 - 2200 Sat:1200 - 2200 Sun:1200 - 2200 Mon: 0900 - 1800 Tues: 0900 - 1800 Wed: 0900 - 1800 Thurs: Day off Fri: Day off Sat: 0800 - 1800 Sun: Day off On call requirements: There are no on call requirements for F2s.

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

• F2 Gastroenterology

  Placement	F2 Gastroenterology Great Western Hospital
  The department	Neptune Ward isa 39 bed medical ward which specialises in treating adult male and female patients with gastro-intestinal conditions. We are on Level 4 of the Great Western Hospital.
  The type of work to expect and learning opportunities	All F2 Doctors in hospital posts will generally be ward based during the ‘normal’ working day and expected to deliver the daily medical care of all the patients on their ward. 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 Prescribe safely Keep an accurate and relevant medical record Manage time and clinical priorities effectively Communicate effectively with patients, relatives and colleagues Use evidence, guidelines and audit to benefit patient care Act in a professional manner at all times Cope with ethical and legal issues which occur during the management of patients with general medical problems Educate patients effectively Become life-long learners and teachers.
  Where the placement is based	Neptune Ward
  Clinical Supervisor(s) for the placement	Allocated upon commencement of the rotation
  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 outpatient clinics and on ward rounds and also take responsibility for problems arising in Gastroenterology. 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	Mon: Registrar Morning wards rounds/Jobs/ Consultant afternoon ward rounds Tues: Consultant Morning ward rounds/afternoon registrar rounds/jobs Wed: All day Registrar ward rounds/jobs afternoon journal club/ SWIFT teaching Thurs: Morning registrar ward rounds/ward jobs/consultant afternoon ward rounds Fri: Consultant morning ward rounds/ward jobs/Lunch time Gastro radiology meeting/registrar afternoon ward rounds On call requirements: 1 in 14 days 1 in 8 weeks nights

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

• F2 General (internal) medicine (Orthopaedic medicine)

  Placement	F2 General (internal) medicine, Orthopaedic Medicine Great Western Hospital
  The department	The Dept of Ortho-Geriatric medicine consists of 1 Consultant, 1 Associate Specialist and a team of nurses which comes under the Department of Medicine for the Elderly which is a Directorate of Adult Medicine.
  The type of work to expect and learning opportunities	All F2 Doctors in hospital posts will generally be ward based during the ‘normal’ working day and expected to deliver the daily medical care of all the patients on their ward irrespective of specialty. Whilst in Ortho-Geriatrics 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 Prescribe safely Keep an accurate and relevant medical record Manage time and clinical priorities effectively Communicate effectively with patients, relatives and colleagues Use evidence, guidelines and audit to benefit patient care Act in a professional manner at all times Cope with ethical and legal issues which occur during the management of patients with general medical problems Educate patients effectively Become life-long learners and teachers.
  Where the placement is based	Department of Medicine for the Elderly (DOME)
  Clinical Supervisor(s) for the placement	Allocated upon commencement of the rotation.
  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 outpatient clinics and on ward rounds and also take responsibility for problems arising in Ortho-Geriatric Medicine. 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	Mon:   consultant ward round   1100 and 1500 Tues:  1100 MDT. F2 ward round and jobs through day Wed:   am: F2 ward round and jobs.           1400 (alternate weeks) clinic Thurs:  F2 ward round and jobs through day Fri:     consultant ward round   1100 and 1500            1400 Departmental teaching Sat: none

  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. Most work is carried out during consultations in the surgery and some during home visits. GPs and their GP F2s provide a complete spectrum of care within the local community. You will need to deal with problems that often combine physical, psychological and social components. You will work in teams with other professions, helping patients to take responsibility for their own health. In your GP attachment, you will build on your knowledge of medical conditions, your ability to assess a problem, and your skills in deciding on the appropriate course of action. You will learn how and when to intervene, through treatment, prevention and education, to promote the health of your patients and families. The wide mix of General Practice is one of the major attractions. There can be huge variation in the needs of individual patients during a single surgery.
  Where the placement is based	Community-based post
  Clinical Supervisor(s) for the placement	Each GP F2 will be in an approved teaching practice, where your supervisor will be an accredited GP Trainer or GP Clinical Supervisor.
  Main duties of the placement	Your duties will include: seeing patients in surgeries responding to health problems presented by patients, including history-taking, investigation, diagnosis, and management practicing preventative medicine promoting health education working closely with other health professionals helping with repeat prescriptions and other administrative aspects of day-to-day patient care helping the practice meet targets managing resources as effectively as possible maintaining confidentiality and impartiality using basic IT skills and using the practice's clinical IT system attending the practice's clinical meetings you may also be asked to make domiciliary visits, if your GP Supervisor feels this is appropriate
  Typical working pattern in this placement	Morning surgery: followed by discussion patients seen with Supervisor. Lunchtime: administrative work. Early afternoon: clinical meetings, domiciliary visits. Afternoon/early evening: surgery. There will be a weekly tutorial lasting at least an hour. This pattern varies from practice to practice. Practices may ask you to work the same pattern that most GPs do, with longer working days but time off in lieu. On call requirements: No GP on-call requirements.

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

• F2 General psychiatry

  Placement	F2 General psychiatry Sandalwood Court
  The department	Applewood Ward, is located on Sandalwood Court site in Swindon. It is an 16 bed, acute psychiatric unit for Adults of Working Age of both sexes. The average stay of patients is about 4 weeks.
  The type of work to expect and learning opportunities	The F2 will be supervised by Dr Kurup, Consultant Psychiatrist. Trainees will be responsible, under supervision for day to day management of patients on acute psychiatry ward. They will be supported by a full time core psychiatry trainee, a full time speciality grade doctor and a full time Consultant Psychiatrist and a Foundation year 1. Responsibilities of Foundation year doctor include: Admitting patients: to include taking a full psychiatric history, mental state examination, collateral information from other professionals and relatives involved in care; physical examination, performing necessary investigations and initiating treatment having discussed with nursing staff/seniors. Regular review of inpatients, usually before ward review. Attendance at ward reviews and contemporaneous recording of discussion and care plans on RIO (electronic patient record). Preparation of admission/discharge summaries Trainees will be encouraged to do audits and quality improvement projects. There is one hour weekly clinical/educational supervision. The consultant is directly contactable for advice. There is a weekly academic programme that takes place every Wednesday afternoon. There is also the Foundation Doctor training programme on the Great Western Campus site. 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 formulate 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 mental health problems Educate patients effectively Become life-long learners and teachers
  Where the placement is based	Sandalwood Court
  Clinical Supervisor(s) for the placement	Dr Shalini Kurup
  Main duties of the placement	The F2 doctor is responsible with other staff for the care of patients and the maintenance of the patient’s medical record. They will have the opportunity to work with the consultants in outpatients clinics, and also take responsibility for problems arising in their area of Psychiatry. 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	Sandalwood Court Mon 0900-0930 Clinical Huddle meeting 1000-1300 Ward round with Consultant 1330-1700 Ward work Tues 0900-1300 Ward round with Consultant 1400-1700 Ward work Wed 0930-1300 Ward work 1330-1700 Academic meeting Thurs 0900-1300 Ward round with Consultant 1330-1700 Admin Fri 0900-1230 Ward round 1400 -1500 Supervision 1500- 1700 Admin/audit Sat/Sun On call 1 w/e in 9 from 0900 Sat morning to 0900 Mon morning. Covering all inpatient wards, rehab wards, GWH ward referrals and patients in A+E. Weekday on calls 1 in 9 week days on call from 0900 on first day finishing 0900 following morning with same responsibilities as w/e on-calls Note The F2 will need access to own transport to carry out on call duties.

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

• F2 General surgery

  Placement	F2 General surgery Great Western Hospital
  The department	The Dept of General Surgery comprises 11 Consultants, Junior Doctors and a team of nurses who are based in the Brunel Treatment Centre. Meldon Ward is a surgical ward which cares for patients who have been admitted for emergency surgery and patients who require Gastrointestinal Surgery, Head and Neck Surgery and Eye Surgery (Ophthalmology). Ampney ward specialises in vascular and urology conditions. We care for patients who may be having a planned or emergency procedure. SAU The Surgical Assessment Unit is currently an 15-bedded mixed-sex assessment unit for surgical patients located adjacent to A and E. At present there is the capacity to accommodate a further four patients who require surgical assessment on either chairs or within an extra bed area between 8am and 8pm There is a daily SAU clinic for assessment of surgical patients, run by the SAU consultants and staffed by the on-call junior staff.
  The type of work to expect and learning opportunities	All Surgical F2 Doctors are team based, working in a firm with their F1 and registrars and consultants. This allows for excellent training and support as well as ample opportunity to attend theatre with their consultant when required. 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 Prescribe safely Keep an accurate and relevant medical record Manage time and clinical priorities effectively Communicate effectively with patients, relatives and colleagues Use evidence, guidelines and audit to benefit patient care Act in a professional manner at all times Cope with ethical and legal issues which occur during the management of patients with general medical problems Educate patients effectively Become life-long learners and teachers.
  Where the placement is based	Meldon and Ampney Wards / Theatres
  Clinical Supervisor(s) for the placement	Allocated upon commencement of the rotation.
  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 outpatient clinics and theatres, and also take responsibility for problems arising on the General Surgical wards. 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	Daily - Ward round 0800 Theatre when required Mon: 0800-1800 1300-1400 - Grand Round Tues: 0800-1800 1230-1400 - F2 teaching Wed: 0800-1800 Thurs: 0800-1800 Fri: 0800-1800 Sat/Sun: 1 in 4 weekends Daily: 0800 – ward rounds 18:00 – handover (Theatre when required) On call requirements: Over 8 weeks - 7 days on call 08:00 – 21:00 and 7 nights 20:30 – 10:00 with one week annual leave and one week of “rest” for every eight weeks worked. Each F1 has at least one week of “rest” allocated as well as two weeks of annual leave in each 4 month attachment08:00-21:00 post take ward round. assessment of new patients and ward reviews after normal hours (6-9pm mon-fri and all day sat/sun) Or night shifts 21:00-9:00 assessment of new patients and ward reviews.

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

  General surgery

• F2 Geriatric medicine

  Placement	F2 Geriatric medicine Great Western Hospital
  The department	DOME is a Directorate of Adult Medicine and is responsible for a wide range of services including: Stroke TIA Movement Disorder Falls
  The type of work to expect and learning opportunities	All F2 Doctors in hospital posts will generally be ward based during the ‘normal’ working day and expected to deliver the daily medical care of all the patients on their ward. 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 Prescribe safely Keep an accurate and relevant medical record Manage time and clinical priorities effectively Communicate effectively with patients, relatives and colleagues Use evidence, guidelines and audit to benefit patient care Act in a professional manner at all times Cope with ethical and legal issues which occur during the management of patients with general medical problems Educate patients effectively Become life-long learners and teachers.
  Where the placement is based	Department of Medicine for the Elderly (DOME)
  Clinical Supervisor(s) for the placement	Allocated upon commencement of the rotation.
  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 outpatient clinics and on ward rounds and also take responsibility for problems arising in Geriatric Medicine. 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	Mon: 0900-1700 Tues: 0900-1700 1230-1400 F2 Teaching Wed: 0900-1700 Thurs: 0900-1700 Fri: 0900-1700 1700-2100 on-call ward cover Sat: 0900-2100 Sun: 0900-1700 Mon: 0900-1700 Tues: 0900-1700 1230-1400 F2 Teaching Wed: 2100-0900 Thurs: 2100-0900 Fri: 2100-0900 On call requirements: 1 in 14 days 1in 8 weeks nights

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

• F2 Haematology

  Information to follow

• F2 Obstetrics & gynaecology

  Information to follow

• F2 Old age psychiatry

  Placement	F2 Old age psychiatry Victoria Centre
  The department	The Victoria Centre located on the GWH site which provides inpatient services for older people with mental health problems.
  The type of work to expect and learning opportunities	The F2 will be supervised by Dr Manchip, Consultant in Old Age Psychiatry. Trainees will be responsible, under supervision, for the day to day medical management of patients on the dementia assessment unit. There is also supervised community work to care homes and home visits; these come into the job as the trainee feels ready. Recent trainees have been encouraged in audit and in the last 3 years, 6 have had articles published in peer reviewed journals. There is one hour weekly clinical/educational supervision. The consultant is directly contactable for advice. There is a weekly academic programme that takes place every Wednesday afternoon. There is also the Foundation Doctor training programme on the Great Western Campus site. 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 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 mental health problems Educate patients effectively Become life-long learners and teachers.
  Where the placement is based	The Victoria Centre
  Clinical Supervisor(s) for the placement	Dr Simon Manchip
  Main duties of the placement	The F2 doctor is responsible with other staff for the care of patients and the maintenance of the patient’s medical record. They will have the opportunity to work with the consultants in outpatients clinics, and also take responsibility for problems arising in their area of Psychiatry. 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. Assessment of Medically Ill Patients: Guidance for Foundation trainees. As a Foundation doctor, you may be called on to assess patients who are medically unfit either in the psychiatry in-patient units or possibly in the community. It is important to be aware that psychiatric hospitals do not have facilities to support patients with serious physical health problems and you are not in a position working in these settings to facilitate urgent investigation, or initiate immediate and complex treatment such as IV support, catheterisation. In many respects the support available may even be less than in a standard community setting as there is a lack of access to GP level medical advice. In the event that a patient needs more immediate and complex physical assessment, it is advisable to discuss with a senior psychiatry colleague and it is generally necessary to have these individuals seen in the nearest A&E department. It would of course be helpful if a patient was referred, to discuss the case with the casualty team, while the transfer is being organised. This would normally require an ambulance, which the in-patient team would generally organise. As a Foundation doctor working in psychiatry, you would not normally be expected to initiate complex physical treatments. If you are uncertain about appropriate physical care of an individual, you should always discuss this issue with a senior psychiatry colleague, who may be the local core/advanced trainee in your unit or your consultant or the consultant on-call. It may be useful to contact the specialist team in the general hospital for advice, but where a complex decision is being made this should always be shared with senior colleagues in the psychiatric team, who will be responsible for the treatment while the patient is in a psychiatric hospital. Note that discussion of the physical problems with a more senior psychiatric colleague is not generally to get expert medical advice (bearing in mind that as the psychiatric specialists become more senior their physical medicine skills tend to become out of date), but to bring the concerns to their attention so they can advise on the need to contact local acute medical/surgical services and how best to do this.
  Typical working pattern in this placement	Mon 1000-1230 Functional Ward Round 1400-1700 ward work Tue 1000- 1100 Supervision 1400- 1630 Dementia care ward round Wed 1000-1300 community visits/ward work 1400- 1700 teaching Thurs 1000- 1300 community visits 1400-1700 ward work/admin Fri 1000-1300 ward work 1400 1700 admin/audit Sat/Sun: On call 1 w/e in 9 from 0900 Sat morning to 0900 Mon morning. Covering all inpatient wards, rehab wards, GWH ward referrals and patients in A+E. Weekday on calls: 1 in 9 week days on call from 0900 on first day finishing 0900 following morning with same responsibilities as w/e on-calls Note: The F2 will need access to own transport to carry out on call duties.

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

• F2 Otolaryngology

  Information to follow

• F2 Paediatrics

  Placement	F2 Paediatrics Great Western Hospital
  The department	Children’s Unit The inpatient ward has 22 beds, the three bays being divided out to accommodate peer group nursing for babies, children and adolescents. Ages range from birth to 17 or 18 depending on their individual paediatric needs. We have 10 cubicles to care for children with infection, the very young and the immuno-suppressed. The Paediatric Assessment Unit or PAU is an assessment area situated alongside the ward. These children may need day admission for routine procedures such as urinary investigations, CT/MRI scans, allergy tests, tolerance tests, growth hormone investigations. Reviews following discharges and emergency referrals from GPs, midwives, out-of-hours services and A+E also attend for medical opinion. Our nursing staff include many with specialist knowledge for oncology, respiratory, diabetes, renal, A/E, tracheostomy care and special needs as well as mandatory links to eg, health and safety and infection control. NNU The Neonatal Unit (NNU) is situated within the Women and Children's unit providing close links with the Delivery Suite, Ante/Post Natal wards and the Children's ward. The admission rate in the unit is approximately 450 babies per annum. This figure represents babies admitted from Delivery Suite and referring hospitals. The average number of intensive care/high dependency care days per annum is about 1200. With the exception of cardiac and surgical referrals the unit is fully equipped to provide total care for babies requiring special high dependency and intensive care.
  The type of work to expect and learning opportunities	All F2 Doctors in hospital posts will generally be ward based during the ‘normal’ working day and expected to deliver the daily medical care of all the patients on their ward irrespective of specialty. The overall educational objectives of the F2 year are to provide the foundation doctor with the knowledge, skills and attitudes to be able to: Take a history and examine a patient Identify and synthesise problems Prescribe safely Keep an accurate and relevant medical record Manage time and clinical priorities effectively Communicate effectively with patients, relatives and colleagues Use evidence, guidelines and audit to benefit patient care Act in a professional manner at all times Cope with ethical and legal issues which occur during the management of patients with general medical problems Educate patients effectively Become life-long learners and teachers.
  Where the placement is based	Children’s Unit & NNU – 2nd Floor
  Clinical Supervisor(s) for the placement	Allocated upon commencement of the rotation.
  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 take responsibility for problems arising in General Paediatrics or neonatal patients on the ward. They are expected to attend the structured teaching programmes provided by the department. The doctor will be responsible for such other specific clinical duties as allocated by consultants including performing other duties in occasional emergencies and unforeseen circumstances.
  Typical working pattern in this placement	NNU/Hazel (postnatal ward)/Childrens Ward: Monday – Sunday 0830 – 1700 Plus if Evening: 1700 – 2115 PAU (clinics): Monday – Friday Day work: 0830 – 1700 Clerking: 1100 – 1900 Clerking: 1500-2100 Night shift: 2045 – 0900

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

• F2 Respiratory

  Placement	F2 Respiratory medicine Great Western Hospital
  The department	The Respiratory department consists of 6 Consultants  - 3 are ward based, who are supported by a team of junior doctors and nurses. They provide care for patients with a wide range of general respiratory complaints as well sub-specialty areas including Sleep medicine, Chronic Obstructive Airways Disease, Interstitial Lung Disease and Lung Cancer.
  The type of work to expect and learning opportunities	All F2 Doctors in hospital posts will generally be ward based during the ‘normal’ working day and expected to deliver the daily medical care of all the patients on their ward. Whilst in the Respiratory attachment 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 build on their F1 abilities to Take a history and examine a patient Identify and synthesise problems Prescribe safely Keep an accurate and relevant medical record Manage time and clinical priorities effectively Communicate effectively with patients, relatives and colleagues Use evidence, guidelines and audit to benefit patient care Act in a professional manner at all times Cope with ethical and legal issues which occur during the management of patients with general medical problems Educate patients effectively Become life-long learners and teachers.
  Where the placement is based	Neptune Ward
  Clinical Supervisor(s) for the placement	Allocated upon commencement of the rotation.
  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 are expected to attend the structured teaching programmes provided by the department. The doctor will be responsible for such other specific clinical duties as allocated by consultants including performing other duties in occasional emergencies and unforeseen circumstances. The F2 may have the opportunity to do an outpatient clinic with support.
  Typical working pattern in this placement	Mon 9am Board Round (all team &* nurse) followed by consultant WR 2pm Ward  cover        Tues 9am Consultant Board round and review of new/ unwell patients 2 -5 Ward cover Wed 9am  Consultant board round /ward cover 12.30 F1 teaching     2-5 ward cover   Thurs 8am Lung CA MDT 9am Consultant ward round Grand Round 1-2pm   Fri 9am Board Round 9.20 Ward Round with consultants 12.30pm Respiratory team teaching            On call requirements 1 in 14 on call rota including ward cover and clerking shifts

  Information to follow

• F2 Rheumatology

  Information to follow

• F2 Stroke medicine

  Placement	F2 Stroke medicine Great Western Hospital
  The department	Falcon Ward Acute Stroke Unit is an 18 bed ward specialising in Stroke Care. We are located on the third floor of the Great Western Hospital.
  The type of work to expect and learning opportunities	All F2 Doctors in hospital posts will generally be ward based during the ‘normal’ working day and expected to deliver the daily medical care of all the patients on their ward irrespective of specialty. The overall educational objectives of the F2 year are to provide the trainee with the knowledge, skills and attitudes to be able to Take a history and examine a patient Identify and synthesise problems Prescribe safely Keep an accurate and relevant medical record Manage time and clinical priorities effectively Communicate effectively with patients, relatives and colleagues Use evidence, guidelines and audit to benefit patient care Act in a professional manner at all times Cope with ethical and legal issues which occur during the management of patients with general medical problems Educate patients effectively Become life-long learners and teachers.
  Where the placement is based	Falcon Ward
  Clinical Supervisor(s) for the placement	Allocated upon commencement of the rotation.
  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 be responsible for the day-to-day care of stroke inpatients. This will involve clerking direct admissions to the ward from the emergency department or primary care. 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	Mon: 0900-1700 0930 full ward round 1300-1400 grand round Tues: 0900-1700 0930 New/sick pt WR 1200-1300 MDT Wed: 0900-1700 0930 New/sick pt WR 1230-1400 F2 teaching Thurs: 0900-1700 0930 New/sick pt WR Fri: 0900-1700 0930 full ward round 1300-1400 X ray meeting 1400-1500 DOME teaching Sat: 1100-2000 ward cover 1 in 7 0800-1700 AAU cover 1 in 7 Sun: 1100-2000 ward cover 1 in 7 0800-1700 AAU cover 1 in 7 On call requirements: Whilst on falcon 1 in 5 1700-2100 evening cover.

  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

  Placement	F2 Trauma and orthopaedic surgery
  The department	The T&O department has 14 Orthopaedic Consultants and Podiatric Surgeons who provide a wide range of specialty knowledge and expertise. The consultants have teams of doctors working with them who visit the ward daily. We work closely with all members of the multidisciplinary team and have close links with Pre admission Clinic, Theatre Admissions Lounge and the Joint Replacement follow up clinics. We have a team of physiotherapists and occupational therapists who are based on the ward to provide care to our patients. Aldbourne Ward is a 36 bedded elective orthopaedic ward. We care for patients who are having planned surgery on bones and joints. This includes major joint replacement and spinal surgery but also a variety of smaller orthopaedic operations. We have implemented the Productive Ward project which enables us to organise our work efficiently and effectively in order to spend as much time providing direct patient care as possible.
  The type of work to expect and learning opportunities	The F2 doctor will be expected to develop skills in the pre-operative assessment of emergency patients who are likely to need orthopaedic treatment as well as the medical management of post operative complications. They will also have the opportunity to gain experience in the assessment and management of acute trauma and other Orthopaedic emergencies. They are expected to attend the structured teaching programmes provided by the department. The overall educational objectives of the F1 year are to provide the trainee with the knowledge, skills and attitudes to be able to Take a history and examine a patient Identify and synthesise problems Prescribe safely Keep an accurate and relevant medical record Manage time and clinical priorities effectively Communicate effectively with patients, relatives and colleagues Use evidence, guidelines and audit to benefit patient care Act in a professional manner at all times Cope with ethical and legal issues which occur during the management of patients with general medical problems Educate patients effectively Become life-long learners and teachers.
  Where the placement is based	Aldbourne and Teal Ward
  Clinical Supervisor(s) for the placement	Allocated upon commencement of the rotation.
  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 are expected to attend ward rounds and will have the opportunity to work with the consultants in outpatients clinics, and also take responsibility for problems arising on the T&O wards. 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	Mon: 0800-1730 ward cover Tues: 0800-1730 ward cover Wed: 800-1730 ward cover Thurs: 0800-1730 ward cover Fri: 0800-1730 ward cover Sat/Sun: 1 in 3 on call On call requirements: On-call blocks , 1/8 rota.

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

This page was last updated June 9th 2020 (4 years ago)