Employer information

You will be working in the Brunel building, one of Europe’s leading hospitals and will be at the centre of the redeveloped Southmead Hospital Bristol site, serving a community of over 500,000 people.

The Brunel building is home to almost all of our specialist teams formerly based at Frenchay Hospital and in the old Southmead buildings. These include regional centres such as Neurosurgery, Renal (Kidney), Orthopaedics, Plastics and Adult Burns plus, the Emergency Department (A&E).

The Southmead Hospital Bristol site also includes our outstanding maternity department and neonatal intensive care unit (NICU), the brand new Bristol Breast Care Centre, clinical research teams and Severn Pathology.

In addition the Trust is in the process of applying for Foundation Trust status.

Psychiatry and GP Placements

North Bristol 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.

F1 Placement Descriptions

Information on the placements that make up the F2 rotations at North Bristol NHS Trust. Click on the specialty to learn more.

  • F2 Acute internal medicine

    Placement F2 Acute internal medicine, AMU
    Southmead Hospital
    The department Acute Medicine
    The type of work to expect and learning opportunities

    As an F2 in Acute Medicine, you will be expected to see Acute medical patients daily with senior support readily available from the Acute Medicine consultants and registrars.

    • Patients under Acute Medicine will have daily consultant ward rounds providing plenty of learning opportunities.
    • You will also have the opportunity to conduct ward rounds on your own with senior support available as necessary.
    • Much of your time will be spent liaising with other specialties, including radiology, to ensure that each patient’s care is managed smoothly.
    • Sometimes there is a rapid turnover of patients. There are ample opportunities therefore to develop skills in safe and efficient handover, particularly with regards to discharge documentation.
    • From time to time you will have the opportunity to assess and manage acutely unwell patients on the ward under appropriate supervision
    Where the placement is based

    Acute Medical Unit, Gate 31, Level 0, Brunel building, Southmead Hospital, Bristol

    Clinical Supervisor(s) for the placement

    Drs John Ho, Madhu Wickremaratchi, Sam Patel, Kiaran Flanagan, Ishita Dasgupta, Louise Powter, Nigel Lane, Ella Chaudhuri, Fran Neuberger.

    Main duties of the placement
    • To ensure the safe clinical management of each patient under your care (with senior support)
    • To  carry out jobs from the ward round and liaise with other specialties (including radiology) as necessary
    • To ensure discharge documentation is complete and accurate
    • To review patients when asked to by nursing staff
    • To ensure that your documentation in the medical notes is thorough, accurate and legible
    Typical working pattern in this placement

    Normal weekday 08:00hrs - 16:00hrs

    08:00 Morning meeting
    09:30 Morning Board Round
    14:30 Short Stay Medicine Board Round
    16:00 End of day and handover

    Teaching in Acute Medicine every Monday 13:30 – 14:30 hrs 

    Monthly Clinical Governance meetings 

    Foundation teaching as per timetable 

    Acute block of on call over 6 week period.

    Please note: posts are subject to change due to potential reconfiguration of services and departmental moves.

  • F2 Cardiology

    Placement F2 Cardiology
    Southmead Hospital
    The department The department of cardiology has 6 Consultant Cardiologists. There is a catheter laboratory where diagnostic angiography, angioplasty and pacing procedures are carried out. We have a cardiac investigations unit for non-invasive tests such as echocardiography, ECG monitoring, exercise stress testing, CT coronary angiography and myocardial perfusion imaging.  
    The type of work to expect and learning opportunities

    All Foundation 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 on-call in the acute admissions unit, the F2 will be involved with 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
    • Formulate a differential diagnosis
    • Prescribe safely
    • Keep an accurate and relevant medical record
    • Manage time and clinical priorities effectively
    • Communicate effectively with patients, relatives and colleagues
    • Use evidence, guidelines and audit to benefit patient care
    • Act in a professional manner at all times
    • Cope with ethical and legal issues which occur during the management of patients with general medical problems
    • Educate patients effectively
    • Become life-long learners and teachers.
    Where the placement is based

    Gate 27 A, Brunel building and occasional outliers on 7A and 7B, Southmead Hospital, Bristol

    Clinical Supervisor(s) for the placement

    Dr Shahid Aziz, Dr Andrew Skyrme Jones, Dr Paul Walker, Dr Phil Boreham, Dr Ben Farrow and Dr Mark Papouchado.

    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 and grand rounds.

    Typical working pattern in this placement

    Mainly ward based from 9am-5pm, apart from 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 Emergency medicine

    Placement F2 Emergency medicine
    Southmead Hospital
    The department Emergency Department
    The type of work to expect and learning opportunities Seeing undifferentiated emergency patients. Aiming to assess, stabilize and institute emergency treatment for these patients. Ability to see a wide variety of acute problems and institute management plans under direct supervision of the shop floor consultant or registrar. 
    Where the placement is based Brunel Emergency Department
    Clinical Supervisor(s) for the placement Dr Joydeep Grover
    Main duties of the placement Work on the shop floor seeing new patients, instituting a management plan, organizing investigations. Performing any practical procedures needed. Referring or discharging as appropriate.
    Typical working pattern in this placement Full Shift rota. Typical shifts are 08:00-18:00, 14:00-00:00, 22:00- 08:00

    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
    Southmead Hospital
    The department

    The Dept of Gastroenterology comprises 6 Consultant Gastroenterologists who all do acute General Internal Medicine (GIM) on-call. There are interests in Inflammatory bowel disease, advanced nutrition, small bowel, obscure GI bleeding & hepatobiliary.  All general gastroenterology and general internal medicine (except stroke) is represented. 

    The department serves the local population of Bristol, South Gloucestershire and North Somerset.

    The type of work to expect and learning opportunities

    The F2 Doctor will be ward based during the ‘normal’ working day and expected to deliver the daily medical care of all the patients on their ward. Whilst on call for GIM the F2 will be involved with the generic clerking of patients being admitted, presentation to the on call consultant, initiation of their investigations & management and hand over to the next on call or ward based team. 

    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
    • Recognise & manage acutely ill patients
    • Contribute to the cardiac arrest team & get involved with DNAR decisions
    • Perform practical procedures including ascitic taps/drains
    • 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

    Wards in Brunel building, Southmead Hospital, Bristol

    Clinical Supervisor(s) for the placement

    Dr Peter Marden, Dr Melanie Lockett, Dr Ana Terlevich.

    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 teaching programmes provided by the Trust and 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
                 1700  Handover

    Mon:      1315  Grand round
    Tues:     10.30 Ward MDM
                1300 GI x-ray meeting

    Wed       1400 Gastro clinic

    Thurs:    1300 GIM journal club

    Fri:        0800 Departmental teaching
                12.45 Gastro histol meeting/journal club
                1300 F2 teaching programme 

    On call requirements:

    1 in 7 days and 1 in 10.5 nights

    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

    GP training practices in the Severn area.

    Clinical Supervisor(s) for the placement

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

    Main duties of the placement

    Your duties will include:

    • seeing patients in surgeries
    • responding to health problems presented by patients, including history-taking, investigation, diagnosis, and management
    • practicing preventative medicine
    • promoting health education
    • working closely with other health professionals
    • helping with repeat prescriptions and other administrative aspects of day-to-day patient care
    • helping the practice meet targets
    • managing resources as effectively as possible
    • maintaining confidentiality and impartiality
    • using basic IT skills and using the practice's clinical IT system
    • attending the practice's clinical meetings
    • you may also be asked to make domiciliary visits, if your GP Supervisor feels this is appropriate
    Typical working pattern in this placement

    Morning surgery: followed by discussion patients seen with Supervisor.
    Lunchtime: administrative work.
    Early afternoon: clinical meetings, domiciliary visits.
    Afternoon/early evening: surgery. 

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

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

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

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

  • F2 General psychiatry (Callington Road)

    Information to follow

  • F2 General psychiatry (Donal Early House)

    Information to follow

  • F2 General psychiatry (Greenway Centre)

    Placement F2 General psychiatry, Community
    Greenway Centre
    The department North Bristol Assessment and Recovery Service. This service is part of Bristol Mental Health which is a partnership organisation led by Avon and Wiltshire Mental Health partnership. This service is located as a mobile service throughout the North of the City but has its base is located at The Greenway Centre, Doncaster Road, Southmead.
    The type of work to expect and learning opportunities

    Community General Adult psychiatry. 

    The Assessment and Recovery teams recently underwent a structural reorganisation to provide better working across statutory and non-statutory organisations within Bristol which resulted in the formation of Bristol Mental Health Partnership.

    This is a new post in which the trainee will have the opportunity to experience and input to the North Bristol Assessment and Recovery service. The Assessment and Recovery team is a general adult community team for all service users, typically those who have chronic mental health disorders, and whom may be difficult to engage. The trainee will be an integrated member of a multidisciplinary team which offers psychiatric assessment and treatment, care coordination, CBT, family interventions, art therapy and psycho-education.  The team is based at The Greenway Centre which is a close distance to Southmead Hospital. The trainee will have access to a workspace with a computer, bookshelves and filing cabinets and secretarial support. The aim of the Recovery teams are to provide psychiatric input to service users with both acute and chronic illness. To encourage engagement with services, in order to promote recovery and be able to lead ordinary lives. It also aims to engage families, and to provide carer and family support. 

    The North sector currently works as a functional model of service provision with the acute in-patient units being situated at Southmead Hospital and Callington Road, and the trainee is encouraged to follow service users care across teams within the model. The city-wide  Home Treatment Team is fully functional and operates 24hrs, 7 days per week, acting as gate keepers to inpatient admissions and helping in managing clients at home who may need additional support. In addition to services in the North are a range of psychotherapies are also available within the Psychological Treatment Services on the Greenway site and at various other locations across the city. These include cognitive Behavioural Therapy, Cognitive Analytic Therapy, Family Therapy, Psychosocial Family Intervention Group, Analytic Therapy, Psychosexual Therapy. These therapies continue to be based on these sites and professionals from a variety of disciplines work in these services The trainee will also have the opportunity to input into teaching medical students doing their psychiatry attachment at Southmead Hospital. 

    The trainee will be actively involved in the weekly Postgraduate Meetings at Southmead Hospital. The trainee is also welcome to participate in audit and research focusing on service evaluation and patient outcome measures. 

    The F2 doctor will be community based during the ‘normal’ working day, helping to provide first-line assessment to all patients referred for assessment of psychiatric disorders within the community. 

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

    • Take a history and examine a patient with particular emphasis on mental state examination
    • Formulate a diagnosis and management plan
    • Manage clinical problems independently and seek advice where appropriate
    • Prescribe safely with particular emphasis on psychotropic drugs
    • Keep accurate and relevant medical records
    • Manage time and clinical priorities effectively
    • Communicate effectively with patients, relatives and colleagues
    • Practice evidence based medicine and use local guidelines in place for the treatment of older adults in the community mental health setting
    • Act in a professional manner at all times
    • Cope with ethical and legal issues with particular reference to the Mental Health Act and Mental Capacity Act
    • Manage psychiatric emergencies on call spanning forensic, adult of working age and older adult specialties
    • Teach medical students formally and informally
    • Work in a multi-disciplinary setting with particular emphasis on the care planning approach
    • Gain experience of risk management and become confident in making decisions associated with risk in the psychiatric setting
    Where the placement is based

    The Greenway Centre, Southmead Bristol

    Clinical Supervisor(s) for the placement

    Dr Jacinta O’Shea and Dr Harvey Rees

    Main duties of the placement  Trainees will support the day to day medical in-put to the assessment and recovery service. To work alongside Care coordinators and Recovery Navigators in helping to coordinate and deliver aspects of service users care while patients are under the care of community services.

    The case mix is of psychosis, mood disorders, anxiety disorders and personality disorders with occasional organic problems. You will not be expected to assess patients detained under S 136 of the MHA. Trainees are well supported, with consultant or senior trainee input. Weekly clinical supervision with Dr O’Shea, weekly multi-disciplinary cluster meetings and monthly team meetings.

    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, catheterization. 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 organized. 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.

    There is an academic meeting on Tuesday afternoon (journal club and case presentation).

    Typical working pattern in this placement Monday to Friday 9am to 5pm.

    On call is 1:9 for weekends and evenings - the on call finishes at 9.15 pm and is non-residential. There is additionally a week of waking night shifts, 1:18 weeks – followed by daytime off-duty - based at Colston Fort with the Crisis Team, covering all Bristol inpatient units. The F2 is the junior trainee, supported by a more senior trainee (CT1-2), an advanced trainee on occasion, and a consultant.

    The F2 will need their own transport to be able to travel between Callington Road, Blackberry Hill, Southmead and Colston Fort during nights shifts. There are pool cars available to use during nights shifts but the driver must have held a driving license for more than 1 year to be able to utilise these.

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

  • F2 General surgery (Colorectal)

    Placement F2 General surgery (Colorectal)
    Southmead Hospital
    The department

    The Dept of general surgery comprises 19 consultant surgeons including 6 Colorectal surgeons, All colorectal consultants take in part in the acute General surgery on-call. There are interests in benign and malignant colorectal diseases, colorectal laparoscopic surgery, inflammatory bowel disease and pelvic floor surgery. 

    The department covers part of Bristol, North Somerset and South Gloucestershire with a catchment population of 500,000.

    The type of work to expect and learning opportunities

    F2 Doctors in hospital posts will generally be team based during the ‘normal’ working day and expected to deliver the daily medical care of all surgical patients irrespective of specialty. Whilst on-call the F2 will be involved with the generic clerking of surgery 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

    Brunel building, Southmead Hospital, Bristol

    Clinical Supervisor(s) for the placement

    Mr A Roe, Miss A Lyons, Miss A Pullyblank, Mr A Dixon, Miss C Burt, Miss K McCarthy, Mr T Roe

    Main duties of the placement

    The F2 doctor is responsible with other staff for the team care of patients and the maintenance of the patient’s medical record. They will have opportunity to work with the consultants in theatres and outpatients clinics, and also take responsibility for problems arising in surgical patients on the ward. They are expected to attend the teaching program 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:        0800 Ward round
    Elective day handover 1700
    On call handover     20:30
    Sat:            0800 – 2100    1 in 16
    Sun:           0800 – 2100    1 in 16

    On call requirements:
    Full shift 1:16 nights and long days 

    The colorectal team runs a weekly team planning meeting to cover elective work in the unit .

    Tues am: GI meetings including colorectal MDT, GI x-ray meeting/,IBD and pathology meetings. 

    Consultant led ward rounds 2-3 times weekly. 

    Plus opportunities to attend theatre/clinic.

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

  • F2 General surgery (Upper GI)

    Placement F2 General surgery (Upper GI)
    Southmead Hospital
    The department The Dept of general surgery comprises 19 consultant surgeons including 4 upper GI surgeons; the upper GI surgeons take in part in the acute general surgery on-call. There are interests in benign upper GI, gallstones surgery, anti-reflux surgery and bariatric surgery.

    The department covers part of Bristol, North Somerset and South Gloucestershire with a catchment population of 500,000.

    The type of work to expect and learning opportunities

    F2 Doctors in hospital posts will generally be team based during the ‘normal’ working day and expected to deliver the daily medical care of all surgical patients irrespective of specialty. Whilst on-call the F2 will be involved with the generic clerking of surgical 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

    Brunel building, Southmead Hospital, Bristol

    Clinical Supervisor(s) for the placement

    Mr C Wong, Mr J Hewes, Miss S Norton, Mr A Osbourne, Mr D Saunders, and Mr Nitin Arvind

    Main duties of the placement

    The F2 doctor is responsible with other staff for the team care of patients and the maintenance of the patient’s medical record. They will have opportunity to work with the consultants in theatres and outpatients clinics, and also take responsibility for problems arising in surgical patients on the ward. They are expected to attend the teaching program 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:        0800 Ward round
    Elective day handover 1700
    Tues am: Upper GI grand round
    On call handover     20:30
    Sat:            0800 – 2100    1 in 16
    Sun:           0800 – 2100    1 in 16

    On call requirements:
    Full shift 1:16 nights and long days 

    Consultant led ward rounds 2-3 times weekly. 

    Plus opportunities to attend theatre/clinic.

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

  • F2 Geriatric medicine (CALS)

    Information to follow

  • F2 Geriatric medicine

    Placement F2 Geriatric medicine
    Southmead Hospital
    The department The Department of Medicine for the Elderly in North Bristol Trust is largely based in specialty specific wards in the Brunel building at Southmead. All consultants work as General Physicians and Geriatricians, and each has an area of special expertise eg. Parkinson’s disease, bone health & orthogeriatrics, falls, respiratory disease, dementia, acute/interface etc.
    The type of work to expect and learning opportunities

    All F2 Doctors in hospital posts will 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 (on call block of shifts) the F2 will be involved with the clerking of undifferentiated medical patients being admitted. During ward cover out of hours they will be responsible for the ongoing care of medical inpatients. 

    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
    • Perform IV cannulation and other appropriate procedures
    • Prescribe safely
    • Keep accurate and relevant medical records
    • Manage time and clinical priorities effectively
    • Communicate effectively with patients, relatives and colleagues
    • Supervise and provide support and guidance for F1 doctors
    • 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. 

    In addition, trainees in the department will develop skills in:

    • The diagnosis and management of delirium in older people
    • The diagnosis and management of dementias
    • The recognition of frailty syndromes and non-specific presentations of acute conditions in older people
    • The management of falls in older people
    • The management of hospital acquired infections on older people, and the consequences of prolonged hospital stays
    • Assessment of capacity, deprivation of liberty safeguards, enduring power of attorney, and the Court of Protection.
    • Multidisciplinary team working
    • Early Discharge planning

    Palliation for terminal illnesses in old age, and advanced care planning at the end of life.

    Where the placement is based

    Medical wards Southmead hospital, NBT

    Clinical Supervisor(s) for the placement

    Drs KA Neubauer; JC Pounsford; S Srivastava; SK Wensley; J Richards; S McCracken; N Jones; K Rainey; E Aziz

    Main duties of the placement  The F2 doctor will be responsible with other staff for the ward care of patients and the maintenance of the patient’s medical records, including drug charts and Discharge information. They will have opportunity to work with the consultants on Ward rounds at least twice weekly, and also take responsibility for problems arising in patients on the ward. They are expected to attend the structured teaching programmes provided by the department and the Directorate/ Academy/ learning centre. 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: 0900 Ward ‘Board’ round
    09.30 – 17.00 Ward work/ rounds
    1700 Handover

    Mon: am consultant Ward Round
    pm Ward work

    Tues: am ward work
    1300-1400 X ray meeting

    Wed: am ward work
    pm SpR Ward Round

    Thurs: am Consultant ward round
    1230-1330 Dept educational meeting
    pm Ward work

    Fri: am ward work
    1215-1300 Grand round
    pm weekend plans

    Sat: On call shifts as rostered
    Sun: On call shifts as rostered

    On call requirements:
    48 hr EWTD compliant shift rota over 9 week cycle

    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

    Placement F2 Intensive care medicine, ITU
    Southmead Hospital
    The department Southmead Hospital, North Bristol NHS Trust
    The type of work to expect and learning opportunities The Critical Care Unit based at Southmead Hospital consists of 48 beds allowing the individual to gain experience in managing a wide range of critically ill patients with particular emphasis on neuro-intensive care and trauma as well as general medical and surgical 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 including wide experience of all aspects of intensive care, except post-cardiac surgery. This includes management of severe head injuries and other neurosurgical emergencies, major trauma patients, surgical patients including burns and plastic surgical patients and medical patients.
    Practical procedures under direct supervision according to their own individual needs and proficiency.
    Experience in advanced monitoring techniques, cardiovascular management, respiratory care including airway management and renal support.
    Where the placement is based Brunel Building, Southmead Hospital
    Clinical Supervisor(s) for the placement Allocated on commencing the post, currently Dr Jasmeet Soar and Dr Ian Thomas
    Main duties of the placement The F2 is an integral member of the ICU team. They take an active role in the ward round, examining patients, completing the ICU paperwork and understanding the management plans for the day. They perform the ward work duties such as ordering investigations and ensuring the results are followed up and written in the notes. They carry the cardiac arrest bleep and attend cardiac arrests supported, by the anaesthetic registrar. They learn about appropriateness of admission to ICU, stabilisation and transportation of critically ill patients. They have the opportunity to gain experience in practical procedures such as insertion of invasive monitoring lines, vas caths and airway management, both on the ICU and in theatres. During their time on ICU they will learn about the principles of organ monitoring and organ support. They will attend daily microbiology rounds, daily neuro- radiology meetings and weekly formal ICU teaching.
    Typical working pattern in this placement They work a full shift system under the close supervision of the ICU consultant. They will be expected to attend foundation teaching, ICU teaching and will be supervised by their Clinical Supervisor.

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

  • F2 Neurology

    Placement F2 Neurology
    Southmead Hospital
    The department Neuroscience wards, Brunel building, Southmead Hospital, Bristol

    The Neuroscience department at NBT is a regional centre for neurology with inpatient and outpatient work. There are a number of aspects of specialist neurology in the department including neuro-inflammatory disease, multiple sclerosis, stroke, epilepsy, movement disorders, Parkinson’s disease, dementia and cognitive impairment, neuro-ophthalmology, motor neurone disease with several of our consultants undertaking research in their specialist area.

    The type of work to expect and learning opportunities
    • Admission and care of patients on wards (varied conditions eg guillain barre syndrome, patient with PD for DBS assessment or an inflammatory mediated encephalitis)
    • Ward rounds
    • Attend outpatient clinics
    • Weekly Regional Neuroscience academic meetings.
    • Neuroradiology meetings.
    • Teaching programme for Trainees
    • At least 2 weeks of acute stroke care including attending thrombolysis calls and potentially observing clot retrieval for acute stroke.

    When on call, neurology F2’s also cover the in-patient neurosurgery service and stroke service.

    The overall educational objectives of the F2 year are to:

    • Provide the trainee with the knowledge, skills and attitudes to be able to elicit a history and undertake a comprehensive examination of the neurology patient
    • Identify and synthesize neurosurgical and neurological problems
    • Prescribe safely
    • Keep an accurate, contemporaneous 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
    • Educate patients effectively on general medical issues
    • Opportunity to present an interesting case at a tertiary neuroscience meeting

    F2 doctors will also have the opportunity to learn ward-based neurology procedures, including lumbar puncture. They are extensively exposed to neuroradiology, and will have the opportunity to start to learn to interpret cranial and spinal CT and MR images. They are encouraged to undertake audits/QI projects and participate in research.

    Where the placement is based

    Southmead Hospital (NBT) Neurology inpatients are mainly on Neuroscience wards in the new Brunel building

    Clinical Supervisor(s) for the placement

    One of the Consultant Neurologists at NBT will be clinical supervisor for the post.

    Main duties of the placement

    To work with other members of the neurology medical team and other colleagues in Neuroscience Directorate

    To carefully plan holiday and other leave and liaise with colleagues and Supervisors in advance. Obtain signed approval for leave significantly in advance.

    To care for patients on the wards as appropriate and to liaise with other neurology staff if there are concerns or uncertainty about diagnosis, management, care and investigations.

    There needs to be daily meetings with members of staff and daily handover of information and required work to be done by the team starting duty at night or in the day

    Arranging investigations for patients as appropriate.

    Obtaining consent from patients as appropriate for medical care, investigations and management.

    Daytime and on-call duty

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

  • F2 Neurosurgery

    Placement

    F2 Neurosurgery
    Southmead Hospital

    The department The department of neurosurgery is a tertiary referral unit primarily serving the counties of Gloucestershire, Somerset and Wiltshire in addition to the city of Bristol. It is one of the largest neurosurgical units in the country. Over 3000 emergency and elective neurosurgical procedures are performed each year. There are 10 consultant neurosurgeons with plans to increase the complement to 12 in the next 12 months and all the major neurosurgical sub-specialties are represented. This Neurosurgical service caters only to the adult population over the age of 16.

    The department is housed within the brand new ‘Brunel’ building with access to several CT scanners, four MRI scanners, three dedicated neurosurgical operating theatres with an intra-operative MRI scanner, several interventional angiogram suites along with other specialist radiology investigations. There are 56 neurosurgical beds in level 2 of Brunel building with 8 beds in high observation areas and up to 12 beds in the Intensive care unit for neurosurgical patients. There is a close working relationship with a large Neurology department, dedicated Neurophysiology department, specialist Neuropsychology and Neuro Psychiatry units, along with a sufficient complement of specialist Physiotherapists, occupational therapists, dieticians and neuro-rehabilitation consultants available for day to day care of inpatients and outpatients.

    Roughly 50% of patients are emergency admissions with a range of cranial and spinal conditions, out of which a large proportion are related to major trauma. Emergency referrals are dealt with by an ‘on call’ team consisting of a consultant neurosurgeon, a specialist registrar (who is the first line of contact) and a senior house officer grade doctor providing ward cover.

    The type of work to expect and learning opportunities The work is primarily ward-based, although there will be opportunities to attend theatre and out-patient clinics. Within a team structure led by consultants and registrars, F2 doctors will have the opportunity to deliver medical care to neurosurgical patients, pre- and post-operatively. Most of the work is defined in a structured daily morning ward round. Most elective patients are pre-clerked in the neurosurgical pre-admission clinics. Patients transferred to the unit on an emergency basis will require review and initial evaluation on admission, under the supervision of the on call registrar and consultant.

    When on call, neurosurgical F2’s also cover the in-patient neurology and stroke service.

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

    • Elicit a history and undertake a comprehensive examination of the neurosurgical patient
    • Identify and synthesize neurosurgical and neurological problems
    • Prescribe safely
    • Keep an accurate, contemporaneous 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
    • Ensure the required discharge documentation has been prepared when patients are discharged home or transferred to other units
    • Act in a professional manner at all times
    • Educate patients effectively on general medical issues

    F2 doctors will also have the opportunity to learn ward-based neurosurgical procedures, including lumbar puncture, management of external ventricular drains, access of ventricular access devices, and insertion of lumbar drains. They are extensively exposed to neuroradiology, and will have the opportunity to learn to interpret cranial and spinal CT and MR images. They are encouraged to attend theatre lists, undertake audits and participate in research.

    Where the placement is based Brunel building, Southmead Hospital, Bristol
    Clinical Supervisor(s) for the placement A consultant neurosurgeon will be allocated to act as the clinical supervisor for each of the F2 doctors.
    Main duties of the placement Together with the other junior doctors (ST1 and ST2), higher specialist trainees and consultants, F2 doctors are responsible for the day to day care of patients on the wards. They attend the morning departmental hand over with the on call team at 08.00 and participate in the ward rounds. They assist with the organization of haematological and radiological investigations, and the preparation of patients for theatre and their post-operative care. F2 doctors are expected to attend the structured teaching sessions in Neurosciences, covering aspects of neurosurgical and neurological care, held weekly. They should also attend and contribute to the department’s clinical governance meetings, held every two months.
    Typical working pattern in this placement 08.00 Departmental handover meeting
    08.40 Team-based ward rounds
    13.00 – 14.00 (Tuesday) teaching
    10.00 – 11.30 (Wednesday) Regional neurosciences meeting
    20.00 Evening handover

    On call rota: (Given below is the general framework of the rota, There may be some variations which should be clarified at induction with the rota master, who is usually one of the Specialist Registrars in Neurosurgery)

    Joint cover with neurology;

    1 week of nights, 20.00 – 08.00, Monday to Thursday, approximately 1 in 10, followed by 1 week off;

    1 weekend of nights, 20.00 – 08.00, Friday to Sunday, approximately 1 in 10, followed by Monday and Tuesday off;

    1 weekend of days, 08.00 – 20.00, Saturday and Sunday, approximately 1 in 10;

    1 weekend of days, 08.00 – 17.00, Saturday and Sunday, approximately 1 in 10.

    On call rota 17.00 – 20.00 during weekdays.

    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

    Placement F2 Obstetrics and gynaecology
    The department The department has 15 consultants. We are a busy teaching hospital with more than 6,000 deliveries a year.
    The type of work to expect and learning opportunities The position offers a broad range of experience in both obstetrics and gynaecology. Doctors will have the opportunity to develop their skills in the assessment of emergency patients, improve their practical skills on delivery suite and in the operating theatre and use their diagnostic skills in outpatient sessions. There is a strong emphasis on team working and communication within our department and regular teaching/training and audit meetings.
    Where the placement is based Department of Women’s Health, Southmead Hospital, Bristol.
    Clinical Supervisor(s) for the placement Dr Jacqueline C Hill, Consultant Obstetrician and Colposcopist
    Main duties of the placement Obstetrics – Antenatal clinics (general and specialist), reviewing admissions in the day assessment unit, participating in the on-call team for delivery suite and reviewing postnatal patients.

    Gynaecology – on-call duties, reviewing referrals to our emergency clinic, outpatient sessions (general and specialist), assisting in theatre – gaining operating skills as appropriate

    Typical working pattern in this placement Our rota is EWTD compliant. It is a rolling rota with 14 juniors. We have 3 on-call for a long day each day including weekends and a split week of nights every 14 weeks.

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

  • F2 Renal medicine

    Placement F2 Renal medicine
    Southmead Hospital
    The department The department of renal medicine comprises 12 consultant nephrologists, all of whom participate in a specialist renal on call service. Renal medicine is a tertiary referral specialty. The department provides renal services to Bristol, South Gloucestershire, Bath and North East Somerset and Wiltshire. In addition it provides transplantation for Dorset, Gloucester and North Devon.

    The department provides a comprehensive renal replacement therapy programme to approx 1500 patients comprised of 600 patients on dialysis and 880 renal transplant recipients. The department performs about 100 adult transplants a year.

    The type of work to expect and learning opportunities All F2 doctors in renal medicine are ward based during the normal working day and provide the daily medical care of all patients in the renal unit under their Firm. There are two Firms of consultants providing inpatient care. F2s will also spend long days on call for renal medicine from 8.30 am to 9pm, and blocks of nights for renal medicine shared with the registrars.

    There are learning opportunities on the 2-3 times weekly consultant lead ward rounds, the X-ray meeting, in house renal tutorials, biopsy meetings and in the course of the job as there is a high level of support provided by the renal registrars.

    F2s will be involved in the care of patients with acute kidney injury, chronic dialysis patients, newly transplanted patients and acutely unwell immunosuppressed patients. They will also gain experience of managing patients with acute vasculitis and new presentations of nephrotic syndrome.

    Where the placement is based The Richard Bright Renal Unit, Brunel building, Southmead Hospital, Bristol, BS10 5NB
    Clinical Supervisor(s) for the placement Dr Chris Dudley, Professor Steven Harper, Dr Rommel Ravanan, Dr Karen Anderson, Dr Alison Armitage, Dr Helen Campbell, Dr Uday Udayaraj, Dr Simon Satchell, Dr Albert Power, Dr James Bushnell, Dr Alexandria Hodsman, Dr Fergus Caskey

    Main duties of the placement

    Together with the registrar for the respective inpatient firm, the F1 and 2 other junior doctors, the F2 is responsible for the ward care of patients and the maintenance of the patients medical record for each Firm. They are expected to attend the in house renal tutorials and attend the F2 teaching programme. When on call for renal they will clerk in patients for admission who will be reviewed by a registrar and by a consultant within 24 hours. There are opportunities for presenting admissions and for getting work place based assessments done. Out of hours F2s will also care for unwell ward patients needing review. F2s will have the opportunity to admit patients for cadaveric and live donor kidney transplantation.

    Typical working pattern in this placement

    Daily
    8.30 - 9 am handover from the night team
    9 am board round
    9.30 onwards ward round

    Monday Consultant ward rounds,1-2pm x-ray meeting

    Tuesday 12-1 renal tutorial, 1-2 renal biopsy meeting.

    Wednesday 12 noon multidisciplinary team meeting.

    Daytime on calls 8.30am – 9pm, 1 in 6

    Nights 8.30 pm to 9 am

    Rota banded 2B

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

  • F2 Respiratory medicine

    Placement F2 Respiratory medicine
    Southmead Hospital
    The department North Bristol Lung Centre, Respiratory Medicine
    The type of work to expect and learning opportunities The assessment and day to day management of patients with acute respiratory disorders. This includes over 30 different kinds of respiratory disorders ranging from COPD, asthma, pneumonia, lung cancer, pleural disease, and alveolitis, through to managing acute respiratory failure with non-invasive ventilation, assessment of blood gases, and management of patients in the palliative/terminal stages of chronic respiratory disease.

    The North Bristol Lung Centre includes an active Academic Respiratory Research Unit especially in interstitial lung disease and pleural disease. It provides tertiary respiratory services: endobronchial ultrasound (EBUS) and autofluorescence bronchoscopy (AFB), pleural clinic including thoracoscopy and indwelling pleural catheter (IPC) insertion, interstitial lung disease; as well as one of the longest running pulmonary rehabilitation services in the UK and other specialist clinics including lung infection, bronchiectasis and complex airways disease.

    The F2 Doctor will be ward based during the ‘normal’ working day and expected to deliver the daily medical care of all the patients on their ward. Whilst on call for GIM the F2 will be involved with the generic clerking of patients being admitted, presentation to the on call consultant, initiation of their investigations & management and hand over to the next on call or ward based team.

    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
    • Recognise & manage acutely ill patients
    • Contribute to the cardiac arrest team & get involved with DNAR decisions
    • Perform practical procedures including pleural taps chest drains (under supervision) using pleural ultrasound
    • 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

     Level 4 Gate 27b, Brunel building, Southmead Hospital

    Clinical Supervisor(s) for the placement

    Dr James Calvert (Specialty & COPD Lead), Dr Martin Plummeridge (Lung Cancer & Lung Function Lead), Dr Andrew Medford (Education & EBUS Lead), Dr David Smith (Bronchiectasis & Pulmonary Rehab Lead), Dr Huzaifa Adamali (ILD Lead), Prof Nick Maskell (Pleural & Research Lead)

    Main duties of the placement

    Clerking and day to day assessment of patient’s progress with up to date neatly written entries in the notes detailing the patient’s progress and future intended plans and investigations. Liaison with senior members of the team, specifically the specialist registrar and consultant, specialist physiotherapist, dietitian, pharmacist, occupational therapist, senior nurses, and palliative care team. There will be daily ward rounds; (either consultant, SpR or CMT); full consultant ward rounds of all patients occur twice a week, once a week from the SpR, and otherwise with the CMTs.There is a daily morning board round Mon-Fri starting at 0900 (ready to start with complete patient list at 0900) which is mandatory.

    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 teaching programmes provided by the Trust and Department (see below).

    NB: A number of the consultant ward rounds are also teaching rounds and there is often ample opportunity for ad hoc teaching around cases (if opportunity allows, it may be possible to visit some of the other areas in the respiratory dept but the ward is the priority). 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 to assess patient’s progress and keep the patient’s notes up to date with details of their progress and any important results and future plans.

    Typical working hours: 0845 (in readiness for board round)-1645.

    Mon: Board round 0900-0930. Ward round 0930-1200.

    Tues: Board round 0900-0930. Ward round 0930-1200.

    Wed: Respiratory Grand Round 0830-0900 (mandatory). Board round 0900-930. Ward round 0930-1200. ILD MDT 1000-1115 (optional). Lung cancer MDT 1115-1230 (optional, when patients to discuss).

    Thurs: Board round 0900-0930. Ward round 0930-1200. 1300-1500 (bimonthly Trust F2 teaching).

    Fri: Board Round 0900-0930. Ward round 0930-1200. Grand Round 1230-1330. Social MDT 1400-1430.

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

  • F2 Stroke medicine

    Placement F2 Stroke medicine
    Southmead Hospital
    The department Wards in the Brunel building will have acute stroke beds.

    At present, patients with a diagnosis of stroke (cerebral infarction, Haemorrhage or TIA are admitted to the wards directly from ED. If due to bed pressures patients are on a different ward they are still looked after by this team. All patients who have had thrombolysis will be admitted to the Hospital and after 24 hours transferred to the Neurology/Stroke wards if not admitted there directly. Supervised experience of seeing in patients in will be available.

    There will also be some other Neurology patients on the wards. These patients remain under the admitting Neurology / Medical consultant.

    The type of work to expect and learning opportunities Board rounds – Mon- Fri at 9.00- 9.15. Quick catch up of current issues and new admissions working closely with nursing and professions allied to medicine.

    Daily Consultant led Ward Rounds – There is a consultant led ward round every morning at 9.30 on the Wards & outliers to see all new admissions and Stroke inpatients. There are daily opportunities for case based discussion (CBD) and evaluation of skills. (mini-CX & DOPS).

    Opportunities for skills training such a lumbar puncture, iv, ia puncture. Management of stroke related complications

    Multi-Disciplinary Meeting (MDM) ~Every Week

    The details of discussions are noted down on the yellow sheets in section 4 of the notes.

    A representative from all teams tries to be present so that all aspects of each patients care can be discussed. Action plans, discharge planning and estimated discharge dates (EDD) are agreed for each patient.

    The MDM is chaired by the consultant, registrar or senior nurse depending on availability. All ward staff present help with documentation in the MDM to maintain speed and efficiency

    Progress Meetings

    Patients with potentially complex discharge plans may require a progress meeting, so that the team can discuss with the patient, family and other carers the progress the patient has made so far, and set goals towards discharge planning. It is important to have the 1st meeting within 2 weeks of admission to hospital.

    You may be asked to give an overview of the patient’s medical condition and prognosis. Patients and their relatives may also approach you at separate times to discuss issues. The consultants are all happy to discuss with relatives if necessary, particularly for those who have a poorer prognosis - please organise this through the secretaries.

    Supervised training in generic skills e.g. Breaking bad news. Prescribing and drugs management.

    Care planning meetings

    Led by the social worker to plan placement/ packages of care.

    Discharges

    Patients TTAs need to be written and in pharmacy ideally in the morning but at very latest by 3pm on the day of (or prior to if appropriate) to discharge. Compliance aids (Dossett boxes etc) require at least 24 hours notice.

    It is important to ensure that secondary prevention is addressed as an inpatient, and patients are medically ready for discharge (investigations done, warfarin etc) in line with the expected discharge date.

    We do not provide routine follow up- only those with outstanding medical issues. All other patients should be directed to their GP. It is important that the discharge summary is explicit in any follow up requirements.

    Most Stroke inpatients will require therapy input (OT, PT, SLT etc) prior to discharge. Please check the notes for therapy discharge plans.

    The Multi-Disciplinary Team (MDT)

    One of the key points to remember on the unit is that we function as a team. You may frequently find that the therapists who work closely with the patients are often the best source of information about progress etc and can help your management of the patient. Equally, they may come to you for advice as to the best way to manage a patient. It is especially important to remember that patients may not be fit for discharge just because all their medical problems have been addressed. The team comes to a consensus on issues such as these, which are discussed regularly at the multi-disciplinary meeting (MDM).

    Foundation doctors weekly teaching/training session.

    Neuro/Stroke X ray meeting weekly Wednesday.

    Stroke specific training (Friday 12.30 followed by stroke MDM.

    Where the placement is based Wards in Brunel building at Southmead Hospital
    Clinical Supervisor(s) for the placement The Consultants in Neurology and Stroke are Dr Justin Pearson, Dr Rose Bosnell, & Dr James Stevens and Dr Phil Clatworthy. These Consultants are an essential part of the work in Stroke and Neurology at NBTand will continue to make a major contribution to the patient diagnosis, investigation, treatment, clinical care and clinical management of patients. They will also continue to be a major part of learning, teaching and medical experience of Foundation Trainees.

    Dr Ian Ormerod is C/S for Foundation Trainees

    Main duties of the placement

    • Patient care
    • Medical notes entries
    • Arranging appropriate investigations
    • Managing acute ischaemic stroke including role of thrombolysis
    • Management if ICH
    • Managing complications of acute stroke
    • Stroke secondary prevention
    • Care of the elderly issues
    • On call duties
    • Joint meetings
    • Involvement in communication with patients, their families, other doctors, members of the health care team

    Typical working pattern in this placement

    Normal daytime ward cover 9am – 5pm

    Partial shift and general medical on call

    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

    Information to follow

  • F2 Vascular surgery

    Placement F2 Vascular surgery
    Southmead Hospital
    The department The Major Arterial Centre (MAC) at North Bristol Trust provides specialist vascular services for the populations of Bristol, South Gloucestershire, North Somerset, Bath and North East Somerset and parts of Wiltshire (1.3 million people) and a Complex endovascular service for the South West (population 3.5 million people).

    The Vascular Surgery team comprises 11 consultant vascular surgeons, 6 vascular interventional radiologists, 3 specialist nurses, ward nurses and a specialist amputee rehabilitation team.

    The junior medical team comprises 1 post CST fellow, 4 registrars, 4 core trainees (2 of whom are unbanded fellows), 1 F2 and 3 F1s.

    The vascular surgeons and interventional radiologists provide 24/7 emergency vascular care and three consultants contribute to the renal transplant on-call.

    There are interests in open vascular surgery (aortic, carotid, peripheral), endovascular procedures (thoracic, abdominal, peripheral), diabetic foot care, living kidney donor transplant, and vascular access surgery.

    The MAC is the hub for the Bristol Bath Weston Vascular Network that has a dedicated network coordinator (Joanna Pawlowska) and dedicated network MDT (Wednesday mornings).

    Clinical governance arrangements include reporting of outcomes for arterial surgery to the National Vascular Registry (NVR) which are available on NHS Choices.

    The type of work to expect and learning opportunities The F1/2 doctors in this hospital post will be team based; during the ‘normal’ working day (08:15-17:00) with the vascular team and out of hours on call with the general surgery team, who also provide out of hours’ vascular cover.

    The day time role is ward based (Gate 33b) on a 32 bed dedicated vascular ward. There is a daily consultant ward round and support from a core trainee or fellow on the ward, a registrar ‘baton’ bleep holder and twice weekly care of the elderly consultant ward round.

    Whilst on-call the F2 will be involved with the generic clerking of general surgery and vascular 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 Gate 33b & Gate 26b Brunel building, Southmead Hospital, Bristol
    Clinical Supervisor(s) for the placement Mr D Mitchell (Governance Lead), Mr A Baker, Mr W Neary, Mr M Brooks (Clinical Lead), Miss R Winterbourne (Education Lead), Mr P Lamont, Professor F Smith, Mr J Budd, Mr M Pai, Mr P Bevis and Mr A Weale,
    Main duties of the placement The F2 doctor is responsible with the other members of the multi-disciplinary vascular team for the care of patients and the maintenance of the patient’s medical record. Central to this role are patient education and the handover of care when patients leave hospital as most have a long term condition.

    They will have opportunity to work with the consultants in theatres and outpatients clinics (each Tuesday afternoon there is a dedicated teaching clinic), and also take responsibility for problems arising in patients on the ward.

    They are expected to attend the teaching program 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 Vascular Surgery

    Daily: 08:15 MDT Board Round (Ward 33b)
    08:30-11.30 Consultant Ward Round
    11:30-15:30 Ward Jobs/Discharges
    15:30-16:30 Chase investigations
    16:30-17:00 Board round & Handover

    There will be patients to clerk from daily vascular ‘hot clinic’ and interventional radiology.

    Mon: 12:00-13:00 Complex discharge MDM
    Tue: 13:00-16:30 Teaching clinic
    Wed: 08:15-10:30 Network MDT Meeting
    11:15-12:30 1 in 5 M&M Meeting
    Fri: 12:00-12:30 Complications report

    General & Vascular Surgery On Call

    On call full shift 1:16
    Weekdays 0800-2100 1in 16
    Sat 0800 – 2100 1 in 16
    Sun 0800 – 2100 1 in 16
    On call handover at 2030

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