F1 Placement Descriptions

Employer Information

Royal United Hospitals Bath NHS Foundation Trust is a medium sized acute Trust and provides an extensive range of secondary services for the local population of approximately 500,000.

Psychiatry and GP Placements

Royal United Hospitals Bath 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 F1 rotations at Royal United Hospitals Bath NHS Foundation Trust. Click on the specialty to learn more.

Questions

F1 Acute internal medicine

Acute Internal Medicine

Acute Medicine is a busy department, based around the Medical Assessment Unit and Medical Short Stay Unit. The MAU is located next to the Emergency Department with whom there is a close working relationship. MSS is based on the first floor above MAU.

The team is consultant-led with a variety of specialist interests represented including cardiology, endocrinology and respiratory medicine.

The F1 resident will be involved in the day to day running of MSS and MAU. Reviewing new admissions, participating in senior led ward rounds and carrying out tasks as required. Educational opportunities in this placement include:

Take a history and examine a patient
Make a diagnosis and formulate a management plan
Prescribe safely
Keep an accurate and relevant medical record
Use simple medical devices safely
Liaising with Cardiology and other medical specialities
Carry out clinical procedures under appropriate supervision
Recognise and manage acutely ill patients
Manage time and clinical priorities effectively
Communicate effectively with patients, relatives and colleagues
Use evidence, guidelines and audit to benefit patient care

Royal United Hospital Bath: MSS / MAU

Consultants in the departments

The F1 resident will take part in the daily morning ward round on MSS / MAU and undertake tasks generated therein, and be responsible for patients within their ward area. They will be part of the on call medical rota as all F1s will do during their medical rotations. This will cover a variety of shifts and be part of the medical crash team on some on call shifts.

At night they will review and manage patients throughout the hospital on request, liaising with colleagues where appropriate. They are expected to attend the structured teaching programme provided by Acute Medicine on Tuesday lunchtimes and the F1 teaching program on Wednesday lunchtimes.

Typical working pattern in this placement

WEEKDAYS:

Monday – Friday unless otherwise stated

Normal working day 08:00 -17:00

OUT OF HOURS:

TBC – as per rota

Community Facing

Opportunities

Acute medicine functions at the interface between primary and secondary care, managing referrals for acutely ill patients, triaging to ambulatory care settings, or admitting and discharging as appropriate. There are opportunities for experience in ambulatory care.

Employer information

The employer for this post is The Royal United Hospital Bath NHS Foundation Trust. The hospital is a medium sized acute Trust and provides an extensive range of secondary services for the local population of approximately 500,000.

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

F1 Cardiology

Placement	Cardiology
The department	The Cardiology department provides a full inpatient and outpatient service with full invasive and non-invasive provision, based around the CCU, cardiology ward, catheter labs, and outpatient department. Primary PCI is performed Mon-Fri 7am to 7pm.
The type of work to expect and learning opportunities	F1 residents in cardiology are based on the CCU and cardiology wards, and are involved in the day to day care of all patients there. Educational opportunities in this placement include: Take a history and examine a patient Make a diagnosis and formulate a management plan Prescribe safely Keep an accurate and relevant medical record Use simple medical devices safely Recognize and manage acutely ill patients Take part in the resuscitation process and discuss DNAR decisions Manage time and clinical priorities effectively Communicate effectively with patients, relatives and colleagues Use evidence, guidelines and audit to benefit patient care Discharge planning Educate patients •
Where the placement is based	Royal United Hospital Bath: CCU and Cardiac wards
Clinical Supervisor(s) for the placement	Consultants in the department

Main duties of the placement

The F1 residents are responsible for the day to day care of patients on their ward, under the supervision of more experienced doctors. They will carry out ward rounds daily, usually with others members of the team, assessing patients, requesting and interpreting tests and keeping notes up to date.

When on ‘cover’ duty out of hours they will assess and manage problems in patients on the wards they are covering at the request of nursing staff, liaising with more senior members of the team as necessary.

They are expected to attend the structured teaching programme provided by the department as well as the weekly F1 teaching. They 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

WEEKDAYS:

Monday – Friday unless otherwise stated

Normal working day 08:00 -17:00 OUT OF HOURS:

TBC – as per rota

Community Facing

Opportunities

There is an opportunity to engage with the Cardiac

Rehabilitation and Heart Failure Teams and to appreciate the challenges of managing some patients discharged into the community with advanced cardiac disease

Employer information

The employer for this post is The Royal United Hospital Bath

NHS Foundation Trust. The hospital is a medium sized acute Trust and provides an extensive range of secondary services for the local population of approximately 500,000.

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

F1 Endocrinology and diabetes mellitus

Placement	Diabetes/Endocrinology
The department	The Diabetes and Endocrinology department provides a full service which is both ward based and within the Diabetes Centre. There are joint based clinics with vascular teams and a number of general and specialist diabetic and endocrine clinics. The wards have mainly diabetic or general medical patients with a large variety of problems, particularly renal medicine.
The type of work to expect and learning opportunities	F1 residents in diabetes and endocrinology are based on Parry ward, and are involved in the day to day care of all patients there, as well as those in the linked outlying wards. Educational opportunities in this placement include: Take a history and examine a patient Make a diagnosis and formulate a management plan Prescribe safely Keep an accurate and relevant medical record Use simple medical devices safely Recognise and manage acutely ill patients Take part in resuscitation process and discuss DNAR decisions Manage time and clinical priorities effectively Communicate effectively with patients, relatives and colleagues, including general practitioners Use evidence, guidelines and audit to benefit patient care Discharge planning with community partners Educate patients •
Where the placement is based	Royal United Hospital Bath: Parry ward
Clinical Supervisor(s) for the placement	Consultants in the department
Main duties of the placement	The F1 residents are responsible for the day to day care of patients on their ward, under the supervision of more experienced doctors. They will carry out ward rounds daily, usually with others members of the team, assessing patients, requesting and interpreting tests and keeping notes up to date. They are also involved in outpatient endocrine testing. When on ‘cover’ duty out of hours they will assess and manage problems in patients on the wards they are covering at the request of nursing staff, liaising with more senior members of the team as necessary. They are expected to attend the structured teaching programme provided by the department as well as the weekly F1 teaching. They 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	WEEKDAYS: Monday – Friday unless otherwise stated Normal working day 08:00 -17:00 OUT OF HOURS: TBC – as per rota
Community Facing Opportunities	Multidisciplinary meeting with community partners. Liaising with GPs about patients. Sitting in outpatient clinics. Working with Diabetes Specialist nurses.
Employer information	The employer for this post is The Royal United Hospital Bath NHS Foundation Trust. The hospital is a medium sized acute Trust and provides an extensive range of secondary services for the local population of approximately 500,000.

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

F1 Gastroenterology

Placement	Gastroenterology
The department	The Gastroenterology department provides a full inpatient and outpatient service and, additionally, an endoscopy suite service. The department is accredited for bowel cancer screening. The ward has a high throughput of patients with a variety of gastroenterological and general medical problems.
The type of work to expect and learning opportunities	F1 residents in gastroenterology are based on Haygarth ward, and are involved in the day to day care of all patients there, as well as those in the linked outlying wards. Educational opportunities in this placement include: Take a history and examine a patient Make a diagnosis and formulate a management plan Prescribe safely Keep an accurate and relevant medical record Use simple medical devices safely Recognise and manage acutely ill patients Take part in resuscitation process and discuss DNAR decisions Manage time and clinical priorities effectively Communicate effectively with patients, relatives and colleagues Use evidence, guidelines and audit to benefit patient care Discharge planning Educate patients •
Where the placement is based	Royal United Hospital Bath: Haygarth ward
Clinical Supervisor(s) for the placement	Consultants in the department
Main duties of the placement	The F1 residents are responsible for the day to day care of patients on their ward under the supervision of more experienced doctors. They will carry out ward rounds daily, usually with others members of the team, assessing patients, requesting and interpreting tests and keeping notes up to date. When on ‘cover’ duty out of hours they will assess and manage problems in patients on the wards they are covering at the request of nursing staff, liaising with more senior members of the team as necessary. They are expected to attend the structured teaching programme provided by the department, as well as the weekly F1 teaching. They 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	WEEKDAYS: Monday – Friday unless otherwise stated Normal working day 08:00 -17:00 OUT OF HOURS: TBC – as per rota
Community Facing Opportunities	F1 residents in gastroenterology will have the opportunity to: Interact with community support services including the alcohol liaison team and mental health liaison team Attend gastroenterology outpatient clinics Participate in complex discharge planning in conjunction with the MDT
Employer information	The employer for this post is The Royal United Hospital Bath NHS Trust. The hospital is a medium sized acute Trust and provides an extensive range of secondary services for the local population of approximately 500,000.

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

F1 General psychiatry

Placement	Psychiatry (General Adult)
The department	Psychiatry services are provided by Avon and Wiltshire Mental Health Partnership (AWP), based at Hillview Lodge on the RUH site. They will work on Sycamore Ward, providing care to working age adults with a variety of psychiatric conditions, including psychosis, affective disorders and personality disorders often with associated substance misuse, physical health problems and social difficulties.
The type of work to expect and learning opportunities	The F1 will work within the medical team covering the adults of working age and is supported by an F2 doctor, core resident (CT1), specialty grade doctor and consultant. The F1 will support the day-to-day running of the ward including admissions, discharges, physical health care and referrals. There are weekly patient reviews and also the opportunity to observe Mental Health Act assessments and tribunals. The in-house teaching includes weekly journal clubs and an academic programme (guest speaker, case presentation & Balint group). There is weekly supervision from the Consultant (individual) and the Liaison Team (group). There are opportunities for teaching and audit experience. Educational opportunities in this placement include: Take a history, with particular reference to mental health assessment, and examine a patient Make a diagnosis and formulate a management plan 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 Discharge planning Educate patients •
Where the placement is based	Royal United Hospital Bath: Hillview Lodge
Clinical Supervisor(s) for the placement	Consultants in the department
Main duties of the placement	The F1 doctor is responsible for assisting the F2 doctor, core psychiatry resident and the staff grade doctor with the medical management of patients on the wards and implementing psychiatric care plans laid out by consultants.
	They are expected to attend the structured teaching programme provided by the department, as well as designated F1 teaching. They will be responsible for such other specific clinical duties as allocated by consultants including performing other duties in occasional emergencies and unforeseen circumstances. As a Foundation doctor, you may be called on to assess patients who are medically unwell in psychiatry inpatient units. It is important to be aware that psychiatric hospitals do not have facilities to support patients with serious physical health problems, and in many cases will be less than in a standard community setting as there is a lack of access to GP level medical advice. Therefore, these patients should be discussed with a senior psychiatry colleague with a view to admitting them to the nearest acute Trust, usually via ED.
Typical working pattern in this placement	WEEKDAYS: Monday – Friday unless otherwise stated Normal working day 08:00 -17:00 OUT OF HOURS: TBC – as per rota (medical on-call)
Employer information	The employer for this post is The Royal United Hospital Bath NHS Foundation Trust – The hospital is a medium sized acute Trust and provides an extensive range of secondary services for the local population of approximately 500,000. The F1 will be seconded to Avon and Wiltshire Mental Health Partnership Trust (AWP).

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

F1 General psychiatry (Liaison and Old Age)

Placement

Psychiatry

(Liaison and Older Adults)

The department

Psychiatry services are provided by Avon and Wiltshire Mental Health Partnership (AWP), based at Hillview Lodge on the RUH site.

They will work on Cedar Ward, providing care to older adults with an organic illness such as dementia, as well as working with the Mental Health Liaison Team (MHLT) assessing patients on the main RUH site.

The type of work to expect and learning opportunities

The F1 will work across both parts of the team, working with the Consultants, residents (CT1 and GPVT) and members of the multidisciplinary team.

The clinical work will involve the assessment and management of persons referred to the team from the RUH. This will include patients with deliberate self-harm, psychosis, personality disorder and substance misuse. In the older adult team there will also be patients with delirium and dementia.

There are daily team meetings with patient discussion, supervision and allocation.

On Cedar Ward, the resident will have the opportunity to work with and observe the assessment and management of patients with dementia, who often have very different needs than younger patients, along with complex medical co-morbidities. They will also be involved in discharge planning meetings and MDT meetings.

The in-house teaching includes weekly journal clubs and an academic programme (guest speaker, case presentation & Balint group). There is a weekly supervision from the Consultants (individual) and the Liaison Team (group).

There are opportunities for teaching and audit experience, and to witness the use of the Mental Health Act and Mental Capacity Act in the General Hospital.

Educational opportunities in this placement include:

Take a history and examine a patient
Make a diagnosis and formulate a management plan
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 Discharge planning Educate patients •
Where the placement is based	Royal United Hospital Bath: Hillview Lodge
Clinical Supervisor(s) for the placement	Consultants within the department
Main duties of the placement	The F1 resident is responsible for providing appropriate medical input to referrals, including history taking, examination and formulation of management plans in consultation with other medical members of the team. This will include recording these and liaising with other agencies, especially GPs. They are expected to attend the structured teaching programme provided by the department, as well as the designated F1 teaching. They will be responsible for such other specific clinical duties as allocated by consultants including performing other duties in occasional emergencies and unforeseen circumstances. As a Foundation doctor, you may be called on to assess patients who are medically unwell in psychiatry inpatient units. It is important to be aware that psychiatric hospitals do not have facilities to support patients with serious physical health problems, and in many cases will be less than in a standard community setting as there is a lack of access to GP level medical advice. Therefore, these patients should be discussed with a senior psychiatry colleague with a view to admitting them to the nearest acute Trust, usually via ED.
Typical working pattern in this placement	WEEKDAYS: Monday – Friday unless otherwise stated Normal working day 08:00 -17:00 OUT OF HOURS: TBC – as per rota (medical on-call)
Employer information	The employer for this post is The Royal United Hospital Bath NHS Foundation Trust – The hospital is a medium sized acute Trust and provides an extensive range of secondary services for the local population of approximately 500,000. The F1 will be seconded to Avon and Wiltshire Mental Health Partnership Trust (AWP).

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

F1 General surgery

Placement	General Surgery (Upper and Lower GI)
The department	The Surgical Directorate at RUH Bath is a busy surgical unit which cares for elective and urgent general surgical admissions. Sub-specialty interests include: Colorectal and Upper GI surgery
The type of work to expect and learning opportunities	F1 residents in surgery are involved in the day to day care of the firm’s patients on the inpatient wards, as well as the Day Surgery Unit and Surgical Admission Unit. The teams are separated into ‘hot’ and ‘cold’ teams dependent on take. Each team is led by a team of consultants with support from registrar, senior house officer and Foundation grades. Educational opportunities in this placement include: Take a history and examine a patient Make a diagnosis and formulate a management plan Prescribe safely Keep an accurate and relevant medical record Use simple medical devices safely Recognise and manage acutely ill patients Manage time and clinical priorities effectively Communicate effectively with patients, relatives and colleagues Use evidence, guidelines and audit to benefit patient care Discharge planning and summaries Educate patients Attend the operating theatre Generic and surgical teaching sessions •
Where the placement is based	Royal United Hospital Bath
Clinical Supervisor(s) for the placement	Consultants in the department
Main duties of the placement	The F1 residents are responsible for the day to day care of patients on their wards, under the supervision of more experienced surgeons. You will take part in daily ward rounds, usually with others members of the team; assessing patients; requesting and interpreting tests and keeping notes up to date. When on ‘cover’ duty out of hours you will assess and manage problems in patients on the wards you are covering at the request of nursing staff, liaising with more senior members of the team as necessary. You are expected to attend the structured surgical teaching programme as well as the weekly F1 teaching. You will be
	responsible for other specific clinical duties as allocated by consultants including helping out in occasional emergencies and unforeseen circumstances.
Typical working pattern in this placement	WEEKDAYS: Monday – Friday unless otherwise stated Normal working day 08:00 -17:00 OUT OF HOURS: TBC – as per rota
Community Facing Opportunities	Placement in ESAC: assessment of direct GP referrals and discharge with community management plan or following through to theatre Involvement with MDT planning placement of post-surgical patients in the community, including liaison with specialised teams such as stoma care, nutrition and wound care
Employer information	The employer for this post is The Royal United Hospital Bath NHS Foundation Trust. The hospital is a medium sized acute Trust and provides an extensive range of secondary services for the local population of approximately 500,000.

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

F1 Geriatric medicine

Placement	Geriatric Medicine
The department	The Care of the Elderly department is a busy needs-related service, based around 5 wards in the Older Person’s Unit: OPAU, OPUSS, Waterhouse, Combe, and the Hip Fracture Unit. A number of specialist clinics are provided such as movement disorder, falls, memory and TIA clinics, as well as general clinics in Bath and in surrounding community hospitals.
The type of work to expect and learning opportunities	F1 residents in Care of the Elderly are based on one of the 5 main wards and are involved in the day to day care of all patients there, as well as those in the linked outlying wards. Educational opportunities in this placement include: Take a history and examine a patient Make a diagnosis and formulate a management plan Prescribe safely Keep an accurate and relevant medical record Use simple medical devices safely Recognise and manage acutely ill patients Take part in resuscitation process and discuss DNAR decisions Manage time and clinical priorities effectively Communicate effectively with patients, relatives and colleagues Use evidence, guidelines and audit to benefit patient care Discharge planning Educate patients
Where the placement is based	Royal United Hospital Bath: OPU wards
Clinical Supervisor(s) for the placement	Consultants in the department
Main duties of the placement	The F1 residents are responsible for the day-to-day care of patients on their ward, under the supervision of more experienced doctors. They will carry out ward rounds daily, usually with others members of the team, assessing patients, requesting and interpreting tests and keeping notes up to date. When on ‘cover’ duty out of hours they will assess and manage problems in patients on the wards they are covering at the request of nursing staff, liaising with more senior members of the team as necessary. They are expected to attend the structured teaching programme provided by the department, as well as the weekly F1 teaching. They 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	WEEKDAYS: Monday – Friday unless otherwise stated Normal working day 08:00 -17:00 OUT OF HOURS: TBC – as per rota
Community Facing Opportunities	F1 residents will regularly liaise with the community teams to plan ongoing care and safe discharges from hospital. The geriatric consultants also perform regular ward rounds at local community hospitals. There is opportunity to attend these ward rounds on an ad hoc basis if ward staffing allows. A number of specialist clinics (movement disorders, falls and syncope) are held in community hospitals with extensive input from the community therapy and nursing teams. F1 residents can arrange to attend these community clinics. The Acute Frailty Unit (OPAU) is a rapid assessment and discharge ward for older adults. Patients may be admitted directly from the Emergency Department, or after being seen in MAU. The focus is on early Comprehensive Geriatric Assessment, with full multidisciplinary team involvement, and if possible, early discharge back to their usual place of residence. This job involves a minimum of twice daily board rounds / MDT meetings for all patients, and close liaison with community teams such as the Home First team to ensure timely discharge form hospital. The ward also runs a ‘virtual clinic’, ensuring that investigations which otherwise may keep a patient in hospital can be reviewed and the results communicated with the patient and the relevant community teams.
Employer information	The employer for this post is The Royal United Hospital Bath NHS Foundation Trust. The hospital is a medium sized acute Trust and provides an extensive range of secondary services for the local population of approximately 500,000.

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

F1 Neurology

Placement	F1 Neurology Royal United Hospital
The department	The Neurology department provides a full inpatient and outpatient service and, additionally, access to Nurse led clinics (MS, MND and Epilepsy) focusing on a more holistic approach to patient care in order to prevent admissions and ensure patient focused care in the community. The ward accepts patients as part of the Trauma Network Pathway and allows a wealth of experience in acute trauma/brain injury care, including exposure to tracheostomy care as well as other acute and chronic neurological conditions
The type of work to expect and learning opportunities	F1s in Neurology are based on Helena ward, and are involved in the day to day care of all patients there. There is also opportunity to attend Neurology clinics, including LP clinic and ward referrals. Educational opportunities in this placement include: Take a history and examine a patient Make a diagnosis and formulate a management plan Prescribe safely Keep an accurate and relevant medical record Use simple medical devices safely Recognise and manage acutely ill patients Take part in resuscitation process and discuss DNAR decisions Manage time and clinical priorities effectively Communicate effectively with patients, relatives and colleagues Use evidence, guidelines and audit to benefit patient care Discharge planning including complex discharges in a multi-disciplinary approach Educate patients
Where the placement is based	Royal United Hospital Bath
Clinical Supervisor(s) for the placement	Consultants in the department
Main duties of the placement	F1s are responsible for the day to day care of patients on their ward under the supervision of more experienced doctors. They will carry out ward rounds daily, usually with others members of the team, assessing patients, requesting and interpreting tests and keeping notes up to date. When on ‘cover’ duty out of hours they will assess and manage problems in patients on the wards they are covering at the request of nursing staff, liaising with more senior members of the team as necessary. They are expected to attend the structured teaching programme provided by the department, as well as the weekly F1 teaching. They 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	Normally Mon – Fri: 08:00 – 17:00 unless otherwise stated. All on-call shifts and rota will be detailed as part of the work schedule.
Community Facing Opportunities	F1s in Neurology will have the opportunity to: Interact with community support services including the Nurse led clinics as aforementioned Attend Neurology outpatient clinics Attend LP clinics Participate in complex discharge planning in conjunction with the MDT

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

F1 Respiratory medicine

Placement	Respiratory
The department	The Respiratory department provides a full inpatient and outpatient service, based around the respiratory ward and outpatient department. The ward has a high-care bay for NIV, there is a large lung cancer workload, and specialist interests include pulmonary hypertension, cystic fibrosis, and COPD.
The type of work to expect and learning opportunities	F1 residents in respiratory are based on the respiratory ward, and are involved in the day to day care of all patients there, as well as those in the linked outlying wards. Educational opportunities in this placement include: Take a history and examine a patient Make a diagnosis and formulate a management plan Prescribe safely Keep an accurate and relevant medical record Use simple medical devices safely Recognise and manage acutely ill patients Take part in resuscitation process and discuss DNAR decisions Manage time and clinical priorities effectively Communicate effectively with patients, relatives and colleagues Use evidence, guidelines and audit to benefit patient care Discharge planning Educate patients •
Where the placement is based	Royal United Hospital Bath: Respiratory ward
Clinical Supervisor(s) for the placement	Consultants in the department
Main duties of the placement	The F1 residents are responsible for the day to day care of patients on their ward, under the supervision of more experienced doctors. They will carry out ward rounds daily, usually with others members of the team, assessing patients, requesting and interpreting tests and keeping notes up to date. When on ‘cover’ duty out of hours they will assess and manage problems in patients on the wards they are covering at the request of nursing staff, liaising with more senior members of the team as necessary. They are expected to attend the structured teaching programme provided by the department, as well as the weekly F1 teaching. They 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	WEEKDAYS: Monday – Friday unless otherwise stated Normal working day 08:00 -17:00 OUT OF HOURS: TBC – as per rota
Community Facing Opportunities	Many of the departments’ patients require chronic disease management and thus there are several community facing opportunities including Liaising with the IMPACT team – a multidisciplinary community based COPD intermediate care team that inreach and expedite discharges Weekly social MDT where all inpatients’ discharge arrangements are discussed in presence of social worker and therapists Liaising with other community healthcare providers, including GPs, mental health liaison, palliative care, drug and alcohol liaison services etc.
Employer information	The employer for this post is The Royal United Hospital Bath NHS Foundation Trust. The hospital is a medium sized acute Trust and provides an extensive range of secondary services for the local population of approximately 500,000.

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

F1 Urology

Placement	Urology
The department	The urology team cares for elective and emergency patients with a wide variety of urological problems. 10 consultants are supported by a team including registrars, an SHO-grade, 2 F1 residents, specialist nurses and nurse practitioners.
The type of work to expect and learning opportunities	F1 residents in urology cover patients on all the surgical wards, and are involved in the day to day care of the firm’s patients. Educational opportunities in this placement include: Take a history and examine a patient Make a diagnosis and formulate a management plan Prescribe safely Keep an accurate and relevant medical record Use simple medical devices safely Acquire practical clinical skills eg urethral catheterisation Recognise and manage acutely ill patients Manage time and clinical priorities effectively Communicate effectively with patients, relatives and colleagues Use evidence, guidelines and audit to benefit patient care Discharge planning Educate patients
Where the placement is based	Royal United Hospital Bath
Clinical Supervisor(s) for the placement	Consultants in the department
Main duties of the placement	The F1 residents are responsible for the day to day care of patients on their wards, under the supervision of more experienced doctors. They will carry out ward rounds daily, with the on call consultant or registrar, assessing patients, prescribing medicines and intravenous fluids, requesting and interpreting tests and keeping notes up to date. When on ‘cover’ duty out of hours they will assess and manage problems in patients on the wards they are covering at the request of nursing staff, liaising with more senior members of the team as necessary.
	They are expected to attend the structured teaching program provided by the department, as well as the weekly F1 teaching. They 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	WEEKDAYS: Monday – Friday unless otherwise stated Normal working day 08:00 -17:00 OUT OF HOURS: TBC – as per rota
Employer information	The employer for this post is The Royal United Hospital Bath NHS Foundation Trust. The hospital is a medium sized acute Trust and provides an extensive range of secondary services for the local population of approximately 500,000.

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

F1 Stroke Medicine

Placement	Stroke Medicine
The department	The Acute Stroke Unit is a 30 bedded unit based including a 4 bedded hyperacute bay which admits patients directly from ED. The 6 Consultants are supported by 1 IM3 doctor, 4 SAS, 3 FY2s and 1 FY1 doctor. We have 5 stroke MNPs who interface between ED and the stroke unit. The department holds daily TIA clinics and weekly stroke clinics.
The type of work to expect and learning opportunities	F1 trainees in stroke medicine are involved in the day-to-day care of all patients on the ward. Educational opportunities in this placement include: Assessment of patients with acute stroke, TIA and mimic conditions Becoming more confident with neurological examination and interpretation Learning about secondary prevention of stroke including anticoagulation decisions Learning about NG feeding and longer-term artificial feeding options e.g. PEG tubes Managing complications of stroke e.g. seizures, delirium, depression etc. Mental capacity assessment for discharge decision making Managing end of life care and complex communication with families and relatives Managing medical complexity
Where the placement is based	Royal United Hospital Bath: Acute Stroke Unit
Clinical Supervisor(s) for the placement	Consultants in the department
Main duties of the placement	The F1 trainees are responsible for the day to day care of patients on their ward, under the supervision of more experienced doctors. They will carry out ward rounds daily with others members of the team, assessing patients, requesting and interpreting tests and keeping notes up to date. They may also be involved in communication, sometimes regarding challenging information, with patients and families. When on ‘cover’ duty out of hours they will assess and manage problems in patients on the wards they are covering at the request of nursing staff, liaising with more senior members of the team as necessary.
	They are expected to attend the structured teaching programme provided by the department as well as the weekly F1 teaching. They 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	WEEKDAYS: Monday – Friday unless otherwise stated Normal working day 08:00 -17:00 OUT OF HOURS: TBC – as per rota
Community facing opportunities	Daily whiteboard rounds concerning involvement of community stroke teams Liaising with GPs about patients Sitting in on TIA clinics Shadowing community stroke teams
Employer information	The employer for this post is The Royal United Hospital Bath NHS Foundation Trust. The hospital is a medium sized acute Trust and provides an extensive range of secondary services for the local population of approximately 500,000.

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

F1 Critical Care Medicine

Placement	Critical Care Medicine
The department	The Critical Care unit is a 16 bedded area that cares for a wide range of patients, sometimes planned (eg after scheduled surgery) but more usually as an emergency from the inpatient wards or the Emergency department. The team includes consultants, associate specialists, registrars, SHO-grades, and specialist nurses and nurse practitioners.
The type of work to expect and learning opportunities	F1 residents on the unit will be involved in looking after critically unwell patients and understanding how the Critical Care team coordinates input from other specialist teams within the hospital. They will also be able to gain an understanding of how patients are assessed for suitability for the unit with the Critical Care Outreach Team, and participating in cardiac arrest and medical emergency calls. Educational opportunities in this placement include: Safe prescribing Keep an accurate and relevant medical record Use simple medical devices safely Acquire practical clinical skills eg urethral catheterisation Recognise acutely ill patients and understand how their management on the unit differs from other areas of the hospital Manage time and clinical priorities effectively Communicate effectively with patients, relatives and colleagues Use evidence, guidelines and audit to benefit patient care Discharge planning to other teams Understanding longer term care via the post-ICU clinic
Where the placement is based	Royal United Hospital Bath: ICU
Clinical Supervisor(s) for the placement	Consultants in the department
Main duties of the placement	The F1 residents are responsible for participating in the day-today care of patients on the unit, under the supervision of more senior members of the team and the duty consultant. They will gain understanding of prescribing medicines and intravenous fluids in a high-dependency environment, requesting and interpreting tests and keeping notes up to date.
	When on ‘cover’ duty out of hours they will assess and manage problems in patients on the wards they are covering at the request of nursing staff, liaising with more senior members of the team as necessary. They are expected to attend the structured teaching program provided by the department, as well as the weekly F1 teaching. They 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	WEEKDAYS: Monday – Friday unless otherwise stated Normal working day 08:00 -17:00 OUT OF HOURS: TBC – as per rota
Community facing opportunities	Sitting in on post-ICU clinics
Employer information	The employer for this post is The Royal United Hospital Bath NHS Foundation Trust. The hospital is a medium sized acute Trust and provides an extensive range of secondary services for the local population of approximately 500,000.

It is important to note that the descriptions outline a typical example of each placement and may be subject to change.

This page was last updated March 31st 2022 (3 years ago)