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 450,000.

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

    Placement F1 Acute internal medicine, Medical Short Stay
    Royal United Hospital
      Further information to follow
  • F1 Cardiology

    Placement F1 Cardiology
    Royal United Hospital
    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 trainees in cardiology are based on the CCU and cardiology ward, 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 ward.

    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, 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

    Clerking shift (based in Medical Assessment Unit / ED): 14:00 – 23:00 (Monday – Thursday), except Wednesday, 12:00 – 21:00 to allow attendance at teaching, frequency 1:23

    Evening ward cover (Cover 1 and Cover 2): 17:00 – 20:30 (starts after usual working day), frequency approximately once every 2 weeks.

    Night shift (ward cover only) 20:00 – 08:30 (Monday – Thursday), frequency 1:23

    WEEKENDS:

    Saturday – Sunday unless otherwise stated

    Cover 1 and Cover 2 shifts: 08:00 – 20:30

    Cover 3 and Cover 4 shifts: 08:00 – 14:00

    Geriatrics / medicine post-take ward round (MAU): 08:00 – 17:00

    Clerking shift (based in Medical Assessment Unit / ED): 14:00 – 23:00 (Friday - Sunday), frequency 1:23

    Night shift (ward cover only) 20:00 – 08:30 (Friday - Sunday), frequency 1:23

    EWTD days associated with long days on / weekends will be shown in the 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

    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 F1 Endocrinology and diabetes mellitus
    Royal United Hospital
    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 trainees 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, Bath: Diabetes and Endocrinology wards and Diabetes Centre

    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, 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

    Clerking shift (based in Medical Assessment Unit / ED): 14:00 – 23:00 (Monday – Thursday), except Wednesday, 12:00 – 21:00 to allow attendance at teaching, frequency 1:23

    Evening ward cover (Cover 1 and Cover 2): 17:00 – 20:30 (starts after usual working day), frequency approximately once every 2 weeks.

    Night shift (ward cover only) 20:00 – 08:30 (Monday – Thursday), frequency 1:23

    WEEKENDS:

    Saturday – Sunday unless otherwise stated

    Cover 1 and Cover 2 shifts: 08:00 – 20:30

    Cover 3 and Cover 4 shifts: 08:00 – 14:00

    Geriatrics / medicine post-take ward round (MAU): 08:00 – 17:00

    Clerking shift (based in Medical Assessment Unit / ED): 14:00 – 23:00 (Friday - Sunday), frequency 1:23

    Night shift (ward cover only) 20:00 – 08:30 (Friday - Sunday), frequency 1:23

    EWTD days associated with long days on / weekends will be shown in the rota.

    Community Facing Opportunities

    Multidisciplinary meeting with community partners.

    Liaising with GPs about patients.

    Sitting in outpatient clinics.

    Working with Diabetes Specialist nurses.

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

  • F1 Gastroenterology

    Placement F1 Gastroenterology
    Royal United Hospital
    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 trainees 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, Bath: Gastroenterology Department

    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, 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

    Clerking shift (based in Medical Assessment Unit / ED): 14:00 – 23:00 (Monday – Thursday), except Wednesday, 12:00 – 21:00 to allow attendance at teaching, frequency 1:23

    Evening ward cover (Cover 1 and Cover 2): 17:00 – 20:30 (starts after usual working day), frequency approximately once every 2 weeks.

    Night shift (ward cover only) 20:00 – 08:30 (Monday – Thursday), frequency 1:23

    WEEKENDS:

    Saturday – Sunday unless otherwise stated

    Cover 1 and Cover 2 shifts: 08:00 – 20:30

    Cover 3 and Cover 4 shifts: 08:00 – 14:00

    Geriatrics / medicine post-take ward round (MAU): 08:00 – 17:00

    Clerking shift (based in Medical Assessment Unit / ED): 14:00 – 23:00 (Friday - Sunday), frequency 1:23

    Night shift (ward cover only) 20:00 – 08:30 (Friday - Sunday), frequency 1:23

    EWTD days associated with long days on / weekends will be shown in the rota.

    Community Facing Opportunities

    F1 trainees 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

    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 F1 General psychiatry
    Hillview Lodge
    The department Hillview Lodge is on the Royal United Hospital site in Bath. It has a high care area, and accepts a mixture of adults of working age and older adults with functional
    mental health problems. The case mix for the inpatient includes people with 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 trainee (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, 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 trainee 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 09:00 -17:00

    Clerking shift (based in Surgical Assessment Unit): 08:00 – 20:30 (Monday – Thursday), frequency 1:13

    Evening ward cover: 17:00 – 20:30 (starts after usual working day), frequency approximately once every 2 weeks

    Night shift (ward cover and on-take) 20:00 – 08:30 (Monday – Thursday), frequency 1:13

    WEEKENDS:

    Saturday – Sunday unless otherwise stated

    Cover 1 shift: 08:00 – 20:30

    Cover 2 shift: 08:00 – 14:00 (Urology ward round)

    Clerking shift (based in Surgical Assessment Unit): 08:00 – 20:30 (Friday - Sunday), frequency 1:13

    Night shift (ward cover and on-take) 20:00 – 08:30 (Friday - Sunday), frequency 1:13

    EWTD days associated with long days on / weekends will be shown in the rota.

    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 F1 General psychiatry (Liaison and Old Age)
    Hillview Lodge
    The department

    The Mental Health Liaison team is based at the RUH, Bath. This is a busy DGH providing emergency care, medical and surgical services for Bath, West Wiltshire and Somerset. The Liaison team has 2 parts, each with its own Consultant, one for adults of working age and the other for older adults. It covers the Emergency Department as well as all inpatient areas and operates on a 7 day a week basis. There is also an associated Alcohol Liaison team.

    Ward 4 is an in-patient unit for older adults with organic mental health problems (predominantly behavioural issues due to dementia), based at St. Martin’s Hospital on the outskirts of Bath. It has its own dedicated Consultant, plus a ward-based Staff Grade doctor.

    The type of work to expect and learning opportunities

    The F1 will work across both parts of the team, working with the Consultants, trainees (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 Ward 4, the trainee 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, Bath: Hillview Lodge

    Clinical Supervisor(s) for the placement

    Consultants in the department

    Main duties of the placement

    The F1 trainee 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 09:00 -17:00

    Clerking shift (based in Medical Assessment Unit / ED): 14:00 – 23:00 (Monday – Thursday), except Wednesday, 12:00 – 21:00 to allow attendance at teaching, frequency 1:23

    Evening ward cover (Cover 1 and Cover 2): 17:00 – 20:30 (starts after usual working day), frequency approximately once every 2 weeks.

    Night shift (ward cover only) 20:00 – 08:30 (Monday – Thursday), frequency 1:23

    WEEKENDS:

    Saturday – Sunday unless otherwise stated

    Cover 1 and Cover 2 shifts: 08:00 – 20:30

    Cover 3 and Cover 4 shifts: 08:00 – 14:00

    Geriatrics / medicine post-take ward round (MAU): 08:00 – 17:00

    Clerking shift (based in Medical Assessment Unit / ED): 14:00 – 23:00 (Friday - Sunday), frequency 1:23

    Night shift (ward cover only) 20:00 – 08:30 (Friday - Sunday), frequency 1:23

    EWTD days associated with long days on / weekends will be shown in the rota.

    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 F1 General surgery
    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; Upper GI and Endocrine surgery
    The type of work to expect and learning opportunities

    F1 trainees 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.

    We have tried hard to maintain a traditional ‘firm’ structure in the Directorate of Surgery in RUH, Bath. Each firm is led by a team of consultants with support from registrar, senior house officer and Foundation grades. We believe this remains the most supportive learning environment for junior doctors.

    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 trainees 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

    Clerking shift (based in Surgical Assessment Unit): 08:00 – 20:30 (Monday – Thursday), frequency 1:13

    Evening ward cover: 17:00 – 20:30 (starts after usual working day), frequency approximately once every 2 weeks

    Night shift (ward cover and on-take) 20:00 – 08:30 (Monday – Thursday), frequency 1:13

    WEEKENDS:

    Saturday – Sunday unless otherwise stated

    Cover 1 shift: 08:00 – 20:30

    Cover 2 shift: 08:00 – 14:00 (Urology ward round)

    Clerking shift (based in Surgical Assessment Unit): 08:00 – 20:30 (Friday - Sunday), frequency 1:13

    Night shift (ward cover and on-take) 20:00 – 08:30 (Friday - Sunday), frequency 1:13

    EWTD days associated with long days on / weekends will be shown in the 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

    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 F1 Geriatric medicine
    Royal United Hospital
    The department

    The Care of the Elderly department is a busy needs-related service, based around 5 wards in the Older Person’s Unit: Midford, Waterhouse, Combe, Hip Fracture Unit and the Acute Frailty Unit (ACE ward).

    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 trainees 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, Bath: OPU, ACE and HFU wards

    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, 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

    Clerking shift (based in Medical Assessment Unit / ED): 14:00 – 23:00 (Monday – Thursday), except Wednesday, 12:00 – 21:00 to allow attendance at teaching, frequency 1:23

    Evening ward cover (Cover 1 and Cover 2): 17:00 – 20:30 (starts after usual working day), frequency approximately once every 2 weeks.

    Night shift (ward cover only) 20:00 – 08:30 (Monday – Thursday), frequency 1:23

    WEEKENDS:

    Saturday – Sunday unless otherwise stated

    Cover 1 and Cover 2 shifts: 08:00 – 20:30

    Cover 3 and Cover 4 shifts: 08:00 – 14:00

    Geriatrics / medicine post-take ward round (MAU): 08:00 – 17:00

    Clerking shift (based in Medical Assessment Unit / ED): 14:00 – 23:00 (Friday - Sunday), frequency 1:23

    Night shift (ward cover only) 20:00 – 08:30 (Friday - Sunday), frequency 1:23

    EWTD days associated with long days on / weekends will be shown in the rota.

    Community Facing Opportunities

    F1 trainees 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 trainees can arrange to attend these community clinics.

    The Acute Frailty Unit 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.

    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 F1 Respiratory medicine
    Royal United Hospital
    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 trainees 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 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, 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

    Clerking shift (based in Medical Assessment Unit / ED): 14:00 – 23:00 (Monday – Thursday), except Wednesday, 12:00 – 21:00 to allow attendance at teaching, frequency 1:23

    Evening ward cover (Cover 1 and Cover 2): 17:00 – 20:30 (starts after usual working day), frequency approximately once every 2 weeks.

    Night shift (ward cover only) 20:00 – 08:30 (Monday – Thursday), frequency 1:23

    WEEKENDS:

    Saturday – Sunday unless otherwise stated

    Cover 1 and Cover 2 shifts: 08:00 – 20:30

    Cover 3 and Cover 4 shifts: 08:00 – 14:00

    Geriatrics / medicine post-take ward round (MAU): 08:00 – 17:00

    Clerking shift (based in Medical Assessment Unit / ED): 14:00 – 23:00 (Friday - Sunday), frequency 1:23

    Night shift (ward cover only) 20:00 – 08:30 (Friday - Sunday), frequency 1:23

    EWTD days associated with long days on / weekends will be shown in the 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.

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

  • F1 Urology

  • F1 Medical Short Stay (MSS)

    The department

    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 type of work to expect and learning
    opportunities
    The F1 trainee will be involved in the day to day running of medical short stay. 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

     

    Where the placement is based

    Royal United Hospital Bath: MSS

    Clinical Supervisor(s) for the placement

    Consultants in the departments

    Main duties of the placement

    The F1 trainee will take part in the daily morning ward round on MSS 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

    Clerking shift (based in Medical Assessment Unit / ED): 14:00 – 23:00 (Monday – Thursday), except Wednesday, 12:00 – 21:00 to allow attendance at teaching, frequency 1:23

    Evening ward cover (Cover 1 and Cover 2): 17:00 – 20:30 (starts after usual working day), frequency approximately once every 2 weeks.

    Night shift (ward cover only) 20:00 – 08:30 (Monday – Thursday), frequency 1:23

    WEEKENDS:

    Saturday – Sunday unless otherwise stated

    Cover 1 and Cover 2 shifts: 08:00 – 20:30

    Cover 3 and Cover 4 shifts: 08:00 – 14:00

    Geriatrics / medicine post-take ward round (MAU): 08:00 – 17:00

    Clerking shift (based in Medical Assessment Unit / ED): 14:00 – 23:00 (Friday - Sunday), frequency 1:23

    Night shift (ward cover only) 20:00 – 08:30 (Friday - Sunday), frequency 1:23

    EWTD days associated with long days on / weekends will be shown in the 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.