F1 Placement Descriptions

Employer Information

Your employer will be University Hospitals Bristol and Weston NHS Foundation Trust.

Psychiatry and GP Placements

University Hospitals Bristol and Weston NHS Foundation Trust will remain your employer during your psychiatry or GP placement.

GP placements are in practices throughout Bristol, North Somerset and South Gloucestershire providing a complete spectrum of care within the local community and working with teams of other professions.

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 University Hospitals Bristol and Weston NHS Foundation Trust. Click on the specialty to learn more.

• F1 Acute internal medicine - WGH

  Placement	F1 Acute internal medicine Weston General Hospital
  The department	The department of Acute medicine in Weston consists of 2 Consultants, 2 middle grades, 2 F2, 3 F1s and 1 Physician assistant.
  The type of work to expect and learning opportunities	All F1 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. F1 doctors should also be able to attend out patient clinics, depending on the ward staffing. F1 doctors will contribute towards clerking of patients admitted to MAU as GP referrals. These will be presented to the MAU consultant on the afternoon post take round with opportunities for WBAs and bed side teaching. The overall educational objectives of the F1 year are to provide the trainee with the knowledge, skills and attitudes to be able to Take a history and examine a patient Identify and synthesise problems Prescribe safely Keep an accurate and relevant medical record Manage time and clinical priorities effectively Communicate effectively with patients, relatives and colleagues Use evidence, guidelines and audit to benefit patient care Act in a professional manner at all times Cope with ethical and legal issues which occur during the management of patients with general medical problems Educate patients effectively Become life-long learners and teachers
  Where the placement is based	Harptree Ward, Weston General Hospital
  Clinical Supervisor(s) for the placement	Each Foundation Doctor will be in an approved teaching placement, where your supervisor will be an accredited Clinical Supervisor. It is your responsibility to ensure that you have a beginning and end of placement meeting with your allocated Clinical Supervisor to review your progress.
  Main duties of the placement	The F1 doctor is responsible with other staff for the ward care of patients and the maintenance of the patient’s medical record. They will work closely with the consultants and the middle grades to ensure good medical care, along with timely discharge of patients and good communication with primary care. They are expected to attend the structured teaching programmes provided by the department and the hospital. 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. There will be opportunities for audit and presentations at teaching sessions.
  Typical working pattern in this placement	Daily: 0900 Ward round 0900/1630/2130 Handover Tue: 1300 Journal club Wed: 1300 Grand round Thurs: 1300 formal teaching programme On call requirements: All F1 doctors (medical and surgical) participate in a generic on call rota. During the on call block the F1 will be based on their own ward during the day and work 12.5 hour shifts for four days (0800-2030) during week (Monday to Thursday) or weekend (Friday, Saturday/Sunday) & be involved with the generic clerking of patients being admitted to hospital and the ongoing care of the patients on the wards after 1700. Night shifts are split as 3 day weekends and 4 day weeks of nights (2000-0830) Handover is at 0800-0830 and 2000-2030. The F1 will clerk new admissions under supervision of the registrar/consultant & present their patients on the evening consultant PTWR, and attend handover. There are two F1s on call at any one time and on weekends and bank holidays there is an additional F1.They cover the ward duties as well as contribute to the take where possible. Overnight, ward cover is supported by a Night Sister.

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

• F1 Acute internal medicine - BRI

  Placement	F1 Acute internal medicine Bristol Royal Infirmary
  The department	AMU
  The type of work to expect and learning opportunities	The AMU has 32 beds. Every morning, existing patients on AMU are split between 3 consultant teams (respiratory, gastro-hepatology, endocine). Generally each consultant works on AMU for 1 week. Each consultant has a team of AMU doctors whilst he/she is on AMU. The AMU doctors are there for either a 4month block (2xF1, 2xCMT) or 6 month block (2xACCS) and 1xSpR who is there for a year. Newly referred medical patients are clerked by a separate on-call team (these are separate from the AMU doctors). However the AMU junior doctors do participate in the on-call rota at the same frequency as all the other medical F1s and during this time they are not doing their normal AMU work looking after post-take patients. There is a period of ‘fixed leave’ incorporated into the on-call rota as well as some time off (eg after nights) - during these times F1 doctors will not be doing their normal day-job on AMU. F1s provide a complete spectrum of care within the department. You will need to deal with problems that often combine physical and social components. You will work in teams with other professions, helping patients to take responsibility for their own health. In your hospital 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.
  Where the placement is based	Bristol Royal Infirmary (BRI)
  Clinical Supervisor(s) for the placement	Each Foundation Doctor will be in an approved teaching placement, where your supervisor will be an accredited Clinical Supervisor. It is your responsibility to ensure that you have a beginning and end of placement meeting with your allocated Clinical Supervisor to review your progress.
  Main duties of the placement	The main clinical area is AMU and also covers ward duties. Your primary contact (daytime) will be the AMU SpR and out of hours the on-call medical SpR. Clerking new patients (when on-call) managing acutely ill patients on AMU (and other wards, during out-of-hours on-call / ward cover shifts) To undertake workplace based assessments: being observed reviewing patients on the ward round by their consultant – at least 2 per week. To ensure that patient results are followed up after discharge from AMU by informing the AMU secretary. To ensure that patients are booked for outpatient review as needed post discharge. To attend F1 teaching (Wednesdays), grand rounds (Tuesday lunchtime) and departmental teaching (Thursday lunchtime). To undertake an audit / Quality Improvement project during your 4 month block. practicing preventative medicine and promoting health education working well with other health professionals helping the Trust meet targets and managing resources as effectively as possible maintaining confidentiality and impartiality using basic IT skills and using the Trust’s clinical IT system
  Typical working pattern in this placement	Normal working: 8am – 4pm 8am – 5pm (occasionally) – with lieu days off to compensate for the additional hour When on-call: 9 full weekday days (9am – 10pm) 4 full weekend days (9am – 10pm) 7 weekday nights (9.30pm – 9am) 2 weekend nights (9.30pm – 9am) All annual leave for this 4 month block to be arranged prior to starting by liaising with the AMU secretary. Whilst she has nothing to do with writing the on-call rota – the AMU ward team’s leave can only be done once everyone’s on-call commitments have been confirmed. We will try to accommodate everyone’s leave wishes whilst still leaving the unit adequately staffed. Some periods of fixed leave is already built into the on-call rota.

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

• F1 Cardiology - BRI

  Placement	F1 Cardiology Bristol Heart Institute
  The department	Cardiology
  The type of work to expect and learning opportunities	Consultants and their F1s provide a complete spectrum of care within the department. You will need to deal with problems that often combine physical and social components. You will work in teams with other professions, helping patients to take responsibility for their own health. In your hospital attachment, you will build on your knowledge of cardiology 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.
  Where the placement is based	Bristol Heart Institute (BHI)
  Educational Supervisor for the placement	Your Educational Supervisor will be an accredited Educational Supervisor. It is your responsibility to ensure that you have a beginning and end of placement meeting with your allocated Educational Supervisor to set learning objectives and monitor and assess your progress.
  Clinical Supervisor(s) for the placement	Each Foundation Doctor will be in an approved teaching placement, where your supervisor will be an accredited Clinical Supervisor. It is your responsibility to ensure that you have a beginning and end of placement meeting with your allocated Clinical Supervisor to review your progress.
  Main duties of the placement	Your duties will include: Ward rounds Attend the cardiology round on the Medical Assessment Unit (MAU) Join in with the F1 take rota The main clinical area is Cardiology with out of hours in MAU and providing ward cover. Your primary contact (daytime and out of hours) will be the cardiology SpR on call. seeing patients on wards and outpatients 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 Trust meet targets managing resources as effectively as possible maintaining confidentiality and impartiality using basic IT skills and using the Trust’s clinical IT system attending the department’s clinical meetings
  Typical working pattern in this placement	9 full weekday days (9am – 10pm) 4 full weekend days (9am – 10pm) 7 weekday nights (9.30pm – 9am) 2 weekend nights (9.30pm – 9am)

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

• F1 Clinical oncology - BHOC

  Placement	F1 Clinical Oncology Bristol Haematology and Oncology Centre
  The department	Oncology; D603
  The type of work to expect and learning opportunities	You will learn how to look after oncology inpatients from presentation, post take ward round, management of acute issues and discharge planning. You will go on ward rounds with SHOs, SpRs and Oncology Consultants. You will help to put together and implement a plan for each patient. There will be chances to learn about the common acute presentations of cancer patients, how to break bad news, and the longer term treatment plan for each type of cancer. You will also learn the importance of symptom control and palliative care. You will start to build a basic knowledge of how cancer is treated, using modalities such as surgery, radiotherapy, chemotherapy, immunotherapy and novel agents. As well as seeing the benefits of cancer treatments you will see the toxicities and learn how to manage them.
  Where the placement is based	Oncology ward D603, BHOC, UBHW.
  Educational Supervisor for the placement	Your Educational Supervisor will be an accredited Educational Supervisor. It is your responsibility to ensure that you have a beginning and end of placement meeting with your allocated Educational Supervisor to set learning objectives and monitor and assess your progress.
  Clinical Supervisor(s) for the placement	Each Foundation Doctor will be in an approved teaching placement, where your supervisor will be an accredited Clinical Supervisor. It is your responsibility to ensure that you have a beginning and end of placement meeting with your allocated Clinical Supervisor to review your progress.
  Main duties of the placement	Working within a team including F2s, IMTs, registrars and consultants. The day starts with a board round where patients are discussed with the rest of the multidisciplinary team including physiotherapists, dietitians, occupational therapists, palliative care and discharge planning team.  You will then do a ward round and review patients new to the ward and patients already admitted, assess them with the support of a senior team, and carry out the ward jobs to move patient care forward.  There will be opportunities to attend teaching, attend outpatient clinics, engage in audit and QI.
  Typical working pattern in this placement	Normal working day 9am-5.30pm Tue/Thurs/Fri, 8.30am-5.30pm Mon/Wed. You will be allocated clinic days and SDT days. Weekly F1/SHO teaching, department educational meetings and grand round meeting. You will be given a clinical supervisor based in the oncology department and will have an educational supervisor based in the trust.

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

• F1 Gastroenterology - WGH

  Placement	F1 Gastroenterology Weston General Hospital
  The department	The gastroenterology dept in Weston comprises 4 consultants, 1 PA, 1 HEE StR, , 2 Clinical Fellows, 1 GPST, 1 IMT, 1F2 and 3 F1s
  The type of work to expect and learning opportunities	All F1 Doctors in hospital posts will generally be ward based during the ‘normal’ working day and expected to deliver the daily medical care of all the patients on their ward irrespective of specialty. The overall educational objectives of the F1 year are to provide the trainee with the knowledge, skills and attitudes to be able to Take a history and examine a patient Identify and synthesise problems Prescribe safely Keep an accurate and relevant medical record Manage time and clinical priorities effectively Communicate effectively with patients, relatives and colleagues Use evidence, guidelines and audit to benefit patient care Act in a professional manner at all times Cope with ethical and legal issues which occur during the management of patients with general medical problems Educate patients effectively Become life-long learners and teachers In addition, the gastroenterology trainees will gain exposure to the investigation and management of patients with liver failure, inflammatory bowel disease, gastrointestinal malignancy and gastrointestinal bleeding, along with preparation of patients for procedures such as ERCP, liver biopsy, colonoscopy and gastroscopy.
  Where the placement is based	Cheddar Ward, Weston General Hospital
  Clinical Supervisor(s) for the placement	Each Foundation Doctor will be in an approved teaching placement, where your supervisor will be an accredited Clinical Supervisor. It is your responsibility to ensure that you have a beginning and end of placement meeting with your allocated Clinical Supervisor to review your progress.
  Main duties of the placement	The F1 doctor is responsible with other staff for the ward care of patients and the maintenance of the patient’s medical record. They will work closely with the consultants and the middle grades to ensure good medical care, along with timely discharge of patients and good communication with primary care. They are expected to attend the structured teaching programmes provided by the department and the foundation programme. 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. There will be opportunities for audit and presentations at teaching sessions, as well as weekly attendance at the gastroenterology governance meeting and we endeavour to provide opportunities to attend endoscopy (interventional and therapeutic) sessions in Weston.
  Typical working pattern in this placement	Daily: 0900 Ward round 0900/1700/2130 Handover Tues: 1300 Governance Meeting Wed: 1300 Grand round Thurs: 1300 Formal teaching programme On call requirements: All F1 doctors (medical and surgical) participate in a generic on call rota. During the on call block the F1 will be based on their own ward during the day and work 12.5 hour shifts for four days (0800-2030) during week (Monday to Thursday) or weekend (Friday, Saturday/Sunday) & be involved with the generic clerking of patients being admitted to hospital and the ongoing care of the patients on the wards after 1700. Night shifts are split as 3 day weekends and 4 day weeks of nights (2000-0830) Handover is at 0830-0900 and 2030-2100. The F1 will clerk new admissions under supervision of the registrar/consultant & present their patients on the evening consultant PTWR, and attend handover. There are two F1s on call at any one time and on weekends and bank holidays there is an additional F1.They cover the ward duties as well as contribute to the take where possible. Overnight, ward cover is supported by a Night Sister.   All Medical F1 doctors participate in a generic on-call rota. Handover is at 0830-0900 and 2030-2100. During the on-call block the F1 will be based on their own ward during the day (0900-1700) after attending handover, ITU huddle  and collecting on-call bleep. They will work 12.5 hour shifts (0830-2100) for 2 days split during week - Monday & Wednesday or Tuesday & Thursday - or weekend - Friday, Saturday & Sunday. They will be involved with the generic clerking of patients being admitted to hospital and the ongoing care of the patients on the wards after 1700. Night shifts are split as 3 day weekends and 4 day weeks of nights (2000-0830) The F1 will clerk new admissions under supervision of the registrar/consultant & present their patients on the evening consultant PTWR and attend handover. There is one Medical F1 on call at any one time and on weekends and bank holidays there is an additional F1 who will partake in Post Take rounds with the On-call consultant. They cover the ward duties as well as contribute to the take where possible.

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

• F1 Gastroenterology - BRI

  Placement	F1 Gastroenterology Bristol Royal Infirmary
  The department	Gastroenterology and Hepatology
  The type of work to expect and learning opportunities	Consultants and their F1s provide a complete spectrum of care within the department. You will need to deal with problems that often combine physical and social components. You will work in teams with other professions, helping patients to take responsibility for their own health. In your hospital attachment, you will build on your knowledge of gastroenterology related 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.
  Where the placement is based	Bristol Royal Infirmary (BRI)
  Educational Supervisor for the placement	Your Educational Supervisor will be an accredited Educational Supervisor. It is your responsibility to ensure that you have a beginning and end of placement meeting with your allocated Educational Supervisor to set learning objectives and monitor and assess your progress.
  Clinical Supervisor(s) for the placement	Each Foundation Doctor will be in an approved teaching placement, where your supervisor will be an accredited Clinical Supervisor. It is your responsibility to ensure that you have a beginning and end of placement meeting with your allocated Clinical Supervisor to review your progress.
  Main duties of the placement	Your duties will include: Ward based duties Managing in-patients Clerking new patients (on-call) The main clinical area is the gastroenterology ward. Your primary contact (daytime) will be the gastroenterology SpR and the medical SpR for out of hours. seeing patients on wards and outpatients 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 and taking part in MDT meetings helping with repeat prescriptions and other administrative aspects of day-to-day patient care helping the Trust meet targets managing resources as effectively as possible maintaining confidentiality and impartiality using basic IT skills and using the Trust’s clinical IT system attending the department’s clinical meetings
  Typical working pattern in this placement	9 full weekday days (9am – 10pm) 4 full weekend days (9am – 10pm) 7 weekday nights (9.30pm – 9am) 2 weekend nights (9.30pm – 9am)

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

• F1 General psychiatry - Callington Rd, Bristol

  Placement	F1 General Psychiatry Callington Road Hospital
  The department	General Adult Inpatient Psychiatry Silver Birch is an acute psychiatric inpatient unit. The patient care is broadly mixed involving all acute and major psychiatric disorders as well as dual diagnosis, borderline learning disabilities, physical morbidity and complex formulations involving personality disorder diagnoses. Close collaboration with all other psychiatric teams takes place on a regular basis e.g. through ward round process.  The ward works particularly closely with the Bristol Intensive Team which provides crisis resolution and home treatment and partly operates from the ward, including facilitation of early discharge.  Silver Birch is supported by a full time Core trainee and Staff Grade doctor.
  The type of work to expect and learning opportunities	The Foundation doctor attached to the unit will have ample opportunity to develop skills in assessing and managing all major psychiatric disorders in the acute phase. There will also be opportunities to see recurrent or chronically unwell patients experiencing a relapse of their illness. The F1 doctor will be ward based during the ‘normal’ working day, providing first-line assessment of all inpatients for both physical and psychiatric disorders. 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 patients in the 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 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	Silver Birch, Callington Road Hospital Bristol
  Clinical Supervisor(s) for the placement	Each Foundation Doctor will be in an approved teaching placement, where your supervisor will be an accredited Clinical Supervisor. It is your responsibility to ensure that you have a beginning and end of placement meeting with your allocated Clinical Supervisor to review your progress.
  Main duties of the placement	Duties of the foundation doctor include admitting patients, taking a full psychiatric history, mental state examination, collateral information from other professionals and relatives involved in care; physical examination, performing necessary investigations and initiating treatment, assessment, regular follow up in 1:1 sessions and physical care. Care will be provided by the foundation doctor under the supervision of the consultant. The trainee will attend ward rounds, document in the multi-disciplinary notes and liaise both written and orally with external agencies e.g. general hospitals and GP’s. This would also include provision of the discharge summary and other relevant letters. There is weekly teaching at Callington Road Hospital, a weekly Journal Club, Lunch time presentations, psychotherapy, group discussions of issues and weekly Balint groups. Regular supervision will be provided by the consultant clinical supervisor. All staff at CRH are invited to participate in the psychiatric book and film clubs. Foundation doctors will be released for the foundation training at UBHT weekly on Wednesday at 12h30 to 13h30. It would be advisable to have a car to be able to drive from Callington Road Hospital to Bristol Royal Infirmary. Assessment of Medically Ill Patients: Guidance for Foundation trainees. As a Foundation doctor, you may be called on to assess patients who are medically unfit either in the psychiatry in-patient units or possibly in the community. It is important to be aware that psychiatric hospitals do not have facilities to support patients with serious physical health problems and you are not in a position working in these settings to facilitate urgent investigation, or initiate immediate and complex treatment such as IV support, catheterisation. In many respects the support available may even be less than in a standard community setting as there is a lack of access to GP level medical advice. In the event that a patient needs more immediate and complex physical assessment, it is advisable to discuss with a senior psychiatry colleague and it is generally necessary to have these individuals seen in the nearest A&E department. It would of course be helpful if a patient was referred, to discuss the case with the casualty team, while the transfer is being organised. This would normally require an ambulance, which the in-patient team would generally organise. As a Foundation doctor working in psychiatry, you would not normally be expected to initiate complex physical treatments. If you are uncertain about appropriate physical care of an individual, you should always discuss this issue with a senior psychiatry colleague, who may be the local core/advanced trainee in your unit or your consultant or the consultant on-call. It may be useful to contact the specialist team in the general hospital for advice, but where a complex decision is being made this should always be shared with senior colleagues in the psychiatric team, who will be responsible for the treatment while the patient is in a psychiatric hospital. Note that discussion of the physical problems with a more senior psychiatric colleague is not generally to get expert medical advice (bearing in mind that as the psychiatric specialists become more senior their physical medicine skills tend to become out of date), but to bring the concerns to their attention so they can advise on the need to contact local acute medical/surgical services and how best to do this.
  Typical working pattern in this placement	9am to 5pm. No on call.

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

• F1 General psychiatry - Long Fox Unit, WGH

  Placement	F1 General Psychiatry Long Fox Unit, WGH
  The department	The Long Fox Unit, Weston General Hospital
  The type of work to expect and learning opportunities	Acute adult/older adult psychiatry, candidate encouraged to explore psychiatry as a whole, by attending clinics, ward rounds and assessment on the ward, as well as assessment and visits virtually or in the community with access and community teams. The F1 doctor will be ward based during the ‘normal’ working day. It may be possible to spend time with Hospital Liaison depending on there being senior medical cover for the team. The job will be across the 3 inpatient wards covering older adult assessment ward; older adult organic and acute adult. On Wednesday and Thursday lunchtimes the Foundation doctor will be released to attend mandatory Foundation teaching and Grand Round in Weston General Hospital. The doctor would be expected to attend the local virtual psychiatric academic programme on Monday lunchtimes. 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 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 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	Long Fox Unit
  Clinical Supervisor(s) for the placement	Each Foundation Doctor will be in an approved teaching placement, where your supervisor will be an accredited Clinical Supervisor. It is your responsibility to ensure that you have a beginning and end of placement meeting with your allocated Clinical Supervisor to review your progress.
  Main duties of the placement	The posts is for 4 months, working at the Long Fox Unit mainly based on wards. Duties include: Working alongside Core psychiatry trainee, FY2 and GPVTS, a staff grade/trust grade. Doing ward work - including admissions, ward rounds and discharges. Spending sessions with other teams including specialist services (e.g. PCLS, memory, recovery), as Covid restrictions allow, to gain broad experience of mental health services. Virtual assessments and home visits with consultants and other members of psychiatry teams.  Access services including IST and PCLS are based in the locality. Shadowing trainees on the unit during day Trainees will gain basic skills in the psychological assessment of patients that will be of value in future non-psychiatric practice.  These will include the identification of risk factors, the assessment of suicide and parasuicide and the recognition of the most common mental health disorders. As for all trainees in the Long Fox Unit, it is expected that the trainee will attend a Balint group and the weekly academic meeting. Trainees are encouraged to attend foundation training events in WestonAcademy. Trainees are advised to arrange a meeting in advance of their start to plan their time on the unit. There are no nighttime on call psychiatry duties due to specialist nature of the work, although the psychiatry F1 will contribute to the generic F1 acute block in WestonHospital; this is arranged in such a way to minimize disruption to psychiatry experience.  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 in the psychiatry in-patient units. 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 or catheterisation. In many respects the support available may even be less than in a standard community setting as there is a lack of access to GP level medical advice. In the event that a patient needs more immediate and complex physical assessment, it is advisable to discuss with a senior psychiatry colleague and it is generally necessary to have these individuals seen in the nearest A&E department.  It would of course be helpful if a patient was referred, to discuss the case with the casualty team, while the transfer is being organised.  This would normally require an ambulance, which the in-patient team would generally organise. The Foundation doctor should send a letter with the patient outlining their history, presenting complaint and medication as a minimum. As a Foundation doctor working in psychiatry, you would not normally be expected to initiate complex physical treatments.  If you are uncertain about appropriate physical care of an individual, you should always discuss this issue with a senior psychiatry colleague, who may be the local core/advanced trainee in your unit or your consultant or the consultant on-call.  It may be useful to contact the specialist team in the general hospital for advice, but where a complex decision is being made this should always be shared with senior colleagues in the psychiatric team, who will be responsible for the treatment while the patient is in a psychiatric hospital. Note that discussion of the physical problems with a more senior psychiatric colleague is not generally to get expert medical advice (bearing in mind that as the psychiatric specialists become more senior their physical medicine skills tend to become out of date), but to bring the concerns to their attention so they can advise on the need to contact local acute medical/surgical services and how best to do this.
  Typical working pattern in this placement	9-5 working days. Once a week personal supervision as mandated trainees. (to be agreed with supervising consultant on starting post)   ACUTE BLOCK On-call requirements: All F1 doctors (medical and surgical) participate in a generic on call rota involving an “acute block” which occurs twice every 21 weeks. This block consists of on-call days (ward based 9-5pm followed by ward cover of medical and surgical wards 5pm-9.30pm) and a week of nights.  In addition the F1s work weekend (days) covering either acute medical admissions or wards (medical and surgical).  Overnight, ward cover is supported by a Night Sister.

  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) - BRI

  Placement	F1 General psychiatry (Liaison) Bristol Royal Infirmary
  The department	General Adult Hospital Liaison Psychiatry - Liaison Psychiatry Clinic A214, Bristol Royal Infirmary 9-5.
  The type of work to expect and learning opportunities	The general day to day work involves assessment of referrals from the general medical and surgical wards, and assessments of patients following episodes of self harm, as well as those presenting to the emergency department. There are also out-patient clinics, and opportunities for the post holder to attend the consultant lead teaching outpatient clinic. Depending on competency and need, the post holder may be able to see outpatients of their own. There are weekly teaching sessions, ward rounds, and access to extensive library facilities both within the hospital and the nearby University Library site. The main areas of clinical work are: A&E Assessments Assessment of patients presenting to the emergency department with psychiatric problems, most commonly following overdose or other episodes of self-harm. This involves risk assessment, formulation of individual management plans, and liaison with appropriate community services. General Medical and Surgical Referrals Assessments are extremely varied and cover the full range of psychiatric problems from organic psychosis, to denial of illness. The emphasis is on acute management including therapeutic communication, psychopharmacology, links with community teams, primary care, non-statutory and social services for aftercare. The nature of the work means that co-ordination and multi-disciplinary resources are invaluable. 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 patients in the 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 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	Clinic A214, Bristol Royal Infirmary
  Educational Supervisor for the placement	Your Educational Supervisor will be an accredited Education Supervisor. It is your responsibility to ensure that you have a beginning and end of placement meeting with your allocated Educational Supervisor to set learning objectives and monitor and assess your progress.
  Clinical Supervisor(s) for the placement	Each Foundation Doctor will be in an approved teaching placement, where your supervisor will be an accredited Clinical Supervisor. It is your responsibility to ensure that you have a beginning and end of placement meeting with your allocated Clinical Supervisor to review your progress.
  Main duties of the placement	Your duties will include: To assess and manage those current hospital inpatients and those presenting to the emergency department who are referred to the BRI Liaison Psychiatry team. To attend the weekly ward round To participate in the audit activities of the department. To prepare appropriate discharge summaries. Your primary contacts will be the clinic 7 Liaison Psychiatry medical and nursing team. In addition to seeing patients on wards and in the ED (history-taking, investigation, diagnosis, and management), you will practice preventative medicine, promoting health education, and work closely with other health professionals. You will help the Trust meet targets, manage resources as effectively as possible, maintain confidentiality and impartiality, use basic IT skills and use the Trust’s clinical IT system.
  Typical working pattern in this placement	9-5 Mon-Fri No on call

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

• F1 General surgery - WGH

  Placement	F1 General surgery Weston General Hospital
  The department	General surgery consists of 9 consultants, 2 Specialist Registrars, 4 CT doctors, 3 clinical fellows, 2 F2 doctors and 6 F1 doctors. (Urology consists 2 consultants, 1 ST3, 1 clinical fellow, 1 F1 doctor)
  The type of work to expect and learning opportunities	All F1 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” the F1 will be involved with the generic clerking of patients being admitted and the ongoing care of the patients. The overall educational objectives of the F1 year are to provide the trainee with the knowledge, skills and attitudes to be able to Take a history and examine a patient Identify and synthesise problems Prescribe safely Keep an accurate and relevant medical record Manage time and clinical priorities effectively Communicate effectively with patients, relatives and colleagues Use evidence, guidelines and audit to benefit patient care Act in a professional manner at all times Cope with ethical and legal issues which occur during the management of patients with general medical problems Educate patients effectively Become life-long learners and teachers
  Where the placement is based	Surgical wards at Weston General Hospital, along with the Emergency Department
  Clinical Supervisor(s) for the placement	Each Foundation Doctor will be in an approved teaching placement, where your supervisor will be an accredited Clinical Supervisor. It is your responsibility to ensure that you have a beginning and end of placement meeting with your allocated Clinical Supervisor to review your progress.
  Main duties of the placement	The F1 doctor is responsible with other staff for the ward care of patients and the maintenance of the patient’s medical record. They will work closely with the consultants and the middle grades to ensure good medical care, along with timely discharge of patients and good communication with primary care. They are expected to attend the structured teaching programmes provided by the department and the foundation programme. 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. There will be opportunities for audit and presentations at teaching sessions, and we endeavor to provide opportunities to attend theatre and endoscopy sessions.
  Typical working pattern in this placement	Daily: 0900 Ward round 0900/1700/2130 Handover Thurs: 1300 formal teaching programme On call requirements: All F1 doctors (medical and surgical) participate in a generic on call rota. During the on call block the F1 will be based on their own ward during the day and work 12.5 hour shifts for four days (0800-2030) during week (Monday to Thursday) or weekend (Friday, Saturday/Sunday) & be involved with the generic clerking of patients being admitted to hospital and the ongoing care of the patients on the wards after 1700. Night shifts are split as 3 day weekends and 4 day weeks of nights (2000-0830) Handover is at 0800-0830 and 2000-2030. The F1 will clerk new admissions under supervision of the registrar/consultant & present their patients on the evening consultant PTWR, and attend handover. There are two F1s on call at any one time and on weekends and bank holidays there is an additional F1.They cover the ward duties as well as contribute to the take where possible. Overnight, ward cover is supported by a Night Sister.

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

• F1 General surgery - BRI

  Placement	F1 General surgery Bristol Royal Infirmary
  The department	Surgery (Colorectal surgery, Hepatobiliary surgery, Thoracic surgery or Upper GI surgery)
  The type of work to expect and learning opportunities	Consultants, their teams and their F1s provide a complete spectrum of care within the department. You will need to deal with problems that often combine physical and social components.  You will work in teams with other professions, helping patients to take responsibility for their own health as well as manage their acute health need. In your hospital attachment, you will build on your knowledge of surgical 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.
  Where the placement is based	Bristol Royal Infirmary (BRI)
  Educational Supervisor for the placement	Your Educational Supervisor will be an accredited Educational Supervisor. It is your responsibility to ensure that you have a beginning and end of placement meeting with your allocated Educational Supervisor to set learning objectives and monitor and assess your progress.
  Clinical Supervisor(s) for the placement	Each Foundation Doctor will be in an approved teaching placement, where your supervisor will be an accredited Clinical Supervisor. It is your responsibility to ensure that you have a beginning and end of placement meeting with your allocated Clinical Supervisor to review your progress.
  Main duties of the placement	Ward duties including Surgical and Trauma Assessment Unit (STAU) Clerking patient (on-call) Ward cover (on call) Day to day work with your allocated service (Colorectal surgery, Hepatobiliary surgery, Thoracic surgery or Upper GI surgery) The main clinical areas are the surgical wards and STAU. Your primary contact (daytime) will be the surgical SpR, and out of hours will be the on-call surgical SpR. seeing patients on wards and supervised experience in theatres and outpatients 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 Trust meet targets managing resources as effectively as possible maintaining confidentiality and impartiality using basic IT skills and using the Trust’s clinical IT system attending the department’s clinical meetings
  Typical working pattern in this placement	On call periods: 1 week of 4 full days (8am-9pm); 1 week of 5 days (12 – 9pm); 1 week of 4 nights; 1 week of 3 nights (weekend); 1 week of 3 full days (8am – 9pm including weekend); Team work periods: 2 weeks of 5 days each week.

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

• F1 Geriatric medicine - BRI

  Placement	F1 Geriatric medicine Bristol Royal Infirmary
  The Department	Geriatric Medicine/Care of the Elderly: OPAU – A515 Medical Geriatric Ward – A524, A605 Fit for discharge Geriatric Wards – A518, A522
  The type of work to expect and learning opportunities	The management of older, frail patients is complex and involves a full interdisciplinary approach. The doctors attached to this post will have ample opportunity to develop their skills in performing comprehensive geriatric assessments in patients with multiple co-morbidities, polypharmacy and functional limitations. The majority of the placement will take place on a base ward but the junior doctor will has opportunities to attend specialty clinics. The acute medical experience will be gained through periods of on call in the evening, at weekends and at night when you will be part of the hospital's acute medical team. During this attachment it should be possible for an enthusiastic trainee to map their experiences to all of the foundation programme competences as all aspects of the syllabus are relevant to this attachment. We are a dynamic department, where we prioritize continuous learning and professional development. As a member of our team, you'll have access to numerous learning opportunities, including weekly journal clubs, radiology teaching sessions, and monthly morbidity and mortality meetings. Additionally, you will have the chance to contribute to benefit from a diverse array of clinics, such as the rapid assessment of elderly patients, frailty SDEC, movement disorder clinics, and orthogeriatrics.
  Where the placement is based	Bristol Royal Infirmary (BRI), UHBW NHS Foundation Trust
  Educational Supervisor for the placement	Your Educational Supervisor will be an accredited Educational Supervisor. It is your responsibility to ensure that you have a beginning and end of placement meeting with your allocated Educational Supervisor to set learning objectives and monitor and assess your progress.
  Clinical Supervisor(s) for the placement	Each Foundation Doctor will be in an approved teaching placement, where your supervisor will be an accredited Clinical Supervisor. It is your responsibility to ensure that you have a beginning and end of placement meeting with your allocated Clinical Supervisor to review your progress.
  Main duties of the placement	Your duties will include: Ward based duties Managing in-patients Clerking new patients (on-call) The main clinical area is ward based and also covers MAU. Your primary contact (daytime) will be the Elderly Care Medicine SpR and out of hours the medical SpR. Assessment & management of complex older patients using a problem based approach Communication with patients & relatives Communication and working with the wider interdisciplinary team to facilitate the care and discharge of patients from the acute hospital environment Requesting and reviewing appropriate tests for patients Assessment and management of acutely unwell patients with appropriate senior support Keeping accurate and up to date medical records Practicing preventative medicine Promoting health education Maintaining confidentiality and impartiality Attending the department’s clinical meetings
  Typical working pattern in this placement	9 full weekday days (9am – 10pm) 4 full weekend days (9am – 10pm) 7 weekday nights (9.30pm – 9am) 2 weekend nights (9.30pm – 9am)

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

• F1 Geriatric medicine - WGH

  Placement	F1 Geriatric medicine Weston General Hospital
  The Department	Geriatric Medicine/Care of the Elderly: Older Persons Assessment Unit (OPAU) Medical Geriatric Ward – Kewstoke Fit for discharge Geriatric Ward – Draycott
  The type of work to expect and learning opportunities	The management of older, frail patients is complex and involves a full interdisciplinary approach. The doctors attached to this post will have ample opportunity to develop their skills in performing comprehensive geriatric assessments in patients with multiple co-morbidities, polypharmacy and functional limitations. The majority of the placement will take place on a base ward, Kewstoke, but the junior doctor will has opportunities to attend specialty clinics or OPAU ward rounds for teaching opportunities. The acute medical experience will be gained through periods of on call in the evening, at weekends and at night when you will be part of the hospital's acute medical team. During this attachment it should be possible for an enthusiastic trainee to map their experiences to all of the foundation programme competences as all aspects of the syllabus are relevant to this attachment. We are a dynamic department, where we prioritize continuous learning and professional development. As a member of our team, you'll have access to numerous learning opportunities, including weekly journal club, radiology teaching sessions, and monthly morbidity and mortality meetings. Additionally, you will have the chance to contribute to benefit from a diverse array of clinics, such as the frailty SDEC, movement disorder clinics and TIA clinics.
  Where the placement is based	Weston General Hospital
  Educational Supervisor for the placement	Your Educational Supervisor will be an accredited Educational Supervisor. It is your responsibility to ensure that you have a beginning and end of placement meeting with your allocated Educational Supervisor to set learning objectives and monitor and assess your progress.
  Clinical Supervisor(s) for the placement	Each Foundation Doctor will be in an approved teaching placement, where your supervisor will be an accredited Clinical Supervisor. It is your responsibility to ensure that you have a beginning and end of placement meeting with your allocated Clinical Supervisor to review your progress.
  Main duties of the placement	Your duties will include: Ward based duties Managing in-patients Clerking new patients (on-call) The main clinical area is ward based and also covers MAU. Your primary contact (daytime) will be the Elderly Care Medicine SpR or Elderly Care Consultant/Specialist and out of hours the medical SpR. Assessment & management of complex older patients using a problem based approach Communication with patients & relatives Communication and working with the wider interdisciplinary team to facilitate the care and discharge of patients from the acute hospital environment Requesting and reviewing appropriate tests for patients Assessment and management of acutely unwell patients with appropriate senior support Keeping accurate and up to date medical records Practicing preventative medicine Promoting health education Maintaining confidentiality and impartiality Attending the department’s clinical meetings
  Typical working pattern in this placement	9-5pm Monday – Friday F1 on 1:12 rota including on call 0830-2100 (long day), 2030-0900 (nights) and 0800-1800 (weekend post take) STD days (4) will be allocated during your rotation. Can take up to 5 days that can be used for tasters per block. Allowance 2 days in addition for ALS if required

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

• F1 Haematology - BHOC

  Placement	F1 Haematology Bristol Haematology and Oncology Centre
  The Department	Haematology – Ward D703 and D603
  The type of work to expect and learning opportunities	Consultants and their F1s provide a complete spectrum of care within the department. You will need to deal with problems that often combine physical and social components.  You will work in teams with other professions, helping patients to take responsibility for their own health.  In your hospital attachment, you will build on your knowledge of haematology 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.
  Where the placement is based	Haematology - Ward D703 and D603, Bristol Haematology & Oncology Centre
  Educational Supervisor for the placement	Your Educational Supervisor will be an accredited Educational Supervisor. It is your responsibility to ensure that you have a beginning and end of placement meeting with your allocated Educational Supervisor to set learning objectives and monitor and assess your progress.
  Clinical Supervisor(s) for the placement	Each Foundation Doctor will be in an approved teaching placement, where your supervisor will be an accredited Clinical Supervisor. It is your responsibility to ensure that you have a beginning and end of placement meeting with your allocated Clinical Supervisor to review your progress.
  Main duties of the placement	On a normal working day you will work in a team with an F2, IMT, clinical fellows and registrars, supervised by the attending consultant. You will be assigned to the haematology team with the opportunity to spend some time with the bone marrow transplant team if you would like to. Consultant ward rounds occur 2-3 times a week and all new admissions are seen by a consultant within 24 hours. Your primary contact will be the ward registrar and attending consultant.  Duties of the placement: seeing patients on the daily ward round including those with haematological malignancies (mostly acute leukaemia, high grade lymphoma and myeloma) and non-malignant conditions including sickle cell disease. Patients may be receiving chemotherapy and immunotherapy, being treated for complications of their disease or chemotherapy, be undergoing autologous and allogeneic stem cell transplant and immune effector cell therapy. Initially reviews will be with the SpR but can happen independently when you feel comfortable. organising investigations, referrals to other teams, follow up appointments, blood component transfusion, microbiology discussions, and completing discharge summaries  discussions with families about new diagnoses, treatments and end of life care managing patients receiving end of life care working closely with other health professionals in the ward team attending department educational and clinical meetings encouraged to undertake audit or QI projects during placement opportunity to attend outpatient clinics using basic IT skills and using the Trust’s clinical IT system
  Typical working pattern in this placement	Normal working day 9am-5.30pm Tue/Thurs/Fri, 8.30am-5.30pm Mon/Wed. You will be allocated clinic days and SDT days. Weekly F1/SHO teaching, department educational meetings and grand round meeting.

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

• F1 Hepatology - BRI

  Placement	F1 Hepatology Bristol Royal Infirmary
  The department	Gastroenterology and Hepatology
  The type of work to expect and learning opportunities	Consultants and their F1s provide a complete spectrum of care within the department. You will need to deal with problems that often combine physical and social components. You will work in teams with other professions, helping patients to take responsibility for their own health. In your hospital attachment, you will build on your knowledge of gastroenterology related 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.
  Where the placement is based	Bristol Royal Infirmary (BRI)
  Educational Supervisor for the placement	Your Educational Supervisor will be an accredited Educational Supervisor. It is your responsibility to ensure that you have a beginning and end of placement meeting with your allocated Educational Supervisor to set learning objectives and monitor and assess your progress.
  Clinical Supervisor(s) for the placement	Each Foundation Doctor will be in an approved teaching placement, where your supervisor will be an accredited Clinical Supervisor. It is your responsibility to ensure that you have a beginning and end of placement meeting with your allocated Clinical Supervisor to review your progress.
  Main duties of the placement	Your duties will include: Ward based duties Managing in-patients Clerking new patients (on-call) The main clinical area is the gastroenterology ward. Your primary contact (daytime) will be the gastroenterology SpR and the medical SpR for out of hours. seeing patients on wards and outpatients 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 and taking part in MDT meetings helping with repeat prescriptions and other administrative aspects of day-to-day patient care helping the Trust meet targets managing resources as effectively as possible maintaining confidentiality and impartiality using basic IT skills and using the Trust’s clinical IT system attending the department’s clinical meetings
  Typical working pattern in this placement	9 full weekday days (9am – 10pm) 4 full weekend days (9am – 10pm) 7 weekday nights (9.30pm – 9am) 2 weekend nights (9.30pm – 9am)

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

• F1 Intensive care medicine - BRI/WGH

  Placement	F1 Intensive care medicine (Critical Care) Bristol Royal Infirmary and Weston General Hospital
  The department	HDU/ITU/Theatres
  The type of work to expect and learning opportunities	Out of a 20 week placement, you will spend 10 weeks on the High Dependency Unit and 10 weeks covering the Surgical Acute Admissions (STAU). During the HDU 10 week placement, there are opportunities to attend anaesthetic lists. Consultants and their F1s provide a complete spectrum of care within the department. You will need to deal with problems that often combine physical and social components. You will work in teams with other professions, helping patients to take responsibility for their own health. In your hospital attachment, you will build on your knowledge of acute care, 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.
  Where the placement is based	Bristol Royal Infirmary (BRI) and Weston General Hospital
  Educational Supervisor for the placement	Your Educational Supervisor will be an accredited Educational Supervisor. It is your responsibility to ensure that you have a beginning and end of placement meeting with your allocated Educational Supervisor to set learning objectives and monitor and assess your progress.
  Clinical Supervisor(s) for the placement	Each Foundation Doctor will be in an approved teaching placement, where your supervisor will be an accredited Clinical Supervisor. It is your responsibility to ensure that you have a beginning and end of placement meeting with your allocated Clinical Supervisor to review your progress.
  Main duties of the placement	Your duties will include: Ward duties including looking after patients on HDU/ITU Assisting the anaesthetists in theatre and recovery Clerking patient (on-call)Ward cover (on call) Member of the hospital resuscitation team The main clinical areas are HDU, ITU and Theatres. Your primary contact will be the ICU SpR (critical care attachments) and the surgical SpR (STAU attachments). seeing patients on wards and outpatients 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 Trust meet targets managing resources as effectively as possible maintaining confidentiality and impartiality using basic IT skills and using the Trust’s clinical IT system attending the department’s clinical meetings
  Typical working pattern in this placement	10 weeks no on call, 10 weeks on the surgical on call rota banded appropriately.

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

• F1 Obstetrics and gynaecology - St Michael's Hospital

  Placement	F1 Obs & Gynae St Michael’s Hospital, Bristol
  The department	The department covers acute and elective services in both O&G with over 40 consultants and 45 resident doctors. Specialist services include: gynae oncology, paediatric adolescent gynaecology, endometriosis, reproductive medicine, maternal medicine, fetal medicine .
  The type of work to expect and learning opportunities	Work clinically alongside other resident doctors (f2/ st 1-8 o&g/ clinical fellows) in both acute gynaecology and obstetrics. With time on the gynaecology ward as well as central delivery suite and gynae theatres. Most of the time will be supporting ward activities in gynaecology and with the obstetric on call team on delivery suite. There are lots of opportunities to attend specialist clinics such as early pregnancy clinic / antenatal and gynaecology clinics. There is weekly resident doctor teaching every Friday morning 7.30-8am and lots of other dept mdt meetings which f1's are very welcome to attend.
  Where the placement is based	St Michael’s hospital, Bristol
  Clinical Supervisor(s) for the placement	Each Foundation Doctor will be in an approved teaching placement, where your supervisor will be an accredited Clinical Supervisor. It is your responsibility to ensure that you have a beginning and end of placement meeting with your allocated Clinical Supervisor to review your progress.
  Main duties of the placement	Main duties /working pattern Completing gynaecology ward rounds with the gynae sho / registrar & consultant team. Attending obs on call ward rounds on delivery suite. completing some out of hours duties with the on call team (these are flexible as f1 role is supernumerary) Attending elective gynae theatre lists as an assistant when requested.
  Typical working pattern in this placement	See duties above.

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

• F1 Old age psychiatry - Callington Rd, Bristol

  Placement	F1 Old Age Psychiatry Callington Road Hospital
  The department	Later Life Inpatient Psychiatry  The patients live in the Bristol, South Gloucestershire and North Somerset (BNSSG) sector. There are 24 beds on Aspen ward located at The Coppice, Callington Road Hospital, Bristol.
  The type of work to expect and learning opportunities	The post will provide experience in the care of patients suffering from severe depression, bipolar disorder and psychosis. The F1 doctor will be ward based during the ‘normal’ working day, providing first-line assessment of all inpatients for both physical and psychiatric disorders. 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 and their potential interactions in older people with concomitant physical health problems 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 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 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	Aspen Ward, The Coppice, Callington Road Hospital Bristol
  Clinical Supervisor(s) for the placement	Each Foundation Doctor will be in an approved teaching placement, where your supervisor will be an accredited Clinical Supervisor. It is your responsibility to ensure that you have a beginning and end of placement meeting with your allocated Clinical Supervisor to review your progress.
  Main duties of the placement	The F1 will be responsible for clerking and reviewing these patients who almost universally will have complex physical co-morbidity. There will be opportunities to observe memory clinic assessments, assessments in the community, to attend general adult ward and observe Electroconvulsive therapy.  Assessment of Medically Ill Patients: Guidance for Foundation trainees. As a Foundation doctor, you may be called on to assess patients who are medically unfit either in the psychiatry in-patient units or possibly in the community.  It is important to be aware that psychiatric hospitals do not have facilities to support patients with serious physical health problems and you are not in a position working in these settings to facilitate urgent investigation, or initiate immediate and complex treatment such as IV support, catheterisation. In many respects the support available may even be less than in a standard community setting as there is a lack of access to GP level medical advice. In the event that a patient needs more immediate and complex physical assessment, it is advisable to discuss with a senior psychiatry colleague and it is generally necessary to have these individuals seen in the nearest A&E department.  It would of course be helpful if a patient was referred, to discuss the case with the casualty team, while the transfer is being organised.  This would normally require an ambulance, which the in-patient team would generally organise. As a Foundation doctor working in psychiatry, you would not normally be expected to initiate complex physical treatments.  If you are uncertain about appropriate physical care of an individual, you should always discuss this issue with a senior psychiatry colleague, who may be the local core/advanced trainee in your unit or your consultant or the consultant on-call.  It may be useful to contact the specialist team in the general hospital for advice, but where a complex decision is being made this should always be shared with senior colleagues in the psychiatric team, who will be responsible for the treatment while the patient is in a psychiatric hospital. Note that discussion of the physical problems with a more senior psychiatric colleague is not generally to get expert medical advice (bearing in mind that as the psychiatric specialists become more senior their physical medicine skills tend to become out of date), but to bring the concerns to their attention so they can advise on the need to contact local acute medical/surgical services and how best to do this. There is weekly teaching at Callington Road and  Lunch time presentations There are also opportunities to get exposure to acute psychiatry in A+E and in the community. All staff at CRH are invited to participate in the psychiatric book and film clubs. Foundation doctors will be released for the foundation training at UBHW weekly on Wednesday at 12h30 to 13h30.  It would be advisable to have a car to be able to drive from Callington Road Hospital to Bristol Royal Infirmary.
  Typical working pattern in this placement	Monday to Friday, 9am to 5pm. No on-call
  Employer information	Your employer will be University Hospitals Bristol and Weston NHS Foundation Trust, seconded to Avon and Wilthshire Partnership (AWP) Mental Health NHS Trust.

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

• F1 Respiratory medicine - BRI

  Placement	F1 Respiratory medicine Bristol Royal Infirmary
  The department	Respiratory Medicine
  The type of work to expect and learning opportunities	Consultants and their F1s provide a complete spectrum of care within the department. You will need to deal with problems that often combine physical and social components. You will work in teams with other professions, helping patients to take responsibility for their own health. In your hospital attachment, you will build on your knowledge of respiratory 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.
  Where the placement is based	Bristol Royal Infirmary
  Educational Supervisor for the placement	Your Educational Supervisor will be an accredited Educational Supervisor. It is your responsibility to ensure that you have a beginning and end of placement meeting with your allocated Educational Supervisor to set learning objectives and monitor and assess your progress.
  Clinical Supervisor(s) for the placement	Each Foundation Doctor will be in an approved teaching placement, where your supervisor will be an accredited Clinical Supervisor. It is your responsibility to ensure that you have a beginning and end of placement meeting with your allocated Clinical Supervisor to review your progress.
  Main duties of the placement	Your duties will include: Ward based duties Managing in-patients Clerking new patients (on-call) The main clinical area is ward based and also covers MAU. Your primary contact (daytime) will be the respiratory SpR and out of hours the on-call medical SpR. seeing patients on wards and outpatients 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 Trust meet targets managing resources as effectively as possible maintaining confidentiality and impartiality using basic IT skills and using the Trust’s clinical IT system attending the department’s clinical meetings
  Typical working pattern in this placement	9 full weekday days (9am – 10pm) 4 full weekend days (9am – 10pm) 7 weekday nights (9.30pm – 9am) 2 weekend nights (9.30pm – 9am)

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

• F1 Trauma and orthopaedic surgery - BRI

  Placement	F1 Trauma and orthopaedic surgery Bristol Royal Infirmary
  The department	The department is in two main areas: There is fracture clinic on A312, this is where the T&O library is, where morning handover takes place as well as the consultant clinics. There are also the two wards, A602 and A604 where you will spend the majority of your time.
  The type of work to expect and learning opportunities	You will be working as part of a team including the consultants, specialty registrars, orthogeriatric doctors, physiotherapists, occupational therapists and nurses. You will be responsible for the care of the patients on the ward after they have been seen and assessed by the senior members of the team. They may be pre/post surgery or being managed conservatively for their injuries. Therefore your will need to have a holistic approach which involves the surgical, medical and social wellbeing of your patients. There is excellent opportunity to: Learn about management options for various orthopaedic conditions; Identify and treat common surgical complications; Learn introductory surgical skills in theatre and participate in interesting cases; Develop x-ray interpretation with discussion of scans and teaching in the morning trauma meeting. Additionally there are arranged shifts for you to shadow the on call team, this is an excellent opportunity for learning the full process of managing a patient from admission.
  Where the placement is based	Bristol Royal Infirmary (BRI)
  Educational Supervisor for the placement	Your Educational Supervisor will be an accredited Educational Supervisor. It is your responsibility to ensure that you have a beginning and end of placement meeting with your allocated Educational Supervisor to set learning objectives and monitor and assess your progress.
  Clinical Supervisor(s) for the placement	Each Foundation Doctor will be in an approved teaching placement, where your supervisor will be an accredited Clinical Supervisor. It is your responsibility to ensure that you have a beginning and end of placement meeting with your allocated Clinical Supervisor to review your progress.
  Main duties of the placement	As the F1 you will be based on either A602 or A604. You will be assigned a ward each week in response to staffing requirements. On A604 there may be 2-3 other juniors, commonly F2 and above whereas A602 is a smaller ward and there are normally 2 juniors there. In the morning you will attend the handover meeting in the registrar room on A312, you will be required to print a copy of the hand over for all of the members of the team prior to the meeting, you will meet with the on call consultants where you go through the patients under them and can discuss any questions or concerns with patients you have been seeing. There is then a trauma meeting where the on call team will present any cases that have recently been admitted out of hours. The whole team will go through any scans and make a plan for the patients, there is often teaching here on radiograph interpretation and surgical management options. You will then spend the rest of the day on the ward. Your responsibilities on the ward include: Reviewing all of your assigned patients This includes history and examination, reviewing medications and ordering investigations where required Liaising with the orthogeriatric team Ensuring all patients are prescribed appropriate VTE prophylaxis Ensuring all patients have an appropriate treatment escalation plan Updating the patient handover each day to ensure appropriate continuity of care Meeting with the on call consultant at 1400 to discuss any concerns and for patient reviews Working closely with the nursing team to provide patient care Keeping patients and their next of kin updated and informed in regards to medical and social management plans Your own personal development by visiting theatres and clinic where it is appropriate to do so
  Typical working pattern in this placement	As F1 you do not do T&O on call shifts therefore your working week is largely Mon-Fri 8-5. This is broken up by general surgical on calls which are normally in one block but may be spread out through the placement.

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

• F1 Trauma and orthopaedic surgery - WGH

  Information to follow

This page was last updated February 6th 2024 (1 year ago)