Employer Information

Your employer will be University Hospitals Bristol NHS Foundation Trust.

Psychiatry and GP Placements

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

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

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

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

F1 Placement Descriptions

Information on the placements that make up the F1 rotations at University Hospitals Bristol 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 Dr A Kamour and Dr P Mamilla
    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, AMU
    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)

    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, midway 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 F1 will be in an approved teaching placement, where your supervisor will be an accredited Clinical Supervisor.

    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, midway 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 F1 will be in an approved teaching placement, where your supervisor will be an accredited Clinical Supervisor.

    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 Gastroenterology - WGH

    Placement F1 Gastroenterology
    Weston General Hospital
    The department The gastroenterology dept in Weston comprises 2 consultants, 2 StR’s, 1 GP trainee and 1 F1
    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 Kewstoke Ward, Weston General Hospital, 
    Clinical Supervisor(s) for the placement Dr Parker and Dr Bell
    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 endeavor 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 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 Gastroenterology - BRI

    Placement F1 Gastroenterology (and 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, midway 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 F1 will be in an approved teaching placement, where your supervisor will be an accredited Clinical Supervisor.

    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

    This post is based with Dr Phillip Charles, Consultant Psychiatrist, who is responsible for Silver Birch. 

    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

    Dr Charles, Consultant Psychiatrist

    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 Dr Elizabeth Bennett
    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 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 Mr Gallegos, Mr John, Mr Pye, Mr West, Miss Martin, Mr Krishna,Mr Chandratreya, Miss Ainsworth, Mr Probert, Mr Dickerson, Mr Ajay Gupta
    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 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 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, midway 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 F1 will be in an approved teaching placement, where your supervisor will be an accredited Clinical Supervisor.

    Main duties of the placement
    • Ward duties including Surgical and Trauma Assessment Unit (STAU) and pre-op assessments
    • Clerking patient (on-call)
    • Ward cover (on call)

    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 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

    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 (including weekend); 1 week of 3 full days (8am – 9pm including weekend); 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
    Bristol Royal Infirmary Geriatric Medicine/Care of the Elderly
    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 elderly care 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), UH Bristol 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, midway 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 F1 will be in an approved teaching placement, where your supervisor will be an accredited Clinical Supervisor.

    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.

    • 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 Geriatric medicine - WGH

    Information to follow

  • F1 Intensive care medicine - BRI

    Placement F1 Intensive care medicine (Critical Care)
    Bristol Royal Infirmary
    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), UH Bristol 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, midway 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 F1 will be in an approved teaching placement, where your supervisor will be an accredited Clinical Supervisor.

    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 Liaison Psychiatry - BRI

    Placement F1 Liaison Psychiatry
    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, UH Bristol NHS Foundation Trust 

    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, midway 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

    Your clinical supervisor for Liaison Psychiatry is Dr Nicola Taylor, Consultant in Liaison Psychiatry

    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 Old age psychiatry - Callington Rd, Bristol

    Placement

    F1 Old Age Psychiatry
    Callington Road Hospital

    The department

    Later Life Inpatient Psychiatry 

    This post is based with Dr Geoff van der Linden, consultant old age psychiatrist, who is responsible for the inpatient care of older people with mental disorders.  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.  Dr van der Linden shares the ward with Dr Hewitt, consultant old age psychiatrist.  He works Monday to Wednesday, and Dr Hewitt Wednesday to Friday. 

    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

    Dr van der Linden, Consultant old age psychiatrist
    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 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 (BRI), UH Bristol 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, midway 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 F1 will be in an approved teaching placement, where your supervisor will be an accredited Clinical Supervisor.

    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 Respiratory medicine - WGH

    Placement

    F1 Respiratory medicine
    Weston General Hospital

    The department The Respiratory department in Weston consists of 1 Consultant, 1 SpR, 1 CMT, 2 F1s, 1 Respiratory CNS and 1 Respiratory technician. The department has strong links with the local thoracic surgical unit at United Hospitals Bristol
    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

    Learning objectives of the respiratory medicine component job include the Interpretation of peak flow charts, knowledge of inhaler technique and use of nebulisers and the assessment of need for long-term oxygen therapy. Technical skills which can be developed include pleural aspirations / chest drain insertion and the setup of non invasive ventilation

    Where the placement is based Berrow Ward, Weston General Hospital
    Clinical Supervisor(s) for the placement Dr O Perello
    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 bronchoscopies and to perform practical procedures such as thoracentesis and intercostal chest drain insertion under supervision.
    Typical working pattern in this placement Daily: 0900 Ward round
    0900/1700/2130 Handover

    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 Stroke medicine - BRI

    Placement F1 Stroke medicine
    Bristol Royal Infirmary
    The department Stroke 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 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), UH Bristol 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, midway 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 F1 will be in an approved teaching placement, where your supervisor will be an accredited Clinical Supervisor.

    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 stroke medicine 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 Stroke medicine - WGH

    Placement F1 Stroke medicine
    Weston General Hospital
    The department The department consists of 3 Full Time Substantive Consultants, 2 Staff Grades, 2 STs, 1 CMT, 3 F2s and 2 F1s, delivering acute care, along with a comprehensive stroke care unit and stroke thrombolysis service.
    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 synthesize 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

    This placement adds to this by enabling specific learning based on elderly care and stroke care, of note, especially implementation of stroke protocols (e.g. when to treat hypertension, anti platelet therapy), post-thrombolysis care and management of chronic diseases such as Parkinson’s disease.

    Where the placement is based Acute Stroke Unit, Quantock Rehab Unit and Uphill ward Weston General Hospital
    Clinical Supervisor(s) for the placement Dr A George and Dr H Al-Mahdy
    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 endeavour to provide opportunities to attend Bubble Echo, Neuroradiology, Orthogeriatric Ward Rounds, TIA and Memory Clinics. The multidisciplinary team meeting provides good insight to the complex discharge needs of elderly patients

    Typical working pattern in this placement Daily: 0900 Ward round
    0900/1700/2130 Handover

    Mon: 1100 MDTM
    1400 Neuroradiology MDTM
    Tue 1230 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 Trauma and orthopaedic surgery - BRI

    Placement

    F1 Trauma and orthopaedic surgery
    Bristol Royal Infirmary

    The department Trauma and orthopaedic surgery
    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. The F1 doctor works closely with the Orthogeriatric team in providing medical care to the Orthopaedic patients.

    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 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), UH Bristol 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, midway 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 F1 will be in an approved teaching placement, where your supervisor will be an accredited Clinical Supervisor.

    Main duties of the placement

    Your duties will include:

    • Ward duties including Surgical and Trauma Assessment Unit (STAU) and pre-op assessments
    • Clerking patient (on-call)
    • Ward cover (on call)

    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 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

    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 (including weekend); 1 week of 3 full days (8am – 9pm including weekend); 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 Trauma and orthopaedic surgery - WGH

    Information to follow