F2 Placement Descriptions

Employer Information

Your employer will be University Hospitals Bristol and Weston 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.

F2 Placement Descriptions

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

F2 Acute internal medicine - WGH

Placement	F2 Acute internal medicine (MAU) Weston General Hospital
The department	MAU 2 consultants, 2 middle grades, 2 F2, 3 F1 and 1 Physician Associate.
The type of work to expect and learning opportunities	MAU – Patients clerked by medical on call team will be discussed at the post take ward round on MAU (&ED) as well as general ward rounds on MAU, with opportunities for WBAs and bed side teaching. Weekly teaching & clinical governance meeting take place on Tuesday 12.45 – 13.45. The trust runs an in-house ALERT course, and all foundation doctors are expected to have attended
Where the placement is based	MAU
Clinical Supervisor(s) for the placement	MAU –Dr. K. John, Dr. P. Mamilla, Dr. P. Singhal and Dr. A. Badshah
Main duties of the placement	MAU – The F2 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, middle grades & F1 doctors 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 programme 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. They are encouraged to participate in the trust-wide foundation teaching programme.
Typical working pattern in this placement	MAU Daily: 0900 Ward round 0930/1630/2130 Handover Tues: 1245 Acute medicine teaching / CG Wed: 1300 Grand round Thurs: 1300 Formal teaching programme On call requirements: F2 doctors in medicine are on a full shift rota with the Core Medical Trainees, providing a 1 in 11 rota of nights/weekends/long days

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

F2 Clinical oncology - BHOC

Placement	F2 Clinical oncology Bristol Haematology and Oncology Centre
The department	Bristol Haematology and Oncology Centre (BHOC)
The type of work to expect and learning opportunities	Consultants and their F2s 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 clinical oncology, 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 Haematology and Oncology Centre, UH Bristol NHS Foundation Trust
Clinical Supervisor(s) for the placement	Each F2 will be in an approved teaching placement, where your supervisor will be an accredited Clinical Supervisor.
Main duties of the placement	The main clinical areas are on the oncology wards. Your primary contact (daytime) will be the oncology registrars/consultants. Your primary contact (out of hours) will be the surgical registrar on call. seeing patients on the ward 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	The on-call pattern is as follows: on average once a week, on call weekday 8am-9pm plus two-three on call weekends and 2 sets of 7 nights.

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

F2 Community Sexual and Reproductive Health - Central Health Clinic, Bristol

Placement	F2 Community sexual and reproductive health Central Health Clinic, Bristol
The department	Central Health Clinic, Bristol
The type of work to expect and learning opportunities	Consultants and their F2s 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 Sexual Health presentations and 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	Central Health Clinic, Bristol
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 F2 will be in an approved teaching placement, where your supervisor will be an accredited Clinical Supervisor. Every clinical session has a consultant readily available for advice, supervision and teaching.
Main duties of the placement	Your duties will include: Outpatient clinics The main clinical area is Bristol Sexual Health Centre. Your primary contact (daytime) will be the consultants and registrars. seeing outpatients responding to health problems presented by patients, including sexual history-taking, investigation, diagnosis, and management practicing preventative medicine providing information on contraception choices 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 contributing to case discussions, clinical audit and service improvement.
Typical working pattern in this placement	There is no out of hours or on call commitments in this post.

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

F2 Emergency medicine - WGH

Placement	F2 Emergency medicine Weston General Hospital
The department	The Emergency Department in Weston-Super-Mare is located in a very recently rebuilt facility. It has a 4-bedded resuscitation room, an 8-bedded major area and a 6-bedded minor area. The department is staffed by 4 Consultants, 8 WTE middle grades, 5 F2s and 3 GPVTS trainees (ST1 / ST2). About 55,000 patients a year are seen (25% are under 16 years of age).
The type of work to expect and learning opportunities	The F2 doctors and the GPVTS trainees are put together onto a fully shift-based rota. This includes appropriate amounts of weekend and antisocial hour working, supported overnight by a middle grade in the department and a Consultant on call from home. The F2 doctors are expected to assess and manage (under supervision) the full range of patients that attend the Emergency Department. It is expected that the F2 doctors will be proficient at; Taking a history and examining a patient Producing an appropriate differential diagnosis for a patient Investigating appropriately Giving initial emergency treatments where appropriate (under supervision) Prescribing safely Managing their time and clinical priorities effectively Communicating effectively with patients, relatives and colleagues Using relevant guidelines to inform their decision making and patient management Acting in a professional manner at all times Coping with ethical and legal issues as and when they arise.
Where the placement is based	The Emergency Department, Weston General Hospital
Clinical Supervisor(s) for the placement	Dr Newton, Dr Lim and Dr Menon, Dr Jacques, Dr Jambulingham
Main duties of the placement	The F2 doctor is responsible (with other staff in the Emergency Department) for the appropriate care of patients that present to the Emergency Department. Shop floor supervision is provided 24 / 7 by more experienced doctors (with Consultants covering the shop floor between 0900 – 2300 on weekdays and 0900 – 1800 at weekends). At other times there is a Consultant on-call and there is always a Staff Grade on duty within the department. Shop floor based education is given as often as is possible; in addition there is a weekly teaching session for those doctors that are within the department at that time. Email-based learning opportunities are also provided, based around case scenarios.
Typical working pattern in this placement	There is a full shift system (rota details are available from the Human Resources Department at Weston General Hospital).

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

F2 Leadership, QI & Transformation - BRI

Placement	F2 Transformation and Leadership Bristol Royal Infirmary
The Department	UHBW Transformation Team
The type of work to expect and learning opportunities	During your placement you will work closely with trust leaders and the transformation team. The aim of the placement is to lay the foundations in developing you as a medical leader, to provide opportunities to develop your skills in NHS transformation, develop and implement a personal transformation project whilst also contributing to other projects within the transformation team. You will be encouraged to present and publish your personal project. During this placement, you will also work one day per week in a clinical area to develop your clinical skills and enable you to continue to meet foundation curriculum requirements.
Where the placement is based	Across acute care hospitals in University Hospitals 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	You will have 2 supervisors; one of whom will be from the transformation team, the other will supervise your practice in the clinical environment. Your allocated supervisor will meet with you prior to your placement and at beginning, midway and end of placement to set learning and development objectives, monitor and assess your progress.
Main duties of the placement	Your duties will include: Developing skills in medical leadership and NHS transformation Developing and implementing a personal transformation project whilst also contributing to other projects within the transformation team. Assessing implementation of intervention. Development of clinical skills
Typical working pattern in this placement	Monday to Friday 09:00 till 17:00

F2 General practice

Placement	F2 General practice
The department	Primary Care
The type of work to expect and learning opportunities	The GP is the first point of contact for most medical services. Most work is carried out during consultations in the surgery and some during home visits. GPs and their GP F2s provide a complete spectrum of care within the local community. You will need to deal with problems that often combine physical, psychological and social components. You will work in teams with other professions, helping patients to take responsibility for their own health. In your GP attachment, you will build on your knowledge of medical conditions, your ability to assess a problem, and your skills in deciding on the appropriate course of action. You will learn how and when to intervene, through treatment, prevention and education, to promote the health of your patients and families. The wide mix of General Practice is one of the major attractions. There can be huge variation in the needs of individual patients during a single surgery.
Where the placement is based	GP training practices in the Severn area.
Clinical Supervisor(s) for the placement	Each GP F2 will be in an approved teaching practice, where your supervisor will be an accredited GP Trainer or GP Clinical Supervisor.
Main duties of the placement	Your duties will include: seeing patients in surgeries responding to health problems presented by patients, including history-taking, investigation, diagnosis, and management practicing preventative medicine promoting health education working closely with other health professionals helping with repeat prescriptions and other administrative aspects of day-to-day patient care helping the practice meet targets managing resources as effectively as possible maintaining confidentiality and impartiality using basic IT skills and using the practice's clinical IT system attending the practice's clinical meetings you may also be asked to make domiciliary visits, if your GP Supervisor feels this is appropriate
Typical working pattern in this placement	Morning surgery: followed by discussion patients seen with Supervisor. Lunchtime: administrative work. Early afternoon: clinical meetings, domiciliary visits. Afternoon/early evening: surgery. There will be a weekly tutorial lasting at least an hour. This pattern varies from practice to practice. Practices may ask you to work the same pattern that most GPs do, with longer working days but time off in lieu. On call requirements: While it may be in your contract to do on-call hospital work during your GP attachment, there will be no GP on-call requirements.

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

F2 General psychiatry - Callington Rd, Bristol

Placement	F2 General Psychiatry Callington Road Hospital
The department	General Adult Inpatient Psychiatry This post is based with Dr Harvey Rees, Consultant Psychiatrist, who is responsible for Lime Ward. Lime Ward is a 23 bed 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. Each unit is supported by a full time Core trainee in psychiatry, rotational ST and specialty 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 F2 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 Manage psychiatric emergencies on call spanning forensic, adult of working age and older adult specialties Teach medical and physician associate 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	Lime Ward, Callington Road Hospital Bristol
Clinical Supervisor(s) for the placement	Dr Harvey Rees, 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. There is always consultant on-call cover available. 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 twice a month. 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	Weekdays 9am-5pm: On call: Callington Road Hospital Full Shift Rota. This is currently a 1 in 8 rota. The F2 will need their own transport to be able to travel between Callington Road, Blackberry Hill and Southmead during nights shifts. There are pool cars available to use during nights shifts but the driver must have held a driving license for more than 1 year to be able to utilise these.

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

F2 General psychiatry - Community and Prisons

Placement	F2 General Psychiatry Petherton Resource Centre, HMP Eastwood and HMP Bristol
The department	Community and Prisons This popular FY2 placement will offer the Foundation Trainee the opportunity to gain experience of Psychiatry both with a community Recovery Team in South Bristol and in a prison in South Gloucestershire. The office base for this post will be at Petherton Resource Centre. The case mix, both in the community and in the prison setting, will include acute and chronic mental disorders, including psychosis, affective disorders and personality disorders. The Foundation doctor will also gain invaluable experience of more complex presentations, where there is co-morbid substance misuse and/or physical health problems. The post has attracted an ‘excellent’ rating at the UHBW Quality Panel.
The type of work to expect and learning opportunities	Community work The FY2 doctor will be involved, under supervision, in providing medical and psychiatric services to the Recovery team in South Bristol. The Recovery team is a multidisciplinary community mental health team in South Bristol which provides mental health services to working age adults in the community. Educational opportunities in this placement will include: History taking and Mental State Examination; Outpatient clinic work and home visits; Diagnostic formulation and clinical management planning; Prescribing safely; Keeping an accurate and relevant medical record; Managing time and clinical priorities effectively; Communicating effectively with patients, relatives and colleagues; Use of evidence, guidelines and audit to benefit patient care; Discharge planning; Educating patients. Trainees are expected to attend and participate in postgraduate meetings which take place every Wednesday at Callington Road Hospital, which is near to Petherton Resource Centre, the office base for the Foundation doctor, and to attend the Foundation Training programme. Prison work In addition to gaining experience in outpatient and community settings, this post offers the Foundation Trainee the opportunity to gain extensive experience of General Adult Psychiatry in a prison with an enthusiastic trainer. This Foundation post, involving working in a prison setting, was a national ‘first’. Our Service provides comprehensive integrated healthcare across 5 prisons, although this post involves working in one prison. The Foundation Trainee will work with a multi-disciplinary team, in a women’s prison; your mental health colleagues are employed by Avon and Wiltshire Mental Health Partnership NHS Trust (AWP), as is the Consultant Psychiatrist who will be your clinical supervisor for this part of the post. The Foundation doctor will work within the multi-disciplinary team in a women’s prison, although there will be training opportunities in the other 4 prisons we provide services into, depending upon trainee interest. The mental health MDT includes RMNs, Support Workers, Clinical Psychologists, a Dual Diagnosis Practitioner (RMN who also works with the Substance Misuse Team), a Neurodevelopmental Practitioner, Non-Medical Prescribers and a Social Prescriber. The clinical work will involve assessing and managing service users in the prison who have mental health problems and who are under the care of the Consultant Psychiatrist. This will involve seeing patients in appropriate rooms, some of these being located on the prison Wings. Assessments are undertaken jointly with a member of the MDT and will be closely supervised by the Consultant Psychiatrist, who will be undertaking clinics on the same days as the Foundation Trainee. With supervision, the Trainee will gain valuable experience of complex risk assessment and management. The Foundation trainee will be involved in accurate documentation of consultations and in writing full, accurate entries in the medical records of prisoners seen by Psychiatry, together with making referrals where required. The mental health teams in the prisons are integrated with Primary Care, GPs and Substance Misuse Teams, which will be an interesting model for the Foundation Trainee to work within, giving, as it does, exciting opportunities for multi-disciplinary working and teaching. There are also opportunities to teach lay groups including prison officers; also teaching for medical students. You will be working alongside a Core Trainee/s and a Higher Specialty Trainee/Registrar in the prison part of your post. A comprehensive Induction to the post both in the community and the prisons will be provided. The prison part of the post is subject to satisfactory clearance (Enhanced DBS within the past year and National Offender Management Service NOMS clearance). This will need to be complete in order to commence the post. We will be in touch about this well in advance of the post starting. It is important that you respond promptly please when asked to complete the clearance process so you can start the prison part of your post.
Where the placement is based	The office base for this post is at Petherton Resource Centre, which is the office base for South Bristol Recovery Team. The trainee will have excellent secretarial support from a dedicated medical secretary, access to desk, computer and telephone at Petherton. The local Postgraduate Academic Programme is at Callington Road Hospital weekly, just 5 minutes drive away from Petherton. The prison Consultant, who will be providing the Foundation doctor with clinical supervision for the prison part of the post, the Offender Health management team and the medical secretary to the prison Consultant Psychiatrists and psychiatric trainees (including the F2) are now all based at an office base at Bybrook Lodge at Blackberry Hill Hospital. The Foundation doctor, although based at Petherton Resource Centre, is very welcome to also use the office facilities at Bybrook Lodge.
Clinical Supervisor(s) for the placement	Dr Ivan Nikolov, AWP Consultant Psychiatrist and Dr Charlotte Illingworth, Consultant Psychiatrist and Foundation Lead Bristol South and Central Day to day clinical supervision for the community part of the post will also be provided by the Specialty Doctor for South Bristol Recovery Team.
Main duties of the placement	Community Responsibilities of Foundation year doctor: Assessment and management of patients under the supervision of community Consultant Psychiatrist and Specialty Doctor. Assessment will include taking a full psychiatric history, mental state examination, obtaining collateral information from other professionals and relatives involved in the patients care; physical examination, performing necessary investigations and initiating treatment having discussed with community. supervising Consultant. The trainee will attend outpatients clinics and participate in home visits with the Consultant/Specialty doctor/MDT colleagues. Audit and research will be encouraged and supervised. Prisons The Foundation doctor will join Dr Illingworth, Consultant Psychiatrist for clinics at HMP Eastwood Park in South Gloucestershire (women’s prison) on Mondays and Thursdays. Clinical supervision sessions will be held at the end of each session in clinic, which the Core Trainee, Advanced Trainee/Specialty Registrar or any medical students (if applicable) will also attend. Weekly educational/clinical 1:1 supervision will additionally be provided by Dr Nikolov. During prison sessions, the FY2 will, as in the community, be responsible for assessing and managing service users, including taking history, carrying out mental state examination, collecting collateral history and managing service users, including initiating investigations, prescribing, maintaining accurate patient records and liaising with GPs, under Consultant supervision. The Foundation doctor will be part of multi-disciplinary mental health teams at HMP Eastwood Park and will attend and contribute to weekly MDT Referrals Meetings. There will be opportunities to teach and train other staff such as MDT colleagues, medical students and prison staff under the supervision of a Consultant who is an enthusiastic teacher and trainer. We have also hosted University of Bristol medical student eSSCs. 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	Weekdays 9am-5pm: 4 sessions: prison work including supervised clinics, MDT working and associated clinical administration. 6 sessions: community work including clinics and home visits. Weekly Supervisions will be provided by Dr Nikolov on Fridays at Petherton Resource Centre. On call: Callington Road Hospital Full Shift Rota. This is currently a 1 in 8 rota. The F2 will need their own transport to be able to travel between Callington Road, Blackberry Hill and Southmead during nights shifts. There are pool cars available to use during nights shifts but the driver must have held a driving license for more than 1 year to be able to utilise these.

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

F2 General surgery - BRI

Information to follow

F2 General surgery - WGH

Placement	F2 General surgery Weston General Hospital
The department	Including Breast, Upper GI, Lower GI and Urology, 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 F2 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 F2 will be involved with the generic clerking of patients being admitted and the ongoing care of the patients. The overall educational objectives of the F2 year are to build on the experience of the F1 year, 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
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 F2 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. They will assess and admit emergency patients and formulate an immediate management plan prior to discussion with middle grade or consultant colleagues. They will attend outpatient, endoscopy and theatre sessions in an assisting and learning capacity. There will be opportunities for audit and presentations at teaching and M&M sessions.
Typical working pattern in this placement	Daily: 0800 Ward round Thurs: 1300 formal teaching programme On call requirements: The F2s work with the surgical and gynaecology juniors on the junior planned care rota (1 in 13 on call).

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

F2 Geriatric medicine - BRI

Placement	F2 Geriatric medicine Bristol Royal Infirmary
The department	Medicine - Geriatrics
The type of work to expect and learning opportunities	Consultants and their F2s 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 in the elderly, 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	Geriatric Medicine, 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 F2 will be in an approved teaching placement, where your supervisor will be an accredited Clinical Supervisor.
Main duties of the placement	Ward cover Geriatrics On call ward South Bristol Community Hospital (SBCH) cover The main clinical area is geriatrics with out of hours providing medical on call cover to UHBristol & SBCH. Your primary contact (daytime) will be the senior registrar or the consultants. Your primary contact (out of hours) will be the senior registrar on call. seeing patients on the ward 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	The on call pattern is two blocks of 2 weeks medical on call cover (take and wards). Occasional F2 C cover:- 9am-5pm normal working hours at BRI and then 5pm-10pm on-call in the BRI (ward based) and occasional Cover O:- 9am – 5pm normal working hours in the BRI and then 5pm – 10pm in the Bristol General Hospital (ward based) or occasional 9am – 5pm weekends on-call in BGH (ward based).

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

F2 Geriatric medicine - WGH

Information to follow

F2 Haematology - BHOC

Placement	F2 Haematology Bristol Haematology and Oncology Centre
The department	Haematology – Ward 62
The type of work to expect and learning opportunities	Consultants and their F2s 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 62, Bristol Haematology & Oncology Centre, 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 F2 will be in an approved teaching placement, where your supervisor will be an accredited Clinical Supervisor.
Main duties of the placement	our duties will include: Ward F2 - Daily ward round / getting involved with ward Multi Disciplinary Team (MDT) and Grand Round Day Unit F2 – reviewing patients returning for follow up blood tests and reviews The main clinical area is Ward 62 – Haematology. Your primary contact (daytime) will be the registrar/consultant. Your primary contact (out of hours) will be the registrar on call. seeing patients on the ward 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	6 x full days 9am – 9.30pm (week) 2 x full weekend days (9am – 9.30pm) 9 x nights 9pm – 9.30am (week) 4 x nights (weekend)

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

F2 Intensive Care Medicine - BRI

Placement	F2 Intensive care medicine, HDU/ITU Bristol Royal Infirmary
The department	High Dependency Unit (HDU)/ Intensive Care Unit (ITU)
The type of work to expect and learning opportunities	Consultants and their F2s 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 anaesthetics and critical care 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	High Dependency Unit (HDU), Intensive Care Unit (ITU)
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 F2 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: Management of HDU patients Assisting with ITU patients Admissions/clinical care/discharges The main clinical area is the adult general Intensive Care Unit (ICU) and also surgical on calls as part of a separate rota. Your primary contact (daytime and out of hours) will be the ICU senior registrar. The main clinical area is the High Dependency Unit. The F2s will also work on the Intensive Therapy Unit (ITU) and do surgical on calls. Your primary contact (daytime and out of hours) will be the ITU senior registrar. 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	The on-call pattern is full shift – 7 x 12.5 hour shifts (3 or 4 days plus 3 or 4 nights) with 3 or 4 days off in between. There is extra time off for annual leave, surgical nights on call (7 nights) and study/experience time.

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

F2 Intensive care medicine - WGH

Placement	F2 Intensive care medicine (ITU) Weston General Hospital
The department	ICU The anaesthetic department comprises of 11 consultants, 2 staff grades, 7 rotating core trainees, an F1 and an F2 (ICU only). A consultant anaesthetist is present at all times during the day. The junior doctors on the unit comprise of an F1, F2 and CT1/2 doctor, two of whom will typically be present on any one weekday.
The type of work to expect and learning opportunities	ICU - Learning opportunities pre-op assessment of fitness for surgery vascular access airway management management of general and regional anaesthesia assessment and management of fluid status peri-operatively monitoring and care of the unconscious patient post-operative issues such as management of acute pain, nausea and vomiting, delayed recovery On the ICU: recognition and treatment of the acutely ill patient outreach team management advanced organ support including cardiovascular, respiratory and renal systems vascular access and invasive monitoring infection control measures talking to relatives, including discussion of bad news liaising between different departments The trust runs an in-house ALERT course, and all foundation doctors are expected to have attended
Where the placement is based	ICU
Clinical Supervisor(s) for the placement	ICU – Dr I Tsagurnis, Dr D Crossley, Dr J Loader, Dr G Hosdurga, Dr M Elias, Dr A Smith, Dr R Moulding, Dr E Herman, Dr Rugonfalvi, Dr P Sukenik, and Dr A Naser
Main duties of the placement	On the ICU - the doctors will provide support to the daytime consultant. They will be expected to examine each patient together with the consultant, assimilate the vital signs chart, lab results, x-rays etc, and help formulate a management plan. Careful documentation of daily findings, admission, and discharge is also part of their duty. They may be called to assess and treat emergencies on the ward or in A+E, and are part of the cardiac arrest team. A consultant and an SHO are immediately available at all times for support in life-threatening emergencies such as airway problems. They are encouraged to participate in the trust-wide foundation teaching programme as well as teaching and audit sessions run by the anaesthetic department.
Typical working pattern in this placement	ITU daily hours of work are from 08.00 to 16.00 Wed: 1300 Grand round Thurs: 1300 formal teaching programme Weekly anaesthetic tutorials Monthly anaesthetic M+M meetings On call requirements: F2 doctors in medicine are on a full shift rota with the Core Medical Trainees, providing a 1 in 11 rota of nights/weekends/long days

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

F2 Liaison psychiatry - BRI

Placement	F2 Liaison Psychiatry Bristol Royal Infirmary
The department	Psychiatry Clinic (Clinic 7 or Clinic A214), Bristol Royal Infirmary
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 led teaching outpatient clinic, whilst having 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. Outpatient Assessments - The post holder will have the opportunity to see general Liaison Psychiatry out-patient referrals with consultant supervision. S/He will also learn from listening and contributing to cases the team have found challenging through team discussions, supervision from consultants and weekly meetings. The emphasis is on acute management including therapeutic communication, psychopharmacology, links with community teams, primary care, non-statutory and social services for aftercare. 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 Manage psychiatric emergencies on call spanning forensic, adult of working age and older adult specialties Teach medical students formally and informally Work in a multi-disciplinary setting with particular emphasis on the care planning approach Gain experience of risk management and become confident in making decisions associated with risk in the psychiatric setting
Where the placement is based	Clinic 7 or Clinic A214, 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, 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
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 On-call; 1 in 9 (Two weekends every four months) on the general psychiatry rota based at Southmead Hospital but this may change. To participate in the audit activities of the department. To prepare appropriate discharge summaries. Your primary contacts (daytime) will be the clinic 7 Liaison Psychiatry medical and nursing team. Out of Hours on the on call rota there is a Senior Nurse, ST4-6 and Consultant on call. In addition to seeing patients on wards and outpatients (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. 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	Bristol Royal Infirmary 9-5 Mon-Fri with on-call duties for the Southmead hospital inpatient psychiatric wards or Callington Road Hospital site. Example on call: Callington Road Hospital Full Shift Rota. This is currently a 1 in 8 rota. The F2 will need their own transport to be able to travel between Callington Road, Blackberry Hill and Southmead during nights shifts. There are pool cars available to use during nights shifts but the driver must have held a driving license for more than 1 year to be able to utilise these.

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

F2 Medical Education (Simulation) - BRI

Placement	F2 Medical Education (Simulation) Bristol Royal Infirmary
The department	Bristol Medical Simulation Centre (BMSC)
The type of work to expect and learning opportunities	During your placement you will work closely with simulation educators in the BMSC and its point of care delivery arms the Bristol Paediatric Simulation Programme and Bristol Adult Simulation Programme. The aim of the placement is to lay the foundations in developing you as simulation educator and provide opportunities to develop and implement a personal simulation project whilst also contributing to a larger, year long, Foundation Simulation Fellowship project. Your simulation expertise will be developed through funded attendance of the acclaimed BMSC Train the Trainers Course and apprenticeship mentoring during the delivery of simulation education. You will be encouraged to present your personal simulation project at a simulation conference and publish annual Foundation Simulation Fellowship project as co/lead author. Please also see description of placement from two former trainees.
Where the placement is based	Across acute care hospitals in University Hospitals 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	You will have 2 supervisors. One from the BMSC (Dr’s Grant or McIndoe) and one whom is the simulation lead for your chosen project area. Your allocated BMSC supervisor will meet with you prior to your placement and at beginning, midway and end of placement to set learning and development objectives, monitor and assess your progress.
Main duties of the placement	Your duties will include: Developing your skills as simulation educator through attendance Train the Trainers course and apprenticeship mentorship. Assisting in delivery of simulation education in BMSC and at point of care. Development and implementation of simulation educational intervention. Assess implementation of educational intervention.
Typical working pattern in this placement	Monday to Friday 8:00 till 17:00

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

F2 Obstetrics and gynaecology - St Michael's Hospital

Placement	F2 Obstetrics and gynaecology St Michael's Hospital
The department	Obs & Gynae, St Michael’s Hospital
The type of work to expect and learning opportunities	Consultants and their junior team (F2’s, GP trainees and specialty trainees in O&G) 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 O&G 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	St Michael’s Hospital, 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 F2 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: clerking new patients ward rounds clinics assisting in theatre working on central delivery suite (CDS) The main clinical area is St Michaels Hospital which includes CDS, the antenatal and postnatal wards, the gynaecology ward and theatres with out of hours covering areas including the Heygrove Theatres in Bristol Royal Infirmary (BRI). Your primary contact (daytime) will be the senior team or the on call registrar. Your primary contact for out of hours will be the on call registrar. seeing patients on wards, outpatients and CDS 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	The on-call pattern is 1 in 4 weekends, with 7 nights every 11 weeks (divided into 3 weekend nights with a week off and then four week day nights. There is approximately 1 on call per week and 1 week gynae on-call.

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

F2 Old age psychiatry - BRI

Information to follow

F2 Old age psychiatry - Long Fox Unit, Weston

Placement	F2 Old age psychiatry Long Fox Unit
The department	The Long Fox Unit Weston General hospital
The type of work to expect and learning opportunities	Candidate encouraged to explore psychiatry as a whole, by attending clinics, ward rounds and assessment on the ward, as well as assessment and visits in the community. The F2 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 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 Manage psychiatric emergencies on call spanning adult of working age and older adult specialties Teach medical students formally and informally Work in a multi-disciplinary setting with particular emphasis on the care planning approach Gain experience of risk management and become confident in making decisions associated with risk in the psychiatric setting
Where the placement is based	Cove and Dune Ward
Clinical Supervisor(s) for the placement	Dr Elizabeth Bennett
Main duties of the placement	This post is based at the Long Fox Unit, Weston-super-Mare which admits older patients with both functional and organic illnesses from Bristol, North Somerset and South Gloucestershire to Cove ward (Covid assessment ward) ( 9 beds) and dementia to Dune ward (14 beds). The trainee will admit and review patients under the care of the inpatient consultant. The F2 will be supported by a GP trainee and a staff grade/trust grade on the wards. Ward rounds are currently on throughout the week. There is opportunity to shadow community, memory, primary care liaison, crisis service and drug and alcohol teams working locally. There is a local Balint Group and weekly postgraduate meeting to which the trainee is expected to contribute. The trainee will be released to attend mandatory Foundation training and Grand round at Weston General Hospital on Wednesday and Thursday lunchtimes. 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 risk and deliberate self harm, and the recognition and management of the most common mental health disorders. 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 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. 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 for the royal college trainees. On call is 1:8 nights and weekend, covering the older adult and general adult psychiatric wards at Long Fox Unit and Elmham Way rehabilitation unit. The trainee must be able to travel independently to other bases across the Trust, including for the purposes of on-call between the hours of 5pm and 9am.

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

F2 Paediatric surgery - BRHC

Placement	F2 Paediatric surgery Bristol Royal Hospital for Children
The department	Paediatric Surgery
The type of work to expect and learning opportunities	You will work in a well supervised unit and will learn how to manage children with a variety of surgical conditions. You will be involved in looking after all children admitted to the Children’s Hospital under the care of the Paediatric Surgeons, including children with oncology, thoracic, gastrointestinal, urology, and neonatal conditions. You will be welcome to scrub in theatres and can learn some basic surgical procedures such as hernia repair and appendicectomy. The 6 consultants all have at least 1 clinic a week and there is opportunity to attend these.
Where the placement is based	Bristol Royal Hospital for Children
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.
Main duties of the placement	You will take part in daily consultant-led ward rounds, and undertake clerking, pre-operative assessments and other ward work. You will also learn to assess surgical patients coming to the emergency department and will follow their care onto the ward. Our staff are encouraged to complete at least one audit during their rotation. There are two grand ward rounds every week and there is regular teaching as well as the opportunity to deliver academic presentations on Friday mornings.
Typical working pattern in this placement	Standard working days are 8am to 5pm One ‘half day’ must be taken each working week On-call is a 1:6 rota until 23:00 and after that you are on-call from home. You would be banded at 50%. On-calls are based on a 6-week rolling rota pattern.

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

F2 Paediatrics - BRHC

Placement	F2 Paediatrics Bristol Royal Hospital for Children
The department	Paediatric Ward and Clinics
The type of work to expect and learning opportunities	Paediatric specialty posts rotate over 4 months including paediatric A&E. Consultants and their F2s 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 paediatric 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	Paediatric Department, Bristol Royal Hospital for Children, 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 F2 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 ward based. Your primary contact (daytime) will be the registrar and consultant on duty. Your duties will include: Clerking and assessing patients Ambulatory reviews Outpatient clinics Practical skills including cannulation, catheterization and lumbar puncture Co-ordination of complex patient care 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 including primary care, neonatal services, mental health services, tertiary paediatric services and all allied health professionals 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	One evening (5-10pm) on call (ward cover) a week, and then work about 1 in 3 weekend (either long days on ward cover, or twilight shifts in ED)

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

F2 Stroke medicine - WGH

Placement	F2 Stroke medicine Weston General Hospital
The department	The department of Care of the Elderly consists of 2 Consultants, 1 Specialty Doctor, 2 ST3’s, 1 CMT, 3 F2’s and 3 F1’s
The type of work to expect and learning opportunities	All F2 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 F2 year are to build on those of the F1 year, especially providing the trainee with the knowledge, skills and attitudes to be able to Take a history and examine a patient and inform all the members of the MDT Identify and synthesise problem lists Prescribe safely Manage time and clinical priorities effectively Communicate effectively with patients, relatives and colleagues within the MDT 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, all at Weston General Hospital
Clinical Supervisor(s) for the placement	Dr A George and Dr H Al-Mahdy
Main duties of the placement	The F2 doctor is responsible with other staff for the ward care of patients and the maintenance of the patient’s medical record. They 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, and we endeavour to provide opportunities to attend bubble echo sessions, Neuroradiology MDTM, , Orthogeriatric Ward Rounds, TIA and Memory Clinics; the Ward MDTM provides good insight into the complex discharge needs of these patients and the individual roles of the core essential members of the team.
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, although F2 doctors may choose to attend either the foundation or the core medical teaching depending on their learning needs. On call requirements: F2 doctors in medicine are on an on call rota with the Core Medical Trainees, providing a 1 in 11 rota of nights/weekends/long days

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

F2 Trauma and orthopaedic surgery - BRI

Placement	F2 Trauma and orthopaedic surgery Bristol Royal Infirmary
The department	Orthopaedics
The type of work to expect and learning opportunities	Consultants and their F2s 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 T&O 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	Adult Orthopaedic Wards, 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 F2 will be in an approved teaching placement, where your supervisor will be an accredited Clinical Supervisor.
Main duties of the placement	This is a ward based system for F1 and F2 with 1 ward each (approximately 20 patients), mostly on your own. There are limited opportunities to go to theatre during normal working hours. The main clinical area is ward based adult orthopaedics with out of hours covering both adult and paediatric orthopaedics. Your primary contact (daytime) will be the registrar for the team if they are in the hospital (teams also cover Southmead) or the on call registrar. Your primary contact (out of hours) will be the registrar on call. seeing patients on the ward 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	The on call pattern is an 8 week rolling rota, 1 week nights, 4 long days, 1 weekend, normal ward work.

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

F2 Trauma and orthopaedic surgery - WGH

Placement	F2 Trauma and orthopaedic surgery Weston General Hospital
The department	The Orthopaedic department at Weston consists of 7 consultants, 1 specialty doctor, 4 SpR trainees, 4 speciality doctors, 2 F2, 1 CT doctors and 1 nurse practitioner. There is daily input from the geriatric department for medical problems and all fractured neck of femurs.The rotation includes periods with the opportunity to attend clinics and theatre lists in a supernumerary position for teaching.
The type of work to expect and learning opportunities	During this placement the F2 doctor will develop skills in the pre-operative assessment of patients who are likely to need orthopaedic treatment and also the medical management of co-morbidities and post operative complications. They will also gain experience in the assessment and management of acute trauma and other orthopaedic emergencies. There is the opportunity to attend theatre and day theatre as well as outpatients. The F2 will build on the skills acquired in F1 regarding the assessment and treatment of acutely sick patients, team working and time management. In addition, the F2 will liaise closely with the ortho-geriatric team to ensure appropriate care for the elderly orthopedic patients. The on calls are in conjunction with the gynaecology and surgery department, and therefore the F2 doctor will also acquire skills regarding the assessment of acute surgical emergencies
Where the placement is based	Weston General hospital, orthopaedic wards including theatres and outpatients
Clinical Supervisor(s) for the placement	Mr M Bould
Main duties of the placement	Patient care to professional standards. Knowing their limitations and communicating with the SpRs and consultants. Attending the F2 teaching programme. On call for all emergency trauma and orthopaedics, making a management plan, communicating with their seniors (obtaining orthogeriatric input) planning discharge and communicating with relatives and carers. Also on call for gynaecology and surgery (out of hours) and discussing each case with the on call gynaecologist and surgeon. On call 1in 13. Attending theatre to learn the basics of surgery and follow the patients under their care. Attend A&E to see new trauma and make management plan.
Typical working pattern in this placement	Daily 8:30 teaching and discussion on all trauma patients admitted. Case presentation by the junior doctors. 9:00 trauma round for admissions or business round with SpR Ward round with consultants 2x a week Ward round with orthogeriatrician 2x a week. Daily communication with orthogeriatrician of all fractured neck of femur patients admitted. Thursday 13:00 formal teaching. On call on a 1 in 13 for orthopaedics during the day and cross cover with gynaecology and surgery at night, with 20:00 formal handover meeting.

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

This page was last updated March 3rd 2022 (2 years ago)

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Psychiatry and GP Placements

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F2 General surgery - BRI

F2 General surgery - WGH

F2 Geriatric medicine - BRI

F2 Geriatric medicine - WGH

F2 Haematology - BHOC

F2 Intensive Care Medicine - BRI

F2 Intensive care medicine - WGH

F2 Liaison psychiatry - BRI

F2 Medical Education (Simulation) - BRI

F2 Obstetrics and gynaecology - St Michael's Hospital

F2 Old age psychiatry - BRI

F2 Old age psychiatry - Long Fox Unit, Weston

F2 Paediatric surgery - BRHC

F2 Paediatrics - BRHC

F2 Stroke medicine - WGH

F2 Trauma and orthopaedic surgery - BRI

F2 Trauma and orthopaedic surgery - WGH