Employer Information

The employer for these posts is Weston Area Health NHS Trust.

The post will be based in Weston General Hospital, which is a medium sized acute NHS Trust, with 320 beds and around 1800 employees. The trust provides an extensive range of secondary services for the local community of approximately 200,000, with over 2.5 million visitors to this pleasant West Country seaside town during the summer months.

Psychiatry and GP Placements

Weston Area Health NHS 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 Weston Area Health NHS Trust. Click on the specialty to learn more.

  • F1 Acute internal medicine

    Information to follow

  • F1 Acute internal medicine (Acute & Respiratory)

    Placement

    F1 Acute internal medicine (Acute & Respiratory)
    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 Acute internal medicine (MAU)

    Placement F1 Acute internal medicine (MAU)
    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 Gastroenterology

    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 General psychiatry

    Placement F1 General psychiatry
    Weston General Hospital
    The department The Long Fox Unit
    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 in the community and Liaison teams.

    The F1 doctor will be ward based during the ‘normal’ working day but with 1 day per week in Hospital Liaison to gain experience and knowledge around the interface between physical and mental health, providing first-line assessment of all inpatients for both physical and psychiatric disorders with support from more experienced trainees and Consultant. The job will be across the 3 inpatient wards covering older adult functional; older adult organic and acute adult – Thursdays have been set aside for the acute adult ward along with mandatory academic teaching over lunch

    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 Tiff Earle
    Main duties of the placement The posts is for 4 months, working on Juniper ward Duties include:
    • Working alongside Core psychiatry trainee and Staff Grade. Doing ward work - including admissions, ward rounds and discharges.
    • Spending 1 day per week with other teams (e.g. PCLS, Hospital Liaison) to gain broad experience of mental health services.
    • Arranging to spend at least 1 x ½ day per placement in specialised services as per lsit given at start of placement (e.g. drug/alcohol services; CAMHS; ECT)
    • Home visits with consultants and other members of psychiatry teams. There are a crisis/home treatment team and a primary care liaison team based in the unit
    • Shadowing trainees on the unit during day duty on call.

    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 Weston Academy. 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 Weston Hospital; 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 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 9-5 working days.

    Once a week personal supervision as mandated trainees. (Fridays at 12pm)

    ACUTE BLOCK

    On-call requirements:

    All F1 doctors (medical and surgical) participate in a generic on call rota involving an “acute block” which occurs twice every 21 weeks. This block consists of on-call days (ward based 9-5pm followed by ward cover of medical and surgical wards 5pm-9.30pm) and a week of nights. In addition the F1s work weekend (days) covering either acute medical admissions or wards (medical and surgical). Overnight, ward cover is supported by a Night Sister.

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

  • F1 General psychiatry (Psychiatry & Geriatrics)

    Placement F1 General psychiatry (Psychiatry & Geriatrics)
    Weston General Hospital
    The department The Long Fox Unit
    The type of work to expect and learning opportunities Acute 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 in the community.

    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 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, Weston General Hospital
    Clinical Supervisor(s) for the placement Dr Tiff Earle
    Main duties of the placement The posts is for 2 months, working on Juniper ward Duties include:
    • Working alongside Core psychiatry trainee and Staff Grade. Doing ward work - including admissions, ward rounds and discharges.
    • Spending 1 day per week with other teams (e.g. PCLS, Hospital Liaison) to gain broad experience of mental health services.
    • Arranging to spend at least 1 x ½ day per placement in specialised services as per lsit given at start of placement (e.g. drug/alcohol services; CAMHS; ECT)
    • Home visits with consultants and other members of psychiatry teams. There are a crisis/home treatment team and a primary care liaison team based in the unit
    • Shadowing trainees on the unit during day duty on call.

    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 Weston Academy. 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 Weston Hospital; 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 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 9-5 working days.

    Once a week personal supervision as mandated for the royal college trainees.

    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

    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 Geriatric medicine

    Information to follow

  • F1 Geriatric medicine (Stroke medicine)

    Placement F1 Geriatric medicine (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.