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.

F2 Placement Descriptions

Information on the placements that make up the F2 rotations at Weston Area Health NHS Trust. Click on the specialty to learn more.

  • F2 Acute internal medicine (MAU)

    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 Emergency medicine

    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 General practice

    Placement F2 General practice
    The department Primary care practices in the Weston/Woodspring area (actual practices change regularly). All training practices have been approved for general practice training, with several experienced trainers in addition to the F2 trainer/educational supervisor. The other partners share in the supervision and teaching and the practice staff are also involved.
    The type of work to expect and learning opportunities Most work is carried out during consultations in the surgery and some during home visits.

    GPs and their 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 Weston/Woodspring 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 main role will be (lightly but safely supervised) consulting with patients. GP trainers find that their patients are usually very supportive of junior doctors, and most of them really like seeing a new face. In addition your F2 trainer will arrange experience according to your learning needs – the GPs have excellent relationships with the local healthcare community, so working with a variety of professionals can be offered.

    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.

    Exact 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. In addition, the trainees are expected to attend the teaching programme in the Academy in Weston on Thursday lunchtimes.

    On call requirements:

    The GP F2s participate in the weekend on call rota for the admissions unit in Weston (1 in 5).

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

  • F2 General psychiatry

    Placement F2 General psychiatry
    Weston General Hospital
    The department The Long Fox Unit
    The type of work to expect and learning opportunities Old age 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 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 functional illnesses such as depression and psychosis to Cove ward ( 15 beds) and dementia to Dune ward (10 beds).

    The trainee will admit and review patients under the care of one of the inpatient consultant. The F2 will be supported by a GP trainee 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.

    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, 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. Trainees also do two morning or afternoon sessions of day time duty cover weekly, covering the psychiatric wards.

    The candidate will need their own transport to carry out their duties in the community.

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

  • F2 General surgery

    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

    Information to follow

  • F2 Geriatric medicine (Stroke medicine)

    Placement F2 Geriatric medicine (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

  • F2 Intensive care medicine (ITU)

    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 Trauma and orthopaedic surgery

    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.