Poole Hospital NHS Foundation Trust Individual Placement (Job) Descriptions for Foundation year 2

Transcription

1 Poole Hospital NHS Foundation Trust Individual Placement (Job) Descriptions for Foundation year 2 Placement F2 - Cardiology Cardiology Department in Poole Hospital. This department consists of two cardiology teams. One is comprised of two consultants, a registrar, a ST grade and two F1s. The other consists of two consultants, one registrar, an ST, an FY2 and one FY1. Work involves: Taking referrals on-take and working with Acute Physicians on Medical Admissions Unit when on-call Assessing in-patients and devising a management plan - ensuring one asks for help/advice if needed History taking and examination of both elective and, when on call, acute admissions Interpretation of investigations such as blood tests and ECGs Writing referrals to a wide range of specialties Telephone communication skills Liaising with the multidisciplinary team to enable effective patient care Practical procedures within the FY2s competencies. Learning : A weekly journal club meeting on Monday at 1pm where a topic specific to cardiology is presented and discussed. The ECHO meeting on Wednesday at 1pm provides an ideal opportunity to learn the basics in the interpretation of ECHOs by listening to the discussion of interesting cases and their outcomes. Additionally, on Wednesday afternoons one of the cardiology consultants (Dr Blakemore) carries out teaching for the junior members of the team which is very useful in learning about the fundamentals of cardiology. The radiology meeting on Fridays at 12.00h provides exposure to various imaging modalities used in cardiology and helps to appreciate the application of imaging in cardiology. for the Predominantly on the coronary care unit (accommodates 8 patients) and Cranborne (a 30 bed ward) but also entails working on other wards throughout the hospital depending on where patients are located. Drs Blakemore/Boos/Bruce/Greaves Involvement in the ward rounds of the cardiology inpatients and supervising the FY1 doctor in carrying out the jobs that are generated from this. Activities also include clerking in elective admissions and seeing day-case patients on the medical

2 investigation unit. Working in cardiology also means that the FY2 is placed on the on call rota which involves helping your senior colleagues to clerk in the acute medical admissions. You are also required to come in for the post-take ward round the following morning and present any patients you clerked in on the preceding day. in this Mon: 09.00h Ward round, 13.00h: Journal club Tues: 08.30h CCU consultant ward round followed by consultant ward round of in-patients Wed: 09.00h CCU consultant ward round followed by consultant ward round of in-patients h: ECHO meeting, 16.00h: Cardiology teaching by consultant Thurs: 09.00h Ward round, 13.00h: Grand Round Fri: 09.00h Ward round, 12.00h: Radiology meeting Sat: Depends on rota if on post-take then 08.00h to approx. midday for post-take ward round and jobs. If on call then 09.00h to 21.00h On call requirements: When on call 09.00h to 21.00h Night shifts (20.30h to 09.00h) every 12 weeks The employer is Poole Hospital NHS Foundation Trust. The post is at Poole General Hospital located in close proximity to Poole town centre.

3 for the in this F2 - Geriatric Medicine (Medicine for the Elderly) consists of 10 very supportive consultants who provide a comprehensive service for older people, covering all the main subspecialties as well as general acute inpatient and outpatient work. They share particular interests in Stroke medicine, Movement Disorders, Intermediate Care, Orthogeriatrics and Falls as well as Acute Geriatric Medicine. Strong ethos of team working for the delivery of high quality care for older people. Inpatient ward work, on call duties. Close clinical supervision. Ample for Supervised Learning Events, departmental presentations and audit projects. Poole Hospital Philip Arnold Unit and RACE unit with outlier wards to cover. Dr Harries-Jones, Dr Day, Dr Battcock, Dr Rushton, Dr Thomas, Dr Fade, Dr Villar, Dr Ragab, Dr Perry, Dr Wheldon On call duties, out of hours shifts. Ward jobs, presentations. Liaise with relatives for collateral history and discharge planning. Liaise with MDT for rehabilitation potential and discharge planning. Mon: 0900 handover then ward round Tues: 0900 handover then ward round Wed: 0900 handover then ward round 1300 F2 teaching Thurs: 0900 handover then ward round 1300 grand round Fri: 0900 handover then ward round 1300 departmental teaching and presentations Sat: Sun: On call requirements: on-call alternate days on RACE unit for 1/52 in 6, this includes the weekend. Flexible twilight shifts. 3-4 nights every month. Poole Hospital NHS Foundation Trust. Medium sized general hospital with Trauma and Paediatric specialities. Large elderly population in community.

4 for the F2 - Neurology Neurology Ward. There are 4 neurology consultants and a neurology registrar, one neuro-rehabilitation registrar and a part time rehabilitation registrar. On this ward there are a wide range of disciplines working very closely together, coming together for weekly MDT meetings and neuroradiology meetings. Junior doctor on a neurology and acute brain injury team. Poole Hospital Dr Hillier Day to day running of a neurology ward with weekly consultant ward rounds. Elective lumbar punctures on the medical investigations unit. in Mon: 9-5 this Tues: 9-5 Wed: 8-5 Neurology Consultant WR Thurs: 8-5 Rehab consultant WR Fri: 9-5 Sat: Working 1 in 4 weekends on either medical ward cover or elderly care ward cover. Sun: Poole Hospital NHS Foundation Trust

5 for the in this F2 - Rheumatology & Dermatology Dermatology: comprises 4 consultants, 1 associate specialist, a number of GPSI s, 1 SpR and a multitude of specialist nurses. Mainly outpatient led with services including simple to complex skin surgery in 3 designated theatres, UVB light therapy, photodynamic therapy, leg ulcer team, and other services. Inpatient dermatology normally between 1-5 patients with complex skin management issues, plus referrals and shared care with other teams. Rheumatology: 4 consultants and 1 SpR with RFU nurses and extended scope physiotherapists. Mainly outpatient. Non-cauda-equina back pain on the wards under care of Rheumatology. Otherwise, referrals seen on the ward, with 1-2 inpatients at any time. The main priority of this job is towards your inpatients. When the SpR s are unavailable you are expected to see referrals. Clinic attendance is not mandatory but is expected at some point. You are also encouraged to learn certain minor surgical procedures in dermatology including punch biopsy. You are expected to consent for spinal injection lists under rheumatology. Poole Hospital, All wards. Dr Westlake (Rheumatology) Look after inpatients. Co-ordinate/Filter//see referrals. Consent for rheumatology lists. Admit elective/emergency patient admissions. Advise other teams. Mon: See inpatients (Derm). Consent injection lists. Rheumatology ward round. See referrals Tues: Dermatology consultant ward round. See Rheum inpatients. See referrals Wed: See inpatients both teams. Referrals. Afternoon surgery Thurs: See inpatients. Grand round. See referrals. Fri: Dermatology Consultant ward round. Rheumatology consultant ward round. See referrals. Sat: Sun: +Opportunity for clinic / further skin surgery as inpatient/referral load allows. On call requirements: alternate. 1 in 4 weekends for medicine/dme Poole Hospital NHS Foundation Trust

6 for the in this F2 - Endocrinology & Diabetes Mellitus Poole Hospital Mostly ward. Participate in the medical SHO on call rota. SHO endocrinology clinics with excellent consultant support once every 2-3 weeks. Poole Hospital Dr R Poole Play an active role in managing patients on the ward. Run the medical take out of hours when on call in liaison with the medical registrar. Do occasional SHO lists in endocrinology clinic. Provide support to the FY1s. Mon: am Consultant Ward Round pm Ward jobs Tues: ON CALL ALL DAY Wed: am Reg led WR pm Ward jobs Thurs: am Consultant WR pm endocrinology clinic Fri: am SHO led WR pm Ward jobs Sat: Sun: Mon: am Consultant Ward Round pm Ward jobs Tues: am SHO led WR pm Ward jobs Wed: am Reg led WR pm Ward jobs Thurs: ON CALL ALL DAY Fri: am SHO led WR pm Ward jobs Sat: Sun: On call requirements: 5 days per 4 weeks, 3 weekends in 4 months, 1 week of nights in 4 months. Poole Hospital NHS Foundation Trust

7 F2 - Medical Microbiology & Virology The Microbiology Department at Poole Hospital consists of 2 consultant microbiologists, the F2, laboratory staff and 3 infection control nurses. for the in this Work entails daily ward rounds of inpatients referred to the microbiologists by clinicians as well as regular visits to ITU and the medical assessment unit. There are multiple learning including tutorials by the consultants on a range of microbiological topics. The F2 also attends some clinics (e.g. cystic fibrosis, GUM and tuberculosis outpatient clinics) and spends time in the laboratory learning about the various microbiological techniques. The majority of the attachment is in the Microbiology Department at Poole Hospital although there are 2.5 days spent at Bournemouth Hospital at the GUM clinic. Dr Flanagan (Lead) and Dr Hill The F2 attends the daily ward round(s) with the consultant and is expected to ensure an accurate list of the microbiology results of ITU patients is prepared. He/she takes referrals from clinicians and liaises with the microbiology consultants to provide appropriate advice. The F2 is required to follow up blood culture results and complete audit forms for all C. difficile, E-coli and MSSA patients. In addition the F2 undertakes both an audit and a number of literature reviews with formal presentations during their attachment. Mon: ITU ward round, tutorial, microbiology ward round of referred in-patients. Audit and literature review work Tues: Tutorial, microbiology ward round of referred in-patients. Audit and literature review work Wed: Infection control meeting, ITU ward round, microbiology ward round of referred in-patients. Audit and literature review work Thurs: Tutorial, microbiology ward round of referred inpatients. Audit and literature review work Fri: ITU ward round, microbiology ward round of referred inpatients. Audit and literature review work On call requirements: 4 ward cover weekends (2 medicine, 2 elderly medicine). The employer is Poole Hospital NHS Foundation Trust. The post is at Poole General Hospital located in close proximity to Poole town centre.

8 for the in this F2 - Haematology Oncology and Haematology Daily ward rounds of haematology patients, discuss any problems with consultant over phone, on call duties clerking oncological and haematological emergencies, covering haematology ward patients, covering general medical nights. Consultants are happy for you to attend clinics, but this is a busy post and this only happens occasionally There is a weekly teaching session undertaken by either a consultant, or a junior. Poole Hospital Dr Jack/Maddams Ward work and on call. Mon: Ward Round am, ward jobs pm Tues: Wed: Thurs: Fri: Sat: 9-9 covering oncology, haematology and palliative care Sun: Occasionally consultants will do a quick round of their patients on the ward, but there is no fixed time as to when this happens. If you have concerns about a patient, there is a registrar who will review them. At weekend you cover oncology, haematology and palliative care. There is only one doctor on for all three specialties. There is a consultant providing cover via the phone. On call requirements: Generally one-two on call duties per week. Work about 1 in 4 weekends. Poole Hospital NHS Foundation Trust

9 for the in this F2 - ENT (Otolaryngology) The ENT department comprises of 5 Consultants. The ENT patients are cared for within the dedicated ENT/OMF 23 bedded ward. 5 of these beds are allocated for short stay surgery which is closed on Friday evening for the weekend. There are 24 day case trolleys and 13 reclining chairs for use by all surgical and some medical specialties in an adjacent Day Case Unit. There are 3 dedicated Day Case Theatres with a recovery area. The Day Case Unit including theatres is the management responsibility of the Surgical Clinical Care Group. There is also a Paediatric Unit with access to ENT beds. Ward during a normal working day. Seeing inpatients on the ward round every day. Seeing and assessing all acute ENT problems in the treatment room on ward. Poole Hospital, B2 Mr Cox, Mr John, Mr Rhys Williams and Mr Scott F2 is responsible for General ward duties Seeing and treating patients Ward cover On-call and night shifts are crossed covered with general surgery. Mon: Tues: Wed: weekly Thurs: Fri: Sat: in 6 Sun: in 6 Mon: in 12 Tues: Wed: Thurs: Fri: Sat: Sun: On call requirements: 1:12 Poole Hospital NHS Foundation Trust Poole Hospital mainly serves the 272,000 people living in Poole, East Dorset and Purbeck. It is the major trauma centre for East Dorset and provides a broad range of district hospital care and a number of core services - ear, nose & throat, child health and maternity - for a wider catchment area, including Bournemouth and Christchurch. The hospital also provides specialist services, such as oral surgery and neurological care, for the whole of Dorset and is the Cancer Centre for Dorset. We have a unique philosophy embedded in "The Poole Approach". This has shaped our development as a friendly, patient centered organisation that continually strives to improve

10 services. Last year we treated 46,815 inpatients, 17,597 day cases, 172,710 out patients and 56,557 people attended the Emergency Department. At least 85 per cent of our inpatient admissions are unplanned emergency cases. As the major trauma centre for east Dorset, the hospital provides services for all medical, elderly, surgical and child health emergency admissions.

11 F2 - Acute Paediatrics of Paediatrics comprises 2 inpatient wards and an acute admissions unit. On average we have inpatients at any one time on the inpatient wards with an additional patients (per 24 hours) on the assessment unit. There is a large body of Consultants representing all specialties. operates with a Consultant of the week system who is responsible for the care of all patients seen on the ward for that week. serves Bournemouth, Poole and Swanage. for the F2s are on the SHO rota. They split their time between the inpatient wards and the acute assessment unit. There is lunchtime teaching most days of the week. Poole Hospital, Wards Elmwood, Acrewood and Bearwood Dr Martin Hussey The F2 doctor is responsible with other staff for the ward care of patients. If working on the assessment unit the F2 carries the on call bleep and takes referrals from A&E/GP/midwives. The F2 then clerks the patients and initiates appropriate management. Occasionally you are called down to A&E resus (with the paeds registrar) to assist with an emergency admission. There are lots of to get involved with practical procedures such as cannulating, venesection and LPs. in this Mon: Ward round and ward duties till Then on call on the Acute admissions unit till Tues: ward round and ward duties till Wed: ward round and ward duties till Thurs: Ward round and ward duties till Then on call on the Acute admissions unit till Fri: Acute admissions unit in 7 weekends: Sat: On-call (ward duties & admissions unit) Sun: On-call (ward duties & admissions unit) Mon: ward round and ward duties till Tues: Ward round and ward duties till Then on call on the Acute admissions unit till Wed: off Thurs: off Fri: Night ( ) 1 in 7 weekends: Sat: Nights ( ) Sun: Nights ( )

12 The employer is Poole Hospital NHS Foundation Trust. The post is at Poole General Hospital located in close proximity to Poole town centre.

13 F2 - Emergency Medicine (A&E) Emergency department in Poole Hospital. On average the department caters for 175 patients a day although this can vary especially on the bank holidays as the area is a popular holiday destination. FY2 doctors see patients in minors, majors and resus. Learning are thus ever present as most cases are discussed with a senior to begin with until experience grows and this is a steep learning curve. These discussions also lend themselves towards eportfolio assessments and Supervised Learning Events. Formal teaching is every Tuesday afternoon from 13:30-16:00 to all FY2s & core trainees. Within the department there is also the opportunity for audit, poster presentation and teaching to the department. for the in this You are placed within the department for the whole four months. You do not carry a bleep. One consultant allocated within the department at the start of the (Dr Bell, Dr Cumberbatch, Dr Jenkins, Mr Reichl, Mr Richmond). Clerking and starting management plans for patients. Reviewing with senior doctors and referring or discharging as appropriate. For a lot of FY2s this is the first time when you can discharge patient s and write outpatient prescriptions. is on a rolling rota. Antisocial hours are to be expected as with any accident and emergency department. Typical shifts are as follows ; ; ; ; ; ; ; and these are on a rolling rota to which all SHO grades are allocated. Leave is fixed within this. Poole Hospital NHS Foundation Trust

14 for the in this F2 - Obstetrics and Gynaecology The maternity hospital at Poole manages 5,500 deliveries/year. Poole manages normal and high risk pregnancies from the Poole and Bournemouth area, with antenatal clinics, ante-natal day assessment (mid-wife led), ante and post natal wards. Poole has acute and elective gynaecological admissions and takes referrals for Gynae oncology. The FY2 post is 6 months. There are 8 SHOs consisting of GP trainees and ST1/ST2 career grades. The rota includes all aspects of the maternity hospital: labour wards, ante-natal assessment, antenatal clinic, gynae theatre, gynae on-call. St Mary s Maternity Hospital and Poole General Mr Carpenter/ Mr Hillard As above. Mon: see ward patients, pm ante-natal clinic, 2-5pm Labour ward, 5-9pm labour ward. Tues: ward patients, AM: theatre. PM antenatal day assessment Wed: ward patients, AM Gynae on-call, PM pre-clerking Thurs: ward patients AM Post natal. PM Gynae out patients Fri: Consultant ward round. AM elective section list. PM: antenatal day assessment. Sat: Sun: On call requirements: A week of nights 1 in other weekends in 12. (one labour ward, one gynae on-call including cross cover to Bournemouth Hospital) Labour ward evenings, one every two weeks approx. Poole Hospital NHS Foundation Trust

15 for the in this F2 - Oncology Oncology and Haematology Daily ward rounds of oncology patients, discuss any problems with consultant over phone, on call duties clerking oncological and haematological emergencies, covering haematology ward patients, covering general medical nights. Consultants are happy for you to attend clinics, but this is a busy post and this only happens occasionally. There is a weekly teaching session undertaken by either a consultant, or a junior. Poole Hospital Dr Flubacher Ward work and on call. Mon: Ward Round AM, ward jobs PM Tues: Wed: Thurs: Fri: Sat: 9-9 covering oncology, haematology and palliative care Sun: Occasionally consultants will do a quick round of their patients on the ward, but there is no fixed time as to when this happens. If you have concerns about a patient, there is a registrar who should be available to review them. At weekend you cover oncology, haematology and palliative care. There is only one doctor on for all three specialties. There is a consultant providing cover via the phone. On call requirements: Generally one-two on call duties per week. Work about 1 in 4 weekends. Poole Hospital NHS Foundation Trust

16 for the in this F2 - Old Age Psychiatry comprises of one main (St Brelades) ward for people with dementia with challenging behavior, and a smaller ward (ITU) for the 5 most challenging females with dementia in the area in which Dorset Healthcare University Trust covers. Three consultants lead the care of the patients, one of which leads the care of the ITU patients. is closely linked with the Community Mental Health Teams in the area of Poole, Swanage and Ferndown. The work is entirely ward. As the only doctor on the ward, the majority of tasks are diagnosing and treating minor medical problems, organising investigations, making appropriate referrals to other specialties, prescribing all medications and communicating with patients and their relatives. There is also an element of educating and teaching other members of staff as they are usually only trained in mental health. Since the average length of inpatient stay is longer than that of general hospital there is an opportunity to co-ordinate the care of patients and following them up longer term. There is also the opportunity to learn more about intermediate care and permanent s with complex social needs which is not as fully available in a general hospital. There is also an opportunity to gain experience of legal and ethical dilemmas and gain a better understanding of the Mental Health Act and Mental Capacity Act. Alderney Community Hospital, Poole, Dorset Dr Sunil Sinha Take an active role in ward rounds and MDT meetings. To take a lead role in the diagnosis, investigation and management of common physical problems. To make assessments and aid the management of the patients mental health. To clerk in new patients, instigate initial treatment and to use the Mental Health Act where appropriate. To prescribe medications safely. To make referrals and write correspondence. You are also expected to cover the F2 doctor at Kings Park Hospital in Bournemouth when they are on leave. Mon: morning ward work, afternoon ward round Tues: morning ward round, lunchtime teaching, afternoon ward round. Wed: ward work (lunchtime meeting with supervisor) Thurs: morning ward round, afternoon ward work Fri: morning ward round, afternoon ward work Sat: Sun: On call requirements: one weekend per month at Poole General Hospital providing ward cover. No psychiatry on calls. Poole Hospital NHS Foundation Trust.

17 F2 - Psychiatry Psychiatry : Acute Assessment Unit (AAU) and CRISIS Team The AAU is the 17 bedded general adult admission ward in St Anns Hospital Poole, with an average length of stay of between 2-4 weeks. The CRISIS Team is a large multi-disciplinary team providing a crisis home treatment service 24 hours a day as an alternative to Inpatient care. This team acts as the gatekeeper for all Inpatient admissions to St Ann s Hospital, as a single point of contact for all queries/ referrals from professional agencies as well as calls from users & carers( via an Out Of Office Hours nurse service) and the general public (via a Helpline). The service covers all adult residents in the East Dorset area (approx 400,000 over 18). The Team is in Central Bournemouth at Hahnemann House, Hahnemann Road. The FY2 Doctor will be primarily on the ward and will have two sessions of working with the CRISIS Team. The post holder will provide medical backup along with the CT1-3 trainees, ST4-6 doctor and the Consultants in the teams. The overall educational objectives are to provide the trainee with the knowledge, skills and attitudes to deal with patients presenting with psychological or behavioral problems associated with severe mental disorders. They would be expected to: Assess new admissions by taking direct/collateral history, carry out mental state examinations and clerk in new admissions, Undertake physical examination of the inpatients and request appropriate investigations (inc. arranging scans, doing ECGs, liaising with GPs, managing straightforward physical conditions, arranging ECT etc.). Prescribe safely, particularly psychotropic drugs Communicate effectively with the patients, relatives and colleagues within the multidisciplinary team and the Community Mental Health Teams. Keep an accurate and relevant medical record electronically Manage time and clinical priorities effectively Use evidence treatment and/or guidelines when treating patients Understand legal and ethical issues in relation to the management of detained patients. Opportunity, for a session to manage list and administer ECT and manage the organization of the treatment (explained at Induction) Opportunity to be involved in clinical audits Opportunity to attend Mental Health Review Tribunals and professionals meetings (planning discharge and management of patients).

18 The F2 Trainee will provide medical backup to the CRISIS Team assessing & re-assessing the patients under the team s care. There are extensive to manage acutely ill patients, formulate & execute multi-disciplinary care plans. The F2 Doctor, if interested, can perform home visits and carry out assessments in the community with CRISIS Team staff. The Trainee will not be on the out of hour on call rota. The F2 Doctor will be on the daytime Duty Bleep rota providing crosscover for the other wards in St Anns Hospital. The Trainee is expected to attend and contribute to the Education programme held every Tuesday at St Ann s Hospital. There is the opportunity to be involved in Training in Psychotherapy. for the in this St Anns Hospital, Poole Dr Stuart Purcell and Dr Geoff Searle. The F2 doctors will be responsible for assessing and managing the physical and mental health of new admissions and day to day care of inpatients on AAU and patients in the CRISIS Team, to attend the scheduled ward rounds as part of the multi disciplinary team and learn about the treatment of Mental Disorders. in this post: Daily/weekly/monthly (if applicable) Mon: AAU Ward round (am) / AAU Ward work (pm) Tues: ECT List (am)/teaching and Psychotherapy pm/ Ward work (pm) Wed: CRISIS Team (am and pm) Thurs: AAU Ward round (am) / AAU Ward work (pm) Fri: AAU Ward round (am) / AAU Ward work (pm) On call requirements: Hospital Duty Bleep Rota for Crosscover during 9 5pm. No out of hours on call Dorset Healthcare University Foundation Trust is the provider of specialist mental health, learning disability and community health care in the whole of Dorset. The Trust has been a Foundation Trust since 2007, became a University NHS Trust in 2010 linked to Bournemouth University and provide a full range of acute secondary services and community care to a population of over half a million people. The Trust is committed to the integration of physical, mental and social services together with innovation and continuous quality improvement.