FOUNDATION YEAR ONE (FY1) TRAINEE JOB DESCRIPTION

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1 FOUNDATION YEAR ONE (FY1) TRAINEE JOB DESCRIPTION Job Title: Post Number: Extra Description: Directorate: Educational and Clinical Supervisor: Hours of Work: FY1 Trainee - Old Age Psychiatry (FPH) KSS/RDU01/056/F1/001 Based at Cedar House, on-call rota commitments at FPH. MEDICAL DR. PRADEEP ARYA, CONSULTANT PSYCHIATRIST. (CS) Cedar House, Ridgewood Centre, Old Bisley Road, Frimley, GU16 9QE. DR. FRANCIS COLYE, CONSULTANT ENDOCRINOLOGIST (ES), Portsmouth Road, Frimley, Surrey, GU16 7UJ 40 hours per week, 8 hours per day, Monday to Friday, with 30 minutes unpaid break, subject to Frimley Park on-call rota commitments. Job Outline: It would be helpful if the post holder has a valid driving licence and access to a car owing to the community aspect of this post. PSYCHIATRY Cedar House: The postholder will work as a medical member of the Surrey Heath Older Persons Community Mental Health Team covering a population of 18,000 from Ash Vale, Bagshot, Camberley, Lightwater, Chobham, West End and Sunningdale, a small part of Berkshire. Assessments and treatments are offered by a multi-disciplinary team including CPNs, approved mental health professionals, psychologists and an occupational therapist. Spenser Ward: The F1 will be working with Dr. Nilforooshan on Spenser, a 20 bed functional OAP ward, with patients from the Boroughs of Woking, Surrey Heath, Spelthorne, West Elmbridge and Runnymede. Patient throughout is not very high and the opportunity for multi-agency working is excellent. Spenser Ward is also supported by a Psychiatry CT2, a GP ST1 and an F2. The working environment is friendly and most junior doctors find that they settle in very quickly. This post provides excellent learning opportunities for the enthusiastic trainee about assessment and management of functional mental health problems and the interface of these with general medical conditions. In addition there are opportunities to review and assess a range of mental health problems and related risks under Consultant supervision in the community, as well as attending multidisciplinary meetings and domiciliary visits. The trainee will experience the holistic yet complex nature of multidisciplinary and multi-agency working. Core Skills: Comprehensive psychiatric and medical history taking for admissions. Mental State examination. Physical examination. Inpatient risk assessment/observation decision. Maintenance of high standards of written documentation especially admission and discharge summaries. Communication and team-working skills: Collaborative approach to admission assessments. Engagement with multi-disciplinary team. Regular presentation of full psychiatric cases either in the ward round or clinics or to the Educational/Clinical Supervisors. Page 1 April 2014

2 Old Age Psychiatry Skills: Assessment of cognitive function. MSE in old age psychiatry. Pragmatic prescribing for older adults with mental health problems including the use of memory enhancing medication. Clinical risk assessment. Multidisciplinary and partnership working with multiple agencies. When to use neuroimaging. Knowledge of the Mental Health and Mental Capacity Acts including DOLs. Educational Objectives specifically for Old Age Psychiatry: Develop skills in extended Cognitive Examination. Assessment, diagnosis and management of dementia. Knowledge of liaison skills with regard to the multiple interfaces of OAP. Education and Training: Individual supervision will be provided by the approved Educational/Clinical Supervisor for one hour per week. The ACU teaching/academic programme runs on a Friday morning. Trainees will be expected to attend regularly and at times present Journal Clubs/Topic Discussions and Case Conferences. Attendance at weekly Balint Groups on Friday morning is mandatory. Attendance at the FPH FY1 Teaching Programme is mandatory. All Foundation study leave is administered for cost and appropriateness by FPH but study leave forms must be approved by Dr. Arya for absence and, also, by Maggie Reynolds, before final submission to FPH. Research and Quality Improvement: Trainees are encouraged to undertake a Quality Improvement Project during their placement. Opportunities for research may be available and will be tailored to individual trainees' needs. Emergencies: The junior doctor accepts that he/she will also perform duties in occasional emergencies and unforeseen circumstances at the request of the appropriate consultant in consultation, where practicable, with his colleagues, both senior and junior. Additional commitments are exceptions and juniors should not be required to undertake work of this kind for prolonged periods on a regular basis. The job description includes cover of normal annual and study leave of colleagues for whom the practitioner is expected to deputise during the normal run of his/her duties. INDICATIVE TIMETABLE: a.m. Monday Tuesday Wednesday Thursday Friday Cedar House Ward work Supervision with Dr. Arya Surrey Heath OP CMHT Outpatient Clinic Cedar House. ACADEMIC MEETING PROGRAMME, ACU : On-call Discussion :Balint Group Term time only: 11.15:Journal Club /Topic Discussion 12.30: Case Presentation /External Speaker p.m Surrey Heath New Patient Clinic Cedar House FPH FY1 Teaching (weekly) Surrey Heath New Patient Clinic Cedar House Ward Work PLUS: FPH FY1 Teaching seven full days as programmed for the 2013/2014 academic year. Page 2 April 2014

3 Foundation Programme Individual Placement Descriptor* Trust Site Intrepid Post Code (or local post number if Intrepid N/A) Placement details (i.e. the specialty and sub-specialty) Department Type of work to expect and learning opportunities Where the placement is based Clinical supervisor(s) for the placement Main duties of the placement Typical working pattern in this placement (e.g. ward rounds, clinics, theatre sessions) Local education provider (LEP) / employer information NHS Foundation Trust KSS/RDU01/001/F1/001 General (Internal) Medicine (Respiratory Medicine) Medicine Daily ward round, reviewing patient who deteriorate, arranging and interpreting investigations (bloods, imaging), clerking emergency and planned admissions, some practical skills (arterial blood gases, pleural procedures, lumbar puncture), discharge planning Drs Higton / Ho / Seymour and Col Hoad Daily management of in-patients Reviewing, interpretation and management following investigations Discharge planning Discussions with patients and relatives ON THE WARD Early morning MDT board round Ward round of all in-patients (with seniors) Jobs generated from ward round Review investigations done that day WHEN ON CALL Several week block of clerking acute admissions and nights NHS Foundation Trust is a major district general hospital located in Surrey, close to the Hampshire and east Berkshire borders. It was built in 1974 to provide a full range of district general hospital services for the population of north east Hampshire and west Surrey replacing a number of cottage hospitals. Its catchment population at that time was around 170,000. Constant development in the surrounding area has seen this figure rise steadily to more than 400,000 today, including parts of east Berkshire, and this figure is expected to grow further. Since 1996 the Trust has hosted a Ministry of Defence

4 Hospital Unit, with military staff fully integrated with NHS colleagues across the hospital. Due to its consistently strong performance over several years, became a foundation trust on 1 April As a foundation trust, it is accountable to its local community and aims to have representative membership of its catchment area, with members providing feedback to the Trust on the services that it provides. During the past year Frimley has been quite literally building for the future. The face of Frimley Park has changed with the building at the front of the hospital of the state of the art new Emergency Department, helipad and day surgery unit. The 22m development, which is nearing completion, will equip the hospital to function as a trauma unit for many years to come. A further 4m investment in the new cardiology wing, and accreditation as both a regional heart attack centre and hub for vascular surgery, have all underlined the hospital s credentials as a hyper acute centre. *It is important to note that this description is a typical example of the placement and may be subject to change.

5 Foundation Programme Individual Placement Descriptor* Trust Site Intrepid Post Code (or local post number if Intrepid N/A) Placement details (i.e. the specialty and sub-specialty) Department Type of work to expect and learning opportunities Where the placement is based Clinical supervisor(s) for the placement Main duties of the placement Typical working pattern in this placement (e.g. ward rounds, clinics, theatre sessions) NHS Foundation Trust KSS/RDU01/001/F1/002 General (Internal) Medicine (Endocrinology) Medicine Daily ward round, reviewing patient who deteriorate, arranging and interpreting investigations (bloods, imaging), clerking emergency and planned admissions, some practical skills (arterial blood gases, lumbar puncture), discharge planning Drs Bingham & Coyle Daily management of in-patients Reviewing, interpretation and management following investigations Discharge planning Discussions with patients and relatives ON THE WARD Early morning MDT board round Ward round of all in-patients (with seniors) Jobs generated from ward round Review investigations done that day WHEN ON CALL Several week block of clerking acute admissions and nights Local education provider (LEP) / employer information Attending diabetic clinics NHS Foundation Trust is a major district general hospital located in Surrey, close to the Hampshire and east Berkshire borders. It was built in 1974 to provide a full range of district general hospital services for the population of north east Hampshire and west Surrey replacing a number of cottage hospitals. Its catchment population at that time was around 170,000. Constant development in the surrounding area has seen this figure rise steadily to more than 400,000 today, including parts of east Berkshire, and this figure is expected to grow further. Since 1996 the Trust has hosted a Ministry of Defence

6 Hospital Unit, with military staff fully integrated with NHS colleagues across the hospital. Due to its consistently strong performance over several years, became a foundation trust on 1 April As a foundation trust, it is accountable to its local community and aims to have representative membership of its catchment area, with members providing feedback to the Trust on the services that it provides. During the past year Frimley has been quite literally building for the future. The face of Frimley Park has changed with the building at the front of the hospital of the state of the art new Emergency Department, helipad and day surgery unit. The 22m development, which is nearing completion, will equip the hospital to function as a trauma unit for many years to come. A further 4m investment in the new cardiology wing, and accreditation as both a regional heart attack centre and hub for vascular surgery, have all underlined the hospital s credentials as a hyper acute centre. *It is important to note that this description is a typical example of the placement and may be subject to change.

7 Foundation Programme Individual Placement Descriptor* Trust Site Intrepid Post Code (or local post number if Intrepid N/A) Placement details (i.e. the specialty and sub-specialty) Department Type of work to expect and learning opportunities Where the placement is based Clinical supervisor(s) for the placement Main duties of the placement Typical working pattern in this placement (e.g. ward rounds, clinics, theatre sessions) Local education provider (LEP) / employer information NHS Foundation Trust KSS/RDU01/001/F1/003 (POST 16) General (Internal) Medicine (Geriatric Medicine) Medicine Daily ward round, reviewing elderly patients who have deteriorated, arranging and interpreting investigations (bloods, imaging), clerking emergency and planned admissions, some practical skills (arterial blood gases, joint aspiration, lumbar puncture), discharge planning. Working in MDT to assess acute elderly admissions and facilitate discharges. Opportunity to assess acute stroke patients in EM & stroke wards. Drs Naidoo & Speirs Daily management of in-patients Reviewing, interpretation and management following investigations Discharge planning Discussions with patients and relatives Acute medical ward, rehabilitation ward and stroke ward, Early morning MDT board round Ward round of all in-patients (with seniors) Jobs generated from ward round Review investigations done that day When on call Several week block of clerking acute admissions and nights NHS Foundation Trust is a major district general hospital located in Surrey, close to the Hampshire and east Berkshire borders. It was built in 1974 to provide a full range of district general hospital services for the population of north east Hampshire and west Surrey replacing a number of cottage hospitals. Its catchment population at that time was around 170,000. Constant development in the surrounding area has seen this figure rise steadily to more than 400,000 today, including parts of east

8 Berkshire, and this figure is expected to grow further. Since 1996 the Trust has hosted a Ministry of Defence Hospital Unit, with military staff fully integrated with NHS colleagues across the hospital. Due to its consistently strong performance over several years, became a foundation trust on 1 April As a foundation trust, it is accountable to its local community and aims to have representative membership of its catchment area, with members providing feedback to the Trust on the services that it provides. During the past year Frimley has been quite literally building for the future. The face of Frimley Park has changed with the building at the front of the hospital of the state of the art new Emergency Department, helipad and day surgery unit. The 22m development, which is nearing completion, will equip the hospital to function as a trauma unit for many years to come. A further 4m investment in the new cardiology wing, and accreditation as both a regional heart attack centre and hub for vascular surgery, have all underlined the hospital s credentials as a hyper acute centre. *It is important to note that this description is a typical example of the placement and may be subject to change.

9 Foundation Programme Individual Placement Descriptor* Trust Site Intrepid Post Code (or local post number if Intrepid N/A) Placement details (i.e. the specialty and sub-specialty) Department Type of work to expect and learning opportunities Where the placement is based Clinical supervisor(s) for the placement Main duties of the placement Typical working pattern in this placement (e.g. ward rounds, clinics, theatre sessions) Local education provider (LEP) / employer information NHS Foundation Trust KSS/RDU01/001/F1/004 General (Internal) Medicine (Cardiology) Medicine Team consultants will do the ward round (CCU, MAU and new patients on G5 Keats). Assessing emergency patients in EM working alongside cardiologists in cath lab from elective & emergency work CCU,MAU G5 Keats & cardio cath lab. Drs Clarkson/Faircloth/Achan/Norman/Rathmore Accompanying consultants on daily ward round. Arranging investigations, note keeping, TTOs and general ward work. TTOs are completed in the afternoons for the patients in cath-lab day ward (mainly for elective procedure patients). Ward round, clinics, cardio cath lab & assessing EM patients with cardiologists NHS Foundation Trust is a major district general hospital located in Surrey, close to the Hampshire and east Berkshire borders. It was built in 1974 to provide a full range of district general hospital services for the population of north east Hampshire and west Surrey replacing a number of cottage hospitals. Its catchment population at that time was around 170,000. Constant development in the surrounding area has seen this figure rise steadily to more than 400,000 today, including parts of east Berkshire, and this figure is expected to grow further. Since 1996 the Trust has hosted a Ministry of Defence Hospital Unit, with military staff fully integrated with NHS colleagues across the hospital. Due to its consistently strong performance over several years, became a foundation trust

10 on 1 April As a foundation trust, it is accountable to its local community and aims to have representative membership of its catchment area, with members providing feedback to the Trust on the services that it provides. During the past year Frimley has been quite literally building for the future. The face of Frimley Park has changed with the building at the front of the hospital of the state of the art new Emergency Department, helipad and day surgery unit. The 22m development, which is nearing completion, will equip the hospital to function as a trauma unit for many years to come. A further 4m investment in the new cardiology wing, and accreditation as both a regional heart attack centre and hub for vascular surgery, have all underlined the hospital s credentials as a hyper acute centre. *It is important to note that this description is a typical example of the placement and may be subject to change.

11 Foundation Programme Individual Placement Descriptor* Trust Site Intrepid Post Code (or local post number if Intrepid N/A) Placement details (i.e. the specialty and sub-specialty) Department Type of work to expect and learning opportunities Where the placement is based Clinical supervisor(s) for the placement Main duties of the placement Typical working pattern in this placement (e.g. ward rounds, clinics, theatre sessions) Local education provider (LEP) / employer information NHS Foundation Trust KSS/RDU01/001/F1/005 General (Internal) Medicine (Gastroenterology) Medicine Ward based, A&E & MAU on call Teaching: as per education centre weekly teaching meeting bedside, procedures Ward F9, Drs Ala/Berry/Direkze/Langlands Responsibility for ward patients. Assessing acutely unwell patients escalating where necessary A&E & MAU acute medical admissions Ward rounds Opportunity for seeing endoscopy and attending clinics. NHS Foundation Trust is a major district general hospital located in Surrey, close to the Hampshire and east Berkshire borders. It was built in 1974 to provide a full range of district general hospital services for the population of north east Hampshire and west Surrey replacing a number of cottage hospitals. Its catchment population at that time was around 170,000. Constant development in the surrounding area has seen this figure rise steadily to more than 400,000 today, including parts of east Berkshire, and this figure is expected to grow further. Since 1996 the Trust has hosted a Ministry of Defence Hospital Unit, with military staff fully integrated with NHS colleagues across the hospital. Due to its consistently strong performance over several years, became a foundation trust on 1 April As a foundation trust, it is accountable to its local community and aims to have representative membership of its catchment area, with members providing feedback to the Trust on the services that it provides.

12 During the past year Frimley has been quite literally building for the future. The face of Frimley Park has changed with the building at the front of the hospital of the state of the art new Emergency Department, helipad and day surgery unit. The 22m development, which is nearing completion, will equip the hospital to function as a trauma unit for many years to come. A further 4m investment in the new cardiology wing, and accreditation as both a regional heart attack centre and hub for vascular surgery, have all underlined the hospital s credentials as a hyper acute centre. *It is important to note that this description is a typical example of the placement and may be subject to change.

13 Foundation Programme Individual Placement Descriptor* Trust Site Intrepid Post Code (or local post number if Intrepid N/A) Placement details (i.e. the specialty and sub-specialty) Department Type of work to expect and learning opportunities Where the placement is based Clinical supervisor(s) for the placement Main duties of the placement Typical working pattern in this placement (e.g. ward rounds, clinics, theatre sessions) Local education provider (LEP) / employer information NHS Foundation Trust KSS/RDU01/001/F1/006 General (Internal) Medicine (Cardiology) Medicine Team consultants will do the ward round (CCU, MAU and new patients on G5 Keats). Assessing emergency patients in EM working alongside cardiologists in cath lab from elective & emergency work CCU,MAU G5 Keats & cardio cath lab. Drs Clarkson/Faircloth/Achan/Norman/Rathmore Accompanying consultants on daily ward round. Arranging investigations, note keeping, TTOs and general ward work. TTOs are completed in the afternoons for the patients in cath-lab day ward (mainly for elective procedure patients). Ward round, clinics, cardio cath lab & assessing EM patients with cardiologists NHS Foundation Trust is a major district general hospital located in Surrey, close to the Hampshire and east Berkshire borders. It was built in 1974 to provide a full range of district general hospital services for the population of north east Hampshire and west Surrey replacing a number of cottage hospitals. Its catchment population at that time was around 170,000. Constant development in the surrounding area has seen this figure rise steadily to more than 400,000 today, including parts of east Berkshire, and this figure is expected to grow further. Since 1996 the Trust has hosted a Ministry of Defence Hospital Unit, with military staff fully integrated with NHS colleagues across the hospital. Due to its consistently strong performance over several years, became a foundation trust on 1 April As a foundation trust, it is accountable to its local community and aims to have representative membership of its catchment area, with members

14 providing feedback to the Trust on the services that it provides. During the past year Frimley has been quite literally building for the future. The face of Frimley Park has changed with the building at the front of the hospital of the state of the art new Emergency Department, helipad and day surgery unit. The 22m development, which is nearing completion, will equip the hospital to function as a trauma unit for many years to come. A further 4m investment in the new cardiology wing, and accreditation as both a regional heart attack centre and hub for vascular surgery, have all underlined the hospital s credentials as a hyper acute centre. *It is important to note that this description is a typical example of the placement and may be subject to change.

15 Foundation Programme Individual Placement Descriptor* Trust Site Intrepid Post Code (or local post number if Intrepid N/A) Placement details (i.e. the specialty and sub-specialty) Department Type of work to expect and learning opportunities Where the placement is based Clinical supervisor(s) for the placement Main duties of the placement Typical working pattern in this placement (e.g. ward rounds, clinics, theatre sessions) Local education provider (LEP) / employer information NHS Foundation Trust KSS/RDU01/001/F1/007 General (Internal) Medicine (Geriatric Medicine) Medicine Daily ward round, reviewing elderly patients who have deteriorated, arranging and interpreting investigations (bloods, imaging), clerking emergency and planned admissions, some practical skills (arterial blood gases, joint aspiration, lumbar puncture), discharge planning. Working in MDT to assess acute elderly admissions and facilitate discharges. Opportunity to assess acute stroke patients in EM & stroke wards. Drs Naidoo & Speirs Daily management of in-patients Reviewing, interpretation and management following investigations Discharge planning Discussions with patients and relatives Acute medical ward, rehabilitation ward and stroke ward, Early morning MDT board round Ward round of all in-patients (with seniors) Jobs generated from ward round Review investigations done that day When on call Several week block of clerking acute admissions and nights NHS Foundation Trust is a major district general hospital located in Surrey, close to the Hampshire and east Berkshire borders. It was built in 1974 to provide a full range of district general hospital services for the population of north east Hampshire and west Surrey replacing a number of cottage hospitals. Its catchment population at that time was around 170,000. Constant development in the surrounding area has seen this figure rise steadily to more than 400,000 today, including parts of east

16 Berkshire, and this figure is expected to grow further. Since 1996 the Trust has hosted a Ministry of Defence Hospital Unit, with military staff fully integrated with NHS colleagues across the hospital. Due to its consistently strong performance over several years, became a foundation trust on 1 April As a foundation trust, it is accountable to its local community and aims to have representative membership of its catchment area, with members providing feedback to the Trust on the services that it provides. During the past year Frimley has been quite literally building for the future. The face of Frimley Park has changed with the building at the front of the hospital of the state of the art new Emergency Department, helipad and day surgery unit. The 22m development, which is nearing completion, will equip the hospital to function as a trauma unit for many years to come. A further 4m investment in the new cardiology wing, and accreditation as both a regional heart attack centre and hub for vascular surgery, have all underlined the hospital s credentials as a hyper acute centre. *It is important to note that this description is a typical example of the placement and may be subject to change.

17 Foundation Programme Individual Placement Descriptor* Trust Site Intrepid Post Code (or local post number if Intrepid N/A) Placement details (i.e. the specialty and sub-specialty) Department Type of work to expect and learning opportunities Where the placement is based Clinical supervisor(s) for the placement Main duties of the placement Typical working pattern in this placement (e.g. ward rounds, clinics, theatre sessions) Local education provider (LEP) / employer information NHS Foundation Trust KSS/RDU01/001/F1/008 General (Internal) Medicine (Gastroenterology) Medicine Ward based, A&E & MAU on call Teaching: as per education centre weekly teaching meeting bedside, procedures Ward F9, Drs Ala/Berry/Direkze/Langlands Responsibility for ward patients. Assessing acutely unwell patients escalating where necessary A&E & MAU acute medical admissions Ward rounds Opportunity for seeing endoscopy and attending clinics NHS Foundation Trust is a major district general hospital located in Surrey, close to the Hampshire and east Berkshire borders. It was built in 1974 to provide a full range of district general hospital services for the population of north east Hampshire and west Surrey replacing a number of cottage hospitals. Its catchment population at that time was around 170,000. Constant development in the surrounding area has seen this figure rise steadily to more than 400,000 today, including parts of east Berkshire, and this figure is expected to grow further. Since 1996 the Trust has hosted a Ministry of Defence Hospital Unit, with military staff fully integrated with NHS colleagues across the hospital. Due to its consistently strong performance over several years, became a foundation trust on 1 April As a foundation trust, it is accountable to its local community and aims to have representative membership of its catchment area, with members providing feedback to the Trust on the services that it provides.

18 During the past year Frimley has been quite literally building for the future. The face of Frimley Park has changed with the building at the front of the hospital of the state of the art new Emergency Department, helipad and day surgery unit. The 22m development, which is nearing completion, will equip the hospital to function as a trauma unit for many years to come. A further 4m investment in the new cardiology wing, and accreditation as both a regional heart attack centre and hub for vascular surgery, have all underlined the hospital s credentials as a hyper acute centre. *It is important to note that this description is a typical example of the placement and may be subject to change.

19 Foundation Programme Individual Placement Descriptor* Trust Site Intrepid Post Code (or local post number if Intrepid N/A) Placement details (i.e. the specialty and sub-specialty) Department Type of work to expect and learning opportunities Where the placement is based Clinical supervisor(s) for the placement Main duties of the placement Typical working pattern in this placement (e.g. ward rounds, clinics, theatre sessions) Local education provider (LEP) / employer information NHS Foundation Trust KSS/RDU01/001/F1/009 General (Internal) Medicine (Respiratory Medicine) Medicine Daily ward round, reviewing patient who deteriorate, arranging and interpreting investigations (bloods, imaging), clerking emergency and planned admissions, some practical skills (arterial blood gases, pleural procedures, lumbar puncture), discharge planning Drs Higton / Ho / Seymour and Col Hoad Daily management of in-patients Reviewing, interpretation and management following investigations Discharge planning Discussions with patients and relatives ON THE WARD Early morning MDT board round Ward round of all in-patients (with seniors) Jobs generated from ward round Review investigations done that day WHEN ON CALL Several week block of clerking acute admissions and nights NHS Foundation Trust is a major district general hospital located in Surrey, close to the Hampshire and east Berkshire borders. It was built in 1974 to provide a full range of district general hospital services for the population of north east Hampshire and west Surrey replacing a number of cottage hospitals. Its catchment population at that time was around 170,000. Constant development in the surrounding area has seen this figure rise steadily to more than 400,000 today, including parts of east Berkshire, and this figure is expected to grow further. Since 1996 the Trust has hosted a Ministry of Defence Hospital Unit, with military staff fully integrated with NHS colleagues across the hospital.

20 Due to its consistently strong performance over several years, became a foundation trust on 1 April As a foundation trust, it is accountable to its local community and aims to have representative membership of its catchment area, with members providing feedback to the Trust on the services that it provides. During the past year Frimley has been quite literally building for the future. The face of Frimley Park has changed with the building at the front of the hospital of the state of the art new Emergency Department, helipad and day surgery unit. The 22m development, which is nearing completion, will equip the hospital to function as a trauma unit for many years to come. A further 4m investment in the new cardiology wing, and accreditation as both a regional heart attack centre and hub for vascular surgery, have all underlined the hospital s credentials as a hyper acute centre. *It is important to note that this description is a typical example of the placement and may be subject to change.

21 Foundation Programme Individual Placement Descriptor* Trust Site Intrepid Post Code (or local post number if Intrepid N/A) Placement details (i.e. the specialty and sub-specialty) Department Type of work to expect and learning opportunities Where the placement is based Clinical supervisor(s) for the placement Main duties of the placement Typical working pattern in this placement (e.g. ward rounds, clinics, theatre sessions) Local education provider (LEP) / employer information NHS Foundation Trust KSS/RDU01/001/F1/010 General (Internal) Medicine (Geriatric Medicine) Medicine Daily ward round, reviewing elderly patients who have deteriorated, arranging and interpreting investigations (bloods, imaging), clerking emergency and planned admissions, some practical skills (arterial blood gases, joint aspiration, lumbar puncture), discharge planning. Working in MDT to assess acute elderly admissions and facilitate discharges. Opportunity to assess acute stroke patients in EM & stroke wards. Drs Naidoo & Speirs Daily management of in-patients Reviewing, interpretation and management following investigations Discharge planning Discussions with patients and relatives Acute medical ward, rehabilitation ward and stroke ward, Early morning MDT board round Ward round of all in-patients (with seniors) Jobs generated from ward round Review investigations done that day When on call Several week block of clerking acute admissions and nights NHS Foundation Trust is a major district general hospital located in Surrey, close to the Hampshire and east Berkshire borders. It was built in 1974 to provide a full range of district general hospital services for the population of north east Hampshire and west Surrey replacing a number of cottage hospitals. Its catchment population at that time was around 170,000. Constant development in the surrounding area has seen this figure rise steadily to more than 400,000 today, including parts of east

22 Berkshire, and this figure is expected to grow further. Since 1996 the Trust has hosted a Ministry of Defence Hospital Unit, with military staff fully integrated with NHS colleagues across the hospital. Due to its consistently strong performance over several years, became a foundation trust on 1 April As a foundation trust, it is accountable to its local community and aims to have representative membership of its catchment area, with members providing feedback to the Trust on the services that it provides. During the past year Frimley has been quite literally building for the future. The face of Frimley Park has changed with the building at the front of the hospital of the state of the art new Emergency Department, helipad and day surgery unit. The 22m development, which is nearing completion, will equip the hospital to function as a trauma unit for many years to come. A further 4m investment in the new cardiology wing, and accreditation as both a regional heart attack centre and hub for vascular surgery, have all underlined the hospital s credentials as a hyper acute centre. *It is important to note that this description is a typical example of the placement and may be subject to change.

23 Foundation Programme Individual Placement Descriptor* Trust Site Intrepid Post Code (or local post number if Intrepid N/A) Placement details (i.e. the specialty and sub-specialty) Department Type of work to expect and learning opportunities Where the placement is based Clinical supervisor(s) for the placement Main duties of the placement Typical working pattern in this placement (e.g. ward rounds, clinics, theatre sessions) Local education provider (LEP) / employer information NHS Foundation Trust KSS/RDU01/001/F1/501 General (Internal) Medicine (Gastroenterology) Medicine Ward based, A&E & MAU on call Teaching: as per education centre weekly teaching meeting bedside, procedures Ward F9, Drs Ala/Berry/Direkze/Langlands Responsibility for ward patients. Assessing acutely unwell patients escalating where necessary A&E & MAU acute medical admissions Ward rounds Opportunity for seeing endoscopy and attending clinics. NHS Foundation Trust is a major district general hospital located in Surrey, close to the Hampshire and east Berkshire borders. It was built in 1974 to provide a full range of district general hospital services for the population of north east Hampshire and west Surrey replacing a number of cottage hospitals. Its catchment population at that time was around 170,000. Constant development in the surrounding area has seen this figure rise steadily to more than 400,000 today, including parts of east Berkshire, and this figure is expected to grow further. Since 1996 the Trust has hosted a Ministry of Defence Hospital Unit, with military staff fully integrated with NHS colleagues across the hospital. Due to its consistently strong performance over several years, became a foundation trust on 1 April As a foundation trust, it is accountable to its local community and aims to have representative membership of its catchment area, with members providing feedback to the Trust on the services that it provides.

24 During the past year Frimley has been quite literally building for the future. The face of Frimley Park has changed with the building at the front of the hospital of the state of the art new Emergency Department, helipad and day surgery unit. The 22m development, which is nearing completion, will equip the hospital to function as a trauma unit for many years to come. A further 4m investment in the new cardiology wing, and accreditation as both a regional heart attack centre and hub for vascular surgery, have all underlined the hospital s credentials as a hyper acute centre. *It is important to note that this description is a typical example of the placement and may be subject to change.

25 Foundation Programme Individual Placement Descriptor* Trust Site Intrepid Post Code (or local post number if Intrepid N/A) Placement details (i.e. the specialty and sub-specialty) Department Type of work to expect and learning opportunities Where the placement is based Clinical supervisor(s) for the placement Main duties of the placement Typical working pattern in this placement (e.g. ward rounds, clinics, theatre sessions) Local education provider (LEP) / employer information NHS Foundation Trust KSS/RDU01/001/F1/502 General (Internal) Medicine (Respiratory Medicine) Medicine Daily ward round, reviewing patient who deteriorate, arranging and interpreting investigations (bloods, imaging), clarking emergency and planned admissions, some practical skills (arterial blood gases, pleural procedures, lumbar puncture), discharge planning Drs Higton / Ho / Seymour and Col Hoad Daily management of in-patients Reviewing, interpretation and management following investigations Discharge planning Discussions with patients and relatives ON THE WARD Early morning MDT board round Ward round of all in-patients (with seniors) Jobs generated from ward round Review investigations done that day WHEN ON CALL Several week block of clerking acute admissions and nights NHS Foundation Trust is a major district general hospital located in Surrey, close to the Hampshire and east Berkshire borders. It was built in 1974 to provide a full range of district general hospital services for the population of north east Hampshire and west Surrey replacing a number of cottage hospitals. Its catchment population at that time was around 170,000. Constant development in the surrounding area has seen this figure rise steadily to more than 400,000 today, including parts of east Berkshire, and this figure is expected to grow further. Since 1996 the Trust has hosted a Ministry of Defence Hospital Unit, with military staff fully integrated with NHS colleagues across the hospital.

26 Due to its consistently strong performance over several years, became a foundation trust on 1 April As a foundation trust, it is accountable to its local community and aims to have representative membership of its catchment area, with members providing feedback to the Trust on the services that it provides. During the past year Frimley has been quite literally building for the future. The face of Frimley Park has changed with the building at the front of the hospital of the state of the art new Emergency Department, helipad and day surgery unit. The 22m development, which is nearing completion, will equip the hospital to function as a trauma unit for many years to come. A further 4m investment in the new cardiology wing, and accreditation as both a regional heart attack centre and hub for vascular surgery, have all underlined the hospital s credentials as a hyper acute centre. *It is important to note that this description is a typical example of the placement and may be subject to change.

27 Foundation Programme Individual Placement Descriptor* Trust Site Intrepid Post Code (or local post number if Intrepid N/A) Placement details (i.e. the specialty and sub-specialty) Department Type of work to expect and learning opportunities Where the placement is based Clinical supervisor(s) for the placement Main duties of the placement Typical working pattern in this placement (e.g. ward rounds, clinics, theatre sessions) NHS Foundation Trust KSS/RDU01/001/F1/503 General (Internal) Medicine (Endocrinology) Medicine Daily ward round, reviewing patient who deteriorate, arranging and interpreting investigations (bloods, imaging), clerking emergency and planned admissions, some practical skills (arterial blood gases, lumbar puncture), discharge planning Drs Bingham & Coyle Daily management of in-patients Reviewing, interpretation and management following investigations Discharge planning Discussions with patients and relatives ON THE WARD Early morning MDT board round Ward round of all in-patients (with seniors) Jobs generated from ward round Review investigations done that day WHEN ON CALL Several week block of clerking acute admissions and nights Local education provider (LEP) / employer information Attending diabetic clinics NHS Foundation Trust is a major district general hospital located in Surrey, close to the Hampshire and east Berkshire borders. It was built in 1974 to provide a full range of district general hospital services for the population of north east Hampshire and west Surrey replacing a number of cottage hospitals. Its catchment population at that time was around 170,000. Constant development in the surrounding area has seen this figure rise steadily to more than 400,000 today, including parts of east Berkshire, and this figure is expected to grow further. Since 1996 the Trust has hosted a Ministry of Defence

28 Hospital Unit, with military staff fully integrated with NHS colleagues across the hospital. Due to its consistently strong performance over several years, became a foundation trust on 1 April As a foundation trust, it is accountable to its local community and aims to have representative membership of its catchment area, with members providing feedback to the Trust on the services that it provides. During the past year Frimley has been quite literally building for the future. The face of Frimley Park has changed with the building at the front of the hospital of the state of the art new Emergency Department, helipad and day surgery unit. The 22m development, which is nearing completion, will equip the hospital to function as a trauma unit for many years to come. A further 4m investment in the new cardiology wing, and accreditation as both a regional heart attack centre and hub for vascular surgery, have all underlined the hospital s credentials as a hyper acute centre. *It is important to note that this description is a typical example of the placement and may be subject to change.

29 Foundation Programme Individual Placement Descriptor* Trust Site Intrepid Post Code (or local post number if Intrepid N/A) Placement details (i.e. the specialty and sub-specialty) Department Type of work to expect and learning opportunities Where the placement is based Clinical supervisor(s) for the placement Main duties of the placement Typical working pattern in this placement (e.g. ward rounds, clinics, theatre sessions) Local education provider (LEP) / employer information NHS Foundation Trust KSS/RDU01/002/F1/001 Paediatrics (N/A) Paediatrics General work Ward work, outpatient clinics, SCBU ward rounds, postnatal checks, attending deliveries of term and preterm babies, A and E admissions & GP referrals all closely supervised by consultants, registrars & SHOs. Learning opportunities: Teaching on ward rounds 3 minute teaching after ward rounds Community teaching once weekly SHO teaching once weekly Journal Club once weekly X Ray meeting bimonthly Paediatric Ward and SCBU. Frimley Children s Centre, Frimley for outpatient clinics Clare Betteridge Supervised clerking new patients and developing management plans. Assisting on ward rounds, minor procedures such as blood taking, cannulas, Lumbar punctures, resuscitation of the newborn, baby checks. Attending outpatient clinics as learning opportunities generally. Every 8 weeks, one set of split nights and 5 late shifts and one long and one short weekend NHS Foundation Trust is a major district general hospital located in Surrey, close to the Hampshire and east Berkshire borders. It was built in 1974 to provide a full range of district general hospital services for the population of north east Hampshire and west Surrey replacing a number of cottage hospitals. Its catchment population at that time was around 170,000. Constant development in the surrounding area has seen this figure rise steadily to

30 more than 400,000 today, including parts of east Berkshire, and this figure is expected to grow further. Since 1996 the Trust has hosted a Ministry of Defence Hospital Unit, with military staff fully integrated with NHS colleagues across the hospital. Due to its consistently strong performance over several years, became a foundation trust on 1 April As a foundation trust, it is accountable to its local community and aims to have representative membership of its catchment area, with members providing feedback to the Trust on the services that it provides. During the past year Frimley has been quite literally building for the future. The face of Frimley Park has changed with the building at the front of the hospital of the state of the art new Emergency Department, helipad and day surgery unit. The 22m development, which is nearing completion, will equip the hospital to function as a trauma unit for many years to come. A further 4m investment in the new cardiology wing, and accreditation as both a regional heart attack centre and hub for vascular surgery, have all underlined the hospital s credentials as a hyper acute centre. *It is important to note that this description is a typical example of the placement and may be subject to change

31 Foundation Programme Individual Placement Descriptor* Trust Site Intrepid Post Code (or local post number if Intrepid N/A) Placement details (i.e. the specialty and sub-specialty) Department Type of work to expect and learning opportunities Where the placement is based Clinical supervisor(s) for the placement Main duties of the placement Typical working pattern in this placement (e.g. ward rounds, clinics, theatre sessions) Local education provider (LEP) / employer information NHS Foundation Trust KSS/RDU01/021/F1/001 General Surgery (Upper Gastrointestinal Surgery) General Surgery Daily supervised ward round with Consultant and Registrars of acute admissions and ward patients. Completing jobs generated from ward rounds. Bedside teaching and monthly meeting with consultant for informal group discussion session. Mr Paterson & Mr Singh Organising investigations, collating results and bring to seniors attention. Discharge facilitation & TTOs. Clinic opportunities and theatre operating experience. EST and surgical clerking when on call. General ward work. NHS Foundation Trust is a major district general hospital located in Surrey, close to the Hampshire and east Berkshire borders. It was built in 1974 to provide a full range of district general hospital services for the population of north east Hampshire and west Surrey replacing a number of cottage hospitals. Its catchment population at that time was around 170,000. Constant development in the surrounding area has seen this figure rise steadily to more than 400,000 today, including parts of east Berkshire, and this figure is expected to grow further. Since 1996 the Trust has hosted a Ministry of Defence Hospital Unit, with military staff fully integrated with NHS colleagues across the hospital. Due to its consistently strong performance over several years, became a foundation trust on 1 April As a foundation trust, it is accountable to its local community and aims to have representative

32 membership of its catchment area, with members providing feedback to the Trust on the services that it provides. During the past year Frimley has been quite literally building for the future. The face of Frimley Park has changed with the building at the front of the hospital of the state of the art new Emergency Department, helipad and day surgery unit. The 22m development, which is nearing completion, will equip the hospital to function as a trauma unit for many years to come. A further 4m investment in the new cardiology wing, and accreditation as both a regional heart attack centre and hub for vascular surgery, have all underlined the hospital s credentials as a hyper acute centre. *It is important to note that this description is a typical example of the placement and may be subject to change.

33 Foundation Programme Individual Placement Descriptor* Trust Site Intrepid Post Code (or local post number if Intrepid N/A) Placement details (i.e. the specialty and sub-specialty) Department Type of work to expect and learning opportunities Where the placement is based Clinical supervisor(s) for the placement Main duties of the placement Typical working pattern in this placement (e.g. ward rounds, clinics, theatre sessions) Local education provider (LEP) / employer information NHS Foundation Trust KSS/RDU01/021/F1/002 General Surgery (Lower Gastrol Intestinal) General Surgery Daily supervised ward round with Consultant and Registrars of acute admissions and ward patients. Completing jobs generated from ward rounds. Bedside teaching and monthly meeting with consultant for informal group discussion session. Mr Dowson, Mr Edwards, Mr Tilney & Miss Burton Organising investigations, collating results and bring to seniors attention. Discharge facilitation & TTOs. Clinic opportunities and theatre operating experience. EST and surgical clerking when on call. General ward work. NHS Foundation Trust is a major district general hospital located in Surrey, close to the Hampshire and east Berkshire borders. It was built in 1974 to provide a full range of district general hospital services for the population of north east Hampshire and west Surrey replacing a number of cottage hospitals. Its catchment population at that time was around 170,000. Constant development in the surrounding area has seen this figure rise steadily to more than 400,000 today, including parts of east Berkshire, and this figure is expected to grow further. Since 1996 the Trust has hosted a Ministry of Defence Hospital Unit, with military staff fully integrated with NHS colleagues across the hospital. Due to its consistently strong performance over several years, became a foundation trust on 1 April As a foundation trust, it is accountable

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