William Harvey Hospital CCU, Medical Wards. Dr Jane Fisher

Transcription

1 Intrepid Post Code (or local post East Kent Hospitals University NHS Foundation William Harvey Hospital (Ashford) KSS/RVV01/007/F2/001 (POST 12) Type of work to expect and learning opportunities Main duties of the Typical working pattern in this Local education provider (LEP) / Cardiology (Cardio-vascular Disease) (N/A) Cardiology CCU Ward work General medicine post take at least x 1 per week William Harvey Hospital CCU, Medical Wards Dr Jane Fisher CCU ward work, managing general medical take patients Morning ward round on CCU every morning Every Monday and Tuesday post take ward round for Dr Fisher or Dr Gaster Usual working hours 8.30 am 6.30 pm The is one of the largest in the country, employing over 6500 staff with many part-time employees. The serves a population of over 720,000. The has the vision to be known throughout the world as one of the top ten hospitals in England and the Kent hospital of choice for patients and those close to them. The EKHUFT s mission is to provide safe, patient focused and sustainable health services with and for the people of Kent. The recognises that to achieve this it has a special responsibility for the most vulnerable members of the population that it serves. The aims to work with local partners to develop

2 excellent, modern clinical services, reducing both the length of time patients wait to be seen and to be treated and to make sure that it meets all the financial obligations. The East Kent Hospitals University NHS Foundation serves a population of over 720,000 (approximately 20% over the age of 65). The population is spread across a geographical area of over 700 square miles of a largely rural area with main urban population in Ashford, Folkestone, Canterbury, Dover, Margate, and Ramsgate. Local authority population figures are as follow: Ashford (111,200), Canterbury (146,200), Dover (106,400), Shepway (99,600), Swale (128,500) and Thanet (128,600). *It is important to note that this description is a typical example of the and may be subject to change.

3 Intrepid Post Code (or local post East Kent Hospitals University NHS Foundation William Harvey Hospital (Ashford) KSS/RVV01/030/F2/002 (POST 16) Type of work to expect and learning opportunities Main duties of the Typical working pattern in this Local education provider (LEP) / Emergency Medicine (N/A) A&E Continual clerking of patients in both majors and minors. Limited learning opportunities, as department understaffed and largely locum middle-grades. Some excellent Emergency Nurse Practitioners however. 1 hr formal teaching/week, though on any one week less than half the SHOs are available to attend. You work largely independently outside of office hours and weekends, when there is no consultant cover A&E William Harvey Hospital Dr Johnny Joy Clerking clerking clerking. Approx 90% of patients and see, treat and discharge. Remainder are referrals onto specialties. Occasional opportunities to manage acutely unwell patients. Recommend ALS and A&E X-rays course at Northwick Park before starting. Rota shared amongst 8 SHOs, 5 shift types 8-17, 11-21, 14-midnight, 19-4, 23-8, roughly equally split. Leave pre-allocated. The is one of the largest in the country, employing over 6500 staff with many part-time employees. The serves a population of over 720,000. The has the vision to be known throughout the world as one of the top ten hospitals in England and the Kent hospital of choice for patients and those close to them. The EKHUFT s mission is to provide safe, patient focused and sustainable health services with and for the people of

4 Kent. The recognises that to achieve this it has a special responsibility for the most vulnerable members of the population that it serves. The aims to work with local partners to develop excellent, modern clinical services, reducing both the length of time patients wait to be seen and to be treated and to make sure that it meets all the financial obligations. The East Kent Hospitals University NHS Foundation serves a population of over 720,000 (approximately 20% over the age of 65). The population is spread across a geographical area of over 700 square miles of a largely rural area with main urban population in Ashford, Folkestone, Canterbury, Dover, Margate, and Ramsgate. Local authority population figures are as follow: Ashford (111,200), Canterbury (146,200), Dover (106,400), Shepway (99,600), Swale (128,500) and Thanet (128,600). *It is important to note that this description is a typical example of the and may be subject to change.

5 Intrepid Post Code (or local post East Kent Hospitals University NHS Foundation William Harvey Hospital (Ashford) KSS/RVV01/023/F2/001 (POST 04) Type of work to expect and learning opportunities Otolaryngology (N/A) Surgery Participation in daily Consultant supervised emergency clinic, allowing early proficiency to be gained in recognition, assessment and treatment of minor and life threatening ENT emergency referrals. Proficiency at examination of Ear, Nose and Throat using head mirror, otoscope, operating microscope and flexible nasopharyngoscope. Supervised experience of routine ENT outpatient clinics, with strong subspecialisation ethos. Supervised experience in the management of ENT in-patients, including the pre- and post-operative management of patients undergoing ontological, rhinological and head and neck (including thyroid) procedures and resection / reconstruction. Exposure to ENT surgery in theatre. Opportunity to assist in minor and major ENT operations. (Adentonsillectomy and grommet insertion) William Harvey Hospital (Rotary Ward) Mr Henry Sharp, Consultant ENT Surgeon / Rhinologist and Nasal Plastic Surgeon. Main duties of the Daily ward round and morning supervised emergency clinic.

6 Typical working pattern in this Local education provider (LEP) / Monday- Fridays: Ward round from 8-9. Ward work till HTENT clinic (emergency clinic) Lunch. Ward work 2-4, or theatres / sit in outpatient clinic, if not on call. Exceptions: Thursday afternoon: 2-5 FY2 mandatory teaching. Wednesday: Half day. (if not on call) On call days: Ward round from 8-9. Ward work till HTENT clinic Lunch. The is one of the largest in the country, employing over 6500 staff with many part-time employees. The serves a population of over 720,000. The has the vision to be known throughout the world as one of the top ten hospitals in England and the Kent hospital of choice for patients and those close to them. The EKHUFT s mission is to provide safe, patient focused and sustainable health services with and for the people of Kent. The recognises that to achieve this it has a special responsibility for the most vulnerable members of the population that it serves. The aims to work with local partners to develop excellent, modern clinical services, reducing both the length of time patients wait to be seen and to be treated and to make sure that it meets all the financial obligations. The East Kent Hospitals University NHS Foundation serves a population of over 720,000 (approximately 20% over the age of 65). The population is spread across a geographical area of over 700 square miles of a largely rural area with main urban population in Ashford, Folkestone, Canterbury, Dover, Margate, and Ramsgate. Local authority population figures are as follow: Ashford (111,200), Canterbury (146,200), Dover (106,400), Shepway (99,600), Swale (128,500) and Thanet (128,600). *It is important to note that this description is a typical example of the and may be subject to change.

7 Intrepid Post Code (or local post East Kent Hospitals University NHS Foundation William Harvey Hospital (Ashford) KSS/RVV01/018/F2/001 (POST 14) Type of work to expect and learning opportunities Main duties of the Typical working pattern in this Local education provider (LEP) / Gastro-enterology (N/A) Gastroenterology Ward rounds, both with consultant and independent. Assessment, formation of management plans and discharge of patients. Leading junior FY1 doctors. Medical ward (Cambridge M) at William Harvey with outliers on other wards and CDU. On calls based in A&E and CDU Dr. Austin Completing jobs from ward round with FY1, assessing unwell patients and conducting own ward rounds Ward rounds and ward based work. No clinics or outpatient sessions currently The is one of the largest in the country, employing over 6500 staff with many part-time employees. The serves a population of over 720,000. The has the vision to be known throughout the world as one of the top ten hospitals in England and the Kent hospital of choice for patients and those close to them. The EKHUFT s mission is to provide safe, patient focused and sustainable health services with and for the people of Kent. The recognises that to achieve this it has a special responsibility for the most vulnerable members of

8 the population that it serves. The aims to work with local partners to develop excellent, modern clinical services, reducing both the length of time patients wait to be seen and to be treated and to make sure that it meets all the financial obligations. The East Kent Hospitals University NHS Foundation serves a population of over 720,000 (approximately 20% over the age of 65). The population is spread across a geographical area of over 700 square miles of a largely rural area with main urban population in Ashford, Folkestone, Canterbury, Dover, Margate, and Ramsgate. Local authority population figures are as follow: Ashford (111,200), Canterbury (146,200), Dover (106,400), Shepway (99,600), Swale (128,500) and Thanet (128,600). *It is important to note that this description is a typical example of the and may be subject to change.

9 Intrepid Post Code (or local post East Kent Hospitals University NHS Foundation William Harvey Hospital (Ashford) KSS/RVV01/021/F2/002 (POST 23) Type of work to expect and learning opportunities Main duties of the General Surgery (Colorectal Surgery) General Surgery Each day is split in half so every morning and every afternoon you will have a different role according to the weekly rota. You will either be post take, on the normal ward round, CEPOD (emergency theatres) or normal main theatres in the mornings and in the afternoons you will either be on the ward, CEPOD or theatres. The other alternative is that you will be on call. The on calls are pretty well spaced and not too often. When doing a weekend you get the day off before ie. Thursdays, which is nice. When doing a weekday oncall you get half day usually the following afternoon. Each Monday morning there is the radiology meeting. Where scans are discussed so good opportunity to learn. Each Thursday morning is our own surgical teaching in the ed centre where one of us teaches the rest, so check the timetable to know when it s your turn. The rota also allows for Thursday afternoons FY2 teaching, unless you are oncall. The oncalls are well supported by registrar and consultant. Each day there is a GI ward round and a Breast/Endocrine ward round done by a registrar so is very organised and led by a senior. William Harvey Hospital. Mainly on surgical wards but also have outlier patients, and main theatres/day surgery theatres The consultant you are allocated to will be your clinical supervisor. From my experience, they are all pretty nice and get you involved if you like and also teach quite a lot. As above. Your main role other than what is on the

10 rota is to support your FY1s as they are quite busy generally and will need help on the wards especially in the afternoons and with more complex patients/scans. Typical working pattern in this Local education provider (LEP) / As above The is one of the largest in the country, employing over 6500 staff with many part-time employees. The serves a population of over 720,000. The has the vision to be known throughout the world as one of the top ten hospitals in England and the Kent hospital of choice for patients and those close to them. The EKHUFT s mission is to provide safe, patient focused and sustainable health services with and for the people of Kent. The recognises that to achieve this it has a special responsibility for the most vulnerable members of the population that it serves. The aims to work with local partners to develop excellent, modern clinical services, reducing both the length of time patients wait to be seen and to be treated and to make sure that it meets all the financial obligations. The East Kent Hospitals University NHS Foundation serves a population of over 720,000 (approximately 20% over the age of 65). The population is spread across a geographical area of over 700 square miles of a largely rural area with main urban population in Ashford, Folkestone, Canterbury, Dover, Margate, and Ramsgate. Local authority population figures are as follow: Ashford (111,200), Canterbury (146,200), Dover (106,400), Shepway (99,600), Swale (128,500) and Thanet (128,600). *It is important to note that this description is a typical example of the and may be subject to change.

11 Intrepid Post Code (or local post East Kent Hospitals University NHS Foundation William Harvey Hospital (Ashford) KSS/RVV01/011/F2/001 (TBC) Type of work to expect and learning opportunities Main duties of the Typical working pattern in this Local education provider (LEP) / Geriatric Medicine (N/A) HCOOP Care of the Elderly Consultant Ward rounds Monday, Tuesday, Thursday, Managing elderly patients from a medical point of view and being aware of social circumstances, liaising with families and relatives. Friday afternoon meeting for all HCOOP teams involving presentations from Consultants/Juniors. Based around the hospital medical wards as there is no dedicated HCOOP ward Dr McAvinia Care of ward based patients. Ensuring smooth discharge planning. Team is on call once a week, Tuesdays will involve post-take Ward rounds. Clinics are normally away from site, duties include daily ward rounds, either with the Consultant, Registrar or junior team. Tuesday is post-take Ward round. Day involves managing patients and carrying out teams plan. STFS *It is important to note that this description is a typical example of the and may be subject to change.

12 Intrepid Post Code (or local post East Kent Hospitals University NHS Foundation William Harvey Hospital (Ashford) KSS/RVV01/011/F2/002 (POST 11) Type of work to expect and learning opportunities Geriatric Medicine (Stroke Medicine) HCOOP (Stroke Medicine) Ward-based work. An opportunity to learn the management and complications of ischaemic and haemorrhagic strokes as well as other neurological problems. Bed-side teaching, formal teaching for both F2s and for all HCOOP team members, a chance to present papers and discuss cases at a weekly Neuroradiology MDM. A good opportunity to learn acute stroke medicine in a thrombolysis centre with an excellent reputation. Richard Stevens Unit, William Harvey Hospital Dr Hargroves Main duties of the Ward-based work. Consultant-led acute stroke ward rounds occur daily, Rehabilitation ward rounds are conducted by the Registrar or SHO. Opportunity to attend stroke thrombolysis calls and TIA clinics. Typical working pattern in this Local education provider (LEP) / Morning acute ward round, rehabilitation ward round, stroke thrombolysis calls. Option to attend TIA clinics. The is one of the largest in the country, employing over 6500 staff with many part-time employees. The serves a population of over 720,000. The has the vision to be known throughout the world as one of the top ten hospitals in England and the Kent hospital of choice for patients and those close to them.

13 The EKHUFT s mission is to provide safe, patient focused and sustainable health services with and for the people of Kent. The recognises that to achieve this it has a special responsibility for the most vulnerable members of the population that it serves. The aims to work with local partners to develop excellent, modern clinical services, reducing both the length of time patients wait to be seen and to be treated and to make sure that it meets all the financial obligations. The East Kent Hospitals University NHS Foundation serves a population of over 720,000 (approximately 20% over the age of 65). The population is spread across a geographical area of over 700 square miles of a largely rural area with main urban population in Ashford, Folkestone, Canterbury, Dover, Margate, and Ramsgate. Local authority population figures are as follow: Ashford (111,200), Canterbury (146,200), Dover (106,400), Shepway (99,600), Swale (128,500) and Thanet (128,600). *It is important to note that this description is a typical example of the and may be subject to change.

14 Intrepid Post Code (or local post East Kent Hospitals University NHS Foundation William Harvey Hospital (Ashford) KSS/RVV01/800/F2/003 (POST 09) Type of work to expect and learning opportunities Main duties of the Typical working pattern in this Local education provider (LEP) / General Practice (N/A) General Practice Clinic patients both urgent and routine Home visits (supervised) Local teaching afternoons TBC TBC Clinics No unsocial hours. Weekday morning and afternoon surgery, home visits when appropriate. Protected teaching time The is one of the largest in the country, employing over 6500 staff with many part-time employees. The serves a population of over 720,000. The has the vision to be known throughout the world as one of the top ten hospitals in England and the Kent hospital of choice for patients and those close to them. The EKHUFT s mission is to provide safe, patient focused and sustainable health services with and for the people of Kent. The recognises that to achieve this it has a special responsibility for the most vulnerable members of the population that it serves. The aims to work with local partners to develop excellent, modern clinical services, reducing both the length of time patients wait to be seen and to be treated and to make sure that it meets all the financial obligations.

15 The East Kent Hospitals University NHS Foundation serves a population of over 720,000 (approximately 20% over the age of 65). The population is spread across a geographical area of over 700 square miles of a largely rural area with main urban population in Ashford, Folkestone, Canterbury, Dover, Margate, and Ramsgate. Local authority population figures are as follow: Ashford (111,200), Canterbury (146,200), Dover (106,400), Shepway (99,600), Swale (128,500) and Thanet (128,600). *It is important to note that this description is a typical example of the and may be subject to change.

16 Intrepid Post Code (or local post East Kent Hospitals University NHS Foundation William Harvey Hospital (Ashford) KSS/RVV01/800/F2/001 (POST 03) Type of work to expect and learning opportunities Main duties of the Typical working pattern in this Local education provider (LEP) / General Practice (N/A) General Practice To gain an idea of Primary Care, the workings of a busy practice and assessing patients in the community. TBC TBC Assessing patients in the Community The first few weeks consist of observing clinics to get an overall picture of assessing patients of all ages and to be aware of what the Surgery offers. From then on the days consist of running your own surgery with 30 minute slots to assess and manage patients. Often Triage patients with acute problems are given to the SHO. There is often FY2 teaching with a local GP scheduled on a Tuesday afternoon, which gives you a chance to present and discuss interesting patients with your peers. The is one of the largest in the country, employing over 6500 staff with many part-time employees. The serves a population of over 720,000. The has the vision to be known throughout the world as one of the top ten hospitals in England and the Kent hospital of choice for patients and those close to them. The EKHUFT s mission is to provide safe, patient focused and sustainable health services with and for the people of Kent. The recognises that to achieve this it has a

17 special responsibility for the most vulnerable members of the population that it serves. The aims to work with local partners to develop excellent, modern clinical services, reducing both the length of time patients wait to be seen and to be treated and to make sure that it meets all the financial obligations. The East Kent Hospitals University NHS Foundation serves a population of over 720,000 (approximately 20% over the age of 65). The population is spread across a geographical area of over 700 square miles of a largely rural area with main urban population in Ashford, Folkestone, Canterbury, Dover, Margate, and Ramsgate. Local authority population figures are as follow: Ashford (111,200), Canterbury (146,200), Dover (106,400), Shepway (99,600), Swale (128,500) and Thanet (128,600). *It is important to note that this description is a typical example of the and may be subject to change.

18 Intrepid Post Code (or local post East Kent Hospitals University NHS Foundation William Harvey Hospital (Ashford) KSS/RVV01/075/F2/001 (POST 24) Type of work to expect and learning opportunities Main duties of the Typical working pattern in this Local education provider (LEP) / Medical Microbiology (Public Health Medicine) Pathology / Microbiology Daily ITU ward round, going to see patients with positive blood cultures and advising on appropriate antibiotic therapy WHH pathology Dept Dr Reddy Preparing for ITU round. Seeing patients with positive blood cultures. Maintaining electronic documentation. Engaging in audit and research Ward rounds, clinical meetings, self study The is one of the largest in the country, employing over 6500 staff with many part-time employees. The serves a population of over 720,000. The has the vision to be known throughout the world as one of the top ten hospitals in England and the Kent hospital of choice for patients and those close to them. The EKHUFT s mission is to provide safe, patient focused and sustainable health services with and for the people of Kent. The recognises that to achieve this it has a special responsibility for the most vulnerable members of the population that it serves. The aims to work with local partners to develop excellent, modern clinical services, reducing both the length of time patients wait to be seen and to be treated and to make sure that it meets all the financial obligations.

19 The East Kent Hospitals University NHS Foundation serves a population of over 720,000 (approximately 20% over the age of 65). The population is spread across a geographical area of over 700 square miles of a largely rural area with main urban population in Ashford, Folkestone, Canterbury, Dover, Margate, and Ramsgate. Local authority population figures are as follow: Ashford (111,200), Canterbury (146,200), Dover (106,400), Shepway (99,600), Swale (128,500) and Thanet (128,600). *It is important to note that this description is a typical example of the and may be subject to change.

20 Intrepid Post Code (or local post East Kent Hospitals University NHS Foundation William Harvey Hospital (Ashford) KSS/RVV01/025/F2/002 (POST 22) Type of work to expect and learning opportunities Ophthalmology (N/A) Head and Neck Each day is split up into morning and afternoon sessions, such that there are 10 sessions in a 5- day week. Around 5 sessions are spent on the Eye Casualty, seeing acute Ophthalmic complaints such as acute angle closure glaucoma, iritis, corneal abrasions and trauma. The Eye Casualty is supervised by a Registrar or a Consultant and is a rich learning environment for both GP trainees and aspiring Ophthalmologists. There are one or two sessions a week in theatre, which you can swap with your colleagues each week to see a different list. The rest of the time consists of one session helping in clinic, again supervised by a Registrar and a Consultant, F2 teaching on Thursday afternoons and Ophthalmology teaching on Friday afternoons, in which an F2 or GP Trainee presents an interesting case he has managed recently. On-call duties occur roughly once a week and last from 5 pm until 9 am the next day, so the on-call shift starts after the day's work has finished. However, the on-calls are much quieter than Surgical or Medical night shifts, so it is more than possible to get to work the next day. There are also two and a half weekend on-calls per rotation. There is a Registrar and a Consultant available by telephone for advice during the oncalls. Finally, there is one session a week which is left vacant for the trainee Doctor to do audits/go to theatre/see his family, etc. Rotary Ward, Outpatient Area, Day Surgery Unit Mr. Richard Edwards, Consultant Ophthalmologist with an interest in Paediatric Ophthalmology, and

21 Main duties of the Typical working pattern in this Local education provider (LEP) / Mr. Bruce Dong, Consultant Ophthalmologist with an interest in Oculoplastic Surgery To manage acute cases and inpatients in the Eye Casualty, to see patients in clinics and present to the senior Doctor there, to assist in theatre, to provide out-of-hours on-call cover. Work is divided into morning and afternoon sessions. As outlined above, sessions consist of seeing outpatients in clinic, acute cases in Eye Casualty on an outpatient basis and going to theatre. There are also on-call shifts, which entail seeing acute cases who present outside of the working hours of 8.30 am to 5 pm. The is one of the largest in the country, employing over 6500 staff with many part-time employees. The serves a population of over 720,000. The has the vision to be known throughout the world as one of the top ten hospitals in England and the Kent hospital of choice for patients and those close to them. The EKHUFT s mission is to provide safe, patient focused and sustainable health services with and for the people of Kent. The recognises that to achieve this it has a special responsibility for the most vulnerable members of the population that it serves. The aims to work with local partners to develop excellent, modern clinical services, reducing both the length of time patients wait to be seen and to be treated and to make sure that it meets all the financial obligations. The East Kent Hospitals University NHS Foundation serves a population of over 720,000 (approximately 20% over the age of 65). The population is spread across a geographical area of over 700 square miles of a largely rural area with main urban population in Ashford, Folkestone, Canterbury, Dover, Margate, and Ramsgate. Local authority population figures are as follow: Ashford (111,200), Canterbury (146,200), Dover (106,400), Shepway (99,600), Swale (128,500) and Thanet (128,600).

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

23 Intrepid Post Code (or local post East Kent Hospitals University NHS Foundation William Harvey Hospital (Ashford) KSS/RVV01/007/F2/001 (POST 12) Type of work to expect and learning opportunities Cardiology (Cardio-vascular Disease) (N/A) Cardiology Ward-based work. Opportunity to learn about management of ischemic heart disease, heart failure and arrhythmias. Management of patients before and after PCI procedure and stenting. Bedside teaching during daily ward rounds. A possibility to experience work within a multi disciplinary team (e.g cardiac rehabilitation, heart failure nurses). Cambridge K, William Harvey Hospital Dr Fisher Main duties of the Ward-based work. Consultant or SpR led ward rounds occur daily. Typical working pattern in this Local education provider (LEP) / Morning acute ward round. Option to attend outpatient clinics or pacing lab. The is one of the largest in the country, employing over 6500 staff with many part-time employees. The serves a population of over 720,000. The has the vision to be known throughout the world as one of the top ten hospitals in England and the Kent hospital of choice for patients and those close to them. The EKHUFT s mission is to provide safe, patient focused and sustainable health services with and for the people of Kent. The recognises that to achieve this it has a special responsibility for the most vulnerable members of

24 the population that it serves. The aims to work with local partners to develop excellent, modern clinical services, reducing both the length of time patients wait to be seen and to be treated and to make sure that it meets all the financial obligations. The East Kent Hospitals University NHS Foundation serves a population of over 720,000 (approximately 20% over the age of 65). The population is spread across a geographical area of over 700 square miles of a largely rural area with main urban population in Ashford, Folkestone, Canterbury, Dover, Margate, and Ramsgate. Local authority population figures are as follow: Ashford (111,200), Canterbury (146,200), Dover (106,400), Shepway (99,600), Swale (128,500) and Thanet (128,600). *It is important to note that this description is a typical example of the and may be subject to change.

25 Intrepid Post Code (or local post East Kent Hospitals University NHS Foundation William Harvey Hospital (Ashford) KSS/RVV01/004/F2/001 (POST 08) Type of work to expect and learning opportunities Main duties of the Respiratory Medicine (N/A) Respiratory medicine Participation in general medical take and inpatient care of respiratory and general medical patients Primarily CJ2 ward but also outliers in CDU and other general medical wards Dr Prathibha Participation in general medical take and inpatient care of respiratory and general medical patients Typical working pattern in this Local education provider (LEP) / Approx 2 months on respiratory medicine: All days are based around a morning ward round and them completing jobs generated. Approx 2 months on hot block : general medical take and care of inpatients on CDU. While on nights, includes ward cover for all general medical inpatients The is one of the largest in the country, employing over 6500 staff with many part-time employees. The serves a population of over 720,000. The has the vision to be known throughout the world as one of the top ten hospitals in England and the Kent hospital of choice for patients and those close to them. The EKHUFT s mission is to provide safe, patient focused and sustainable health services with and for the people of Kent. The recognises that to achieve this it has a special responsibility for the most vulnerable members of

26 the population that it serves. The aims to work with local partners to develop excellent, modern clinical services, reducing both the length of time patients wait to be seen and to be treated and to make sure that it meets all the financial obligations. The East Kent Hospitals University NHS Foundation serves a population of over 720,000 (approximately 20% over the age of 65). The population is spread across a geographical area of over 700 square miles of a largely rural area with main urban population in Ashford, Folkestone, Canterbury, Dover, Margate, and Ramsgate. Local authority population figures are as follow: Ashford (111,200), Canterbury (146,200), Dover (106,400), Shepway (99,600), Swale (128,500) and Thanet (128,600). *It is important to note that this description is a typical example of the and may be subject to change.

27 Intrepid Post Code (or local post East Kent Hospitals University NHS Foundation William Harvey Hospital (Ashford) KSS/RVV01/040/F2/002 (POST 02) Obstetrics and Gynaecology (N/A) Women s Health Type of work to expect and learning opportunities Main duties of the Typical working pattern in this William Harvey Hospital Mr Etokowo Womens health encompasses both obstetrics and gynaecology. A typical week consists of on calls, clinics and theatres. Each doctor gets 2 half days a week. Every day the sho has to review their respective consultants patients at 8.30am before starting their daily assignments. On calls: in a week one does at least one gynae on call from 1pm-5pm (clerking gynae patients in a&e, attending to the gynae ward), at least one 8am to 8pm on call shift a week which includes clerking in A&E, seeing patients in maternity day care, assisting on call theatre cases (gynae and obstetric) and attending to labour ward. Ocassionally the 8am-8pm shift can be split into half days for two people. One in 3 weekend on calls (8am to 8pm sat and sunday or 8pm -8 am sat and sun). And two sets of 5 nights Monday to Friday per 4 month rotation. Clinics: at least 1 clinic a week e.g antenatal, urogynae, gynae opd, hrt etc.theatre: at least 1 gynae and/or c-section theatre sessions a week. In between the above there are afternoons or mornings where one is available cover which entails helping the on call team.mandatory Friday teaching: unless you are on call.

28 Local education provider (LEP) / The is one of the largest in the country, employing over 6500 staff with many part-time employees. The serves a population of over 720,000. The has the vision to be known throughout the world as one of the top ten hospitals in England and the Kent hospital of choice for patients and those close to them. The EKHUFT s mission is to provide safe, patient focused and sustainable health services with and for the people of Kent. The recognises that to achieve this it has a special responsibility for the most vulnerable members of the population that it serves. The aims to work with local partners to develop excellent, modern clinical services, reducing both the length of time patients wait to be seen and to be treated and to make sure that it meets all the financial obligations. The East Kent Hospitals University NHS Foundation serves a population of over 720,000 (approximately 20% over the age of 65). The population is spread across a geographical area of over 700 square miles of a largely rural area with main urban population in Ashford, Folkestone, Canterbury, Dover, Margate, and Ramsgate. Local authority population figures are as follow: Ashford (111,200), Canterbury (146,200), Dover (106,400), Shepway (99,600), Swale (128,500) and Thanet (128,600).

29 EastKentHospitalsUniversity NHS Foundation William Harvey Intrepid Post Code (or local post KSS/RVV01/007/F2/002 Type of work to expect and learning opportunities Main duties of the Typical working pattern in this Cardiology Cardiology Daily senior ward round of cardiology patients and management of their conditions. Learning opportunities include weekly JCC meeting and possibility to undertake DCCV Cambridge Ward K/CCU, WHH Dr Fisher Managing ward patients on CCU/Cambridge K Ward rounds daily. No theatre sessions or clinics. Typical working day 08:00-18:00 Local education provider (LEP) / *It is important to note that this description is a typical example of the and may be subject to change.

30 EastKentHospitalsUniversity NHS Foundation William Harvey Intrepid Post Code (or local post KSS/RVV01/007/F2/001 Type of work to expect and learning opportunities Cardiology Cardiology Ward work Joint Cardiothoracics and Cardiology Meetings (weekly) Biweekly Cardiology Scientific meetings Cambridge K, CCU Dr. Jane Fisher Dr. Paula Mota Main duties of the Day-to-day activities of ward based work. Management of acutely unwell patients on the ward. Typical working pattern in this Local education provider (LEP) / Ward rounds EKUHFT *It is important to note that this description is a typical example of the and may be subject to change.

31 Intrepid Post Code (or local post East Kent Hospitals University NHS Foundation William Harvey KSS/RVV01/040/F2/001 Type of work to expect and learning opportunities Obs & Gynaecology During your week, you will be scheduled into clinics and theatres. Clinics range from gynaecology, rapid access gynaecology, colposcopy, urogynaecology, high risk antenatal, foetal medicine, and HRT. After observing some clinics, you may be able to review your own patients with senior supervision. Theatre lists vary between general gynaecology and urogynaecology. You may be assigned to assist with elective C-sections. There is plenty of scope for developing surgical skills. Clinics range from gynaecology, rapid access gynaecology, colposcopy, urogynaecology, high risk antenatal, foetal medicine, and HRT. After observing some clinics, you may be able to review your own patients with senior supervision. Theatre lists vary between general gynaecology and urogynaecology. You may be assigned to assist with elective C-sections. There is plenty of scope for developing surgical skills. Please note that as a team, you are expected to review your team s patients on the gynaecology and antenatal/postnatal ward prior to attending clinic or theatre commitments. Annual leave: You are entitled to 9 days of annual leave and are advised to get these in early as the rota may be worked around this to maximise your time off and arrange adequate cover. Study leave:

32 You are entitled to 3.5 study days which may only be used on courses/ conferences etc- FY2 study leave may not be used for exams or revision. Main duties of the Typical working pattern in this During your week, you will be scheduled into clinics and theatres. Miss Choy Lee/ Mr Seaton/ Mr Etokowo During this rotation you will develop a wide range of communication and clinical skills during this rotation; ranging from breaking bad news to antenatal examination and basic surgical skills. The basic week pattern is 8.00am-5pm, daily with 2 half days off on most weeks. Thursday afternoons are scheduled as off for FY2 teaching and Friday afternoons for O&G teaching (provided you aren't on call at these times). On Calls: Additional to this, you should expect one long day on call, 8am-8.30pm per week. During this on call you cover both obstetrics and gynaecology. This on call typically involves managing and reviewing all referrals, A&E and wards; reviewing those on gynae and postnatal wards who are post-take; and reviewing patients in maternity day care and labour ward when needed. You may be called to emergency C-sections or gynaecology cases in theatre. You may have to do routine ward work during your on call. Sometimes, there are others "available for cover" who should help with this; and sometimes someone to help with the elective C-section list. You should also expect one "Gynaecology on call" per weekthis is 1-5pm. During this on call you manage the Gynaecology Emergency Assessment Unit with a senior nurse and review all gynaecology referrals from the wards, A&E and may take referrals from GPs. You also manage any outstanding issues with patients on the gynaecology ward. You will work a total of 5 weekends (there is no 1-5pm on call over weekends), these might be in close succession to fit in your annual/ study leave. Half of these will be nights. After a weekend of nights, you will have the remainder of Monday off. You will also work 2 blocks of nights- these consist of 5 week nights (Monday-Friday 8pm-8.30am). You will be back to a routine week the following week.

33 On calls are well supported, there will be an on-site registrar on call at all times and on-site consultant cover until 6pm, often later. Local education provider (LEP) / *It is important to note that this description is a typical example of the and may be subject to change.

34 Intrepid Post Code (or local post East Kent Hospitals University NHS Foundation William Harvey Hospital (Ashford) KSS/RVV01/023/F2/002 (POST 20) Type of work to expect and learning opportunities Otolaryngology (N/A) Surgery Participation in daily Consultant supervised emergency clinic, allowing early proficiency to be gained in recognition, assessment and treatment of minor and life threatening ENT emergency referrals. Proficiency at examination of Ear, Nose and Throat using head mirror, otoscope, operating microscope and flexible nasopharyngoscope. Supervised experience of routine ENT outpatient clinics, with strong subspecialisation ethos. Supervised experience in the management of ENT in-patients, including the pre- and post-operative management of patients undergoing ontological, rhinological and head and neck (including thyroid) procedures and resection / reconstruction. Exposure to ENT surgery in theatre. Opportunity to assist in minor and major ENT operations. (Adentonsillectomy and grommet insertion) William Harvey Hospital (Rotary Ward) Mr Henry Sharp, Consultant ENT Surgeon / Rhinologist and Nasal Plastic Surgeon. Main duties of the Daily ward round and morning supervised emergency clinic.

35 Typical working pattern in this Local education provider (LEP) / Monday- Fridays: Ward round from 8-9. Ward work till HTENT clinic (emergency clinic) Lunch. Ward work 2-4, or theatres / sit in outpatient clinic, if not on call. Exceptions: Thursday afternoon: 2-5 FY2 mandatory teaching. Wednesday: Half day. (if not on call) On call days: Ward round from 8-9. Ward work till HTENT clinic Lunch. The is one of the largest in the country, employing over 6500 staff with many part-time employees. The serves a population of over 720,000. The has the vision to be known throughout the world as one of the top ten hospitals in England and the Kent hospital of choice for patients and those close to them. The EKHUFT s mission is to provide safe, patient focused and sustainable health services with and for the people of Kent. The recognises that to achieve this it has a special responsibility for the most vulnerable members of the population that it serves. The aims to work with local partners to develop excellent, modern clinical services, reducing both the length of time patients wait to be seen and to be treated and to make sure that it meets all the financial obligations. The East Kent Hospitals University NHS Foundation serves a population of over 720,000 (approximately 20% over the age of 65). The population is spread across a geographical area of over 700 square miles of a largely rural area with main urban population in Ashford, Folkestone, Canterbury, Dover, Margate, and Ramsgate. Local authority population figures are as follow: Ashford (111,200), Canterbury (146,200), Dover (106,400), Shepway (99,600), Swale (128,500) and Thanet (128,600). *It is important to note that this description is a typical example of the and may be subject to change.

36 Intrepid Post Code (or local post Type of work to expect and learning opportunities Main duties of the Typical working pattern in this Local education provider (LEP) / East Kent Hospitals University NHS Foundation William Harvey Hospital KSS/RVV01/025/F2/003 (POST 21(WHH)) Ophthalmology (N/A) Ophthalmology department Based in a busy DGH. FY2s are responsible for running the eye casualty under supervision of a senior doctor. You will be expected to manage most routine ophthalmic emergencies by the end of the rotation and gain proficiency in the use of a slit-lamp biomicroscope. William Harvey Hospital, Ashford Mr N Patel Managing common eye emergencies. One in seven ophthalmology first on-calls Different on different days of the week. Mostly consists of seeing patients in eye causalty, one outpatient clinic and one or two theatre sessions in a week Foundation (EKHUFT) is one of the largest hospital trusts in the country, with more than 6,000 staff serving a population exceeding 700,000 and provides integrated patient care in East Kent with over 80 clinical specialties. Established on 1st April 1999, EKHUFT has three acute hospitals at Canterbury, Margate and Ashford, with smaller hospitals in Dover and Folkestone. *It is important to note that this description is a typical example of the and may be subject to change.

37 Intrepid Post Code (or local post East Kent Hospitals University NHS Foundation William Harvey KSS/RVV01/011/F2/004 Type of work to expect and learning opportunities Main duties of the Typical working pattern in this HCOOP (Frailty) HCOOP Ward-based work. An opportunity to learn about the acute and long term management of frail patients. Bed-side teaching and formal teaching for both F2 s and for all of HCOOP team. Opportunity for teaching within HCOOP team. General Medical on calls, lots of opportunities to clerk in the acute take as well as covering the wards out of horus. Cambridge L Ward, William Harvey Hospital Dr McAvinia Ward based work: 1b banding. 8 weeks of ward based work, 8:30am 6pm Mon Fri, will be expected to join consultant ward rounds as well as carry out your own ward rounds. 8 weeks of general medical on calls: mixture of clerking on the acute take and ward cover on calls. Local education provider (LEP) / *It is important to note that this description is a typical example of the and may be subject to change.

38 Intrepid Post Code (or local post Type of work to expect and learning opportunities Main duties of the Typical working pattern in this East Kent Hospitals University NHS Foundation William Harvey KSS/RVV01/800/F2/004 KSS/RVV01/800/F2/002 KSS/RVV01/800/F2/005 General practice General practice To gain an idea of Primary Care, the workings of a busy practice and assessing and managing patients in the community. TBC TBC Assessing and managing patients in the community in clinic. Assisting on home visits and minor operations undertaken in the practice First week observe partners, salaried doctors and registrar as well as practice nurse and HCA to get a feel of assessing patients, the IT system and services available in the community. Start own clinic 6 (half day) clinical sessions: e.g Monday, Tuesday and Friday. 30 minute slots per patient, can be reduced if you feel comfortable. Every patient can be discussed with the senior doctor who is supervising you that day via instant messaging on the computer. They are happy to come in and review any patient you would like them to see. One half day as personal day, one half day of selfdirected study must be approved by supervisor. Can be used to assist in minor ops. Thursdays morning: GP teaching at St Stephen s

39 Local education provider (LEP) / medical centre Ashford. GP F2 trainees small group where you can discuss topics and cases of interest.f2 teaching at WHH in the afternoon The is one of the largest in the country, employing over 6500 staff with many part-time employees. The serves a population of over 720,000. The has the vision to be known throughout the world as one of the top ten hospitals in England and the Kent hospital of choice for patients and those close to them. The EKHUFT s mission is to provide safe, patient focused and sustainable health services with and for the people of Kent. The recognises that to achieve this it has a special responsibility for the most vulnerable members of the population that it serves. The aims to work with local partners to develop excellent, modern clinical services, reducing both the length of time patients wait to be seen and to be treated and to make sure that it meets all the financial obligations. The East Kent Hospitals University NHS Foundation serves a population of over 720,000 (approximately 20% over the age of 65). The population is spread across a geographical area of over 700 square miles of a largely rural area with main urban population in Ashford, Folkestone, Canterbury, Dover, Margate, and Ramsgate. Local authority population figures are as follow: Ashford (111,200), Canterbury (146,200), Dover (106,400), Shepway (99,600), Swale (128,500) and Thanet (128,600). *It is important to note that this description is a typical example of the and may be subject to change.

40 Intrepid Post Code (or local post East Kent Hospitals University NHS Foundation William Harvey KSS/RVV01/030/F2/003 Type of work to expect and learning opportunities Main duties of the Typical working pattern in this Local education provider (LEP) / Emergency Medicine A&E Clerking shifts in both major and minors. On the job learning and a formal one hour teaching session on Tuesday PM. Mostly approachable and helpful registrars and consultants. Excellent nursing staff and emergency nurse practioners. A&E William Harvey Hospital Dr Couch Clerking A&E attenders 80% see treat and discharge. Referring onto other specialties. A big emphasis on ECG, blood gas and xray interpretation. Seven days on shift followed by zero days or fixed leave. Day shifts: 08:00-18:00; 10:00-20:00, 13:00-22:00 Night shifts: 20:00-04:00 and 22:00-08:00 Fixed leave and zero days *It is important to note that this description is a typical example of the and may be subject to change.

41 Intrepid Post Code (or local post East Kent Hospitals University NHS Foundation William Harvey KSS/RVV01/011/F2/003 Type of work to expect and learning opportunities Main duties of the Typical working pattern in this HCOOP (Frailty) HCOOP Ward-based work. An opportunity to learn about the acute and long term management of frail patients. Bed-side teaching and formal teaching for both F2 s and for all of HCOOP team. Opportunity for teaching within HCOOP team. General Medical on calls, lots of opportunities to clerk in the acute take as well as covering the wards out of horus. Cambridge L Ward, William Harvey Hospital Dr Li Ward based work: 1b banding. 8 weeks of ward based work, 8:30am 6pm Mon Fri, will be expected to join consultant ward rounds as well as carry out your own ward rounds. 8 weeks of general medical on calls: mixture of clerking on the acute take and ward cover on calls. Local education provider (LEP) / *It is important to note that this description is a typical example of the and may be subject to change.

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