Wessex Foundation School Poole Hospital NHS Foundation Trust Individual Placement (Job) Descriptions for Foundation Year 2

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1 Wessex Foundation School Individual Placement (Job) Descriptions for Foundation Year 2 Placement F2 Acute Paediatrics of Paediatrics comprises 2 inpatient wards and an acute admissions unit. On average we have inpatients at any one time on the inpatient wards with additional patients (per 24 hours) on the assessment unit. There is a large body of Consultants representing all specialties. The department operates with a Consultant of the week system who is responsible for the care of all patients seen on the ward for that week. serves Bournemouth, Poole and Swanage. F2s are on the SHO rota. They split their time between the inpatient wards and the acute assessment unit. There is lunchtime teaching most days of the week. Where the is Poole Hospital, Wards Elmwood, Acrewood and Bearwood Dr Martin Hussey The F2 doctor is responsible with other staff for the ward care of patients. If working on the assessment unit the F2 carries the on call bleep and takes referrals from A&E/GP/midwives. The F2 then clerks the patients and initiates appropriate management. Occasionally you are called down to A&E resus (with the paeds registrar) to assist with an emergency admission. There are lots of opportunities to get involved with practical procedures such as cannulating, venesection and LPs.

2 Typical working pattern in this Mon: Ward round and ward duties till Then on call on the Acute admissions unit till Tues: ward round and ward duties till Wed: ward round and ward duties till Thurs: Ward round and ward duties till Then on call on the Acute admissions unit till Fri: Acute admissions unit in 7 weekends: Sat: On-call (ward duties & admissions unit) Sun: On-call (ward duties & admissions unit) Mon: ward round and ward duties till Tues: Ward round and ward duties till Then on call on the Acute admissions unit till Wed: off Thurs: off Fri: Night ( ) 1 in 7 weekends: Sat: Nights ( ) Sun: Nights ( ) It is important to note that this description is a typical example of your and may be Placement F2 - Cardiology Cardiology Department in Poole Hospital. This department consists of two cardiology teams. One is comprised of two consultants, a registrar, a ST grade and two F1s. The other consists of two

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

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

5 It is important to note that this description is a typical example of your and may be Placement F2 Endocrinology & Diabetes Mellitus Diabetes Centre Mostly ward. Participate in the medical SHO on call rota. SHO endocrinology clinics with excellent consultant support once every 2-3 weeks. Where the is Poole General Hospital Dr s Masding, Poole and Coppini Play an active role in managing patients on the ward. Run the medical take out of hours when on call in liaison with the medical registrar. Do occasional SHO lists in endocrinology clinic. Provide support to the FY1s. Typical working pattern in this Mon: Tues: am Consultant Ward Round pm Ward jobs ON CALL ALL DAY Wed: am Reg led WR pm Ward jobs Thurs: Fri: am Consultant WR pm endocrinology clinic am SHO led WR pm Ward jobs Sat: Sun: Mon: Tues: am Consultant Ward Round pm Ward jobs am SHO led WR pm Ward jobs Wed: am Reg led WR pm Ward jobs Thurs: Fri: ON CALL ALL DAY am SHO led WR pm Ward jobs Sat: Sun:

6 On call requirements: 5 days per 4 weeks, 3 weekends in 4 months, 1 week of nights in 4 months. It is important to note that this description is a typical example of your and may be Placement F2 ENT (Otolaryngology) The ENT department comprises of 5 Consultants. The ENT patients are cared for within the dedicated ENT/OMF 23 bedded ward. 5 of these beds are allocated for short stay surgery which is closed on Friday evening for the weekend. There are 24 day case trolleys and 13 reclining chairs for use by all surgical and some medical specialties in an adjacent Day Case Unit. There are 3 dedicated Day Case Theatres with a recovery area. The Day Case Unit including theatres is the management responsibility of the Surgical Clinical Care Group. There is also a Paediatric Unit with access to ENT beds. Ward during a normal working day. Seeing inpatients on the ward round every day. Seeing and assessing all acute ENT problems in the treatment room on ward. Where the is Poole Hospital, B2 Mr Cox, Mr John, Mr Rhys Williams, Mr Leggett, Mr Pitchers and Mr Scott F2 is responsible for General ward duties Seeing and treating patients Ward cover On-call and night shifts are crossed covered with general surgery.

7 Typical working pattern in this Mon: Tues: Wed: weekly Thurs: Fri: Sat: in 6 Sun: in 6 Mon: in 12 Tues: Wed: Thurs: Fri: Sat: Sun: On call requirements: 1:12 It is important to note that this description is a typical example of your and may be Placement F2 Geriatric Medicine consists of 10 very supportive consultants who provide a comprehensive service for older people, covering all the main subspecialties as well as general acute inpatient and outpatient work. They share particular interests in Stroke medicine, Movement Disorders, Intermediate Care, Orthogeriatrics and Falls as well as Acute Geriatric Medicine. Strong ethos of team working for the delivery of high quality care for older people.

8 Inpatient wards work, on call duties. Close clinical supervision. Ample opportunities for Supervised Learning Events, departmental presentations and audit projects. Where the is Poole Hospital Philip Arnold Unit and RACE unit with outlier wards to cover. Dr Harries-Jones, Dr Day, Dr Battcock, Dr Rushton, Dr Thomas, Dr Fox, Dr Villar, Dr Ragab, Dr Perry, Dr Wheldon On call duties, out of hours shifts. Ward jobs, presentations. Liaise with relatives for collateral history and discharge planning. Liaise with MDT for rehabilitation potential and discharge planning. Typical working pattern in this Mon: 0900 Tues: 0900 Wed: 0900 handover then ward round handover then ward round handover then ward round 1300 F2 teaching Thurs: 0900 handover then ward round 1300 grand round Fri: 0900 handover then ward round 1300 departmental teaching and presentations Sat: Sun: On call requirements: on-call alternate days on RACE unit for 1/52 in 6, this includes the weekend. Flexible twilight shifts. 3-4 nights every month. It is important to note that this description is a typical example of your and may be

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

10 There is an occasional requirement to work nights on the general medical rota (20:30 09:00). On call requirements: Generally one-two on call duties per week. Work about 1 in 4 weekends. It is important to note that this description is a typical example of your and may be Placement F2 Medical Microbiology & Virology The Microbiology Department at Poole Hospital consists of 2 consultant microbiologists, the F2, laboratory staff and 3 infection control nurses. Work entails daily ward rounds of inpatients referred to the microbiologists by clinicians as well as regular visits to ITU and the medical assessment unit. There are multiple learning opportunities including tutorials by the consultants on a range of microbiological topics. The F2 also attends some clinics (e.g. cystic fibrosis, GUM and tuberculosis outpatient clinics) and spends time in the laboratory learning about the various microbiological techniques. Where the is The majority of the attachment is in the Microbiology Department at Poole Hospital although there are 2.5 days spent at Bournemouth Hospital at the GUM clinic. Dr Flanagan The F2 attends the daily ward round(s) with the consultant and is expected to ensure an accurate list of the microbiology results of ITU patients is prepared. He/she takes referrals from clinicians and liaises with the microbiology consultants to provide appropriate advice. The F2 is required to follow up blood culture results and complete audit forms for all C.

11 difficile, E-coli and MSSA patients. In addition the F2 undertakes both an audit and a number of literature reviews with formal presentations during their attachment. Typical working pattern in this Mon: ITU ward round, tutorial, microbiology ward round of referred in-patients. Audit and literature review work Tues: Tutorial, microbiology ward round of referred in-patients. Audit and literature review work Wed: Infection control meeting, ITU ward round, microbiology ward round of referred in-patients. Audit and literature review work Thurs: Tutorial, microbiology ward round of referred inpatients. Audit and literature review work Fri: ITU ward round, microbiology ward round of referred inpatients. Audit and literature review work On call requirements: 4 ward cover weekends (2 medicine, 2 elderly medicine). It is important to note that this description is a typical example of your and may be Placement F2 - Neurology Neurology Ward. There are 4 neurology consultants and a neurology registrar, one neuro-rehabilitation registrar and a part time rehabilitation registrar. On this ward there are a wide

12 range of disciplines working very closely together, coming together for weekly MDT meetings and neuroradiology meetings. Junior doctor on a neurology and acute brain injury team. Where the is Poole General Hospital Dr Cossburn Day to day running of a neurology ward with weekly consultant ward rounds. Elective lumbar punctures on the medical investigations unit. Typical working pattern in this Mon: 9-5 Tues: 9-5 Wed: 8-5 Neurology Consultant WR Thurs: 8-5 Rehab consultant WR Fri: 9-5 Sat: Working 1 in 4 weekends on either medical ward cover or elderly care ward cover. Sun: It is important to note that this description is a typical example of your and may be

13 Placement F2 O&G St Mary s & B2 Gynaecology Ward, Poole Hospital NHS Foundation Trust We have 8 SHOs, three of which are career trainees, one is FY2 and the others are GP trainees. There are three SHOs from Bournemouth hospital who help cover the obstetric on-call shifts. - Team i.e. each SHO works for one obstetric and one gynaecology consultant. Each team has one full time, or two part time, SpR s - Mixture of obstetrics and gynaecology - Ample opportunity to spend time in clinics, delivery suite and theatre including assisting in elective Caesarian sections - Many opportunities to attend department teaching (SHO teaching, Morbidity and mortality meeting, clinical governance and CTG teaching) - There is also time to attend USS clinics if you are interested - Very useful if you are interested in O&G, surgery (as there is opportunity practice practical skills and add to your log-book) or GP Where the is The delivery suite, post & antenatal wards and antenatal clinics are at St Mary's hospital which is across the road from Poole Hospital. The gynaecology ward, B2, is in the main hospital. The gynaecology on calls is in the main hospital. Miss McCord, Miss Dubey, Mr Sawdy, Mr Carpenter, Mr Hillard, Mr Webster, Miss Melson, Miss Vinayakarao - Ward round of your consultant's gynaecology patients, including post-take as rota'd. Usually this is done before starting the mornings activity - Attend clinics as rota'd, this includes gynaecology and antenatal clinics. You will be able to see patients on your own but there is plenty of support. - Assist in theatre. Usually each SHO assists their team each week for

14 the same list but there is also need to cross-cover other SHOs - Occasional pre-clerking clinics. This is usually limited to a maximum of once a week - Assess women who are day one post C-section and complete any ward jobs on post-natal ward - Gynaecology on calls which include clerking new admissions, assessing women on early pregnancy unit and assisting with CEPOD as needed Typical working pattern in this Monday: am-pre clerking, pm-delivery suite, evening- delivery suite Tuesday: am- antenatal clinic, pm- antenatal day assessment unit (an obstetric acute medical unit) Wednesday: all day gynaecology theatre list Thursday: am-consultant ward round and gynaecology on call, pmward cover/private study/audit work Friday: am- elective Caesarian section list, pm- gynaecology on call It is important to note that this description is a typical example of your and may be Placement F2 Old Age Psychiatry Alderney Community Hospital. The Department of Old Age Psychiatry consists of 10 Consultant Psychiatrists within Community Mental Health Teams, Memory Assessment Service and Inpatient

15 services providing mental health services to people aged 65 and older in Bournemouth, Poole and East Dorset. This post is one of 2 F2 ward posts at Alderney Hospital, Poole. The F2 is expected to deliver daily medical care and management of patients with cognitive impairment/dementia and associated psychiatric and physical comorbidities, presenting with challenging behaviour. During the attachment the F2 will be involved in the clerking of patients being admitted to the unit and their ongoing care within the unit. There is opportunity for community experience with an adult community mental health team, seeing patients in outpatient clinics and in their home environment. The F2 is expected to attend the weekly teaching or journal club, on a Tuesday at St Ann s hospital. The F2 will meet once weekly for 1 hour for weekly clinical supervision. There will also be opportunity to become involved in clinical audits or experiencing other psychiatric specialty as agreed with the clinic supervisor. The overall educational objectives are to provide the trainees with the knowledge, skills and attitudes to deal with older patients presenting with psychological or behavioral problems associated with cognitive impairment. They would be expected to: Take a collateral history from relatives and from a patient if appropriate, perform a mental state examination and to examine a patient Communicate effectively with patients, relatives and colleagues including GPs. Identify problems and carry out appropriate investigations Keep an accurate and relevant medical record electronically Manage time and clinical priorities effectively Prescribe safely, particularly psychotropic drugs Use evidence treatment and/or guidelines when treating patients Understands the relevant mental health and mental capacity legislation and when to use them Understand some legal and ethical issues in relation to the management of patients with dementia Recognise presenting features of mental disorder Recognise and manage potential risks to patients and health care professionals Consider underlying causes of behavioural disturbance including psychosis, depression, delirium and

16 environmental factors Understands the spectrum of therapeutic interventions Teaching of nursing staff, other colleagues and medical students Where the is The F2 post is at Alderney Hospital, on Herm ward which is an 18 bedded female unit for patients with dementia. Dr Richard Law Min, Consultant psychiatrist in Old Age The F2 doctors is responsible for the admissions and day to day care of inpatients and are expected to attend the scheduled multidisciplinary daily reviews. The F2 will be expected to complete discharge summaries within five days of patients discharge. One day a week the F2 will be involved with Bournemouth East (BE) general adult CMHT, seeing patients in outpatient and in their own homes. The F2 is also expected to attend the weekly structured teaching programme offered at St Ann s Hospital and to teach other members of the multidisciplinary team. The two F2 doctors are expected to provide cross cover for each other during period of leave. Typical working pattern in this Typical working pattern in this : Daily: Duties on the ward Mon: 9:00 to 10:30 Daily ward review 10:30 to 11:30 Care Planning Meetings (CPAs) 11:30 to 13:00 Ward work 13:00 to 14:00 Clinical supervision 14:00 to 17:00 Ward work/ Admin Tues: 9:00 to 10:30 Daily ward review 10:30 to 11:30 CPAs 11:30 to 12:30 Ward work 12:30 to 14:30 Journal Club/ Balint group (St Ann s Hospital) 14:30 to 17:00 Ward work/ Admin

17 Wed: 9:00 to 12:30 Outpatient clinic (with Dr Das) 12:30 to 17:00 BE CMHT / Admin Thurs: 9:00 to 10:30 Daily ward review 10:30 to 11:30 CPAs 11:30 to 15:00 Ward work 15:00 to 17:00 Admin Fri: 9:00 to 10:30 Daily ward review 10:30 to 11:30 CPAs 11:30 to 17:00 Ward work/ Admin On call requirements: none in psychiatry It is important to note that this description is a typical example of your and may be Placement F2 - Psychiatry Psychiatry : Acute Assessment Unit (AAU) and CRISIS Team Rotation: Poole Hospital Foundation Programme The AAU is the 17 bedded general adult admission ward in St Anns Hospital Poole, with an average length of stay of between 2-4 weeks. The post holder will provide medical backup along with the CT1-3 trainees, ST4-6 doctor and the Consultants in the teams. The overall educational objectives are to provide the trainee with the knowledge, skills and attitudes to deal with patients presenting

18 with psychological or behavioral problems associated with severe mental disorders. They would be expected to: Assess new admissions by taking direct/collateral history, carry out mental state examinations and clerk in new admissions, Undertake physical examination of the inpatients and request appropriate investigations (Inc. arranging scans, doing ECGs, liaising with GPs, managing straightforward physical conditions, arranging ECT etc.). Prescribe safely, particularly psychotropic drugs Communicate effectively with the patients, relatives and colleagues within the multidisciplinary team and the Community Mental Health Teams. Keep an accurate and relevant medical record electronically Manage time and clinical priorities effectively Use evidence treatment and/or guidelines when treating patients Understand legal and ethical issues in relation to the management of detained patients. Opportunity, for a session to manage list and administer ECT and manage the organization of the treatment (explained at Induction) Opportunity to be involved in clinical audits Opportunity to attend Mental Health Review Tribunals and professionals meetings (planning discharge and management of patients). The Trainee will not be on the out of hour on call rota. The F2 Doctor will be on be on the daytime Duty Bleep rota providing cross-cover for the other wards in St Anns Hospital. The Trainee is expected to attend and contribute to the Education programme held every Tuesday at St Ann s Hospital. There is the opportunity to be involved in Training in Psychotherapy. Where the is St Anns Hospital, Poole

19 Dr Menezes Schrader, Associate Specialist, will provide weekly clinical supervision. The F2 doctors will be responsible for assessing and managing the physical and mental health of new admissions and day to day care of inpatients on AAU and patients in the CRISIS Team, to attend the scheduled ward rounds as part of the multi-disciplinary team and learn about the treatment of Mental Disorders. Typical working pattern in this Typical working pattern in this post: Daily/weekly/monthly (if applicable) Mon: Tues: AAU Ward round (am) / AAU Ward work (pm) ECT List (am)/teaching and Psychotherapy pm / Ward work (pm) Wed: Thurs: Fri: AAU Ward round (am) / AAU Ward work (pm) AAU Ward round (am) / AAU Ward work (pm) AAU Ward round (am) / AAU Ward work (pm) On call requirements: Hospital Duty Bleep Rota for Cross-cover during 9 5pm. No out of hours on call Dorset HealthCare University NHS Foundation Trust & Poole Hospital NHS Foundation Trust It is important to note that this description is a typical example of your and may be

20 Placement F2 - Psychiatry Psychiatry : Dudsbury Ward, St Anns Hospital Dudsbury Ward is an open general adult female ward in St Ann s Hospital Poole, with an average length of stay of between 4 to 10 weeks. The FY2 Doctor will be primarily on the ward and will provide medical backup along with the two Consultants and CT1-3 trainee doctor in the teams. The trainee will have two sessions of working with a Community Mental Team. The overall educational objectives are to provide the trainee with the knowledge, skills and attitudes to deal with patients presenting with psychological or behavioral problems associated with severe mental disorders. They would be expected to: Assess new admissions by taking direct/collateral history, carry out mental state examinations and clerk in new admissions, Undertake physical examination of the inpatients and request appropriate investigations (inc. arranging scans, doing ECGs, liaising with GPs, managing straightforward physical conditions, preparing patients for ECT etc.). Prescribe safely, particularly psychotropic drugs Communicate effectively with the patients, relatives and colleagues within the multidisciplinary team and the Community Mental Health Teams. Keep an accurate and relevant medical record electronically Manage time and clinical priorities effectively Use evidence treatment and/or guidelines when treating patients Understand legal and ethical issues in relation to the management of detained patients. Opportunity, for a session to manage list and administer ECT

21 and manage the organization of the treatment (explained at Induction) Opportunity to be involved in clinical audits Opportunity to attend Mental Health Review Tribunals and professionals meetings (planning discharge and management of patients). The FY2 Trainee will provide medical backup to the inpatient Team assessing & re-assessing the patients under the team s care. There are extensive opportunities to manage acutely ill patients, formulate & execute multi-disciplinary care plans. The Trainee will not be on the out of hour on call rota. The FY2 Doctor will be on be on the daytime Duty Bleep rota providing cross-cover for the other wards in St Ann s Hospital. The Trainee is expected to attend and contribute to the Education Programme held every Tuesday at St Ann s Hospital. There is the opportunity to be involved in Training in Psychotherapy. Where the is St Ann s Hospital, Poole Dr Tamsin Peachey, Consultant Psychiatrist, will provide weekly Clinical Supervision. The FY2 doctors will be responsible for assessing and managing the physical and mental health of new admissions and day to day care of inpatients on the ward, to attend the scheduled ward rounds as part of the multi-disciplinary team and learn about the treatment of Mental Disorders. Typical working pattern in this Typical working pattern in this post: Daily/weekly/monthly (if applicable) Mon: Ward round (am) / Ward work (pm)

22 Tues: ECT List (am)/ Teaching and Psychotherapy( pm) /Ward work (pm) Wed: Thurs: Fri: CRISIS Team (Community Placement) (am and pm) Ward round (am) / Ward work (pm) Ward round (am) / Ward work (pm) On call requirements: Hospital Duty Bleep Rota for Cross-cover during 9 5pm. No out of hours on call It is important to note that this description is a typical example of your and may be Placement F2 Rheumatology & Dermatology Dermatology: comprises 4 consultants, 1 associate specialist, a number of GPSI s, 1 SpR and a multitude of specialist nurses. Mainly outpatient led with services including simple to complex skin surgery in 3 designated theatres, UVB light therapy, photodynamic therapy, leg ulcer team, and other services. Inpatient dermatology normally between 1-5 patients with complex skin management issues, plus referrals and shared care with other teams. Rheumatology: 4 consultants and 1 SpR with RFU nurses and extended scope physiotherapists. Mainly outpatient. Noncauda-equina back pain on the wards under care of Rheumatology. Otherwise, referrals seen on the ward, with 1-2 inpatients at any time. The main priority of this job is towards your inpatients. When the SpR s are unavailable you are expected to see referrals. Clinic attendance is not mandatory but is expected at some point. You are also encouraged to learn certain minor surgical procedures in dermatology including punch biopsy. You are expected to consent for spinal injection lists under rheumatology.

23 Where the is Poole General Hospital Dr s Richards, Rahmeh, Khurshid, Sharif Look after inpatients. Co-ordinate/Filter//see referrals. Consent for rheumatology lists. Admit elective/emergency patient admissions. Advise other teams. Typical working pattern in this Mon: See inpatients (Derm). Consent injection lists. Rheumatology ward round. See referrals Tues: Dermatology consultant ward round. See Rheum inpatients. See referrals Wed: surgery Thurs: See inpatients both teams. Referrals. Afternoon See inpatients. Grand round. See referrals. Fri: Dermatology Consultant ward round. Rheumatology consultant ward round. See referrals. Sat: Sun: +Opportunity for clinic / further skin surgery as inpatient/referral load allows. On call requirements: 1 in 4 weekends for medicine/dme alternate. It is important to note that this description is a typical example of your and may be

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