Jersey General Hospital, States of Jersey Individual Placement (Job) Descriptions for Foundation Year 1

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1 Jersey General Hospital, States of Jersey Individual Placement (Job) Descriptions for Foundation Year 1 Placement F1 - Care of the Elderly, Chronic Disease Management and Rehabilitation The Dept of Medicine comprises 8 Consultants. There are 8 Medical Middle Grade/Registrars and Junior doctors. serves Jersey with a catchment population of 100,000. The type of work to expect and learning opportunities All F1 Doctors in hospital posts will generally be ward based during the normal working day and expected to deliver the daily medical ward care of all the patients on their ward. The overall educational objectives of the F1 year are to provide the trainee with the knowledge, skills and attitudes to be able to: Where the is based Clinical Supervisor(s) for the Main duties of the Take a history and examine a patient Identify and synthesise problems Prescribe safely Keep an accurate and relevant medical record Manage time and clinical priorities effectively Communicate effectively with patients, relatives and colleagues Use evidence, guidelines and audit to benefit patient care Act in a professional manner at all times Cope with ethical and legal issues which occur during the management of patients with general medical problems Educate patients effectively Become life-long learners and teachers. Jersey General Hospital ; Corbiere Ward Dr Amar, Dr Kumar, Dr Richardson, Dr Bates, Dr Gibson, Dr Ng. The F1 doctor is responsible with other staff for the ward care of patients, the maintenance of the patient s medical record, the initial assessment & clerking of new and emergency admissions as well as assisting in surgical procedures/operations in theatre. They are expected to attend the teaching sessions provided by the department including Xray & audit day sessions. The doctor will be responsible for such other specific clinical duties as allocated by consultants including performing other duties

2 Typical working pattern in this in occasional emergencies and unforeseen circumstances. Daily: 0800 Ward round Handovers Tues: 1200 Xray teaching for F1/F2s, Junior doctor led -Medical Student teaching sessions Wed: 1300 Foundation programme teaching Friday : 1200 Grand Round On call requirements: When on call the FY1 doctor carries the bleep for both General Medical Admissions & Crash Team. On call rota 1 in 7 The employer for this post is Jersey General Hospital, States for Jersey. Placement The type of work to expect and learning opportunities Where the is based Clinical Supervisor(s) for the Main duties of the Typical working pattern in this F1 Cardiology Cardiology. The team consists of a consultant, a registrar and an F1. Due to the small size of the team. The F1 is expected to attend all ward rounds and clerk patients during on-calls. The learning is not solely based on cardiology, as the work load is mainly on general medicine; but there are plenty of opportunities to attend clinics. The cardiology consultant also teaches at bedside regularly during ward rounds. Jersey General Hospital. Dr A Mitchel Ward jobs, ward round, notes taking, blood taking, cannulation, ABG, clerking patients on admission. Reviewing sick patients, ordering investigations, keeping patient list. Etc Daily: Monday to Friday 9am 5pm. Ward round + ward Jobs On call: 8am 8pm. WR + clerking new patients and jobs Nights: 8pm 8 am. Similar to on calls. Night shifts were for 7 nights in a row, occurs every 7 weeks. On calls averages once a week in the 7-week rota. Jersey General Hospital, States of Jersey

3 It is important to note that this description is a typical example of your and may be

4 The type of work to expect and learning opportunities Where the is based Clinical Supervisor(s) for the Main duties of the Typical working pattern in this F1 - Endocrinology & Diabetes Mellitus Endocrinology & Diabetes Mellitus Clerking in patients when on call Ward Rounds Ward work Jersey General Hospital, States of Jersey. Dr Peter Bates To help EAU FY2 to clerk in GP admissions and to present to Reg/Consultant on Ward Round. To see ED admissions and present to Reg. To perform ward duties. Ward round at 8am (on call day or post-take) or 9am Perform ward jobs Clerk in patients if on call Evening ward round if on call Night shifts, 7 nights very 8 weeks (handover at 8pm and 8am, you are expected to stay for ward round in the morning). Jersey General Hospital, States of Jersey. It is important to note that this description is a typical example of your and may be

5 The type of work to expect and learning opportunities F1 - Gastroenterology Gastroenterology All F1 Doctors in hospital posts will generally be ward based during the normal working day and expected to deliver the daily medical care of all the patients on their ward irrespective of specialty. Whilst on-call the F1 will be involved with the clerking of patients being admitted via both A&E and GP. The overall educational objectives of the F1 year are to provide the trainee with the knowledge, skills and attitudes to be able to: Take a history, examine a patient and formulate a management plan Identify and resolve problems Prescribe safely Keep an accurate and relevant medical record Manage time and clinical priorities effectively Be an effective part of the resus team Communicate effectively with patients, relatives and colleagues Use evidence,and audit to benefit patient care Act in a professional manner at all times Cope with ethical and legal issues which occur during the management of patients with general medical problems Educate patients effectively & become life-long learners and teachers. Where the is based Clinical Supervisor(s) for the Main duties of the Typical working pattern in this Bartlett Ward Dr Ng or Dr Duku The F1 doctor is responsible with other staff for the ward care of patients and the maintenance of the patient s medical record. On-call duties involved covering the medical wards out of hours and carrying the arrest bleep. They are expected to attend the structured teaching programmes provided by the department. The doctor will be responsible for such other specific clinical duties as allocated by consultants including performing other duties in occasional emergencies and unforeseen circumstances. Typical working pattern in this post varies depending on your rota and includes on-calls, weekends and nights. Employer is Jersey General Hospital, States of Jersey. It is important to note that this description is a typical example of your and may be

6 The type of work to expect and learning opportunities Where the is based Clinical Supervisor(s) for the Main duties of the Typical working pattern in this F1 - General Surgery General Surgery Mainly administrative ward work, some on calls, with opportunities to attend clinics and assist in theatre. Portelet Ward, Jersey General Hospital Mr O El-Gazzar General ward work, clerking new admissions when on-call and one F1-led preadmission clinic a week Typical working pattern in this post e.g. ward rounds, clinics, theatre sessions Daily/weekly/monthly (if applicable) Mon: 8.30am registrar-led ward round followed by ward work Tues: 8.30am registrar-led ward round, 10am preadmission clinic and afternoon ward work Wed: 9am consultant-led ward round, ward work Thurs: 8.30am post take registrar-led ward round followed by ward work Fri: 8.30am registrar-led ward round followed by ward work On call requirements: When on call you will be covering all surgical, orthopaedic and ENT/MaxFax/ophthalmology admissions (usually between 2 and 8 a day in total). You also cover the 2 surgical and orthopaedic wards for general jobs out of hours. The on-call rota includes one week of nights and one weekend on call every nine weeks. Jersey General Hospital, States of Jersey It is important to note that this description is a typical example of your and may be

7 F1 - Medicine (Neurology) The Dept of Medicine comprises 8 Consultants. Each consultant has a special interest in one of the following: Respiratory, Cardiology, Gastroenterology (x2 consultants), Neurology, Renal, Elderly Care and Diabetes/Endocrinology. is closely linked with tertiary services in Southampton and London. The type of work to expect and learning opportunities All F1 Doctors in Medicine cover their specific team s patients across a number of medical wards during the normal working day. They are expected to deliver the daily medical care of these patients irrespective of specialty. The F1 Doctor is not ward-based. Each team comprises a Consultant, Registrar and an F1. There are no other middle grades in teams, apart from a floating EAU F2 who helps out when the team is oncall on weekdays. There is no EAU attachment for F1s. The F1 Doctor is involved with the generic clerking of patients being admitted on their specific team s day on-take, and keeps these patients for the entirety of their stay in hospital irrespective of medical specialty. The seven week cycle in the rota is spit into three: four weeks on ward, one week on nights, and two weeks on holiday. Any leftover patients at the end of the four week on ward cycle are inherited by the team coming onto their on-ward period (usually around 10 patients). The overall educational objectives of the F1 year are to provide the trainee with the knowledge, skills and attitudes to be able to: Take a history and examine a patient Identify and synthesise problems Prescribe safely Keep an accurate and relevant medical record Manage time and clinical priorities effectively Communicate effectively with patients, relatives and colleagues Use evidence, guidelines and audit to benefit patient care Act in a professional manner at all times Cope with ethical and legal issues which occur during the management of patients with general medical problems Educate patients effectively Become life-long learners and teachers.

8 Where the is based Clinical Supervisor(s) for the Main duties of the Jersey District General Hospital medical wards Dr Howard Gibson The F1 doctor is responsible with their Registrar for the ward care of patients and the maintenance of the patient s medical record. They take responsibility for problems arising on the ward. They are expected to attend the structured teaching programmes provided by the department. Typical working pattern in this Daily: 0900 Ward round 1700/2000 Handover Mon: Tues: Wed: formal teaching programme Thurs: Fri: Sat: in 7 Sun: in 7 On call requirements: 1 in 7 day on-call ( ), and 1 in 7 night oncall ( ). The employer for this post is the States of Jersey. The post will be based in Jersey General Hospital St. Helier, which is a small sized acute hospital.

9 The type of work to expect and learning opportunities Where the is based Clinical Supervisor(s) for the Main duties of the F1 - Renal Medicine There are 3 medical wards and 1 acute admissions ward covered by 4 Consultants and their team. Each team usually comprises of 1xConsultant, 1xMedical Registrar and 1xFoundation Doctor although rolling registrar positions is common. serves Jersey with a catchment population of ~90,000. is closely linked with tertiary services in Southampton and Chase Farm, but referrals to other specialist centers is common. The job comprises of General Medicine admissions and duties under the supervision of an accomplished Renal Consultant. This FY1 position therefore allows for learning opportunities predominantly in general medicine, but also (with good time management) Renal Medicine. All F1 Doctors in hospital posts will generally be ward based during the normal working day and expected to deliver the daily medical care of all the patients on their ward irrespective of specialty. Whilst in the EAU attachment the F1 will be involved with the generic clerking of patients being admitted and the ongoing care of the patients in the unit. The overall educational objectives of the F1 year are to provide the trainee with the knowledge, skills and attitudes to be able to: Take a history and examine a patient Identify and synthesise problems Prescribe safely Keep an accurate and relevant medical record Manage time and clinical priorities effectively Communicate effectively with patients, relatives and colleagues Use evidence, guidelines and audit to benefit patient care Act in a professional manner at all times Cope with ethical and legal issues which occur during the management of patients with general medical problems Educate patients effectively Become life-long learners and teachers. Jersey General Hospital; Wards Dr A J Kumar The F1 doctor is responsible with other staff for the ward care of patients and the maintenance of the patient s medical record. They are expected to attend the structured teaching programme provided by the department. The doctor will be responsible for such

10 other specific clinical duties as allocated by consultants including performing other duties in occasional emergencies and unforeseen circumstances. Typical working pattern in this Daily: Wed: (1200 formal teaching programme) Thurs: 1300 X-ray Teaching Sat: in in 4 Sun: in in 4 On call requirements: 1 in 4 The employer for this post is Jersey General Hospital of the Jersey States. It is important to note that this description is a typical example of your and may be

11 The type of work to expect and learning opportunities Where the is based Clinical Supervisor(s) for the Main duties of the Typical working pattern in this F1 - Respiratory Medicine General Acute Medicine On call, clerking patients, ward cover, cardiac arrest team. Daily ward rounds. Practical procedures. Protocol for acute medical emergencies and routine in patient care. 4 acute medical wards Dr H Amar On call, clerking patients, ward cover, cardiac arrest team. Daily ward rounds. Typical working pattern in this post e.g. ward rounds, clinics, theatre sessions Daily/weekly/monthly (if applicable) Daily ward rounds. On calls vary. 4 in busy week. 7 in a row for nights. No on calls in one quiet week. Mon: Tues: Wed: Thurs: Fri: Sat: Sun: Respiratory MDT 12 pm. On call requirements: Jersey General Hospital, States of Jersey It is important to note that this description is a typical example of your and may be

12 F1 - Trauma and Orthopaedics The Dept of Trauma & Orthopaedics comprises 3 Consultants. There are 4 Middle Grade Orthopaedic Surgeons and 4 Junior doctors. serves Jersey with a catchment population of 100,000. is closely linked with tertiary services in Southampton. E.g. Wessex Neurology. The type of work to expect and learning opportunities All F1 Doctors in hospital posts will generally be ward based during the normal working day and expected to deliver the daily medical/surgical ward care of all the patients on their ward. The overall educational objectives of the F1 year are to provide the trainee with the knowledge, skills and attitudes to be able to: Take a history and examine a patient Identify and synthesise problems Prescribe safely Keep an accurate and relevant medical record Manage time and clinical priorities effectively Communicate effectively with patients, relatives and colleagues Use evidence, guidelines and audit to benefit patient care Act in a professional manner at all times Cope with ethical and legal issues which occur during the management of patients with general medical problems Educate patients effectively Become life-long learners and teachers. Where the is based Clinical Supervisor(s) for the Main duties of the Jersey General Hospital; Beauport Ward. Mr. Dunlop, Mr Fopma, Mr Haddad The F1 doctor is responsible with other staff for the ward care of patients, the maintenance of the patient s medical record, the initial assessment & clerking of new and emergency admissions as well as assisting in surgical procedures/operations in theatre. They are expected to attend the teaching sessions provided by the department including Xray and bedside teaching on Thursdays. The doctor will be responsible for such other specific clinical duties as allocated by consultants including performing other duties in occasional emergencies and unforeseen circumstances.

13 Typical working pattern in this Daily: 0800 Ward round Handovers Tues: 1200 Xray teaching for F1/F2s, Junior doctor led -Medical Student teaching sessions Wed: 1300 Foundation programme teaching Thurs: 1100 Consultant led bedside teaching Friday : 1200 Grand Round On call requirements: When on call the FY1 doctor carries the bleep for both General Surgery+Urology, Orthopaedics and Trauma. On call rota 1 in 9 rota 1 weekend on call every 9 weeks. 1 week of nights 8pm to 830am every 9 th week. The employer for this post is Jersey General Hospital, States of Jersey. It is important to note that this description is a typical example of your and may be

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