Salisbury NHS Foundation Trust Individual Placement (Job) Descriptions for Foundation Year 1

Transcription

1 Salisbury NHS Foundation Trust Individual Placement (Job) Descriptions for Foundation Year 1 Placement The department The type of work to expect and learning opportunities F1 Cardiology The Department of Cardiology comprises 4 Consultant Cardiologists who do a 1 in 4 on call for Cardiology. There is a 9 bedded CCU adjacent to the Cardiac Catheter Suite and Medical Assessment Unit. The ward can accept non-elective admissions transferred from the Medical Admissions Unit, HDU, ED and the Cardiac Suite with an average turn over of 5 8 admissions every 24 hours. The department serves a catchment population of nearing 200,000 and is closely linked to the tertiary service at Southampton General Hospital. There are also close links with the cardiology service at Bournemouth District Hospital. The F1 trainees will gain experience in the management of patients with all forms of cardiac disease including acute coronary syndrome, dysrhythmias, cardiac failure and the pre assessment and post procedure care of patients undergoing pace maker insertion, coronary angiography, percutaneous coronary intervention and transoesophageal echocardiography. Trainees will develop close links in communication with CCU, Cardiac Rehabilitation Nurse, Heart Failure Specialist Nurse, echocardiography and cardiac suite. The overall educational objectives of the F1 year are to provide the trainee with knowledge and skills to be able to take history examine a patient identify and summarise problems prescribe safely keep accurate and relevant medical documentation manage time and prioritise appropriately communicate with patients, relatives and colleagues use evidence and guidelines to ensure that patients with cardiac disease are managed in the most appropriate and efficient way. Where the placement is based Clinical Supervisor(s) for the placement Main duties of the placement Salisbury District Hospital, Tisbury Ward and Coronary Care Unit. Dr Anthony Jones Dr Susie Lewis Dr Tim Wells Dr Manas Sinha The F1 trainee is expected to review all new patients admitted to the ward in the previous 24 hours or over the weekend and be able to provide a summary of diagnosis and initial

2 management for their senior colleagues. They provide prospective cover for other colleagues who may be absent from the ward. They will share the responsibility for arranging investigations and reviewing the results and documenting management plans with the other members of the ward medical staff. They will also undertake day time and out of hours work on the Medical Admissions Unit, admitting and treating unexpected acute medical emergencies under appropriate supervision. The F1 doctor will also take part in the General Medicine on call working on the Medical Admissions Unit (Whiteparish Ward) clerking patients being admitted and initiating management plans. All patients will be reviewed by the Acute Physician or Physician on-call within 12 hours of being assessed by the F1 doctor. Typical working pattern in this placement Typical working pattern in this placement Daily: 0830 Coronary Care Unit Ward round Mon, Wed, Fri: Consultant Ward round of all patients on CCU and Tisbury Ward. Wed: 1300 CORE Programme Teaching Thurs: 1330 Medical Directorate X-ray Programme and Education Meeting Fri: in 4 Grand Round On call requirements: 1 in 12 on call 1 st and 2 nd on duties with a mix of shift start times. Employer information The employer for this post is Salisbury NHS Foundation Trust. The post is based in Salisbury District Hospital which is a medium sized acute NHS Foundation Trust and provides a range of secondary services for the local community of about 200,000. It is important to note that this description is a typical example of your placement and may be subject to change.

3 Placement The department The type of work to expect and learning opportunities F1 Colorectal Surgery The Department of Surgery is comprised of 4 Specialty areas. There are 4 Consultants whose interest is Colorectal Surgery. They take part in General Surgical on call and have an interest in minimal access surgery. The department serves the Salisbury area with a catchment population of around 200,000. The department does have links with the tertiary services at Southampton General Hospital and is the Regional Centre for Lower Rectal and Anal Surgery. All F1 doctors will take part in daily ward rounds as well as the day to day care of in patients on the firm. This will be a mixture of general surgical and colorectal patients. The firm undertakes a full colorectal practice as well as taking part in the general surgical on call every other week. There is a daytime commitment to the on call rota which involves clerking emergency admissions and preparation for senior review. The overall objectives for the F1 post are to be able to take history and examine a patient identify and summarise problems prescribe safely document accurate and appropriate entries in the medical record manage time and be able to prioritise appropriately communicate effectively with patients, relatives and colleagues use evidence, guidelines and local protocols to ensure best practice for the care of general surgical and colorectal patients understand the enhance recovery programme and the importance of nutritional aspects of care in post surgical patients. Where the placement is based Clinical Supervisor(s) for the placement Main duties of the placement Typical working pattern in this placement Salisbury District Hospital, Britford and Downton Wards. Miss Helen Chave Mr Andy Agombar Mr Graham Branagan Mr Simon Sleight The F1 trainee is responsible for the day to day care of in patients for the firm. The F1 doctor is also expected to attend daily ward rounds as well as weekly colorectal MDT and weekly Mortality and Morbidity meetings at which they are expected to present. The surgical on call rota is 1 in 9 for nights with Hospital at Night Team duties. There is also a day time commitment to on call on a 1 in 9 basis which involves clerking surgical admissions awaiting senior review. Typical working pattern in this placement:

4 Daily: Mon: 0800 Consultant Ward round Tues: 0800 Consultant Ward round 0830 Colorectal MDT with F1 presentation Wed: 0800 Consultant Ward round 1300 F1 CORE Programme Teaching Thurs: 0800 Consultant or SpR Ward round 1530 Pre assessment clinic. Fri: 0800 Mortality and Morbidity Meeting for all surgical specialties followed by the Business Meeting and F1 presentations followed by ward work in 4 Grand Round. On call requirements: 1 in 9 as above. Employer information The employer for this post is Salisbury NHS Foundation Trust. The post is based in Salisbury District Hospital which is a medium sized acute NHS Foundation Trust and provides a range of secondary services for the local community of about 200,000. It is important to note that this description is a typical example of your placement and may be subject to change.

5 Placement The department The type of work to expect and learning opportunities F1 Endocrinology The department of Endocrinology comprises 2 Consultants who take part in the Acute General Medical on call rota in addition to looking after general medical and general endocrinological problems. There is also a particular interest in diabetes with specialist foot clinics and microbiological foot ward rounds with input from dedicated diabetic specialty nurses. The department serves a catchment population of nearing 200,000. The F1 trainees in Endocrinology will be ward based on Pitton and Redlych template and will be expected to deliver medical care of all the patients under the care of the 2 consultants on the ward. There is a weekly microbiological foot ward round which the F1 doctors should attend. The educational objectives of the F1 in this post are: take history examine a patient identify and summarise problems prescribe safely keep accurate and appropriate medical documentation manage time and prioritise clinically communicate effectively with patients, relatives and colleagues use evidence and guidelines to ensure appropriate management of general medical and diabetic patients on the ward. Where the placement is based Clinical Supervisor(s) for the placement Main duties of the placement Salisbury District Hospital, Pitton and Redlynch Wards. Dr Martin Smith Dr James Lawrence The F1 trainee is responsible with the other staff on the team for the care of the general medical and endocrinological ward patients. These are mainly patients with diabetes rather than more specialist endocrinological problems. The doctor is also expected to attend the daily white board round where the patients are discussed to effect timely and appropriate discharge. The F1 doctor will also take part in the general medicine on call working on the Medical Admissions Unit (Whiteparish Ward) clerking patients being admitted and initiating management plans. All patients will be reviewed by the Acute Physician or Physician on-call within 12 hours of being assessed by the F1 doctor. Typical working pattern in this placement Typical working pattern in this placement: Mon: 0900 Consultant Ward round

6 Tues: 0900 SpR Ward round Wed: 0900 Consultant Ward round 1300 CORE Programme Teaching Thurs: 0900 Core Medical Trainee Ward round 1330 Medical Directorate X-ray Programme and Education Meeting 1500 Microbiology Diabetic Foot Ward round Fri: 0900 Consultant Ward round in 4 Grand Round On call requirements: 1 in 12 : 1 st and 2 nd on call duties with differing start times to shifts. Employer information The employer for this post is Salisbury NHS Foundation Trust. The post is based in Salisbury District Hospital which is a medium sized acute NHS Foundation Trust and provides a range of secondary services for the local community of about 200,000. It is important to note that this description is a typical example of your placement and may be subject to change.

7 Placement The department The type of work to expect and learning opportunities F1 Gastroenterology (Medicine Rota) The department of Gastroenterology comprises 4 Consultants, 2 of whom take part in the Acute General Medical on call and also look after general medical and gastroenterological in patients. There are interests in Hepatology, Inflammatory Bowel Disease, Nutrition, gut motility and all forms of gastroenterological malignancy. The Department serves the Salisbury catchment population of nearing 200,000. The Department also has links with tertiary services at Southampton General Hospital and some investigatory service at Bournemouth Hospital. All F1 doctors in Gastroenterology will be based on Redlynch and Pitton Wards and they are expected to deliver the daily medical care of general medical and gastroenterological patients on their ward. There is also involvement with patients requiring nutrition particularly those on the surgical wards following major abdominal surgery. The educational objectives of the F1 year are take history and examine a patient identify and summarise problems prescribe safely document appropriate and accurate medical records manage time and prioritise efficiently communicate effectively with patients, relatives and colleagues understand using evidence, guidelines and protocols to inform best management with patients with complex gastroenterological problems. Where the placement is based Clinical Supervisor(s) for the placement Main duties of the placement Salisbury District Hospital, Pitton and Redlynch Ward. Dr Sam Vyas Dr Aqeel Jamil The F1 trainee is responsible with the other staff on the ward for the care of the general medical and gastroenterological patients. They will ensure that appropriate investigations are requested and the results obtained for discussion and further management with the seniors. The F1 doctors will also be expected to take part in the daily white board round which is used to ensure effective and timely management and discharge of patients on the ward. The F1 doctor will also take part in the general medicine on call working on the Medical Admissions Unit (Whiteparish Ward) clerking patients being admitted and initiating management plans. All patients will be reviewed by the Acute Physician or Physician on-call within 12 hours of being assessed by the F1 doctor.

8 Typical working pattern in this placement Typical working pattern in this placement: Mon: 0900 Consultant Ward round Tues: 0900 SpR Ward round Wed: 0900 Consultant Ward round 1300 F1 CORE Programme Teaching Thurs: 0900 SpR Ward round 1330 Medical Directorate X-ray Programme and Education Meeting Fri: 0900 Consultant Ward round in 4 Grand Round On call requirements: 1 st and 2 nd on call duties as part of the medical rota with differing shift start times. Employer information The employer for this post is Salisbury NHS Foundation Trust. The post is based in Salisbury District Hospital which is a medium sized acute NHS Foundation Trust and provides a range of secondary services for the local community of about 200,000. It is important to note that this description is a typical example of your placement and may be subject to change.

9 Placement The department The type of work to expect and learning opportunities F1 Gastroenterology Hospital at Night Rota) The department of Gastroenterology comprises 4 Consultants, 2 of whom take part in the Acute General Medical on call and also look after general medical and gastroenterological in patients. There are interests in Hepatology, Inflammatory Bowel Disease, Nutrition, gut motility and all forms of gastroenterological malignancy. The Department serves the Salisbury catchment population of nearing 200,000. The Department also has links with tertiary services at Southampton General Hospital and some investigatory service at Bournemouth Hospital. All F1 doctors in Gastroenterology will be based on Redlynch and Pitton Wards and they are expected to deliver the daily medical care of general medical and gastroenterological patients on their ward. There is also involvement with patients requiring nutrition particularly those on the surgical wards following major abdominal surgery. This post has a commitment to the daytime surgical on-call rota and takes part in the H@NT rota. The educational objectives of the F1 year are take history and examine a patient identify and summarise problems prescribe safely document appropriate and accurate medical records manage time and prioritise efficiently communicate effectively with patients, relatives and colleagues understand using evidence, guidelines and protocols to inform best management with patients with complex gastroenterological problems. Where the placement is based Clinical Supervisor(s) for the placement Main duties of the placement Salisbury District Hospital, Pitton and Redlynch Ward. Dr Sam Vyas Dr Aqeel Jamil The F1 trainee is responsible with the other staff on the ward for the care of the general medical and gastroenterological patients. They will ensure that appropriate investigations are requested and the results obtained for discussion and further management with the seniors. The F1 doctors will also be expected to take part in the daily white board round which is used to ensure effective and timely management and discharge of patients on the ward. The F1 doctor will also take part in the general surgical on call working on the Surgical Admissions Unit on Britford ward clerking patients referred and initiating management plans, prior to senior review. The F1 doctor will also join the H@NT on a 1:9 basis, with duties split into blocks of 3 or 4 nights at a

10 time. Typical working pattern in this placement Typical working pattern in this placement: Mon: 0900 Consultant Ward round Tues: 0900 SpR Ward round Wed: 0900 Consultant Ward round 1300 F1 CORE Programme Teaching Thurs: 0900 SpR Ward round 1330 Medical Directorate X-ray Programme and Education Meeting Fri: 0800 Surgical M&M Consultant Ward round in 4 Grand Round On call requirements: This post joins the 8 surgical F1 doctors to cover the day time surgical on-call rota and be part of H@NT on a 1:9 basis. Employer information The employer for this post is Salisbury NHS Foundation Trust. The post is based in Salisbury District Hospital which is a medium sized acute NHS Foundation Trust and provides a range of secondary services for the local community of about 200,000. It is important to note that this description is a typical example of your placement and may be subject to change.

11 Placement F1 General Elderly Care The department The Department of Medicine for Older People comprises 5 Consultants of whom 2 undertake the work for General Elderly Care. There are interests of Orthogeriatrics, falls, Parkinson s Disease, dementia and stroke in the department. The department serves the Salisbury catchment population of nearing 200,000. The type of work to expect and learning opportunities All F1 doctors in Elderly Care will be based on Winterslow Ward covering the day to day medical care of all patients on the ward. This is a mixture of complex elderly patients requiring discharge planning, patients requiring rehabilitation and some patients with more acute pathology. The overall objectives of this F1 post are to take history and examine a patient identify and summarise problems prescribe safely document appropriate and accurate medical records manage time and prioritise efficiently communicate effectively with patients, relatives and colleagues understand the benefits or working in a multidisciplinary team experience some of the ethical and legal issues which occur during the management of more elderly frail patients Where the placement is based Clinical Supervisor(s) for the placement Main duties of the placement Salisbury District Hospital, Winterslow Ward Dr Claire Page Dr Carmen Carroll The F1 trainee is responsible for the day to day care of the patients on the ward. They will work with the consultants and seniors to ensure that multiple pathologies are addressed and complex discharge planning is carried out in a multi disciplinary and effective manner. The doctors in these posts will also look after acute medical outliers on one of the surgical wards. In addition they will be expected to attend the white board round which builds on decisions made during the multi disciplinary meetings. The F1 doctor will also take part in the general medicine on call working on the Medical Admissions Unit (Whiteparish Ward) clerking patients being admitted and initiating management plans. All patients will be reviewed by the Acute Physician or Physician on-call within 12 hours of being assessed by the F1 doctor. Typical working pattern Typical working pattern in this placement:

12 in this placement Mon: 0900 SpR Ward round Tues: 0900 Consultant Ward round 1300 Medicine for Older People Departmental Teaching Wed: 0900 SpR Ward round 1300 F1 CORE Programme Teaching Thurs: 0900 Consultant Ward round 1330 Medical Directorate X-ray Programme and Education Meeting Fri: in 4 Grand Round On call requirements: 1 in 12 on call 1 st and 2 nd on with a mix of shift start times. Employer information The employer for this post is Salisbury NHS Foundation Trust. The post is based in Salisbury District Hospital which is a medium sized acute NHS Foundation Trust and provides a range of secondary services for the local community of about 200,000 It is important to note that this description is a typical example of your placement and may be subject to change.

13 Placement F1 Respiratory The department The Department of Respiratory Medicine comprises 2 Consultants who take part in the General Medical on call rota on a 1 in 12 basis each. There are interests in all aspects of Respiratory Medicine as well as support from Respiratory Nurse Specialists. The Department serves the Salisbury catchment population of nearing 200,000 and has links with tertiary services at Southampton General Hospital The type of work to expect and learning opportunities All F1 doctors in Respiratory Medicine will generally be ward based during the normal working day and will be expected to deliver the daily medical care of patients on the ward under the care of the Respiratory team. They will join the 2 consultants, 2 SpRs, 1 Core Medical Trainee and care for respiratory and general medical inpatients. In addition there are weekly Lung Multi Disciplinary Team Meetings and monthly respiratory educational sessions. The overall educational objectives of the F1 year are to provide the trainee with knowledge and skills to be able to take history and examine a patient identify and summarise problems prescribe safely document appropriate and accurate medical records manage time and prioritise efficiently communicate effectively with patients, relatives and colleagues use evidence and guidelines to ensure that patients on the ward are treated in the optimum and most efficient manner Where the placement is based Clinical Supervisor(s) for the placement Main duties of the placement Typical working pattern Salisbury District Hospital, Pitton and Redlynch Ward. Dr Anthony Warley Dr Catherine Thompson The F1 trainee is responsible for the ward care of the patients. They will ensure they organise investigations, review results and manage the patients with the input of the seniors in the team. They will be expected to review all their patients with their seniors and take responsibility for problems arising with the patients on the ward. They will also be expected to take part in the daily white board meetings which are used to coordinate discharge of patients at the earliest opportunity. The F1 doctor will also take part in the general medicine on call working on the Medical Admissions Unit (Whiteparish Ward) clerking patients being admitted and initiating management plans. All patients will be reviewed by the Acute Physician or Physician on-call within 12 hours of being assessed by the F1 doctor. Typical working pattern in this placement:

14 in this placement Mon: 0900 SHO Ward round 1400 Consultant Ward round Tues: 0900 SHO Ward round Wed: 0900 SpR Ward round 1300 F1 CORE Programme Teaching Thurs: 0900 Consultant Ward round 1330 Medical Directorate X-ray Programme and Education Meeting Fri: 1100 SpR Ward round in 4 Grand Round On call requirements: 1 st and 2 nd on call with shift pattern. No over night duties. Employer information The employer for this post is Salisbury NHS Foundation Trust. The post is based in Salisbury District Hospital which is a medium sized acute NHS Foundation Trust and provides a range of secondary services for the local community of about 200,000. It is important to note that this description is a typical example of your placement and may be subject to change.

15 Placement F1 Respiratory / Oncology The department The department of Respiratory Medicine comprises 2 Consultants who work to cover Oncology patients on the Pembroke Unit. There are 3 Haematology Consultants who look after haematological patients also on this Unit. In addition there are 5 visiting Oncology Consultants from Southampton Hospital who will review their patients. This department serves the Salisbury area with a catchment of about 200,000. The department is closely linked with tertiary services at Southampton General Hospital particularly for those patients requiring radiotherapy. The type of work to expect and learning opportunities The F1 doctor in this post will be ward based looking after haematological patients under the care of the haematological consultants and oncology and general medicine patients also based on this Unit. These patients are under the care of the Respiratory consultants with input from the visiting Oncology consultants. The objectives of the F1 in this post are to take history and examine a patient identify and summarise problems prescribe safely document appropriate and accurate medical entries manage time and prioritise appropriately communicate effectively with patients, relatives and colleagues use evidence and guidelines to ensure the best practice for the care of haematological and oncology patients in this area. Where the placement is based Clinical Supervisor(s) for the placement Main duties of the placement Typical working pattern in this placement Salisbury District Hospital, Pembroke Ward. Dr Effie Grand Dr Anthony Warley The F1 doctor is responsible with more senior members of the team to care for the patients based on this ward. These will be a mixture of haematological, oncological and general medical patients. The F1 doctor will also be asked to help on the Pembroke Unit at times where patients come for the day for chemotherapy and other interventions. The F1 doctor will be expected to take part on the general medical on call rota. They will admit and initiate management of patients on the Acute Medical Admissions Unit (Whiteparish Ward). All patients on this ward will be reviewed by one of the acute physicians within 12 hours of being assessed by the F1 doctor. The F1 doctors will also be expected to take part in multi disciplinary meetings for patients on the Pembroke Unit. Typical working pattern in this placement:

16 Mon: 0900 Haematology Multi Disciplinary Meeting followed by Consultant Ward round 1200 Blood Morphology Meeting 1400 Respiratory Consultant Ward round of Oncology Patients Tues: 0900 SpR Haematology Ward round followed by SpR Oncology Ward round Wed: 0830 X-ray Lymphoma Meeting (Alternate weeks) 0900 SpR Haematology Ward round 1300 F1 CORE Programme Teaching Thurs: 0900 Haematology Consultant Ward round 1330 Medical Directorate X-ray Programme and Education Meeting 1500 Respiratory Consultant Ward round Fri: 0900 SpR Haematology Ward round followed by SpR Oncology Ward round in 4 Grand Round On call requirements: 1 st and 2 nd on call duties with differing start times for the shift pattern. Employer information The employer for this post is Salisbury NHS Foundation Trust. The post is based in Salisbury District Hospital which is a medium sized acute NHS Foundation Trust and provides a range of secondary services for the local community of about 200,000. It is important to note that this description is a typical example of your placement and may be subject to change.

17 Placement The department The type of work to expect and learning opportunities F1 Stroke The Stroke Medicine Team are part of the Medicine for Older People Department and comprises 2 Consultants both who take part in the General Medical rota but also take part in the Local Network Stroke on call rota. The department serves the Salisbury area with a catchment population of around 200,000. The department has links with Avon, Wiltshire and Gloucester Stroke Network and also tertiary services at Southampton General Hospital. The F1 doctors in the Stroke Team will participate in the medical care of patients on the Stroke Unit. The Stroke Unit cares for patients in acute and rehabilitation phases of recovery from stroke together with a variable number of patients with general medical problems. Whilst on the Stroke Team, the educational objectives for the F1 trainee will be to take history and examine a patient identify and summarise problems prescribe safely document appropriate and accurate medical records manage time and prioritise appropriately communicate effectively with patients, relatives and colleagues understand and benefit from involvement in Multi Disciplinary Team Meetings use evidence, guidelines and local protocols to ensure the best care for patients presenting with a stroke. Where the placement is based Clinical Supervisor(s) for the placement Main duties of the placement Salisbury District Hospital, Farley Ward. Dr David Walters Dr Toby Black The F1 trainee is responsible along with the other staff on the ward for the care of patients presenting with acute stroke and other general medical problems. They are expected to attend the white board meeting every day where discharge of the patients is coordinated in an appropriate manner. They will also be expected to be involved in the Multi Disciplinary Team Meetings, family meetings and the assessment of direct admissions to Farley Stroke Unit. They will become familiar with NIHSS assessment of patients with stroke and will have daily consultant review of any acute admissions admitted to the Unit. The F1 doctor will also take part in the General Medicine on call working on the Medical Admissions Unit (Whiteparish Ward) clerking patients being admitted and initiating management plans. All patients will be reviewed by the Acute Physician or Physician on call within 12 hours of being

18 assessed by the F1 doctor. Typical working pattern in this placement Typical working pattern in this placement: Daily: 0930 Acute Stroke Ward round Mon & Fri: 1000 Consultant Ward round Tues & Thurs: 1000 SpR Ward round 1300 Medical for Older People Departmental Teaching Wed: 1000 Core Medical Trainee Ward round 1300 F1 CORE Programme Teaching Thurs: 1300 Medical Directorate X-ray Programme and Educational Meeting Fri: in 4 Grand Round. On call requirements: 1 in 12 on call 1 st and 2 nd on with a mix of shift start times. There are no overnight duties in this post. Employer information The employer for this post is Salisbury NHS Foundation Trust. The post is based in Salisbury District Hospital which is a medium sized acute NHS Foundation Trust and provides a range of secondary services for the local community of about 200,000. It is important to note that this description is a typical example of your placement and may be subject to change.

19 Placement F1 Urology The department The Department of Urology comprises 5 Consultants (4 substantive and 1 locum). The consultants take part in a on call for Urology which is separate from the General Surgical on call. The department serves the Salisbury area with a catchment population of around 200,000. There are links with the tertiary services at Southampton General Hospital. The type of work to expect and learning opportunities The F1 doctor in Urology is primarily responsible for the day to day running of the Urological wards including clerking new and emergency admissions and organising their initial investigations. Direct contact with the on call consultant in encouraged as registrar cover is not always available. The Urology on call is part of the General Surgical / Hospital at Night Team rota. The overall objectives for the F1 are to provide the training and knowledge to take history and examine a patient identify and summarise problems prescribe safely document accurate and relevant medical entries manage time and be able to prioritise clinical problems communicate effectively with patients, relatives and colleagues use evidence and guidelines and local protocols to ensure the best management possible for patients presenting with general surgical and urological problems. Where the placement is based Clinical Supervisor(s) for the placement Main duties of the placement Typical working pattern in this placement Salisbury District Hospital, Britford and Downton Wards. Mr Gregor McIntosh Mr Peter Guy Mr Alister Campbell Miss Melissa Davies The F1 trainee is responsible for the day to day running of patients on the Urology ward. They will be supervised by more experienced members of the team. Ward rounds are held daily and there is a separate ward round on a Tuesday afternoon. In general the F1 doctor works closely with the Registrar in resolving problems that arise on the wards and with acute admissions. Pre admission clinics are held on a Monday and a Thursday and although Specialist Nurse led, drug charts etc need to be completed by the F1. Attendance at the Surgical M&M meeting is expected. Typical working pattern in this placement: Daily: 0800 Consultant or SpR Ward round Mon: 1500 Check off nursing pre admission clerking

20 Tues: 1300 Multi Disciplinary Team Meeting Wed: 1300 F1 CORE Programme Teaching Thurs: 1500 Check off nursing spinal pre admission clerking Fri: 0800 All Urology consultants present at ward round followed by formal departmental meeting with M&M and audit data presentations. Dedicated teaching session follows this in 4 Grand Round. On call requirements: 1 in 9 General Surgical on call rota and Hospital at Night. Employer information The employer for this post is Salisbury NHS Foundation Trust. The post is based in Salisbury District Hospital which is a medium sized acute NHS Foundation Trust and provides a range of secondary services for the local community of about 200,000. It is important to note that this description is a typical example of your placement and may be subject to change.

21 Placement The department The type of work to expect and learning opportunities F1 Vascular and Breast Surgery The Department of Surgery comprises 4 specialty areas of which there are 3 Consultants undertaking Vascular Surgery and 3 Consultants in Breast Surgery. The Vascular consultants and 1 Breast surgeon are part of the General Surgical on call rota and therefore have General Surgery in patients. The Breast Surgeons also undertake Endocrinological Surgery. All Surgeons practice minimal access surgery. The department serves the Salisbury area with a catchment population of around 200,000 and there are links with the tertiary referral services at Southampton General Hospital. All F1 doctors in this post will look after in patients under the Vascular and Breast surgeons. This will include a mixture of General Surgical in patients plus those with specialist Vascular and Breast pathology. They will also be expected to undertake pre admission clinic clerking and be involved in the General Surgical on call rota during the day and be part of the Hospital at Night Team at night. The overall objectives for the F1 post are to take history and examine a patient identify and summarise problems prescribe safely document accurate, appropriate and relevant entries in the medical record manage time and be able to prioritise appropriately communicate effectively with patients, relatives and colleagues use evidence, guidelines and local protocols to ensure optimum management of general surgical in patients Where the placement is based Clinical Supervisor(s) for the placement Main duties of the placement Typical working pattern in this placement Salisbury District Hospital, Britford and Downton Wards. Mr Saboor Ghauri Mr Charles Ranaboldo Miss Sarah Hulin The F1 trainee is expected to care for the in patients on their ward. They are expected to take part in the Multi Disciplinary Team meeting for the Vascular Team and also the General Surgical Morbidity and Mortality Meeting on a Friday morning. The on call is a 1 in 9 commitment which involves clerking surgical admissions in preparation for senior review. There is also a 1 in 9 rota for nights with Hospital at Night Team duties. Typical working pattern in this placement: Daily: 0800 Consultant or SpR Ward round. Mon: 1000 Vascular MDT

22 Wed: 1300 F1 CORE Programme Teaching Thurs: 1530 Pre assessment clinic. Fri: 0800 General Surgery Mortality and Morbidity Meeting where F1 doctors are expected to present in 4 Grand Round. On call requirements: 1 in 9 as above. Employer information The employer for this post is Salisbury NHS Foundation Trust. The post is based in Salisbury District Hospital which is a medium sized acute NHS Foundation Trust and provides a range of secondary services for the local community of about 200,000. It is important to note that this description is a typical example of your placement and may be subject to change.