Foundation Programme Individual Placement Descriptor*

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1 Intrepid Post Code (or local post number if Intrepid N/A) Programme Codes KSS/RTP04/030/F2/001 (POST 01) KSS/RTP04/030/F2/002 (POST 02) KSS/RTP04/030/F2/003 (POST 03) KSS/RTP04/030/F2/004 (POST 04) KSS/RTP04/030/F2/005 (POST 05) KSS/RTP04/030/F2/006 (POST 06) KSS/RTP04/030/F2/007 (POST 07) KSS/RTP04/030/F2/008 (POST 08) KSS/RTP04/030/F2/015 (TBC) KSS/RTP04/030/F2/014 (TBC) Placement details (i.e. the specialty and subspecialty) Emergency Medicine

2 Type of work to expect and learning opportunities Emergency Medicine. You will have dedicated teaching sessions on one day a month (alternating Tuesday and Thursday). There will be senior support on the shop floor 24 hours a day'. The Emergency department has 16 junior doctors and 9 middle grade supported by 7 Consultants. You will be allocated to different areas of the department (resuscitation room, HDU, majors areas, paediatrics, minor injuries) by the senior doctors on shop floor. You will have dedicated teaching session on Tuesday between hours. There will be senior support on shop floor 24 hours a day. Where the is based Clinical supervisor(s) for the Main duties of the EAST SURREY HOSPITAL, REDHILL DR JULIAN WEBB DR PETER MARTIN DR CSABA DIOSZEGHY DR DAVID SERCL DR BABAK DANESHMAND DR KAMALAKANNAN VEERAMUTHU Makes patient safety a priority in clinical practice with thorough history examination and structured management approach in all patients. To make diagnosis and clinical decision making with senior support 24 hou day and by following the emergency department guidelines on the intranet Be punctual on all the shift and contribute to the handover meeting with goo continuity of care Promptly assesses the acutely ill, collapsed or unconscious patient by responding to acutely abnormal physiology Managing patients with acute emergencies from all specialities including paediatrics Managing emergencies from psychiatry, maxillofacial and ENT specialities Undertakes regular patient review once blood results, xray investigations ar ready. Discuss management of patients before discharging them especially in child Good Medical record-keeping and correspondence and Interface with GPs, different specialties and with other professionals outside the trust Practice Safe prescribing and Safe use of medical devices abiding by the tr

3 Infection control and hygiene policy Treating the patient as the centre of care within a consultation, communication with patients in difficult circumstances to avoid complaints Seek senior support in Resuscitation and End of life care and appropriate use of Do Resuscitation (DNAR) orders/advance decisions Managing patients with long term conditions involving patients in decision making Discharge planning and Health promotion, patient education and public health Achieve essential skills like venepuncture, iv cannulation, iv medications, iv fluids arterial puncture in adults, blood culture (peripheral), IV infusion including prescription of fluids, IV infusion of blood and blood products, injection of local anaesthetic to skin, subcutaneous injection, intramuscular injection, perform and interpret an ECG, perform and interpret peak flow, urethral catheterisation airway care including simple adjuncts. Follow the trust guidelines on dress code, consent & confidentiality, legal Framework behaviour in workplace, timemanagement, continuity of care and team-working in the Emergency department. Typical working pattern in this (e.g. ward rounds, clinics, theatre sessions) Local education provider (LEP) / employer information The Emergency department has 16 junior doctors and 9 middle grade supported by 7 Consultants. You will be allocated to different areas of the department (resuscitation room, HDU, majors areas, paediatrics, minor injuries) by the senior doctors on shop floor. You will have dedicated teaching sessions on one day a month (alternating Tuesday and Thursday). There will be senior support on the shop floor 24 hours a day. *It is important to note that this description is a typical example of the and may be

4 KSS/RTP04/001/F2/001 (POST 09) KSS/RTP04/001/F2/002 (POST 10) KSS/RTP04/001/F2/003 (POST 11) Where the is based Main duties of the (e.g. ward rounds, clinics, Acute (Internal) Medicine (Geriatric Medicine) Medicine Review of ward patients, discuss follow up plans with seniors and arrange for discharge and follow up. Attend and take part in MDT meetings. Consultant /Registrar ward rounds and bedside teaching. Attendance in Grand round, FY2 teaching & Care of Elderly weekly teaching. Audit and leadership project opportunities and teaching opportunities. Nutfield Ward Dr Phongsathorn Review of ward patients, discuss follow up plans with seniors and arrange for discharge and follow up. Attend cardiac arrest calls whilst on call. Incorporated in Acute medical Take, to include weekends, nights and twilight shifts. Days *It is important to note that this description is a typical example of the and may be

5 KSS/RTP04/040/F2/001 (POST 13) KSS/RTP04/040/F2/002 (POST 14) Where the is based Obstetrics and Gynaecology Women & Child Health Acute and Elective Obstetrics & Gynaecology: Supernumary within outpatients and operating theatre. 1 st oncall for acute admissions with senior support at all times. Monthly half-day audit session and weekly protected teaching. East Surrey, Crawley and Horsham hospitals Ms Gandhi Main duties of the As above; covering gynaecology & early pregnancy assessment units, antenatal day units & acute obstetrics. Taking part in MDM s in gynae-oncology and perinatal meetings (e.g. ward rounds, clinics, The rota is built to fulfil the needs of the trainees at SHO level rather than pure service provision. Eg: more theatre time if hoping to develop surgical skills, more outpatient clinics/procedures if thinking about GP training, whilst still maintaining a balanced exposure to O&G *It is important to note that this description is a typical example of the and may be

6 KSS/RTP04/002/F2/002 (POST 16) Where the is based Main duties of the (e.g. ward rounds, clinics, Paediatrics Paediatrics Acute general and neonatal (level 2) hospital paediatrics Paediatric Consultants Acute and emergency; there is some exposure to outpatient practice also Ward rounds, ward work, emergency attendances in ED and Labour Ward, routine examination of newborn infants *It is important to note that this description is a typical example of the and may be

7 KSS/RTP04/800/F2/001 (POST 17) KSS/RTP04/800/F2/002 (POST 19) KSS/RTP04/800/F2/003 (POST 20) KSS/RTP04/800/F2/004 (POST 24) KSS/RTP04/800/F2/006 (TBC) Where the is based Main duties of the General Practice Seeing patients within the general practice setting both in surgeries and on supervised home visits. Learning from other members of the primary health care team eg health visitors, district nurses, practice nurses etc. Learning from weekly foundation teaching sessions at the trust and weekly tutorial with CES. General Practice GP in practice is the clinical supervisor Meet with FY2 doctor prior to to discuss /learning needs etc. Prepare appropriate timetable for the. Provide clinical supervision (and in some cases

8 (e.g. ward rounds, clinics, also act as ES as well) during the and complete the appropriate assessments/paperwork on the foundation portfolio. 6-7 surgeries. 1-2 sessions in other eg 1 to 1 session with CS, small group work with other learners, weekly group session with CES, shadowing other health professionals eg out patient clinics pertinent to primary care, palliative care teams, voluntary sector workers. 1 session on project work or directed study eg audit. 1 session half day release for foundation teaching and tutorial with CES. 1 OOH session in the trust. *It is important to note that this description is a typical example of the and may be

9 Where the is based Main duties of the (e.g. ward rounds, clinics, KSS/RTP04/800/F2/005 13/KSS/03/RTP04/02/F2/001 13/KSS/03/RTP04/02/F2/021 13/KSS/03/RTP04/02/F2/022 General Practice Seeing patients within the general practice setting both in surgeries and on supervised home visits. Learning from other members of the primary health care team e.g. health visitors, district nurses, practice nurses etc. Learning from weekly foundation teaching sessions at the trust and weekly tutorial with CES. General Practice GP Meet with GP clinical supervisor prior to to discuss /learning needs etc. and agree an appropriate timetable for the. Complete the appropriate assessments/paperwork on the foundation portfolio. 6-7 surgeries. 1-2 sessions in other e.g. 1 to 1 session with CS, small group work with other learners, weekly group session with CES, shadowing other health professionals e.g. out patient clinics pertinent to primary care, palliative care teams, voluntary sector workers. 1 session on project work or directed study e.g. audit. 1 session half day release for foundation teaching twice a month and tutorial with CES. 2 full day OOH session in the trust per month. base for teaching and OOH sessions will be placed in a GP practice in the Surrey/Sussex area. *It is important to note that this description is a typical example of the and may be

10 KSS/RTP04/001/F2/004 General (Internal) Medicine (Rheumatology) Medicine To see rheumatology in-patients and cover the general medical on-take. Bedside teaching by Consultants and Registrars. Regular weekly medicine teaching available to include Grand Round. Audit opportunities & leadership projects. Where the is based Main duties of the (e.g. ward rounds, clinics, Capel Dr Makadsi To see rheumatology in patients and assist with Medical Take. General Medical Rota, to include On-Calls *It is important to note that this description is a typical example of the and may be

11 KSS/RTP04/035/F2/003 Acute Medicine Medicine To see AMU in patients and assist with Medical Take. Bedside teaching by Consultants and Registrars. Teaching presentations in radiology, Grand round, AMU teaching and mortality & morbidity meeting. Audit opportunities & leadership projects. Where the is based Main duties of the (e.g. ward rounds, clinics, AMU Dr Asalieh, Dr N.Khan To see AMU in patients and assist with Medical Take to as well as weekend cover and long days. *It is important to note that this description is a typical example of the and may be

12 KSS/RTP04/040/F2/007 Where the is based Obstetrics and Gynaecology Women & Child Health Acute and Elective Obstetrics & Gynaecology: Supernumary within outpatients and operating theatre. 1 st oncall for acute admissions with senior support at all times. Monthly half-day audit session and weekly protected teaching. East Surrey, Crawley and Horsham hospitals Ms Gandhi, Miss Wykes, Miss Srivastava, Miss Gorti Main duties of the As above; covering gynaecology & early pregnancy assessment units, antenatal day units & acute obstetrics. Taking part in MDM s in gynae-oncology and perinatal meetings (e.g. ward rounds, clinics, The rota is built to fulfil the needs of the trainees at SHO level rather than pure service provision. Eg: more theatre time if hoping to develop surgical skills, more outpatient clinics/procedures if thinking about GP training, whilst still maintaining a balanced exposure to O&G *It is important to note that this description is a typical example of the and may be

13 Where the is based Main duties of the (e.g. ward rounds, clinics, KSS/RTP04/052/F2/003 13/KSS/03/RTP04/02/F2/004 13/KSS/03/RTP04/02/F2/015 13/KSS/03/RTP04/01/F2/030 General Psychiatry of Psychiatry Learning objectives for the trainee are to acquire skills in assessment, diagnosis and management of common psychiatric disorders both functional and organic. Clarendon House, 28 West Street, Dorking, Surrey RH4 1QJ Dr Yousuf Mainly outpatient and community work but also on call responsibility for EAST Surrey and Epsom General Hospital Outpatient clinics twice per week, team meeting once a week, Emergency appointments and home visits as and when needed *It is important to note that this description is a typical example of the and may be

14 KSS/RTP04/021/F2/001 (TBC) Where the is based Main duties of the (e.g. ward rounds, clinics, General Surgery BREAST Surgery See patients both pre and post-operative, and discuss with seniors a management plan. Opportunity to learn about acute surgical problems and minor surgical procedures. Arrange for discharges and follow up plans Bedside teaching from Consultants and Registrars, attend MDTs, Surgical teaching and teach on the Medical Students programme. Surgical Wards Miss Waheed, Mr Ball See patients both pre and post-operative, and discuss with seniors a management plan. Opportunity to learn about acute surgical problems and minor surgical procedures. Arrange for discharges and follow up plan , long days and on calls. *It is important to note that this description is a typical example of the and may be

15 Intrepid Post Code (or local post number if Intrepid N/A) Programme Codes Placement details (i.e. the specialty and sub-specialty) 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 (e.g. ward rounds, clinics, theatre sessions) Local education provider (LEP) / employer information KSS/RTP04/052/F2/001 General Psychiatry Community Old Age Psychiatry Full time post working with the CMHT for patients over 65.The Medical team consists of Consultant, part time SAS doctor and Higher Specialty Trainee. The team has good multidisciplinary support from Community Psychiatric Nurses, Occupational Therapists and fulltime Psychologist. The post holder will have an excellent opportunity to gain experience in assessing and managing the whole spectrum of mental illness in the elderly Langley House, Tandridge Older adults CMHT, Church Lane, Oxted RH8 9LH Dr Sunil Babu To shadow a senior colleague in assessments in Outpatients initially to familiarise with clinical presentations in Old Age psychiatry. Conducting Outpatient Clinics under supervision Carry out Domiciliary Visits with a Multidisciplinary Team member and/or Senior medical staff for new assessments and follow ups Liaise with community agencies and GPs as appropriate Attend weekly MDT meetings Opportunities to attend CPA meetings both in the community and inpatient for the catchment area patients Participate in on call rota Attending: Outpatient clinics, MDT meetings, Home visits, weekly academic teaching sessions and carrying out on call duties as set out by rota Surrey and Boarders *It is important to note that this description is a typical example of the and may be

16 KSS/RTP04/024/F2/002 Trauma and Orthopaedic Surgery ORTHOPAEDIC MANAGEMENT OF COMMON TRAUMA AND ELECTIVE ORTHOPAEDIC CASES Where the is based EAST SURREY HOSPITAL Main duties of the MR BHAT MR SELVAN MR PANOSE DAY TO DAY MANAGEMENT OF ORTHOPAEDIC PATIENTS AND ON CALL DUTIES (e.g. ward rounds, clinics, WARD ROUNDS AND CLINICS/LISTS AS APPROPRIATE *It is important to note that this description is a typical example of the and may be

17 KSS/RTP04/024/F2/001 Trauma and Orthopaedic Surgery ORTHOPAEDIC MANAGEMENT OF COMMON TRAUMA AND ELECTIVE ORTHOPAEDIC CASES Where the is based EAST SURREY HOSPITAL Main duties of the MR BHAT MR SELVAN MR PANOSE DAY TO DAY MANAGEMENT OF ORTHOPAEDIC PATIENTS AND ON CALL DUTIES (e.g. ward rounds, clinics, WARD ROUNDS AND CLINICS/LISTS AS APPROPRIATE *It is important to note that this description is a typical example of the and may be

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