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

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1 Portsmouth Hospitals NHS Trust Individual Placement (Job) Descriptions for Foundation Year 1 Placement The department Where the is for the in this F1 Acute Placement Acute Medicine Unit/Surgical Assessment Unit Either Intensive Care (known as Critical Care) or Anaesthetics To clerk in new admissions from ED and GP referrals Reassessing the acutely unwell patient. Lunchtime teaching sessions provided on AMU and SAU Care of critically unwell patients Opportunity for theatre experience including airway management Acute Medical Unit/Surgical Assessment Unit and either Critical Care or Anaesthetics, QAH To be notified at the beginning of the this will be kept throughout your Acute rotation The FY1 Lead for AMU is Michela Iadarola, for SAU is Nick Carter, for Critical Care is Kayode Adeniji and for Anaesthetics is Sharon Holland Clerking new patients Organising investigations Ward rounds with consultants Rolling rota including long days, twilights, and nightshifts, compliant with EWTD. following the opening phase of the new state-of-the-art facilities. We provide a full range of acute secondary services to a population of over half a million people. Additional specialist services are provided to a wider catchment area extending as far as Dorset and Sussex. The Acute Medical Unit' (AMU) and 'Surgical Assessment Unit and it holds prestigious Cancer Beacon Status for the Head and Neck Cancer Services.

2 Hosting the largest Ministry of Defence Hospital Unit connections and is proud of this association. This means that as a Trust, we have wider responsibilities than those of standard NHS organisations. Military staff now account for 3% of the total workforce and the Trust has responsibility to ensure the staff have exposure to the appropriate clinical experience required during their times of deployment throughout the world. It is important to note that this description is a typical example of your and may be Placement The department F1 - Cardiology The Department of Cardiology comprises 11 Consultant cardiologists of whom 2 are ward on a 2 week rotation. There are interests in Angioplasty, Electrophysiology, Echos, cardiac imaging. All cardiac pathology is represented. The department serves Portsmouth and the surrounding area. All F1 Doctors are ward during the normal working day and expected to deliver the daily medical care of all the patients on their ward irrespective of specialty. 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 for the QAH, wards C7 and C6 Allocated at start of The F1 doctor is responsible with other staff for the ward care of patients as well as the maintenance of the patient s medical record. They will also take responsibility for problems arising in general cardiology patients on the ward. 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

3 performing other duties in occasional emergencies and unforeseen circumstances. in this in this post e.g. ward rounds, clinics, theatre sessions Daily/weekly/monthly (if applicable) Teaching afternoon Tuesdays Shift pattern including early, twilight, standard day and long days. Includes weekend working but no night shifts following the opening phase of the new state-of-the-art facilities. We provide a full range of acute secondary services to a population of over half a million people. Additional specialist services are provided to a wider catchment area extending as far as Dorset and Sussex. The 'Acute Medical Unit' (AMU) and 'Surgical Assessment Unit and it holds prestigious Cancer Beacon Status for the Head and Neck Cancer Services. Hosting the largest Ministry of Defence Hospital Unit (MDHU) in the country, the Trust enjoys strong military connections and is proud of this association. This means that as a Trust, we have wider responsibilities than those of standard NHS organisations. Military staff now account for 3% of the total workforce and the Trust has responsibility to ensure the staff have exposure to the appropriate clinical experience required during their times of deployment throughout the world. It is important to note that this description is a typical example of your and may be Placement F1 Colorectal/ General Surgery The department Based from E level wards, the department consists of 5

4 consultants, 3 StR3+, 3 FY2/Core Surgical Trainees and a rota of 4 FY1. Inpatients have a variety of diseases ranging from benign and simple to complex cancer patients, alongside emergency and elective cases. FY1 are primarily on the wards. We also have a role in surgical pre-clerking and thus maintaining patient safety prior to theatre. 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 for the in this Miss Senapati is the Lead for Colorectal FY1s and organises regular meetings to ensure trainees have a good educational experience. Mainly ward at Queen Alexandra, Portsmouth. Allocated at start of Main duties on the wards are to support senior staff in management of the patient, and have responsibility of care for all ward patients involving day to day jobs and being first to see deteriorating patients. There is also an opportunity to become involved in the departmental meetings. Daily: ward rounds and pre-clerking to share between FY1. Mon: Tues: Present next week theatre lists. Morbidity and mortality meeting Wed: Thurs: Fri: Sat: Off Sun: Off You are required to work weekends and late shifts but there

5 are no nights. Potentially temporarily moved to cover other specialty within surgery occasionally. following the opening phase of the new state-of-the-art facilities. We provide a full range of acute secondary services to a population of over half a million people. Additional specialist services are provided to a wider catchment area extending as far as Dorset and Sussex. The 'Acute Medical Unit' (AMU) and 'Surgical Assessment Unit and it holds prestigious Cancer Beacon Status for the Head and Neck Cancer Services. Hosting the largest Ministry of Defence Hospital Unit connections and is proud of this association. This means that as a Trust, we have wider responsibilities than those of standard NHS organisations. Military staff now account for 3% of the total workforce and the Trust has responsibility to ensure the staff have exposure to the appropriate clinical experience required during their times of deployment throughout the world. It is important to note that this description is a typical example of your and may be Placement The department F1 - Gastroenterology The department consists of 8 consultants (6 are ward ) split into two teams (A + B). Consultants specialise in Hepatology, IBD, GI bleed, EMR, ERCP. Consultants rotate on a two weekly basis. Teams A s consultant does a ward round on Tuesday, Thursday and Friday. Team B on Monday, Wednesday, Friday. Both teams cater for around 30 patients each. All F1 Doctors in hospital posts will generally be ward during the normal working day and expected to deliver the daily medical care of all the patients on their ward irrespective

6 of specialty. 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 Further for learning: - grand round every Wednesday lunchtime - Friday lunchtime gastro teaching. - Opportunity to teach medical students every Wednesday evening. Where the is for the in this Ward C5, Queen Alexandra Hospital Portsmouth. Allocated at start of The work is generally ward. Juniors prepare the ward list in the morning which consists of screening the new patient s notes and adding their name to the list to be seen by the consultant. On the ward round, juniors request whatever investigations need to be ordered as well as writing in the notes and taking bloods. In the afternoon, patients admitted to the ward may need to be clerked and appropriate investigations ordered. Bloods need to be ordered for the following day and the list updated. Finally, unwell patients and investigations pending need to be handed over to the on-call team. Ward work is on the C5 ward at Queen Alexandra Hospital, Portsmouth. following the opening phase of the new state-of-the-art facilities. We provide a full range of acute secondary services to a population of over half a million people. Additional specialist services are provided to a wider catchment area

7 extending as far as Dorset and Sussex. The 'Acute Medical Unit' (AMU) and 'Surgical Assessment Unit and it holds prestigious Cancer Beacon Status for the Head and Neck Cancer Services. Hosting the largest Ministry of Defence Hospital Unit connections and is proud of this association. This means that as a Trust, we have wider responsibilities than those of standard NHS organisations. Military staff now account for 3% of the total workforce and the Trust has responsibility to ensure the staff have exposure to the appropriate clinical experience required during their times of deployment throughout the world. It is important to note that this description is a typical example of your and may be

8 Placement F1 - Endocrinology & Diabetes The department The Department of Endocrinology & Diabetes comprises 4 Consultants of whom rotate on a weekly basis to do ward cover. There are interests in Pituitary disorders, Thyroid diseases, Diabetes and Gestational Diabetes. All pathology is represented at sometime during the rotation. The department now links closely with the General Medicine department and the majority of the in-patient ward work will be with General Medicine patients. Where the is for the All F1 Doctors in hospital posts will generally be ward 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 this Specialty 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. QA Hospital Ward D3 To be allocated at start of The F1 doctor is responsible with other staff for the ward care of patients and the maintenance of the patient s medical record. They may have the opportunity to work with the consultants in outpatient clinics and also take responsibility for problems arising on the ward. They are expected to attend the structured teaching which is on a weekly basis 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. Daily ward round followed by ward jobs

9 in this You will be expected to work on a shift pattern including early, twilight, standard days, long days and weekends. There are no night shifts. following the opening phase of the new state-of-the-art facilities. We provide a full range of acute secondary services to a population of over half a million people. Additional specialist services are provided to a wider catchment area extending as far as Dorset and Sussex. The 'Acute Medical Unit' (AMU) and 'Surgical Assessment Unit and it holds prestigious Cancer Beacon Status for the Head and Neck Cancer Services. Hosting the largest Ministry of Defence Hospital Unit connections and is proud of this association. This means that as a Trust, we have wider responsibilities than those of standard NHS organisations. Military staff now account for 3% of the total workforce and the Trust has responsibility to ensure the staff have exposure to the appropriate clinical experience required during their times of deployment throughout the world. It is important to note that this description is a typical example of your and may be

10 Placement The department Where the is for the in this F1 - MOPRS (Medicine for Older People, Rehabilitation & Stroke). Elderly Care Ward Based care of elderly patients with multiple complaints and co-morbidities. Acute management of stroke patients. QAH Allocated on start of Organising investigations, completion of patient notes, reviewing patients. in this post e.g. ward rounds, clinics, theatre sessions Daily/weekly/monthly (if applicable) Mon-Fri: New patient clerking, ward round, jobs generated from ward round and patient reviews Regular teaching and departmental meetings On call requirements: Short days on-call, twilights, weekends following the opening phase of the new state-of-the-art facilities. We provide a full range of acute secondary services to a population of over half a million people. Additional specialist services are provided to a wider catchment area extending as far as Dorset and Sussex. The 'Acute Medical Unit' (AMU) and 'Surgical Assessment Unit and it holds prestigious Cancer Beacon Status for the Head and Neck Cancer Services. Hosting the largest Ministry of Defence Hospital Unit connections and is proud of this association. This means that as a Trust, we have wider responsibilities than those of

11 standard NHS organisations. Military staff now account for 3% of the total workforce and the Trust has responsibility to ensure the staff have exposure to the appropriate clinical experience required during their times of deployment throughout the world. It is important to note that this description is a typical example of your and may be Placement The department F1 - Respiratory Medicine Respiratory Main duties include sorting out the patient list, taking bloods, ABGs, cannulas, ordering and checking investigations and district summaries. Reviewing patients when more unwell, senior support and talking to families. There is plenty of teaching on Ward rounds of common medical problems and X-ray/ ABG interpretation. There is opportunity to do procedures such as pleurodesis and pleural taps. Where the is for the in this Wards E6, E7 and E8 plus outliers throughout the hospital Allocated at start of Main duties include sorting out the patient list, taking bloods, ABGs, cannulas, ordering and checking investigations and district summaries. Reviewing patients when more unwell, senior support and talking to families. in this post e.g. ward rounds, clinics, theatre sessions Mon: Ward Round Tues: Ward Round Wed: Ward Round Grand round Thurs: XRay Meeting Ward Round Fri: Lunchtime meeting, Ward Round Sat: Sun: following the opening phase of the new state-of-the-art facilities. We provide a full range of acute secondary services to a population of over half a million people. Additional

12 specialist services are provided to a wider catchment area extending as far as Dorset and Sussex. The 'Acute Medical Unit' (AMU) and 'Surgical Assessment Unit and it holds prestigious Cancer Beacon Status for the Head and Neck Cancer Services. Hosting the largest Ministry of Defence Hospital Unit connections and is proud of this association. This means that as a Trust, we have wider responsibilities than those of standard NHS organisations. Military staff now account for 3% of the total workforce and the Trust has responsibility to ensure the staff have exposure to the appropriate clinical experience required during their times of deployment throughout the world. It is important to note that this description is a typical example of your and may be Placement The department Where the is for the F1 - Trauma and Orthopaedic Surgery Busy department with nearly 30 orthopaedic consultants, 3 trauma wards and elective wards. FY1 will be responsible for the trauma wards only. Highly skilled nursing and support staff provide specialist care for head injury, spinal and NOF fracture patients. Orthogeriatric team available for advice and help. Orthopaedics utilises the multidisciplinary team, including physiotherapists and occupational therapists working with the patients daily to improve patient mobility and function to their premorbid state. General ward work Trauma meetings Teaching Ward rounds D1 D4 D5 D6 emergency orthopaedics Allocated at start of

13 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. Ward jobs Ordering bloods Reviewing patients Discharge summaries Taking bloods and cannulation Ordering and reviewing imaging in this in this post e.g. ward rounds, clinics, theatre sessions Daily: Trauma meeting 8am HO from nursing staff FY1/FY2/Core Trainee ward round, post take ward round Jobs from ward rounds Reviewing drug charts + safe prescribing Managing medical problems independently Wednesday: Microbiology meeting lunchtime Departmental teaching Other: Post operative XRs ordering and reviewing If on a late HO at 8pm M+M meetings monthly Departmental teaching fortnightly On call requirements: some weekends and lates according to rota The Queen Alexandra Hospital site has gone through a major redevelopment to create a modern and 'fit for purpose' hospital, which was completed in The majority of the Trust's acute services are now provided at Queen Alexandra following the opening phase of the

14 new state-of-the-art facilities. We provide a full range of acute secondary services to a population of over half a million people. Additional specialist services are provided to a wider catchment area extending as far as Dorset and Sussex. The 'Emergency Department' at Queen Alexandra Hospital is one of the busiest in the UK treating in excess of 100,000 The 'Acute Medical Unit' (AMU) and 'Surgical Assessment Unit' (SAU) provide rapid diagnostic assessment for patients admitted as emergencies. These can then be directed to the clinical areas most appropriate for their condition. The Trust is also home to the Wessex Renal and Transplant Unit and it holds prestigious Cancer Beacon Status for the Head and Neck Cancer Services. Hosting the largest Ministry of Defence Hospital Unit connections and is proud of this association. This means that as a Trust, we have wider responsibilities than those of standard NHS organisations. Military staff now account for 3% of the total workforce and the Trust has responsibility to ensure the staff have exposure to the appropriate clinical experience required during their times of deployment throughout the world. It is important to note that this description is a typical example of your and may be Placement The department F1 - Urology This is a busy urology department receiving acute and elective admissions from a wide catchment area including the channel islands. The department is a recognised stone institute and cancer centre which uses the latest minimal invasive surgical procedures. There are 8 consultants and 3 StR3+. The work is split between ward work and pre-operative assessment. This takes place 3 days a week and is normally rotated between F1s allowing them to run their own clinic. This is supported by anaesthetists who provide specialist advice for managing often complex urology patients. Ward work consists of a daily ward round followed by daily jobs and reviewing patients as necessary. There is excellent support from the registrars and nurse practitioner who works on the ward. Channel Island patients are often electively admitted to the ward and require pre-operative assessment. There are also for F1s to clerk emergency admissions to the ward either through GP referrals, ED referrals or via the rapid access clinic. This is an excellent learning opportunity. The ward rounds themselves are a very good opportunity for learning as questions are encouraged and the registrars are

15 very friendly. The lead consultant has a formalised 1hr teaching session usually weekly on a Friday. Where the is for the in this Queen Alexandra Hospital, Portsmouth Allocated at start of Ward round, preoperative assessments, venesection, cannulation, organising referrals, requesting imaging, reviewing results, managing unwell post-operative and emergency patients, organising the patient list and general housekeeping. in this post e.g. ward rounds, clinics, theatre sessions Daily: Organise patient list and prepare for ward round Ward round Thereafter: Jobs and patient reviews (Alternated on a weekly basis between F1s) Mon: Pre-operative assessment Tues: Wed: Pre-operative assessment Thurs: Pre-operative assessment Fri: Sat: Sun: Full shift pattern to include days, evenings and weekends. following the opening phase of the new state-of-the-art facilities. We provide a full range of acute secondary services to a population of over half a million people. Additional specialist services are provided to a wider catchment area extending as far as Dorset and Sussex. The 'Acute Medical Unit' (AMU) and 'Surgical Assessment Unit and it holds prestigious Cancer Beacon Status for the Head and Neck Cancer Services.

16 Hosting the largest Ministry of Defence Hospital Unit connections and is proud of this association. This means that as a Trust, we have wider responsibilities than those of standard NHS organisations. Military staff now account for 3% of the total workforce and the Trust has responsibility to ensure the staff have exposure to the appropriate clinical experience required during their times of deployment throughout the world. It is important to note that this description is a typical example of your and may be Placement The department Where the is for the F1 - Vascular Surgery Vascular Surgery Department comprises of 5 consultants. The treatment and services offered include angiography, AAA repair, carotid endarterectomy, treatment for peripheral vascular disease e.g. ulcers, gangrene. The main ward is in D7 in Queen Alexandra Hospital. All F1 Doctors in hospital posts will generally be ward during the normal working day and expected to deliver the daily medical care of all the patients on their ward irrespective of specialty. 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. Queen Alexandra Hospital, D7 ward. Allocated on joining. 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

17 programmes provided by the department. The F1 doctor is also responsible to pre-assess patients due for surgery the next few days. They are also expected to present cases to vascular supervisors observe a few vascular investigations. in this Daily: Wards round 0900 & pre-assessment 1030 Wed: MDT meeting If free, welcomed to attend vascular investigation tests, angiography or theatre sessions. M&M meetings will be held every 2 months Full shift pattern to include days, evenings and weekends. following the opening phase of the new state-of-the-art facilities. We provide a full range of acute secondary services to a population of over half a million people. Additional specialist services are provided to a wider catchment area extending as far as Dorset and Sussex. The 'Acute Medical Unit' (MAU) and 'Surgical Assessment Unit and it holds prestigious Cancer Beacon Status for the Head and Neck Cancer Services. Hosting the largest Ministry of Defence Hospital Unit connections and is proud of this association. This means that as a Trust, we have wider responsibilities than those of standard NHS organisations. Military staff now account for 3% of the total workforce and the Trust has responsibility to ensure the staff have exposure to the appropriate clinical experience required during their times of deployment throughout the world. It is important to note that this description is a typical example of your and may be

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