Lewisham and Greenwich NHS Trust Queen Elizabeth Hospital LDN/RYQ50/001/F2/003 LDN/RYQ50/001/F2/004 General (Internal) Medicine (Geriatric Medicine)

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1 Foundation Programme Individual Placement Descriptor* Trust Site Intrepid Post Code (or local post number if Intrepid N/A) Placement details (i.e. the specialty and sub-specialty) Department Type of work to expect and learning opportunities Where the placement is based Clinical supervisor(s) for the placement Main duties of the placement Typical working pattern in this placement (e.g. ward rounds, clinics, theatre sessions) Lewisham and Greenwich NHS Trust Queen Elizabeth Hospital LDN/RYQ50/001/F2/003 LDN/RYQ50/001/F2/004 General (Internal) Medicine (Geriatric Medicine) Elderly care Medicine It is a ward of 17 patients that are admitted from AMU. Wide exposure to general and Geriatric medicine with comprehensive geriatric assessment. Exposure to chronic disease as well as sub-acute and acute illnesses. Multidisciplinary input (OT/PT/SS/ DIETICIAN &SALT). Chance to attend weekly MDT meetings. Exposure to medicines use and excellent learning in that respect. Communication skills with the patients and their relatives as well as the staff. Some exposure to procedures. Will be able to interpret blood results, x-rays and ECGs and be able to act on abnormal results. Understanding what disease is and what is ageing. Ward 14 QEH Medical SHO, Medical SpR and a consultant Day to day care of the patients. Presenting cases to the team/ consultant WR. Carrying out jobs related to disease management. Writing out discharge notification/letter to GPs. Talking to relatives. Interacting with multidisciplinary team members. Chance to do audits, case presentation. Chance to attend teaching at lunchtime and Mandatory FY2 teaching Start at 9 Am. Attending Board meeting with the rest of MD. Then going round patients with SHO / Registrar writing in the clinical notes and twice weekly with the consultant. Chancing up results, interacting with relatives and other members of the team. Have lunch break and go to lunch time educational meetings which are almost every day. Expected to finish at 5pm This is un banded job. No on call and no clinics

2 Local education provider (LEP) / employer information It is to help gain confidence and medical knowledge as well as other skills that are necessary for a practicing doctor. Lewisham & Greenwich NHS Trust QEH The Foundation Programmes on the Queen Elizabeth are led by Mr Mohammed Hammadeh the FTPD for F1s and Dr Duncan Brooke the FTPD for F2s. There is a well equipped education centre on site with a 90 seat lecture theatre with the latest technology, there is a clinical skills lab and simulation suite and on site Foundation Simulation training is run during the foundation year. The Foundation Teaching programmes are run weekly within the education centre and protected time is given to attend. There is a library facility with the education centre which offers an extensive range of books, journals and e-journals. E- Learning is actively encouraged and there is access to computers within the library and WI Fi is also available. The doctors mess is very active and the doctors mess facility is a large area on the 9 th floor of the accommodation block with amazing views across London. Medical Students from KCL attend on rotation to QE and as a Foundation doctor your experience at QE will be enhanced by being shadowed by the students. *It is important to note that this description is a typical example of the placement and may be subject to change.

3 Foundation Programme Individual Placement Descriptor* Trust Site Intrepid Post Code (or local post number if Intrepid N/A) Placement details (i.e. the specialty and sub-specialty) Department Type of work to expect and learning opportunities Where the placement is based Clinical supervisor(s) for the placement Main duties of the placement Typical working pattern in this placement(e.g. ward rounds, clinics, theatre sessions) Local education provider (LEP) / employer information Lewisham & Greenwich NHS Trust Queen Elizabeth Hospital LDN/RYQ50/024/F2/001 LDN/RYQ50/024/F2/002 LDN/RYQ50/024/F2/003 Geriatric Medicine Sub-Specialty - Orthogeriatrics Acute Medicine Hip pathway management, optimising pre-op patients, NICE guidance & Best Practice guidelines, Multidisciplinary working, Discharge planning. Wards Dr Dare& Dr Al-Saffar Attend trauma meeting, Review& manage all new Hip & suitable >65yr olds with limb fractures. Ward rounds, trauma meeting, Fracture & theatre sessions Queen Elizabeth Hospital. The Foundation Programmes on the Queen Elizabeth are led by Mr Mohammed Hammadeh the FTPD for F1s and Dr Duncan Brooke the FTPD for F2s. There is a well equipped education centre on site with a 90 seat lecture theatre with the latest technology, there is a clinical skills lab and simulation suite and on site Foundation Simulation training is run during the foundation year. The Foundation Teaching programmes are run weekly within the education centre and protected time is given to attend. There is a library facility with the education centre which offers an extensive range of books, journals and e-journals. E- Learning is actively encouraged and there is access to computers within the library and Wi Fi is also available. The doctors mess is very active and the doctors mess facility is a large area on the 9 th floor of the accommodation block with amazing views across London. Medical Students from KCL attend on rotation to QE and as a Foundation doctor your experience at QE will be enhanced by being shadowed by the students. *It is important to note that this description is a typical example of the placement and may be subject to change.

4 Foundation Programme Individual Placement Descriptor* Trust Site Intrepid Post Code (or local post number if Intrepid N/A) Placement details (i.e. the specialty and sub-specialty) Department Lewisham and Greenwich NHS Trust Queen Elizabeth Hospital LDN/RYQ50/052/F2/003 LDN/RYQ50/052/F2/002 Old Age Psychiatry (N/A) Oxleas NHS Foundation Trust Psychiatry placement Bexley Bexley Borough Mental Health Services Bexley has a total population of approximately 220,000, around 122,000 of which are aged There is a relatively higher morbidity in the North of the Borough. The Bexley population mix is around 88% white and 12% from other ethnic group. There is an Intake and Liaison team (ILT) providing tele-triage for all new referrals, a rapid assessment new patient clinic, a Short Term team (SIT) working with patients for 6-12 months primarily with non-psychosis and a recovery team working with predominantly patients with psychosis and complex needs for up to 2 years. This is all supported by an Early Intervention (EI) team, Home Treatment/Crisis team and the rehab/assertive outreach teams. The Woodlands Unit at Queen Mary s Hospital, Sidcup provides 24 hour inpatient services for adults and older adults. There are 2 acute adult mental health wards Millbrook and Lesney each with 20 beds; and 2 wards for the elderly mentally ill Leyton and Camden. In addition there is an ECT suite and a day unit which provides occupational and activities for patients on the acute wards. The working age adult wards have dedicated in-patient consultants (a functional model) and the 2 older adult wards have been reconfigured to follow a similar model. Intensive care facilities are available by referral to The Tarn Unit on our Greenwich site. We also have access within the Trust to a challenging behaviour unit, medium security and many residential rehab placements. Bexley s Early Intervention in Psychosis Service is based at the Bexleyheath Centre and provides a borough wide service for young people experiencing a first episode of psychosis.

5 The Bexley Crisis Resolution Home Treatment team is based at Woodlands Unit, Queen Mary s, and provides a borough wide mental health crisis services including a limited out-of-hours service. The team works in close conjunction with the StR in Liaison Psychiatry and the nurse led Psychiatric Emergency Assessment Team at the Woodlands Unit, Queen Mary s Hospital. The Bexley Rehabilitation team is based at the Goldie Leigh site and provides support to people with severe/enduring mental health problems either on the rehabilitation inpatient unit or in their own homes or in the various residential units within the service. The service also includes a Dispersed Intensive Supportive Housing (DISH) scheme. The Bexley Assertive Outreach service is based at the Erith Centre and works with people with complex needs who are difficult to engage in other services. Bexley Older Adult services are based at the Upton Centre which includes a Day Hospital providing therapeutic services. Inpatient services for older adults are based at the Woodlands Unit, Queen Mary s Hospital. Bexley Psychotherapy services (BPS) are based at Bexleyheath Centre and provide group and individual psychotherapy services. The Bexley Learning Disability team, based in Sidcup, provides services to adults with moderate to severe learning disabilities and includes a low secure unit at Goldie Leigh. Type of work to expect and learning opportunities This post may provide the trainee s first introduction to psychiatry training and it offers a wide range of learning opportunities with sound support and supervision arrangements. This post is based across two wards at the Woodlands Unit, Queen Mary s Hospital Sidcup which provide for the assessment and treatment of older people with dementia. The trainee will gain experience in managing people with advanced dementia, their medical conditions and detailed understanding of social networks and care. There is opportunity to observe the complex interplay between physical ill-health and mental illness offering a broader experience of general psychiatry.. At least one session weekly will be spent in the role of Woodlands duty psychiatrist. On the in-patient wards, the trainee will ensure

6 that all new patients admitted under their team s care are fully assessed, including an assessment of their physical state, so that a preliminary formulation of their problems is made, at the latest within two working days of their admission. All in patients should be reassessed as necessary and no less frequently than once per week, so that an update is made before each main ward round. Although this is a largely ward based post there are opportunities for exposure to community psychiatry. The trainee will liaise closely with a community based multidisciplinary team within which there is representation from a wide range of other mental health professionals including nurses, mental health social workers, psychologists and occupational therapists. The F2 will conduct a weekly Thursday am outpatient clinic at the Older Adults CMHT at the Upton Centre under the supervision of Dr Owen Box, Consultant. There is also the opportunity for the trainee to visit the CMHT and see community patients jointly with Community Psychiatry Nurses and other multidisciplinary team members. Trainees gain valuable experience of assessing older adults social care needs and identifying those people who require placements in residential and nursing care. The trainee will join the consultant psychiatrist in reviewing NHS Continuing care patients in Dementia Nursing Homes. The caseload is shared with a core trainee. Senior medical input is provided by the consultants Dr Adrian Treloar (ward) and Dr Owen Box (community) and one Higher Specialty doctor. They will provide clinical supervision to assist the trainee with clinical casework and decision making. Training in communication and interview skills as appropriate to the practice of psychiatry is available and will be tailored to the needs of the post holder. On Monday afternoons, twice a month, the F2 will attend the dedicated Psychiatry teaching for F2s and GPVTS doctors. This teaching covers topics such as the Recovery Approach; Mental Health Act; understanding personality disorders; psychiatric medications and safe prescribing; introduction to child and adolescent psychiatry; leadership development; case presentations;

7 Where the placement is based Clinical supervisor(s) for the placement Main duties of the placement Typical working pattern in this placement (e.g. ward rounds, clinics, theatre sessions) Local education provider (LEP) / employer information interview skills; and reflection. Leyton and Camden Wards, Woodlands Unit, Queen Mary s Hospital, Sidcup Psychiatric assessments Weekly ward rounds on each ward Out-patient clinic at CMHT Emergency duty doctor session - emergency assessments, occasional liaison psychiatry work, emergency ward cover of adult wards Liaison with multi-disciplinary teams Admin/RIO 9-5 Monday to Friday No out of hours duties Ward rounds Out-patient clinic Thursday am Emergency duty doctor session Wednesday am Timetable attached The Foundation Programmes on the Queen Elizabeth are led by Mr Mohammed Hammadeh the FTPD for F1s and Dr Duncan Brooke the FTPD for F2s. There is a well equipped education centre on site with a 90 seat lecture theatre with the latest technology, there is a clinical skills lab and simulation suite and on site Foundation Simulation training is run during the foundation year. The Foundation Teaching programmes are run weekly within the education centre and protected time is given to attend. There is a library facility with the education centre which offers an extensive range of books, journals and e-journals. E- Learning is actively encouraged and there is access to computers within the library and WI Fi is also available. The doctors mess is very active and the doctors mess facility is a large area on the 9 th floor of the accommodation block with amazing views across London. Medical Students from KCL attend on rotation to QE and as a Foundation doctor your experience at QE will be enhanced by being shadowed by the students. *It is important to note that this description is a typical example of the placement and may be subject to change.

8 Foundation Programme Individual Placement Descriptor* Trust Site Intrepid Post Code (or local post number if Intrepid N/A) Placement details (i.e. the specialty and sub-specialty) Department Type of work to expect and learning opportunities Where the placement is based Clinical supervisor(s) for the placement Main duties of the placement Typical working pattern in this placement (e.g. ward rounds, clinics, theatre sessions) Lewisham and Greenwich NHS Trust Queen Elizabeth Hospital LDN/RYQ50/001/F2/002 LDN/RYQ50/001/F2/007 LDN/RYQ50/001/F2/006 General(Internal)Medicine Elderly care Medicine Ward based care under senior supervision, daily consultant rounds. Multidisciplinary approach to patient. Care of patients with acute and medical conditions including Cardiology, Respiratory, Gastroenterology, Endocrinology, and Geriatrics. Learning appropriate history examination, investigation and treatment of cardiac and acute medical patients. Recognition and management of the acutely ill, planning for discharge, learning basic medical procedures and some advanced procedures. Recognising patients at end of life and appropriate management. Friday AMU Teaching, Tuesday Clinical Governance, and quip. Involvement in Audit. Ward Based Dr Taylor, Dr Charles, Dr Amin, Dr Peto, Dr Ward, Dr Sulch, Dr Tremble Day to day care of the patients. Presenting cases to the team/ consultant WR. Carrying out jobs related to disease management. Writing out discharge notification/letter to GPs. Talking to relatives. Interacting with multidisciplinary team members. Chance to do audits, case presentation. Chance to attend teaching at lunchtime and Mandatory FY2 teaching To be part of a multidisciplinary team looking after acute medical patients Ward Rounds Post Take Ward Rounds On Call.

9 Local education provider (LEP) / employer information Lewisham & Greenwich NHS Trust QEH The Foundation Programmes on the Queen Elizabeth are led by Mr Mohammed Hammadeh the FTPD for F1s and Dr Duncan Brooke the FTPD for F2s. There is a well equipped education centre on site with a 90 seat lecture theatre with the latest technology, there is a clinical skills lab and simulation suite and on site Foundation Simulation training is run during the foundation year. The Foundation Teaching programmes are run weekly within the education centre and protected time is given to attend. There is a library facility with the education centre which offers an extensive range of books, journals and e-journals. E- Learning is actively encouraged and there is access to computers within the library and WI Fi is also available. The doctors mess is very active and the doctors mess facility is a large area on the 9 th floor of the accommodation block with amazing views across London. Medical Students from KCL attend on rotation to QE and as a Foundation doctor your experience at QE will be enhanced by being shadowed by the students. *It is important to note that this description is a typical example of the placement and may be subject to change.

10 Foundation Programme Individual Placement Descriptor* Trust Site Intrepid Post Code (or local post number if Intrepid N/A) Placement details (i.e. the specialty and sub-specialty) Department Type of work to expect and learning opportunities Lewisham and Greenwich NHS Trust Queen Elizabeth Hospital LDN/RYQ50/800/F2/002 LDN/RYQ50/800/F2/004 LDN/RYQ50/800/F2/001 LDN/RYQ50/800/F2/003 LDN/RYQ50/800/F2/005 General Practice (N/A) - Management of Long term conditions in primary care setting. - Variety of primary care based experience. - Ability to make a focused clinical assessment with variety of patients. - Active participation in primary care team. - Coordinating and management of holistic personalised care. - Understanding role of primary care in the NHS. - undertaking and directing supervised learning events (SLEs) in the workplace and giving immediate feedback and action points for the foundation doctor s development - To integrate and interact with the primary care team - Finds and interprets evidence relating to clinical questions. - Recognises when patient safety is at risk and institutes changes to reduce risk. - Maintains and improve interpretive skills across a range of investigations and clinical outcomes. Where the placement is based - General Practice Clinical supervisor(s) for the placement Main duties of the placement - To be able to history from patients in primary care setting - To work with patients and colleagues to develop sustainable individual care plans to manage patients acute and long term

11 conditions. - To lead a culture of education and learning where every clinical encounter is seen as a opportunity of learning. - Ability to make referrals across boundaries and through networks of care. - Ensure safe prescribing tailoring to changing requirements throughout patients care journey. - Encourages and ensures evaluation of patients capacity to self care. - Recognises and uses opportunities to present diseases and promote health. Typical working pattern in this placement (e.g. ward rounds, clinics, theatre sessions) Local education provider (LEP) / employer information - 7 clinical sessions of 20 minutes consultations, lasting 4 hours - One clinical supervision session with named clinical supervisor - One study session - One half day release to attend foundation programme. The Foundation Programmes on the Queen Elizabeth are led by Mr Mohammed Hammadeh the FTPD for F1s and Dr Duncan Brooke the FTPD for F2s. There is a well equipped education centre on site with a 90 seat lecture theatre with the latest technology, there is a clinical skills lab and simulation suite and on site Foundation Simulation training is run during the foundation year. The Foundation Teaching programmes are run weekly within the education centre and protected time is given to attend. There is a library facility with the education centre which offers an extensive range of books, journals and e-journals. E- Learning is actively encouraged and there is access to computers within the library and WI Fi is also available. The doctors mess is very active and the doctors mess facility is a large area on the 9 th floor of the accommodation block with amazing views across London. Medical Students from KCL attend on rotation to QE and as a Foundation doctor your experience at QE will be enhanced by being shadowed by the students. *It is important to note that this description is a typical example of the placement and may be subject to change.

12 Foundation Programme Individual Placement Descriptor* Trust Site Intrepid Post Code (or local post number if Intrepid N/A) Placement details (i.e. the specialty and sub-specialty) Department Type of work to expect and learning opportunities Where the placement is based Clinical supervisor(s) for the placement Main duties of the placement Lewisham and Greenwich NHS Trust Queen Elizabeth Hospital LDN/RYQ50/021/F2/001 LDN/RYQ50/021/F2/002 General Surgery ( with on-call and leave cover all posts will cover all other firms and so be exposed to the entire range of general surgery in the hospital Orthopaedic surgery will also be covered during some weekends) Planned Care Acute and elective general surgery. Intermediate trauma management (occasional cover for orthopaedic surgery when on call at weekends) Upper and lower gastrointestinal surgery; breast surgery; endocrine surgery; basic vascular surgery (no vascular reconstruction on site) Learning of management and risk assessment during post take ward rounds (when there are usually 2 consultants with often slightly or sometimes radically different views) Opportunistic learning on other ward rounds and during review with consultant/registrar of medical referrals. Understanding of management of risk, complications and treatment of sepsis, particularly when on call and when covering weekends. Monday lunchtime consultant-run case based seminars for foundation doctors. Weekly Grand Rounds. Regular Morbidity and Mortality meetings. Clinical discussons in theatre. Discussion during presentations in out-patients. All Work Based Assessments. Queen Elizabeth Hospital Pre- and post-operative care of all elective and emergency general surgical patients. Supervised care of seriously ill patients. Note-keeping, ordering investigations, discharge summaries and prescribing.

13 Typical working pattern in this placement (e.g. ward rounds, clinics, theatre sessions) Local education provider (LEP) / employer information Multidisciplinary working with ward nurses, physiotherapists, occupational therapists and pharmacists to optimize patient care and achieve timely discharge. Joint care of patients with medical conditions with medical teams (eg diabetic physicians, care of older people physicians, cardiologists and gastroenterologists Attendance at pre-admission clinics. Liaison with Microbiology, Radiology and medical specialities. Attendance in outpatients seeing and presenting new patients. Attendance in theatre and endoscopy: assisting in operations and training in (under supervision) minor procedures or parts of operations (eg drainage of abscess and suturing. Collecting and presenting clinical information in Morbidity and Mortality meetings Involvement in departmental audits. Case presentations at Grand Rounds Daily morning ward rounds with registrar and or consultants. Post take ward rounds with 2 consultants and registrar(s) once a week and after firm on-call weekends. Daily evening ward rounds with or without registrar/ct. Daily examination/observations review of all patients with or without registrar/ct. Daily recording in every patient s notes of observations, results of investigations, clinical management and discharge planning. Prescribing and writing discharge summaries. Ordering investigations and checking on results. Providing information and instruction in hand over to colleagues in the evening. Providing detailed written and verbal patient information and management plan every Friday for the weekend team. Attendance (whenever practical) in theatre. Regular attendance in out-patient clinics. The Foundation Programmes on the Queen Elizabeth are led by Mr Mohammed Hammadeh the FTPD for F1s and Dr Duncan Brooke the FTPD for F2s. There is a well equipped education centre on site with a 90 seat lecture theatre with the latest technology, there is a clinical skills lab and simulation suite and on site Foundation Simulation training is run during the foundation year. The Foundation Teaching programmes are run weekly within the education

14 centre and protected time is given to attend. There is a library facility with the education centre which offers an extensive range of books, journals and e-journals. E- Learning is actively encouraged and there is access to computers within the library and WI Fi is also available. The doctors mess is very active and the doctors mess facility is a large area on the 9 th floor of the accommodation block with amazing views across London. Medical Students from KCL attend on rotation to QE and as a Foundation doctor your experience at QE will be enhanced by being shadowed by the students. *It is important to note that this description is a typical example of the placement and may be subject to change.

15 Foundation Programme Individual Placement Descriptor* Trust Site Intrepid Post Code (or local post number if Intrepid N/A) Placement details (i.e. the specialty and sub-specialty) Department Type of work to expect and learning opportunities Where the placement is based Clinical supervisor(s) for the placement Main duties of the placement Typical working pattern in this placement (e.g. ward rounds, clinics, theatre sessions) Local education provider (LEP) / employer information Lewisham and Greenwich NHS Trust Queen Elizabeth Hospital LDN/RYQ50/030/F2/014 Emergency Medicine (N/A) Emergency Department Seeing patients with senior supervision 24/7 with consultant direct supervision 8am to 10 pm 7 days a week and Middle grades supervision 24/7. The main learning points: Resuscitation skills & Major trauma management Clinical experience in the assessment and initial management of emergencies across all specialities both adults and paediatrics and including urgent care cases. Time management & Decision making Emergency Practical skills Team working & Communication Skills Opportunities for case presentations and audit conduction/presentation Queen Elizabeth Hospital, Woolwich South London Healthcare NHS Trust M Hayder Hassan Duncan Brooke Anne-Marie Huggon Ferdinand Ohanusi Olumayowa Adenugba Michael Whitlock See above Working shifts in a 14 person rolling rota with 1 in 7 nights and 1 in 2 weekends The Foundation Programmes on the Queen Elizabeth are led by Mr Mohammed Hammadeh the FTPD for F1s and Dr Duncan Brooke the FTPD for F2s. There is a well equipped education centre on site with a 90 seat lecture theatre with the latest technology, there is a clinical skills lab and simulation suite and on site Foundation Simulation training is run during the foundation year. The Foundation Teaching programmes are run weekly within the education

16 centre and protected time is given to attend. There is a library facility with the education centre which offers an extensive range of books, journals and e-journals. E- Learning is actively encouraged and there is access to computers within the library and WI Fi is also available. The doctors mess is very active and the doctors mess facility is a large area on the 9 th floor of the accommodation block with amazing views across London. Medical Students from KCL attend on rotation to QE and as a Foundation doctor your experience at QE will be enhanced by being shadowed by the students. *It is important to note that this description is a typical example of the placement and may be subject to change.

17 Foundation Programme Individual Placement Descriptor* Trust Site Intrepid Post Code (or local post number if Intrepid N/A) Placement details (i.e. the specialty and sub-specialty) Department Type of work to expect and learning opportunities Where the placement is based Clinical supervisor(s) for the placement Main duties of the placement Lewisham and Greenwich NHS Trust Queen Elizabeth Hospital LDN/RYQ50/052/F2/001 General Psychiatry (N/A) Adult Mental Health Oxleas House, QEH The F2 post provides an exciting opportunity to gain experience in management of acute mental health problems with input from well-resourced multidisciplinary team. Shrewsbury Ward, Oxleas House, QEH Dr Ehab Morgan, Consultant Psychiatrist Clerking under supervision of new inpatient admissions and completion of relevant assessment sections on Rio including Risk assessments Liaising with families, GPs and other sources for collateral information Completing physical examination, admission bloods and ECGs and ensuring physical needs to patients are assessed and managed appropriately. The ward does have phlebotomy and ECG technician support. However, F2 would be expected to take bloods and ECGs when situation is urgent or support is not available. F2 would ensure that essential admission investigations including physical observations, Urinary Drug Screen, plasma drug levels, confirmation of allergy status, medication reconciliation and request for GP summary records are completed in a timely manner. The F2 would also make sure that any investigations results are acted upon and fed back to MDT. F2 will be expected to participate in daily MDT handover in morning and would contribute to MDT management planning. F2 will be expected to contribute to MDT discussion in weekly review meetings and keeping accurate records. You will be expected to familiarize yourself with all new admissions and their progress prior to their weekly review. One afternoon a week the F2 will be expected to go to

18 A & E and shadow the Mental Health Liaison team to get A & E experience. When based at the in-patient ward, you will ensure that all new patients admitted under your team s care are fully assessed, including an assessment of their physical health, so that a preliminary formulation of their problems is made, at the latest within two working days of their admission. All in patients should be reassessed as necessary and no less frequently than once per week, so that an update is made before each main ward round. Training in communication and interview skills as appropriate to the practice of psychiatry is available and will be tailored to the needs of the post holder. You will maintain accurate, contemporaneous and useful clinical records for all patients in whose care you are involved using RIO, electronic records system. Typical working pattern in this placement (e.g. ward rounds, clinics, theatre sessions) Local education provider (LEP) / employer information Monday AM- Handover/ Management PM- Ward Admin Tuesday AM- Ward Admin/2 nd On-call (if needed) PM- F2 teaching (QE) Wednesday AM- Ward Round PM- Audit Work Thursday AM- Ward Round PM- Ward Admin Friday AM- Ward Round/Supervision PM- A & E Liaison Assessment Team The Foundation Programmes on the Queen Elizabeth are led by Mr Mohammed Hammadeh the FTPD for F1s and Dr Duncan Brooke the FTPD for F2s. There is a well equipped education centre on site with a 90 seat lecture theatre with the latest technology, there is a clinical skills lab and simulation suite and on site Foundation Simulation training is run during the foundation year. The Foundation Teaching programmes are run weekly within the education centre and protected time is given to attend. There is a library facility with the education centre which offers an extensive range of books, journals and e-journals. E- Learning is actively encouraged and there is access to computers within the library and WI Fi is also available. The doctors mess is very active and the doctors mess facility is a large area on the 9 th floor of the accommodation block with amazing views across London. Medical Students from KCL attend on rotation

19 to QE and as a Foundation doctor your experience at QE will be enhanced by being shadowed by the students. *It is important to note that this description is a typical example of the placement and may be subject to change.

20 Foundation Programme Individual Placement Descriptor* Trust Site Intrepid Post Code (or local post number if Intrepid N/A) Placement details (i.e. the specialty and sub-specialty) Department Type of work to expect and learning opportunities Where the placement is based Clinical supervisor(s) for the placement Main duties of the placement Typical working pattern in this placement (e.g. ward rounds, clinics, theatre sessions) Local education provider (LEP) / employer information Lewisham and Greenwich NHS Trust Queen Elizabeth Hospital LDN/RYQ50/040/F2/001 Obstetrics and Gynaecology Obstetrics and Gynaecology General ward work including exposure to emergency gynaecology and elective and emergency obstetrics and midwifery. Clinic work including general O&G including choice of specialist clinics including fertility, fetal medicine, oncology, maternal medicine, perinatal psychiatry. The FY will accompany the consultant on gynaecology ward rounds. Special interest sessions including community midwifery; GUM and smear /colposcopy are offered. QEH Sally Watkinson, Arasee Renganathan, Nigel Perks Participating in ward rounds with consultants and registrars, clerking patients in other clinical contexts including clinic, EPU and FAU where their work will be overseen by more senior doctors. There is an expectation that when rostered for Ward 7 work this will entail inital assessment and if appropriate examination of the patient with discussion with seniors regarding formulation of a management plan. All days The trainee is released for mandatory regional training The Foundation Programmes on the Queen Elizabeth are led by Mr Mohammed Hammadeh the FTPD for F1s and Dr Duncan Brooke the FTPD for F2s. There is a well equipped education centre on site with a 90 seat lecture theatre with the latest technology, there is a clinical skills lab and simulation suite and on site Foundation Simulation training is run during the foundation year. The Foundation Teaching programmes are run weekly within the education centre and protected time is given to attend. There is a library facility with the education centre which offers an extensive range of books, journals and e-journals. E- Learning is actively encouraged and there is access to

21 computers within the library and WI Fi is also available. The doctors mess is very active and the doctors mess facility is a large area on the 9 th floor of the accommodation block with amazing views across London. Medical Students from KCL attend on rotation to QE and as a Foundation doctor your experience at QE will be enhanced by being shadowed by the students. *It is important to note that this description is a typical example of the placement and may be subject to change.

22 Foundation Programme Individual Placement Descriptor* Trust Site Intrepid Post Code (or local post number if Intrepid N/A) Placement details (i.e. the specialty and sub-specialty) Department Type of work to expect and learning opportunities Where the placement is based Clinical supervisor(s) for the placement Main duties of the placement Typical working pattern in this placement (e.g. ward rounds, clinics, theatre sessions) Local education provider (LEP) / employer information Lewisham and Greenwich NHS Trust Queen Elizabeth Hospital LDN/RYQ50/002/F2/003 LDN/RYQ50/002/F2/004 Paediatrics (N/A) Paediatrics (1)Managing Paediatric Patients on the children s ward, (2)Seeing and Managing children who have been referred by A&E staff at QEH (3) Seeing and managing children who are seen in the Day unit at QEH as well as the Paediatric Ambulatory unit at QMH (4) Care of infants on the Special Care Baby unit (5) Care and examination of newborn infants on the postnatal wards (6) Attending at risk deliveries (7) Attendance at Outpatient clinics During a four month post all foundation colleagues will rotate through the department gaining experience,under supervision,in each of these areas. Formal Paediatric Educational Programmes take place at both QEH and QMH. The Trainee will be expected to participate and contribute to this programme. Further details relating to the Paediatric Educational Programmes are available on the SLHCT Paediatric Section of SYNAPSE Queen Elizabeth Hospital Woolwich (QEH) and Queen Mary s Hospital Sidcup (QMH) Consultant Paediatricians See above Ward Rounds, Ambulatory Paediatrics, Neonatal Care etc. It is expected that Foundation Colleagues should attend outpatient clinics for training purposes and time is allocated for this purpose The Foundation Programmes on the Queen Elizabeth are led by Mr Mohammed Hammadeh the FTPD for F1s and Dr Duncan Brooke the FTPD for F2s. There is a well equipped education centre on site with a 90 seat lecture theatre with the latest technology, there is a

23 clinical skills lab and simulation suite and on site Foundation Simulation training is run during the foundation year. The Foundation Teaching programmes are run weekly within the education centre and protected time is given to attend. There is a library facility with the education centre which offers an extensive range of books, journals and e-journals. E- Learning is actively encouraged and there is access to computers within the library and WI Fi is also available. The doctors mess is very active and the doctors mess facility is a large area on the 9 th floor of the accommodation block with amazing views across London. Medical Students from KCL attend on rotation to QE and as a Foundation doctor your experience at QE will be enhanced by being shadowed by the students. *It is important to note that this description is a typical example of the placement and may be subject to change.

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