Hampshire Hospitals NHS Foundation Trust Royal Hampshire County Hospital (Winchester) Individual Placement (Job) Descriptions for Foundation Year 2

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1 Individual (Job) Descriptions for Foundation Year 2 F2 Microbiology / Public Health / GUM Microbiology Department 1. Daily ward rounds to ICU, patients with positive blood cultures and any other patients where team has requested microbiology input. 2. Triage calls from wards and GPs requesting microbiology advice. 3. Two week basic microbiology laboratory work. 4. Attendance at weekly infection control meetings. 5. To get a thorough understanding of the diagnosis and management of infection and of antibiotic use. This will serve well in any specialty career. 6. The opportunity to carry out an audit or contribute to a research project in infection (community, primary or secondary care) Where the is for the Microbiology Department Winchester Dr.Parnaby Dr.Saeed Dr.Dryden Public health supervisors allocated as per project in this 1. Keep record of blood results and important microbiology tests for patients up to date. 2. Collect data for epidemiological databases. 3. Answer bleep to triage microbiology queries from wards and GP surgeries. Monday Friday 9-5pm It is important to note that this description is a typical example of your and may be

2 Individual (Job) Descriptions for Foundation Year 2 F2 Microbiology / Public Health / GUM Microbiology Department 7. Daily ward rounds to ICU, patients with positive blood cultures and any other patients where team has requested microbiology input. 8. Triage calls from wards and GPs requesting microbiology advice. 9. Two week basic microbiology laboratory work. 10. Attendance at weekly infection control meetings. 11. To get a thorough understanding of the diagnosis and management of infection and of antibiotic use. This will serve well in any specialty career. 12. The opportunity to carry out an audit or contribute to a research project in infection (community, primary or secondary care) Where the is for the Microbiology Department Winchester Dr.Parnaby Dr.Saeed Dr.Dryden Public health supervisors allocated as per project in this 4. Keep record of blood results and important microbiology tests for patients up to date. 5. Collect data for epidemiological databases. 6. Answer bleep to triage microbiology queries from wards and GP surgeries. Monday Friday 9-5pm It is important to note that this description is a typical example of your and may be Individual (Job) Descriptions for Foundation Year 2 F2 Paediatrics

3 Paediatric inpatient and community of paediatric and child health forms part of the Family Services Division of WEHCT. The acute and community departments are fully integrated. They are described separately for clarity. ACUTE SERVICES care and treatment of all paediatric medical, including dermatology, admissions to the children s ward (23 beds, 2,200 admissions per year) ambulatory care unit Sophie s place paediatric outpatient clinics in Winchester, Eastleigh and Andover (attendance 7,400 per year) examination and care of all babies born in the Maternity Unit and those referred from the Andover GP Unit (2,750 deliveries) the care of neonates admitted to the Neonatal Unit (16 cots, 2 of which are designated intensive care, 300 admissions per annum) joint specialist clinics in Cardiology, Neurology, Nephrology, Cystic Fibrosis, Genetics, Paediatric Surgery and Rheumatology. COMMUNITY SERVICES experienced community paediatric nursing team who have special interests in respiratory medicine, allergy and anaphylaxis, diabetes, learning disability, oncology child health surveillance school health child safeguarding pre-school special needs services in 3 child development centres: the Aviary Centre in Eastleigh, Lanterns Childrens Centre in Winchester and Acorns Early Years Centre in Andover autism assessment clinic child guidance clinic audiology (pre-school and school) therapy services (physiotherapy, occupational therapy, speech therapy and clinical psychology). Where the is for the and the Community Dr Gabriel Whitlingum Dr Rebecca Ferris Dr Philippa Hayward Dr Rey Morenas Dr Simon Struthers Dr Martha Wyles Dr Eleri Williams Dr Keith Foote Dr David Schapira

4 Dr Max Priesmann 1. Clerking children referred from A&E, G.P s, outpatient, attending day cases. 2. Carrying out investigations and treatment under the direction of senior colleagues. 3. Attending high risk deliveries in the labour suite. 4. Managing babies admitted to the Neonatal Unit. 5. Carrying out routine newborn screening examinations. 6. Night cover of Obstetrics and Gynaecology. In the community: pre-school special needs services autism assessment clinic child guidance clinic audiology (pre-school and school). in this Day duties: 9am to 5pm On call requirements: 8.30 am to 9pm Long day 8.30 pm to 9am Nights Work pattern 1:8 Night shift split in a 4 Night duties during week and 3 at a weekend It is important to note that this description is a typical example of your and may be Individual (Job) Descriptions for Foundation Year 2 Where the is for the F2 Womens Health Obstetrics and Gynaecology Daily ward rounds Attendance in theatre Gynae outpatients Labour ward Teaching Ward cover for gynae / breast patients Dr Lawrence Olujide Mr Michael Heard

5 Mr Keith Louden Miss Kate Aston Mr Martyn Pitman Dr Renee Behrens Ms S Muzaffar Mrs K Sargant in this Labour Ward Gynae inpatients/outpatients Assist in theatre when required Cover for antenatal and postnatal wards and obstetric day assessment unit When on-call cover for labour ward (cross cover paediatrics at night back up only, clerking patients, ward cover and newborn baby checks). Teaching and audit. Daily 9am to 5pm On call requirements: 8.30 am to 9 pm Long day 8.00 pm to 8:30 am Nights Work pattern 1: 6 (days) 1:11(nights) Night shift split in a 4 Night duties during week and 3 at a weekend. It is important to note that this description is a typical example of your and may be Individual (Job) Descriptions for Foundation Year 2 F2 ENT 3 consultants 1 associate specialist 1 staff grade F1/F2 2 advanced nurse acre practitioners Visiting Head and Neck Consultants from UHS Ward round daily of elective patients rv and discharge post op patients F1/F2 led emergency clinic 3x week and involvement in management of any other ward emergency General Surgical on calls Plenty of opportunity to sit in on consultant clinics and theatres.

6 Where the is for the in this Winchester Mrs Andrea Burgess Mr. Ashok Rokade Mr Mandar Jog Mr Sushant Talpallikar As above ENT General Surgical on call approx 1 eve per week, 1 weekend day in 4, 1 set of nights a month It is important to note that this description is a typical example of your and may be Individual (Job) Descriptions for Foundation Year 2 Where the is for the in this F2 Rehabilitation Medicine Rehabilitation medicine Ward work + opportunity to sit in on clinics Andover War Memorial Hospital, Andover Community Hospital Dr James Croft-Baker Clerking in patients transferred from RHCH, Winchester + Referrals from Basingstoke and Southampton accepted by consultant +community admissions. Managing day to day ward work. Discharge planning. Managing patients on ward and liaise with RHCH, Winchester if patient needs to be transferred for acute management. 40 hours a week. No on-call commitment. It is important to note that this description is a typical example of your and may be

7 Individual (Job) Descriptions for Foundation Year 2 F2 EMAU Medicine EMAU The acute medical unit, McGill ward admits patients from General practice and emergency department. Consultant cover is present on unit from 8am-5pm Monday to Friday. Weekend Consultant cover is provided by general medical and acute physicians. Short stay patients whose length of stay is predicted to be less than 72 hours are also looked after on the ward. A Rapid Access/Admission Avoidance Clinic which operates from 9.00am-17.00pm on weekdays for ambulatory patients and patient follow up visits. The unit has dedicated junior doctors. Medical assistants support the junior medical staff providing support for cannulation and venesection and radiology provides dedicated daily slots for urgent CT scan, ultrasound and venograms. We discharge about 40% of patients directly from the EMAU. Where the is for the in this The unit receives the whole range of medical patients. The post holder will be able to review patients and have active role in management. As consultants are present on unit this is an excellent learning environment to develop clinical and practical skills. Departmental teaching takes place on unit, there is hot cases radiology meeting fortnightly, Medical division meeting weekly. This is in addition to the dedicated foundation program. EMAU Consultants The post will involve looking after patients on ward but also rotation to the ambulatory admissions avoidance clinic. Duties include history taking, examination, venepuncture, lumbar puncture, review of results etc. Contribution to education program through case presentations are welcomed and audit projects are available. Days will typically be or depending on rota through ambulatory clinic. Twlight shift session are included in this role.

8 Individual (Job) Descriptions for Foundation Year 2 F2 Emergency Medicine Emergency Department Resus bay 3 beds Majors 6 beds Minors 5 rooms Clerking in patients: History + Exam Ordering appropriate tests Decision making Referring to appropriate services Basic practical skills: suturing etc Interpreting XRs Weekly teaching Presentation to senior doctors Mostly medical patients/minors, with some trauma (head injury, long bone fractures) though major trauma diverted to Basingstoke or Southampton. Cardiac sent to Basingstoke. Good group of nurse practitioners willing to teach on minor injuries Where the is for the in this Emergency Department ED consultants Clerking, managing and discharging/referring patients. Shift pattern work Mon Sun: / / / shifts Also Cover Shift normally Mon-Fri or other hours to cover leave or sickness. Cover doctor must be available to cover sickness on weekends but otherwise not required to work. Study Leave On call requirements: N/A It is important to note that this description is a typical example of your and may be

9 Individual (Job) Descriptions for Foundation Year 2 Where the is for the in this F2 General Practice Covers City, Town & Rural Practices. After induction period you run your own surgeries. Initially with long consultation times which is supported by your Clinical Supervisor. As your experience increases you will see more patients and may do some home visits on your own. There is the opportunity after each surgery to debrief with your supervisor to discuss your patients for that morning/afternoon. Practice s GP at Practice For the F2 this is almost entirely for your experience and teaching. You have a morning and afternoon surgery, and sometimes a lunchtime home visit. The focus for you is to learn, follow-up your patients and improve your communication skills. The job is flexible and you may arrange to sit in on Clinics & MDT meetings. Telephone requests, referrals and team meetings. Hours agreed with Clinical Supervisor. It is important to note that this description is a typical example of your and may be Individual (Job) Descriptions for Foundation Year 2 F2 ICU / Surgical On Call Critical care See below Where the is, Winchester Dr John Criswell

10 for the Update and print patient list. Active participation in consultant led ward round x2 daily. Documentation of daily management plan for each patient. Assessment & Review of patients on ICU throughout day, arrangement and follow up of investigations, liaison with primary teams - plan as per WR (patients divided between Foundation doctors with each having a named doctor responsible for review and decision making for that day). As need / opportunity arises: transfer of patients off unit e.g. for scans clinical procedures (such as central & arterial lines, chest drains, ascitic taps, epidural top-ups ventilator set up & use) theatre anaesthetics experience. Review of ward/ ED patients for consideration of transfer to ICU or for advice. Discharge summary writing with comprehensive handover to primary teams. Crash call team member. Presentation of allocated topic at weekly teaching. Presentation of patients at monthly M&M meeting. Surgical on-call duties long days, weekends, nights. in this in this post e.g. ward rounds, clinics, theatre sessions. Daily/weekly/monthly (if applicable) Rota 8-6pm WR twice daily No clinics Theatre sessions anaesthetics experience when ICU responsibilities permit. On call requirements: as per surgical on call rota. It is important to note that this description is a typical example of your and may be Individual (Job) Descriptions for Foundation Year 2 F2 Critical Care (Intensive Care) Intensive Care Unit RHCH The work is on the ICU. It mainly involves daily review of

11 patients and planning of their care, with twice daily consultant ward rounds. There will be ward jobs e.g. blood taking, organizing of investigations and procedures such as venous access. You are supported by the consultant on for the unit and by an Anaesthetics trainee. There are plenty of for gaining procedural experience. Critical care is a busy but there are plenty of learning and audit and you will gain valuable experience in all aspects of the management of the critically ill patient. You will be exposed to all specialties and will have the opportunity to develop communication skills with other specialties and healthcare professionals. Our team is supportive and approachable. Where the is for the in this RHCH Intensive Care Consultants Daily review of the patients, Coordination of investigations and collation of results and maintenance of the daily handover sheet. There is evening on-call & weekend commitments but the post is banded. Expected to work h Monday to Friday averaging 48h per week, thus able to have the occasional half day. It is important to note that this description is a typical example of your and may be Individual (Job) Descriptions for Foundation Year 2 F2 Stroke Medicine Stroke Combined Hyper Acute Stroke Unit (HASU) and Rehabilitation ward. Receiving direct admissions of suspected stroke patients both from the Winchester and Basingstoke areas. Opportunity to acquire management skills involving acute neurological patients and their subsequent rehabilitation. Ability to attend acute neuro-vascular / follow up clinics, acute assessment of stroke patients / thrombolysis, regular neuro-radiology meetings and take part in stroke research activity.

12 Where the is for the in this Stroke Consultants Daily board / acute stroke ward rounds. Admission of new patients received from the ED. Taking part in regular MDT s. Liaising with therapy staff and discharge planning. Attending clinics. Ward (Twyford) post, no formal on-call but to undertake if wished. It is important to note that this description is a typical example of your and may be Individual (Job) Descriptions for Foundation Year 2 Where the is for the in this F2 Trauma and Orthopaedics Ward work, assisting in theatre and clinic. General surgery, urology and orthopedic on call. Ward work, assisting in theatre and clinic. General surgery, urology and orthopedic on call. T&O consultants Attend daily trauma meeting starting at 08.30am; followed by a ward round daily. Responsibilities include managing patients on ward including medical and social care. Supervising F1s including teaching where possible. On average 4 sessions per week in theatre and 2 in clinic. These are, in theory, optional but should be considered mandatory. Thursday lunchtime journal club is compulsory and educational. Normal Day: 8.30 am to 5.00pm On call requirements: 10 SHOs cover the rota. Every day one SHO is on days and one on nights; one covers a 5 hour evening shift Monday to Friday.

13 It is important to note that this description is a typical example of your and may be Individual (Job) Descriptions for Foundation Year 2 F2 - Elderly Care Clifton Clifton is a rehabilitation ward with patients that often have complex needs, multi-morbidities and recent acute medical or surgical issues. The patient group is predominantly older patients although some are younger with specific rehabilitation goals. The ward is managed by two consultant geriatricians. Daily multi-disciplinary meetings (MDTs), daily review of rehabilitation referrals for Clifton, ward rounds and ward jobs. Learning through consultant ward rounds, alternate weekly radiology lunchtime meetings, Elderly Care teaching and Grand Round. There are also to teach medical students. Where the is for the, Clifton ward. Dr Sarah Holmes & Dr Lisa Shire Discuss in MDTs any medical issues and identify with the multi-disciplinary team the patient s rehabilitation goals; Review of new admissions, patients unwell or issues needing addressing and those being discharged; Closely working with registrars/consultants; Attend registrar or consultant ward rounds; Organise the ward round, jobs (bloods, imaging, referrals to other teams) and trouble shoot any issues that arise during the day; Liaise with patients, families and GPs regarding issues arising on the ward and discharge plans whilst coordinating with other disciplines in the team (e.g. nurses, OTs, physiotherapists); Complete discharge summaries and TTOs; Good medical record keeping and communication on the ward; Supporting the F1 on the ward. in this Hampshire Hospital NHS Foundation Trust.

14 It is important to note that this description is a typical example of your and may be Hampshire Hospitals Foundation NHS Trust From August 15 Individual (Job) Description Psychiatry (Old Age) F2 Melbury Lodge Where the is Mon Community work at Avalon House, out patient clinic with Dr Subramanian (clinical supervisor) Tuesday - Community work at Avalon House, memory clinic with Dr Duncan (specialty doctor) Wed. am - audit / admin pm. Protected Foundation Programme Teaching at RHCH Thursday - CBT case alternate weeks. otherwise, am. Inreach (residential / nursing homes) Thursday pm - liaison with F1 when not at CBT. Friday - am. liaison meeting with Dr Badrakalimuthu pm SOU ward work Melbury Lodge for the Dr Subramanian for community, (Dr Katie Clyde for SOU ward) Supporting the community team Supporting FY1 with SOU ward work = tasks from ward rounds / reviews, seeing patients who are unwell, new admissions and reviewing patients regularly in this As above

15 Hampshire Hospital NHS Foundation Trust It is important to note that this description is a typical example of your and may be Hampshire Hospitals Foundation NHS Trust From 3 rd August 2016 Individual (Job) Description Psychiatry (Mother and baby ) F2 Melbury Lodge Where the is Mon consultant supervision; ward work Tues ward round with consultant & MDT Wed. -, Protected Foundation Programme Teaching at RHCH pm Thursday community MDT Friday consultant clinic/ward work Melbury Lodge, Hampshire Perinatal service and Winchester mother and baby unit for the Dr Alain Gregoire in this Ward work = tasks from ward rounds / reviews, seeing patients who are unwell, new admissions and reviewing patients regularly. Attending multidisciplinary meetings. Writing summaries to patients and professionals. As above Hampshire Hospital NHS Foundation Trust

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

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