Dorset HealthCare University NHS Foundation Trust. Individual Placement (Job) Description

Transcription

1 Dorset HealthCare University NHS Foundation Trust Individual Placement (Job) Description Placement F2 - Emergency Department The department The department has 5 consultants, 1 associate specialist, 8 middle grades and a team of 8 junior doctors (4 x FY2s, 4 x GPVTS) providing 24 hour shop floor cover. Nightshifts are covered by a junior doctor and a middle grade doctor with a consultant on-call from home. There are also nurse practitioners during the day until 22:00 and a large team of nurses, health care assistants and a porter. It comprises a minors and majors/resus department dealing with the emergency admissions from helicopter (helipad next to the department), ambulances and walk ins. The hospital has trauma unit status and the ED has a fundamental role in the trauma service provided. We also see paediatrics and run a 24/7 stroke thrombolysis service alongside the stroke team. The type of work to expect and learning All F2 doctors join the SHO rota and are expected to be in the department for the duration of their shift seeing either major or minors patients. This involves clerking, investigating, diagnosing and referring to specialties if indicated. You will see a range of patients from fractures and lacerations to strokes and MIs providing endless learning with the benefit of senior support at all times. You will also be involved with trauma, crash and stroke thrombolysis calls. It is generally fastpaced, meeting the government s 4 hour target. There are departmental teaching sessions once a week for 4 hours provided by the middle grades and consultant and the medical team. These sessions also provide supported teaching for the SHOs. Audits are assigned at the beginning of the post with a consultant mentor. F2s will learn to: Take appropriate histories and examine patients efficiently Order appropriate investigations Assess risk and prioritize cases

2 Prescribe safely Manage time effectively Take accurate documentation Reduce fractures and dislocated joints Be involved in critical care patients and major trauma patients Treat Arrhythmias Consider thrombolysis for stroke Give advice/information to patients and relatives Liaise with all other specialties within and outside the trust, and with GPs and carers Deal with difficult/abusive patients Cope with ethical/legal issues which can occur Work alongside police whilst maintaining appropriate patient confidentiality Identify and act on any child or adult protection issues. Where the is based Clinical Supervisor(s) for the Main duties of the Typical working pattern in this Employer information Dorset County Hospital; Emergency Department Drs Torok, Cartwright, Wharton (clinical director), Ribbons, Cheung and Samarasingha Work alongside colleagues to triage, treat and refer/discharge patients presenting to the ED. Responsible for making clinical decisions and involving seniors and specialists appropriately. Communicating with patients, relatives and other healthcare professionals. Attend scheduled teaching provided by the department. There is a rolling rota over 8 weeks with annual leave built in. Shifts are; 08:00-17:00 11:00-21:00 12:00-22:00 15:00-24:00 18:00-03:00 22:00-08:15 On call requirements: NA Dorset County Hospital NHS Foundation Trust. The post will be based in Dorset County Hospital, Dorchester, which is a mediumsized acute NHS Foundation Trust including an emergency department (trauma unit). The hospital is the main provider of acute hospital services to a population of around 210,000, living within Weymouth and Portland, West Dorset, North Dorset and Purbeck.

3 Placement The department The type of work to expect and learning Where the is based Clinical Supervisor(s) for the F2 - Acute Medicine The team consists of 2 dedicated acute medicine consultants as well as 5 consultant with part of their time in acute medicine, 1 F2 and currently 3 F1s. There are also 2 very supportive nurse practitioners. The acute medicine unit (Ilchester) has 25 beds and an assessment area. An increasing proportion of patients are managed in an ambulatory fashion to avoid admission. The post is almost entirely ward based during normal working hours. There is a morning handover meeting at 0830 every mornings when the take patients are triaged to the appropriate specialty and the night team handsover to day staff. Ward rounds occur in the morning and there is a strong consultant presence. Duties expected of the F2 include: - Clerking new patients when on call - Attending ward rounds -Supervising F1s - Prescribing safely -Supervision and training on ascitic drain and LPs, as well as to watch/perform pleural aspiration and central line insertions under US guidance - Attending teaching sessions for CPD - Communicating with relatives - Participating in the education of medical students Dorset County Hospital Ilchester Unit Dr Paul Andrews/Dr Adeel Ghaffar Main duties of the The F2 doctor is responsible completing jobs and participating in assessment and management of patients. They are also expected to make thorough and legible entries into patient records during ward rounds. Typical Working Pattern Mon-Fri: On call weekdays: 1 in 13 On call weekends: 3-4 in 4-month period On call nights: Split 4 days & 3 days. Covering medical admissions and supervising ward F1 as part of hospital at night team

4 Placement The department F2 Adult Psychiatry Psychiatry: Waterston Acute Assessment Unit (AAU) and Home Treatment Team, Forston Clinic, Herrison Road, Dorchester Rotation: Dorchester Hospital Foundation Programme. The Waterston AAU is a 13 bedded mixed sex acute admission and treatment ward at Forston Clinic Dorchester with an average length of stay of between 2-4 weeks. The Home Treatment Team is a large multi-disciplinary team providing a crisis home treatment service 24 hours a day as an alternative to Inpatient care. This team acts as the gatekeeper for all In-patient admissions to inpatient units, as a single point of contact for all queries/ referrals from professional agencies as well as calls from users & carers( via an Out Of Office Hours nurse service) and the general public (via a Helpline). The service covers all adult residents in the West and North Dorset area including Dorchester, Bridport, Weymouth, Portland, Sherbone, Blanford Forum and Shaftesbury. The Team is based at Forston Clinic. The F2 Doctor will be based primarily on the ward and may have negotiated sessions of working with the Home Treatment Team. The post holder will provide medical backup along with the specialty doctors and the Consultants in the team. The type of work to expect and learning The overall educational objectives are to provide the trainee with the knowledge, skills and attitudes to deal with patients presenting with psychological or behavioral problems associated with severe mental disorders. They would be expected to: Assess new admissions by taking direct/collateral history, carry out mental state examinations and clerk in new admissions, Undertake physical examination of the inpatients and request appropriate investigations (inc. arranging scans, doing ECGs, liaising with GPs, managing straightforward physical conditions, arranging ECT etc.). Prescribe safely, particularly psychotropic drugs Communicate effectively with the patients, relatives and colleagues within the multidisciplinary team and the

5 Community Mental Health Teams. Keep an accurate and relevant medical record electronically Manage time and clinical priorities effectively Use evidence based treatment and/or guidelines when treating patients Understand legal and ethical issues in relation to the management of detained patients. Opportunity, for a session to manage list and administer ECT and manage the organization of the treatment (explained at Induction) Opportunity to be involved in clinical audits Opportunity to attend Mental Health Review Tribunals and professionals meetings (planning discharge and management of patients). The F2 Trainee will provide medical backup to the Home Treatment Team assessing & re-assessing the patients under the team s care. There are extensive to manage acutely ill patients, formulate & execute multi-disciplinary care plans. The F2 Doctor, if interested, can perform home visits and carry out assessments in the community with staff from the Home Treatment Team. The Trainee will not be on the out of hour on call rota. The Trainee is expected to attend and contribute to the inhouse Education programme for Psychiatry Trainees. There is the opportunity to be involved in Training in Psychotherapy Where the is based Clinical Supervisor(s) for the Main duties of the Forston Clinic, Herrison Road, Dorchester DT2 9TB Dr Kaleem Baig, Consultant Psychiatrist, will provide weekly clinical supervision. The F2 doctors will be responsible for assessing and managing the physical and mental health of new admissions and day to day care of inpatients on AAU and patients in the Home Treatment Team to attend the scheduled ward rounds as part of the multi disciplinary team and learn about the treatment of Mental Disorders. Typical working pattern Typical working pattern in this post:

6 in this Daily/weekly/monthly (if applicable) Mon: Morning meeting, CPAs (am) / Ward work (pm) Tues: Morning Meeting, Ward work (am) Teaching 3-5 (pm) Wed: (pm) Thurs: (pm) Fri: Morning meeting and ward work (am)/ Ward work Morning meeting and Ward Work (am) / Ward work ECT/Supervision/ Crisis Team am and pm On call requirements: There are on call requirements associated with the post. No out of hours on call Employer information Dorset Healthcare University Foundation Trust is the provider of specialist mental health, learning disability and community health care in the whole of Dorset. The Trust has been a Foundation Trust since 2007, became a University NHS Trust in 2010 linked to Bournemouth University and provide a full range of acute secondary services and community care to a population of over half a million people. The Trust is committed to the integration of physical, mental and social services together with innovation and continuous quality improvement It is important to note that this description is a typical example of your and may be subject to change. Placement The department F2 Community Paediatrics Paediatrics and Child Health The type of work to expect and learning An excellent opportunity to gain experience in the multidisciplinary approach to paediatrics. To explore a holistic view of child health and appreciate the impact of illness on a child, their family and their education. Outpatient paediatrics with wide range of paediatric experience including rapid access and general paediatric clinics, neurobehavioural and developmental clinics and MDT chronic condition clinics. Inpatient paediatrics during on-calls: Paediatric assessment

7 unit, Ward work, SCBU and maternity cover. Where the is based Dorset County Hospital Children s centre (outpatients), Kingfisher Ward, SCBU, Maternity, sometimes A&E. Clinical Supervisor(s) for the Main duties of the Dr P. Wylie or Dr R. Clifford Outpatient duties: Seeing new and follow up patients in outpatients, writing clinic letters, gaining experience of community paediatrics. Ward duties: Ward work, clerking, clinical procedures, Ward jobs, ward rounds, SCBU rounds and jobs, baby checks, review of sick babies on maternity. Typical working pattern in this General Paediatric Induction period (2 ½ weeks): Become acquainted with inpatient responsibilities ward rounds, assessment of acute admissions, baby checks. Community Induction (2 weeks) Supernumerary attendance at clinics as below before slowly developing own caseload. Typical working pattern Mon am: General Paediatric Clinic (Dr Parslow) Monday pm: Clinical supervision, clinic admin Tuesday am: Community Time* Tues pm : Rapid Access Clinic (Dr Verling) Weds am: Neurobehavioural clinic (Dr Stanley,supernumerary) or Dr Clifford CF clinic Weds pm: Education afternoon, blood clinic Thursday am: Dr Deketelaere baby clinic (week 1) or community time/admin* Thurs pm: Diabetes clinic Fri am: Development clinic (Dr Deketelaere)

8 Fri pm: Community time/admin/clinical supervision* *Community time this time is used to explore paediatrics as a MDT specialty further. For example by attending therapy sessions (physio, OT, SALT, CAMHS); visits to special schools, opportunity groups On call requirements: 1 in 9 on-call rota: -average 1 long day (9am 9.30pm) & 1 night shift (9.30pm 9am) in 9 days -one set of weekend nights (Fri-Sun night), one set of weekend long days (Fri-Sun) in 9 weeks. Employer information Dorset County Hospital NHS Foundation Trust. The post will be based in Dorset County Hospital, Dorchester, which is a medium-sized acute NHS Foundation Trust including an emergency department (trauma unit). The hospital is the main provider of acute hospital services to a population of around 210,000, living within Weymouth and Portland, West Dorset, North Dorset and Purbeck. It is important to note that this description is a typical example of your and may be subject to change. Placement The department F2 - Endocrinology and Diabetes Dept of Endocrinology and Diabetes comprises of 4 Consultants; Dr Ghaffar, Dr Macklin, Dr Wong and Dr Wotherspoon. Dr Macklin covers the inpatients (Moreton Ward), with leave cover provided by the other three consultants. These three consultants undertake the bulk of their general medical work on the acute medical admissions ward. The juniors allocated to the firm are: a specialist registrar with inpatient as well as outpatient duties, 1 core trainee, 1 FY2, and 1 FY1. Three diabetes specialist nurses help to provide inpatient diabetes specialty cover.

9 The type of work to expect and learning Where the is based Clinical Supervisor(s) for the Main duties of the Typical working pattern in this Employer Information Ward-based in general medicine with oncalls in acute medicine. Ward duties inc. documentation at ward rounds, requesting investigations, clinical assessments and ward cover. When on call opportunity to clerk in A&E and GP referrals. Opportunities for practical procedures including LPs, chest & ascitic drains. Diabetes & endocrine specialty care & dynamic testing. Attendance at specialty clinics to sit-in with consultants is encouraged. Moreton Ward, Dorset County Hospital, Dorset. Dr. Macklin (endocrinology consultant). Morning medical handover followed by mainly ward-based work during normal working day. At least daily contact with consultant for review of new or ill patients. 2 full consultant ward rounds a week Mon: Consultant ward round am Tues: Post take ward round (13:00-14:00 F1 Core Teaching) Wed: Junior doctor ward round, ward cover & education session (13:00-14:30 Medical tutorial) Thurs: Consultant ward round pm Fri: Junior doctor ward round On call requirements: 11 SHOs (F2s & CTs) on rota. Approximately 1 in 7 daytime weekends. Night shifts in 3 and 4 day blocks. (Frequency of 1 in 11) Dorset County Hospital NHS Foundation Trust. The post will be based in Dorset County Hospital, Dorchester, which is a mediumsized acute NHS Foundation Trust including an emergency department (trauma unit), and links with satellite units in five community hospitals. The hospital is the main provider of acute hospital services to a population of around 210,000, living within Weymouth and Portland, West Dorset, North Dorset and Purbeck. It is important to note that this description is a typical example of your and may be subject to change.

10 Placement The department F2 - ENT 3 Consultant ENT Surgeons, 1 associate specialist, 1 CT, 1 F2 and 1 F1. Audiology department The type of work to expect and learning Clinics, seeing ward referrals, covering ENT emergency referrals with senior supervision. Small number of inpatients. Opportunity to attend theatre and also to learn nasoendoscopy. Where the is based Dorset County Hospital - Ward, OPD, A&E, Theatre. Clinical Supervisor(s) for the Main duties of the Mr Sim On-call for ENT emergencies and ward referrals clerking, managing, prescribing Discussing patients with seniors Assisting in theatre Care for ward patients Supporting and teaching FY1s Typical working pattern in this Mon: 8.00 Ward Round, On-call Tues: 7.30 Consenting, 8.00 WR, On-call, theatre Wed: As above (plus MDT and teaching) Thurs: As above Fri: As above Sat: On-call once every 2 months Sun: On-call once every 2 months On call requirements: One evening on-call roughly every week, one weekend in 8, 7 night shifts every 10 weeks. When on call at weekends and nights, covering General Surgery/Vascular/ENT/Ortho/Urology.

11 Employer information Dorset County Hospital NHS Foundation Trust. The post will be based in Dorset County Hospital, Dorchester, which is a medium-sized acute NHS Foundation Trust including an emergency department (trauma unit). The hospital is the main provider of acute hospital services to a population of around 210,000, living within Weymouth and Portland, West Dorset, North Dorset and Purbeck. It is important to note that this description is a typical example of your and may be subject to change. Placement The department The type of work to expect and learning Where the is based Clinical Supervisor(s) for the Main duties of the Typical working pattern in this F2 - Gastroenterology 3 consultants (Dr Bridger, Dr Shutt and Dr Jupp). Each month 1 will cover the wards, 1 cover referrals and 1 emergency endoscopy. They rotate each month. There is one registrar, 2 SHOs (1 F2 and 1 CT) and 1 F1. Ward round every morning, then spend rest of day doing jobs generated by ward round and dealing with any other problems that arise during the day. Learning for ascitic drains/taps and other common general medical procedures. Expertise gained in acute management of IBD, jaundice and decompensated cirrhosis. Predominantly covering Moreton Ward Under Dr Bridger, Dr Jupp and Dr Shutt Attend 0830 medical handover meeting. WR followed by completing jobs. Two consultant WRs per week. Daily contact with consultant/spr. Opportunities to present at GI MDT and to attend endoscopy and clinics. Dealing with patients attending Medical Day Unit. Typical working pattern in this post: Daily/weekly/monthly (if applicable) Mon: 8.30 start, consultant ward round Tues: 8.30 start, junior ward round Wed: 8.30 start, junior ward round ( Medical Tutorial) Thurs: 8.30 start, consultant ward round Fri: 8.30 start, junior/reg ward round On call requirements: 1 of 13 SHO s on oncall rota.

12 Placement The department F2 General Practice The GP centre allocates 4 different GP surgeries that will take 1 FY2 for a 4 month post. The type of work to expect and learning F2s in general practice spend their day carrying out clinics, seeing patients and making decisions with the support of their GP tutor. All F2 doctors see patients by themselves and practice their focused history taking and examination skills to formulate a diagnosis and management plan. At most surgeries, F2s are expected to work a morning and evening surgery with a lunch break to allow for home visits and administration. The objectives of the GP F2 Placement are to provide the trainee with the knowledge, skills and attitudes to be able to: Take a history and examine a patient Identify and synthesize 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 Learn to make a full assessment and plan within a minute appointment Understand the importance of home visits Understand the basic principles behind how a GP practice is managed Have an understanding of the QoF system. Where the is based Sherborne, Dorchester, Child Okeford, Bere Regis, Sturminster, Lyme Regis. Clinical Supervisor(s) for the Depending on.

13 Main duties of the The F2 is responsible for running surgeries with minute appointment slots. As a GP F2 you can expect to encounter a huge range of patients with problems to assess. These can include medicine, surgery, psychiatry, ENT, O&G, ophthalmology, paediatrics etc. F2s are expected to recognize when they require assistance from their tutor and ask for assistance and teaching. It is important to recognize when a problem requires specialist input, referrals are made in the form of telephone conversations and letters to secondary care. This is done under the guidance of the clinical tutor. Most practices have a weekly meeting where topics such as vulnerable adults, palliative care and the general working of the practice are discussed; the F2 is encouraged to participate in this meeting. Typical working pattern in this This is an example of one GP surgery so actual times and duties will vary. One GP post is unbanded and does not involve on call work at the Hospital. Mon: surgery, home visits and admin, surgery Tues: , afternoon for private study Wed: surgery, baby clinic, 1530 home visits and admin, surgery Thurs: surgery, home visits and admin, surgery Fri: tutorial, surgery, home visits and admin, surgery On call requirements: ~1 in 4 weekend on calls for medicine Employer information Dorset County Hospital NHS Foundation Trust. The post will be based in Dorset County Hospital, Dorchester, which is a medium-sized acute NHS Foundation Trust including an emergency department (trauma unit). The hospital is the main provider of acute hospital services to a population of around 210,000, living within Weymouth and

14 Portland, West Dorset, North Dorset and Purbeck. It is important to note that this description is a typical example of your and may be subject to change. Placement The department The type of work to expect and learning Where the is based Clinical Supervisor(s) for the Main duties of the F2 ICU/Anaesthetics The anaesthetic department is a very friendly department comprising of 17 consultants who cover both ICU and theatres. As an F2 you are involved in a wide variety of specialties predominantly critical care, but also trauma, obstetric anaesthesia, paediatrics and acute pain. Most weeks are spent in ICU but there is opportunity to spend supernumerary time in theatres. There are no nightime on call commitments but 1 weekend in 4 is spent on call during the day for intensive care alongside an anaesthetic trainee. This is a fantastic opportunity to gain experience in ICU as well as anaesthetics. Learning are similar to that of novices on an anaesthetics training scheme, with weekly teaching and simulation suite sessions. Dorset County Hospital Dr Jee In ICU the F2 is expected to review patients and carry out ward jobs i.e. cannulation/radiography requests, referrals. Emphasis is placed on learning how to recognise and initially manage the critically sick patient. The F2 doctor is responsible with other staff for the ward care of patients and the maintenance of the patient s medical record. The following roles are discussed at induction: 1. Attend ICU ward round daily at 08:30 where care of ICU patients is directed by ICU Consultant. Ensure handover sheet up to date and all VTE assessments are completed (VitalPAC). 2. Work with ICU SHO to complete discharge summaries, both for ward patients and deceased / home patients (EDS). 3. Together with SHO & Outreach team, monitor outlying patients who

15 need daily ICU review ie recent discharges 4. Anaesthetic tutorials Wed pm each week except Thur pm once a month (usually last Thur of the month) 5. Audit/ Case Summary and 8 WPBA FY2s are paired with registrars/consultants for theatre sessions. During theatre sessions the FY2s are encouraged to actively participate in the anaesthetic care. Typical working pattern in this Typical working pattern in this post : Theatre week: Mon- Fri: 8am clerk patients in surgical admissions lounge/ day surgery/ ward depending on operating list. 8.30am Morning theatre session begins. 1.30pm Afternoon theatre session begins (patients to be seen Critical Care Week: Standard day 08:15 17:00. Attendance after this time is encouraged but not compulsory. It is your responsibility to take your breaks as & when required. The weekend duties (1 in 4) are Friday to Sunday 8am to 8pm Placement F2 - Obstetrics and Gynaecology The department We are a small, friendly unit of 9 consultants, 6 middle grades and 5 SHOs (one career, 3 GPVTS and one F2). We are based in our award-winning maternity suite, which combines antenatal, postnatal and labour care. Our gynaecology inpatients are on a surgical ward. Antenatal and gynaecology clinics are held in the Women s Health outpatients here. Although the consultants also visit a range of community hospitals for clinics, it is rare for SHOs to attend these. The type of work to expect and learning This post enables you to achieve competencies in vaginal examination, management of early pregnancy problems, recognition, screening and management of gynae cancer, to work as part of a multidisciplinary team and to work in theatre, clinic and emergency settings. FY2s are involved in the full range of

16 Where the is based Clinical Supervisor(s) for the Main duties of the Typical working pattern in this Employer information activities on labour ward (clerking, preclerking, assisting at Caesarean section, pregnancy emergencies) and in gynaecology (ward work, emergency admissions, theatre assistance, specialty clinics). There are educational through the week, with weekly SHO teaching on Thursday afternoons. Dorset County Hospital Mr M Siddig A mix of Maternity and Gynaecology shifts, with supervised / supernumary outpatient clinics. On Maternity, working in the multidisciplinary team with Midwives, Breastfeeding Support workers and Paediatric staff. On Gynaecology, in-patient management (mostly surgical, but also emergency admissions), and exposure to common gynae procedures in theatre. Shift starts 8am on Maternity, 8.30 when on Gynaecology. Ward rounds largely supervised by middle grades or consultants. Handover at 5pm. On call requirements: Per 5 week block, there is one weekend on call (Fri/Sat/Sun 8am-9pm), 2 nights on call (8pm-8.30am), and 4 sequential long days (8am-8.30pm). Dorset County Hospital NHS Foundation Trust. The post will be based in Dorset County Hospital, Dorchester, which is a mediumsized acute NHS Foundation Trust including an emergency department (trauma unit). The hospital is the main provider of acute hospital services to a population of around 210,000, living within Weymouth and Portland, West Dorset, North Dorset and Purbeck. Placement The department F2 Renal Medicine Local renal specialist department comprising 6 consultants. Cover renal specialist ward, and do basic work in dialysis unit. Offer advice to local area Poole and Bournemouth. The type of work to expect and learning F2 post includes ward work on a day to day basis, covering the renal ward. Clerking in patients who have been transferred from other hospitals or from clinics with renal problems. And

17 covering any medical problems on the dialysis unit. Where the is based Clinical Supervisor(s) for the Main duties of the Dorset County Hospital, Prince of Wales Ward. Dr Hateboer, Dr Karamadoukis Care of ward based patients and dealing with medical problems that may arise on dialysis unit. Clerk in patients for vascular access surgeries or acute renal admissions from clinics or other hospitals. Able to assist with line insertion for HD. Teaching provided by consultants on a non structured basis. Typical working pattern in this Mon 9:00-5:00, Consultant WR Tue 9:00-5:00, Reg WR Weds- 9:00 5:00 SHO WR Thursday 9:00 5:00 Consultant WR and vascular access list Fri 9:00 5:00 Reg WR On call requirements: 1 of 13 SHOs on oncall rota covering acute medical takes Employer information Dorset County Hospital NHS Foundation Trust. The post will be based in Dorset County Hospital, Dorchester, which is a medium-sized acute NHS Foundation Trust including an emergency department (trauma unit). The hospital is the main provider of acute hospital services to a population of around 210,000, living within Weymouth and Portland, West Dorset, North Dorset and Purbeck. It is important to note that this description is a typical example of your and may be subject to change.

18 Placement The department The type of work to expect and learning Where the is based Clinical Supervisor(s) for the Main duties of the Typical working pattern in this F2-Stroke Medicine Acute stroke unit. 2 stroke consultants and 3 elderly care consultants. 1-2 SpRs crosscovering stroke ward. FY2 working with the team on the ward, independent ward rounds and large amount of responsibility on the ward. FY2 take part in the daily ward round and complete the medical notes for the patient. During the rest of the day they complete the jobs for each patient on the ward. Post take ward rounds are completed by each consultant in the week. During on-call weekends/weeks FY2 s clerk patients on Acute admissions unit and out of hours cover work on all medical wards across the hospital. They have the opportunity to clerk acute medical patients and take part in their ongoing care. Ward cover involves completed jobs required for patients such a practical procedures, prescribing medications and reviewing those who may be deteriorating or require medical care. Acute Stroke Unit, Dorset County Hospital Dr Proeschel, Dr Jenkinson. Ward rounds, reviewing and treating ill patients, requesting investigations, core procedures, discharge planning and liaising with relatives, working with physios and OTs. Typical working pattern in this post e.g. ward rounds, clinics, theatre sessions Daily/weekly/monthly (if applicable) Mon: Consultant WR s + ward work Tues: Junior led WR + teaching Wed: Consultant WR + teaching Thurs: Junior led WR Fri: Consultant WR + Elderly Care meeting/teaching On call requirements: On call weekends, on call week, cavalry cover at weekends and also on Mondays/Fridays, weekday and weekend nights. Distributed throughout attachment.

19 Placement F2 - Trauma and Orthopaedics The department Trauma and Orthopaedics Dorset County Hospital, 8 consultants with 3 teams of juniors. The type of work to expect and learning At the start of the there is a three week period of lectures from until 9.00 am after the trauma meeting. These are designed to cover all the important topics in trauma and orthopaedics. At the trauma meeting all admissions and significant cases seen in the previous 24 hours are discussed. This is an excellent learning opportunity and provides practice on answering questions on clinical management in preparation for specialty training interviews. Care of all in patients under the supervision of the middle grade and consultant. There are 2 weekly orthogeriatric ward rounds that may be attended. Ward work and theatre experience. Skills training takes place on some Tuesday mornings, topics include: suturing, hand tying, safe use of local anaesthetics, plastering techniques, knee aspiration. There is also access to a laparoscopic simulator. There are monthly morbidity and mortality / review of practice meetings with lectures on important orthopaedic and trauma topics. Trainees are always welcome in the outpatient department. There are trauma/fracture clinics running every day and specialized clinics for Hand Surgery, Shoulder Surgery, and Knee Surgery etc. These all offer excellent training. There is monthly radiology teaching organized by Dr Alner/Mr Walsh, this can be increased to alternate weeks if sufficient demand. Where the is based Dorset County Hospital Clinical Supervisor(s) for the s Nick Savva, Tim Crook Main duties of the Care of inpatients on trauma and orthopaedic unit. Assessment and initial management of musculoskeletal trauma including

20 head injuries when on call. Assisting in theatre. Attending outpatient clinics and operating lists for teaching/learning. Note: when on call you cover Orthopaedics and ENT or General surgery and urology. VTE assessment using vitalpacs system. Liaising with other members of the MDT nurses, physiotherapists, occupational therapists etc and general practitioners for continuity of care. Organizing and reviewing investigations for inpatients and patients seen on call. Presenting cases at the daily trauma meeting. Handover of patients at the end of your shift. Providing hand over sheets for the weekend team. Typical working pattern in this Mon: 8am trauma meeting followed by ward round and ward work. Theatre/clinics am/pm when scheduled, on call evenings for ortho/general surgery when scheduled. Tues: 8am trauma meeting followed by ward round and ward work. Theatre/clinics am/pm when scheduled, on call evenings for ortho/general surgery when scheduled. Wed: 8am trauma meeting followed by ward round and ward work. Theatre/clinics am/pm when scheduled, on call evenings for ortho/general surgery when scheduled. Thurs: 8am trauma meeting followed by ward round and ward work. Theatre/clinics am/pm when scheduled, on call evenings for ortho/general surgery when scheduled. Fri: 8am trauma meeting followed by ward round and ward work. Theatre/clinics am/pm when scheduled, on call evenings for ortho/general surgery when scheduled. Sat: off unless on call Sun: off unless on call On call requirements: Evening and weekends as scheduled, occasional ortho on call during week days. Employer information Dorset County Hospital NHS Foundation Trust. The post will be based in Dorset County Hospital, Dorchester, which is a medium-sized acute NHS Foundation Trust

21 including an emergency department (trauma unit). The hospital is the main provider of acute hospital services to a population of around 210,000, living within Weymouth and Portland, West Dorset, North Dorset and Purbeck. It is important to note that this description is a typical example of your and may be subject to change. Placement The department F2 - Urology 3 Consultant Urologists, 1 associate specialist, 1 CT, 1 F2 and 1 F1. Several nurse specialists to assist in ward care, patient education, OPD, biopsies, urodynamics, etc. The type of work to expect and learning Urological emergency and routine ops Can learn on ward, theatre, OPD, urodynamics, cystoscopies, prostate biopsies. Where the is based Dorset County Hospital - Ward, OPD, A&E, Theatre. Clinical Supervisor(s) for the Main duties of the Mr Afzal On-call for urological emergencies and ward referrals clerking, managing, prescribing Discussing patients with seniors Assisting in theatre Assisting with flexible cystoscopies Care for ward patients Supporting and teaching FY1s

22 Typical working pattern in this Mon: 8.00 Ward Round, On-call Tues: 7.30 Consenting, 8.00 WR, On-call, theatre Wed: As above (plus MDT and teaching) Thurs: As above Fri: As above Sat: On-call once every 2 months Sun: On-call once every 2 months On call requirements: One evening on-call roughly every week, one weekend in 8, 7 night shifts every 10 weeks Employer information Dorset County Hospital NHS Foundation Trust. The post will be based in Dorset County Hospital, Dorchester, which is a medium-sized acute NHS Foundation Trust including an emergency department (trauma unit). The hospital is the main provider of acute hospital services to a population of around 210,000, living within Weymouth and Portland, West Dorset, North Dorset and Purbeck. It is important to note that this description is a typical example of your and may be subject to change.