Poole Hospital NHS Foundation Trust Individual Placement (Job) Descriptions for Foundation Year 1

Transcription

1 Wessex Deanery Poole Hospital NHS Foundation Trust Individual Placement (Job) Descriptions for Foundation Year 1 Placement F1 - Diabetes and Endocrinology comprises 3 diabetes and endocrinology consultants. Most days will generally be ward during the normal working day with ward rounds at the beginning of each day. Whilst on-call with the team the F1 will be involved with the generic clerking of patients being admitted. The F1 also has to work with their team on nights to cover the medical wards. The overall educational objectives of the F1 year are to provide the trainee with the knowledge, skills and attitudes to be able to Take a history and examine a patient Identify and synthesise problems Prescribe safely Keep an accurate and relevant medical record Manage time and clinical priorities effectively Communicate effectively with patients, relatives and colleagues Use evidence, guidelines and audit to benefit patient care Act in a professional manner at all times Cope with ethical and legal issues which occur during the management of patients with general medical problems Educate patients effectively Become life-long learners and teachers. Where the is Clinical Supervisor(s) for the Poole General Hospital Dr Masding, Dr Coppini and Dr Poole The F1 s main duty is for care of medical inpatients as part of a multidisciplinary team. It is the F1 s duty to ensure they know all the patients current medical condition, where they are, to contribute to ward round decisions, to order and act upon appropriate investigations, to respond to changes in patients medical conditions, and to complete necessary patient correspondence. Whilst on call it is the F1 s responsibility to work with their team to clerk new medical conditions and to present on the post take ward round. At night it is the F1s responsibility to manage medical ward cover. Typical working pattern intypical working pattern in this post e.g. ward rounds, clinics, this theatre sessions Daily/weekly/monthly (if applicable) Mon: 9-5 Tues: Wed: 9-9 on call Thurs: 9-5

2 Fri: 9-5 Sat: - Sun: - Mon: 9-5 Tues: Wed: 9-9 ward cover 5-9 Thurs: 9-5 Fri: 9-9 Sat: 9-3 Sun: 9-3 On call requirements: Poole Hospital NHS Foundation Trust It is important to note that this description is a typical example of your and may be

3 F1 - Cardiology Cardiology Department in Poole Hospital. This department consists of two cardiology teams. One is comprised of two consultants, a registrar, a ST grade and two F1s. The other consists of two consultants, one registrar, a ST and one F1 (this is the post outlined in the following job description). Work involves: Accurate medical note keeping on ward rounds Practical procedures within the FY1s competencies Assessing in-patients and devising a management plan - ensuring one asks for help/advice if needed History taking and examination of both elective and, when on call, acute admissions Interpretation of investigations such as blood tests and ECGs Writing referrals to a wide range of specialties Telephone communication skills Liaising with the multidisciplinary team to enable effective patient care Learning : A weekly journal club meeting on Monday at 1pm where a topic specific to cardiology is presented and discussed. The ECHO meeting on Wednesday at 1pm provides an ideal opportunity to learn the basics in the interpretation of ECHOs by listening to the discussion of interesting cases and their outcomes. Additionally, on Wednesday afternoons one of the cardiology consultants (Dr Blakemore) carries out teaching for the junior members of the team which is very useful in learning about the fundamentals of cardiology. The radiology meeting on Fridays at 12.00h provides exposure to various imaging modalities used in cardiology and helps to appreciate the application of imaging in cardiology Where the is Clinical Supervisor(s) for the Predominantly on the coronary care unit (accommodates 8 patients) and Cranborne (a 30 bed ward) but also entails working on other wards throughout the hospital depending on where patients are located Drs Blakemore/Boos/Bruce/Greaves Main duties involve involvement in the ward rounds of the cardiology in-patients and subsequently carrying out the jobs that are generated from this. Such jobs range from writing angiogram referrals to various practical procedures. Activities also include clerking in elective admissions and seeing daycase patients on the medical investigation unit. Working in cardiology also means that the FY1 is placed on the on call rota which involves helping your senior colleagues to clerk in the acute medical admissions. You are also required to come in for the post-take ward round the following morning and

4 present any patients you clerked in on the preceding day. Typical working pattern in this Typical working pattern in this post e.g. ward rounds, clinics, theatre sessions Daily/weekly/monthly (if applicable) Mon: 9.00h Ward round, 12.00h: FY1 teaching, 13.00h: Journal club Tues: 8.30h CCU consultant ward round followed by consultant ward round of in-patients Wed: 9.00h CCU consultant ward round followed by consultant ward round of in-patients h: ECHO meeting, 16.00h: Cardiology teaching by consultant Thurs: 9.00h Ward round, 12.00: FY1 teaching, 13.00h: Grand Round Fri: 9.00h Ward round, 12.00h: Radiology meeting Sat: Depends on rota if on post-take then 8.00h to approx. midday for post-take ward round and jobs. If on ward cover then 9.00h to approximately 16.00h or until all the jobs are completed On call requirements: Either entails being on call (9.00h to 21.00h) or ward cover (17.00h to 21.00h) The employer is Poole Hospital NHS Foundation Trust. The post is at Poole General Hospital located in close proximity to Poole town centre. It is important to note that this description is a typical example of your and may be

5 F1 - Gastroenterology comprises 4 Gastroenterology consultants. Most days will generally be ward during the normal working day with ward rounds at the beginning of each day. Whilst on-call with the team the F1 will be involved with the generic clerking of patients being admitted. The F1 also has to work with their team on nights to cover the medical wards. The overall educational objectives of the F1 year are to provide the trainee with the knowledge, skills and attitudes to be able to: Take a history and examine a patient Identify and synthesise problems Prescribe safely Keep an accurate and relevant medical record Manage time and clinical priorities effectively Communicate effectively with patients, relatives and colleagues Use evidence, guidelines and audit to benefit patient care Act in a professional manner at all times Cope with ethical and legal issues which occur during the management of patients with general medical problems Educate patients effectively Become life-long learners and teachers. Where the is Clinical Supervisor(s) for the Poole General Hospital Drs Parry, Sharer, Snook & Williams The F1 s main duty is for care of medical inpatients as part of a multidisciplinary team. It is the F1 s duty to ensure they know all the patients current medical condition, where they are, to contribute to ward round decisions, to order and act upon appropriate investigations, to respond to changes in patients medical conditions, and to complete necessary patient correspondence. Whilst on call it is the F1 s responsibility to work with their team to clerk new medical conditions and to present on the post take ward round. At night it is the F1s responsibility to manage medical ward cover. Typical working pattern in Typical working pattern in this post e.g. ward rounds, clinics, this theatre sessions Daily/weekly/monthly (if applicable) Mon: 9-5 Tues: Wed: 9-9 on call Thurs: 8-5 Fri: 9-5 Sat: - Sun: - Mon: 9-5 Tues: Wed: 9-9 ward cover 5-9

6 Thurs: 9-5 Fri: 9-9 Sat: 9-3 Sun: 9-3 On call requirements: Poole Hospital NHS Foundation Trust It is important to note that this description is a typical example of your and may be

7 F1 General Surgery There are 7 consultants that F1s are attached to on general surgery, covering colorectal, upper GI and breast surgery. All consultants except the breast surgeon have an acute surgical on-call. F1 doctors all work as a team and cross-cover work from consultants during busy phases. expect and learning A normal day of work comprises care of your ward patients, assisting in theatre and assessing patients pre-op. There will be days when you are on call and take referrals from A+E and GPs. This is the greatest opportunity for learning as you are the first doctor to assess the patient (ages ranging 5 years and older) and initiate a management plan before senior review. If medical students are attached to surgery this is a good opportunity to teach by discussion around history, examination and management plan. Where the is Clinical Supervisor(s) for the Poole Hospital, B4 Ward Mr Clarke, Miss Evans, Mr Nash, Mr Pain, Mr Qureshi, Mr Talbot, Mr Allenby-Smith Daily ward rounds with seniors and care for patients on the ward. Assist in theatres if needed. Manage on-calls and initiate management plans before senior input. Attend scheduled teaching sessions. Cover general surgery and ENT on call during nights shifts. Typical working pattern in this Normal day - 08:00-17:00 ward work On call day - 08:00-21:00 ward work and on call for acute admissions Nights 7 days - 20:30-09:00 general surgery and ENT on call and ward cover. 2 scheduled teaching sessions per week. Poole Hospital NHS Foundation Trust It is important to note that this description is a typical example of your and may be

8 Where the is Clinical Supervisor(s) for the Typical working pattern in this F1 - Geriatric Medicine consists of 10 very supportive consultants who provide a comprehensive service for older people, covering all the main subspecialties as well as general acute inpatient and outpatient work. They share particular interests in Stroke medicine, Movement Disorders, Intermediate Care, Orthogeriatrics and Falls as well as Acute Geriatric Medicine. Strong ethos of team working for the delivery of high quality care for older people. Inpatient ward work, on call duties. Close clinical supervision. Ample for Supervised Learning Events, departmental presentations and audit projects. Poole Hospital Philip Arnold Unit, Acute Stroke Unit and RACE Unit (Dedicated Older People Admissions Unit) with outlier wards to cover. Opportunities to visit Community hospitals, join consultants on domiciliary visits. Drs Ragab, Battcock, Rushton, Thomas. Ward work, including liaison with relatives for collateral history and discharge planning. Emphasis on multi-disciplinary working. Typical working pattern in this post e.g. ward rounds, clinics, theatre sessions Daily/weekly/monthly (if applicable) Mon: 0900 handover then ward round 1200 F1 teaching Tues: 0900 handover then ward round Wed: 0900 handover then ward round Thurs: 0900 handover then ward round 1200 F1 teaching 1300 grand round Fri: 0900 handover then ward round 1300 departmental teaching and presentations Sat: Sun: Poole Hospital NHS Foundation Trust. Medium sized general hospital with Trauma and Paediatric specialities. Large elderly population in community. It is important to note that this description is a typical example of your and may be

9 Where the is Clinical Supervisor(s) for the F1 - Paediatrics Department of Paediatrics, Poole Hospital Clerking, ward rounds, case presentation teaching, ward jobs, discharge summaries. Paediatrics ward and emergency assessment unit PGH Dr Martin Hussey - Clerking - writing in notes on ward round - chasing results of blood tests and radiology, - taking blood and cannulating - diagnosis and tests following presentation to emergency admissions unit, - general care of ward patients, - answering queries of patients and their parents - safe prescribing - referring to departments within the hospital - attending and participating in departmental and FY1 group teaching - discharge summaries Typical working pattern in this Either 8am to 5pm; or 12 midday to 9.30pm shifts, with half day off after a weekend day shift (9am-9.30pm) On call requirements: 1/6 weekends Poole Hospital NHS Foundation Trust It is important to note that this description is a typical example of your and may be subject to change

10 F1 - Respiratory Medicine comprises 4 Respiratory consultants. Most days will generally be ward during the normal working day with ward rounds at the beginning of each day. Whilst on-call with the team the F1 will be involved with the generic clerking of patients being admitted. The F1 also has to work with their team on nights to cover the medical wards. The overall educational objectives of the F1 year are to provide the trainee with the knowledge, skills and attitudes to be able to: Take a history and examine a patient Identify and synthesise problems Prescribe safely Keep an accurate and relevant medical record Manage time and clinical priorities effectively Communicate effectively with patients, relatives and colleagues Use evidence, guidelines and audit to benefit patient care Act in a professional manner at all times Cope with ethical and legal issues which occur during the management of patients with general medical problems Educate patients effectively Become life-long learners and teachers. Where the is Clinical Supervisor(s) for the Poole General Hospital Drs Allenby, Crowther & Mallawanthri The F1 s main duty is for care of medical inpatients as part of a multidisciplinary team. It is the F1 s duty to ensure they know all the patients current medical condition, where they are, to contribute to ward round decisions, to order and act upon appropriate investigations, to respond to changes in patients medical conditions, and to complete necessary patient correspondence. Whilst on call it is the F1 s responsibility to work with their team to clerk new medical conditions and to present on the post take ward round. At night it is the F1s responsibility to manage medical ward cover. Typical working pattern in Typical working pattern in this post e.g. ward rounds, clinics, this theatre sessions Daily/weekly/monthly (if applicable) Mon: 9-5 Tues: Wed: 9-9 on call Thurs: 9-5 Fri: 9-5 Sat: - Sun: -

11 Mon: 9-5 Tues: Wed: 9-9 ward cover 5-9 Thurs: 9-5 Fri: 9-9 Sat: 9-3 Sun: 9-3 On call requirements: Poole Hospital NHS Foundation Trust It is important to note that this description is a typical example of your and may be

12 F1 - Trauma & Orthopaedics Department of Trauma & Orthopaedics, Poole Hospital When on a ward the FY1 will take responsibility for the daily medical management of ward patients with supervision from a SHO. This will include optimising patients for surgery. Whilst on-call there will be many to clerk orthopaedic presentations and consent for the appropriate operation with supervision from the SHO. Learning Opportunities: Management of orthopaedic presentations Consent for basic orthopaedic operations Radiology of musculoskeletal injuries Medical management of pre and post operative patients Assistance in theatre Where the is Clinical Supervisor(s) for the B3, TAU, ED, Ansty (MAU), Paediatrics and other outlying wards at Poole Hospital Mr Mark Farrar The FY1 role is split between being on-call and post-take for one week and ward the next week. Whilst on-call the main responsibility is to aid the SHO clerking, consenting and marking patients that are to be admitted. Ensuring that the patient is optimised for any surgery that may be required, together with their ongoing medical management. Post-take responsibilities are to attend the daily trauma meeting and complete the post-take ward round with a SHO and a consultant to ensure their management plan for the previous day/night admitted patients is completed. Together with assisting in theatre as required. Whilst on the wards for a week main responsibilities are to ensure completion of the surgeon s post operative plan. As well as continued medical management of patients and the optimisation of patients who are to have surgery. Attend daily trauma meetings. Also to aid in timely discharge of patients. Typical working pattern in this Typical working pattern in this post e.g. ward rounds, clinics, theatre sessions Daily/weekly/monthly (if applicable) Mon: On-call (11:00 to 19:00) Tues: Post-take (08:30 to 17:00) Wed: On-call (11:00 to 19:00) Thurs: Post-take (08:30 to 17:00) Fri: On-call (11:00 to 19:00) Sat:

13 Sun: Mon: Ward B3 (08:30 to 17:00) Tues: Ward B3 (08:30 to 17:00) Wed: Ward B3 (08:30 to 17:00) Thurs: Ward B3 (08:30 to 17:00) Fri: Ward B3 (08:30 to 17:00) Sat: Sun: Poole Hospital NHS Foundation Trust It is important to note that this description is a typical example of your and may be