Placement details (i.e. the specialty and sub-specialty) St Thomas Emergency Medicine A&E Type of work to expect and learning opportunities Initial assessment and recognition of the acutely sick or trauma patient. Initial assessment and referral of medical, surgical, orthopaedic, psychiatric emergencies. Effective Communication, information & time management to make sound and timely clinical decisions. Further develop team player skills as part of a multi professional team Competence at suturing and some other practical procedures. Where the is based Accident and Emergency, St Thomas Hospital Clinical supervisor(s) for the Main duties of the Dr Victor Cooke Dr Shum Dev Dr Peter Jaye Dr Katherine Henderson Dr Laura Hunter Dr Savvas Papasavvas Dr Michelle Boyle Dr Simon Eccles Dr Nicola Drake DR Kirsten Macdonald Dr koorosh Alaghmant Dr Holly Gettings Dr Jamal Mortazavi The Accident and Emergency at the St Thomas Hospital sees 150,000 new cases per year. The staff includes 12 Consultants, 27 Specialist Registrars & 19 F2s. In addition GPs & ENPs operate in the department and will staff triage, see & treat & the Minor Injuries Unit. Furthermore, the emergency department runs a 16 bed Clinical Decision Unit managed by the Emergency Consultants. There is a high level of clinical supervision, with Middle Grade presence 24 hours a day and Consultant supervision until 22 p.m. Page 1 of 2
every day. Trainees are expected to receive and initially manage all types of patient that present, organise appropriate investigations and treatment, and refer or discharge patients accordingly. Typical working pattern in this (e.g. ward rounds, clinics, theatre sessions) Local education provider (LEP) / employer information FY2 M T W T F S S 1 08:18 08-18 OFF 17-2 22-8 22-8 22-8 2 OFF OFF 8-18 8-18 8-18 OFF OFF 3 17-02 17-02 17-2 OFF 10-18 8-18 8-18 4 22-08 22-08 22-8 22-8 OFF OFF OFF 5 AL AL AL 13-23 13-23 13-23 6 13-23 OFF 8-18 8-18 13-23 OFF OFF 7 OFF 13-23 12-22 13-23 22-8 22-8 22-8 8 OFF OFF AL AL AL OFF OFF 9 08-18 08-18 OFF OFF 10-18 8-18 8-18 10 22-08 22-08 22-8 22-8 OFF OFF OFF 11 0818 08-18 OFF 13-23 22-8 22-8 22-8 12 OFF OFF 8-18 8-18 8-16 OFF OFF 13 13-23 13-23 12-22 10-18 8-18 8-18 14 22-08 22-08 22-8 22-8 OFF OFF OFF 15 AL AL AL OFF 13-23 17-2 17-2 16 OFF OFF 8-18 8-18 8-18 OFF OFF 17 13-23 13-23 12-22 13-23 22-8 22-8 22-8 18 08-18 OFF AL AL AL OFF OFF 19 08-18 08-18 OFF OFF 13-23 13-23 13-23 20 22-08 22-08 22-8 22-8 OFF OFF OFF Guy s and St Thomas is one of the largest hospital trusts in the country, with a staff of almost 12,500, a turnover of over 1 billion and 900,000 patient contacts a year The comprises two of London s oldest and best known teaching hospitals. The hospitals have a long history, dating back almost 900 years, and have been at the forefront of medical progress and innovation since they were founded. Both hospitals have built on these traditions and continue to have a reputation for excellence and innovation. We are part of King s Health Partners Academic Health Sciences Centre (AHSC), a pioneering collaboration between one of the world s leading research-led universities and three of London s most successful NHS Foundation s. Our AHSC is one of only five in the UK. It consists of King s College London, and Guy s and St Thomas, King s College Hospital and South London and Maudsley (SLAM) NHS Foundation s. King s Health Partners includes seven hospitals and over 150 community based services, is responsible for seeing 2 million patients each year, has 25,000 employees and 19,500 students, and a 2 billion annual turnover. It brings together the best of basic and translational research, clinical excellence and world-class teaching to deliver groundbreaking advances in physical and mental healthcare. See www.kingshealthpartners.org *It is important to note that this description is a typical example of the and may be Page 2 of 2
Placement details (i.e. the specialty and sub-specialty) Type of work to expect and learning opportunities Lambeth/Southwark/Bexley Cardiology (hospital and community) Cardiology Understanding of core cardiology curriculum Experience in treatment of wide range of cardiac patients Understand interaction between hospital and community cardiology roles Will be achieved partially by hospital based and a combination of attachment to community clinics and heart failure outreach services Where the is based St Thomas Hospital and associated community services in Southwark/Lambeth/Bexley Clinical supervisor(s) for the Main duties of the Typical working pattern in this (e.g. ward rounds, clinics, theatre sessions) Local education provider (LEP) / employer information Dr Kapetanakis/Carr-White/Rajani Inpatient care shared with CMT Attend cardiac community clinics and heart failure services for total of 2 weeks of four month Daily ward rounds, clinics/theatre sessions as part of lab weeks while in hospital and during community Guy s and St Thomas is one of the largest hospital trusts in the country, with a staff of almost 12,500, a turnover of over 1 billion and 900,000 patient contacts a year The comprises two of London s oldest and best known teaching hospitals. The hospitals have a long history, dating back almost 900 years, and have been at the forefront of medical progress and innovation since they were founded. Both hospitals have built on these traditions and continue to have a reputation for excellence and innovation. We are part of King s Health Partners Academic Health Sciences Centre (AHSC), a pioneering collaboration between one of the world s leading research-led universities and three of London s most successful NHS Foundation s. Our AHSC is one of only five in the UK. It consists of King s College London, and Guy s and St Thomas, King s College Hospital and South London and Maudsley (SLAM) NHS Foundation s. King s Health Partners includes seven hospitals and over 150 community based services, is responsible for seeing 2 million patients each year, has 25,000 employees and 19,500 students, and a 2 Page 1 of 2
billion annual turnover. It brings together the best of basic and translational research, clinical excellence and world-class teaching to deliver groundbreaking advances in physical and mental healthcare. See www.kingshealthpartners.org *It is important to note that this description is a typical example of the and may be Page 2 of 2
Placement details (i.e. the specialty and sub-specialty) Type of work to expect and learning opportunities Where the is based Clinical supervisor(s) for the Main duties of the Typical working pattern in this (e.g. ward rounds, clinics, theatre sessions) Guys Hospital Head and neck Surgical Oncology/Otolaryngology ENT Management of patients undergoing treatment for head neck cancer in hospital and the community. Pain management. End of life care in hospital and community. Altered airway transition management from hospital to community. Management of inpatients undergoing major abalative surgery and micro-vascular reconstruction. Management of the unwell patient, difficult airway management, ENT emergencies. Blundell Ward (trust airway ward) with s at the beginning and end of the with the community head and neck team (CHANT) unique organisation to GSTT Richard Oakley Rupert Obholzer Management of patients undergoing treatment for head neck cancer 07:30-17:00 5 days a week with alternate Fridays off Morning meeting at 08:00 Ward round 08:30-09:30 Jobs 14:00 TCI s ( 1 foundation trainee) other released for target training opportunities eg, theatre, CHANT community, Tracheostomy /altered airway management 1 in 6 weekends (8-12 on Saturday and 2-6 on Sundays) Local education provider (LEP) / employer information Guy s and St Thomas is one of the largest hospital trusts in the country, with a staff of almost 12,500, a turnover of over 1 billion and 900,000 patient contacts a year The comprises two of London s oldest and best known teaching hospitals. The hospitals have a long history, dating back almost 900 years, and have been at the forefront of medical progress and innovation since they were founded. Both hospitals have built on these traditions and continue to have a reputation for excellence and innovation. We are part of King s Health Partners Academic Health Sciences Centre (AHSC), a pioneering collaboration between one of the world s leading research-led universities and three of London s most successful NHS Foundation s. Our AHSC is one of only five in the UK. It consists of Page 1 of 2
King s College London, and Guy s and St Thomas, King s College Hospital and South London and Maudsley (SLAM) NHS Foundation s. King s Health Partners includes seven hospitals and over 150 community based services, is responsible for seeing 2 million patients each year, has 25,000 employees and 19,500 students, and a 2 billion annual turnover. It brings together the best of basic and translational research, clinical excellence and world-class teaching to deliver groundbreaking advances in physical and mental healthcare. See www.kingshealthpartners.org *It is important to note that this description is a typical example of the and may be Page 2 of 2
Placement details (i.e. the specialty and sub-specialty) Type of work to expect and learning opportunities Where the is based Clinical supervisor(s) for the Main duties of the Typical working pattern in this (e.g. ward rounds, clinics, theatre sessions) Local education provider (LEP) / employer information St Thomas Hospital Gastroenterology Gastroenterology Gastroenterology inpatients comprising two subspecialties luminal (predominantly Inflammatory bowel Disease (IBD)) and liver (including liver, biliary, and obesity). The Gastroenterology is a tertiary referral centre for IBD and ERCP/endoscopic ultrasound (EUS). The post entails working closely with the abdominal surgery department in managing complex IBD patients. The post will provide exposure to complex IBD and hepatobiliary conditions. The Foundation doctor will be encouraged to present cases for discussion at the weekly IBD and benign pancreaticobiliary MDMs. Weekly F2 lecture teaching sessions take place on Fridays. Experience of care of IBD patients in their community will be gained by one day/week attachments with the IBD CNSs. The F2 will support them in running the telephone and email advice line which provides advice and information on all aspects of IBD in the community. of Gastroenterology, St Thomas Hospital Dr Simon Anderson Daily ward rounds with either consultant or SpR. Compiling and daily updating of the inpatient list. Clerking of elective admissions (endoscopic procedures, intragastric balloons for obesity treatment). Attending weekly radiology, IBD and cancer MDMs. One day/week supporting the IBD advice service answering emails, telephone calls and providing advice to patients at home. Attending and presenting at the monthly gastroenterology audit meetings. Daily ward rounds often two consultant-led rounds each day ( liver and luminal ). Ward work following the ward rounds. Clerking of elective admissions (using the new clerking proforma). Attending MDMs as above. Guy s and St Thomas is one of the largest hospital trusts in the country, with a staff of almost 12,500, a turnover of over 1 billion and 900,000 patient contacts a year The comprises two of London s oldest and best known teaching hospitals. The hospitals have a long history, dating Page 1 of 2
back almost 900 years, and have been at the forefront of medical progress and innovation since they were founded. Both hospitals have built on these traditions and continue to have a reputation for excellence and innovation. We are part of King s Health Partners Academic Health Sciences Centre (AHSC), a pioneering collaboration between one of the world s leading research-led universities and three of London s most successful NHS Foundation s. Our AHSC is one of only five in the UK. It consists of King s College London, and Guy s and St Thomas, King s College Hospital and South London and Maudsley (SLAM) NHS Foundation s. King s Health Partners includes seven hospitals and over 150 community based services, is responsible for seeing 2 million patients each year, has 25,000 employees and 19,500 students, and a 2 billion annual turnover. It brings together the best of basic and translational research, clinical excellence and world-class teaching to deliver groundbreaking advances in physical and mental healthcare. See www.kingshealthpartners.org *It is important to note that this description is a typical example of the and may be Page 2 of 2
Placement details (i.e. the specialty and sub-specialty) St Thomas Hospital General Medicine General Medicine Type of work to expect and learning opportunities Daily ward rounds with consultant or SpR (ST3 and above) and ward jobs/activities created from these such as discharge summaries, investigations, procedures, referrals to specialities, additional examination of patients etc. Some F2/SHO ward rounds with support / supervision from SpRs (ST3 and above)/consultants Supervision, teaching and assessment of F1 staff as appropriate. Supervision, teaching and assessment of medical students as appropriate. Mondays 1300-1400: critical care meeting (1 st Monday) Mondays 1300-1400: Clinical effectiveness / mortality meetings (3 rd Monday) Mondays 1300-1400: Directorate morbidity and mortality meeting (4 th Monday) Monthly junior doctors meeting: 2 nd Tuesday 12:00 Wednesdays 0800-0900: Morning Report (one presentation to be given/) Wednesdays 1300-1400: Medical Staff Grand Round Wednesdays 1630-1730: Elderly Care Academic Meeting Thursdays 1300-1400: Chest Medicine Meeting Thursdays 1300-1400: Cardiology Teaching Fridays 0800-0900: CMT Journal Club Fridays FY2 teaching (1300-1400), CMT teaching (1415-1515) Audit participation within own firm and/or across the acute medicine directorate Team-specific opportunities (variable depending on firm, also potential for cross-team specific learning opportunities) Clerking of unselected acute medical patients from Emergency and Acute Assessment Unit Presentation of clerked patients to the consultant on the post take ward round Reviewing your management plan with consultant on call Attending to unwell patients on the ward during working day and also during out of hours work. MDT participation Page 1 of 3
Where the is based Adherence to trust guidelines/protocols Completion of appropriate supervised learning events in relation to above activities St Thomas Hospital Acute Assessment Ward (AAW): This is a new purpose built unit on the ground floor of Lambeth Wing, which is due to open in early June 2015 General Medical Wards (GMW): North Wing William Gull, HIllyers and Albert Wards Where appropriate for both AAW and GMW this will include being responsible for patients on outlying wards, as dictated by the of medical patients at St Thomas Hospital In addition, where applicable outpatient clinics that FY2s can attend may be held at Guy s Hospital (there is a free interhospital shuttle). Clinical supervisor(s) for the From the Summer 2015, there will be an increasing amount of time spent in community facing work. The FY2s currently rotate to either diabetes or clinical toxicology for 2-3 individual stand alone weeks during there 4 month. It is planned that the diabetes week will be based with the community diabetes team and that instead of the toxicology week, the FY2 will instead work either with the community @home team or the community ageing and health team. The consultant attached to the team will be your clinical supervisor for the whole. Main duties of the Typical working pattern in this (e.g. ward rounds, clinics, theatre sessions) Ward rounds and ward duties as above On call commitments Day admitting, twilight, and ward cover as per below Usually 0900-1700 Monday to Friday Approximately 1 long day per week more often when on acute week on the AAW Admitting 0800-2100 Twilight 0900-2100 Ward cover 0900-2100 NB Morning post take ward round starts at 0800 and afternoon rolling post take round starts at 1500 Approx 1 in 3 single-day weekend on-calls (0800-2100) Approx 2 night shift every 4 weeks (2000-0930) with day before and after off. During night shifts, the FY2 will be responsible for clerking new admissions and will be supported by the ST3+ and SNP team 9 days annual leave per 4 month rotation (Total 27 days per annum) All posts come with allocated leave; this is not fixed and can be swapped with other FY2s in medicine. This ensures that you will have all of the appropriate leave for this post. In the circumstances of lieu days (e.g. bank holidays), these need to be taken within this rotation and will need to be agreed with the rest of the team. In exceptional circumstances you Page 2 of 3
may be able to carry leave over to other components of the rotation, but this will need to be agreed in advance with the relevant supervisors for each post. Local education provider (LEP) / employer information Guy s and St Thomas is one of the largest hospital trusts in the country, with a staff of almost 12,500, a turnover of over 1 billion and 900,000 patient contacts a year The comprises two of London s oldest and best known teaching hospitals. The hospitals have a long history, dating back almost 900 years, and have been at the forefront of medical progress and innovation since they were founded. Both hospitals have built on these traditions and continue to have a reputation for excellence and innovation. We are part of King s Health Partners Academic Health Sciences Centre (AHSC), a pioneering collaboration between one of the world s leading research-led universities and three of London s most successful NHS Foundation s. Our AHSC is one of only five in the UK. It consists of King s College London, and Guy s and St Thomas, King s College Hospital and South London and Maudsley (SLAM) NHS Foundation s. King s Health Partners includes seven hospitals and over 150 community based services, is responsible for seeing 2 million patients each year, has 25,000 employees and 19,500 students, and a 2 billion annual turnover. It brings together the best of basic and translational research, clinical excellence and world-class teaching to deliver groundbreaking advances in physical and mental healthcare. See www.kingshealthpartners.org *It is important to note that this description is a typical example of the and may be Page 3 of 3
Placement details (i.e. the specialty and sub-specialty) Type of work to expect and learning opportunities Where the is based Clinical supervisor(s) for the Main duties of the Typical working pattern in this (e.g. ward rounds, clinics, theatre sessions) Local education provider (LEP) / employer information Evelina London Children s Hospital General Paediatrics General Paediatrics Predominantly ward based working within the paediatric team to provide care to paediatric inpatients, including medical support to surgical inpatient teams Opportunity to be involved in clinical audit and local quality improvement initiatives. Comprehensive paediatric weekly teaching programme, with a variety of sessions including journal club and dedicated SHO teaching. 2 week community posting in Community Paediatrics Evelina London Children s Hospital A nominated General paediatric Consultant Paediatric ward rounds with individual responsibility for the care of a defined group of paediatric inpatients. Acute assessment and management of paediatric emergencies. Assessment and management of patients transferred from other hospitals for specialist care. Medical support to surgical inpatients such as fluid management, infection management, acute airway issues, acute pain management. Liaison with parents regarding care of patients Presentation at ward rounds, grand rounds and handover rounds Opportunity to practice paediatric procedures; phlebotomy, intravenous cannulation Daily Ward rounds Ward duties Admission clerking of acute admissions from the emergency department, and inter-hospital transfers. Two week community with Community Paediatrics - wide range of clinics Participation in the on call rota including night shifts Guy s and St Thomas is one of the largest hospital trusts in the country, with a staff of almost 12,500, a turnover of over 1 billion and 900,000 patient contacts a year The comprises two of London s oldest and best known teaching hospitals. The hospitals have a long history, dating back almost 900 years, and have been at the forefront of medical progress and innovation since they were founded. Both hospitals have built on these traditions and continue to Page 1 of 2
have a reputation for excellence and innovation. We are part of King s Health Partners Academic Health Sciences Centre (AHSC), a pioneering collaboration between one of the world s leading research-led universities and three of London s most successful NHS Foundation s. Our AHSC is one of only five in the UK. It consists of King s College London, and Guy s and St Thomas, King s College Hospital and South London and Maudsley (SLAM) NHS Foundation s. King s Health Partners includes seven hospitals and over 150 community based services, is responsible for seeing 2 million patients each year, has 25,000 employees and 19,500 students, and a 2 billion annual turnover. It brings together the best of basic and translational research, clinical excellence and world-class teaching to deliver groundbreaking advances in physical and mental healthcare. See www.kingshealthpartners.org *It is important to note that this description is a typical example of the and may be Page 2 of 2
Placement details (i.e. the specialty and sub-specialty) Type of work to expect and learning opportunities Where the is based Clinical supervisor(s) for the Main duties of the Typical working pattern in this (e.g. ward rounds, clinics, theatre sessions) Local education provider (LEP) / employer information St Thomas Hospital General Practice General Practice Acute presentation of clients Chronic disease management Formation of differential diagnosis and undertake any necessary investigations Formulate a management plan GP surgeries are allocated via London Deanery and will be confirmed before start. GP Trainer See patients 7 clinical sessions 1 tutorial 1 study session 1 teaching Guy s and St Thomas is one of the largest hospital trusts in the country, with a staff of almost 12,500, a turnover of over 1 billion and 900,000 patient contacts a year The comprises two of London s oldest and best known teaching hospitals. The hospitals have a long history, dating back almost 900 years, and have been at the forefront of medical progress and innovation since they were founded. Both hospitals have built on these traditions and continue to have a reputation for excellence and innovation. We are part of King s Health Partners Academic Health Sciences Centre (AHSC), a pioneering collaboration between one of the world s leading research-led universities and three of London s most successful NHS Foundation s. Our AHSC is one of only five in the UK. It consists of King s College London, and Guy s and St Thomas, King s College Hospital and South London and Maudsley (SLAM) NHS Foundation s. King s Health Partners includes seven hospitals and over 150 community based services, is responsible for seeing 2 million patients each year, has 25,000 employees and 19,500 students, and a 2 billion annual turnover. It brings together the best of basic and translational research, clinical excellence and world-class teaching to deliver groundbreaking advances in physical and mental healthcare. See www.kingshealthpartners.org *It is important to note that this description is a typical example of the and may be Page 1 of 1
Placement details (i.e. the specialty and sub-specialty) Type of work to expect and learning opportunities Where the is based Clinical supervisor(s) for the Main duties of the Typical working pattern in this (e.g. ward rounds, clinics, theatre sessions) Local education provider (LEP) / employer information St Thomas Hospital Geriatrics Proactive care of older people undergoing surgery (ie perioperative medicine) Dept of Ageing and Health, Medicine Out patient new patient clinics Ward work in elective and emergency surgery Management of acute and chronic illness Preoperative assessment and optimisation Guy s and St Thomas Hospital Dr Jugdeep Dhesi Dr Catriona Morrison Dr Frances Dockery Out patient reviews In patient reviews Teaching for junior doctors and undergraduates Involvement in audit Clinics Ward rounds Guy s and St Thomas is one of the largest hospital trusts in the country, with a staff of almost 12,500, a turnover of over 1 billion and 900,000 patient contacts a year The comprises two of London s oldest and best known teaching hospitals. The hospitals have a long history, dating back almost 900 years, and have been at the forefront of medical progress and innovation since they were founded. Both hospitals have built on these traditions and continue to have a reputation for excellence and innovation. We are part of King s Health Partners Academic Health Sciences Centre (AHSC), a pioneering collaboration between one of the world s leading research-led universities and three of London s most successful NHS Foundation s. Our AHSC is one of only five in the UK. It consists of King s College London, and Guy s and St Thomas, King s College Hospital and South London and Maudsley (SLAM) NHS Foundation s. King s Health Partners includes seven hospitals and over 150 community based services, is responsible for seeing 2 million patients each year, has 25,000 employees and 19,500 students, and a 2 billion annual turnover. It brings together the best of basic and translational research, clinical excellence and world-class teaching to deliver groundbreaking advances in physical and mental healthcare. See www.kingshealthpartners.org *It is important to note that this description is a typical example of the and may be Page 1 of 1
Placement details (i.e. the specialty and sub-specialty) Type of work to expect and learning opportunities Where the is based Clinical supervisor(s) for the Main duties of the Typical working pattern in this (e.g. ward rounds, clinics, theatre sessions) Local education provider (LEP) / employer information Burrell Street Sexual Health Clinic / Guy s Hospital /St Thomas Hospital Sexual and Reproductive Health and HIV Sexual and Reproductive Health and HIV Assessment and management of walk in and review patients attending the GUM clinic. We have a turnover of around 40,000 patients per year. Lambeth and Southwark have some of the highest rates of STIs and HIV in the country. This offers a unique opportunity to learn how to manage the whole spectrum of STIs in a friendly, supportive environment. We run various specialist clinics, have an Academic half day as well as a dedicated F2/VTS/CNS teaching session. The post starts with a 2 week induction period, completing our in-house online local induction and sitting in with other clinicians before starting to see patients. The department has a weekly academic half day consisting of case discussions and lectures, and there is a dedicated teaching session for our F2/VTS doctors. One day a week would be spent in the HIV department. This would include attending the ward meeting then a round with the ward reg and/or HIV OP experience. Burrell Street and Lloyd Sexual Health clinics Rasidat Rabiu Seeing walk in and review patients attending the GUM Clinic. 6-7 general GUM clinics per week, working along side consultants, SAS doctors and clinical nurse specialists. 1 day in the HIV department attending the ward round and/or outpatient clinics On call requirements: General Medical on call. Guy s and St Thomas is one of the largest hospital trusts in the country, with a staff of almost 12,500, a turnover of over 1 billion and 900,000 patient contacts a year The comprises two of London s oldest and best known teaching hospitals. The hospitals have a long history, dating back almost 900 years, and have been at the forefront of medical progress and innovation since they were founded. Both hospitals have built on these traditions and continue to have a reputation for excellence and innovation. We are part of King s Health Partners Academic Health Sciences Centre (AHSC), a pioneering collaboration between one of the world s leading research-led universities and three of London s most successful NHS Foundation s. Our AHSC is one of only five in the UK. It consists of Page 1 of 2
King s College London, and Guy s and St Thomas, King s College Hospital and South London and Maudsley (SLAM) NHS Foundation s. King s Health Partners includes seven hospitals and over 150 community based services, is responsible for seeing 2 million patients each year, has 25,000 employees and 19,500 students, and a 2 billion annual turnover. It brings together the best of basic and translational research, clinical excellence and world-class teaching to deliver groundbreaking advances in physical and mental healthcare. See www.kingshealthpartners.org *It is important to note that this description is a typical example of the and may be Page 2 of 2
Placement details (i.e. the specialty and sub-specialty) Type of work to expect and learning opportunities Where the is based Clinical supervisor(s) for the Main duties of the Typical working pattern in this (e.g. ward rounds, clinics, theatre sessions) St Thomas Hospital Haematology Haematology The majority of the post is looking after inpatients with Sickle Cell Disease. This is a multiorgan disorder and whilst much of the involves managing acute painful crisis, there is also the need for multidisciplinary working and the care of acutely unwell patients with other complications eg chest complications, renal complications, stroke. They will also be involved in reviewing patients with sickle cell disease who are under other teams in the hospital eg surgical and obstetric teams. These patients often have complicated psychosocial needs and they learn how to manage patients with complicated long term conditions. In addition they will attend general haematology clinics during the attachment and have the opportunity to see general haematology and clotting referrals with the haematology registrar and receive laboratory haematology teaching. The on call rota covers the haematology-oncology patients, so they will also learn about the acute management of patients with haematological and nonhaematological malignant disease The inpatient work is based at St Thomas on the medical wards. The on call and outpatient clinics are at Guy s. Dr Jo Howard Day to day management of in patients with sickle cell disease. This will include daily ward rounds, acute review of patients, discharge planning. Multidisciplinary working with the nursing and psychology members of the sickle team. On call duties at Guys in the Haematology/Oncology department. Mon: am Consultant ward round Pm ward work Tues: am Registrar ward round Pm ward work Wed: am General Haematology ward round (1 or 2 x per month) OR Consultant Ward round Page 1 of 2 Updated: June 2011
Pm Haematology Day unit (1-2x per month) OR Ward work Thurs: Consultant or Registrar Ward Round Pm ward work Fri: Ward round Pm consultant ward round They will be expected to complete an audit during this attachment. In the sessions of ward work, they will review any acutely unwell sickle patients, review general haematology patients with the haematology registrar, will have the opportunity to attend laboratory sessions and complete audit work. Local education provider (LEP) / employer information On call requirements: Haematology/Oncology on call (?1 in 7 on call) Guy s and St Thomas is one of the largest hospital trusts in the country, with a staff of almost 12,500, a turnover of over 1 billion and 900,000 patient contacts a year The comprises two of London s oldest and best known teaching hospitals. The hospitals have a long history, dating back almost 900 years, and have been at the forefront of medical progress and innovation since they were founded. Both hospitals have built on these traditions and continue to have a reputation for excellence and innovation. We are part of King s Health Partners Academic Health Sciences Centre (AHSC), a pioneering collaboration between one of the world s leading research-led universities and three of London s most successful NHS Foundation s. Our AHSC is one of only five in the UK. It consists of King s College London, and Guy s and St Thomas, King s College Hospital and South London and Maudsley (SLAM) NHS Foundation s. King s Health Partners includes seven hospitals and over 150 community based services, is responsible for seeing 2 million patients each year, has 25,000 employees and 19,500 students, and a 2 billion annual turnover. It brings together the best of basic and translational research, clinical excellence and world-class teaching to deliver groundbreaking advances in physical and mental healthcare. See www.kingshealthpartners.org It is important to note that this description is a typical example of your and may be Page 2 of 2 Updated: June 2011
Placement details (i.e. the specialty and sub-specialty) Type of work to expect and learning opportunities Where the is based Clinical supervisor(s) for the Main duties of the Typical working pattern in this (e.g. ward rounds, clinics, theatre sessions) Local education provider (LEP) / employer information St Thomas Hospital HIV inpatients and sexual and reproductive health clinics Harrison Wing and HIV inpatient unit and sexual and reproductive health clinics Inpatient work relating to unwell patients with HIV infection St Thomas medical wards, occasional patients at Guy s under the care of other teams. Burrell Street and Lloyd sexual health clinics Dr Nick Larbalestier Day to day ward work, attending ward rounds and meetings about patient care. Weekly MDM. Communicating with patients and colleagues. Once a week the trainee would be in the sexual and reproductive health clinics. After an online and face to face induction they would be expected to see their own patients under senior supervision. This will facilitate assessment and management of walk in and review patients attending the GUM clinic. We have a turnover of around 40,000 patients per year. Lambeth and Southwark have some of the highest rates of STIs and HIV in the country. Daily ward rounds, consultant ward rounds Tues/Fri. MDM Wed. Ward work daily. Medical on call. Guy s and St Thomas is one of the largest hospital trusts in the country, with a staff of almost 12,500, a turnover of over 1 billion and 900,000 patient contacts a year The comprises two of London s oldest and best known teaching hospitals. The hospitals have a long history, dating back almost 900 years, and have been at the forefront of medical progress and innovation since they were founded. Both hospitals have built on these traditions and continue to have a reputation for excellence and innovation. We are part of King s Health Partners Academic Health Sciences Centre (AHSC), a pioneering collaboration between one of the world s leading research-led universities and three of London s most successful NHS Foundation s. Our AHSC is one of only five in the UK. It consists of King s College London, and Guy s and St Thomas, King s College Hospital and South London and Maudsley (SLAM) NHS Foundation s. King s Health Partners includes seven hospitals and over 150 community based services, is responsible for seeing 2 million patients each year, has Page 1 of 2
25,000 employees and 19,500 students, and a 2 billion annual turnover. It brings together the best of basic and translational research, clinical excellence and world-class teaching to deliver groundbreaking advances in physical and mental healthcare. See www.kingshealthpartners.org *It is important to note that this description is a typical example of the and may be Page 2 of 2
Placement details (i.e. the specialty and sub-specialty) Type of work to expect and learning opportunities St Thomas Hospital Obstetrics & Gynaecology; with exposure to Gynaecological Oncology Obstetrics and Gynaecology GYNAECOLOGY To clerk patients and present cases to senior colleagues initiating discussion on management issues for women presenting to the Gynaecology unit (both emergency & elective admissions) Gets opportunity to learn diagnosis and management of women with common Gynaecological problems when oncall for general Gynaecology. Learning preoperative and postoperative work up of gynae. surgical patients and to participate in the daily inpatient care of Gynaecology patients. To review patients in outpatient setting (e.g. Gynae outpatient clinic, rapid access clinic) under supervision by senior colleagues To improve their technique of Gynaecological examination / assessment in outpatients and to carry out examination under anaesthesia appreciating more complex cases. If possible, to learn minor surgical procedures such as diagnostic inpatient / outpatient hysteroscopy, diagnostic laparoscopy, suction evacuation of retained products of conception (ERPC), marsupilisation of Bartholin s cyst, examination under anaesthesia and diagnostic biopsies and cystoscopic inspection of bladder, bladder scanning. To assist in Theatre. To gain experience in working with multidisciplinary team(s) such as the Clinical Oncologist, Medical Oncologist and Clinical Nurse Specialists (CNS), Pain Management team and Palliative care teams while managing cancer patients. OBSTETRICS: To take part in antenatal ward round, Attend antenatal Clinic (ANC), antenatal day assessment unit (ADU) Attend Elective C-Section list. To participate in audit and research projects in the department and help in maintaining the prospective database for Gynae- Oncology surgical morbidity & mortality. GENERAL (BOTH O&G): Attend daily teaching ward rounds with senior team. Attend weekly Friday teaching sessions in the Obstetrics and Gynaecology department. Attend MDM (Maternal Fetal Medicine Board Round, Perinatal meetings, Gynae Oncology etc.): Observe discussions on various O&G cases with a view to learn Page 1 of 3
the steps involved in diagnosing, investigating and managing women with complex O&G cases. Learn counselling and obtain consent in line with the consent policy Take part in Hand Over Write Electronic Discharge Letters and Electronic Prescribing OTHER/NON-CLINICAL: Attend weekly Friday teaching sessions in the Obstetrics and Gynaecology department. Participate in Audits (and Research projects) Where the is based St Thomas s Hospital and Guy s Hospital Clinical supervisor(s) for the Mr Geoff LANE / Mr Alok ASH Main duties of the - daily inpatient ward round with senior team - Attend outpatient clinic (RAC) - Participate in care of patients admitted on the ward - Clerk and prepare pre-operative patients scheduled for surgery - To liaise with other specialities in conjunction with senior colleagues to organise care of complex patients - Attend educational activities - Attend theatres and actively participate in surgical procedures. - Active participation in postoperative care - Hold Gynaecology On-call bleep when on call for general gynaecology - Formal handover to Gynaecology team daily taking over care after 5pm and on weekends (maintain GynaeOncology Handover File on ward) Typical working pattern in this (e.g. ward rounds, clinics, theatre sessions) Local education provider (LEP) / employer information ANC, ADU Assist in Elective C-Section list - Daily ward round (8AM) followed by work up of ward patients - RAC (Monday & Friday; 9:00-12:30hrs) - Theatres (Monday, Tuesday and Thursday; 9:00 17:00 hrs) - al Teaching (12;30-17:00hrs) - MDT Meeting (Wed 9:00hrs-11:30HRS) - Consultant Grand Round (Wed 11;30-12:30hrs; & Friday AM) - MDM Clinic (14:00-17:00hrs) - Weekend Off (Except when On-Call as per rota) Guy s and St Thomas is one of the largest hospital trusts in the country, with a staff of almost 12,500, a turnover of over 1 billion and 900,000 patient contacts a year The comprises two of London s oldest and best known teaching hospitals. The hospitals have a long history, dating back almost 900 years, and have been at the forefront of medical progress and innovation since they were founded. Both hospitals have built on these traditions and continue to have a reputation for excellence and innovation. We are part of King s Health Partners Academic Health Sciences Centre (AHSC), a pioneering collaboration between one of the world s leading research-led universities and three of London s most successful NHS Foundation Page 2 of 3
s. Our AHSC is one of only five in the UK. It consists of King s College London, and Guy s and St Thomas, King s College Hospital and South London and Maudsley (SLAM) NHS Foundation s. King s Health Partners includes seven hospitals and over 150 community based services, is responsible for seeing 2 million patients each year, has 25,000 employees and 19,500 students, and a 2 billion annual turnover. It brings together the best of basic and translational research, clinical excellence and world-class teaching to deliver groundbreaking advances in physical and mental healthcare. See www.kingshealthpartners.org *It is important to note that this description is a typical example of the and may be Page 3 of 3
Placement details (i.e. the specialty and sub-specialty) Type of work to expect and learning opportunities Where the is based Clinical supervisor(s) for the Main duties of the Typical working pattern in this (e.g. ward rounds, clinics, theatre sessions) Local education provider (LEP) / employer information Guy s Hospital of Oncology, Guy s Hospital of Oncology This post is ward based and involves managing patients with solid tumours who have been admitted for symptoms associated with their cancers or its treatment. Learning opportunities include experience of palliative care, end of life care, management of oncological emergencies, advanced patient communication. Registrar led teaching on oncology topics Samaritan and Hedley Atkins wards Dr Sarah Rudman 4 month in Oncology Working within a team comprising, F1, CT1/2 doctors this post will manage the day to day care of patients admitted at Guy s hospital under Clinical and Medical oncology. They will participate in ward rounds lead by consultants and registrars, multidisciplinary meetings to plan patients discharge This will also contain a community lasting 2 weeks. This will be based at a hospice or within a community palliative care team Ward rounds and daily ward based management of inpatients. Attendance at oncology clinic as an observer will be facilitated Guy s and St Thomas is one of the largest hospital trusts in the country, with a staff of almost 12,500, a turnover of over 1 billion and 900,000 patient contacts a year The comprises two of London s oldest and best known teaching hospitals. The hospitals have a long history, dating back almost 900 years, and have been at the forefront of medical progress and innovation since they were founded. Both hospitals have built on these traditions and continue to have a reputation for excellence and innovation. We are part of King s Health Partners Academic Health Sciences Centre (AHSC), a pioneering collaboration between one of the world s leading research-led universities and three of London s most successful NHS Foundation s. Our AHSC is one of only five in the UK. It consists of King s College London, and Guy s and St Thomas, King s College Hospital and South London and Maudsley (SLAM) Page 1 of 2
NHS Foundation s. King s Health Partners includes seven hospitals and over 150 community based services, is responsible for seeing 2 million patients each year, has 25,000 employees and 19,500 students, and a 2 billion annual turnover. It brings together the best of basic and translational research, clinical excellence and world-class teaching to deliver groundbreaking advances in physical and mental healthcare. See www.kingshealthpartners.org *It is important to note that this description is a typical example of the and may be Page 2 of 2
Placement details (i.e. the specialty and sub-specialty) Type of work to expect and learning opportunities Where the is based Clinical supervisor(s) for the Main duties of the Typical working pattern in this (e.g. ward rounds, clinics, theatre sessions) Local education provider (LEP) / employer information St Thomas Hospital Medical Eye Unit/ Ophthalmology Ophthalmology Complex Ophthalmic / Neuro cases/ Lumbar Puncture s / Slit lamp use/ visual fields examination/ optic nerve assessment 9 th Floor North Wing, St Thomas Hospital Prof Miles Stanford/ Dr Millicent Stone Organisation and assessment of neuro-ophthalmic patients admitted to day ward, organising tests such as scans, bloods, Lumbar Puncture s. Liaising with Medical eye clinicians and neuro doctors, attending radiology meetings and seeing eye casualty patients/ assessing acute patients. Also attending post op cataract clinics. Ward rounds, clerking patients, working in teams, requesting investigations on ward, eye clinics, (medical eye and post op cataract), observing in eye casualty, attending radiology meetings Guy s and St Thomas is one of the largest hospital trusts in the country, with a staff of almost 12,500, a turnover of over 1 billion and 900,000 patient contacts a year The comprises two of London s oldest and best known teaching hospitals. The hospitals have a long history, dating back almost 900 years, and have been at the forefront of medical progress and innovation since they were founded. Both hospitals have built on these traditions and continue to have a reputation for excellence and innovation. We are part of King s Health Partners Academic Health Sciences Centre (AHSC), a pioneering collaboration between one of the world s leading research-led universities and three of London s most successful NHS Foundation s. Our AHSC is one of only five in the UK. It consists of King s College London, and Guy s and St Thomas, King s College Hospital and South London and Maudsley (SLAM) NHS Foundation s. King s Health Partners includes seven hospitals and over 150 community based services, is responsible for seeing 2 million patients each year, has 25,000 employees and 19,500 students, and a 2 billion annual turnover. It brings together the best of basic and translational research, clinical excellence and world-class teaching to deliver groundbreaking advances in physical and mental healthcare. See www.kingshealthpartners.org *It is important to note that this description is a typical example of the and may be Page 1 of 1
Placement details (i.e. the specialty and sub-specialty) Type of work to expect and learning opportunities Where the is based Clinical supervisor(s) for the Main duties of the Typical working pattern in this (e.g. ward rounds, clinics, theatre sessions) Local education provider (LEP) / employer information Chelsham House,Bethlem Royal Hospital, Beckenham, Kent. BR3 3BX Old Age Psychiatry Assessment ward for the Elderly, Functional and Organic mental Illnesses. Mixed gender. There is plenty of opportunity to gain experience in treating elderly patients with multiple morbidity, principle of pharmacology including psychopharmacology and drug interaction in the elderly, psychopathology including cognitive impairment, working in a multidisciplinary team. Communication with carers and relatives, regarding diagnosis, treatment plan, prognosis and discharge planning is part of day to day practice. There is also opportunity for medical and non-medical students teaching. Chelsham House Bethlem Royal Hospital Dr Dipankar Bandyopadhyay The F2 works with one CT looking after 20 inpatient beds for the elderly with occasional early onset dementia patients. Patients with both functional and organic illnesses are assessed on the ward. Serves all four boroughs within SLAM. There is a dedicated inpatient consultant on the ward as well as two STs who visit the ward one day a week each. Close liaison with community teams and general hospitals social services and GPs is practised. Psychiatric and physical examination, investigation, maintenance of records and timely discharge summaries are essential duties. There is an expectation of participation in audit. 9-5 Monday to Friday. There is no on call commitment in psychiatry in this post. Old Age Psychiatry Guy s and St Thomas is one of the largest hospital trusts in the country, with a staff of almost 12,500, a turnover of over 1 billion and 900,000 patient contacts a year The comprises two of London s oldest and best known teaching hospitals. The hospitals have a long history, dating back almost 900 years, and have been at the forefront of medical progress and innovation since they were founded. Both hospitals have built on these traditions and continue to have a reputation for excellence and innovation. We are part of King s Health Partners Academic Health Sciences Centre (AHSC), a pioneering collaboration between one of the world s leading research-led universities and three of London s most successful NHS Foundation s. Our AHSC is one of only five in the UK. It consists of King s College London, and Guy s and St Thomas, King s Page 1 of 2
College Hospital and South London and Maudsley (SLAM) NHS Foundation s. King s Health Partners includes seven hospitals and over 150 community based services, is responsible for seeing 2 million patients each year, has 25,000 employees and 19,500 students, and a 2 billion annual turnover. It brings together the best of basic and translational research, clinical excellence and world-class teaching to deliver groundbreaking advances in physical and mental healthcare. See www.kingshealthpartners.org *It is important to note that this description is a typical example of the and may be Page 2 of 2
Placement details (i.e. the specialty and sub-specialty) Type of work to expect and learning opportunities Where the is based Clinical supervisor(s) for the Main duties of the Typical working pattern in this (e.g. ward rounds, clinics, theatre sessions) Local education provider (LEP) / employer information St Thomas Hospital General Adult Psychiatry General Adult Psychiatry Assessment and management of adults of working age in the Emergency and medical and surgical wards. Opportunities for learning about crisis mental health presentations and common mental disorders in a general hospital setting Psychiatric Liaison team, St Thomas Hospital Dr Gopinath Ranjith Initial assessment of patients, joint working with other members of the team, liaison with other agencies and formulation of management plan and prescribing under supervision 9am-5pm Monday to Friday Out of hours South London and Maudsley rota based at St Thomas A&E Guy s and St Thomas is one of the largest hospital trusts in the country, with a staff of almost 12,500, a turnover of over 1 billion and 900,000 patient contacts a year The comprises two of London s oldest and best known teaching hospitals. The hospitals have a long history, dating back almost 900 years, and have been at the forefront of medical progress and innovation since they were founded. Both hospitals have built on these traditions and continue to have a reputation for excellence and innovation. We are part of King s Health Partners Academic Health Sciences Centre (AHSC), a pioneering collaboration between one of the world s leading research-led universities and three of London s most successful NHS Foundation s. Our AHSC is one of only five in the UK. It consists of King s College London, and Guy s and St Thomas, King s College Hospital and South London and Maudsley (SLAM) NHS Foundation s. King s Health Partners includes seven hospitals and over 150 community based services, is responsible for seeing 2 million patients each year, has 25,000 employees and 19,500 students, and a 2 billion annual turnover. It brings together the best of basic and translational research, clinical excellence and world-class teaching to deliver groundbreaking advances in physical and mental healthcare. See www.kingshealthpartners.org *It is important to note that this description is a typical example of the and may be Page 1 of 1