WELCOME TO

DGRI

WELCOME TO

DGRI

THE REGION...

Hospital

Morrisons

Train Station

Lidl

Tesco

Bus Station

EATING OUT…

Crumb (15% off with NHS student badge), Casa Mia,

Little Italy, Brunos, Primo Piano, Home, Dolce Vita,

Daksh Indian all in Dumfries, Steamboat Inn Carsethorn,

Thai Orchid Dalton

PUBS...

Greens on a Thursday (a Dumfries tradition), Coach and Horses,

Cavens Arms, Globe Inn on the High Street (Burns Pub)

BARS...

Neuro’s, Granary, N’Dulge

MOUNTAIN BIKING…

Can hire bikes at Ae and Mabie forests if you don’t

have one. Both Ae and Mabie have cafes. Link to

www.7stanes.gov.uk

CYCLING...

Loads of cycle routes

GYMS...

Bannatynes, Barracuda, Peak Physique, Absolute Body

Systems (discount available for NHS staff), Fairy Bodmother

SWIMMING...

Bannatynes, Dumfries Ice Bowl,

Barracuda Club, Neuro’s

GOLF...

Southerness, Powfoot, Dumfries County, Crichton

Lochmaben, Thornhill, Cally Palace

Evening Classes…

SKATING…

Ice Bowl Dumfries

SQUASH, RACKETBALL, TENNIS,

CRICKET, RUNNING, HOCKEY…

Contact Dr Sue Robertson, Renal Unit

susan.robertson@nhs.net for info on all local things sporty

PAMPERING…

House of Beauty, Dumfries

CINEMA...

Lonsdale, Annan

(fish supper at Café Royal)

Dumfries

FESTIVALS...

Electric Fields, Drumlanrig Castle,

1-2nd September 2017

Big Burns Supper

Raehills,7-10 June 2018

ARTS...

Spring Fling, May 2018

May 2018

The Stove

Network is a

Dumfries-

based arts

organisation

that is active

throughout

Dumfries &

Galloway.

The Stove, 100 High Street Dumfries

CONTEMPORARY ARTS...

Devils Porridge Eastriggs, Lead mining Wanlockhead,

Aviation Museum Dumfries

MUSEUMS…

THEATRE...

CLASSICAL AND CHORAL...

www.dumfriesmusicclub.com; www.solwaysinfonia.org.uk;

www.dumfrieschoralsociety.co.uk

PHOTOGRAPHY...

www.dumfriescameraclub.co.uk - meets Wednesdays

715pm Gracefield Studios, Dumfries

Crawick Multiverse,

Sanquhar

GARDENS...

Also Threave Gardens and Scotland’s Garden Scheme

HERITAGE...

Robert Burns – Burns House, Burns Trail,

Ellisland Farm, Brow Well

CEILIDHS...

Two Left Feet

PARTIES...

2016/17 FYs Lauren, Craig, Sarita, Jordan, Melissa

and Patrick at Easterbrook Summer Ball

Hospital

Greens

Burns Centre Crumb

Ice Bowl

Barracuda Club

Bannatynes

Odeon

N’Dulge

Costa

Cavens Arms

Globe Inn

House of Beauty

Starbucks

Mrs Greens Tearoom

MEDICINE OF THE ELDERLY

Year 6: Preparation for Practice

Medicine MBChB

Edinburgh Medical School, University of Edinburgh

Peripheral Attachment: Dumfries & Galloway Royal Infirmary

What can Edinburgh medical students expect?

FIRST THINGS FIRST… WHAT SHOULD I

BRING?

Clothing and essentials

Stethoscope (beware… it’s not always HS I+II+0)

A pen (make that… many, many pens!)

In Dumfries, you will receive…

Lecture Notes: Elderly Care Medicine

Encrypted USB stick + locker key

Hospital ID badge + hospital phone

Documentation regarding attachment, accommodation

OCCUPATIONAL HEALTH

We will email you 3 weeks before

start of block with us with a list of

all the paperwork we require.

As of November 2017 you will no

longer need to see Occ Health on

arrival.

HOW DO I GET TO/FROM DUMFRIES

Best way = hitch a ride with someone who has a car

(TIP: an offer to buy them lunch always works!)

Takes around 2hr each way

Alternative ways…

By train and bus (1h 45 min)

Edinburgh Lockerbie (by train – runs every 3 hr)

Lockerbie Dumfries (by bus on line 81 – runs every 20 min)

By bus only (3 hr)

Edinburgh Princes Street Dumfries (by Stagecoach West bus

102 and 101 – runs every 2 hr)

WHAT IS MEDICINE OF THE ELDERLY?

Assessment and management of

older patients

Many of these patients are frail

Many will have complex and/or

multiple diseases

WHAT HAPPENS HERE?

Clinics: movement disorders, stroke disease and falls

Allied health professionals: OT, PT, SALT

Ward rounds and MDT: stroke disease, geriatric

medicine, orthogeriatric medicine

Bedside teaching: with Dr Conley and Dr Donaldson

Tutorial-based teaching: with Dr Malik

FY1 shadowing

Case Presentation

Ethics Presentation (in Edinburgh)

HOW DO I PASS THE ROTATION?

Written assessment (during rotation)

Case Report (MoE): NB: only applicable to some students

Professionalism assessment (during rotation)

Completion of 2 Direct Observed Practice (DOPs) Cards

Attend, engage and enjoy!

Examinations (in February)

Formally assessed as part of Finals

It is important to consider the module learning outcomes

on Learn

WHO’S WHO?

Dr Ritesh Malik, Specialty Doctor and Lead Tutor (32191)

Dr Shona Donaldson, Associate Specialist in Geriatric

Medicine (32111)

Dr Amy Conley, Consultant in Geriatric Medicine (33180)

Dr Roger Holden, Consultant in Geriatric Medicine (33077)

Dr Hay, Consultant in Stroke Medicine (33324)

Ms Angela Haining, Geriatric Medicine Co-ordinator (33349)

Ms Vicki McLaughlan, Undergraduate Co-ordinator

Prof Chris Isles, Consultant Physician and Director of

Education (33335)

WHAT WARD DO I GO TO?

For Geriatric Medicine, go to Ward 18 (DGRI)

For Stroke Medicine, go to Ward 12 and 14 (DGRI)

For Medical Admissions, go to Ward 7 (DGRI)

For Stroke clinic, go to Outpatients (DGRI)

For Falls clinic, go to Nithbank

For PD clinic, go to Nithbank

Remember… there is coffee in the Doctors’ Mess!

Oh, and the hospital canteen has ‘front house cooking’

WHAT WILL I LEARN?

Comprehensive Geriatric Assessment (CGA)

Polypharmacy, comorbidities, malnutrition and frailty

Cerebrovascular and cardiovascular disease

Falls and immobility

Legal and ethical challenges: AWI, POA, DNACPR

Importance of holistic care: PT, OT, SW, SALT

Communication, cognitive impairment and delirium: AMT,

4AT, MMSE etc

Palliative care

THE KEY TO MOE = MDT

Medical team: from medical student to consultant (and

everyone in between) in geriatric medicine, stroke medicine

and elsewhere

Nursing team: staff nurses, advanced nurse practitioners,

specialist nurses, health care assistants

Allied health professionals: physiotherapists, occupational

therapists, speech and language therapists, social workers

Most importantly… the patient and their family/friends.

RESOURCES

Kumar 8th edition

Davidson’s 22nd edition

UpToDate

Clinical Handbook

Knowledge Network

Clinical Companion in Nephrology

www.nhsdghandbook.co.uk

ACCESSING CLINICAL DATA

Access through Clinical Portal

TYPES OF LEARNERS

Some of you will be self directed learners and some not – we cater for

both groups.

Occasional students with difficulty

remembering facts turn out to have a mild form of dyslexia – let us know if

you think this could be you.

PATIENT SAFETY

Ensure patient safety by working within

the limits of your competence and status

as medical students.

Let us know if you witness any behaviour

towards patients that you feel is

inappropriate or any treatment of patients

that you think might be harmful.

Datix system for incident reporting.

PASTORAL CARE

Locally we are not advised of personal

medical conditions as this is confidential

However if you feel it may impact on your

attendance or work then please let Vicki,

your supervisor and/or departmental lead

know so that arrangements can be made

to help

CONNECT

COMMENTS AND SOCIAL MEDIA

You must not bully,

harass or make

gratuitous or

unsubstantiated

comments about

individuals online.

GMC. Doctors use of social media, 2013

SOCIAL MEDIA

Once information is

published online it

can be difficult to

remove as other

users may distribute

it further or

comment on it

GMC. Doctors use of social media, 2013

ANONYMITY AND SOCIAL MEDIA

Be aware that

content uploaded

anonymously can,

in many cases, be

traced back to its

point of origin.

GMC. Doctors use of social media, 2013

FEEDBACK

Let us know how things

are going in case

changes required.

We will protect time for

your electronic feedback

at end of block

CONCLUSION

Although this is a short rotation, there is a lot to be

gained

With an ageing population, is MoE perhaps more

important now than ever?

Communication and MDT is key

Always think beyond simply ‘the medical needs of the

patient’

Attend… engage… enjoy…

COFFEE…

Costa, Starbucks, M&S etc

Mrs Green’s Tearoom Dumfries,

Abbey Cottage New Abbey, Friars Carse Thornhill

AFTERNOON TEA…

TOUGH

MUDDER

…

Drumlanrig Castle,

Thornhill

GALLOWAY ACTIVITY CENTRE…

Loch Ken

GALLOWAY FOREST PARK…

Glen Trool

GALLOWAY DARK SKY PARK…

Galloway Forest Park,

Newton Stewart

LAGGAN

ZIPWIRE AND

SEGWAY…

Gatehouse

of Fleet

TEN PIN BOWLING…

Carlisle

WHISKY…

GIN…

Cummertrees

Newton Stewart

EVENING

CLASSES…

Dumfries and Galloway College

PANNING FOR GOLD…

Wanlockhead

MEDITATION…

Samye Ling, Eskdalemuir

WILDLIFE…

Caerlaverock Wetland Centre.

CASTLES...

Drumlanrig,

Thornhill

Caerlaverock

South of Dumfries

Threave

Castle

Criffel Screel Hill

HILL WALKS...

Also Grey Mare’s Tail at Moffat, Merrick from Glen Trool,

Well Path Circuit at Durisdeer. see www.walkhighlands.co.uk

COASTAL

WALKS...

Balcary Bay

to Rascarrel

Sandyhills

to Rockliffe

Also Carrick Bay, Mull of Galloway. See www.walkhighlands.co.uk

STUNNING COUNTRYSIDE...

Everywhere!

• Supportive working atmosphere

• Good group of FY1s

• Lovely canteen

• Approachable seniors

• Good opportunity to get practical

experience e.g. in theatre, chest

drains

TOP 5 REASONS I ENJOYED DUMFRIES

Sarita Sinkha, FY1 August 2016-July2017

• Chance to learn the entire hospital

and the staff working in it

• Easy to talk to seniors

• Plenty of hands on experience

• No commuting

• Easy to get to know other FY1s

with whom you spend entire year

TOP 5 REASONS I ENJOYED DUMFRIES

Georgios Kourounis, FY1 August 2016-July 2017

• Hands on experience of sick patients.

• Living on site - great to be close with

friends. Also helps with the 3 weeks of

night shifts!

• Opportunity to take part in research

• Broad range of experience across

medical and surgical disciplines

• Friendly environment where people

speak to each other no matter the

seniority gap.

TOP 5 REASONS I ENJOYED DUMFRIES

Duncan Thomson, FY1 August 2016-2017

• Green's on a Thursday with a

caramel magnum on way back

• Ae and Mabie forest

• Lock Ken experience

• Climb the Criffel

• Mull of Galloway

MY TOP FIVE THINGS TO DO...

Sarita Sinkha, FY1 August 2016-July 2017

• Carrick Bay for a walk

• Sandyhills beach for a barbecue

• Holiday Inn in the Crichton grounds for

a beer on a sunny evening

• The Burns Centre cinema for a cosy

cinema experience.

• Eden Festival in June.

MY TOP FIVE THINGS TO DO...

Craig Warren, FY1 August 2016-July 2017

• Get a bike if you don't already have one

• Climb Criffel

• Road trip to Mull of Galloway is well

worth it. Do it on a nice day.

• Star Gazing. Best done from

late August to March (not in June as

one FY1 did!).

• Never underestimate the benefits of a

Thursday Green's session. It's DGRI

tradition.

MY TOP FIVE THINGS TO DO...

Duncan Thomson FY1 August 2016-July 2017

• Cycling - Route 7 goes through D&G and

conveniently goes past many good pubs/cafes

• Afternoon tea at Friars Carse near Thornhill or

in New Abbey - with scones! and cream!

• Galloway forest park - wild camping, beautiful

sky, fun walks

• The Stove - café in town which also runs lots of

lefty/liberal/arty events

• Samye Ling monastery - Eskdalemuir

• Caerlaverlock Castle - interesting history, great

food, easy cycle along beautiful coastline.

MY TOP FIVE (OR SIX)...

Rebecca Trenear, FY1 August 2016-July 2017

MY TOP FIVE PICS...

Georgios Kourounis, FY1 August 2016-2017

AND FINALLY...

We want you to enjoy your time in Dumfries

Be prompt for teaching

Keep up to date with your assessments

Let us know of any absences

Work hard/play hard!

Keep the residencies clean!!