Wessex Foundation School Poole Hospital NHS Foundation ... Combined JD's2015-16.pdf · Wessex...

Wessex Foundation School Poole Hospital NHS Foundation Trust

Individual Placement (Job) Descriptions for Foundation Year 1

Placement F1 - Cardiology

The department Cardiology Department in Poole Hospital. This department consists of two cardiology teams. There are two teams in cardiology- Dr Blakemore & Dr Steadman’s team and Dr Boos & Dr Carpenter’s team. There are 3 F1s, 2 SpRs and 3 SHOs between the two teams- 1 F2, 2 CMT.

The type of work to expect and learning opportunities

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 opportunities:

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 placement is based

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.

Clinical Supervisor(s) for the placement

Drs Blakemore, Boos, Steadman, Carpenter

Main duties of the placement

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 day-case 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 present any patients you clerked in on the preceding day.

Typical working pattern in this placement

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. 13.00h: 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)

Employer information The employer is Poole Hospital NHS Foundation Trust. The post is based 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 placement and may be subject to change.

Wessex Foundation School

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

Placement F1 – Diabetes and Endocrinology

The department The department comprises 3 diabetes and endocrinology consultants.


Most days will generally be ward based 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.


Diabetes Centre


Dr’s Masding, Poole and Coppini


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, theatre

this placement sessions Daily/weekly/monthly (if applicable) Mon: 9-5 Tues: 8.30-5 Wed: 9-9 on call Thurs: 9-5 Fri: 9-5 Sat: - Sun: - Mon: 9-5 Tues: 8.30-5 Wed: 9-9 ward cover 5-9 Thurs: 9-5 Fri: 9-9 Sat: 9-3 Sun: 9-3 On call requirements:

Employer information Poole Hospital NHS Foundation Trust




Placement F1 - Gastroenterology

The department The department comprises 4 Gastroenterology consultants.


Most days will generally be ward based 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




Poole General Hospital


Drs Parry, Sharer, Snook & E Williams, I 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 this post e.g. ward rounds, clinics, theatre sessions Daily/weekly/monthly (if applicable) Mon: 9-5 Tues: 8.30-5 Wed: 9-9 on call Thurs: 8-5 Fri: 9-5 Sat: - Sun: - Mon: 9-5 Tues: 8.30-5 Wed: 9-9 ward cover 5-9 Thurs: 9-5 Fri: 9-9 Sat: 9-3 Sun: 9-3 On call requirements:





Placement F1 – Geriatric Medicine

The department The department 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.


Inpatients ward work, on call duties. Close clinical supervision. Ample opportunities 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, Harries-Jones, Fox


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:

Employer information Poole Hospital NHS Foundation Trust.



Dorset HealthCare University NHS Foundation Trust Individual Placement (Job) Descriptions for Foundation Year 1

Placement F1 – Liaison Psychiatry

The department Liaison Psychiatry – Poole Hospital Rotation: Poole Hospital Foundation Programme The Liaison Psychiatry Service at Poole Hospital provides a psychiatric service to inpatients and attenders at the Emergency Department. It is part of a wider team which includes the Liaison Psychiatry Service at Royal Bournemouth and Dorset County Hospitals.


The F1 doctor will be part of the Liaison Psychiatry Service and will be based at Poole. The service is for people between 18 years and the end of life. We receive approximately 900 referrals per year, reflecting the type of psychiatric conditions frequently seen by doctors not working in psychiatric settings. Commonly seen referrals include admission following self-harm, depression and anxiety complicating medical illness, medically unexplained symptoms and somatoform disorders, poor compliance with medical treatment and alcohol misuse. We also see patients with organic psychiatric disorders and where capacity for treatment is being questioned. This post will enable the post holder to gain skills, knowledge and attitudes needed to assess and manage common psychiatric presentations seen in non-psychiatric settings. There will also be experience in the crisis management and risk assessment of patients who self-harm. Also in the application of the Mental Health Act and the Mental Capacity Act. Learning opportunities:

To acquire skills in assessing people following an episode of self-harm, including risk assessment, and in planning their short term management

To become familiar with psychiatric/psychological presentations seen within a general hospital setting.

To acquire skills required to detect and diagnose depression in the medically ill.

To gain specialist knowledge in the prescribing of psychotropic drugs to patients with medical co-morbidity.

To acquire communication skills and knowledge required to assess people referred from medical and surgical wards with medically unexplained or somatoform conditions.

To acquire skills in liaising with staff from other disciplines

and other clinical areas, including primary care, to co-ordinate the management of patients

To observe the process of planning care for people with complex medical and psychiatric needs




Dr Stephen Taylor, Consultant Liaison Psychiatrist


The post-holder will undertake assessments of patients following self-harm and those referred with a range of psychiatric/psychological problems from the general hospital wards. All work will be closely supervised by the Consultant and other members of the clinical team as appropriate, including at daily team meetings where all patients seen that day are discussed. Secretarial support will be provided.


The service operates Monday – Friday 0900 – 1700. A member of the team attends the Emergency Department and the acute admissions ward every morning and collects referrals. There is then a team meeting for approximately 30 minutes in which the work for the day is allotted. The team also responds to referrals as they come in, so that the intensity of work is unpredictable. We will ensure that during the course of the placement there will be time to undertake non-clinical work such as audit for the interested trainee. The trainee will be able to attend any academic events as required by the foundation rotation. On call requirements: The post holder will remain part of the Poole Hospital acute medicine on call rota.





Placement F1 - Paediatrics

The department 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


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




Dorset HealthCare University NHS Foundation Trust Individual Placement (Job) Descriptions for Foundation Year 1

Placement F1 - Psychiatry

The department Eating Disorders Service / Kimmeridge Court, St Ann’s Hospital The Eating Disorders Service offers a Community, Intensive Day Service and Inpatient Care to Adults suffering from Eating Disorders. The post holder’s responsibility would primarily be to manage patients on the 6 bedded Inpatient Unit.


The post holder will divide their time between Kimmeridge Court and Florence House. Kimmeridge Court Kimmeridge Court runs on 100% bed occupancy and accepts

referrals from the whole of the United Kingdom. All admissions are planned. Most patients will be suffering from a severe Eating Disorder associated frequently with significant psychiatric and physical co-morbidity. The post holder will be responsible for clerking admissions and managing the patient’s physical and mental health, with the support of a Core Trainee. Close liaison with the General Hospital is an important aspect of this work, should the patient require acute medical treatment. The post holder will also have the opportunity of attending the Consultant’s Outpatient Clinic and Mental Health Act assessments and tribunals. Learning Opportunities:-

1. To acquire skills in assessing and managing patients with Eating Disorders.

2. To acquire skills to detect and diagnosis common psychiatric co-morbidity in this group of patients.

3. To learn about the physical consequences of Eating Disorders and how to monitor and manage medical risk in patients with Eating Disorders.

4. To acquire skills in liaising with staff from other disciplines including Dietitians, Occupational Therapists, Primary Care and Acute Medical Services, to co-ordinate the management of patients.

5. To acquire skills in communicating and liaising with Carers. 6. To observe the process of planning care for people with

complex medical and physical needs. To appreciate the importance of discharge planning to reduce and manage the risk of relapse post-discharge and ensure a smooth transition back to the Community.


Kimmeridge Court, St Ann’s Hospital and Florence House.


Dr Cressida Manning, Consultant Psychiatrist


The post holder will be responsible for admitting patients to the Inpatient Service, which will include taking a full history, updating the risk assessment and formulating a care plan following discussion with the Inpatient Team. All work will be closely supervised by the Consultant and other members of the Clinical Team as appropriate. Secretarial support will be provided.


The post holder’s time will be split between the Eating Disorder Unit and the Perinatal Unit. Whilst there is a timetable in place, the post holder will be expected to prioritise their time depending on the

Unit’s needs. They will be informed of the admission well in advance so they can manage their time, although urgent admissions may occur to Florence House. We will ensure that during the course of the placement there will be time to undertake non-clinical work such as audit for the interested Trainee. The Trainee will also be able to attend any academic events as required by the Foundation Rotation. Monday: Kimmeridge

o Cardex o Ward Work o Sit in on SHO/Consultant OPD o Ward Work o Team Meeting

Tuesday: Perinatal MDT Meeting Teaching Wednesday: Perinatal

o Sit in with SHO ward Review o Home visit with nursing staff

Kimmeridge: o Ward Round

Thursday: Perinatal Ward Round Perinatal

o Business meeting o Perinatal home visits with consultant

Friday: Kimmeridge:

o Ward Work o Attend Consultant Clinic

Perinatal o Clinical Supervision

On Call Requirements:- The post holder will remain part of the Poole Hospital Acute Medicine On call Rota.

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.




Placement F1 – Respiratory Medicine

The department The department comprises 4 Respiratory consultants.


Most days will generally be ward based 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






Drs Allenby, Crowther, Punwani & Christopherson


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 this post e.g. ward rounds, clinics, theatre sessions Daily/weekly/monthly (if applicable) Mon: 9-5 Tues: 8.30-5 Wed: 9-9 on call Thurs: 9-5 Fri: 9-5 Sat: - Sun: - Mon: 9-5 Tues: 8.30-5 Wed: 9-9 ward cover 5-9 Thurs: 9-5 Fri: 9-9 Sat: 9-3 Sun: 9-3 On call requirements:



Wessex Foundation School Poole Hospital NHS Foundation Trust

Individual Placement (Job) Descriptions for Foundation Year 1

Placement F1 – General Surgery

The department 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.


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.


Poole Hospital, B4 Ward


Mr Clarke, Miss Evans, Mr Nash, Mr Qureshi, Mr Talbot, Mr Allenby-Smith, Miss Clark, Mr Ahmad, Miss Brent, Mr Froggatt


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 night’s shifts.


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.





Placement F1 – Trauma & Orthopaedics

The department Department of Trauma & Orthopaedics, Poole Hospital


When based on a ward the FY1 will take responsibility for the daily medical management of ward based patients with supervision from a SHO. This will include optimising patients for surgery. Whilst on-call there will be many opportunities 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


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 based 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 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: 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:



Wessex Foundation School Poole Hospital NHS Foundation ... Combined JD's2015-16.pdf · Wessex...

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