Hampshire Hospitals NHS Foundation Trust - … Combined JD's.docx · Web viewHampshire Hospitals NHS Foundation Trust (Winchester) Individual Placement (Job) Descriptions for Foundation

Hampshire Hospitals NHS Foundation Trust(Winchester)

Individual Placement (Job) Descriptions for Foundation Year 1

Placement F1 Otolaryngology (ENT) The department The department consists of three consultants, a Staff Grade,

Associate Specialist, ENT Specialist Nurse, F2, F1 and two Advance Nurse Practitioners1 clinical Fellow (Split with Salisbury District Hospital)Visiting Head and Neck Consultants from Southampton

The type of work to expect and learning opportunities

Running an emergency ENT clinic in the outpatients department – taking history, examining patients, making a differential diagnosis, using equipment e.g. for nasal cauterization or ear microsuction

Answering on call bleeps (8am -5pm) to take referrals from GPs, A+E and other wards.

Caring for post-operative patients including dealing with post-operative complications and writing discharge letters

On calls for general surgery caring for inpatients and dealing with post-operative complications

Opportunities to clerk surgical patients in A+E during on calls and start basic management.

Opportunity to attend all ENT elective clinics and operating lists at HHFT

Where the placement is based

Royal Hampshire County HospitalENT Department and Surgical wards.

Clinical Supervisor(s) for the placement

Mrs Andrea Burgess, ENT ConsultantMr. Ashok Rokade, ENT ConsultantMr Mandar Jog (SAS Doctor)Mr Sushant Talpallikar (SAS Doctor)

Main duties of the placement

See above

Typical working pattern in this placement

Typical working pattern in this post :

Monday9-1 Emergency ClinicDealing with ward / emergency referralsWriting discharge letters Tuesday8 Ward RoundDealing with referralsWriting discharge letters Wednesday8 Ward Round 9-1 Emergency Clinic

2-4 F1 TeachingDealing with referralsWriting discharge letters

Thursday8 Ward RoundDealing with referralsWriting discharge letters1:30-4 Pre-assessment clinic

Friday8 Ward Round 9-1 Emergency clinicDealing with referrals On call requirements: Days (8am-9pm) whilst doing normal day job. This usually involves helping out with A+E during day and caring for inpatients on the surgical wards from 5-9pm

Nights (9pm-8am) - helping out in A+E and caring for general surgical and orthopaedic inpatients.

Employer information Hampshire Hospital NHS Foundation Trust.

It is important to note that this description is a typical example of your placement and may be subject to change.

















See above



Monday9-1 Emergency ClinicDealing with ward / emergency referralsWriting discharge letters Tuesday8 Ward RoundDealing with referralsWriting discharge letters Wednesday8 Ward Round 9-1 Emergency Clinic2-4 F1 TeachingDealing with referralsWriting discharge letters








Placement F1 – General Medicine (Clarke)The department Relatively small department run by two Consultants. There are

facilities for doing echocardiograms including trans-oesophageal and stress echoes. There is a cardioversion list each week.


Consultant ward rounds every day to see high acuity patients. General house officer jobs such as liaising with relatives and multidisciplinary team members. The team are very good at teaching on the ward round and organising other teaching sessions if you are interested.


Royal Hampshire County Hospital


Dr D Kelly and Dr Golledge.


Ensure the ward round runs smoothly and the required information is available. Organise investigations, communicate with other members of the MDT, and assess unwell patients. We have lots of medical students, both 3rd and final years, so some time each day is spent teaching them and helping them see patients.


Typical working pattern in this post e.g. ward rounds, clinics, theatre sessionsDaily/weekly/monthly (if applicable)

Generally 8.15am-5pm but you need to be a little bit flexible. We don’t usually stay too late.

On call requirements: We all work the same on call rota, it’s about 1 in 5 weekends and about 1 in 5 weeks doing long days.





Placement F1 – Colorectal SurgeryThe department Surgery


8am ward rounds. Emergency and elective admissions. Clerk in patients. Able to go to theatre and clinics when other F1 can cover. Booking procedures. Reviewing procedures. Reviewing and ordering bloods. Prescribe safely. Keeping accurate patient records. Communicating effectively with patients, family members and colleagues. Teaching medical students.


Royal Hampshire County HospitalWainwright ward


Mr A MilesMr M Gore Mr Tim Moore


The F1 doctor is responsible with other staff for the ward care of patients and the maintenance of the patient’s medical record. We take responsibility for problems arising on the ward. We are responsible for such other specific clinical duties as allocated by consultants including performing other duties in occasional emergencies and unforeseen circumstances.



Mon: 8.30am post take ward round. F1 jobs Tues: 8am ward round. F1 jobs Wed: 8.30am post take ward round. F1 jobs. Teaching 1345-

3pm Thurs: 8am ward round. F1 jobsFri: 8.30am ward. F1 jobs



















See above




Thursday8 Ward RoundDealing with referralsWriting discharge letters

1:30-4 Pre-assessment clinic


















Clinical Supervisor(s) Mrs Andrea Burgess, ENT Consultant

for the placement Mr. Ashok Rokade, ENT ConsultantMr Mandar Jog (SAS Doctor)Mr Sushant Talpallikar (SAS Doctor)


See above











Placement F1 – General Medicine (Clarke)The department Relatively small department run by two Consultants. There are

facilities for doing echocardiograms including trans-oesophageal and stress echoes. There is a cardioversion list each week.


Consultant ward rounds every day to see high acuity patients. General house officer jobs such as liaising with relatives and multidisciplinary team members. The team are very good at teaching on the ward round and organising other teaching sessions if you are interested.




Dr D Kelly and Dr Golledge.


Ensure the ward round runs smoothly and the required information is available. Organise investigations, communicate with other members of the MDT, and assess unwell patients. We have lots of medical students, both 3rd and final years, so some time each day is spent teaching them and helping them see patients.



Generally 8.15am-5pm but you need to be a little bit flexible. We don’t usually stay too late.

On call requirements: We all work the same on call rota, it’s about 1 in 5 weekends and about 1 in 5 weeks doing long days.





Placement F1 – Colorectal SurgeryThe department Surgery

The type of work to 8am ward rounds. Emergency and elective admissions. Clerk

expect and learning opportunities

in patients. Able to go to theatre and clinics when other F1 can cover. Booking procedures. Reviewing procedures. Reviewing and ordering bloods. Prescribe safely. Keeping accurate patient records. Communicating effectively with patients, family members and colleagues. Teaching medical students.


Royal Hampshire County HospitalWainwright ward


Mr A MilesMr M Gore Mr Tim Moore


The F1 doctor is responsible with other staff for the ward care of patients and the maintenance of the patient’s medical record. We take responsibility for problems arising on the ward. We are responsible for such other specific clinical duties as allocated by consultants including performing other duties in occasional emergencies and unforeseen circumstances.



Mon: 8.30am post take ward round. F1 jobs Tues: 8am ward round. F1 jobs Wed: 8.30am post take ward round. F1 jobs. Teaching 1345-

3pm Thurs: 8am ward round. F1 jobsFri: 8.30am ward. F1 jobs



HHampshire Hospitals NHS Foundation Trust(Winchester)


Placement F1 - Diabetes and EndocrinologyThe department Diabetes and Endocrinology


See below


Royal Hampshire County HospitalVictoria ward (medical ward), Emergency Medical Admissions Unit (EMAU), All medical wards on-call


Dr ChongDr Cleland

Main duties of the placement Day to day job involves ward work including documentation of ward rounds, prescribing medications and fluids, ordering tests and imaging, arranging other speciality involvement where required, reviewing tests and imaging. Also reviewing any sick patients and implementing appropriate treatment.

In addition to this the Endocrine job has Wednesday morning endocrine testing clinic where you do tests such as the short synacthen, insulin tolerance, glucose tolerance etc testing with the specialist endocrine nurse. There are opportunities to go to general medical, endocrine or diabetic clinic.

On-call role includes acute admissions where you do any jobs required for newly admitted patients. There are some opportunities to clerk patients. Ward cover is also part of this being called to review patients on the wards, prescribing, actioning and reviewing tests ordered by the usual day team and implement appropriate action in light of the results. You also hold the crash bleep and will be called to any cardiac arrests.


One weekend per month

In each three months: one day on-call week, one on-call night week, Three on-call weekends (two of which are days, one of which is nights).





Placement F1 - Elderly Care CliftonThe department Clifton is a rehabilitation ward with patients that often have

complex needs, multi-morbidities and recent acute medical or surgical issues. The patient group is predominantly older patients although some are younger with specific rehabilitation goals. The ward is managed by two consultant geriatricians.


Daily multi-disciplinary meetings (MDTs), daily review of rehabilitation referrals for Clifton, ward rounds and ward jobs.Learning opportunities through consultant ward rounds, alternate weekly radiology lunchtime meetings, Elderly Care teaching and Grand Round. There are also opportunities to

teach medical students.


Royal Hampshire County Hospital, Clifton ward.


Dr Sarah Holmes & Dr Lisa Shire


Organise ward round; carry out ward jobs and trouble shoot medical issues during the day. Liaise with family and GP, complete discharge summaries. Keep up-to-date hospital notes. Liaise with the multi-disciplinary team for patient rehabilitation.

Typical working pattern in this placement Full shift Employer information Hampshire Hospital NHS Foundation Trust.




Placement F1 - Elderly Care FreshfieldThe department One of three F1 doctors on Freshfield ward; the acute elderly

medicine ward. There are two consultants who look after half the ward each. The job also involves cover for the elderly care patient outliers on McGill, EMAU on a rotational basis with full senior support.


Daily multi-disciplinary meetings, ward rounds and ward jobs.


Royal Hampshire County Hospital, Freshfield Ward.


Dr Al-Rawi, Dr James Kelly


Organise ward round; carry out ward jobs and trouble shoot medical issues during the day. Liaise with family and GP, complete discharge summaries. Keep up-to-date hospital notes. Liaise with the multi-disciplinary team for patient rehabilitation.


Mon: MDT, Consultant 1 WR Tues: MDT, Consultant 2 WR, lunch time radiology or Elderly care meeting. F1s to do one presentation each in 6 month placement Wed: MDT, Registrar WR. Afternoon Foundation training program

Thurs: MDT, Consultant 1 WR. Lunch time grand round.Fri: MDT, Consultant 2 WRSat: Off, or on-call Sun: Off, or on-callElderly care teaching alternate FridaysOn call requirements: In 6-month rotation you do two Mon-thurs day on-calls, two Mon-thurs night on-calls, two Fri-Sun day on-calls first on (based in MAU), two Sat-Sun day on calls second on (Ward based) and two Fri-Sun night on-calls.





Placement F1 - Gastroenterology The department Gastroenterology


See below




Dr Harriet GordonDr John GordonDr Frank MurphyDr David Lloyd


Typical working pattern in this post involves consultant ward rounds Monday/ Wednesday/ Friday mornings and SpR/CMT ward rounds Tuesday/ Thursday mornings. The ward round includes the admissions unit for new patients and outlying patients under the gastro team on other wards including surgical wards, the paediatric ward and ICU.

Afternoons as a HO involve actioning jobs from the mornings ward round including ordering investigations, chasing results, making referrals, discharge summaries, procedures and liaising with other members of the MDT. In addition to this any patients that become unwell on the ward are reviewed and discussions with relatives for collateral histories/to update on management plans are common. Procedures include chest drains, ascitic drains/taps and central lines. New patients on the admissions unit also need to be reviewed in the afternoon. On Tuesday and Thursday afternoons patients attend for venesection to the discharge lounge and these patients must be seen in addition to the ward patients.


Typical working pattern in this post e.g. ward rounds, clinics, theatre sessions:

Typical working patternStandard day: 9.00 – 17.00 although regularly requires later stays due to the acute nature of the job, average day 0900 - 1800 and beyond

On call: 1700-2130. Nights: 2100-0930.

Employer information Hampshire Hospital NHS Foundation Trust.It is important to note that this description is a typical example of your placement and may be subject to change.



Placement F1 - Trauma and OrthopaedicsThe department Trauma and Orthopaedics


Ward based work. Daily ward round with SHO or on your own if SHO is away. Looking after the patients medically pre and post op. Trauma meetings every morning where the F1’s present the new patient’s x-rays and there are opportunities for seniors to teach. There are many opportunities to go to theatre and clinics if you so wish.


Royal Hampshire County HospitalBartlett and St. Cross wards (plus outlying patients, when necessary)


The Consultants for whom you work


All in patient medical care for the orthopaedic patients on the unit



Mon: 8.30 trauma meeting, then ward round. Afternoon: pre-op assessments, post op checks, theatre.

Same Mon - Fri but varies between different teams

Tues: Wed: Thurs:Fri: Sat: On call cover for orthopaedics: 8:30 am trauma meeting, then do own ward round seeing all ortho patients and dealing

with any issues as they arise. (Same for all weekends) Sun:

On call requirements: in 3 months:2x weekends on call1xweekday night1xweekend night1xweek of days on call





Placement F1 - Upper GI & Vascular surgeryThe department Benign upper GI cases

And non-complex vascular patients


Ward rounds and administrative jobs focused on patient care, acute management and assessment of emergency admissions, care of postoperative elective inpatients. There are opportunities to go to theatre always welcome.


Royal Hampshire County HospitalKemp Welch ward


Mr David Hou/ Mr Christian Wakefield / Mr Karoli Szentpali / Mr N Wilson

Main duties of the placement Updating lists, writing in notes, taking blood, cannulation, writing up blood results, requesting scans.


Partial shift





Placement F1 – Urology The department Surgery


The work is mainly ward based. It mainly involves a ward round followed by ward jobs e.g. blood taking, writing TTOs etc. You are a solo house-officer so are required to assess patients and problems as they arise on the ward. There is plenty opportunity for attending theatre, and practicing urological skills e.g. 3-way catheter insertion. Urology is a fairly busy placement but there plenty of learning and medical student teaching opportunity and the team are supportive and approachable.


Royal Hampshire County Hospital, surgical wards


Urology consultants. (White, Adamson, Nedas, Mclean)


Maintaining the patient and discharge list, running a pre-assessment clinic, ward round/jobs,



Mon: WR, MDT meeting, Ward jobsTues: WR, Ward jobsWed: WR, F1 teaching, ward jobsThurs: WR, Ward jobsFri: Discharge meeting, Grand round, Ward jobsSat: Sun:

On call requirements: (14 week rotating rota, one set of long weekdays, one set of weekday nights, 2 sets of weekend days, one set of weekend nights on call)


Hampshire Hospitals Foundation NHS TrustRoyal Hampshire County Hospital

Individual Placement (Job) Description

PlacementPsychiatry (Mother and baby ) F1

The department Melbury Lodge


Mon – consultant supervision; ward workTues – ward round with consultant & MDTWed. -, Protected Foundation Programme Teaching at RHCH pm Thursday – community MDTFriday – consultant clinic/ward work


Melbury Lodge, Hampshire Perinatal service and Winchester mother and baby unit

Clinical Supervisor(s) for the placement Dr Alain Gregoire

Main duties of the placement Ward work = tasks from ward rounds / reviews, seeing patients

who are unwell, new admissions and reviewing patients regularly. Attending multidisciplinary meetings. Writing summaries to patients and professionals.


As above

Employer informationHampshire Hospital NHS Foundation Trust


Hampshire Hospitals Foundation NHS TrustRoyal Hampshire County Hospital

Individual Placement (Job) Description

PlacementPsychiatry (Old Age) F1

The department Melbury Lodge


Mon - ward round, ward workTues - am Ward work pm Admin / auditWed. - Family meetings CPA am, Protected Foundation Programme Teaching at RHCH pm Thursday - am, ward work. pm - liaison (see patients with Dr Badrakalimuthu ) Friday - am, liaison meeting, present case to Dr Badrakalimuthu pm. Ward work


Melbury Lodge

Clinical Supervisor(s) for the placement Dr Katie Clyde

Main duties of the placement Ward work = tasks from ward rounds / reviews, seeing patients

who are unwell, new admissions and reviewing patients regularly


As above

Employer informationHampshire Hospital NHS Foundation Trust




Placement F1 - Respiratory MedicineThe department The respiratory medicine department is led by three respiratory

consultants supported by specialist respiratory nurses and pulmonary function technicians.

Aside from daily inpatient care, there are regular bronchoscopy and thoracoscopy lists and outpatient clinics at both RHCH and Andover Hospital. Patients attend as day case for procedures including venesection and lung biopsy. The team is working to build links with the community, in particular with a community based integrated respiratory serviceThe team consists of 3 consultants, 2 Specialist registrars ( 1 training in respiratory medicine , 1 training in acute medicine), 2 core medical trainees and 3 FY1s.


Daily ward roundsPractical procedures including pleural aspirations and chest drainsExperience of non invasive ventilationOnce weekly bleep free teaching session which all Foundation trainees are expected to attend.Opportunity to attend lung cancer multidisciplinary team meeting, fornightly respiratory team educational meeting, fortnightly medical grand round and fortnightly radiology educational meeting.


Royal Hampshire County Hospital, Shawford Ward


Dr Grove, Dr Owen, Dr Jullian


Daily consultant ward rounds ( Monday to Friday)Daily job lists will be created on the rounds, and jobs allocated to each team member and prioritized. The rest of the day consists in ensuring each task is complete and outstanding tasks or results are fully followed through before the next consultant ward round.

Jobs may include, clerking elective admissions, perfoming practical procedures eg blood gases, discharge summaries, speaking to relatives, liaising with other teams, arranging investigations and checking blood tests and results. House officers are also in charge of creating the patient list before each ward round every morning.


Standard day: 0900-18.00

On call: weekdays 9.00-21.30

Weekends: 9:00-21.30 either ward cover or Medical

Assessment Unit

Nights: block of 4 during week nights or 3 on weekend nightsOn call requirements: 1:3



Documents

Hampshire Hospitals NHS Foundation Trust - … Combined JD's.docx · Web viewHampshire Hospitals NHS Foundation Trust (Winchester) Individual Placement (Job) Descriptions for Foundation