Hampshire Hospitals NHS Foundation Trust (Basingstoke and North Hampshire) Individual Placement (Job) Descriptions for Foundation Year 2 Placement The department The type of work to expect and learning opportunities

F2 Elderly Care Medicine (Elderly care)

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Participate in the weekly MDT meeting and also take part in facilitating up discharge planning. Expected to see patient daily on the ward rounds, request investigations, review them and initiate appropriate treatment where necessary. Expected to do some simple procedures like cannulation and catheterization. Take part in the on call duty rota where we see and clerk patients coming through the AAU and also review the sick patients on the ward. The learning opportunities include the daily interaction with patients and trying to sort out the problems, consultant ward rounds, clerking and examining patients coming in through the acute on take list. Weekly meetings on Tuesday where different teams do a case presentation or medical journal review. Also FY2/FY1 combined teachings on Wednesday where we are taught the common medical problems and how to manage them.

Where the placement is Basingstoke and North Hampshire Hospital based Clinical Supervisor(s) Dr Arianayagam for the placement Main duties of the - See patients daily on the ward round, request placement investigations, review them and initiate treatment. - Speak to patients relatives about their management. - Chase up discharge planning. - Do some common procedures like cannulas and catheterization. - Oversea the FYI doctors working in the same team. Typical working pattern Normally 9-5pm daily in this placement 1 week clerking in AAU On call normally 9am- 9pm almost once a week. Weekend week day clerking 8.30 to 9.00pm (1 in 12wks) or 8.30pm- 9am if it’s a weekday night shift or weekend night. (1 in 6 weeks). Departmental teaching Tuesday 1pm. Combined FY1 &FY2 teachings Wednesday 1pm. Employer information Hampshire Hospitals NHS Foundation Trust

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

Hampshire Hospitals NHS Foundation Trust (Basingstoke and North Hampshire) Individual Placement (Job) Descriptions for Foundation Year 2 Placement The department

F2 Emergency Department The Emergency Department comprises of 8 consultants – shared between the Basingstoke and Winchester site, with multiple middle grades who are also working between both sites. The SHO/FY2 currently only work in Basingstoke and are not expected to work at both sites.

The type of work to Anything and everything! Assessing and treating varied expect and learning patients, ranging from minor injuries, medical and surgical opportunities patients, fractures, trauma, advanced life support and most things inbetween. You will be expected to achieve the objectives of the F2 year.  Take a history and examine a patient  Identify and synthesise problems  Prescribe safely  Keep an accurate and relevant medical record  Manage time and clinical priorities effectively  Communicate effectively with patients, relatives and colleagues  Use evidence, guidelines and audit to benefit patient care  Act in a professional manner at all times  Cope with ethical and legal issues which occur during the management of patients with general medical problems  Educate patients effectively  Become life-long learners and teachers. Where the placement is Basingstoke and North Hampshire Hospital Emergency based Department Clinical Supervisor(s) Sunil Rabheru for the placement Main duties of the Seeing, assessing, treating and referring patients as required. placement The F2 doctor is responsible with other staff for the care of patients and the maintenance of the patient’s medical record, with main duties being. They are expected to attend the structured teaching programmes provided by the department. The doctor will be responsible for such other specific clinical duties as allocated by consultants including performing other duties in occasional emergencies and unforeseen circumstances. Typical working pattern A fixed rotating 8 week rota – working 10 hour days, working

in this placement

between minors, majors and resus, depending on where there is a need for patients to be seen within the 4 hour breach time. Shift Pattern: 8am – 6pm 10am – 8pm 12pm – 10pm 4pm – 2am 10pm – 8am Covering weekdays and weekends. Typically working 7 consecutive days on, followed by 2-4 days off. Included in the 8 week rota is a 9 day block of days off which includes annual leave allocation. Each Thursday a 2 hour Foundation Doctor teaching session takes place at 16:00.

Employer information

Hampshire Hospitals NHS Foundation Trust

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

Hampshire Hospitals NHS Foundation Trust (Basingstoke and North Hampshire) Individual Placement (Job) Descriptions for Foundation Year 2 Placement The department

F2 ENT 3 consultants 1 associate specialist 1 staff grade F1/F2 Nursing staff

The type of work to Ward round daily of elective patients, rv and discharge post op expect and learning patients, F1/F2 led emergency clinic 3x/week opportunities Paediatric pre-assessment 2x week General Surgical on calls Plenty of opportunity to sit in on consultant clinics and theatres Where the placement is based Clinical Supervisor(s) for the placement Main duties of the placement Typical working pattern in this placement

Royal Hampshire County Hospital, Winchester

Employer information

Hampshire Hospitals NHS Foundation Trust

Consultant As above 8-5 ENT General Surgical on call – approx 1 eve per week, 1 weekend day in 4, 1 set of nights a month.

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

Hampshire Hospitals NHS Foundation Trust (Basingstoke and North Hampshire) Individual Placement (Job) Descriptions for Foundation Year 2 Placement The department

F2 General Practice 1 General Practice in an urban setting. The practice has seven partners and 3 associate GPs.

The type of work to Undertaking patient consultations, supervised by GPs. There is expect and learning also the opportunity to sit in with specialist nurses in chronic opportunities disease management and women’s health. Where the placement is based Clinical Supervisor(s) for the placement Main duties of the placement

Hackwood GP practice Dr Sue Bowen Performing patient consultations including history taking and examination. Identify and manage patient’s problems and concerns. Deal with a range of acute and chronic medical conditions and patient’s of all ages. Prescribe medication safely, including reviewing regular medications.

Typical working pattern Mon: in this placement Tues: Wed: Thurs: Fri:

Morning clinic, Home visits, afternoon clinic Morning clinic, Home visits, afternoon clinic Morning clinic, PM teaching session Morning clinic, Home visits, afternoon clinic Morning clinic, Home visits, afternoon clinic

On call requirements: nil Employer information

Hampshire Hospitals NHS Foundation Trust

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

Hampshire Hospitals NHS Foundation Trust (Basingstoke and North Hampshire) Individual Placement (Job) Descriptions for Foundation Year 2 Placement The department

F2 General Practice 2 GP – Holmwood Health Centre in Tadley. A reasonably large partnership catering to around 20,000 patients. Mostly run by full time partners. Also employed – practice nurses, pharmacy. Facilities for minor ops, asthma assessment and routine GP consultation are present. Twin practice at Moorland has flexible Sigmoidoscopy.

The type of work to After period of induction FY2 doctor has chance to run own expect and learning clinic on daily basis, seeing new, emergency and follow up opportunities patients. Activities within these include: Consultation, history, examination, prescribing, chance to work alone (supervisors very available), improve knowledge of minor illness, wide range of skills used, communication skills. Minor procedures, managing chronic illness. Working under time constraints. Where the placement is based Clinical Supervisor(s) for the placement Main duties of the placement

Holmwood Health Centre - Tadley Dr C Caren As above: Consultations, home visits, prescribing and all other activities listed.

Typical working pattern Mon: in this placement Tues: Wed: Thurs: Fri: Sat: Sun:

GP surgery + home visits GP surgery + home visits GP surgery/audit work + hospital teaching GP surgery + home visits GP surgery + home visits nil nil

On call requirements: nil Employer information

Hampshire Hospitals NHS Foundation Trust

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

Hampshire Hospitals NHS Foundation Trust (Basingstoke and North Hampshire) Individual Placement (Job) Descriptions for Foundation Year 2 Placement F2 Hepatobiliary Surgery The department Surgery The type of work to Theatres, ward cover, acute surgical on calls. expect and learning opportunities Where the placement is c floor surgery based Clinical Supervisor(s) Mr. M. Rees, Ms. F Welsh, Mr. B Cresswell for the placement Main duties of the Assisting in theatres, ward cover, acute surgical on call. placement Typical working pattern 8 to 5 with 1B banding in this placement Employer information Hampshire Hospitals NHS Foundation Trust It is important to note that this description is a typical example of your placement and may be subject to change.

Hampshire Hospitals NHS Foundation Trust (Basingstoke and North Hampshire) Individual Placement (Job) Descriptions for Foundation Year 2 Placement The department

F2 Paediatrics The Paediatric Department comprises 3 main working areas – Charlie’s Day Unit where acute paediatric cases are seen (either GP, ED or community referrals), G2 ward which is the main inpatient ward for paediatrics, and the neonatal unit, which also includes deliveries and the postnatal ward. The department is linked with tertiary centre in Southampton, but also with Great Ormond Street and London hospitals.

The type of work to The rota is a rolling rota including: expect and learning - Ward week – based on the inpatient ward opportunities - CDU week – long days clerking on the assessment unit - Neonates and postnates – neonatal unit, deliveries and newborn baby checks on postnatal ward - Clinic days – 3 days allocated to attend clinics for learning opportunity - Nights and weekends on call There is also a fixed teaching rota with journal club presentations and case presentations, as well as SpR and Consultant led teaching and ED scenario teaching regularly. Where the placement is G floor and Sherbourne building, Basingstoke and North based Hampshire Hospital. Clinical Supervisor(s) for the placement Main duties of the placement

All consultants work as clinical supervisors to Foundation doctors (random allocation). The F2 doctor is on the Foundation doctor rota as above, and is responsible for organizing handover 3 times daily (08:30, 16:30 and 21:00). The other responsibilities are to attend the ward round, see new patients on arrival to the department, carry out neonatal checks and other jobs as required by senior staff. Typical working pattern 7 week rolling rota: in this placement - G2 ward week - NNU/postnatal week - CDU clerking week - Monday to Thursday nights - Clinic Mon to Weds, with nights Fri to Sunday - Weekend on call precedes G2 ward week - Fixed annual leave On call requirements: 2 weekends in 6. CDU week is 13 hour days on call. Employer information

Hampshire Hospitals NHS Foundation Trust.

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

Hampshire Hospitals NHS Foundation Trust (Basingstoke and North Hampshire) Individual Placement (Job) Descriptions for Foundation Year 2 Placement The department

F2 Respiratory The Department of Respiratory Medicine is compromised of 2 consultants; both are part of the acute general medical on-call rota. They also provide specialist respiratory service including NIV and sleep medicine, lung cancer, airway disease, interstitial lung disease and TB. The department has a multidisciplinary approach and is supported by 2 respiratory specialist nurses, a lung cancer coordinator and a chest physiotherapist. There is a weekly bronchoscopy list and each consultant has 3 clinics a week. There are regular departmental teaching with emphasis on audit and research. The department is closely linked with the thoracic surgery department in Oxford, John Radcliff hospital.

The type of work to The F2 Doctors will be part of the respiratory team and will expect and learning provide patients care for all in-patients under the care of opportunities respiratory. They will deliver the daily medical care, including assessment and management. They are expected to gain specialist respiratory knowledge and will have a chance to perform respiratory based procedures such as spirometry, pleural aspiration and chest drain insertion (under supervision). The overall educational objectives of the F2 year are to provide the trainee with the knowledge, skills and attitudes to be able to:  Take a history and examine a patient  Prescribe safely and design a management plan  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  Provide education and support to the F1 on the team. Where the placement is based Clinical Supervisor(s) for the placement Main duties of the placement

Basingstoke and North Hampshire Hospital Will be allocated. The F2 doctor is responsible with the other members of the team for the ward care of patients and the maintenance of the patient’s medical record. They will have the opportunity to work with the consultants in outpatients clinics and will conduct the

ward discharge clinic regularly. They are expected to attend the structured teaching programmes provided by the department and the trust. The doctor will be responsible for other specific clinical duties as allocated by consultants, including the occasional emergencies and unforeseen circumstances. They are going to be part of the junior doctor’s on-call roster and will provide cover for the medical assessment unit as per rota. Typical working pattern (Based on 09:00 to 17:00)* in this placement There is a daily ward round at 0900 followed by a lunch time trust teaching on Tuesday and Wednesday with MRCP teaching on Thursday. The afternoon generally is to carry on duties as advised and to provide ward cover. On Wednesday morning there is an X-Ray teaching session and fortnightly in the morning there will be a discharge clinic. Thursday morning is the lung cancer, with the afternoon for either ward cover or audit/research depending on the clinical duties. Friday morning is departmental teaching followed by the ward round and the afternoon for ward cover. *On call requirements as per Rota Employer information

Hampshire Hospitals NHS Foundation Trust

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

Hampshire Hospitals NHS Foundation Trust (Basingstoke) Individual Placement (Job) Descriptions for Foundation Year 2 Placement The department

General Adult Psychiatry FY2 General Adult Psychiatry Parklands Hospital, Aldermaston Rd, Basingstoke RH24 9RH

The type of work to expect and learning opportunities

The post involves the assessment and treatment of acute general psychiatry patients in an open psychiatric ward environment. There are daily opportunities to learn about common presentations of acute mental illness, the assessment process involved including how to assess mental states and the appropriate use of medication, psychological treatments and ECT. Liaison with families and other mental health professionals will provide many learning opportunities. The unit runs regular journal clubs and case conferences and there are opportunities to be involved in learning about some

psychological treatments too. The unit has patients detained under the mental health act and this will help in the understanding of the use of the Mental Health and Mental capacity acts and the overlap between the two. The job provides a good grounding in the importance of multidisciplinary working with a wide variety of professionals Exposure to both community and inpatients Where the placement is based

Parklands Hospital Basingstoke

Clinical Supervisor(s) Dr Leena Roy/ Dr Raja Badrakalimuthu for the placement Main duties of the placement

Typical working pattern in this placement

The doctor will admit and clerk in patients, taking a full history and completing mental state and physical examinations. The doctor will be responsible for assessing and monitoring the progress of the patients, doing case summaries and liaising with families and other mental health professionals. They will be responsible for the patients physical health monitoring. The doctor will take their turn at case conferences and journal club presentations. The doctor will do day duties and on call as part of a rota. The doctor will work under the supervision of Dr Raja Badrakalimuthu

9-5pm on weekdays and on call commitments for day and night cover.Typical working pattern in this post eg.ward rounds clinics ,theatre sessions Daily /weekly/monthly (if applicable) Mon:OPMH Liaison-Team meeting at 9.00am , referral discussion and assessment of patients , Memory Clinics in the afternoons Tues: OPMH Liaison –Team meeting at 9.00am , referral discussion and assessment of patients . Wed: OPMH Liaison –Team meeting at 9.00am , referral discussion and assessment of patients . Academic Teaching 09:15-12:30, FY teaching 13.00-14.00 Thurs:OPMH inpatient wards. Ward round on Elmwood Ward. Fri:OPMH inpatient wards , Ward round on Beechwood Ward . ECT Rota – Monday sessions from 10/08/2015 – 07/09/15

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.

Hampshire Hospitals NHS Foundation Trust (Basingstoke and North Hampshire) Individual Placement (Job) Descriptions for Foundation Year 2 Placement The department

FY2 HBP Surgery and General Surgery on call

The type of work to expect and learning opportunities Where the placement is based Clinical Supervisor(s) for the placement Main duties of the placement

Ward work , Theatre experience , Clinics (General surgery )

C, Floor , Basingstoke and North Hampshire Hospital Mr M Rees , Miss F Welsh , Mr B Cresswell, Mr T John Ward Duties Attending Clinics –seeing patients Assisting in Theatres Supervising FY1’S and assisting with medical issues

Typical working pattern Typical working pattern in this post e.g. ward rounds, clinics, in this placement theatre sessions Daily/weekly/monthly (if applicable) Mon: Am – SpR ward round , theatre all day Pm - Consultants ward round Tues: Am- SpR ward round , Clinics Lunchtime MDT Pm- Theatre /Ward duties Wed: Am -SpR Ward rounds , Theatre Ward duties Pm- Ward duties Thurs: Am –SpR ward round , all day theatre Pm – Consultant Ward round and Ward duties Fri: Am- M & M meeting , SpR Ward round , theatre Pm – Ward duties Time spent in Theatre dependant on availability of registrars and how many FY1’S in (max 3 min 0 (rare)), but expectation of significant theatre attendance Also responsible for coordinating Rota (13 FY1/FY2,s) Opportunity for endoscopy alternate weeks On call requirements: 4 x Mon-Thur on call early x 2 /Late shift x 1 /Nights x 1 2xFri-Mon nights, 2 x Fri-Sun days On call Rota FY1’S so almost exclusively ward duties Employer information

BNHH

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

Hampshire Hospitals NHS Foundation Trust (Basingstoke and North Hampshire) Individual Placement (Job) Descriptions for Foundation Year 2 Placement The department

F2 Trauma and Orthopaedics

Trauma and Orthopaedics The type of work to Assessing patient in Fracture Clinic expect and learning Attending and assisting in theatre sessions opportunities Opportunities to perform suturing /Joint injections in theatres/plastering Clerking trauma patients Ward rounds Assisting FY1 with both Orthopaedics and medical problems /queries Audit and research projects

Where the placement is Orthopaedic department , Basingstoke and North Hampshire based Hospital Clinical Supervisor(s) Allocated at start of rotation for the placement Main duties of the Assisting in theatres placement Providing a link between FY1 and senior doctors Overseeing and assisting FY1 Doctors Teaching medical students Clinic attendance Typical working pattern Typical working pattern in this post e.g. ward rounds, clinics, in this placement theatre sessions Daily/weekly/monthly (if applicable) Mon: Am – Orthopaedic Clinic Pm – Wards , F1 Teaching session Tues: Theatres all day Wed: Am – Wards /Theatre Pm - Wards Thurs: Am- Fracture Clinic and Theatres Pm- Registrar Teaching Sessions Fri: Am – Departmental meeting /Ward round Pm – Wards/Audit Sat: Consultant Sun: on call (1/4 Sundays) On call requirements: On call every Thursday 5pm-9pm and 1 in 4 Sunday from 8am-9pm Employer information

BNHH

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

Hampshire Hospitals NHS Foundation Trust (Basingstoke and North Hampshire) Individual Placement (Job) Descriptions for Foundation Year 2 Placement The department

F2 Cardiology Medicine

The type of work to General ward duties, general medical on-calls, scheduled expect and learning teaching: compulsory F2 teaching and medical grand rounds, opportunities also SpR and consultant teaching during ward rounds. Where the placement is based Clinical Supervisor(s) for the placement Main duties of the placement

Basingstoke and North Hampshire Hospital Dr Brookes, Dr Glover, Dr Freestone Ward duties (review new/current patients triaged to cardiology team as well as general medicine patients, ward based jobs), cardioversions, requesting investigations and interventions.

Typical working pattern Mon-Fri 08:30-17:00/18:00 and medical on calls in this placement Employer information Hampshire Hospitals NHS Foundation Trust

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