Rotation 1
Geriatric Medicine (COTE)
Dr Sion Jones / Dr Sally Jones / Dr S Elghenzai
ES/CS:
What type of work to expect and learning opportunities:
• General Medicine • MDT working • Medical Grand Rounds • Ward Rounds • COTE Teaching • Acute unselected takes • Medical Emergencies
In Care of the Elderly medicine, we care for older people with a wide variety of acute medical presentations, as well as the ‘geriatric giants’ of falls, frailty and delirium. Two of our consultants sub-specialise in Movement Disorders, and our foundation doctors will therefore also gain experience in the management of people living with Parkinson’s and related conditions. We also have an acute stroke unit, and when on this ward, you will also have the opportunity to learn about Thrombolysis in stroke, Thrombectomy and treatments of acute TIA, complications of stroke, principles of rehabilitation and begin to interpret CT images.
Where possible, we aim to give our foundation doctors the opportunity to spend time on both our general Care of the Elderly Ward (Glaslyn) as well as our stroke ward (Prysor). Multi-disciplinary team working is a vital component of medicine for older adults, and you will experience being part of the MDT. You will also form part of the acute medical on call rota during this post, providing you with experience in a wide range of unselected acute medical presentations.
Your Main Duties: • MDTs • Managing acute medical problems • Ward Rounds • Managing frailty and complexity • Discharge Planning
Your typical duties during this placement will include:
• Taking part in Consultant and SpR led ward rounds.
• Responsibility for ongoing care of inpatients in between senior ward rounds, with support of the rest of the team as required.
• Communication with patients and their carers.
• Take an active role in the MDT, liaising and working with other professions (such as nursing, therapy and social work) to provide holistic care to our patients
• Attend weekly department teaching, as well as the organised foundation teaching.
• On call duties as per the medical rota.
• You may also wish to take the opportunity to attend specialty clinics when staffing levels allow.
On call duties will be as part of the acute, unselected medical take.
There are no night duties and it will attract a 1B banding.
It is important to note that this description is a typical example of your placement and may be subject to change.
Rotation 2
Respiratory Medicine
ES/CS:
Dr N Skehan
What type of work to expect and learning opportunities:
During your time with us you will work as part of a friendly team on a busy General Internal Medicine and Respiratory ward. You will learn about the management of acute and chronic respiratory diseases in a supportive training environment.
Your typical working pattern in this placement could be:
Monday
Consultant Ward Round
Tuesday
Ward Work/ Mandatory Training
Wednesday
Board Round/ Ward Work
Thursday
Consultanty Ward Round/Radiology
Friday
Ward Duties/ Grand Round
On call duties will be as part of the acute, unselected medical take.
There are no night duties and it will attract a 1B banding.
It is important to note that this description is a typical example of your placement and may be subject to change.
Rotation 3
Colorectal Surgery
ES/CS:
Mr B Chaudhary / Mr A Lala / Mr C Holden / Mr G Whiteley / Mr T Garsaa / Mr N Abdullah
What type of work to expect and learning opportunities:
The Department of General and Colorectal Surgery comprises of 8 consultants. There are 4 F1s in the
department, each of whom is allocated to a team of two consultants. During this rotation you will gain
experience in the management of common acute and elective General and Colorectal conditions. The
placement will allow you to develop the majority of the competencies required in the F1 curriculum.
Clinical duties are as follows:
• Initial assessment and management of emergency surgical admissions
• Maintaining hospital notes and drug charts
• Prescribing drugs and IV fluids
• Requesting referrals to other services
• Exposure to surgery in the operating theatre
• Initial assessment and management of ward patients who become unwell
• Assisting with ward rounds
• Preparing discharge summaries
• Preparing patients for surgery
• Participation in audit and morbidity /mortality presentations
• Communication with patients and their relatives
• Requesting investigations, documenting results and acting upon them
• Team working • Fulfil requirements of the placement e.g. CBD, mini CEX, DOPs
Your typical working pattern in this placement could be:
You will participate in a 1 in 8 on-call day time rota with your own team and remain with the same team to
support post-take ward work. This allows you to experience the whole patient journey while managing
common acute surgical conditions. Once every 4 weeks, you will be allocated time to join the operating
theatres, endoscopy and clinics with your clinical supervisor.
There are no night duties and this post attracts a 1B banding.
It is important to note that this description is a typical example of your placement and may be subject to change.
F2
Post Numbers:
103a
103b
103c
Rotation 1
Emergency Medicine (ED)
ES/CS:
Dr R Talbot / Dr R Griffiths / Dr R Perry
What type of work to expect and learning opportunities:
You will work as part of the Emergency Department’s multi-disciplinary team which includes consultants, SHOs (F2, ACCS, GP training and “F3”), Middle grades/Registrars, Emergency and Advanced Nurse Practitioners, Physiotherapists and many more.
You will see patients with a wide range of acute and emergency presentations and have the opportunity to experience everything from the management of minor injuries to the resuscitation of some of the sickest patients in the hospital. Getting to see everything from small babies to the old and frail, this post will give any doctor a good foundation for their future career.
You will be encouraged to attend the department’s weekly junior doctor teaching programme as well as being given opportunities to be involved in monthly mortality and morbidity meetings, audit and other governance related activities.
Your Main Duties:
In the morning, you will accompany the consultant on the department’s five bedded observation unit ward round. Once the ward round is done and any jobs completed, there should plenty of time for you to see new patients in the Emergency Department (ED), under supervision. Depending on the day you could be working in Minors, Paediatrics, Majors or Resus.
Your typical working pattern in this placement could be:
In the morning, you will accompany the consultant on the department’s five bedded observation unit ward round. Once the ward round is done and any jobs completed, there should plenty of time for you to see new patients in the Emergency Department (ED), under supervision. Depending on the day you could be working in Minors, Paediatrics, Majors or Resus.
This job is 9-5 Monday to Friday and therefore unbanded. There is sadly no possibility for you to pick up locum shifts in the ED, however there may possibilities for extra internal locum F1 shifts in medicine or surgery if they are short.
It is important to note that this description is a typical example of your placement and may be subject to change.
Rotation 2
Intensive Care
ES/CS:
Dr C Thorpe
What type of work to expect and learning opportunities:
4 months in intensive care will give you the chance to join an enthusiastic cheerful team and develop your skills in looking after critically ill patients.
You will be extremely well supported and will be an integral part of the team. You will learn loads and have a great time – the unit is a perfect size and we see a wide range of patients but not be overwhelming.
It is important to note that this description is a typical example of your placement and may be subject to change.
Rotation 3
Psychiatry
ES/CS:
Dr E Van Diepen
What type of work to expect and learning opportunities:
The placement is in Cemlyn ward in Llangefni Hospital, which is a Dementia Assessment Unit. The trainees are involved in assessing and looking after patients with cognitive impairment complicated by psychological and behavioural problems. They will be working in a multi-disciplinary team with nurses, physiotherapists, occupational therapists, input from psychologists and psychiatry.
There will be options to participate in special interest placements for example community old age psychiatry.
The on call commitments consist of being part of the psychiatric on call rota.
It is important to note that this description is a typical example of your placement and may be subject to change.