Rotation 1
Endocrine and Diabetes
Dr T Wilton
ES/CS:
What type of work to expect and learning opportunities:
Mostly ward rounds and ward-work, opportunities to go to clinic with Dr Wilton/Registrar/Clinical Fellow if desired. You will often see referrals with Dr Wilton and will see a lot of interesting endocrinology patients. You will gain confidence in managing diabetes, addison’s, thyroid disease and many other endocrinological presentations. You will gain confidence in conducting solo ward rounds.
Your Main Duties:
Working in a small but very supportive team, Dr Wilton will always be available to answer questions or to
review patients if you are worried.
Your typical working pattern in this placement could be:
Monday
Consultant Ward Round
Tuesday
Registrar/ Clinical Fellow Ward Round
Wednesday
Junior Ward Round
Thursday
Consultant Ward Round
Friday
Junior Ward Round/Consultant Board Round
On call requirements:
Medical on Calls- 4-5 weekends/4 months (some 13:00-21:00 ward cover, some 8:00-21:00 MAU). Also occasional 08:00-21:00 weekdays on MAU (about 1 in 10).
It is important to note that this description is a typical example of your placement and may be subject to change.
Rotation 2
Oncology & Palliative
ES/CS:
Dr H Dassanayake / Dr A Mullard / Dr H Mitchell
What type of work to expect and learning opportunities:
During your 4 month rotation, you will gain experience in both oncology and haematology. Flexibility and team work on Alaw ward are key, and with your colleagues, you will support one another to ensure patients are seen and tasks completed. You will gain experience in the complications of cancer, its treatment as well as end of life care. As well as the main inpatient unit, you will gain experience in the day therapy unit as well as the new oncology assessment unit. By the end of the placement you will have improved your knowledge, skills and confidence in general oncology, haematology, oncological emergencies and end of life care, including difficult conversations and when to refer to the specialist palliative care team for support. You will be welcome and encouraged to attend clinic in the afternoons when the ward is well staffed.
Your Main Duties:
Ward rounds and work and Clerking/Reviewing patients on the Day Unit. Leading the twice daily board rounds.
Your typical working pattern in this placement could be:
Ward rounds and work and Clerking/Reviewing patients on the Day Unit. Leading the twice daily board rounds.
Haematology
Monday
Consultant Ward Round. Blood Film MDT. Day Unit RV
Tuesday
Junior Ward Round. Day Unit RV
Wednesday
Haem MDT. Staff Grade Ward Round. Day Unit RV
Thursday
Consultant Ward Round. Day Unit RV
Friday
Junior Ward Round. Day Unit RV
Oncology
Monday
Full Consultant Ward Round
Tuesday
Consultant support & Board Round
Wednesday
Half Consultant Ward Round
Thursday
Junior/ Clinical Fellow Ward Round
Friday
CUP MDT. All Consultants see their patients Pall Care Ward Round
On call requirements:
Medical on Calls- 4-5 weekends/4 months (some 13:00-21:00 ward cover, some 8:00-21:00 MAU). Also occasional
08:00-21:00 weekdays on MAU (about 1 in 10)
The Onc/Haem Consultants do weekend on-calls on Alaw and RV all patients.
It is important to note that this description is a typical example of your placement and may be subject to change.
Rotation 3
General 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:
Special Experience: MRes
113a(SP)
113b(SP)
113c(SP)
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
Renal Medicine
ES/CS:
Dr F Muhammad / Dr A Alejmi
What type of work to expect and learning opportunities:
During your time with us you will:
• Learn how to assess and manage AKI • Renal pharmacy including immunosuppressants and nephrotoxic medications
• Opportunities to participate in clinical audit • Learn how to manage CKD complications
• Observe and potentially perform a temporary dialysis line insertion • Basic principles of HD/PD/transplant
• Learn how to manage medical emergencies in general medicine
Your Main Duties:
• Daily inpatient care for general medicine and nephrology • Arrange investigations • Discussions with relatives
Your typical working pattern in this placement could be:
Monday
Consultant Ward Round
Tuesday
Registrar Ward Round Departmental Teaching
Wednesday
SHO Ward Round
Thursday
Consultant Ward Round
Friday
Registrar Ward Round
Sat/ Sun
Only applicable if on-call for medicine
On call requirements: On-call for general medicine as per rota.
It is important to note that this description is a typical example of your placement and may be subject to change.
Rotation 3
Sexual Health
ES/CS:
Dr U Andrady
What type of work to expect and learning opportunities:
As part of the academic F2 programme in YG, the trainees spend 4 month in the department of Sexual Health and HIV, based in Menai Unit, YG. The department has two Consultants – Dr Ushan Andrady, Consultant in Genitourinary Medicine/HIV and Dr Meena Sethupathi, Consultant in Integrated Sexual Health/HIV. The department has a dynamic clinical team comprising of Specialty Doctors, ST3/4, specialist nurses and HIV pharmacist managing all STIs, contraception and both outpatient and inpatient HIV care.
The trainee will be working alongside this friendly team in outpatient clinics, gaining broader clinical experience in GU Medicine, Contraception and HIV. The department is actively involved in both undergraduate and postgraduate teaching, clinical audit and research.
The trainees have the opportunity to attend both regional and national audit group meetings and undertake speciality audits. The department delivers the nationally accredited STI Foundation course in North Wales and also an approved centre for STI competency training in Wales. There are close links with Liverpool Sexual Health, HIV, Infectious Diseases and School of Tropical Medicine and Liverpool HIV Pharmacology group via Mersey, Cheshire and North Wales HIV clinical Network. Trainees have the opportunity to attend both Liverpool and North Wales HIV MDT meetings and also to undertake joint clinical research projects.
The department runs an annual sexual health awareness campaign throughout the month of September (www.sextember.org). The trainee will have the opportunity to get involved with this exciting and innovative campaign!
It is important to note that this description is a typical example of your placement and may be subject to change.