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F1

Post Numbers:

116a
116b
116c

LIFT

116a - GP - ES /CS - Dr James Rigby - Gwynedd and Anglesey
116b - GP - ES /CS Dr Sioned Enlli - Caernarfon
116c - GP - ES /CS Dr Ceris Ap Gwilym - Bethesda

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 Older adults care we offer an experience in older people Neurological disease like Parkinson's disease, Dementia , Multisystem atrophy and Neuro-psychological disorders in older people. Acute Stroke care, some of the F1 may be given the opportunity to spend some time in the Excellent Acute Stroke Unit in YG.
You will learn about Thrombolysis in stroke, Thrombectomy and treatments of acute TIA, Stroke Complications and rehabilitation techniques etc.
You will also learn about CT interpretations.

Your Main Duties: • MDTs • Managing acute medical problems • Ward Rounds • Managing frailty and complexity • Discharge Planning

Your typical working pattern in this placement could be:
Typical working pattern in this post e.g. ward rounds, clinics, theatre sessions Daily/weekly/monthly (if applicable)
Monday
Ward Round (Independent) Ward Work
Tuesday
Consultant Ward Round MDT COTE Teaching Ward Work
Wednesday Thursday Friday
Ward Round (Independent) Ward Work
Thursday
Middle Grade Ward Round, Ward Work
Friday
Consultant Ward Round, 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 2

Urology

ES/CS:

Mr K Alexandrou

What type of work to expect and learning opportunities:
Mainly ward based as part of Urology team. Looking after inpatients and doing on-call for Gen Surgery/Urology. FY1 Teaching, Urology tutorials

Your Main Duties and typical working pattern in this placement could be:
Monday
Ward Round
Tuesday
Ward Round Clinic
Wednesday
Ward Round X Ray/ UrologyTeaching
Thursday
Ward Round Theatre
Friday
Ward Round
Sat/Sun
On Call (When rostered)

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



Rotation 3

Cardiology

ES/CS:

Dr M Payne / Dr A Azzu

What type of work to expect and learning opportunities:
Busy Medical/Cardiology ward receiving all common Cardiac emergency admissions (NSTEMI, heart failure, AF, valve disease, endocarditis) and unselected medical take patient from Acute Admissions Unit.
Excellent team supervision, Cardiology Educational Session Friday pm. Protected F1 Educational Sessions.

Your Main Duties:
• Attending morning Board/ Ward Rounds • Discharge advice letters • Monthly ward antibiotic audit
• Ward Work • Attend protected learning events • Arranging investigations and collating results with actions supported

Your typical working pattern in this placement could be:
Monday
Registrar Ward Round Ward Work
Tuesday
Consultant Ward Round Ward Work
Wednesday
Registrar Ward Round Ward Work
Thursday
Registrar Ward Round Ward Work
Friday
Consultant Ward Round Ward Work

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.



F2

Post Numbers:

102a
102b
102c

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

Anaesthetics

ES/CS:

Dr S Clements

What type of work to expect and learning opportunities:
Join a warm, welcoming and cohesive department. Leave with pride in having acquired the fundamentals to provide anaesthetic care to patients undergoing surgery.

A unique opportunity to have almost daily one-to-one teaching.
Learn or develop invaluable and transferable skills such as advanced airway and ventilation techniques, invasive line insertion, communication skills and team working under pressure. Weekly formal teaching sessions on Anaesthetics and ICM topics supplement knowledge learnt on the job.

You will be a member of the on call theatre and critical care teams and spend a two week attachment in critical care. You will gain confidence in working in multidisciplinary teams assisting the stabilisation of acutely unwell patients. You will hone your skills in delivering concise yet comprehensive handovers of patients.

You will also gain experience in Obstetrics, and Acute & Chronic Pain management. There is plenty of opportunity to be part of audits or quality improvement projects.

Above all, you will gain an insight into the varied and satisfying career that Anaesthesia and Critical Care has to offer.

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.



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