Rotation 1
Acute Internal Medicine
Dr C Subbe
ES/CS:
What type of work to expect and learning opportunities:
The FY2 will be part of the Acute Medicine team looking after acute admissions and patients in ambulatory
care. Trainees are supported by daily ward rounds of the consultant acute physicians.
The Acute Medicine firm is (kind of) famous for our research output - from working with world leading
technology companies to hosting the national audit in acute medicine to testing new ways of working with
patients to deliver better care.
We love having trainees and hope that the FY2 will be willing to share their knowledge with the FY1s, the 3rd, 4th and 5th year medical students and the Physician Associate students that we are regularly our guests.
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
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: PGCert
114a(SP)
114b(SP)
114c(SP)
Rotation 1
Geriatric Medicine (COTE)
ES/CS:
Dr Sion Jones / Dr Sally Jones / Dr S Elghenzai
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
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
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.