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
Haematology & Oncology
ES/CS:
Dr A Mullard
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
Tuesday
Junior Ward Round. Day Unit
Wednesday
Haem MDT. Staff Grade Ward Round. Day Unit
Thursday
Consultant Ward Round. Day Unit
Friday
Junior Ward Round. Day Unit
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:
135a
135b
135c
Rotation 1
Gastroenterology
ES/CS:
Dr J Sutton / Dr K Radwan
What type of work to expect and learning opportunities:
You will be part of a large team- - 4 Consultants, 5 Middle Grades, 3 SHOs and 3 FY1s.
We look after a wide range of acute and chronic gastrointestinal disorders as well as general medical conditions. Although mainly ward based, as the team has expanded, we will be able to offer clinic exposure and the opportunity to experience the work of the endoscopy department. We have a regular weekly departmental teaching session, as well as MDTs which provide valuable learning opportunities.
Your Main Duties:
To assist in the day to day care of 24 Gastroenterology and general medical patients.
Your typical working pattern in this placement could be:
Monday
Consultant
Tuesday
Middle Grade Ward Round Ward Work
Wednesday
Ward Work
Clinic
(supernumery)
Thursday
Consultant Ward Round
Friday
Ward Work
Endoscopy
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
Breast Surgery
ES/CS:
Miss M. J. Hwang
What type of work to expect and learning opportunities:
The Department of Breast Surgery at YG comprises of 2 consultants. There is one F2 in the
department allocated to the two consultants. During this rotation you will gain exposure to and experience in the management of common benign and malignant breast disease. The
placement will allow you to develop the majority of the competencies required in the curriculum.
Clinical duties are as follows:
• Initial assessment of internal referral and management of breast infection in the acute setting
• Maintaining hospital notes and drug charts
• Prescribing drugs
• Preparing patients for surgery
• Exposure to breast surgery in the operating theatre
• Preparing discharge summaries
• Initial assessment and management of ward patients who become unwell
• Assisting in ward rounds
• Exposure to outpatient clinic activities
• Requesting investigations, documenting results and acting upon them
• Communication with patients and their relatives
• Participation in audit and governance meetings
• Exposure to Multidisciplinary Team Meetings
• Team working
• Fulfil work based assessment requirements of the placement e.g. CBD, mini CEX, DOPs
• Participation on the general on call rota
Your typical working pattern in this placement could be:
You will attend weekly clinics, MDT meetings and theatre sessions and review acute internal referrals with supervision from the consultant and Breast care nurses.
You will participate in a 1 in 8 on-call day time rota with the general surgical team
There are no night duties in this post.
It is important to note that this description is a typical example of your placement and may be subject to change.