University Hospitals Plymouth NHS Trust Job Descriptions

Please click on the job titles below for individual job descriptions.  

 

University Hospitals Plymouth NHS Trust Job Descriptions

• F1 Adult internal Medicine (AMU) 2024

  	Plymouth Hospitals NHS Trust  Derriford Hospital, Plymouth
  Clinical Supervisor(s)	Dr Austin Hunt  Dr Chrissy Beasley  Dr Anna Wamsley  Dr Aileen Coupe   Dr Kate Evans  Dr Nirosha Gunatillake  Dr Anu Illangantilaka  Dr Reyan Elmubarak  Dr Mihaela Gunjaca  Dr Sara Osman
  Overview of team	The team consists of a wide range of different healthcare professionals; doctors of all levels, physician’s associates, nurses, HCAs, doctor’s assistants and an on the ward occupational therapy/ physiotherapy team.
  Nature of duties	AMU is a varied job with much more autonomy than many other F1 rotations. It is a fast-paced unit with patients constantly arriving and leaving throughout the day. They present with a wide range of conditions. You are well supported, with colleagues of all stages on the unit to ask for advice.   The work is split between AMU and ED currently. You will be reviewing patients under consultant supervision who have been referred to medicine and are responsible for facilitating their care and ensuring appropriate follow up of results.   The jobs aspect is similar to other ward-based rotations, with ward rounds, ordering investigations and discharges being the main part of your day. However, given the acute nature of AMU you are often asked to review patients as their condition changes. This makes it a great place to gain some experience and confidence managing the acutely unwell patient.  There are also many students of different professions that rotate through AMU, so there are plenty of opportunities for teaching if that is something you are interested in.    In summary, while AMU can be busy and stressful at times, you are working in a great team and the variety of workload makes it a very rewarding rotation.
  Rota / Shift pattern	You generally rotate with the other F1’s on a 4 week cycle with the additional of a week and weekend of nights. Weekend duty is 1 in 4.  For example:    Week 1: Take 08:00-17:00  Week 2: Ward round/ward work 08:00- 17:00  Week 3: Twilight (jobs) 16:00-23:00  Week 4: Late shift (PTWR/jobs) 09:00-18:00 with the weekend 8:00-16:00    Night Shifts: 21:30- 10:00
  Typical working week	There is no typical working week in AMU. The combination of rotating shift patterns, plus dramatic day to day shifts in the number of patient admissions and the hospital bed status means that no day is the same.
  Community Facing commitment   (if applicable)	N/A
  Related clinical skills opportunities	There is the opportunity to complete all the core procedures while on AMU, as well as other more specialist skills such as cannulation via ultrasound, lumbar punctures, ascitic taps, etc.
  In-house teaching	There is weekly AMU teaching on Fridays, 12:30-13:30.
  Audit opportunities	AMU is always looking to improve the service it provides. Because of this and the variety of conditions that present, there are plenty of opportunities to tailor an audit to something that interests you.

• F1 Adult Psychiatry Community - Mount Gould 2023

  	Derriford Hospital, University Hospitals Plymouth NHS Trust, Plymouth
  Clinical Supervisor(s)	The current Clinical Supervisor is Dr Sarah Harvey South East CMHT (Speciality doctor) & Dr Dimitrios Tsiakiris North West CMHT (Consultant Psychiatrist).    Clinical Supervisors will be definitively identified at the time of appointment to the post and the trainee will have the chance to liaise with them prior to the placement if needed.
  Overview of team	For Adult Psychiatry in the community, the F1 doctor is assigned to one of the community teams which would comprise of Consultant Psychiatrists, mental health nurses, OTs, psychology, community support workers, and peer support workers.   There may or may not be another junior doctor on the team besides the F1 (the CMHTs are offering training posts to psychiatric trainees and GP trainees).  As part of the team the F1 works with patients with severe and enduring mental health difficulties in the community.  You will be expected to be proactive in approaching the team for opportunities (2 weeks in advance to fill your diary) to shadow initially and then lead consultations when appropriate.    We will expect you to sit in the communal team office spaces to volunteer for opportunities identified by the morning meeting, by the shift lead & integrate into the multi-professional team.
  Nature of duties	Helping with the physical health check clinic to reduce the excess morbidity & mortality for patients with SMI.  This includes learning motivational interviewing skills & utilising these & developing MSE & risk assessment skills    Assisting the wider mental health team to have exposure to a range of mental health conditions (within the FY1’s competency levels).    Reviewing patients to perform psychiatric assessments.    Learning about 3rd sector organisations, as well as bio-psych-social management of patients which will involve specific training & learning provided by your supervisor.    Attend professionals’ meetings, risk management meetings etc. for learning opportunities (not to be a lead professional in these meetings)
  Rota / Shift pattern	9am to 5pm, Monday to Friday.
  Typical working week	Clinics (reviewing patients 1:1 and sitting in with consultants, nurses, OTs & the wider team & potentially home visits)    Physical Health Clinics on Tuesday and Thursday.  Wednesday morning generic psychiatry teaching and Balint Group.  Wednesday afternoon supervision with you clinical supervisor.   Potential to organise experience in areas of psychiatry pending completion of core psychiatry competency & approval from your clinical supervisor (agreed in advance for each experience outside of the core CMHT placement).
  Community Facing commitment   (if applicable)	n/a
  Related clinical skills opportunities	Psychiatric history taking, mental state examination and risk assessment and management.    Physical health checks involving medical history taking and mental state examination & motivational interviewing.    Developing knowledge of psychiatric medication & side effects to monitor for including antipsychotic monitoring, Lithium, Clozapine, SSRIs & withdrawal effects of these medications    Developing knowledge of alternatives to medication & psychological approaches & social interventions to help individuals in their recovery journey     Potential for QI projects / audit
  In-house teaching	One hour of weekly supervision with your supervisor to discuss either psychiatric topics or reflections on patients.    Wednesday morning teaching for all psychiatry junior doctors including junior doctor teaching and Grand Rounds, Balint group, case presentations and journal club presentations.
  Audit opportunities	This can be discussed with your supervisor, but Livewell SW has an active QI and Research team to support relevant ideas.

• F2 DDRC 2023

  Trust Name	University Hospital Plymouth NHS Trust
  Clinical Supervisor(s)	Dr Doug Watts  Dr Clair Wade
  Overview of team	Dr Doug Watts – Medical Director / Hyperbaric Physician / GP  Dr Clair Wade – Deputy Medical Director / Hyperbaric Physician / GP    Dr Rosanna Stokes – Staff Grade Doctor / Hyperbaric Physician / Elderly Care Staff Grade Doctor    2 x Fellow doctors (usually ST2-3 Level)    Oncall doctors – Mixture of consultants, GPs and registrars    Nursing team    Chamber team    Research team
  Nature of duties	Under the direct supervision of a senior doctor, the Diving and Hyperbaric Foundation Year 2 Doctor will be expected to:  Assess and manage emergency patients presenting with decompression illness and arterial gas embolism  Triage emergency telephone calls on a nationwide basis via the emergency diving advice line in conjunction with divers / emergency departments / ambulance service and coastguard  Manage elective hyperbaric patients being treated for a number of indications (such as osteoradionecrosis and complex wounds) in conjunction with the multidisciplinary team, and attend weekly multidisciplinary team meetings  Assist in providing recreational diving medicals  Perform weekly telephone “fitness to dive” telephone consultation clinics  Assist teaching on a variety of courses (such as Diver Medic Technician, HSE Offshore, Expedition Dive Medicine, etc.)  Engage with clinical governance/quality improvement projects  Develop own interests and projects according to individual career ambitions, supported by DDRC. This may include health promotion projects or assisting in research.
  Rota / Shift pattern	5 days per week at DDRC. Standard hours 08:30 – 17:00. No on-call requirement.
  Typical working week	Monday AM: Elective patient assessments, review emergency cases from weekend  Monday PM: Recreational diving assessment (observation / increasing to being under direct supervision for selected cases)    Tuesday AM: Elective patient assessments, ward jobs, receiving teaching  Tuesday PM: Assisting teaching commercial divers medical skills    Wednesday AM: MDT  Wednesday PM: Telephone consultations with recreational divers    Thursday AM: Elective patient assessments / jobs  Thursday PM: Teaching or project work    Friday AM: Elective patient assessments / jobs  Friday PM: Project work
  Community Facing commitment   (if applicable)	Fitness to dive telephone clinics  Recreational diving medicals  Teaching courses at DDRC  Answering emergency calls from divers
  Related clinical skills opportunities	Emphasis on high quality clinical examination in the assessment of divers and hyperbaric patients (particularly neurological examination)    Performing and interpretation of spirometry, ECG and audiometry.     Practical procedures include carrying out venepuncture, cannulation, urinary catheterisation. SIM training will include needle decompression of pneumothorax in the chamber and ALS algorithm in hyperbaric environment.
  In-house teaching	Extensive: 1:1 teaching timetabled to provide introduction to diving and hyperbaric medicine. All activities under direct supervision with emphasis on training.    SIM training regularly undertaken involving the whole team.     Consultation and communication skills training undertaken as part of telephone consultations for fitness to dive consultations.    Various doctors teaching courses which the doctor will be timetabled to attend and assist on.
  Audit opportunities	Regular clinical governance meeting and scheduled audit programme  Wide range of opportunities for audit and quality improvement projects on local and regional / national level.

• F1 Emergency Medicine 2024

  	Plymouth Hospitals NHS Trust  Derriford Hospital, Plymouth
  Clinical Supervisor(s)
  Overview of team	You will be working with a diverse team ranging from F1, F2, GP/ACCS trainees, and ED SpR and Consultants. You will also be interacting with various specialties outside of ED for referrals i.e. cardiology, stroke team, cardiothoracics.
  Nature of duties	Typical day on the shop floor :    When coming on shift, you report to the ED consultant in charge (EPIC) and will be assigned to Majors, Ambulatory or Resus. You may also be assigned to join the consultant on the trauma ward round Monday-Friday. Handovers are at 0800 and 2200 in the Stewart Room.     The job involves clerking patients arriving to ED, with all of your patients then being presented to the consultant or SpR (“red top”) in charge of the area in which you are working. All patients must have a physical review by a more senior doctor.     As you become more confident, you will start to initiate more relevant investigations yourself, and you should form a list of differential diagnoses and your management plans for each patient prior to presenting.
  Rota / Shift pattern	Shifts:    1700-0200 Lates (L)  1200-2200 Midday (MID)  0800-1730 Days (D)
  Typical working week
  Community Facing commitment   (if applicable)	N/A
  Related clinical skills opportunities	You will have opportunities to complete all core FY1 procedures, and you will carry out practical procedures such as venepuncture, arterial blood gases and cannulation regularly, as well as learning additional practical skills during your time in ED such as fascia iliaca blocks, wound management and fracture reductions.
  In-house teaching	Handover at 0800 involves safety bulletins and learning pearls.   There is regular (weekly) ED simulation on the shopfloor, which you are invited to attend.   Ad hoc shop floor teaching is frequent and further informal learning opportunities are plentiful in ED.
  Audit opportunities	There are multiple QIPs and audits available, current consultant lead is Dr Suzy Connor.

• F1 Colorectal Surgery 2023

  	Plymouth Hospitals NHS Trust  Derriford Hospital, Plymouth
  Clinical Supervisor(s)	Consultants:   Mr Chris Gandy  Miss Chee Lai  Mr Hugh Mackenzie  Mr Sebastian Smolarek  Mr Federico Luvisetto    One consultant will be appointed at the start of rotation to be your clinical supervisor.
  Overview of team	10 x Consultants  2 x Senior Clinical Fellows  1 x Research Registrar  8 x Registrars  2 x Clinical Teaching Fellows  2 x CT2  1 x F2  8 x F1  1 x Rotational Physician Associate  DA’s on the ward.
  Nature of duties	Populate consultant patient list with relevant information daily, ward round, creating jobs list and carrying out various jobs (bloods, cannulas, requesting investigations, liaising with different medical/surgical teams), reviewing ward patients, prescribing, discharge summaries. Minimal but available theatre experience.   On call surgical take shifts included, as well as weekend work and nights.
  Rota / Shift pattern	8am - 5:30pm normal working days  8am - 8:30pm take, 8am - 5:30pm post take  8pm – 9.00am nights   5pm - midnight late cover  8am - 5:30pm weekend early cover
  Typical working week	Daily consultant or registrar led ward round followed by carrying out jobs.  Can attend theatre is time allows.
  Community Facing commitment   (if applicable)	None
  Related clinical skills opportunities	Cannulation, venepuncture, male and female catheters, NG tube insertion, wound management, stoma care, ABG’s.
  In-house teaching	Once per week coffee meeting teaching following ward round.
  Audit opportunities	Mainly led by the core surgical trainees. Support readily available from all consultants and registrars if interested in a certain project.

• F1 HPB Surgery 2023

  	Plymouth Hospitals NHS Trust  Derriford Hospital, Plymouth
  Clinical Supervisor(s)	Mr Aroori,  Mr Bowles  Mr Briggs  Mr Kanwar  Mr Stell (another consultant but is not a clinical supervisor)   Miss Hitchins (starting from April 2023)
  Overview of team	Team consists of 5 F1 doctors. One CT trainee, one to two Teaching fellows (F2 level and above), one-two Physician Associates, One Doctor’s Assistant, 4- 5 Registrar level surgeons and 6 consultants.
  Nature of duties	Ward rounds with the consultant or registrar  Blood and imaging requests  Requesting other Investigations such as:  ERCP – to do this you need to fill in a blue ERCP form, and contact an endoscopist (Dr Cramp, Dr Vine or Dr Cochrane) and get them to agree  Other Endoscopies – fill out a form and discuss with Endoscopy team,  Interventional radiology procedures – fill out a radiology form + discuss with a interventional radiologist  Discharge summaries  Reviewing unwell patients on the ward  Assisting in theatre when required.
  Rota / Shift pattern	Normal working day - 7.45 – 17.30  Take days – 8:00 – 20:00   Post take 8.00 – 17:00 (T/PT for four days in a row)  Night shifts  20:00 – 09:00 (3-4 days in a row)  Late cover 17:00 – 24:00 (7 days in a row)  Early Cover 8.00 – 17:00 (Weekend only)
  Typical working week	Typical day 7.45am (15 minutes to update list). 8am Ward round. Rest of the day following ward round includes dividing up jobs + carrying out jobs, answering bleeps. Finish at 5.30pm to handover.
  Community Facing commitment   (if applicable)	N/A
  Related clinical skills opportunities	Cannula insertions, venepuncture, ABGs on the ward.  NG placements, catheterisations  Suturing in theatre.   Assistance in theatre – Laparoscopic and open procedures.
  In-house teaching	Mostly on ward rounds or after a ward round with the consultants/registrars. Some teaching within theatre is possible.
  Audit opportunities	Available with discussion with registrars/consultants.

• F1 Upper GI (Oesophago-gastric) Surgery 2023

  	Plymouth Hospitals NHS Trust  Derriford Hospital, Plymouth
  Clinical Supervisor(s)	Mr Arun Ariyarathenam (Educational lead)  Mr Richard Berrisford  Mr David Chan  Mr Lee Humphreys  Mr Grant Sanders  Mr Ji Tham  Mr Tim Wheatley
  Overview of team	1 x Senior Clinical Fellow  1 x Research Registrar  3 x Registrars  1 x CT2  1 x Clinical Teaching Fellow  1 x F2  2 x F1  1 x Physician’s Associate (in rotation)  1 x Advanced Nurse Practitioner    Doctor’s assistants are available to assist with bloods and cannulas.
  Nature of duties	Ward rounds with the consultant or registrar  Blood and imaging requests  Ward care to Oesophago-gastric cancer, Benign Upper GI, Bariatrics and General Surgery patients that are under the care of the team,  Discharge summaries  Assisting in theatre when required.
  Rota / Shift pattern	8am - 5:30pm normal working days  8am - 8:30pm take, 8am - 5:30pm post take  8pm – 9.00am nights   5pm - midnight late cover  8am - 5:30pm weekend early cover
  Typical working week	Typical day 7.45am (15 minutes to update list). 8am Ward round. Rest of the day following ward round includes dividing up jobs + carrying out jobs, answering bleeps from nursing staff. Finish at 5.30pm to handover    May have opportunities to attend theatre, endoscopy or clinics.
  Community Facing commitment   (if applicable)	N/A
  Related clinical skills opportunities	Cannula, venepuncture, ABGs on the ward, NG  and catheter placement.   Suturing in theatre, chest drain placement  Laparoscopic assistance in theatre.  History, examination and management of patients – both acute and elective settings
  In-house teaching	Mostly on ward rounds or after a ward round with the consultants and senior registrars. Teaching when in theatres
  Audit, QI and publication opportunities	Available with discussion with registrars/consultants.

• F1 Respiratory Medicine 2024

  	Plymouth Hospitals NHS Trust  Derriford Hospital, Plymouth
  Clinical Supervisor(s)	Consultants:    Dr Derry/Dr Ward/Dr Patel/Dr Hughes/Dr Howell/Dr Daneshvar/Dr Kathiresan/Dr Corcoran/Dr Waine/Dr Nicholson/Dr Taylor/Dr Symes/Dr Bleksley    You are responsible for arranging your induction, mid-placement and end of placement appraisals with your supervisor. This should be arranged during your self-directed learning time.
  Overview of team	Usually there will be 2 doctors of F1/SHO level, one registrar and the consultant. There are physicians assistants and acute care practitioners that work in respiratory too. There are DAs to help with ward tasks, such as bloods, cannulas and ECGs.    The respiratory in-reach team are specialist nurses that aim to review every asthma and COPD patient to advise on current treatment and outpatient follow up.   The ventilation team will help with arranging NIV both in hospital and on discharge.
  Nature of duties	Consultant ward rounds are usually Monday, Wednesday and Friday. On the other days the expectation is of a junior-led round, usually with a registrar. Respiratory is known to be one of the busiest jobs in the hospital, with a high turnover of patients as well as some of the sickest. The team is also known as being supportive and has received good feedback on previous rotations.
  Rota / Shift pattern	You are on the general medical rota. You will be working weekends, evening and nights. As an F1, nights are on MAU where you will be clerking new patients. Weekends and evening will involve ward cover. The normal working day is 9am-5pm
  Typical working week	Consultant ward rounds usually take place on Monday, Wednesday and Friday. The consultant will usually make time each day to see the new patients; this will not necessarily be at 9am if they have other commitments. You should turn up in time to prepare the list before board round at 9am, and print copies for the rest of your team. Ward rounds should aim to be done by midday, with the afternoon to do the jobs.
  Community Facing commitment   (if applicable)	N/A
  Related clinical skills opportunities	In addition to learning relevant respiratory skills, including confidence and competence at performing and interpreting ABGs, peak flow and removal of chest drains, you have the opportunity to gain skills in understanding non-invasive ventilation, interpretation of spirometry and observation of pleural procedures. As patients on the respiratory wards often have general medical problems too, there are opportunities to gain skills in this area too.
  In-house teaching	Every Friday there is a consultant-led teaching. Every Wednesday there is junior-led teaching, supervised by the registrars; this is a good opportunity to get “Developing the Clinical Teacher” signed off.
  Audit opportunities	The respiratory registrars and consultants will be happy to have your help and involvement in audits currently being run, or planned, by the department

• F2 Community Neuro Rehab 2023

  Trust Name	LiveWell Southwest- University Hospitals Plymouth
  Clinical Supervisor(s)	Dr Francesco Gambino
  Overview of team	Medical team: [Plym Rehabilitation Unit: 1 consultant, 1 specialty doctor], [Stroke rehabilitation Unit: 1 consultant, 1 specialty doctor], Community stepcalty doctor    Multidisciplinary teams of the 2 rehabilitation unit and community
  Nature of duties	• Inpatient units (PNRU-SRU)  Working in a community/rehabilitation  hospital. Assessing new patients, responding to the expected and unexpected management through their stay and making a safe transfer of care.    •            Acute Liaison  Visiting acute wards( with Consultant, Specialty Doctor or  Matron),to assess suitability for rehabilitation and selecting between the home-based & bed-based options.
  Rota / Shift pattern	0900-1700
  Senior Cover Arrangements for Out of Hours Work	No out of hours work
  Typical working week	Monday  Tuesday  Wednesday  Thursday  Friday  Location  PNRU  PNRU  SRU  PNRU/SRU  LCC/PNRU  0900-1300  Consultant ward round  MDT meeting (from 0830)/Ward activities  MDT meeting/ Ward activities  Ward activities  0830-0930 MSTeams: Physicians meeting  0930-1300 Clinics/PNRU activities  Location  PNRU/SRU  SRU  LCC  PNRU  PNRU/SRU/ (or Domiciliaries)  1330-1700  Ward activities    Consultant Ward round/Ward activities  Clinics (Dr Gambino/Dr Brandt/Dr Benjamin) (or ward activities)  SAS-F2 ward round  Ward activities/domiciliares  PNRU=Plymouth Neurorehabilitation Unit; SRU=Stroke rehabilitation Unit; LCC=Local care centre
  Community Facing commitment   (if applicable) e.g. Out Patient Clinics	• Clinic  with Consultant or Specialty Doctor in the three weekly clinics: 1) Neuro-rehab,  2) Stroke-rehab or 3) Spasticity management.    • other community work  There will be domiciliary visits accompanying consultant or specialty doctor. The F2 can accompany therapists on home assessment visits for current inpatients. They can join the stroke early supported discharge team or the community neurorehabilitation team to follow up the patients at home, that they have managed themselves on the ward.
  Related clinical skills opportunities	Assessment and Management of sub-acute complex disabilities (severe brain injuries, spinal cord injuries); management of long term neurological conditions; tracheostomy tube management and change (if tracheostomised patients present in the ward); DOP with soft tissue/intra-articular joint injections, botulinum toxin injection or nerve blocks
  In-house teaching	Weekly Unit inservice training (Tuesday PM)  Weekly Mount Gould Hospital Physicians’ educational meeting (Friday AM)
  Audit opportunities	Possibility to be involved and lead Audits on inpatient or outpatients rehabilitation services.

• F2 Upper GI (Oesophago-gastric) Surgery 2023

  	Plymouth Hospitals NHS Trust  Derriford Hospital, Plymouth
  Clinical Supervisor(s)	Mr Arun Ariyarathenam (Educational lead)  Mr Richard Berrisford  Mr David Chan  Mr Lee Humphreys  Mr Grant Sanders  Mr Ji Tham  Mr Tim Wheatley
  Overview of team	1 x Senior Clinical Fellow  1 x Research Registrar  3 x Registrars  1 x CT2  1 x Clinical Teaching Fellow  1 x F2  2 x F1  1 x Physician’s Associate (in rotation)  1 x Advanced Nurse Practitioner    Doctor’s assistants are available to assist with bloods and cannulas.
  Nature of duties	Clerking and assessing patients. Arrange investigations and management plans, under the supervision of senior staff.  Contribute to chasing results and liaise with patients appropriately.    Support senior staff to carry out ward rounds, arrange discharge and transfer letters, liaise with tertiary care specialists.    Contribute to teaching / training of foundation year doctors and medical students and contribute to research and quality improvements, attend morbidity and mortality meetings.    Ward round, creating jobs list and carrying out various jobs (bloods, cannulas, requesting investigations, liaising with different medical/surgical teams), reviewing ward patients, prescribing, discharge summaries. Minimal but available theatre experience.     On call surgical take shifts included, as well as weekend work and nights
  Rota / Shift pattern	8am - 5:30pm normal working days  8am - 8:30pm take, 8am - 5:30pm post take  8pm – 9.00am nights   5pm - midnight late cover  8am - 5:30pm weekend early cover
  Typical working week	Typical day 7.45am (15 minutes to update list). 8am Ward round. Rest of the day following ward round includes dividing up jobs + carrying out jobs, answering bleeps from nursing staff. Finish at 5.30pm to handover    May have opportunities to attend theatre, endoscopy or clinics.
  Community Facing commitment   (if applicable)	N/A
  Related clinical skills opportunities	Cannula, venepuncture, ABGs on the ward, NG  and catheter placement.   Suturing in theatre, chest drain placement  Laparoscopic assistance in theatre.  History, examination and management of patients – both acute and elective settings
  In-house teaching	Mostly on ward rounds or after a ward round with the consultants and senior registrars. Teaching when in theatres
  Audit, QI and publication opportunities	Available with discussion with registrars/consultants.

• F2 HPB Surgery 2023

  	Plymouth Hospitals NHS Trust  Derriford Hospital, Plymouth
  Clinical Supervisor(s)	Consultants:   Mr Chris Briggs  Mr Somaiah Aroori  Mr Matthew Bowles  Mr Adi Kanwar    One consultant will be appointed at the start of rotation to be your clinical supervisor.
  Overview of team	6 x Consultants  1 x Senior Clinical Fellows  2 x Research Registrar  4 x Registrars  2 x Clinical Teaching Fellows  2 x CT2  5 x F1  1 x Physician Associate  1 x Rotational Physician Associate  DA’s on the ward.
  Nature of duties	Clerking and assessing patients. Arrange investigations and management plans, under the supervision of senior staff.  Contribute to chasing results and liaise with patients appropriately.    Support senior staff to carry out ward rounds, arrange discharge and transfer letters, liaise with tertiary care specialists.    Contribute to teaching / training of foundation year doctors and medical students and contribute to research and quality improvements, attend morbidity and mortality meetings.    Ward round, creating jobs list and carrying out various jobs (bloods, cannulas, requesting investigations, liaising with different medical/surgical teams), reviewing ward patients, prescribing, discharge summaries. Minimal but available theatre experience.     On call surgical take shifts included, as well as weekend work and nights.
  Rota / Shift pattern	8am - 5:30pm normal working days  8am - 8:30pm take, 8am - 5:30pm post take  8pm – 9.00am nights   5pm - midnight late cover  8am - 5:30pm weekend early cover
  Typical working week	Daily consultant or registrar led ward round followed by carrying out jobs.  Can attend theatre is time allows.
  Community Facing commitment   (if applicable)	None
  Related clinical skills opportunities	Cannulation, venepuncture, male and female catheters, NG tube insertion, wound management, ABG’s.
  In-house teaching	Once per week coffee meeting teaching following ward round.
  Audit opportunities	Mainly led by the core surgical trainees. Support readily available from all consultants and registrars if interested in a certain project.

• F2 Haematology 2024

  Trust Name	UHP
  Clinical Supervisor(s)	Dr Samuel Burrows, Dr Hannah Hunter, Dr Claire Lentaigne, Dr Patrick Medd, Dr Yin Thi, Dr Wayne Thomas
  Overview of team	Nine haematology consultants, Five WTE specialist trainees (registars).
  Nature of duties	Caring for haematology inpatients under the supervision of the ward haematology registrar and PA.
  Rota / Shift pattern	As per medical staffing
  Senior Cover Arrangements for Out of Hours Work	On call haematology registrar and consultant
  Typical working week	Consultant led work round Monday and Thursday. Registrar led ward round on other days. Opportunity to attend specialist clinics as workload and staffing allow.
  Community Facing commitment   (if applicable) e.g. Out Patient Clinics	None
  Related clinical skills opportunities	Watch and participate in bone marrow biopsies and Tunnelled line removal. Generic clinical skills opportunities. Opportunity for teaching in haematology morphology.
  In-house teaching	Weekly haematology morphology teaching 8.30am Friday  Weekly educational meeting 13.00 Friday
  Audit opportunities	Yes

• F2 Ophthalmology 2023

  Trust Name	University Hospitals Plymouth NHS Trust
  Clinical Supervisor(s)	Professor N Habib  Mr K Frimpong-Ansah  Mr V Raman  Mr T Cudrnak  Mr P Rainsbury  Miss E. Gajdosova  Miss L Dujardin  Mr K Tsakiris  Miss T Stavropoulou  Mr N Stanojcic
  Overview of team	The Plymouth Royal Eye Infirmary (REI) is a busy teaching Hospital ophthalmology department. The REI provides services for a population of approximately 450,000 in west Devon and east Cornwall. The department provides a broad range of ophthalmic services including most of the ophthalmic subspecialties (cornea and anterior segment, vitreoretinal surgery, medical retina and uveitis, paediatrics and strabismus, oculoplastics and lacrimal, and glaucoma). Tertiary services are provided for ROP treatment. There is a consultant establishment of 15, with 10 in post, 1 due to start in 8 months, and 4 to be appointed. We also have 4 SAS doctors, 4 ophthalmic trainees on rotation and 1 GP trainee on rotation.    The REI also has a large group of allied health professionals including optometrists, orthoptists, ophthalmic imagers, nurses, nurse practitioners and advanced clinical practitioners. There has recently been an exciting expansion in the advanced clinical practitioner role.
  Nature of duties	The two FY2 doctors would be expected to work with the medical and allied staff to learn and improve their understanding of ophthalmic practice and help to provide safe care for the patients of the REI.
  Rota / Shift pattern	No on call.
  Senior Cover Arrangements for Out of Hours Work	There is no out of hours work.
  Typical working week	Example working week:    Monday AM: Consultant OPD  Monday PM: Consultant OPD  Tuesday AM: Urgent care clinic  Tuesday PM: Pre-operative clinic  Wednesday AM: Self development  Wednesday PM: Consultant OPD  Thursday PM: Urgent care clinic  Thursday PM: Consultant clinic  Friday AM: Consultant clinic  Friday PM: Teaching    There is a theatre session approximately once every 3 weeks.
  Community Facing commitment   (if applicable) e.g. Out Patient Clinics	NA
  Related clinical skills opportunities	History taking / ocular history taking  Ocular examination / use of slitlamp / fundal examination  Assessing patients for general anaesthesia
  In-house teaching	Weekly Friday afternoon interactive teaching session hosted by each consultant in rotation.
  Audit opportunities	Audits are routinely organised and presented by consultants and their teams, optometrists, orthoptists, and nursing staff. Several audits are presented at each of our 2 monthly CME meetings. There is therefore ample opportunity for F2 to be involved in audit projects.

• F2 Oral and Maxillofacial Surgery 2023

  Trust Name	University Hospitals Plymouth NHS Trust
  Clinical Supervisor(s)	Mr Paul McArdle, Mr Srikanth Gangidi, Ms Pippa Blacklock, Mr Suresh Somasundaran
  Overview of team	OMFS consultants   Associate specialists  Speciality Registrars  Dental Core Trainees
  Nature of duties	Wide range of clinical opportunities within Oral and Maxillofacial surgery based on a rotating timetable which includes ward rounds, assisting in theatre, outpatient clinics, local anaesthetic procedures (following appropriate assessment), on-call bleep cover including assessment of emergency department patients.
  Rota / Shift pattern	1:6 rota
  Senior Cover Arrangements for Out of Hours Work	For out of hours work there is 2nd on call and consultant support.
  Typical working week	Variable clinical activities (as above) based on a rolling 1:6 weekly rota
  Community Facing commitment   (if applicable) e.g. Out Patient Clinics	Out-patient clinics (new and review patients) and opportunity for local anaesthetic procedures
  Related clinical skills opportunities	Varied including - Suturing of lacerations; incision and drainage of abscesses, assisting in general anaesthetic theatre procedures (inpatient and day case surgeries)
  In-house teaching	Weekly lunchtime teaching  Monthly CME with opportunity for case presentations and journal club
  Audit opportunities	Opportunity to contribute to ongoing departmental audits

• F2 Respiratory Medicine 2024

  	Plymouth Hospitals NHS Trust  Derriford Hospital, Plymouth
  Clinical Supervisor(s)	Consultants:    Dr Derry/Dr Ward/Dr Patel/Dr Hughes/Dr Howell/Dr Daneshvar/Dr Kathiresan/Dr Corcoran/Dr Waine/Dr Nicholson/Dr Taylor/Dr Symes/Dr Bleksley     You are responsible for arranging your induction, mid-placement and end of placement appraisals with your supervisor. This should be arranged during your self-directed learning time.
  Overview of team	Usually there will be 2 doctors of F1/SHO level, one registrar and the consultant. There are physicians’ assistants and acute care practitioners that work in respiratory too. There are DAs to help with ward tasks, such as bloods, cannulas and ECGs.    The respiratory in-reach team are specialist nurses that aim to review every asthma and COPD patient to advise on current treatment and outpatient follow up.   The ventilation team will help with arranging NIV both in hospital and on discharge.
  Nature of duties	Consultant ward rounds are usually Monday, Wednesday and Friday. On the other days the expectation is of a junior-led round, usually with a registrar. Respiratory is known to be one of the busiest jobs in the hospital, with a high turnover of patients as well as some of the sickest. The team is also known as being supportive and has received good feedback on previous rotations.
  Rota / Shift pattern	You are on the general medical rota. You will be working weekends, evening and nights. As an F2, the night shifts are on ward cover. Weekends and evening will involve ward cover or clerking. The normal working day is 9am-5pm
  Typical working week	Consultant ward rounds usually take place on Monday, Wednesday and Friday. The consultant will usually make time each day to see the new patients; this will not necessarily be at 9am if they have other commitments. You should turn up in time to prepare the list before board round at 9am, and print copies for the rest of your team. Ward rounds should aim to be done by midday, with the afternoon to do the jobs.
  Community Facing commitment   (if applicable)	N/A
  Related clinical skills opportunities	In addition to learning relevant respiratory skills, including confidence and competence at performing and interpreting ABGs, peak flow and removal of chest drains, you have the opportunity to gain skills in understanding non-invasive ventilation, interpretation of spirometry and observation of pleural procedures. As patients on the respiratory wards often have general medical problems too, there are opportunities to gain skills in this area too.
  In-house teaching	Every Friday there is a consultant-led teaching. Every Wednesday there is junior-led teaching, supervised by the registrars; this is a good opportunity to get “Developing the Clinical Teacher” signed off.
  Audit opportunities	The respiratory registrars and consultants will be happy to have your help and involvement in audits currently being run, or planned, by the department

• F1 Health Care for the Elderly (Geriatric Medicine) 2024

  	Plymouth Hospitals NHS Trust  Derriford Hospital, Plymouth
  Clinical Supervisor(s)	Consultants are:  Dr Sarah Blayney  Dr Paul Hancock  Dr Mark Drake  Dr Jane Stribley  Dr Tim Hall  Dr Rob Philpott  Dr Kat Topor  Dr Victoria Haunton  Dr Alexis Giles  Dr Wei Lim  Dr Katie Stevens     Associate Specialists:   Dr Humera Imran    Specialty Doctors:  Dr Christian Chourot  Dr Helen Parker
  Overview of team	The team usually consists of 1 or 2 Consultants or Consultant and Associate Specialist and very experienced Specialty Doctors on each ward who will support you during your rotation. Some of the wards will have a Registrar but it varies depending on the rota. The team will have other junior doctors (Trust Doctors and trainees) as well as PAs. There are 4 PAs who work full time on the wards. There are also rotational PAs on some of the wards.    Doctors’ Assistants (DAs) will cover your ward plus several others to help to do bloods/catheters/cannulas/ECGs.    HCE medical team works closely with nurses and other Allied Professionals (PT, OT, SLT, dieticians). Together they form the ward MDT.
  Nature of duties	Attending the Consultant’s ward round which involves preparing the patient’s notes ensuring there is an up-to-date problem list, summary of events and relevant results. Having nursing folders ready with observations, food and stool charts, reviewing EPMA and documenting in the notes during the ward round. On other days you will be conducting your own ward round of a small number of patients.    Completing jobs from ward round such as discussions with other teams, ordering scans and bloods, family conversations (many of them!) and writing discharge letters.    Dealing with any acutely unwell patients on the ward – the HCE consultants tend to be very lovely, approachable, and helpful so if you need advice you can speak to them. Don’t be afraid to ask questions or ask for help.
  Rota / Shift pattern	You are on the medical rota so working weekends, evening and nights. As an F1, nights are on MAU where you will be clerking new patients however weekends and evening will involve ward cover.  Otherwise the day is 9am-5pm however some consultants like to start their ward rounds at 8am.
  Typical working week	Senior ward rounds usually take place on Mon, Weds, Fri. These can sometimes take all day depending on patient numbers,how many senior and junior doctors are on the ward, how many new patients there are and how many patients are very unwell, and how l. If there are two (or more) juniors on the round, it is sensible to go with the consultant for alternate patients as then you can do some of the quick jobs whilst the next person is being seen or prepare another set of notes.., But please always check with the consultant on your ward how they would like to do a ward round as it might change depending on the above factors. The gap is a good opportunity to do things such as: putting bloods into the DA book so that they are taken asap and  requesting scans.  Each ward apart from Monkswell has a MDT meeting at 12pm. Monkswell has their MDT at11:00am. The MDT is attended by all doctors, PAs, nurses and therapists on the ward as well as a discharge co-ordinator. This is an opportunity for everyone to feedback on each patient so that we’re all on the same page and aware of issues that need addressing.  On alternate days you will do your own ward rounds – it can be useful to split the ward in half/thirds depending on how many juniors there are so that you see a number of patients each and complete the ward round quicker! You are usually well supported and if you have questions you can approach your Specialty Doctors/Registrar/SHOs and Consultants.
  Community Facing commitment   (if applicable)	Nil
  Related clinical skills opportunities	You can easily complete most, if not all, of your core procedures whilst on this rotation. It is particularly good for some of the more tricky ones to obtain such as catheters.
  In-house teaching	Every Friday lunchtime there is a HCE teaching session – talks from consultants/registrars/juniors.
  Audit opportunities	Opportunities available if you speak to your clinical supervisor

• F1 Liaison Psychiatry 2023

  Trust Name
  Clinical Supervisor(s)	Dr Muhammad Ismail (Consultant Psychiatrist), Dr Fiona Kinnarney (Consultant Psychiatrist) and Dr Russell Gibson (Consultant Psychiatrist).
  Overview of team	The service is for Adult Liaison Psychiatry and the team comprises of,  Consultant psychiatrists.  Liaison Psychiatry Practitioners.  Support staff.  Other doctors including another F1 and a Psychiatry Trainee/GP Trainee.
  Nature of duties	This rotation is really dependent on the effort you put into it. Though un-banded, a lot of responsibility is given to the F1 in a protected environment.  referrals and reviews are divided amongst the team.  The F1 navigates the computer systems Salus and SystmOne whilst the team discuss cases in the morning.  Prior to each assessment, you will be expected to research the patient and their background using SystmOne and other sources available to you.  Assessments are usually done in pairs. When working in pairs, one person documents and the other takes the history.  Once you become more experienced with assessments, you will be able to work more independently.   After each assessment, the scribe will type the assessment using a template created by the liaison team.
  Rota / Shift pattern	8:30am to 4:30pm, Monday to Friday.
  Senior Cover Arrangements for Out of Hours Work
  Typical working week	The daily routine generally involves assessments of the referrals in the hospital.  Weekly supervision with your consultant; an opportunity to discuss progress and cases.  Wednesday morning generic psychiatry teaching and Balint Group at Mount Gould Hospital.
  Community Facing commitment   (if applicable) e.g. Out Patient Clinics	N/A
  Related clinical skills opportunities	Experience of assessing common adult psychiatry presentations in an acute setting such as Dementia, Delirium, Depression, Anxiety, Personality Disorders, Schizophrenia, Bipolar Disorder, Suicidal ideation, Deliberate Self-harm.  Experience in dealing with challenging communication.  The daily job does not provide direct opportunities to complete core procedures for the portfolio.
  In-house teaching	Wednesday morning generic psychiatry teaching and Balint Group at Mount Gould Hospital.
  Audit opportunities	This can be discussed with your supervisor.

• F2 Acute Medicine (MAU) 2024

  	Plymouth Hospitals NHS Trust  Derriford Hospital, Plymouth
  Clinical Supervisor(s)	Dr Austin Hunt  Dr Chrissy Beasley  Dr Anna Wamsley  Dr Aileen Coupe   Dr Kate Evans  Dr Nirosha Gunatillake  Dr Anu Illangantilaka   Dr Reyan Elmubarak  Dr Mihaela Gunjaca  Dr Sara Osman
  Overview of team	The team consists of a wide range of different healthcare professionals; doctors of all levels, physician’s associates, nurses, HCAs, doctor’s assistants and an on the ward occupational therapy/ physiotherapy team.
  Nature of duties	AMU is a fast-paced unit with patients constantly arriving and leaving throughout the day. They present with a wide range of conditions. You are well supported, with colleagues of all stages on the unit to ask for advice.   The work is split between AMU, AAU and ED currently.   The when rostered on AMU the work is similar to other ward-based rotations, with ward rounds, ordering investigations and discharges being the main part of your day. However, given the acute nature of MAU you are often asked to review patients as their condition changes. This makes it a great place to gain some experience and confidence managing the acutely unwell patient.  You will also be rostered for ‘take shifts’. This involves initial assessment and initiating management of patients referred in from GPs and a further assessment of patients referred on from ED. These are good shift to hone your diagnostic skills. All of your patients will be reviewed by a consultant, ideally with you present for feedback but this is not always possible due to high patient numbers,   The Acute Assessment Unit (AAU) offers Same Day Emergency Care to deliver urgent assessment and treatment. Your role here will be similar to your take shifts but the variety of patients is even wider!     There are also many students of different professions that rotate through Acute Medicine, so there are plenty of opportunities for teaching if that is something you are interested in.    In summary, while Acute Medicine can be busy and stressful at times, you are working in a great team and the variety of workload makes it a very rewarding rotation.
  Rota / Shift pattern	You rotate with the other StR Lowers on a 17 week cycle which includes nights and weekends. Weekend duty is approximately 1 in 4.    For example:  Week 1: Twilgihts (take) 14:00-23:00  Week 2: Nights 21:30-09:30  Week 3: Take or ward work 08:00-17:00, including full shifts 08:00-21:00  Week 4: Take or ward work 08:17:00 for 3 days and then AAU late shifts for 2 days 14:00-22:00  Week 5: AAU 10:00-19:00 for 3 days, off day and then take or ward work over the weekend 08:00-21:00    Night Shifts: 21:30- 10:00
  Typical working week	There is no typical working week in Acute Medicine. The combination of rotating shift patterns, plus dramatic day to day shifts in the number of patient admissions and the hospital bed status means that no day is the same.
  Community Facing commitment   (if applicable)	N/A
  Related clinical skills opportunities	There is the opportunity to complete all the core procedures while on Acute Medicine, as well as other more specialist skills such as cannulation via ultrasound, lumbar punctures, ascitic taps, etc.
  In-house teaching	There is weekly Acute Medicine teaching on a Wednesday from 12:30-13:30
  Audit opportunities	Acute Medicine is always looking to improve the service it provides. Because of this and the variety of conditions that present, there are plenty of opportunities to tailor an audit to something that interests you.

• F2 Obs & Gynae 2023

  SPECIALTY	Obs & Gynae
  TRUST NAME	University Hospitals Plymouth	DATE: 22.09.2023
  Location of Post  If not in the acute trust GMC site approval is needed.  Please provide ODS code of the site for your parent trust.	Full Address: Women’s health dept, Derriford Hospital          ODS Code:
  Clinical Supervisor(s)	Clinical Supervisor: Consultant in Obstetrics & Gynaecology
  Overview of team	3-4 x F1 doctors  5 x F2 doctors  4-5 x GP trainees  Specialty trainees ST1 – 7  16 consultants  Midwives  Gynaecology nursing staff  Specialist nursing staff
  Nature of duties	This post provides an opportunity to gain experience in Obstetrics and Gynaecology. Duties will include:   Care for inpatient antenates and postnates and gynaecology inpatients.   Managing emergency patients in both obs and gynae referred in from the community and A&E.  Supernumerary antenatal and gynaecology clinics, emergency gynae and early pregnancy clinics.  Assisting in obstetric and gynaecology theatres.  Out of hours work (nights, evening and weekends).  Carrying the on call bleep.  Contribution to in-house teaching.  Benefitting from multi-disciplinary training days in obstetric emergencies.  Completion or contribution to Quality Improvement and Audit projects.
  Rota / Shift pattern	See rota for exact pattern – is according to the number of junior doctors per rotation.  It will include out of hours work with compensatory time off.
  Senior Cover Arrangements for Out of Hours Work	Registrar on call for O&G  Resident and non-resident consultant cover out of hours
  Typical working week	8am – 17.00pm  Ward based work; patient reviews, following up management plans, liaising with MDT to proceed patient care pathway.  Assisting in theatre and/or supernumerary clinics – dependent on adequate numbers on the rota  SDT 2h/week
  Community Facing commitment   (if applicable) e.g. Out Patient Clinics	n/a
  Related clinical skills opportunities	Generic ward management including prioritisation of tasks.  Specialist ward reviews – post natal and ante natal.  Gynaecological and obstetric examination skills.  Assisting in theatre; with the opportunity to practice suturing/ holding the laparoscope.  Minor procedures such as removing coils, cervical polyps, word catheter for Bartholin’s cysts.
  In-house teaching	Weekly peer based teaching with senior oversight  MDT teaching – obstetric emergency drills  Monthly on-line grand round  Informal bedside teaching  F2 teaching based at PGMC
  Audit opportunities	Speak with Dr Steph Lamb or Dr Marianne Stephens (Gynae) for the most up to date opportunities.
  Learning Outcomes	To work within the MDT to achieve good patient outcomes  To build on previous experience in triaging calls from the community and A&E  To become confident in gynaecological assessment and examination  To gain a strong awareness of key risks in the antenatal and post-natal period such as VTE, bleeding and hypertension  To gain insights into specialists fields within O&G such as Emergency gynae, Early pregnancy and colposcopy.

• F1 Trauma and Orthopaedics 2024

  SPECIALTY	Trauma and Orthopaedics
  TRUST NAME	University Hospitals Plymouth NHS Trust	DATE:19.2.24
  Location of Post  If not in the acute trust GMC site approval is needed.  Please provide ODS code of the site for your parent trust.	Full Address:  Level 11. University Hospitals Plymouth NHS Trust  Derriford Road, Crownhill, Plymouth, PL6 8DH        ODS Code:  216
  Clinical Supervisor(s)	Mr Toby Jennison
  Overview of team	A wide MDT of surgeons and physicians  Over 20 orthopaedic consultants, specialist orthogeriatric team  Over 10 registrars and between 10-15 junior doctors
  Nature of duties	Duties of the role include:  Attendance at Trauma meeting daily  Ward based management of trauma and orthopaedic patients with supervision from Registrars and Consultants  Training opportunities in theatre and clinic  Standard night and day on calls  Weekend ward cover
  Rota / Shift pattern	40 Hour week, Monday to Friday.   Time set in the rota for mandatory PGMC teaching sessions each week.   1 Self Development Day set in the rota each month for individual learning.
  Senior Cover Arrangements for Out of Hours Work	Work closely with an on-site Registrar  Consultant accessible 24 hours a day
  Typical working week	Standard day shifts of 8-17:30 for F2s  Aim for at least 1 day with training opportunities
  Community Facing commitment   (if applicable) e.g. Out Patient Clinics	Training opportunities provided in theatre and in clinics
  Related clinical skills opportunities	Opportunities to develop a range of skills  Fracture manipulation  Suturing  Surgical procedures in theatre
  In-house teaching	Weekly SHO teaching  Daily teaching in trauma meeting
  Audit opportunities	Monthly audit meetings, and many opportunities for audit in a range of trauma an orthopaedics
  Learning Outcomes	Learning outcomes can be varied based on the future aspirations of the Doctor  They can include  Development of knowledge in trauma and orthopaedics  Management of the polytrauma patient  Development of surgical skills  Management of complex orthogeriatric patients  Knowledge of pre and post-operative care

• F2 Trauma and Orthopaedics 2024

  SPECIALTY	Trauma and Orthopaedics
  TRUST NAME	University Hospitals Plymouth NHS Trust	DATE:19.2.24
  Location of Post  If not in the acute trust GMC site approval is needed.  Please provide ODS code of the site for your parent trust.	Full Address:  Level 11. University Hospitals Plymouth NHS Trust  Derriford Road, Crownhill, Plymouth, PL6 8DH        ODS Code:  216
  Clinical Supervisor(s)	Mr Toby Jennison
  Overview of team	A wide MDT of surgeons and physicians  Over 20 orthopaedic consultants, specialist orthogeriatric team  Over 10 registrars and between 10-15 junior doctors
  Nature of duties	Duties of the role include:  Attendance at Trauma meeting daily  Ward based management of trauma and orthopaedic patients with supervision from Registrars and Consultants  Training opportunities in theatre and clinic  Standard night and day on calls  Weekend ward cover
  Rota / Shift pattern	40 Hour week, Monday to Friday.   Time set in the rota for mandatory PGMC teaching sessions each week.   1 Self Development Day set in the rota each month for individual learning.
  Senior Cover Arrangements for Out of Hours Work	Work closely with an on-site Registrar  Consultant accessible 24 hours a day
  Typical working week	Standard day shifts of 8-17:30 for F2s  Aim for at least 1 day with training opportunities
  Community Facing commitment   (if applicable) e.g. Out Patient Clinics	Training opportunities provided in theatre and in clinics
  Related clinical skills opportunities	Opportunities to develop a range of skills  Fracture manipulation  Suturing  Surgical procedures in theatre
  In-house teaching	Weekly SHO teaching  Daily teaching in trauma meeting
  Audit opportunities	Monthly audit meetings, and many opportunities for audit in a range of trauma an orthopaedics
  Learning Outcomes	Learning outcomes can be varied based on the future aspirations of the Doctor  They can include  Development of knowledge in trauma and orthopaedics  Management of the polytrauma patient  Development of surgical skills  Management of complex orthogeriatric patients  Knowledge of pre and post-operative care

• F2 Community Sexual Health (SHiP) 2022

  SPECIALTY	Sexual Health
  TRUST NAME	UHP	DATE: 3/11/22
  Location of Post  If not in the acute trust GMC site approval is needed.  Please provide ODS code of the site for your parent trust.	Full Address: SHiP, Level 5, Derriford Hospital          ODS Code:
  Clinical Supervisor(s)	Dr Katie Ovens, Dr Zoe Warwick, Dr Laura Mitchell, Dr Amanda Samarawickrama
  Overview of team	SHiP is a multidisciplinary team. We work closely with nursing colleagues, who independently see and manage patients. We have a specialist HIV pharmacist and a Clinical Psychologist, specialising in EMDR therapy.  In terms of medical staff, we currently have the following people in post:  Name of Doctor  Specialist Interest  Dr Zoe Warwick (Consultant)  GUM/HIV, Clinical Lead and Lead for HIV   Dr Amanda Samarawickrama (Consultant)  GUM/HIV and Lead for IT   Dr Katie Ovens (Consultant)  GUM/HIV and Lead for Outreach   Dr Laura Mitchell (Consultant)  GUM/HIV and Lead for GUM and for Trainees and for Safeguarding  Dr Megan Griffiths (Consultant)  Complex Contraception, Pregnancy Advisory Service and Lead for Medical Students  Dr Alison Lam (Associate Specialist)  GUM and Lead for Contraception   Dr Di Sells (Associate Specialist)  Complex Contraception, Pregnancy Advisory Service and Lead for contraception training  Dr Ratna Ekanayaka (Specialty Doctor)  GUM and Lead for Vulval Service  Dr Lucy Worlock (Specialty Doctor)  GUM      Other rotational medical staff includes:  1 Specialist Registrars (post currently unfilled)  1          International Medical Trainee  1 GP Trainee attends on a part time basis  1 IMT (rotational)
  Rota / Shift pattern	TBC. No OOH work anticipated.
  Senior Cover Arrangements for Out of Hours Work	The integrated sexual health service at Derriford Hospital operates Monday to Friday, offering morning, afternoon and 2 evening clinics per week. There is always senior medical cover available.
  Typical working week	Mon  Tue  Wed  Thurs  Friday  AM  Sexual Health Clinic  Safeguarding Meeting  HIV Ward Work  HIV MDT  Sexual Health Telephone clinic  Treatment Clinic  Sexual Health Clinic  PM  Sexual Health Clinic  Departmental teaching  Audit/QI Project work  Sexual Health Face to Face Clinic  Audit/QI Project work  Sexual Health Clinic
  Community Facing commitment   (if applicable) e.g. Out Patient Clinics	Our service is outpatient focussed.
  Related clinical skills opportunities	We would anticipate trainees to gain competence in male and female genital examination, cryotherapy and microscopy during their time with us.
  In-house teaching	We have monthly case note review sessions, doctor educational meetings and a clinical governance session all of which take place in protected time on a Tuesday afternoon.
  Audit opportunities	There would be the possibility to take part in local and potentially also regional and national audits. We would fully support the F2 to complete an audit or QI project during their time with us and would be able to provide protected time for them to complete this.

• F2 General Internal Medicine 2022

  	Derriford Hospital, University Hospitals Plymouth NHS Trust, Plymouth
  Clinical Supervisor(s)	Dr Roland Boey   Dr Geraldine Quintero   Dr Sumit Acharyya   Dr Abdul Saleemi   Dr Renata Valdes  Dr Khaled Diwan   Dr Marta Castaneda   Dr Marcos Murillo
  Overview of team	The General Internal Medicine (GIM) team is based on 3 wards (Hembury, Moorgate and Burrator). Each ward has 1 designated Consultant for every 16 patients, 4 Trust StR Lower doctors and 1 Registrar. Consultant ward rounds occur daily (3 full ward rounds on Monday, Wednesday and Friday and 2 business rounds on Tuesday and Thursday).   The GIM department admits adults of all ages with a wide range of general medical problems and so it offers an excellent opportunity to train in the management of complex patients with multiple comorbidities. We receive around 5 new admissions each day per ward and at times these patients have uncertain diagnoses that require the cooperation of multiple specialties
  Nature of duties	The FY2 doctor’s duties will be:    Showing initiative in managing patients on the ward and demonstrating increased confidence in interacting with patients and formulating diagnoses/management plans  Recognising the acutely deteriorating patient, taking responsibility for initial management and seeking senior support as appropriate   Leading handover and communicating clearly with specialists when referring patients to different departments  Communicating effectively in challenging situations   Initiating DNAR discussions and appropriately completing Treatment Escalation Plans for these patients   Assessing all patients that arrive on the ward and taking appropriate responsibility for care when under indirect supervision   Playing a central role in coordinating discharge plans for patients  Leading morning MDT effectively   Maintaining a portfolio of evidence in line with the foundation programme curriculum that shows that they are ready to move on to further training. FY2s should obtain between 5 to 10 SLEs in their GIM placement as per ARCP requirements.  Taking an active initiative in audits and quality improvement projects.   Bringing ideas to the department and carrying out QI projects, encouraging others to get involved in these projects. The GIM department will support initiatives brought to us by foundation doctors.   Directing less experienced doctors in their work (including helping FY1s as necessary)  Teaching FY1s and medical students
  Rota / Shift pattern	Monday 9 to 5 Out of hours commitments and responsibilities: The FY2s will be part of the medical on call rota which covers admissions on MAU as well as ward cover out of hours.
  Typical working week	Monday  Tuesday  Wednesday  Thursday  Friday    MDT  WR  MDT  WR  MDT  WR  MDT  WR  MDT  WR  Ward duties  Core teaching  Ward duties  GIM  teaching   Optional: GIM clinical meeting for complex cases  Ward duties  Grand rounds Ward duties  Ward duties
  Community Facing commitment   (if applicable)	None
  Related clinical skills opportunities	FY2 doctors will be able to gain experience in different areas:     - Opportunity to attend the department’s clinical meetings on Wednesdays from 14:00 to 16:00 where we discuss complex cases. FY2 doctors will have the chance to present these cases.   - Management of patients with acute and chronic illness   - Management of patients with coexisting mental health conditions   - End of life care   - High risk prescribing (especially bleeding/thrombosis risk and polypharmacy with potential drug interactions)   - Management of the vulnerable adult
  Educational Opportunities /   In-house teaching	In addition to the teaching highlighted above, monthly Morbidity and Mortality meetings are held and foundation doctors will be able to contribute to the department’s clinical governance structure. FY2s will be expected to present cases and use these sessions as an opportunity for reflection.
  Audit opportunities	There are several audits currently ongoing within the GIM department.   FY2 doctors will be encouraged to take initiative and get actively involved in QI projects. They will be supported with any ideas they want to bring to the department and will be encouraged to lead projects.

• F2 Clinical Oncology 2023

  Trust Name	University Hospitals Plymouth (UHP) NHS Trust
  Clinical Supervisor(s)	The F2 Doctor will be allocated a clinical supervisor for the duration of their 4 months with Oncology, these are allocated on a rotational basis between the following Consultants:  Dr Rebecca Goranova                     Dr Dom Parslow                Dr Sid Dubey  Dr Uday Panwar                              Dr David Sherriff                Dr Liz Lim  Dr Amy Roy                                     Dr Pete Sankey                 Dr Boj Goranov  Dr Fran Mark                                   Dr Hannah Simonds          Dr Sachini Malaviarachachi
  Overview of team	Brent Ward has 28 Oncology beds caring for patients with solid tumors.  Brent Ward cares for chemotherapy, radiotherapy and palliative care patients as well as oncological emergencies, routine investigations and specialized radiation procedures.  Brent Ward holds a board round at 12.00 noon daily where all patients on the ward will be discussed. Each board round is attended by all junior doctors.  All Oncology patients on Brent Ward are allocated to the consultant who normally sees them, or, if they are a new presentation, they are allocated to the AOS (acute oncology service) consultant.  The F2 Doctor will be based primarily on Brent ward with the potential to attend OP clinic sessions for extended learning.
  Nature of duties	Team working with handovers and presentation of patient care.  Liaising with other Trust deparments e.g OT/PT, microbiology, pharmacy, palliative care  Ethical issues surrounding treatment of disabled, elderly, nutrition, and end of life care.  Clinical note taking  Patient examination  Assessment and management of all patients arriving on the ward.  Long term care of poorly patients   Arrangement of appropriate diagnostic tests
  Rota / Shift pattern	Banded post with on call  All your shifts will be communicated to you via our Medical Rota team.  They will also be viewable on our Healthroster system (via your AllocateMe app), but regular self checks of the medicine rota spreadsheet, during your rotation, will be required as this is updated most regularly. Work schedules which you have received from Medial HR are only indicative of the number of OOH shifts you will work, not necessarily the date. The rota spreadsheet is the final version of your working pattern and is updated daily.
  Senior Cover Arrangements for Out of Hours Work	You will be required to take part in the evening cover shift pattern during your rotation.  This will be viewable on our healthroster system and the rota spreadsheet.  Senior Cover arrangements, escalation routes and contract details for the team you are in will be communicated ahead of time.
  Typical working week	8:50—8:55 am Start of day  09:00—9:20 am  Meeting in Doctors office to update patient white board and                                           handover from night shift Doctors.  The nurse in charge will                                               update Juniors with nurse queries, updates on unwell patients                                            overnight, and early discharges.  Allocate patients to those junior                                          doctors who are present that day.    09:20—12 noon            Morning ward round  to review patients and outstanding clinical                                         jobs     12– 12:40 pm Multi-Disciplinary Team (MDT) meeting in day room to present                                           each patient and will state the patient’s cancer diagnosis,                                           treatment intent, current problems, management plan and                                          outstanding tasks.      12:40—2:00 pm Between your team ensure you take 30 mins for lunch    2:00 pm—5:00 pm Finish reviewing all your patients and outstanding ward duties.    Work effectively and demonstrate good communication skills with all members of the team.
  Community Facing commitment   (if applicable) e.g. Out Patient Clinics	Out-patient clinic opportunities as described
  Related clinical skills opportunities	Opportunities to attend OP clinic sessions with Consultants will be made available. Our consultant team are also allocated time to assist with Workplace based assessments as part of your training requirements.
  In-house teaching	Attend x 1 weekly Registrar teaching sessions away from Brent ward
  Audit opportunities

• F1 Radiology 2024

  SPECIALTY	Radiology
  TRUST NAME	University Hospitals Plymouth NHS Trust	DATE: 24/1/2024
  Location of Post	Full Address: Derriford Hospital, Derriford Road, Plymouth PL6 8DH
  Clinical Supervisor(s)	Clinical supervisor: Interventional Radiology Consultant- TBC   Educational supervisor: Dr Charles Finan Consultant Radiologist
  Overview of team	We are a busy Imaging department with a large Imaging team comprising >50 radiology consultants, radiographers, sonographers, radiology registrars, imaging care assistants, admin support and many other team members. The F1 post will be based within the interventional radiology team working closely with the radiology consultants and registrars however training and duties will include activities across the whole radiology department.
  Nature of duties	Varied timetable which will include exposure to a range of imaging techniques and subspecialties. This post is entirely supernumerary and will involve close supervision from radiology consultants and registrars. Duties will include attendance in interventional radiology theatre cases and clinics, patient assessment pre/post procedure, observing ultrasound and reporting sessions, cannulation and developing skills in ultrasound guided cannulation, assessment of patients in the department when required. Attendance at departmental and local radiology training to develop skills particularly in emergency and chest x-ray interpretation.
  Rota / Shift pattern	9-5pm Monday- Friday, no on-call duties associated with this post
  Senior Cover Arrangements for Out of Hours Work	No out of hours or on-call duties associated with this post
  Typical working week	Range of clinical and educational opportunities throughout the week including exposure a host of diagnostic radiology modalities including radiographs, CT, MRI, and ultrasound of adult and paediatric patients in addition to interventional radiology and neuroradiology procedures. Working with the wider imaging team to assist with cannulation procedures prior to contrast administration and assessment of patients within the department. Attend regular dedicated radiology training alongside the ST1 radiology trainees in the purpose built nearby South West Imaging Training Academy.
  Community Facing commitment (if applicable) e.g. Out Patient Clinics	There will be opportunities to attend clinics for outpatients with planned interventional procedures or for follow-up. And alongside radiology consultants there will be exposure to reporting of diagnostic imaging studies for outpatients including patients referred from General Practice.
  Related clinical skills opportunities	Cannulation including learning skills for cannulation under ultrasound guidance Interpretation of x-rays for common conditions including fractures and chest radiographs
  In-house teaching	There is frequent and regular dedicated radiology training for the current radiology ST1-ST5/6 trainees. Foundation doctors within the department will be able to attend this training alongside the registrars and in particular the training provided for ST1/2 trainees on interpretation of common emergency department films and chest x-rays will be of benefit. There is also an opportunity to attend regular radiology registrar training sessions held at the neighbouring South West Imaging Training Academy.
  Audit opportunities	Numerous new and ongoing re-audits take place within the department with a particular focus on improving practices and patient care. There are a wide range of opportunities for audit involvement which may be tailored to trainee interest.
  Learning Outcomes	Gain insight into the work of radiologists within a busy Imaging department. Exposure to a wide range of varied clinical conditions and their management.

• F1 Public Health 2024

  SPECIALTY	Public Health
  TRUST NAME	Plymouth City Council	DATE: 25th April 2024
  Location of Post .	Full Address: Crownhill Court Tailyour Road Crownhill Plymouth PL6 5DH
  Clinical Supervisor(s)	Educational Supervisor – Julie Frier, Consultant in Public Health, Plymouth City Council
  Overview of team	Dr Ruth Harrell, as the Director of Public Health (DPH), heads the Office of the Director of Public Health (ODPH) which is a directorate of Plymouth City Council, and as such the DPH is a corporate director accountable to the Chief Executive.  There are three educational supervisors Julie Frier, Ruth Harrell and Kamal Patel.  There are nine Activity Supervisors
  Nature of duties	The key functions of a public health department are to assess the health and health care needs of the population and to develop strategies for meeting them. The post holder will make a significant contribution to the work of the department in which they are placed, under the supervision of an educational supervisor, who will be a senior member of staff. Foundation doctors in training will be required to support in some of the below activity: Quantitative and qualitative assessment of the population’s health, including managing, analysing, interpreting and communicating information that relates to the determinants and status of health and wellbeing.  Integral to this is the assessment of population needs and its relationship to effective actions. Critical assessment of evidence relating to the effectiveness and cost-effectiveness of healthcare interventions, programmes and services including screening.  It concerns the application of these skills to practice through planning, audit and evaluation. Influencing the development of polices, implementing strategies to put the policies into effect and assessing the impact on health. Building alliances, developing capacity and capability, working in partnership with other practitioners and agencies, and using the media effectively to improve health and well-being. Promoting the health of populations by influencing lifestyle and socio-economic, physical and cultural environment through methods of health promotion, including health education, directed towards populations, communities and individuals. Protection of the public’s health from communicable and environmental hazards by the application of a range of methods including hazard identification, risk assessment and the promotion and implementation of appropriate interventions to reduce risk and promote health. Commissioning, clinical governance, quality improvement, patient safety, equity of service and prioritisation of health and social care services. Collection, generation, synthesis, appraisal, analysis, interpretation and communication of intelligence that measures the health status, risks, needs and health outcomes of defined populations. Teaching of and research into Public Health. The Foundation doctor will be required to lead on a small project that is achievable in the four-month placement.  This placement is designed to give experience of taking a population approach to medicine and will allow the FY1 doctor to build up public health skills. The main duties are as follows: • Undertake critical appraisal and literature reviews • Undertake a review of at least one aspect of healthcare delivery, including the contribution of prevention • Assist in the management of public health incidents such as screening, immunisation or infectious disease outbreak • Assist in the design, implementation and management of health improvement initiatives • Take an active part in the department’s CPD programme • Undertake an audit
  Rota / Shift pattern	No on-call duties
  Senior Cover Arrangements for Out of Hours Work	n/a
  Typical working week	40 hours per week – M-F 9-5.  The placement is predominantly office based, located within the Plymouth City Council building and some remote working. There will also be occasions where attendance is needed at other locations depending on need.  Work is office hours and there are no fixed session commitments. Work will involve attendance at meetings and background computer-based work as well as a variable amount of field work.
  Community Facing commitment (if applicable) e.g. Out Patient Clinics	Community engagement activities as time allows
  Related clinical skills opportunities	N/A
  In-house teaching	Regional Tutorial teaching programme monthly Local Teaching with the Plymouth Public Health team
  Audit opportunities	Maybe opportunity to be involved in Audit activity.

  Example Timetable for Foundation Year 1 doctor in training in Public Health

   

  	Monday	Tuesday	Wednesday	Thursday	Friday
  AM	Public Health work Attendance at meetings. Project work Community Engagement	Public Health work Attendance at meetings. Project work Community Engagement	Public Health work Attendance at meetings. Project work Community Engagement	Public Health work Attendance at meetings. Project work Community Engagement	Public Health work Attendance at meetings. Project work Community Engagement
  Lunchtime
  PM	Public Health work Attendance at meetings. Project work Community Engagement	F1 Compulsory Teaching (Derriford)	Public Health work Attendance at meetings. Project work Community Engagement	Public Health work Attendance at meetings. Project work Community Engagement	Public Health work Attendance at meetings. Project work Community Engagement

   

  There are no fixed session commitments in this role.

  Adhoc teaching for Foundation Doctors in Training year 1 – dates will be circulated in advance.

  There will be no on-call commitments in this post.

  Typical working pattern will be 9-5 each day.

  Foundation Doctors will be encouraged to attending local teaching held within the Public Health team and any Public Health events held by the South West Public Health training programme.

This page was last updated March 12th 2024 (1 year ago)