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 2025

F1 Speciality: Respiratory

Plymouth Hospitals NHS Trust

Derriford Hospital, Plymouth

Clinical Supervisor(s)

Consultants:

Dr Daneshvar, Dr Iyer, Dr Howell, Dr Nicholson, Dr Taylor, Dr Syms, Dr Waine, Dr Hayes, Dr Patel, Dr Kathiresan, Dr Hughes, Dr Bleksley

Departmental induction will happen at lunchtime on the first Wednesday and Friday of the attachment. If you miss it, please ask your supervisor to go through it with you. A slide set containing the information is available on the HexHoney drive.

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

Each team usually consists of 2 F1s, 1 F2 Trust grade, a registrar, and a consultant. We try to keep your team together and covering one set of patients for 2 months then rotating to another set for the other 2 months. If there are periods when Hartor is covered by a medical (non-respiratory) consultant, Trust grades will cover the IM1-2 level slot on your team. One of the respiratory team will be responsible for making alterations in response to staff shortages and communicating them to you. 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.

Your work will also be supported by a number of specialist nursing teams (respiratory asthma & COPD in-reach, TB, ILD, CF, ventilation).

Nature of duties

You should arrive in time to prepare the ward round list before a brief handover at 9am, and print copies for the rest of your team. Ward rounds should aim to be completed by midday, followed by a hand-over to the ward team at 12:30, then the afternoon to do the jobs.

Respiratory is known to be one of the busier jobs in the hospital, with a high turnover of patients as well as some of the sickest. The team is also known for being supportive and has received good feedback on previous rotations for the educational value.

Respiratory patients are cared for on Hexworthy and Honeyford wards. You will also spend some time on Hartor ward (mostly general medical and HCE patients) likely be covered by an internal medicine consultant. Your clinical supervision will still be overseen by the respiratory consultants.

Rota / Shift pattern

The normal working day on respiratory is 9am-5pm.

You are on the general medical rota, for which you will be working weekends, evening, and nights. As an F1, take shifts are usually 8am-9pm and nights are on MAU where you will be clerking new patients. Weekends and evenings will involve ward cover. On these shifts your senior is the registrar and consultant on-call for medicine, though consultants provide input to new and high-care patients at the weekend and are available for advice at those times.

Typical working week

Consultant ward rounds are usually 9am-1pm Monday, Wednesday, and Friday. On the other days the expectation is of a resident-led round, sometimes with a registrar. 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.

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

Tuesday afternoons – F1 teaching.

Wednesday lunchtimes – registrar-led case-based teaching (this is a good opportunity to get “Developing the Clinical Teacher” signed off.)

Thursday lunchtime – medical grand round.

Friday lunchtime – consultant-led respiratory topic teaching.

Audit opportunities

The respiratory registrars and consultants will be happy to have your help and involvement in audits or QIPS 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 2025

F2 Speciality: Respiratory

Plymouth Hospitals NHS Trust

Derriford Hospital, Plymouth

Clinical Supervisor(s)

Consultants:

Dr Daneshvar, Dr Iyer, Dr Howell, Dr Nicholson, Dr Taylor, Dr Syms, Dr Waine, Dr Hayes, Dr Patel, Dr Kathiresan, Dr Hughes, 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

Each team usually consists of 2 F1s, 1 F2, 1 IM1-2, 1 Trust grade, a registrar, and a consultant. We try to keep your team together and covering one set of patients for 2 months then rotating to another set for the other 2 months. If there are periods when Hartor is covered by a medical (non-respiratory) consultant, Trust grades will cover the IM1-2 level slot on your team. One of the respiratory team will be responsible for making alterations in response to staff shortages and communicating them to you. 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.

Your work will also be supported by a number of specialist nursing teams (respiratory asthma & COPD in-reach, TB, ILD, CF, ventilation).

Nature of duties

Rota / Shift pattern

The normal working day on respiratory is 9am-5pm.

You are on the general medical rota, for which you will be working weekends, evenings, and nights. As an F2, take shifts are usually 5pm-9pm (after a normal working day on resp) and nights are on MAU where you will be clerking new patients. Weekends and evenings will involve ward cover. On these shifts your senior is the registrar and consultant on-call for medicine, though consultants provide input to new and high-care patients at the weekend and are available for advice at those times.

Typical working week

Community Facing commitment

(if applicable)

N/A

Related clinical skills opportunities

In-house teaching

Wednesday lunchtimes – registrar-led case-based teaching (this is a good opportunity to get “Developing the Clinical Teacher” signed off.)

Thursday lunchtime – medical grand round.

Friday lunchtime – consultant-led respiratory topic teaching.

Audit opportunities

The respiratory registrars and consultants will be happy to have your help and involvement in audits or QIPS 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: 25^th 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.

F1 Adult Psychiatry 2023

F1 Speciality:

Community Adult Psychiatry at Mount Gould Hospital Plymouth

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 3^rd 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.

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