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 

     

     

     

    1. History taking / ocular history taking 

    1. Ocular examination / use of slitlamp / fundal examination 

    1. 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 

     

     

     

     

     

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