Royal Cornwall Hospitals NHS Trust Job Descriptions

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

Royal Cornwall Hospitals NHS Trust Job descriptions

F1 Gastroenterology 2023

Trust Name	Royal Cornwall Hospital
Clinical Supervisor(s)	Gastroenterology: Dr C Dobson, Dr Fortun, Dr Beckly, Dr Bebb, Dr Worthington, Dr Siau, Dr Mudawi, Dr Stableforth You will be allocated a named clinical supervisor at or prior to your Gastroenterology induction
Overview of team	The appointee will work with a team of junior doctors and registrars under the supervision of one of the above consultants who will be managing the wards each week. You will also work with pharmacists, therapists, nursing and clerical staff as a MDT team to ensure our patients are discharged swiftly and safely.
Nature of duties	In patient care of General and Gastroenterology/Hepatology patients on the Gastro & Liver Unit and patients admitted to outlying wards. Supervision for out of hours shifts will be provided by the General Medical team on site.
Rota / Shift pattern
Typical working week	Morning Ward Round at 8:30am Afternoon Board Round Daily consultant review of all new and sick patients Daily review of outlying patients throughout the hospital Undertaking clinical duties related to managing patients admitted under Gastroenterology
Community Facing commitment (if applicable)	NA
Related clinical skills opportunities	Assessment of acute gastroenterology cases, presentation of cases, managing medically unwell patients, venepuncture, cannulation, arterial blood gas sampling and interpretation, ascitic taps, ECG interpretation, Basic radiology interpretation. Observing paracentesis, observing endoscopy, observing Gastroenterology clinics (ward work allowing), observing central line insertion (PICCs)
In-house teaching	Gastroenterology teaching Monday 1300 Grand Round Thursday lunchtime 1300 IBD, Upper GI and Xray MDTs
Audit opportunities	Ongoing Audit which you can participate in.

F1 Haematology 2022

F1 Paediatrics 2020

Trust Name	Royal Cornwall Hospital Trust, Truro
Clinical Supervisor(s)	Your clinical supervisor will be allocated at induction
Overview of team	General Paediatrics and Neonates 17 Consultants 4 Staff Grades 7 Middle Grade Registrars 6 Paediatric ST1-2’s 4 GP trainees 2 Foundation Year 2 3 Foundation Year 1 2 ANNP’s and 2 trainee ANNP
Nature of duties	Covering paediatric inpatient wards (Polkerris and Fistral) as part of MDT – supporting paediatric ward round and jobs for inpatients. Review of inpatients as needed. Well supported by F2/SHO grade doctors, registrar level doctors and Consultants on site until 2130 during the week. Opportunities to help in paediatric observation ward clerking and examining GP referrals and A&E referrals. Attend all paediatric and F1 teaching sessions and deliver some with support including journal and SIM.
Rota / Shift pattern	Daytime working (no nights)
Typical working week	0830 -1700 weekdays 1:3 in weekends 0900-2130
Community Facing commitment (if applicable)
Related clinical skills opportunities	Opportunities to observe paediatric practice initially. Can be involved in history taking and examination as confidence growth. Can do capillary blood sampling and venepuncture and cannulation with support as needed. Observation of more advanced paediatric skills and potential opportunities to do some
In-house teaching	Full paediatric teaching programme including paediatric and neonatal SIM, journal club, case of the week and lectures.
Audit opportunities	Opportunities available to participate in audit and present at Audit and Guidelines meetings.

F1 Respiratory 2020

F1 Emergency Medicine 2020

Trust Name	Royal Cornwall Hospital
Clinical Supervisor(s)	Consultants-Mr J Wyatt, Mr A Virr, Dr R Taylor, Dr M Jadav, Dr T Slade, Dr A Shekhdar, Dr J Farrant, Mr O McCormack, Dr Olga Zmijewska-Kaczor, Dr J Bareham . E-mail addresses via NHS Mail. Secretaries Telephone 01872 252452/3219 Your clinical supervisor will be allocated at induction
Overview of team	10 Consultants, 2 SpRs, 8 SAS doctors, 7 STs, 7 F2s, 3 F1s 12 sisters/charge nurses, 60 staff nurses, 6 HCAs 13 receptionists and secretarial staff, 3 psychiatric liaison nurses
Nature of duties	Working as part of a team providing assessment and treatment of a wide variety of emergency problems. You will gain ward experience in the Clinical Decision Unit. There will be a consultant available to supervise you at all times.
Rota / Shift pattern	40 hour working week daytime including approx. 1 in 3 weekends. Current shifts 08-18, 11-19, weekends 08-18 (subject to change)
Typical working week	Managing patients in various areas of ED with support in assessment by senior medical and nursing staff. Reviewing and helping to manage patients on the Clinical Decision Unit.
Community Facing commitment (if applicable)
Related clinical skills opportunities	Exposure to a wide range of emergencies including paediatrics. Involvement in resuscitation. Major focus on team working and clinical decision making and risk management. Wide variety of clinical skills including suturing, fracture and dislocation manipulation and X-ray interpretation.
In-house teaching	X-ray teaching on Wednesday afternoons. ED teaching on Wednesday afternoons, including Simulation. Informal teaching/supervision at most other times.
Audit opportunities	You will be encouraged to participate in audit and present at the monthly governance meeting.

F1 Acute Medicine 2020

Trust Name	Royal Cornwall Hospital
Clinical Supervisor(s)	Dr David Friedericksen Dr Sanjeev Gupta Dr Katie Wallace Dr Jurg Ehmann Dr Kathy Woolson Dr Gabi Lockwood Dr John Breslin Dr Saira Shabli
Overview of team	Consultant Led team with middle grade support from Specialty Doctors, Acute Medicine Registrar and registrars training in General (Internal) Medicine. Wide range of junior doctors including IMT trainees, ACCS trainees, F1 and F2 doctors as well as Trust doctors. Multidisciplinary team members including physician associate, occupational therapists, physiotherapists and pharmacists.
Nature of duties	Ward rounds with consultants daily and completing jobs for current inpatients as well as clerking new medical referrals via Same Day Medical Assessment or ED.
Rota / Shift pattern	Shifts include days, evening, weekends and nights.
Typical working week	Variable depending on shift.
Community Facing commitment (if applicable)	N/A
Related clinical skills opportunities	Gain experience in managing acute medical presentations by admitting patients via Same Day Medical Assessment and ward rounds on Acute Medical Unit. Gain experience in same day/ ambulatory care. Clinical procedure experience e.g. LPs, Ascitic taps, ABGs, bladder catheters, ultrasound guided IV access and pleural procedures. Member of the Cardiac Arrest team. MDT working including daily MDT board rounds End of life care.
In-house teaching	Weekly Medical Grand Rounds Weekly (Friday) AMU teaching Monthly governance and mortality meetings F1/F2 compulsory weekly lunchtime teaching Generic skills workshop Bedside teaching tp support the completion of workplace-based assessments for e-portfolio.
Audit opportunities	Audit and QI project will be assigned by AMU Audit Lead at the beginning of rotation and to be presented at AMU Annual Audit Meeting for a chance to win a prize.

F2 Acute Medicine 2020

Trust Name	Royal Cornwall Hospital
Clinical Supervisor(s)	Dr David Friedericksen Dr Sanjeev Gupta Dr Katie Wallace Dr Jurg Ehmann Dr Kathy Woolson Dr Gabi Lockwood Dr John Breslin Dr Saira Shabli
Overview of team	Consultant Led team with middle grade support from Specialty Doctors, Acute Medicine Registrar and registrars training in General (Internal) Medicine. Wide range of junior doctors including IMT trainees, ACCS trainees, F1 and F2 doctors as well as Trust doctors. Multidisciplinary team members including physician associate, occupational therapists, physiotherapists and pharmacists.
Nature of duties	Ward rounds with consultants daily and completing jobs for current inpatients as well as clerking new medical referrals via Same Day Medical Assessment or ED.
Rota / Shift pattern	Shifts include days, evening, weekends and nights.
Typical working week	Variable depending on shift.
Community Facing commitment (if applicable)	N/A
Related clinical skills opportunities	Gain experience in managing acute medical presentations by admitting patients via Same Day Medical Assessment and ward rounds on Acute Medical Unit. Gain experience in same day/ ambulatory care. Clinical procedure experience e.g. LPs, Ascitic taps, ABGs, bladder catheters, ultrasound guided IV access and pleural procedures. Member of the Cardiac Arrest team. MDT working including daily MDT board rounds End of life care.
In-house teaching	Weekly Medical Grand Rounds Weekly (Friday) AMU teaching Monthly governance and mortality meetings F1/F2 compulsory weekly lunchtime teaching Generic skills workshop Bedside teaching tp support the completion of workplace-based assessments for e-portfolio.
Audit opportunities	Audit and QI project will be assigned by AMU Audit Lead at the beginning of rotation and to be presented at AMU Annual Audit Meeting for a chance to win a prize.

F2 Clinical Oncology 2020

Trust Name	Royal Cornwall Hospital, Truro.
Clinical Supervisor(s)	Dr Toby Talbot, Dr Matthew Collinson, Dr. Duncan Wheatley, Dr Alastair Thomson, Dr Richard Ellis, Dr Charlotte Thomson, Dr John McGrane, Dr Maria Vilarino-Varela, Dr Grant Stewart, Dr Fiona Minear, Dr Caroline Parnell
Overview of team	Alongside the 2 FY2 posts, there is usually a GP trainee working on the Oncology Ward. There are also 2 Junior Clinical Fellows, who work with Acute Oncology and Sunrise Centre Clinics; 3 Senior Clinical Fellows who work alongside 2 Clinical Oncology Specialist Trainees; a Trust Doctor in Oncology Research; and 10 Oncology Consultants. Oncology is well supported with GPs with a special interest in oncology and clinical nurse specialists, including acute oncology, palliative care, chemotherapy, clinical trials, site specific nurses, as well as allied health professionals such as therapeutic radiographers, dieticians, physiotherapists.
Nature of duties	The FY2’s main focus is on the inpatients in Lowen ward. There is also a need to support Headland (the outpatient chemotherapy unit) as well as educational opportunities to be involved with Acute Oncology and Sunrise Clinics. The primary roles are: The acute general medical care of cancer inpatients and implementation of the treatment plan. The emergency and elective admission of patients within the Oncology Department including some assessment of a patient’s potential fitness for inpatient chemotherapy. The coordination of the day-to-day care of the inpatients, facilitation of safe discharge and arrangement of suitable follow-up. You are not expected to understand the intricacies of anti-cancer management, though you will have considerable exposure to these and the opportunity to learn during your time in the department. You will not be expected to discuss treatment options in detail, consent patients for radiotherapy or chemotherapy nor be asked to prescribe anti-cancer treatments.
Rota / Shift pattern	9am-5pm Monday to Friday.
Typical working week	Approximately 40 hours. No out of hours commitment
Community Facing commitment (if applicable)	Not applicable
Related clinical skills opportunities	A lot of practical procedures performed by subspecialties, but opportunities in cannulation, assessment of blood and ECG results, communication skills, multidisciplinary working/ holistic care of oncology patients.
In-house teaching	Trust mandatory training Daily board round Weekly journal club Friday afternoon teaching Weekly combined Consultant board round
Audit opportunities	You will be encouraged to participate in audit & present at the weekly teaching sessions. You will also present patients at the monthly Morbidity and Mortality Meeting.

F2 Community based Geriatrics 2020

Trust Name	Royal Cornwall Hospital
Clinical Supervisor(s)	Dr Laura Wesson Dr Simon Mcintosh Dr Julia Bell Dr Anna Longdon Dr Tracey Gray Dr Rod Bland
Overview of team	Wide ranging team as rotation through 3 hospitals and community services. RCHT - Orthogeriatric team and Trauma Ward staff, various therapists on Trauma wards and throughout RCHT. WCH - Medical and Nursing staff on Medical 1 or 2, various allied therapists and community agencies. SACH - Nursing staff and therapists on Harold White ward. CRCH - Nursing staff, therapists, GPs on Hayman ward. Community weeks will vary depending on attachment.
Nature of duties	Rotate through RCHT orthogeriatric service, WCH medical ward and SACH or CRCH rehabilitation ward in 3-5 week blocks. To provide medical cover with Eldercare consultant supervision to approximately 20 - 28 patients when providing ward cover. In SACH and CRCH you will provide medical cover to inpatients in a community rehabilitation hospital. There will be a weekly consultant ward round and support available from GPs/ staff grades on other days with consultant vailable by telephone. During the Community week you will attached to Lander medical practice with lots of learning opportunities arranged for you, during you clinical attachment week you have the opportunity to organise your own learning through participating in Outpatient clinics and joiing other members of the wider MDT (eg Palliative care, pain team, tissue viability). Independent mobility around the county is highly desirable if not essential to gain the most from this attachment.
Rota / Shift pattern	9am to 5pm throughout (some weeks on trauma unit 0830-1630. Participation in medical ward cover weekend rota - Saturday or Sunday 9am-5pm as per rota
Typical working week	• WCH is a great opportunity for community based work. Ward work/ MDTs happen in the morning, and as time allows there will hopefully be time available in the afternoons to engage in other activities. Several community agencies attend and in-reach into WCH, others can easily be arranged and attended from WCH. There is also great opportunity to be involved in opportunistic and ad hoc Occupational Therapy home visits, care home visits, Best Interest Meetings, Social Worker and Case Co-Ordinators Meetings. • SACH and CRCH will be mostly ward based community hospital work. You will be running a community rehabilitation ward with senior support from on-site Trust Grades and GPs along with weekly Eldercare consultant ward rounds. Due to covering a ward alone, you are less likely to be able to leave for on-site or off-site activities during those weeks. Learning will be derived from the difference of working on a nurse-led community ward, the importance of multi-disciplinary input and also handovers to colleagues and GPs who cover the hospital out-of-hours. It is also an opportunity to develop independent clinical decision making skills (whilst still having support available as needed). You will be able to return to RCH from both sites for your weekly F2 teaching. • There are 2 formal community weeks timetabled. One of these is a supranumery attachment at a local GP practice with opportunities to spend time with a GP, District nurses and other members of the primary care team. The other week is a self-directed week to organise your own learning opportunities. They will range from hospital clinics, volunteer sector agencies to domiciliary visits with nurses/ therapists to community based clinics with consultants. These 2 weeks are protected on the timetabel soley for your own learning. • The work at RCHT on the Trauma wards is under the orthogeriatricians looking after patients with hip fractures and occasional medical outliers. You will not look after orthopaedic patients, cross cover orthopaedic juniors or partake in the orthopaedic rota. You will be supported by a second F1/F2 doctor, 1-2 Orthogeriatric Trust grade doctors and eldercare consultants. You will work closely with the ward based MDT to help plan patients ongoing care and rehabilitation.
Community Facing commitment (if applicable)	As above, a significant proportion of the rotation will be spent in community settings – community hospitals, GP practice and community visits.
Related clinical skills opportunities	Knowledge and learning – learning about the complex and wide ranging problems faced by the elderly in hospital and the community and how to manage them. To Include an understanding of the impact of demographic change & social environment , pathology & aetiology, atypical presentations, assessment, & pharmacology. Special focus on community services available and their value, orthogeriatrics, rehabilitation, dementia care and palliative care.From the community attendences, gain an overview of the hospital and community interface. If possible, track a patient through hospital and relevant community agencies throughout attachment and complete a reflection. Good communication - to encourage an open relationship with the other members of the team and patients (along with their carers) including developing skills in breaking bad news, multi-disciplinary meetings and managing difficult situations, such as Case Conferences. Focus heavily on team working, decision-making and handover to peers, colleagues and out of hours GPs. Clinical skills include: Resuscitation, interpretation of investigations, safe prescribing practices, clinical examination and other invasive procedures (supervised as required) in acute and community hospitals. Be frequently involved in several outpatient settings with the objective to be competent with patients in clinic settings. Management Skills: documentation, time management, pro-active organisational skills and support to develop your portfolio
In-house teaching	• WCH junior doctor teaching sessions with supervision from Eldercare Consultant and RCHT Eldercare lunchtime meeting (Friday). These are both regular departmental teaching events, where you will be directly involved. • RCHT Medical Grand round (Thursday). • Ward Rounds & Clinics- frequent opportunities to complete SLEs for eportfolio.
Audit opportunities	Participation in an audit project encouraged and supported. Ideas or participation in Quality Improvement Projects welcomed. Opportunity to present findings at the Geriatrics Friday meetings

F2 Emergency Medicine 2020

Trust Name	Royal Cornwall Hospital
Clinical Supervisor(s)	Consultants-Mr J Wyatt, Mr A Virr, Dr R Taylor, Dr M Jadav, Dr T Slade, Dr A Shekhdar, Dr J Farrant, Mr O McCormack, Dr Olga Zmijewska-Kaczor, Dr J Bareham . E-mail addresses via NHS Mail. Secretaries Telephone 01872 252452/3219 Your clinical supervisor will be allocated at induction
Overview of team	10 Consultants, 2 SpRs, 8 SAS doctors, 7 STs, 7 F2s, 3 F1s 12 sisters/charge nurses, 60 staff nurses, 6 HCAs 13 receptionists and secretarial staff, 3 psychiatric liaison nurses
Nature of duties	Working as part of a team providing assessment and treatment of a wide variety of emergency problems. There will be a consultant available to supervise you between 0800 & 2200 7 days a week, between 2200 & 0800 Consultant is off site but on call and supervised by ST4+ Dr or SAS Doctor.
Rota / Shift pattern	40 to 48 hour working week current 1 in 2 weekends but subject to change to 1 in 3. Shifts of usual 10 hr duration 08-17/18, 11-21, 12-22, 15-01, 2200-0815. Plus Weds afternoon teaching shifts. Rota subject to change. Nights currently in a 4/3 split.
Typical working week	Managing patients in various areas of ED with support in assessment by senior medical and nursing staff.
Community Facing commitment (if applicable)
Related clinical skills opportunities	Exposure to a wide range of emergencies including paediatrics. Involvement in resuscitation. Major focus on team working and clinical decision making and risk management. Wide variety of clinical skills including suturing, fracture and dislocation manipulation and X-ray interpretation.
In-house teaching	X-ray teaching on Wednesday afternoons. ED teaching on Wednesday afternoons, including Simulation. Informal teaching/supervision at most other times. Micro-teach done by F1/F2/CT’s
Audit opportunities	You will be encouraged to participate in audit or QI and present at the monthly governance meeting.

F2 General Surgery 2020

Trust Name	Royal Cornwall Hospital
Clinical Supervisor(s)	Upper GI Surgery - Mr P Peyser, Mr I Finlay, Mr A Cota, Mr MG Clarke, Mr Gopalswamy, Mr J Clark Colorectal Surgery - Mr A Widdison, Mr P Arumugam, Mr W Faux, Mrs M Feldman, Mr P Lidder, Mr D May, Ms P Marsh, Mr I Smith Vascular Surgery- Mr N Hopper, Mr H Chant, Mr R Windhaber, Ms R Barnes, Mr K McCune Breast Surgery - Mr I Brown, Professor P Drew, Mrs R English, Ms P King Urology- Mr C Blake, Mr M Hotston, Mr M Mantle, Mr N Munro, Mr M Murugesan, Ms E Bright You will be allocated a named clinical supervisor at your RCHT induction
Overview of team	F2s will be nominally attached to one of the 5 surgical teams listed above. Each team will include at least one middle grade doctor (e.g. core trainee, specialty trainee, fellow, associate specialist / staff grade).
Nature of duties	The 4 month attachment will incorporate a mix of both elective surgery (according to specialty) in addition to acute emergency general surgery on call.
Rota / Shift pattern	All rotas are EWTD compliant
Typical working week	Attend daily Consultant or middle-grade ward rounds Admit and review elective and emergency surgical patients Support the F1s with ward tasks, including ordering appropriate investigations and referrals Write discharge summaries as directed Attend operating lists
Community Facing commitment (if applicable)
Related clinical skills opportunities	Competencies in the management of acute emergency and elective surgical patients. Undertake a range of surgical procedures as appropriate to level of experience.
In-house teaching	Tuesday morning 8am - 8:30am Teaching ward rounds Formalised F2 teaching programme - Wednesday 1pm - 2pm Weekly specialty meetings Monthly rolling audit & governance programme Multidisciplinary team meetings including radiological meetings
Audit opportunities	You will be encouraged to participate in audit & present at the monthly governance meeting

F2 Paediatrics 2020

Trust Name	Royal Cornwall Hospital Trust, Truro
Clinical Supervisor(s)	Your clinical supervisor will be allocated at induction
Overview of team	General Paediatrics and Neonates 17 Consultants 4 Staff Grades 7 Middle Grade Registrars 6 Paediatric ST1-2’s 4 GP trainees 2 Foundation Year 2 3 Foundation Year 1 2 ANNP’s and 2 trainee ANNP
Nature of duties	Covering paediatric ward and paediatric admissions. Paediatric Assessment unit – clerking and examination of GP and A&E referrals. Supported by middle grade and consultant for presenting and decision making and WBPA. Polkerris/Fistral wards – paediatric ward round and jobs for inpatients Postnatal ward – troubleshooting babies on postnates with jaundice, partial septic screens and feeding issues. Also Newborn checks. Supported by NNU ANNP’s and doctors and also NNU consultant. Other opportunities possible include attending paediatric outpatient clinics, NNU ward and deliveries. Also opportunity to attend paediatric and F2 teaching sessions and deliver some with support including journal and SIM.
Rota / Shift pattern	Shift working. EWTD complaint. Includes paediatric nights and weekends
Typical working week	Normal working day 08.30 – 17.00 with long days on call being 08.30 – 21.30. Short late are 1300 – 2130. Weekend on call 1:4., when Friday, Saturday and Sunday are long days on call. Nights are broken into 3 or 4 day blocks.
Community Facing commitment (if applicable)
Related clinical skills opportunities	Extensive opportunities for paediatric clerking and assessment and examination. Also HDU patients and NIV support. Further opportunity to build skills in paediatric and neonatal blood taking, lumbar punctures and central line insertion or intubation in neonates if keen.
In-house teaching	Full paediatric teaching programme including paediatric and neonatal SIM, journal club, case of the week and lectures.
Audit opportunities	Opportunities available to participate in audit and present at Audit and Guidelines meetings.

F2 Palliative Care 2023

SPECIALTY	Palliative Care F2 post
TRUST NAME	Royal Cornwall Hospitals NHS Trust	DATE: 16/01/2023
Location of Post	Full Address: Royal Cornwall Hospital
Clinical Supervisor(s)	Consultants in Palliative Medicine (integrated in-reach team employed by CFT)
Overview of team	Specialist Palliative Care and End-of-Life advisory team to ward areas with aim to improve the 5 key areas which are important to patients and their families (symptom control, timely information and understanding, coordinated care, preferences and plans considered for the future, reduction in family burden) and to support teams on the ward providing this care. 0.8 WTE band 8 Service nurse lead, 1 WTE band 7, 4 WTE band 6 nurses with in-reach support from the integrated Palliative Medicine Consultant team (CFT employed) Weekday and weekend working 8am-4pm daily
Nature of duties	Daily review of patients on the wards (joint with SPC CNS at the beginning with transition to sole reviews) Medical support to the nursing team with support from consultants QI and audit work to meet the needs of the RCHT SPC & EOL strategy as an MDT team (in conjunction with own training requirements)
Rota / Shift pattern	Daytime work 8am-4pm
Senior Cover Arrangements for Out of Hours Work
Typical working week	Monday to Friday 8am-4pm
Community Facing commitment (if applicable) e.g. Out Patient Clinics	No fixed commitments. Options for community as below.
Related clinical skills opportunities	Options for community facing work include: Pain clinic (RCHT Monday pm) Community MND MDT Time with SPC CNS community team Time in-patient hospices
In-house teaching	To receive - Medical teaching sessions/CPD at hospice - X-site SPC CNS teaching sessions - SW Palliative Care Journal Club To provide -Participation in RCHT education programme from SPC&EOL Team
Audit opportunities	Identify audit work at RCHT Rolling QI projects

F2 Trauma & Orthopaedics 2023

SPECIALTY

Trauma & Orthopaedics F2 Post

TRUST NAME

Royal Cornwall Hospitals NHS Trust

DATE:17/01/2023

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: Royal Cornwall Hospital,

Treliske

Truro

TR1 3LJ

Royal Cornwall hospital is where the majority of the time will be spent, this is where the on-calls, ward cover, fracture clinics and trauma theatres will be.

There will also be occasions where the F2s will go to other Trust sites:

St Michael’s Hospital

Trelissick Road

Hayle

TR27 4JA

This will be for elective clinics and elective theatre sessions.

And

West Cornwall Hospital

St Clare Street

Penzance

TR18 2PF

For Elective clinics

ODS Code:

Clinical Supervisor(s)

Mr Lawrence Moulton

Miss Charlotte Angel

Mr Rob Walker

Mr Richard Walter

Overview of team

The department consists of:

20 consultants who cover all areas of trauma and orthopaedic surgery except spinal surgery
5 Associate Specialists
2 Specialty doctors
13 middle grade doctors of which 8 are higher specialty trainees and 5 non-trainees
12 junior tier doctors of which we have 2 core surgical trainees, 8 non-trainees and with these new posts, 2 Foundation Year 2 doctors

We also have:

3 trauma nurse practitioners
2 Physicians Associates

Nature of duties

The foundation year two doctors will be on our junior medical rota. This rota includes a balance of all aspects of T&O. In a 12 week rota, they will do:

1 week of ward cover covering our trauma inpatients, providing care to pre and postoperative patients. This is along side a consultant of the week who performs a daily ward round every day and a trauma nurse practitioner and a PA. (takes place at RCH)

1 week of night on-calls and 1 week of daytime on-calls where they will be providing assessment and initial management of patients presenting with acute orthopaedic problems and are part of the trauma team to attend trauma calls.

1 week of late cover shifts covering outliers, wards and helping on-call where the pressure is greatest (At RCH).

The remaining time after zero hours days will be spent in either clinic or theatre. Clinics will be a mixture of fracture and elective clinics. Theatres will be both trauma theatre and elective theatre. Our rota is based on the Joint Committee on Surgical Training Key Performance Indicators for T&O. Everyone in our department on the Junior or Middle Grade rotas (trainees and non-trainees alike) meet or exceed the KPIs. We will treat the Foundation Year 2 doctors the same whilst they are with us. Therefore, the theatres and clinics will be more focussed on trauma experience than elective as this meets the KPIs and curriculum outcomes for those doctors on the junior tier of the rota, where core trauma skills and management of acute patients is more of a focus than elective patients. Trauma commitments at RCH and Elective commitments at SMH and rarely WCH.

All of our junior doctors are given half a day a week for audit/research/personal development time

Rota / Shift pattern

12 person rota with weeks as describes above:

1 week of ward cover (including the weekend) – 08:00-17:00
1 week of daytime on-calls – 08-00-20:30 (4-3 split)
1 week of nights – 20:00 – 08:30 (4-3 split)
1 week of late cover (no weekend) – 12:30-20:30

Total of 3 weekends in 12 weeks

All on-call/out of hours shifts are done at RCH, no on-calls done at other sites.

Senior Cover Arrangements for Out of Hours Work

The Foundation Year 2 doctor will have senior supervision out of hours as we have a middle grade doctor resident on-site 24/7.

There is also a consultant on-site until 20:30. Overnight there is a consultant on-call from home.

Typical working week

Ward cover week

	Mon	Tues	Weds	Thurs	Fri	Sat	Sun
AM	Cons WR	Cons WR	Cons WR	Cons WR	Cons WR	Cons WR	Cons WR
PM	Ward cover	Ward cover	Ward cover	Ward cover	Ward cover	Ward cover	Ward cover

On-call week

	Mon	Tues	Weds	Thurs	Fri	Sat	Sun
AM	On-call	On-call	On-call	On-call	Zero day	Off	Off
PM	On-call	On-call	On-call	On-call	Zero day	Off	Off

Standard week

(varies based on which consultant is CS but balance is the same)

	Mon	Tues	Weds	Thurs	Fri	Sat	Sun
AM	Fracture clinc	Trauma theatre	Elective list	Trauma Theatre	Elective clinic	Off	Off
PM	Admin	Trauma Theatre	Elective list	Trauma Theatre	Flexible	Off	Off

Community Facing commitment

(if applicable) e.g. Out Patient Clinics

The foundation year doctors will be scheduled to be in both fracture clinics and elective clinics during their time with us. We aim for 1-2 fracture clinics per week and 1-2 elective clinic per fortnight.

Related clinical skills opportunities

We would anticipate that the foundation year 2 doctors would be able to develop the following clinical skills:

Joint aspiration
Joint reduction
Fracture manipulation
Basic casting techniques
Joint injections
Application of splits and braces
Basic surgical skills including

Suturing
Wound debridement
Performing simple orthopaedic procedures

In-house teaching

We have weekly teaching for all grades once per week delivered by a consultant on a Thursday morning.

We also arrange a junior tier specific teaching program which is a mixture of consultant delivered sessions, middle grade delivered sessions and junior tier doctor delivered sessions with senior supervision

Audit opportunities

We have significant audit opportunities in the department and a well functioning research unit, where the Foundation doctors will be have to opportunities to recruit patients to national RCTs and deliver local, regional and national audits.

F1 Microbiology & Infectious Diseases 2024

SPECIALTY

Microbiology and Infectious Disease

TRUST NAME

Royal Cornwall Hospitals NHS Trust

DATE:08/07/2024

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: Royal Cornwall Hospital

Treliske,

Truro

TR1 3LJ

ODS Code:

Clinical Supervisor(s)

Andree Evans

Overview of team

Clinical Microbiology consultants: 4

Consultant in Acute medicine and Infectious Disease 1

HSST (microbiology) 1

HSST (virology) 1

Clinical Fellow Microbiology : 2

Laboratory staff 50

Reception/secretarial staff 4

Nature of duties

Investigation and management of infectious disease

Understanding of antimicrobial prescribing and stewardship

Understanding of work of microbiology lab and interpretation of results.

Preparing for/attending/Leading ward rounds: - Infectious disease (1/ week)

Antimicrobial stewardship (2/ week)

ITU (3-5/week)

C. difficile (1/week)

Attending/preparing for MDTs: Orthopaedic (2/week)

Haematology (1/week)

Complicated Infection (1/week)

Infection Control clinical (1/fortnight)

Reviewing (including examination of) patients with positive blood cultures

Reviewing (including examination of) patients with complex infections (eg. endocarditis, discitis, bone and joint infections, returning travellers)

Communication of results and management plans to clinical teams

Communicating urgent results and advice to GPs – eg VTEC, Varicella serology in pregnancy, multi-resistant organisms

Assisting with Penicillin Allergy assessment and de-labelling process

Answering queries about management of common infections from GPs and hospital specialities after appropriate training.

Liaison with UKHSA - reporting of outbreak organisms

Attendance at outbreak investigations and meetings

Liaison with, and time spent with, HIV team, TB team, Respiratory team, Infection Prevention and Control team

Helping with teaching of 4^th and 5^th year medical students

Rota / Shift pattern

09:00 – 17:30 Monday - Friday

No on-call commitment

Senior Cover Arrangements for Out of Hours Work

Not applicable

Typical working week

Monday

09:30- 11:00 Handover (discussion of patients and results from weekend, planning work for day)

11:00 – 12:00 Review of patients with positive blood cultures

12:00 – 13:00 Prepare for C difficile and ITU WRs

Lunch

13:30 – 15:30 C difficile WR followed by ITU WR

15:30 – 17:30 Discuss results from GPs and contact them with urgent results

Tuesday

09:30- 11:30 Haematology MDT

11:30 – 12:30 Follow up patients with positive blood cultures

12:30 – 14:15 Lunch/Clinical Fellow teaching session

14:15 – 15:00 Imported Fever Service International case presentation

15:0017:30 Orthopaedic MDT/ Antimicrobial Stewardship WR

Wednesday

AM - Infectious Diseases WR

PM – Infectious disease OP clinic

Thursday

09:00 – 10:00 Follow up patients from Wednesday WR

10:00 – 11:00 Prepare cases for presentation at Complex infection MDT

11:00 – 12:30 Complex Infection MDT

12:30 – 13:30 Lunch/ Hospital Grand Round

13:30 – 17:30 Antimicrobial Stewardship WR /Penicillin allergy de-labelling round

Friday

09:00 – 11:00 Review patients with positive blood cultures

11:00 – 13:00 Prepare then lead ITU WR

13:00 – 13:30 Lunch

13:30-17:30 Audit/CPD

Community Facing commitment

(if applicable) e.g. Out Patient Clinics

Infectious disease outpatient clinic

Acute Care At Home (OPAT) clinic

Answering queries from GPs and Community hospitals

Relaying urgent results to GPs and Community Hospitals

40% of Microbiology work originates from GP

Related clinical skills opportunities

Examination and history taking from patients in every hospital department with development of differential diagnoses and structured investigation

Attendance at HIV clinic, TB clinic, OPAT clinic, Respiratory ward and Infection Control Team to be arranged within the post as convenient with these speciality teams. – at least 1 day with each during this post

Opportunities to teach medical students within the department

In-house teaching

Clinical Fellows teaching presentation weekly

Imported Fevers Service Case presentation weekly

Regional Journal club (on TEAMS with Exeter, Derriford, Torbay participation) - monthly

1 week in laboratory learning basic microbiology

Expected to attend Trust F1 teaching sessions as they occur – timetable to be adjusted around this.

Audit opportunities

Expectation that the foundation doctor will complete an audit whilst in this post or contribute to rolling departmental audits

Audit opportunities looking at treatments used, patient outcomes, communication of results, conformity with guidelines, use of resources, reporting of investigations, are all available. Alternatively encouraged to develop own audit of subject/process of interest to the foundation doctor

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