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

    Trust Name 

    Royal Cornwall Hospital 

     

    Clinical Supervisor(s) 

     

     

    Dr David Tucker 

    Dr Adam Forbes 

    Overview of team 

     

     

     

     

    1x FY1 

    1x IMT, 1x GPST 

    1x StR 

    7x Consultant Haematologists 

    Nature of duties 

     

     

     

     

    Medical care of all haematology inpatients on Lowen ward 

     

    Presentation of clinical cases at twice weekly consultant ward rounds 

     

    Within level of experience, and with appropriate clinical supervision, initial review/clerking of direct admissions to Lowen ward, or review of unwell patients in Haematology clinic, Headland Unit or outlying wards 

     

    Rota / Shift pattern 

     

    No out of hours work 

    Typical working week 

    Monday to Friday 9-5 or equivalent 

    Community Facing commitment  

    (if applicable) 

    Not applicable 

    Related clinical skills opportunities 

     

     

     

    Ward based clinical skills such as phlebotomy, cannulation, arterial blood gases, blood culture, urinary catheterisation, lumbar puncture 

     

    Options for bone marrow biopsy and tunnelled line removal if enthusiastic and opportunities arise 

    In-house teaching 

     

     

    Weekly haematology teaching with Dr Tucker 

    Learning opportunities at weekly haematology MDT 

    Fortnightly journal club with opportunity to present 

     

    Audit opportunities 

     

    Audit/QI is actively encouraged, and we can discuss individual projects when required  

     

  • 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

    Trust Name 

    Royal Cornwall Hospital  

     

    Clinical Supervisor(s) 

     

     

     

     

    Respiratory- Dr S Iles, Dr J Myers, Dr M Wijesinghe, Dr J Pickering, Dr B Soar, Dr S Coulter, Dr M Berry 

     

    You will be allocated a named clinical supervisor at or prior to your Respiratory induction 

    Overview of team 

     

     

     

     

    The appointee will work with an F2, a Senior House Officers and one Specialist Registrar under the supervision of one of the above consultants. Close cooperation with the other Respiratory team consisting of an SpR and two senior house officers working under one of the other consultants is maintained.  

    Nature of duties 

     

     

     

     

    In patient care of General and Respiratory patients on Wellington or Roskear and outliers 

    Rota / Shift pattern 

     

     

     

     

    Approx. 1 in 10 evenings ward cover 1700 – 2200 

    Approx. 1 in 10 weekend long days ward cover 0900 – 2200 

    Approx 1 in 10 Fri/Sat MAU nights. 

    Typical working week 

     

     

     

     

    Morning board round at 830am 

    Two full consultant ward rounds per week 

    Daily consultant review of all new and sick patients  

    Junior doctor review of remaining patients on other days of the week 

    Community Facing commitment  

    (if applicable) 

     

    Related clinical skills opportunities 

     

     

     

    Assessment of acute respiratory cases, venepuncture, cannulation, arterial blood gas sampling, chest aspiration, small bore chest drain insertion, spirometry. Learning about/observing lung function testing, oxygen assessment, non-invasive ventilation and bronchoscopy. 

    In-house teaching 

    Tuesdays lunchtime Respiratory Dept. meeting with rolling presentations 1230 – 1330hrs. 

    Grand Round Thursday lunchtime 1300 

     

    Audit opportunities 

     

     

     

     

    Ongoing Audit which you can participate in. 

  • 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: 

    1. Pain clinic (RCHT Monday pm) 

    1. Community MND MDT 

    1. Time with SPC CNS community team 

    1. 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 

     

    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 4th and 5th 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