Royal Devon University Healthcare NHS Foundation Trust (NORTH DEVON)

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

Royal Devon University Healthcare NHS Foundation Trust (NORTH DEVON) Job Descriptions

F1 Intensive Care Medicine (ICU) 2023

SPECIALTY	Intensive Care Unit F1
TRUST NAME	Royal Devon University Hospital NHS Foundation trust	DATE: August 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: North Devon District Hospital Raleigh Park Barnstaple EX31 4JB ODS Code:
Clinical Supervisor(s)	Dr Sasha Carter Also available: Dr. Nicholas Love Dr. Guy Rousseau Dr Nigel Hollister
Overview of team	Close knit team of Consultants, Doctors (ICU SAS doctor, ACCS and anaesthetic trainees, IMT trainees and FY1) Nursing team including specialist nurses, clinical secretary, pharmacist, physio and occupational therapists, ward clerk
Nature of duties	Examination of patients requires detailed assessment of patients with differential and management plan. - ward rounds consultant lead. Clear and adequate documentation in MYCARE patient notes. Variety of jobs contributing to patient care: - Investigation requests (blood tests, imaging etc.) - Referrals to other specialties - Discussion with and updating of NOK family members - Ensure good communication with other members of the MDT - Appropriate and informative discharge summaries - Efficient handover Accompanying and assist more senior ITC/Medical staff in assessment and management of referrals to ITU Practical procedures to include US guided peripheral IV access
Rota / Shift pattern	- Days: 8am - 5pm – participate in morning ward round and jobs - Friday 8am -2pm - Friday 12pm -2pm educational development time
Senior Cover Arrangements for Out of Hours Work	N/A
Typical working week	- Days: 8am - 5pm – participate in morning ward round and jobs - Friday 8am -2pm - Friday 12pm -2pm educational development time
Community Facing commitment (if applicable) e.g. Out Patient Clinics	N/A
Related clinical skills opportunities	Specific training opportunities: Experience of managing acutely unwell patients with a variety of medical and surgical conditions e.g. pneumonia, Overdose, post laparotomy, Acute coronary syndrome, exacerbations of COPD and Asthma, Seizures, acute bleeds, acute kidney injury, sepsis, Able to detect the unstable patient and develop competency to manage and treat with appropriate senior escalation Attend cardiac arrest calls and gain competency Daily exposure to ward rounds led by consultants Admitting patients via the EPIC system Formulating differential diagnoses and management plans Develop communications skills with the MDT Develop an understanding on efficient use of investigations and imaging Understanding how to manage ICU ventilated patients with senior support Present cases on the afternoon ward round to MDT Basic understanding of the use of vasopressors and inotropes in ICU Understand the process of sedation and medications used for this Understand the process of intubation and extubation Have a basic understanding of weaning patients from a ventilator Work with the PT on an ICU ward round
In-house teaching	F1 teaching SIM training ALS Course
Audit opportunities	Range of potential audit and Quality improvement projects available. Many ICU related projects possible. Be encouraged to suggest possible areas of improvement to seniors or educational/clinical supervisors.

F1 General Surgery 2020

Trust Name	North Devon District Hospital
Clinical Supervisor(s)	Each F1 will be provided with a clinical supervisor and educational supervisor. However we have many excellent associate specialists and specialty grades who will help in the trainees’ education while on surgery.
Overview of team	The team will consist of 4-5 consultants, an Associate specialist, 3-4 registrars, 2-3 trust grades/CT, 2 FY1s
Nature of duties	The FY1 will be on elective duties including ward work, theatre and opportunities to attend MDTs, endoscopy and OPD
Rota / Shift pattern	General on-call for general surgery on shift pattern.
Typical working week	Daily ward rounds with consultant/middle grade Presentation of acute admissions on post take ward round Attend breast, colorectal or UGI clinic Attend colorectal or breast MDT and follow patient journey Assist in theatre Shadowing CNS : colorectal / palliative care / pain / breast / urology
Community Facing commitment	n/a
Related clinical skills opportunities	Learning objectives: 1. Identify and manage common surgical emergencies 2. Management of post operative patient including investigation and management of complications 3. Understand basis of fluid prescription and nutrition 4. Understand management of colorectal cancer / breast cancer 5. Understands how to assess and manage benign upper GI conditions and hernias Suggested evidence to meet learning objectives 1. CBD on 2 of: acute appendicitis, acute biliary disease (biliary colic, acute cholecystitis, acute pancreatitis), acute diverticulitis 2. CBD on management of fluid balance/nutrition 3. CBD on chronic conditon/discharge planning 4. Mini-CEX examination of a hernia 5. Mini-CEX examination of an acute abdomen 6. DOPS/Min-CEX. Upto 3 further cases from surgical on call. 7. Developing the clinical teacher - teaching to medical students BMS/PAs on a surgical topic 8. Mini -CEX Suturing 9. Attendance at simulation session
In-house teaching	1. Surgical Teaching (Fridays) 2. F1 training programme via MEC 3. SIM training
Audit opportunities	1. Morbidity & mortality audits 2. Opportunities e.g. cancer pathway project

F1 Paediatrics 2020

Trust Name	North Devon District Hospital
Clinical Supervisor(s)	Helen Sammons, Andy Arend, Chris Poh, Dermot Dalton, Michael Selter, Sadiya Gumi, Rebecca Rub
Overview of team	Caroline Thorpe Ward is a general paediatrics ward for age 0-18 years – acute and elective admissions, paediatric medical inpatients. Level 1 Special Care Unit Other doctors – GP trainees and fixed-term SHO (4 person tier 1 rota), paediatric trainees and staff grades (6 person tier 2 rota).
Nature of duties	Management of patients as part of above team. Includes clinical care – clerking patients, practical tasks e.g. blood tests, prescribing and discharge summaries, administration (helping to manage ‘jobs list’).
Rota / Shift pattern	Un-banded 40 hours per week. No out of hours work - no evenings or weekends.
Typical working week	8.30am – 4.30pm Mon-Fri.
Community Facing commitment	n/a
Related clinical skills opportunities	Blood tests IV cannulas Lumbar punctures Nasogastric tubes.
In-house teaching	Can attend clinic to sit in with consultant when possible (best to organise in advance). Tuesday morning – Consultant led topic teaching on Caroline Thorpe Ward. Wednesday morning – 8-8.30am journal club Thursday morning (every 2 weeks) paediatric SIM teaching Friday morning 11-12 paediatric grand round Friday 1-2pm paediatric teaching There are a number of teaching sessions available each week and we encourage you to attend as many as possible. These include the weekly morning report on Monday, grand round at Wednesday lunchtime, and respiratory team teaching on Friday morning. You will have the opportunity to present a teaching session and complete your teaching observation assessment.
Audit opportunities	The paediatric team is very engaged in quality improvement activity. You will have the opportunity to contribute to on-going projects; we would also support you to develop your own project if you identify an issue you would like to work on.

F1 Trauma & Orthopaedics 2023
Job Description

Foundation Year 1 Doctor Trauma & Orthopaedics x 2 post

One FY1 post is available in Trauma & Orthopaedics for 4 month blocks within their Foundation program rotation. They are suitable for doctors who would like specific T&O experience, or those who would like a broad range of experience at foundation level including surgical exposure and perioperative care. The post holder will be part of a team of doctors including one Advanced Care Practioner two Physician’s Associates, two FY1 doctors, three FY2 doctors and five trust doctors at core surgical level. There are also two Specialty Trainees, seven Associate Specialists and nine Consultants.

The post holder will work with all the orthopaedic surgeons over the four month period. We provide a general orthopaedics trauma service and have an elective practice that covers all the major subspecialties, including hip and knee primary and revision arthroplasty, spinal surgery, shoulder and elbow surgery, hand and wrist surgery, soft tissue knee surgery and foot & ankle surgery.

They will be expected to work in a team with a Physician’s Associate and supported by FY2 and CT doctors at all points each day. They will primarily be working on the trauma team rather than on the elective orthopaedic team, however they will have experience of both. The normal work day is from 8am – 5pm Tuesday, Wednesday and Friday. There is a weekly on-call shift every Thursday supported by either a physician associate or SHO. Monday mornings will alternate between fracture clinic and theatre time with a dedicated consultant or SAS doctor, with Monday afternoons dedicated to supporting professional activities. FY1 doctors can also expect to work every 1 in 4 Saturday mornings. They will be expected to assess & manage patients with acute traumatic injuries, perioperative illnesses and orthopaedic emergencies, with support from seniors.

The post holder will be expected to:
- Participate in ward rounds, outpatient clinics & operating sessions as timetabled.
- Assess and manage perioperative inpatients, including emergency management of sick patients.
- Supervise & support medical students, Advanced Care Practitioners and Physicians Associates and work in a team with FY2 and CT doctors as well as senior colleagues.
- Discuss management & discharge plans with patients and relatives.
- Liaise with the multi-disciplinary teams associated with the specialty and within subspecialties.
- Attend weekly specialty educational & multidisciplinary sessions.
- Maintain continued professional development, including study for postgraduate qualifications.
- Undertake clinical audit and research.
- Teach undergraduate medical students & foundation doctors and present at least one teaching session to the T&O department.
- Attend Trust & specialty induction sessions.
- Comply with local policies, including annual leave, study leave, dress code etc.
Annual leave is flexible but subject to the service needs of the department. We recognize that foundation posts are short, so the leave policy within T&O can be granted with little notice so long as shifts are covered internally.

Teaching and training

Training opportunities offered include clinical experience in each subspecialty (hips, knees, foot & ankle, shoulder & elbow, hands and spines). All FY1 doctors have one whole educational day educational per week whereby they will be rostered to outpatient clinics, fracture clinics or trauma & elective operating lists, often as surgical first assistant. They will be bleep free and have no ward duties on these days. There is a T&O educational checklist that foundation doctors are expected to have completed by the end of the post including lectures they should have attended, operations they must have seen or assisted with, and procedures they must be able to competently perform such as examination and aspiration of joints and application of plaster casts.

There is a weekly junior doctor teaching session they are expected to attend every Friday morning with a rota of lecturers from the senior T&O team to cover each week. There is a daily Consultant-led trauma meeting and trauma ward round when all trauma inpatients are reviewed with active teaching. There is also a weekly departmental trauma meeting whereby interesting cases are discussed in a teaching format.

Foundation doctors are also expected to attend the internal FY1 teaching sessions. All juniors will be expected to participate in at least one audit project and encouraged to take part in clinical research. They will also be expected to teach undergraduates & foundation doctors and take part in journal clubs when set by the Consultant on call.

All doctors will be allocated an educational supervisor for their foundation year and also to a clinical supervisor within T&O for the 4 month post who will complete regular appraisal. They will be expected to register with Horus, and to undertake workplace based assessments. They will also be encouraged to keep a surgical logbook if they have any interest in pursuing a career in any surgical specialty. They will have a formal Annual Review of Competence Progression (ARCP) assessment in the final F1 post.

Medical education and Medical library facilities are available within the hospital. Foundation doctors have a dedicated administrator who is based in the medical education centre on Level 1.

About the Trust

The Northern Devon Healthcare NHS Trust is one of the top-performing Trusts in the country, with an enviable patient satisfaction record, innovative services and cutting-edge technology. Rated fourth in the country for staff satisfaction we were recently chosen as one of the Health Service Journal’s best places to work.

We are a unique organisation delivering acute and community services coupled with integrated community health and social care that is organised around primary care.

As an integrated Trust, we employ over 3,000 staff and provide care that is judged as excellent by our patients. Responses to the national inpatient, outpatient, maternity and staff surveys regularly put us in the top 20% of Trusts in England.

We provide acute care based from North Devon District Hospital in Barnstaple. In our community hospitals across north Devon we provide community inpatient care and rehabilitation with a mix of GP and consultant-led beds.

Our community health and social care teams support people to live healthily and independently in their own homes. We do this by responding rapidly to avoid hospital admissions and providing support to enable patients to leave hospital as soon as is safe.

We also offer a range of pan-Devon specialist community services such as health promotion, sexual health and podiatry. This means that we are very different to other NHS Trusts and can offer a wide range of opportunities to staff.

But on top of all that, we’re based in Devon – a county that’s regularly voted as the best place in Britain to live. With world-class beaches, picture-postcard villages, excellent schools and dynamic cities alive with culture, Devon has it all. We are sure you’ll love it here so make that move to a better life.

Contact Details

Mr Nik Jagodzinski

Junior Doctor Lead for T&O and Surgical Rotations

Telephone: 01271 334461

E-mail: nik.jagodzinski@nhs.net

Mr Richard Cove

T&O Clinical Lead

Telephone: 01271 322489

E-mail: Richardcove@nhs.net

Miss Cheryl Baldwick

Deputy Medical Director for NDDH and RD&E

Telephone: 01271 311654

Email: cheryl.baldwick@nhs.net

F1 Respiratory Medicine 2022

Trust Name	North Devon District Hospital
Clinical Supervisor(s)	Dr Moody, Dr Hands or Dr Raza
Overview of team	We are a team of three consultants, at least one speciality trainee, two core trainees and one foundation doctor. We also have support from two Advanced Clinical Practitioners. We work closely together to ensure quality care for our patients.
Nature of duties	General management of ward patients. This will include (but is not limited to): clear and accurate documentation in the medical notes, assessment of patients, formulating management plans, holding clinical discussions with patients and families, ensuring good communication with other healthcare teams (referrals and discharge summaries). All these responsibilities are shared with the wider team and are appropriately supported by the more senior members of the team.
Rota / Shift pattern	See below
Typical working week	Board Round, each weekday morning at 9am (Tarka Ward Doctor’s office) Monday Consultant ward round Tuesday Consultant (New patients and trouble-shooting) Junior ward round Wednesday Consultant ward round Thursday Consultant (New patients and trouble-shooting) Junior ward round Friday Consultant ward round
Community Facing commitment	n/a
Related clinical skills opportunities	You will gain wide experience of managing acutely unwell respiratory patients, including using NIV, inhaler therapy, and oxygen therapy. You will have opportunities to have clinical conversations with patients, including helping them to make decisions regarding on-going care. You will have opportunities to attend MDT meetings, bronchoscopy lists, and radiology meetings. Regular ward-based teaching. You may have opportunities to observe or undertake pleural procedures.
In-house teaching	There are a number of teaching sessions available each week and we encourage you to attend as many as possible. These include the weekly morning report on Monday, grand round at Wednesday lunchtime, and respiratory team teaching on Friday morning. **
Audit opportunities	The respiratory team is very engaged in quality improvement activity. You will have the opportunity to contribute to on-going projects; we would also support you to develop your own project if you identify an issue you would like to work on.

F1 Cardiology 2023

Trust Name	North Devon District Hospital
Clinical Supervisor(s)	Dr Christopher Gibbs, Dr Dushen Tharmaratnam, Dr Rahul Potluri (part-time), Consultant Cardiologists.
Overview of team	We are a team of four consultants, one speciality trainee (ST), two core trainees and two foundation doctors. We also have support from a prescribing pharmacist and have medical students regularly attached to the team. We work closely together to ensure quality care for our patients.
Nature of duties	General management of ward patients. This will include (but is not limited to): clear and accurate documentation in the medical notes, assessment of patients, formulating management plans, holding clinical discussions with patients and families, ensuring good communication with other healthcare teams (referrals and discharge summaries). All these responsibilities are shared with the wider team and are appropriately supported by the more senior members of the team.
Rota / Shift pattern	See below
Typical working week	Board Round, each weekday morning at 9am (Victoria Ward0 Monday Consultant ward round Tuesday Consultant (new patients and trouble-shooting), ST and core trainee ward round Wednesday Consultant ward round Thursday Consultant (new patients and trouble-shooting), ST and core trainee ward round Friday Consultant ward round
Community Facing commitment	N/A
Related clinical skills opportunities	You will gain wide experience of managing acutely unwell cardiology patients, including acute coronary syndromes (ACS), heart failure and arrhythmias. You will have opportunities to have clinical conversations with patients, including helping them to make decisions regarding on-going care. You will have opportunities to attend MDT meetings (Tuesday lunchtime) and regular ward-based teaching You may have opportunities to observe or undertake DC cardioversion procedures.
In-house teaching	There are a number of teaching sessions available each week and we encourage you to attend as many as possible. These include the weekly morning report on Monday, grand round at Wednesday lunchtime, and cardiology team teaching on Tuesday lunchtime and regular ward-based teaching. You will have the opportunity to present a teaching session and complete your teaching observation assessment.
Audit opportunities	Range of opportunities for Quality Improvement Projects (QIPs).

F1 Emergency Medicine 2023

SPECIALTY	Emergency Medicine F1
TRUST NAME	North Devon District Hospital Royal Devon University Hospital NHS Foundation Trust	DATE: 18th May 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: North Devon District Hospital Raleigh Park Barnstaple EX31 4JB ODS Code:
Clinical Supervisor(s)	Ms Fionn Bellis – CS + ES
Overview of team	10 wte consultant team providing 16 hours departmental cover 12 wte SAS / registrar team providing 24 hours departmental cover Full shift junior rota Partial shift ENP and GP cover for minor injury and minor ailments Partial shift FY1 rota with duties as described below
Nature of duties	Understand how ED operates, and work effectively and efficiently as a member of the ED team. Safely undertake initial assessment and stabilisation of the undifferentiated unwell patient Develop a systematic approach to the assessment of paediatric patients Develop a systematic approach to the assessment of patients with mental health needs, including deliberate self-harm Develop an approach to the safe assessment and management of minor injuries Mandatory induction day attendance at start of training post Consultant led handover 0800 and 1400 Based mainly with ED consultant in rapid assessment area and assist in initial workup and management of all undifferentiated majors patients Base self in minors and resus for 13-2300 shift to gain additional exposure beyond majors Consultant shop floor teaching (and WBPA) opportunities best sought from the shop floor consultants, registrar and SAS doctors Monthly Trauma Network clinical teleconference, 0800 MEC last Thursday of month (attend in SDT time, but valuable)
Rota / Shift pattern
Senior Cover Arrangements for Out of Hours Work	24/7 direct supervision
Typical working week	As Above
Community Facing commitment (if applicable) e.g. Out Patient Clinics	Based in the ED but working closely with community facing teams, direct handover form paramedics, close working with ED based Pathfinder team, referrals to hospital at home and community frailty teams. Potential for pre-hospital experience with SWAST under development.
Related clinical skills opportunities	Mini CEX A-E of acute SOB. Demonstrating understanding of assessment and treatment of the acute presentation. Including offering a differential diagnosis and initiating basic management. CBD of acute chest pain. Demonstrating knowledge regarding common aetiologies (to the emergency department) and scoring systems (e.g. Wells or HEART score) CBD of safeguarding in paediatric patients. Demonstrating understanding of importance of asking safeguarding questions in all paediatric patients and processes for reporting/flagging any concerns raised (e.g SCLF vs MASH) DOPS acute airway management. Demonstrating skills in correct airway management e.g. Cardiac arrest. Developing the clinical teacher - shop-floor teaching/support of year 4 and 5 PMS students attached to ED.
In-house teaching	Regular departmental teaching & F1 weekly teaching
Audit opportunities	Many opportunities in department e.g. involvement in ongoing audits (pain in children with fractures)

F1 Healthcare for older people (Geriatric Medicine) 2023

Trust Name	North Devon District Hospital
Clinical Supervisor(s)	Dr Jay Reynolds, Consultant
Overview of team	The team of Fortescue consists of one consultant, one GP trainee, one pharmacist non-medical prescriber, one F2 and one F1. We have several medical students on our team throughout the year. We work closely together to ensure quality care for our patients.
Nature of duties	General management of ward patients. This will include (but is not limited to): clear and accurate documentation in the medical notes, assessment of patients, formulating management plans, holding clinical discussions with patients and families, ensuring good communication with other healthcare teams (referrals and discharge summaries). All these responsibilities are shared with the wider team and are appropriately supported by the more senior members of the team. You will also be part of the medical rota. This will involve evenings 17:00-21:00, weekends 09:00-21:00 covering the medical wards with senior support. This will also include weekends 09:00-17:00 working on MAU.
Rota / Shift pattern	See below
Typical working week	Board Round, each weekday at 12pm. Monday Consultant ward round, HfoP departmental teaching Tuesday Consultant ward round, FY1 teaching Wednesday Consultant ward round Thursday Consultant ward round, ward teaching Friday Consultant ward round
Community Facing commitment	N/A
Related clinical skills opportunities	You will gain wide experience of managing elderly patients with a large variety of needs. This includes medically unwell patients, dementia/delirium, rehab, Parkinson’s, falls patients and others. You will have opportunities to have clinical conversations with patients, including helping them to make decisions regarding on-going care. You will have many opportunities to attend as well as lead your own teaching sessions.
In-house teaching	There are a number of teaching sessions available each week and we encourage you to attend as many as possible. These include the weekly HfoP Monday departmental teaching, weekly FY1 teaching on Tuesday, and Fortescue team teaching on Thursdays where every member of the team will have opportunities to develop teaching skills.
Audit opportunities	Range of opportunities for Quality Improvement Projects (QIPs).

F1 Acute Medicine (MAU)

MAU Workplace Training Schedule – F1 Medical Admissions Unit NDDH

Learning Objectives	Understand basic principles of acute medicine and how these relate to patient care Be able to manage common acute medical conditions Be familiar with trust guidelines for common conditions

Clinical supervisors	Professor Haboubi Dr. Tsavaros Petros Dr. Bogdan Pello Dr. Bill Lusty Dr. Archana Dhere Dr. Sean Noronha Dr. Roope Manhas

Overview of team	Close knit team of Consultants, Doctors (Med. Reg., GP trainee, SHO and FY1) Nursing team including specialist nurses, clinical secretary, pharmacist, Path finder (social care team), physio and occupational therapists

Nature of duties	- Medical clerking requires detailed assessment of patients with differential and management plan. - Post take ward rounds consultant lead. Clear and adequate documentation in MYCARE patient notes. Variety of jobs contributing to patient care: - Investigation requests (blood tests, imaging etc.) - Referrals to other specialties. - Discussion with and updating of NOK family members. - Ensure good communication with other members of the MDT. - Appropriate and informative discharge summaries. - Efficient handover.

Suggested evidence to meet learning objectives	CBD on a sepsis demonstrating understanding of sepsis 6, follow up, informing family, knowledge of appropriate antibiotics and management plan including further relevant investigations CBD on DKA, demonstrating understanding of pathophysiology, management of DKA. CBD on a patient with dementia CBD on a patient with a psychiatric disorder or involvement with the liaison psychiatric team. Mini-CEX with, involving discussion with patient and NOK involving any major changes to care management plan DOPS on cases from medical take e.g. ABG’s, cannulas, aspirations etc. Developing the clinical teacher - teaching to medical students, F1s and/or seniors on a medical topic.

Typical work week and shift patterns	- Day: 8am - 5pm – participate in morning post take ward round and jobs - Long day: 9am - 9pm – Join morning post take ward rounds, clerking in the evening - Twilight: 2pm -10pm – Start shift helping with discharge summaries and ward jobs, clerk if possible - Night: 9pm - 9am – help with clerking and completing jobs handed over from the day team. Ensuring blood investigation requests are ready for the morning.

Specific training opportunities (eg. Clinics)	Experience of managing acutely unwell patients in a variety of medical conditions e.g. DKA, Overdose, Alcohol detox, Acute coronary syndrome, exacerbations of COPD and Asthma, Stroke, Seizures, acute bleeds, acute kidney injury, sepsis Able to detect the unstable patient and develop competency to manage and treat with appropriate senior escalation. Attend cardiac arrest calls and gain competency Daily exposure to Post take ward rounds lead by consultants Clerking patients who are admitted to ED Formulating differential diagnoses and management plans Develop communications skills with the MDT Develop an understanding on efficient use of investigations and imaging

Teaching attendance and opportunities	Medical grand round F1 & 2 teaching (local + regional) SIM training Range of potential audit and Quality improvement projects available

QIP opportunities	Many MAU related projects possible. Be encouraged to suggest possible areas of improvement to seniors or educational/clinical supervisors.

Other induction issues	Ensure you have had adequate EPIC training and feel competent on use of system. Ensure you ask for simulation training if feeling uncomfortable holding crash bleep (503) Ensure completion of mandatory training on Training Tracker

F1 Liaison Psychiatry 2023

Liaison Psychiatry Work Schedule (F1)

Name: Varies with allocation

Training Programme: Foundation Programme

Grade: FY1

Length of placement: 4 months

Employing organisation: Royal Devon University Healthcare NHS Foundation Trust

Host organisation (if different from the above): Devon Partnership NHS Trust

Site(s): Liaison Psychiatry Department, North Devon District Hospital

Clinical Supervisor: Dr Adam Hickson

Name of Guardian: Dr Lisa McClelland

Contact details of Guardian: lisa.mcclelland@nhs.net

Medical Workforce Department Contact Details: ndht.juniordoctoradmin@nhs.net 01271 322372

(ext 6072)

Working pattern:

Full rota (Basic hours only)

Rota Template:

Detailed below is your contracted rota, your rota will be confirmed by your roster coordination prior

to your start date.

Your working pattern is arranged across a rota of 4 weeks, and includes:

20 x Normal Working Days, with on-call duties for the psychiatric wards (Moorland View, Meadow

View & Ocean View).

Week Mon Tue Wed Thu Fri Sat Sun

1 09:00 – 17:00 09:00 – 17:00 09:00 – 17:00 09:00 – 13:00 09:00 – 17:00 13:00 – 17:00

2 09:00 – 17:00 09:00 – 17:00 09:00 – 17:00 09:00 – 13:00 09:00 – 17:00

13:00 – 17:00

3 09:00 – 17:00 09:00 – 17:00 09:00 – 17:00 09:00 – 13:00 09:00 – 17:00 13:00 – 17:00

4 09:00 – 17:00 09:00 – 17:00 09:00 – 17:00 09:00 – 13:00 09:00 – 17:00 13:00 – 17:00

Name Type Start Finish Days Duration

A A Shift 09:00 17:00 1 08:00

B B Daytime psychiatry wards on-call 09:00 13:00 0.5 04:00 Average Weekly Hours of Work: 40:00 (with allowance for leave) Your contract is a full-time contract for 40 hours You will not be contracted for any additional hours, making for total contracted hours of 40:00 hours (with allowance for leave) The distribution of these will be as follows: Average weekly hours at basic hourly rate: 40 hours Average weekly hours attracting a 37 per cent enhancement: nil Note: these figures are the average weekly hours, based on the length of your rota cycle, as required by Schedule 2 of the Terms and Conditions of Service. These may not represent your actual hours of work in any given week. Annual pay for role* £29,384.00 Basic Pay (Nodal Point): £29,384.00 Pay for additional hours above 40: 00:00 / £0.00 Weekend allowance: 0%/(1:0.00) £0.00 Night Premium: 00:00 / £0.00 Total pensionable pay: £29,384.00 Total annual pay for this role: £29,384.00

Should your placement be for less than 12 months, your pay will be pro-rated to the length of your placement. *Please note- if you are entitled to pay protection in line with Schedule 2 of the TCS or to transitional pay protection in line with Schedule 14 of the TCS, then your actual salary may be greater than the above figure. Where this is the case, your salary will contain one or more additional pay protection elements so as to maintain your salary at its protected level.

Learning Objectives:

1. Understand basic arrangement of mental health services from primary, secondary, tertiary

level and the community/inpatient split and additional services as distinct from generic

services

2. Elicit a basic clinical history for a common psychiatric disorder

3. Perform a mental state examination (MSE) for a common psychiatric disorder

4. Perform investigations e.g. a cognitive screening assessment

5. The ability to make a good bio/psycho/social formulation

6. Safely assess risk

7. Plan for short term and longer-term management plan based on the formulation and risk;

both within the hospital and within the community

a) Understanding of the legal boundaries between the Mental Health Act and the Mental

Capacity Act

b) Make a concise case presentation and initial management plan for a common psychiatric

disorder

c) Be able to manage urgent presentations of serious mental disorder within the general

hospital (liaison psychiatry) and an inpatient service (should this arise whilst attending a

daytime on call).

d) Understanding of the major classes of psychotropic medications their indications and

contraindications (particularly in frail/unwell patients)

e) Write an accurate and concise assessment and/or referral

Training Opportunities:

This post offers broad experience covering all 12 domains of the foundation curriculum.

Once you have commenced in post a meeting will be arranged with your nominated educational

supervisor to agree your personalised training programme that will form part of your wider e-

portfolio

Specific training opportunities include:

1. Direct patient assessment and presentation

2. Day time supported ‘on call’

3. Attendance at Reflective Practice and Formulation (Psychology led)

4. Observing electroconvulsive therapy (ECT)

5. Days with other teams e.g. CAMHS, CRHT, AMHP, drug and alcohol service

6. Morning allocations meetings

7. Business meetings 8. Self-directed teaching (SDT) time 9. Attendance at personality disorder hub meeting 10. Mental Health Act (MHA) assessments Teaching attendance and opportunities: 1. Weekly Academic Programme including case presentations and journal club 2. F1 Teaching – weekly on Tuesday mornings 3. SIM training 4. Grand Round 5. Teaching within the team and separately to the general hospital staff QIP opportunities: 1. Attendance and engagement in clinical governance process 2. Sustainability projects

Intended Learning Outcome Evidence Comments

HLO 1: An accountable, capable and

compassionate doctor PSG and TAB CSR ESR e-portfolio evidence PSA certificate – F1 only

HLO 2: A valuable member of

healthcare workforce PSG and TAB CSR ESR e-portfolio evidence

HLO 3: A professional, responsible for

their own practice and portfolio

development CSR ESR e-portfolio evidence Learning log Engagement in feedback on training Form R/SOAR

FPC1 Clinical assessment: assess patient needs in a variety of clinical settings including acute, non-acute and community. Summative assessments ESR CSR PSA (F1) Formative learning SLEs TAB SG Learning log Reflective practice Summary narrative Opportunities: Depression Mania Psychosis Anxiety/panic–Personality disorder Delirium Chronic cognitive impairment/dementia Eating disorders Substance use disorder Somatisation disorders including functional syndromes

FPC2 Clinical prioritisation: recognise

and, where appropriate, initiate urgent

treatment of deterioration in physical

and mental health. Summative assessments ESR CSR PSA (F1) Formative learning SLEs TAB PSG Learning log Reflective practice Summary narrative May include: Physically deteriorating patient and managing escalation including use of NEWS2 and escalation Acute psychiatric emergencies e.g. rapid tranquilisation policy and observed prescribing including post RT monitoring

FPC3 Holistic planning: diagnose and

formulate treatment plans (with

appropriate supervision) that include

ethical consideration of the physical,

psychological and social needs of the

patient. Summative assessments ESR CSR PSA (F1) Formative learning SLEs TAB PSG Learning log May include: serious adverse effects of common psychotropic medications, e.g. neuroleptic malignant syndrome, QTc prolongation, serotonin syndrome understanding that physical disease can present with psychiatric symptoms (e.g. multiple sclerosis, Cushing’s, hypothyroidism) when ordering

Reflective practice Summary narrative and interpreting investigations;

FPC4 Communication and care: provide

clear explanations to patients/carers,

agree a plan and deliver healthcare

advice and treatment where

appropriate. Summative assessments ESR CSR PSA (F1) Formative learning SLEs TAB PSG Learning log Reflective practice Summary narrative May include: communicating with and managing a disturbed or challenging patient, and understanding the risks some patients with mental health conditions pose to themselves and to others explaining a diagnosis to a patient (or carer) who has Medically Unexplained Symptoms (MUS) or a non-organic cause for their symptoms, e.g. panic disorder presenting as chest pain.

FPC5 Continuity of care: contribute to

safe ongoing care both in and out of

hours. Summative assessments ESR CSR PSA (F1) Formative learning SLEs TAB PSG Learning log Reflective practice Summary narrative May include: Clear documentation of care plans and communication with GP and other professionals

FPC6 Sharing the vision: work

confidently within and, where

appropriate, guide the multiprofessional

team to deliver a consistently high

standard of patient care based on

sound ethical principles. Summative assessments ESR CSR Formative learning SLEs (e.g. LEADER) TAB PSG May include: Understand the rehabilitation and recovery strategy, NICE guidance for those with complex psychosis Engagement in MDT reviews and goal based outcome

Learning log Reflective practice Summary narrative

FPC7 Fitness for practice: develop the

skills necessary to manage own

personal wellbeing. Summative assessments ESR CSR Form R/SOAR Formative learning Learning log Reflective practice e-portfolio engagement

FPC8 Upholding values: act as a

responsible employee, including

speaking up when others do not act in

accordance with the values of the

healthcare system. Summative assessments ESR CSR Form R/SOAR Formative learning Reflective practice Quality improvement Summary narrative Engagement in quality assurance processes/survey May include: Engagement in risk incident reporting

FPC9 Quality improvement: take an

active part in processes to improve the

quality of care. Summative assessments ESR CSR Formative learning Reflective practice Learning log Quality Improvement e-portfolio engagement May include sustainability project or other choice.

FPC10 Teaching the teacher: teach and

present effectively. Summative assessments ESR CSR To include: Teaching at weekly academic programme

Formative learning Learning log Summary narrative e-portfolio engagement SLEs (e.g. Developing the clinical teacher) Teaching medical student

FPC11 Ethics and law: demonstrate

professional practice in line with the

curriculum, GMC and other statutory

requirements through development of a

professional portfolio. Summative assessments ESR CSR Formative learning Reflective practice Learning log May include: relevant ethical framework around difficult decision-making, e.g. treating patients with eating disorders or self-harm assessing capacity and using Mental Capacity Act Mental Health Act 1983 (or equivalent, e.g. Mental Health Scotland Act 2015) including but not limited to 5(2)

FPC12 Continuing Professional

Development (CPD): develop practice,

including the acquisition of new

knowledge and skills through

experiential learning; acceptance of

feedback and, if necessary,

remediation; reading and, if appropriate,

by research. Summative assessments ESR CSR Formative learning e-portfolio engagement Learning log

FPC13 Understanding medicine:

understand the breadth of medical

practice and plan a career. Summative assessments ESR CSR Formative learning Learning log Summary narrative Reflective practice
F1 Rehabilitation Psychiatry Ocean View 2023

Rehabilitation Psychiatry Work Schedule (F1)

Name:

Training Programme: Foundation Programme

Grade: FY1

Length of placement: 3 months

Employing organisation: Devon Partnership NHS Trust

Site(s): Ocean View and North Devon Rehabilitation Service, North Devon District Hospital

Clinical Supervisor: Dr David Richardson

Name of Guardian: Dr Lisa McClelland

Contact details of Guardian: lisa.mcclelland@nhs.net

Medical Workforce Department Contact Details: dpn-tr.medicalrecruitment@nhs.net

Working pattern:

Shift

Rota Template:

Your working pattern is arranged across a rota cycle of 9 weeks, and includes:

Normal days

On-call duties

A copy of your rota template is attached to the end of this document

Average Weekly Hours of Work: 44:00

Your contract is a full-time contract for 40 hours

You will in addition be contracted for an additional 4 hours, making for total contracted hours of 44

hours.

The distribution of these will be as follows:

Average weekly hours at basic hourly rate: 40 hours

Average weekly hours attracting a 37% enhancement: 4 hours

Note: these figures are the average weekly hours, based on the length of your rota cycle, as

required by Schedule 2 of the Terms and Conditions of Service. These may not represent your actual

hours of work in any given week.

Annual pay for role Basic Pay (Nodal Point): £40,257.00 Pay for additional hours above 40: £4,025.70 Weekend allowance: £0 Night Premium: £1768.79 On-call availability supplement : £3,220.56 Flexible Pay Premia: £3718.00 Total annual pay for this role: £52,990.05 Should your placement be for less than 12 months, your pay will be pro-rated to the length of your placement. *Please note- if you are entitled to pay protection in line with Schedule 2 of the TCS or to transitional pay protection in line with Schedule 14 of the TCS, then your actual salary may be greater than the above figure. Where this is the case, your salary will contain one or more additional pay protection elements so as to maintain your salary at its protected level.

Training Opportunities:

MDT ward reviews

Direct patient assessment and presentation in community and inpatient scenarios

Day time supported ‘on call’

Community observed visits with Social Worker, Occupational Therapist, CBTp

Attendance Reflective Practice and Formulation (Psychology led)

Attendance Mental Health Review Tribunal and Hospital Managers Hearings

Weekly academic Progamme

Intended Learning Outcome Evidence Comments

HLO 1: An accountable, capable and

compassionate doctor PSG and TAB CSR ESR e-portfolio evidence PSA certificate – F1 only

HLO 2: A valuable member of

healthcare workforce PSG and TAB CSR

ESR e-portfolio evidence

HLO 3: A professional, responsible for

their own practice and portfolio

development CSR ESR e-portfolio evidence Learning log Engagement in feedback on training Form R/SOAR

FPC1 Clinical assessment: assess

patient needs in a variety of clinical

settings including acute, non-acute and

community. Summative assessments ESR CSR PSA (F1) Formative learning SLEs TAB SG Learning log Reflective practice Summary narrative To cover: Depression Mania Psychosis Anxiety/panic–Personality disorder Delirium Chronic cognitive impairment/dementia Eating disorders Substance use disorder Somatisation disorders including functional syndromes

FPC2 Clinical prioritisation: recognise

and, where appropriate, initiate urgent

treatment of deterioration in physical

and mental health. Summative assessments ESR CSR PSA (F1) Formative learning SLEs TAB PSG Learning log Reflective practice Summary narrative To include: Physically deteriorating patient and managing escalation including use of NEWS2 and escalation Acute psychiatric emergencies e.g. rapid tranquilisation policy and observed prescribing including post RT monitoring

FPC3 Holistic planning: diagnose and

formulate treatment plans (with Summative assessments To include:

appropriate supervision) that include ethical consideration of the physical, psychological and social needs of the patient. ESR CSR PSA (F1) Formative learning SLEs TAB PSG Learning log Reflective practice Summary narrative serious adverse effects of common psychotropic medications, e.g. neuroleptic malignant syndrome, QTc prolongation, serotonin syndrome understanding that physical disease can present with psychiatric symptoms (e.g. multiple sclerosis, Cushing’s, hypothyroidism) when ordering and interpreting investigations;

FPC4 Communication and care: provide

clear explanations to patients/carers,

agree a plan and deliver healthcare

advice and treatment where

appropriate. Summative assessments ESR CSR PSA (F1) Formative learning SLEs TAB PSG Learning log Reflective practice Summary narrative To include: communicating with and managing a disturbed or challenging patient, and understanding the risks some patients with mental health conditions pose to themselves and to others explaining a diagnosis to a patient (or carer) who has Medically Unexplained Symptoms (MUS) or a non-organic cause for their symptoms, e.g. panic disorder presenting as chest pain.

FPC5 Continuity of care: contribute to

safe ongoing care both in and out of

hours. Summative assessments ESR CSR PSA (F1) Formative learning SLEs TAB PSG Learning log Reflective practice To include: Clear documentation of care plans and communication with GP and other professionals

Summary narrative

FPC6 Sharing the vision: work

confidently within and, where

appropriate, guide the multiprofessional

team to deliver a consistently high

standard of patient care based on

sound ethical principles. Summative assessments ESR CSR Formative learning SLEs (e.g. LEADER) TAB PSG Learning log Reflective practice Summary narrative To include: Understand the rehabilitation and recovery strategy, NICE guidance for those with complex psychosis Engagement in MDT reviews and goal based outcome

FPC7 Fitness for practice: develop the

skills necessary to manage own

personal wellbeing. Summative assessments ESR CSR Form R/SOAR Formative learning Learning log Reflective practice e-portfolio engagement

FPC8 Upholding values: act as a

responsible employee, including

speaking up when others do not act in

accordance with the values of the

healthcare system. Summative assessments ESR CSR Form R/SOAR Formative learning Reflective practice Quality improvement Summary narrative Engagement in quality assurance processes/survey To include: Engagement in risk incident reporting

FPC9 Quality improvement: take an

active part in processes to improve the

quality of care. Summative assessments ESR CSR

Formative learning Reflective practice Learning log Quality Improvement e-portfolio engagement

FPC10 Teaching the teacher: teach and

present effectively. Summative assessments ESR CSR Formative learning Learning log Summary narrative e-portfolio engagement SLEs (e.g. Developing the clinical teacher) To include: Teaching at weekly academic programme

FPC11 Ethics and law: demonstrate

professional practice in line with the

curriculum, GMC and other statutory

requirements through development of a

professional portfolio. Summative assessments ESR CSR Formative learning Reflective practice Learning log To include: relevant ethical framework around difficult decision-making, e.g. treating patients with eating disorders or self-harm assessing capacity and using Mental Capacity Act Mental Health Act 1983 (or equivalent, e.g. Mental Health Scotland Act 2015) including but not limited to 5(2)

FPC12 Continuing Professional

Development (CPD): develop practice,

including the acquisition of new

knowledge and skills through

experiential learning; acceptance of

feedback and, if necessary,

remediation; reading and, if appropriate,

by research. Summative assessments ESR CSR Formative learning e-portfolio engagement Learning log

FPC13 Understanding medicine:

understand the breadth of medical

practice and plan a career. Summative assessments ESR CSR

Formative learning Learning log Summary narrative Reflective practice

Other:

Slot 5 Summary – Dr Acharya

Specialty:

Psychiatry

Grade:

CT2 (2016)

2016 Contract Result Target

Average hours (with allowance

for leave) 44:00 48:00

Average hours 43:00 48:00

EWTD Result Target AWWT 43:12 48:00 Weekly rest PASS 24:00 Daily rest PASS 11:00

Max weekly hours PASS 72:00

Max consecutive shifts PASS 7

Max consecutive long shifts PASS 4

Max consecutive night shifts PASS 4

Max consecutive late shifts PASS 4

Max consecutive on-call shifts

in midweek PASS 1

Min period off (after long shifts) PASS 48:00

Min period off (after 1 night) PASS 46:00

Min period off (after 2

consecutive nights) PASS 46:00

Min period off (after 3

consecutive nights) PASS 46:00

Min period off (after 4

consecutive nights) PASS 46:00

Min period off (after consecutive

days) PASS 48:00

Max weekend frequency PASS 3

Max on-call frequency PASS 3 in 7 days

Max shift length after on-call PASS 10:00

Max shift length PASS 13:00

Max on-call length PASS 25:00

Min period off (after 4

consecutive lates) PASS 48:00

PAY Result Basic salary £40,257.00 Total additional rostered hours 04:00 / £4,025.70 Weekend allowance 0%/(1:9.00) £0.00 Night premium (with allowance for leave) 04:45 / £1,768.79 Availability allowance 8% / £3,220.56 Total salary £49,272.05

Working arrangement

Week Mon Tue Wed Thu Fri Sat Sun

1 00:00 - 9:00, 14:00 - 17:00 9:00 - 17:00 9:00 - 17:00 9:00 - 17:00 9:00 - 17:00

2 9:00 - 17:00 9:00 - 17:00 9:00 - 17:00 9:00 - 24:00 00:00 - 9:00, 9:00 - 13:00

3 9:00 - 17:00 9:00 - 17:00 9:00 - 17:00 9:00 - 17:00 9:00 - 17:00

4 9:00 - 17:00 9:00 - 17:00 9:00 - 17:00 9:00 - 17:00 9:00 - 17:00

5 9:00 - 24:00 00:00 - 9:00, 9:00 - 13:00 9:00 - 17:00 9:00 - 17:00 9:00 - 17:00

6 9:00 - 17:00 9:00 - 17:00 9:00 - 17:00 9:00 - 17:00 9:00 - 24:00 00:00 - 9:00

7 9:00 - 17:00 9:00 - 17:00 9:00 - 24:00 00:00 - 9:00, 9:00 - 13:00 9:00 - 17:00

8 9:00 - 17:00 9:00 - 24:00 00:00 - 9:00, 9:00 - 13:00 9:00 - 17:00 9:00 - 17:00

9 9:00 - 17:00 9:00 - 17:00 9:00 - 17:00 9:00 - 17:00 9:00 - 24:00 00:00 - 9:00, 9:00 - 24:00

Duty details

Duty Name Type Start Finish Days Duration NR Start NR Finish NR Days Estimated call-out

A NWD Shift 9:00 17:00 1 8:00

B Shift after on call Shift 9:00 13:00 1 4:00

C Weekend on call On-call 9:00 9:00 2 24:00 9:00 9:00 2 10:00

D Wk night on call On-call 9:00 9:00 2 24:00 17:00 9:00 2 7:00

E shift after weekend Shift 14:00 17:00 1 3:00

F2 Urology 2023

Work Place Training Schedule - F2 Urology

Learning Objectives	Be able to manage basic urological conditions including urinary retention, renal colic, haematuria and testicular pain Understand the investigations and imaging in common urological conditions and the acute presentations Understand the indications for urological interventions, both acute and elective Familiar with urethral catheterisation for both male and female patients

Suggested evidence to meet learning objectives	CBD on an acute presentation of renal colic, investigations, the basis of the choice of medical or surgical management and the follow up required with each CBD on acute urinary retention, the causes and management both acutely and long term CBD on a patient with high pressure urinary retention, and the follow up needed for this as well as the monitoring needed acutely CBD on causes of haematuria and the investigations and management needed Mini-CEX on examination of a patient with testicular pain/swelling Mini-CEX on examination of a patient with acute retention including prostate examination DOPS on inserting a catheter/flushing a blocked catheter DOPS on using cystoscope DOPS on using a bladder scanner Developing the clinical teacher - teaching to medical students / PA students / F1s on common urological conditions

Specific training opportunities (eg. Clinics)	Daily consultant ward rounds Weekly MDT meetings Urology outpatient clinics Opportunity to go to elective theatre with observation of TURP, TURBT and prostate biopsies TWOC clinic with the urology nurses Flexible cystoscopy lists

Teaching attendance and opportunities	Medical grand round F2 teaching (regional + local) SIM training Urology monthly educational meeting

QIP opportunities	Patient follow up QIPs Common urological conditions management guidelines updating

Other induction issues	Ensure you have access to all computer systems needed Review urethral and suprapubic catheter insertion if worried about your experience in these Access to theatres/changing rooms Ensure when booking leave that there is at least one other person on the team available

F2 Trauma & Orthopaedics 2023

Work Place Training Schedule - F2 Trauma and Orthopaedics
During your time within the trauma and orthopaedic team, you will gain valuable experience in providing perioperative care to patients, with broad surgical exposure. You will work alongside physician’s associates, ACPs, F1 doctors, other F2 doctors, trust grades, core surgical trainees, registrars, associate specialists and consultants, each with their own specialisms and expertise. The team provides a trauma service in addition to elective surgeries and day cases, incorporating hip, knee, spinal, shoulder, elbow, hand, wrist, foot and ankle, as well as soft tissue surgeries of the limbs. During your theatre shifts you will be encouraged to assist and to perform minor procedures as first surgeon under supervision with the chance to complete DOPS. You will share responsibilities to care for patients on the ward, whilst rotating through an on-call rota for day, weekend and night shifts. During your on-call shifts, you will assess and manage patients with acute traumatic injuries and orthopaedic emergencies, including taking referrals from GPs and ED. There will be opportunities to learn procedures including joint aspiration, fracture reduction and application of plaster casts. These shifts are also a great chance to complete Mini-CEXs and CBDs for your Eportfolio. Weekly junior doctor teaching sessions, delivered by the senior T&O team, will give a comprehensive T&O education programme through the 4-month placement, in addition to a Friday MDT meeting when new trauma admissions are discussed in an educational format. Junior doctors will also be expected to assist with teaching third- and fifth-year medical students on wards and in clinics. There are departmental audit and research leads with regular opportunities for research, audit and QI and you will be expected to have worked towards at least one project within your 4 months. Each doctor will be assigned a clinical and educational supervisor at the start of the rotation or year respectively. Annual and study leave is flexible and can often be approved with short notice, subject to the service needs of the department. There are weekly educational opportunities timetabled for all junior doctors in fracture clinic, elective clinics or theatre as well as a daily consultant trauma ward round. F2 regional teaching is delivered via Maxcourse. Formal induction will be given on arrival, along with a more in-depth induction handbook.
Learning Objectives	Understand basic principles of fracture management and treatment options Be able to manage common ED presentations (e.g. #NOF, ankle #) Improve general anatomy knowledge in relation to joints and common fracture sites Develop an understanding of the factors which influence whether surgical or conservative management is in a patient’s best interests Broaden exposure to both trauma and elective theatre as well as fracture clinics and elective clinics

Suggested evidence to meet learning objectives	CBD on an acute admission that you have clerked in ED (e.g. #NOF) CBD on a patient presenting with a soft tissue injury (e.g. hand tendon injury) Mini-CEX during a post-op review of a patient, with emphasis on assessing their neurovascular status DOPS in ED (e.g. assisting with the reduction of a fracture) DOPS in theatre (e.g. carpal tunnel decompression, assistance during a THR) CBD on a patient who lacks the capacity to consent for themselves Developing the clinical teacher - teaching to third- or fifth-year medical students, or during an orthopaedic MDT meeting

Specific training opportunities	Daily consultant ward round on Glossop ward Experience working with the physio team on Glossop Weekly orthopaedic MDT educational meeting Comprehensive programme of weekly orthopaedic teaching for junior doctors delivered by senior surgeons Monthly morbidity and mortality meetings On-call responsibilities for clerking new admissions and preparing patients for theatre Fracture clinic, elective clinic and elective and trauma theatres timetabled during “cover” days, i.e. available if others are not off sick Encouragement to work towards research, audit and QI projects

Teaching attendance and opportunities	Weekly orthopaedic MDT meeting Weekly junior doctor teaching Regional F2 teaching SIM training

QIP opportunities	Numerous trauma QIPs available (e.g. 4AT or AMTS completion, TEP forms) Numerous audit opportunities available (e.g. infection rates post-op, laxative prescription rates)

Other induction issues	Ensure you are set up to access all necessary computer systems before your first on-call shift (PACS, TrakCare, CareFlow, Labcentre, Epro, Theatreman, Spinal Referback, Referapatient) Familiarise yourself with Glossop, Roborough, ED, Theatres, DSU, Fracture clinic Request to shadow an on-call shift during a cover day if you are concerned about taking referrals during your first on-call shift

F2 Stroke Medicine 2023

Work Place Training Schedule - F2 Stroke Medicine/Acute Medicine

Learning Objectives	To be able to differentiate between different stroke territories and the symptoms they produce. To be able to interpret imaging modalities commonly used in stroke. To understand and enact guidelines for acute stroke, both immediately and in future follow-up. To be able to manage the comorbid conditions commonly seen in the stroke population, considering their impact upon stroke risk.and the potential interaction of stroke treatment on these. To understand the role of the MDT, both inside and outside of the hospital, in the management of strokes. To gain experience/practice in discussing difficult topics such as poor prognoses and end-of-life planning with relatives and patients as appropriate. To assess and initiate management of acutely unwell patients.

Suggested evidence to meet learning objectives	CBD on interpreting imaging techniques used in stroke such as CT, MRI. Mini-CEX on examination of a stroke patient (e.g. completion of NIHSS) CBD on management of haemorrhagic stroke including discussion about referral to tertiary neurosurgery centre. SLE on management of hypertension following thrombolysis for ischaemic stroke CBD discussing the common considerations of the MDT around discharge of stroke patients, including social support, ongoing care, mental health and other areas. SLE on managing comorbid chronic conditions. SLE/feedback on breaking bad news or family discussions. SLEs completed during work on acute medical take/on-call. DOPS for performance of Lumbar Puncture

Specific training opportunities (eg. Clinics)	Daily ward rounds with stroke consultant. Potential for spending time with stroke specialist nurse seeing acute stroke referrals Initiating and updating referrals to tertiary surgical centre Leading board round discussions Performance of investigations of stroke e.g. lumbar puncture

Teaching attendance and opportunities	Medical grand round F2 teaching (regional + local) SIM training

QIP opportunities	Guidelines for acute stroke – e.g. awareness, simplification, poster Comparing local and national guidance

Other induction issues	Ensure fit to carry out on-call duties, or raise appropriate reasons and warning if unable. Computer systems and ward access Location/easy routes to ED/MAU Demonstration of how to use ReferAPatient online system, if not already familiar.

F2 Obstetrics and Gynaecology & Sexual Health ITP 2023

Work Place Training Schedule - F2 Obstetrics and Gynaecology
During your time within the Obs & Gynae team, you will gain valuable experience in providing care to women. You will be involved in antenatal, perinatal and postnatal care of pregnant women, as well as managing a wide variety of gynaecological conditions including early pregnancy, gynae oncology, urogynae and much more. You will work alongside other F2 doctors, GP trainees, trust grades, O&G trainees, registrars, associate specialists and consultants, each with their own specialisms and expertise. You will also work with a range of other health professionals including midwives, student midwives, maternity care assistants, nurses, theatre staff, pharmacists, anaesthetics, and paediatrics. You will be scheduled to attend a range of clinics and theatres including elective gynae surgery, antenatal clinics, early pregnancy assessment clinic and hysteroscopy. During your obstetric on-calls you will be expected to assist in elective and emergency c-sections, help manage instrumental delivery, attend obstetric emergencies such as post-partum haemorrhage, prescribe for induction of labour, review women in the day assessment unit (DAU), and help care for postnatal women on Bassett Ward. Your gynae on-calls will involve reviewing all current gynae inpatients, receiving referrals from GPs/other inpatient teams and seeing new admissions in A&E/AAA/SDEC. During your night shifts you will hold both the Obs bleep and the gynae bleep and these are a fantastic learning opportunity. O&G is lucky to have an SHO room, complete with computer, phone, and bed, for use by the on call SHO and as a place to rest on nights. Please keep this room clean and tidy and ready for use by the next person. There are weekly junior doctor teaching sessions, delivered by the O&G registrars, that cover a wide range of topics and can be catered towards areas of interest or if there’s anything you would like further teaching on. These teaching sessions are usually available both in-person and on Microsoft Teams. There are frequent MDT Simulation sessions that you are encouraged to get involved in. These often cover obstetric emergency’s and are a great way to learn alongside the rest of the MDT, with opportunity for feedback and questions. There are departmental audit leads with regular opportunities for research, audit, and QI. Each doctor will be assigned a clinical and educational supervisor at the start of the rotation or year respectively. You will be expected to meet with your supervisors early on in your placement to identify your learning needs via your PDP and your clinical supervisor is a great port of call for any placement specific needs, questions or concerns. Although you are encouraged to be fairly independent, your senior team and midwives are all here to support you and will offer a range of help and guidance throughout your placement. There are a huge number of opportunities for Mini-Cex’s, CBDs and DOPS and we would encourage you to be proactive in obtaining these. Annual and study leave is flexible and can often be approved with short notice, subject to the service needs of the department. Please make every effort to put in leave requests 6 weeks in advance. Rota swaps are allowed, if arranging a swap please inform the rota coordinators as soon as possible. F2 regional teaching is delivered via Maxcourse. You should book into these early to avoid disappointment and request study leave as appropriate. Two hours SDT is timetabled on average each week. Formal induction will be given on arrival, along with a more in-depth induction handbook. Alongside your placement in O&G you will be given the opportunity to join the local sexual health department for one day per month. During this time you will observe clinics to understand more about how sexual and reproductive health is delivered in the community. Please consider this learning opportunity and decide on one or two aims you have for this time. Although this part of your placement is mainly observation if you would like to undertake history taking and case discussions please let the team know. We hope that this placement will give you an understanding around how work in the community is interwoven with that of the hospital.
Learning Objectives	Identify and manage common obstetric and gynaecology emergencies Management of post operative patient including investigation and management of complications Understand the normal process of labour and management of a dysfunctional labour (Caesarean section / instrumental delivery) Understand the management of patients presenting to urogynaecology, gynaecological oncology, benign gynaecology, colposcopy, and infertility clinics Understands how to assess and manage early pregnancy complications Understands the link between community and hospital care with regards to sexual and reproductive health.

Suggested evidence to meet learning objectives	CBD on management of an ectopic pregnancy CBD on gynaecological malignancy (ovarian/endometrial/cervical/vulval cancer) Mini-CEX examination of a vaginal examination and perform a speculum examination + obtain triple swabs Mini-CEX examination of a pregnant abdomen DOPS/Min-CEX. Up to 3 further cases from Obstetrics and Gynaecology on call. Developing the clinical teacher - teaching to medical students BMS/PAs on a obstetric or gynaecological topic Mini -CEX examples: obtaining a Pipelle endometrial biopsy/ removal of coil/ replacement of ring vaginal pessary/perform a smear test Attendance at simulation session CBD on management of vaginal discharge in sexual health. Mini-Cex for sexual history taking

Specific training opportunities	Daily ward rounds with consultant/middle grade Presentation of acute admissions on post take ward round Attend urogynaecology, gynaecological oncology, benign gynaecology and fertility clinics Attend a gynaecology MDT and follow patient journey Assist in theatre Attend monthly sexual health days

Teaching attendance and opportunities	Obstetric and Gynaecology handover F2 Maxcourse teaching SIM training Attend 70% of departmental teaching (provided weekly)

QIP opportunities	Participation in Audit Participation and presentation in departmental meetings eg Perinatal mortality meeting

Other induction issues	Ensure you have card access to all of Ladywell unit. If not please contact facilities. This is especially important prior to your first oncall. Familiarise yourself with the Ladywell unit, including changing rooms, break rooms, SHO room, Bassett ward, Labour ward, Petter and outpatient clinics inc. EPAC/SDEC

F2 Microbiology with Acute Medicine 2023

Work Place Training Schedule - F2 Microbiology with Acute Medicine

Learning Objectives	Understand basic principles of laboratory medicine and how these relate to patient care Be able to manage common infections Understand basis of antibiotic guidelines for common conditions and the circumstances in which it may be appropriate to deviate from them Understand the role of infection control and public health in control of communicable disease

Suggested evidence to meet learning objectives	CBD on a bacteraemia case demonstrating understanding of laboratory process, basis of empirical antibiotic choices, and management plan including further relevant investigations CBD on a C difficile case, demonstrating understanding of chains of transmission and difference to approaches Mini-CEX on examination of a chronic venous ulcer for evidence of cellulitis Mini-CEX on examination of a patient with infective endocarditis Mini-CEX with abx pharmacist: Safe prescribing of penicillin in a patient with possible penicillin allergy, involving discussion with patient DOPS / Min-CEX on cases from medical take CBD on a patient with infection and dementia Developing the clinical teacher - teaching to medical students / BMS / F1s on an infection topic

Specific training opportunities (eg. Clinics)	Daily laboratory and clinical microbiology rounds (including ICU) with consultant Experience working with biomedical scientists in laboratory Weekly C difficile MDT with consultant and infection control team Quarterly recurrent UTI clinic Holding microbiology bleep with consultant feedback on unsolicited case management Tissue viability clinics with specialist nurses

Teaching attendance and opportunities	Medical grand round F2 teaching (regional + local) SIM training

QIP opportunities	Many lab related projects possible Sepsis or other antibiotic guideline projects Infection control projects

Other induction issues	Ensure able to carry out medical on call. Access to radiology, wards Carry out additional MAU day time duties at beginning of rotation if anxiety about medical on call aspect of placement Laboratory Health and Safety, lab access, lab computer system access

F2 General Psychiatry 2023

Work Place Training Schedule - F2 General Psychiatry MOORLAND INPATIENT ROLE

Learning Objectives	Diagnose, investigate and manage more common mental health conditions using history, examination, support, management and referral for more complex presentations where appropriate. Take into account potential complexities in presentation and range of mental health needs and ensure early intervention by appropriate referral, follow up and continuity of care where necessary Learn how to communicate effectively, professionally and sensitively with patients, relatives and carers, recognising potential difficulties in communicating with people with mental health conditions and the importance of generating and maintaining rapport Learn to assess risk to make the patient’s safety and the safety of yourself and others a priority. Offer advice on when and who to call for help (‘safety-netting’) Coordinate care with other organisations and professionals (e.g. ambulance service, community mental health teams, social workers, secondary care, voluntary and community sectors and police) for more complex presentations or where needs may be best met by agencies outside of health services. Follow agreed protocols, including those as part of The Mental Health Act and The Mental Capacity Act where appropriate Avoid diagnostic overshadowing. Offer advice and support patients, relatives and carers regarding prevention, prescribing, monitoring and self-management of both mental and physical multi-morbidity (including those related to cardiovascular disease and diabetes)

Suggested evidence to meet learning objectives	CBD on a case involving pharmacology and psychological treatment and monitoring required for less complex presentations e.g. Major Depressive Disorder, Generalised Anxiety Disorder (e.g. Antipsychotics , what monitoring is needed, how it works, and side effects) CBD on a case involving more complex presentations e.g. Personality Disorder case (understanding the main clusters of personality disorders and the diagnostic criteria) Mini-CEX on mental status examination of a patient Mini-CEX on use of specific PROM e.g. ReQOL or other standardised tool e.g. GASS. Mini-CEX on risk assessment and formulation with at risk patient Mini-CEX with Psychiatry pharmacist: Monitoring of certain psychiatry drugs (e.g. Clozapine monitoring) or assessing likelihood of compliance DOPS / Min-CEX on acute admissions whilst on-call including biopsychosocial formulation and initial management plan reflection on experience observing mental health act assessment Developing the clinical teacher - during the Tuesday AM slot to other trainees report incident via RMS system CBD around complex capacity issues including documentation

Specific training opportunities (eg. Clinics)	Ward rounds in morning MDTs and meetings with consultant – Involved clinically in decision making and outcomes Observing Electroconvulsive therapy Time permitting, exposure with the different teams (Liaison, CRHT, AMHP, drug and alcohol service) Attendance at Mental Health Review tribunals and potential to write reports. Managing the physical health of clients who may have not seen their GP for many years. Managing metabolic risks of antipsychotics (using QRISK and others). Patient management post ligature, cutting, and overdose. Risk management on call and for new admissions. On call to assess new patient presentations in A and E.

Teaching attendance and opportunities	Induction and Teaching Programme every Tuesday F2 Teaching opportunities within the general hospital e.g. to F1s Attendance at other events (e.g. grand rounds) E-Learning Modules available on DEVELOP (DPT trust learning platform) and other directed topics e.g. on Making Every Contact Count that are available on eLFH

QIP opportunities	DPT have an audit department for assistance with audits/QIP throughout the trust Several guideline projects available Medicine Optimisation projects available Other ideas can be discussed with clinical /educational supervisor.

Other induction issues	Ensuring the completion of the induction for the separate IT systems Understanding guidances - most importantly the Rapid Tranquilisation observation and engagement and Ligature policies Observing other trainees during the early aspects of the rotation regarding admissions Access and setup of the laptop and mobile phone systems. Access and induction regarding the personal panic alarm and ward key.

F2 Emergency Medicine 2023

Work Place Training Schedule - F2 Emergency Medicine

Learning Objectives	Understand how ED operates, and work effectively and efficiently as a member of the ED team. Safely undertake initial assessment and stabilisation of the undifferentiated unwell patient Develop a systematic approach to the assessment of paediatric patients, knowing when to ask for support early Develop a systematic approach to the assessment of patients with mental health needs, including deliberate self-harm Develop an approach to the safe assessment and management of minor injuries Work effectively within a resuscitation/trauma team treating the most critically ill and injured patients in the ED

Suggested evidence to meet learning objectives	Mini CEX A-E of acute SOB. Demonstrating understanding of assessment and treatment of the acute presentation. Including offering a differential diagnosis and initiating basic management. Mini CEX Primary Survey in a stable trauma patient. Demonstrating a systematic approach to the assessment and treatment of trauma patients. CBD of acute chest pain. Demonstrating knowledge regarding common aetiologies (to the emergency department) and scoring systems (e.g. Wells or HEART score) CBD of safeguarding in paediatric patients. Demonstrating understanding of importance of asking safeguarding questions in all paediatric patients and processes for reporting/flagging any concerns raised (e.g SCLF vs MASH) DOPS acute airway management. Demonstrating skills in correct airway management e.g. Cardiac arrest. Developing the clinical teacher - shop-floor teaching/support of year 5 PMS students attached to ED.

Specific training opportunities (eg. Clinics)	Mandatory induction day attendance at start of training post - this is mostly clinical training Consultant led handover 0800 and 1400 24/7 senior immediate availability for clinical decision support - consultant or SASG Base self in minors and resus for 13-2300 shift to gain additional exposure beyond majors Consultant shop floor teaching (and WBPA) opportunities best sought from the 'cons 2' - see the rota and plan this Monthly Trauma Network clinical teleconference, 0800 MEC last Thursday of month (attend in own time, but valuable)

Teaching attendance and opportunities	Junior doctor teaching sessions 1st Weds morning of the month - these are worked into your rota F2 teaching days - you will be released from the rota for these SIM training - as above - 2 formal sessions a year, ad hoc sim sessions in ED Medical grand round - in own time when not on shop floor Asynchronous learning opportunities - RCEM learning a great resource, also Norwich Image Interpretation Course (old but great resource) and www.smallbeautifulem.org (work in progress)

QIP opportunities	Many opportunities in department e.g. involvement in ongoing audits (pain in children with fractures)

Other induction issues	Understand protocols for prescribing/dispensing medications e.g. during hospital pharmacy opening hours, ED prescription sheet. Outside of hospital pharmacy opening times but before 11pm mon-sat or 4pm sun, FP10. Any other time TTA meds from cupboard Completing ED discharge summaries, including correct coding of conditions. Accessing other services or referrals from ED e.g. booking fracture clinic appointments, rapid access chest pain clinic, first fit clinic.

This page was last updated March 12th 2024 (9 months ago)

Royal Devon University Healthcare NHS Foundation Trust (NORTH DEVON) Job Descriptions

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