Torbay & South Devon NHS Foundation Trust Job Descriptions

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Torbay & South Devon NHS Foundation Trust Job Descriptions

F2 Microbiology 2025

Trust Name

Torbay and South Devon Foundation NHS Trust

Clinical Supervisor(s)

Dr Giuseppe Pichierri

Dr Selina Hoque

Overview of team

The Microbiology Department is a busy, innovative and supportive place to work. The F2 will learn how a laboratory works and gain a grounding in the principles of diagnosis and management of infection in a variety of common clinical scenarios. They will gain an understanding of the contribution that the microbiology laboratory can make to the effective management, control and prevention of infection in both hospital patients and in the community. This experience will be of particular value to those who are interested in infection specialties, e.g. infectious diseases, genito-urinary medicine, surgical specialties, internal medicine, paediatrics, intensive care and public health medicine.

The F2 will have a nominated consultant Clinical Supervisor with whom the F2 will meet regularly. There will be ample opportunities to do supervised learning events such as Case-Based Discussions, min-CEX and DOPS. They will be supported in formulating a Personal Development Plan. There will be opportunities for the F2 to teach and to develop leadership skills, being responsible for checking and communicating results and management plans. They will be encouraged to attend regional teaching and also given self-development time to work on their e-Portfolio and meet requirements of the F2 curriculum. There are opportunities to take part in QIPs.

The directorate of Laboratory Medicine is part of the Brixham and Paignton Integrated Service Unit at Torbay and South Devon NHS Foundation Trust (TSDFT). It provides a service to Torbay and associated hospitals and to Primary Care Practitioners in the Torbay, South Hams and Teignbridge areas. There are 5 clinical service departments within Clinical Laboratory Services: - Clinical Biochemistry, Haematology and Blood Transfusion, Microbiology, Cellular Pathology (Histology, Cytology & Mortuary), Point of Care Testing (POCT).

Nature of duties

We are keen to create a varied job aimed at improving the general microbiology knowledge that will serve useful for any later career, not only for a career in Infection specialties.

The F2 will acquire knowledge about the diagnosis and management of infections and appropriate usage of antimicrobials. They will learn how to access results and request any further work that may be required, telephone relevant positive Microbiology/ Virology results to hospital clinicians/ General Practitioners and advise on antimicrobial treatment. There will be simultaneous training for Infection, Prevention and Control so that concurrent advice can be given with the results.

There will be Microbiology ward rounds as part of the Multi-Disciplinary Team on ICU, Trauma & Orthopaedics, Haematology/Oncology and Diabetic foot rounds.

All this work will involve close supervision from a consultant Microbiologist until it is agreed that the level of training required is reached.

There will be opportunities to work with the Infection Prevention and Control Team to understand the principles of infection control. The After Action Reviews for Healthcare Acquired Infection such as Clostridioides difficile, Central Venous line infections, etc will be attended by the F2 as well as the consultant caring for the patient so they can learn how to investigate incidents using ‘5-Whys’ and create action plans and review dates.

The Decontamination and Water Safety Groups can be attended if there is an interest, these provide insight into Legionella control and decontamination of the environment as well as instruments.

The Monday Medical Team Meeting can be attended also.

Rota / Shift pattern

Monday to Friday 9AM to 5:30 PM with appropriate breaks.

Typical working week

	Monday	Tuesday	Wednesday	Thursday	Friday
AM	Laboratory bench round reviewing laboratory results and phoning clinicians. Haematology/ Oncology ward round Weekday ICU microbiology round	Laboratory bench round reviewing laboratory results and phoning clinicians. Weekday ICU microbiology round	Laboratory bench round reviewing laboratory results and phoning clinicians. Weekday ICU microbiology round	Laboratory bench round reviewing laboratory results and phoning clinicians. Weekday ICU microbiology round	Laboratory bench round reviewing laboratory results and phoning clinicians. Haematology/ Oncology ward round Weekday ICU microbiology round
PM	Trauma & Orthopaedic MDT meeting	OPHAT virtual ward round with MAAT/ Diabetic foot MDT round	Audit activity in Microbiology/ Virology/ Infection Prevention & Control. Using Q-Pulse quality system.	Trauma & Orthopaedic MDT meeting	Handover to consultant Microbiologists for weekend and case discussion

Community Facing commitment

(if applicable)

Telephoning and receiving calls from GPs in practices and from Community hospitals.

Related clinical skills opportunities

Attend 2 Sexual Health Clinics and 2 HIV clinics during the 4 month rotation

Join & contribute to weekly Out Patient Hospital Antimicrobial Therapy (OPHAT) rounds with the Microbiologists and Medical Admission Avoidance Team (MAAT)

There are multiple education opportunities in the department including attending the weekly Monday Medical Meeting, weekly in-house teaching and journal clubs. We would expect the Foundation F2 to:

Maintain knowledge and proficiency in medical practices through appropriate continuing professional development.

Take an active role in the departmental clinical audit and governance activity.

Attend teaching sessions so as to improve knowledge and clinical practice.

In-house teaching

Directly from the 3 consultant Microbiologists in CBDs and MiniCEX as well as day to day teaching on the Microbiology, Virology and Infection Prevention & Control queries coming into the Department every day. There is no Infectious Diseases Unit so the consultant Microbiologists provide the ID advice.

Monday Medical ward rounds

Audit opportunities

Laboratory based audits

Antimicrobial stewardship audits on the wards or the operating theatres

F2 Oral and Maxillofacial Surgery 2025

Trust Name	Torbay and South Devon NHS Trust
Clinical Supervisor(s)	Ben Collard (OMFS Consultant)
Overview of team	5 OMFS Consultants (GMC registered) 2 Associate specialists 4 Speciality Doctors 1 OMFS Registrar 4 OMFS SHOs
Nature of duties	F2 duties Attend clinics which cover - 2WW referrals, head and neck cancer, skin cancer and general clinics – including facial trauma and salivary gland disease Attend head and neck, skin cancer and thyroid MDT Ward duties – covering OMFS inpatients Emergency clinic – new and reviewing trauma patients On call duties – including covering in and out of hours emergencies with 4 other OMFS SHOs Attend OMFS weekly departmental teaching program Involvement in departmental audit and quality improvement
Rota / Shift pattern	On calls Join rota alongside 4 OMFS SHOs. Covering 1:5 day, evening, overnight and weekend on calls
Typical working week	Typical week 1 day in GA operating theatre assisting on cancer/trauma surgery with OMFS consultant 1 day attending clinic – cancer/trauma/general 1 day holding on call bleep 1 day off post on call 1 day attending teaching, departmental meeting, governance, morbidity and mortality
Community Facing commitment (if applicable)	N/A
Related clinical skills opportunities	Examining oral and skin cancer referral patients under senior guidance Suturing under both LA and GA Examining emergency patients in ED using ATLS principles with senior guidance Teaching medical students – over 12 months we have 5th year and 3rd year medial students in OMFS Performing simple skin surgery Minor oral surgery
In-house teaching	OMFS Departmental teaching 1 session per weekly Consultant led departmental teaching attending by SHOs, medical students, and speciality Doctors SHOs attend and also are encouraged to lead teaching sessions for colleagues and students
Audit opportunities	OMFS Audit We strongly encourage all SHOs and students to be involved and lead on audit and QI projects with consultant guidance. Over the last 12 months this has led to SHOs and students giving over 12 poster and oral presentations at national and international conferences in OMFS

F2 ENT 2025

Trust Name	Torbay and South Devon NHS Foundation Trust
Clinical Supervisor(s)	James Powles
Overview of team	6 consultants 2ST 1 CT 1 GPST 2 F2 (was 3 until lost one to comm psych & now fill with Trust Grade)
Nature of duties	ENT junior tier- ward rounds, ward work, emergency clinics, on call/emergencies, non-resident on call out of hours
Rota / Shift pattern	1 in 5 on call weekdays & weekends with appropriate rest time for compliance Rolling 1:5 weekly pattern.
Typical working week	M- on call (including non-resident overnight) Tu- off post on call W- 8-9am ward round/ 10-12 emergency clinic/ 2-5pm teaching clinic Th-8-9am ward round/ 9-1pm theatre/ 2-5pm support on call Fr-8-9 ward round/ 10-12 ward cover/ 2-5pm CPD
Community Facing commitment (if applicable)	Emergency clinics (independent clinic but always with senior supervision)
Related clinical skills opportunities	Standard ward & emergency skills including paediatric care & assessment ENT skills including nasendoscopy, ear microsuction & use of microscope, incision & drainage of abscesses/quinsy’s, epistaxis cautery & packing Potential to perform appropriate operations in theatre if interested
In-house teaching	Regular teaching- Team meetings (eg M&M), Consultant led ward rounds, supernumerary in teaching clinics & teaching in theatre Formal team-teaching sessions Free place on whole day lecture/practical ‘Introduction to ENT’ national course delivered by dept guaranteed at very start of placement
Audit opportunities	Encouraged to undertake & present audit/ QI projects

F2 Healthcare for older people (Geriatric Medicine) 2025

Trust Name	Torbay and South Devon NHS foundation Trust
Clinical Supervisor(s)	Healthcare for older people consultant team. Dr Kirsty Ellmers; Orthogeriatrics Dr Karen Broadhurst; Orthogeriatrics Dr Jonny Hacon; Orthogeriatrics & Perioperative Medicine (Joint Clinical Lead) Dr Julia Bell (0.8 WTE) (Joint Clinical Lead) Dr Harjita Sahota; Movement Disorders Dr Chris Uridge (0.6WTE) Dr Kim Kirrane (0.725 WTE) Dr Christopher Baker Dr Jenny Evans Virtual Frailty Ward GPs Dr Kath Bhatt Dr Nikki Bain Mrs Jo Passmore; Consultant Nurse for Frailty In addition (speciality doctors): Dr Karina McKearney, Specialty Doctor Dr Anita Germon, Speciality Doctor
Overview of team	Due to changes within the department. This post will now be a ward-based post, but with one selected day each week that will provide community-facing opportunities. There will be opportunity to experience managing patients with frailty and an array of healthcare of older people medicine presentations. The FY2 will mainly work on the orthogeriatric ward which will give experience of bone health assessment, falls assessment and delirium amongst other presentations. This will be under the guidance of one of our orthogeriatricians.
Nature of duties	Ward based duties: Patient round with senior clinician with a focus on peri-operative orthopaedic patients. Arrive on the ward on time as per rota allocation Prepare and print the handover sheets (arranged amongst juniors) Contribute to handover, take notes for allocated tasks Take responsibility for allocated number of patients Prepare daily/ward round notes, check bloods, radiology imaging and other outstanding investigations as appropriate Chase +/send specialist referrals as appropriate Request investigations and daily tasks if required Liaise with MDT, other specialist teams (e.g. THORT, Parkinson’s team, alcohol service etc) Attend MDT meetings/ HOP teaching (every Friday 13.00-14.00, Horizon centre) Update family/carers/NOK as appropriate Write/update discharge summaries, complete TTAs (medication to take home on discharge), just in case drugs, PMAR charts, warfarin, controlled drugs prescriptions as applicable Complete Medical examiner referrals (liaise with consultant for cause of death if unsure). Complete death certificates and cremation forms (ideally within 48hrs) Support junior members of the team
Rota / Shift pattern	Monday – Friday 0830-1730 No out of hours on-call for this post
Typical working week	Gather for handover and ward round with orthogeriatrician of the day and team. Ward duties as outlined during the day with MDT with therapy teams at 12pm. Orthogeriatrician available in afternoon if concerns/queries. Selected weekly day away from the ward – either at Totnes Hospital, under direct supervision of the ward-rounding consultant, or with the virtual frailty ward team with supervision from Virtual Ward GPs/Consultant Nurse in Frailty.
Community Facing commitment (if applicable)	As above; Each week, will spend one day at Totnes Hospital on the day a HOP consultant is ward rounding, under supervision from the ward-rounding consultant. When not spending this day a week at Totnes, will instead be with the virtual frailty ward team under supervision from Virtual Ward GPs/Consultant Nurse in Frailty.
Related clinical skills opportunities	Ward-rounding skills Clinical skills appropriate for F2 curriculum Liaison with community teams both during orthogeriatric ward time and in community Hospital setting. Potential opportunity to join virtual frailty team in an observational role for home visits.
In-house teaching	Weekly medical grand round (currently via MS Teams) Weekly geriatric medicine teaching (currently Friday 1-2pm) Ward based consultant teaching.
Audit opportunities	Opportunity to carry out audit and to get involved with audits run by members of the team. Additional opportunities for QI in this post relating to orthogeriatrics and community geriatrics.

F2 Perioperative Medicine and Anaesthesia 2025

Trust Name	Torbay and South Devon
Clinical Supervisor(s)	Lynn Margetts – Clinical Service Lead Anaesthetics Andrew Mcewen – Chariman Anaesthetics David Levy – lead for High Risk Assessment William Key – lead for Preassessment
Overview of team	The Anaesthetics and Perioperative Medicine department is the largest clinical specialty at Torbay Hospital. There are currently 44 Consultants, 8 Specialty trainees and 7 Core trainees. It is recognised internationally in being pioneers in High Risk perioperative assessment using cardio pulmonary exercise testing to assess fitness prior surgery and in using fitness programmes in the preoperative period to reduce that risk. As well as high risk assessment the department provides support in many areas throughout the hospital including: General anaesthetic services to all surgical specialties including inpatient and day case patients. Preoperative assessment. Obstetric analgesia. Critical Care. Pain management (Acute + Chronic). Support for Resus throughout the hospital. Anaesthetic and sedation services throughout the hospital where required for non-surgical specialities. The F2 role would mainly be working with the 12 Consultants providing the perioperative medicine service. This service identifies modifiable risk factors and implements action to mitigate these risks during the perioperative period. As well as the traditional medical optimisation approach, this team also has community links to enable change in more public health focused risk factors such as; weight management, nutrition optimistation, smoking and alcohol cessation and improvement in physical fitness and physical activity. The F2 role will cover work in all these areas
Nature of duties	The main purpose of this role is to provide clinical support to the perioperative medicine service this will include: Attending High Risk assessment clinics, train to deliver CPEX tests with the aim of independent practice Develop understanding in shared decision-making discussions Learn to provide a comprehensive risk assessment for all surgical specialities Work with physiotherapists and fitness instructors in providing fitness assessments, designing and running exercise programmes in the acute hospital and the community Liaise and refer to other hospital teams Working closely with the Anaesthesia and ICU Research leads to enable collection of data for perioperative research projects Performing perioperative medicine ward rounds under the supervision of the Duty anaesthetists, assisting with postoperative care of high-risk patients in the ward environment. Providing Iron infusion for anaemic patients in preassessment Once weekly theatre based Anaesthetic Taster sessions, as service commitment allows
Rota / Shift pattern	This will be 0800-1630 No on call commitment
Typical working week
Community Facing commitment (if applicable)	Working with Primary Care Organisations to provide lifestyle modifications programme such as: prehabilitation fitness programmes weight management programmes smoking cessation community diabetic and anaemia management
Related clinical skills opportunities	Exposure to theatres and anaesthesia, ideal for anyone considering a career in this area Potential to become trained to deliver cardiopulmonary exercise testing Opportunity to get involved in multicentre research projects
In-house teaching	Regular weekly journal club in Anaesthesia and ICU Training in perioperative CPET and SDM Training in modifiable risk factors in the perioperative period and how these can be mitigated
Audit opportunities	Involvement in the Perioperative Quality Improvement Programme PQIP Opportunities to present Audit work at the Departmental Clinical Effectiveness programmme

F2 General adult in patient psychiatry 2025

Trust Name	Devon Partnership Trust
Clinical Supervisor(s)	Dr Antonio Lopes
Overview of team	Acute psychiatric ward, working age adults from Torbay area
Nature of duties	Psychosocial assessment of patients admitted to the ward, monitoring physical health of patients, attending ward rounds and MDTs; liaising with GPs and pharmacy team around medication.
Rota / Shift pattern	Full shift rota
Typical working week	9-5 Monday-Friday, with additional duties out of hours according to rota obligations.
Community Facing commitment (if applicable)	Community experience can be arranged bespoke to enable learning objectives to be met
Related clinical skills opportunities	Taking a mental health history, examining the mental state, bio-psychosocial formulation, diagnosis, interviewing informants, considering and planning safe environments, observing Mental Health Act and capacity assessments, participating in multidisciplinary meetings and joint agency meetings. Teaching, both formal and informal, for medical students based on the ward
In-house teaching	Weekly supervision with consultant Local monthly education meeting with opportunities to present Attendance at Foundation training events Access to RDUH post graduate program
Audit opportunities	Active R&D and Quality improvement programmes within the Trust, including the Cedars Academy; lots of opportunities to participate in on-going quality improvement work or initiate new projects.

F2 Liaison Psychiatry 2025

Trust Name	Devon Partnership NHS Trust
Clinical Supervisor(s)	Dr Tom Manders
Overview of team	Torbay Liaison Psychiatry Service - Torbay Hospital – Torbay and South Devon Mental Health Centre
Nature of duties	Biopsychosocial assessment of patients presenting to the liaison psychiatry service at Torbay Hospital, performed jointly with a qualified member of staff, progressing to Independent assessment as competency develops.  Management plans / discharge decisions to be discussed with B6 or more senior member of the Liaison Psychiatry team prior to implementation.  Duties tailored to the learning needs and interest of the doctor
Rota / Shift pattern	rota
Typical working week	0900-1700, Monday to Friday with the opportunity to shadow on-call out of hours.    Inclusion in the daytime on call and OOH on call rota
Community Facing commitment   (if applicable)	ED work is community facing     Community experience can be arranged bespoke to enable learning objectives are met
Related clinical skills opportunities	Taking a mental health history  Examining the mental state  Bio-psycho-social formulation  Differential diagnosis  Interviewing informants  Considering and planning safe environments  Observing mental health act and capacity assessments  Observing ECT  Participating in multidisciplinary meetings and joint agency meetings  Managing distress
In-house teaching	Attendance at Foundation School training programme  Attendance at in house liaison psychiatry teaching  Monthly locality psychiatry education meeting   Weekly trust-wide liaison psychiatry trainee doctors Balint group
Audit opportunities	Active Quality Improvement Program running in the service with access to audit, evaluation, research & innovation programs.

F1 In Diabetes, Endocrinology and GIM 2025

Trust Name	Torbay and South Devon
Clinical Supervisor(s)	Dr Chris Redford – Clinical Lead for D&E and TPD for D&E in Peninsula. Allocated F1 Supervision, from Consultant team.
Overview of team	The D&E team consists of 6 Consultants, 9 Diabetes Specialist Nurses, 6 Diabetes Specialist Dietitians and an administrative team. We also host an IMT trainee and GP specialist placements. The F1 role would be based on our inpatient ward – ‘New Forrest’, which is shared with a GIM Consultant.
Nature of duties	Largely ward based, although opportunity to attend OP clinics in D&E. Ward base includes specialist D&E patients, alongside varied GIM conditions. Opportunity to join weekly Diabetes inpatient ward rounds. Daily Consultant Ward rounds and Board rounds. MDT team including Physiotherapy, Occupational Therapy and Discharge Co-ordinator.
Rota / Shift pattern	Ward based work, and F1 on-call rota.
Typical working week	As per F1 rota.
Community Facing commitment (if applicable)	Opportunity to be involved in community diabetes service support visits – Educational and clinical support provided to Primary Care to improve the management of T1DM and T2DM.
Related clinical skills opportunities	Range of clinical skills opportunity, supervised by more senior colleagues, including: -Lumbar Puncture -Cannulation, including use of USS -Resuscitation skills
In-house teaching	Weekly Friday M&M meeting, to review IP deaths and discuss clinical management and case learning. Weekly Friday focused teaching session, based on ward clinical D&E case. Weekly Diabetes MDT. Weekly Endocrine MDT. Monthly Endocrine Journal Club.
Audit opportunities	Opportunity for involvement in QIP/Audit related to D&E care within the trust.

F2 Sexual Health 2025

Trust Name

Torbay & South Devon NHS Foundation Trust

Clinical Supervisor(s)

Nadia Khatib

Derval Harte

Vicki Killick

Jane Simpson

Overview of team

Doctors

2 Sexual Health/HIV consultants – Dr Nadia Khatib, Dr Derval Harte

3 Associate Specialists – Dr Vicki Killick, Dr Catherine Ackford, Dr Jane Simpson

1 Staff Grade – Dr Meriel Evans

1 X GP ST doctor

1 X F2 doctor

Nurses/Health Advisers

7 X Nurses covering Sexual Health, Contraception and Termination of Pregnancy

2X HIV Clinical Nurse Specialists

HCAs

Admin

Rota Coordinator – Ms Michelle Crowe

Clinic Manager – Ms Jane Schofield

Nature of duties

Manage undifferentiated patients accessing the service – via telephone, video and face-to-face consultations.

Focus will be on Sexual Health presentations (STIs – assessment, treatment, partner notification and follow-up/referrals).

Some involvement in Contraception presentations – including Emergency Contraception assessment

Keep contemporaneous notes on patients’ Electronic Patient Record.

Act as a second signatory on HSA forms for Termination of Pregnancy (alternative cover can be arranged if the trainee cannot fulfil this role due to conscientious objection).

Senior cover always provided on-site by appropriately qualified doctor or nurse.

Support clinical teaching of medical students

Rota / Shift pattern

Working pattern:

Mon	Tue	Wed	Thu	Fri	Sat	Sun
9:00 - 17:00	9:00 - 17:00	9:00 - 17:00	9:00 - 17:00	9:00 - 17:00

Potential for 1 – 2 evening shifts per week (17:00 – 20:00) instead of afternoon shifts (14:00 – 17:00). This depends on trainee availability, service needs and activity and will be negotiated with trainee at least 6 weeks prior to starting. 4hrs Self Development Time on alternate weeks.

Duty details:

Duty	Name	Type	Start	Finish	Days	Duration
A	A	Shift	9:00	17:00	1	8:00
B	half NWD/half Study Leave	Shift	9:00	17:00	1	8:00

Your working pattern includes normal days. Average Weekly Hours of Work: 40:00 hours Your contract is a full-time contract for 40 hours The distribution of these will be as follows: Average weekly hours at plain time: 40:00 Average weekly hours attracting a 37% enhancement: 0 Weekend allowance of 0 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.

Typical working week

Mix of remote and Face-to-Face consultations with undifferentiated patients morning and afternoon.

Weekly 1 hour team meeting (Rotates monthly – Clinical Governance; Journal Club; Guidelines Update; Teaching; Audit presentations)

Some ‘outreach’ work at peripheral clinics in Newton Abbot and Paignton

Community Facing commitment

(if applicable)

All clinics are outpatient based at Castle Circus Health Centre in Torquay, Newton Abbot Hospital in Newton Abbot and Paignton Hospital in Paignton.

Related clinical skills opportunities

History taking including sexual history

Examination skills – genital examination including speculum examination in women

Health promotion

Administering intramuscular vaccinations (Hepatitis A and B and Human Papilloma Virus)

Administering intramuscular antibiotics

Gram staining and Microscopy on site

Delivery of teaching sessions to MDTs

In-house teaching

In House Teaching:

Formal Teaching Programme:

Regional Teaching booked through MaxCourse

Clinical Skills teaching (scenario based) – 4 x 2 hour sessions across the year, on Fridays, 8.3-10.30am or 11.30am-1.30pm.

ALS (Advanced Life Support)

Audit opportunities

Can usually participate in national British Association of Sexual Health and HIV or British HIV Association audit

Numerous in-house audit opportunities

F2 T & O 2025

Trust Name

Torbay and South Devon NHS Foundation Trust

Clinical Supervisor(s)

Supervisors are selected from T&O consultants – educational supervisor may be outside of the department.

Overview of team

The T&O team consists of 14 Consultants, Registrars, Senior House Officers, Foundation Doctors, Orthopaedic Practitioners, Nurses and Health Care Assistants

Miss Joanna Maggs – Clinical Lead

Mr Nathanael Ahearn - College Tutor

The day to day F2 role will mainly be based between the two main orthopaedic wards: Ainslie (trauma) and Ella Rowcroft (elective) together with any outlying wards.

Nature of duties

Reviewing and managing patients on orthopaedic wards

Helping to manage the On-Call take list – taking referrals and assessing new patients referred to T&O

Daily consultant ward round

Conducting independent ward round

Trauma meeting daily

Microbiology MDT meeting on Thursdays

Hands on management of the day-to-day running of the ward

Opportunities to attend clinics (elective and fracture) and theatre operating sessions

Rota / Shift pattern

Week	Mon	Tue	Wed	Thu	Fri	Sat	Sun
1	20:30 - 24:00	00:00 - 9:00, 20:30 - 24:00	00:00 - 9:00, 20:30 - 24:00	00:00 - 9:00, 20:30 - 24:00	00:00 - 9:00
2	8:00 - 17:00	8:00 - 17:00	8:00 - 17:00	8:00 - 17:00	8:00 - 17:00
3	8:00 - 17:00	8:00 - 17:00	8:00 - 17:00		8:00 - 21:00	8:00 - 21:00	8:00 - 21:00
4		8:00 - 17:00	8:00 - 17:00	8:00 - 17:00	8:00 - 17:00
5	8:00 - 21:00	8:00 - 21:00	8:00 - 21:00	8:00 - 21:00
6	8:00 - 17:00	8:00 - 17:00	8:00 - 17:00	8:00 - 17:00	8:00 - 17:00
7	8:00 - 17:00	8:00 - 17:00	8:00 - 17:00		20:30 - 24:00	00:00 - 9:00, 20:30 - 24:00	00:00 - 9:00, 20:30 - 24:00
8	00:00 - 9:00			8:00 - 17:00	8:00 - 17:00

Duty details:

Duty	Name	Type	Start	Finish	Days	Duration
A	Day on call	Shift	8:00	21:00	1	13:00
B	Normal Day	Shift	8:00	17:00	1	9:00
C	Night on call	Shift	20:30	9:00	2	12:30

Senior Cover Arrangements for Out of Hours Work

Weekday on call 5-9pm: On-call registrar on site. On call consultant off site

Weekday on call 8:30pm – 8:00am: On-call registrar off site. On call consultant off site

Weekend on call 8:00am – 9pm: On-call registrar on site. On-call consultant on site until 5:00pm

Weekend on call 8:30pm – 8:00am: On-call registrar off site. On call consultant off site

Typical working week

Either ward work/theatre assisting or on-call duties

Community Facing commitment

(if applicable) e.g. Out Patient Clinics

No formal community facing commitments

Related clinical skills opportunities

Opportunities to learn the following practical procedures commonly used on the on-call take:

Fascia Iliaca Blocks

Joint aspirations

Fracture manipulations

Application of plaster casts

Relocation of dislocated joints

In-house teaching

Daily teaching - We have our own 5-10 minute teaching format called “POW” (Pearls Of Wisdom) at the end of the Trauma meeting. On Fridays it is given by the consultant on call, on other days by a registrar or other doctor. You learn the most from giving your own presentations.

Tuesday lunch time teaching - 1pm to 1.45pm in the seminar room. An F1/F2/SHO is asked to present a case themed around an allocated topic. The on-call registrar will also deliver a review of a paper centred around the same topic.

Clinical effectiveness / audit meetings - these are monthly.

Opportunities to go down to the Plaster Room to gain hands on experience with application of POPs and fibreglass casts etc.

Audit opportunities

Opportunities to partake in as well as lead audits/QI projects

F1 Cardiology 2025

Trust Name	Torbay and South Devon NHS Foundation Trust
Clinical Supervisor(s)	Named supervisor: Dr Thomas Davies, Consultant Cardiologist Other Clinical Supervisors- Dr Catherine Blakemore, Consultant Cardiologist, Dr Lisa Yung, Consultant Cardiologist
Overview of team	3 non-Interventional Cardiology Consultants based on Dunlop ward 5 Interventional Cardiology Consultants based on Coronary Care Unit and Chest Pain Unit 3 Cardiology registrars 1 IMT trainee 1 Trust Doctor 1 FY2 Doctor 2 FY1 Doctors (including this post)
Nature of duties	Based on Dunlop ward- General Cardiology ward Daily consultant ward rounds in the morning with general ward work in the afternoons Out of hours cover of General Medical wards in evenings and weekends as per rota below Opportunity for experience on Coronary Care Unit and Chest Pain Unit
Rota / Shift pattern
Typical working week	As above
Community Facing commitment (if applicable)	N/A
Related clinical skills opportunities	Performing and interpreting ECGs DC cardioversion (all juniors in Cardiology can take part in a list on a rotating basis) Opportunity to watch coronary angiograms, pacemaker implantation, echos, TOEs and stress echos
In-house teaching	Weekly departmental educational session Weekly echo teaching MDT Daily teaching on ward rounds Weekly medical “grand round”
Audit opportunities	Plentiful

F1 Emergency Medicine 2025

SPECIALTY	Emergency Medicine
TRUST NAME	South Devon Healthcare Trust	DATE: 30/05/2024
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: Emergency Department Torbay Hospital Lowes Bridge TQ2 7AA ODS Code: RA901 (???)
Clinical Supervisor(s)	Dr Edward Berry (Dr Kathryn Blackmore, Specialty Tutor, overseeing creation of new post)
Overview of team	Doctors including Consultants, Associate Specialists, Registrars, ACCS core trainees, GP core trainees, Foundation Year Two doctors. Physician Associate, ACPs Physio/OT/discharge coordinator Nursing staff/HCAs.
Nature of duties	Duties will vary from day to day depending on staffing levels and clinical need, but will include a variety of those listed below: Take handovers from night-team where results need chasing, then escalate these to senior clinician to make discharge decisions. Organise/take responsibility for any patients reattending the department in the morning for imaging to look for renal stones. Assist Consultant working in Rapid Assessment Area with patient clerking and practical procedures e.g. cannulation and bloods. Assist Consultant reviewing daily XR reports to identify any XRs with abnormalities needing further action. Oversee CDU area of department, as well as long-staying patients in Majors, ensuring that critical medications have been written up and that relevant test results have been actioned. Clerk new patients presenting to the department with oversight from a senior clinician. Present own patients at board round at 2pm. Attend teaching sessions – twice weekly Junior Doctor teaching, daily board round microteach sessions, and Simulation sessions. Gain experience working alongside more senior clinicians in Resus, Paediatric and Minors areas – assist with note-taking and practical procedures.
Rota / Shift pattern	Monday to Friday 08:00 – 16:00 No out of hours working
Senior Cover Arrangements for Out of Hours Work	N/A
Typical working week	Morning handover at 8am – receive jobs from night team Clinical work/teaching/assisting with XR report reviews/long-staying patient reviews Afternoon handover at 2pm with microteach session Further clinical work, and informal handover of outstanding patients at 4pm.
Community Facing commitment (if applicable) e.g. Out Patient Clinics	None
Related clinical skills opportunities	Venepuncture, cannulation, ABGs, male and female urethral catheter insertions, blood cultures, suturing and wound care, eye examination, CPR. Assisting/observing more advanced procedures e.g. chest drains, DC cardioversion, sedation, joint/fracture manipulation.
In-house teaching	Junior doctor teaching occurring for 30 minutes twice weekly on a variety of topics relevant to Emergency Medicine including paediatric presentations Separate Simulation sessions approximately once a month 5 minute board round teaching presentations delivered by trainees daily at 14:00 handover
Audit opportunities	Multiple opportunities for audit – Emergency Medicine trainees are required to undertake a QI project during their rotations, so there are always opportunities to be involved with these, also three RCEM audits happen annually. Audit lead Consultant can support trainees with finding appropriate projects.

F1 Gastroenterology 2025

Trust Name

Torbay & South Devon NHS Foundation Trust

Clinical Supervisor(s)

F1 – Dr Alan Desmond

F2 – Dr Sandip Bhatt

Academic F2’s – Dr Sam Powles

Overview of team

Consultants

Drs Keith George, Mark Feeney, Alan Desmond, Richard Johnston, James Neale, Sandip Bhatt, Maria Saunders, Luke Summers, Gareth Walker and Sam Powles

Doctors

1 x PA

2 x F1s

1 x F2 and 2 x Academic F2s

1 x IMT 1 or 2, 1 x IMT 3

3 x SpRs

Admin

Practice Manager – Jo Loader

Rota Coordinator – Sara Fiorentino

Nature of duties

Ward cover of Allerton Ward or Cromie / Warrington Wards.

Start at approx. 9am each day.

Start each day by going up to the ward and printing off the patient list, adding any patients that were admitted overnight.

Meet with other trainees at 9am to check staffing and escalate to consultant if there are any issues.

Ask the nursing staff if there are any unwell patients prior to ward round to ensure that they are seen at the beginning of the round.

Present patients at the Consultant ward rounds – Daily run by with the SpR or Consultant.

Check the ‘Medical Job’s book’ on the ward.

Attend Radiology Meeting every Thursday at 8.30am.

Alongside other members of the team, ensure the tasks for each patient are completed during the day including blood tests, organising radiology or other procedures.

Hand-over any unwell patients or outstanding issues to the on call out of hours team.

Ensure blood requests are completed for the following day or weekend, putting the task on Infoflex as needed

Review unwell patients during the day, escalating to more senior team members as needed.

Clerk patients admitted directly from Hutchings unit.

Rota / Shift pattern

Working pattern:

Mon	Tue	Wed	Thu	Fri	Sat	Sun

Duty details:

Duty	Name	Type	Start	Finish	Days	Duration
A	A	Shift
B		Shift

Your working pattern includes normal days. Average Weekly Hours of Work: 40:00 hours Your contract is a full-time contract for 40 hours The distribution of these will be as follows: Average weekly hours at plain time: Average weekly hours attracting a 37% enhancement: Weekend allowance of: 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.

Typical working week

The Gastroenterology Team are based on Allerton Ward with outliers on Cromie and Warrington Wards (although this is subject to change). The team is led by 10 Consultants. Two Consultants in turn are rostered as the ‘GOD’ Gastroenterologist of the Day each week, 1 on Allerton and 1 on Cromie / Warrington.

The Endoscopy Unit carries out a full range of diagnostic and therapeutic endoscopic procedures, as well as other, non-endoscopic procedures for both outpatients and inpatients.

The diagnostic and therapeutic upper and lower gastrointestinal endoscopy procedures are carried out by Gastroenterologists, Surgeons, and Nurse Endoscopists and GP practitioners.

The Hutchings Day Case unit (on level 8) has outpatient clinics running as well as day case procedures, such as abdominal paracentesis and infusions of various types.

Related clinical skills opportunities

Educational/Learning Opportunities:

To provide the trainee with specific clinical skills, knowledge and attitude to be able to treat common gastrointestinal emergencies e.g.

Decompensated Liver Cirrhosis or Acute Liver Injury

GI haemorrhage

Acute colitis

To provide the trainee with specific clinical skills, knowledge and attitude to be able to investigate common gastrointestinal symptoms e.g.

Diarrhoea

Weight loss

Anaemia

Abdominal pain.

To appreciate the harmful effects of alcohol and to be able to counsel regarding safe drinking levels.

To understand the principles of, complications of and different routes of nutritional support provided on the GI ward in conjunction with the Nutrition support team.

In-house teaching

In House Teaching:

Formal Teaching Programme:

Formal Teaching Programme on Thursdays 12-2pm – times vary.

Clinical Skills teaching (scenario based) – 4 x 2 hour sessions across the year, generally on Fridays and some Wednesdays, 8.3-10.30am or 11.30am-1.30pm.

ILS (Immediate Life Support).

Audit opportunities

F1 Acute Medicine 2025

Trust Name

Torbay & South Devon NHS Foundation Trust

Clinical Supervisor(s)

Paul Andrews

Shash Ranjan

Jonathan Baird

Overview of team

The Acute Medicine team consists of:

7 consultants (some with additional specialist medical interests);

12 F2-CT2 doctors;

12 F1s;

1 Acute Medicine registrar;

2 specialty GPs working on MRU (medical receiving unit);

nursing teams on Cromie, EAU4 and MRU;

occupational therapists, physiotherapists and discharge coordinators.

Nature of duties

Duties include:

clerking of patients referred to the on-call medical team (day shift and night shift), in ED and on MRU;

daily care of medical patients admitted to EAU4 and Cromie;

clerking of patients referred to the on-call surgical team (2 weeks out of 12 on the rota).

Rota / Shift pattern

Week	Mon	Tue	Wed	Thu	Fri	Sat	Sun
1	8:00 - 20:30	8:00 - 20:30			20:00 - 24:00	00:00 - 8:30, 20:00 - 24:00	00:00 - 8:30, 20:00 - 24:00
2	00:00 - 8:30
3	20:00 - 24:00	00:00 - 8:30, 20:00 - 24:00	00:00 - 8:30, 20:00 - 24:00	00:00 - 8:30, 20:00 - 24:00	00:00 - 8:30
4	12:00 - 20:30	12:00 - 20:30	12:00 - 20:30	9:00 - 13:00		8:30 - 20:30	8:30 - 20:30
5	13:30 - 21:30	13:30 - 21:30	13:30 - 21:30	13:30 - 21:30	13:30 - 21:30
6	8:00 - 17:00	8:00 - 17:00	8:00 - 17:00	12:00 - 20:30	8:00 - 20:30
7	8:00 - 17:00	8:00 - 17:00	8:00 - 17:00	8:00 - 17:00	8:00 - 17:00	8:00 - 17:00	8:00 - 17:00
8			8:00 - 20:30	8:00 - 20:30	8:00 - 20:30
9	8:00 - 17:00	8:00 - 17:00	8:00 - 17:00	8:00 - 17:00	8:00 - 17:00
10	8:00 - 17:00	8:00 - 17:00	8:00 - 17:00	8:00 - 17:00	8:00 - 17:00	8:00 - 20:30	8:00 - 20:30
11			9:00 - 13:00	8:00 - 17:00	8:00 - 17:00
12	8:30 - 17:30	8:30 - 17:30	8:30 - 17:30	8:30 - 17:30	8:30 - 17:30

Rota Template:

Duty	Name	Type	Start	Finish	Days	Duration
A	CC	Shift	8:00	17:00	1	9:00
B	Night	Shift	20:00	8:30	2	12:30
C	AMB	Shift	12:00	20:30	1	8:30
D	Surg. Clerking	Shift	13:30	21:30	1	8:00
E	Surg.clerking WKe	Shift	8:30	20:30	1	12:00
F	Clerking day	Shift	8:00	20:30	1	12:30
G	EAU	Shift	8:00	17:00	1	9:00
H	RTMT	Shift	8:00	17:00	1	9:00
I	4h PDP	Study Leave	9:00	13:00	1	4:00
J	Surgical late	Shift	8:30	17:30	1	9:00
K	PD+Amu	Shift	8:00	20:30	1	12:30

Your working pattern is arranged across a rota cycle of 12 weeks, and includes normal days, late and weekend shifts.

Average weekly hours of work:

For a full time contract for 40 hours

You will in addition be contracted for an additional 06:00 hours, making for total contracted hours of 46:00

The distribution of these will be as follows:

Average weekly hours at plain time: 46:00

Average weekly hours attracting a 37% enhancement: 09:30

Weekend allowance 10% for 1:3

Note: these figures are the average weekly hours, based on the length of your rota cycle, as required by Schedule 2 of the TCS. These may not represent your actual hours of work in any given week.

Typical working week

There is no typical working week for the EAU F1 rota!

During ward weeks you will work with the consultant to manage acute medical patients over the first days of their admission. You will also gain experience of multidisciplinary team working at daily board rounds.

During medical clerking weeks you will either work in ED or MRU, making clinical assessments and initial management plans for new medical patients, then presenting your patients to the on-call consultant.

During surgical clerking weeks you will join the hot week team, making clinical assessments and initial management plans for new surgical patients, with review from the surgical team throughout the day.

Community Facing commitment

(if applicable)

While working on MRU you will have the opportunity to interact with GPs, when they are referring patients in to the hospital for assessment. Our MRU GPs will also provide you with guidance and support from a community angle.

Related clinical skills opportunities

This post will enable you to build on your experience in clinical assessment and diagnostic decision-making, in a safe and supported environment.

There are also plenty of opportunities to learn and improve upon practical skills and procedures (venepuncture, cannulation, pleural and ascitic fluid aspiration, lumbar puncture and more).

In-house teaching

This post offers broad experience of acute medicine, covering all 12 domains of the foundation curriculum. There is particular emphasis on the assessment and management of the acutely unwell patient and ambulatory care patient, but there will also be experience in managing acute deterioration of patient’s with long-term illness and of complex discharge planning and multi-disciplinary working. As our patient mix is broad, you will gain experience of drug and alcohol abuse, mental health disorders, frailty, end of life care and mental capacity assessments. You will gain experience in specialty referral and good discharge communication with GPs.

While offering opportunities across all 12 domains of the foundation curriculum, there will be fewer opportunities for certain elements, such as consent.

Specific additional learning opportunities include procedural experience (based on patient needs) including lumbar puncture, ascitic tap and drains and pleural aspiration.

There are formal educational opportunities weekly both within the department and within the medical directorate and you will be encouraged to attend and present at these. Throughout the year there are opportunities to teach at the weekly team teaching sessions.

Teaching within the department includes:

Friday 13.00-14.00 EAU team teaching – each F1 having an opportunity to present

Directorate teaching includes:

Monday 13.00-14.00 Grand rounds, incorporating audit and clinical governance every 6 weeks.

The department also hosts 3rd, 4th and 5th year medical students (from both Plymouth and Exeter Universities), and physician associate students, so there are many opportunities for informal teaching practice during daily work.

You will learn experientially from your work, and we will support you in the completion of workplace-based assessments for your portfolio.

Generic Foundation Learning Opportunities:

Formal Teaching Programme on Thursdays 12-2pm – times vary

Clinical Skills teaching (scenario based) – 4 x 2 hour sessions across the year, on Fridays, 8.3-10.30am or 11.30am-1.30pm.

ILS (Immediate Life Support).

Audit opportunities

Quality improvement is a constant part of acute medicine with opportunities to be involved in rapid cycle tests of change and the larger scale audit work such as the Society for Acute Medicine benchmarking audit and the acute kidney injury audits.

The department is welcoming of new ideas for QI work.

F1 Liaison Psychiatry 2025

Trust Name	Devon Partnership NHS Trust
Clinical Supervisor(s)	Dr Esra Fatima
Overview of team	Torbay Liaison Psychiatry Service - Torbay Hospital – Torbay and South Devon Mental Health Centre
Nature of duties	Biopsychosocial assessment of patients presenting to the liaison psychiatry service at Torbay Hospital, performed jointly with a qualified member of staff, progressing to Independent assessment as competency develops.  Management plans / discharge decisions to be discussed with B6 or more senior member of the Liaison Psychiatry team prior to implementation.  Duties tailored to the learning needs and interest of the doctor
Rota / Shift pattern	Shift
Typical working week	0900-1700, Monday to Friday with the opportunity to shadow on-call out of hours.
Community Facing commitment (if applicable)	ED work is community facing Community experience can be arranged bespoke to enable learning objectives are met
Related clinical skills opportunities	Taking a mental health history Examining the mental state Bio-psycho-social formulation Differential diagnosis Interviewing informants Considering and planning safe environments Observing mental health act and capacity assessments Observing ECT Participating in multidisciplinary meetings and joint agency meetings Managing distress
In-house teaching	Attendance at Foundation School training programme  Attendance at in house liaison psychiatry teaching  Monthly locality psychiatry education meeting   Weekly trust-wide liaison psychiatry trainee doctors Balint group
Audit opportunities	Active Quality Improvement Program running in the service with access to audit, evaluation, research & innovation programs.

F1 Inpatient Old Age Psychiatry 2025

Trust Name	Devon Partnership Trust
Clinical Supervisor(s)	Ward consultant – Anietie Akpan
Overview of team	Psychiatric consultant, trainee MPAC (soon to be qualified) CT1 psychiatry trainee, trust grade doctor Nurses and HCAs OT, physio, clinical associate psychologist Admin including soon to be appointed medical secretary
Nature of duties	The F1 will be jointly responsible with the CT1 and trust grade for the medical care of patients admitted to the psychiatric ward. This includes admission clerking, routine reviews of chronic conditions, reviews of acute presentations when they arise, and discharge summaries. They will also be jointly responsible for documentation of ward round and helping to review patients’ psychiatric presentations through the week. This may include mental state exams and cognitive testing. Beyond these core duties, there are numerous other opportunities dependent upon the trainee’s confidence and interest levels. This includes observing mental health act assessments on the ward and with the consultant on call, observing and participating in memory clinic, joining other community clinics and leading on patient ward rounds with supervision and support of the consultant.
Rota / Shift pattern	9-5 no on call
Typical working week	9-5 on the ward unless other opportunities are arranged off the ward Tuesday, Wednesday and Thursday mornings in ward round, otherwise completing ward jobs as required
Community Facing commitment (if applicable)	Nil unless optional opportunities as described above are arranged
Related clinical skills opportunities	How to complete a mental state examination How to perform a comprehensive psychiatric assessment Physical health assessments including bloods, ECGs, initial acutely unwell patient assessments. How to lead an MDT meeting Clear documentation and written communication skills
In-house teaching	Weekly 1-to-1 supervision with the ward consultant Monthly local CPD programme including case presentations and journal clubs – opportunity to present and gain feedback on presentation skills
Audit opportunities	Strongly encouraged to complete a QI project whilst on the ward. A recent project centred around improvements to ward round and has been presented at a national conference. There is a trust QI team who are happy to support with practicalities of any projects and plenty of opportunities to showcase the work across the trust once completed. If looking for audit opportunities specifically, this can also be arranged on an individual basis.

This page was last updated January 2nd 2025 (20 days ago)