Torbay & South Devon NHS Foundation Trust Job Descriptions

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

Torbay & South Devon NHS Foundation Trust Job Descriptions

F1 Acute Frailty 2022

Trust Name

Torbay and South Devon Foundation Trust

Clinical Supervisor(s)

HOP consultant with interest in frailty TBC

The F1 doctor will be well supported and supervised by all members of the Frailty Intervention Team on a daily basis, with a named HOP Consultant available to contact each day as needed. Much of their time will be spent under the direct supervision of a HOP consultant.

Overview of team

The F1 doctor will be part of the ‘Frailty Intervention Team’ which comprises several HOP consultants, a frailty Nurse Consultant, a registrar training in Geriatrics and General Internal Medicine, a frailty specialist nurse and frailty coordinators, working alongside the acute medical and emergency department teams and wider multi-disciplinary teams (MDT).

Nature of duties

Working directly with the HOP consultant to complete the daily post take ward round (PTWR), completing tasks generated from the PTWR, documenting accurately, gathering information, ordering and following up investigations, and liaising with the wider Frailty Intervention Team, acute and community colleagues to enact the plan. An important part of the role also includes providing accurate discharge information to GPs and community hospitals, including a summary of issues identified and ongoing management plans.

Rota / Shift pattern

Monday-Friday, 8:30-16:30, with no requirement for on-calls. However, the medical directorate would be open to the post-holder participating in the medical on calls if they so wished. This would be in the form of HOP ward cover. They don’t do on calls in the Frailty job. They do in gastro. 

Typical working week

	Mon	Tues	Weds	Thurs	Fri
AM	Meet at 0830 for huddle with frailty team Frailty PTWR with Consultant (ED, MRU, short stay frailty ward) Complete tasks from morning round	Meet at 0830 for huddle with frailty team Frailty PTWR with Consultant (ED, MRU, short stay frailty ward) Complete tasks from morning round	Meet at 0830 for huddle with frailty team Frailty PTWR with Consultant (ED, MRU, short stay frailty ward) Complete tasks from morning round	Meet at 0830 for huddle with frailty team Frailty PTWR with Consultant (ED, MRU, short stay frailty ward) Complete tasks from morning round	Meet at 0830 for huddle with frailty team Frailty PTWR with Consultant (ED, MRU, short stay frailty ward) Complete tasks from morning round
1230	Afternoon huddle to troubleshoot issues 1-2pm Monday Medical Meeting (Grand Round) via Teams	Afternoon huddle to troubleshoot issues	Afternoon huddle to troubleshoot issues	12-2pm F1 teaching	Afternoon huddle to troubleshoot issues 1-2pm HOP educational meeting via Teams
PM	Frailty PTWR (ED, MRU, short stay frailty ward) Complete tasks from the morning/afternoon rounds	Frailty PTWR (ED, MRU, short stay frailty ward) Complete tasks from the morning/afternoon rounds Alternate weeks- 4 hours CPD	Frailty PTWR (ED, MRU, short stay frailty ward) Complete tasks from the morning/afternoon rounds	Frailty PTWR (ED, MRU, short stay frailty ward) Complete tasks from the morning/afternoon rounds	Frailty PTWR (ED, MRU, short stay frailty ward) Complete tasks from the morning/afternoon rounds

Community Facing commitment

(if applicable)

None

Related clinical skills opportunities

History taking and examination of older adults
Using the Clinical Frailty Scale to assess severity of frailty
Safe prescribing for older adults
Time management and workload prioritisation
Management of complex patients
Procedural skills- cannulation, venepuncture, catheters, rectal examination, (nasogastric tube insertion)
Communicating with patients with cognitive or sensory deficits, assessing mental capacity
Communicating with MDT colleagues
Communicating with patients’ relatives

There will be daily opportunities for observed work place-based assessments and case-based discussion with multidisciplinary colleagues.

In-house teaching

1 hour HOP departmental teaching Fridays 1-2pm with opportunity for F1 doctor to present at this.

2 hour F1 mandatory teaching Thursday 12-2pm

Audit opportunities

The acute frailty service is a relatively new service, therefore is constantly undergoing service design tests of change, including interpreting feedback from patient, carer and staff. The F1 doctor will be involved in this quality improvement process, using data to help run tests of change.

Some ideas for audits include analysing patient outcomes with or without frailty team intervention; analysing Trust engagement with clinical frailty scoring; designing and implementing a ‘What Matters Most to Me’ document for patients to complete and see if that changes care plans.

F2 Microbiology 2023

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. It will also provide broad experience to allow the FDs to complete their curriculum capabilities.

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.

There is no out of hours in this placement.

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 Perioperative Medicine and Anaesthesia 2024

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 Oral and Maxillofacial Surgery 2023

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 2022

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 frailty intervention team (FIT) 2022

Trust Name	Torbay and South Devon NHS foundation Trust
Clinical Supervisor(s)	Healthcare for older people consultant team. Dr Kirsty Ellmers; Orthogeriatrics (Clinical Lead) Dr Karen Broadhurst; Orthogeriatrics Dr Gareth Griggs; Dementia and Movement Disorders Dr Chris Uridge; Syncope and Falls (0.6WTE) Dr Christopher Cawston; Acute Frailty, Community Interface, & Stroke Medicine Dr Christopher Baker; Acute Frailty and Community Interface Dr Jonny Hacon; Orthogeriatrics & Perioperative Medicine Dr Kim Kirrane; Acute Frailty (0.725 WTE) Dr Jenny Evans; Acute Frailty Dr Julia Bell; Acute Frailty (0.8 WTE) Mrs Jo Passmore; Consultant Nurse for Acute Frailty Additional consultants will be in post prior to commencement of this post in August 2023. In addition: Dr Karina McKearney, Specialty Doctor; Acute Frailty & Community Hospital 1.0 WTE Mrs Maria Hoskin, Frailty physicians associate, 1.0 WTE. Mrs Dawn Thomas; Advanced Clinical Practitioner Frailty 1.0 WTE Additional team members will be in post prior to commencement of this post in August 2023.
Overview of team	A recently developed front door focused post based at Torbay Hospital. Working as part of a larger MDT at the front door. With the larger experienced frailty nursing team in the short stay frailty unit. Medical team is a less-medical model so the FY2 would working under direct clinical supervision and alongside a suitably trained team member including; medical and non-medical consultants, middle grade doctors (both speciality doctors and trainees at registrar grade), advance care practitioners (qualified and trainee), and physicians associates.
Nature of duties	Ward based duties: Patient round with senior clinician with a focus on development of skills of completing comprehensive geriatric assessment (CGA) at the front door. Co-ordinating medical component of the CGA and discharge paperwork/TTA’s with support of doctors’ assistant. Family and carer liaison including but not limited to discussions regarding illness and treatment as well as advanced care planning (again with appropriate training and direction from senior clinician).
Rota / Shift pattern	Monday – Friday 8.30-4.30pm.
Typical working week	Twice daily huddle with full team identifying appropriate patients for intervention. This team is very collaborative in approach with multiple team members cross covering roles depending on service need. The FY2 would join a variety of team members who are providing the constituent parts of the CGA, this would principally be the medical and non-medical consultant and middle grade doctors. Then acting on the medical components and co-ordinating the medical side of care with a discharge focus.
Community Facing commitment (if applicable)	This placement is front door facing focused on rapidly providing a CGA to resolve the frailty crisis that has necessitated presentation to hospital. Strong links with community work through the CGA and short stay nature of post. Patient population by nature less acute and therefore provides good opportunity to gain community type competencies.
Related clinical skills opportunities	This post would be focused on providing high-quality front door care focused around comprehensive geriatric assessment and advanced care planning.
In-house teaching	Weekly medical grand round (currently via MS Teams) Weekly geriatric medicine teaching (currently via MS Teams) Ward based consultant teaching daily.
Audit opportunities	We would anticipate as this is a rapidly developing and new service that this would be a placement focused more on QI rather than Audit. In the first instance this would be focused around introducing and improving the consistency of the routine parts of comprehensive geriatric assessment and communication with families and carers. But in due course the virtual ward resource (due to start in Autumn 2022) will provide excellent run chart data for development of high-quality running audits looking at outcomes from interventions that we would expect foundation trainees to be regularly involved with.

F2 Perioperative Medicine and Anaesthesia 2024

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 2024

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 2024

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 2024

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 2024

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 2024

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

This page was last updated March 19th 2024 (8 months ago)