oxford foundation school prospectus
DESCRIPTION
Description of all medical specialties in Oxford deaneryTRANSCRIPT
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to the Oxford Deanery Foundation School prospectus. My name is Anne Edwards, I’m the Director of the Foundation School, as well as a Consultant in
GUM and Lecturer at the University. This is the fi rst time we have done this, and it’s because we want you, the brightest and best
medical graduates.
The UKFPO allows you total freedom to apply wherever you choose, and we know we can’t sit back on an old reputation and wait for the best applicants.
We’d like to show you why this is the place for the next stage of your medical career.
Our programme goes beyond the minimum competencies set by the Foundation curriculum. We offer clinical experience in internationally renowned centres of excellence. Our links to the University dissolve the barriers to getting
involved with cutting edge research and publication, and there is an eager student population who engage with teaching. The Trusts within the Deanery
actively encourage juniors to engage in improving the health service at all levels. In the Oxford Deanery, we aim make you as competitive as possible for
applications to specialty training; the only limit is your enthusiasm!
Modern Foundation training is the gateway to the rest of your career in medicine. No matter where you studied, whether or not you have plans for
specialty training, and where you want to end up working, the Oxford Deanery is the best place to get you started.
This prospectus gives a fl avour of what we have to offer: come join us!
Welcome
BrASeNoSe college on radcliffe sQuare, oxford
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1. Introduction Page 1 Welcome
Page 4 Working in the Oxford Foundation SchoolWho’s whoEquality and diversityWelfareContact details
Page 7 Academic Medicine in Oxford
2. Oxford University Hospitals
Page 8 Working in...
Page 13 Green Templeton College Management in Medicine Programme
Page 14 Job Descriptions
3. Royal Berkshire Page 28 Working in...
Page 30 Job Descriptions
4. Buckinghamshire Healthcare
Page 38 Working in...
Page 42 Job Descriptions
Page 49 Competition to win career guidance books
5. Milton Keynes Hospital Page 50 Working in...
Page 54 Job Descriptions
6. Heatherwood and Wexham Park Hospitals
Page 62 Working in...
Page 66 Job Descriptions
7. Interesting Information Page 72 Explaining the ePortfolio
Page 74 Finance Tips
Page 75 Admin Advice
8. Pertinent Policies Page 76 Annual Leave
Page 76 Job Swaps
Page 76 F2 Abroad
Page 77 Study Leave and Study Budget
9. The Big Grid Page 78 The Big Grid
Contents.
Where do youwant to go?
Page 8
Page 78
Page 76 Page 72
Page 62
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have any queries about your post or rotations, including special circumstances and plans you might have for taking time out. The FSM works extremely closely with the FSD and also with the postgraduate centre administrators in various Trusts in which you will be working.
Please do not hesitate to make contact with the FSM if you have any queries and she will do her best to fi nd out the answers for you as quickly as possible.
Contact details are available at the end of this article.
Foundation Training Programme Director (FTPD)
In all the acute Trusts the Deanery appoints Foundation Training Programme Directors
(FTPD) who have special responsibility for between 20 and 40 trainees in any one Trust. The FTPDs will usually introduce themselves to you at induction, and if not at induction will make sure that you know who they are and how to contact them. The FTPDs work closely with the FSD and FSM to ensure your smooth progress through the Foundation Programme. They appoint your Educational Supervisor (ES) for each year of training. The ES will meet you regularly to ensure your smooth progress through foundation training.
Again, if you have any problems, anxieties or concerns, they are very happy to help and provide appropriate support.
Contact details are available at the end of this article.
Foundation Programme Lead (FPL)
In the Oxford Health NHS Foundation Trust, Dr Susan Shaw is the Foundation Programme
Lead (FPL) and will provide help and informa-tion to anyone working as a Foundation Doctor within the Trust.
In the Primary Care Trust in Oxford where there are a small number of foundation trainees, Dr Premila Webster is the FPL and is very happy to provide help and support to trainees coming in to public health.
In General Practice, you will normally be
allocated a clinical supervisor (CS) during your time. The CS will link up to the FTPD in the area in which you are working. Again, all of our trainers are supportive and helpful and you will be advised closer to the time that you take up your General Practice appointment who your CS will be. In addition, Mr Richard Mumford is the FPL for GP and works with GP practices and the Foundation School.
For Academic foundation trainees Prof. Chris Pugh is currently the FPL and is available to provide trainees with advice and support throughout their programme.
Contact details are available at the end of this article.
Medical Education Managers (MEM)
(ForMerLY postgraduate centre managers)
Your local Medical Education Manager (MEM) is responsible for the smooth running of
postgraduate training (including foundation) in your Trust. They are responsible for organising induction, the teaching sessions, monitoring how your assessments are going and helping with any problems that might arise. If you need help support or advice your local MEM will often be the fi rst port of call.
Contact details are available at the end of this article.
Foundation School Board: F1 and F2 representatives
The Foundation School Board meets 2 - 3 times per year and is a multidisciplinary
forum in which we discuss any matters relating to the Oxford Foundation School. There are rep-resentatives from the Medical School, F1 and F2 intakes. Your representatives will be in touch before Board meetings to ask you if there are any issues you might wish to raise.
Equality and diversity
The Oxford Foundation School aims to remove any barriers which might deter
people of the highest ability from applying to it as junior doctors. The Foundation School seeks to provide an inclusive environment which values diversity and maintains a training envi-ronment in which the rights and dignity of all its junior doctors are respected to assist them in reaching their full potential.
No prospective or actual junior doctor will be treated less favourably than any other, whether before, during or after their period of training on one or more of the following grounds, except when such treatment is within the law and determined by lawful requirements: age; colour; disability; ethnic origin; marital status; nationality; national origin; parental status; race; religion or belief; gender; or sexual ori-entation.
The Foundation School has approved a separate Equality and Diversity Policy to meet the specifi c obligations of equality legislation. If you have a complaint relating to your training on any of the above grounds you should inform your Foundation Training Programme Director (FTPD) immediately and also the Foundation School Director (FSD).
Welfare
Happily most of our trainees will enjoy the challenges presented by their foundation training and progress through their programme without problems. However from time to time the unex-
pected happens and help may be needed. We are fortunate in having an excellent team supporting the foundation programme throughout our Trusts and other partners. Any of these individuals would be well equipped to advise and support you. In addition the Deanery foundation team is always happy to be contacted and/or visited. We aim to be fl exible and sympathetic to trainees who fi nd themselves in situations that may interfere with their ability to complete the programme, or who are struggling for whatever reason. We would always encourage you to alert us to potential problems sooner rather than later. Similarly if you are concerned for a colleague please do not hesitate to seek advice.
tHe foundation programme has the founda-tion doctor at its core, supported by the clinical and educational superVisors. in turn, they are supported by the ftpds and the directors of medical education. all these roles are further supported by the oxford foundation school within the oxford deanery structure.
FoUNDAtioN doctor
CLiNiCAL and educational superVisors
FoUNDAtioN training programme directors, directors of
medical education
FoUNDAtioN school
DeANerY
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Oxford Foundation School
ADDitioNAL useful information
Oxford Foundation Schoolhttp://www.oxforddeanery.nhs.uk/specialty_schools/foundation_school.aspxCareer Workshopshttp://www.oxforddeanery.nhs.uk/recruitment__careers.aspxCareer Development Unithttp://www.oxforddeanerycdu.org.uk/Medic Supporthttp://www.oxforddeanerycdu.org.uk/health/help_for_trainees/medic_support.html Foundation School Director
(FSD)
The Foundation School Director (FSD), Dr
Anne Edwards, is an Associate Dean based
in the Oxford Deanery. Dr Edwards is also a
consultant/honorary senior lecturer in Geni-
tourinary Medicine and Fellow of Brasenose
Colege. She spends her clinical time working at
the Churchill Hospital.
The FSD has overall
responsibility for the Foundation
School
and works very closely with the Foundation
Training Programme Directors based in the
Acute Trusts and with Foundation Leads based
in the Mental Health Trust and in Primary Care
and other settings. She is always happy to be
approached about any problem or issue that
you may not be able to resolve locally or where
you would prefer advice, help and support
outside the hospital in which you are working.
If you are planning to take time out from the
programme or you would like to move abroad
for your F2 year or if for any other reason you
feel that you may be doing something outside
the ordinary, please do get in touch earlier
rather than later. It is much easier to plan for
change in advance and you will fi nd that this
helps ensure that everything works smoothly
for you.Contact details are available at the end of
this article.
Foundation School Manager (FSM)
The Foundation School Manager (FSM), Ann
Spafford, is responsible for overall admin-
istration of the Foundation Programme and
should be your fi rst point of contact if you
We very much look forward to working with you in the two years that you will spend in
the Oxford Foundation School.The vast majority of you will enjoy a straight-
forward progression through your training and through the different Trusts and specialties that you expect to be working in.
This introductory article has been designed to give you some simple and clear information about who works within the Foundation School, the roles and responsibilities and where you can turn to for help and support.
Opposite is a chart showing the organisa-tional structure for the Foundation School.
The text below provides a little more detail about the individuals whom you are most likely to come into contact with during your founda-tion training.
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Academic Medicine in Oxford: how to get involved
Academic Foundation Programme Application enquiriesCheck website and if necessary contact Ann Spafford
[email protected] for information:
- On the Academic Foundation Programme- On other academic opportunities within the deanery
Contact Denise Best who will forward messages to relevant [email protected]
Academic point of contact- For those appointed to the Academic Foundation Programme
Contact Academic Foundation Lead, currently Chris [email protected]
Future advances in patient care, basic under-standing of disease processes as well as the
encouragement and education of successive generations of doctors largely lie in the hands of medical academics or academic medics. We are very fortunate in Oxford in having a
long history of success in medical academia
and strong support for trainees from the Deanery (www.oxforddeanery.nhs.uk/). We currently have a large and vibrant medical academic community running a huge range of basic and applied projects housed in first rate clinical and scientific facilities within both hos-pital and University premises (see http://www.ox.ac.uk/divisions/medical_sciences.html and http://www.ouh.nhs.uk/). The recent award of a further five year National Institute for Health Research Biomedical Research Centre further strengthens the environment and the scien-tific opportunities available (see http://www.oxfordbrc.org/).
Anybody appointed to a clinical job in Oxford who is
excelling at their clinical compe-tencies is encouraged to survey
the wide range of research opportunities available
and try to get involved in projects that interest them. This is obviously facilitated for those who have jobs in the Academic Founda-tion, Academic Clinical Fellowship and Clinical Lecturer schemes because they have protected
time for this purpose. However, research opportunities are available to all willing to show the ability, perseverance, determina-tion and commitment to make things work. Indeed, in addition to those appointed directly into Academic Foundation posts we have recently launched a scheme whereby those on the standard Foundation programme were able to apply retrospectively for conversion into Academic Foundation posts for FY2. Four indi-viduals were successful in 2012 and it is hoped that more posts of this nature will be available from 2013. Research funding opportunities also exist via the Oxfordshire Health Services Research Committee which offers grants for one year pump priming Fellowships and also research bursaries. Over the next year
we are going to expand the scheme of research bursaries to facilitate funding more high
quality projects,
whether they are proposed by individuals in ‘Academic’ jobs or not.
One route to identifying research opportuni-ties in Oxford is the regular Academic Medical Forum programme which is widely advertised and open to all (to be added to the mailing list please contact ****). New initiatives are being introduced to further disseminate knowledge of research projects including weekly poster sessions in conjunction with the Medical and Surgical Grand Rounds, databases of active research projects and named contact people for trainees to approach in each University Depart-ment and Clinical specialty which we will make available via the Oxford University Clinical
Academic Graduate School (OUCAGS) website (http://www.oucags.ox.ac.uk). In addition each autumn our Foundation trainees have run a highly successful scientific evening conference under the title ‘Research in Clinical Practice’, attracting attendees from across the country. Selected abstracts from this conference have been published in the Quarterly Journal of Med-icine. For more information about this year’s event see *****
Across all specialties many of the
academic opportunities for trainees are co-ordinated and
run by the OUCAGS.
Further details are available via the OUCAGS website which highlights that ‘OUCAGS pro-vides seminars, an accredited programme of research training, offers overseas academic and clinical placements, and assists in identi-fying funding opportunities.
We also support development of clinical competencies by close liaison with clinical supervisors to ensure our academic doctors achieve at a consistently high level, so deliv-ering the greatest benefit to their patients.’
With this support many of our trainees are high achievers, able to publish the results of their projects and go on to further academic posts either in Oxford or elsewhere.
Research opportunities within Oxford, and how
Foundation trainees can make the most of them
Chris PughAcademic Foundation Lead, Oxford Deanery
Name Title Location Email addressDr Anne Edwards FSD Oxford Deanery, The Triangle, Roosevelt Drive [email protected]
Miss Ann Spafford FSM Oxford Deanery, The Triangle, Roosevelt Drive [email protected]
Miss Jenny Arthur OFS Administrator Oxford Deanery, The Triangle, Roosevelt Drive [email protected]
Mr Bolaji Jegede Project Support Officer Oxford Deanery, The Triangle, Roosevelt Drive [email protected]
Mr Jas Kalsi FTPD (F1) Heatherwood and Wexham Park [email protected]
Mr Ram Moorthy FTPD (F2) Heatherwood and Wexham Park [email protected]
Dr Marc Davison FTPD Buckinghamshire [email protected]
Dr Simon Bays FTPD Buckinghamshire [email protected]
Dr Yaw Duodu FTPD Milton Keynes [email protected]
Dr Helen Allott FTPD Royal Berkshire [email protected]
Dr Stuart Benham FTPD OUH (Oxford) [email protected]
Dr Kenny McCormick FTPD OUH (Oxford) [email protected]
Dr Andrew Woodhouse FTPD OUH (Oxford) [email protected]
Dr Alex Lee FTPD OUH (Oxford) [email protected]
Dr Sue Burge FTPD OUH (Oxford) [email protected]
Dr Mike Ward FTPD OUH (Banbury) [email protected]
Dr Susan Shaw FPL (Psychiatry) Oxford Health NHS Foundation Trust [email protected]
Dr Premila Webster FPL (Public Health) Oxfordshire PCT [email protected]
Mr Richard Mumford FPL (GP) Oxfordshire PCT [email protected]
Prof. Chris Pugh FPL (Academic) OUH (OUCAGS) [email protected]
Ms Chantal Vermenitch MEM OUH (Oxford) [email protected]
Ms Liz Clarke MEM OUH (Banbury) [email protected]
Ms Teresa Harvey MEM Royal Berkshire [email protected]
Mrs Marilyn Hopkins MEM Milton Keynes [email protected]
Mrs Virginia Poole MEM Buckinghamshire [email protected]
Ms Maura Stock MEM Heatherwood and Wexham Park [email protected]
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Restaurants:Al-Andalus: Tapas in Jericho on a pretty
street. A nice place for a big group.Quod: Not a place to wear trainers but excel-
lent British food (think braised lamb shanks). On a Sunday evening there is jazz.
Shangai 30s: Exquisite Chinese food and hilarious artwork.
Lankwaifong: A delicious yet reasonably priced Chinese and Thai restaurant.
Kazbar: Perfect location for a fi rst date. Spanish tapas in a Moroccan themed den.
Gee’s: The high end of Oxford. A classy modern British restaurant in a beautiful con-servatory in North Oxford
Turl Street Kitchen: A central location for good home-cooked food with a seasonal menu and in aid of a local charity. Good food, doing good.
Cafes:G&Ds: 3 locations around Oxford serving
home-made ice cream between 08:00 and midnight every day of the week. A popular spot to meet up or do some work
The Missing Bean: Oxford’s best inde-pendent coffee shop on Turl Street in the centre of town. Get there early, it gets very busy and uncomfortably hot in the summer but their Latte art is to die for
Zappi’s Bicycle Café: A lesser known Oxford haunt above the Bike Zone shop on St Michael’s street. Very cool, very on trend.
Banbury
Banbury is located between Oxford and Bir-mingham and is a town most known for the
nursery rhyme ‘Ride a Cock Horse to Banbury Cross’, and also Banbury Cakes, a spiced cur-rant-fi lled pastry.
Facilities include an Odeon Cinema, Banbury Museum, shopping centre, “Spiceball park” gym and swimming pool and numerous pubs and bars,
Banbury is also conveniently located for exploring historic ‘stone’ villages.
Transport links: Oxford
The John Radcliffe, Churchill, NOC and the Warneford are all located in Headington, an
area of Oxford which becomes the main route East. Oxford is well connected to London by the Oxford Tube coach, a service which runs 24/7 with a travel time of approximately 90 minutes. There is a stop on London Road in Headington,
The Ashmoleon: This is like the British Museum of Oxford. You could spend hours here without realising until the hunger pangs kick in. Then head upstairs to the top fl oor Dining Room;
on a sunny day sunbathe on its rooftop lawn. Opening hours Tuesday - Sunday 10am-6pm. If a special exhibition is on this will incur a charge, otherwise entrance is free
University Parks: Be one of many taking a stroll through this beautiful park or soaking up the atmosphere from the lawns and lakeside benches. Absolutely brilliant in the summer
Theatre: http://www.oxfordcityguide.com/ee2/index.php?/SeeDo/theatre
Shopping: There is a high street and a pedestrian street with regular shops
Cinema:• Odeon, George Street• Odeon, Magdalen Street• Phoenix Picture House, Jericho• The Ultimate Picture Palace, Cowley Road• VUE Cinema
Bowling: http://www.bowlplex.co.uk/locations/oxford/oxford.aspx This is a bit pricey but defi nitely a trip down memory lane!
Ice Skating: Oxpens Road, 01865 467000. Open most days from 10am-12pm, 2-4pm, 5:45-7:15pm, 8-10:30pm. Admission £5.60/£4.30 for skaters, £1.00 for a non-skating guardian
Punting:• Magdalen Bridge Boat House, High Street 202643 - £10 per hour • Cherwell Boat House, Bardwell Road, 01865 515978 - £8/hour week-
days, £10/hour weekends
Gym: Ferry fusion leisure centre. Gym, swimming, classes, badminton. Many locations around Oxford. £36 per month with nhs discountOthers: David Lyold, LA fi tness
Buy a bicycle, it is a very cycle friendly city.
Oxford ‘must do’
tHe Jr hospital seen from marston
88888
Oxford University Hospitals
Introduction to the Trust
The Oxford University Hospitals NHS Trust (OUH) is one of the largest acute teaching
trusts in the UK. The trust is made up of four hospitals: the John Radcliffe Hospital (which also includes the Children’s Hospital and the West Wing containing specialties such as neu-rosurgery and otorhinolaryngology), Churchill Hospital and the Nuffi eld Orthopaedic Centre, all located in Oxford and the Horton General Hospital in Banbury in the north of Oxfordshire.
The OUH form a major tertiary centre, not only covering the local population (c. 135,000), but also the surrounding regional DGHs. This includes hospitals in areas such as Aylesbury (Stoke Mandeville), Banbury (Horton General), High Wycombe, Milton Keynes, Reading (Royal Berkshire), Slough (Wexham Park) and Swindon (Great Western).
The centre of Oxford is beautifully unique
fi lled with narrow cobblestoned streets leading to the various Colleges, as well as to a vast number of pubs, bars, coffee shops and restaurants. The main hospitals are located to the East, up the hill in Headington (where many
doctors choose to live). Oxford is a tiny place and cycling is certainly the quickest way to get around. Buses are plentiful, parking is not, and shuttle buses operate between the JR and Churchill Hospitals.
Introduction to the Hospitals
The John Radcliffe hospital is the largest hospital in Oxfordshire and is also a tertiary
referral centre for certain specialities across many counties. There are many specialist areas within the JR including the Children’s Hospital, the Women’s Centre, the Eye Hospital and the Cardiac Centre. It houses the main A&E in Oxfordshire, and has been designated as one of the new regional trauma centres. The JR, and the trust as a whole, is linked with Oxford Uni-versity and much teaching and research takes place here.
The Churchill hospital contains many spe-cialist units, including oncology, renal, trans-plant, dermatology, infectious diseases, chest medicine, genetics and palliative care. Also on site is the OCDEM (Oxford Centre for Diabetes, Endocrinology and Metabolism), which is a joint NHS and Oxford University specialist research centre.
The Warneford hospital, also based in Head-ington, is one of the major psychiatric hospitals serving Oxfordshire. It is part of Oxford Health NHS Foundation Trust, Oxfordshire and Buck-inghamshire’s joint mental health trust, sepa-rate from OUH.
The Nuffi eld Orthopaedic Centre is a tertiary specialist centre containing orthopaedics, rheu-matology and other related specialties.
The Horton hospital in Banbury is a dis-trict general hospital with an A&E department and provides general clinical services such as surgery, medicine, O&G and paediatrics.
HoSPitAL contact details
John Radcliffe HospitalHeadley Way, HeadingtonOxford OX3 9DUTel: 01865 741166Churchill HospitalOld Road, HeadingtonOxford OX3 7LETel: 01865 741841Nuffi eld Orthopaedic CentreWindmill Road, HeadingtonOxford OX3 7HETel: 01865 741155Horton GeneralOxford RoadBanbury OX16 9ALTel: 01295 275500
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CoNtACt details
Dr Stuart Benham – Foundation Training Programme Director (Oxford)[email protected] Sue Burge– Foundation Training Programme Director (Oxford)[email protected] Andrew Woodhouse– Foundation Training Programme Director (Oxford)[email protected] Kenny McCormick– Foundation Training Programme Director (Oxford)[email protected] Richard Mumford– Foundation Programme Lead (General Practice)[email protected] Alex Lee – Foundation Training Programme Director (Oxford)[email protected] Chris Pugh– Foundation Programme Lead (Academic)[email protected] Susan Shaw– Foundation Programme Lead (Psychiatry)[email protected] Mike Ward – Foundation Training Programme Director (Banbury)[email protected] Premila Webster– Foundation Programme Lead (Public Health)[email protected]
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residents. Chartwell House costs £369 per month for a single room and Randolph Court is £460 per month for en suite rooms inclusive of all bills.
hOrtOn hOSPital accOMMOdatiOn in banbury
A variety of rooms: one bed fl ats, single rooms, three or four bed houses. Located
onsite. Single rooms have shared facilities. Prices range from £242 per month (single rooms) to £763 a month for a three bedroom house. Rooms are very basic, but very reason-ably priced.
These are all run by A2 dominion housing.
PriVate hOuSinG
Useful websites for private housing options include “Dailyinfo” and “This is Oxfordshire”
which is specifi c to Oxford, as well as the usual sites such as Gumtree. Average weekly rent is £80-90, with utility bills on top of this. There are many lodging rooms available also, and frequent advertising of spare rooms of houses.
Many doctors choose to live in the hospital area
(Headington)
close to work which is also a popular student area, particularly for Oxford Brookes students so there is a high turnover of property with many 4-bed student-type houses available to rent. Other areas of Oxford which are popular for FY1/2s include Cowley Road which is an up-and-coming area with many bars and res-taurants which is attractive for both young pro-fessionals and students alike and offers an easy commute to the hospitals. Also Summertown and Jericho, which are more wealthy areas and a 20-30 minute commute to the hospitals.
The Doctors’ Mess
The Doctors’ Mess covers the JR and Churchill; the Horton in Banbury has its own
mess. Subscription is £7 a month at the moment.
You sign up by fi lling in a form at induction or from the mess itself (on Level 3 JR).
Benefi ts of membership include access to the mess on level 3 of the JR, which is quite big with lots of comfy chairs and a kitchen. The money goes towards daily newspaper subscrip-tions and the Sky TV package. There are also Payday parties at the end of every month which are normally well attended and good fun! They happen at a different bar each month, and if you’re a mess member you’ll often get at least one free drink on the night.
There are Summer and Winter Balls each year,
which are well organised and elaborate affairs. The Winter Ball 2011 was held at Blen-heim Palace, a stunning evening.
If you want to get involved in the The Doctors’ Mess, email the mess president at the start of the year.
Parking
Parking permits at the John Radcliffe and Churchill sites are annual and based on
your salary – so £138 for the year 2010/11 for most junior doctors salaries (which can be paid via payroll). Car parks fi ll up quickly, consider arriving early to guarantee a space.
The Horton has a smaller car park with approximately 300 spaces, and permits are also available here.
Food and drink
JR: The main hospital has two newsagents, a coffee shop and canteen. The West Wing also has its own newsagent, coffee shop and canteen. The post-graduate centre café is very popular with medical staff and serves a range of hot and cold food at reasonable prices given the fantastic quality, open from 6am-4:30pm week days only. The main canteen on Level 3 serves hot food and stays open until 8pm daily. A vending machine by the mess offers micro-wave-type meals for out-of-hours.
Churchill: The hospital canteen is open from 7am-7pm; there is also a cafeteria situ-ated near the main entrance, and a well as League of Friends shop and a newsagent
NOC: The NOC offers a restaurant, open 8am-3pm on weekdays, and League of Friends coffee shop.
Warneford: One cafeteria, open 9am-5pm on weekdays. Close to the Churchill so you can share the facilities here.
Banbury: The Horton canteen is open 7.30am-4pm on weekdays, and there is a League of Friends coffee shop also open on weekdays. For out-of-hours and week-ends there are vending machines serving hot drinks and snacks.
Personal Development
learninG OPPOrtunitieS
There is mandatory F1 teaching for an hour a week where as F2 teaching takes place once
monthly and is a half-day session. You need to attend a minimum of 70% of these, or do online modules to compensate if you can’t. Topics vary and are generally quite useful, covering things from common medical conditions to specifi cs in the hospital (e.g. DNAR, analgesia).
Everyone has to complete an ALERT course in F1 (covering management of acute medical conditions), a simulation day (really useful, again acute presentations on simulators) and either ILS by the end of F1 or ALS by the end of F2.
There’s also a compulsory Careers Manage-ment Workshop which is mandatory for sign off.
Other than that learning opportunities vary a lot between fi rms. You might have compulsory Case Presentation meetings, or MDTs which can sometimes be useful.
There are courses and conferences adver-tised throughout the year, but this depends on your ability to negotiate annual or study leave for those days with your fi rm.
teachinG
All the hospitals have medical students from Oxford University, to varying degrees
depending on the placement – for example general medicine and surgery will have per-manent student placements, whereas some of the more specialist rotations will only have students at certain times of years for Special Study Modules.
You are actively encouraged to teach the students on each rotation, and if possible to provide a more formal session
once weekly.
There is also an opportunity to get involved
can share the facilities here.: The Horton canteen is
open 7.30am-4pm on weekdays, and there is a League of Friends coffee shop also open on weekdays. For out-of-hours and week-ends there are vending
HogWArtS, not part of the oxford deanery
a 5-10 minute walk from the hospitals, as well as stops in the centre of town and at the Thorn-hill Park & Ride. Tickets cost £16 return.
The train station in Oxford is a 20 minute bus journey from the Hospitals, and there are frequent trains to London, Reading, Birmingham and Hereford. There are four Park & Rides situ-ated around Oxford, with buses to the hospitals. There are many local bus services that serve the JR, connecting it with the town centre, train station and local districts. The Churchill, NOC and Warneford are also on bus routes and are close to London Road which is well served by buses.
Taxis are reliable on the whole and cost approximately £8 for a journey to the town centre. London to Headington by car or coach1.5-3 hours (traffi c dependent)London to Oxford by train1 hour, then 20-30 minutes from train station to Headington.
Transport links:Banbury
Banbury is on the train line from London Marylebone to Birmingham. The train
station is in the centre and there are 5 buses running between the centre and the Horton or it is a 20 minute walk.London to Banbury by train1 hourOxford to Banbury by car45 minutesOxford to Banbury via train20 minutes plus journey times from train station (see above).
Accommodation
Ouh SiteS
Arthur Sanctuary House: onsite at the John Radcliffe Hospital; a newly refurbished block which is compliant with GMC regulations. There are a variety of rooms, with en suite or shared bathroom facilities. Kitchen facilities are shared. There are no parking facilities available. The waiting list for rooms is long, and priority is
given to those who do not already have a place in hospital accommodation in Oxford (ie non-transfers). A laundry room with coin-operated washing machines and tumble driers is shared by the residents.
Ivy Lane: onsite at the John Radcliffe. More basic facilities than ASH. Benefi ts are locality to the JR. Shared kitchen and bathroom facilities. A laundry room with coin-operated washing machines and tumble driers is shared by the
residents. Rent is £385 per month for a single room.
Chartwell Flats and Randolph Court: Onsite at the Churchill. Randolph Court is a popular choice with foundation doctors; it offers en suite facilities with a fully equipped kitchen shared with four others. Internet facili-ties are pay-by-month, cable connection. A laundry room with coin-operated washing machines and tumble driers is shared by the
M40 to Oxford30 miles - 0hr 45minM40 to London80 miles - 1hr 30min
Oxford £5.60 rtn - 0hr 20minMarylebone £25.00 rtn - 1hr 00minBirmingham £13.00 rtn - 1hr 00min
SpiceballCountryPark
Castle QuayShopping Centre
Sainsbury’s
The Oxford University Hospitals
Paddington £22.50 rtn - 1hr 00minBirmingham £33.00 rtn - 1hr 10minSwindon £9.90 rtn - 0hr 45minBristol £21.00 rtn - 1hr 45min
Summertown
Cowley
Iffley
Marston
Headington
Barton
City CentreBotley
� e John Radcli� e & West Wing� e Churchill� e Nu� eld Orthopaedic� e Warneford
Jericho
M40 to London60 miles - 1hr 20min
A420 to Swindon30 miles - 0 hr 55min
M40 to Birmingham80 miles - 1hr 25min
M4 to Bristol85 miles - 1hr 40minA4074 to Reading26 miles - 0hr 50min
G&Ds
G&Ds
G&Ds
The Rose tearoom
Dong Dong’s
Gee’s
Quod
Kazbar
UniversityParks
The Wine Cafe
laundry room with coin-operated washing machines and tumble driers is shared by the
HoSPitALS of the ouh trust (left to right): John radcliffe, horton, John radcliffe, churchill, nuffield orthopaedic centre
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The Management in Medicine (MiM) pro-gramme was set up by Green Templeton
College (GTC) to help trainee doctors develop their management and leadership skills and to better equip them to meet the challenges of working in 21st century healthcare organisa-tions.
Most doctors do not want to become full-time managers, but many will become involved in some aspect of leadership and management as part of their clinical work.
There is now increasing recognition that involving doctors in leading and managing healthcare organisations is vital to the improve-ment of healthcare services, with a growing body of published evidence showing that, at least in an acute setting, the quality of health-care delivery improved when clinicians become involved in leading services. GTC’s academic and professional expertise in medicine, health, social sciences, business and management, makes it a unique “hub” of resources within Oxford able to offer top-quality management training to doctors.
“The MiM programme has helped me develop essential
skills around how to lead and change organisations. I have par-
ticipated in a number of excel-lent seminars and workshops
and was also able to carry out a small research project, which led onto a much larger piece of work
at the John Radcliffe Hospital. This meant that I was able to put some of the skills and knowledge that I developed in the workshops
into practice.” A second year foundation doctor
Who is MiM for?
GTC students, in the main clinical medics, and GTC alumni who are now doctors in training
Doctors in training from the Oxford deanery
Said Business School students/MBAs who are also doctors
Clinical medical students from other col-leges
Doctoral students with an interest in a healthcare / healthcare management related subjects
What does MiM offer?
Workshops from experts in various areas of management and leadership. Past themes include:
Working with othersFinancial skillsLeading changePersonal qualities
Shadowing of NHS managers, including:NHS Trusts Chairs and Chief ExecutivesMedical DirectorsDirector of Social Services
Small-scale healthcare management research projects undertaken by medical trainees and doctors
Seminars on important issues relating to managing healthcare for better patient experi-ences, jointly organized with the Health Experi-ences Institute (HEXI).
The MiM programme is now entering in its third year and will be looking to expand its activities.
For more information:Our website http://mim.gtc.ox.ac.ukGreen Templeton College http://www.gtc.ox.ac.ukTo join the MiM mailing list for future activities:Ruth Loseby [email protected]
The GTC Management in Medicine programme
MANAgeMeNt in medicine workshop held in green templeton college common room
with delivering small group tutorials, clinical teaching or lectures formally via the Medical School and academic departments. The Medical School run a Teacher Development Programme in which four hours of teacher training are offered in exchange for a commit-ment to become involved in structured Medical Student teaching; contact Helena McNally ([email protected])
The Oxford Foundation Symposium is a regular, regional teaching programme for foundation doctors from across the Deanery to present clinical cases, audits, research or topics of interest to an audience of colleagues and consultants. Email [email protected].
It is also possible to present at hospital grand rounds; there is a weekly surgical and weekly medical GR. Within each rotation there are opportunities, again to varying degrees, to present to colleagues and seniors at formal meetings such as M&M (morbidity and mor-tality), audit meetings, speciality teaching ses-sions.
audit and reSearch
Audit: There are plenty of opportunities to undertake audit projects during your time in
Oxford. The best way of doing this, as always, is to spot something in your department that is a) easily measurable and b) could be done better. Approach the rest of your team; perhaps they have an existing project that they need help with, or an idea that they are looking for help with?
Make sure you chose something simple and easy to
quantify
or else you will not be able to complete your data collection and analysis within your three or four month rotation. Always aim to present your audit at a departmental meeting; fi nd out which SpR arranges teaching, they are always on the lookout for people to present. Most departmental guidelines can now be found on the intranet. If you fi nd something, then speak to the Consultant who wrote the guideline and see if you can get involved in updating it based upon the results of your audit. If the topic is simple, then you could ideally get the person following you in your rotation to repeat the audit further down the line so that you can both get a complete audit cycle out of the work.
Research: With the ‘University of Oxford Hos-pitals’ affi liation, there are probably far more
opportunities to undertake research projects in the Trust than there are in other areas. Most departments have Clinical Fellows or Research SpRs undertaking a mixture of clinical and aca-
demic work, and they are ideal to approach for ideas. The key is to pick something manage-able within a small timeframe so that you have something concrete such as a presentation, poster or publication within the year.
If you are after something more basic science-based, then you can always approach any of
the University’s research departments directly;
look on the University’s website for links to individual research teams and departments.
ManaGeMent and leaderShiP
Green Templeton College in Oxford offers a ‘Management in Medicine’ programme
which aims to help trainee doctors to improve their management and leadership skills. This has four aspects: a series of workshops, a lecture series, shadowing opportunities and also resources available for those interested in fi nding out more about management/leadership opportunities.
There is an Oxford Foundation Trainee Group with an elected committee which discusses topical issues for foundation doctors. Through this there is the opportunity to attend an annual Leadership and Quality Improvement Confer-ence
Contact details for audit: Cardiac, Thoracic and Vascular, Emergency Medicine, Therapies and Ambulatory
01865 (2)22614
Neurosciences, Trauma and Specialist Surgery, Surgery and Oncology
01865 (2)22858
Children and Women, Critical Care, Theatres, Diagnostics and Pharmacy
01865 (2)22859
Or, if you are unsure which division your unit belongs to:
Clinical Audit Dept, Level 3, Academic Block, John Radcliffe Hospital, Oxford
CoNtACt details, continued from chapter title page
Ms Chantal Vermenitch – Medical Education Manager (Oxford)[email protected] Liz Clarke – Medical Education Manager (Banbury) [email protected]
Chris Shields – Medical [email protected] Gray– Surgical [email protected]
tHe radcliffe camera cake
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Team Approx 15 consultants and 15 registrars. 3 teams: imaging and heart failure, intervention, electrophysiology. 6 SHOs with one on each team at any time. One SHO then covers CCU which is the medical part of cardiac ITU. One on lates, one usually on annual leave
Banding 1B (40%)
nighTs None! Only 3 weeks worth of lates until 22:00
Weekends 3 in 4 months
Leave 10 days in 4 months. Non fixed, but rota is such that it is difficult foreveryone to get all of their leave (although not impossible)
average LisT size
8 - 16
CaTh LaB LisTs
5 cathlabs every day
inpaTienT admissions
4 - 5 per team per day
TeaChing Formal SpR teaching 1hour per week. Informal teaching on ward rounds and in cath lab etc. Lots of SpRs not very busy and willing to teach most of the time. No medical students attachments
roLes Ward work, ward rounding, clerking new admissions, arranging discharges and writing TTOs. Some acute cardiology, some opportunity to spend time with on call SpROn take All the time for cardiology. No gen medOn calls Ward cover and admissions (often elective rather than emergency). No gen med on call
CaTh LaB exposure
Can attend cath lab anytime
roTa Normal day 08:00 - 17:00On calls 3 weekends and 3 sets of late shifts in 4 month rotation 08:00 - 22:00
Team Chem Path 2 consultants, 4 registrars and 1 F2. On calls for gastroenterology
Banding 1A (50%)
nighTs None
Weekends One in 6 for gastro, none for chem path
Leave Non-fixed; 9 days in 4 months; need to swap on-calls to get a whole week off in one go
average LisT size
Chem path N/A. Gastro about 24
inpaTienT admissions
Gastro on call: approx 1 per evening or 3 per day at a weekend
TeaChing Informal
roLes Chem Path ‘on-call’ involves checking all abnormal blood results and ringing through any urgent ones and running any xanthochromias that come in. The rest of the time is for projects/research/clinicsGastro out of hours on call: ward and admissions
CLiniC exposure
Approx once a week in chem path, things like neuroendocrine clinic, bone clinic and lipid clinic
roTa Chem Path 2 half day on calls per week, one 08:30 - 13:00, the other 13:00 - 17:00. Gastro one evening per week 17:00 - 21:30, though often finish late
Linked roTaTions
Clinical Contact
Rota Coordinator/Pre-employment [email protected] (Junior medical staffing co-ordinator)
Linked roTaTions
Clinical [email protected] (Consultant)Rota Coordinator/Pre-employment enquiries
John radCLiffe
John radCLiffe
Cardiology
Chemical Pathology
F2
F2
1.4
1.5
Team 5 Cardiac consultants, 2 Thoracic Consultants, 7 Registrars, 7 SHOs (FY2 and CT), No F1s
Banding 1A (50%)
nighTs None (Twilights until Midnight)
Weekends One in 7
Leave Fixed on Rota, one in 7
average LisT size
20 - 25 patients
operaTing LisTs
2 - 3 per day
inpaTienT admissions
4 - 6 per day
TeaChing Weekly Critical Care Peer-led Teaching; Biweekly Thoracic Journal Club. No medical students attachments
roLes Largely ward based: 3 SHOs on ward day-to-day, one holds bleep, other may go to theatre or clinic (preference to CTs). Pre-assessment clinic once per week. One week in 7 on Cardiac Critical Care
TheaTre and CLiniC
Averages ~1.5 days per week, but negotiable with colleagues
roTa 7 week rolling rota for 7 SHOs, with different roles. Ward and theatre 07:45 - 16:45, 3 SHOs at one time, one to hold the bleep and cover the ward, others to help with jobs, but will also be assigned to operating lists to assist; Criticial care one week in 7, 07:30 - 20:00, working with the anaesthetic team, essentially an ITU SHO; Pre-assessment clinic, about one per week, 10:00 - 14:00, seeing pre-op patients and ensuring the have all investigations etc.; Lates 15:00 - 00:00, word cover and preparing pre-ops for theatre the next day; and fixed leave one week in 7, swappable, but very difficult to get leave outside of this e.g. study leave, days in lieu
Team 2 F1s, 1 F2, 3 SHOs (mixture of CMT and GP VTS trainees), 1 SpR& 1 consultant of the week. Note that there are around 30 Clinical and Medical Oncology consultants that rotate on the wards on a weekly basis. Most consultants that are not ‘on-call’ will still pop up on the ward and are contactable to see their admitted patients (either directly or via their SpRs)
Banding 1B (40%)
nighTs FY1 none, FY2 yes
Weekends Roughly one per month; FY1 09:00 - 17:00, FY2 09:00 - 21:30
Leave Non-fixed, 9 days in 4 months. FY2s get ‘zero’ days after weekends and nights
average LisT size
20-30 patients
inpaTienT admissions
0 - 9 per day including elective and emergency admissions
TeaChing Weekly SpR or Consultant led teaching (Friday morning from 08:30 – 09:30). Encouraged to attend Medical Grand Round (via video link) and to participate in Monday morning departmental presentations to wider Consultant/SpR team (08:30 – 09:30)
roLes Normal day is ward based. Daily ward round, ward jobs shared between FY1s and SHOs. Lots of MDT input and end of life issues. The ‘academic day release’ FY1 has the same role as the non-academic FY1, but with a few additional days that can be taken off as ‘academic days’ in order to attend educational events and plan academic placement.On call for oncology ward (and occasionally Sobell House Hospice). Clerking elective, e.g. for chemotharapy, and emergency, direct-to-ward or acute triage, admissions. Usually 1 - 2 daytimes (from 09:00) and evenings (until 21:30) per week. Good opportunity to clerk patients presenting with oncological emergencies, e.g. neutropenic sepsis, or general medical presentations.On call rota is also shared with Haematology, but FY1s are never expected to cover Haematology: there will always be an SHO (ST1) available covering haematology at the same time
CLiniC exposure
Supposed to have an outpatient clinical timetable but this can be tricky on busy days when fewer people are around
roTa Normal day 09:00 - 17:00On call usually 1 - 2 evenings per week 17:00 - 21:30
Linked roTaTions
GP and Paediatrics (x2)Psychiatry and Emergency Dept (x2)
Clinical [email protected] (Lead consultant)Rota Coordinator/Pre-employment [email protected] (Junior medical staffing co-ordinator)
Linked roTaTions
Clinical [email protected] (Dr Kinnari Patel, lead consultant for rotas)[email protected] (Dr Elaine Sugden, lead consultant for teaching)Dr Clare Blesing is departmental headRota Coordinator/Pre-employment [email protected] (Dr Kinnari Patel, lead consultant for rotas)
John radCLiffe
ChurChiLL
Cardiothoracic Surgery
Clinical Oncology
F21.5
F21.4F1
seT up Academic jobs are varied throughout the trust. There are 18 positions and 6 different rotations. Most academic rotations include a dedicated 4-month block in FY2 but this is slightly different for Public Health and actually can vary every year. All academic rotations give a good range of general medical and surgical experience as they are usually paired with busy, acute general medical or surgical wards (i.e. AGM or SEU at John Radcliffe). They also all have one FY1 job which is unbanded and supernumerary (e.g. psychiatry) or a banded job is given academic day release.
Whilst there are some set specialties (e.g. Public Health, Dermatology and Orthopaedics) most academic jobs are free reign and doctors can choose whatever speciality they wish to undertake academic work. This is quite different to most academic jobs in the country and can be very useful but at the same time slightly difficult to organise and find supervisors. The academic programme in Oxford is well established and most departments are aware of academic FY2 doctors undertaking placements.
FY1 is quite limited in terms of extra academic activities. There are monthly forums which allow trainees to present any ideas or work in a semi-formal setting. Every September OUCAGS organises a poster evening where trainees display their work. Social events are limited to small or large group dinners organised by OUCAGS at one of Oxford’s colleges for trainees of all levels to socialise. The University also organises regular teaching courses for academics in the trust. These range from courses such as generic presentation and research skills to week long SPSS courses. They are free for Academics but you may find it is difficult to get the time to attend these during FY1
Team ICU 1 consultant, 2-4 Registrars (ST3+), 2-3 F1s / F2s. Anaesthetics 1 consultant
Banding FY1 unbanded, FY2 banded
nighTs FY1 None
Weekends FY1 None
Leave 7 - 9 days depending on whether on 3 or 4 month rotation respectively, flexible but several weeks notice required
average LisT size
ICU 12 - 14. Anaesthetics depends on specialty or case complexity, usually 4 - 5 cases per day
inpaTienT admissions
ICU 2 - 3 per day on average. Anaesthetics N/A
TeaChing Informal
roLes ICU daily reviews, ward jobs, practical procedures. Anaesthetics anaesthetic pre-assessment, assisting with administration and maintenance of anaesthesia
FY2 on calls in A&E and on the medical wards
TheaTre/ CLiniC exposure
Anaesthetics daily. ICU N/A
roTa ICU 08:30-18:00. Anaesthetics 07:30- 17:30. Both 1 prearranged day off per week
Linked roTaTions
Clinical Contact
Rota Coordinator/Pre-employment enquiries
Linked roTaTions
Clinical [email protected] (Nicky Beale, consultant anaesthetist)Rota Coordinator/Pre-employment enquiries
John radCLiffe
John radCLiffe
Academic Medicine
Anaesthetics & ITU
F1
F1F2
1.0
1.0Team 1 team: 1 consultant, 1 SpR, 1 SHO, 1 FY1
Banding Unbanded
nighTs None
Weekends None
Leave Non-fixed, arranged amongst team
average LisT size
20 patients
inpaTienT admissions
Variable: approximately 3-4 per week, low turnover
TeaChing Weekly teaching; impromptu microbiology and infectious disease teaching; opportunity to present and clinical governance and M&M meetings; there are often medical students on the ward
roLes Ward based job; opportunity for clerking although often done by orthopaedic juniors; medical management of patients who frequently have complicated medical histories
TheaTre and CLinC
None
roTa 09:00 - 17:00 Monday to Friday
Linked roTaTions
Clinical Contact
Rota Coordinator/Pre-employment enquiries
Linked roTaTions
Clinical [email protected] or [email protected] (Lead consultants)Rota Coordinator/Pre-employment enquiries
horTon
noC
Anaesthetics & ITU
Bone Infection Unit
F1
F1
1.0
1.0
oops! We don’t have any info on this rotation...Yikes! Sorry.
It’s probably similar to “Anaesthetics and ITU F1” at the John Radcliffe
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Team There are 2 teams, each composed of 2 consultants, 2 full-time registrars (one senior and one junior) and one or 2 Core Medical Trainees and an academic FY1The Red Team covers Hepatobiliary Medicine and is led by Dr Roger Chapman and Dr Jane Collier. This is certainly the busier team with a larger number of acute admissions, more day case patients and a larger turnover of patientsThe Blue Team covers Luminal Medicine, which is predominantly Crohn’s Disease and Ulcerative Colitis. It is led by Dr Satish Keshav and Dr Simon Travis. There are fewer patients and a mixture of acute admissions and patients admitted for management of chronic disease
Banding 1C
nighTs None
Weekends None
Leave Non fixed, 9 days per 4 month job
average LisT size
Red team 10 - 20 patients. Blue team 5 - 10 patients, with some of the patients staying for much longer
inpaTienT admissions
Patients are either admitted from home or clinic or from the Day Case Unit. They are clerked either in Surgical Emergency Unit Triage or on the ward. The FY1 and CMTs tend to do the initial full clerking before senior review
day Case admissions
Day Case Ward (5E) that sees patients due for endoscopic procedures or infusions. The FY1 is expected to do a brief clerking, cannulate, prescribe or insert an abdominal ascitic drain as necessary
TeaChing Departmental teaching on Thursdays. This comprises of a medical student presentation followed by a 30 minute presentation by an allocated member of the Gastroenterology department.Weekly hospital medical grand round followed by one hour of gastroenterology case based teaching aimed at CMTs, which the FY1 also attends.Medical students: 2 per week, though as gastroenterology is a special selected module, their presence is not consistent.
roLes Clerking patients, ward jobs, ward rounds (sometimes independently), paracentesis, presenting at M&Ms and attending MDTs
roTa 08:30 – 17:00 Monday to Friday, though the FY1 will often finish significantly later especially on the Red team. Since the FY1 posting is only filled by academic trainees, there is opportunity to take time for academic commitments each week
Linked roTaTions
Clinical [email protected] (Consultant)Rota Coordinator/Pre-employment [email protected] (Consultant)
Linked roTaTions
Clinical Contact
Rota Coordinator/Pre-employment enquiries
John radCLiffe
John radCLiffe
Gastroenterology
Gen Med/ Geriatrics
F1
F2
1.2Team 8 teams, each of which has 2 F1s, an SHO (either FY2 or CT1/2), SpR and consultant
Banding 1B (40%)
nighTs Typically once every 2 months. 4 nights in a row, or 3 weekend nights. You have an SHO with you
Weekends One in 4, usually very hectic. No time off before or after
Leave 2-week block in 4 months (not flexible). No zero days after weekends. Time off after nights varies, it might be built into your 2 week block of leave
average LisT size
15 - 40. Varies widely according to firm and where you are in the rota, and time of year
TeaChing Depends on your consultant in terms of on the job teaching. Case meetings once per week, radiology MDT once per week. Weekly hospital medical grand round. Lots of opportunities to fulfil eportfolio requirements. Monthly mandatory F1 teaching.
roLes Normal day ward based over 6 wards, lots of general admin workOn calls medical ward cover. Usually once per week 17:00 - 22:00. Usually very hectic too!On take clerking new patients and presenting. Approx twice per week. Average intake is 15 patients per take. Good learning experience
roTa Normal day is meant to be 09:00 - 17:00, but often 08:30 - 18:00 depending on your firmOn calls and on take 1 to 2 evening shifts until 22:00 per weekWeekends 08:30 - 22:30 Friday, Saturday, and Sunday. And back to work Monday!On for 6 weeks as outlined above, off for 2 weeks, back on for 6 weeks
CLiniCaL seT up
The crucial difference from the JR is that Abingdon Community Hospital is a nurse-led unit. The main aim of the hospital is for the rehabilitation of generally medically stable patients, although this has started to change recently so that more medically unfit patients are managed on-site. The attachment will allow you to work with a much higher degree of autonomy, and there is good consultant contact time with good bedside teaching
Team 2 - 3 consultants, 1 - 2 registrars, 2 - 3 FY2s, 2 wards per site. Abingdon also has an Emergency Multidisciplinary Unit (EMU)
Banding Unbanded
nighTs None
Weekends None
Leave 9 days per 4 month job, non fixed
average LisT size
18 - 20 per ward
admissions 1 - 2 per day
TeaChing Weekly consultant contact at ward rounds and clinics
roLes Most of your working time will be spent on the in-patient wards: Ward 1 has a focus on rehabilitation of stroke patients whilst Ward 2 is primarily set up for rehabilitation of patients who have suffered a fractured neck of femur. Roles include ward-based care of stroke, fractured neck of femur and generic rehabilitation patients; assessment of the frail elderly in the emergencymultidisciplinary unit and rapid access clinic (see below)
CLiniC exposure
Occasional participation in an outpatient clinic, EMU or weekly rapid access clinic in Abingdon with SHO list. EMU: 08:00 - 18:00, weekdays, staffed by a senior doctor who takes GP referrals, and dedicated nursing staff, physiotherapists, occupational therapists, and a social worker. 5 in-patient beds at Abingdon are allocated to patients under the care of EMU staff. EMU occassionally ring/page for an SHO to attend if it becomes busy. Rapid Access Clinic: with a consultant, one registrar and one SHO. You see new GP referrals rather than follow-ups. This gives you the opportunity to review patients on your own, formulate a management plan, and discuss with a senior colleague before the patient leaves clinic, not to mention a source of useful opportunities for ePortfolio assessments.
roTa 09:00 - 17: 00 Monday to Friday. Weekly timetable for team: 1 consultant ward round, 1 MDT meeting +/- 1 morning clinic
Linked roTaTions
Clinical Contact
Rota Coordinator/Pre-employment [email protected]
Linked roTaTions
Clinical [email protected] (Consultant, Abingdon)[email protected] (Lead Consultant)Rota Coordinator/Pre-employment [email protected] (Lead Consultant)
John radCLiffe
aBingdon and WiTney CommuniTy hospiTaLs
Gen Med
Geriatric Med Community
F1
F2
1.4
1.0oops! We don’t have any info on this rotation...
Yikes! Sorry.
It’s probably similar to “Gen Med F2” at the John Radcliffe
Team 7 - 8 Consultants, 4 Registrars, 2 GP trainees, 1 F1
Banding Unbanded
nighTs None
Weekends None
Leave 9 days per 4 months, non fixed, negotiated with the GP trainees
average LisT size
1 or 2 in-patients maximum, mainly outpatient clinics
operaTing LisTs
Minor operations list specifically for you once a week
inpaTienT admissions
1 or 2 per week
TeaChing AMAZING teaching opportunities, regional meeting every month, impromptu teaching throughout clinic, often academic meetings at lunchtimes, Tuesday afternoon: Reg teaching (you can often attend), Friday mornings: SHO teaching, Thursday afternoon: academic/teaching
roLes Normal day Seeing patients in clinic and minor ops. All supervised by consultantOn calls You carry the SHO bleep every other day and the Registrar bleep twice a weekOn take Only patients who are referred to you specifically
TheaTre and CLiniC
SHO list on Wednesday mornings, difficult to squeeze in any other time as busy with clinics
roTa 08:00 or 09:00 - 17:00 Monday to FridayAcademic F1 have one day off per week
Team On an average shift, 1 Consultant, 2 or 3 Registrars, 2 CT1s, 2 FY2s (at night, 1 - 2 Regs and 2 Juniors)
Banding 1A (50%)
nighTs Sets of 3 or 4 nights, plus a lot of 13:00 - 22:00 and 16:00 - 01:00 (very rarely on day shifts, maybe 1 week in 6 or 7 weeks, but no real pattern as there is not a rolling rota: the rota is new for every rotation)
Weekends From every other weekend to most weekends, depending on rota
Leave Non fixed
average LisT size
VERY busy department in general. You can see anything between 3 and 10 patients per shift in Majors and lots more in Minors!
TeaChing Monthly teaching day in place of F2 teaching but rare that you get to go to it. Small teaching case at 4pm every day in handover
roLes Clerking and managing patients who present, including referrals or discharge, discussing and asking for advice from seniors when necessary
roTa New rota for each 4 month job to accomodate everyone’s leave, so is quite a random mix of 08:00 - 17:00, 10:00 - 19:00, 13:00 - 22:00, 16:00 - 01:00, 22:00 - 06:00, 23.30 - 08:30 shifts, although most end up being from 13:00 onwards, rarely on days
Linked roTaTions
Clinical [email protected] Coordinator/Pre-employment [email protected]
Linked roTaTions
Clinical [email protected] Coordinator/Pre-employment [email protected]
ChurChiLL
John radCLiffe
Dermatology
Emergency Medicine
F1
F2
1.0
1.5
Team 5 FY2s, 2 GPVTS, middle grades (mostly locums, few regulars), Dr George (consultant), some consultants from JR do weekly on calls/weekend cover
Banding 1B (40%)
nighTs See example rota below
Weekends See example rota below
Leave 14 days in total. Weekends are booked off as annual leave. You can request and they try and allocate
TeaChing Friday morning paediatric emergencies, Emergency dept teaching, radiology teaching
roLes Seeing minor, major and resus patients, referring to specialities, practical procedures, lots of suturing
roTa Example rolling rota:
Week Mon Tues Wed Thurs Fri Sat Sun
1 Off Off 16:00 - 00:00
14:00 - 22:00
09:00 - 22:00
16:00 - 00:00
16:00 - 00:00
2 16:00 - 00:00
16:00 - 00:00
Off Off 09:00 - 17:00
09:00 - 17:00
09:00 - 17:00
3 19:00 - 06:00
19:00 - 06:00
19:00 - 06:00
19:00 - 16:00
Off Off Off
4 09:00 - 17:00
09:00 - 17:00
09:00 - 17:00
09:00 - 17:00
19:00 - 06:00
19:00 - 06:00
19:00 - 06:00
Team 4 - 6 SHOs (F2s, GP VTS, core-trainees), many SpRs and Consultants. All SHOs cover all consultants’ patients (no set teams)
Banding 1B (40%)
nighTs 3 - 5 blocks per 4 month rotation
Weekends Approx. 1 per month
Leave 9 days per 4 month job, non-fixed. Need to coordinate with other SHOs to ensure on-calls are covered. 1 - 2 days off after nights
average LisT size
10 - 30
operaTing LisTs
Many consultants and daily lists so new post-op patients appear on the ward anytime. Most day-cases stay in a separate, adjacent unit (you may be asked to do jobs for these patients, but most of the medications/TTOs are done directly in theatre)
inpaTienT admissions
Via A&E/GP referrals, direct from clinic, transfers, or elective direct-to-ward admissions peri-operatively
TeaChing Approach SpRs and Consultants for teaching. Occasional formal teaching is arranged. Can present audits/projects at departmental meetings. No formal clinic time, but there are opportunities to go to clinics/theatre on days the ward is well-staffed
roLes Normal day Ward based most of the time. Also involves seeing patients in adult pre-op clinics where the pre-op nurses have queries. SHO-run paediatric pre-op clinic (with variable numbers of patients) on Wednesdays and Fridays. The Wednesday clinic is in ENT outpatients, the Friday clinic is in the Children’s Hospital Outpatients. There is a nurse led clinic occurring at the same time so you may get asked to review some of these patientsOn call Cover new admissions. Usually see upto 5 new patients per on-call, but many more are dealt with over the phone (you hold the bleep for GP referrals). GP referrals are ‘ENT expected’ so will not be seen by A&E
TheaTre and CLinC
No formal SHO lists or clinics (the SpRs now run the ‘E’ (emergency) clinic), but plenty of theatre lists and clinics to attend if well-staffed on the ward. Try to go to the E-clinic
roTa
Linked roTaTions
GP and Paediatric SurgeryGP and Paediatric Trauma & Ortho
Community Geriatrics and OrthopaedicsGP & Cardiothoracic surgery
Clinical [email protected] or 01295 229720, Dr Grizelda George (Consultant)Rota Coordinator/Pre-employment [email protected], Dr Bryan Todd
Linked roTaTions
Clinical ContactMr Pablo Martinez-Devesa (Consultant, overall lead for SHO leave)Rota Coordinator/Pre-employment [email protected] (HR rota co-ordinator)
horTon
John radCLiffe
Emergency Medicine
ENT
F2
F2
1.4
1.4
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Team 2 teams: Lymphoma and Leukaemia. Each team has 2 consultants, 1 registrar, 2 SHOs
Banding 1A (50%)
nighTs Variable: 7 - 14 over a 4 month job
Weekends Variable: 4 - 5 in 4 months (may include nights over weekend)
Leave Annual leave: non fixed, 9 days per 4 months. 4 zero days
average LisT size
15 - 20 patients
TeaChing Wednesday mornings 08:30 – 09:00. Monthly mandatory F2 teaching
roLes Normal day Daily ward rounds, ward cover, Tuesday afternoon out-patient clinic, triage admissions. On calls Ward cover, admissions. Overnight support from Hospital At Night team and non-resident on call Haem SpR. On take variable number of elective admissions for chemo or stem cell transplant, and emergency admissions e.g. neutropenic sepsis
CLiniC exposure
Tuesday afternoon out-patient clinic with Dr Littlewood (consultant haematologist)
Linked roTaTions
Clinical [email protected] (Consultant)Rota Coordinator/Pre-employment [email protected]
Linked roTaTions
Clinical Contact
Rota Coordinator/Pre-employment enquiries
ChurChiLL
ChurChiLL
Haematology
Head & Neck Onc
F2
F2
1.5Team 2 Consultants, 1 Registrar, 1 SHO (FY2)
Banding 1B (40%)
nighTs None
Weekends One in 5
Leave Annual leave: non-fixed, 9 days over 4 months. Study leave: 30 days study leave allowance for the year. No compensatory rest after on calls. The department is very flexible with leave
TeaChing Both Consultants give weekly informal tutorials and presentations
roLes Normal day: Patients are divided into haemophilia and thrombosis clinics. Your role as SHO is to review routine and emergency haemophilia patients, initially under the guidance of the SpR and/or Consultant and as you feel more confident, alone. You will also clerk, discuss and initiate treatment for patients referred to the clinic with a positive DVT. There is constant support and guidance from a superb clinical team of doctors and specialist nurses. On calls: No on calls for haemophilia but you are part of the medical Emergency Assessment Unit (EAU) cover rota (John Radcliffe Hospital): one weekday evening 17:00 - 22:00 every week and one weekend in 5. This involves clerking and post take ward rounds as part of the acute medical take
CLiniC exposure
Morning and afternoon clinics: Haemophilia clinic 7 - 10 patients; thrombosis clinic 3 - 7 (varies daily based on referrals)
Team Approx. 15 Consultants, 7 Specialist trainees (various grades), 1 FY2
Banding Unbanded
nighTs None
Weekends None
Leave non-fixed, 9 days per 4 months. Entirely flexible
TeaChing There are opportunities to teach medical students on their Laboratory medicine course - there are small group teaching sessions and gross pathology teaching sessions that you can get involved in
roLes You are a supernumerary member of the team and the department is very happy for you to get what you need/ want from the placement. For example if you want to be a Neurosurgeon they would be happy for you to spend the rotation with the Neuropathologists. If you are keen to see/ do autopsy, they will support that. More generally and if you have no particular preferences, you are placed with a different speciality each fortnight and will join the Registrar or Consultant to do ‘Cut-up’ of the specimens sent to the lab. You then report the cases you have cut up with the Consultant, once they have been processed in the lab. You could expect to report around 100 cases in 4 months. There are opportunities for audit and research but these must be particularly sought, they are unlikely to be offered
roTa 09:00 - 17:00 (also flexible e.g. 08:00 - 16:00) Monday to Friday
Linked roTaTions
Clinical [email protected] (Consultant haematologist)Rota Coordinator/Pre-employment [email protected] (for Haemophilia issues)[email protected] (EAU rota co-ordinator)
Linked roTaTions
Clinical [email protected] (Consultant Dermatopathologist, Clinical Supervisor for the F2s)Rota Coordinator/Pre-employment enquiries
ChurChiLL
John radCLiffe
Haemophilia
Histopathology
F2
F2
1.4
1.0
oops! We don’t have any info on this rotation...Yikes! Sorry.
It’s probably similar to “Max Facs F2” at the John Radcliffe
Team Location example Abingdon Surgery: 12,000 patients, 5 GP partners, 1 salaried GP, 1 GP trainee, 1 FY2, medical students
Banding Unbanded (take home monthly salary after tax approx. £1500)
nighTs None
Weekends None
Leave 9 days per 4 month job, non-fixed
operaTing LisTs
Some practices offer minor operations such as removal of BCC’s, joint injections and cryotherapy
TeaChing Weekly teaching session with GP tutor. Opportunity to teach medical students
roLes Roughly first 2 weeks: observe working of surgery (sitting in with GP, practice nurses, district nurses, mid wife, secretaries). Thereafter start to do own clinics: 30 minute appointment slots, providing opportunity to discuss the patient with the supervising GP. With increasing experience appointment slots generally reduce to 20 minutes. There are normally 6 patients in the morning and 6 in the evening. Other roles incude paperwork: hospital referrals, repeat prescriptions, incoming mail such as discharge summaries
roTa Example: First appointment 08:40, morning surgery finishes at 11:00. Afternoon surgery starts at 16:00, finish at 6pm. Every Wednesday half day.
Linked roTaTions
Clinical Contact
Rota Coordinator/Pre-employment enquiries
Linked roTaTions
Clinical Contact
Rota Coordinator/Pre-employment enquiries
John radCLiffe
oxfordshire
Geriatric Medicine
General Practice
F2
F2
1.4
1.0
Team 6 consultants, approx. 6 registrars, approx. 6 SHOs, 6 F1s
Banding 1B (40%)
nighTs Equivalent of 1 full week of nights every 9 weeks (with 1 week off between Monday to Thursday nights and Friday to Sunday)
Weekends Approx one in 4
Leave Fixed, any flexibility coming from swaps with other F1s. 10 days in 9 weeks
average LisT size
Approx. 12 - 18 patients
TeaChing 1 hour lunchtime meeting held daily except Fridays. Case discussion meetings. F1- or SHO-led journal club presentations. Weekly compulsory F1 teaching. Case-based presentations by F1s or SHOs
roLes Normal day ward-based for F1s with limited opportunities to clerk patientsOn calls & take: mostly ward cover, approx. one evening per week plus nights and weekends
roTa Normal days 09:00 - 17:00 with evening on calls approx once per week until 21:30, for 6 weeks; followed by nights Monday to Thursday 21:30 - 09:30; 1 week off; nights Friday to Sunday then another week off
Team Multidisciplinary clinic working closely with nursing staff and health advisers. The medical team consists of one F2, one GPVST1, 2 Specialist Registrars, several staff grades, some of whom are GPs with a special interest in GUM and family planning, and 3 consultants
Banding Unbanded
nighTs None
Weekends None
Leave 9 days per 4 month job, non fixed
TeaChing Weekly departmental teaching session on Wednesday mornings. There are often guest speakers talking on a wide range of issues relating to HIV and GUM. Registrars are also happy to arrange tutorials to cover topics in more depth. There are also good opportunities for clinical teaching to medical students. This is a good job in which to undertake an audit as clinical notes are readily accessible and presentation at the departmental meeting is actively encouraged by the department
roLes The job consists of drop-in and appointment based GUM clinics. You work individually from a clinic room but with plenty of opportunity to ask for advice and have patients reviewed by senior colleagues. There is lots of exposure to GU skin conditions and sexually transmitted infections as well as contraceptive issues. Practical skills include male and female GU examination and investigation, and cryotherapy. Although the F2s do not generally work in the HIV clinic, there are some opportunities to shadow in these clinics
roTa Each day is divided into 3 clinics from 09:15 - 18:30 or 19:00. The rota is very variable so you work an average of 2 clinics per day, but this is balanced over the week. Clinic sizes can be unpredictable as many or drop-in services so workload fluctuates. The clinic is tied to the Banbury GUM clinic so once per week or less you work in Banbury alongside a consultant or registrar. In addition to clinics there are some additional duties within the rota such as checking and acting upon results. The academic day is usually a Thursday, although this is negotiable
Linked roTaTions
Clinical Contact
Rota Coordinator/Pre-employment [email protected]
Linked roTaTions
Clinical [email protected] and [email protected] (Consultants)Rota Coordinator/Pre-employment [email protected] (Consultant, rota co ordinator)
horTon
ChurChiLL
GIM & Geriatrics
GUM
F1
F2
1.4
1.0
oops! We don’t have any info on this rotation...Yikes! Sorry.
It’s probably similar to “Gen Med F2” at the John Radcliffe
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Team 4 teams (red, green, blue, purple/orange), multiple consultants per team, 4 Registrars (one per team), 7 SHOs (FY2 and CT), No FY1s
Banding 1B (40%)
nighTs Block of 7 nights, one or 2 blocks per 4 month rotation
Weekends One in 7
Leave Non-fixed, 9 days per 4 months arranged amongst SHOs
average LisT size
6 - 8 patients
inpaTienT admissions
Variable between teams: 5 - 6 per week, high turnover; 1 - 2 per week long term
day Case admissions
3 - 5 per week
TeaChing Weekly neuroradiology teaching; weekly neurology grand round; many medical students; monthly mandatory FY2 teaching
roLes Normal day: Largely ward based; 1 - 2 SHOs per team; clerking day and ward admissions; practical procedures including lumbar punctures. On call evenings and weekends: neurology ward cover (SpR covers referrals). Nights: ward cover for both neurology and neurosurgery, including clerking elective and emergecy admissions. Senior support from neurology (non-resident) and neurosurgical (resident) SpRs
CLiniC exposure
Approx. 0.5 days per week, but negotiable with colleagues
roTa Normal day 08:30 - 17:00. Early (to receive hand over from night SHO) 07:00 - 17:00, approx. 1x per week. Late 16:00 - 20:00, approx 1x per week. Weekends 07:30 - 20:00 Saturday and Sunday, one in 7. Nights 20:00 - 08:00, 7-night block Friday to Thursday, one or 2 blocks per 4 month job
Linked roTaTions
Clinical Contact
Rota Coordinator/Pre-employment [email protected]
Linked roTaTions
Old-age psychiatry and Maxfacs (x2)O&G and Public Health (x2)
Clinical [email protected] (Lead Consultant)Rota Coordinator/Pre-employment [email protected] (Lead Consultant)
John radCLiffe
John radCLiffe
Medicine
Neurology F21.4
Team 6 Consultants, Rotating cohort of Anaesthetic SpRs completing Neuroanaesthesia block, 1.5 SHOs (NICU FY2, AICU FY2 alternate weeks)
Banding 1B (40%)
nighTs One in 12 (covering ENT/Plastic surgery SHO on-call rota)
Weekends One in 12 (covering ENT/Plastic surgery SHO on-call rota)
Leave Non fixed, 9 days per 4 months. Flexible leave outside of on-call commitments as unit can function without SHO. Compensatory leave around on-call commitments as per EWTD
average LisT size
Neuro ICU has 14 bedsOn calls: SSIP unit has 40 beds and high turnover of ENT/Plastic surgical patients
operaTing LisTs
Lists running daily in two designated neurosurgical theatres and angiography suite
TeaChing Consultant led unit which guarantees cased based tutorials; learning points arise on a daily basis. Strong provision of senior support, guidance and teaching. Involvement in ENT and Plastic surgery SHO teaching
roLes NICU: Daily reviews and implementation of care for critically unwell neurosurgical patients in an intensive care setting. On calls: as ENT/ Plastics SHO covering speciality admissions and ward of 30 - 40 (plus paediatric outliers). First point of contact for ENT and Plastics in a quaternary referral centre
TheaTre and CLiniC
No clinic commitments. Opportunity to ‘follow patients through’ to angiography suite, Neurosurgical theatre or ENT theatre from both an anaesthetic and surgical view point
roTa Normal NICU day 07:30 - 17:00On-call day comprises 07:30 - 17:00 NICU, 17:00 - 20:30 ENT/PlasticsOn-call night (including weekends) comprises 20:00 - 08:30 ENT/PlasticsWeekend day on-call comprises 2 SHOs (1x designated ENT, 1x designated Plastics), one working short day 08:00 - 16:00 and one working long day 08:00 - 20:30 as per rota allocation
Team 3 F2s, 6 other SHOs, 9 registrars, 9 consultants (adult neurosurgery) and 3 paediatric consultants. 2 teams for adult patients, roughly equal list sizes
Banding 1B (40%)
nighTs Block of 7 nights, one or 2 blocks per 4 month rotation
Weekends 2 - 3 weekends in 4 months
Leave Non fixed, 9 days in 4 months
average LisT size
Varies between 15 and 45 patients per team
operaTing LisTs
Daily elective and emergency lists. Exact schedule depends on individual consultant. Generally considerable overlapping at SHO level (ie you can attend lists of other consultants as well)
inpaTienT admissions
1 in 9 takes on the consultant rota. Average 1-2 patients each day on take although consultants can sometimes be on take for several days at a time. Elective admissions: 2 - 15 depending on the op list for the next day. Emergency admissions: 0 - 2, and up to 8 per day, depending on bed availability
TeaChing Weekly neurosurgery SHO teaching every Friday morning. Weekly neuroradiolagy SHO teaching every Monday morning. Opportunistic teaching on the ward
roLes Early on call: 07:30 - 17:00, main duty is to run the pre-op assessment clinic. Otherwise stay with your own team for usual day to day jobs. Late on call: 14:00 - 20:00, main role is to clerk in and ensure pre-op preparations (e.g. necessary investigations) are completed for patients on the next day’s elective lists. Includes ward cover 17:00 - 20:00. May need to clerk in and manage emergency admissions, although all of these would have been accepted by the registrars prior to transfer to the unit. Registrars will review all emergency admissions. Nights: as per late on-calls, plus covering neurology in-patients. Weekends: Daily ward rounds of all neurosurgical in-patients; ward cover; clerking of elective and emergency admissions as per late and night on call
roTa Early on call: 07:30 - 17:00, once in every 1 - 2 weeks. Late on call: 14:00 - 20:00, once in every 1 - 2 weeks. Nights: 20:00 - 08:00, 7-night block Friday to Thursday, one or 2 blocks per 4 month job. Weekends: 08:00 - 20:00 Saturday and Sunday, 2 - 3 weekends in 4 months
Linked roTaTions
Clinical [email protected] (Consultant intensivist, NICU Clinical Lead)[email protected] (Consultant plastic surgeon, runs on call rota)Rota Coordinator/Pre-employment enquiries
Linked roTaTions
Clinical [email protected] (Consultant)Rota Coordinator/Pre-employment enquiries
John radCLiffe
John radCLiffe
Neuro ICU
Neurosurgery
F2
F2
1.4
1.4
F21.4F1
Team 8 teams, each of which has 2 F1s, an SHO (either FY2 or CT1/2), SpR and consultant
Banding 1B (40%)
nighTs Typically once every 2 months. 4 nights in a row, or 3 weekend nights. You have an SHO with you
Weekends One in 4, usually very hectic. No time off before or after
Leave 2-week block in 4 months (not flexible). No zero days after weekends. Time off after nights varies, it might be built into your 2 week block of leave
average LisT size
15 - 40. Varies widely according to firm and where you are in the rota, and time of year
TeaChing Depends on your consultant in terms of on the job teaching. Case meetings once per week, radiology MDT once per week. Weekly hospital medical grand round. Lots of opportunities to fulfil eportfolio requirements. Monthly mandatory F1 teaching.
roLes Normal day ward based over 6 wards, lots of general admin workOn calls medical ward cover. Usually once per week 17:00 - 22:00. Usually very hectic too!On take clerking new patients and presenting. Approx twice per week. Average intake is 15 patients per take. Good learning experience
roTa Normal day is meant to be 09:00 - 17:00, but often 08:30 - 18:00 depending on your firmOn calls and on take 1 to 2 evening shifts until 22:00 per weekWeekends 08:30 - 22:30 Friday, Saturday, and Sunday. And back to work Monday!On for 6 weeks as outlined above, off for 2 weeks, back on for 6 weeks
Team 1 FY1, 2 registrars, 3 consultants and 4 specialist nurses
Banding Unbanded
nighTs None
Weekends None
Leave Non fixed, 9 days per 4 months
average LisT size
15 patients for venom clinic, 6 for infusion clinics and 2 in-patient referrals per week
admissions Nil. However all immunology patients admitted under other teams must be reviewed
TeaChing Many opportunities. Thursday afternoon, discussion on interesting patients plus presentation by clinical and lab staff. Weekly journal club meeting
roLes FY1 must run venom clinic (bee and wasp venom desensitisation) with specialist nurse. Two weekly infusion clinics where FY1 clerks patients before infusion. FY1 also receives telephone calls from patients and from GPs. Additionally, the FY1 is expected to make referrals and do any general jobs such as bloods etc
CLiniC exposure
Primary immunodeficiency clinic: assessing new patients and managing patients on established therapy. Additionally the FY1 attends the paediatric infectious disease and immunodeficiency clinic
roTa Monday 08:00 - 16:00, morning venom clinic. Tuesday 09:00 - 17:00, morning Paeds infectious disease and immunology clinic. Wednesday 08:30 - 16:30, morning Infusion clinic. Thursday 09:00 - 17:00, afternoon clincial meeting. Friday 08:30 - 16:30, afternoon infusion clinic. At other times the FY1 is available for patient and GP calls.
Team 9 consultants, 4 Registrar, 9 SHO (3 medical FY2s and 6 dental ‘DF2’) no FY1
Banding 1A (50%)
nighTs Approx 2 sets of 7 nights per 4 month job.
Weekends 1 - 2 per 4 month job, excluding nights
Leave Annual leave: fixed in rota. One zero day before nights and after weekends.
average LisT size
8 - 10
operaTing LisTs
Each consultant has their own list with specific types of oral surgery. This includes oncology as well as TMJ surgery or other less exciting (removal of teeth). Each consultant has an SHO so you will have time to work with the consultant. When you are attached to that particular week, you have the opportunity to sit in on clinics or go to theatre
inpaTienT admissions
0 - 4 per day
TeaChing Monthly audit day; weekly SpR-led teaching; ad hoc teaching in theatre or clinic; monthly mandatory FY2 teaching
roLes Day ward cover (08:00 - 20:00): Leads morning ward round; is responsible for in-patients; takes over day on call bleep 17:00 - 20:00 and over weekends. Day on call (08:00 - 17:00): referrals from Dentists, GPs, A&E, and other hospitals including Reading, Horton, Bucks. Involves giving telephone advice, booking patients in to urgent out-patient clinics, assessing patients in A&E, and practical procedures such as suturing facial lacerations in A&E and assisting in theatre. New admissions are taken at any time of the night or day; Max facs alternate weeks with Plastics to cover facial lacerations. Trauma SHO: Works with Ms Dhariwal and goes to theatre and attends clinics. Deformity: Work with Mr Mcleod and goes to theatre and attends clinics. Oncology: Major head and neck cancer cases. These usually take a whole day. Your responsibility is to ensure pre-op, notes in order, no glitches before theatre! MOS: Minor operations-these include biopsies, teeth extractions.
roTa Normal hours 08:00 - 17:00. Day ward cover 08:00 - 20:00, Monday to Thursday; day on call 08:00 - 17:00; weekend ward cover 08:00 - 20:00, Friday to Sunday; Nights 20:00 - 08:00, Friday to Thursday; approx. x2 of each per 4 months. Other weeks spent on Trauma, Deformity or Oncology (see above)
Linked roTaTions
Clinical [email protected] (Consultant)Rota Coordinator/Pre-employment [email protected]
Linked roTaTions
Clinical [email protected] (Consultant, Clinical Supervisor for FY2s)Rota Coordinator/Pre-employment enquiries
John radCLiffe
John radCLiffe
Immunology
Max facs
F1
F2
1.0
1.5Team 2 gastroenterology consultants, 2 stroke/elderly medicine consultants, 1 respiratory consultant,
1 cardiology consultant, 1 ID/micro consultant. Approx 1 registrar, SHO and FY1 per consultant
Banding 1A (50%)
nighTs One full week per 8 weeks, split into Monday - Thursday and Friday - Sunday
Weekends One in 8
Leave Fixed, 9 days per 8 weeks
average LisT size
10 - 25 patients
admissions 2 - 6 per day
TeaChing Weekly journal club. Weekly case-based discussion. Monthly grand round. Monthly mandatory FY1 teaching
roLes Ward-based SHO 09:00 - 17:00. When not on call, the FY1 and SHO work together on the wards. When on-call, night or day, the SHO covers EAU with the registrar and the HO covers the ward patients. The on-call SHO works with the on-call registrar to clerk all new admissions from A&E and direct GP referrals to MAU, and is responsible for them until they are allocated to a consultant at post-take the following morning. Usual 24h take size 10-20 patients. This means that for an FY1, day on call effectively means 5-9.30, while the FY2 would expect to be clerking new admissions from late morning onwards. The on-call FY1 manages all ward-based patients out of hours
roTa Same for FY1 and FY2: 8 week rolling rota with fixed leave - very inflexible; swaps must be organised directly with other FY1s or SHOs and cleared with the team. Normal day 09:00 - 17:00. Day on call 09:00 - 21:30. Night shift 21:30 - 09:00
Mon Tues Wed Thurs Fri Sat Sun1 Day Day Day Day2 Day3 Day4 Day56 Night Night Night Night7 Leave Leave Leave Leave Night Night Night8 Leave Leave Leave Leave Leave
Linked roTaTions
Clinical Contact
Rota Coordinator/Pre-employment enquiries
Linked roTaTions
Clinical [email protected] (Lead Consultant)Rota Coordinator/Pre-employment [email protected] (Senior Medical Secretary and Rota Coordinator)
John radCLiffe
horTon
ICU
Medicine
F2
F21.5F1
oops! We don’t have any info on this rotation...Yikes! Sorry.
It’s probably similar to “Anaesthetics and ITU F2” at the John Radcliffe
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Team 7 consultants, 15 registrars, 1 FY2
Banding Unbanded
nighTs None
Weekends None
Leave Non fixed, 9 days per 4 months
average LisT size
2 - 3
operaTing LisTs
2 theatres lists daily, average 10 patients each. On average about 2 patients per day will be admitted, but often no-one is admitted
admissions 4 - 5 admissions to ward per week
TeaChing Weekly monday afternoons departmental teaching, plenty of opportunity for self-directed learning
roLes Largely ward based, occasional pre-operative assessments, eye casualty sessions and diabetic retinal screening clinic. The norm is to have about 2 - 3 patients to be looking after at one time as most pateitns are reviewd and discharged day 1 post op. There are timetabled clinics every morning (apart from thurs when its oculoplastics list) and 3 afternoons a week
TheaTre and CLiniC
Officially 1 day per week occuloplastics list, but flexible
roTa Monday: morning eye casualty, afternoon department teaching. Tuesday: Neuro-ophthalmology ward round & paediatric pre-operative assessment clinic. Wednesday: morning diabetic screening clinic, afternoon paediatric neurology clinic. Thursday: morning occuloplastics list. Friday: Eye casualty
Team 11 Consultants, 4 GP ST1/2 trainees, 3 F2s
Banding 1B (40%)
nighTs One week in 6 (7 nights)
Weekends One weekend in 6
Leave Fixed in rota, 10 days post nights (at the end of 7 nights following 12 days stretch)
average LisT size
5 - 20
inpaTienT admissions
3 - 4, and upto 10 per day
TeaChing 3 lunchtimes per week
roLes Ward work; admissions; special care baby unit; on-call for deliveries for one week every 6 weeks; bloods; outpatient clinics
CLiniC exposure
One or 2 every 6 weeks
roTa Week 1: on-call for post-natal/ deliveries bleep (one day on-call 13:00 - 21:00)Week 2: special care baby unit (one day on-call 13:00 - 21:00)Week 3: children’s ward including weekend (one day on-call 13:00 - 21:00)Week 4: children’s ward (one day on-call 13:00 - 21:00)Week 5: week of nightsWeek 6: off
Linked roTaTions
Clinical [email protected] (Consultant)Rota Coordinator/Pre-employment enquiries
Linked roTaTions
Clinical [email protected] Coordinator/Pre-employment [email protected]
John radCLiffe
horTon
Ophthalmology
Paediatrics
F2
F2
1.0
1.4
Team 7 teams, 2 - 4 consultants per team, 7 - 9 Fellows/ Registrars (one to 2 per team), 8 SHOs (FY2 and CT/ GPST), 2 F1s
Banding Unbanded
nighTs None
Weekends None
Leave Non fixed
average LisT size
10 - 20 patients
operaTing LisTs
4 - 6 full day lists per team per week
inpaTienT admissions
Variable between teams: approx. 16 per week, high turnover; 1 - 2 per week long term
TeaChing Weekly orthopaedic teaching on Wednesdays; medical students frequently around; opportunities to become involved in audit and research
roLes Largely ward based; 1 - 2 juniors per team; pre-op assessment clinics; regular assistance required in theatre
TheaTre and CLiniC
Averages 1 - 2 days per week, more is desired and negotiable with colleagues
roTa 08:00 - 17:00 Monday to Friday. One half day per week for research offered, often not taken as there is time during most weekdays to complete additional work
Team One acute team with a minimum of 2 SHOs (F1, F2 or GP trainees), speciality teams with one SHO (usually ST2, although you may be asked to cover). There is at least one registrar for each team. There is also an SHO covering A&E (16:00 - 22:00) and one who does the afternoon shift (14:30 - 21:30)
Banding 1A (50%)
nighTs 2 sets of 7 nights within the 4 month rotation. Followed by at least a week off
Weekends At least 2 within a 4 month block
Leave 1 week is added to your post nights leave giving a 2-week break. The other 4 days are up to you to arrange
average LisT size
Varies massively depending on the time of year. 20 would be about average across all the wards
inpaTienT admissions
Daily, at least 2 - 3 children
day Case admissions
More relevant if you are covering one of the paeds sub-specialities
TeaChing 1 hour per week SHO teaching. Child protection forum monthly and infectious diseases seminar every week. There is a weekly radiology meeting
roLes Reviewing patients on the ward, bloods and other ward based skills. When you are down in A&E you are responsible for clerking patients and initial management. Roles are the same for F1 and F2
CLiniC exposure
If the ward is quiet you are more than welcome to go to clinic
roTa 2 weeks of A and E (4-11pm), 2 weeks of nights (9pm-9am), 2 weeks of afternoons (2:30-9:30pm) and the rest are standard day shifts 8:30-5:00 acute team, 9-5:30 other teams. Rota is same for F1 and F2
Linked roTaTions
Clinical Contact
Rota Coordinator/Pre-employment enquiries
Linked roTaTions
Clinical [email protected] (Consultant)Rota Coordinator/Pre-employment [email protected] (Consultant)
noC
John radCLiffe
Ortho with academic interest
Paediatrics
F11.0
F21.5F1
Team 2 SHOs (one CT, one FY2), 2 consultants
Banding 1B (40%)
nighTs One set of 4 nights (Monday - Thursday), one set of 3 nights (Friday - Sunday) per 4 month job
Weekends One or 2 per 4 month job
Leave Non-fixed, 9 days per 4 months. Very flexible with annual and study leave
average LisT size
10 - 15 patients
inpaTienT admissions
3 - 4 per week
TeaChing Weekly Psychiatry department teaching followed by SHO reflection group, Tuesday mornings. Impromtu consultant teaching on ward and in clinic. Monthly mandatory FY2 teaching. Medical students often attached to ward
roLes Ward based: clerking new admissions, regular mental state review of in patients, weekly ‘ward round’ [large MDT meeting to discuss progress of all in patients], assessment and management of medical issues, including referral to different specialties, occassionally referring for acute medical or surgical admission e.g. sepsis, fractured neck of femur. SHO’s responsibility to take bloods, do ECGs and often measure and record vital signs. No provision on ward for IV medication or oxygen. Clinic: usually seeing new referrals: assessment and provisional management plan, always discussed with consultant. Home visits: Usually with a consultant although opportunity to do these alone if appropriate. ECT: Attending ECT morning sessions, increasing responsibilty from observing to administering. On call: Either ‘wards’: covering all adult psychiatric wards in Oxford [at different sites including Warneford hospital (adults and eating disorder), Fulbrook centre (old-age), and Littlemore (forensic, high dependence and learning disabilities)]; or ‘Barnes’: liaison for all OUH hospitals, usually involves seeing self harm or overdose attendances in JR or Horton A&E [expected to drive or taxi to Banbury from Oxford if called to Horton]
CLiniC exposure
Out-patient clinics take place in Abingdon Community Hospital. Approx. one half day clinic and/ or a half day home visit session per week
roTa Normal day 09:00 - 17:00. Evening on call 17:00 - 21:00, 4x per 4 month job. Weekend on call 09:00 - 21:00, 1 or 2x per 4 month job. Monday off after weekend on call. Nights 21:00 - 09:00, 1x Monday - Thursday and 1x Friday - Sunday per 4 month job. Monday and Tuesday off after weekend nights
Linked roTaTions
Clinical Contact
Rota Coordinator/Pre-employment enquiries
Linked roTaTions
Clinical Contact
Rota Coordinator/Pre-employment [email protected]@oxfordhealth.nhs.uk
noC
oxford heaLTh nhs foundaTion TrusT: fuLBrook CenTre, ChurChiLL
Nuffield Ortho Centre
Old Age Psychiatry
F1
F21.4
Linked roTaTions
Clinical Contact
Rota Coordinator/Pre-employment enquiries
John radCLiffe
ChurChiLL
O&G
Oncology
F21.5
Team 2 F1s, 1 F2, 3 SHOs (mixture of CMT and GP VTS trainees), 1 SpR & 1 consultant of the week. Note that there are around 30 Clinical and Medical Oncology consultants that rotate on the wards on a weekly basis. Most consultants that are not ‘on-call’ will still pop up on the ward and are contactable to see their admitted patients (either directly or via their SpRs)
Banding 1B (40%)
nighTs FY1 none, FY2 yes
Weekends Roughly one per month; FY1 09:00 - 17:00, FY2 09:00 - 21:30
Leave Non-fixed, 9 days in 4 months. FY2s get ‘zero’ days after weekends and nights
average LisT size
20 - 30 patients
inpaTienT admissions
0 - 9 per day including elective and emergency admissions
TeaChing Weekly SpR or Consultant led teaching (Friday morning from 08:30 – 09:30). Encouraged to attend Medical Grand Round (via video link) and to participate in Monday morning departmental presentations to wider Consultant/SpR team (08:30 – 09:30)
roLes Normal day is ward based. Daily ward round, ward jobs shared between FY1s and SHOs. Lots of MDT input and end of life issues. The ‘academic day release’ FY1 has the same role as the non-academic FY1, but with a few additional days that can be taken off as ‘academic days’ in order to attend educational events and plan academic placement.On call for oncology ward (and occasionally Sobell House Hospice). Clerking elective, e.g. for chemotharapy, and emergency, direct-to-ward or acute triage, admissions. Usually 1 - 2 daytimes (from 09:00) and evenings (until 21:30) per week. Good opportunity to clerk patients presenting with oncological emergencies, e.g. neutropenic sepsis, or general medical presentations.On call rota is also shared with Haematology, but FY1s are never expected to cover Haematology: there will always be an SHO (ST1) available covering haematology at the same time
CLiniC exposure
Supposed to have an outpatient clinical timetable but this can be tricky on busy days when fewer people are around
roTa Normal day 09:00 - 17:00On call usually 1 - 2 evenings per week 17:00 - 21:30
Linked roTaTions
Clinical [email protected] (Dr Kinnari Patel, lead consultant for rotas)[email protected] (Dr Elaine Sugden, lead consultant for teaching)Dr Clare Blesing is departmental headRota Coordinator/Pre-employment [email protected] (Dr Kinnari Patel, lead consultant for rotas)
F21.4F1
oops! We don’t have any info on this rotation...Yikes! Sorry.
It’s might be similar to “Ortho with academic interest F1” at the NOC
oops! We don’t have any info on this rotation...Yikes! Sorry.
It’s probably not similar to any other F2 job! We hear it’s busy but a good learning experience
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Team Public health consultants and team, registrars, administrators
Banding 1B (40%)
nighTs None
Weekends One in 5 for general medicine admissions (Emergency Assessment Unit, EAU)
Leave 9 days per 4 month job; easy to take
TeaChing Monthly mandatory FY2 teaching and informal sessions within Public Health
roLes Public Health: Office based work e.g. literature reviews, treatment requests and commissioning, freedom to pursue own projects of interest. On call: in EAU, John Radcliffe: evening shifts and weekends clerking medical admissions
roTa Normal day: 09:00 - 17:00 Monday to FridayOn call: EAU evening shifts 17:00 - 22:00 once per week, weekends 09:00 - 22:00 one in 5
Linked roTaTions
Clinical ContactDesignated supervisor depending on placementRota Coordinator/Pre-employment enquiriesPublic Health: designated supervisorEAU: [email protected] (medical rota co-ordinator)
oxford heaLTh nhs foundaTion TrusT: Warneford, oxford
oxford
Pyschiatry
Public Health F21.4
LoCaTion Public Health as an F1 currently involves working at the Health Protection Agency in Didcot, though this may be subject to change in the future. This is about 45mins - 1 hour’s drive from Oxford, or 2 hours by public transport
Team
Banding Unbanded
nighTs None
Weekends None
Leave Non-fixed, 9 days per 4 month job
TeaChing There are weekly teaching sessions for an afternoon, and the opportunity to do small presentations to the department. Monthly mandatory F1 teaching in the John Radcliffe
roLes The HPA is involved in managing outbreaks of infectious diseases amongst other things (see their website). As an F1 you will spend time answering phones from GPs and other health professionals who notify the HPA about cases of particular diseases (called ‘notifiable’ diseases). The job involves following particular protocols for managing these cases e.g. tracing contacts, advising about prophylaxis, looking for potential sources (e.g. following where patients last ate in the case of food poisoning). You will also spend some time working on audits and other projects within the department. If you wish to spend a day or two in the PCT, you can request to do this when you are there.Advantages of this job:- a good chance to get a taste for public health (though only one aspect of it)- friendly atmosphere and generally helpful people in the department- good opportunity to do audits and other small projects for your portfolio/CV- chance to do small presentations- useful teaching on public health- 9 to 5pm, no weekends or nightsDisadvantages of this job:- travelling distance- it can be a little mundane at times- only get to see one aspect of public health
roTa 09:00 - 17:00 Monday to Friday
Team 6 consulants, 7 SpRs, 6 SHOs no F1s
Banding 1B (40%)
nighTs 2x Monday - Thursday and 2x or 3x Friday - Sunday nights per 4 month job
Weekends 2 weekends per 4 month job
Leave 9 days per 4 months, no zero hours after nights
average LisT size
12
operaTing LisTs
No theatre lists but can assist with line insertion for dialysis if time allows
inpaTienT admissions
0 - 4 per day
TeaChing Weekly consultant or SpR led teaching on renal topics; monthly mandatory F2 teaching; medical students attached to the firm
roLes Time split between 4 main tasks: ward patients: acute and chronic, including ward cover and clerking new admissions; dialysis cover: general management of dialysis day admissions including dealing with both chronic conditions and acute illness e.g. MI whilst on dialysis; Day case patients for blood or iron transfusion, preparation for renal biopsy or line insertion, or blood tests; one SHO on Float to account for leave
CLiniC exposure
Daily consultant clinic
roTa Rolling rota managed by one of the SHO so can vary. Normally 2 weeks on chronic 2 weeks acute with the weekend cover in one of these. Then week nights with 2 weeks day hospital, 2 weeks dialysis, 2 weeks float. As the task of allocating is given to one of the SHO this is very variable but more than 2 weeks on chronic can be draining.SpR support: one SpR on ward cover, one for day case, one for dialysis, one covers the surgical transplant team rounds, one for referrals. Depending on leave and nights, more than one duty may be covered by a single SpR
Linked roTaTions
Clinical Contact
Rota Coordinator/Pre-employment enquiries
Linked roTaTions
Clinical [email protected] and [email protected] (Consultants)Rota Coordinator/Pre-employment enquiries
oxford
ChurChiLL
Public Health
Renal Medicine
F2 F1
F2
1.4 1.0
1.4
Team One or 2 SHOs attached to one SpR and one consultant
Banding 1B (40%)
nighTs One set of 4 nights (Monday - Thursday), one set of 3 nights (Friday - Sunday) per 4 month job
Weekends One or 2 per 4 month job
Leave Non-fixed, 9 days per 4 months. Very flexible with annual and study leave
average LisT size
10 - 15 patients
TeaChing Weekly Psychiatry department teaching followed by SHO reflection group, Tuesday mornings. Impromtu consultant teaching on ward and in clinic. Monthly mandatory FY2 teaching. Medical students often attached to ward
roLes Ward based: clerking new admissions, regular mental state review of in patients, assessment and management of medical issues, including referral to different specialties, occassionally referring for acute medical or surgical admission. SHO’s responsibility to take bloods, do ECGs and measure and record vital signs if needed. No provision on ward for IV medication or oxygen. On call: Either ‘wards’: covering all adult psychiatric wards in Oxford [at different sites including Warneford hospital (adults and eating disorder), Fulbrook centre (old-age), and Littlemore (forensic, high dependence and learning disabilities)]; or ‘Barnes’: liaison for all OUH hospitals, usually involves seeing self harm or overdose attendances in JR or Horton A&E [expected to drive or taxi to Banbury from Oxford if called to Horton]
roTa Normal day 09:00 - 17:00. Evening on call 17:00 - 21:00, 4x per 4 month job. Weekend on call 09:00 - 21:00, 1 or 2x per 4 month job. Monday off after weekend on call. Nights 21:00 - 09:00, 1x Monday - Thursday and 1x Friday - Sunday per 4 month job. Monday and Tuesday off after weekend nights
Linked roTaTions
Clinical Contact
Rota Coordinator/Pre-employment [email protected]@oxfordhealth.nhs.uk
Team 7 consultants, 8 registrars, 9 SHOs (3 FY1, 3 FY2, 3 CT all on same rota)
Banding 1A (50%)
nighTs 2 lots (7 shifts each) of nights per 4 month rotation
Weekends One in 8
Leave Non-fixed, 9 days per 4 month job
average LisT size
Total inpatients 15 - 20
operaTing LisTs
Each consultant once per week, plus emergency lists
inpaTienT admissions
2 - 3 per day
TeaChing Friday teaching morning: teaching presentations by registrars and SHOs, teaching ward rounds with consultants; journal club. Occasional medical students in clinics
roLes Each day begins with handover followed by ward rounds of your consultants patients. Then you will either have theatre (both elective lists and CEPOD emergency lists) or outpatient clinics, ward jobs to do, or you will be on call. Theatre role includes scrubbing in as an assistant and doing end-of-procedure paperwork. Outpatient clinics you will generally have your own clinic room and see new referrals or follow ups and then discuss these cases with the registrar or consultant. On call involves clerking new patients in A&E, seeing patients in day care and doing some ward jobs. In out-of-hours, it will also involve assisting in theatre if there are emergency cases. Roles are same for both FY1 and FY2
TheaTre and CLiniC
At least one day per week, more if your consultant is on call as there will be emergency theatre lists
roTa SHOs and FY1s on the same rota. Normal days 07:45 - 16:45; Long days 07:45 - 20:00 Monday - Thursday; Weekend: on call 07:45 - 20:00 Friday - Sunday; Nights: on call 20:00 - 08.00 (7 shifts in a row). 3 days off post-nights. Half day at end of week of long days, and on the Monday following a weekend
Linked roTaTions
Clinical [email protected] Coordinator/Pre-employment [email protected]
Linked roTaTions
Clinical Contact
Rota Coordinator/Pre-employment enquiries
John radCLiffe
John radCLifee
Paediatric Surgery
Plastics F2
Team 12 (+1 locum) Consultants / 11 Registrars / 5 SHOs (FY2 - CT2) / 1 FY1
Banding Unbanded
nighTs None
Weekends None
Leave Non-fixed, 9 days per 4 month job
average LisT size
10 - 25 patients
operaTing LisTs
2 - 3 Consultant lists per day, plus registrar-lead trauma list plus registrar-lead local surgery list
inpaTienT admissions
8 - 10 per day. A mixture of elective and trauma cases which is consistent most days due to the quick turn-over of the patients
TeaChing Informal teaching opportunities each morning in the trauma meeting. Consultants and registrars very keen to teach in theatre. Monthly audit day with teaching throughout the whole day. There are also lots of medical students who provide opportunities for the FY1 to teach
roLes Mostly ward based as the FY1. There is often an SHO to help with ward jobs as well. There are pre-assessment clinics running every day and the FY1 often has to go and see patients in these. No on call done by FY1. FY1 will however help out clerking new admissions to the ward or transfers from other hospitals
TheaTre exposure
Lots of opportunity to assist in theatre if the ward work is complete
roTa FY1 does not have a specific rota. Contracted to work 08:00 - 17:00 (4 days per week) but often the day is longer due to number of patients and people coming back late from theatre. Leave can be taken at any time as long as there is appropriate ward cover. As an academic post FY1 is entitled to 1 day academic leave per week. The day taken is usually negotiable with SHOs
Linked roTaTions
Clinical [email protected] (Consultant)Rota Coordinator/Pre-employment [email protected]
John radCLiffe
oxford heaLTh nhs foundaTion TrusT: Warneford, oxford
Plastics
Psychiatry
F1
F1
1.0
1.0
F21.5F1
Team One or 2 SHOs attached to one SpR and one consultant
Banding Unbanded
nighTs None
Weekends None
Leave Non-fixed, 9 days per 4 months. Very flexible with annual and study leave
average LisT size
10 - 15 patients
TeaChing Weekly Psychiatry department teaching followed by FY1 and SHO reflection group, Tuesday mornings. Impromtu consultant teaching on ward and in clinic. Monthly mandatory FY1 teaching. Medical students often attached to ward
roLes Ward based: clerking new admissions, regular mental state review of in patients, assessment and management of medical issues, including referral to different specialties, occassionally referring for acute medical or surgical admission. SHO’s responsibility to take bloods, do ECGs and measure and record vital signs if needed. No provision on ward for IV medication or oxygen
roTa 09:00 - 17:00 5 days per week
Linked roTaTions
Clinical Contact
Rota Coordinator/Pre-employment [email protected]@oxfordhealth.nhs.uk
oops! We don’t have any info on this rotation...Yikes! Sorry.
It’s probably similar to “ENT F2”
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Team No specific teams, multiple consultants, 4 SpRs (plus several clinical research fellows), 4 SHOs (FY2 and CT1 and 2x CT2), No FY1s
Banding 1A (50%)
nighTs 7-night stretch, one in 8 (cross-cover urology)
Weekends One in 8 (cross-cover urology)
Leave Non-fixed, 9 days per 4 months, arranged amongst SHOs
average LisT size
operaTing LisTs
Elective vascular access and living-related donor lists, emergency lists for transplant 24 hours per day
day Case admissions
Up to 20 per week
TeaChing Surgery grand round; weekly transplant/renal teaching
roLes Normal day: largely ward based; clerking ward admissions. On call: ward cover and new admissions, including urology cross-cover
TheaTre exposure
Average 1 week per month
roTa 8 week rolling rota for 4 SHOs (theatre/ float/ ward/ theatre/ float/ ward/ nights/ week off). Normal day 08:00 - 17:00; approx. 1x ‘late’ 08:00 - 20:30 per week. Nights 20:30 - 08:30
Linked roTaTions
Clinical Contact
Rota Coordinator/Pre-employment enquiries
Linked roTaTions
Clinical [email protected] (Consultant)Rota Coordinator/Pre-employment [email protected] (Consultant)
ChurChiLL
ChurChiLL
Urology
Urology & Transplant
F1
F21.5
Team Junior team: 2 FY1s, one FY2, one CT1, one CT2 and +/- one ACF. Then 5 or 6 registrars. 6 - 8 consultants. FYs cover the ward and everyone’s patients. The CTs and registrars are nominally attached to consultant firms but often help out the other teams. There is an on call registrar each week who covers all the ward patients and is therefore the immediate senior for the foundation doctors
Banding 1A (50%)
nighTs One in eight weeks: 7 nights on call and a week off afterwards
Weekends One in eight
Leave Annual leave: 9 days per 4 month job. 1 week off after nights. One half day each week plus one half day after on calls
average LisT size
26 beds on the ward plus outliers
operaTing LisTs
Daily lists AM and PM
inpaTienT admissions
Approx. 1 - 2 urology admissions per day and 0 - 3 transplant admissions overnight
TeaChing Students are regularly attached to the ward and FY1s often appreciate teaching, so ad hoc opportunities are available. Team meetings Friday morning
roLes Normal day: Ward work and seeing new admissions, plus potential to attend theatre and clinics when things aren’t busy on the ward.On calls: Approx. one evening per week. The urology SHOs share on calls with the transplant SHOs, so cover both urology and transplant on call. Roles are ward cover and new admissions
TheaTre and CLiniC
Nominally timetabled one theatre session and one clinic per week, which you can attend provided the ward has reasonable cover. Occassional opportunity to assist in flexible cystoscopy lists
roTa Normal day: ward work every day 08:00 - 17:00. Tuesday PM: clinic. One other full day: theatre list. Friday AM: team meeting. Evening on call: 17:00 - 21:00, approx once per week. Weekend: 08:00 - 21:00, one in 8. Nights: 20:30 - 08:30, one in 8. Off: half day per week and one week post nights. This timetable is flexible and not particularly rigidly adhered to
Linked roTaTions
Clinical [email protected] (Consultant, FY2 clinical supervisor)Rota Coordinator/Pre-employment [email protected]
ChurChiLLUrology F2
1.5oops! We don’t have any info on this rotation...
Yikes! Sorry.Team 6 F1s, 5 SHOs and 1 registrar (although SpR works the same rota as the SHOs so often, the SHOs
are the most senior trainees in the team)
Banding 1A (50%)
nighTs 7 nights, every 6 weeks
Weekends One in 3
Leave Non-fixed, 13.5 days per 6 months
average LisT size
30 patients, although at nights you are also expected to cover orthopaedics, which is another 30 patients
operaTing LisTs
Emergency list every day, then visiting consultants from the JR from various specialities do lists once per week
inpaTienT admissions
15 - 20 per week
day Case admissions
40 - 50 per week, with around 5 of these remaining on the ward as expected admissions and 2 - 3 as unexpected admissions
TeaChing Once per week F1 teaching. Once weekly orthopaedic teaching. Once weekly general surgical teaching, where either an F1 or SHO present. Grand rounds are somewhat sporadic!
roLes 2 - 4 on calls per week, working 08:00 to 20:00, taking GP referrals and seeing new patients in A&E with the SHO on call. Otherwise on ward dutyOverall, an enjoyable rotation with lots of flexibility in terms of leave. You get to know your team very well and it’s a lot of fun!
TheaTre exposure
Virtually none. Occasionally if it is outside of 09:00 - 17:00, you will get to assist in a surgery but usually the SHOs are the ones in theatre. Being a DGH, there is very little operating on weekends or after 17:00
roTa 6 week rolling rota. First week: 2 on calls, 3 normal days. Second week: 4 on calls (including Friday - Sunday) and 3 normal days. Third week: Tuesday OFF, Friday 1/2 day (if ward is not too busy), one on call and 2 normal days. Fourth week: normal days. Fifth week: nights. Sixth week: OFF
Team 8 trauma consultants, 5 spinal consultants, 1-2 orthogeriatric consultants, 8 trauma registrars, 1 spinal fellow, 1 orthogeriatric registrar, 7 SHOs (FY2s & LAS), no FY1s. 2 trauma wards with outliers all over the hospital
Banding 1A (50%)
nighTs 2x or 3x stretches of 7 nights (Monday to Sunday) per 4 months, 21:00 - 09:00
Weekends 3 weekends in 4 months. 08:00 - 22:00 Saturday and Sunday
Leave Fixed, 2 weeks per 7 weeks
average LisT size
60 - 80 patients
operaTing LisTs
1 - 2 lists per day, with 4 - 6 patients per list, from 08:30 - 21:00
inpaTienT admissions
8 - 10 per day. Tertiary centre, registrars accepts referrals from regional DGHs
TeaChing Weekly SHO teaching every Wednesday morning after handover. Weekly timetable: daily radiology meeting at 0800, daily hot rounds at 0700h & 2100, daily consultant or registrar (trauma, spinal,orthogeriatric) ward rounds, weekly departmental meeting on Wednesday mornings
roLes You are ward based during a normal day and cover all consultants, including the spinal team patients. There are 2 trauma wards in the trauma unit with approximately 26 patients on each ward. One SHO is assigned to each ward with each usually having an additional 5 - 15 outliers (i.e. paediatrics, plastics, medical wards). Orthogeriatric team review appropriate new admissions and on request. SHO attends weekly Orthogeriatric Consultant ward round. 2 SHOs are on call on alternate days and 1 SHO is on post nights leave. Based mostly on the trauma unit which has two wards, xray department and fracture clinic with plaster room. On calls: 3 weeks per 7 weeks, covering admissions from A&E, pre-operative assessments in fracture clinic and 60 - 80 ward patients
TheaTre exposure
1.5 days in 7 weeks, but negotiable with colleagues
roTa 7 week rolling rota for 7 SHOs, with different roles. A & B weeks (0800-1600h, weekdays, wards); C & D weeks (0800-2200h, 4-5 days/week, day on-call with scheduled theatre time), E week (2100-0900h, Monday to Sunday, night on-call), F & G weeks (fixed leave)
Linked roTaTions
AGM 6/12 (x 2)AGM 4/12 and Academic 4/12 (x2)
AGM 4/12 and Immunology 4/12 (x1)Urology 3/12, Bone Infection Unit 3/12 and AGM 3/12 (x1)
Clinical [email protected] (Consultant)Rota Coordinator/Pre-employment enquiries
Linked roTaTions
Clinical [email protected] (Lead Consultant)Rota Coordinator/Pre-employment enquiries
horTon
John radCLiffe
Surgery
Trauma & Ortho
F1
F2
1.5
1.5
LoCaTion Lower GI Surgery, Surgical Emergency Unit (SEU), John Radcliffe Hospital (JRH)6 month placement split into 3 months on SEU at the JRH and 3 months at the Churchill Hospital(The following descriptions are based on working on SEU at the JRH as opposed to the Churchill Hospital, unless otherwise stated)
Team 4x FY1s (2 on the ward each day, 1 on a weekend), no FY2s, junior registrars, senior registrars, clinical fellows, consultants. Generally only the 2 FY1s are on the ward whilst seniors are in theatreOnly one FY1 on the ward at the Churchill Hospital
Banding 1A (50%)
nighTs Either 4 nights mid-week Monday to Thursday, or 3 nights on a weekend Friday to SundayApprox one set of nights every 4 weeksCover lower GI and vascular surgery on a night at the JRHCover lower GI, oesophagogastric and hepatobiliary surgery at the Churchill HospitalThe upper GI FY1 covers UGI and triage on a night, therefore there will be 2 of you on the ward at the JRH on a night
Weekends Approx 10 weekends in a 6 month placement (including weekend nights)
Leave Fixed, usually on the rota as: 7 days off after working Monday to Sunday, weekend off after working Monday to Friday and Friday to Sunday off after working mid-week nights
average LisT size
25 - 30 patients
inpaTienT admissions
On Take split between lower GI and upper GI, usually on alternate days. Take size can be anything from 5 - 15 patients. Only on take at the JRH
TeaChing Monthly mandatory FY1 teaching. Medical students and nurses to teach
roLes Ward-based, although occassionally called to help in theatre. Extremely busy job involving note-taking on a ward round, booking scans and listing patients for theatre, discussing patients with radiologists and referring to other teams. High turnover therefore many TTOs to do, ward-based practical procedures, opportunity to assist in theatre if possible, attending acutely unwell patients on the ward. Working at the Churchill Hospital can sometimes be less busy than at the JRH.Patients who are admitted onto SEU from their GP or A&E are clerked by the triage FY1 and then put onto the list for whichever team is on take that day at the JRH
roTa One week Monday to Sunday 07:45 - 19:15 followed by Monday to Sunday on leave, Monday to Thursday nights 19:00 - 08:00, weekend off, Monday to Friday 07:45 - 17:30 and so on
Linked roTaTions
Clinical Contact
Rota Coordinator/Pre-employment enquiries
Linked roTaTions
Clinical Contact
Rota Coordinator/Pre-employment enquiries
John radCLiffe and ChurChiLL
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Surgery
Trauma & Ortho
F1
F2
1.5
1.4
oops! We don’t have any info on this rotation...Yikes! Sorry.
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but there are many decent chain restaurants at the Oracle (Giraffe, Pizza Express, Browns, Jamie’s Italian, Café Rouge, Strada, Bella Italia). While there are approximately three hundred Starbucks in Reading, it is sorely lacking in inti-mate, independent cafes, although The Work-house on the main street brews a decent mug of coffee and has a good selection of cakes too.
Personal Development
learninG OPPOrtunitieS
• Weekly medical and surgical teaching for one hour
• Simulation sessions offered throughout the year
• Departmental meetings within teams • Weekly Grand Round
teachinG
Reading has a decent cohort of 4th and 6th year students from Oxford most year round
so there are good opportunities for teaching if you arrange it yourself. There is no dedicated system for juniors to teach each other, although foundation doctors are strongly encouraged to present at the weekly Grand Rounds.
audit and reSearch
There is a central audit offi ce in RBH with a list of available audits should you fail to be
inspired enough to invent your own.
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Royal Berkshire
into town so while popping out for lunch isn’t
really an option, an after work drink or shop-
ping at the Oracle (see below) is very conven-
ient.The large number of foundation doctors on
one site gives RBH a very social feel meaning
new recruits get to know a lot of people very
quickly. As a result, the Doctors’ Mess is
strong, organising 2 events a month, one
raucous Payday Party and a more relaxed mid-
month get-together.
RBH is actually a pretty great
hospital,
winning the CHKS
Quality of Care award in
2010,
beating all other hospitals in
England and Wales in a variety of
measures (search Care Award for Royal
Berkshire Hospital on Youtube). The hos-
pital is currently attempting to implement
Electronic Patient Records (EPR) at time
of writing, with May 2012 as the current
estimated due date (although this has
been postponed multiple times). Already
in operation is a computerised Hospital At
Night bleep system whereby nursing staff
put jobs for the juniors onto a computer
system rather than bleeping them directly.
This means less important calls such as
rewriting drug charts or fl uid prescriptions
can be saved up and polished off in one fell
swoop, allowing tired juniors to maximise
valuable sleeping time in the mess.
Introduction to the Town
Reading is a 15 minute walk away from the
hospital and, while boasting no spectacular
attractions, provides everything you could
need, with London a 30 minute train ride away
for everything else.
Introduction to the Trust
The Royal Berkshire Foundation Trust is based in the town of Reading and employs
45 F1s and 36 F2s, mostly at the Royal Berk-shire Hospital (RBH), with a handful working at nearby Prospect Park psychiatric hospital. The Trust serves the majority of Berkshire, receiving patients from a variety of backgrounds from urban Reading to the predominantly Caucasian towns of Henley-on-Thames etc. Reading is close to London and Oxford with good transport links to both.
Introduction to the Hospital
Almost all foundation doctors are at RBH, with 2 F1s and an F2 at Prospect Park at
any one time. All F1 jobs bar psychiatry are 1a banded (50%).
The RBH is a fairly large district general hospital, housing
813 inpatient beds.
The hospital has been expanded several times with the result that each ‘block’ feels dif-ferent and navigating its labyrinthine corridors can be daunting at fi rst. It’s a 15 minute walk
HoSPitAL contact details
Royal Berkshire HospitalLondon RoadReading RG1 5ANTel: 0118 322 5111Prospect Park HospitalHoney End Lane, TilehurstReading RG30 4EJTel: 0118 960 5000
CoNtACt details
Dr Helen Allott– Foundation Training Programme [email protected]
Teresa Harvey– Medical Education [email protected] Jarnak– Foundation years administratormedicaleducation.administrator@royalberkshire.nhs.uk
Ian Stephenson– Medical [email protected]
28
The shopping and restaurant focus of Reading is ‘The Oracle’. Situated next to the canal, this large shopping centre houses a wide-range of high street chains and a waterside complex of restaurants and bars; think Jamie’s, Browns, Pizza Express. Anyone searching for fi ner dining is going to struggle, the only real gem being the classy and not-too-expensive London Street Brasserie, a stone’s throw from the Oracle. The centre of Reading is very pleasant but unexciting with a large pedestrianized area and a plethora of coffee shop chains.
Nightlife in Reading consists of numerous small clubs and bars. Those used to trendy big city venues may feel unfulfi lled but it is still
very easy to have a good time.
Special mention should go to the recent infl ux of new Irish nurses/physios/OTs who can always be relied upon to propel any night to wilder heights…
Cultural events are something of a rarity in Reading, with the Hexagon Arts Centre hosting some big name comedy and musical acts. Having said that there are very frequent trains to London and Oxford for those who yearning for more high-brow entertainment.
The Doctors’ Mess
The Doctors’ mess is on the fi rst fl oor adja-cent to the Mortuary (!). It’s small but does
contain a pool table and a freezer stocked with microwave meals for peckish night-shift workers. There is always a decent crowd at lunch time and the free tea or coffee, biscuits
and toast make it a worthwhile post-ward round stop for those too tight-fi sted to visit AMT coffee. Membership is £10/month which pays for food and drink and a sizeable bar tab at most mess events.
Food and Drink
hOSPital
There are several lunch options at RBH. The on-site M&S Simply Food is a huge bonus
but the canteen deserves a mention for turning out wholly agreeable hot meals at a reasonable price. Other options include Pumpkin Café, a newsagent’s and the fridge and microwave in the mess. Also indispensable is the AMT stall for the obligatory post-ward round coffee (bought by the seniors, naturally). During the night, the only options are the aforementioned mess meals and ordering in Dominos, open until 5am (other takeaway pizza chains are available).
tOWn
The Lyndhurst Pub, 5 minutes from the hospital is the doctors’ favourite and most
nights at least one table will be populated by RBH workers. They have a good selection of drinks and the food is rather good, with daily deals (especially two-for-one Mondays) making it an economical choice too. It is also a Mess favourite, hosting welcome drinks in August and kicking off many Mess nights. Other notable watering holes include Sahara (excellent cock-tails) and the Pitcher and Piano.
For eating, the aforementioned London Street
Brasserie is the highlight,
The Lyndehurst
HMRC
Museum ofEnglish Rural Life
The Oracle
London StreetBrasserie
Sahara
Royal Berkshire Hospital
M4 to London41 miles - 0hr 55min
A4074 to Oxford26 miles - 0hr 50min
M4 to Swindon40 miles - 0hr 50min
M3/A33 to Southampton48 miles - 1hr 05minN1 to South Africa10,708 miles - 237hr 00min
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oops! We don’t have any info on this rotation...Yikes! Sorry.
oops! We don’t have any info on this rotation...Yikes! Sorry.
Banding 1A (50%)
nighTs 3 - 7 nights
Weekends 4
Leave As per General Medicine Rota
average LisT size
28 patients
inpaTienT admissions
3 - 4 new patients a day
TeaChing On ward rounds and weekly lunch time teaching – each junior is expected to do 2 presentations on care of the elderly topics
roLes Managing the ward with the SHO: Ward rounds, liaising with MDT (and once weekly MDT meetings), acute management of patients, ward round jobs, discussions with relativesOn-call on the General Medicine Rota
TheaTre and CLiniC
None
royaL Berkshire
royaL Berkshire
Anaesthetics
Care of the elderly
F2
F11.5
Team 1 consultant, 1 Reg, 1 SHO, 2.5 FY1s (1 academic FY1 comes 2 days a week)
Banding 1A (50%)
nighTs 4 night stretch - 2 blocks every 15 weeks
Weekends 3 in 15 weeks
Leave 10 days pre-allocated only during the CDU bit, no leave allowed during the ward-half
average LisT size
21 patients
inpaTienT admissions
While in CDU ~ 25 patients
TeaChing Grand round weekly, bedside teaching from most of the consultants
roLes 2 months in CDU: 5/8 weeks on call: various shifts a) 09:00 - 22:00, b) 08:00 - 21:00, c) 13:00 - 22:002 months on the wards: 1/8 week on call 17:00 - 22:00 (after work), consultant does ward round twice a week, registrar is around most of the time
TheaTre and CLiniC
None
Linked roTaTions
T&O, Lower GI surgeryClinical ContactDr SimmonsRota Coordinator/Pre-employment enquiriesDr Simmons and Dr Zurech
Linked roTaTions
Clinical Contact
Rota Coordinator/Pre-employment enquiriesIan Stephenson
royaL Berkshire
royaL Berkshire
Cardiology
Care of the elderly
F1
F21.5
oops! We don’t have any info on this rotation...Yikes! Sorry.
oops! We don’t have any info on this rotation...Yikes! Sorry.
oops! We don’t have any info on this rotation...Yikes! Sorry.
Anaesthetics and ITU - 50% of both
Team Anaesthetics – N/AICU – team rotates but at any one time there are 1 - 2 consultants, 0 - 1 Registrars, 3 SHOs and 1 FY1 (supernumerary). No students
Banding 1A (50%)
nighTs (Surgical rota) 20:00 - 8:00 3 - 4 nights per ~ 6 weeks
Weekends (Surgical rota) 08:00 - 20:00 ~ 1 in 6
Leave 9 days plus bank holidays
average LisT size
Anaesthetics – N/AICU – there are 11 beds and these are generally filled
TeaChing Every Tuesday morning there is (optional) journal club 07:30 - 08:00 and junior members are encouraged to present. From 08:00 - 12:00 there is then anaesthetic department teaching aimed at anaesthetic membership exams but accessible and interesting to FY1s. This covers a lot of physiology useful to any doctor. In theatre there is a lot of downtime during cases when you have an anaesthetic consultant at your disposal to teach you on a subject of your choosing
roLes On-calls (Surgical rota) – Long days (08:00 - 20:00) either clerking admissions or evening ward cover on average ~ 1 day/weekAnaesthetics – F1s are supernumerary with the exception of surgical on-calls and this is best thought of as a training post for those with an interest in anaesthetics. However, you are expected to arrive at 07:30 and see the patients preoperatively for the list you are assigned to that day. In theatre, F1s insert lines, perform airway procedures and try to be as useful as possible in theatre. You are encouraged to think how best to manage patients but the decision will always be made by your superior ICU – Supernumerary, but here F1s perform jobs in common with general medical/surgical jobs – practical procedures, organising investigations, assessing patients and presenting at the ward round. ICU is a consultant-led unit and as such there is very little decision making
TheaTre and CLiniC
In addition to the above there is opportunity to attend pre-op assessment clinic, and to spend time with the pain team and critical care outreach team
royaL Berkshire
royaL Berkshire
A&E
Acute Medicine
F2
F2
Linked roTaTions
Upper GI surgery, CardiologyClinical ContactDr Kathy Krzeminska [email protected] Coordinator/Pre-employment [email protected]
royaL Berkshire
royaL Berkshire
Academic Geriatric Medicine
Anaesthetics
F1
F11.5
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oops! We don’t have any info on this rotation...Yikes! Sorry.
oops! We don’t have any info on this rotation...Yikes! Sorry.
oops! We don’t have any info on this rotation...Yikes! Sorry.
Banding Unbanded
nighTs None
Weekends None
Leave 9 days and Bank Holidays - very flexible as you are supernumerary
average LisT size
Usually see approximately 15 patients a day
TeaChing Most practices organise teaching sessions and opportunities to sit in with other members of practice team eg midwife
roLes Holding own surgeries, seeing and managing patients in primary care setting.
royaL Berkshire
royaL Berkshire
Gastroenterology
General Practice
F1
F21.0
royaL Berkshire
royaL Berkshire
Geriatric Medicine
Haematology
F2
F2
Team 2 ward consultants, 2 SpRs, 1 SHO and 1 FY1
Banding 1A (50%)
nighTs As per General Medicine Rota
Weekends 1 in 4
Leave
average LisT size
10 - 20 patients
inpaTienT admissions
Very variable
TeaChing Somewhat limited. Informal teaching on ward rounds and a weekly X-Ray meeting
roLes During the Winter, based on outlier ward. The rest of the year is based on CDU (in a supernumerary role).On-call as per General Medicine Rota
TheaTre and CLiniC
Limited but possible
Team 5 ENT consultants, 3 registrars, 3 staff grades, 3 FY2s. no FY1s
Banding 1A (50%)
nighTs A set of 4: Thursday - Sunday, followed by a set of 3: Monday – Wednesday, every 6 weeks (general surgery)
Weekends Friday - Sunday 08:00 - 20:30. On general surgical on-call, 1 in 10
Leave Flexible, arranged amongst the team
average LisT size
5 - 10 patients
inpaTienT admissions
1 - 2 per day
TeaChing Weekly FY2 mandatory teaching and weekly general surgical teaching. ENT teaching every Tuesday morning with an opportunity to have CBDs
roLes Ward based in the mornings, then cover acute referral clinic from 09:30 to 12:30, carry on call bleep for any referrals (A&E, GP or ward).Afternoons depending on workload: acute referral clinic, main ENT clinics, theatre and ward duties. If all 3 of the SHOs are on, the workload can be easily shared and you can get to all day theatre lists (Wednesday) and specialist clinics, working it out amongst yourselves
oops! We don’t have any info on this rotation...Yikes! Sorry.
oops! We don’t have any info on this rotation...Yikes! Sorry.
Linked roTaTions
Breast surgery, AnaestheticsClinical ContactDr Hugh SimpsonRota Coordinator/Pre-employment enquiries
royaL Berkshire
royaL Berkshire
Community Paediatrics
Emergency Medicine
F2
F2
Linked roTaTions
Clinical [email protected] (Educational/Clinical Supervisor)Rota Coordinator/Pre-employment enquiriesMr Raman ENT staff grade
royaL Berkshire
royaL Berkshire
Diabetes & Endocrinology
ENT
F1
F2
1.5
1.5
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oops! We don’t have any info on this rotation...Yikes! Sorry.
oops! We don’t have any info on this rotation...Yikes! Sorry.
oops! We don’t have any info on this rotation...Yikes! Sorry.
royaL Berkshire
royaL Berkshire
Palliative Medicine
Psychiatry
F2
F2
Team Consultant, senior registrar, F1 (another registrar present for half the placement)
Banding Unbanded
nighTs No
Weekends No
Leave 9 days, not fixed. Arranged with your consultant
average LisT size
10 - 20 patients
inpaTienT admissions
Varies from approx 4-7 a week. About half of these will stay for at least 2 weeks
TeaChing Plenty. 1 hour supervision with consultant weekly at least as an opportunity to fill out eportfolio requirements. One morning a week for junior doctor and trust-wide teaching or case histories. Daily informal teaching between seeing patient cases
roLes Reviewing patient’s mental states, clerking in new patients and performing basic physical exams or investigations. Tending to any physical health problems whilst an inpatient
TheaTre and CLiniC
None
Linked roTaTions
General surgery (colorectal), care of the elderlyClinical [email protected] Coordinator/Pre-employment enquiries
prospeCT park hospiTaL
royaL Berkshire
Psychiatry
Public Health
F11.0
F2
Team 8 Consultant Obstetricians, 4 Consultant Gynaecologists, 9 registrars and staff grades, 3 ST1, 3 FY2s, 4 GPVTS and no FY1
Banding 1A (50%)
nighTs A set of 4: Monday - Thursday, and a set of 3: Friday – Sunday, total of 14 nights over a 4 month rotation; Obstetrics covering labour ward, no gynaecology nights
Weekends Gynaecology: Friday – Sunday (Thursday and Tuesday off), 1 in 10Obstetrics: Friday – Sunday (Wednesday, Thursday and Monday off) 1 in 11
Leave Flexible, arranged amongst the team
average LisT size
inpaTienT admissions
5 - 10 a day via DAU and 1 - 5 a day via EGC
TheaTre LisTs 1 – 2 patients on a gynae list, 1 Elective C-section list per day plus the emergency list covered by SHO covering labour ward
TeaChing The weekly FY2 mandatory teaching, weekly sessions allocated for SHOs to meet one of the obstetricians to get Mini-CEX and CBDs done and weekly O&G teachings
roLes Obstetrics and gynaecology 50:50Mornings are ward based you see post-operative patients, or pre-ops if covering Gynae or elective C-section list. Every day is divided into am and pm duties composing of the following:Maternity day assessment unit (DAU): jobs include clerking GP referrals, self-referrals and pre-ops. Post-natal wards: neonatal checks, reviewing post C-section ladies. Antenatal clinic: an opportunity to see patients and get WBAs done. Elective C-section list: first assistant. Emergency gynae clinic (EGC): GP referrals predominantly early pregnancy issues. ERPC list
oops! We don’t have any info on this rotation...Yikes! Sorry.
Team 9 Consultants (including 2 Acute Oncology Consultants), 1 Associate Specialist, 2-4 Registrars, 1 SHO and 1 F1
Banding 1A (50%)
nighTs As per Medical on-call rota
Weekends As per Medical on-call rota
Leave As per Medical on-call rota
average LisT size
About 16 patients
inpaTienT admissions
From CDU, A&E or clinic as well as transfers from other wards (usually 2 - 3 per day). Usually 1 - 2 chemotherapy admissions per week and 1 - 2 admissions per week for blood transfusions or ascitic drains
TeaChing 1 hr a week dedicated oncology teaching time given by registrars, consultants, palliative care team, outpatient chemotherapy and radiotherapy staff
roLes Ward based 08:30 - 17:00. Daily ward round to see new admissions or sick patients with Acute Oncology Consultant every morning, then complete ward round with SHO. Clerk any patients coming in for chemotherapy, transfusions or ascitic drains.Registrars only on ward if called for problems. Some consultants do a weekly ward round of their patients
TheaTre and CLiniC
Consultants very keen for juniors to attend clinic but opportunity rare due to workload on ward
Team 2 FY1s, 1 FY2 (foundation doctors are on the same rota), 8 SHOs, 5 Registrars, 6 Consultants
Banding 1A (50%)
nighTs No
Weekends 1 in 4, 12 hour shifts both weekend days with Monday off
Leave Very flexible. Can take on clinic weeks easily, also on ward weeks if adequate cover. Easy to swap A&E weeks among FY trainees to facilitate leave
average LisT size
Very variable between 15 - 35 patients
TeaChing Weekly journal club. Opportunities to teach Oxford medical students on attachment
roLes Clerking when on A&E weeks. General ward work other weeks
roTa Essentially supernumerary. Always must be one foundation trainee in paediatric A&E. The other 2 FYs are either on the ward, clinic or annual leave. For FY1s 1 week per month is A&E (but actually works out a little more than this), 1 week is clinic week where you have the opportunity to sit in on clinics if the wards aren’t excessively busy and a full complement of SHOs are on the ward
TheaTre and CLiniC
4 clinic weeks over the attachment
Linked roTaTions
Clinical [email protected] (Educational/Clinical Supervisor/Foundation Programme Director)Rota Coordinator/Pre-employment enquiries
Linked roTaTions
Urology, Elderly CareClinical ContactDr James Gildersleve (Lead Consultant) [email protected] Coordinator/Pre-employment enquiriesDr James Gildersleve (Lead Consultant) [email protected]
Linked roTaTions
Clinical Contact
Rota Coordinator/Pre-employment enquiriesDr Pritchard [email protected]
royaL Berkshire
royaL Berkshire
Neonates
Oncology
F2
F11.5
royaL Berkshire
royaL Berkshire
Obs & Gynae
Paediatrics
F2
F1
1.5
1.5
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Team 4 teams each with 1 F1 and 1 F2. Each team looks after the patients of 4 - 5 consultants who each have their own middle grade
Banding 1A (50%)
nighTs 2 blocks of 3 or 4 nights (20:00 - 08:00)
Weekends 1 in 9, Friday - Sunday 07:45 - 20:15
Leave 9 days leave, not fixed. Get additional week(s) off (zero hour) after weekend nights
average LisT size
Very variable, 8 - 25 depending if team is on take
inpaTienT admissions
5 - 10
TheaTre LisTs Daily trauma list plus various elective lists
TeaChing Weekly junior led departmental teaching
roLes Mainly ward based with F1 day-to-day. Clerking in A&E when on-call. Team on-call 1 in 4
TheaTre and CLiniC
Some opportunities if keen but no allocated time
royaL Berkshire
royaL Berkshire
Surgery
Trauma & Ortho
F2
F2
1.5
1.5
Team 2 consultants, 2 registrars, 2 SHOs, 3 FY1s (one shared with the breast team)
Banding 1A (50%)
nighTs 3 sets of either 3 or 4 nights
Weekends 3 per rotation (08:00 - 20:0)
Leave 21 days including zero days
average LisT size
15 patients
inpaTienT admissions
7 - 8 daily when on take, 2 - 3 elective patients
TeaChing Both consultants willing to teach in their free time, journal club every Friday
roLes Ward based, 1 Reg, 1 SHO, 2 FY1s are usually around. Team on take every other week
TheaTre and CLiniC
Limited theatre exposure, no clinic exposure
Team Four teams (1 SHO, 1 F1 working for 4 consultants)
Banding 1A (50%)
nighTs None
Weekends 1 in 4 (07:45 - 17:00)
Leave 9 days
average LisT size
Varies incredibly 0 - 50
inpaTienT admissions
Variable depending on if the team is on take
TheaTre LisTs Variable, trauma and elective
TeaChing Weekly teaching, peer led
roLes One in four weeks of lates 13:00 - 22:00. Team on take 1/4 days and weekends.
TheaTre and CLiniC
Little
Team 4 full time consultants, 3 part time consultants, 3 registrars, 3 CTs, 4 F1s
Banding 1A (50%)
nighTs None
Weekends 12:00 - 21:00 shift includes Sunday and is one in four Sundays
Leave 10 days
average LisT size
20 - 25 patients
inpaTienT admissions
2 - 5 patients each day through CDU or A&E. Excludes elective operations
TeaChing Monthly M and M meeting, no medical student attachments
roLes Largely ward based. On call involves taking GP referrals and clerking them in in CDU or A&E, pre-op admissions clerking.On call 1 in 4 for Urology. 3 shift patterns; one F1 works 12:00 - 21:00 (Sunday-Thursday with Friday off), one F1 works 07:00 - 16:00, two F1s work 08:00 - 17:00. Rotate between shifts each week
TheaTre and CLiniC
None
Linked roTaTions
Care of the elderly, Rheumatology/General MedicineClinical ContactHarry Brownlow (orhtopaedic consultant)Rota Coordinator/Pre-employment enquiries
Linked roTaTions
Medicine, T&OClinical ContactMr FaroukRota Coordinator/Pre-employment [email protected]
Linked roTaTions
Clinical ContactThere isn’t one, the F1 rota is sorted out amongst the F1s!Rota Coordinator/Pre-employment enquiries
Linked roTaTions
GP, Gastroenterology : General surgery, Elderly careClinical ContactMr Brownlow [email protected] Coordinator/Pre-employment enquiries
royaL Berkshire
royaL Berkshire
Trauma & Ortho
Urology
F11.5
F11.5
Team 6 consultants, 4 registrars, 1 SHO, 2 FY1s
Banding 1A (50%)
nighTs 3 - 7 nights per rotation
Weekends 4
Leave 3 weeks fixed leave + maximum 7 zero days
average LisT size
22
inpaTienT admissions
3 - 4
TeaChing Medical students shadow the team but time dedicated to teaching is limitedYou are required to present once on a topic of your choice at the weekly renal teaching
roLes Scribing on ward round. Doing ABGs, bloods, cannulas and discharge letters.Over 4 months you do alternate weeks of normal ward duties (08:00 - 17:00) and on-call commitments. On calls include: ward cover (12:00 - 22:00), a week of clinical decision unit (CDU) (08:30 - 21:30), nights (set of 3 or 4) and CDU weekend clerking and weekend ward cover
TheaTre and CLiniC
None
Team 4 consultants, 2 - 3 registrars, 1 SHO, 2 F1s
Banding 1A (50%)
nighTs 3 - 7 nights per rotation
Weekends 4
Leave General Medicine Rota
average LisT size
27
inpaTienT admissions
3 - 4
TeaChing Medical students shadow the team but time dedicated to teaching is limitedYou are required to present once on a topic of your choice at the monthly meeting
roLes Scribing on ward round. Doing ABGs, bloods, cannulas and discharge letters
TheaTre and CLiniC
Option to perform supervised pleural aspirates and chest drains
Team 3 consultants (2 on acute take rota, 1 just elective surgery), 1 registrar, 2 CT1/2 and 2 FY1s
Banding 1A (50%)
nighTs 3 sets of nights (08:00 - 20:00) over 4 months. Each set is 3-4 nights
Weekends 5 weekends during a 4 month rotation
Leave 9 days annual leave plus 14 zero days
average LisT size
Variable - Ranges from 5-30
inpaTienT admissions
Variable-approximately 10 a day when team is on take
TheaTre LisTs 2 per day
TeaChing Good ‘on the job’ learning opportunities
roLes Largely ward based. Clerking new admissions when on take, ordering and interpreting appropriate investigations, completing discharge paperwork. Average of once a fortnight evening cover (until 20:00) and once a fortnight on call for the day and evening (08:00 - 20:00) taking GP referrals and clerking patients. Team is on take 25% of the time
TheaTre and CLiniC
Minimal, you are usually busy on the ward but if you wish to go to theatre occasionally you are welcome
oops! We don’t have any info on this rotation...Yikes! Sorry.
Linked roTaTions
General Surgery, Geriatrics, RheumatologyClinical Contact
Rota Coordinator/Pre-employment enquiries
Linked roTaTions
Clinical [email protected] Coordinator/Pre-employment enquiries
royaL Berkshire
royaL Berkshire
Renal
Rheumatology
F1
F1
1.5
Linked roTaTions
Cardiology, Anaesthetics/ICU : Paediatrics, Haematology, GPClinical ContactMr M BoothRota Coordinator/Pre-employment enquiriesSusan Gobardansingh [email protected]
royaL Berkshire
royaL Berkshire
Respiratory
Surgery
F1
F1
1.5
1.5
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Accommodation
£300/month but poor quality. All rooms are en-suite, share a small kitchen with
approx 5 others (probably not other doctors), no internet access, on hospital site, parking permit £20/month, rooms are cleaned, coin operated laundry. One communal area for whole block.
Parking is diffi cult after 8.15 in the morning, permits are £20/month.
Wycombe Doctors’ Mess
Wycombe Doctors Mess is conveniently tucked away down the end of a corridor
on the ground fl oor of the hospital. The mess has several large sofas, a choice of daily news-papers, free tea & coffee, sandwiches put aside for people on-call and sky TV. It in renowned for ‘pizza Fridays’: every Friday lunchtime take-away pizzas are delivered to the mess; a great social opportunity that gets everyone together. In terms of other social events, the calendar varies year-year depending on what the mess president and committee decide up on. Often socials are joined up with the Stoke Mess.
The Mess is run by its president who is usually an FY1
doctor.
Jenny Denholm, who works in the educa-tion centre, helps the president to run the mess smoothly. Jenny oversees fi nancial transac-tions, sets up mess cards for staff and keeps notes of all members. She is a valuable aid for any president. If you are keen to get involved in running the mess please contact her in advance of starting: [email protected]. Getting involved in the mess is a great opportunity to meet others from all departments and grades, as well as a way to enhance your CV.
If you decide to join the mess you will need to pay a £5 refundable deposit for your mess card. A £10 deduction is then taken from your monthly wage to pay for the running of the mess.
Food and Drink
The Doctors’ Mess is always a good source of food and drink provided
free of charge for its members. Should you wish for something more substan-tial there are two main food outlets. In the main building there is a small restaurant ‘Deli Marche’ which sells a selection of 3 different hot meals a day plus sandwiches, paninis, cakes and croissants, plus ‘Costa coffee’. The hot meals are reasonably priced and have
generous portions. In the Education Centre is located the ‘Windsor Dining Room’ which only caters for trust employees. This serves eve-rything from sandwiches to pasta and jacket potatoes to chicken fajitas. Again good value for money but be aware you will be evicted if you attempt to enter in surgical scrubs!
The above outelets are only open during normal working hours (including weekends). Out of hours, the range of food and drink is limited to several vending machines and what is provided in the mess.
Stoke Mandeville Hospital
Stoke Mandeville hospital is situated just outside the town of Aylesbury and provides
a wide range of services to the local community. Some of its more specialised services include the eye hospital, oral surgery department, labour ward and large haematology and cancer centre. It is the regional burns and plastics unit. Florence nightingale hospice is also onsite.
Stoke Mandeville hospital is best known for its internationally acclaimed spinal unit and is thought to be the birthplace of the Paralympic games. Professor Sir Ludwig Guttmann became the head of the national spinal unit in 1943 and used sport as a key to rehabilitation in spinal injuries. In 1948 he hosted a competition for paralysed patients known as the Stoke Man-deville games which coincided with the opening of the London Olympics that year. By 1960 his games had become international and were part of the Rome Olympics.
To mark the birthplace of the Paralympics, the Stoke
Mandeville stadium, situated next to the hospital, was built. It is the national centre for disability sport
in the UK.
There is a large educational centre attached to the hospital, with a medical library acces-sible to staff. Regular resuscitation courses are run within the education centre see http://www.resus.org.uk/pages/courses.htm for upcoming dates. Other facilities on site include a cash point, restaurant and numerous coffee shops. Jimmy’s café is located in the heart of the spinal unit and is named after the late Sir Jimmy Saville to recognise all the fundraising he did for the spinal unit.
Visit www.buckshealthcare.nhs.uk for more information on the services offered at Stoke Mandeville Hospital.
Aylesbury
Aylesbury is a market town in Buckingham-shire situated approximately 41 miles north
west of London. It is conveniently located for travelling to London, Oxford and the midlands.
It is located within the Chilterns an area of ‘outstanding
natural beauty’.
The centre of Aylesbury houses all the regular shops and restaurants. There is an Odeon cinema, a couple of nightclubs and a new theatre. The Waterside theatre opened in 2010 and is part of the Ambassador Theatre Group. Legally blonde, That’ll be the Day and South Pacifi c are amongst some of the produc-tions put on at the theatre this year.
There are some lovely county pubs to be found in the surrounding Aylesbury vale. Thame, Wendover and Aston Clinton are some of the many lovely villages and small towns to be visited. Thame high street is particularly quaint with lovely cafes, restaurants and pubs. Thame hosts various festivals throughout the year, the one not to miss is the food festival held every September.
WYCoMBe hospital
‘FooD and drink 1’ courtesy of pmg
Buckinghamshire Healthcare
provides specialist cancer and urological serv-ices with around 250 beds. The hospital sees more than 36,000 inpatients and 150,000 out-patients a year, and it’s surgical teams carry out around 25,000 operations per year. Recently, many medical services have moved from Wycombe Hospital to Stoke Mandeville Hospital in Aylesbury.
High Wycombe
High Wycombe lies midway between Oxford and London, and has excellent rail links to
London on the Chiltern line.
It is a large industrial and market town with a population of around 100,000 enriched with a
variety of cultures and faiths.
The town has recently undergone a large redevelopment programme to establish the Eden shopping centre which incorporates hotels, restaurants, take-aways and entertain-ment complexes including a Cineworld cinema.
Transport Links
Approx 40min drive from Oxford (diffi cult by public transport), 30min train from London
Marylebone. There is no direct train from Oxford.
Bu c k i n g h a m s h i r e Healthcare is a split
site trust, with most services provided by Wycombe and Stoke
Mandeville hospitals. There are also several community hospitals, but
foundation year doctors do not work in these. Buckinghamshire is well located
between Oxford and London, and both hospi-tals are about 30 miles from Oxford. There are good connections to the rest of the country via the M40. The Chiltern Hills can be found in this region and, whilst being fairly rural, it is also a culturally diverse area. Buckinghamshire has low unemployment fi gures, low crime rates, excellent educational rankings and high GVA index per person.
Wycombe Hospital
Wycombe General Hospital is situated in the centre of High Wycombe, near to the
junction of the M40 and a ten minute walk from the train station. It offers a wide range of surgical services, specialist medical depart-ments including chest, stroke and cardiology, and 24-hour emergency medical centre which mainly sees minor injuries. The hospital also
HoSPitAL contact details
Wycombe HospitalQueen Alexandra RoadHigh Wycombe HP11 2TTTel: 01494 526161Stoke Mandeville HospitalMandeville RoadAylesbury HP21 8ALTel: 01296 315000
4141
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OxfOrd fOundatiOn SchOOl PrOSPectuS 2013
Transport Links
The hospital is about a 40 minute drive from Oxford. The journey is diffi cult by public
transport, the only method being by a slow bus. The nearest train station is Stoke Mandev-ille station, 1.5 miles away. Trains to London Marylebone depart every half an hour and take approx 50 minutes. There are no direct trains to Oxford. A parking permit costs £20/month and fi nding a space is not usually a problem.
Accommodation
The hospital accommodation is very new, of high quality and on the hospital site. It
is divided into fl ats of four en-suite rooms per kitchen, and each kitchen also has a com-munal area with a television. There is however no internet access, and with dongle reception being unreliable this is a signifi cant downside. It is a 30 minute walk, or ten minute drive to the centre of Aylesbury. The doctors’ mess is situ-ated in the same building. Rent is £300/month including all bills.
Stoke Mandeville Doctors’ Mess
The doctors’ mess is on the ground fl oor of the accommodation building. It is a large
room with pool table, wide screen television and a small kitchen. Membership costs £8/month and activity varies year on year. There is usually one mess event per month.
Buckinghamshire healthcare
Stoke Mandeville Hospital
Wycombe Hospital
High Wycombe
Aylesbury
A418/A40 to Oxford28 miles - 0hr 50min
A41 to London42 miles - 1hr 10min
A4010 to High Wycombe17 miles - 0hr 30min
M40 to London30 miles - 0hr 45min
M40 to Oxford30 miles - 0hr 40min
A404 to Reading19 miles - 0hr 40min
Marylebone £18.50 - 1hr 0minHigh Wycombe £7.60 - 0hr 40minOxford £21.00 - 1hr 30min (no direct train)
Marylebone £16.50 - 0hr 26minAylesbury £7.60 - 0hr 35minOxford £25.50 - 1hr 20min (no direct train)
Waterside Thteatre
Stoke MandevilleStadium
Never KnowinglyUndersold
Eden Centre
Asda
CoNtACt details
Dr Simon Bays and Dr Marc Davison– Foundation Training Programme [email protected]@buckshealthcare.nhs.uk
Mrs Virginia Poole– Medical Education [email protected]
Food and Drink
The main restaurant at Stoke Mandeville is located in the front entrance. It serves a wide
selection of both cold and hot food throughout the day and weekend including its own version of subway sandwiches. Not too pricey and the selection of hot food is varied with some good vegetarian options included. A good place for snacks, meals or coffees is ‘Jimmy’s’ restau-rant located in the spinal injuries centre.
Named after its patron the late Jimmy Saville,
you will fi nd many a team getting their fi ll of tea cakes, cooked breakfasts and hot drinks at around 11am. It has a nice conservatory to sit in and also a large screen TV showing the news and sports.
‘trANSPort 1: paris beetle’ courtesy of thb
StoKe mandeVille hospital
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CLiniCaL seT up
Whilst Stoke Mandeville has an accident and emergency department Wycombe has an Emergency Medical Centre. The main difference is that Wycombe is not designed to receive trauma, paediatrics, surgical or obstetric patients, although Wycombe will take these patients for stabilisiation if paramedics feel they are too unstable to travel further afield. Equally, despite numerous advertising campaigns educating the local population about the services available at the ‘Emergency Medical Centre’ patients often walk in with the above problems. Wycombe, like stoke also has a minor injuries unit which is run by emergency nurse practitioners during the day, and covered by Doctors at night
Go to ‘A&E’ for full job description
Team Variable
Banding Unbanded
nighTs None
Weekends None
Leave Non-fixed, 9 days per 4 months
TeaChing You are expected to return to hospital for FY2 teaching every other Wednesday lunch time. Within your working week your GP supervisor should set aside some one to one teaching As part of the placement some practices offer leave to attend a 3 day palliative care course at the local hospice
roLes The role of the FY2 will vary from practice to practice. In general, you spend a couple of weeks at the beginning of the placement shadowing the GPs and allied health professionals before running your own clinics. When you run your own clinic the time allowed per patient is approximately 30 minutes initially then reduced as time progresses (this is doctor and surgery dependent). Each patient that you see must be discussed with one of the GPs (they have allocated slots in their surgeries for you to discuss with them). Some GPs may like to debrief at the end of surgery or at the end of each patient. There is often a large gap in the middle of the day for you to be making referrals, dictating letters and doing home visits
roTa 09:00 - 17:00 or 18:00; depending on the hours you work each day, you may be entitled to a half day or full day off per week
Linked roTaTions
Clinical [email protected] (Lead Consultant)Rota Coordinator/Pre-employment [email protected] (SpR in charge of producing the rota)[email protected] (point of contact for all other issues)
Linked roTaTions
Clinical ContactDifferent for each practiceRota Coordinator/Pre-employment [email protected] (Foundation Trainee co-ordinator)
WyComBe
BuCkinghamshire
Emergency Medicine
General Practice
F2
F2
1.5
1.0Team 2 teams, each with 1 consultant, 1 SpR or senior SHO, 1 SHO (FY2 or GP trainee)
and 1 FY1
Banding 1B (40%)
nighTs F1s: noneF2s: 1x Monday - Thursday, 1x Friday - Sunday in 14 weeks
Weekends 3 in 14 weeks
Leave Non-fixed. Must be co-ordinated with team, including on-call swaps. Rare that a leave period cannot be organised as desired
average LisT size
Usually 15 - 20 patients per team; extremes of 10 - 30
TeaChing Compulsory, 2 hours every fortnight, weekly grand round and journal club
roLes F1: Normal day ward jobs. On-call admission clerking and ward coverF2: Normal day often leads ward rounds and may get involved in MDT, family meetings and discharge planning. On-call sees new medical admissions and covers the wards overnight
roTa Normal day 09:00 - 17:00 Monday - FridayOn-call roles:‘Long Day’ (F1 & F2) (09:00 - 22:00; 4x isolated weekdays, 1x Friday - Sunday in 14 weeks): Medical admissions and 1st and 2nd on-call for ward-cover‘Short Stay Ward’ (F2 only) (0800-1600; 7 days Tuesday - Monday): 1 SHO to cover newly admitted medical patients predicted to be short stay‘Late’ (F2 only) (15:00 - 22:00 Monday - Thursday; 11:00 - 19:00 Friday): medical admissions‘Nights’ (F2 only) (21:30 - 09:30): Medical admissions plus ward cover
Linked roTaTions
Clinical Contact
Rota Coordinator/Pre-employment enquiries
Linked roTaTions
Clinical Contact
Rota Coordinator/Pre-employment [email protected] (Medical Staffing co-ordinator)
sToke mandeviLLe or WyComBe
WyComBe
Gastroenterology
Geriatric Medicine
F2
F21.4F1
oops! We don’t have any info on this rotation...Yikes! Sorry.
It’s probably similar to “Cardiology F2”
Team 6 consultants and 17 middle grades split across both sites. 8 SHO’s at Wycombe and 8 at Stoke
Banding 1A (50%)
nighTs On average, 2 blocks of 4 nights and 2 blocks of 3 nights in the 4 month period. Some SHOs may do an extra block depending on where they start in the rota. From 2am there is one SHO and one registrar on at each site. Post weekday nights you get the weekend off. Post weekend nights you get the Monday and Tuesday off, you will be expected to attend teaching on the Wednesday and then start back in A&E on the Thursday
Weekends Approximately 9 weekends in 4 months
Leave Annual leave is fixed. If you have any leave requests get them in months in advance as it becomes difficult to swap shifts once the rota is done. You get 2x 1 week off in the 4 month rota, someone will start on annual leave
roTa SHO shift Patterns are as follows: 20:00 - 1700 Monday - Friday (08:00 - 18:00 Saturday & Sunday), 11:00 - 20:00 Monday - Friday (12:00 - 22:00 Saturday & Sunday), 15.00 - 00:00 Monday – Friday, 17.00 - 02.00 Monday - Friday (16.00-02.00 Saturday & Sunday) and 00.00 - 09.00 Monday - Friday (22.00 - 08.00 Saturday & Sunday)
TeaChing There is SHO teaching every Wednesday and everyone must attend except those working nights. At the end of the placement each SHO is expected to present a case and their chosen audit. There is plenty of opportunity to teach medical students whilst working in A&E
Team 4 Cardiology consultants, 3 Registrars, 3 SHOs (2 FY2 and 1 CT2), 3 FY1s. Day on-call team: 1 F1, 1 ‘late’ SHO, 1 SpR. Night on-call team: 1 SpR
Banding 1B (40%)
nighTs 1x Monday - Thursday, 1x Friday - Sunday in 14 weeks
Weekends 3 in 14 weeks
Leave Non-fixed, 9 days in the 4-month rotation
average LisT size
20 - 25 patients, 22-bed CCU plus out-liers
CaTh LaB LisTs
All day Monday - Friday, includes elective, in-patient and primary PCI cases
inpaTienT admissions
Variable, depending on acute medical admissions
TeaChing Fortnightly mandatory Foundation Programme Teaching; Weekly Combined medical/surgical grand rounds; Ward-based teaching on senior-led ward rounds
roLes Normal day: largely ward based. On-call: medical admissions and ward cover support (see Rota)
CaTh LaB exposure
Available Mon-Fri, depending on ward duties, informal arrangements
roTa 14-week rolling rota (on-call for Medicine)Normal day 07:30 - 17:00 Monday - FridayOn-call roles: ‘Short Stay Ward’ (0800-1600; 7 days Tuesday - Monday): one SHO to cover newly admitted medical patients predicted to be short stay‘Long Day’ (09:00 - 22:00; 4x isolated weekdays, 1x Friday - Sunday in 14 weeks): Medical admissions and SHO advice to ward-cover FY1. You are expected to present patients on consultant post-take ward round next morning at 09:00.‘Late’ (15:00 - 22:00 Monday - Thursday; 11:00 - 19:00 Friday): medical admissions.‘Nights’ (21:30 - 09:30): Medical admissions plus ward cover
Linked roTaTions
Clinical [email protected] (Lead Consultant)Rota Coordinator/Pre-employment [email protected] (SpR in charge of producing the rota)[email protected] (point of contact for all other issues)
Linked roTaTions
GP and A&E (x1)Rheum and A&E (x1)
Clinical [email protected] (Consultant)Rota Coordinator/Pre-employment [email protected] (Medical Staffing co-ordinator)
sToke mandeviLLe
WyComBe
A&E
Cardiology
F2
F2
1.5
1.4
Team Many consultants, registrars and SHOs (CT), 1 F1 in SMH, 2 in WH. F1s are allocated to either WH or SMH for the 4 month placement
Banding Unbanded
nighTs None
Weekends None
Leave Non-fixed and very flexible
average LisT size
9 beds in WH ITU,11 in SMH
inpaTienT admissions
ITU admissions: 1-3/day
TeaChing Plenty of on-the-job teaching (often one-on-one with consultant during theatre lists). Once weekly SHO teaching
roLes TU role: Daily review of patients with other members of the team, attend crash calls, see ward referrals with SHO/reg, opportunity for practical skills such as arterial/central line insertion. Anaesthetics role: Assist with pre-op clerking, drawing up drugs, airway management and intra-op care
TheaTre When on anaesthetics, in theatre all day every day
roTa WH: alternate weeks/fortnights of ITU and theatre with the other FY1 (WH is only for elective surgery). SMH: 3 months of ITU followed by one month theatre (emergency cases and obstetrics are in SMH). Working day is 08:00 – 16:30 with one half day per week
Linked roTaTions
General surgery and medicine
Clinical [email protected] (Educational supervisor for anaesthetics F1s)[email protected] (Wycombe)[email protected] Coordinator/Pre-employment [email protected] (Anaesthetics rota co-ordinator)
Linked roTaTions
Clinical Contact
Rota Coordinator/Pre-employment enquiries
sToke mandeviLLe or WyComBe
sToke mandeviLLe or WyComBe
Anaesthetics & ITU
Diabetes
F1
F2
1.0
oops! We don’t have any info on this rotation...Yikes! Sorry.
It’s probably similar to “Cardiology F2”
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Team 11 Acute Consultants, 2 Community Consultants, 10 Registrars, 4 specialty doctors, 18 SHOs (2 FY2, 8 GPVTS, 8 Paediatric trainees), No F1s
Banding 1A (50%)
nighTs 1 in 9 (2 weeks per 4 month rotation), grouped in 3 and 4 night blocks
Weekends 5 in 18 (approx. 1 in 3)
Leave Fixed on rota: 2 separate blocks of leave, one of 5 days and one of 4 days
average LisT size
20 - 25 patients on Paediatrics, 10 - 15 on NICU
admissions 8 - 12 per day on Paediatrics, 3 - 5 per day on NICU
TeaChing Weekly Journal Club; weekly Radiology MDT meeting; weekly consultant or registrar led SHO teaching; monthly Academic Half Day . Occasional medical students attached to team
roLes Time spread evenly between Paediatrics and Neonatology, approximately 2 months in each area. Paediatrics work includes ward work, allocated days clerking patients in Paediatric Assessment Unit, allocated days to attend clinics, evening ward cover and overnight ward cover. It also includes one week in Community Paediatrics in either the High Wycombe area or Aylesbury area, and one week in Wycombe Ambulatory Children’s Unit. Neonatology work includes ward-based work in NICU, attending deliveries and baby checks on the post-natal ward, and is all based at Stoke Mandeville Hospital
CLiniC exposure
Allocated days in clinic, approximately one day every 2 weeks during the paediatric but not the neonatology block
roTa 18 week rolling rota for 18 SHOs, with different roles. Paediatrics cover is usually 2 - 3 SHOs on the ward, one SHO clerking in PDU, one SHO on nights, one SHO on long days in Wycombe Acute Children’s Unit, one SHO in clinics and one SHO in the community. Neonatology cover is usually 3 SHOs in NICU including one SHO covering the delivery bleep, 2 SHOs on the postnatal ward and one SHO on nights. There is fixed annual leave scheduled in the rota
Team Several consultants, registrars and SHOs (CT), 2 F1s
Banding 1B (40%)
nighTs One block in 6 weeks, part of general surgery rota. Blocks are weekend (Friday - Sunday) and weekday (Monday - Thursday)
Weekends One in 6, part of general surgery rota
Leave Non-fixed – both F1s to arrange between themselves
average LisT size
15 - 20 patients
operaTing LisTs
Lists all day every day (emergency and elective)
inpaTienT admissions
Approx 20 per week including day cases
TeaChing No formal F1 teaching
roLes Ward based (general plastic surgery) with general surgical on calls. Fairly quiet with time for attending theatre if keen. This is usually a 2 or 3 month job allocated to two of the general surgery F1s at a time. There is a burns department, but an SHO is based on the unit
TheaTre exposure
Depending on ward workload, should be possible to attend theatre several times a week if interested. Not compulsory
roTa Normal day is 08:00 – 16:30. Varying on-call shifts as per general surgery (see Surgery)
Linked roTaTions
Rheum/General Medicine and A&E (Wycombe) (x3)Obstetrics & Gynaecology and Orthopaedics (x3)
Clinical [email protected] (Consultant)Rota Coordinator/Pre-employment [email protected] (Consultant, Junior Medical Staffing co-ordinator)[email protected] (Secretary)
Linked roTaTions
MedicineMedicine and anaesthetics
Medicine and psychiatryMedicine and trauma and orthopaedics
Rheumatology and dermatology, and trauma and orthopaedics
Clinical Contact
Rota Coordinator/Pre-employment [email protected] (rota-co-ordinator)
sToke mandeviLLe
sToke mandeviLLe
Paediatrics
Plastics
F2
F1
1.5
1.4Team 6 Psychiatry consultants, 8 SHOs (CT & GPVTS).
Tindal Centre: 2 SHOs & 2 FY1s on site 09:00 – 17:00
Banding Unbanded
nighTs None
Weekends None
Leave Non-fixed, 9 days per 4 months
average LisT size
25 patients, split between separate Male and Female wards
TeaChing Tuesday mornings and Wednesday afternoons
roLes There is a lot of support available and consultants are approachable. On site SHOs and FY1s are generally split into two teams of 1 SHO and 1 FY1, each pair managing one ward. You will often need to cross-cover the other teams due to leave / absence.FY1s are responsible for 2 ward rounds each week – your role is to type the notes into a laptop and then act on plans made during the ward rounds. During the week you are responsible for the medical care of the patients (eg coughs, muscoluskeletal injuries). You also perform MMSE pre and post ECT.
roTa 09:00 – 17:00 5 days per week
Linked roTaTions
Clinical Contact
Rota Coordinator/Pre-employment enquiries
Linked roTaTions
Clinical Contact
Rota Coordinator/Pre-employment enquiries
WyComBe
oxford heaLTh nhs foundaTion TrusT: TindaL CenTre, ayLesBury
Palliative care/ Rheum/ Rehab
Psychiatry
F2
F11.0
oops! We don’t have any info on this rotation...Yikes! Sorry.
It’s probably similar to “Cardiology F2 and Rheumatology F2”
CLiniCaL seT up
Medicine at Wycombe involves 6 main specialities:Cardiology (3 FY1s)Respiratory (3 FY1s)Diabetes/Rheumatology (2 FY1s)Medicine for older people (2FY1s)Stroke (2 FY1s)Gastro/renal (3 FY1s)
Banding 1B (40%)
nighTs None
Weekends One in every 4-5
Leave Non-fixed
roLes A medical job involves being attached to one team and carrying out your normal day to day ward jobs/rounds plus on call shifts. Approximately one day a week will be spent on call plus one in every 4-5 weekends. The work load varies substantially based on whether or not your team is ‘on take’ accepting emergency general medical admissions, usually once every week or two
On call shifts involve either ward cover or a shift in the Emergency Medical Centre (EMC). During your medicine rotation you will experience both of these. Ward cover during the week involves working with your usual team until 17:00 and then covering the medical wards until handover to the night team at 22:00. During the weekend there are two FY1s on ward cover and the hours are 10:00 - 22:00
EMC shifts involve working from 09:00 in EMC clerking in new admissions, arranging appropriate investigations and presenting them to the consultant on call. You work in a team of 1 FY1, 1-2 SHOs and a Registrar. As an FY1 you will also cover the DVT clinic which is an emergency next day service for patients with suspected DVTs
roTa Normal day shifts run 09:00 - 17:00, however some specialities (in particular cardiology) have different requirements, for example 07:30 - 17:00 each day, with a half day each week to compensate. Approximately one day a week will be spent on call 09:00 or 10:00 - 22:00
Team 5 full-time Consultants, 1 SpR, 1 SHO and 1 FY1
Banding Unbanded
nighTs None
Weekends None
Leave Non-fixed, organised with rota co-ordinator
average LisT size
5 - 7 patients
inpaTienT admissions
2 - 3 per week
TeaChing Once weekly allocated consultant-led teaching sessions covering a wide variety of topics and providing the chance to discuss patients whom you have seen (see Clinic exposure below). Plenty of opportunity to get involved in audit
roLes Twice weekly discussions via webcam and MDT meetings take place at Stoke Mandeville. FY1s are expected to present cases to all consultants via webcam. You are expected to clerk patients, organise their work-up for chemotherapy and expected to follow hospital protocols on different chemotherapy regimes. There is also ample opportunity to practice more technically difficult clinical skills like lumbar puncture and bone marrow aspirates
CLiniC exposure
There are opportunities to attend out-patient clinics at the cancer care & haematology unit (CCHU). You will see patients yourself, develop a working management plan and relay back to the consultant. Sometimes, you may want to discuss this at the weekly teaching session to further enhance your knowledge and take the opportunity to ask questions
roTa 09:00 - 17:00 5 days per week. Daily consultant ward round at 09:00
Linked roTaTions
Clinical Contact
Rota Coordinator/Pre-employment [email protected] (Medical rota co-ordinator)
Linked roTaTions
General Surgery, Trauma and Orthopaedics and Medicine (x4)
Clinical [email protected] (Consultant)Rota Coordinator/Pre-employment [email protected]
WyComBe
sToke mandeviLLe
GIM
Haematology
F1
F1
1.4
1.0
Team Ten medical teams; Microbiology (x1) Haematology (x1); Endocrine and Diabetes (x2); Medicine for Older People (x3); Gastroenterology (x2); Rheumatology/Dermatology (x1)
Banding All of the Jobs are 1B (40%), except for Haematology, which is not banded
nighTs None
Weekends One in 4
Leave Non-fixed, 6.5 days per 3 month rotation. Furthermore, each FY1 is entitled to two allocated half days each month (except for Haematology)
average LisT size
5-25 patients
inpaTienT admissions
0-4 per day
TeaChing Once weekly journal club meeting and registrar led medical teachingOnce weekly radiology meeting and grand round teachingOnce fortnightly mandatory foundation programme teachingAdditional sub-speciality teaching takes place within individual teams
roLes Largely ward based. However, some positions will require regular attendance to out-patients clinics. There are 1 - 3 FY1 doctors per team.On call roles:Ward cover: the on-call doctor will be covering all medical in-patients at SMH.EMC (Emergency medical care): will involve clerking and managing new medical admissions in A&E, and presenting these cases to the medical registrar and consultant on-call
roTa 13 week rolling rota for 13 FY1s. The normal working day is 09:00 - 17:00. An approximation of the on-call rota, per 13 weeks, for banded positions is given below;4x Weekday ward cover (10:00 - 22:00) 1x Weekend ward cover; Friday, Saturday and Sunday (10:00 - 22:00)1x Weekend ward cover; Saturday and Sunday (10:00 - 17:00)4x EMC Weekdays (09:30 - 22:00)1x EMC Weekend; Friday, Saturday and Sunday (09:30 - 22:00)
Team Large department with 11 consultants, 3 staff grades, 8 registrars, 13 SHOs (F2, GPVTS, CT), no F1s. The SHOs do not work for a specific consultant or registrar with the rota constructed to ensure exposure to the broad range of activities in obstetrics and gynaecology. Each SHO is allocated a consultant as their supervisor
Banding 1B (40%)
nighTs Blocks of 3 or 4 nights, approx 3 sets in 4 months
Weekends One in 4
Leave 9 days per 4 months, non-fixed. ‘OFF’ days in rota: approximately one every 3 weeks. Half day on the Monday after working the weekend
average LisT size
Busy labour ward which is typically full. 20-30 post-natal inpatients and 10-20 antenatal inpatients with rapid turn-over. 10 – 20 gynaecology inpatients including both elective and emergency admissions
TeaChing Weekly SHO teaching. Daily morning meeting to discuss cases. Opportunities to learn about specialist areas such as colposcopy, hysteroscopy, ultrsound scanning etc built into the rota
roLes Rolling rota with a variety of duties including ward cover for both gynaecology and post-natal wards, on-call for gynaecology and obstetrics, theatre lists, elective caesarean lists, gynaecology and antenatal clinics. Large number of SHOs to cover the rota so predominantly well-staffed with opportunities for learning practical skillsOn calls: Approx one day per week on either labour ward emergencies and admissions or gynaecology on-call (08:00 – 18:00). One week in eight on evening cover covering admissions and ward bewteen 18:00 and 22:00, one SHO to cover each of obstetrics and gynaegology on this shift. 2 SHOs per weekend, one to cover gynaecology wards and admissions and one for post-natal wards and labour ward attenders.On take: 5 - 10 gynaecology admissions per day and 3 - 8 labour ward attenders. These patients are seen by the on-call gynaecology or obstetric SHO respectively
TheaTre and CLinC
Scheduled theatre time, both gynaecology lists and elective caesarean lists on average one list per week per SHO. Experience with a variety of consultants with interests in gynae-oncology, laparoscopic surgery, high-rist obstetrics etc.
roTa Normal ward/theatre/clinic day 08:00 – 17:00. On-call (see Roles above) approx one day per week, 08:00 – 18:00, one week in 8 14:00 – 22:00 (including on-call 18:00 – 22:00), weekend 08:00 – 20:00, nights 20:00 – 08:00. Allocated duties for normal days vary from week to week and are issued on a weekly basis
Linked roTaTions
Clinical Contact
Rota Coordinator/Pre-employment [email protected] (Medical rota co-ordinator)
Linked roTaTions
Clinical [email protected] Coordinator/Pre-employment [email protected]
sToke mandeviLLe
sToke mandeviLLe
GIM
O&G
F1
F2
1.4
1.4
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Team Rheumatology 2 Consultants, 3 Specialist Nurses, 2 Registrars, 2 SHOs (one GPVTS on Rheum/Derm, one FY2 on Rheum/Rehab), 1 FY1. Dermatology 4+ Consultants, 2 Specialist Nurses, 2 - 3 associate specialist doctors, 1 Registrar, 1 SHO (GPVTS on Rheum/Derm), 1 FY1
Banding 1B (40%)
nighTs None
Weekends One in 4 (General medical rota, see ‘GIM’ Stoke Mandeville F1)
Leave Non-fixed, easily arranged with consultants from either Rheum or Derm
average LisT size
No in patients for Rheum or Derm. Approx 2 - 3 ward rounds per week to review rheum and derm ward referrals. Usually around 4 or 5 patients to be reviewed per ward round
TeaChing Fortnightly mandatory Foundation Programme Teaching. Medical Grand Round with Radiology meeting (Wednesday mornings). Rheumatology journal club presentation and case topic presentations (by juniors every Thursday lunchtime). Regional rheumatology meetings (monthly), and audit meetings (monthly). Weekly consultant teaching ward rounds; informal teaching and feedback from consultant during clinics
roLes Rheum & Derm: along with the GPVTS trainee, you are split between Rheumatology (Tuesday, Thursday, Friday am) and Dermatology (Monday, Wednesday, Friday pm). Roles inlcude out-patient clinics, including Monday afternoon, nurse-led minor ops clinic where nurse will assist you in punch biopsies, cautery and curettage; ward rounds (see above); and administrative work including checking bloods, investigation results, dictating and checking clinic letters for each patient you seeGeneral medical on calls: clerking new admissions and ward cover
CLiniC exposure
Approx 3 - 4 Dermatology clinics per week. Approx 3 Rheumatology clinics per week
roTa Rheum and Derm: Mondays: Derm clinic (am), SHO teaching (lunchtime), Derm clinic or minor ops clinic (pm); Tuesdays: Rheum clinic (am), journal club (lunchtime), Rheum clinic (pm); Wednesdays: Derm clinic (am), fortnightly mandatory F1 teaching (12:00 - 14:00), Derm histopathology meeting and ward round of inpatient referrals (pm); Thursdays: Rheum paper work (am), case presentation and journal club (lunchtime), ward round of Rheum inpatient referrals (pm); Fridays: Rheum clinic (am), Derm clinic (pm)General medical on calls: See ‘GIM’ Stoke Mandeville F1
Team 2 teams (red & blue), one consultant per team, several registrars but one on-call/ ward cover each day, SHOs (FY2 and CT) as per reg, 11 F1s (split between 2 teams)
Banding 1B (40%)
nighTs Blocks of weekends (Friday - Sunday) and weekdays (Monday - Thursday), one block in 6 weeks
Weekends One in 6 including weekend nights
Leave Non-fixed. Maximum of two F1s can be off at any one time
average LisT size
15-20 patients per team
operaTing LisTs
Emergency theatre runs all day every day
inpaTienT admissions
High turnover, approx 30/week
TeaChing Weekly F1-led teaching
roLes The two teams alternate between “on-take” (receiving all new patients) and “off-take” (only dealing with remaining patients from previous weeks) on alternate weeks. Work is ward based. When on-call, receive GP referrals and clerk all new admissions. During nights and weekends both clerking new patients and ward work. This job is emergency surgery, so patients are generally those presenting with an acute abdomen/vascular problem
TheaTre exposure
Negotiable with colleagues depending on ward workload
roTa Normal day 08:00 – 16:30. In a 4 month job, on-call shifts 1x weekend 10:30 - 22:30, 1x weekend 08:00 - 21:00, 2x blocks weekday 14:00 - 21:00, 1x block weekday 08:00 – 18:00 during the week. 2x blocks weekend nights and 1x block weekday nights 20:00 – 08:30
Linked roTaTions
Gastro Medicine, Trauma and Orthopaedics, General Surgery (x4)
Clinical [email protected] (Rheumatology Consultant)[email protected] (Dermatology Consultant)Rota Coordinator/Pre-employment [email protected] (Medical Rota Coordinator)
Linked roTaTions
Medicine and anaestheticsMedicine and psychiatry
Medicine, Rheum & Derm and Trauma & OrthoMedicine
Clinical [email protected] (lead consultant)Rota Coordinator/Pre-employment [email protected] (rota-co-ordinator)
sToke mandeviLLe
sToke mandeviLLe
Rheum & Derm
Surgery
F1
F1
1.4
1.4
Team 6 Spinal Injuries Consultants, 3 Trust registrars, 6 SHOs (1 CT1, 2 FY2s and 3 Trust Grade SHOs), No F1s
Banding 1A (50%)
nighTs 1 - 2x 24 hour on call shifts per week, with a day off afterwards
Weekends One in 5, 48 hours on call Saturday and Sunday with Monday off
Leave Non-fixed, although cannot take whilst on St Andrew’s Ward (Acute Spinal ward) for 6 back-to-back weeks at some point during the 4 month attachment
average LisT size
20 patients per SHO
operaTing LisTs
2 per week
inpaTienT admissions
1 - 2 per week
TeaChing Weekly departmental teaching. Radiology meeting on Wednesdays. Stoke Mandeville weekly medical teaching and medical grand round. Stoke Mandeville FY2 teaching fortnightly. No medical student attachments
roLes Ward based. The on call SHO takes referrals via the on call bleep. SHOs are expected to clerk new admissions to the unitSHOs are divided between the various wards and rotate every 6 weeks. Each have a period on St Andrew’s ward (acute unit), which has multiple ventilated patients, and SHOs are trained in the basics of ventilator management. The other wards are: St Patrick’s (largely patients admitted for elective surgery), St David’s & St George’s (rehab wards), St Francis’s (paediatric ward) and St Joseph’s (pre-discharge ward). There is patchy middle-grade cover on the rehab wards, St Andrew’s & St Patrick’s normally have a Trust registrar covering the 2 wards
TheaTre No formal exposure, but easily negotiable
roTa Normal days 08:30 - 16:30. On call lasts 24 hours. When on call, the SHO is expected to be resident between 0830 and 2100, after this time you can be up to 20 minutes away and your bleep is diverted to the nurse in charge of the unit who can contact you on your mobile via switchboard. Weekends are 48 hours, with a similar non-resident system at night and for a few hours each afternoon
Team Attached to breast/endocrine firm with 2 consultants (General surgery has approx 8-10 other consultant teams)
Banding 1A (50%)
nighTs 1 week of nights and 2 weeks of twilights (20:00 – 01:00) in 4 months
Weekends 5 weekends in 4 months
Leave 9 days in 4 months
average LisT size
N/A day to day, on call 30 - 50
operaTing LisTs
2.5 days per week
TeaChing Teaching in theatre and clinics, nil formal sessions arranged by team. Mandatory fortnightly foundation teaching
roLes When not on call are attached to two consultants (Mr McLaren and Mr Taylor) and attend their clinics and theatre lists as well as visiting the ward to review any in patients from previous operating lists. When on call are responsible for acute surgical admissions for Buckinghamshire Trsut, based at Stoke Mandeville hospital. When on call overnight you cross cover plastics and Trauma & Ortho (admissions and ward patients) from 01:00 – 08:00
TheaTre and CLiniC
‘Day job’ includes 4 clinics plus 2.5 days theatre lists per week
roTa Normal day 09:00 – 17:00 (roughly) if in clinic, 08:00 – 17:00 or 18:00 if in theatre. On call days, 2 blocks of 7 days in 4 months 08:00 - 20:00, nights are 20:00 – 08: 00 and twilights are 20:00 – 01:00
Linked roTaTions
GP (Buckinghamshire) and Medicine (Wycombe)
Clinical [email protected] (Consultant in charge of rotas and leave)Rota Coordinator/Pre-employment [email protected] (Operations Manager)
Linked roTaTions
Trauma & Ortho and O&G
Clinical [email protected] (Lead Consultant)Rota Coordinator/Pre-employment [email protected]
sToke mandeviLLe
sToke mandeviLLe or WyComBe
Spinal Medicine
Surgery
F2
F2
1.5
1.5
Team Stoke Mandeville: 2 Rheumatology consultants, 2 Rheum Registrars, 2 SHOs (1 FY2 and 1 GPVTS-1), 1 FY1. Amersham: 2 Rheum/NeuroRehab consultants, 2 SHOs (1 FY2, 1 GPVTS)
Banding 1B (40%)
nighTs 1x Monday - Thursday, 1x Friday - Sunday in 14 weeks (General medical rota)
Weekends 3 in 14 weeks (General medical rota)
Leave Standard 9 days in the 4-month rotation, non-fixed
average LisT size
Stoke Mandeville: No rheumatology in patients. Ward referrals are reviewed on Rheuamtology ward rounds. Usually around 4 or 5 patients to be reviewed per ward round. Amersham: 17 beds at Bucks Neurorehabilitation Unit; full capacity at most times
TeaChing Fortnightly mandatory Foundation Programme Teaching; Medical Grand Round with Radiology meeting (Wednesday mornings); Consultant teaching ward rounds once weekly; Rheumatology journal club presentation and case topic presentations (by juniors every Thursday lunchtime). Regional rheumatology meetings (monthly), audit meetings (monthly)
roLes Stoke Mandeville:Rheumatology Clinics: Tuesday all day, Wednesday morning, Friday mornings. Opportunity to see new patients, follow-ups and perform intra-articular steroid injections. Ward Rounds: Wednesday afternoon and Thursday morningAdministration (GP correspondence, checking investigation results)
On call:Short Stay Ward: one SHO to cover newly admitted medical patients with expected stay < 48 hoursLong Day: Medical admissions and provide senior advice for ward cover FY1s out-of-hours. You are expected to present patients on consultant post-take ward round next morning at 09:00. Other members of team: 1FY1, 1 Late SHO, 1 Med RegLate: medical admissions, team as for long dayNights: Medical admissions plus ward cover during the night with 1 medical registrar. Assistance (e.g. cannulation, death verification, falls assessment) from on-duty night nurse practitioner
Amersham Hospital:Neurorehabilitation Medicine: Mondays. Assist fellow SHO (GP trainee who is based at Amersham Monday - Fridays) on a Monday in ward rounds, ward jobs, attending case conferences and MDT. When that SHO is away on annual leave etc you are expected to go to Amersham to carry the crash bleep that day. Hours at Amersham: 9am-6pm.
roTa Normal day 09:00 - 17:00 (Stoke Mandeville) or - 18:00 (Amersham)Short Stay Ward 08:00 - 16:00; 7 days, Tuesday until Following Monday, 1x in 14 weeksLong Day 09:00 - 22:00; 4x single weekdays, 1x Friday - Sunday weekend in 14 weeksLate 15:00 - 22:00 Monday - Thursday; 11:00 - 19:00 Friday, 1x in 14 weeksNights 21:30 - 09:30, 1x Monday - Thursday, 1x Friday - Sunday in 14 weeks
Linked roTaTions
Clinical Contact
Rota Coordinator/Pre-employment enquiries
Linked roTaTions
Clinical Contact
Rota Coordinator/Pre-employment [email protected] (Medical Staffing co-ordinator)
Linked roTaTions
Cardiology and A&E (x1)
Clinical [email protected] (Rheumatology consultant)[email protected] (Neurorehab consultant)Rota Coordinator/Pre-employment [email protected] (Medical staffing co-ordinator Stoke Mandeville)[email protected] (Medical Staffing co-ordinator Wycombe and Amersham)
WyComBe
sToke mandeviLLe and amershamRehab Medicine
Respiratory
RheumatologyF2
F2
F21.4
oops! We don’t have any info on this rotation...Yikes! Sorry.
It’s probably similar to “Cardiology F2”
oops! We don’t have any info on this rotation...Yikes! Sorry.
It probably goes together with “Rheumatology F2”
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OxfOrd fOundatiOn SchOOl PrOSPectuS 2013
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tttooo WWWIIIWIWWIW NN ooonnnnee ooff ttthhheeessseee GGGrrrreeererrer aaaaeae tttataataata TTTiiiTiTTiT ttttlllleeeess!! bbbiiitttt...llyyyylyllyl ////ffffoooofoffof uuunnndddaaattttiiii
oooonnnfffeefeffef eeddbbbbaaaccckkckc
mm tttooo WWWIIIWIWWIW NN ooonnnnee ooff ttthhheeessseee GGGrrrreeererrer aaaaeae tttataataata TTTiiiTiTTiT ttttlllleeeess!! bbbiiitttt...llyyyylyllyl ////ffffoooofoffof uuunnndddaaattttiiii
oooonnnfffeefeffef eeddbbbbbbaaaccckkckc
oorrrmmmrmrrmr tttooo WWWIIIWIWWIW NN ooonnnnee ooff ttthhheeessseee GGGrrrreeererrer aaaaeae tttataataata TTTiiiTiTTiT ttttlllleeeess!! bbbiiitttt...llyyyylyllyl ////ffffoooofoffof uuunnndddaaattttiiii
oooonnnfffeefeffef eeddbbbbbbaaaccckkckc
ffoorrrmmrmrrmr tttooo WWWIIIWIWWIW NN ooonnnnee ooff ttthhheeessseee GGGrrrreeererrer aaaaeae tttataataata TTTiiiTiTTiT ttttlllleeeess!! bbbiiitttt...lllyyyylyllyl ////ffffoooofoffof uuunnndddaaattttiiii
oooonnnfffeefeffef eeddbbbbbbaaaccckkckc
kk ffoorrrmmrmrrmr tttooo WWWIIIWIWWIW NN ooonnnnee ooff ttthhheeessseee GGGrrrreeererrer aaaaeae tttataataata TTTiiiTiTTiT ttttlllleeeess!! bbbiiitttt...lllyyyylyllyl ////ffffoooofoffof uuunnndddaaattttiiii
oooonnnfffeefeffef eeddbbbbbbaaaccckkckc
aaacccckkk ffoorrrmmrmrrmr tttooo WWWIIIWIWWIW NN ooonnnnee ooff ttthhheeessseee GGGrrrreeererrer aaaaeae tttataataata TTTiiiTiTTiT ttttlllleeeess!! bbbiiitttt...lllyyyylyllyl ////ffffoooofoffof uuunnndddaaattttiiii
oooonnnfffeefeffef eeddbbbbaaaccckkckc
orrrmm tttooo WWWIIIWIWWIW NN ooonnnnee ooff ttthhheeessseee GGGrrrreeererrer aaaaeae tttataataata TTTiiiTiTTiT ttttlllleeeess!! bbbiiitttt...lllyyyylyllyl ////ffffoooofoffof uuunnndddaaattttiiii
oooonnnfffeefeffef eeddbbbbbbaaaccckkckc
nnnee ooff ttthhheeesseee GGGrrrreererrer aaaaeae ttataataata TTTiiiTiTTiT ttttlllleeeess!! bbbiiitttt...lllyyyylyllyl ////ffffoooofoffof uuunnndddaaattttiiii
oooonnnfffeefeffef eeddbbbbbbaaaccckkckc
llleeeess!! bbbiiitttt...lllyyyylyllyl ////ffffoooofoffof uuunnndddaaattttiiii
oooonnnfffeefeffef eeddbbbbbbaaaccckkckc
biiittt...lllyyyylyllyl ////ffffoooofoffof uuunnndddaaattttiiii
oooonnnfffeefeffef eeddbbbbbbaaaccckkckc
/ffffooofoffof uuunnndddaaaattttiiiioooonnnfffeefeffef eeddbbbbbbaaaccckkckc
dddaaattttiiiioooonnnfffeefeffef eeddbbbbbbaaaccckkckc
nnnfffeefeffef eeddbbbbbbaaaccckkckc
IIIttt’ss
CCooommm
pppeeettttiittttiioonn
WWWIIIWIWWIW NN ooonnnnee ooff ttthhheeessseee GGGrrrreeererrer aaaaeae tttataataata TTTiiiTiTTiT ttttlllleeeess!! bbbiiitttt...lllyyyylyllyl ////ffffoooofoffof uuunnndddaaattttiiii
oooonnnfff
IIIttt’ss
CCooommm
pppeeettttiittttiioo
oo WWWIIIWIWWIW NN ooonnnnee ooff ttthhheeessseee GGGrrrreeererrer aaaaeae tttataataata TTTiiiTiTTiT ttttlllleeeess!! bbbiiitttt...lllyyyylyllyl ////ffffoooofoffof uuunnndddaaattttiiii
ooon
IIIttt’ss
CCooommm
pppeeettttiittttii
ff ttthhheeessseee GGGrrrreeererrer aaaaaeae tttataataata TTTiiiTiTTiT ttttlllleeeess!! bbbiiitttt...lllyyyylyllyl ////ffffoooofoffof uuunnndddaaatttiii
IIIttt’ss
CCooommm
pppeeettttiit
ooff ttthhheeessseee GGGrrrreeererrer aaaaeae tttataataata TTTiiiTiTTiT ttttlllleeeess!! bbbiiitttt...lllyyyylyllyl ////ffffoooofoffof uuunnndd
IIIttt’ss
CCooommm
pppeeettt
eeeaaaaeae tttataataata TTTiiiTiTTiT ttttlllleeeess!! bbbiiitttt...llyyyylyllyl ////ffffoooofoffof u
IIIttt’ss
CCooommm
pp
t TTTiiiTiTTiT ttttlllleeeess!! bbbiiitttt...llyyylyllyl ///f
IIIttt’ss
CCoom
eeess!! bbbiiitt l
IIIt’
tttlllleeeess!! bb
IIItt
TTTiiiTiTTiT ttttlllleee
IIIttt’ss
CC
tt TTTiiiTiTTiT ttt
IIIttt’ss
CCooomm
eeeaaaaeae tttataataata TT
IIIttt’ss
CCooommm
pppeeettttiittttii
rrreeererrer aaaaeae tataataata
IIIttt’ss
CCooommm
pppeeettttiittt
GGGrrrreererrer
tt’ssCC
ooommm
pppeeettttiittttiioonn TTTiiimmmeee!! FFFiiill
ee GGG
CCooommm
pppeeettttiittttiioonn TTTiiimmmeee!! FFFiiillllll iiinn
eeessseee
ppeeettttiittttiioonn TTTiiimmmeee!! FFFiiillllll iiinn yyyoooouuurr FFFee
hhheeesss
yyyoooouuurr FFFe
ttthhhee
eeeeeddddbb
ooff ttt
k ffoorrrmrmree ooff
WWWIIIWIWWIW NN oonnnnee oo
TTi
t TTTiiiTiTTiT ttttlllleeeess!
aaatttataataata TTTiiiTiTTiT ttttlllleeeess!! bbbiiitttt...lyyylyl
rrreeererrer aaaaeae tttataataata TTTiiiTiTTiT ttttlllleeeess!! bbbiiitttt...lllyyyylyllyl ////ffffoooofoffof uuu
GGGrrrreeererrer aaaaeae tttataataata TTTiiiTiTTiT ttttlllleeeess!! bbbiiitttt...lllyyyylyllyl ////ffffoooofoffof uuunnndddaaatttti
ee GGGrrrreeererrer aaaaeae tttataataata TTTiiiTiTTiT ttttlllleeeess!! bbbiiitttt...lllyyyylyllyl ////ffffoooofoffof uuunnndddaaattttiiii
oooonnnfffeefeffef eeddbbbbbbaaccck
ssseee GGGrrrreeererrer aaaaeae tttataataata TTTiiiTiTTiT ttttlllleeeess!! bbbiiitttt...lllyyyylyllyl ////ffffoooofoffof uuunnndddaaattttiiii
oooonnnfffeefeffef eeddbbbbaaaccckkckc
hhheeessseee GGGrrrreeererrer aaaaeae tttataataata TTTiiiTiTTiT ttttlllleeeess!! bbbiiitttt...lllyyyylyllyl ////ffffoooofoffof uuunnndddaaattttiiii
oooonnnfffeefeffef eeddbbbbbbaaaccckkckc
ttthhheeessseee GGGrrrreeererrer aaaaeae tttataataata TTTiiiTiTTiT ttttlllleeeess!! bbbiiitttt...lllyyyylyllyl ////ffffoooofoffof uuunnndddaaattttiiii
oooonnnfffeefeffef eeddbbbbaaaccckkckc
ff ttthhheeessseee GGGrrrreeererrer aaaaeae tttataataata TTTiiiTiTTiT ttttlllleeeess!! bbbiiitttt...lllyyyylyllyl ////ffffoooofoffof uuunnndddaaattttiiii
oooonnnfffeefeffef eeddbbbbbbaaaccckkckc
ooff ttthhheeessseee GGGrrrreeererrer aaaaeae tttataataata TTTiiiTiTTiT ttttlllleeeess!! bbbiiitttt...lllyyyylyllyl ////ffffoooofoffof uuunnndddaaattttiiii
oooonnnfffeefeffef eeddbbbbbbaaaccckkckc
nnee ooff ttthhheeessseee GGGrrrreeererrer aaaaaeae tttataataata TTTiiiTiTTiT ttttlllleeeess!! bbbiiitttt...lllyyyylyllyl ////ffffoooofoffof uuunnndddaaattttiiii
oooonnnfffeefeffef eeddbbbbbbaaaccckkckc
ooonnnnee ooff ttthhheeessseee GGGrrrreeererrer aaaaeae tttataataata TTTiiiTiTTiT ttttlllleeeess!! bbbiiitttt...lllyyyylyllyl ////ffffoooofoffof uuunnndddaaattttiiii
oooonnnfffeefeffef eeddbbbbbbaaaccckkckc
NN ooonnnnee ooff ttthhheeessseee GGGrrrreeererrer aaaaeae tttataataata TTTiiiTiTTiT ttttlllleeeess!! bbbiiitttt...llyyyylyllyl ////ffffoooofoffof uuunnndddaaattttiiii
oooonnnfffeefeffef eeddbbbbbbaaaccckkckc
IIINN ooonnnnee ooff ttthhheeessseee GGGrrrreeererrer aaaaeae tttataataata TTTiiiTiTTiT ttttlllleeeess!! bbbiiitttt...llyyyylyllyl ////ffffoooofoffof uuunnndddaaattttiiii
oooonnnfffeefeffef eeddbbbbbbaaaccckkckc
WWWIIIWIWWIW NN ooonnnnee ooff ttthhheeessseee GGGrrrreeererrer aaaaeae tttataataata TTTiiiTiTTiT ttttlllleeeess!! bbbiiitttt...llyyyylyllyl ////ffffoooofoffof uuunnndddaaattttiiii
oooonnnfffeefeffef eeddbbbbbbaaaccckkckc
oo WWWIIIWIWWIW NN ooonnnnee ooff ttthhheeessseee GGGrrrreeererrer aaaaeae tttataataata TTTiiiTiTTiT ttttlllleeeess!! bbbiiitttt...llyyyylyllyl ////ffffoooofoffof uuunnndddaaattttiiii
oooonnnfffeefeffef eeddbbbbbbaaaccckkckc
IIIttt’ss
IIIttt’ss
CCooo
IIIttt’ss
CCooommm
pppeeettttiitt
IIIttt’ss
CCooommm
pppeeettttiittttiioonn TTTiiimmmeee!! FFFiiillllll iiinn yyyooooouuurr
IIIttt’ss
CCooommm
pppeeettttiittttiioonn TTTiiimmmeee!! FFFiiillllll iiinn yyyoooouuurr FFFeeeeeeeddddbbbaaa
IIIttt’ss
CCooommm
pppeeettttiittttiioonn TTTiiimmmeee!! FFFiiillllll iiinn yyyoooouuurr FFFeeeeeeeddddbbbaaaacccckkk ffoorrrmmrmrrmr
IIIttt’ss
CCooommm
pppeeettttiittttiioonn TTTiiimmmeee!! FFFiiillllll iiinn yyyoooouuurr FFFeeeeeeeddddbbbaaaacccckkk ffoorrrmmrmrrmr tttooo WWWIIIWIWWIW NN ooonnnnee ooff ttthheesseee GGGrrrreeererrer aaaatttataataata
IIIttt’ss
CCooommm
pppeeettttiittttiioonn TTTiiimmmeee!! FFFiiillllll iiinn yyyoooouuurr FFFeeeeeeeddddbbbaaaacccckkk ffoorrrmmrmrrmr tttooo WWWIIIWIWWIW NN ooonnnnee ooff ttthhheeessseee GGGrrrreeererrer aaaaeae tttataataata TTTiiiTiTTiT ttttlllleee
IIIttt’ss
CCooommm
pppeeettttiittttiioonn TTTiiimmmeeeooouuurr FFFeeeeeeeddddbbbaaaacccckkk ffoorrrmmrmrrmr tttooo WWWIIIWIWWIW NN ooonnnnee ooff ttthhheeessseee GGGrrrreeererrer aaaaeae tttataataata TTTiiiTiTTiT ttttlllleeeess!! bbbiiittt
IIIttt’ss
CCooommm
pppeeettttiittttiioonn TTTiiimm
ddbbbaaaacccckkk ffoorrrmmmrmrrmr tttooo WWWIIIWIWWIW NN ooonnnnee ooff ttthhheeessseee GGGrrrreeererrer aaaaeae tttataataata TTTiiiTiTTiT ttttlllleeeess!! bbbiiitttt...lllyyyylyllyl ////ffffoofof
IIIttt’ss
CCooommm
pppeeettttiittttiioonn TTTii
oorrrmmrmrrmr tttooo WWWIIIWIWWIW NN ooonnnnee ooff ttthhheeessseee GGGrrrreeererrer aaaaeae tttataataata TTTiiiTiTTiT ttttlllleeeess!! bbbiiitttt...lllyyyylyllyl ////ffffoooofoffof uuunnnddda
tttooo WW
tooo
k
IIIIIttt
’ssCC
CCooomm
mmmpppeeettttiittttiioo
ti
ee ooff
nnnee oo
ttttiioonn TTTiiimmmeee!! FFFiiillllll
GGGrrrreererrerGG
llllll iin
FFFiilllll iiinn yyyoooouuurr FFFFFFeeeeee
rrreeererrer aaaaeae tttataataata TT
GGGrrrreeererrer aaaaeae tttataataata TTTiiiTiTTiT ttttlllleee
ee GGGrrrreeererrer aaaaeae tttataataata TTTiiiTiTTiT ttttl
eeessseee GGGrrrreeererrer aaaaaeae tttataataata TThhheeessseee GGGrrrreeererrer aaaaaeae tttataataatattthhheeessseee GGGrrrreererrer
ooff ttthhheeessseee GGGrrrr
ee ooff ttthhheeessseee GG
nnnee ooff ttthhheeessseee
ooonnnnee ooff ttthhhee
NN ooonnnnee ooff ttthh
FFFeeeeeeeddddbbbaaaacccckkkWWWIIIWIWWIW NN ooonnnnee ooff
ddbbbaaaacccckkk ffoorrrmmrmrrmr tttoo WWWIIIWIWWIW NN ooonnnnee oo
oorrrmmmrmrrmr tttooo WWWIIIWIWWIW NN ooonnnnee
NN ooonn
ee GGGrrreeessseee GGhhheeessseeettthhhee
ff ttthh
ooff
nnee oo
ooonnnnee
NN ooonnn
WWIIIWIWWIW NN oo
eeeddddbbbaaaacccckWWWIIIWIWWIW NN
ccckk ffoorrrmmmrmrrmr tttoo WWW
tooo WW
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Team 8 consultants, 8 SpRs, 7 SHOs (FY2 and CT), 5 FY1s
Banding 1B (40%)
nighTs 2 blocks of weekday nights only (Monday -Thursday) in 3 months, 20:00 - 08:00
Weekends 2 in 3 months
Leave As organised with rota co-ordinator, only one FY1 at any time
average LisT size
50-60 patients
operaTing LisTs
2 per day
inpaTienT admissions
7 - 15 per day
TeaChing Once weekly every Tuesday (consultant-led)
roLes Manage patients on wards 1 and 2 (lead by SHOs or SpRs), present on ward rounds, manage patients’ medical problems, liaise with physiotherapists and OTs to help organise discharge planning. Furthermore, you are expected to make referrals to other specialities and present at weekly M&M (mortality and morbidity) meetings every Friday afternoon
TheaTre and CLiniC
Averages one hour per week in clinics or theatres (usually during half-day), usually only SHOs attend
roTa Upto 3 FY1s cover wards 1 and 2 with one FY1 on nights and one on evening on call from 14:00 - 20:00 (except Fridays when evening on call is 13:00 - 20:00). There is one SHO and one FY1 covering all patients at weekends from 08:00 - 21:00. 1 in 5 weekends and 1 in 5 nights (Monday - Thursday), no weekend nights
Linked roTaTions
Clinical [email protected] (Lead Consultant)Rota Coordinator/Pre-employment [email protected] (rota-co-ordinator)
sToke mandeviLLeTrauma & Ortho F1
1.4Team Multiple orthopaedic consultants, on call team changes weekly and 2 consultants are on call at
any time. 5 F1s on team (solely on emergency site) and 11 SHOs (3 core trainees, 1 GP trainee and 7 F2s)
Banding 1A (50%)
nighTs Approximately 1 week of nights, 1 week of twilights (20:00 – 01:00) in 4 months
Weekends 5 - 7 weekends in 4 months
Leave 9 days in 4 months
average LisT size
30 – 50 on emergency site (Stoke Mandeville), 5 – 20 on elective site (Wycombe hospital)
operaTing LisTs
1 trauma list daily in Stoke Mandeville, 2 – 3 elective lists daily in Wycombe
CLiniCs Daily fracture clinic, 2 – 4 elective clinics daily across 2 sites
TeaChing Weekly lunchtime teaching session on Tuesday, learning opportunities in clinics. 10 allocated “internal study leave” days to enable visits to clinic and theatre
roLes When not on call, cover wards in Wycombe (elective patients) or Stoke Mandeville (trauma patients). Also responsible for liaising with orthogeriatrics team and acting as their SHO for trauma patients on their list. On call: trauma admissions to Stoke Mandeville, mainly clerking patients in A&E. At night cross cover plastics and general surgery from 01:00 - 08:00
TheaTre and CLiniC
10 allocated days to allow exposure to clinic and theatre over 4 months
roTa Normal day 07:45 – 17:00 (roughly) if ward based, 07:45 – 17:00 or 18:00 if in theatre.On call either 3 or 4 day blocks, approximately 3 blocks during 4 months in addition to nights (above). On call days are 08:00 - 20:00, nights are 20:00 – 08:00 and twilights are 20:00 – 01:00. When covering elective patients in Wycombe days are either ‘short’ (07:45 – 17:00) or ‘long’ (07:45 – 20:00). If working long days in Wycombe, cover the weekend also
Linked roTaTions
General surgery and O&GGeneral medicine and A&EGeneral medicine and O&G
GP and general medicine
Clinical [email protected] (Lead Consultant)[email protected] (rota enquiries)Rota Coordinator/Pre-employment [email protected]
sToke mandeviLLe and WyComBeTrauma & Ortho F2
1.5
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After a year in Milton Keynes you’ll feel ready to take
on any role in the NHS.
Introduction to the Town
Some of the patients you may speak to at Milton Keynes remember when it was just
a large fi eld with a wooden sign in the middle marked “Milton Keynes Town”. Designed as a commuter town to help the congestion in London, it is situated in leafy Buckinghamshire, surrounded by beautiful villages and the towns of Bedford, Luton and Northampton.
Milton Keynes itself is a behemoth of mod-ernist, brutal architecture, a designed town with the scope to become a city. Planned around a rather infuriating grid and roundabout system, it is a hub for surrounding smaller conurbations as a centre for shopping, entertainment, theatre and dining. The town itself houses almost 300,000 people and counting. It is in need of expansion, as is its hospital.
It is actually quite a charming town with a plethora of
activities:
large multi screen cinema, a huge shopping centre, plenty of choice in terms of eating, the Xscape which houses a real snow indoor ski slope, theatres (MK Theatre and Stables) and comedy clubs and a huge stadium (The Bowl) which hosts large summer music events. Just like every modern English town Milton Keynes has numerous pubs and clubs. For the sporty, there are lots of running and bicycle routes and the town has its own football (MK Dons League 1), ice hockey (MK Lightning) and basketball (MK Lions) teams. There are leisure centres, a David Lloyd Racquet and Fitness Centre and a large water sports facility (Willen Lake). The National Badminton Centre is sited in Milton Keynes and there is a major equestrian centre nearby. There are public and private golf courses to suit all abilities.
Milton Keynes is very accessible: a half hour to London
Euston and bus links to local towns such as Oxford and
Bedford.
The roads, whilst hypnotically confusing are hardly ever congested, and getting around is easy by car, taxi and bicycle. The bus system can be confusing and a little unreliable.
Milton Keynes has a mixed reputation and
it does deserve it to some extent! It is not a perfect town, and working in its hospital will show you the problems that it faces. But hit a few mess parties, go shopping, participate in some multi-disciplinary football and go to a basketball match and you might just change your mind.
Transport Links
Milton Keynes has fantastic transport links. Famous for its prolifi c number of rounda-
bouts
it is both very easy to get around and to get out to visit
friends in other locations.
The hospital is located about 2 miles out of the centre of Milton Keynes directly south along one of the main arterial routes making getting around a very simple and painless process. Below we’ve summarised the options for dif-ferent modes of transport.
buS Or cOach
Local buses run all across Milton Keynes via an extensive (and somewhat complex network). Effectively you can get anywhere you want with a bit of planning and buses run from the outside the hospital to the centre of Milton Keynes every 10-15 minutes. These cost about £1.50 for a single and £4.00 for a day travel card.
Further afi eld, Milton Keynes’ location close to the M1 means that it has good coach access to the rest of the country. The Broadway Coach Station (about 15 minutes from the hospital) forms part of the focus of the National Express network and offers cheap and affordable travel to all ends of the country. The X5 runs from the centre to Oxford and Cambridge with buses coming every thirty minutes and taking either 1.5 or 2 hours to reach their destination respectively. Costing roughly £10 these are quicker and cheaper than the trains.
‘trANSPort 2: ducati in paris’ courtesy of thb
best meet the needs of the local community.
Although our strategy is to grow services, we
intend to remain a general provider of services
rather than become a tertiary provider.
Our vision is to be the healthcare provider of
choice to our local population and therefore our
endeavours will continue as we move forward
to ensure we continue to improve the quality,
range and responsiveness of our services.
The hospital is located on the southern
borders of the town just a 5 minute drive or
30 minute walk from the town centre. Milton
Keynes Hospital has strong links with Oxford
Hospitals and Medical School.
The Foundation rotations include posts
in Milton Keynes Hospital, Campbell Centre
(Mental Health), Willen Hospice (Palliative Care)
and local GP Practices.
Introduction to the Trust
Milton Keynes Hospital NHS Foundation Trust provides a comprehensive range
of services to the local population. The vast majority of our activity comes from the imme-diate local area of Milton Keynes and our vision as an organisation is to be the health care pro-vider of choice.
Milton Keynes Hospital has come a long way in a short amount of time. We are a relatively new hospital, opened in 1984 following a successful campaign by local people to secure a hospital for Milton Keynes which had been established as a new town. Since then, the town has continued to grow at a rapid pace. Our local catchment population now stands at 267,000 and is forecast to grow to 412,000 by 2031. A key part of our service strategy therefore is to grow our services in response to the population growth in order that we can
Milton Keynes Hospital
HoSPitAL contact details
Milton Keynes HospitalStanding WayMilton Keynes MK6 5LDTel: 01908 660033
CoNtACt details
www.mkpostgrad.co.uk
Dr Yaw Duodu– Foundation Programme Training [email protected] Peter Thomas– Associate Medical Director (Medical Education)[email protected]
Mrs Marilyn Hopkins– Medical & Dental Education [email protected] Jenkins– Foundation Programme [email protected]
Miss Debbie Phillips– Clinical lead for [email protected] Rabinder Randhawa– Rota consultant for [email protected] Amanda Taylor– Rota co-ordinator for [email protected]
Introduction to the Hospital
Milton Keynes Hospital is a fantastic place to start your career as an F1. It is a medium
size hospital and currently has around 500 inpatient beds. Whilst this may sound large,
it feels small enough to have a community feel about it.
By the end of the year you’ll be walking the corridors recognizing fellow doctors, nurses, and even patients around town! Whilst the hos¬pital itself is typical of the NHS, with its strange colour palate and chipping paint you’ll soon fi nd yourself calling it home.
Situated in the southern part of Milton Keynes, it is a cheap, 5 minute taxi ride into town where you will fi nd quite of a lot of things to do, although you may fi nd its grid system and endless round¬abouts unnerving; it is very easy to get lost. The town was designed with car in mind - a car can make things easier.
The hospital has an excellent Postgraduate Education Centre where you will fi nd the fan-tastic supportive staff that will always help if needed.
A great “Mess” in the main hospital provides large sofas, a TV and a good place to have breakfast in the morning after
your ward round.
Whilst the restaurant does offer a selection of hot and cold food, it is occasionally unin-spiring. Small changes are however being made to diversify what is currently available. A League of Friends shop at the main entrance supplies a good range of snacks/drinks/chocolate/comfort food to get you through any on-call. The Post-graduate Education Centre houses a café (The Eatery) open during the day.
There are currently 9 medical wards and 3 main surgical wards; the other beds are split between obstetrics, gynaecology, new ambula-tory care unit and paediatrics. There is a nurse/GP led Urgent Care Centre and large outpatient department. Whilst the hospital offers many services, you will have to refer some patients to tertiary care services in other Trusts. The Trust itself is under huge pressures, fi nancially and from the population that it serves. As a trainee here you will have your part to play in helping the Trust deliver excellent patient care, save money and increase effi ciency. In turn you will get to work in a genuine district general with an excellent community feel, good training oppor-tunities and senior support.
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from 5pm to close. The Postgraduate Education centre houses a café (The Eatery) open during the day.
The League of Friends shop at the main entrance is best for snacks, chocolate and has recently started to offer hot sandwiches and paninis. It closes at 7.30pm and is not open on Sunday.
The Mess offers microwave meals in its freezer, and 24 hour tea/coffee/cereal/toast. Out of hours, it is quite diffi cult to get a hot meal, you are usually advised to bring your own in with you.
tOWn
Within Milton Keynes town, you will fi nd the usual fare. Chain restaurants dominate the scene and these are clustered within the shop-ping centre, Xscape and the Hub. Expect things like Zizzi, GBK, Wagamama, Nandos and so on. A fi ve minute walk from the hospital houses a Subway, decent kebab house and fried chicken even though it is in a less reputable part of town!
Personal Development
learninG OPPOrtunitieS
Regular foundation teaching takes place on Tuesday lunchtimes in Milton Keynes and
is aimed at covering the wide range of topics necessary to complete sign off for ePortfolio. Running for an hour, it is often followed up with further
X-ray teaching delivered by the radiology department
which covers an area in which trainees are less confi dent.
An active Education centre advertises addi-tional courses regularly, offering seminars on career development as well as locally run courses such as surgical skills, medical inter-ventional procedures and trauma.
Outside of this, the majority of learning is achieved via self-directed learning on the ward. Other opportunities are however offered within the categories outlined below.
teachinG
Like all hospitals within the Oxford Deanery, Milton Keynes receives medical students from Oxford and other Universities, regularly allowing those that are interested to become involved in teaching. This is mainly coordinated by Dr Smith with the majority being ward based prac-tical sessions that help improve the students’ clinical skills.
The Surgical Department also runs a Thursday teaching session in which you will be asked to present a sub-specialty of general surgery to your peers. These sessions provide
a good opportunity to improve your presentation skills
as well as to receive structured feedback from the organising registrar to help you com-plete the teaching section of your foundation programme eportfolio.
In Medicine regular journal clubs are held during which the foundation doctor is asked to present papers. Once again this provides a structured and organised environment for you to improve your presentation skills as well as to help teach you about critical appraisal of papers and evidence published in medical journals.
audit and reSearch
As a DGH, opportunities available within the Trust for audit and research are often perceived
ENIGMA
Milton Keynes General Hospital
A421 to Oxford40 miles - 1hr 10min
M1 to London54 miles - 1hr 10min
M1 to Northampton20 miles - 0hr 30min
Oxford £43.80 - 2hr 30min (no direct train)Euston £14.50 - 0hr 40minBirmingham £13.50 - 0hr 55min
XXSCAPE
Gullivers LandTheme Park
White CapWatersportCentre
OuzelValleyPark
to be fewer than those that exist at the larger teaching hospitals, yet
involvement is actively encouraged across all specialties and the small, friendly nature of the hospital facilitates this well.
Focused mainly on audit, monthly clinical governance meetings are held across both Medicine and Surgery and within the fi rst few weeks of your placement you will be given compulsory projects to complete to help within the departments you are placed. As these are always within the hospital’s regular programme the changes that you recommend are often implemented and acted upon. The programme is set up to also encourage you to present your work to peers and receive active feedback from senior consultants.
ManaGeMent and leaderShiP
For those interested in improving their management and leadership skills there are a number of positions and roles available in which junior doctors can participate. Active involvement of trainees is sought across all areas including foundation year representation at regular Forum meetings with the Programme Directors to discuss the delivery of training and various roles sitting on panels to discuss the management and organisation of the hospital structure in general.
car
As mentioned above, proximity to the M1 enables quick and easy access to the national network. Driving is a good way to get around Milton Keynes itself. For those without use of a car, a large number of taxi fi rms operate locally. Rates vary with fi rm but generally a taxi from the hospital to the centre of town on a night out is about £5.
train
Milton Keynes Central train station is about a 5 minute taxi ride from the hospital and similarly to the buses offers good access to a range of locations. Trains to London run every 15 minutes and take between 30-60 minutes depending on the number of stops. You can also get direct trains to Birmingham in an hour and Manchester in 90 minutes.
Accommodation
Built in 2006 Milton Keynes accommodation is actually some of the best in the South-
East. Just over 50% of new doctors choose to live in the accommodation and
it is often a very sociable place and an extremely
convenient four minute walk from the hospital.
As an F1 or F2 you will be guaranteed the newer ‘Lister Close’ accommodation, a series of four buildings around a quiet quad. Each of the buildings is divided into six fl ats and each fl at has four rooms. Most fl ats have three or four long term residents and now and again they use one of the rooms for on-call personnel to stay overnight.
The members of each fl at are allocated randomly and multidisciplinary teams are put together, although if you want to transfer to another fl at with friends and a space becomes available they are often happy to meet that
request with a £25 charge. Rent is currently £430/month and includes all bills and a slow but steady internet connection. Single-occu-pant fl ats are available, which two could live in, for around the £700/month mark but often the waiting list is longer.
Each single-bed room has its own ‘capsule’ bath (wet)
room, which is actually surprisingly well constructed.
It has all the mod-cons, with lockable room, cupboard and external doors. Cleaners come once weekly and change your sheets and clean the bathroom, but do not hoover. Each fl at is equipped with both a washer and separate dryer for your laundry.
Parking at the accommodation is £6/month or £73 for the year, well supervised in the middle of the housing quad and always with available parking spaces. Overall the accommodation is a safe, relatively quiet and extremely convenient. For any problems the accommodation offi ce is open Mon-Fri 9-5pm and they are fairly quick to respond to any urgent calls. In summary the housing is far more pleasant than the rest of the Oxfordshire Dean-eries offerings, and if you do not like it, the notice period is two weeks.
Parking
Milton Keynes has a 1000 space multi-storey car park
for staff and visitors, which is secure and a two minute walk from the hos¬pital. Permits are available for a price of around £12-13/month for staff and there is no need to contest your eligibility.
The Doctors’ Mess
Milton Keynes Mess is run by a president and small com-
mittee, and whoever wants to be involved is more than welcome! The fees are generally set at £15/month which can come straight from your payslip. This allows you access to the Mess (swipe is denied if you are not a member) and free entry to all events. The Mess itself is a very typical area, slightly dilapidated by the end of the day but probably above standard for Oxfordshire. One good point about it is the
constant supply of coffee, tea, cereal, bread and
chocolate
that our dedicated president organises, which hopefully will continue in future years when someone else takes up the role. Above this it is a very sociable place and with a wide-screen TV and couple of computers, and the comfy seats make it often a welcome break. In summer the doors open up to picnic benches outside. The mess does not provide its own catering but is a twenty second walk from the hospital restaurant.
There is a Mess night out on the last Thursday of each month that normally has a generous bar tab. Events often kick off around 8pm with people joining whenever they fi nish or want to. Recent events have included a pub-crawl around Stony Stratford (beautiful fl ag-stoned local town) and joint events with the A&E and ophthalmology departments. There are normally two Balls a year as well and BBQs in the summer, with reduced rates or free for all members.
In fairness, for most F1 or F2s, come to a couple of events and it more than pays for itself!
The Mess also runs a football club on a Tuesday evening with doctors of every grade turning up to play (even consultants) and a yearly tour. It is well attended and often gets a bit competitive! In previous years there has been a badminton and squash club, which the Mess are more than happy to fund if there is interest. Overall this society is very much worth the money and an important part of hospital life.
Food and Drink
hOSPital
There are two main food outlets in the hospital. The restaurant is open from 8am to
7pm and offers hot and cold meals, salad bar, and sandwich/baguette area. It serves lunch from 12pm to 2pm. After this time, it is diffi -cult to get a proper hot meal. Dinner is served
MiLtoN keynes hospital
‘FooD and drink 2’ courtesy of thb
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oops! We don’t have any info on this rotation...Yikes! Sorry.
It’s probably similar to “Cardiology F1”
Team 4 rotating consultants, 2 registrars, 2 SHOs, 1 F1
Banding 1B (40%)
nighTs Yes, on general medical rota (see below)
Weekends One in four
Leave Negotiable with team
average LisT size
20 patients, ward rounds can be very busy catching up with previous night’s team
inpaTienT admissions
All previous day’s admissions and CDU patients still on the ward to cover
TeaChing F2 teaching every Thursday, Grand Round every Wednesday, Journal club every Friday
roLes Up to 24 patients based on ward, multiple outliers in AU and elsewhere. Has been very busy
TheaTre and CLiniC
None as part of rota or clinical duties
roTa 8 week rolling rota for F2s. Weekdays: Either 08:00 - 16:00 or 09:00 - 17:00 daily with one evening on call per week.General medical on-call responsibility is 14 nights in 4 months, 1 evening on call per week and 1 weekend day on-calls per 4 month rotation. Also 2 lots of 4 ‘1st on-call; 12:00 - 23:00 and 4 ‘2nd’ on-calls 09:00 - 21:30 during 4 month
miLTon keynes
miLTon keynes
Cardiology
Clinical Decision Unit
F2
F21.4
Team 4 consultants, 3 registrars, 2 SHOs, 1 F1
Banding 1B (40%)
nighTs None
Weekends One in six
Leave Negotiable with team
average LisT size
16 - 20 patients
inpaTienT admissions
As per discharges. Usually 1 - 2 a day
TeaChing F1 teaching every Tuesday, Grand Round every Wednesday, Journal club every Friday usually presented by F1s
roLes Entirely ward based. Coronary Care Unit is run by registrars but F1 called for TTOs or bloods if nurses unable
TheaTre and CLiniC
None as part of rota or clinical duties
roTa 6 week rolling rota for F1s. Weekdays: first F1 on call during day working 09:00 - 17:00 clerking in new patients in clinical decisions units (CDU) and then covering wards 17:00 – 22:00. Second F1 changes everyday and does normal ward work 09:00 – 17:00 and then clerks in new patients 17:00 - 22:00. Weekends: first on call covers the wards doing ward jobs with the SHO. Second on call covers CDU clerking in new patients all day. Structure: One weekend every 6 weeks, one Monday - Thursday every 6 weeks and then one month covering CDU 17:00 - 22:00 once a wee
Team 3 consultants, 4 registrars, 2 SHOs, 4 F1s
Banding 1A (50%)
nighTs Yes, 20:00 - 08:00. Either Monday - Thursday or Friday - Sunday
Weekends One in six
Leave Fixed on rota. Day off prior to weekend on call. Day off before and after nights
average LisT size
15 - 60 patients depending on take
TheaTre LisT Elective lists on Monday - Wednesday
inpaTienT admissions
Elective admissions Monday - Wednesday. Consultants are on take Monday - Thursday or Friday - Sunday (once every 2 weeks). On take days expect up to 10 patients daily - the list can reach 60+ patients
TeaChing F1 teaching every Tuesday, Mortality & Morbidity meeting every second Thursday presented by F1s, F1 led teaching every Thursday afternoon, Colorectal meeting every Thursday morning, Colorectal MDT every Thursday afternoon
roLes Mostly ward work but may be required in theatre intermittently. Clerking in elective admissions for colorectal lists
TheaTre and CLiniC
Theatre as required, usually more so on nights and on calls
roTa One in six; within every three month placement expect one set of weekday nights, one set of weekend nights, one set of weekday day on call, one set of weekend day on call. Nights 20:00 - 08:00, Days 08:00 - 20:00. Days involve clerking in GP referrals with some involvement in theatre as needed. On nights you are additionally providing ward cover. F1 receives GP referrals; SHO receives A&E referrals
Linked roTaTions
Clinical [email protected] (Lead Consultant for Medicine)Rota Coordinator/Pre-employment [email protected] (Junior Medical Staffing co-ordinator)
Linked roTaTions
Clinical [email protected] (Consultant)Rota Coordinator/Pre-employment [email protected] (Junior Medical Staffing co-ordinator for surgery and consultant surgeon)
miLTon keynes
miLTon keynes
Cardiology
Colorectal Surgery
F11.4
F11.5
Team 6 consultants, 8 middle grades, 8 SHOs, 3 ENPs
Banding 1A (50%)
nighTs 27 in 4 months, 1 other SHO and registrar present overnight
Weekends Up to 1 in 2
Leave Opportunity to pick 1 of 4 slots beforehand. Negotiable with team, organised before beginning of rotation and lots of opportunity to swap
admissions Very busy A&E department
TeaChing F2 and special A&E teaching every Thursday
roLes See mainly majors and some minors patients. Called into resus but with senior support for any trauma calls
roTa 8 week rolling rota. Shifts 22:15-08:15, 17:00-23:00, 09:00-17:00 or 12:30-22:30
Team 1 consultant, 1 registrar, 2 SHOs, 1 F1
Banding 1B (40%)
nighTs None
Weekends One in six
Leave Negotiable with team, senior members take priority
average LisT size
20 - 28 patients
inpaTienT admissions
Depends on discharges - very high patient turnover, can be up to 10-15 new patients daily
TeaChing F1 teaching every Tuesday, Grand Round every Wednesday, Journal club every Friday (usually presented by F1s)
roLes 20-28 patients based on CDU intake. CDU is an assessment unit and patient turnover is very high as patients are sent to wards as beds come up. Work with on call team but post take patients who have been seen in previous day. Clinical skill opportunities are dependent on patients
TheaTre and CLiniC
None as part of rota or clinical duties
roTa 6 week rolling rota for F1s. Weekdays: first F1 on call during day working 09:00 - 17:00 clerking in new patients in clinical decisions units (CDU) and then covering wards 17:00 - 22:00. Second F1 changes everyday and does normal ward work 09:00 - 17:00 and then clerks in new patients 17:00 - 22:00. Weekends: first on call covers the wards doing ward jobs with the SHO. Second on call covers CDU clerking in new patients all day. Structure: One weekend every 6 weeks, one Monday-Thursday every 6 weeks and then one month covering CDU 17:00 - 22:00 once a week
Linked roTaTions
Clinical [email protected] (Lead Consultant)Rota Coordinator/Pre-employment [email protected] (Junior Medical Staffing co-ordinator)
Linked roTaTions
Clinical [email protected] (Lead Consultant for Medicine)Rota Coordinator/Pre-employment [email protected] (Junior Medical Staffing co-ordinator)
miLTon keynes
miLTon keynes
A&E
Acute Medicine
F2
F1
1.5
1.4
oops! We don’t have any info on this rotation...Yikes! Sorry.
It’s probably similar to “Acute Medicine F1”
Team 2 consultants, 2 registrars, 1 SHO, 2 F1s
Banding 1A (50%)
nighTs 20:00 - 08:00
Weekends One in six
Leave Fixed on rota. Day off prior to weekend on call. Day off before and after nights
average LisT size
10 - 15 patients
TheaTre LisTs Monday, Tuesday and Thursday all day
inpaTienT admissions
Usually 3 - 4 per week unless on take (once a month) in which case can have 10 patients per day
TeaChing F1 teaching every Tuesday, Mortality & Morbidity meeting every second Thursday presented by F1s. F1 led teaching every Thursday afternoon
roLes Mostly ward work but may be required in theatre intermittently. Clerking in elective admissions for breast lists
TheaTre and CLinC
Theatre as required, usually more so on nights and on calls
roTa One in six; within every three month placement expect one set of weekday nights, one set of weekend nights, one set of weekday day on call, one set of weekend day on call. Nights 20:00 - 08:00, Days 08:00 - 20:00. Days involve clerking in GP referrals with some involvement in theatre as needed. On nights you are additionally providing ward cover. F1 receives GP referrals; SHO receives A&E referrals
Linked roTaTions
Clinical [email protected] (Consultant)Rota Coordinator/Pre-employment [email protected] (Junior Medical Staffing co-ordinator for surgery and consultant surgeon)
miLTon keynes
miLTon keynes
Acute Medicine
Breast Surgery
F2
F11.5
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Allocated to one of three local practices (furthest 15 minutes from the hospital by car)
Team 4 - 7 partner practices, large support team
Banding Unbanded
nighTs No
Weekends No
Leave Negotiable with partners, you are supernumerary so very flexible. Easy to negotiate study leave
TeaChing F2 teaching Thursdays and one tutorial per week with a GP partner. Often extra sessions with multidisciplinary team available; e.g. minor ops, nurse-led clinics, community cardiology
roLes First 1 - 2 weeks spent observing then start your own clinics with 30 minute appointments (plent of time to ask for advice). Appointments shortened over the rotation to 15 or 20 minutes
roTa Monday - Friday. Often long lunchbreaks (but may need to do home visits). Half day once per week
Team 1 consultant, 1 registrar, 1 SHO, 1 F1
Banding 1B (40%)
nighTs No
Weekends One in six
Leave Negotiable with team, seniors take priority
average LisT size
12 - 14 patients
inpaTienT admissions
As per discharges, usually 1 - 2 daily
TeaChing F1 teaching every Tuesday, Grand Round every Wednesday, Journal club every Friday usually presented by F1s
roLes Completely ward based looking after patients. No elective admissions. SHO and registrar cover clinics as required. Some opportunity to gain competency in advanced procedures such as lumbar puncture and inserting drains
TheaTre and CLiniC
None as part of rota or clinical duties
roTa 6 week rolling rota for F1s. Weekdays: first F1 on call during day working 09:00 - 17:00 clerking in new patients in clinical decisions units (CDU) and then covering wards 17:00 – 22:00. Second F1 changes everyday and does normal ward work 09:00 – 17:00 and then clerks in new patients 17:00 - 22:00. Weekends: first on call covers the wards doing ward jobs with the SHO. Second on call covers CDU clerking in new patients all day. Structure: One weekend every 6 weeks, one Monday - Thursday every 6 weeks and then one month covering CDU 17:00 - 22:00 once a week
Linked roTaTions
Clinical [email protected] (Lead Consultant for Medicine)Rota Coordinator/Pre-employment [email protected] (Junior Medical Staffing co-ordinator)
miLTon keynes
miLTon keynes
General Medicine
General Practice
F1
F2
1.4
1.0Team 6 consultants, 5 registrars, 6 SHOs, 1 F1 (supernumerary)
Banding 1B (40%)
nighTs No
Weekends No
Leave Negotiable with team, flexible as you are supernumerary
average LisT size
10 - 20 patients
TheaTre LisT Daily
inpaTienT admissions
Gynaecology get their own referrals from GP and A&E, this runs on a take system shared between 6 consultants - team usually on take once every 3 weeks. Up to 10 patients a day can be admitted when on take
TeaChing F1 teaching every Tuesday, Mortality & Morbidity meeting every second Thursday presented by F1s, F1 led teaching every Thursday afternoon
roLes Mostly ward work but may be required in theatre intermittently. Clerking in elective admissions for gynaecology lists. The F1 in gynaecology is supernumerary. Choice of when to be on call (ideally once a week)
TheaTre and CLiniC
As required in theatre, usually more so on call
roTa 08:00 - 17:00 normal working day, on calls are usually by choice, usually once a week
Linked roTaTions
Clinical [email protected] (Lead Consultant for Medicine)Rota Coordinator/Pre-employment [email protected] (Junior Medical Staffing co-ordinator)
Linked roTaTions
Clinical [email protected] (Consultant)Rota Coordinator/Pre-employment [email protected] (Junior Medical Staffing co-ordinator for surgery and consultant surgeon)
miLTon keynes
miLTon keynes
General Surgery
Gynaecology
F1
F11.4
oops! See individual surgical specialitiesTeam 1 consultant, 1 registrar, 1 SHO, 1 F1
Banding 1B (40%)
nighTs No
Weekends One in six
Leave Negotiable with team, seniors take priority
average LisT size
12 - 14 patients
admissions As per discharges, usually 1 - 2 daily
TeaChing F1 teaching every Tuesday, Grand Round every Wednesday, Journal club every Friday usually presented by F1s
roLes Completely ward based looking after patients. Mostly general medicine, some endocrine. Some elective admissions for endocrine tests. SHO and registrar cover clinics as required. Some opportunity to gain competency in advanced procedures such as lumbar puncture and inserting drains
TheaTre and CLiniC
None as part of rota or clinical duties
roTa 6 week rolling rota for F1s. Weekdays: first F1 on call during day working 09:00 - 17:00 clerking in new patients in clinical decisions units (CDU) and then covering wards 17:00 – 22:00. Second F1 changes everyday and does normal ward work 09:00 – 17:00 and then clerks in new patients 17:00 - 22:00. Weekends: first on call covers the wards doing ward jobs with the SHO. Second on call covers CDU clerking in new patients all day. Structure: One weekend every 6 weeks, one Monday - Thursday every 6 weeks and then one month covering CDU 17:00 - 22:00 once a week
Linked roTaTions
Clinical [email protected] (Lead Consultant for Medicine)Rota Coordinator/Pre-employment [email protected] (Junior Medical Staffing co-ordinator)
miLTon keynes
miLTon keynes
Diabetes & Endocrine
Gastroenterology
F1
F2
1.4
Team 3 consultants, 2 registrars, 2 speciality doctors, 2 SHOs, 2 F1s
Banding 1B (40%)
nighTs No
Weekends One in six
Leave Negotiable with team
average LisT size
12 - 16 patients
inpaTienT admissions
Usually 1 - 2 per day
TeaChing F1 teaching every Tuesday, Grand Round every Wednesday, Journal club every Friday usually presented by F1s
roLes Ward based. Clerking in elective patients for MRCP, ERCP, scoping, liver biopsy or ascitic drains who occupy beds in ambulatory care unit (ACU) or ward. Lot of opportunity to gain competency in ascitic drains and taps. Work closely with dieticians and nutrition specialists
TheaTre and CLinC
None as part of rota or clinical duties
roTa 6 week rolling rota for F1s. Weekdays: first F1 on call during day working 09:00 - 17:00 clerking in new patients in clinical decisions units (CDU) and then covering wards 17:00 – 22:00. Second F1 changes everyday and does normal ward work 09:00 – 17:00 and then clerks in new patients 17:00 - 22:00. Weekends: first on call covers the wards doing ward jobs with the SHO. Second on call covers CDU clerking in new patients all day. Structure: One weekend every 6 weeks, one Monday - Thursday every 6 weeks and then one month covering CDU 17:00 - 22:00 once a week
Team 2 consultants, 2 registrars, 1 SHO
Banding 1A (50%)
nighTs 14 in 4 months
Weekends One in four
Leave Negotiable with team, if on general surgical on call will need to swap
average LisT size
1 - 5 inpatients, mainly clinics and day cases
TheaTre LisTs Most days
inpaTienT admissions
Approximately 1 daily, most referrals from GP, few from A&E. Team usually on take once every 3 weeks
TeaChing F2 teaching every Thursday
roLes Mostly clinic work but should look after inpatients and see referrals. Often very quiet ‘on calls’ for ENT
TheaTre and CLinC
Registrar takes priority in theatre but exposure definitely available if proactive
roTa 08:00 - 17:00 normal working day, on calls 08:00 - 20:00
Linked roTaTions
Clinical [email protected] (Lead Consultant for Medicine)Rota Coordinator/Pre-employment [email protected] (Junior Medical Staffing co-ordinator)
miLTon keynes
miLTon keynes
ENT
Gastroenterology
F2
F1
1.5
1.4oops! We don’t have any info on this rotation...
Yikes! Sorry.
It’s probably similar to “Gastroenterology F1”
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Team 4 consultants, 2 middle grades, 1 SHO
Banding Unbanded
nighTs No
Weekends No
Leave Pretty much as required, as you will be supernumerary, easy to negotiate study leave. One half-day per week
TeaChing F2 teaching on Thursdays
roLes Some ward rounds in Campbell centre, asked to see on-call patients in A&E or CDU. Senior always contactable
Team 3 consultants, 3 registrars, 4 SHOs
Banding 1A (50%)
nighTs Yes 09:00 - 21:00, mix between neonatal cover and paediatrics
Weekends One in three, heavy on call duties
Leave Some room for negotiation, early requests best put in before starting if possible
average LisT size
20 - 30 patients
inpaTienT admissions
Quite busy on-call, GP referrals taken by registrar but will be asked to patients in paediatric A&E or labour ward for neonatal resuscitation. Technically always on ‘take’ from A&E/ GP. Rolling rota of duties including ward cover, baby checks and helping in clinic. Also present at C-sections and on-call for problem births
TeaChing F2 teaching every Thursday, 1 dedicated paediatric session per week
Linked roTaTions
Clinical Contact
Rota Coordinator/Pre-employment enquiries
miLTon keynes
miLTon keynes
Paediatrics
Psychiatry
F2
F2
1.5
1.0
Team 4 consultants, 2 middle grades, 1 SHO
Banding Unbanded
nighTs No
Weekends No
Leave Pretty much as required, as you will be supernumerary, easy to negotiate study leave. One half-day per week
inpaTienT admissions
Between 0 - 3 daily
TeaChing F2 teaching on Thursdays
roLes Daily ward round of approximately 16 patients, and help with admissions
Linked roTaTions
Clinical Contact
Rota Coordinator/Pre-employment enquiries
miLTon keynes
miLTon keynes
Palliative Medicine
Respiratory
F21.0
F2
oops! We don’t have any info on this rotation...Yikes! Sorry.
It’s probably similar to “Respiratory F1”
Team 3 consultants, 1 registrara, 1 SHO, 1 F1
Banding 1B (40%)
nighTs No
Weekends One in six
Leave Neogtiable with team, seniors take priority
average LisT size
10 - 15 patients
in paTienT admissions
As per discharges, but usually 1 - 3 per day
TeaChing F1 teaching every Tuesday, Grand Round every Wednesday, Journal clib every Friday usually presented by F1s
roLes 10 - 15 patients based on ward. List tends to be small, but patients are very unwell. Consultant haematologists are always on call for advice
TheaTre and CLiniC
None as part of rota or clinical duties
roTa 6 week rolling rota for F1s. Weekdays: first F1 on call during day working 09:00 - 17:00 clerking in new patients in clinical decisions units (CDU) and then covering wards 17:00 – 22:00. Second F1 changes everyday and does normal ward work 09:00 – 17:00 and then clerks in new patients 17:00 - 22:00. Weekends: first on call covers the wards doing ward jobs with the SHO. Second on call covers CDU clerking in new patients all day. Structure: One weekend every 6 weeks, one Monday - Thursday every 6 weeks and then one month covering CDU 17:00 - 22:00 once a week
Linked roTaTions
Clinical Contact
Rota Coordinator/Pre-employment enquiries
miLTon keynes
miLTon keynes
Haematology
Medicine CDU
F1
F1
1.4
Team 6 consultants, 6 SpRs, 2 GP trainees, 4 F2s, 1 F1, many midwives
Banding 1A (50%)
nighTs 14 in 4 months (Monday - Wednesday or Thursday - Sunday). 1 SHO and 1 registrar present overnight
Weekends One in four
Leave Negotiable with team but do it early – complicated process of running past secretary then emailing consultants. Room for study leave
inpaTienT admissions
Can be busy anywhere between none and 8 - 10 a day for gynae or obs, no pattern to it!
TeaChing F2 teaching on Thursday and special O&G teaching Friday afternoon
roTa Rotating rota of on-call during day (08:30 - 21:00) for obs or gynae (1 - 2 per week) doing ward round and clerking in new patients admitted via A&E. Otherwise helping on SAU, ACU, covering antenatal day assessment unit (ADAU) or in clinic. One half-day per week. Theatre time very available with timetabling into elective C-section lists (as well as emergency whilst on-call) and gynaecology lists
Linked roTaTions
Clinical Contact
Rota Coordinator/Pre-employment [email protected] (Registrar)
miLTon keynes
miLTon keynes
ITU
O&G
F1
F21.5
oops! We don’t have any info on this rotation...Yikes! Sorry.
It’s probably similar to “Clinical Decision Unit F2”
oops! We don’t have any info on this rotation...Yikes! Sorry.
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Team 3 consultants, 3 registrars, 1 SHO, 2 F1s
Banding 1A (50%)
nighTs Yes, 20:00 - 08:00
Weekends One in six
Leave Fixed on rota. Day off prior to weekend on call, day off before and after nights
average LisT size
10 - 20 patients
TheaTre LisTs Daily
inpaTienT admissions
As per referrals and relevant admissions - as on take every day, can be up to 5 per day but usually only 1 - 2 a day
TeaChing F1 teaching every Tuesday, Mortality & Morbidity meeting every second Thursday presented by F1s, F1 led teaching every Thursday afternoon
roLes Mostly ward work but may be required in theatre intermittently. Clerking in elective admissions for urology lists
TheaTre and CLiniC
As required in theatre, usually more so on nights an on calls
roTa One in six: within every three month placement expect one set of weekday nights, one set of weekend nights, one set of weekday day on call, one set of weekend day on call. Nights – 20:00 - 08:00, day 08:00 - 20:00. Nights involve ward cover and clerking in GP referrals with some involvement in theatre as needed. Days involve clerking in GP referrals with theatre involvement as needed. F1 receives GP referrals; SHO receives A&E referrals
Linked roTaTions
Clinical [email protected] (Lead Consultant)Rota Coordinator/Pre-employment [email protected] (Junior Medical Staffing co-ordinator for surgery and consultant surgeon)
Linked roTaTions
Clinical [email protected] (Lead Consultant)Rota Coordinator/Pre-employment [email protected] (Junior Medical Staffing co-ordinator for surgery and consultant surgeon)
miLTon keynesUrology F1
1.5Team 3 consultants, 4 registrars, 2 SHOs, 4 F1s
Banding 1A (50%)
nighTs Yes, 20:00 - 08:00. Monday - Thursday or Friday - Sunday
Weekends One in six
Leave Fixed on rota. Day off prior to weekend on call, day off before and after nights
average LisT size
10 - 20 patients
TheaTre LisTs Monday, Tuesday and Friday all day
inpaTienT admissions
As per referrals and relevant admissions – roughly 2 - 3 a week unless on take where you can expect up to ten patients a day. On take once every 4 weeks
TeaChing F1 teaching every Tuesday, Mortality & Morbidity meeting every second Thursday presented by F1s, F1 led teaching every Thursday afternoon
roLes Mostly ward work but may be required in theatre intermittently. Clerking in elective admissions for vascular lists
TheaTre and CLiniC
As required in theatre, usually more so on nights and on calls
roTa One in six: within every three month placement expect one set of weekday nights, one set of weekend nights, one set of weekday day on call, one set of weekend day on call. Nights – 20:00 - 08:00, day 08:00 - 20:00. Nights involve ward cover and clerking in GP referrals with some involvement in theatre as needed. Days involve clerking in GP referrals with theatre involvement as needed. F1 receives GP referrals; SHO receives A&E referrals
miLTon keynes
Vascular Surgery F11.5
Team 3 consultants, 2 registrars, 2 SHOs, 3 F1s
Banding 1B (40%)
nighTs No
Weekends One in six
Leave Negotiable with team, seniors take priority
average LisT size
15 - 20 patients
in paTienT admissions
As per discharges, but usually 1 - 3 per day
TeaChing F1 teaching every Tuesday, Grand Round every Wednesday, Journal club every Friday usually presented by F1s
roLes 15-25 patients based on the wards 4 high dependency beds for patients on CPAP/BIPAP. Mostly ward work – some clerking and discharging in Bronchoscopy. Opportunities for pleural taps and drains with senior assistance
TheaTre and CLiniC
None as part of rota or clinical duties
roTa 6 week rolling rota for F1s. Weekdays: first F1 on call during day working 09:00 - 17:00 clerking in new patients in clinical decisions units (CDU) and then covering wards 17:00 – 22:00. Second F1 changes everyday and does normal ward work 09:00 – 17:00 and then clerks in new patients 17:00 - 22:00. Weekends: first on call covers the wards doing ward jobs with the SHO. Second on call covers CDU clerking in new patients all day. Structure: One weekend every 6 weeks, one Monday - Thursday every 6 weeks and then one month covering CDU 17:00 - 22:00 once a week
miLTon keynes
miLTon keynes
Respiratory
Surgery
F1
F2
1.4
1.5
Linked roTaTions
Clinical Contact
Rota Coordinator/Pre-employment enquiries
miLTon keynes
miLTon keynes
Stroke
Trauma & Ortho
F1
F2
1.4
Linked roTaTions
Clinical [email protected] (Lead Consultant for Medicine)Rota Coordinator/Pre-employment [email protected] (Junior Medical Staffing co-ordinator)
Linked roTaTions
Clinical [email protected] (Lead Consultant for Medicine)Rota Coordinator/Pre-employment [email protected] (Junior Medical Staffing co-ordinator)
Team 2 consultants, 1 registrar, 1 SHO, 1 F1
Banding 1B (40%)
nighTs No
Weekends One in six
Leave Negotiable with team
average LisT size
16 - 20 patients and up to 6 medical patients
inpaTienT admissions
Low turnover due to nature of job
TeaChing F1 teaching every Tuesday, Grand Round every Wednesday, Journal club every Friday usually presented by F1s
roLes 16-20 patients based on the ward. Completely stroke based. Transfers post-thrombolysis for rehabilitation. Some general medical beds open up on ward if bed situation worsens
TheaTre and CLiniC
None as part of rota or clinical duties
roTa 6 week rolling rota for F1s. Weekdays: first F1 on call during day working 09:00 - 17:00 clerking in new patients in clinical decisions units (CDU) and then covering wards 17:00 – 22:00. Second F1 changes everyday and does normal ward work 09:00 – 17:00 and then clerks in new patients 17:00 - 22:00. Weekends: first on call covers the wards doing ward jobs with the SHO. Second on call covers CDU clerking in new patients all day. Structure: One weekend every 6 weeks, one Monday - Thursday every 6 weeks and then one month covering CDU 17:00 - 22:00 once a week
Team 2 - 3 consultants each team, 1 - 2 registrars each, 2 SHOs, normally 4 F1s
Banding 1A (50%)
nighTs 14 in 4 months
Weekends One in four
Leave Negotiable with team, if on general surgical on-call we need to swap
average LisT size
15 - 20 patients, less for breast
TheaTre LisTs Monday, Tuesday and Wednesday for colorectal and vascular, 3 x week for breast
inpaTienT admissions
Can be very busy, on-take up to 10 - 12 admissions per day. Take shared by 8 consultants, team usually on take once every 3 weeks
TeaChing F2 teaching every Thursday, Mortality & Morbidity meeting every second Thursday presented by F1s
roLes Required more in theatres especially for on-call lists, otherwise mostly ward work and helping F1
TheaTre and CLiniC
as required in theatre, usually more so on nights and on calls. Can help in clinic but not expected to run it
roTa 08:00 - 17:00 normal working day, on call one evening (until 20:00) per week. General surgical on-call rota includes 2 lots of Monday - Thursday day on-call and Friday - Sunday day on-call during 4 month rotation, interspersed with 14 nights overall
oops! We don’t have any info on this rotation...Yikes! Sorry.
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of a new Tesco superstore. Direct trains lines go to Reading, Oxford and London Paddington. one train stop away from Windsor and Eton Central station.
Only a few miles away from Slough is the affl uent suburban town of Windsor. Home to the royals, the surrounding region has some of the most expensive and desirable housing areas in the country. Windsor Castle overlooks the quiant town centre with its restaurants and cafes. Other nearby attractions include Legoland and Eton College.
Transport Links:Wexham Park Hospital
buS
Direct 10 minute bus service (WP1) from Slough bus station to Wexham Park Hospital every 15 minutes between 6.30am to 10pm Monday to Friday (single £2, return £2.90).
Other bus links to Slough, Maidenhead, Bracknell and Chalfonts available.
train
London Paddington to Slough 35 minOxford to Slough40 minsReading to Slough15 mins
Connections from the hopsital to to Slough train station by bus.
car
From London 20 milesduration variable; M4 or M40.From Oxford 40 miles1 hour; M40 then take the A355.From Reading 25 miles35 minutes; M4.
bicycle
10 minute bicycle ride from Slough town centre or train station. Bike racks available at Main Entrance.
Accommodation
On-site hospital accomodation (approx £ 390 pcm), 4-person fl ats with shared kitchen
and bathroom. Ensuite available. Internet and laundry facilities included.
Parking permits available for residents on request. Cost of permit: 1% of staff income.
Private rental of fl ats in Slough/Windsor approx £650-800 pcm (1-person fl at) excluding bills and council tax.
Parking
Plentiful staff parking on site.Staff permits: eligibility: must live more
than 1.5 miles from site, must regularly work on site (i.e. > 3 times a week). Cost of permit: 1% of staff income. Valid for Wexham Park and/or Heatherwood (same price).
The Doctors’ Mess
At the ‘crossroads’ of the hospital (see site map). Free tea, coffee and toast. Mess
fees £10 per month. Monthly doctor’s mess parties and annual ball.
Food and Drink
hOSPital
Main hospital restaurant and three WRVS cafes, meals approx £2.80-3.50 (staff
prices). Restaurant closes at 7pm, vending machines available for food/drink.tOWn
Slough: Red Lion pub (5 minutes away from hospital), a local favourite. Good food and drink with fi replace.
Windsor: Brown’s by the Riverside, Thai Place, the usual chains (Strada, Cafe Rouge, Pizza Express, Wetherspoons).
Staff Benefi ts
Trust employees are eligible to join a number of discount card schemes -
most offer either discount or cashback with major retailers, restaurant chains or service providers.
NHS cashback Black Card (save up to 5% in a large range of high street stores)
Medic Care NHS staff discount (savings on over 200 brands and dis-counts with local businesses; holidays and travel; and insurance and fi nancial products in Slough, Maidenhead and the whole of Berkshire.)
Red Guava www.redguava.co.ukChildcare Co-ordinator employed to
act as a source of expertise and support for all employees with care requirements.
Nursery Discounts for NHS Staff (50 nurseries in Bracknell, Slough, Reading, Maidenhead and Windsor).
Lifestyle Fitness: membership for £34 per month.
Personal Development
learninG OPPOrtunitieS
Weekly compulsory F1 and F2 teaching ses-sions as per deanery policy. Some slots
are used for simulation training in the WexSim suite. Many of the jobs have additional regular teaching by consultants or in more formalised settings such as journal clubs (see various sep-arate job descriptions).
teachinG
Medical students do come through Wexham (not usually Oxford students, but South-
ampton, London and US international students can often be found attached to General Medi-
cine, Surgery and Paediatrics), and will require teaching by junior doctors on the team. Foundation programme directors are very keen to support if you have an idea for teaching your foundation programme colleagues.
audit and reSearch
Variable, depending on workload and other colleagues in the department, but generally
self-organised. Some bosses will expect you to have something on the go (e.g. orthopae-dics) while others will only come up with ideas if you ask. If you are keen to organise things yourself, the pathology, radiology, and medical records departments will bend over backwards to help you learn your way around the otherwise impenetrable computer systems.
Monthly compulsory academic half days occur and are great opportunities to present to your department.
‘FooD and drink 3’ courtesy of pmg
FireWorKS courtesy of pmg
62
OxfOrd fOundatiOn SchOOl PrOSPectuS 2013
Heatherwood and Wexham Park Hospitals
HoSPitAL contact details
Heatherwood HospitalLondon RoadAscot SL5 8AATel: 01344 623333Wexham Park HospitalWexhamSlough SL2 4HLTel: 01753 634825
Introduction to the Hospitals
WexhaM Park hOSPital
Main hospital where foundation jobs are based. 2 miles north of Slough town
centre and train station. Has a wide range of services including A&E. A friendly DGH with postgraduate centre and library.
heatherWOOd hOSPital
Small, friendly hospital near Ascot. Provides both inpatient and outpatient services; no
A&E. One would expect to be timetabled half a day there once every few weeks.
Introduction to the Town
Slough is a borough in Berkshire 22 miles west of central London. It is one of the most
ethnically diverse areas outside of London. Despite its social problems, Slough has seen major redevelopment of the town centre with revamping of the shopping centre and building
Introduction to the Trust
Heatherwood and Wexham Park Hospital is a district general hospital near Slough
that gained foundation trust status in 2007. It is divided between two sites: Wexham Park (Slough) and Heatherwood (Ascot). Outpatient services are also provided by King Edward VII Hospital (Windsor) and St Mark’s Hospital (Maid-enhead). The trust covers a large and diverse population in Ascot, Bracknell, Maidenhead, Slough, south Buckinghamshire and Windsor. Approximately 30 languages are spoken in the area, the top 6 (excluding English) being Hindi, Polish, Urdu, Somali, Romanian and Punjabi.
CoNtACt details
Mr Jas Kalsi and Mr Ram Moorthy– Foundation Training Programme [email protected]@hwph-tr.nhs.ukDr Richard Russell– Director of Medical [email protected]
Miss Maura Stock– Medical Education [email protected] Stallwood– Foundation Programme [email protected] Patel– Foundation years [email protected]
65
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OxfOrd fOundatiOn SchOOl PrOSPectuS 2013
Dorney Lake
Ascot Race andGolf Courses
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X 2011 • 9781444334661 288 pages • £25.99
Getting that Medical Job: Secrets for Success3rd Edition
Colin J. Mumford & Suvankar PalCovering the new structured interview in specialty training recruitment, with real examples of successful and unsuccessful interview questions and answers; how to prepare the best CV; and what candidates should do to get short-listed.
X April 2011 • 9781444334883 168 pages • £19.99
The Hands-on Guide to Data InterpretationSasha Abraham, Kunal Kulkarni, Rashmi Madhu & Drew ProvanThis aide memoire is a one-stop guide to data interpretation, focusing on the most common investigations and tests encountered in clinical practice.
X 2010 • 9781405152563 264 pages • £24.99
The Essential Guide to Becoming a Doctor3rd Edition
Adrian Blundell, Richard Harrison & Benjamin TurneyA lively introduction to the medical profession with personal views in each chapter giving a feel for the different aspects, with practical information on choosing your specialty.
X 2010 • 9780470654552 296 pages • £24.99
The Hands-on Guide to Clinical Pharmacology3rd Edition
Sukhdev ChatuA concise, A-Z style run-through of over 100 of the most common drugs that you are likely to encounter.
X 2010 • 9781405191951 248 pages • £22.99
Understanding Medical Research: The Studies that Shaped MedicineJohn A. GoodfellowCovering the seminal research in core areas of medicine in one time-saving volume, this unique and valuable approach to the difficult concept of understanding medical research is perfect for presentations, reports and exam questions, saving the time-consuming process of sifting through primary literature.
X February 2012 • 9780470654484 352 pages • £25.99
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oops! We don’t have any info on this rotation...Yikes! Sorry.
Highly variable depending on which GP practice one is allocated to. Practices include: Datchet Health Centre, The Village Medical Centre (Cippenham), The Medical Centre (Cookham)
Team GP partner as supervisor. All other GPs in the practice takes responsibility to supervise each F2 surgery session
Banding Unbanded
nighTs No
Weekends No
Leave Very flexible as you are supernumerary
TeaChing Half day tutorial weekly with GP mentor
roLes Usually a comprehensive induction to the practice and catchment area in the first week. Expected to see patients independently thereafter, with each appointment shortening from 20 mins to 15 mins each, depending of progress. Every session is supervised by a salaried GP or partner and ‘debrief’ available between patients should any queries or problems arise. Some practices may allow or need you to do home visits, depending of staffing arrangements
roTa Surgeries run daily 09:00 - 17:00, or 09:00 - 18:00 with a half day off per week. Half a day of tutorial per week. Some practices timetable in half a day of ‘study session’. Expected to attend central teaching in Wexham Park Hospital postgrad centre on Wednesday lunchtimes
heaTherWood & Wexham park
heaTherWood & Wexham park
General Surgery/Urology
General Practice
F1F2
F2
1.4
1.0
Team 6 teams (3 Lower GI, 1 Upper GI, 2 Urology) – one consultant, SpR, SHO and F1 for every team
Banding 1B (40%)
nighTs Not in F1 one in eight in F2. Three or four day stretch, 20:00 - 08:00
Weekends One in eight, 08:00 - 20:00
Leave Day off before and after nights. Annual leave very flexible, simply need to inform rota coordinator. Just make sure there is some junior cover for the team (F1 or SHO).
average LisT size
Highly variable due to ‘rolling’ system. Up to 30-40 for rolling team. Non-rolling teams have an average of 3 patients, although can easily be down to zero patients
inpaTienT admissions
Average admisisons 10-20 per day
roLes On call one in eight, F2 takes all GP and A&E admissions. F1: 11:00 - 23:00, F2: 08:00 - 20:00. ‘Rolling’ system where all new admissions come under the on call consultant. Each consultant is on call for Monday - Thursday or Friday - Sunday. When the next consultant takes over the on call, all these patients get ‘rolled’ onto the new consultant’s list and are taken care by the new team. Consultants on call every 2-3 weeks. ‘Rolling’ team usually very busy therefore other teams are all expected to help. F1s welcomed to theatre, although seldom practically possible due to large workload from rolling team
TheaTre and CLiniC
Timetabled theatre session once a week for F2 and one clinic session. None for F1
roTa 08:00 - 17:00F1: ward jobs and rolling team tasks, occasionally needed in pre-assessment clinicF2: One clinic session a week, 1-1.5 theatre days. Occasionally half-day clinic in King Edward VII, or theatre session in Heatherwood
Team 4 consultants, no registrars or SHOs, 1 F1 (supernumerary)
Banding Unbanded
nighTs No
Weekends No
Leave Very flexible as you are supernumerary
TeaChing One to one consultant teaching every week, good educational opportunities
roLes Discussing blood culture results with consultant, preparing results for ITU patients for daily consultant review
TheaTre and CLiniC
Twice a week. Lab experience optional
roTa Monday - Friday 09:00 - 17:00
Linked roTaTions
Clinical Contact
Rota Coordinator/Pre-employment enquiries
Linked roTaTions
Clinical [email protected] Coordinator/Pre-employment [email protected]
Linked roTaTions
Clinical Contact
Rota Coordinator/Pre-employment [email protected]
Linked roTaTions
Clinical [email protected] Coordinator/Pre-employment enquiries
heaTherWood & Wexham park
heaTherWood & Wexham park
Geriatric Medicine
Infectious Disease
F2
F11.0
Team 6 – 10 Consultants (including locums), Middle Grades/Registrars, 12 SHOs (FY2 and GPSTs), No F1s
Banding 1A (50%)
nighTs 2 out of 9 shifts
Weekends See rota below
Leave Flexible: can take leave on first 6 days of 9 day rolling rota (excludes 17:00 - 02:00 shift and nights) and get 3 days off post nights
admissions 95,000 a year!
TeaChing Weekly SHO and registrar teaching in A&E seminar room on separate days
roLes SHO in accident & emergency role involves clerking a variety of patients from minor injuries to majors and resuscitation (allocated to an area for your shift). Also will be at times asked to be involved in trauma calls. From time to time may be allocated to be the SHO on EDDU (emergency department decisions unit) which involves day-to-day ward duties
roTa 9 day rolling rota for all 12 SHOs. Involves doing the following shifts; 2 x 08:00 - 16:00, 12:00 - 20:00, 14:00 - 22:00, 2 x 16:00 - 00:00, 17:00 - 02:00, 2 x night shifts (22:00 - 08:00). 3 days off after night shifts
Team 5 consultants, 1 registrar, 1 staff grade, 1 F2
Banding Unbanded
nighTs No
Weekends No
Leave Negotiable with team
average LisT size
Usually 4-8 in-patients. Day unit run by registrar, usually F2 doesn’t have any input. Admissions are either semi-elective (based on patients’ blood results), via the day unit or via A&E
TeaChing Abundant! 2 hours scheduled teaching every afternoon from 14:00 - 16:00: Monday – Radiology, Tuesday – Microbiology, Wednesday – Biochemistry, Thursday – Histopathology, Friday – Haematology
roLes Ward round every morning with consultant or registrar, followed by ward jobs. Teaching from 14:00 - 16:00, then back to the wards for an hour to tidy things up before home
TheaTre and CLiniC
Not really, as ward round and teaching sessions clash with clinics. However if you really wanted to, you’d be welcomed
oops! We don’t have any info on this rotation...Yikes! Sorry.
Team 5 consultants & 3 registrars (1 senior staff grade, 2 registrars) have lists & clinics at multiple sites across trust (Wexham, Heatherwood, King Edward’s, St Marks). SHOs (1 CT, 1GPSTA1, 2 F2s) are entirely based at Wexham
Banding 1B (40%)
nighTs Yes, cross-covering Plastics (& Orthopaedics after midnight – reg bleep held). Registrars provide off-site cover for both Wexham & Reading, so not always immediately to hand. Either Monday - Tursday or Friday - Sunday (whole week off outside annual leave after weekend nights)
Weekends Yes. Monday off after weekend
average LisT size
4-10 inpatients (high volume of day-case patients who may require SHO input)
inpaTienT admissions
Planned admissions for larger elective surgery, also sometimes day cases stay overnight if not ready to be discharged. NB: oncology at Wexham is mainly benign OR thyroid: all other head & neck cancers go to Northwick Park. A&E admissions 09:00 - 17:00 and out-of-hours A&E every other week.
TeaChing Weekly consultant-led teaching, plus informal registrar teaching
roLes Bleep held every day for new admissions or ward referrals until 17:00. 1 evening shift (17:00 - 20:00) every fortnight, always cross-covering plastics. Out-of-hours on-take shared with Reading (alternate weeks). Patients transferred between sites to on-call admitting A&E department.
TheaTre and CLiniC
As time allows. Core trainees have scheduled theatre time - other SHOs welcomed when possible
roTa 09:00 - 17:00 Monday - Friday: F2s and GP trainees hold bleep between themOut of hours (cross-covering Plastics & orthopaedics): 1 in 9 weekday evenings 17:00 - 20:00 (roughly 1 a fortnight), 1 in 9 blocks of nights (so roughly 1 set per month of weekend or weekday)1 in 9 weekend days. Alternate weeks: RBH take all ENT referrals so on-calls in these weeks are solely covering plastics and orthopaedics. Urgent ward referrals in these weeks will warrant discussion with RBH ENT registrar on-call who will come over if necessary
Linked roTaTions
Clinical Contact
Rota Coordinator/Pre-employment enquiriesDr Omar Ghazanfar - [email protected]
Linked roTaTions
Clinical ContactDr Garcia - MicrobiologyRota Coordinator/Pre-employment enquiries
Linked roTaTions
Clinical ContactMr Ram Moorthy [email protected] Coordinator/Pre-employment [email protected]
heaTherWood & Wexham park
Wexham park
A&E
ENT
F2
F2
1.5
1.4
heaTherWood & Wexham park
heaTherWood & Wexham park
Clinical Haem/Path/Radiology
Gastro/Rheum
F2
F2
1.0
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Team 6 - 7 consultants, an army of staff grade registrars, 11 - 12 SHOs (4 O&G trainees, 1 FTSTA, 5 GP trainees and 2 F2s)
Banding 1B (40%)
nighTs Yes, Monday - Thursday or Friday - Sunday
Weekends Yes roughly 1 per month
Leave No fixed leave. After weekend nights, you get the following Monday and Tuesday off
average LisT size
20 - 40 patients
TeaChing Some set teaching with consultants
roLes On call long days 09:00 - 21:00, 1 - 2 per week. During this time, you hold either the gynae bleep (covering postnatal, antenatal and gynae wards) or the obstetric bleep (covering labour ward, birth centre, triage and fetal assessment units), as well as taking referrals from A&E. Usually very busy
heaTherWood & Wexham parkObs & Gynae F2
1.4
Team 5 consultants, 1 staff grade, 3 registrars, 4 CTs, 1 F2. Consultants & regs have lists & clinics at multiple sites across trust (Wexham, Heatherwood, King Edward’s, St Mark’s), SHOs entirely based at Wexham
Banding 1B (40%)
nighTs Yes, cross-covering ENT(& Orthopaedics after midnight – reg bleep held). Registrars provide off-site cover, so not always immediately to hand. Either Monday - Tursday or Friday - Sunday (whole week off outside annual leave after weekend nights).
Weekends Yes. Monday off after weekends
Leave
average LisT size
10-20 inpatients (high volume of day-case patients who may require SHO input)
TheaTre LisT When not on-call, SHOs scheduled to be in theatre Monday - Friday. On-call SHO uses unsupervised minor ops room for daily assessment clinic and minor ops referrals. On-call weekend SHO may be summoned to theatre to help
TeaChing Weekly consultant-led teaching, plus weekly registrar teaching and journal club
roLes 1 week on-call holding bleep or new admission and ward referrals until 17:00. 1 evening shift (17:00 - 20:00) every fortnight, always cross-covering ENT
TheaTre and CLiniC
When not on-call, scheduled theatre/clinic allocations
roTa Monday - Friday office hours: theatre or wardsOut of hours (cross-covering ENT & orthopaedics): 1:9 weekday evenings 5-8pm (roughly 1 a fortnight), 1:9 blocks of nights (so roughly 1 set per month of weekend or weekday), 1:9 weekend days
Linked roTaTions
Clinical ContactDr Jo Aspel [email protected] Coordinator/Pre-employment enquiriesLyn Stephenson [email protected]
Linked roTaTions
Clinical ContactMr UppalRota Coordinator/Pre-employment [email protected]
Linked roTaTions
Clinical [email protected] or [email protected] Coordinator/Pre-employment enquiriesBali Nandra
heaTherWood & Wexham park
Wexham park
Neonates
Plastic Surgery
F21.5
F21.4
Team This is a very large department:9 consultants (5 general paediatrics, 4 neonatal, though all cross-cover on the same on-call rota. All have special interests e.g. respiratory, oncology, endocrinology, cardiology and they try to pick up these patients) & 9 registrars (who are assigned to paeds or neonates but cross-cover on-call)Juniors are split into General Paeds or Neonates, though both do postnatal and PAU shifts as part of their rota. They rotate round clinical areas and are not allocated to specific consultants:6 Paediatrics trainees (ST1-3), 4 GP trainees (who are all predominantly general paediatrics), 5 F2s (1 general Paediatrics, 4 Neonatal), 2 supernumerary F1s (who are unbanded and essentially work 09:00 - 17:00 with no on-call responsibilities.)
Banding 1A (50%)
nighTs Yes, Monday - Thursday or Friday - Sunday. 1 set of each per 8-week cycle of the rota
Weekends Yes, either full weekend of long days 09:00 - 21:30 (ward & PAU for paeds, NICU for neonatal), or 1 Saturday or Sunday shift (covering Postnates & being 2nd on-call for PAU). 1 full weekend and 1 one-day (Sat or Sun) shift per 8 weeks
Leave Leave can only be requested in ‘cover weeks’. 1 day off post-nights and weekends
average LisT size
General Paediatrics: 10 - 30, high turnover with around 2 - 5 new admissions daily.NICU: 20 bed neonatal unit, around 1 new admission daily. Very preterm babies can stay for months
TeaChing Weekly SHO-led journal club and SHO consultant teaching, as well as weekly X-ray meetings and monthly academic half-days. Sometimes quite difficult to attend this and F2 teaching due to the workload
roLes You carry the on-call bleep for on-site cover for the clinical area you are on that week:Paediatrics SHOs hold one of the bleeps when on Ward cover or PAU long days.Neonates SHOs hold bleeps when on: NICU (‘hot room’) long days 09:00 - 21:30 (though the SCBU (‘cold room’) SHO holds it during the morning ward round), Postnates 08:00 - 17:00, PAU 14:00 - 22:00. Consultants have a week on the wards at a time, when new admissions would go under them, unless previously seen in another consultant’s clinic or if one of the other consultants’ special interests would be more appropriate e.g. new diabetics to Dr Huma (endo) or cystic fibrosis to Dr Sebire (CF/resp). Neonatal patients are allocated amongst the neonatal consultants for follow-up by postcode.PAU SHOs admits all children >5 days old, and may review 10-30 patients per day from GPs or A&E. Chronic patients are often ‘open access’ and can just turn up for review (after parents ringing ahead). Postnates SHO reviews and admits community referrals <5 days old to the postnatal ward during 08:00 - 17:00. NICU SHO admits neonates to SCBU/NICU from labour ward (and postnatal wards out-of-hours)
TheaTre and CLiniC
SHOs can sit in on clinics, but only when on cover weeks and not needed to help out on wards
roTa 8 week rolling rota:6 weeks on wards (with roughly 1-week blocks on PAU, postnates and weekend nights, long days, nights & wards/SCBU),2 weeks on cover (if not needed to cover absences, can go to clinic or take leave)
oops! We don’t have any info on this rotation...Yikes! Sorry.
You may learn something from reading “Neonates F2”
oops! We don’t have any info on this rotation...Yikes! Sorry.
It’s probably similar to “Medicine F1”
Team F1s are allocated and rotated around 2 paired specialties in 6 months to one of the following 9 specialised medical firms: Gastroenterology & Rheumatology, Respiratory & Cardiology, Endocrine & Acute Medical Unit, Geriatrics & Renal. Haematology & Oncology is separate 4 month rotation. All jobs are busy with high patient turnover. Large amount of variability between workload and staffing levels between teams. Broadly speaking, each team is visibly consultant-led, with varying levels of registrar and SHO (mix of F2/GPSTA1/CT trainees) support.E.g. Gastroenterology – one F1, one F2, one GPST1, one permanent locum, one SpR reg, one staff grade, one consultant. Rheumatology – two F1s, one CT1, one SpR, one consultant
Banding 1B (40%)
nighTs Yes. Ward cover nights, very busy.
Weekends Yes. F1 does clerking, ward cover all done by SHOs with a dedicated ward cover SpR
Leave Arranged within your team having been approved by consultant and rota coordinator, not set leave. 1 day off after nights. No rest days after weekend on call
average LisT size
Variable – average 20-25
TeaChing Case presentation at weekly medical meeting – F1s and F2s encouraged to present
roLes Long days on-call 09:00 - 21:00 (clerking until 17:00, ward cover after). Whilst on call you are part of the crash team and hold the crash bleep. The team you will be on call with are not your usual ward based team and the consultant you are working under when you are on call is not usually your usual consultant. All patients admitted from A&E or GP are clerked in by the on call F1/SHO and initially admitted to the Acute Medical Unit before being seen on the post take ward round and sent on to other specialty specific wards.Normal working day is ward based.
TheaTre and CLiniC
None. Could in theory if adequate cover and very keen
roTa In 6 months, 2 sets of weekend days, 3 blocks of nights (Monday - Thursday or Friday - Sunday). Average 1 long-day on-call per week
Linked roTaTions
Clinical ContactDr Richard Russell [email protected] (clinical head of department)Rota Coordinator/Pre-employment enquiriesMarion Elder [email protected]
heaTherWood & Wexham park
heaTherWood & Wexham park
heaTherWood & Wexham park
Infectious Disease with Resp
Neonates & Paediatrics
Medicine
F1
F1
F11.4
oops! We don’t have any info on this rotation...Yikes! Sorry.
Combination of anaesthetics and ITU for 3 + 1 months or 2 + 2 months
Team 1 ITU consultant on each day, 3 staff grades/SpR/SHO, 1 F2 (supernumerary)
Banding Unbanded
nighTs No
Weekends No
Leave Very flexible as you are supernumerary
average LisT size
6 - 12 patients
TeaChing Weekly ITU teaching, consultant led
roLes Anaesthetics: paired up with a consultant or staff grade. Pre-operative anaesthetic assessment of the patients on the theatre list, then anaesthetising patients under supervisionITU: Daily consultant WR in the morning, you will get assigned 2 - 3 patients for a full review and assessment of, which will be reported back to the registrar. Consultant does another ward round in the afternoon with a consultant microbiologist. Any jobs tied off in the afternoon
roTa 08:00 - 17:00 Monday - Friday
Linked roTaTions
Clinical [email protected], [email protected] Coordinator/Pre-employment enquiries
heaTherWood & Wexham park
heaTherWood & Wexham park
Intensive Care
Medicine
F2
F2
1.0
71
Meet your hospital training needs with the MDU
Your local Hospital LiaisonManager:Fraser [email protected] 342 403
Your local Student and Foundation Liaison Manager:Zaina [email protected] 608 062
The MDU offers a series of FREE hospital-basedseminars which address the needs of allhospital doctors including foundation doctors,specialty training post doctors and consultants.
These educational seminars are suitable forprotected teaching time and focus on areas ofcurrent relevance to secondary care includingdealing with difficult patients, GMC fitness topractise and good record keeping.
If you are interested in holding one ormore of these seminars at your hospitalor require support with departmental ormess meetings, please contact yourlocal MDU hospital liaison team whosedetails are below.
MDU Services Limited (MDUSL) is authorised and regulated by the Financial Services Authority in respect of insurance mediation activities only. MDUSL is an agent for The Medical Defence Union Limited (the MDU). The MDU is not an insurance company. The benefits of membership of the MDU are all discretionary and are subject to the Memorandum and Articles of Association. MDU Services Limited registered in England 3957086. Registered Office: 230 Blackfriars Road London SE1 8PJ. © 2012 TG/030x/0612
Freephone membership helpline0800 716 376
Calling from a mobile or overseas+44 (0)20 7022 2210
Member ship email [email protected]
Websitethe-mdu.com
TG030x0612:Layout 1 26/06/2012 16:44 Page 1
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Team 7 consultants, 10 registrars (under named consultants), 1 permanent locum SHO, (no CTs) 2 F2s, 4 F1s. F1s cover 2 consultants’ team each, SHO float between teams. 1 orthogeriatric consultant and registrar present from 09:00 - 17:00
Banding 1A (50%)
nighTs None (cross-covered by ENT and Plastics SHOs)
Weekends Yes, long days 08:00 - 20:00
Leave
average LisT size
Huge variation, 5 - 30 (if just been on-take). F2s often allocated to help if your list size is very large after being on take
TheaTre LisTs Daily trauma lists in addition as daily elective lists. Not a huge amount of elective surgery most elective surgery is carried out at Heatherwood hospital generally only high risk patients operated on at Wexham. Certain consultants have more elective admission than others
TeaChing Daily trauma meeting (juniors present x-rays). Informal teaching. Weekly consultant teaching
roLes On a daily basis ward cover. The consultants do a ward round to see their patients 1 - 2 times a week, on other days F1s are expected to see the patients by themselves. On call rotas for F1/F2 are the same and the role is also the same. Whilst on call you accompany the registrar on call to see referrals and clerk them in and cover the ward out of hours. Also attend trauma calls. If on an early shift you are expected to generate the daily trauma operating list and print copies for the trauma meeting and for theatre. SHOs can be called to assist in theatre if free on the wards.Monday - Friday weeks of twilight on-calls (15:00 - 00:00) or short days (07:00 - 15:00). Consultants’ teams each have 1 day on-take a week. When your consultant is on take all the patients admitted that day or night come under his name and are therefore added to your list
TheaTre and CLiniC
SHOs have dedicated rota slots for assisting at both Wexham Park & Heatherwood sites
roTa F1s and F2s are on same on-call rota: over 3 months, 2 weeks long days, 2 weeks of twilights, and 2 weeks short days and 2 weekends of long days
Linked roTaTions
Clinical ContactMr Rakesh Kucheria [email protected] Coordinator/Pre-employment enquiriesDeborah Wheeler [email protected]
F2
heaTherWood & Wexham park
heaTherWood & Wexham park
Respiratory Medicine
Trauma & Ortho
F2
F11.5
oops! We don’t have any info on this rotation...Yikes! Sorry.
Team 6 teams (3 Lower GI, 1 Upper GI, 2 urology) – one consultant, SpR, SHO and F1 for every team
Banding 1B (40%)
nighTs One in eight. Three or four day stretch 20:00 - 08:00
Weekends One in eight. 08:00 - 20:00
Leave Day off before and after nights. Annual leave very flexible, simply need to inform rota coordinator. Just make sure there is some junior cover for the team (F1 or SHO)
average LisT size
highly variable due to ‘rolling’ system. Up to 30-40 for rolling team. Non-rolling teams have an average of 3 patients, although can easily be down to zero patients
inpaTienT admissions
Average 10 - 20 per day
TeaChing Teaching opportunities on the team
roLes On call one in eight, F2 takes all GP and A&E admissions. Take based on a ‘Rolling’ system where all new admissions come under the on-call consultant. Each consultant is on call for 4 (Monday - Thursday) or 3 (Friday - Sunday) days. When the next consultant takes over the on-call, all these patients get ‘rolled’ onto the new consultant’s list and are taken care by the new team. Consultants on call every 2-3 weeks. ‘Rolling’ team usually very busy therefore other teams are all expected to help
TheaTre and CLinC
1 day per week for each consultant, F2 expected to attend
roTa One clinic session a week, 1 - 1.5 theatre days. Occasionally half-day clinic in King Edward VII, or theatre session in Heatherwood
Linked roTaTions
Clinical [email protected] Coordinator/Pre-employment [email protected]
heaTherWood & Wexham parkSurgery F2
1.4
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How to make yourself look good!
During your FY2 year you will likely want to apply for core or specialist training; there-
fore it is advisable to start planning for this early on. This section suggests some extra achieve-ments that are relevant when applying for further training, all of which may be recorded in the appropriate section of the ePortfolio.
General Extras
Audit: Make it relevant to clinical prac-tice. Suggest change, put it into practice and re-audit after the changes
Presentation: clinical case, audit or research, as a poster or oral presentation at an international, national, regional or local confer-ence
Publish a paper in peer-reviewed journal
Attend conferences relevant to what you want to do as a career
‘Tasters’ in subjects of interests. You can use study leave for this in FY1 and FY2
Teaching: important to get feedback and show you have acted on this. Teaching other junior doctors e.g. journal clubs. Teaching students e.g. bedside teaching. Teaching courses e.g. teacher development programme, UNICON (2-day course)
Internet learning e.g. BMJ learning modules
Achievements outside of medicine. Show relevance to your training
Optional Extras
Description Minimum number required
Supervised learning Events (SLEs) Direct observation of doctor-patient interaction, followed by
discussion with ‘supervisor’. The following four categories...
Mini-Clinical Evaluation Exercises (mini-CEX)
Usually for history taking and examination. Supervisor: Core Trainee or above
6 per year
Directly Observed Patient Encounters (DOPS)
Usually for an observed skill. Supervisor: anyone trained for that skill.
3 per year
Case Based Discussions (CBDs) Discussion of a case and its assessment and management. Supervisor: SpR or above
6 per year
Developing the Clinical Teacher Observed delivery of teaching event. Supervisor: SpR or above
1 per year
Core procedures (FY1 only) 15 core skills e.g. cannulation, ABG. Supervisor: anyone trained for that skill
All 15 must be signed off
Team Assessment of Behaviour (TAB)
10 – 15 multi-disciplinary colleagues complete a brief review of your professional behaviour e.g. communication skills, time keeping (Other foundation doctors can’t respond)
2 per year (each with minimum of 10 responses, set criteria as to number of responses from each group eg. doctors, nurses, allied health professionals)
Interim Training Reviews (ITR) Review of your progress at Trust level
1 - 2 per year
Immediate Life Support (ILS, in FY1) or Advanced Life Support (ALS, in FY2)
Resus Council standardised courses
ILS required for FY1ALS required for FY2
Evidence that the curriculum has been covered
Each curriculum item linked to an SLE or other log, and signed off by your Educational Supervisor
Study leave and sick leave docu-mented
At the end of the year your Educational Supervisor (or Clinical Supervisor for each placement) must sign off to account for all study leave and sick leave taken
Attendance at education pro-gramme
Weekly or monthly mandatory training (dependant on Trust). Be sure to sign in when you attend!
Minimum 70% attendance. If fall below 70%, must be topped up with relevant elearning modules e.g. BMJ elearning or e-learning for healthcare
Conduct and write-up an audit To be achieved by the time of FY2 sign off
1 first round audit
Other instructions from the deanery Details available towards the time of sign off
e.g. GMC survey, online modules to complete
By the end of the year...
www.nhseportfolios.org (1)
Subject specific Extras
Because let’s face it, not everyone wants to be a med reg, and some would rather pull
out their own teeth than help with an 8 hour laparotomy…. If you already know what you want to do as a career, try to direct your achieve-ments during the foundation year towards this. Here are a few ideas to add to those you already may have:
72
Explainingthe
ePo
rtfolio
The ePortfolio is an online tool designed to help foundation doctors “demon-strate the attainment of the attitudes, skills and knowledge that they need to
complete the Foundation Programme.”(1) You need to complete the ePortfolio curriculum, and a number of mandatory assessments to progress at the end of both foundation years. The ePortfolio is also useful for planning further develop-ment and demonstrating any additional achievements during your foundation years, both of which are vital when applying for further training.
Due to the large number of requirements, some junior doctors find the ePort-folio difficult to keep on top of. This sometimes leads to problems come the end of the year, which could have been easily prevented.
This article sets out what you need to do to progress through FY1 and FY2 in the Oxford Deanery. It also provides suggestions on how to make your ePortfolio stand out, and a few extra hints and tips on how to get it right first time!
Compulsory sign-off requirements; jumping the hoops…You must complete the following to pass each year. There will be extra
requirements from each trust, but the sections below are core to the Oxford Deanery.
NB: when we say ‘sign’, this is done electronically by simply ticking a box and confirming
Beginning of the Year
Attend trust induction
Sign educational agreements, health and probity declarations
Induction meeting with Educational Supervisor, the consultant who will oversee your progress for the whole year and help with any problems
Induction meeting with Clinical Super-visor, the consultant who will supervise you for a particular job, so will change each placement
Initial meeting with your Educational Supervisor
Clinical Supervisor’s report for the posi-tion: review of performance in your current posi-tion, highlighting areas of excellence or concern which may require educational support. Written by your clinical supervisor with input from other members of a multi-disciplinary ‘Placement Supervision Group’
End of placement review with your Educational Supervisor; can be combined with initial meeting for next placement
Each Placement
OxfOrd fOundatiOn SchOOl PrOSPectuS 2013
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OxfOrd fOundatiOn SchOOl PrOSPectuS 2013
75
IntE
rE
StIn
G In
Fo
rM
AtIo
n
department in your Trust to send you the policy and guidelines, and for who to get in contact with. Expenses in our Deanery are dealt with centrally in Birmingham.
A brief warning: you've only got three months to claim, so act sharpish.
Study budget
Your postgraduate centre will have a few hundred pounds scurried away somewhere
for you in your F2 year. It’s to be used for things relevant to the curriculum, including to pay towards courses, conference fees, and associ-ated travel and accommodation. See Pertinent Policies: Study Leave, for details of how much each Trust has to offer.
Tax
Someday, someone obnoxious will square up to you and tell you that they "pay your
wages". Don't take it to heart: you will prob-ably pay more of your wages than they do. We mustn't grumble about tax: it funds the NHS. It is important to check you are paying the right amount though.
The amount of tax you pay is determined by your personal allowance, and your earnings
The current personal allowance is £8,105, which means you are able to earn that much in a year and not have to pay tax on it. Above that, you pay 20p per pound up to £34,370, and 40p per pound on any earnings above £34,371 up to £150,000.
To work out how much tax you owe, they need accurate information on how much you earn: if you only work for one trust, with no extra income, it's really rather straight forwards. When you start a first job, or leave a job for a new one, you will need to fill out a P45 or P46 form. These help your employer and HMRC know how much you earned and how much tax
has been deducted already that year, so they can tax you appropriately for the rest of the financial year. At the end of the tax year, your Trust send you a P60 form which summarises how much you've earned and how much tax you've paid. If the numbers aren't quite right, it's time to talk to the taxman to find out why: you may have to pay more, or they might owe you some, but it's best to sort it early!
Equally, if you earn extra money through other means e.g. locums as an F2, crem forms, lecturing, or surgical assisting fes it's important you declare it to HMRC: not only is it wrong not to, but they'll find out eventually, and you'll be left with a big lump sum to pay.
'Claiming tax back' is the holy grail
Some costs which you incur “wholly and exclusively” because of your work, such as GMC and BMA membership, professional indemnity, or Royal College fees are tax deduct-ible. That means tax you paid on the money for those fees can come back to you. Just tell the taxman how much you pay in relevant fees, and they will increase your personal allowance, even over the phone.
Our life runs from August to August, whereas that of the taxman runs April to April. If you over or underpay, this will often be sorted in the fol-lowing tax year, by altering your tax code so you spread the burden. Do discuss this with HMRC, as if they send you an invoice to settle in a lump sum, it will accrue interest if you don't pay up. And don't forget, you generally have 7 years to claim back on your tax if you think it's been done wrong.
I need help
Maybe we are too lazy, maybe we are too stupid, or maybe we have too much cash
to splash around, but at some point you might want to consider getting an accountant: espe-cially if you start doing private work, having multiple income streams, and increasingly complicated tax affairs.
Before starting work your employing Trust will require you to com-
plete various administrative tasks in order for you to be set up ‘on the system’ and ready to go in August. the Medical Education Manager for your trust should be in touch by email well in advance of you starting work to instruct you on their specific require-ments and how to go about submit-ting these various bits of paperwork. Although not exhaustive, the following checklist highlights the main bits and pieces to get organised.
Nationwide:• GMC registration plus payment• Medical Indemnity: MPS or MDU• CRB check certificate
Individual trust essentials:• Payroll form: bank account details for
salary payment• Occupational Health: record of
immunity or negative result; usually includes MMR, Varicella, Hep B, HIV
• Registration forms for electronic logins e.g. Electronic Patient Records, Smart Card, blood results system, PACS
Individual trust optional requirements may include:
• Contact details form: email address, mobile number, next of kin
• Parking permit form• Accommodation form• Doctors’ mess membership form
Documents to have to hand:• Passport• Driving licence• 2x proof of address documents
Admin AdviceFinance
Tips
Medicine:MRCP may do part 1 and higher during FY2ALS do this early before further applications
Surgery:MRCS may do part A and higher at any time
(even during FY1)Basic surgical skills courseAdvanced Trauma and Life Support (ATLS)Log book of operations assisted in
Paeds:Paediatric and neonatal resus coursesPart 1a MRCPCHVoluntary work with children or charity
Obs and Gynae:Basic Surgical SkillsObstetric emergency courseDiploma RCOG may do at any time
Acute medicine/anaesthetics:Advanced Trauma and Life Support (ATLS)ALS instructor course
Radiology: MRCP or MRCSBIR or SRT courses
Ophthalmology:Microsurgical skills
Keep up to date! People who leave their ePortfolio until the last minute are much more likely to have problems. Your clinical supervisor from a job you did 8 months ago will be difficult to hunt down…
Create a PDP (personal development plan) at the beginning of the year, this will help to focus your efforts
If you are not sure what to do, contact your educational supervisor, they are there to help
If you still need some help, the postgrad-uate advisors will likely be able to assist you
Enjoy your foundation years!
General Hints and Tips
Wages and banding
Salary for NHS doctors is well structured from FY1 to Consultancy, and you can read a very
boring document published annually called the ‘NHS Pay Circular’ if you want up to the minute details. On top of your basic wage you should receive a banding supplement, an additional 20 - 50%, to represent the burden of evenings, nights and weekends.
No matter what your banding, due to EWTD, you
should not be working more than 48 hours per week, averaged
over 17 weeks
See our policies section for more informa-tion about rules surrounding working hours.
Expenses
It may not be the company Amex that your City friends wave around, but ‘expenses’ are avail-
able in the NHS. They do tend to make you really fight for it (no duck islands, sorry) but cash for reasonable expenses resulting from your work can be claimed back. At its most basic, it covers costs incurred in the line of your work or reloca-tion in taking up an appointment.
If you have to move house as a result of your new post, or the distance between posts means you have to drive, it's worth asking the HR
WritteN by dr ben wildblood, fy2
Money is a dirty word in medicine
For most of you, starting work as a foun-dation doctor will be the best paid job
you've had; and for some, that deposit on the last Thursday in August, the first pay-packet ever. Don't be ashamed about it: we're about to talk Money.
roWiNg courtesy of pmg
77
PE
rtIn
En
t P
oLIc
IES
Oxford
Un
ivers
ity
Hosp
itals
Royal B
erks
hire
Stud
y le
ave:
tota
l num
ber
of d
ays
allo
wed
30 d
ays
30 d
ays
plus
add
ition
al d
ays
for
exam
s
Days
ded
ucte
d fo
r m
anda
tory
teac
hing
or
trai
ning
7 da
ys d
educ
ted
for m
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-to
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achi
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imul
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15 d
ays
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cted
for m
anda
tory
in
-hou
se te
achi
ng a
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aini
ng
Rest
rictio
ns o
n w
hat s
tudy
le
ave
can
be u
sed
for
Allo
wed
for t
he d
ay(s
) of a
pr
ofes
sion
al e
xam
but
not
for
exam
rela
ted
‘priv
ate
stud
y’ o
r co
urse
s
(NB
stat
ed w
ithin
stu
dy le
ave
regu
latio
ns th
at s
tudy
leav
e CA
N be
us
ed fo
r cou
rses
in p
repa
ratio
n fo
r ex
ams
and
upto
5 d
ays
of p
rivat
e st
udy
prio
r to
an e
xam
)
How
m
any
days
ca
n be
ta
ken
per j
ob?
As n
ear
as p
ossi
ble
10 d
ays
per
4 m
onth
job,
alth
ough
it is
up
to in
divid
ual d
epar
tmen
ts to
al
low
mor
e or
less
than
10
days
in
one
job
No e
xplic
it ru
les
on d
ay p
er j
ob.
Gene
rally
‘lea
ve c
anno
t be
take
n in
gr
eate
r tha
n 2
wee
k bl
ocks
in a
ny 6
m
onth
per
iod’
Can
FY1s
use
stu
dy le
ave?
As p
er d
eane
ry p
olic
y, FY
1s
can
use
up to
5 d
ays
for a
ta
ster
wee
k, w
hich
is ta
ken
out
of th
e 30
day
tota
l allo
wan
ce
As p
er d
eane
ry p
olic
y, FY
1s c
an
use
up to
5 d
ays
for a
tast
er w
eek,
w
hich
is ta
ken
out o
f the
30
day
tota
l allo
wan
ce
Stud
y bu
dget
: tot
al a
mou
nt
per t
rain
ee£5
50£6
00 p
lus
upto
£35
0 fro
m th
e AL
S bu
dget
Dedu
ctio
ns fo
r man
dato
ry
train
ing
Nil
Nil
Rest
rictio
ns o
n w
hat s
tudy
bu
dget
can
be
spen
t on
Exam
fees
, exa
m re
late
d co
urse
s or
oth
er c
osts
tow
ards
si
tting
exa
ms
are
not f
unde
d.
Trus
t pol
icy
stat
es s
ubsc
rip-
tions
, tex
t boo
ks a
nd p
oste
r pr
intin
g ar
e no
t fun
ded
Exam
fees
are
not
fund
ed (b
ut
exam
rela
ted
expe
nses
incl
udin
g tra
vel a
nd a
ccom
mod
atio
n ar
e).
Can
FY1s
use
stu
dy
budg
et?
Only
avai
labl
e fo
r FY2
s
Buckingham
shire
He
alth
care
Milton
Key
nesHe
atherwood
and
Wex
ham
Pa
rk30
day
s30
day
s30
day
s
15 d
ays
dedu
cted
for m
anda
tory
in-h
ouse
te
achi
ng a
nd tr
aini
ng15
day
s de
duct
ed fo
r man
da-
tory
in-h
ouse
teac
hing
and
tra
inin
g
(to b
e co
nfi rm
ed)
Allo
wed
for t
he d
ay(s
) of a
pro
fess
iona
l ex
am b
ut n
ot fo
r exa
m re
late
d co
urse
sAl
low
ed fo
r the
day
(s) o
f a p
ro-
fess
iona
l exa
m b
ut n
ot fo
r exa
m
rela
ted
‘priv
ate
stud
y’
Allo
wed
for t
he d
ay(s
) of a
pro
-fe
ssio
nal e
xam
but
not
for e
xam
re
late
d ‘p
rivat
e st
udy’
5 da
ys p
er 4
mon
th p
ost
As n
ear a
s po
ssib
le to
spr
ead
it ou
t ove
r eac
h jo
b
FY1s
can
use
stu
dy le
ave
for a
tast
er
wee
k an
d IL
S, w
hich
is ta
ken
out o
f the
30
day
tota
l allo
wan
ce
As p
er d
eane
ry p
olic
y, FY
1s c
an
use
up to
5 d
ays
for a
tast
er
wee
k, w
hich
is ta
ken
out o
f the
30
day
tota
l allo
wan
ce
As p
er d
eane
ry p
olic
y, FY
1s c
an
use
up to
5 d
ays
for a
tast
er
wee
k, w
hich
is ta
ken
out o
f the
30
day
tota
l allo
wan
ce
£375
£600
plu
s a
smal
l add
ition
al
cont
ribut
ion
to c
ompl
ete
ALS
£600
Nil
Nil
Nil
Exam
fees
, exa
m re
late
d co
urse
s or
ot
her c
osts
tow
ards
sitt
ing
exam
s ar
e no
t fu
nded
Exam
fees
are
not
fund
ed b
ut
trave
l, ac
com
mod
atio
n an
d co
urse
s w
ould
be
Only
avai
labl
e fo
r FY2
sAs
per
dea
nery
pol
icy,
stud
y bu
dget
is g
ener
ally
only
avai
labl
e fo
r FY2
s, a
lthou
gh if
m
oney
is a
vaila
ble
we
do u
se
the
budg
et to
fund
FY1
s fo
r po
ster
s et
c.
Only
avai
labl
e fo
r FY2
s
Annual Leave
Typically, you’ll have 9 days per 4 month post - use it wisely! Most posts in the Deanery
have fl exible leave with ‘prospective cover’: that means if you swap out of your on-call commit-ments, and there are enough people around to cover the team’s day-to-day work, then as long as your Consultant (who has to authorise your leave) is happy, there is no obstacle. In prac-tise, there needs to be at least one junior around to look after a team’s patients. It’s vital to discuss your leave with your col-leagues: booking it and claiming it’s their problem won’t make you any friends, plus it’s strictly not true. If you book leave, but can’t take it because your col-league is on nights, that’s your problem.
Some posts in the Deanery still do unfortunately have fi xed leave (annual leave that is set as part of the rota): this is less than ideal, and can be diffi cult to swap with people. If you have an important commitment, it’s best to discuss with the rota co-ordinator early to ensure you are on a rota line where the fi xed leave works for you. The fl ip side is that with fi xed leave you are guaranteed to get all of your time off, and often more than 9 days per 4 months.
Finally, some posts will give you ‘zero hours’, essentially extra days off after nights or week-ends to make you EWTD compliant. If you are lucky, these are bunched together.
Job Swaps
The likelihood is you will have some posts in your two foundation years that aren’t
to your liking, either personally or professionally; but the foundation programme is meant to give you a ‘foundation’ to allow you to progress in all areas of medicine, not to prime you to be a child & adolescent psychiatrist, neonatal cardiologist, or oncoplastic breast surgeon. Swaps in FY1 are, to all intents and purposes, impossible. In FY2, however, if a number of conditions are met, it is possible to swap with another FY2. If you can fi nd another FY2 in the Foundation School, who is willing to swap the whole FY2 rotation i.e. all three or four posts, and you can both clear it with your Programme Directors, swaps can be arranged.
The Deanery even runs a ‘Swap Shop’ to match interested parties. As long as your swap means that both of you have ‘educationally balanced’ foun-
dation programmes, by which we mean you have enough opportunity to cover all areas of the curriculum, the process is straightforward. Where there’s a will, there’s a way. If you are keen to swap a FY2 rotation, get
active on the swap shop early, raise it with your educational super-visor and FTPD, and make sure it’s all sorted by the deadline: April
in FY1!
Pertinent Policies
Annual Leave Job swaps FY2 Abroad Study Leave
OxfOrd fOundatiOn SchOOl PrOSPectuS 2013
FY2 Abroad
Start early if you want approval to do your FY2 year in another country: applications have to be in by Feb-
ruary of your FY1 year. It’s your responsibility to arrange a placement that is educationally equivalent to the FY2 post in the UK, which means demonstrating you are going to a hospital that can provide high quality training, exposure to 2 - 4 subspecialties, including at least one acute post, fi nding an educational supervisor locally who would be willing to commit to our curriculum, opportunities to fulfi l FY2 competencies, and fi nally submitting it to the Founda-tion School Director for approval. It sounds daunting, but it’s often easier if you tread a path that has been forged before, as both the Deanery here and hospital there know what will be expected.
If you can’t arrange a suitable post abroad for FY2, don’t lose heart; it is also possible to take a ‘gap year’ between FY1 and FY2, or after FY2.
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tH
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IG G
rIdF1 F2
Surgery Rheumatology/ Dermatology Trauma and Ortho GP Gastroenterolgy Obs and Gynae
Trauma and Ortho Surgery Rheumatology/ Dermatology Obs and Gynae GP Gastroenterology
Surgery Medicine GP Surgery ENT
Surgery Medicine ENT GP Surgery
Surgery Medicine GP Geriatric Medicine ENT
Surgery Medicine ENT GP Geriatric Medicine
Surgery Medicine Geriatric Medicine ENT GP
Medicine Surgery Trauma and Ortho Neonates GP
Medicine Surgery GP Trauma and Ortho Neonates
Medicine Surgery Neonates GP Trauma and Ortho
Medicine Surgery Psychiatry Emergency Medicine Anaesthetics
Medicine Surgery Anaesthetics Psychiatry Emergency Medicine
Rheumatology/ Dermatology Trauma and Ortho Surgery Public Health Emergency Medicine Surgery
Trauma and Ortho Medicine Surgery Surgery Public Health Emergency Medicine
Surgery Trauma and Ortho Medicine Emergency Medicine Surgery Public Health
Medicine Surgery Trauma and Ortho Emergency Medicine Anaesthetics Psychiatry
GIM and Cardiology Adult Psychiatry Medicine Care of the Elderly Neonates Obs and Gynae
Medicine GIM and Cardiology Adult Psychiatry Obs and Gynae Care of the Elderly Neonates
Adult Psychiatry Medicine GIM and Cardiology Neonates Obs and Gynae Care of the Elderly
Respiratory medicine Old Age Psychiatry Medicine Trauma and Ortho Cardiology Gastroenterology
Medicine Respiratory medicine Old Age Psychiatry Gastroenterology Trauma and Ortho Cardiology
Old Age Psychiatry Medicine Respiratory medicine Cardiology Gastroenterology Trauma and Ortho
GIM and Gastroenterology Geriatric medicine Psychiatry Gen Med/ Geriatrics JR Plastocs JR Head and Neck Onc Churchill
Psychiatry GIM and Gastroenterology Geriatric medicine Head and Neck Onc Churchill Gen Med/ Geriatrics JR Plastics JR
Geriatric medicine Psychiatry GIM and Gastroenterology Plastics JR Head and Neck Onc Churchill Gen Med/ Geriatrics JR
Medicine CDU Intensive Care Gynaecology GP Emergency Medicine Horton Paediatric surgery JR
Gynaecology Medicine CDU Intensive Care Cardiology JR Paediatric surgery JR Public Health
Intensive Care Gynaecology Medicine CDU GP Trauma and Ortho NOC Cardiothoracic surgery JR
General Medicine General Surgery Ortho NOC Geriatric medicine (community) Emergency Medicine Horton
General Medicine General Surgery Emergency Medicine Horton Ortho NOC Geriatric medicine (community)
General Medicine General Surgery Geriatric medicine (community) Emergency Medicine Horton Trauma and Ortho NOC
General Medicine General Surgery Obs and Gynae JR Trauma and Ortho NOC GP
General Medicine General Surgery GP Obs and Gynae JR Trauma and Ortho NOC
General Medicine General Surgery Ortho NOC GP Obs and Gynae JR
General Medicine General Surgery Paediatrics Horton Haemtology Churchill GP
General Medicine General Surgery GP Paediatrics Horton Haemtology Churchill
General Medicine General Surgery Haemtology Churchill GP Paediatrics Horton
General Medicine General Surgery GP Cardiology A&E
General Medicine General Surgery Surgery Obs and Gynae Trauma and Ortho
General Medicine General Surgery Trauma and Ortho Paediatrics Obs and Gynae
General Surgery General Medicine Obs and Gynae Trauma and Ortho
General Surgery General Medicine A&E Respiratory medicine GP
General Surgery General Medicine GP A&E Respiratory medicine
General Surgery General Medicine Obs and Gynae Trauma and Ortho Paediatrics
General Surgery General Medicine Trauma and Ortho Surgery Obs and Gynae
General Surgery General Medicine Respiratory medicine GP A&E
General Surgery General Medicine Acute Medicine Trauma and Ortho Haematology
General Surgery General Medicine Haematology Acute Medicine Trauma and Ortho
General Surgery General Medicine Trauma and Ortho Haematology Acute Medicine
General Surgery General Medicine Trauma and Ortho Community Paediatrics Anaesthetics
General Surgery General Medicine Anaesthetics Trauma and Ortho Community Paediatrics
General Surgery General Medicine Community Paediatrics Anaesthetics Trauma and Ortho
F1 F2
Surgery Medicine Anaesthetics Ophthalmology JR Medicine Horton Psychiatry
Medicine Anaesthetics Surgery Medicine JR Psychiatry Ophthalmology JR
Anaesthetics Surgery Medicine Psychiatry Ophthalmology Medicine Horton
Surgery Medicine Adult Psychiatry Neurosurgery JR GP ENT JR
Adult Psychiatry Surgery Medicine ENT JR Neurosurgery JR GP
Medicine Adult Psychiatry Surgery Head and Neck Onc Churchill Histopathology JR General Medicine JR
Trauma and Ortho Medicine Haematology Obs and Gynae JR Neurology JR Public Health
Surgery Medicine GP Plastics JR Trauma and Ortho JR
Surgery Medicine Trauma and Ortho JR GP Plastics JR
Medicine Surgery Plastics JR Trauma and Ortho JR GP
Medicine Surgery GP Paediatrics Horton Cardiothoracic surgery JR
Medicine Surgery Paediatrics Horton Cardiothoracic surgery JR GP
Medicine Surgery Cardiothoracic surgery JR GP Paediatrocs Horton
Medicine Surgery Community Geriatrics Trauma and Ortho JR Cardiology JR
Surgery Medicine Cardiology JR Community Geriatrics Trauma and Ortho JR
Surgery Medicine Trauma and Ortho JR Cardiology JR Community Geriatrics
Medicine Surgery Neurology JR Public Health Obs and Gynae JR
Medicine Surgery Public health Obs and Gynae JR Neurology JR
Haematology Trama and Ortho Medicine Emergency Medicine Horton Paediatric surgery JR GP
Surgery Medicine Cardiology JR Obs and Gynae JR GP
Surgery Medicine Obs and Gynae JR GP Cardiology JR
Surgery Medicine GP Cardiology JR Obs and Gynae JE
Medicine Surgery General Medicine JR Head and Neck Onc Churchill Histopathology JR
Surgery Medicine Histopathology JR General Medicine JR Head and Neck Onc Churchill
Surgery Medicine Anaesthetics Community Geriatrics Neurosurgery JR Cardiothoracic surgery JR
Anaesthetics Surgery Medicine Cardiothoracic surgery JR Community Geriatrics Neurosurgery JR
Medicine Anaesthetics Surgery Neurosurgery JR Cardiothroacic surgery JR Community Geriatrics
Surgery Medicine Anaesthetics GP ENT JR Neurosurgery JR
Anaesthetics Surgery Medicine Maxillofacial surgery JR Old Age Psychiatry Churchill Neurology JR
Medicine Anaesthetics Surgery Old Age Psychiatry Churchill Neurology JR Maxillofacial surgery JR
Medicine Haematology Trauma and Ortho Neurology JR Maxillofacial surgery JR Old Age Psychiatry Churchill
Oxford University Hospitals
Buckinghamshire Healthcare
Heatherwood and Wexham Park
Milton Keynes
Hospital
Royal Berkshire
Welcome to the Big Grid
This will help you answer the question: ‘What do I want to do and where?’Below is a full list of the rotations the 2012-2014 intake of Founda-
tions doctors were able to pick from. What will 2013-2015 be like? Hon-estly, we can’t say. Populations change, as do the Trusts that serve them. What we can tell you is that these represent the typical mix and number of posts and locations within the Deanery to allow every trainee the access they need to clinical, research, teaching and management opportunities, and that won’t fundamentally alter over the next year.
When you apply to the Oxford Deanery, once you recieve a place for Foundation training, a new updated selection of rotations to rank will come your way, and despite any variations, we hope you will find useful the next part of the prospectus which explains what each post really entails.
The needs of our patients are constantly evolving, and we can be sure things will change, but below is a fair flavour of what you could be choosing from for 2013-2015.
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Medicine JR Surgery JR Intensive Care medicine A&E Surgery
Medicine JR Surgery JR Obs and Gynae Trauma and Ortho Medicine
Medicine JR Surgery JR Medicine Obs and Gynae Trauma and Ortho
Medicine JR Surgery JR Trauma and Ortho Medicine Obs and Gynae
Surgery JR Medicine Horton Adult Psychiatry Abingdon Gastro/ Rheum GP Surgery
Adult Psychiatry Abingdon Surgery JR Medicine Horton Surgery Gastro/ Rheum GP
Medicine Horton Adult Psychiatry Abingdon Surgery JR GP Surgery Gastro/ Rheum
Urology Churchill GIM and Geriatrics Horton Anaesthetics and ITU Horton Cardiology A&E GP
Anaesthetics and ITU Horton Urology Churchill GIM and Geriatrics Horton A&E GP Cardiology
GIM and Geriatrics Horton Anaesthetics and ITU Horton Urology Churchill Diabetes A&E Rehab medicine
Ortho with Academic NOC Paediatrics JR Anaesthetics and ITU JR Rehab medicine Diabetes A&E
Anaesthetics and ITU JR Ortho with Academic NOC Paediatrics JR A&E Rehab medicine Diabetes
Paediatrics JR Anaesthetics and ITU JR Ortho with Academic NOC Obs and Gynae A&E GP
Anaesthetics and ITU JR Bone Infection Unit NOC Clinical Oncology Churchill GP Obs and Gynae A&E
Clinical Oncology Churchill Anaesthetics and ITU JR Bone Infection Unit NOC A&E GP Obs and Gynae
Bone Infection Unit NOC Clinical Oncology Churchill Anaesthetics and ITU JR Gastroenterology Obs and Gynae GP
Surgery Care of the Elderly Paediatrics Emergency Medicine Horton Trauma and Ortho NOC GP
Paediatrics Surgery Care of the Elderly GP Emergency Medicine Horton Trauma and Ortho NOC
Care of the Elderly Paediatrics Surgery Trauma and Ortho NOC GP Emergency Medicine Horton
Surgery Gastroenterology Trauma and Ortho Cardiothoracic surgery JR Old Age Psychiatry Emergency Medicine Horton
Trauma and Ortho Surgery Gastroenterology Emergency Medicine Horton Cardiothoracic surgery JR Old Age Psychiatry
Gastroenterology Trauma and Ortho Surgery Old Age Psychiatry Emergency Medicine Horton Cardiothoracic surgery JR
Surgery Renal medicine Care of the Elderly Cardiology JR Geriatric medicine JR ENT JR
Care of the Elderly Surgery Renal medicine ENT JR Cardiology JR Geriatric medicine JR
Renal medicine Care of the Elderly Surgery Geriatric medicine JR ENT JR Cardiology JR
Surgery Care of the Elderly Urology GP Paediatrics JR Trauma and Ortho JR
Urology Surgery Care of the Elderly Trauma and Ortho JR GP Paediatrics JR
Care of the Elderly Urology Surgery Paediatrics JR Trauma and Ortho JR GP
Surgery Renal medicine Rheumatology General Medicine JR GP Chemical Pathology JR
Rheumatology Surgery Renal medicine GP Chemical Pathology JR General Medicine JR
Renal medicine Rheumatology Surgery Chemical Pathology JR General Medicine JR GP
Surgery Care of the Elderly Trauma and Ortho ENT Neonatology GP
Trauma and Ortho Surgery Care of the Elderly GP ENT Neonatology
Care of the Elderly Trauma and Ortho Surgery Neonatology GP ENT
Surgery Gastroenterology Respiratory medicine A&E Neonates GP
Respiratory medicine Surgery Gastroenterology GP A&E Neonates
Gastroenterology Respiratory medicine Surgery Neonates GP A&E
Academic Geriatric medicine Surgery Psychiatry A&E Clinical Haem/ Path/ Radiol Respiratory medicine
Surgery Psychiatry Academic Geriatric medicine Clinical Haem/ Path/ Radiol Respiratory medicine A&E
Psychiatry Academic Geriatric medicine Surgery Respiratory medicine A&E Clinical Haem/ Path/ Radiol
Surgery Diabetes and Endocrinology Anaesthetics Acute medicine A&E Palliative medicine
Anaesthetics Surgery Diabetes and Endocrinology Palliative medicine Acute medicine A&E
Diabetes and Endocrinology Anaesthetics Surgery A&E Palliative medicine Acute medicine
Urology Respiratory medicine Paediatrics Surgery ENT GP
Respiratory medicine Paediatrics Urology GP Surgery ENT
Paediatrics Urology Respiratory medicine ENT GP Surgery
Care of the Elderly Trauma and Ortho Rheumatology Obs and Gynae Platics GP
Trauma and Ortho Rheumatology Care of the Elderly GP Obs and Gynae Plastics
Rheumatology Care of the Elderly Trauma and Ortho Plastics GP Obs and Gynae
Care of the Elderly Urology Oncology Diabetes Emergency medicine Palliative care/ Rheum/ Rehab
Urology Oncology Care of the Elderly Palliative care/ Rheum/ Rehab Diabetes Emergency medicine
Oncology Care of the Elderly Urology Emergency medicine Palliative care/ Rheum/ Rehab Diabetes
F1 F2
Surgery JR Medicine JR Paediatric surgery JR A&E Trauma and Ortho Geriatric medicine
Paediatric surgery JR Surgery JR Medicine JR Trauma and Ortho Geriatric medicine A&E
Medicine JR Paediatric surgery JR Surgery JR Geriatric medicine A&E Trauma and Ortho
Surgery JR Medicine JR Paediatric surgery JR Trauma and Ortho Gastroenterology GP
Paediatric surgery JR Surgery JR Medicine JR GP Trauma and Ortho Gestroenterology
Medicine JR Paediatric surgery JR Surgery JR Gastroenterology GP Trauma and Ortho
Surgery JR Medicine JR Paediatric surgery JR GP Spinal medicine Respiratory medicine
Paediatric surgery JR Surgery JR Medicine JR Respiratory medicine GP Spinal medicine
Medicine JR Paediatric surgery JR Surgery JR Spinal medicine Respiratory medicine GP
Surgery Horton Medicine Horton Immunology JR Paediatrocs Rheumatology A&E
Immunology JR Surgery Horton Medicine Horton A&E Paediatrics Rheumatology
Medicine Horton Immunology JR Surgery Horton Rheumatology A&E Paediatrics
Medicine JR Surgery JR Paediatrics Obs and Gynae Trauma and Ortho
Medicine JR Surgery JR GP Geriatric medicine ENT
Medicine JR Surgery JR ENT GP Geriatric medicine
Medicine JR Surgery JR Geriatric medicine ENT GP
Medicine JR Surgery JR Spinal medicine Diabetes GP
Surgery JR Medicine JR GP Spinal medicine Diabetes
Surgery JR Medicine JR Diabetes GP Spinal medicine
Surgery JR Paediatrics JR Anaesthetics and ITU JR GP Obs and Gynae ENT
Anaesthetics and ITU JR Surgery JR Paediatrics JR ENT GP Obs and Gynae
Paediatrics JR Anaesthetics and ITU JR Surgery JR Obs and Gynae ENT GP
Medicine Horton Adult Psychiatry Warneford Urology Churchill Trauma and Ortho Geriatric medicine A&E
Urology Churchill Medicine Horton Adult Psychiatry Warneford A&E Trauma and Ortho Geriatric medicine
Adult Psychiatry Warneford Urology Churchill Medicine Horton Geriatric medicine A&E Trauma and Ortho
Surgery JR Medicine Horton Public Health Surgery Trauma and Ortho Geriatric medicine
Public Health Surgery JR Medicine Horton Geriatric medicine Surgery Trauma and Ortho
Medicine Horton Public Health Surgery JR Trauma and Ortho Geriatric medicine Surgery
Surgery Horton Medicine Horton Ortho with academic NOC Acute Medicine Obs and Gynae A&E
Ortho with academic NOC Surgery Horton Medicine Horton Obs and Gynae A&E Acute Medicine
Medicine Horton Ortho with academic NOC Surgery Horton A&E Acute Medicine Obs and Gynae
Surgery JR Medicine JR Cardiology Paediatrics Obs and Gynae
Surgery JR Medicine JR Paediatrics Obs and Gynae Cardiology
Surgery JR Medicine JR Obs and Gynae Cardiology Paediatrics
Surgery JR Medicine JR Gastroenterology A&E Obs and Gynae
Surgery JR Medicine JR A&E Obs and Gynae Gastroenterology
Surgery JR Medicine JR Obs and Gynae Gastroenterology A&E
Surgery JR Medicine JR Trauma and Ortho Respiratory medicine Psychiatry
Surgery JR Medicine JR Respiratory medicine Psychiatry Trauma and Ortho
Surgery JR Medicine JR GP A&E Obs and Gynae
Surgery JR Medicine JR Obs and Gynae GP A&E
Surgery JR Medicine JR A&E Obs and Gynae GP
Surgery JR Medicine JR Suregy ENT GP
Surgery JR Medicine JR Psychiatry Respiratory medicine Trauma and Ortho
Medicine JR Surgery JR Geriatric medicine Neonatology GP
Medicine JR Surgery JR GP Geriatric medicine Neonatology
Medicine JR Surgery JR Neonatology GP Geriatric medicine
Medicine JR Surgery JR A&E ENT Neonatology
Medicine JR Surgery JR ENT Neonatology A&E
Medicine JR Surgery JR Neonatology A&E ENT
Medicine JR Surgery JR Surgery Intensive Care medicine A&E
Surgery JR Medicine JR A&E Surgery Intensive Care medicine
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Care of the Elderly Trauma and Ortho Psychiatry Plastics JR Urology Churchill Oncology Churchill
Trauma and Ortho Psychiatry Care of the Elderly Oncology Churchill Plastics JR Urology Churchill
Psychiatry Care of the Elderly Trauma and Ortho Urology Churchill Oncology Churchill Plastics JR
Surgery Cardiology Urology Psychiatry ENT JR Emergency Medicine JR
Urology Surgery Cardiology Emergency Medicine JR Psychiatry ENT JR
Cardiology Urology Surgery ENT JR Emergency Medicine JR Psychiatry
Surgery Cardiology Anaesthetics Community Geriatrics Neuro ICU JR Urology/ Transplant Churchill
Anaesthetics Surgery Cardiology Urology/ Transplant Churchill Community Geriatrics Neuro ICU JR
Cardiology Anaesthetics Surgery Neuro ICU JR Urology/ Transplant Churchill Community Geriatrics
Gen Surg/ Urology Traume and Ortho Medicine A&E Palliative medicine Obs and Gynae
Gen Surg/ Urology Traume and Ortho Medicine Obs and Gynae A&E Palliative medicine
Gen Surg/ Urology Traume and Ortho Medicine Palliative medicine Obs and Gynae A&E
Trauma and Ortho Gen Surg/ Urology Medicine Traume and Ortho Gastroenterology GP
Trauma and Ortho Gen Surg/ Urology Medicine Gastroenterology GP Trauma and Ortho
Trauma and Ortho Gen Surg/ Urology Medicine GP Trauma and Ortho Gastroenterology
Medicine Gen Surg/ Urology Trauma and Ortho Surgery A&E GP
Medicine Gen Surg/ Urology Trauma and Ortho GP Surgery A&E
Medicine Gen Surg/ Urology Trauma and Ortho A&E GP Surgery
Medicine Trauma and Ortho Gen Surg/ Urology Community Geriatrics Paediatric surgery JR Haematology Churchill
Medicine Trauma and Ortho Gen Surg/ Urology Haematology Churchill Community Geriatrics Paediatric surgery JR
Medicine Trauma and Ortho Gen Surg/ Urology Paediatric surgery JR Haematology Churchill Community Geriatrics
Gen Surg/ Urology Traume and Ortho Medicine Intensive Care JR ENT JR Psychiatry
Gen Surg/ Urology Traume and Ortho Medicine Psychiatry Intensive Care JR ENT JR
Trauma and Ortho Gen Surg/ Urology Medicine ENT JR Psychiatriy Intensive Care JR
Trauma and Ortho Gen Surg/ Urology Medicine Emergency Medicine GP Haemophilia Churchill
Medicine Gen Surg/ Urology Trauma and Ortho Haemophilia Churchill Emergency Medicine Horton GP
Medicine Gen Surg/ Urology Trauma and Ortho GP Haemophilia Churchill Emergency Medicine Horton
Medicine Trauma and Ortho Gen Surg/ Urology Renal medicine Churchill Geriatric medicine JR Maxillofacial surgery JR
Medicine Trauma and Ortho Gen Surg/ Urology Maxillofacial surgery JR Renal medicine Churchill Geriatric medicine JR
Medicine Gen Surg/ Urology ID and Respiratory Public Health Cardiology JR Paediatric surgery JR
Medicine ID and Respiratory Gen Surg/ Urology Paediatric surgery JR Public Health Cardiology JR
Gen Surg/ Urology ID and Respiratory Medicine Geriatric medicine JR Maxillofacial surgery JR Renal medicine Churchill
ID and Respiratory Gen Surg/ Urology Medicine Paediatrics JR Neurosurgery JR Trauma and Ortho JR
Gen Surg/ Urology Medicine Infectious Diseases Trauma and Ortho JR Paediatrics JR Neurosurgery JR
Infectious Diseases Gen Surg/ Urology Medicine Neurosurgery JR Trauma and Ortho JR Paediatrics JR
Medicine Infectious Diseases Gen Surg/ Urology Paediatric surgery JR GP Emergency Medicine Horton
Neonates and Paediatrics Medicine Cardiothoracic surgery JR GP Trauma and Ortho NOC
Medicine Neonates and Paediatrics Orthopaedics NOC Cardiothoracic surgery JR GP
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