Severn Foundation School Individual Placement Description North Bristol NHS Trust

Placement F1 General and Transplant Surgery The department The Dept of general surgery comprises 17 consultant surgeons including 3 general and transplant surgeons, the general and transplant surgeons take in part in the acute transplant surgery on-call with 3 vascular and transplant surgeons. There are interests in laparoscopic surgery, living kidney donor transplant, vascular access, endocrine and bariatric surgery.

The department covers part of Bristol, North Somerset and South Gloucestershire with a catchment population of 500,000.

The catchment area for renal transplantation is 2 000,000 The type of work to expect and F1 Doctors in hospital posts will generally be learning opportunities team based during the ‘normal’ working day and expected to deliver the daily medical care of all surgical patients irrespective of specialty. Whilst on-call the F1 will be involved with the generic clerking of surgery & urology patients being admitted and the ongoing care of the patients in the unit.

The overall educational objectives of the F1 year are to provide the trainee with the knowledge, skills and attitudes to be able to

Take a history and examine a patient Identify and synthesise problems Prescribe safely Keep an accurate and relevant medical record Manage time and clinical priorities effectively Communicate effectively with patients, relatives and colleagues Use evidence, guidelines and audit to benefit patient care Act in a professional manner at all times Cope with ethical and legal issues which occur during the management of patients with general medical problems Educate patients effectively Become life-long learners and teachers. Where the placement is based North Bristol NHS, Southmead Hospital wards J, F, U and woodlands. Clinical Supervisor(s) for the Mr N Kadi, Mr J Morgan, Mr P Lear. placement Main duties of the placement The F1 doctor is responsible with other staff for the team care of patients and the maintenance of the patient’s medical record. They will have opportunity to work with the consultants in theatres and outpatients clinics, and also take responsibility for problems arising in surgical patients on the ward. They are expected to attend the teaching program provided by the department. The doctor will be responsible for such other specific clinical duties as allocated by consultants including performing other duties in occasional emergencies and unforeseen circumstances. Typical working pattern in this Daily: 0800 Ward round placement 1200/1700/2100 Handover

Mon: 1300 – 1700 Pre-Assessment clinic. Fri: 0800 – 1300 Pre-Assessment clinic. Sat: 0800 – 2100 1 in 6 Sun: 0800 – 2100 1 in 6

On call requirements:

Full shift 1:6 twilight weekdays and long weekends Employer information North Bristol NHS Trust employs approximately 9,000 staff and is one of the largest NHS Trusts in the Country. We are based on two sites, Frenchay Hospital has specialist services such are Neurosciences and Plastics whereas Southmeand Hospital has other specialist services such as Renal, Urology and Maternity. The Trust is in the bringing all of its services together in a state of the art new hospital which is currently being built on the Southmead site and will open in 2014. In addition the Trust is applying for Foundation Status in November 2011.

It is important to note that this description is a typical example of your placement and may be subject to change.

Severn Foundation School Foundation Placement Competence Matrix North Bristol NHS Trust

PLACEMENT: General Surgery (F1)

The following table gives an indication to what extent the following competence areas of the Foundation Programme Curriculum (2010)** can be met in this post.

KEY RED: Not at all AMBER: To some extent/limited opportunities (please note that this may be a positive or negative recording e.g. positive in that you may be able to experience this outcome) GREEN: To a great extent/ample opportunities

** The FP Curriculum 2010 is due to be revised for 2012/13 – this may impact the list of outcomes given below.

Curriculum competences (and any additional competences such as audit etc) expected to be achieved:

Section Outcome Expect to achieve in placement Professionalism Behaviour in the workplace GREEN Health and handling stress and fatigue GREEN Time management and continuity of care GREEN Good clinical care Eliciting a history GREEN Examination GREEN Diagnosis and clinical decision-making GREEN Safe prescribing GREEN Medical record keeping and GREEN correspondence Safe use of medical devices GREEN Recognition and Promptly assesses the acutely ill or GREEN management of the collapsed patient acutely ill patient Identifies and responds to acutely GREEN abnormal physiology Where appropriate, delivers a fluid AMBER challenge safely to an acutely ill patient Reassesses ill patients appropriately after AMBER starting treatment Undertakes a further patient review to AMBER establish a differential diagnosis Obtains an arterial blood gas sample RED safely, interprets results correctly Manages patients with impaired AMBER consciousness, including convulsions Uses common analgesic drugs safely and GREEN effectively Understands and applies the principles of managing a patient with acute mental RED disorder including self harm Ensures safe continuing care of patients GREEN on handover between shifts, on call staff or with ‘hospital at night‘ team by meticulous attention to detail and reflection on performance Resuscitation Resuscitation GREEN Discusses Do Not Attempt Resuscitation RED (DNAR) orders/advance directives appropriately Discharge and Discharge planning GREEN planning for chronic disease management Planning for chronic disease management RED Relationship with Within a consultation RED patients and communication skills Breaking bad news AMBER Patient safety within Treats the patient as the centre of care GREEN clinical governance Makes patient safety a priority in own GREEN clinical practice Promotes patient safety through good GREEN team-working Understands the principles of quality and GREEN safety improvement Complaints AMBER Infection control Infection control GREEN Nutritional care Nutritional care AMBER Health promotion, Educating patients RED patient education and Environmental, biological and lifestyle risk RED public health factors Smoking RED Alcohol RED Epidemiology and screening AMBER Ethical and legal Medical ethical principles and GREEN issues confidentiality Valid consent RED Legal framework of medical practice RED Relevance of outside bodies AMBER Maintaining good Lifelong learning GREEN medical practice Research, evidence, guidelines and care GREEN protocols Audit GREEN Teaching and Teaching and training AMBER Training Working with Communication with colleagues and GREEN colleagues teamwork for patient safety Interface with different specialties and with GREEN other professionals Other (non curricula) Peri-operative care GREEN

Severn Foundation School Individual Placement Description North Bristol NHS Trust

Placement F1 Vascular surgery The department The Dept of general surgery comprises 17 consultant surgeons including 4 vascular surgeons, the vascular surgeons take in part in the acute city wide vascular surgery on-call also they contribute to the renal transplant on-call. There are interests in endovascular surgery, living kidney donor transplant, and vascular access surgery.

The department covers part of Bristol, North Somerset and South Gloucestershire with a catchment population of 700,000.

The catchment area for renal transplantation is 2 000,000. The type of work to expect and F1 Doctors in hospital posts will generally be learning opportunities team based during the ‘normal’ working day and expected to deliver the daily medical care of all surgical patients irrespective of specialty. Whilst on-call the F1 will be involved with the generic clerking of surgery & urology patients being admitted and the ongoing care of the patients in the unit.

The overall educational objectives of the F1 year are to provide the trainee with the knowledge, skills and attitudes to be able to

Take a history and examine a patient Identify and synthesise problems Prescribe safely Keep an accurate and relevant medical record Manage time and clinical priorities effectively Communicate effectively with patients, relatives and colleagues Use evidence, guidelines and audit to benefit patient care Act in a professional manner at all times Cope with ethical and legal issues which occur during the management of patients with general medical problems Educate patients effectively Become life-long learners and teachers. Where the placement is based North Bristol NHS, Southmead Hospital wards J, F, U and woodlands. Clinical Supervisor(s) for the Mr D Mitchell, Mr A Baker, Mr W Neary and Mr A placement Weale. Main duties of the placement The F1 doctor is responsible with other staff for the team care of patients and the maintenance of the patient’s medical record. They will have opportunity to work with the consultants in theatres and outpatients clinics, and also take responsibility for problems arising in surgical patients on the ward. They are expected to attend the teaching program provided by the department. The doctor will be responsible for such other specific clinical duties as allocated by consultants including performing other duties in occasional emergencies and unforeseen circumstances. Typical working pattern in this Daily: 0800 Ward round placement 1200/1700/2100 Handover

Mon: 0900 – 1230 Pre-Assessment clinic. Wed: 0900 – 1100 Vascular ward-round . Wed: 1100 – 1300 Pre-Assessment clinic. Fri: 0800 – 1230 Pre-Assessment clinic. Sat: 0800 – 2100 1 in 6 Sun: 0800 – 2100 1 in 6

On call requirements:

Full shift 1:6 twilight weekdays and long weekends

Employer information North Bristol NHS Trust employs approximately 9,000 staff and is one of the largest NHS Trusts in the Country. We are based on two sites, Frenchay Hospital has specialist services such are Neurosciences and Plastics whereas Southmead Hospital has other specialist services such as Renal, Urology and Maternity. The Trust is in the bringing all of its services together in a state of the art new hospital which is currently being built on the Southmead site and will open in 2014. In addition the Trust is applying for Foundation Status in November 2011.

It is important to note that this description is a typical example of your placement and may be subject to change.

Severn Foundation School Foundation Placement Competence Matrix North Bristol NHS Trust

PLACEMENT: Vascular Surgery (F1)

The following table gives an indication to what extent the following competence areas of the Foundation Programme Curriculum (2010)** can be met in this post.

KEY RED: Not at all AMBER: To some extent/limited opportunities (please note that this may be a positive or negative recording e.g. positive in that you may be able to experience this outcome) GREEN: To a great extent/ample opportunities

** The FP Curriculum 2010 is due to be revised for 2012/13 – this may impact the list of outcomes given below.

Curriculum competences (and any additional competences such as audit etc) expected to be achieved:

Section Outcome Expect to achieve in placement Professionalism Behaviour in the workplace GREEN Health and handling stress and fatigue GREEN Time management and continuity of care GREEN Good clinical care Eliciting a history GREEN Examination GREEN Diagnosis and clinical decision-making GREEN Safe prescribing GREEN Medical record keeping and GREEN correspondence Safe use of medical devices GREEN Recognition and Promptly assesses the acutely ill or GREEN management of the collapsed patient acutely ill patient Identifies and responds to acutely GREEN abnormal physiology Where appropriate, delivers a fluid AMBER challenge safely to an acutely ill patient Reassesses ill patients appropriately after AMBER starting treatment Undertakes a further patient review to AMBER establish a differential diagnosis Obtains an arterial blood gas sample RED safely, interprets results correctly Manages patients with impaired AMBER consciousness, including convulsions Uses common analgesic drugs safely and GREEN effectively Understands and applies the principles of managing a patient with acute mental RED disorder including self harm Ensures safe continuing care of patients GREEN on handover between shifts, on call staff or with ‘hospital at night‘ team by meticulous attention to detail and reflection on performance Resuscitation Resuscitation GREEN Discusses Do Not Attempt Resuscitation RED (DNAR) orders/advance directives appropriately Discharge and Discharge planning GREEN planning for chronic disease management Planning for chronic disease management RED Relationship with Within a consultation RED patients and communication skills Breaking bad news AMBER Patient safety within Treats the patient as the centre of care GREEN clinical governance Makes patient safety a priority in own GREEN clinical practice Promotes patient safety through good GREEN team-working Understands the principles of quality and GREEN safety improvement Complaints AMBER Infection control Infection control GREEN Nutritional care Nutritional care AMBER Health promotion, Educating patients RED patient education and Environmental, biological and lifestyle risk RED public health factors Smoking RED Alcohol RED Epidemiology and screening AMBER Ethical and legal Medical ethical principles and GREEN issues confidentiality Valid consent RED Legal framework of medical practice RED Relevance of outside bodies AMBER Maintaining good Lifelong learning GREEN medical practice Research, evidence, guidelines and care GREEN protocols Audit GREEN Teaching and Teaching and training AMBER Training Working with Communication with colleagues and GREEN colleagues teamwork for patient safety Interface with different specialties and with GREEN other professionals Other (non curricula) Peri-operative care GREEN

Severn Foundation School Individual Placement Description North Bristol NHS Trust

Placement F1 GI Surgery The department The Dept of general surgery comprises 17 consultant surgeons including 4 upper GI surgeons; the upper GI surgeons take in part in the acute general surgery on-call. There are interests in benign upper GI, gallstones surgery, anti-reflux surgery and bariatric surgery.

The department covers part of Bristol, North Somerset and South Gloucestershire with a catchment population of 500,000. The type of work to expect and F1 Doctors in hospital posts will generally be learning opportunities team based during the ‘normal’ working day and expected to deliver the daily medical care of all surgical patients irrespective of specialty. Whilst on-call the F1 will be involved with the generic clerking of patients being admitted and the ongoing care of the patients in the unit.

The overall educational objectives of the F1 year are to provide the trainee with the knowledge, skills and attitudes to be able to

Take a history and examine a patient Identify and synthesise problems Prescribe safely Keep an accurate and relevant medical record Manage time and clinical priorities effectively Communicate effectively with patients, relatives and colleagues Use evidence, guidelines and audit to benefit patient care Act in a professional manner at all times Cope with ethical and legal issues which occur during the management of patients with general medical problems Educate patients effectively Become life-long learners and teachers. Where the placement is based North Bristol NHS, Frenchay Hospital wards 207, 205 and 203. Clinical Supervisor(s) for the Mr C Armstrong, Miss S Norton, Mr C Wong, Mr placement M Kelly. Main duties of the placement The F1 doctor is responsible with other staff for the team care of patients and the maintenance of the patient’s medical record. They will have opportunity to work with the consultants in theatres and outpatients clinics, and also take responsibility for problems arising in surgical patients on the ward. They are expected to attend the teaching program provided by the department. The doctor will be responsible for such other specific clinical duties as allocated by consultants including performing other duties in occasional emergencies and unforeseen circumstances. Typical working pattern in this Daily: 0800 Ward round placement 1700/2030 Handover

Wed: 0900 – 1230 Pre-Assessment clinic Wed: 1300 – 1700 Pre-Assessment clinic.

Sat: 0800 – 1700 1 in 17 Sun: 0800 – 1700 1 in 17

On call requirements: Full shift 1:8 nights and long days and 1:17 short day weekend. Employer information North Bristol NHS Trust employs approximately 9,000 staff and is one of the largest NHS Trusts in the Country. We are based on two sites, Frenchay Hospital has specialist services such are Neurosciences and Plastics whereas Southmeand Hospital has other specialist services such as Renal, Urology and Maternity. The Trust is in the bringing all of its services together in a state of the art new hospital which is currently being built on the Southmead site and will open in 2014. In addition the Trust is applying for Foundation Status in November 2011.

It is important to note that this description is a typical example of your placement and may be subject to change.

Severn Foundation School Foundation Placement Competence Matrix North Bristol NHS Trust

PLACEMENT: GI Surgery (F1)

The following table gives an indication to what extent the following competence areas of the Foundation Programme Curriculum (2010)** can be met in this post.

KEY RED: Not at all AMBER: To some extent/limited opportunities (please note that this may be a positive or negative recording e.g. positive in that you may be able to experience this outcome) GREEN: To a great extent/ample opportunities

** The FP Curriculum 2010 is due to be revised for 2012/13 – this may impact the list of outcomes given below.

Curriculum competences (and any additional competences such as audit etc) expected to be achieved:

Section Outcome Expect to achieve in placement Professionalism Behaviour in the workplace GREEN Health and handling stress and fatigue GREEN Time management and continuity of care GREEN Good clinical care Eliciting a history GREEN Examination GREEN Diagnosis and clinical decision-making GREEN Safe prescribing GREEN Medical record keeping and GREEN correspondence Safe use of medical devices GREEN Recognition and Promptly assesses the acutely ill or GREEN management of the collapsed patient acutely ill patient Identifies and responds to acutely GREEN abnormal physiology Where appropriate, delivers a fluid AMBER challenge safely to an acutely ill patient Reassesses ill patients appropriately after AMBER starting treatment Undertakes a further patient review to AMBER establish a differential diagnosis Obtains an arterial blood gas sample RED safely, interprets results correctly Manages patients with impaired AMBER consciousness, including convulsions Uses common analgesic drugs safely and GREEN effectively Understands and applies the principles of managing a patient with acute mental RED disorder including self harm Ensures safe continuing care of patients GREEN on handover between shifts, on call staff or with ‘hospital at night‘ team by meticulous attention to detail and reflection on performance Resuscitation Resuscitation GREEN Discusses Do Not Attempt Resuscitation RED (DNAR) orders/advance directives appropriately Discharge and Discharge planning GREEN planning for chronic disease management Planning for chronic disease management RED Relationship with Within a consultation RED patients and communication skills Breaking bad news AMBER Patient safety within Treats the patient as the centre of care GREEN clinical governance Makes patient safety a priority in own GREEN clinical practice Promotes patient safety through good GREEN team-working Understands the principles of quality and GREEN safety improvement Complaints AMBER Infection control Infection control GREEN Nutritional care Nutritional care AMBER Health promotion, Educating patients RED patient education and Environmental, biological and lifestyle risk RED public health factors Smoking RED Alcohol RED Epidemiology and screening AMBER Ethical and legal Medical ethical principles and GREEN issues confidentiality Valid consent RED Legal framework of medical practice RED Relevance of outside bodies AMBER Maintaining good Lifelong learning GREEN medical practice Research, evidence, guidelines and care GREEN protocols Audit GREEN Teaching and Teaching and training AMBER Training Working with Communication with colleagues and GREEN colleagues teamwork for patient safety Interface with different specialties and with GREEN other professionals Other (non curricula) Peri-operative care GREEN

Severn Foundation School Individual Placement Description North Bristol NHS Trust

Placement F1 Colorectal Surgery The department The Dept of general surgery comprises 17 consultant surgeons including 5 Colorectal surgeons, All colorectal consultants take in part in the acute General surgery on-call. There are interests in benign and malignant colorectal diseases, colorectal laparoscopic surgery, inflammatory bowel disease and pelvic floor surgery.

The department covers part of Bristol, North Somerset and South Gloucestershire with a catchment population of 500,000. The type of work to expect and F1 Doctors in hospital posts will generally be learning opportunities team based during the ‘normal’ working day and expected to deliver the daily medical care of all surgical patients irrespective of specialty. Whilst on-call the F1 will be involved with the generic clerking of patients being admitted and the ongoing care of the patients in the unit.

The overall educational objectives of the F1 year are to provide the trainee with the knowledge, skills and attitudes to be able to

Take a history and examine a patient Identify and synthesise problems Prescribe safely Keep an accurate and relevant medical record Manage time and clinical priorities effectively Communicate effectively with patients, relatives and colleagues Use evidence, guidelines and audit to benefit patient care Act in a professional manner at all times Cope with ethical and legal issues which occur during the management of patients with general medical problems Educate patients effectively Become life-long learners and teachers. Where the placement is based North Bristol NHS, Frenchay Hospital wards 207-205 & 203. Clinical Supervisor(s) for the Mr A Roe, Miss A Lyons, Miss A Pullyblank, Mr placement A Dixon, Miss C Burt. Main duties of the placement The F1 doctor is responsible with other staff for the team care of patients and the maintenance of the patient’s medical record. They will have opportunity to work with the consultants in theatres and outpatients clinics, and also take responsibility for problems arising in surgical patients on the ward. They are expected to attend the teaching program provided by the department. The doctor will be responsible for such other specific clinical duties as allocated by consultants including performing other duties in occasional emergencies and unforeseen circumstances. Typical working pattern in this Daily: 0800 Ward round placement 1700/2030 Handover

Wed: 0900 – 1230 Pre-Assessment clinic Wed: 1300 – 1700 Pre-Assessment clinic.

Sat: 0800 – 1700 1 in 17 Sun: 0800 – 1700 1 in 17

On call requirements: Full shift 1:8 nights and long days and 1:17 short day weekend. Employer information North Bristol NHS Trust employs approximately 9,000 staff and is one of the largest NHS Trusts in the Country. We are based on two sites, Frenchay Hospital has specialist services such are Neurosciences and Plastics whereas Southmeand Hospital has other specialist services such as Renal, Urology and Maternity. The Trust is in the bringing all of its services together in a state of the art new hospital which is currently being built on the Southmead site and will open in 2014. In addition the Trust is applying for Foundation Status in November 2011.

It is important to note that this description is a typical example of your placement and may be subject to change.

Severn Foundation School Foundation Placement Competence Matrix North Bristol NHS Trust

PLACEMENT: Colorectal Surgery (F1)

The following table gives an indication to what extent the following competence areas of the Foundation Programme Curriculum (2010)** can be met in this post.

KEY RED: Not at all AMBER: To some extent/limited opportunities (please note that this may be a positive or negative recording e.g. positive in that you may be able to experience this outcome) GREEN: To a great extent/ample opportunities

** The FP Curriculum 2010 is due to be revised for 2012/13 – this may impact the list of outcomes given below.

Curriculum competences (and any additional competences such as audit etc) expected to be achieved:

Section Outcome Expect to achieve in placement Professionalism Behaviour in the workplace GREEN Health and handling stress and fatigue GREEN Time management and continuity of care GREEN Good clinical care Eliciting a history GREEN Examination GREEN Diagnosis and clinical decision-making GREEN Safe prescribing GREEN Medical record keeping and GREEN correspondence Safe use of medical devices GREEN Recognition and Promptly assesses the acutely ill or GREEN management of the collapsed patient acutely ill patient Identifies and responds to acutely GREEN abnormal physiology Where appropriate, delivers a fluid AMBER challenge safely to an acutely ill patient Reassesses ill patients appropriately after AMBER starting treatment Undertakes a further patient review to AMBER establish a differential diagnosis Obtains an arterial blood gas sample RED safely, interprets results correctly Manages patients with impaired AMBER consciousness, including convulsions Uses common analgesic drugs safely and GREEN effectively Understands and applies the principles of managing a patient with acute mental RED disorder including self harm Ensures safe continuing care of patients GREEN on handover between shifts, on call staff or with ‘hospital at night‘ team by meticulous attention to detail and reflection on performance Resuscitation Resuscitation GREEN Discusses Do Not Attempt Resuscitation RED (DNAR) orders/advance directives appropriately Discharge and Discharge planning GREEN planning for chronic disease management Planning for chronic disease management RED Relationship with Within a consultation RED patients and communication skills Breaking bad news AMBER Patient safety within Treats the patient as the centre of care GREEN clinical governance Makes patient safety a priority in own GREEN clinical practice Promotes patient safety through good GREEN team-working Understands the principles of quality and GREEN safety improvement Complaints AMBER Infection control Infection control GREEN Nutritional care Nutritional care AMBER Health promotion, Educating patients RED patient education and Environmental, biological and lifestyle risk RED public health factors Smoking RED Alcohol RED Epidemiology and screening AMBER Ethical and legal Medical ethical principles and GREEN issues confidentiality Valid consent RED Legal framework of medical practice RED Relevance of outside bodies AMBER Maintaining good Lifelong learning GREEN medical practice Research, evidence, guidelines and care GREEN protocols Audit GREEN Teaching and Teaching and training AMBER Training Working with Communication with colleagues and GREEN colleagues teamwork for patient safety Interface with different specialties and with GREEN other professionals Other (non curricula) Peri-operative care GREEN

Severn Foundation School Individual Placement Description North Bristol NHS Trust

Placement F1 Renal Medicine The department The department of renal medicine comprises 12 consultant nephrologists, all of whom participate in a specialist renal on call service. Renal medicine is a tertiary referral specialty. The department provides renal services to Bristol, South Gloucestershire, Bath and North East Somerset and Wiltshire. In addition it provides transplantation for Dorset, Gloucester and North Devon.

The department provides a comprehensive renal replacement therapy programme to approx 1200 patients comprised of 530 patients on dialysis and 700 renal transplant recipients. The department performs about 100 adult transplants a year. The type of work to expect and All F1 doctors in renal medicine are ward based learning opportunities during the normal working day and provide the daily medical care of all patients in the renal unit under their Firm. There are two Firms of consultants providing inpatient care.

There are learning opportunities on the twice weekly consultant lead ward rounds, the X-ray meeting, in house renal tutorials, biopsy meetings and in the course of the job as there is a high level of support provided by the renal registrars.

F1s will be involved in the care of patients with acute kidney injury, chronic dialysis patients, newly transplanted patients and acutely unwell immunosupressed patients.

There are no out of hours or on call duties, but during the day they may clerk in new admissions if they wish to do so. Where the placement is based The Richard Bright Renal Unit, Southmead Hospital, Bristol, BS10 5NB Clinical Supervisor(s) for the Dr Chris Dudley placement Professor Steven Harper Dr Charlie Tomson Dr Fergus Caskey Dr Rommel Ravanan Dr Richard Smith Dr Karen Anderson Dr Alison Armitage Dr Helen Campbell Dr Uday Udayaraj Dr Simon Satchell Main duties of the placement Together with the registrar for the respective inpatient firm, and 3 F2/CMT1/CMT2 level doctors the F1 is responsible for the ward care of patients and the maintenance of the patients medical record. As the F1 does not do out of hours work they play an important role in maintaining daily continuity of care. The F1 is also very important to the discharge process and liason with the patients GPs. They are expected to attend the in house renal tutorials and attend the F1 teaching programme. Typical working pattern in this Daily placement 8.30 - 9 am handover from the night team. 9am board round. 9.30 onwards ward round

Monday Consultant ward round,1-2pm x-ray meeting Tuesday 12-1 renal tutorial, 1-2 renal biopsy meeting. Wednesday 10 am vascular ward round with surgeons. 12 noon multidisciplinary team meeting. Thursday Consultant wards round. Friday 8.45-10 am Grand Round Employer information North Bristol NHS Trust employs approximately 9,000 staff and is one of the largest NHS Trusts in the Country. We are based on two sites, Frenchay Hospital has specialist services such are Neurosciences and Plastics whereas Southmead Hospital has other specialist services such as Renal, Urology and Maternity. The Trust is in the bringing all of its services together in a state of the art new hospital which is currently being built on the Southmead site and will open in 2014. In addition the Trust is applying for Foundation Status in November 2011.

It is important to note that this description is a typical example of your placement and may be subject to change.

Severn Foundation School Foundation Placement Competence Matrix North Bristol NHS Trust

PLACEMENT: Renal Medicine (F1)

The following table gives an indication to what extent the following competence areas of the Foundation Programme Curriculum (2010)** can be met in this post.

KEY RED: Not at all AMBER: To some extent/limited opportunities (please note that this may be a positive or negative recording e.g. positive in that you may be able to experience this outcome) GREEN: To a great extent/ample opportunities

** The FP Curriculum 2010 is due to be revised for 2012/13 – this may impact the list of outcomes given below.

Curriculum competences (and any additional competences such as audit etc) expected to be achieved:

Section Outcome Expect to achieve in placement Professionalism Behaviour in the workplace GREEN Health and handling stress and fatigue GREEN Time management and continuity of care GREEN Good clinical care Eliciting a history GREEN Examination GREEN Diagnosis and clinical decision-making GREEN Safe prescribing GREEN Medical record keeping and GREEN correspondence Safe use of medical devices GREEN Recognition and Promptly assesses the acutely ill or GREEN management of the collapsed patient acutely ill patient Identifies and responds to acutely abnormal GREEN physiology Where appropriate, delivers a fluid GREEN challenge safely to an acutely ill patient Reassesses ill patients appropriately after GREEN starting treatment Undertakes a further patient review to GREEN establish a differential diagnosis Obtains an arterial blood gas sample GREEN safely, interprets results correctly Manages patients with impaired AMBER consciousness, including convulsions Uses common analgesic drugs safely and GREEN effectively Understands and applies the principles of AMBER managing a patient with acute mental disorder including self harm Ensures safe continuing care of patients on GREEN handover between shifts, on call staff or with ‘hospital at night‘ team by meticulous attention to detail and reflection on performance Resuscitation Resuscitation GREEN Discusses Do Not Attempt Resuscitation GREEN (DNAR) orders/advance directives appropriately Discharge and Discharge planning GREEN planning for chronic disease management Planning for chronic disease management GREEN Relationship with Within a consultation GREEN patients and communication skills Breaking bad news GREEN Patient safety within Treats the patient as the centre of care GREEN clinical governance Makes patient safety a priority in own GREEN clinical practice Promotes patient safety through good GREEN team-working Understands the principles of quality and GREEN safety improvement Complaints AMBER Infection control Infection control GREEN Nutritional care Nutritional care GREEN Health promotion, Educating patients GREEN patient education and Environmental, biological and lifestyle risk GREEN public health factors Smoking GREEN Alcohol GREEN Epidemiology and screening AMBER Ethical and legal Medical ethical principles and GREEN issues confidentiality Valid consent GREEN Legal framework of medical practice AMBER Relevance of outside bodies AMBER Maintaining good Lifelong learning AMBER medical practice Research, evidence, guidelines and care GREEN protocols Audit GREEN Teaching and Training Teaching and training AMBER Working with Communication with colleagues and GREEN colleagues teamwork for patient safety Interface with different specialties and with GREEN other professionals Other (non curricula)

Severn Foundation School Individual Placement Description North Bristol NHS Trust

Placement F1 Care of the Elderly/General (Internal) Medicine The department The Department of Medicine for the Elderly/ Care of the Elderly in North Bristol Trust is largely based in specialty specific wards on both main sites, Wards 205, 12 and 30 at Frenchay, and Elgar Wards 3 and 4 and Malvern ward at Southmead. All consultants except for Dr. Baldwin work as General Physicians and Geriatricians, and each has an area of special expertise, such as Cardiology, Parkinson’s disease, bone health & orthogeriatrics, respiratory disease, dementia etc. The type of work to expect and All F1 Doctors in hospital posts will generally be learning opportunities ward based during the ‘normal’ working day and expected to deliver the daily medical care of all the patients on their ward irrespective of specialty. Whilst in the AAU (on call shifts) the F1 will be involved with the generic clerking of patients being admitted and the ongoing care of the patients in the medical wards.

The overall educational objectives of the F1 year are to provide the trainee with the knowledge, skills and attitudes to be able to

Take a history and examine a patient Identify and synthesise problems Perform IV cannulation and other appropriate procedures Prescribe safely Keep an accurate and relevant medical record Manage time and clinical priorities effectively Communicate effectively with patients, relatives and colleagues Use evidence, guidelines and audit to benefit patient care Act in a professional manner at all times Cope with ethical and legal issues which occur during the management of patients with general medical problems Educate patients effectively Become life-long learners and teachers.

In addition, trainees in the department will develop skills in: The diagnosis and management of delirium in older people The diagnosis and management of dementias The recognition of non specific presentations of acute conditions in older people The management of hospital acquired infections on older people, and the consequences of prolonged hospital stays Assessment of capacity, deprivation of liberty safeguards, enduring power of attorney, and the Court of Protection. Multidisciplinary team working Early Discharge planning Palliation for terminal illnesses in old age, and advanced care planning at the end of life. Where the placement is based Medical wards at Frenchay and Soutmead hospitals, NBT Clinical Supervisor(s) for the Drs. N.J. Baldwin (stroke) placement R.D. Barber M.G. Cheesman K.A. Neubauer J.C. Pounsford S. Srivastava S.K. Wensley Main duties of the placement The F1 doctor will be responsible with other staff for the ward care of patients and the maintenance of the patient’s medical records, including drug charts and Discharge information. They will have opportunity to work with the consultants on Ward rounds at least twice weekly, and also take responsibility for problems arising in patients on the ward. They are expected to attend the structured teaching programmes provided by the department and the Directorate/ Academy/ learning centre. The doctor will be responsible for such other specific clinical duties as allocated by consultants including performing other duties in occasional emergencies and unforeseen circumstances. Typical working pattern in this Daily: 0900 Ward ‘Board’ round placement 09.30 – 17.00 Ward work/ rounds 1700 Handover

Mon: am RDB Ward Round 13.00 – 14.00 Grand Round pm SKW Ward Round Tues: 13.00 – 14.00 Formal Teaching Programme (mandatory) or Journal club 1400-1600 MDM Wed: 1400 SpR Ward Round Thurs: 13.00 G(I)M Journal club 14.00 SKW Ward Round Fri: am RDB ward round Sat: On call shifts as rostered Sun: On call shifts as rostered

On call requirements: 48 hr.EWTD compliant shift rota over 9 week cycle Employer information North Bristol NHS Trust employs approximately 9,000 staff and is one of the largest NHS Trusts in the Country. We are based on two sites, Frenchay Hospital has specialist services such are Neurosciences and Plastics whereas Southmeand Hospital has other specialist services such as Renal, Urology and Maternity. The Trust is in the bringing all of its services together in a state of the art new hospital which is currently being built on the Southmead site and will open in 2014. In addition the Trust is applying for Foundation Status in November 2011.

It is important to note that this description is a typical example of your placement and may be subject to change.

Severn Foundation School Foundation Placement Competence Matrix North Bristol NHS Trust

PLACEMENT: Care of the Elderly / General Internal Medicine (F1)

The following table gives an indication to what extent the following competence areas of the Foundation Programme Curriculum (2010)** can be met in this post.

KEY RED: Not at all AMBER: To some extent/limited opportunities (please note that this may be a positive or negative recording e.g. positive in that you may be able to experience this outcome) GREEN: To a great extent/ample opportunities

** The FP Curriculum 2010 is due to be revised for 2012/13 – this may impact the list of outcomes given below.

Curriculum competences (and any additional competences such as audit etc) expected to be achieved:

Section Outcome Expect to achieve in placement Professionalism Behaviour in the workplace GREEN Health and handling stress and fatigue GREEN Time management and continuity of care GREEN Good clinical care Eliciting a history GREEN Examination GREEN Diagnosis and clinical decision-making GREEN Safe prescribing GREEN Medical record keeping and GREEN correspondence Safe use of medical devices AMBER Recognition and Promptly assesses the acutely ill or GREEN management of the collapsed patient acutely ill patient Identifies and responds to acutely abnormal GREEN physiology Where appropriate, delivers a fluid GREEN challenge safely to an acutely ill patient Reassesses ill patients appropriately after GREEN starting treatment Undertakes a further patient review to GREEN establish a differential diagnosis Obtains an arterial blood gas sample GREEN safely, interprets results correctly Manages patients with impaired GREEN consciousness, including convulsions Uses common analgesic drugs safely and GREEN effectively Understands and applies the principles of AMBER managing a patient with acute mental disorder including self harm Ensures safe continuing care of patients on GREEN handover between shifts, on call staff or with ‘hospital at night‘ team by meticulous attention to detail and reflection on performance Resuscitation Resuscitation GREEN Discusses Do Not Attempt Resuscitation GREEN (DNAR) orders/advance directives appropriately Discharge and Discharge planning GREEN planning for chronic disease management Planning for chronic disease management AMBER Relationship with Within a consultation GREEN patients and communication skills Breaking bad news GREEN Patient safety within Treats the patient as the centre of care GREEN clinical governance Makes patient safety a priority in own GREEN clinical practice Promotes patient safety through good GREEN team-working Understands the principles of quality and GREEN safety improvement Complaints AMBER Infection control Infection control GREEN Nutritional care Nutritional care GREEN Health promotion, Educating patients GREEN patient education and Environmental, biological and lifestyle risk AMBER public health factors Smoking GREEN Alcohol GREEN Epidemiology and screening AMBER Ethical and legal Medical ethical principles and GREEN issues confidentiality Valid consent GREEN Legal framework of medical practice GREEN Relevance of outside bodies AMBER Maintaining good Lifelong learning GREEN medical practice Research, evidence, guidelines and care GREEN protocols Audit GREEN Teaching and Training Teaching and training AMBER Working with Communication with colleagues and GREEN colleagues teamwork for patient safety Interface with different specialties and with GREEN other professionals Other (non curricula)

Severn Foundation School Individual Placement Description North Bristol NHS Trust

Placement F1 Respiratory Medicine The department North Bristol Lung Centre, Respiratory Medicine The type of work to expect and The assessment and day to day management of learning opportunities patients with acute respiratory disorders. This includes over 30 different kinds of respiratory disorders ranging from COPD, asthma, pneumonia, lung cancer, pleural disease, and alveolitis, through to managing acute respiratory failure with non invasive ventilation, assessment of blood gases, and management of patients in the palliative/terminal stages of chronic respiratory disease. Where the placement is based On the two respiratory wards at Southmead Hospital – North Bristol Lung Centre. Clinical Supervisor(s) for the One of the seven respiratory consultants at placement North Bristol Lung Centre who will be allocated by the specialty training lead (currently Dr John Harvey, June 2011). Main duties of the placement Clerking and day to day assessment of patient’s progress with up to date neatly written entries in the notes detailing the patient’s progress and future intended plans and investigations.

Liaison with senior members of the team, specifically the specialist registrar and consultant, specialist physiotherapist, dietitian, pharmacist, occupational therapist, senior nurses, and palliative care team.

There will be daily ward rounds; twice a week from the consultant, once a week from the specialist registrar, and otherwise with more senior trainees. Typical working pattern in this Daily ward round to assess patient’s progress placement and keep the patient’s notes up to date with details of their progress and any important results and future plans. Employer information North Bristol NHS Trust employs approximately 9,000 staff and is one of the largest NHS Trusts in the Country. We are based on two sites, Frenchay Hospital has specialist services such are Neurosciences and Plastics whereas Southmead Hospital has other specialist services such as Renal, Urology and Maternity. The Trust is in the bringing all of its services together in a state of the art new hospital which is currently being built on the Southmead site and will open in 2014. In addition the Trust is applying for Foundation Status in November 2011.

It is important to note that this description is a typical example of your placement and may be subject to change.

Severn Foundation School Foundation Placement Competence Matrix North Bristol NHS Trust

PLACEMENT: Respiratory Medicine (F1)

The following table gives an indication to what extent the following competence areas of the Foundation Programme Curriculum (2010)** can be met in this post.

KEY RED: Not at all AMBER: To some extent/limited opportunities (please note that this may be a positive or negative recording e.g. positive in that you may be able to experience this outcome) GREEN: To a great extent/ample opportunities

** The FP Curriculum 2010 is due to be revised for 2012/13 – this may impact the list of outcomes given below.

Curriculum competences (and any additional competences such as audit etc) expected to be achieved:

Section Outcome Expect to achieve in placement Professionalism Behavior in the workplace GREEN Health and handling stress and fatigue GREEN Time management and continuity of care GREEN Good clinical care Eliciting a history GREEN Examination GREEN Diagnosis and clinical decision-making GREEN Safe prescribing GREEN Medical record keeping and GREEN correspondence Safe use of medical devices AMBER Recognition and Promptly assesses the acutely ill or GREEN management of the collapsed patient acutely ill patient Identifies and responds to acutely abnormal GREEN physiology Where appropriate, delivers a fluid GREEN challenge safely to an acutely ill patient Reassesses ill patients appropriately after GREEN starting treatment Undertakes a further patient review to AMBER establish a differential diagnosis Obtains an arterial blood gas sample GREEN safely, interprets results correctly Manages patients with impaired GREEN consciousness, including convulsions Uses common analgesic drugs safely and GREEN effectively Understands and applies the principles of RED managing a patient with acute mental disorder including self harm Ensures safe continuing care of patients on GREEN handover between shifts, on call staff or with ‘hospital at night‘ team by meticulous attention to detail and reflection on performance Resuscitation Resuscitation GREEN Discusses Do Not Attempt Resuscitation AMBER (DNAR) orders/advance directives appropriately Discharge and Discharge planning AMBER planning for chronic disease management Planning for chronic disease management AMBER Relationship with Within a consultation GREEN patients and communication skills Breaking bad news AMBER Patient safety within Treats the patient as the centre of care GREEN clinical governance Makes patient safety a priority in own GREEN clinical practice Promotes patient safety through good GREEN team-working Understands the principles of quality and GREEN safety improvement Complaints AMBER Infection control Infection control GREEN Nutritional care Nutritional care GREEN Health promotion, Educating patients GREEN patient education and Environmental, biological and lifestyle risk AMBER public health factors Smoking GREEN Alcohol GREEN Epidemiology and screening RED Ethical and legal Medical ethical principles and GREEN issues confidentiality Valid consent GREEN Legal framework of medical practice AMBER Relevance of outside bodies RED Maintaining good Lifelong learning GREEN medical practice Research, evidence, guidelines and care AMBER protocols Audit AMBER Teaching and Training Teaching and training GREEN Working with Communication with colleagues and GREEN colleagues teamwork for patient safety Interface with different specialties and with AMBER other professionals Other (non curricula)

Severn Foundation School Individual Placement Description North Bristol NHS Trust

Placement F1 Gastroenterology and General Internal Medicine The department The Dept of Gastroenterology comprises 5 Consultant Gastroenterologists all of whom do acute General Internal Medicine (GIM) on-call. There are interests in Inflammatory bowel disease, advanced nutrition, small bowel, obscure GI bleeding & hepatobiliary. All general gastroenterology and general internal medicine (except stroke) is represented.

The department serves the local population of Bristol South Gloucestershire and North Somerset. The type of work to expect and All F1 Doctors will be ward based during the learning opportunities ‘normal’ working day and expected to deliver the daily medical care of all the patients on their ward. They will also get involved with Gastroenterology patients seen at the Day Hospital. Whilst on call for GIM the F1 will be involved with the generic clerking of patients being admitted, presentation to the on call consultant, initiation of their investigations & management and hand over to the next on call or ward based team.

The overall educational objectives of the F1 year are to provide the trainee with the knowledge, skills and attitudes to be able to Take a history and examine a patient Identify and synthesise problems Prescribe safely Keep an accurate and relevant medical record Manage time and clinical priorities effectively Communicate effectively with patients, relatives and colleagues Use evidence, guidelines and audit to benefit patient care Act in a professional manner at all times Cope with ethical and legal issues which occur during the management of patients with general medical problems Educate patients effectively Become life-long learners and teachers. Where the placement is based Frenchay Hospital; Ward 206. Clinical Supervisor(s) for the Dr Peter Marden and Dr Abid Mohsini placement Main duties of the placement The F1 doctor is responsible with other staff for the ward care of patients and the maintenance of the patient’s medical record. They are expected to attend the teaching programmes provided by the Trust and department. The doctor will be responsible for such other specific clinical duties as allocated by consultants including performing other duties in occasional emergencies and unforeseen circumstances. Typical working pattern in this Daily: Ward round placement 1700 Handover

Mon: 1315 Grand round Tues: 10.30 Ward MDM 1300 F1 teaching programme / GI x-ray meeting Thurs: 1300 GIM journal club Fri: 0800 Departmental teaching 12.45 Gastro histol meeting/journal club

On call requirements: 1 in 9 days and 1 in 18 nights Employer information North Bristol NHS Trust employs approximately 9,000 staff and is one of the largest NHS Trusts in the Country. We are based on two sites, Frenchay Hospital has specialist services such are Neurosciences and Plastics whereas Southmead Hospital has other specialist services such as Renal, Urology and Maternity. The Trust is in the bringing all of its services together in a state of the art new hospital which is currently being built on the Southmead site and will open in 2014. In addition the Trust is applying for Foundation Status in November 2011.

It is important to note that this description is a typical example of your placement and may be subject to change.

Severn Foundation School Individual Placement Description North Bristol NHS Trust

Placement F1 Gastroenterology and General Internal Medicine The department The Dept of Gastroenterology comprises 5 Consultant Gastroenterologists all of whom do acute General Internal Medicine (GIM) on-call. There are interests in Inflammatory bowel disease, advanced nutrition, small bowel, obscure GI bleeding & hepatobiliary. All general gastroenterology and general internal medicine (except stroke) is represented.

The department serves the local population of Bristol South Gloucestershire and North Somerset. The type of work to expect and All F1 Doctors will be ward based during the learning opportunities ‘normal’ working day and expected to deliver the daily medical care of all the patients on their ward. They will also get involved with Gastroenterology patients seen at the Day Hospital. Whilst on call for GIM the F1 will be involved with the generic clerking of patients being admitted, presentation to the on call consultant, initiation of their investigations & management and hand over to the next on call or ward based team.

The overall educational objectives of the F1 year are to provide the trainee with the knowledge, skills and attitudes to be able to Take a history and examine a patient Identify and synthesise problems Prescribe safely Keep an accurate and relevant medical record Manage time and clinical priorities effectively Communicate effectively with patients, relatives and colleagues Use evidence, guidelines and audit to benefit patient care Act in a professional manner at all times Cope with ethical and legal issues which occur during the management of patients with general medical problems Educate patients effectively Become life-long learners and teachers. Where the placement is based Frenchay Hospital; Ward 206. Clinical Supervisor(s) for the Dr Robert Przemioslo placement Main duties of the placement The F1 doctor is responsible with other staff for the ward care of patients and the maintenance of the patient’s medical record. They are expected to attend the teaching programmes provided by the Trust and department. The doctor will be responsible for such other specific clinical duties as allocated by consultants including performing other duties in occasional emergencies and unforeseen circumstances. Typical working pattern in this Daily: Ward round placement 1700 Handover

Mon: 1315 Grand round Tues: 10.30 Ward MDM 1300 F1 teaching programme / GI x-ray meeting Thurs: 1300 GIM journal club Fri: 0800 Departmental teaching 12.45 Gastro histol meeting/journal club

On call requirements: 1 in 9 days and 1 in 18 nights Employer information North Bristol NHS Trust employs approximately 9,000 staff and is one of the largest NHS Trusts in the Country. We are based on two sites, Frenchay Hospital has specialist services such are Neurosciences and Plastics whereas Southmead Hospital has other specialist services such as Renal, Urology and Maternity. The Trust is in the bringing all of its services together in a state of the art new hospital which is currently being built on the Southmead site and will open in 2014. In addition the Trust is applying for Foundation Status in November 2011.

It is important to note that this description is a typical example of your placement and may be subject to change.

Severn Foundation School Individual Placement Description North Bristol NHS Trust

Placement F1 Gastroenterology and General Internal Medicine The department The Dept of Gastroenterology comprises 5 Consultant Gastroenterologists all of whom do acute General Internal Medicine (GIM) on-call. There are interests in Inflammatory bowel disease, advanced nutrition, small bowel, obscure GI bleeding & hepatobiliary. All general gastroenterology and general internal medicine (except stroke) is represented.

The department serves the local population of Bristol South Gloucestershire and North Somerset. The type of work to expect and All F1 Doctors will be ward based during the learning opportunities ‘normal’ working day and expected to deliver the daily medical care of all the patients on their ward. They will also get involved with Gastroenterology patients seen at the Day Hospital. Whilst on call for GIM the F1 will be involved with the generic clerking of patients being admitted, presentation to the on call consultant, initiation of their investigations & management and hand over to the next on call or ward based team.

The overall educational objectives of the F1 year are to provide the trainee with the knowledge, skills and attitudes to be able to Take a history and examine a patient Identify and synthesise problems Prescribe safely Keep an accurate and relevant medical record Manage time and clinical priorities effectively Communicate effectively with patients, relatives and colleagues Use evidence, guidelines and audit to benefit patient care Act in a professional manner at all times Cope with ethical and legal issues which occur during the management of patients with general medical problems Educate patients effectively Become life-long learners and teachers. Where the placement is based Frenchay Hospital; Ward 206. Clinical Supervisor(s) for the Dr Steve Hughes & Dr Melanie Lockett placement Main duties of the placement The F1 doctor is responsible with other staff for the ward care of patients and the maintenance of the patient’s medical record. They are expected to attend the teaching programmes provided by the Trust and department. The doctor will be responsible for such other specific clinical duties as allocated by consultants including performing other duties in occasional emergencies and unforeseen circumstances. Typical working pattern in this Daily: Ward round placement 1700 Handover

Mon: 1315 Grand round Tues: 10.30 Ward MDM 1300 F1 teaching programme / GI x-ray meeting Thurs: 1300 GIM journal club Fri: 0800 Departmental teaching 12.45 Gastro histol meeting/journal club

On call requirements: 1 in Employer information North Bristol NHS Trust employs approximately 9,000 staff and is one of the largest NHS Trusts in the Country. We are based on two sites, Frenchay Hospital has specialist services such are Neurosciences and Plastics whereas Southmead Hospital has other specialist services such as Renal, Urology and Maternity. The Trust is in the bringing all of its services together in a state of the art new hospital which is currently being built on the Southmead site and will open in 2014. In addition the Trust is applying for Foundation Status in November 2011.

It is important to note that this description is a typical example of your placement and may be subject to change.

Severn Foundation School Foundation Placement Competence Matrix North Bristol NHS Trust

PLACEMENT: Gastroenterology (F1 & F2)

The following table gives an indication to what extent the following competence areas of the Foundation Programme Curriculum (2010)** can be met in this post.

KEY RED: Not at all AMBER: To some extent/limited opportunities (please note that this may be a positive or negative recording e.g. positive in that you may be able to experience this outcome) GREEN: To a great extent/ample opportunities

** The FP Curriculum 2010 is due to be revised for 2012/13 – this may impact the list of outcomes given below.

Curriculum competences (and any additional competences such as audit etc) expected to be achieved:

Section Outcome Expect to achieve in placement Professionalism Behaviour in the workplace GREEN Health and handling stress and fatigue GREEN Time management and continuity of care GREEN Good clinical care Eliciting a history GREEN Examination GREEN Diagnosis and clinical decision-making GREEN Safe prescribing GREEN Medical record keeping and GREEN correspondence Safe use of medical devices AMBER Recognition and Promptly assesses the acutely ill or GREEN management of the collapsed patient acutely ill patient Identifies and responds to acutely GREEN abnormal physiology Where appropriate, delivers a fluid GREEN challenge safely to an acutely ill patient Reassesses ill patients appropriately after GREEN starting treatment Undertakes a further patient review to GREEN establish a differential diagnosis Obtains an arterial blood gas sample GREEN safely, interprets results correctly Manages patients with impaired GREEN consciousness, including convulsions Uses common analgesic drugs safely and GREEN effectively Understands and applies the principles of GREEN managing a patient with acute mental disorder including self harm Ensures safe continuing care of patients GREEN on handover between shifts, on call staff or with ‘hospital at night‘ team by meticulous attention to detail and reflection on performance Resuscitation Resuscitation GREEN Discusses Do Not Attempt Resuscitation AMBER (DNAR) orders/advance directives appropriately Discharge and Discharge planning GREEN planning for chronic disease management Planning for chronic disease management AMBER Relationship with Within a consultation AMBER patients and communication skills Breaking bad news AMBER Patient safety within Treats the patient as the centre of care GREEN clinical governance Makes patient safety a priority in own GREEN clinical practice Promotes patient safety through good GREEN team-working Understands the principles of quality and GREEN safety improvement Complaints AMBER Infection control Infection control GREEN Nutritional care Nutritional care GREEN Health promotion, Educating patients AMBER patient education and Environmental, biological and lifestyle risk AMBER public health factors Smoking RED Alcohol GREEN Epidemiology and screening RED Ethical and legal Medical ethical principles and GREEN issues confidentiality Valid consent AMBER Legal framework of medical practice AMBER Relevance of outside bodies AMBER Maintaining good Lifelong learning GREEN medical practice Research, evidence, guidelines and care GREEN protocols Audit GREEN Teaching and Teaching and training AMBER Training Working with Communication with colleagues and GREEN colleagues teamwork for patient safety Interface with different specialties and with GREEN other professionals Other (non curricula)

Severn Foundation School Individual Placement Description North Bristol NHS Trust

Placement F1 Trauma and Orthopaedics The department The Department of Orthopaedics and Trauma Surgery at Frenchay comprises 13 Consultants on the Acute Trauma on call rota (in team based working A-D = Mon –Thurs) and 2 additional Consultant Spinal Surgeons. The department provides the regional pelvic fracture and acetabular reconstruction service as well as complex tertiary referral spinal surgery. All adult and paediatric trauma pathologies are encountered and consultant sub-specialist interests also include shoulder & elbow, hip, knee and foot & ankle. There are consultant led fracture clinics & all day trauma operating lists 364 days per year as well as trauma day case lists 3 days per week and follow-up fracture clinics mon-thurs. The department works closely with our affiliated Ortho-Geriatricians and the Plastics Surgery and Neurosurgery departments. There is a well established trauma research team who are busy coordinating numerous research projects and overseeing audit activity. There is a trauma coordinator and specialist hip fracture and spinal surgery nurses. The type of work to expect and All F1 Doctors in hospital posts will generally be learning opportunities ward based during the ‘normal’ working day and expected to deliver the daily medical care of all the patients on their ward irrespective of specialty. Whilst in the T&O Surgery attachment the F1 will be involved with the generic clerking of patients being admitted and the ongoing care of the patients in the unit.

The overall educational objectives of the F1 year are to provide the trainee with the knowledge, skills and attitudes to be able to Take a history and examine a patient Identify and synthesise problems Prescribe safely Keep an accurate and relevant medical record Manage time and clinical priorities effectively Communicate effectively with patients, relatives and colleagues Use evidence, guidelines and audit to benefit patient care Act in a professional manner at all times Cope with ethical and legal issues which occur during the management of patients with general medical problems Educate patients effectively Become life-long learners and teachers. Where the placement is based Frenchay Hospital, Bristol Clinical Supervisor(s) for the Teams: A – Mr IN Packham; B – Mr JCJ Webb; placement C – Mr SJ Eastaugh-Waring; D – Mr TJ Chesser; Spines – Mr IW Nelson Main duties of the placement Each F1 doctor will be attached to a team (Trauma A-D or Spines) which comprises 3 or 4 consultants who attend on their trauma day and a specialist registrar and 1 or 2 SHO’s (Core Trainee, Clinical Fellow or F2) who are permanently in the department. They will be involved in the day-to-day ward care of patients and the contemporaneous medical note keeping during daily business ward rounds and weekly consultant ward rounds (especially post-take). They will join the Consultant Ortho-Geriatricians on their weekly ward-rounds and liasie with the specialist nurses as required. Whilst on call the F1 doctor will work closely with the SHO and SpR in assessing, admitting and managing acute cases presenting to the Emergency Department or Fracture Clinic. They will have the opportunity to shadow a consultant or registrar in new & follow up fracture clinics and they are strongly encouraged to attend either the main trauma list or day case list to assist a wide variety of cases and be taught some basic surgical skills such as suturing, metalwork removal, insertion of a screw or fixation of a fracture. Each F1 should arrange a session with the technicians in the Plaster Room and they will have the opportunity to partake in or undertake an Audit project the results of which they will present to the Department. They will be expected to present their team’s M&M data at the end of their 4 month attachment. They are expected to attend the structured teaching programme provided by the department and the Trust. The doctor will be responsible for such other specific clinical duties as allocated by consultants including performing other duties in occasional emergencies and unforeseen circumstances. Typical working pattern in this Daily: 0800 daily trauma xray meeting placement 0900 ward round 1200/1700/2000 Handover On call 1 in 5

Mon: Am fracture clinic Pm ward work Tues: 1300-1400 F1 formal teaching Weds: Am ward work Pm main theatre Thurs: Am Day case theatre Pm ward work Fri: 0800-0900 weekly departmental teaching/clinical governance meeting 1000 Orthogeriatric ward round Employer information North Bristol NHS Trust employs approximately 9,000 staff and is one of the largest NHS Trusts in the Country. We are based on two sites, Frenchay Hospital has specialist services such are Neurosciences and Plastics whereas Southmead Hospital has other specialist services such as Renal, Urology and Maternity. The Trust is in the bringing all of its services together in a state of the art new hospital which is currently being built on the Southmead site and will open in 2014. In addition the Trust is applying for Foundation Status in November 2011.

It is important to note that this description is a typical example of your placement and may be subject to change.

Severn Foundation School Foundation Placement Competence Matrix North Bristol NHS Trust

PLACEMENT: Trauma and Orthopaedics (F1 & F2)

The following table gives an indication to what extent the following competence areas of the Foundation Programme Curriculum (2010)** can be met in this post.

KEY RED: Not at all AMBER: To some extent/limited opportunities (please note that this may be a positive or negative recording e.g. positive in that you may be able to experience this outcome) GREEN: To a great extent/ample opportunities

** The FP Curriculum 2010 is due to be revised for 2012/13 – this may impact the list of outcomes given below.

Curriculum competences (and any additional competences such as audit etc) expected to be achieved:

Section Outcome Expect to achieve in placement Professionalism Behaviour in the workplace GREEN Health and handling stress and fatigue GREEN Time management and continuity of care GREEN Good clinical care Eliciting a history GREEN Examination GREEN Diagnosis and clinical decision-making GREEN Safe prescribing GREEN Medical record keeping and GREEN correspondence Safe use of medical devices AMBER Recognition and Promptly assesses the acutely ill or GREEN management of the collapsed patient acutely ill patient Identifies and responds to acutely abnormal GREEN physiology Where appropriate, delivers a fluid GREEN challenge safely to an acutely ill patient Reassesses ill patients appropriately after GREEN starting treatment Undertakes a further patient review to GREEN establish a differential diagnosis Obtains an arterial blood gas sample GREEN safely, interprets results correctly Manages patients with impaired AMBER consciousness, including convulsions Uses common analgesic drugs safely and GREEN effectively Understands and applies the principles of AMBER managing a patient with acute mental disorder including self harm Ensures safe continuing care of patients on GREEN handover between shifts, on call staff or with ‘hospital at night‘ team by meticulous attention to detail and reflection on performance Resuscitation Resuscitation GREEN Discusses Do Not Attempt Resuscitation GREEN (DNAR) orders/advance directives appropriately Discharge and Discharge planning GREEN planning for chronic disease management Planning for chronic disease management GREEN Relationship with Within a consultation AMBER patients and communication skills Breaking bad news AMBER Patient safety within Treats the patient as the centre of care GREEN clinical governance Makes patient safety a priority in own GREEN clinical practice Promotes patient safety through good GREEN team-working Understands the principles of quality and GREEN safety improvement Complaints AMBER Infection control Infection control GREEN Nutritional care Nutritional care GREEN Health promotion, Educating patients GREEN patient education and Environmental, biological and lifestyle risk GREEN public health factors Smoking GREEN Alcohol GREEN Epidemiology and screening GREEN Ethical and legal Medical ethical principles and GREEN issues confidentiality Valid consent GREEN Legal framework of medical practice AMBER Relevance of outside bodies AMBER Maintaining good Lifelong learning GREEN medical practice Research, evidence, guidelines and care GREEN protocols Audit GREEN Teaching and Training Teaching and training GREEN Working with Communication with colleagues and GREEN colleagues teamwork for patient safety Interface with different specialties and with GREEN other professionals Other (non curricula)

Severn Foundation School Individual Placement Description North Bristol NHS Trust

Placement F1 Anaesthetics/ITU The department Anaesthetics/ITU, Southmead Hospital The type of work to expect and Care of patients in Intensive Care and learning learning opportunities about the perioperative care of patients Where the placement is based Southmead Hospital Clinical Supervisor(s) for the Dr Mark Dirnhuber placement Main duties of the placement Supernumerary in Intensive Care and in the operating Theatre. In ITU, The F1 is expected to arrive on the unit in time for the start of the ICU round. They will take an active role in the ward round, examining patients, completing the daily ICU paperwork and understanding the management plans for the day. They will assist the ICU resident trainee in performing daily duties such as ordering investigations and ensuring the results are followed up and written in the notes. They will have the opportunity to gain experience in practical procedures such as insertion of invasive monitoring lines, vascaths and airway management. They will accompany members of the ICU team to cardiac arrests, in reviewing critically ill patients on the ward and in following up ICU patients who have been discharged back to the ward. During their time on ICU they will gain an understanding of the kind of patient who is appropriate for ICU admission and how to stabilise and manage a critically ill patient. They will also gain experience in the principles of organ support and monitoring. They will attend daily microbiology rounds, weekly radiology meetings and weekly ICU teaching. In the operating theatres the F! will be expected to be in theatre well before the start of the list and to have seen the patients pre-operatively with the Consultant. During the list they will gain experience in anaesthetic care, gaining further skills in vascular access and control of the airway. They will become familiar with the anaesthetic process and also the care in the postoperative period especially in Recovery. They will not be expected to take responsibility of any patient under anaesthesia. During these sessions they will receive appropiate teaching and learn the basics of regional, local and central nervous blockade and the maangement of patients with concurrent illness Typical working pattern in this Placed either in Intensive Care or with placement Consultants in operating theatre, written on the anaesthetic rota and will be released for central Foundation teaching and have separate teaching from Clinical Supervisor Employer information North Bristol NHS Trust employs approximately 9,000 staff and is one of the largest NHS Trusts in the Country. We are based on two sites, Frenchay Hospital has specialist services such are Neurosciences and Plastics whereas Southmead Hospital has other specialist services such as Renal, Urology and Maternity. The Trust is in the bringing all of its services together in a state of the art new hospital which is currently being built on the Southmead site and will open in 2014. In addition the Trust is applying for Foundation Status in November 2011.

It is important to note that this description is a typical example of your placement and may be subject to change.

Severn Foundation School Foundation Placement Competence Matrix North Bristol NHS Trust

PLACEMENT: Anaesthetics/ITU SMH (F1)

The following table gives an indication to what extent the following competence areas of the Foundation Programme Curriculum (2010)** can be met in this post.

KEY RED: Not at all AMBER: To some extent/limited opportunities (please note that this may be a positive or negative recording e.g. positive in that you may be able to experience this outcome) GREEN: To a great extent/ample opportunities

** The FP Curriculum 2010 is due to be revised for 2012/13 – this may impact the list of outcomes given below.

Curriculum competences (and any additional competences such as audit etc) expected to be achieved:

Section Outcome Expect to achieve in placement Professionalism Behaviour in the workplace GREEN Health and handling stress and fatigue GREEN Time management and continuity of care GREEN Good clinical care Eliciting a history AMBER Examination GREEN Diagnosis and clinical decision-making GREEN Safe prescribing GREEN Medical record keeping and GREEN correspondence Safe use of medical devices GREEN Recognition and Promptly assesses the acutely ill or GREEN management of the collapsed patient acutely ill patient Identifies and responds to acutely abnormal GREEN physiology Where appropriate, delivers a fluid GREEN challenge safely to an acutely ill patient Reassesses ill patients appropriately after GREEN starting treatment Undertakes a further patient review to GREEN establish a differential diagnosis Obtains an arterial blood gas sample GREEN safely, interprets results correctly Manages patients with impaired GREEN consciousness, including convulsions Uses common analgesic drugs safely and GREEN effectively Understands and applies the principles of GREEN managing a patient with acute mental disorder including self harm Ensures safe continuing care of patients on GREEN handover between shifts, on call staff or with ‘hospital at night‘ team by meticulous attention to detail and reflection on performance Resuscitation Resuscitation GREEN Discusses Do Not Attempt Resuscitation GREEN (DNAR) orders/advance directives appropriately Discharge and Discharge planning AMBER planning for chronic disease management Planning for chronic disease management RED Relationship with Within a consultation AMBER patients and communication skills Breaking bad news AMBER Patient safety within Treats the patient as the centre of care GREEN clinical governance Makes patient safety a priority in own GREEN clinical practice Promotes patient safety through good GREEN team-working Understands the principles of quality and GREEN safety improvement Complaints RED Infection control Infection control GREEN Nutritional care Nutritional care GREEN Health promotion, Educating patients AMBER patient education and Environmental, biological and lifestyle risk AMBER public health factors Smoking AMBER Alcohol AMBER Epidemiology and screening RED Ethical and legal Medical ethical principles and GREEN issues confidentiality Valid consent GREEN Legal framework of medical practice GREEN Relevance of outside bodies GREEN Maintaining good Lifelong learning GREEN medical practice Research, evidence, guidelines and care protocols Audit GREEN Teaching and Training Teaching and training GREEN Working with Communication with colleagues and GREEN colleagues teamwork for patient safety Interface with different specialties and with GREEN other professionals Other (non curricula)

Severn Foundation School Individual Placement Description North Bristol NHS Trust

Placement F1 Stroke Medicine The department Ward 106 has 22 stroke beds.

Patients with a diagnosis of stroke or TIA should be admitted to 106 directly from ED. If due to bed pressures patients are on a different ward they should be written in the stroke referral book. All patients who have had thrombolysis will be admitted directly to 106.

Occasionally there may also be a few medical patients on the unit, due to bed pressures elsewhere in the hospital. We prioritise to move them off the stroke unit if possible. These patients remain under the admitting medical consultant.

Our target is that 90% of patients with acute stroke should spend 90% of their stay on a stroke ward. The type of work to expect and Board rounds – Mon- Fri at 9.00- 9.15. Quick learning opportunities catch up of current issues and new admissions

Daily Consultant led Ward Rounds – There is a consultant led ward round every morning at 9.30 on Ward 106 to see all new admissions. There is a consultant of the week system starting with a handover every Wednesday morning.

Multi-Disciplinary Meeting (MDM) ~Every Wednesday afternoon 2.00 – 3.30 The details of discussions are noted down on the yellow sheets in section 4 of the notes.

A representative from all teams tries to be present so that all aspects of each patients care can be discussed. Action plans, discharge planning and estimated discharge dates (EDD) are agreed for each patient.

The MDM is chaired by the consultant, registrar or senior nurse depending on availability. All ward staff present help with documentation in the MDM to maintain speed and efficiency

Progress Meetings Patients with potentially complex discharge plans may require a progress meeting, so that the team can discuss with the patient, family and other carers the progress the patient has made so far, and set goals towards discharge planning. It is important to have the 1st meeting within 2 weeks of admission to hospital.

You may be asked to give an overview of the patient’s medical condition and prognosis. Patients and their relatives may also approach you at separate times to discuss issues. The consultants are all happy to discuss with relatives if necessary, particularly for those who have a poorer prognosis - please organise this through the secretaries.

Care planning meetings Led by the social worker to plan placement/ packages of care.

Discharges Patients TTAs need to be written and in pharmacy ideally in the morning but at very latest by 3pm on the day of (or prior to if appropriate) to discharge. Compliance aids (Dossett boxes etc) require at least 24 hours notice.

It is important to ensure that secondary prevention is addressed as an inpatient, and patients are medically ready for discharge (investigations done, warfarin etc) in line with the expected discharge date.

We do not provide routine follow up- only those with outstanding medical issues. All other patients should be directed to their GP. It is important that the discharge summary is explicit in any follow up requirements.

Most patients on ward 106 will require therapy input (OT, PT, SLT etc) prior to discharge. Please check the notes for therapy discharge plans.

The Multi-Disciplinary Team One of the key points to remember on the unit is that we function as a team. You may frequently find that the therapists who work closely with the patients are often the best source of information about progress etc and can help your management of the patient. Equally, they may come to you for advice as to the best way to manage a patient. It is especially important to remember that patients may not be fit for discharge just because all their medical problems have been addressed. The team comes to a consensus on issues such as these, which are discussed regularly at the multi- disciplinary meeting (MDM).

Foundation doctors weekly teaching/training session. Where the placement is based Ward 106 Clinical Supervisor(s) for the Dr Neil Baldwin, Dr Justin Pearson, placement Main duties of the placement Patient care Medical notes entries Arranging appropriate investigations On call duties Joint meetings Involvement in communication with patients, their families, other doctors, members of the health care team Typical working pattern in this Normal daytime ward cover 9am – 5pm placement Partial shift general medical on call Employer information North Bristol NHS Trust employs approximately 9,000 staff and is one of the largest NHS Trusts in the Country. We are based on two sites, Frenchay Hospital has specialist services such are Neurosciences and Plastics whereas Southmead Hospital has other specialist services such as Renal, Urology and Maternity. The Trust is in the bringing all of its services together in a state of the art new hospital which is currently being built on the Southmead site and will open in 2014. In addition the Trust is applying for Foundation Status in November 2011.

It is important to note that this description is a typical example of your placement and may be subject to change.

Severn Foundation School Foundation Placement Competence Matrix North Bristol NHS Trust

PLACEMENT: Stroke Medicine (F1)

The following table gives an indication to what extent the following competence areas of the Foundation Programme Curriculum (2010)** can be met in this post.

KEY RED: Not at all AMBER: To some extent/limited opportunities (please note that this may be a positive or negative recording e.g. positive in that you may be able to experience this outcome) GREEN: To a great extent/ample opportunities

** The FP Curriculum 2010 is due to be revised for 2012/13 – this may impact the list of outcomes given below.

Curriculum competences (and any additional competences such as audit etc) expected to be achieved:

Section Outcome Expect to achieve in placement Professionalism Behaviour in the workplace GREEN Health and handling stress and fatigue GREEN Time management and continuity of care GREEN Good clinical care Eliciting a history GREEN Examination GREEN Diagnosis and clinical decision-making GREEN Safe prescribing GREEN Medical record keeping and GREEN correspondence Safe use of medical devices GREEN Recognition and Promptly assesses the acutely ill or GREEN management of the collapsed patient acutely ill patient Identifies and responds to acutely abnormal GREEN physiology Where appropriate, delivers a fluid GREEN challenge safely to an acutely ill patient Reassesses ill patients appropriately after GREEN starting treatment Undertakes a further patient review to GREEN establish a differential diagnosis Obtains an arterial blood gas sample AMBER safely, interprets results correctly Manages patients with impaired GREEN consciousness, including convulsions Uses common analgesic drugs safely and GREEN effectively Understands and applies the principles of AMBER managing a patient with acute mental disorder including self harm Ensures safe continuing care of patients on GREEN handover between shifts, on call staff or with ‘hospital at night‘ team by meticulous attention to detail and reflection on performance Resuscitation Resuscitation GREEN Discusses Do Not Attempt Resuscitation GREEN (DNAR) orders/advance directives appropriately Discharge and Discharge planning GREEN planning for chronic disease management Planning for chronic disease management AMBER Relationship with Within a consultation GREEN patients and communication skills Breaking bad news GREEN Patient safety within Treats the patient as the centre of care GREEN clinical governance Makes patient safety a priority in own GREEN clinical practice Promotes patient safety through good GREEN team-working Understands the principles of quality and GREEN safety improvement Complaints GREEN Infection control Infection control GREEN Nutritional care Nutritional care GREEN Health promotion, Educating patients GREEN patient education and Environmental, biological and lifestyle risk GREEN public health factors Smoking GREEN Alcohol GREEN Epidemiology and screening AMBER

Medical ethical principles and GREEN Ethical and legal confidentiality issues Valid consent AMBER Legal framework of medical practice GREEN Relevance of outside bodies GREEN Maintaining good Lifelong learning GREEN medical practice Research, evidence, guidelines and care GREEN protocols Audit GREEN Teaching and Training Teaching and training GREEN Working with Communication with colleagues and GREEN colleagues teamwork for patient safety Interface with different specialties and with GREEN other professionals Other (non curricula)

Severn Foundation School Individual Placement Description North Bristol NHS Trust

Placement F1 Stroke Rehabilitation Medicine The department Elgar House ward 1, Southmead Hospital The type of work to expect and Ward based work learning opportunities Ward rounds daily Weekly MDM with healthcare team Foundation doctors weekly teaching/training session.

Ward 1 Elgar house takes patients with confirmed strokes who have been approved for transfer by a stroke consultant/SpR. They may be transferred any time after they are medically stable- from 72hours. Transfer may be delayed if there are no beds at SMH.

These patients may still be acutely ill when they arrive at SMH and are still at risk of developing neurological and medical complications of their stroke.

The management of Stroke patients with regard to issues including secondary prevention is detailed in the Stroke protocol. Many secondary prevention treatments are not initiated immediately after Stroke so ensuring this protocol is followed is an important role for the medical team on the stroke rehab ward. Everyone is expected to focus on keeping patient flow through the stroke pathway.

The focus of the ward however is on rehabilitation via a multidisciplinary team in order to ensure that patients reach their maximum potential with regard to independence and quality of life. All patients will have rehabilitations goals set at weekly MDT. Discharge planning is an ongoing process which is then influenced by the expected rehabilitation potential and will be coordinated within the MDT.

The medical input into each patient on the Stroke Unit varies widely. You may find with some patients that your medical input is small, but you are required to give a lot of support to the patient and relatives in other ways. Other patients may still be very medically unstable, and will require more intensive medical input. There is a doctor’s book for jobs to be done. Where the placement is based Ward 1. Elgar House, Southmead Hospital, Bristol Clinical Supervisor(s) for the Dr Jafri, Locum Consultant, Stroke Rehabilitation placement Main duties of the placement Patient care Medical notes entries Arranging appropriate investigations On call duties MDT meetings Involvement in communication with patients, their families, other doctors, members of the health care team Typical working pattern in this Regular partial shift rotation placement Employer information North Bristol NHS Trust employs approximately 9,000 staff and is one of the largest NHS Trusts in the Country. We are based on two sites, Frenchay Hospital has specialist services such are Neurosciences and Plastics whereas Southmead Hospital has other specialist services such as Renal, Urology and Maternity. The Trust is in the bringing all of its services together in a state of the art new hospital which is currently being built on the Southmead site and will open in 2014. In addition the Trust is applying for Foundation Status in November 2011.

It is important to note that this description is a typical example of your placement and may be subject to change.

Severn Foundation School Foundation Placement Competence Matrix North Bristol NHS Trust

PLACEMENT: Stroke Rehabilitation Medicine (F1)

The following table gives an indication to what extent the following competence areas of the Foundation Programme Curriculum (2010)** can be met in this post.

KEY RED: Not at all AMBER: To some extent/limited opportunities (please note that this may be a positive or negative recording e.g. positive in that you may be able to experience this outcome) GREEN: To a great extent/ample opportunities

** The FP Curriculum 2010 is due to be revised for 2012/13 – this may impact the list of outcomes given below.

Curriculum competences (and any additional competences such as audit etc) expected to be achieved:

Section Outcome Expect to achieve in placement Professionalism Behaviour in the workplace GREEN Health and handling stress and fatigue GREEN Time management and continuity of care GREEN Good clinical care Eliciting a history GREEN Examination GREEN Diagnosis and clinical decision-making GREEN Safe prescribing GREEN Medical record keeping and GREEN correspondence Safe use of medical devices GREEN Recognition and Promptly assesses the acutely ill or GREEN management of the collapsed patient acutely ill patient Identifies and responds to acutely abnormal GREEN physiology Where appropriate, delivers a fluid GREEN challenge safely to an acutely ill patient Reassesses ill patients appropriately after GREEN starting treatment

GREEN Undertakes a further patient review to establish a differential diagnosis Obtains an arterial blood gas sample AMBER safely, interprets results correctly Manages patients with impaired GREEN consciousness, including convulsions Uses common analgesic drugs safely and GREEN effectively Understands and applies the principles of AMBER managing a patient with acute mental disorder including self harm Ensures safe continuing care of patients on GREEN handover between shifts, on call staff or with ‘hospital at night‘ team by meticulous attention to detail and reflection on performance Resuscitation Resuscitation GREEN Discusses Do Not Attempt Resuscitation GREEN (DNAR) orders/advance directives appropriately Discharge and Discharge planning GREEN planning for chronic Planning for chronic disease management AMBER disease management Relationship with Within a consultation GREEN patients and communication skills Breaking bad news GREEN Patient safety within Treats the patient as the centre of care GREEN clinical governance Makes patient safety a priority in own GREEN clinical practice Promotes patient safety through good GREEN team-working Understands the principles of quality and GREEN safety improvement Complaints GREEN Infection control Infection control GREEN Nutritional care Nutritional care GREEN Health promotion, Educating patients GREEN patient education and Environmental, biological and lifestyle risk GREEN public health factors Smoking GREEN Alcohol GREEN Epidemiology and screening AMBER

Medical ethical principles and GREEN Ethical and legal confidentiality issues Valid consent AMBER Legal framework of medical practice GREEN Relevance of outside bodies GREEN Maintaining good Lifelong learning GREEN medical practice Research, evidence, guidelines and care GREEN protocols Audit GREEN Teaching and Training Teaching and training GREEN Working with Communication with colleagues and GREEN colleagues teamwork for patient safety Interface with different specialties and with GREEN other professionals Other (non curricula)

Severn Foundation School Individual Placement Description North Bristol NHS Trust

Placement F1 Urology The department Urology The type of work to expect and Ward work, preoperative preparation, learning opportunities postoperative care, clinic consultations, attendance at operating lists. Ward-based and interactive teaching Where the placement is based Urology, Southmead Hospital Clinical Supervisor(s) for the Urology consultants placement Main duties of the placement Ward work, preoperative preparation, postoperative care, clinic consultations, attendance at operating lists. Typical working pattern in this Daily schedule, with night shifts within surgical placement directorate Employer information North Bristol NHS Trust employs approximately 9,000 staff and is one of the largest NHS Trusts in the Country. We are based on two sites, Frenchay Hospital has specialist services such are Neurosciences and Plastics whereas Southmead Hospital has other specialist services such as Renal, Urology and Maternity. The Trust is in the bringing all of its services together in a state of the art new hospital which is currently being built on the Southmead site and will open in 2014. In addition the Trust is applying for Foundation Status in November 2011.

It is important to note that this description is a typical example of your placement and may be subject to change.

Severn Foundation School Foundation Placement Competence Matrix North Bristol NHS Trust

PLACEMENT: Urology (F1)

The following table gives an indication to what extent the following competence areas of the Foundation Programme Curriculum (2010)** can be met in this post.

KEY RED: Not at all AMBER: To some extent/limited opportunities (please note that this may be a positive or negative recording e.g. positive in that you may be able to experience this outcome) GREEN: To a great extent/ample opportunities

** The FP Curriculum 2010 is due to be revised for 2012/13 – this may impact the list of outcomes given below.

Curriculum competences (and any additional competences such as audit etc) expected to be achieved:

Section Outcome Expect to achieve in placement Professionalism Behaviour in the workplace GREEN Health and handling stress and fatigue GREEN Time management and continuity of care GREEN Good clinical care Eliciting a history GREEN Examination GREEN Diagnosis and clinical decision-making GREEN Safe prescribing GREEN Medical record keeping and GREEN correspondence Safe use of medical devices GREEN Recognition and Promptly assesses the acutely ill or GREEN management of the collapsed patient acutely ill patient Identifies and responds to acutely GREEN abnormal physiology Where appropriate, delivers a fluid GREEN challenge safely to an acutely ill patient Reassesses ill patients appropriately after GREEN starting treatment Undertakes a further patient review to GREEN establish a differential diagnosis Obtains an arterial blood gas sample AMBER safely, interprets results correctly Manages patients with impaired RED consciousness, including convulsions Uses common analgesic drugs safely and GREEN effectively Understands and applies the principles of RED managing a patient with acute mental disorder including self harm Ensures safe continuing care of patients GREEN on handover between shifts, on call staff or with ‘hospital at night‘ team by meticulous attention to detail and reflection on performance Resuscitation Resuscitation AMBER Discusses Do Not Attempt Resuscitation (DNAR) orders/advance directives appropriately Discharge and Discharge planning GREEN planning for chronic disease management Planning for chronic disease management GREEN Relationship with Within a consultation AMBER patients and communication skills Breaking bad news AMBER Patient safety within Treats the patient as the centre of care GREEN clinical governance Makes patient safety a priority in own GREEN clinical practice Promotes patient safety through good GREEN team-working Understands the principles of quality and GREEN safety improvement Complaints AMBER Infection control Infection control GREEN Nutritional care Nutritional care AMBER Health promotion, Educating patients AMBER patient education and Environmental, biological and lifestyle risk RED public health factors Smoking RED Alcohol RED Epidemiology and screening RED Ethical and legal Medical ethical principles and GREEN issues confidentiality Valid consent GREEN Legal framework of medical practice GREEN Relevance of outside bodies AMBER Maintaining good Lifelong learning GREEN medical practice Research, evidence, guidelines and care AMBER protocols Audit GREEN Teaching and Teaching and training AMBER Training Working with Communication with colleagues and GREEN colleagues teamwork for patient safety Interface with different specialties and with GREEN other professionals Other (non curricula)

Severn Foundation School Individual Placement Description North Bristol NHS Trust

Placement F1 Obstetrics and Gynaecology The department The department has 13 consultants. We are a busy teaching hospital with about 6,000 deliveries a year. The type of work to expect and The position offers a broad range of experience learning opportunities in both obstetrics and gynaecology. The doctors will have the opportunity to develop their skills in the admission of emergency patients, practical skills and outpatient sessions. There is a strong emphasis on team working and communication within our department. Where the placement is based Department of women’s health, Southmead Hospital, Bristol. Clinical Supervisor(s) for the Dr Jane Mears, Consultant Obstetrician and placement Gynaecologist Main duties of the placement Obstetrics – Antenatal clinics, reviewing admissions in the day assessment unit, participating in the oncall team for delivery suite. Reviewing postnatal patients. Gynaecology – on-call duties, reviewing referrals to our emergency clinic, outpatient sessions, assisting in theatre – gaining operating skills as appropriate Typical working pattern in this Our rota is EWTD compliant. It is a rolling rota placement with 14 juniors. We have 3 on-call for a long day each day including weekends and a split week of nights every 14 weeks. Employer information North Bristol NHS Trust employs approximately 9,000 staff and is one of the largest NHS Trusts in the Country. We are based on two sites, Frenchay Hospital has specialist services such are Neurosciences and Plastics whereas Southmead Hospital has other specialist services such as Renal, Urology and Maternity. The Trust is in the bringing all of its services together in a state of the art new hospital which is currently being built on the Southmead site and will open in 2014. In addition the Trust is applying for Foundation Status in November 2011.

It is important to note that this description is a typical example of your placement and may be subject to change.

Severn Foundation School Foundation Placement Competence Matrix North Bristol NHS Trust

PLACEMENT: Obstetrics and Gynaecology (F1)

The following table gives an indication to what extent the following competence areas of the Foundation Programme Curriculum (2010)** can be met in this post.

KEY RED: Not at all AMBER: To some extent/limited opportunities (please note that this may be a positive or negative recording e.g. positive in that you may be able to experience this outcome) GREEN: To a great extent/ample opportunities

** The FP Curriculum 2010 is due to be revised for 2012/13 – this may impact the list of outcomes given below.

Curriculum competences (and any additional competences such as audit etc) expected to be achieved:

Section Outcome Expect to achieve in placement Professionalism Behaviour in the workplace GREEN Health and handling stress and fatigue GREEN Time management and continuity of care GREEN Good clinical care Eliciting a history GREEN Examination GREEN Diagnosis and clinical decision-making GREEN Safe prescribing GREEN Medical record keeping and GREEN correspondence Safe use of medical devices AMBER Recognition and Promptly assesses the acutely ill or GREEN management of the collapsed patient acutely ill patient Identifies and responds to acutely abnormal GREEN physiology Where appropriate, delivers a fluid GREEN challenge safely to an acutely ill patient Reassesses ill patients appropriately after GREEN starting treatment Undertakes a further patient review to GREEN establish a differential diagnosis Obtains an arterial blood gas sample AMBER safely, interprets results correctly Manages patients with impaired AMBER consciousness, including convulsions Uses common analgesic drugs safely and GREEN effectively Understands and applies the principles of AMBER managing a patient with acute mental disorder including self harm Ensures safe continuing care of patients on GREEN handover between shifts, on call staff or with ‘hospital at night‘ team by meticulous attention to detail and reflection on performance Resuscitation Resuscitation AMBER Discusses Do Not Attempt Resuscitation RED (DNAR) orders/advance directives appropriately Discharge and Discharge planning AMBER planning for chronic disease management Planning for chronic disease management RED Relationship with Within a consultation GREEN patients and communication skills Breaking bad news GREEN Patient safety within Treats the patient as the centre of care GREEN clinical governance Makes patient safety a priority in own GREEN clinical practice Promotes patient safety through good GREEN team-working Understands the principles of quality and GREEN safety improvement Complaints GREEN Infection control Infection control GREEN Nutritional care Nutritional care RED Health promotion, Educating patients GREEN patient education and Environmental, biological and lifestyle risk GREEN public health factors Smoking GREEN Alcohol GREEN Epidemiology and screening GREEN Ethical and legal Medical ethical principles and GREEN issues confidentiality Valid consent GREEN Legal framework of medical practice GREEN Relevance of outside bodies AMBER Maintaining good Lifelong learning GREEN medical practice Research, evidence, guidelines and care GREEN protocols Audit AMBER Teaching and Training Teaching and training AMBER Working with Communication with colleagues and GREEN colleagues teamwork for patient safety Interface with different specialties and with AMBER other professionals Other (non curricula)

Severn Foundation School Individual Placement Description North Bristol NHS Trust

Placement F1 General Adult Psychiatry The department The North Bristol Assertive Outreach Team is based at Woodland View, brentry. The inpatient unit is Weston Ward, Southmead Hospital. The community team consists of a team leader, a Consultant, SAS doctor, CPN’s, Social workers, Clinical Psychologist, an OT, housing support workers. The team serves the adult services in North Bristol.

The inpatient unit also has full range of multidisciplinary staff on an Acute hospital site, with the same Consultant supervisor. The type of work to expect and F1 doctor will be based in the ward but work also learning opportunities with the community team. The day to day work will include joint community visits to assess and treat patients with other CMHT members in patient homes and the care of in-patients in hospital. They will also shadow the Consultant on some more complex visits and to Mental Health Act Assessments. The educational objectives are to provide the trainee with the knowledge and skills to:

- take a full psychiatric history and mental state examination as well as assessing a patients general physical condition - form a management plan and make an initial diagnosis - keep accurate medical records - act professionally at all times - manage their time and prioritise clinical situations appropriately - be able to proficiently assess risk in different clinical scenarios and form a risk management plan - to assess which medication should be prescribed in individual cases in hospital setting only. - follow up and manage clinical situations independently with supervision and seek help and advice where needed - communicate effectively and efficiently with colleagues, patients and relatives - develop proficiency in compiling timely and comprehensive discharge summaries - use local and national guidelines in the management of individual cases - teach medical students - cover adult wards on a daytime on-call rota and effectively manage psychiatric emergencies - get supervised experience of new assessments of adult patients referred from Primary Care. - get supervised experience of liaison referrals (including DSH) from acute wards. Where the placement is based Southmead Hospital, Bristol Clinical Supervisor(s) for the Dr Harvey Rees placement Main duties of the placement The F1 doctor is responsible with other staff for treatment and management of patients in the ward and the maintenance of the patient’s medical record. They will have opportunity to work with members of community team. They are expected to attend the structured teaching programmes provided by the department. Typical working pattern in this Monday PM – Ward Round Adult patients placement Tuesday: Educational programme 12-2.

Thursday AM Community team meeting PM Team visits or ward work

Friday Ward work including daytime on-call slot

(Rest of week Older Adult Psychiatry- split post) Employer information The employer is Avon and Wiltshire Mental Health Partnership NHS Trust ( AWP)

It is important to note that this description is a typical example of your placement and may be subject to change.

Severn Foundation School Foundation Placement Competence Matrix North Bristol NHS Trust

PLACEMENT: General Adult Psychiatry F1

The following table gives an indication to what extent the following competence areas of the Foundation Programme Curriculum (2010)** can be met in this post.

KEY RED: Not at all AMBER: To some extent/limited opportunities (please note that this may be a positive or negative recording e.g. positive in that you may be able to experience this outcome) GREEN: To a great extent/ample opportunities

** The FP Curriculum 2010 is due to be revised for 2012/13 – this may impact the list of outcomes given below.

Curriculum competences (and any additional competences such as audit etc) expected to be achieved:

Section Outcome Expect to achieve in placement Professionalism Behaviour in the workplace GREEN Health and handling stress and fatigue GREEN Time management and continuity of care GREEN Good clinical care Eliciting a history GREEN Examination GREEN Diagnosis and clinical decision-making GREEN Safe prescribing AMBER Medical record keeping and GREEN correspondence Safe use of medical devices AMBER Recognition and Promptly assesses the acutely ill or AMBER management of the collapsed patient acutely ill patient Identifies and responds to acutely AMBER abnormal physiology Where appropriate, delivers a fluid AMBER challenge safely to an acutely ill patient Reassesses ill patients appropriately after GREEN starting treatment Undertakes a further patient review to GREEN establish a differential diagnosis Obtains an arterial blood gas sample RED safely, interprets results correctly Manages patients with impaired AMBER consciousness, including convulsions Uses common analgesic drugs safely and AMBER effectively Understands and applies the principles of GREEN managing a patient with acute mental disorder including self harm Ensures safe continuing care of patients GREEN on handover between shifts, on call staff or with ‘hospital at night‘ team by meticulous attention to detail and reflection on performance Resuscitation Resuscitation AMBER Discusses Do Not Attempt Resuscitation Red: (DNAR) orders/advance directives appropriately Discharge and Discharge planning GREEN planning for chronic disease management Planning for chronic disease management GREEN Relationship with Within a consultation GREEN patients and communication skills Breaking bad news AMBER Patient safety within Treats the patient as the centre of care GREEN clinical governance Makes patient safety a priority in own GREEN clinical practice Promotes patient safety through good GREEN team-working Understands the principles of quality and GREEN safety improvement Complaints AMBER Infection control Infection control GREEN Nutritional care Nutritional care AMBER Health promotion, Educating patients GREEN patient education and Environmental, biological and lifestyle risk GREEN public health factors Smoking GREEN Alcohol GREEN Epidemiology and screening AMBER Ethical and legal Medical ethical principles and GREEN issues confidentiality Valid consent GREEN Legal framework of medical practice GREEN Relevance of outside bodies GREEN Maintaining good Lifelong learning GREEN medical practice Research, evidence, guidelines and care GREEN protocols Audit GREEN Teaching and Teaching and training AMBER Training Working with Communication with colleagues and GREEN colleagues teamwork for patient safety Interface with different specialties and with GREEN other professionals Other (non curricula)

Severn Foundation School Individual Placement Description North Bristol NHS Trust

Placement F1 Older Adult Psychiatry The department The Older Adult Community Mental Health Team (CMHT) is based at Gloucester House, Southmead Hospital. The team consists of a team leader, a consultant, junior doctors, CPN’s, Social workers, an OT, a physiotherapist and assessment and review co-ordinators. The team serves the older adult population of North Bristol The type of work to expect and F1 doctors will be based in the CMHT and their learning opportunities day to day work will include outpatient clinics, joint community visits to assess and treat patients with other CMHT members. This will include both first-line and follow-up assessments. They will also shadow the consultant on some more complex visits and to Mental Health Act Assessments. The educational objectives are to provide the trainee with the knowledge and skills to:

- take a full psychiatric history and mental state examination as well as assessing a patients general physical condition - form a management plan and make a diagnosis - keep accurate medical records - act professionally at all times - manage their time and prioritise clinical situations appropriately - be able to proficiently assess risk in different clinical scenarios and form a risk management plan - to assess which medication should be prescribed in individual cases and ask a senior to provide the relevant prescriptions (NB. F1 doctors cannot use FP10 prescriptions in the community) - follow up and manage clinical situations independently with supervision and seek help and advice where needed - communicate effectively and efficiently with colleagues, patients and relatives - use local and national guidelines in the management of individual cases - teach medical students - cover adult wards on a daytime on-call rota and effectively manage psychiatric emergencies Where the placement is based Southmead Hospital, Bristol Clinical Supervisor(s) for the Dr Sarah Price placement Main duties of the placement The F1 doctor is responsible with other staff for treatment and management of patients in the community and the maintenance of the patient’s medical record. They will have opportunity to work with the consultants in outpatients clinics for at least one day each week as well as shadowing the consultant on some visits and Mental Health Act assessments They are expected to attend the structured teaching programmes provided by the department. Typical working pattern in this Monday am: outpatients placement Tuesday: supervision with consultant and CMHT meeting. Educational programme 12-2. domiciliary visits

Wednesday: Domiciliary visits and admin

Monday pm and Thu/Fri General adult attachment with Dr Harvey Rees including daytime on-call session Employer information The employer is Avon and Wiltshire Mental Health Partnership NHS Trust ( AWP)

It is important to note that this description is a typical example of your placement and may be subject to change.

Severn Foundation School Foundation Placement Competence Matrix North Bristol NHS Trust

PLACEMENT: Older Adult Psychiatry (F1)

The following table gives an indication to what extent the following competence areas of the Foundation Programme Curriculum (2010)** can be met in this post.

KEY RED: Not at all AMBER: To some extent/limited opportunities (please note that this may be a positive or negative recording e.g. positive in that you may be able to experience this outcome) GREEN: To a great extent/ample opportunities

** The FP Curriculum 2010 is due to be revised for 2012/13 – this may impact the list of outcomes given below.

Curriculum competences (and any additional competences such as audit etc) expected to be achieved:

Section Outcome Expect to achieve in placement Professionalism Behaviour in the workplace GREEN Health and handling stress and fatigue GREEN Time management and continuity of care GREEN Good clinical care Eliciting a history GREEN Examination GREEN Diagnosis and clinical decision-making GREEN Safe prescribing AMBER Medical record keeping and GREEN correspondence Safe use of medical devices AMBER Recognition and Promptly assesses the acutely ill or AMBER management of the collapsed patient acutely ill patient Identifies and responds to acutely AMBER abnormal physiology Where appropriate, delivers a fluid AMBER challenge safely to an acutely ill patient Reassesses ill patients appropriately after GREEN starting treatment Undertakes a further patient review to GREEN establish a differential diagnosis Obtains an arterial blood gas sample RED safely, interprets results correctly Manages patients with impaired AMBER consciousness, including convulsions Uses common analgesic drugs safely and AMBER effectively Understands and applies the principles of GREEN managing a patient with acute mental disorder including self harm Ensures safe continuing care of patients GREEN on handover between shifts, on call staff or with ‘hospital at night‘ team by meticulous attention to detail and reflection on performance Resuscitation Resuscitation AMBER Discusses Do Not Attempt Resuscitation AMBER (DNAR) orders/advance directives appropriately Discharge and Discharge planning GREEN planning for chronic disease management Planning for chronic disease management GREEN Relationship with Within a consultation GREEN patients and communication skills Breaking bad news AMBER Patient safety within Treats the patient as the centre of care GREEN clinical governance Makes patient safety a priority in own GREEN clinical practice Promotes patient safety through good GREEN team-working Understands the principles of quality and GREEN safety improvement Complaints AMBER Infection control Infection control GREEN Nutritional care Nutritional care AMBER Health promotion, Educating patients AMBER patient education and Environmental, biological and lifestyle risk AMBER public health factors Smoking GREEN Alcohol GREEN Epidemiology and screening AMBER Ethical and legal Medical ethical principles and GREEN issues confidentiality Valid consent GREEN Legal framework of medical practice GREEN Relevance of outside bodies GREEN Maintaining good Lifelong learning GREEN medical practice Research, evidence, guidelines and care GREEN protocols Audit GREEN Teaching and Teaching and training AMBER Training Working with Communication with colleagues and GREEN colleagues teamwork for patient safety Interface with different specialties and with GREEN other professionals Other (non curricula)

Severn Foundation School Individual Placement Description North Bristol NHS Trust

Placement F1 Diabetes & Endocrinology/General Medicine The department The Department of Diabetes and endocrinology is within the Directorate of Medicine. Staff includes 4 consultants, including a Professor of Diabetic medicine, 2 specialty registrars, one lecturer/ registrar, core medical trainees, diabetes specialist nurses, podiatrists and dietitians. All aspects of inpatient and outpatient diabetes and endocrinology are dealt with. The department is currently based across 2 hospital sites (Southmead and Frenchay hospitals) with a single specialty inpatient ward at Frenchay. The type of work to expect and Foundation doctors are ward based and deliver learning opportunities daily medical care to all patients under their care, unless on emergency medical take. The main workload, as with all medical specialties, is acute general medicine. This is enriched with patients with diabetes and endocrine disorders because of the specialty bed base.

The overall educational objectives of the F1 year are to provide the trainee with the knowledge, skills and attitudes to be able to Take a history and examine a patient Identify and synthesise problems Prescribe safely Keep an accurate and relevant medical record Manage time and clinical priorities effectively Communicate effectively with patients, relatives and colleagues Use evidence, guidelines and audit to benefit patient care Act in a professional manner at all times Cope with ethical and legal issues which occur during the management of patients with general medical problems Educate patients effectively Become life-long learners and teachers.

There are huge learning opportunities in managing diabetes in hospital inpatients, common endocrine problems and general medicine. Where the placement is based Ward 30, Frenchay Hospital, Bristol. Clinical Supervisor(s) for the Professor Polly Bingley, Dr Vernon Parfitt, Dr placement Andrew Johnson.

These 3 consultants cover the wards for blocks of 8 weeks on rotation and the covering consultant will be the Clinical Supervisor at that time. Main duties of the placement To provide the daily ward care to the teams patients on ward 30 (typically 12) and occasional outlying patients.

To attend and present patients at consultant and registrar ward rounds, carry out instructions, maintain the patients’ medical records, generate discharge summaries, liase with patients and relatives, make referrals as requested, attend the weekly Multi-Disciplinary Team meeting.

When on emergency take to clerk and sort investigations for emergency admissions. Typical working pattern in this Monday: am: consultant ward round placement Lunchtime: Medical grand round. Pm: ward work. Tuesday: Am: ward work or registrar round. Pm: Multi-Disciplinary Team meeting/ ward work. Wednesday: am: ward work. Pm: registrar round or ward work. Thursday: am: consultant ward round or ward work Pm: ward work. Friday: am: Consultant ward round or ward work. Pm: ward work. On Call requirements: Employer information North Bristol NHS Trust employs approximately 9,000 staff and is one of the largest NHS Trusts in the Country. We are based on two sites, Frenchay Hospital has specialist services such are Neurosciences and Plastics whereas Southmead Hospital has other specialist services such as Renal, Urology and Maternity. The Trust is in the bringing all of its services together in a state of the art new hospital which is currently being built on the Southmead site and will open in 2014. In addition the Trust is applying for Foundation Status in November 2011.

It is important to note that this description is a typical example of your placement and may be subject to change.

Severn Foundation School Foundation Placement Competence Matrix North Bristol NHS Trust

PLACEMENT: Diabetes & Endocrinology/General Medicine (F1)

The following table gives an indication to what extent the following competence areas of the Foundation Programme Curriculum (2010)** can be met in this post.

KEY RED: Not at all AMBER: To some extent/limited opportunities (please note that this may be a positive or negative recording e.g. positive in that you may be able to experience this outcome) GREEN: To a great extent/ample opportunities

** The FP Curriculum 2010 is due to be revised for 2012/13 – this may impact the list of outcomes given below.

Curriculum competences (and any additional competences such as audit etc) expected to be achieved:

Section Outcome Expect to achieve in placement Professionalism Behaviour in the workplace GREEN Health and handling stress and fatigue GREEN Time management and continuity of care GREEN Good clinical care Eliciting a history GREEN Examination GREEN Diagnosis and clinical decision-making GREEN Safe prescribing GREEN Medical record keeping and GREEN correspondence Safe use of medical devices GREEN Recognition and Promptly assesses the acutely ill or GREEN management of the collapsed patient acutely ill patient Identifies and responds to acutely abnormal GREEN physiology Where appropriate, delivers a fluid GREEN challenge safely to an acutely ill patient Reassesses ill patients appropriately after GREEN starting treatment Undertakes a further patient review to GREEN establish a differential diagnosis Obtains an arterial blood gas sample GREEN safely, interprets results correctly Manages patients with impaired GREEN consciousness, including convulsions Uses common analgesic drugs safely and GREEN effectively Understands and applies the principles of AMBER managing a patient with acute mental disorder including self harm Ensures safe continuing care of patients on GREEN handover between shifts, on call staff or with ‘hospital at night‘ team by meticulous attention to detail and reflection on performance Resuscitation Resuscitation GREEN Discusses Do Not Attempt Resuscitation GREEN (DNAR) orders/advance directives appropriately Discharge and Discharge planning GREEN planning for chronic disease management Planning for chronic disease management GREEN Relationship with Within a consultation GREEN patients and communication skills Breaking bad news GREEN Patient safety within Treats the patient as the centre of care GREEN clinical governance Makes patient safety a priority in own GREEN clinical practice Promotes patient safety through good GREEN team-working Understands the principles of quality and GREEN safety improvement Complaints Infection control Infection control GREEN Nutritional care Nutritional care GREEN Health promotion, Educating patients patient education and Environmental, biological and lifestyle risk AMBER public health factors Smoking GREEN Alcohol GREEN Epidemiology and screening Ethical and legal Medical ethical principles and GREEN issues confidentiality Valid consent GREEN Legal framework of medical practice GREEN Relevance of outside bodies GREEN Maintaining good Lifelong learning GREEN medical practice Research, evidence, guidelines and care GREEN protocols Audit AMBER Teaching and Training Teaching and training AMBER Working with Communication with colleagues and GREEN colleagues teamwork for patient safety Interface with different specialties and with GREEN other professionals Other (non curricula)

Severn Foundation School Individual Placement Description North Bristol NHS Trust

Placement F1 Cardiology The department The department of cardiology consists of ward 2/CCU at Southmead Hospital and ward 103 at Frenchay Hospital. There are 3 Consultant Cardiologists working at each site. There is a catheter laboratory at Frenchay hospital where diagnostic angiography, angioplasty and pacing procedures are carried out. The ED department and acute medical admissions unit are located at Frenchay hospital. Direct admissions are accepted between working hours onto ward 2. Both sites have a cardiac investigations unit for non invasive tests such as echocardiography, ECG monitoring and exercise stress testing. The type of work to expect and All Foundation Doctors in hospital posts will learning opportunities generally be ward based during the ‘normal’ working day and expected to deliver the daily medical care of all the patients on their ward irrespective of specialty. Whilst on call in the acute admissions unit, the F1 will be involved with the generic clerking of patients being admitted and the ongoing care of the patients in the unit.

The overall educational objectives of the F1 year are to provide the trainee with the knowledge, skills and attitudes to be able to Take a history and examine a patient Formulate a differential diagnosis Prescribe safely Keep an accurate and relevant medical record Manage time and clinical priorities effectively Communicate effectively with patients, relatives and colleagues Use evidence, guidelines and audit to benefit patient care Act in a professional manner at all times Cope with ethical and legal issues which occur during the management of patients with general medical problems Educate patients effectively Become life-long learners and teachers. Where the placement is based Wards 2 at Southmead Hospital and Ward 103 at Frenchay Hospital Clinical Supervisor(s) for the Dr Shahid Aziz, Dr Andrew Skyrme Jones, Dr placement Paul Walker, Dr Phil Boreham, Dr Ben Farrow and Dr Mark Papouchado. Main duties of the placement The F2 doctor is responsible with other staff for the ward care of patients and the maintenance of the patient’s medical record. They are expected to attend the structured teaching programmes provided by the department and grand rounds. Typical working pattern in this Mainly ward based from 9am-5pm apart from on placement call duties. Employer information North Bristol NHS Trust employs approximately 9,000 staff and is one of the largest NHS Trusts in the Country. We are based on two sites, Frenchay Hospital has specialist services such are Neurosciences and Plastics whereas Southmead Hospital has other specialist services such as Renal, Urology and Maternity. The Trust is in the bringing all of its services together in a state of the art new hospital which is currently being built on the Southmead site and will open in 2014. In addition the Trust is applying for Foundation Status in November 2011.

It is important to note that this description is a typical example of your placement and may be subject to change.

Severn Foundation School Foundation Placement Competence Matrix North Bristol NHS Trust

PLACEMENT: Cardiology (F1)

The following table gives an indication to what extent the following competence areas of the Foundation Programme Curriculum (2010)** can be met in this post.

KEY RED: Not at all AMBER: To some extent/limited opportunities (please note that this may be a positive or negative recording e.g. positive in that you may be able to experience this outcome) GREEN: To a great extent/ample opportunities

** The FP Curriculum 2010 is due to be revised for 2012/13 – this may impact the list of outcomes given below.

Curriculum competences (and any additional competences such as audit etc) expected to be achieved:

Section Outcome Expect to achieve in placement Professionalism Behaviour in the workplace GREEN Health and handling stress and fatigue GREEN Time management and continuity of care GREEN Good clinical care Eliciting a history GREEN Examination GREEN Diagnosis and clinical decision-making GREEN Safe prescribing GREEN Medical record keeping and GREEN correspondence Safe use of medical devices AMBER Recognition and Promptly assesses the acutely ill or GREEN management of the collapsed patient acutely ill patient Identifies and responds to acutely abnormal GREEN physiology Where appropriate, delivers a fluid GREEN challenge safely to an acutely ill patient Reassesses ill patients appropriately after GREEN starting treatment Undertakes a further patient review to GREEN establish a differential diagnosis Obtains an arterial blood gas sample GREEN safely, interprets results correctly Manages patients with impaired AMBER consciousness, including convulsions Uses common analgesic drugs safely and GREEN effectively Understands and applies the principles of RED: managing a patient with acute mental disorder including self harm Ensures safe continuing care of patients on GREEN handover between shifts, on call staff or with ‘hospital at night‘ team by meticulous attention to detail and reflection on performance Resuscitation Resuscitation GREEN Discusses Do Not Attempt Resuscitation GREEN (DNAR) orders/advance directives appropriately Discharge and Discharge planning GREEN planning for chronic disease management Planning for chronic disease management GREEN Relationship with Within a consultation GREEN patients and communication skills Breaking bad news GREEN Patient safety within Treats the patient as the centre of care GREEN clinical governance Makes patient safety a priority in own GREEN clinical practice Promotes patient safety through good GREEN team-working Understands the principles of quality and GREEN safety improvement Complaints AMBER Infection control Infection control GREEN Nutritional care Nutritional care GREEN Health promotion, Educating patients GREEN patient education and Environmental, biological and lifestyle risk GREEN public health factors Smoking GREEN Alcohol GREEN Epidemiology and screening AMBER Ethical and legal Medical ethical principles and GREEN issues confidentiality Valid consent GREEN Legal framework of medical practice GREEN Relevance of outside bodies GREEN Maintaining good Lifelong learning GREEN medical practice Research, evidence, guidelines and care GREEN protocols Audit GREEN Teaching and Training Teaching and training AMBER Working with Communication with colleagues and GREEN colleagues teamwork for patient safety Interface with different specialties and with GREEN other professionals Other (non curricula)

Severn Foundation School Individual Placement Description North Bristol NHS Trust

Placement F1 Short Stay Medicine The department Short stay medicine is closely allied to the Department of Acute Medicine which has 3 consultants. Ward 15 is a short stay medical ward for male patients. There are 17 beds (including 2 siderooms). Half of the ward is looked after by the Acute Medicine consultants, the other half by the admitting consultant. The type of work to expect and As the F1 in Short Stay Medicine, you will be learning opportunities expected to work with a CMT trainee to deliver the daily medical care for the 17 ward patients. There will be times when the CMT trainee is on call, nights or leave. However other senior support should always be readily available, either from the Acute Medicine consultants and registrars (on wards 105/107) or from the admitting consultants’ teams.

Patients under Acute Medicine will have daily consultant ward rounds providing plenty of learning opportunities. You will also have the opportunity to conduct ward rounds on your own with senior support available as necessary. Much of your time will be spent liaising with other specialties, including radiology, to ensure that each patient’s care is managed smoothly. Sometimes there is a rapid turnover of patients. There are ample opportunities therefore to develop skills in safe and efficient handover, particularly with regards to discharge documentation. From time to time you will have the opportunity to assess and manage acutely unwell patients on the ward under appropriate supervision Where the placement is based Frenchay Hospital, Ward 15 Clinical Supervisor(s) for the Dr Sam Patel/ Dr John Ho/ Dr Madhu placement Wickremaratchi Main duties of the placement To ensure the safe clinical management of each patient under your care (with senior support) To carry out jobs from the ward round and liaise with other specialties (including radiology) as necessary To ensure discharge documentation is complete and accurate To review patients when asked to by nursing staff To ensure that your documentation in the medical notes is thorough, accurate and legible Typical working pattern in this Mon – Fri 09:00 to 17:00 placement Employer information North Bristol NHS Trust employs approximately 9,000 staff and is one of the largest NHS Trusts in the Country. We are based on two sites, Frenchay Hospital has specialist services such are Neurosciences and Plastics whereas Southmead Hospital has other specialist services such as Renal, Urology and Maternity. The Trust is in the bringing all of its services together in a state of the art new hospital which is currently being built on the Southmead site and will open in 2014. In addition the Trust is applying for Foundation Status in November 2011.

It is important to note that this description is a typical example of your placement and may be subject to change.

Severn Foundation School Foundation Placement Competence Matrix North Bristol NHS Trust

PLACEMENT: Short Stay Medicine (F1)

The following table gives an indication to what extent the following competence areas of the Foundation Programme Curriculum (2010)** can be met in this post.

KEY RED: Not at all AMBER: To some extent/limited opportunities (please note that this may be a positive or negative recording e.g. positive in that you may be able to experience this outcome) GREEN: To a great extent/ample opportunities

** The FP Curriculum 2010 is due to be revised for 2012/13 – this may impact the list of outcomes given below.

Curriculum competences (and any additional competences such as audit etc) expected to be achieved:

Section Outcome Expect to achieve in placement Professionalism Behaviour in the workplace GREEN Health and handling stress and fatigue GREEN Time management and continuity of care GREEN Good clinical care Eliciting a history GREEN Examination GREEN Diagnosis and clinical decision-making GREEN Safe prescribing GREEN Medical record keeping and GREEN correspondence Safe use of medical devices GREEN Recognition and Promptly assesses the acutely ill or GREEN management of the collapsed patient acutely ill patient Identifies and responds to acutely abnormal GREEN physiology Where appropriate, delivers a fluid GREEN challenge safely to an acutely ill patient Reassesses ill patients appropriately after GREEN starting treatment Undertakes a further patient review to GREEN establish a differential diagnosis Obtains an arterial blood gas sample GREEN safely, interprets results correctly Manages patients with impaired GREEN consciousness, including convulsions Uses common analgesic drugs safely and GREEN effectively Understands and applies the principles of GREEN managing a patient with acute mental disorder including self harm Ensures safe continuing care of patients on GREEN handover between shifts, on call staff or with ‘hospital at night‘ team by meticulous attention to detail and reflection on performance Resuscitation Resuscitation GREEN Discusses Do Not Attempt Resuscitation GREEN (DNAR) orders/advance directives appropriately Discharge and Discharge planning GREEN planning for chronic disease management Planning for chronic disease management GREEN Relationship with Within a consultation GREEN patients and communication skills Breaking bad news GREEN Patient safety within Treats the patient as the centre of care GREEN clinical governance Makes patient safety a priority in own GREEN clinical practice Promotes patient safety through good GREEN team-working Understands the principles of quality and GREEN safety improvement Complaints GREEN Infection control Infection control GREEN Nutritional care Nutritional care GREEN Health promotion, Educating patients GREEN patient education and Environmental, biological and lifestyle risk GREEN public health factors Smoking GREEN Alcohol GREEN Epidemiology and screening AMBER Ethical and legal Medical ethical principles and GREEN issues confidentiality Valid consent GREEN Legal framework of medical practice AMBER Relevance of outside bodies AMBER Maintaining good Lifelong learning GREEN medical practice Research, evidence, guidelines and care GREEN protocols Audit GREEN Teaching and Training Teaching and training GREEN Working with Communication with colleagues and GREEN colleagues teamwork for patient safety Interface with different specialties and with GREEN other professionals Other (non curricula)

Severn Foundation School Individual Placement Description North Bristol NHS Trust

Placement F1 Infectious Diseases & HIV The department There is 1 Consultant who works in Infectious diseases, including HIV & general medicine, and 2 consultants in immunology & HIV (one currently on maternity leave). Junior staff include 1 FY1 trainee, 1 CMT, and one SpR in GU medicine. We are responsible for the care of medical patients on the K ward, the ID/ HIV unit, and K ward Annexe, with 11 general medical patients The type of work to expect and As an F1 in ID/ HIV, you will be expected to learning opportunities deliver the daily medical care for the inpatients on the wards.

Inpatient Care You will often attend Consultant or Registrar ward rounds, although sometimes you will be expected to conduct your own ward round Typically each day you will be responsible for the care of 10 -22 inpatients. ID & HIV medicine will give you the opportunity to manage a wide variety of infectious & tropical diseases, these are not rare, but you may not see more than one or 2 of the same condition in your 3 months with us. Sometimes patients have complicated and prolonged admissions, which will require careful discharge documentation, and telephone communication with GP. You will get the opportunity to learn about the management of HIV, including issues of confidentiality, disclosure , testing, new diagnoses, and longterm complications. You will also learn the management of TB in the context of HIV and non-HIV infected patients. Clerking You will have ample opportunity to assess and manage acutely unwell patients with a variety of conditions on take, and directly from clinic You will be expected to present these patients to the on call Consultant on the post take ward round, the ID consultant, or the on call HIV consultant .

For all kinds of work, senior review (SHO, registrar or consultant) is readily available and should be easily accessible. HIV senior advice is available out of hours by contacting the on-call consultant through switchboard. Where the placement is based Southmead Hospital – K ward & K ward Annexe Clinical Supervisor(s) for the Southmead Hospital – K ward & K ward Annexe placement Main duties of the placement To ensure the safe clinical management of each patient under your care (with senior support) To carry out jobs from the ward round and liaise with other specialties as necessary To ensure handover and discharge documentation is complete and accurate To review patients when asked To ensure that your documentation in the medical notes is thorough, accurate and legible. Typical working pattern in this Mon –Fri 09:00 to 17:00 placement On take at Southmead for direct respiratory cardiology & ID/HIV admissions on the F1 rota Employer information North Bristol NHS Trust employs approximately 9,000 staff and is one of the largest NHS Trusts in the Country. We are based on two sites, Frenchay Hospital has specialist services such are Neurosciences and Plastics whereas Southmead Hospital has other specialist services such as Renal, Urology and Maternity. The Trust is in the bringing all of its services together in a state of the art new hospital which is currently being built on the Southmead site and will open in 2014. In addition the Trust is applying for Foundation Status in November 2011.

It is important to note that this description is a typical example of your placement and may be subject to change.

Severn Foundation School Foundation Placement Competence Matrix North Bristol NHS Trust

PLACEMENT: Infectious Diseases (F1)

The following table gives an indication to what extent the following competence areas of the Foundation Programme Curriculum (2010)** can be met in this post.

KEY RED: Not at all AMBER: To some extent/limited opportunities (please note that this may be a positive or negative recording e.g. positive in that you may be able to experience this outcome) GREEN: To a great extent/ample opportunities

** The FP Curriculum 2010 is due to be revised for 2012/13 – this may impact the list of outcomes given below.

Curriculum competences (and any additional competences such as audit etc) expected to be achieved:

Section Outcome Expect to achieve in placement Professionalism Behaviour in the workplace GREEN Health and handling stress and fatigue GREEN Time management and continuity of care GREEN Good clinical care Eliciting a history GREEN Examination GREEN Diagnosis and clinical decision-making GREEN Safe prescribing GREEN Medical record keeping and GREEN correspondence Safe use of medical devices GREEN Recognition and Promptly assesses the acutely ill or GREEN management of the collapsed patient acutely ill patient Identifies and responds to acutely abnormal GREEN physiology Where appropriate, delivers a fluid GREEN challenge safely to an acutely ill patient Reassesses ill patients appropriately after GREEN starting treatment Undertakes a further patient review to GREEN establish a differential diagnosis Obtains an arterial blood gas sample GREEN safely, interprets results correctly Manages patients with impaired GREEN consciousness, including convulsions Uses common analgesic drugs safely and GREEN effectively Understands and applies the principles of GREEN managing a patient with acute mental disorder including self harm Ensures safe continuing care of patients on GREEN handover between shifts, on call staff or with ‘hospital at night‘ team by meticulous attention to detail and reflection on performance Resuscitation Resuscitation GREEN Discusses Do Not Attempt Resuscitation GREEN (DNAR) orders/advance directives appropriately Discharge and Discharge planning GREEN planning for chronic disease management Planning for chronic disease management GREEN Relationship with Within a consultation GREEN patients and communication skills Breaking bad news GREEN Patient safety within Treats the patient as the centre of care GREEN clinical governance Makes patient safety a priority in own GREEN clinical practice Promotes patient safety through good GREEN team-working Understands the principles of quality and GREEN safety improvement Complaints GREEN Infection control Infection control GREEN Nutritional care Nutritional care GREEN Health promotion, Educating patients GREEN patient education and Environmental, biological and lifestyle risk GREEN public health factors Smoking GREEN Alcohol GREEN Epidemiology and screening GREEN Ethical and legal Medical ethical principles and GREEN issues confidentiality Valid consent GREEN Legal framework of medical practice GREEN Relevance of outside bodies AMBER Maintaining good Lifelong learning GREEN medical practice Research, evidence, guidelines and care GREEN protocols Audit GREEN Teaching and Training Teaching and training GREEN Working with Communication with colleagues and GREEN colleagues teamwork for patient safety Interface with different specialties and with GREEN other professionals Other (non curricula)

Severn Foundation School Individual Placement Description North Bristol NHS Trust

Placement F2 Vascular Surgery The department The Dept of general surgery comprises 17 consultant surgeons including 4 vascular surgeons, the vascular surgeons take in part in the acute city wide vascular surgery on-call also they contribute to the renal transplant on-call. There are interests in endovascular surgery, living kidney donor transplant, and vascular access surgery.

The department covers part of Bristol, North Somerset and South Gloucestershire with a catchment population of 700,000.

The catchment area for renal transplantation is 2 000,000. The type of work to expect and F2 Doctors in hospital posts will generally be learning opportunities team based during the ‘normal’ working day and expected to deliver the daily medical care of all surgical patients irrespective of specialty. Whilst on-call the F2 will be involved with the generic clerking of surgery & urology & orthopaedic patients being admitted and the ongoing care of the patients in the unit.

The overall educational objectives of the F2 year are to provide the trainee with the knowledge, skills and attitudes to be able to

Take a history and examine a patient Identify and synthesise problems Prescribe safely Keep an accurate and relevant medical record Manage time and clinical priorities effectively Communicate effectively with patients, relatives and colleagues Use evidence, guidelines and audit to benefit patient care Act in a professional manner at all times Cope with ethical and legal issues which occur during the management of patients with general medical problems Educate patients effectively Become life-long learners and teachers. Where the placement is based North Bristol NHS, Southmead Hospital wards J, F, U and woodlands. Clinical Supervisor(s) for the Mr D Mitchell, Mr A Baker, Mr W Neary and Mr A placement Weale. Main duties of the placement The F2 doctor is responsible with other staff for the team care of patients and the maintenance of the patient’s medical record. They will have opportunity to work with the consultants in theatres and outpatients clinics, and also take responsibility for problems arising in surgical patients on the ward. They are expected to attend the teaching program provided by the department. The doctor will be responsible for such other specific clinical duties as allocated by consultants including performing other duties in occasional emergencies and unforeseen circumstances. Typical working pattern in this Daily: 0800 Ward round placement 1700/2100 Handover

The vascular team runs a weekly team palming meeting, this is to cover elective work in the unit and it includes:

Mon: 0800 – 1700 theatre Tues: 0800 - 1700 theatre 1:2 0800 – 1230 day case theatre 1400 – 1700 outpatient clinic Wed: 0830 Xray meeting 0900 vascular ward round 0900 outpatient clinic 1330 – 1700 theatre Thurs: 0800 – 1700 theatre 0800 - 1330 days case theatre Fri: 0800 – 1700 theatre 1:2 Sat: 0900 – 2100 2:18 Sun: 0900 – 2100 2:18

On call requirements:

Full shift 2:18 nights and long days North Bristol NHS Trust employs approximately 9,000 staff and is one of the largest NHS Trusts in the Country. We are based on two sites, Frenchay Hospital has specialist services such are Neurosciences and Plastics whereas Southmeand Hospital has other specialist services such as Renal, Urology and Maternity. The Trust is in the bringing all of its services together in a state of the art new hospital which is currently being built on the Southmead site and will open in 2014. In addition the Trust is applying for Foundation Status in November 2011.

It is important to note that this description is a typical example of your placement and may be subject to change.

Severn Foundation School Foundation Placement Competence Matrix North Bristol NHS Trust

PLACEMENT: Vascular Surgery (F2)

The following table gives an indication to what extent the following competence areas of the Foundation Programme Curriculum (2010)** can be met in this post.

KEY RED: Not at all AMBER: To some extent/limited opportunities (please note that this may be a positive or negative recording e.g. positive in that you may be able to experience this outcome) GREEN: To a great extent/ample opportunities

** The FP Curriculum 2010 is due to be revised for 2012/13 – this may impact the list of outcomes given below.

Curriculum competences (and any additional competences such as audit etc) expected to be achieved:

Section Outcome Expect to achieve in placement Professionalism Behaviour in the workplace GREEN Health and handling stress and fatigue GREEN Time management and continuity of care GREEN Good clinical care Eliciting a history GREEN Examination GREEN Diagnosis and clinical decision-making GREEN Safe prescribing GREEN Medical record keeping and GREEN correspondence Safe use of medical devices GREEN Recognition and Promptly assesses the acutely ill or GREEN management of the collapsed patient acutely ill patient Identifies and responds to acutely GREEN abnormal physiology Where appropriate, delivers a fluid GREEN challenge safely to an acutely ill patient Reassesses ill patients appropriately after GREEN starting treatment Undertakes a further patient review to GREEN establish a differential diagnosis Obtains an arterial blood gas sample AMBER safely, interprets results correctly Manages patients with impaired AMBER consciousness, including convulsions Uses common analgesic drugs safely and GREEN effectively Understands and applies the principles of managing a patient with acute mental RED disorder including self harm Ensures safe continuing care of patients GREEN on handover between shifts, on call staff or with ‘hospital at night‘ team by meticulous attention to detail and reflection on performance Resuscitation Resuscitation GREEN Discusses Do Not Attempt Resuscitation AMBER (DNAR) orders/advance directives appropriately Discharge and Discharge planning GREEN planning for chronic disease management Planning for chronic disease management GREEN Relationship with Within a consultation AMBER patients and communication skills Breaking bad news AMBER Patient safety within Treats the patient as the centre of care GREEN clinical governance Makes patient safety a priority in own GREEN clinical practice Promotes patient safety through good GREEN team-working Understands the principles of quality and GREEN safety improvement Complaints AMBER Infection control Infection control GREEN Nutritional care Nutritional care AMBER Health promotion, Educating patients RED patient education and Environmental, biological and lifestyle risk RED public health factors Smoking RED Alcohol RED Epidemiology and screening AMBER Ethical and legal Medical ethical principles and GREEN issues confidentiality Valid consent AMBER Legal framework of medical practice AMBER Relevance of outside bodies GREEN Maintaining good Lifelong learning GREEN medical practice Research, evidence, guidelines and care GREEN protocols Audit GREEN Teaching and Teaching and training AMBER Training Working with Communication with colleagues and GREEN colleagues teamwork for patient safety Interface with different specialties and with GREEN other professionals Other (non curricula) Skin suturing technique GREEN Assist in surgical procedures GREEN Peri-operative care GREEN

Severn Foundation School Individual Placement Description North Bristol NHS Trust

Placement F2 GI Surgery The department The Dept of general surgery comprises 17 consultant surgeons including 4 upper GI surgeons; the upper GI surgeons take in part in the acute general surgery on-call. There are interests in benign upper GI, gallstones surgery, anti-reflux surgery and bariatric surgery. The department covers part of Bristol, North Somerset and South Gloucestershire with a catchment population of 500,000. The type of work to expect and F2 Doctors in hospital posts will generally be learning opportunities team based during the ‘normal’ working day and expected to deliver the daily medical care of all surgical patients irrespective of specialty. Whilst on-call the F2 will be involved with the generic clerking of surgery & urology & orthopaedic patients being admitted and the ongoing care of the patients in the unit.

The overall educational objectives of the F2 year are to provide the trainee with the knowledge, skills and attitudes to be able to

Take a history and examine a patient Identify and synthesise problems Prescribe safely Keep an accurate and relevant medical record Manage time and clinical priorities effectively Communicate effectively with patients, relatives and colleagues Use evidence, guidelines and audit to benefit patient care Act in a professional manner at all times Cope with ethical and legal issues which occur during the management of patients with general medical problems Educate patients effectively Become life-long learners and teachers Where the placement is based North Bristol NHS, Frenchay Hospital wards 207, 205and 203.

Elective surgery is on Southmead site. Clinical Supervisor(s) for the Mr C Armstrong, Miss S Norton, Mr C Wong, Mr placement M Kelly. Main duties of the placement The F2 doctor is responsible with other staff for the team care of patients and the maintenance of the patient’s medical record. They will have opportunity to work with the consultants in theatres and outpatients clinics, and also take responsibility for problems arising in surgical patients on the ward. They are expected to attend the teaching program provided by the department. The doctor will be responsible for such other specific clinical duties as allocated by consultants including performing other duties in occasional emergencies and unforeseen circumstances. Typical working pattern in this Daily: 0800 Ward round placement 1700/2100 Handover The upper GI team runs a weekly team palming meeting, this is to cover elective work in the unit and it includes:

Mon: 0800 - 1700 theatre Southmead 1300– 1700 endoscopy Frenchay

Tues: 0830–1230 outpatient clinic Frenchay 0830–1230 Day case theatres Frenchay 0800 – 1700 theatre Southmead

Wed: 0800 –1700 theatre Southmead 1:2 Frenchay 1:4

Thurs: 0830–1230 endoscopy Southmead 0830–1230 outpatient clinic Frenchay 0800 – 1700 : theatre Southmead

Fri: 0800 –1230 theatre Southmead 1:2 Sat: 0800 – 2100 1 in 17 Sun: 0800 – 2100 1 in 17 On call requirements: Full shift 1:8 nights and long days and 1:17 short day. Employer information North Bristol NHS Trust employs approximately 9,000 staff and is one of the largest NHS Trusts in the Country. We are based on two sites, Frenchay Hospital has specialist services such are Neurosciences and Plastics whereas Southmeand Hospital has other specialist services such as Renal, Urology and Maternity. The Trust is in the bringing all of its services together in a state of the art new hospital which is currently being built on the Southmead site and will open in 2014. In addition the Trust is applying for Foundation Status in November 2011.

It is important to note that this description is a typical example of your placement and may be subject to change.

Severn Foundation School Foundation Placement Competence Matrix North Bristol NHS Trust

PLACEMENT: GI Surgery (F2)

The following table gives an indication to what extent the following competence areas of the Foundation Programme Curriculum (2010)** can be met in this post.

KEY RED: Not at all AMBER: To some extent/limited opportunities (please note that this may be a positive or negative recording e.g. positive in that you may be able to experience this outcome) GREEN: To a great extent/ample opportunities

** The FP Curriculum 2010 is due to be revised for 2012/13 – this may impact the list of outcomes given below.

Curriculum competences (and any additional competences such as audit etc) expected to be achieved:

Section Outcome Expect to achieve in placement Professionalism Behaviour in the workplace GREEN Health and handling stress and fatigue GREEN Time management and continuity of care GREEN Good clinical care Eliciting a history GREEN Examination GREEN Diagnosis and clinical decision-making GREEN Safe prescribing GREEN Medical record keeping and GREEN correspondence Safe use of medical devices GREEN Recognition and Promptly assesses the acutely ill or GREEN management of the collapsed patient acutely ill patient Identifies and responds to acutely GREEN abnormal physiology Where appropriate, delivers a fluid GREEN challenge safely to an acutely ill patient Reassesses ill patients appropriately after GREEN starting treatment Undertakes a further patient review to GREEN establish a differential diagnosis Obtains an arterial blood gas sample AMBER safely, interprets results correctly Manages patients with impaired AMBER consciousness, including convulsions Uses common analgesic drugs safely and GREEN effectively Understands and applies the principles of managing a patient with acute mental RED disorder including self harm Ensures safe continuing care of patients GREEN on handover between shifts, on call staff or with ‘hospital at night‘ team by meticulous attention to detail and reflection on performance Resuscitation Resuscitation GREEN Discusses Do Not Attempt Resuscitation AMBER (DNAR) orders/advance directives appropriately Discharge and Discharge planning GREEN planning for chronic disease management Planning for chronic disease management GREEN Relationship with Within a consultation AMBER patients and communication skills Breaking bad news AMBER Patient safety within Treats the patient as the centre of care GREEN clinical governance Makes patient safety a priority in own GREEN clinical practice Promotes patient safety through good GREEN team-working Understands the principles of quality and GREEN safety improvement Complaints AMBER Infection control Infection control GREEN Nutritional care Nutritional care AMBER Health promotion, Educating patients RED patient education and Environmental, biological and lifestyle risk RED public health factors Smoking RED Alcohol RED Epidemiology and screening AMBER Ethical and legal Medical ethical principles and GREEN issues confidentiality Valid consent AMBER Legal framework of medical practice AMBER Relevance of outside bodies GREEN Maintaining good Lifelong learning GREEN medical practice Research, evidence, guidelines and care GREEN protocols Audit GREEN Teaching and Teaching and training AMBER Training Working with Communication with colleagues and GREEN colleagues teamwork for patient safety Interface with different specialties and with GREEN other professionals Other (non curricula) Skin suturing technique GREEN Assist in surgical procedures GREEN Peri-operative care GREEN

Severn Foundation School Individual Placement Description North Bristol NHS Trust

Placement F2 Colorectal Surgery The department The Dept of general surgery comprises 17 consultant surgeons including 5 Colorectal surgeons, All colorectal consultants take in part in the acute General surgery on-call. There are interests in benign and malignant colorectal diseases, colorectal laparoscopic surgery, inflammatory bowel disease and pelvic floor surgery.

The department covers part of Bristol, North Somerset and South Gloucestershire with a catchment population of 500,000. The type of work to expect and F2 Doctors in hospital posts will generally be learning opportunities team based during the ‘normal’ working day and expected to deliver the daily medical care of all surgical patients irrespective of specialty. Whilst on-call the F2 will be involved with the generic clerking of surgery & urology & orthopaedic patients being admitted and the ongoing care of the patients in the unit.

The overall educational objectives of the F2 year are to provide the trainee with the knowledge, skills and attitudes to be able to

Take a history and examine a patient Identify and synthesise problems Prescribe safely Keep an accurate and relevant medical record Manage time and clinical priorities effectively Communicate effectively with patients, relatives and colleagues Use evidence, guidelines and audit to benefit patient care Act in a professional manner at all times Cope with ethical and legal issues which occur during the management of patients with general medical problems Educate patients effectively Become life-long learners and teachers Where the placement is based North Bristol NHS, Frenchay Hospital wards 207-205 & 203.

Some of the elective surgery is on Southmead site Clinical Supervisor(s) for the Mr A Roe, Miss A Lyons, Miss A Pullyblank, Mr placement A Dixon, Miss C Burt. Main duties of the placement The F2 doctor is responsible with other staff for the team care of patients and the maintenance of the patient’s medical record. They will have opportunity to work with the consultants in theatres and outpatients clinics, and also take responsibility for problems arising in surgical patients on the ward. They are expected to attend the teaching program provided by the department. The doctor will be responsible for such other specific clinical duties as allocated by consultants including performing other duties in occasional emergencies and unforeseen circumstances. Typical working pattern in this Daily: 0800 Ward round placement 1700/2100 Handover The colorectal team runs a weekly team palming meeting, this is to cover elective work in the unit and it includes: Mon: 0830 – 1230 Day case theatres Frenchay 0830 – 1230 endoscopy Southmead 0800 - 1700 theatre Frenchay 1330 – 1700 outpatient clinic Crossham

Tues: 0800 - 1700 theatre ARD Frenchay 1330 – 1700 endoscopy Frenchay

Wed: 0800 - 1700 theatre Frenchay 0800 – 1700 theatre Southmead 1:4 0830 – 1230 endoscopy Southmead 0830 – 1230 endoscopy Frenchay 0830 – 1230 Day case Frenchay 1330 – 1700 clinic Frenchay

Thurs: 0800 - 1700 theatre Frenchay 0830 – 1230 endoscopy Southmead 0830 – 1230 day case Frenchay 1330 -1700 outpatient clinic Southmead 1330 -1700 outpatient clinic Frenchay 1330 -1700 endoscopy Frenchay

Fri: 0800 - 1700 theatres Frenchay 0800 – 1230 outpatient clinic Frenchay Sat: 0800 – 2100 1 in 17 Sun: 0800 – 2100 1 in 17

On call requirements: Full shift 1:8 nights and long days and 1:17 short day. Employer information North Bristol NHS Trust employs approximately 9,000 staff and is one of the largest NHS Trusts in the Country. We are based on two sites, Frenchay Hospital has specialist services such are Neurosciences and Plastics whereas Southmeand Hospital has other specialist services such as Renal, Urology and Maternity. The Trust is in the bringing all of its services together in a state of the art new hospital which is currently being built on the Southmead site and will open in 2014. In addition the Trust is applying for Foundation Status in November 2011.

It is important to note that this description is a typical example of your placement and may be subject to change.

Severn Foundation School Foundation Placement Competence Matrix North Bristol NHS Trust

PLACEMENT: Colorectal Surgery (F2)

The following table gives an indication to what extent the following competence areas of the Foundation Programme Curriculum (2010)** can be met in this post.

KEY RED: Not at all AMBER: To some extent/limited opportunities (please note that this may be a positive or negative recording e.g. positive in that you may be able to experience this outcome) GREEN: To a great extent/ample opportunities

** The FP Curriculum 2010 is due to be revised for 2012/13 – this may impact the list of outcomes given below.

Curriculum competences (and any additional competences such as audit etc) expected to be achieved:

Section Outcome Expect to achieve in placement Professionalism Behaviour in the workplace GREEN Health and handling stress and fatigue GREEN Time management and continuity of care GREEN Good clinical care Eliciting a history GREEN Examination GREEN Diagnosis and clinical decision-making GREEN Safe prescribing GREEN Medical record keeping and GREEN correspondence Safe use of medical devices GREEN Recognition and Promptly assesses the acutely ill or GREEN management of the collapsed patient acutely ill patient Identifies and responds to acutely GREEN abnormal physiology Where appropriate, delivers a fluid GREEN challenge safely to an acutely ill patient Reassesses ill patients appropriately after GREEN starting treatment Undertakes a further patient review to GREEN establish a differential diagnosis Obtains an arterial blood gas sample AMBER safely, interprets results correctly Manages patients with impaired AMBER consciousness, including convulsions Uses common analgesic drugs safely and GREEN effectively Understands and applies the principles of managing a patient with acute mental RED disorder including self harm Ensures safe continuing care of patients GREEN on handover between shifts, on call staff or with ‘hospital at night‘ team by meticulous attention to detail and reflection on performance Resuscitation Resuscitation GREEN Discusses Do Not Attempt Resuscitation AMBER (DNAR) orders/advance directives appropriately Discharge and Discharge planning GREEN planning for chronic disease management Planning for chronic disease management GREEN Relationship with Within a consultation AMBER patients and communication skills Breaking bad news AMBER Patient safety within Treats the patient as the centre of care GREEN clinical governance Makes patient safety a priority in own GREEN clinical practice Promotes patient safety through good GREEN team-working Understands the principles of quality and GREEN safety improvement Complaints AMBER Infection control Infection control GREEN Nutritional care Nutritional care AMBER Health promotion, Educating patients RED patient education and Environmental, biological and lifestyle risk RED public health factors Smoking RED Alcohol RED Epidemiology and screening AMBER Ethical and legal Medical ethical principles and GREEN issues confidentiality Valid consent AMBER Legal framework of medical practice AMBER Relevance of outside bodies GREEN Maintaining good Lifelong learning GREEN medical practice Research, evidence, guidelines and care GREEN protocols Audit GREEN Teaching and Teaching and training AMBER Training Working with Communication with colleagues and GREEN colleagues teamwork for patient safety Interface with different specialties and with GREEN other professionals Other (non curricula) Skin suturing technique GREEN Assist in surgical procedures GREEN Peri-operative care GREEN

Severn Foundation School Individual Placement Description North Bristol NHS Trust

Placement F2 Renal Medicine The department The department of renal medicine comprises 12 consultant nephrologists, all of whom participate in a specialist renal on call service. Renal medicine is a tertiary referral specialty. The department provides renal services to Bristol, South Gloucestershire, Bath and North East Somerset and Wiltshire. In addition it provides transplantation for Dorset, Gloucester and North Devon.

The department provides a comprehensive renal replacement therapy programme to approx 1200 patients comprised of 530 patients on dialysis and 700 renal transplant recipients. The department performs about 100 adult transplants a year. The type of work to expect and All F2 doctors in renal medicine are ward based learning opportunities during the normal working day and provide the daily medical care of all patients in the renal unit under their Firm. There are two Firms of consultants providing inpatient care. F2s will also spend long days on call for renal medicine from 8.30 am to 9pm, and blocks of nights participating in Hospital at Night.

There are learning opportunities on the twice weekly consultant lead ward rounds, the X-ray meeting, in house renal tutorials, biopsy meetings and in the course of the job as there is a high level of support provided by the renal registrars.

F2s will be involved in the care of patients with acute kidney injury, chronic dialysis patients, newly transplanted patients and acutely unwell immunosupressed patients. Where the placement is based The Richard Bright Renal Unit, Southmead Hospital, Bristol, BS10 5NB Clinical Supervisor(s) for the Dr Chris Dudley placement Professor Steven Harper Dr Charlie Tomson Dr Fergus Caskey Dr Rommel Ravanan Dr Richard Smith Dr Karen Anderson Dr Alison Armitage Dr Helen Campbell Dr Uday Udayaraj Dr Simon Satchell Main duties of the placement Together with the registrar for the respective inpatient firm, the F1 and 2 other junior doctors, the F2 is responsible for the ward care of patients and the maintenance of the patients medical record. They are expected to attend the in house renal tutorials and attend the F2 teaching programme. When on call for renal they will clerk in new patients who will be reviewed by a registrar. Out of hours they will also care for unwell ward patients needing review. F2s will have the opportunity to admit patients for cadaveric and live donor kidney transplantation. Typical working pattern in this Daily placement 8.30 - 9 am handover from the night team. 9am board round. 9.30 onwards ward round

Monday Consultant ward round,1-2pm x-ray meeting Tuesday 12-1 renal tutorial, 1-2 renal biopsy meeting. Wednesday 10 am vascular ward round with surgeons. 12 noon multidisciplinary team meeting. Thursday consultant wards round. Friday 8.45-10 am Grand Round Saturday 8.30 – 9pm 1 in 6 Sunday 8.30-9pm 1 in 6 Hospital at Night 1 in 14 Employer information North Bristol NHS Trust employs approximately 9,000 staff and is one of the largest NHS Trusts in the Country. We are based on two sites, Frenchay Hospital has specialist services such are Neurosciences and Plastics whereas Southmead Hospital has other specialist services such as Renal, Urology and Maternity. The Trust is in the bringing all of its services together in a state of the art new hospital which is currently being built on the Southmead site and will open in 2014. In addition the Trust is applying for Foundation Status in November 2011.

It is important to note that this description is a typical example of your placement and may be subject to change.

Severn Foundation School Foundation Placement Competence Matrix North Bristol NHS Trust

PLACEMENT: Renal Medicine (F2)

The following table gives an indication to what extent the following competence areas of the Foundation Programme Curriculum (2010)** can be met in this post.

KEY RED: Not at all AMBER: To some extent/limited opportunities (please note that this may be a positive or negative recording e.g. positive in that you may be able to experience this outcome) GREEN: To a great extent/ample opportunities

** The FP Curriculum 2010 is due to be revised for 2012/13 – this may impact the list of outcomes given below.

Curriculum competences (and any additional competences such as audit etc) expected to be achieved:

Section Outcome Expect to achieve in placement Professionalism Behaviour in the workplace GREEN Health and handling stress and fatigue GREEN Time management and continuity of care GREEN Good clinical care Eliciting a history GREEN Examination GREEN Diagnosis and clinical decision-making GREEN Safe prescribing GREEN Medical record keeping and GREEN correspondence Safe use of medical devices GREEN Recognition and Promptly assesses the acutely ill or GREEN management of the collapsed patient acutely ill patient Identifies and responds to acutely abnormal GREEN physiology Where appropriate, delivers a fluid GREEN challenge safely to an acutely ill patient Reassesses ill patients appropriately after GREEN starting treatment Undertakes a further patient review to GREEN establish a differential diagnosis Obtains an arterial blood gas sample GREEN safely, interprets results correctly Manages patients with impaired AMBER consciousness, including convulsions Uses common analgesic drugs safely and GREEN effectively Understands and applies the principles of AMBER managing a patient with acute mental disorder including self harm Ensures safe continuing care of patients on GREEN handover between shifts, on call staff or with ‘hospital at night‘ team by meticulous attention to detail and reflection on performance Resuscitation Resuscitation GREEN Discusses Do Not Attempt Resuscitation GREEN (DNAR) orders/advance directives appropriately Discharge and Discharge planning GREEN planning for chronic disease management Planning for chronic disease management GREEN Relationship with Within a consultation GREEN patients and communication skills Breaking bad news GREEN Patient safety within Treats the patient as the centre of care GREEN clinical governance Makes patient safety a priority in own GREEN clinical practice Promotes patient safety through good GREEN team-working Understands the principles of quality and GREEN safety improvement Complaints AMBER Infection control Infection control GREEN Nutritional care Nutritional care GREEN Health promotion, Educating patients GREEN patient education and Environmental, biological and lifestyle risk GREEN public health factors Smoking GREEN Alcohol GREEN Epidemiology and screening AMBER Ethical and legal Medical ethical principles and GREEN issues confidentiality Valid consent GREEN Legal framework of medical practice AMBER Relevance of outside bodies AMBER Maintaining good Lifelong learning AMBER medical practice Research, evidence, guidelines and care GREEN protocols Audit GREEN Teaching and Training Teaching and training AMBER Working with Communication with colleagues and GREEN colleagues teamwork for patient safety Interface with different specialties and with GREEN other professionals Other (non curricula)

Severn Foundation School Individual Placement Description North Bristol NHS Trust

Placement F2 Care of the Elderly/General (Internal) Medicine The department The Department of Medicine for the Elderly/ Care of the Elderly in North Bristol Trust is largely based in specialty specific wards on both main sites, Wards 205, 12 and 30 at Frenchay, and Elgar Wards 3 and 4 and Malvern ward at Southmead. All consultants except for Dr. Baldwin work as General Physicians and Geriatricians, and each has an area of special expertise, such as Cardiology, Parkinson’s disease, bone health & orthogeriatrics, respiratory disease, dementia etc. The type of work to expect and All F2 Doctors in hospital posts will generally be learning opportunities ward based during the ‘normal’ working day and expected to deliver the daily medical care of all the patients on their ward irrespective of specialty. Whilst in the AAU (on call shifts) the F2 will be involved with the generic clerking of patients being admitted and the ongoing care of the patients in the medical wards.

The overall educational objectives of the F2 year are to provide the trainee with the knowledge, skills and attitudes to be able to

Take a history and examine a patient Identify and synthesise problems Perform IV cannulation and other appropriate procedures Prescribe safely Keep accurate and relevant medical records Manage time and clinical priorities effectively Communicate effectively with patients, relatives and colleagues Supervise and provide support and guidance for F1 doctors Use evidence, guidelines and audit to benefit patient care Act in a professional manner at all times Cope with ethical and legal issues which occur during the management of patients with general medical problems Educate patients effectively Become life-long learners and teachers.

In addition, trainees in the department will develop skills in: The diagnosis and management of delirium in older people The diagnosis and management of dementias The recognition of non specific presentations of acute conditions in older people The management of hospital acquired infections on older people, and the consequences of prolonged hospital stays Assessment of capacity, deprivation of liberty safeguards, enduring power of attorney, and the Court of Protection. Multidisciplinary team working Early Discharge planning Palliation for terminal illnesses in old age, and advanced care planning at the end of life. Where the placement is based Medical wards at Frenchay and Soutmead hospitals, NBT Clinical Supervisor(s) for the Drs. N.J. Baldwin (stroke) placement R.D. Barber M.G. Cheesman K.A. Neubauer J.C. Pounsford S. Srivastava S.K. Wensley Main duties of the placement The F2 doctor will be responsible with other staff for the ward care of patients and the maintenance of the patient’s medical records, including drug charts and Discharge information. They will have opportunity to work with the consultants on Ward rounds at least twice weekly, and also take responsibility for problems arising in patients on the ward. They are expected to attend the structured teaching programmes provided by the department and the Directorate/ Academy/ learning centre. The doctor will be responsible for such other specific clinical duties as allocated by consultants including performing other duties in occasional emergencies and unforeseen circumstances. Typical working pattern in this Daily: 0900 Ward ‘Board’ round placement 09.30 – 17.00 Ward work/ rounds 1700 Handover

Mon: am RDB Ward Round 13.00 – 14.00 Grand Round pm SKW Ward Round Tues: 13.00 – 14.00 CoE Journal club 1400-1600 MDM Wed: 1400 SpR Ward Round Thurs: 13.00 G(I)M Journal club 14.00 SKW Ward Round Fri: am RDB ward round Sat: On call shifts as rostered Sun: On call shifts as rostered

On call requirements: 48 hr.EWTD compliant shift rota over 9 week cycle Employer information North Bristol NHS Trust employs approximately 9,000 staff and is one of the largest NHS Trusts in the Country. We are based on two sites, Frenchay Hospital has specialist services such are Neurosciences and Plastics whereas Southmeand Hospital has other specialist services such as Renal, Urology and Maternity. The Trust is in the bringing all of its services together in a state of the art new hospital which is currently being built on the Southmead site and will open in 2014. In addition the Trust is applying for Foundation Status in November 2011.

It is important to note that this description is a typical example of your placement and may be subject to change.

Severn Foundation School Foundation Placement Competence Matrix North Bristol NHS Trust

PLACEMENT: Care of the Elderly / General Internal Medicine (F2)

The following table gives an indication to what extent the following competence areas of the Foundation Programme Curriculum (2010)** can be met in this post.

KEY RED: Not at all AMBER: To some extent/limited opportunities (please note that this may be a positive or negative recording e.g. positive in that you may be able to experience this outcome) GREEN: To a great extent/ample opportunities

** The FP Curriculum 2010 is due to be revised for 2012/13 – this may impact the list of outcomes given below.

Curriculum competences (and any additional competences such as audit etc) expected to be achieved:

Section Outcome Expect to achieve in placement Professionalism Behaviour in the workplace GREEN Health and handling stress and fatigue GREEN Time management and continuity of care GREEN Good clinical care Eliciting a history GREEN Examination GREEN Diagnosis and clinical decision-making GREEN Safe prescribing GREEN Medical record keeping and GREEN correspondence Safe use of medical devices AMBER Recognition and Promptly assesses the acutely ill or GREEN management of the collapsed patient acutely ill patient Identifies and responds to acutely abnormal GREEN physiology Where appropriate, delivers a fluid GREEN challenge safely to an acutely ill patient Reassesses ill patients appropriately after GREEN starting treatment Undertakes a further patient review to GREEN establish a differential diagnosis Obtains an arterial blood gas sample GREEN safely, interprets results correctly Manages patients with impaired GREEN consciousness, including convulsions Uses common analgesic drugs safely and GREEN effectively Understands and applies the principles of GREEN managing a patient with acute mental disorder including self harm Ensures safe continuing care of patients on GREEN handover between shifts, on call staff or with ‘hospital at night‘ team by meticulous attention to detail and reflection on performance Resuscitation Resuscitation GREEN Discusses Do Not Attempt Resuscitation GREEN (DNAR) orders/advance directives appropriately Discharge and Discharge planning GREEN planning for chronic disease management Planning for chronic disease management AMBER Relationship with Within a consultation GREEN patients and communication skills Breaking bad news GREEN Patient safety within Treats the patient as the centre of care GREEN clinical governance Makes patient safety a priority in own GREEN clinical practice Promotes patient safety through good GREEN team-working Understands the principles of quality and GREEN safety improvement Complaints AMBER Infection control Infection control GREEN Nutritional care Nutritional care GREEN Health promotion, Educating patients GREEN patient education and Environmental, biological and lifestyle risk AMBER public health factors Smoking GREEN Alcohol GREEN Epidemiology and screening AMBER Ethical and legal Medical ethical principles and GREEN issues confidentiality Valid consent GREEN Legal framework of medical practice GREEN Relevance of outside bodies AMBER Maintaining good Lifelong learning GREEN medical practice Research, evidence, guidelines and care GREEN protocols Audit GREEN Teaching and Training Teaching and training AMBER Working with Communication with colleagues and GREEN colleagues teamwork for patient safety Interface with different specialties and with GREEN other professionals Other (non curricula)

Severn Foundation School Individual Placement Description North Bristol NHS Trust

Placement F2 MAU (Acute Medicine) The department There are 3 Consultants who work in Acute Medicine. We are responsible for the care of medical patients on the two AAUs (Wards 105 and 107). This includes inpatients as well as ambulatory care patients in the lounge/seated assessment area.

The AAUs are where the vast majority of patients are admitted on the medical take. Patients may stay here for anything from a few hours to a few days.

The lounge has day attenders who often will need a medical review. The type of work to expect and As an F2 in Acute Medicine, you will be learning opportunities expected to deliver the daily medical care for the inpatients on the AAUs, as well as providing medical reviews for lounge patients. For one week in six you will spend your days clerking patients.

Inpatient Care ▪You will often attend Consultant or Registrar ward rounds, although sometimes you will be expected to conduct your own ward round ▪Typically each day you will be responsible for the care of 14 inpatients. Some days it will be more than this, some days less ▪Much of your time will be spent liaising with other specialties, including radiology, to ensure that each patient’s care is managed smoothly ▪Sometimes there is a rapid turnover of patients. There are ample opportunities therefore to develop skills in safe and efficient handover, particularly with regards to discharge documentation.

Ambulatory Care ▪Typical patients attending for medical review may include patients with cellulitis on IV antibiotics, or patients having investigations for ?DVT ▪You will often be asked to provide the medical review for these patients

Clerking ▪You will have ample opportunity to assess and manage acutely unwell patients with a variety of conditions ▪You will be expected to present these patients to the on call Consultant on the post take ward round

For all kinds of work, senior review (registrar or consultant) is readily available and should be easily accessible. Where the placement is based Frenchay Hospital, Wards 105 and 107. Clinical Supervisor(s) for the Dr Sam Patel/ Dr John Ho/ Dr Madhu placement Wickremaratchi Main duties of the placement ▪To ensure the safe clinical management of each patient under your care (with senior support) ▪To carry out jobs from the ward round and liaise with other specialties as necessary ▪To ensure handover and discharge documentation is complete and accurate ▪To review patients when asked (either inpatient or ambulatory care) ▪To ensure that your documentation in the medical notes is thorough, accurate and legible Typical working pattern in this Mon –Fri 09:00 to 17:00 (including handover placement from 09:00 to 09:30) One week in six this will be spent clerking. The rest of the time you will be looking after inpatients on the AAUs. Evenings One in six weekdays you will work til 22:00 Weekends One in six 09:00 to 22:00 Employer information North Bristol NHS Trust employs approximately 9,000 staff and is one of the largest NHS Trusts in the Country. We are based on two sites, Frenchay Hospital has specialist services such are Neurosciences and Plastics whereas Southmead Hospital has other specialist services such as Renal, Urology and Maternity. The Trust is in the bringing all of its services together in a state of the art new hospital which is currently being built on the Southmead site and will open in 2014. In addition the Trust is applying for Foundation Status in November 2011.

It is important to note that this description is a typical example of your placement and may be subject to change.

Severn Foundation School Foundation Placement Competence Matrix North Bristol NHS Trust

PLACEMENT: MAU (F2)

The following table gives an indication to what extent the following competence areas of the Foundation Programme Curriculum (2010)** can be met in this post.

KEY RED: Not at all AMBER: To some extent/limited opportunities (please note that this may be a positive or negative recording e.g. positive in that you may be able to experience this outcome) GREEN: To a great extent/ample opportunities

** The FP Curriculum 2010 is due to be revised for 2012/13 – this may impact the list of outcomes given below.

Curriculum competences (and any additional competences such as audit etc) expected to be achieved:

Section Outcome Expect to achieve in placement Professionalism Behaviour in the workplace GREEN Health and handling stress and fatigue GREEN Time management and continuity of care GREEN Good clinical care Eliciting a history GREEN Examination GREEN Diagnosis and clinical decision-making GREEN Safe prescribing GREEN Medical record keeping and GREEN correspondence Safe use of medical devices GREEN Recognition and Promptly assesses the acutely ill or GREEN management of the collapsed patient acutely ill patient Identifies and responds to acutely abnormal GREEN physiology Where appropriate, delivers a fluid GREEN challenge safely to an acutely ill patient Reassesses ill patients appropriately after GREEN starting treatment Undertakes a further patient review to GREEN establish a differential diagnosis Obtains an arterial blood gas sample GREEN safely, interprets results correctly Manages patients with impaired GREEN consciousness, including convulsions Uses common analgesic drugs safely and GREEN effectively Understands and applies the principles of GREEN managing a patient with acute mental disorder including self harm Ensures safe continuing care of patients on GREEN handover between shifts, on call staff or with ‘hospital at night‘ team by meticulous attention to detail and reflection on performance Resuscitation Resuscitation GREEN Discusses Do Not Attempt Resuscitation GREEN (DNAR) orders/advance directives appropriately Discharge and Discharge planning GREEN planning for chronic disease management Planning for chronic disease management GREEN Relationship with Within a consultation GREEN patients and communication skills Breaking bad news GREEN Patient safety within Treats the patient as the centre of care GREEN clinical governance Makes patient safety a priority in own GREEN clinical practice Promotes patient safety through good GREEN team-working Understands the principles of quality and GREEN safety improvement Complaints GREEN Infection control Infection control GREEN Nutritional care Nutritional care GREEN Health promotion, Educating patients GREEN patient education and Environmental, biological and lifestyle risk GREEN public health factors Smoking GREEN Alcohol GREEN Epidemiology and screening AMBER Ethical and legal Medical ethical principles and GREEN issues confidentiality Valid consent GREEN Legal framework of medical practice GREEN Relevance of outside bodies AMBER Maintaining good Lifelong learning GREEN medical practice Research, evidence, guidelines and care GREEN protocols Audit GREEN Teaching and Training Teaching and training GREEN Working with Communication with colleagues and GREEN colleagues teamwork for patient safety Interface with different specialties and with GREEN other professionals Other (non curricula)

Severn Foundation School Individual Placement Description North Bristol NHS Trust

Placement F2 Respiratory Medicine The department North Bristol Lung Centre, Respiratory Medicine The type of work to expect and The assessment and day to day management of learning opportunities patients with acute respiratory disorders. This includes over 30 different kinds of respiratory disorders ranging from COPD, asthma, pneumonia, lung cancer, pleural disease, and alveolitis, through to managing acute respiratory failure with non invasive ventilation, assessment of blood gases, and management of patients in the palliative/terminal stages of chronic respiratory disease. Where the placement is based On the two respiratory wards at Southmead Hospital – North Bristol Lung Centre. Clinical Supervisor(s) for the One of the seven respiratory consultants at placement North Bristol Lung Centre who will be allocated by the specialty training lead (currently Dr John Harvey, June 2011). Main duties of the placement Clerking and day to day assessment of patient’s progress with up to date neatly written entries in the notes detailing the patient’s progress and future intended plans and investigations.

Liaison with senior members of the team, specifically the specialist registrar and consultant, specialist physiotherapist, dietitian, pharmacist, occupational therapist, senior nurses, and palliative care team.

There will be daily ward rounds; twice a week from the consultant, once a week from the specialist registrar, and otherwise with more senior trainees. Typical working pattern in this Daily ward round to assess patient’s progress placement and keep the patient’s notes up to date with details of their progress and any important results and future plans. Employer information North Bristol NHS Trust employs approximately 9,000 staff and is one of the largest NHS Trusts in the Country. We are based on two sites, Frenchay Hospital has specialist services such are Neurosciences and Plastics whereas Southmead Hospital has other specialist services such as Renal, Urology and Maternity. The Trust is in the bringing all of its services together in a state of the art new hospital which is currently being built on the Southmead site and will open in 2014. In addition the Trust is applying for Foundation Status in November 2011.

It is important to note that this description is a typical example of your placement and may be subject to change.

Severn Foundation School Foundation Placement Competence Matrix North Bristol NHS Trust

PLACEMENT: Respiratory Medicine (F2)

The following table gives an indication to what extent the following competence areas of the Foundation Programme Curriculum (2010)** can be met in this post.

KEY RED: Not at all AMBER: To some extent/limited opportunities (please note that this may be a positive or negative recording e.g. positive in that you may be able to experience this outcome) GREEN: To a great extent/ample opportunities

** The FP Curriculum 2010 is due to be revised for 2012/13 – this may impact the list of outcomes given below.

Curriculum competences (and any additional competences such as audit etc) expected to be achieved:

Section Outcome Expect to achieve in placement Professionalism Behaviour in the workplace GREEN Health and handling stress and fatigue GREEN Time management and continuity of care GREEN Good clinical care Eliciting a history GREEN Examination GREEN Diagnosis and clinical decision-making GREEN Safe prescribing GREEN Medical record keeping and GREEN correspondence Safe use of medical devices AMBER Recognition and Promptly assesses the acutely ill or GREEN management of the collapsed patient acutely ill patient Identifies and responds to acutely abnormal GREEN physiology Where appropriate, delivers a fluid GREEN challenge safely to an acutely ill patient Reassesses ill patients appropriately after GREEN starting treatment Undertakes a further patient review to AMBER establish a differential diagnosis Obtains an arterial blood gas sample GREEN safely, interprets results correctly Manages patients with impaired GREEN consciousness, including convulsions Uses common analgesic drugs safely and GREEN effectively Understands and applies the principles of RED managing a patient with acute mental disorder including self harm Ensures safe continuing care of patients on GREEN handover between shifts, on call staff or with ‘hospital at night‘ team by meticulous attention to detail and reflection on performance Resuscitation Resuscitation GREEN Discusses Do Not Attempt Resuscitation AMBER (DNAR) orders/advance directives appropriately Discharge and Discharge planning AMBER planning for chronic disease management Planning for chronic disease management AMBER Relationship with Within a consultation GREEN patients and communication skills Breaking bad news AMBER Patient safety within Treats the patient as the centre of care GREEN clinical governance Makes patient safety a priority in own GREEN clinical practice Promotes patient safety through good GREEN team-working Understands the principles of quality and GREEN safety improvement Complaints AMBER Infection control Infection control GREEN Nutritional care Nutritional care GREEN Health promotion, Educating patients GREEN patient education and Environmental, biological and lifestyle risk AMBER public health factors Smoking GREEN Alcohol GREEN Epidemiology and screening RED Ethical and legal Medical ethical principles and GREEN issues confidentiality Valid consent GREEN Legal framework of medical practice AMBER Relevance of outside bodies RED Maintaining good Lifelong learning GREEN medical practice Research, evidence, guidelines and care AMBER protocols Audit AMBER Teaching and Training Teaching and training GREEN Working with Communication with colleagues and GREEN colleagues teamwork for patient safety Interface with different specialties and with AMBER other professionals Other (non curricula)

Severn Foundation School Individual Placement Description North Bristol NHS Trust

Placement F2 Gastroenterology and General Internal Medicine The department The Dept of Gastroenterology comprises 5 Consultant Gastroenterologists all of whom do acute General Internal Medicine (GIM) on-call. There are interests in Inflammatory bowel disease, advanced nutrition, small bowel, obscure GI bleeding & hepatobiliary. All general gastroenterology and general internal medicine (except stroke) is represented.

The department serves the local population of Bristol South Gloucestershire and North Somerset. The type of work to expect and The F2 Doctor will be ward based during the learning opportunities ‘normal’ working day and expected to deliver the daily medical care of all the patients on their ward. They will also get involved with Gastroenterology patients seen at the Day Hospital. Whilst on call for GIM the F2 will be involved with the generic clerking of patients being admitted, presentation to the on call consultant, initiation of their investigations & management and hand over to the next on call or ward based team.

The overall educational objectives of the F2 year are to provide the trainee with the knowledge, skills and attitudes to be able to Take a history and examine a patient Identify and synthesise problems Recognise & manage acutely ill patients Contribute to the cardiac arrest team & get involved with DNAR decisions Perform practical procedures including ascitic taps/drains Prescribe safely Keep an accurate and relevant medical record Manage time and clinical priorities effectively Communicate effectively with patients, relatives and colleagues Use evidence, guidelines and audit to benefit patient care Act in a professional manner at all times Cope with ethical and legal issues which occur during the management of patients with general medical problems Educate patients effectively Become life-long learners and teachers Where the placement is based Frenchay Hospital; Ward 206. Clinical Supervisor(s) for the Dr Steve Hughes & Dr Melanie Lockett placement Main duties of the placement The F2 doctor is responsible with other staff for the ward care of patients and the maintenance of the patient’s medical record. They are expected to attend the teaching programmes provided by the Trust and department. The doctor will be responsible for such other specific clinical duties as allocated by consultants including performing other duties in occasional emergencies and unforeseen circumstances. Typical working pattern in this Daily: Ward round placement 1700 Handover

Mon: 1315 Grand round Tues: 10.30 Ward MDM 1300 GI x-ray meeting Wed 1400 Gastro clinic Thurs: 1300 GIM journal club Fri: 0800 Departmental teaching 12.45 Gastro histol meeting/journal club 1300 F2 teaching programme

On call requirements: 1 in 7 days and 1 in 10.5 nights Employer information North Bristol NHS Trust employs approximately 9,000 staff and is one of the largest NHS Trusts in the Country. We are based on two sites, Frenchay Hospital has specialist services such are Neurosciences and Plastics whereas Southmead Hospital has other specialist services such as Renal, Urology and Maternity. The Trust is in the bringing all of its services together in a state of the art new hospital which is currently being built on the Southmead site and will open in 2014. In addition the Trust is applying for Foundation Status in November 2011.

It is important to note that this description is a typical example of your placement and may be subject to change.

Severn Foundation School Foundation Placement Competence Matrix North Bristol NHS Trust

PLACEMENT: Gastroenterology (F1 & F2)

The following table gives an indication to what extent the following competence areas of the Foundation Programme Curriculum (2010)** can be met in this post.

KEY RED: Not at all AMBER: To some extent/limited opportunities (please note that this may be a positive or negative recording e.g. positive in that you may be able to experience this outcome) GREEN: To a great extent/ample opportunities

** The FP Curriculum 2010 is due to be revised for 2012/13 – this may impact the list of outcomes given below.

Curriculum competences (and any additional competences such as audit etc) expected to be achieved:

Section Outcome Expect to achieve in placement Professionalism Behaviour in the workplace GREEN Health and handling stress and fatigue GREEN Time management and continuity of care GREEN Good clinical care Eliciting a history GREEN Examination GREEN Diagnosis and clinical decision-making GREEN Safe prescribing GREEN Medical record keeping and GREEN correspondence Safe use of medical devices AMBER Recognition and Promptly assesses the acutely ill or GREEN management of the collapsed patient acutely ill patient Identifies and responds to acutely GREEN abnormal physiology Where appropriate, delivers a fluid GREEN challenge safely to an acutely ill patient Reassesses ill patients appropriately after GREEN starting treatment Undertakes a further patient review to GREEN establish a differential diagnosis Obtains an arterial blood gas sample GREEN safely, interprets results correctly Manages patients with impaired GREEN consciousness, including convulsions Uses common analgesic drugs safely and GREEN effectively Understands and applies the principles of GREEN managing a patient with acute mental disorder including self harm Ensures safe continuing care of patients GREEN on handover between shifts, on call staff or with ‘hospital at night‘ team by meticulous attention to detail and reflection on performance Resuscitation Resuscitation GREEN Discusses Do Not Attempt Resuscitation AMBER (DNAR) orders/advance directives appropriately Discharge and Discharge planning GREEN planning for chronic disease management Planning for chronic disease management AMBER Relationship with Within a consultation AMBER patients and communication skills Breaking bad news AMBER Patient safety within Treats the patient as the centre of care GREEN clinical governance Makes patient safety a priority in own GREEN clinical practice Promotes patient safety through good GREEN team-working Understands the principles of quality and GREEN safety improvement Complaints AMBER Infection control Infection control GREEN Nutritional care Nutritional care GREEN Health promotion, Educating patients AMBER patient education and Environmental, biological and lifestyle risk AMBER public health factors Smoking RED Alcohol GREEN Epidemiology and screening RED Ethical and legal Medical ethical principles and GREEN issues confidentiality Valid consent AMBER Legal framework of medical practice AMBER Relevance of outside bodies AMBER Maintaining good Lifelong learning GREEN medical practice Research, evidence, guidelines and care GREEN protocols Audit GREEN Teaching and Teaching and training AMBER Training Working with Communication with colleagues and GREEN colleagues teamwork for patient safety Interface with different specialties and with GREEN other professionals Other (non curricula)

Severn Foundation School Individual Placement Description North Bristol NHS Trust

Placement F2 Elective Orthopaedics The department The Department of Orthopaedic Surgery at the Avon Orthopaedic Centre, Southmead Hospital comprises 30 Consultants the majority of whom are North Bristol NHS Trust (Southmead and Franchay Hospitals) based but also consultants based at the Bristol Royal Infirmary who have their elective operating lists and pre-operative assessment clinics at the AOC. Consultant sub- specialist interests include young adult/ adolescent, hands, shoulder & elbow, spine, hip, knee and foot & ankle. There are consultant led pre-operative assessment clinics and all day operating lists in 5 operating theatres as well as elective orthopaedic outpatient clinics every day of the week. The department works closely with the affiliated physiotherapy & occupational therapy departments. There is a well established University research team (Bristol Implant Research Centre) who are busy coordinating numerous research projects and specialist nurses overseeing audit activity. The type of work to expect and F2 Doctors in this department will generally be learning opportunities split between ward based work and introduction to outpatient clinic and operating theatre work during the ‘normal’ working day and expected to deliver the daily medical care of the inpatients. Whilst in the Orthopaedic Surgery attachment the F2 will be involved with the generic clerking of patients being admitted and the ongoing care of the patients in the unit.

The overall educational objectives of the F2 year are to provide the trainee with the knowledge, skills and attitudes to be able to Take a history and examine a patient Identify and synthesise problems Prescribe safely Keep an accurate and relevant medical record Manage time and clinical priorities effectively Communicate effectively with patients, relatives and colleagues Use evidence, guidelines and audit to benefit patient care Act in a professional manner at all times Cope with ethical and legal issues which occur during the management of patients with general medical problems Educate patients effectively Become life-long learners and teachers Where the placement is based Avon Orthopaedic Centre, Southmead Hospital Clinical Supervisor(s) for the Mr IN Packham, 2 BRI consultants TBC placement Main duties of the placement Each F2 doctor will be attached to 2 or 3 consultants who attend the AOC on their pre-op assessment and operating days. Each consultant has a registrar +/- fellow who are permanently in the department and may work for 1 or 2 consultants. There is always a Registrar on call covering the unit during the day until 9pm after which time any queries can be directed to the on call registrar at Frenchay Hospital. The F2 will be involved in the day-to-day ward care of patients and the contemporaneous medical note keeping during daily business ward rounds and weekly consultant ward rounds. Whilst on call the F2 doctor will cover the AOC wards and refer up to the on call registrar or liaise with medical colleagues as required. They will rotate through weeks of night shifts during which time they will be part of the Hospital at Night team. They will have the opportunity to shadow a consultant or registrar in new & follow up outpatient clinics and they are expected to attend the main operating list or day case list to assist a wide variety of cases and be taught some basic surgical skills such as carpal tunnel decompression, soft tissue handling, suturing and basic arthroscopic skills. Each F2 will rotate with their ‘SHO’ colleagues in covering the Nurse-led Pre-operative Assessment Clinic and Ward-based cover. They will have the opportunity to partake in or undertake an Audit project the results of which they will present to the Department. They are expected to attend the structured teaching programme provided by the department and the Trust. The doctor will be responsible for such other specific clinical duties as allocated by consultants including performing other duties in occasional emergencies and unforeseen circumstances. Typical working pattern in this Daily: 0800 daily business ward round placement 1200/1700/2100 Handover On call 1 in 10

Mon: Am theatre Pm ward work/ outpt clinic Tues: Am Preop clinic 1300-1400 F2 formal teaching Weds: All Day theatre Thurs: Am theatre Pm ward work Fri: 1230-1330 weekly departmental teaching 1415-1700 optional Regional Postgraduate training programme Employer information North Bristol NHS Trust employs approximately 9,000 staff and is one of the largest NHS Trusts in the Country. We are based on two sites, Frenchay Hospital has specialist services such are Neurosciences and Plastics whereas Southmead Hospital has other specialist services such as Renal, Urology and Maternity. The Trust is in the bringing all of its services together in a state of the art new hospital which is currently being built on the Southmead site and will open in 2014. In addition the Trust is applying for Foundation Status in November 2011.

It is important to note that this description is a typical example of your placement and may be subject to change.

Severn Foundation School Individual Placement Description North Bristol NHS Trust

Placement F2 Trauma and Orthopaedics The department The Department of Orthopaedics and Trauma Surgery at Frenchay comprises 13 Consultants on the Acute Trauma on call rota (in team based working A-D = Mon –Thurs) and 2 additional Consultant Spinal Surgeons. The department provides the regional pelvic fracture and acetabular reconstruction service as well as complex tertiary referral spinal surgery. All adult and paediatric trauma pathologies are encountered and consultant sub-specialist interests also include shoulder & elbow, hip, knee and foot & ankle. There are consultant led fracture clinics & all day trauma operating lists 364 days per year as well as trauma day case lists 3 days per week and follow-up fracture clinics mon-thurs. The department works closely with our affiliated Ortho-Geriatricians and the Plastics Surgery and Neurosurgery departments. There is a well established trauma research team who are busy coordinating numerous research projects and overseeing audit activity. There is a trauma coordinator and specialist hip fracture and spinal surgery nurses. The type of work to expect and F2 Doctors in this department will generally be learning opportunities split between ward based work and introduction to outpatient clinic and operating theatre work during the ‘normal’ working day and expected to supervise F1’s and help deliver the daily medical care of all the inpatients. Whilst in the T&O Surgery attachment the F2 will be involved with the generic clerking of patients being admitted and the ongoing care of the patients in the unit.

The overall educational objectives of the F2 year are to provide the trainee with the knowledge, skills and attitudes to be able to Take a history and examine a patient Identify and synthesise problems Prescribe safely Keep an accurate and relevant medical record Manage time and clinical priorities effectively Communicate effectively with patients, relatives and colleagues Use evidence, guidelines and audit to benefit patient care Act in a professional manner at all times Cope with ethical and legal issues which occur during the management of patients with general medical problems Educate patients effectively Become life-long learners and teachers. Where the placement is based Frenchay Hospital, Bristol Clinical Supervisor(s) for the Mr JCJ Webb, Mr TJ Chesser & Mr M placement Katsimihas Main duties of the placement Each F2 doctor will be attached to a team (Trauma A-D or Spines) which comprises 3 or 4 consultants who attend on their trauma day and a specialist registrar, 1 or 2 SHO’s (Core Trainee, Clinical Fellow or F2) and an F1 who are permanently in the department. They will be involved in the day-to-day ward care of patients and the contemporaneous medical note keeping during daily business ward rounds and weekly consultant ward rounds (especially post-take). They will supervise the F1 doctors and liaise with the specialist nurses as required. Whilst on call the F2 doctor will work closely with SpR in assessing, admitting and managing acute cases presenting to the Emergency Department or Fracture Clinic. They will have the opportunity to shadow a consultant or registrar in new & follow up fracture clinics and they are strongly encouraged to attend either the main trauma list or day case list to assist a wide variety of cases and be taught some basic surgical skills such as suturing, metalwork removal, insertion of a screw or fixation of a fracture. Each F2 should arrange a session with the technicians in the Plaster Room and they will have the opportunity to partake in or undertake an Audit project the results of which they will present to the Department. They are expected to attend the structured teaching programme provided by the department and the Trust. The doctor will be responsible for such other specific clinical duties as allocated by consultants including performing other duties in occasional emergencies and unforeseen circumstances. Typical working pattern in this Daily: 0800 daily trauma xray meeting placement 0900 ward round 1200/1700/2000 Handover On call 1 in 7

Mon: Am day case theatre Pm ward work Tues: Am ward work Pm fracture clinic Weds: Am day case theatre Thurs: 1300-1400 F2 formal teaching Fri: 0800-0900 weekly departmental teaching/clinical governance meeting Employer information North Bristol NHS Trust employs approximately 9,000 staff and is one of the largest NHS Trusts in the Country. We are based on two sites, Frenchay Hospital has specialist services such are Neurosciences and Plastics whereas Southmead Hospital has other specialist services such as Renal, Urology and Maternity. The Trust is in the bringing all of its services together in a state of the art new hospital which is currently being built on the Southmead site and will open in 2014. In addition the Trust is applying for Foundation Status in November 2011.

It is important to note that this description is a typical example of your placement and may be subject to change.

Severn Foundation School Foundation Placement Competence Matrix North Bristol NHS Trust

PLACEMENT: Trauma and Orthopaedics (F1 & F2)

The following table gives an indication to what extent the following competence areas of the Foundation Programme Curriculum (2010)** can be met in this post.

KEY RED: Not at all AMBER: To some extent/limited opportunities (please note that this may be a positive or negative recording e.g. positive in that you may be able to experience this outcome) GREEN: To a great extent/ample opportunities

** The FP Curriculum 2010 is due to be revised for 2012/13 – this may impact the list of outcomes given below.

Curriculum competences (and any additional competences such as audit etc) expected to be achieved:

Section Outcome Expect to achieve in placement Professionalism Behaviour in the workplace GREEN Health and handling stress and fatigue GREEN Time management and continuity of care GREEN Good clinical care Eliciting a history GREEN Examination GREEN Diagnosis and clinical decision-making GREEN Safe prescribing GREEN Medical record keeping and GREEN correspondence Safe use of medical devices AMBER Recognition and Promptly assesses the acutely ill or GREEN management of the collapsed patient acutely ill patient Identifies and responds to acutely abnormal GREEN physiology Where appropriate, delivers a fluid GREEN challenge safely to an acutely ill patient Reassesses ill patients appropriately after GREEN starting treatment Undertakes a further patient review to GREEN establish a differential diagnosis Obtains an arterial blood gas sample GREEN safely, interprets results correctly Manages patients with impaired AMBER consciousness, including convulsions Uses common analgesic drugs safely and GREEN effectively Understands and applies the principles of AMBER managing a patient with acute mental disorder including self harm Ensures safe continuing care of patients on GREEN handover between shifts, on call staff or with ‘hospital at night‘ team by meticulous attention to detail and reflection on performance Resuscitation Resuscitation GREEN Discusses Do Not Attempt Resuscitation GREEN (DNAR) orders/advance directives appropriately Discharge and Discharge planning GREEN planning for chronic disease management Planning for chronic disease management GREEN Relationship with Within a consultation AMBER patients and communication skills Breaking bad news AMBER Patient safety within Treats the patient as the centre of care GREEN clinical governance Makes patient safety a priority in own GREEN clinical practice Promotes patient safety through good GREEN team-working Understands the principles of quality and GREEN safety improvement Complaints AMBER Infection control Infection control GREEN Nutritional care Nutritional care GREEN Health promotion, Educating patients GREEN patient education and Environmental, biological and lifestyle risk GREEN public health factors Smoking GREEN Alcohol GREEN Epidemiology and screening GREEN Ethical and legal Medical ethical principles and GREEN issues confidentiality Valid consent GREEN Legal framework of medical practice AMBER Relevance of outside bodies AMBER Maintaining good Lifelong learning GREEN medical practice Research, evidence, guidelines and care GREEN protocols Audit GREEN Teaching and Training Teaching and training GREEN Working with Communication with colleagues and GREEN colleagues teamwork for patient safety Interface with different specialties and with GREEN other professionals Other (non curricula)

Severn Foundation School Individual Placement Description North Bristol NHS Trust

Placement F2 Anaesthetics/ITU The department Anaesthetics/ICU The type of work to expect and Care of critically ill patients. Assessing and learning opportunities stabilising critically ill patients on the ward and managing their care on the intensive care unit. Where the placement is based Southmead & Frenchay hospital Clinical Supervisor(s) for the Dr Jasmeet Soar – Southmead placement Dr Ian Thomas – Frenchay Main duties of the placement The F2 is an integral member of the ICU team. They take an active role in the ward round, examining patients, completing the ICU paperwork and understanding the management plans for the day. They perform the ward work duties such as ordering investigations and ensuring the results are followed up and written in the notes. They carry the cardiac arrest bleep and attend cardiac arrests supported, whenever possible, by the anaesthetic registrar. They review critically ill patients on the ward and learn about appropriateness of admission to ICU, stabilisation and transportation of critically ill patients. They have the opportunity to gain experience in practical procedures such as insertion of invasive monitoring lines, vas caths and airway management, both on the ICU and in theatres. During their time on ICU they will learn about the principles of organ monitoring and organ support. They will attend daily microbiology rounds, weekly radiology meetings and weekly formal ICU teaching. Typical working pattern in this They work a full shift system on a 1 in 6 rota, placement working a short day, long day, night shift, or ‘day off’. They work under the close supervision of the ICU consultant. They will be expected to attend foundation teaching, ICU teaching and will be supervised by their Clinical Supervisor. Employer information North Bristol NHS Trust employs approximately 9,000 staff and is one of the largest NHS Trusts in the Country. We are based on two sites, Frenchay Hospital has specialist services such are Neurosciences and Plastics whereas Southmead Hospital has other specialist services such as Renal, Urology and Maternity. The Trust is in the bringing all of its services together in a state of the art new hospital which is currently being built on the Southmead site and will open in 2014. In addition the Trust is applying for Foundation Status in November 2011.

It is important to note that this description is a typical example of your placement and may be subject to change.

Severn Foundation School Foundation Placement Competence Matrix North Bristol NHS Trust

PLACEMENT: Anaesthetics/ITU (F2)

The following table gives an indication to what extent the following competence areas of the Foundation Programme Curriculum (2010)** can be met in this post.

KEY RED: Not at all AMBER: To some extent/limited opportunities (please note that this may be a positive or negative recording e.g. positive in that you may be able to experience this outcome) GREEN: To a great extent/ample opportunities

** The FP Curriculum 2010 is due to be revised for 2012/13 – this may impact the list of outcomes given below.

Curriculum competences (and any additional competences such as audit etc) expected to be achieved:

Section Outcome Expect to achieve in placement Professionalism Behaviour in the workplace GREEN Health and handling stress and fatigue GREEN Time management and continuity of care GREEN Good clinical care Eliciting a history GREEN Examination GREEN Diagnosis and clinical decision-making GREEN Safe prescribing GREEN Medical record keeping and GREEN correspondence Safe use of medical devices GREEN Recognition and Promptly assesses the acutely ill or GREEN management of the collapsed patient acutely ill patient Identifies and responds to acutely abnormal GREEN physiology Where appropriate, delivers a fluid GREEN challenge safely to an acutely ill patient Reassesses ill patients appropriately after GREEN starting treatment Undertakes a further patient review to GREEN establish a differential diagnosis Obtains an arterial blood gas sample GREEN safely, interprets results correctly Manages patients with impaired GREEN consciousness, including convulsions Uses common analgesic drugs safely and GREEN effectively Understands and applies the principles of GREEN managing a patient with acute mental disorder including self harm Ensures safe continuing care of patients on GREEN handover between shifts, on call staff or with ‘hospital at night‘ team by meticulous attention to detail and reflection on performance Resuscitation Resuscitation GREEN Discusses Do Not Attempt Resuscitation GREEN (DNAR) orders/advance directives appropriately Discharge and Discharge planning RED planning for chronic disease management Planning for chronic disease management RED Relationship with Within a consultation GREEN patients and communication skills Breaking bad news GREEN Patient safety within Treats the patient as the centre of care GREEN clinical governance Makes patient safety a priority in own GREEN clinical practice Promotes patient safety through good GREEN team-working Understands the principles of quality and AMBER safety improvement Complaints AMBER Infection control Infection control GREEN Nutritional care Nutritional care GREEN Health promotion, Educating patients AMBER patient education and Environmental, biological and lifestyle risk AMBER public health factors Smoking AMBER Alcohol AMBER Epidemiology and screening RED Ethical and legal Medical ethical principles and GREEN issues confidentiality Valid consent GREEN Legal framework of medical practice GREEN Relevance of outside bodies GREEN Maintaining good Lifelong learning GREEN medical practice Research, evidence, guidelines and care GREEN protocols Audit GREEN Teaching and Training Teaching and training GREEN Working with Communication with colleagues and GREEN colleagues teamwork for patient safety Interface with different specialties and with GREEN other professionals Other (non curricula)

Severn Foundation School Individual Placement Description North Bristol NHS Trust

Placement F2 Neurosurgery The department The department of neurosurgery is a tertiary referral unit serving the counties of Gloucestershire, Somerset and Wiltshire in addition to the city of Bristol. It is one of the largest neurosurgical units in the country. Over 2600 emergency and elective neurosurgical procedures are performed each year. There are 13 consultant neurosurgeons and all the major neurosurgical sub-specialties are represented. The department consists of two male and two female adult neurosurgical wards with a total of 67 beds, 12 of which comprise the Neuro High Dependency Unit. There are four neurosurgical theatres; one is dedicated to emergency procedures.

The department is located in close proximity to the Emergency Department, two Intensive Care Units and the Neuroradiology department with access two CT scanners, two angiogram suites and three MRI scanners, including a new 3 Tesla scanner.

Emergency referrals are dealt with by an ‘on call’ team consisting of a consultant neurosurgeon, a specialist registrar (who is the first line of contact) and a senior house officer grade doctor providing ward cover. The type of work to expect and The work is primarily ward-based, although there learning opportunities will be opportunities to attend theatre and out- patient clinics. Within a team structure led by consultants and registrars, F2 doctors will have the opportunity to deliver medical care to neurosurgical patients, pre- and post-operatively. Most of the work is defined in a structured daily morning ward round. Most elective patients are pre-clerked in the neurosurgical pre-admission clinics. Patients transferred to the unit on an emergency basis will require review and initial evaluation on admission, under the supervision of the on call registrar and consultant.

When on call, neurosurgical F2’s also cover the in-patient neurology service.

The overall educational objectives of the F2 year are to provide the trainee with the knowledge, skills and attitudes to be able to Elicit a history and undertake a comprehensive examination of the neurosurgical patient Identify and synthesize neurosurgical and neurological problems Prescribe safely Keep an accurate, contemporaneous and relevant medical record Manage time and clinical priorities effectively Communicate effectively with patients, relatives and colleagues Use evidence, guidelines and audit to benefit patient care Ensure the required discharge documentation has been prepared when patients are discharged home or transferred to other units Act in a professional manner at all times Educate patients effectively on general medical issues

F2 doctors will also have the opportunity to learn ward-based neurosurgical procedures, including lumbar puncture, management of external ventricular drains, access of ventricular access devices, and insertion of lumbar drains. They are extensively exposed to neuroradiology, and will have the opportunity to learn to interpret cranial and spinal CT and MR images. They are encouraged to attend theatre lists, undertake audits and participate in research. Where the placement is based Wards 1, 2, 3, 4, 18 and 19, Frenchay Hospital Clinical Supervisor(s) for the A consultant neurosurgeon will be allocated to placement act as the clinical supervisor for each of the F2 doctors. Main duties of the placement Together with the other junior doctors (ST1 and ST2), higher specialist trainees and consultants, F2 doctors are responsible for the day to day care of patients on the wards. They attend the morning departmental hand over with the on call team at 08.00 and participate in the ward rounds on the high-dependency units and on the wards. They assist with the organization of haematological and radiological investigations, and the preparation of patients for theatre. They are involved in the care of the post-operative patient. F2 doctors are expected to attend the structured teaching sessions, covering aspects of neurosurgical and neurological care, held on Tuesdays, between 1 and 2 pm. They should also attend and contribute to the department’s clinical governance meetings, held every two months. Typical working pattern in this 08.00 Departmental handover meeting placement 08.40 Team-based ward rounds 13.00 – 14.00 (Tuesday) teaching 11.00 – 12.30 (Wednesday) Regional neurosciences meeting 12.00 – 13.00 (Friday) F2 teaching 20.00 Evening handover

On call rota: Joint cover with neurology; 1 week of nights, 20.00 – 08.00, Monday to Thursday, approximately 1 in 10, followed by 1 week off; 1 weekend of nights, 20.00 – 08.00, Friday to Sunday, approximately 1 in 10, followed by Monday and Tuesday off; 1 weekend of days, 08.00 – 20.00, Saturday and Sunday, approximately 1 in 10; 1 weekend of days, 08.00 – 17.00, Saturday and Sunday, approximately 1 in 10. On call rota 17.00 – 20.00 during weekdays. Employer information North Bristol NHS Trust employs approximately 9,000 staff and is one of the largest NHS Trusts in the Country. We are based on two sites, Frenchay Hospital has specialist services such are Neurosciences and Plastics whereas Southmead Hospital has other specialist services such as Renal, Urology and Maternity. The Trust is in the bringing all of its services together in a state of the art new hospital which is currently being built on the Southmead site and will open in 2014. In addition the Trust is applying for Foundation Status in November 2011.

It is important to note that this description is a typical example of your placement and may be subject to change.

Severn Foundation School Foundation Placement Competence Matrix North Bristol NHS Trust

PLACEMENT: Neurosurgery (F2)

The following table gives an indication to what extent the following competence areas of the Foundation Programme Curriculum (2010)** can be met in this post.

KEY RED: Not at all AMBER: To some extent/limited opportunities (please note that this may be a positive or negative recording e.g. positive in that you may be able to experience this outcome) GREEN: To a great extent/ample opportunities

** The FP Curriculum 2010 is due to be revised for 2012/13 – this may impact the list of outcomes given below.

Curriculum competences (and any additional competences such as audit etc) expected to be achieved:

Section Outcome Expect to achieve in placement Professionalism Behaviour in the workplace GREEN Health and handling stress and fatigue GREEN Time management and continuity of care GREEN Good clinical care Eliciting a history GREEN Examination GREEN Diagnosis and clinical decision-making GREEN Safe prescribing GREEN Medical record keeping and GREEN correspondence Safe use of medical devices AMBER Recognition and Promptly assesses the acutely ill or GREEN management of the collapsed patient acutely ill patient Identifies and responds to acutely abnormal GREEN physiology Where appropriate, delivers a fluid AMBER challenge safely to an acutely ill patient Reassesses ill patients appropriately after GREEN starting treatment Undertakes a further patient review to GREEN establish a differential diagnosis Obtains an arterial blood gas sample GREEN safely, interprets results correctly Manages patients with impaired GREEN consciousness, including convulsions Uses common analgesic drugs safely and GREEN effectively Understands and applies the principles of AMBER managing a patient with acute mental disorder including self harm Ensures safe continuing care of patients on GREEN handover between shifts, on call staff or with ‘hospital at night‘ team by meticulous attention to detail and reflection on performance Resuscitation Resuscitation AMBER Discusses Do Not Attempt Resuscitation AMBER (DNAR) orders/advance directives appropriately Discharge and Discharge planning AMBER planning for chronic disease management Planning for chronic disease management AMBER Relationship with Within a consultation AMBER patients and communication skills Breaking bad news AMBER Patient safety within Treats the patient as the centre of care GREEN clinical governance Makes patient safety a priority in own GREEN clinical practice Promotes patient safety through good GREEN team-working Understands the principles of quality and GREEN safety improvement Complaints RED Infection control Infection control GREEN Nutritional care Nutritional care GREEN Health promotion, Educating patients GREEN patient education and Environmental, biological and lifestyle risk GREEN public health factors Smoking GREEN Alcohol GREEN Epidemiology and screening RED Ethical and legal Medical ethical principles and GREEN issues confidentiality Valid consent AMBER Legal framework of medical practice AMBER Relevance of outside bodies AMBER Maintaining good Lifelong learning GREEN medical practice Research, evidence, guidelines and care GREEN protocols Audit GREEN Teaching and Training Teaching and training RED Working with Communication with colleagues and GREEN colleagues teamwork for patient safety Interface with different specialties and with GREEN other professionals Other (non curricula)

Severn Foundation School Individual Placement Description North Bristol NHS Trust

Placement F2 Obstetrics and Gynaecology The department The department has 13 consultants. We are a busy teaching hospital with about 6,000 deliveries a year. The type of work to expect and The position offers a broad range of experience learning opportunities in both obstetrics and gynaecology. The doctors will have the opportunity to develop their skills in the admission of emergency patients, practical skills and outpatient sessions. There is a strong emphasis on team working and communication within our department. Where the placement is based Department of women’s health, Southmead Hospital, Bristol. Clinical Supervisor(s) for the Dr Jane Mears, Consultant Obstetrician and placement Gynaecologist Main duties of the placement Obstetrics – Antenatal clinics, reviewing admissions in the day assessment unit, participating in the oncall team for delivery suite. Reviewing postnatal patients. Gynaecology – on-call duties, reviewing referrals to our emergency clinic, outpatient sessions, assisting in theatre – gaining operating skills as appropriate Typical working pattern in this Our rota is EWTD compliant. It is a rolling rota placement with 14 juniors. We have 3 on-call for a long day each day including weekends and a split week of nights every 14 weeks. Employer information North Bristol NHS Trust employs approximately 9,000 staff and is one of the largest NHS Trusts in the Country. We are based on two sites, Frenchay Hospital has specialist services such are Neurosciences and Plastics whereas Southmead Hospital has other specialist services such as Renal, Urology and Maternity. The Trust is in the bringing all of its services together in a state of the art new hospital which is currently being built on the Southmead site and will open in 2014. In addition the Trust is applying for Foundation Status in November 2011.

It is important to note that this description is a typical example of your placement and may be subject to change.

Severn Foundation School Foundation Placement Competence Matrix North Bristol NHS Trust

PLACEMENT: Obstetrics and Gynaecology (F2)

The following table gives an indication to what extent the following competence areas of the Foundation Programme Curriculum (2010)** can be met in this post.

KEY RED: Not at all AMBER: To some extent/limited opportunities (please note that this may be a positive or negative recording e.g. positive in that you may be able to experience this outcome) GREEN: To a great extent/ample opportunities

** The FP Curriculum 2010 is due to be revised for 2012/13 – this may impact the list of outcomes given below.

Curriculum competences (and any additional competences such as audit etc) expected to be achieved:

Section Outcome Expect to achieve in placement Professionalism Behaviour in the workplace GREEN Health and handling stress and fatigue GREEN Time management and continuity of care GREEN Good clinical care Eliciting a history GREEN Examination GREEN Diagnosis and clinical decision-making GREEN Safe prescribing GREEN Medical record keeping and GREEN correspondence Safe use of medical devices AMBER Recognition and Promptly assesses the acutely ill or GREEN management of the collapsed patient acutely ill patient Identifies and responds to acutely abnormal GREEN physiology Where appropriate, delivers a fluid GREEN challenge safely to an acutely ill patient Reassesses ill patients appropriately after GREEN starting treatment Undertakes a further patient review to GREEN establish a differential diagnosis Obtains an arterial blood gas sample AMBER safely, interprets results correctly Manages patients with impaired AMBER consciousness, including convulsions Uses common analgesic drugs safely and GREEN effectively Understands and applies the principles of AMBER managing a patient with acute mental disorder including self harm Ensures safe continuing care of patients on GREEN handover between shifts, on call staff or with ‘hospital at night‘ team by meticulous attention to detail and reflection on performance Resuscitation Resuscitation AMBER Discusses Do Not Attempt Resuscitation RED (DNAR) orders/advance directives appropriately Discharge and Discharge planning AMBER planning for chronic disease management Planning for chronic disease management RED Relationship with Within a consultation GREEN patients and communication skills Breaking bad news GREEN Patient safety within Treats the patient as the centre of care GREEN clinical governance Makes patient safety a priority in own GREEN clinical practice Promotes patient safety through good GREEN team-working Understands the principles of quality and GREEN safety improvement Complaints GREEN Infection control Infection control GREEN Nutritional care Nutritional care RED Health promotion, Educating patients GREEN patient education and Environmental, biological and lifestyle risk GREEN public health factors Smoking GREEN Alcohol GREEN Epidemiology and screening GREEN Ethical and legal Medical ethical principles and GREEN issues confidentiality Valid consent GREEN Legal framework of medical practice GREEN Relevance of outside bodies AMBER Maintaining good Lifelong learning GREEN medical practice Research, evidence, guidelines and care GREEN protocols Audit AMBER Teaching and Training Teaching and training AMBER Working with Communication with colleagues and GREEN colleagues teamwork for patient safety Interface with different specialties and with AMBER other professionals Other (non curricula)

Severn Foundation School Individual Placement Description North Bristol NHS Trust

Placement F2 General Practice The department Primary Care The type of work to expect and The GP is the first point of contact for most learning opportunities medical services. Most work is carried out during consultations in the surgery and some during home visits.

GPs and their GP F2s provide a complete spectrum of care within the local community. You will need to deal with problems that often combine physical, psychological and social components.

You will work in teams with other professions, helping patients to take responsibility for their own health.

In your GP attachment, you will build on your knowledge of medical conditions, your ability to assess a problem, and your skills in deciding on the appropriate course of action.

You will learn how and when to intervene, through treatment, prevention and education, to promote the health of your patients and families.

The wide mix of General Practice is one of the major attractions. There can be huge variation in the needs of individual patients during a single surgery. Where the placement is based GP training practices in the Severn area. Clinical Supervisor(s) for the Each GP F2 will be in an approved teaching placement practice, where your supervisor will be an accredited GP Trainer or GP Clinical Supervisor. Main duties of the placement Your duties will include: - seeing patients in surgeries - responding to health problems presented by patients, including history-taking, investigation, diagnosis, and management - practicing preventative medicine - promoting health education - working closely with other health professionals - helping with repeat prescriptions and other administrative aspects of day-to-day patient care - helping the practice meet targets - managing resources as effectively as possible - maintaining confidentiality and impartiality - using basic IT skills and using the practice's clinical IT system - attending the practice's clinical meetings - you may also be asked to make domiciliary visits, if your GP Supervisor feels this is appropriate Typical working pattern in this Morning surgery: followed by discussion patients placement seen with Supervisor. Lunchtime: administrative work. Early afternoon: clinical meetings, domiciliary visits. Afternoon/early evening: surgery.

There will be a weekly tutorial lasting at least an hour.

This pattern varies from practice to practice. Practices may ask you to work the same pattern that most GPs do, with longer working days but time off in lieu.

On call requirements: While it may be in your contract to do on-call hospital work during your GP attachment, there will be no GP on-call requirements. Employer information North Bristol NHS Trust employs approximately 9,000 staff and is one of the largest NHS Trusts in the Country. We are based on two sites, Frenchay Hospital has specialist services such are Neurosciences and Plastics whereas Southmead Hospital has other specialist services such as Renal, Urology and Maternity. The Trust is in the bringing all of its services together in a state of the art new hospital which is currently being built on the Southmead site and will open in 2014. In addition the Trust is applying for Foundation Status in November 2011.

It is important to note that this description is a typical example of your placement and is subject to change.

Severn Foundation School Foundation Placement Competence Matrix North Bristol NHS Trust

PLACEMENT: General Practice (F2)

The following table gives an indication to what extent the following competence areas of the Foundation Programme Curriculum (2010)** can be met in this post.

KEY RED: Not at all AMBER: To some extent/limited opportunities (please note that this may be a positive or negative recording e.g. positive in that you may be able to experience this outcome) GREEN: To a great extent/ample opportunities

** The FP Curriculum 2010 is due to be revised for 2012/13 – this may impact the list of outcomes given below.

Curriculum competences (and any additional competences such as audit etc) expected to be achieved:

Section Outcome Expect to achieve in placement Professionalism Behaviour in the workplace GREEN Health and handling stress and fatigue GREEN Time management and continuity of care GREEN Good clinical care Eliciting a history GREEN Examination GREEN Diagnosis and clinical decision-making GREEN Safe prescribing GREEN Medical record keeping and GREEN correspondence Safe use of medical devices RED Recognition and Promptly assesses the acutely ill or AMBER management of the collapsed patient acutely ill patient Identifies and responds to acutely abnormal RED physiology Where appropriate, delivers a fluid RED challenge safely to an acutely ill patient Reassesses ill patients appropriately after AMBER starting treatment Undertakes a further patient review to AMBER establish a differential diagnosis Obtains an arterial blood gas sample RED safely, interprets results correctly Manages patients with impaired AMBER consciousness, including convulsions Uses common analgesic drugs safely and AMBER effectively Understands and applies the principles of AMBER managing a patient with acute mental disorder including self harm Ensures safe continuing care of patients on AMBER handover between shifts, on call staff or with ‘hospital at night‘ team by meticulous attention to detail and reflection on performance Resuscitation Resuscitation RED Discusses Do Not Attempt Resuscitation RED (DNAR) orders/advance directives appropriately Discharge and Discharge planning RED planning for chronic disease management Planning for chronic disease management GREEN Relationship with Within a consultation GREEN patients and communication skills Breaking bad news GREEN Patient safety within Treats the patient as the centre of care GREEN clinical governance Makes patient safety a priority in own GREEN clinical practice Promotes patient safety through good GREEN team-working Understands the principles of quality and GREEN safety improvement Complaints AMBER Infection control Infection control GREEN Nutritional care Nutritional care Health promotion, Educating patients GREEN patient education and Environmental, biological and lifestyle risk GREEN public health factors Smoking GREEN Alcohol GREEN Epidemiology and screening GREEN Ethical and legal Medical ethical principles and GREEN issues confidentiality Valid consent AMBER Legal framework of medical practice AMBER Relevance of outside bodies AMBER Maintaining good Lifelong learning GREEN medical practice Research, evidence, guidelines and care GREEN protocols Audit AMBER Teaching and Training Teaching and training AMBER Working with Communication with colleagues and GREEN colleagues teamwork for patient safety Interface with different specialties and with GREEN other professionals Other (non curricula)

Severn Foundation School Individual Placement Description North Bristol NHS Trust

Placement F2 Neurology The department Neurology, Frenchay Hospital

The department is a regional centre for neurology with inpatient and outpatient work. There are a number of aspects specialist neurology in the department including neuro- inflammatory disease, multiple sclerosis, stroke, epilepsy, movement disorders, Parkinson’s disease, dementia and cognitive impairment, neuro-ophthalmology, motor neurone disease The type of work to expect and Admission and care of patients on wards learning opportunities Ward rounds Attend outpatient clinics Weekly academic meetings. Neuroradiology meetings. Teaching programme for Trainees

When on call, neurology F2’s also cover the in- patient neurosurgery service.

The overall educational objectives of the F2 year are to provide the trainee with the knowledge, skills and attitudes to be able to Elicit a history and undertake a comprehensive examination of the neurology patient Identify and synthesize neurosurgical and neurological problems Prescribe safely Keep an accurate, contemporaneous and relevant medical record Manage time and clinical priorities effectively Communicate effectively with patients, relatives and colleagues Use evidence, guidelines and audit to benefit patient care Act in a professional manner at all times Educate patients effectively on general medical issues

F2 doctors will also have the opportunity to learn ward-based neurology procedures, including lumbar puncture and visual fields. They are extensively exposed to neuroradiology, and will have the opportunity to start to learn to interpret cranial and spinal CT and MR images. They are encouraged to undertake audits and participate in research. Where the placement is based Frenchay Hospital wards 18 and 19 Clinical Supervisor(s) for the A consultant Neurologist will be appointed as placement Clinical Supervisor Main duties of the placement To work with other members of the neurology medical team.

To carefully plan holiday and other leave and liaise with colleagues and Supervisors in advance. Obtain signed approval for leave significantly in advance.

To care for patients on the wards as appropriate and to liaise with other neurology staff if there are concerns or uncertainty about diagnosis, management, care and investigations.

There needs to be daily meetings with members of staff and daily handover of information and required work to be done by the team starting duty at night or in the day

Arranging investigations for patients as appropriate.

Obtaining consent from patients as appropriate for medical care, investigations and management.

Daytime and on-call duty Typical working pattern in this A full programme will be provided by your firm. placement You will also be notified of on-call duties in advance. Employer information North Bristol NHS Trust employs approximately 9,000 staff and is one of the largest NHS Trusts in the Country. We are based on two sites, Frenchay Hospital has specialist services such are Neurosciences and Plastics whereas Southmead Hospital has other specialist services such as Renal, Urology and Maternity. The Trust is in the bringing all of its services together in a state of the art new hospital which is currently being built on the Southmead site and will open in 2014. In addition the Trust is applying for Foundation Status in November 2011.

It is important to note that this description is a typical example of your placement and may be subject to change.

Severn Foundation School Foundation Placement Competence Matrix North Bristol NHS Trust

PLACEMENT: Neurology (F2)

The following table gives an indication to what extent the following competence areas of the Foundation Programme Curriculum (2010)** can be met in this post.

KEY RED: Not at all AMBER: To some extent/limited opportunities (please note that this may be a positive or negative recording e.g. positive in that you may be able to experience this outcome) GREEN: To a great extent/ample opportunities

** The FP Curriculum 2010 is due to be revised for 2012/13 – this may impact the list of outcomes given below.

Curriculum competences (and any additional competences such as audit etc) expected to be achieved:

Section Outcome Expect to achieve in placement Professionalism Behaviour in the workplace GREEN Health and handling stress and fatigue AMBER Time management and continuity of care GREEN Good clinical care Eliciting a history GREEN Examination GREEN Diagnosis and clinical decision-making GREEN Safe prescribing GREEN Medical record keeping and GREEN correspondence Safe use of medical devices AMBER Recognition and Promptly assesses the acutely ill or AMBER management of the collapsed patient acutely ill patient Identifies and responds to acutely abnormal AMBER physiology Where appropriate, delivers a fluid AMBER challenge safely to an acutely ill patient Reassesses ill patients appropriately after AMBER starting treatment Undertakes a further patient review to GREEN establish a differential diagnosis Obtains an arterial blood gas sample GREEN safely, interprets results correctly Manages patients with impaired GREEN consciousness, including convulsions Uses common analgesic drugs safely and GREEN effectively Understands and applies the principles of AMBER managing a patient with acute mental disorder including self harm Ensures safe continuing care of patients on GREEN handover between shifts, on call staff or with ‘hospital at night‘ team by meticulous attention to detail and reflection on performance Resuscitation Resuscitation AMBER Discusses Do Not Attempt Resuscitation GREEN (DNAR) orders/advance directives appropriately Discharge and Discharge planning GREEN planning for chronic disease management Planning for chronic disease management GREEN Relationship with Within a consultation GREEN patients and communication skills Breaking bad news GREEN Patient safety within Treats the patient as the centre of care GREEN clinical governance Makes patient safety a priority in own GREEN clinical practice Promotes patient safety through good GREEN team-working Understands the principles of quality and AMBER safety improvement Complaints AMBER Infection control Infection control GREEN Nutritional care Nutritional care GREEN Health promotion, Educating patients AMBER patient education and Environmental, biological and lifestyle risk AMBER public health factors Smoking AMBER Alcohol AMBER Epidemiology and screening AMBER Ethical and legal Medical ethical principles and GREEN issues confidentiality Valid consent GREEN Legal framework of medical practice GREEN Relevance of outside bodies GREEN Maintaining good Lifelong learning medical practice Research, evidence, guidelines and care GREEN protocols Audit AMBER Teaching and Training Teaching and training GREEN Working with Communication with colleagues and GREEN colleagues teamwork for patient safety Interface with different specialties and with GREEN other professionals Other (non curricula)

Severn Foundation School Individual Placement Description North Bristol NHS Trust

Placement F2 Emergency Medicine The department Busy Emergency Department/Trauma Centre. 90,000 ED Attendances per annum, very high proportion of unwell majors patients and lower than average ‘see and treat’ numbers. Very low proportion of primary care attendances. 18,000 paediatric attendances. Proportion of major trauma cases expected to rise sharply. The type of work to expect and Assessing and treating medical, surgical, trauma learning opportunities and paediatric emergencies. You will be directly supervised by a consultant 0900-2300 weekdays and 0900 – 1800 at weekends, by a registrar at other times. You will be trained in focused history and examination, emergency treatment and investigation, and a range of procedures. These are likely to include: joint reduction, biers block, nerve blocks, airway skills, sedation, NIV. Where the placement is based Emergency Department Clinical Supervisor(s) for the ED Consultants placement Main duties of the placement Assessing and treating the full range of attendees under the supervision of ED consultants, good notekeeping, discussion and safe handover of patients. Typical working pattern in this Full Shift – Early, Mid, Late and night shifts. placement Roughly half your time will be spent in the see and treat area, half in majors/ resus. Employer information North Bristol NHS Trust employs approximately 9,000 staff and is one of the largest NHS Trusts in the Country. We are based on two sites, Frenchay Hospital has specialist services such are Neurosciences and Plastics whereas Southmead Hospital has other specialist services such as Renal, Urology and Maternity. The Trust is in the bringing all of its services together in a state of the art new hospital which is currently being built on the Southmead site and will open in 2014. In addition the Trust is applying for Foundation Status in November 2011.

It is important to note that this description is a typical example of your placement and may be subject to change.

Severn Foundation School Foundation Placement Competence Matrix North Bristol NHS Trust

PLACEMENT: Emergency Medicine (F2)

The following table gives an indication to what extent the following competence areas of the Foundation Programme Curriculum (2010)** can be met in this post.

KEY RED: Not at all AMBER: To some extent/limited opportunities (please note that this may be a positive or negative recording e.g. positive in that you may be able to experience this outcome) GREEN: To a great extent/ample opportunities

** The FP Curriculum 2010 is due to be revised for 2012/13 – this may impact the list of outcomes given below.

Curriculum competences (and any additional competences such as audit etc) expected to be achieved:

Section Outcome Expect to achieve in placement Professionalism Behaviour in the workplace GREEN Health and handling stress and fatigue GREEN Time management and continuity of care AMBER Good clinical care Eliciting a history GREEN Examination GREEN Diagnosis and clinical decision-making GREEN Safe prescribing GREEN Medical record keeping and AMBER correspondence Safe use of medical devices GREEN Recognition and Promptly assesses the acutely ill or GREEN management of the collapsed patient acutely ill patient Identifies and responds to acutely abnormal GREEN physiology Where appropriate, delivers a fluid GREEN challenge safely to an acutely ill patient Reassesses ill patients appropriately after GREEN starting treatment Undertakes a further patient review to GREEN establish a differential diagnosis Obtains an arterial blood gas sample GREEN safely, interprets results correctly Manages patients with impaired GREEN consciousness, including convulsions Uses common analgesic drugs safely and GREEN effectively Understands and applies the principles of GREEN managing a patient with acute mental disorder including self harm Ensures safe continuing care of patients on GREEN handover between shifts, on call staff or with ‘hospital at night‘ team by meticulous attention to detail and reflection on performance Resuscitation Resuscitation GREEN Discusses Do Not Attempt Resuscitation AMBER (DNAR) orders/advance directives appropriately Discharge and Discharge planning RED planning for chronic disease management Planning for chronic disease management RED Relationship with Within a consultation GREEN patients and communication skills Breaking bad news AMBER Patient safety within Treats the patient as the centre of care GREEN clinical governance Makes patient safety a priority in own GREEN clinical practice Promotes patient safety through good GREEN team-working Understands the principles of quality and AMBER safety improvement Complaints RED Infection control Infection control GREEN Nutritional care Nutritional care RED Health promotion, Educating patients AMBER patient education and Environmental, biological and lifestyle risk AMBER public health factors Smoking AMBER Alcohol AMBER Epidemiology and screening RED Ethical and legal Medical ethical principles and AMBER issues confidentiality Valid consent RED Legal framework of medical practice AMBER Relevance of outside bodies AMBER Maintaining good Lifelong learning GREEN medical practice Research, evidence, guidelines and care GREEN protocols Audit GREEN Teaching and Training Teaching and training GREEN Working with Communication with colleagues and GREEN colleagues teamwork for patient safety Interface with different specialties and with GREEN other professionals Other (non curricula)

Severn Foundation School Individual Placement Description North Bristol NHS Trust

Placement F2 Psychiatry The department The Older Adult inpatient unit is based at Callington Road Hospital, Brislington, and supported by two consultants. There are two wards, one specialising in organic mental illness and the other in functional mental illness. The unit serves the older adult population of South Gloucester and Bristol. The type of work to expect and All F2 doctors will generally be ward based learning opportunities during the ‘normal’ working day, providing first- line assessment of all inpatients for both physical and psychiatric disorders. The overall educational objectives are to provide the trainee with the knowledge, skills and attitudes to be able to:

- Take a history and examine a patient with particular emphasis on mental state examination - Formulate a diagnosis and management plan - Manage clinical problems independently and seek advice where appropriate - Prescribe safely with particular emphasis on psychotropic drugs and their potential interactions in older people with concomitant physical health problems - Keep accurate and relevant medical records - Manage time and clinical priorities effectively - Communicate effectively with patients, relatives and colleagues - Practice evidence based medicine and use local guidelines in place for the treatment of older adults in the mental health setting - Act in a professional manner at all times - Cope with ethical and legal issues with particular reference to the Mental Health Act and Mental Capacity Act - To manage psychiatric emergencies on call spanning forensic, adult of working age and older adult specialties - To teach medical students formally and informally - To work in a multi-disciplinary setting with particular emphasis on the care planning approach - To gain experience of risk management and become confident in making decisions associated with risk in the psychiatric setting Where the placement is based The Coppice, Callington Road Hospital. Clinical Supervisor(s) for the Dr Sue West, Dr J Hewitt placement Main duties of the placement The F2 doctor is responsible with other staff for the ward care of patients and the maintenance of the patient’s medical record. They will work closely with the supervising consultants who are also ward-based and middle grade psychiatry trainees or staff grade doctors. They are expected to attend and participate in the structured teaching programme provided by the department to include Balint Group, Journal Club and case-based discussion sessions. Typical working pattern in this Monday to Friday 9am-5pm placement On-Call rota 1:8. On-call shifts are from 5pm-9am weekdays and 48h shifts at the weekend. There is an on-call room on site but doctors may decide to make themselves available from home. Employer information North Bristol NHS Trust employs approximately 9,000 staff and is one of the largest NHS Trusts in the Country. We are based on two sites, Frenchay Hospital has specialist services such are Neurosciences and Plastics whereas Southmead Hospital has other specialist services such as Renal, Urology and Maternity. The Trust is in the bringing all of its services together in a state of the art new hospital which is currently being built on the Southmead site and will open in 2014. In addition the Trust is applying for Foundation Status in November 2011.

It is important to note that this description is a typical example of your placement and may be subject to change.

Severn Foundation School Foundation Placement Competence Matrix North Bristol NHS Trust

PLACEMENT: Psychiatry (F2)

The following table gives an indication to what extent the following competence areas of the Foundation Programme Curriculum (2010)** can be met in this post.

KEY RED: Not at all AMBER: To some extent/limited opportunities (please note that this may be a positive or negative recording e.g. positive in that you may be able to experience this outcome) GREEN: To a great extent/ample opportunities

** The FP Curriculum 2010 is due to be revised for 2012/13 – this may impact the list of outcomes given below.

Curriculum competences (and any additional competences such as audit etc) expected to be achieved:

Section Outcome Expect to achieve in placement Professionalism Behaviour in the workplace GREEN Health and handling stress and fatigue GREEN Time management and continuity of care GREEN Good clinical care Eliciting a history GREEN Examination GREEN Diagnosis and clinical decision-making GREEN Safe prescribing GREEN Medical record keeping and GREEN correspondence Safe use of medical devices AMBER Recognition and Promptly assesses the acutely ill or AMBER management of the collapsed patient acutely ill patient Identifies and responds to acutely abnormal AMBER physiology Where appropriate, delivers a fluid AMBER challenge safely to an acutely ill patient Reassesses ill patients appropriately after GREEN starting treatment Undertakes a further patient review to GREEN establish a differential diagnosis Obtains an arterial blood gas sample RED safely, interprets results correctly Manages patients with impaired GREEN consciousness, including convulsions Uses common analgesic drugs safely and GREEN effectively Understands and applies the principles of GREEN managing a patient with acute mental disorder including self harm Ensures safe continuing care of patients on GREEN handover between shifts, on call staff or with ‘hospital at night‘ team by meticulous attention to detail and reflection on performance Resuscitation Resuscitation AMBER Discusses Do Not Attempt Resuscitation GREEN (DNAR) orders/advance directives appropriately Discharge and Discharge planning GREEN planning for chronic disease management Planning for chronic disease management GREEN Relationship with Within a consultation GREEN patients and communication skills Breaking bad news GREEN Patient safety within Treats the patient as the centre of care GREEN clinical governance Makes patient safety a priority in own GREEN clinical practice Promotes patient safety through good GREEN team-working Understands the principles of quality and GREEN safety improvement Complaints AMBER Infection control Infection control AMBER Nutritional care Nutritional care GREEN Health promotion, Educating patients GREEN patient education and Environmental, biological and lifestyle risk GREEN public health factors Smoking AMBER Alcohol GREEN Epidemiology and screening AMBER Ethical and legal Medical ethical principles and GREEN issues confidentiality Valid consent GREEN Legal framework of medical practice GREEN Relevance of outside bodies GREEN Maintaining good Lifelong learning GREEN medical practice Research, evidence, guidelines and care GREEN protocols Audit AMBER Teaching and Training Teaching and training AMBER Working with Communication with colleagues and GREEN colleagues teamwork for patient safety Interface with different specialties and with GREEN other professionals Other (non curricula)

Severn Foundation School Individual Placement Description North Bristol NHS Trust

Placement F2 Diabetes & Endocrinology/General Medicine The department The Department of Diabetes and endocrinology is within the Directorate of Medicine. Staff includes 4 consultants, including a Professor of Diabetic medicine, 2 specialty registrars, one lecturer/ registrar, core medical trainees, diabetes specialist nurses, podiatrists and dietitians. All aspects of inpatient and outpatient diabetes and endocrinology are dealt with. The department is currently based across 2 hospital sites (Southmead and Frenchay hospitals) with a single specialty inpatient ward at Frenchay. The type of work to expect and Foundation doctors are ward based and deliver learning opportunities daily medical care to all patients under their care, unless on emergency medical take. The main workload, as with all medical specialties, is acute general medicine. This is enriched with patients with diabetes and endocrine disorders because of the specialty bed base.

The overall educational objectives of the F1 year are to provide the trainee with the knowledge, skills and attitudes to be able to Take a history and examine a patient Identify and synthesise problems Prescribe safely Keep an accurate and relevant medical record Manage time and clinical priorities effectively Communicate effectively with patients, relatives and colleagues Use evidence, guidelines and audit to benefit patient care Act in a professional manner at all times Cope with ethical and legal issues which occur during the management of patients with general medical problems Educate patients effectively Become life-long learners and teachers.

There are huge learning opportunities in managing diabetes in hospital inpatients, common endocrine problems and general medicine. Where the placement is based Ward 30, Frenchay Hospital, Bristol. Clinical Supervisor(s) for the Professor Polly Bingley, Dr Vernon Parfitt, Dr placement Andrew Johnson.

These 3 consultants cover the wards for blocks of 8 weeks on rotation and the covering consultant will be the Clinical Supervisor at that time. Main duties of the placement To provide the daily ward care to the teams patients on ward 30 (typically 12) and occasional outlying patients.

To attend and present patients at consultant and registrar ward rounds, carry out instructions, maintain the patients’ medical records, generate discharge summaries, liase with patients and relatives, make referrals as requested, attend the weekly Multi-Disciplinary Team meeting.

When on emergency take to clerk and sort investigations for emergency admissions. Typical working pattern in this Monday: am: consultant ward round placement Lunchtime: Medical grand round. Pm: ward work. Tuesday: Am: ward work or registrar round. Pm: Multi-Disciplinary Team meeting/ ward work. Wednesday: am: ward work. Pm: registrar round or ward work. Thursday: am: consultant ward round or ward work Pm: ward work. Friday: am: Consultant ward round or ward work. Pm: ward work. On Call requirements: Employer information North Bristol NHS Trust employs approximately 9,000 staff and is one of the largest NHS Trusts in the Country. We are based on two sites, Frenchay Hospital has specialist services such are Neurosciences and Plastics whereas Southmead Hospital has other specialist services such as Renal, Urology and Maternity. The Trust is in the bringing all of its services together in a state of the art new hospital which is currently being built on the Southmead site and will open in 2014. In addition the Trust is applying for Foundation Status in November 2011.

It is important to note that this description is a typical example of your placement and may be subject to change.

Severn Foundation School Foundation Placement Competence Matrix North Bristol NHS Trust

PLACEMENT: Diabetes & Endocrinology/General Medicine (F2)

The following table gives an indication to what extent the following competence areas of the Foundation Programme Curriculum (2010)** can be met in this post.

KEY RED: Not at all AMBER: To some extent/limited opportunities (please note that this may be a positive or negative recording e.g. positive in that you may be able to experience this outcome) GREEN: To a great extent/ample opportunities

** The FP Curriculum 2010 is due to be revised for 2012/13 – this may impact the list of outcomes given below.

Curriculum competences (and any additional competences such as audit etc) expected to be achieved:

Section Outcome Expect to achieve in placement Professionalism Behaviour in the workplace GREEN Health and handling stress and fatigue GREEN Time management and continuity of care GREEN Good clinical care Eliciting a history GREEN Examination GREEN Diagnosis and clinical decision-making GREEN Safe prescribing GREEN Medical record keeping and GREEN correspondence Safe use of medical devices GREEN Recognition and Promptly assesses the acutely ill or GREEN management of the collapsed patient acutely ill patient Identifies and responds to acutely abnormal GREEN physiology Where appropriate, delivers a fluid GREEN challenge safely to an acutely ill patient Reassesses ill patients appropriately after GREEN starting treatment Undertakes a further patient review to GREEN establish a differential diagnosis Obtains an arterial blood gas sample GREEN safely, interprets results correctly Manages patients with impaired GREEN consciousness, including convulsions Uses common analgesic drugs safely and GREEN effectively Understands and applies the principles of AMBER managing a patient with acute mental disorder including self harm Ensures safe continuing care of patients on GREEN handover between shifts, on call staff or with ‘hospital at night‘ team by meticulous attention to detail and reflection on performance Resuscitation Resuscitation GREEN Discusses Do Not Attempt Resuscitation GREEN (DNAR) orders/advance directives appropriately Discharge and Discharge planning GREEN planning for chronic disease management Planning for chronic disease management GREEN Relationship with Within a consultation GREEN patients and communication skills Breaking bad news GREEN Patient safety within Treats the patient as the centre of care GREEN clinical governance Makes patient safety a priority in own GREEN clinical practice Promotes patient safety through good GREEN team-working Understands the principles of quality and GREEN safety improvement Complaints Infection control Infection control GREEN Nutritional care Nutritional care GREEN Health promotion, Educating patients patient education and Environmental, biological and lifestyle risk AMBER public health factors Smoking GREEN Alcohol GREEN Epidemiology and screening Ethical and legal Medical ethical principles and GREEN issues confidentiality Valid consent GREEN Legal framework of medical practice GREEN Relevance of outside bodies GREEN Maintaining good Lifelong learning GREEN medical practice Research, evidence, guidelines and care GREEN protocols Audit AMBER Teaching and Training Teaching and training AMBER Working with Communication with colleagues and GREEN colleagues teamwork for patient safety Interface with different specialties and with GREEN other professionals Other (non curricula)

Severn Foundation School Individual Placement Description North Bristol NHS Trust

Placement F2 Cardiology The department The department of cardiology consists of ward 2/CCU at Southmead Hospital and ward 103 at Frenchay Hospital. There are 3 Consultant Cardiologists working at each site. There is a catheter laboratory at Frenchay hospital where diagnostic angiography, angioplasty and pacing procedures are carried out. The ED department and acute medical admissions unit are located at Frenchay hospital. Direct admissions are accepted between working hours onto ward 2. Both sites have a cardiac investigations unit for non invasive tests such as echocardiography, ECG monitoring and exercise stress testing. The type of work to expect and All Foundation Doctors in hospital posts will learning opportunities generally be ward based during the ‘normal’ working day and expected to deliver the daily medical care of all the patients on their ward irrespective of specialty. Whilst on call in the acute admissions unit, the F2 will be involved with the ongoing care of the patients in the unit.

The overall educational objectives of the F2 year are to provide the trainee with the knowledge, skills and attitudes to be able to

Take a history and examine a patient Formulate a differential diagnosis Prescribe safely Keep an accurate and relevant medical record Manage time and clinical priorities effectively Communicate effectively with patients, relatives and colleagues Use evidence, guidelines and audit to benefit patient care Act in a professional manner at all times Cope with ethical and legal issues which occur during the management of patients with general medical problems Educate patients effectively Become life-long learners and teachers. Where the placement is based Wards 2 at Southmead Hospital and Ward 103 at Frenchay Hospital Clinical Supervisor(s) for the Dr Shahid Aziz, Dr Andrew Skyrme Jones, Dr placement Paul Walker, Dr Phil Boreham, Dr Ben Farrow and Dr Mark Papouchado. Main duties of the placement The F2 doctor is responsible with other staff for the ward care of patients and the maintenance of the patient’s medical record. They are expected to attend the structured teaching programmes provided by the department and grand rounds. Typical working pattern in this Mainly ward based from 9am-5pm apart from on placement call duties. Employer information North Bristol NHS Trust employs approximately 9,000 staff and is one of the largest NHS Trusts in the Country. We are based on two sites, Frenchay Hospital has specialist services such are Neurosciences and Plastics whereas Southmead Hospital has other specialist services such as Renal, Urology and Maternity. The Trust is in the bringing all of its services together in a state of the art new hospital which is currently being built on the Southmead site and will open in 2014. In addition the Trust is applying for Foundation Status in November 2011.

It is important to note that this description is a typical example of your placement and may be subject to change.

Severn Foundation School Foundation Placement Competence Matrix North Bristol NHS Trust

PLACEMENT: Cardiology (F2)

The following table gives an indication to what extent the following competence areas of the Foundation Programme Curriculum (2010)** can be met in this post.

KEY RED: Not at all AMBER: To some extent/limited opportunities (please note that this may be a positive or negative recording e.g. positive in that you may be able to experience this outcome) GREEN: To a great extent/ample opportunities

** The FP Curriculum 2010 is due to be revised for 2012/13 – this may impact the list of outcomes given below.

Curriculum competences (and any additional competences such as audit etc) expected to be achieved:

Section Outcome Expect to achieve in placement Professionalism Behaviour in the workplace GREEN Health and handling stress and fatigue GREEN Time management and continuity of care GREEN Good clinical care Eliciting a history GREEN Examination GREEN Diagnosis and clinical decision-making GREEN Safe prescribing GREEN Medical record keeping and GREEN correspondence Safe use of medical devices AMBER Recognition and Promptly assesses the acutely ill or GREEN management of the collapsed patient acutely ill patient Identifies and responds to acutely abnormal GREEN physiology Where appropriate, delivers a fluid GREEN challenge safely to an acutely ill patient Reassesses ill patients appropriately after GREEN starting treatment Undertakes a further patient review to GREEN establish a differential diagnosis Obtains an arterial blood gas sample GREEN safely, interprets results correctly Manages patients with impaired AMBER consciousness, including convulsions Uses common analgesic drugs safely and GREEN effectively Understands and applies the principles of RED managing a patient with acute mental disorder including self harm Ensures safe continuing care of patients on GREEN handover between shifts, on call staff or with ‘hospital at night‘ team by meticulous attention to detail and reflection on performance Resuscitation Resuscitation GREEN Discusses Do Not Attempt Resuscitation GREEN (DNAR) orders/advance directives appropriately Discharge and Discharge planning GREEN planning for chronic disease management Planning for chronic disease management GREEN Relationship with Within a consultation GREEN patients and communication skills Breaking bad news GREEN Patient safety within Treats the patient as the centre of care GREEN clinical governance Makes patient safety a priority in own GREEN clinical practice Promotes patient safety through good GREEN team-working Understands the principles of quality and GREEN safety improvement Complaints AMBER Infection control Infection control GREEN Nutritional care Nutritional care GREEN Health promotion, Educating patients GREEN patient education and Environmental, biological and lifestyle risk GREEN public health factors Smoking GREEN Alcohol GREEN Epidemiology and screening AMBER Ethical and legal Medical ethical principles and GREEN issues confidentiality Valid consent GREEN Legal framework of medical practice GREEN Relevance of outside bodies GREEN Maintaining good Lifelong learning GREEN medical practice Research, evidence, guidelines and care GREEN protocols Audit GREEN Teaching and Training Teaching and training AMBER Working with Communication with colleagues and GREEN colleagues teamwork for patient safety Interface with different specialties and with GREEN other professionals Other (non curricula)

Severn Foundation School Individual Placement Description North Bristol NHS Trust

Placement F2 Academic Foundation Programme in Paediatrics The clinical department Paediatric Wards The type of work to expect and The post will provide the opportunity to learning opportunities undertake a research project supervised by one of the principal investigators in the School. This may be undertaken across a wide range of disciplines ranging from human / patient studies to basic cellular investigation and can be tailored to suit the research/career aspirations of the F2.

You will work as part of a team with other professionals/scientists, often working on a component of a larger programme of investigation.

There is a weekly taught research methods course (on Tuesdays). You will also have the opportunity to gain teaching experience through the delivery of tutorial sessions to undergraduate medical students.

One clinical day per week will be spent on the wards at UH Bristol where you will be able to maintain and develop your clinical skills and achieve competencies. Where the placement is based Clinical Paediatrics, Bristol Royal Hospital for Children, UH Bristol NHS Foundation Trust.

Academic Paediatrics. Institute of Child life and Health. University of Bristol Educational Supervisor for the Your Educational Supervisor will be an placement accredited Education Supervisor. It is your responsibility to ensure that you have a beginning, midway and end of placement meeting with your allocated Educational Supervisor to set learning objectives and monitor and assess your progress. Clinical Supervisor(s) for the Each F2 will be in an approved teaching placement placement, where your supervisor will be a Clinical Supervisor. Academic Supervisor Each F2 will be supervised by an academic for the placement foundation supervisor, who is approved in academic education and who has a University position. Main clinical duties of the Your duties will include: placement - Ward work - Discharges - Phlebotomy

The main clinical area is ward based.

Your primary contact (daytime) will be the registrar on duty. - seeing patients on wards and outpatients - responding to health problems presented by patients, including history-taking, investigation, diagnosis, and management - practicing preventative medicine - promoting health education - working closely with other health professionals - helping with repeat prescriptions and other administrative aspects of day-to-day patient care - helping the Trust meet targets - managing resources as effectively as possible - maintaining confidentiality and impartiality - using basic IT skills and using the Trust’s clinical IT system - attending the department’s clinical meetings Academic duties Your duties will include:

- Planning and literature review for project + ethical submission where required - Undertake experimental protocols and analyze data - Develop statistical / analysis / IT and presentation skills - Write/present abstracts/communications attend meetings - Contribute to draft paper / grant proposal - Clinical work on day back in hospital.

Your primary contact will be your project supervisor.

These activities will allow the F2 to achieve the competencies set out for AFP trainees by the UKFPO Typical working pattern in this A Saturday & Sunday 3 times in the 4 month placement rotation and 9 weekday evenings (Monday – Thursday) i.e. 5pm – 10pm in paediatrics for example. The weekend is classed as 2 long days only. Employer information North Bristol NHS Trust employs approximately 9,000 staff and is one of the largest NHS Trusts in the Country. We are based on two sites, Frenchay Hospital has specialist services such are Neurosciences and Plastics whereas Southmead Hospital has other specialist services such as Renal, Urology and Maternity. The Trust is in the bringing all of its services together in a state of the art new hospital which is currently being built on the Southmead site and will open in 2014. In addition the Trust is applying for Foundation Status in November 2011.

It is important to note that this description is a typical example of your placement and is subject to change.

Severn Foundation School Foundation Placement Competence Matrix North Bristol NHS Trust

PLACEMENT: Paediatric Academic Medicine (F2)

The following table gives an indication to what extent the following competence areas of the Foundation Programme Curriculum (2010)** can be met in this post.

KEY RED: Not at all AMBER: To some extent/limited opportunities (please note that this may be a positive or negative recording e.g. positive in that you may be able to experience this outcome) GREEN: To a great extent/ample opportunities

** The FP Curriculum 2010 is due to be revised for 2012/13 – this may impact the list of outcomes given below.

Curriculum competences (and any additional competences such as audit etc) expected to be achieved:

Section Outcome Expect to achieve in placement Professionalism Behaviour in the workplace GREEN Health and handling stress and fatigue GREEN Time management and continuity of care GREEN Good clinical care Eliciting a history GREEN Examination GREEN Diagnosis and clinical decision-making GREEN Safe prescribing GREEN Medical record keeping and GREEN correspondence Safe use of medical devices GREEN Recognition and Promptly assesses the acutely ill or GREEN management of the collapsed patient acutely ill patient Identifies and responds to acutely abnormal GREEN physiology Where appropriate, delivers a fluid GREEN challenge safely to an acutely ill patient Reassesses ill patients appropriately after GREEN starting treatment Undertakes a further patient review to GREEN establish a differential diagnosis Obtains an arterial blood gas sample GREEN safely, interprets results correctly Manages patients with impaired GREEN consciousness, including convulsions Uses common analgesic drugs safely and GREEN effectively Understands and applies the principles of RED managing a patient with acute mental disorder including self harm Ensures safe continuing care of patients on GREEN handover between shifts, on call staff or with ‘hospital at night‘ team by meticulous attention to detail and reflection on performance Resuscitation Resuscitation GREEN Discusses Do Not Attempt Resuscitation GREEN (DNAR) orders/advance directives appropriately Discharge and Discharge planning GREEN planning for chronic disease management Planning for chronic disease management GREEN Relationship with Within a consultation GREEN patients and communication skills Breaking bad news GREEN Patient safety within Treats the patient as the centre of care GREEN clinical governance Makes patient safety a priority in own GREEN clinical practice Promotes patient safety through good GREEN team-working Understands the principles of quality and GREEN safety improvement Complaints GREEN Infection control Infection control GREEN Nutritional care Nutritional care GREEN Health promotion, Educating patients GREEN patient education and Environmental, biological and lifestyle risk RED public health factors Smoking RED Alcohol RED Epidemiology and screening AMBER Ethical and legal Medical ethical principles and GREEN issues confidentiality Valid consent GREEN Legal framework of medical practice GREEN Relevance of outside bodies GREEN Maintaining good Lifelong learning GREEN medical practice Research, evidence, guidelines and care GREEN protocols Audit GREEN Teaching and Training Teaching and training GREEN Working with Communication with colleagues and GREEN colleagues teamwork for patient safety Interface with different specialties and with GREEN other professionals Other (non curricula)

Severn Foundation School Individual Placement Description North Bristol NHS Trust

Placement F2 Palliative Medicine The department 8-bed NHS Inpatient Unit for specialist Palliative Care. Taking patients for symptom control problems and end of life care.

One consultant and a specialist registrar who are on the ward each day but also covering the Hospital advisory team The type of work to expect and Ward-based work, covering the daily review of learning opportunities all patients, clerking in of emergency admissions, reassessment of patients transferred from other wards, full involvement in discharge planning, maintenance of medical records and drug charts, writing discharge letters, meeting with families as appropriate, liaison with community services and other specialties within North Bristol NHS Trust

Take a history and examine patient Arrange appropriate investigations with an understanding of the benefits and burdens of each of these Make a management plan for patient Prescribe safely including safe prescribing of opioid drugs and end of life care drugs Gain experience of dealing with difficult pain and symptom problems Keep accurate medical records Communicate effectively within the team and to colleague Develop good communication skills with the patients and families, especially around breaking bad news and end of life decision making Reflect and learn on the ethical and legal issues that arise Opportunity to teach nursing staff and medical students Where the placement is based Macmillan Unit, Frenchay Hospital, Bristol Clinical Supervisor(s) for the Dr Rebecca Tunstall placement Main duties of the placement Included in other text Typical working pattern in this 9-5 ward work as above, 2 weeks out of 3 they placement work one day on the acute assessment unit

Monday am ward round with consultant/ registrar, ward work Lunchtime medical grand round pm ward work Tuesday am work round with consultant/ registrar, pm ward work Wednesday multidisciplinary team meeting, opportunity for medical student teaching pm 2 weeks out of 3 AAU Thursday am ward round with consultant/ registrar pm ward work Friday am ward round with consultant/ registrar pm consultant ward round On-call for the acute medical take, 1b banding Employer information North Bristol NHS Trust employs approximately 9,000 staff and is one of the largest NHS Trusts in the Country. We are based on two sites, Frenchay Hospital has specialist services such are Neurosciences and Plastics whereas Southmead Hospital has other specialist services such as Renal, Urology and Maternity. The Trust is in the bringing all of its services together in a state of the art new hospital which is currently being built on the Southmead site and will open in 2014. In addition the Trust is applying for Foundation Status in November 2011.

It is important to note that this description is a typical example of your placement and may be subject to change.

Severn Foundation School Foundation Placement Competence Matrix North Bristol NHS Trust

PLACEMENT: Palliative Medicine, Macmillan Unit (F2)

The following table gives an indication to what extent the following competence areas of the Foundation Programme Curriculum (2010)** can be met in this post.

KEY RED: Not at all AMBER: To some extent/limited opportunities (please note that this may be a positive or negative recording e.g. positive in that you may be able to experience this outcome) GREEN: To a great extent/ample opportunities

** The FP Curriculum 2010 is due to be revised for 2012/13 – this may impact the list of outcomes given below.

Curriculum competences (and any additional competences such as audit etc) expected to be achieved:

Section Outcome Expect to achieve in placement Professionalism Behaviour in the workplace GREEN Health and handling stress and fatigue AMBER Time management and continuity of care GREEN Good clinical care Eliciting a history GREEN Examination GREEN Diagnosis and clinical decision-making GREEN Safe prescribing GREEN Medical record keeping and GREEN correspondence Safe use of medical devices AMBER Recognition and Promptly assesses the acutely ill or AMBER management of the collapsed patient acutely ill patient Identifies and responds to acutely abnormal AMBER physiology Where appropriate, delivers a fluid AMBER challenge safely to an acutely ill patient Reassesses ill patients appropriately after GREEN starting treatment Undertakes a further patient review to GREEN establish a differential diagnosis Obtains an arterial blood gas sample AMBER safely, interprets results correctly Manages patients with impaired AMBER consciousness, including convulsions Uses common analgesic drugs safely and GREEN effectively Understands and applies the principles of AMBER managing a patient with acute mental disorder including self harm Ensures safe continuing care of patients on GREEN handover between shifts, on call staff or with ‘hospital at night‘ team by meticulous attention to detail and reflection on performance Resuscitation Resuscitation AMBER Discusses Do Not Attempt Resuscitation GREEN (DNAR) orders/advance directives appropriately Discharge and Discharge planning GREEN planning for chronic disease management Planning for chronic disease management RED Relationship with Within a consultation GREEN patients and communication skills Breaking bad news GREEN Patient safety within Treats the patient as the centre of care GREEN clinical governance Makes patient safety a priority in own GREEN clinical practice Promotes patient safety through good GREEN team-working Understands the principles of quality and GREEN safety improvement Complaints AMBER Infection control Infection control GREEN Nutritional care Nutritional care GREEN Health promotion, Educating patients AMBER patient education and Environmental, biological and lifestyle risk RED public health factors Smoking RED Alcohol RED Epidemiology and screening AMBER Ethical and legal Medical ethical principles and GREEN issues confidentiality Valid consent GREEN Legal framework of medical practice GREEN Relevance of outside bodies GREEN Maintaining good Lifelong learning GREEN medical practice Research, evidence, guidelines and care GREEN protocols Audit GREEN Teaching and Training Teaching and training GREEN Working with Communication with colleagues and GREEN colleagues teamwork for patient safety Interface with different specialties and with GREEN other professionals Other (non curricula)

Severn Foundation School Individual Placement Description North Bristol NHS Trust

Placement F2 Academic Foundation Programme in General Practice/Primary Care The department Academic Unit of Primary Health Care, School of The type of work to expect and The post will provide the opportunity to learning opportunities undertake a research project supervised by one of the senior academic GPs in the unit. This may be undertaken across a wide range of topics but will usually match with one of the major research themes of the unit and can be tailored to suit the research/career aspirations of the F2.

You will work as part of a team with other clinical academics and methodologists often working on a component of a larger programme of investigation. You may also have the opportunity to gain teaching experience through the delivery of sessions to undergraduate medical students.

There is a weekly taught research methods course (on Tuesdays) for all AF2s. One clinical day per week will be spent on the wards at UH Bristol where you will be able to maintain and develop your clinical skills and achieve competencies. Where the placement is based Academic Unit of Primary Health Care School of Social and Community Medicine. University of Bristol. Educational Supervisor for the Your Educational Supervisor will be an placement accredited Education Supervisor. It is your responsibility to ensure that you have a beginning, midway and end of placement meeting with your allocated Educational Supervisor to set learning objectives and monitor and assess your progress. Clinical Supervisor(s) for the Each F2 will be in an approved teaching placement placement, where your supervisor will be an accredited Clinical Supervisor who may also be your project supervisor. Main duties of the placement Your duties will include:

- Planning and literature review for project and ethical submission where required - Undertake research according to protocol and analyse data - Develop statistical / analysis / IT and presentation skills - Write/present abstracts/communications attend meetings - Contribute to draft paper / grant proposal - Clinical work on day back in hospital.

Your primary contact will be your project supervisor.

These activities will allow the F2 to achieve the competencies set out for AFP trainees by the UKFPO Typical working pattern in this 4 full academic days (including taught placement programme) 1 day/week clinical placement including some night/weekend shifts Employer information North Bristol NHS Trust employs approximately 9,000 staff and is one of the largest NHS Trusts in the Country. We are based on two sites, Frenchay Hospital has specialist services such are Neurosciences and Plastics whereas Southmead Hospital has other specialist services such as Renal, Urology and Maternity. The Trust is in the bringing all of its services together in a state of the art new hospital which is currently being built on the Southmead site and will open in 2014. In addition the Trust is applying for Foundation Status in November 2011.

It is important to note that this description is a typical example of your placement and is subject to change.

Severn Foundation School Foundation Placement Competence Matrix North Bristol NHS Trust

PLACEMENT: Academic General Practice/Primary Care (F2)

The following table gives an indication to what extent the following competence areas of the Foundation Programme Curriculum (2010)** can be met in this post.

KEY RED: Not at all AMBER: To some extent/limited opportunities (please note that this may be a positive or negative recording e.g. positive in that you may be able to experience this outcome) GREEN: To a great extent/ample opportunities

** The FP Curriculum 2010 is due to be revised for 2012/13 – this may impact the list of outcomes given below.

Curriculum competences (and any additional competences such as audit etc) expected to be achieved:

Section Outcome Expect to achieve in placement Professionalism Behaviour in the workplace GREEN Health and handling stress and fatigue GREEN Time management and continuity of care GREEN Good clinical care Eliciting a history AMBER Examination AMBER Diagnosis and clinical decision-making AMBER Safe prescribing AMBER Medical record keeping and AMBER correspondence Safe use of medical devices AMBER Recognition and Promptly assesses the acutely ill or AMBER management of the collapsed patient acutely ill patient Identifies and responds to acutely abnormal AMBER physiology Where appropriate, delivers a fluid AMBER challenge safely to an acutely ill patient Reassesses ill patients appropriately after AMBER starting treatment Undertakes a further patient review to AMBER establish a differential diagnosis Obtains an arterial blood gas sample AMBER safely, interprets results correctly Manages patients with impaired AMBER consciousness, including convulsions Uses common analgesic drugs safely and AMBER effectively Understands and applies the principles of AMBER managing a patient with acute mental disorder including self harm Ensures safe continuing care of patients on AMBER handover between shifts, on call staff or with ‘hospital at night‘ team by meticulous attention to detail and reflection on performance Resuscitation Resuscitation AMBER Discusses Do Not Attempt Resuscitation AMBER (DNAR) orders/advance directives appropriately Discharge and Discharge planning AMBER planning for chronic disease management Planning for chronic disease management AMBER Relationship with Within a consultation AMBER patients and communication skills Breaking bad news AMBER Patient safety within Treats the patient as the centre of care AMBER clinical governance Makes patient safety a priority in own AMBER clinical practice Promotes patient safety through good AMBER team-working Understands the principles of quality and GREEN safety improvement Complaints AMBER Infection control Infection control AMBER Nutritional care Nutritional care AMBER Health promotion, Educating patients AMBER patient education and Environmental, biological and lifestyle risk AMBER public health factors Smoking AMBER Alcohol AMBER Epidemiology and screening AMBER Ethical and legal Medical ethical principles and GREEN issues confidentiality Valid consent GREEN Legal framework of medical practice GREEN Relevance of outside bodies GREEN Maintaining good Lifelong learning GREEN medical practice Research, evidence, guidelines and care GREEN protocols Audit GREEN Teaching and Training Teaching and training GREEN Working with Communication with colleagues and GREEN colleagues teamwork for patient safety Interface with different specialties and with GREEN other professionals Other (non curricula) Experience of research methods and GREEN practice

Severn Foundation School Individual Placement Description North Bristol NHS Trust

Placement F2 Academic Foundation Programme in Psychiatry – Research Placement The department School of Social and Community Medicine, University of Bristol The type of work to expect and There are two options: 1) participating in a learning opportunities research project under the supervision of a Senior staff, or 2) undertaking your own research under the supervision of a senior member of staff prior approval of the educational supervisor.

Most of the work will be based in an office or if collecting data in the research site.

There will be opportunities to learn basic research methods including data analysis Where the placement is based The placement is based in Oakfield House, Oakfield Grove, Bristol BS8 2BN. If the person chooses to do fieldwork the placement will be based wherever the research site is located. Clinical Supervisor(s) for the This is a research post so there are no clinical placement supervisors. Nonetheless officially designated clinical supervisors remain in place for clinical duties undertaken in parallel with this post. Educational Supervisor for the Your Educational Supervisor will be an placement accredited Education Supervisor. It is your responsibility to ensure that you have a beginning, midway and end of placement meeting with your allocated Educational Supervisor to set learning objectives and monitor and assess your progress. Academic Supervisor Each F2 will be supervised by an academic for the placement foundation supervisor, who is approved in academic education and who has a University position.

The Academic Supervisor is Professor R Araya who will help to identify a research supervisor Main duties of the placement - Planning and undertaking a critical appraisal of the literature for project and ethical submission if required - Learn how to use statistical software (Stata) and write analysis programs - Develop and undertake statistical analysis presentation skills - Write/present abstracts/communications attend meetings - Lead on writing a paper for publication - Clinical work on day back in hospital.

Your primary contact will be your project supervisor.

These activities will allow the F2 to achieve the competencies set out for AFP trainees by the UKFPO Typical working pattern in this 4 full academic days (including taught placement programme) 1 day/week clinical placement including some night/weekend shifts Employer information North Bristol NHS Trust employs approximately 9,000 staff and is one of the largest NHS Trusts in the Country. We are based on two sites, Frenchay Hospital has specialist services such are Neurosciences and Plastics whereas Southmead Hospital has other specialist services such as Renal, Urology and Maternity. The Trust is in the bringing all of its services together in a state of the art new hospital which is currently being built on the Southmead site and will open in 2014. In addition the Trust is applying for Foundation Status in November 2011.

It is important to note that this description is a typical example of your placement and is subject to change.

Severn Foundation School Foundation Placement Competence Matrix North Bristol NHS Trust

PLACEMENT: Academic Psychiatry (F2)

The following table gives an indication to what extent the following competence areas of the Foundation Programme Curriculum (2010)** can be met in this post.

KEY RED: Not at all AMBER: To some extent/limited opportunities (please note that this may be a positive or negative recording e.g. positive in that you may be able to experience this outcome) GREEN: To a great extent/ample opportunities

** The FP Curriculum 2010 is due to be revised for 2012/13 – this may impact the list of outcomes given below.

Curriculum competences (and any additional competences such as audit etc) expected to be achieved:

Section Outcome Expect to achieve in placement Professionalism Behaviour in the workplace GREEN Health and handling stress and fatigue GREEN Time management and continuity of care AMBER Good clinical care Eliciting a history RED Examination RED Diagnosis and clinical decision-making RED Safe prescribing RED Medical record keeping and RED correspondence Safe use of medical devices RED Recognition and Promptly assesses the acutely ill or RED management of the collapsed patient acutely ill patient Identifies and responds to acutely abnormal RED physiology Where appropriate, delivers a fluid RED challenge safely to an acutely ill patient Reassesses ill patients appropriately after RED starting treatment Undertakes a further patient review to RED establish a differential diagnosis Obtains an arterial blood gas sample RED safely, interprets results correctly Manages patients with impaired RED consciousness, including convulsions Uses common analgesic drugs safely and RED effectively Understands and applies the principles of RED managing a patient with acute mental disorder including self harm Ensures safe continuing care of patients on RED handover between shifts, on call staff or with ‘hospital at night‘ team by meticulous attention to detail and reflection on performance Resuscitation Resuscitation RED Discusses Do Not Attempt Resuscitation RED (DNAR) orders/advance directives appropriately Discharge and Discharge planning RED planning for chronic disease management Planning for chronic disease management RED Relationship with Within a consultation RED patients and communication skills Breaking bad news RED Patient safety within Treats the patient as the centre of care RED clinical governance Makes patient safety a priority in own RED clinical practice Promotes patient safety through good RED team-working Understands the principles of quality and RED safety improvement Complaints RED Infection control Infection control RED Nutritional care Nutritional care RED Health promotion, Educating patients RED patient education and Environmental, biological and lifestyle risk RED public health factors Smoking RED Alcohol RED Epidemiology and screening GREEN Ethical and legal Medical ethical principles and GREEN issues confidentiality Valid consent GREEN Legal framework of medical practice RED Relevance of outside bodies RED Maintaining good Lifelong learning GREEN medical practice Research, evidence, guidelines and care GREEN protocols Audit AMBER Teaching and Training Teaching and training GREEN Working with Communication with colleagues and RED colleagues teamwork for patient safety Interface with different specialties and with GREEN other professionals Other (non curricula) Experience of research methods and GREEN practice

Severn Foundation School Individual Placement Description North Bristol NHS Trust

Placement F2 Academic Foundation Programme in Medical Physiology The department School of Physiology & Pharmacology The type of work to expect and The post will provide the opportunity to learning opportunities undertake a research project supervised by one of the principal investigators in the School. This may be undertaken across a wide range of disciplines ranging from human / patient studies to basic cellular investigation and can be tailored to suit the research/career aspirations of the F2.

You will work as part of a team with other professionals/scientists, often working on a component of a larger programme of investigation.

There is a weekly taught research methods course (on Tuesdays). You will also have the opportunity to gain teaching experience through the delivery of tutorial sessions to undergraduate medical students.

One clinical day per week will be spent on the wards at UH Bristol where you will be able to maintain and develop your clinical skills and achieve competencies. Where the placement is based School of Physiology & Pharmacology, University of Bristol and UH Bristol NHS Foundation Trust Educational Supervisor for the Your Educational Supervisor will be an placement accredited Education Supervisor. It is your responsibility to ensure that you have a beginning, midway and end of placement meeting with your allocated Educational Supervisor to set learning objectives and monitor and assess your progress. Clinical Supervisor(s) for the Each F2 will be in an approved teaching placement placement, where your supervisor will be an accredited Clinical Supervisor who may also be your project supervisor. Main duties of the placement Your duties will include:

- Planning and literature review for project + ethical submission where required - Undertake experimental protocols and analyze data - Develop statistical / analysis / IT and presentation skills - Write/present abstracts/communications attend meetings - Contribute to draft paper / grant proposal - Clinical work on day back in hospital.

Your primary contact will be your project supervisor.

These activities will allow the F2 to achieve the competencies set out for AFP trainees by the UKFPO Typical working pattern in this 4 full academic days (including taught placement programme) 1 day/week clinical placement including some night/weekend shifts Employer information North Bristol NHS Trust employs approximately 9,000 staff and is one of the largest NHS Trusts in the Country. We are based on two sites, Frenchay Hospital has specialist services such are Neurosciences and Plastics whereas Southmead Hospital has other specialist services such as Renal, Urology and Maternity. The Trust is in the bringing all of its services together in a state of the art new hospital which is currently being built on the Southmead site and will open in 2014. In addition the Trust is applying for Foundation Status in November 2011.

It is important to note that this description is a typical example of your placement and is subject to change.

Severn Foundation School Foundation Placement Competence Matrix North Bristol NHS Trust

PLACEMENT: Academic Medical Physiology (F2)

The following table gives an indication to what extent the following competence areas of the Foundation Programme Curriculum (2010)** can be met in this post.

KEY RED: Not at all AMBER: To some extent/limited opportunities (please note that this may be a positive or negative recording e.g. positive in that you may be able to experience this outcome) GREEN: To a great extent/ample opportunities

** The FP Curriculum 2010 is due to be revised for 2012/13 – this may impact the list of outcomes given below.

Curriculum competences (and any additional competences such as audit etc) expected to be achieved:

Section Outcome Expect to achieve in placement Professionalism Behaviour in the workplace GREEN Health and handling stress and fatigue GREEN Time management and continuity of care GREEN Good clinical care Eliciting a history AMBER Examination AMBER Diagnosis and clinical decision-making AMBER Safe prescribing AMBER Medical record keeping and AMBER correspondence Safe use of medical devices AMBER Recognition and Promptly assesses the acutely ill or AMBER management of the collapsed patient acutely ill patient Identifies and responds to acutely abnormal AMBER physiology Where appropriate, delivers a fluid AMBER challenge safely to an acutely ill patient Reassesses ill patients appropriately after AMBER starting treatment Undertakes a further patient review to AMBER establish a differential diagnosis Obtains an arterial blood gas sample AMBER safely, interprets results correctly Manages patients with impaired AMBER consciousness, including convulsions Uses common analgesic drugs safely and AMBER effectively Understands and applies the principles of AMBER managing a patient with acute mental disorder including self harm Ensures safe continuing care of patients on AMBER handover between shifts, on call staff or with ‘hospital at night‘ team by meticulous attention to detail and reflection on performance Resuscitation Resuscitation AMBER Discusses Do Not Attempt Resuscitation AMBER (DNAR) orders/advance directives appropriately Discharge and Discharge planning AMBER planning for chronic disease management Planning for chronic disease management AMBER Relationship with Within a consultation AMBER patients and communication skills Breaking bad news AMBER Patient safety within Treats the patient as the centre of care AMBER clinical governance Makes patient safety a priority in own AMBER clinical practice Promotes patient safety through good AMBER team-working Understands the principles of quality and GREEN safety improvement Complaints AMBER Infection control Infection control AMBER Nutritional care Nutritional care AMBER Health promotion, Educating patients AMBER patient education and Environmental, biological and lifestyle risk AMBER public health factors Smoking AMBER Alcohol AMBER Epidemiology and screening AMBER Ethical and legal Medical ethical principles and GREEN issues confidentiality Valid consent GREEN Legal framework of medical practice GREEN Relevance of outside bodies GREEN Maintaining good Lifelong learning GREEN medical practice Research, evidence, guidelines and care GREEN protocols Audit GREEN Teaching and Training Teaching and training GREEN Working with Communication with colleagues and GREEN colleagues teamwork for patient safety Interface with different specialties and with GREEN other professionals Other (non curricula) Experience of research methods and GREEN practice

Severn Foundation School Individual Placement Description North Bristol NHS Trust

Placement F2 Academic Foundation Programme in Public Health The department School of Social and Community Medicine The type of work to expect and The post will provide the opportunity to learning opportunities undertake a research project supervised by one of the academics in the School. This may be undertaken across a wide range of topics from genetic and life course epidemiology or health services and public health research tailored, to some degree, to suit the research/career aspirations of the F2.

There is a weekly taught research methods course (on Tuesdays). You will also have the opportunity to observe tutorial sessions to undergraduate medical students and sit in with editorial staff of the International Journal of Epidemiology to see how a journal operates. One clinical day per week will be spent on the wards at UH Bristol or NBT where you will be able to maintain and develop your clinical skills and achieve competencies. Where the placement is based School of Social and Community Medicine, University of Bristol and UH Bristol and NBT NHS Foundation Trusts Educational Supervisor for the Your Educational Supervisor will be an placement accredited Education Supervisor. It is your responsibility to ensure that you have a beginning, midway and end of placement meeting with your allocated Educational Supervisor to set learning objectives and monitor and assess your progress. Clinical Supervisor(s) for the Each F2 will be in an approved teaching placement placement, where your supervisor will be an accredited Clinical Supervisor who may also be your project supervisor. Main duties of the placement Your duties will include:

- Planning and undertaking a critical appraisal of the literature for project and ethical submission if required - Learn how to use statistical software (Stata) and write analysis programs - Develop and undertake statistical analysis presentation skills - Write/present abstracts/communications attend meetings - Lead on writing a paper for publication - Clinical work on day back in hospital.

Your primary contact will be your project supervisor.

These activities will allow the F2 to achieve the competencies set out for AFP trainees by the UKFPO Typical working pattern in this 4 full academic days (including taught placement programme) 1 day/week clinical placement including some night/weekend shifts Employer information North Bristol NHS Trust employs approximately 9,000 staff and is one of the largest NHS Trusts in the Country. We are based on two sites, Frenchay Hospital has specialist services such are Neurosciences and Plastics whereas Southmead Hospital has other specialist services such as Renal, Urology and Maternity. The Trust is in the bringing all of its services together in a state of the art new hospital which is currently being built on the Southmead site and will open in 2014. In addition the Trust is applying for Foundation Status in November 2011.

It is important to note that this description is a typical example of your placement and is subject to change.

Severn Foundation School Foundation Placement Competence Matrix North Bristol NHS Trust

PLACEMENT: Academic Public Health (F2)

The following table gives an indication to what extent the following competence areas of the Foundation Programme Curriculum (2010)** can be met in this post.

KEY RED: Not at all AMBER: To some extent/limited opportunities (please note that this may be a positive or negative recording e.g. positive in that you may be able to experience this outcome) GREEN: To a great extent/ample opportunities

** The FP Curriculum 2010 is due to be revised for 2012/13 – this may impact the list of outcomes given below.

Curriculum competences (and any additional competences such as audit etc) expected to be achieved:

Section Outcome Expect to achieve in placement Professionalism Behaviour in the workplace GREEN Health and handling stress and fatigue GREEN Time management and continuity of care AMBER Good clinical care Eliciting a history RED Examination RED Diagnosis and clinical decision-making RED Safe prescribing RED Medical record keeping and RED correspondence Safe use of medical devices RED Recognition and Promptly assesses the acutely ill or RED management of the collapsed patient acutely ill patient Identifies and responds to acutely abnormal RED physiology Where appropriate, delivers a fluid RED challenge safely to an acutely ill patient Reassesses ill patients appropriately after RED starting treatment Undertakes a further patient review to RED establish a differential diagnosis Obtains an arterial blood gas sample RED safely, interprets results correctly Manages patients with impaired RED consciousness, including convulsions Uses common analgesic drugs safely and RED effectively Understands and applies the principles of RED managing a patient with acute mental disorder including self harm Ensures safe continuing care of patients on RED handover between shifts, on call staff or with ‘hospital at night‘ team by meticulous attention to detail and reflection on performance Resuscitation Resuscitation RED Discusses Do Not Attempt Resuscitation RED (DNAR) orders/advance directives appropriately Discharge and Discharge planning RED planning for chronic disease management Planning for chronic disease management RED Relationship with Within a consultation RED patients and communication skills Breaking bad news RED Patient safety within Treats the patient as the centre of care RED clinical governance Makes patient safety a priority in own RED clinical practice Promotes patient safety through good RED team-working Understands the principles of quality and RED safety improvement Complaints RED Infection control Infection control RED Nutritional care Nutritional care RED Health promotion, Educating patients RED patient education and Environmental, biological and lifestyle risk RED public health factors Smoking RED Alcohol RED Epidemiology and screening GREEN Ethical and legal Medical ethical principles and GREEN issues confidentiality Valid consent GREEN Legal framework of medical practice RED Relevance of outside bodies RED Maintaining good Lifelong learning GREEN medical practice Research, evidence, guidelines and care GREEN protocols Audit AMBER Teaching and Training Teaching and training GREEN Working with Communication with colleagues and RED colleagues teamwork for patient safety Interface with different specialties and with GREEN other professionals Other (non curricula) Experience of research methods and GREEN practice