UH-Bristol-Placement-Desc3.Pdf

Severn Foundation School Individual Placement Description University Hospitals Bristol NHS Foundation Trust

Placement F1 General Surgery The department Surgery The type of work to expect and Consultants and their F1s provide a complete learning opportunities spectrum of care within the department. You will need to deal with problems that often combine physical and social components.

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

In your hospital attachment, you will build on your knowledge of general surgical 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. Where the placement is based Bristol Royal Infirmary (BRI), 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 F1 will be in an approved teaching placement placement, where your supervisor will be an accredited Clinical Supervisor. Main duties of the placement Your duties will include:

 Ward duties including Surgical and Trauma Assessment Unit (STAU) and pre-op assessments  Clerking patient (on-call)  Ward cover (on call)

The main clinical area are the surgical wards and STAU.

Your primary contact (daytime) will be the surgical SpR and out of hours will be the on-call surgical SpR.

 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 Typical working pattern in this 1 week of 4 full days (8am-9pm); 1 week of 5 placement days (12 – 9pm); 1 week of 4 nights; 1 week of 3 nights (including weekend); 1 week of 3 full days (8am – 9pm including weekend); 2 weeks of 5 days each week. Employer information Your employer will be University Hospitals Bristol NHS Foundation Trust.

It is important to note that this description is a typical example of your placement and is subject to change. Severn Foundation School Individual Placement Description University Hospitals Bristol NHS Foundation Trust

Placement F1 Respiratory Medicine The department Respiratory Medicine The type of work to expect and Consultants and their F1s provide a complete learning opportunities spectrum of care within the department. You will need to deal with problems that often combine physical and social components.

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

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

 Ward based duties  Managing in-patients  Clerking new patients (on-call)

The main clinical area is ward based and also covers MAU.

Your primary contact (daytime) will be the respiratory SpR and out of hours the on-call medical SpR.

 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 Typical working pattern in this 9 full weekday days (9am – 10pm) placement 4 full weekend days (9am – 10pm) 7 weekday nights (9.30pm – 9am) 2 weekend nights (9.30pm – 9am) Employer information Your employer will be University Hospitals Bristol NHS Foundation Trust.

Placement F1 Lower Gastro-Intestinal Surgery (Lower GI) The department Surgery The type of work to expect and Consultants and their F1s provide a complete learning opportunities spectrum of care within the department. You will need to deal with problems that often combine physical and social components.

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

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

The main clinical area are the surgical wards and STAU.

Your primary contact (daytime) will be the surgical SpR and out of hours will be the on-call surgical SpR.

Placement F1 Upper Gastro-Intestinal Surgery (Upper GI) The department Surgery The type of work to expect and Consultants and their F1s provide a complete learning opportunities spectrum of care within the department. You will need to deal with problems that often combine physical and social components.

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

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

 Ward duties including Surgical and Trauma Assessment Unit (STAU) and pre-op assessments  Clerking patient (on-call)  Ward cover (on call)

The main clinical area are the surgical wards and STAU.

Your primary contact (daytime) will be the surgical SpR and out of hours will be the on-call surgical SpR.  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 Typical working pattern in this 1 week of 4 full days (8am-9pm); 1 week of 5 placement days (12 – 9pm); 1 week of 4 nights; 1 week of 3 nights (including weekend); 1 week of 3 full days (8am – 9pm including weekend); 2 weeks of 5 days each week. Employer information Your employer will be University Hospitals Bristol NHS Foundation Trust.

Placement F1 Hepatology The department Hepatology The type of work to expect and Consultants and their F1s provide a complete learning opportunities spectrum of care within the department. You will need to deal with problems that often combine physical and social components.

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

In your hospital 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.

 Ward based duties  Managing in-patients  Clerking new patients (on-call)

The main clinical area is ward based and also covers MAU.

Your primary contact (daytime) will be the hepatology SpR and out of hours the medical SpR.

 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 Typical working pattern in this 9 full weekday days (9am – 10pm) placement 4 full weekend days (9am – 10pm) 7 weekday nights (9.30pm – 9am) 2 weekend nights (9.30pm – 9am) Employer information Your employer will be University Hospitals Bristol NHS Foundation Trust.

Placement F1 Medical Assessment Unit (MAU) / Acute Medicine The department MAU The type of work to expect and Consultants and their F1s provide a complete learning opportunities spectrum of care within the department. You will need to deal with problems that often combine physical and social components.

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

In your hospital 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.

 Ward based duties  Managing in-patients  Clerking new patients (on-call)

The main clinical area is MAU and also covers ward duties.

Your primary contact (daytime) will be the medical SpR and out of hours the on-call medical SpR.

 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 Typical working pattern in this 9 full weekday days (9am – 10pm) placement 4 full weekend days (9am – 10pm) 7 weekday nights (9.30pm – 9am) 2 weekend nights (9.30pm – 9am) Employer information Your employer will be University Hospitals Bristol NHS Foundation Trust.

Placement F1 Gastroenterology The department Gastroenterology The type of work to expect and Consultants and their F1s provide a complete learning opportunities spectrum of care within the department. You will need to deal with problems that often combine physical and social components.

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

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

 Ward based duties  Managing in-patients  Clerking new patients (on-call)

The main clinical area is the gastroenterology ward.

Your primary contact (daytime) will be the gastroenterology SpR and the medical SpR for out of hours.

 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 Typical working pattern in this 9 full weekday days (9am – 10pm) placement 4 full weekend days (9am – 10pm) 7 weekday nights (9.30pm – 9am) 2 weekend nights (9.30pm – 9am) Employer information Your employer will be University Hospitals Bristol NHS Foundation Trust.

Placement F1 Cardiology The department Cardiology The type of work to expect and Consultants and their F1s provide a complete learning opportunities spectrum of care within the department. You will need to deal with problems that often combine physical and social components.

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

In your hospital attachment, you will build on your knowledge of cardiology 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. Where the placement is based Bristol Heart Institute (BHI), 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 F1 will be in an approved teaching placement placement, where your supervisor will be an accredited Clinical Supervisor. Main duties of the placement Your duties will include:

 Ward rounds  Attend the cardiology round on the Medical Assessment Unit (MAU)  Join in with the F1 take rota

The main clinical area is Cardiology with out of hours in MAU and providing ward cover.

Your primary contact (daytime and out of hours) will be the cardiology SpR on call.

 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 Typical working pattern in this 9 full weekday days (9am – 10pm) placement 4 full weekend days (9am – 10pm) 7 weekday nights (9.30pm – 9am) 2 weekend nights (9.30pm – 9am) Employer information Your employer will be University Hospitals Bristol NHS Foundation Trust.

Placement F1 Care of the Elderly – Rehab Medicine The department Geriatric Medicine/Care of the Elderly – Rehab Medicine The type of work to expect and Consultants and their F1s provide a complete learning opportunities spectrum of care within the department. You will need to deal with problems that often combine physical and social components.

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

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

 Ward based duties  Managing in-patients  Clerking new patients (on-call)

The main clinical area is ward based and also covers MAU.

Your primary contact (daytime) will be the Elderly Care Medicine SpR or Rehabilitation SpR and out of hours the medical SpR.

 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 Typical working pattern in this 9 full weekday days (9am – 10pm) placement 4 full weekend days (9am – 10pm) 7 weekday nights (9.30pm – 9am) 2 weekend nights (9.30pm – 9am) Employer information Your employer will be University Hospitals Bristol NHS Foundation Trust.

Placement F1 High Dependency Unit (HDU) The department HDU/ITU/Theatres The type of work to expect and Out of a 20 week placement, you will spend 10 learning opportunities weeks on the High Dependancy Unit and 10 weeks covering the Surgical Acute Admissions (STAU). During the HDU 10 week placement, you will spend 2 mornings per week in Anaesthesia. Consultants and their F1s provide a complete spectrum of care within the department. You will need to deal with problems that often combine physical and social components. You will work in teams with other professions, helping patients to take responsibility for their own health.

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

The main clinical areas are HDU, ITU and Theatres Your primary contact will be the anaesthetic SpR (daytime) and the surgical SpR (out of hours).

 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 Typical working pattern in this 10 weeks no on call, 10 weeks on the surgical placement on call rota banded appropriately. Employer information Your employer will be University Hospitals Bristol NHS Foundation Trust.

Placement F1 Care of the Elderly & Elderly Admissions Unit The department Geriatric Medicine/Care of the Elderly The type of work to expect and Consultants and their F1s provide a complete learning opportunities spectrum of care within the department. You will need to deal with problems that often combine physical and social components.

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

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

 Ward based duties  Managing in-patients  Clerking new patients (on-call)

The main clinical area is ward based and also covers MAU.

Your primary contact (daytime) will be the Elderly Care Medicine SpR and out of hours the medical SpR.

 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 Typical working pattern in this 9 full weekday days (9am – 10pm) placement 4 full weekend days (9am – 10pm) 7 weekday nights (9.30pm – 9am) 2 weekend nights (9.30pm – 9am) Employer information Your employer will be University Hospitals Bristol NHS Foundation Trust.

Placement F1 Trauma & Orthopaedics (T&O) The department T&O Surgery The type of work to expect and Consultants and their F1s provide a complete learning opportunities spectrum of care within the department. You will need to deal with problems that often combine physical and social components. The F1 doctor works closely with the Orthogeriatric team in providing medical care to the Orthopaedic patients.

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

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

The main clinical area are the surgical wards and STAU.

Placement F1 Stroke Medicine The department Stroke Medicine The type of work to expect and Consultants and their F1s provide a complete learning opportunities spectrum of care within the department. You will need to deal with problems that often combine physical and social components.

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

In your hospital 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.

 Ward based duties  Managing in-patients  Clerking new patients (on-call)

The main clinical area is ward based and also covers MAU.

Your primary contact (daytime) will be the stroke medicine SpR and out of hours the on-call medical SpR.

 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 Typical working pattern in this 9 full weekday days (9am – 10pm) placement 4 full weekend days (9am – 10pm) 7 weekday nights (9.30pm – 9am) 2 weekend nights (9.30pm – 9am) Employer information Your employer will be University Hospitals Bristol NHS Foundation Trust.

Placement F1 Liaison Psychiatry The department Liaison Psychiatry Clinic 7 Bristol Royal Infirmary 9-5. The type of work to expect and The general day to day work involves learning opportunities assessment of referrals from the general medical and surgical wards, and assessments of patients following episodes of self harm, as well as those presenting to the emergency department. There are also out-patient clinics, and opportunities for the post holder to attend the consultant lead teaching outpatient clinic, whilst having outpatients of their own. There are weekly teaching sessions, ward rounds, and access to extensive library facilities both within the hospital and the nearby University Library site. The main areas of clinical work are:

A&E Assessments

Assessment of patients presenting to the emergency department with psychiatric problems, most commonly following overdose or other episodes of self-harm. This involves risk assessment, formulation of individual management plans, and liaison with appropriate community services.

General Medical and Surgical Referrals

Assessments are extremely varied and cover the full range of psychiatric problems from organic psychosis, to denial of illness.

Outpatient Assessments

Whilst others in the team have general outpatient commitments, including psychological therapies and self harm clinics the post holders’ main role will be in assessment of Hepatology patients with potential co-morbid psychiatric diagnoses, for optimization of management. The post holder will also learn from listening and contributing to cases the team have found challenging through team discussions, supervision from consultants and weekly meetings. The emphasis is on acute management including therapeutic communication, psychopharmacology, links with community teams, primary care, non-statutory and social services for aftercare.

The nature of the work means that co-ordination and multi-disciplinary resources are invaluable.

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  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 patients 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  Manage psychiatric emergencies on call spanning forensic, adult of working age and older adult specialties  Teach medical students formally and informally  Work in a multi-disciplinary setting with particular emphasis on the care planning approach  Gain experience of risk management and become confident in making decisions associated with risk in the psychiatric setting Where the placement is based Clinic 7, Bristol Royal Infirmary, 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 Your clinical supervisor for Liaison Psychiatry is placement Dr Locum (currently Nicola Taylor), Consultant in Psychological Medicine. Main duties of the placement Your duties will include:

 To assess and manage those current hospital inpatients and those presenting to the emergency department who are referred to the BRI Liaison Psychiatry team.  To attend the weekly ward round  To participate in the audit activities of the department.  To prepare appropriate discharge summaries.  Your primary contacts will be the clinic 7 Liaison Psychiatry medical and nursing team.  In addition to seeing patients on wards and outpatients (history-taking, investigation, diagnosis, and management), you will practice preventative medicine, promoting health education, and work closely with other health professionals.

You will help the Trust meet targets, manage resources as effectively as possible, maintain confidentiality and impartiality, use basic IT skills and use the Trust’s clinical IT system.

Assessment of Medically Ill Patients: Guidance for all Foundation trainees on psychiatry placement.

As a Foundation doctor, you may be called on to assess patients who are medically unfit either in the psychiatry in-patient units or possibly in the community. It is important to be aware that psychiatric hospitals do not have facilities to support patients with serious physical health problems and you are not in a position working in these settings to facilitate urgent investigation, or initiate immediate and complex treatment such as IV support, catheterisation. In many respects the support available may even be less than in a standard community setting as there is a lack of access to GP level medical advice. In the event that a patient needs more immediate and complex physical assessment, it is advisable to discuss with a senior psychiatry colleague and it is generally necessary to have these individuals seen in the nearest A&E department. It would of course be helpful if a patient was referred, to discuss the case with the casualty team, while the transfer is being organised. This would normally require an ambulance, which the in-patient team would generally organise.

As a Foundation doctor working in psychiatry, you would not normally be expected to initiate complex physical treatments. If you are uncertain about appropriate physical care of an individual, you should always discuss this issue with a senior psychiatry colleague, who may be the local core/advanced trainee in your unit or your consultant or the consultant on-call. It may be useful to contact the specialist team in the general hospital for advice, but where a complex decision is being made this should always be shared with senior colleagues in the psychiatric team, who will be responsible for the treatment while the patient is in a psychiatric hospital. Note that discussion of the physical problems with a more senior psychiatric colleague is not generally to get expert medical advice (bearing in mind that as the psychiatric specialists become more senior their physical medicine skills tend to become out of date), but to bring the concerns to their attention so they can advise on the need to contact local acute medical/surgical services and how best to do this. Typical working pattern in this 9-5 Mon-Fri placement No on call Employer information Your employer will be University Hospitals Bristol NHS Foundation Trust. Severn Foundation School Individual Placement Description University Hospitals Bristol NHS Foundation Trust

Placement F2 Inpatient Psychiatry The department This post is based with Dr Husain, consultant psychiatrist, who is responsible for Silver Birch Unit.

Silver Birch Unit is a 19 bed acute psychiatric inpatient unit. The patient care is broadly mixed involving all acute and major psychiatric disorders as well as dual diagnosis, borderline learning disabilities, physical morbidity and complex formulations involving personality disorder diagnoses. Close collaboration with all other psychiatric teams takes place on a regular basis e.g. through ward round process. The ward works particularly closely with the Bristol Intensive Team which provides crisis resolution and home treatment and partly operates from the ward, including facilitation of early discharge.

Each unit is supported by a full time Core trainee and there is an associate specialist doctor who works across Lime and Silver Birch wards. The type of work to expect and The Foundation doctor attached to the unit will learning opportunities have ample opportunity to develop skills in assessing and managing all major psychiatric disorders in the acute phase. There will also be opportunities to see recurrent or chronically unwell patients experiencing a relapse of their illness.

The F2 doctor will be ward based 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  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 patients 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  Manage psychiatric emergencies on call spanning forensic, adult of working age and older adult specialties  Teach medical students formally and informally  Work in a multi-disciplinary setting with particular emphasis on the care planning approach  Gain experience of risk management and become confident in making decisions associated with risk in the psychiatric setting Where the placement is based Silver Birch Unit, Callington Road Hospital Bristol Clinical Supervisor(s) for the Dr Husain, Consultant psychiatrist placement Main duties of the placement Duties of the foundation doctor include admitting patients, taking a full psychiatric history, mental state examination, collateral information from other professionals and relatives involved in care; physical examination, performing necessary investigations and initiating treatment, assessment, regular follow up in 1:1 sessions and physical care. Care will be provided by the foundation doctor under the supervision of the consultant. The trainee will attend ward rounds, document in the multi-disciplinary notes and liaise both written and orally with external agencies e.g. general hospitals and GP’s. This would also include provision of the discharge summary and other relevant letters.

There is weekly teaching at Callington Road Hospital, a weekly Journal Club, Lunch time presentations, psychotherapy, group discussions of issues and weekly Balint groups.

Regular supervision will be provided by the consultant clinical supervisor.

There is always consultant on-call cover available.

All staff at CRH are invited to participate in the psychiatric book and film clubs.

Foundation doctors will be released for the foundation training at UBHT on Tuesday afternoons once a month.

Assessment of Medically Ill Patients: Guidance for Foundation trainees.

As a Foundation doctor working in psychiatry, you would not normally be expected to initiate complex physical treatments. If you are uncertain about appropriate physical care of an individual, you should always discuss this issue with a senior psychiatry colleague, who may be the local core/advanced trainee in your unit or your consultant or the consultant on-call. It may be useful to contact the specialist team in the general hospital for advice, but where a complex decision is being made this should always be shared with senior colleagues in the psychiatric team, who will be responsible for the treatment while the patient is in a psychiatric hospital. Note that discussion of the physical problems with a more senior psychiatric colleague is not generally to get expert medical advice (bearing in mind that as the psychiatric specialists become more senior their physical medicine skills tend to become out of date), but to bring the concerns to their attention so they can advise on the need to contact local acute medical/surgical services and how best to do this. Typical working pattern in this On-Call is based around a 1:9 rota and includes placement evening on-call (5-9pm) and weekend days (9am-9.15pm). These on-calls can be provided remotely (i.e. from home). Doctors provide on- call cover for any issues on general adult and older adult inpatient wards at Callington Road Hospital and also clerk any out-of-hours admissions. Nights: usually one set of 7 night shifts from 9.15pm - 9am. These are waking nights based in Colston Fort, Bristol. F2s will be supported by a senior SHO, sharing ward cover and admissions for psychiatry units across Bristol.

The F2 will need their own transport to be able to travel between Callington Road, Blackberry Hill, Southmead and Colston Fort during nights shifts. There are pool cars available to use during nights shifts but the driver must have held a driving license for more than 1 year to be able to utilise these. Employer information Your employer will be University Hospitals Bristol NHS Foundation Trust, seconded to Avon and Wiltshire Partnership (AWP) Mental Health NHS Trust. Severn Foundation School Individual Placement Description University Hospitals Bristol NHS Foundation Trust

Placement F2 Trauma & Orthopaedics (T&O) The department Orthopaedics The type of work to expect and Consultants and their F2s provide a complete learning opportunities spectrum of care within the department. You will need to deal with problems that often combine physical and social components.

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

In your hospital attachment, you will build on your knowledge of T&O 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. Where the placement is based Adult Orthopaedic Wards, 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. Main duties of the placement This is a ward based system for F1 and F2 with 1 ward each (approximately 20 patients), mostly on your own. There are limited opportunities to go to theatre during normal working hours

The main clinical area is ward based adult orthopaedics with out of hours covering both adult and paediatric orthopaedics.

Your primary contact (daytime) will be the registrar for the team if they are in the hospital (teams also cover Southmead) or the on call registrar. Your primary contact (out of hours) will be the registrar on call.

 seeing patients on the ward 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 Typical working pattern in this The on call pattern is an 8 week rolling rota, 1 placement week nights, 4 long days, 1 weekend, normal ward work. Employer information Your employer will be University Hospitals Bristol NHS Foundation Trust.

Placement F2 Paediatric Medicine The department Paediatric Ward and Clinics The type of work to expect and Paediatric specialty posts rotate over 4 months learning opportunities including paediatric A&E

Consultants and their F2s provide a complete spectrum of care within the department. You will need to deal with problems that often combine physical and social components.

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

In your hospital attachment, you will build on your knowledge of paediatric 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. Where the placement is based Paediatric Department, Bristol Royal Hospital for Children, 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. Main duties of the placement Your duties will include:

 Ward work  Clerking patients

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 Typical working pattern in this One evening (5-10pm) on call (either in ED or placement ward cover) a week, and then work about 1 in 4 weekend (either long days on ward cover, long days in ED, or nights) Employer information Your employer will be University Hospitals Bristol NHS Foundation Trust.

Placement F2 Gastric Surgery The department Upper Gastro-Intestinal Surgery (Upper GI Surgery) The type of work to expect and Consultants and their F2s provide a complete learning opportunities spectrum of care within the department. You will need to deal with problems that often combine physical and social components.

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

In your hospital attachment, you will build on your knowledge of surgical 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. Where the placement is based Upper GI Surgery, Bristol Royal Infirmary, 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. Main duties of the placement  Ward rounds  Ward cover  Surgical admissions on take

The main clinical area is Upper GI Surgery.

Your primary contact (daytime) will be the team registrars. Your primary contact (out of hours) will be the surgical registrar on call.

 seeing patients on the ward 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 Typical working pattern in this The on-call pattern is 1 block of 7 nights, 2 placement blocks of 3 days weekends, 1 x 12 ½ hour day approximately every week. Employer information Your employer will be University Hospitals Bristol NHS Foundation 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 Your employer will be your acute Trust, not the GP practice.

Your employer will be University Hospitals Bristol NHS Foundation Trust.

Placement F2 High Dependency Unit/ ITU The department High Dependency Unit (HDU)/ Intensive Care Unit (ITU) The type of work to expect and Consultants and their F2s provide a complete learning opportunities spectrum of care within the department. You will need to deal with problems that often combine physical and social components.

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

In your hospital attachment, you will build on your knowledge of anaesthetics and critical care 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. Where the placement is based High Dependency Unit (HDU), Intensive Care Unit (ITU)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. Main duties of the placement Your duties will include:

 Management of HDU patients  Assisting with ITU patients  Admissions/clinical care/discharges

The main clinical area is the High Dependency Unit. The F2s will also work on the Intensive Therapy Unit (ITU) and do surgical on calls.

Your primary contact (daytime and out of hours) will be the ITU senior registrar.  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 Typical working pattern in this The on-call pattern is full shift – 7 x 12.5 hour placement shifts (3 or 4 days plus 3 or 4 nights) with 3 or 4 days off in between. There is extra time off for annual leave, surgical nights on call (7 nights) and study/experience time. Employer information Your employer will be University Hospitals Bristol NHS Foundation Trust.

Placement F2 Obstetrics & Gynaecology (O&G) The department Obs & Gynae, St Michael’s Hospital The type of work to expect and Consultants and their F2s provide a complete learning opportunities spectrum of care within the department. You will need to deal with problems that often combine physical and social components.

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

In your hospital attachment, you will build on your knowledge of O&G 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. Where the placement is based St Michael’s Hospital, 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. Main duties of the placement Your duties will include:

 clerking new patients  ward rounds  clinics  assisting in theatre

The main clinical area is St Michaels Hospital with out of hours clinical areas covering areas including the central delivery suite and wards and/or Heygrove Theatres in Bristol Royal Infirmary (BRI).

Your primary contact (daytime) will be the senior team or the on call registrar. Your primary contact for out of hours will be the on call registrar.  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 Typical working pattern in this The on-call pattern is 1 in 4 weekends, with 7 placement nights every 11 weeks. There is approximately 1 on call per week and 1 week gynae on-call. Employer information Your employer will be University Hospitals Bristol NHS Foundation Trust.

Placement F2 Genito-urinary Medicine (GUM) The department GU Medicine, Bristol Sexual Health Centre The type of work to expect and Consultants and their F2s provide a complete learning opportunities spectrum of care within the department. You will need to deal with problems that often combine physical and social components.

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

In your hospital attachment, you will build on your knowledge of genito-urinary 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. Where the placement is based Bristol Sexual Health Centre, Central Health Clinic, 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. Main duties of the placement Your duties will include:

 Outpatient clinics

The main clinical area is Bristol Sexual Health Centre. Your primary contact (daytime) will be the consultants and registrars.

 seeing 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 Typical working pattern in this There is no out of hours or on call commitments placement in this post. Employer information Your employer will be University Hospitals Bristol NHS Foundation Trust.

Placement F2 Care of the Elderly Medicine The department Medicine - Geriatrics The type of work to expect and Consultants and their F2s provide a complete learning opportunities spectrum of care within the department. You will need to deal with problems that often combine physical and social components.

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

In your hospital attachment, you will build on your knowledge of medical conditions in the elderly, 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. Where the placement is based Geriatric Medicine, 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. Main duties of the placement  Ward cover  Geriatrics On call ward  Bristol General Hospital (BGH) cover

The main clinical area is geriatrics with out of hours providing medical on call cover to Bristol General Hospital.

Your primary contact (daytime) will be the senior registrar or the consultants. Your primary contact (out of hours) will be the senior registrar on call.

 seeing patients on the ward 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 Typical working pattern in this The on call pattern is two blocks of 2 weeks placement medical on call cover (take and wards). Occasional F2 C cover:- 9am-5pm normal working hours at BRI and then 5pm-10pm on- call in the BRI (ward based) and occasional Cover O:- 9am – 5pm normal working hours in the BRI and then 5pm – 10pm in the Bristol General Hospital (ward based) or occasional 9am – 5pm weekends on-call in BGH (ward based). Employer information Your employer will be University Hospitals Bristol NHS Foundation Trust.

Placement F2 Maxillofacial Surgery The department Maxillofacial Surgery The type of work to expect and Consultants and their F2s provide a complete learning opportunities spectrum of care within the department. You will need to deal with problems that often combine physical and social components.

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

In your hospital attachment, you will build on your knowledge of surgical 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. Where the placement is based Maxillofacial Surgery, 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. Main duties of the placement  Medical care of inpatients  Theatre  Clinics  Attend Multi Disciplinary Team (MDT)  Acute assessment and management of take patients

The main clinical areas are maxillofacial surgery with general surgery on call.

Your primary contact (daytime) will be the registrars. Your primary contact (out of hours) will be the surgical registrar on call.

 seeing patients on the ward 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 Typical working pattern in this The on-call pattern is approximately 1 day per placement week and 14 nights in 4 months. Day on-call 8am – 9pm; night on-call 8.30pm – 9.00am. Employer information Your employer will be University Hospitals Bristol NHS Foundation Trust.

Placement F2 Clinical Oncology The department Bristol Haematology and Oncology Centre (BHOC) The type of work to expect and Consultants and their F2s provide a complete learning opportunities spectrum of care within the department. You will need to deal with problems that often combine physical and social components.

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

In your hospital attachment, you will build on your knowledge of clinical oncology, 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. Where the placement is based Bristol Haematology and Oncology Centre, 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. Main duties of the placement The main clinical areas are on the oncology wards. Your primary contact (daytime) will be the oncology registrars/consultants. Your primary contact (out of hours) will be the surgical registrar on call.

 seeing patients on the ward 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 Typical working pattern in this The on-call pattern is as follows: on average placement once a week, on call weekday 8am-9pm plus two-three on call weekends and 2 sets of 7 nights. Employer information Your employer will be University Hospitals Bristol NHS Foundation Trust.

Placement F2 Haematology The department Haematology – Ward 62 The type of work to expect and Consultants and their F2s provide a complete learning opportunities spectrum of care within the department. You will need to deal with problems that often combine physical and social components.

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

In your hospital attachment, you will build on your knowledge of haematology 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. Where the placement is based Haematology - Ward 62, Bristol Haematology & Oncology Centre, 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. Main duties of the placement Your duties will include:

 Ward F2 - Daily ward round / getting involved with ward Multi Disciplinary Team (MDT) and Grand Round  Day Unit F2 – reviewing patients returning for follow up blood tests and reviews

The main clinical area is Ward 62 – Haematology.

Your primary contact (daytime) will be the registrar/consultant. Your primary contact (out of hours) will be the registrar on call.  seeing patients on the ward 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 Typical working pattern in this 6 x full days 9am – 9.30pm (week) placement 2 x full weekend days (9am – 9.30pm) 9 x nights 9pm – 9.30am (week) 4 x nights (weekend) Employer information Your employer will be University Hospitals Bristol NHS Foundation Trust.

Placement F2 Inpatient Psychiatry Later Life The department There are 2 F2 posts based with Dr Hewitt, consultant old age psychiatrist, who is responsible for the in patient care of mental ill elderly from the Bristol sector. In patient beds are shared with South Gloucestershire mental health services and are located at The Coppice unit, Callington Road Hospital Bristol: 20 organic (Laurel Ward) and 24 functional ( Aspen ward). The type of work to expect and The posts will provide experience in the care of learning opportunities patients suffering from severe depression, bipolar disorder, psychosis and the behavioural and psychiatric symptoms of dementia. Where the placement is based South Gloucestershire Mental Health - The Coppice unit, Callington Road Hospital 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 Dr Hewitt, Consultant old age psychiatrist placement Main duties of the placement The F2s will be responsible for clerking and reviewing these patients who almost universally will have complex physical co-morbidity. There will be opportunities to observe memory clinic assessments, assessments in the community and Electroconvulsive therapy. There is weekly teaching at Callington Road Hospital Journal Club, Lunch time presentations, psychotherapy and group discussions of issues.

These are a fantastic opportunity to get exposure to acute psychiatry in A+E and in the community. There is always consultant on-call cover available.

All staff at CRH are invited to participate in the psychiatric book and film clubs.

Foundation training is run at UBHT on Tuesday afternoons once a month. Typical working pattern in this On-Call is based around a 1:9 rota and includes placement evening on-call (5-9pm) and weekend days (9am-9.15pm). These on-calls can be provided remotely (i.e. from home). Doctors provide on- call cover for any issues on general adult and older adult inpatient wards at Callington Road Hospital and also clerk any out-of-hours admissions. Nights: usually one set of 7 night shifts from 9.15pm - 9am. These are waking nights based in Colston Fort, Bristol. F2s will be supported by a senior SHO, sharing ward cover and admissions for psychiatry units across Bristol.

The F2 will need to be able to travel between Callington Road, Blackberry Hill, Southmead and Colston Fort during nights shifts. There are pool cars available to use during nights shifts but the driver must have held a driving license for more than 1 year to be able to utilise these. Employer information Your employer will be University Hospitals Bristol NHS Foundation Trust, seconded to Avon and Wiltshire Partnership (AWP) Mental Health NHS Trust.

Placement F2 Liaison Psychiatry The department Liaison Psychiatry Clinic 7 Bristol Royal Infirmary 9-5. With on-call duties for the Southmead hospital inpatient psychiatric wards The type of work to expect and The general day to day work involves learning opportunities assessment of referrals from the general medical and surgical wards, and assessments of patients following episodes of self harm, as well as those presenting to the emergency department. There are also out-patient clinics, and opportunities for the post holder to attend the consultant lead teaching outpatient clinic, whilst having outpatients of their own. There are weekly teaching sessions, ward rounds, and access to extensive library facilities both within the hospital and the nearby University Library site.

The main areas of clinical work are:

A&E Assessments

General Medical and Surgical Referrals

Assessments are extremely varied and cover the full range of psychiatric problems from organic psychosis, to denial of illness.

Outpatient Assessments

The emphasis is on acute management including therapeutic communication, psychopharmacology, links with community teams, primary care, non-statutory and social services for aftercare.

The nature of the work means that co-ordination and multi-disciplinary resources are invaluable. Where the placement is based Clinic 7, Bristol Royal Infirmary, 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 Your clinical supervisor for Liaison Psychiatry is placement Dr John Potokar, Consultant in Psychological Medicine. Main duties of the placement Your duties will include:

 To assess and manage those current hospital inpatients and those presenting to the emergency department who are referred to the BRI Liaison Psychiatry team.  To attend the weekly ward round  On-call; 1 in 7 (Two weekends every four months) on the general psychiatry rota based at Southmead Hospital.  To participate in the audit activities of the department.  To prepare appropriate discharge summaries.  Your primary contacts (daytime) will be the clinic 7 Liaison Psychiatry medical and nursing team. Out of Hours on the on call rota there is a Senior Nurse, ST4-6 and Consultant on call.  In addition to seeing patients on wards and outpatients (history-taking, investigation, diagnosis, and management), you will practice preventative medicine, promoting health education, and work closely with other health professionals.

You will help the Trust meet targets, manage resources as effectively as possible, maintain confidentiality and impartiality, use basic IT skills and use the Trust’s clinical IT system. Typical working pattern in this 9-5 Mon-Fri, With one day for academic study placement On-Call is based around a 1:9 rota and includes:  Evening on call 5pm - 9.30pm (usually once a week) at Southmead hospital covering inpatient wards (can be remotely) Doctors provide on-call cover for any issues on the ward and also clerk any out-of-hours admissions  Two weekends every 4 months Sat/Sun 9am - 9.30pm - at Southmead hospital  Nights: 7 night shift 9.15pm - 9am. These are waking nights based in Colston Fort, Bristol. F2s will be supported by a senior trainee, sharing ward cover and admissions for psychiatry units across Bristol.

Placement F2 Paediatric Surgery The department Paediatric Surgery The type of work to expect and You will work in a well supervised unit and will learning opportunities learn how to manage children with a variety of surgical conditions. You will be involved in looking after all children admitted to the Children’s Hospital under the care of the Paediatric Surgeons, including children with oncology, thoracic, gastrointestinal, urology, and neonatal conditions. You will be welcome to scrub in theatres and can learn some basic surgical procedures such as hernia repair and appendicectomy. The 6 consultants all have at least 1 clinic a week and there is opportunity to attend these. Where the placement is based Bristol Royal Hospital for Children 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 placement Main duties of the placement You will take part in daily consultant-led ward rounds, and undertake clerking, pre-operative assessments and other ward work. You will also learn to assess surgical patients coming to the emergency department and will follow their care onto the ward.

Our staff are encouraged to complete at least one audit during their rotation.

There are two grand ward rounds every week and there is regular teaching as well as the opportunity to deliver academic presentations on Friday mornings. Typical working pattern in this Standard working days are 8am to 5pm placement One ‘half day’ must be taken each working week

On-call is a 1:6 rota until 23:00 and after that you are on-call from home.

You would be banded at 50%. On-calls are based on a 6-week rolling rota pattern. Employer information Your employer will be University Hospitals Bristol NHS Foundation Trust.

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 University Hospitals Bristol NHS Foundation Trust

Placement F2 Simulation The department Bristol Medical Simulation Centre (BMSC) The type of work to expect and During your placement you will work closely with learning opportunities simulation educators in the BMSC and its point of care delivery arms the Bristol Paediatric Simulation Programme and Bristol Adult Simulation Programme.

The aim of the placement is to lay the foundations in developing you as simulation educator and provide opportunities to develop and implement a personal simulation project whilst also contributing to a larger, year long, Foundation Simulation Fellowship project.

Your simulation expertise will be developed through funded attendance of the acclaimed BMSC Train the Trainers Course and apprenticeship mentoring during the delivery of simulation education.

You will be encouraged to present your personal simulation project at a simulation conference and publish annual Foundation Simulation Fellowship project as co/lead author. Where the placement is based Across acute care hospitals in University Hospitals 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 You will have 2 supervisors. One from the placement BMSC (Dr’s Grant or McIndoe) and one whom is the simulation lead for your chosen project area.

Your allocated BMSC supervisor will meet with you prior to your placement and at beginning, midway and end of placement to set learning and development objectives, monitor and assess your progress. Main duties of the placement Your duties will include:

 Developing your skills as simulation educator through attendance Train the Trainers course and apprenticeship mentorship.  Assisting in delivery of simulation education in BMSC and at point of care.  Development and implementation of simulation educational intervention.  Assess implementation of educational intervention. Typical working pattern in this Monday to Friday 8:00 till 17:00 placement Employer information Your employer will be University Hospitals Bristol NHS Foundation Trust.

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