WELCOME TO DGRI THE REGION... Dumfries is a small place... GETTING AROUND... !"#$%#&$'()#$*%+$*,,-..-+*)(-%$('$ *//0-1(.*)#23$456$.(2#'$70-.$)"#$,#%)0#$ -7$89.70(#'5$!"#$'"-0)#')$0-9)#$)-$)"#$ ')*)(-%$7-0$&*2:(%;$*%+$,3,2(%;$('$456$ .(2#'5$!"#$'"-0)#')$,-./2#)#23$)0*77(,$ 70##$,3,2#$0-9)#$)-$)"#$')*)(-%$('$<56$ .(2#'5$ $ GETTING AROUND... =2+($*%+$!#',->$*0#$4$ .(2#'$70-.$)"#$'()#5$ !"#3$,*%$?#$0#*,"#+$ ?3$*$)0*77(,$70##$ &*2:(%;$*%+$,3,2(%;$ 0-9)#555 $ WHICH IS WELL LIT AT NIGHT... WE EVEN HAVE AN ELECTRIC BIKE YOU CAN BORROW* *Phone Prof Isles on 33335 if you are interested CYCLE ROUTES FROM NEW HOSPITAL TO TOWN... BUSES... Best way to find bus times is to look at the timetable in the bus shelter outside the main door of the new hospital BARISTA BAR… EATING OUT… Crumb (15% off with NHS student badge), Casa Mia, Little Italy, Brunos, Primo Piano, Home, Dolce Vita, Daksh Indian all in Dumfries, Steamboat Inn Carsethorn, Thai Orchid Dalton PUBS... Greens on a Thursday (a Dumfries tradition), Coach and Horses, Cavens Arms, Globe Inn on the High Street (Burns Pub) BARS... Neuro’s, Granary, N’Dulge MOUNTAIN BIKING… Can hire bikes at Ae and Mabie forests if you dont have one. Both Ae and Mabie have cafes. Link to www.7stanes.gov.uk CYCLING... Loads of cycle routes GYMS... Bannatynes, Barracuda, Peak Physique, Absolute Body Systems (discount available for NHS staff), Fairy Bodmother SWIMMING... Bannatynes, Dumfries Ice Bowl, Barracuda Club, Neuro’s GOLF... Southerness, Powfoot, Dumfries County, Crichton Lochmaben, Thornhill, Cally Palace SKATING… Evening Classes… Ice Bowl Dumfries SQUASH, RACKETBALL, TENNIS, CRICKET, RUNNING, HOCKEY… Contact Dr Sue Robertson, Renal Unit [email protected] for info on all local things sporty PAMPERING… House of Beauty, Dumfries CINEMA... Lonsdale, Annan (fish supper at Café Royal) Dumfries FESTIVALS... Big Burns Supper Electric Fields, Drumlanrig Castle, 1-2nd September 2017 Raehills,7-10 June 2018 ARTS... May 2018 Spring Fling, May 2018 CONTEMPORARY ARTS... The Stove Network is a Dumfries- based arts organisation that is active throughout Dumfries & Galloway. The Stove, 100 High Street Dumfries MUSEUMS… Devils Porridge Eastriggs, Lead mining Wanlockhead, Aviation Museum Dumfries THEATRE... CLASSICAL AND CHORAL... www.dumfriesmusicclub.com; www.solwaysinfonia.org.uk; www.dumfrieschoralsociety.co.uk PHOTOGRAPHY... www.dumfriescameraclub.co.uk - meets Wednesdays 715pm Gracefield Studios, Dumfries GARDENS... Crawick Multiverse, Sanquhar Also Threave Gardens and Scotland’s Garden Scheme HERITAGE... Robert Burns Burns House, Burns Trail, Ellisland Farm, Brow Well CEILIDHS... Two Left Feet PARTIES... 2016/17 FYs Lauren, Craig, Sarita, Jordan, Melissa and Patrick at Easterbrook Summer Ball 0+//+*8/.'$ 2+=./'$>-3'$ 9:;1"<.$ C-'$,-../'$$ D.+-&&3$ ?&1'.$$ &@$0.+1*8$ 56.$0&7"$ 0+--+61#+$$ 2"14$ A*+-416B'$ !#.&/$ ,"&4.$5//$ ,-../'$ 2-134$ 01-/'$2./*-.$ !"#$%&'()*+"$ 2&'*+$ MEDICINE OF THE ELDERLY !! Year 6: Preparation for Practice !! Medicine MBChB !! Edinburgh Medical School, University of Edinburgh Peripheral Attachment: Dumfries & Galloway Royal Infirmary What can Edinburgh medical students expect? FIRST THINGS FIRST… WHAT SHOULD I BRING? !! Clothing and essentials !! Stethoscope (beware… it’s not always HS I+II+0) !! A pen (make that… many, many pens!) !! In Dumfries, you will receive… !! Lecture Notes: Elderly Care Medicine !! Encrypted USB stick + locker key !! Hospital ID badge + hospital phone !! Documentation regarding attachment, accommodation OCCUPATIONAL HEALTH !!As of November 2017 you will no longer need to see Occ Health on arrival. HOW DO I GET TO/FROM DUMFRIES !! Best way = hitch a ride with someone who has a car !! Takes around 2hr each way !! Alternative ways… !! By train (2-3 hours travel time) !! Edinburgh " Carlisle then Carlisle " Dumfries !! Followed by bus or taxi to new hospital !! By bus only (3 hr) !! Edinburgh Princes Street " Dumfries (by Stagecoach West bus 102 and 101 – runs every 2 hr) !! Followed by bus or taxi to new hospital WHAT IS MEDICINE OF THE ELDERLY? !!Assessment and management of older patients !!Many of these patients are frail !!Many will have complex and/or multiple diseases WHAT HAPPENS HERE? !! Clinics: movement disorders, stroke disease and falls !! Allied health professionals: OT, PT, SALT !! Ward rounds and MDT: stroke disease, geriatric medicine, orthogeriatric medicine !! Bedside teaching: with Dr Conley and Dr Donaldson !! Tutorial-based teaching: with Dr Malik !! FY1 shadowing !! Case Presentation !! Ethics Presentation (in Edinburgh) HOW DO I PASS THE ROTATION? !! Written assessment (during rotation) !! Case Report (MoE): NB: only applicable to some students !! Professionalism assessment (during rotation) !! Completion of 2 Direct Observed Practice (DOPs) Cards !! Attend, engage and enjoy! !! Examinations (in February) !! Formally assessed as part of Finals !! It is important to consider the module learning outcomes on Learn WHO’S WHO? !! Dr Ritesh Malik, Specialty Doctor and Lead Tutor (32191) !! Dr Shona Donaldson, Associate Specialist in Geriatric Medicine (32111) !! Dr Amy Conley, Consultant in Geriatric Medicine (33180) !! Dr Roger Holden, Consultant in Geriatric Medicine (33077) !! Dr Hay, Consultant in Stroke Medicine (33324) !! Ms Angela Haining, Geriatric Medicine Co-ordinator (33349) !! Ms Vicki McLaughlan, Undergraduate Co-ordinator !! Prof Chris Isles, Consultant Physician and Director of Education (33335) WHAT WARD DO I GO TO? ! For Geriatric Medicine, go to B2/C4 ! For Stroke Medicine, go to D7 ! For Medical Admissions, go to CAU ! For Stroke clinic, go to Bay1 ! For PD clinic, go to Bay 3 ! For Dr Conley and Dr Holden clinics, see Angela ! Remember… there is coffee in the Doctors’ Mess! !! Oh, and the hospital canteen has a barista coffee bar 10am to 4pm WHAT WILL I LEARN? !! Comprehensive Geriatric Assessment (CGA) !! Polypharmacy, comorbidities, malnutrition and frailty !! Cerebrovascular and cardiovascular disease !! Falls and immobility !! Legal and ethical challenges: AWI, POA, DNACPR !! Importance of holistic care: PT, OT, SW, SALT !! Communication, cognitive impairment and delirium: AMT, 4AT, MMSE etc !! Palliative care THE KEY TO MOE = MDT !! Medical team: from medical student to consultant (and everyone in between) in geriatric medicine, stroke medicine and elsewhere !! Nursing team: staff nurses, advanced nurse practitioners, specialist nurses, health care assistants !! Allied health professionals: physiotherapists, occupational therapists, speech and language therapists, social workers !! Most importantly… the patient and their family/friends. RESOURCES th !!Kumar 8 edition nd !!Davidson’s 22 edition !!UpToDate !!Clinical Handbook !!Knowledge Network www.nhsdghandbook.co.uk ACCESSING CLINICAL DATA Access through Clinical Portal TYPES OF LEARNERS !!Some of you will be self directed learners and some not – we cater for both groups. !!Occasional students with difficulty remembering facts turn out to have a mild form of dyslexia – let us know if you think this could be you. PATIENT SAFETY !!Ensure patient safety by working within the limits of your competence and status as medical students. !!Let us know if you witness any behaviour towards patients that you feel is inappropriate or any treatment of patients that you think might be harmful. !!Datix system for incident reporting. PASTORAL CARE !!Locally we are not advised of personal medical conditions as this is confidential !!However if you feel it may impact on your attendance or work then please let Vicki, your supervisor and/or departmental lead know so that arrangements can be made to help CONNECT COMMENTS AND SOCIAL MEDIA !!You must not bully, harass or make gratuitous or unsubstantiated comments about individuals online. GMC. Doctors use of social media, 2013 SOCIAL MEDIA !!Once information is published online it can be difficult to remove as other users may distribute it further or comment on it GMC. Doctors use of social media, 2013 ANONYMITY AND SOCIAL MEDIA !!Be aware that content uploaded anonymously can, in many cases, be traced back to its point of origin. GMC. Doctors use of social media, 2013 FEEDBACK !! Let us know how things are going in case changes required. !! We will protect time for your electronic feedback at end of block CONCLUSION !! Although this is a short rotation, there is a lot to be gained !! With an ageing population, is MoE perhaps more important now than ever? !! Communication and MDT is key !! Always think beyond simply ‘the medical needs of the patient’ !! Attend… engage… enjoy… COFFEE… Costa, Starbucks, M&S etc AFTERNOON TEA… Mrs Green’s Tearoom Dumfries, Abbey Cottage New Abbey, Friars Carse Thornhill TOUGH MUDDER… Drumlanrig Castle, Thornhill GALLOWAY ACTIVITY CENTRE… Loch Ken GALLOWAY FOREST PARK… Glen Trool GALLOWAY DARK SKY PARK… Galloway Forest Park, Newton Stewart LAGGAN ZIPWIRE AND SEGWAY… Gatehouse of Fleet TEN PIN BOWLING… Carlisle WHISKY… GIN… Cummertrees Newton Stewart EVENING CLASSES… Dumfries and Galloway College PANNING FOR GOLD… Wanlockhead MEDITATION… Samye Ling, Eskdalemuir WILDLIFE… Caerlaverock Wetland Centre. CASTLES... Threave Castle Caerlaverock South of Dumfries Drumlanrig, Thornhill HILL WALKS... Screel Hill Criffel Also Grey Mare’s Tail at Moffat, Merrick from Glen Trool, Well Path Circuit at Durisdeer. see www.walkhighlands.co.uk COASTAL WALKS... Balcary Bay to Rascarrel Sandyhills to Rockliffe Also Carrick Bay, Mull of Galloway. See www.walkhighlands.co.uk STUNNING COUNTRYSIDE... Everywhere! TOP 5 REASONS