Feedback of Foundation Year 1 doctors of their placements within Wessex (UK)

39
Date: 09/01/10 A document to aid final year students who have been allocated into the Wessex Foundation School when ranking jobs. FY1 job feedback Wessex Foundation School 2009-2010 Compiled and Edited by: Ed Klaber University of Southampton medical Society Content collected from FY1 doctors between December 2009 and January 2010. All content was entered anonymously in order to help inform final years about jobs within Wessex.. Medsoc take no responsibility for the content within the document CONTENTS: BASINGSTOKE2-3 BOURNEMOUTH4-8 DORCHESTER9-13 ISLE OF WIGHT14-15 JERSEY16-17 POOLE18-19 PORTSMOUTH20-24 SALISBURY25-26 SOUTHAMPTON27-32 WINCHESTER32-36 STATISTICS - 37-38 Important dates: (taken from Wessex Foundation School websitehttp://www.nesc.nhs.uk ) Phase 2: - 25 January 2010The deadline for ranking ALL Wessex programmes in order of preference. - 16th February 2010Applicants receive notification of trust / programme allocation via email.

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Feedback of Foundation Year 1 doctors of their placements within Wessex (UK)

Transcript of Feedback of Foundation Year 1 doctors of their placements within Wessex (UK)

Page 1: Feedback of Foundation Year 1 doctors of their placements within Wessex (UK)

Date: 09/01/10

A document to aid final year students who have been allocated into the Wessex Foundation School when

ranking jobs.

FY1 job feedback

Wessex Foundation School

2009-2010

Compiled and Edited by:

Ed Klaber

University of Southampton medical Society

Content collected from FY1 doctors between December 2009 and January 2010. All content was entered anonymously in order to help inform final years about jobs within Wessex..

Medsoc take no responsibility for the content within the document

CONTENTS:

BASINGSTOKE— 2-3

BOURNEMOUTH— 4-8

DORCHESTER— 9-13

ISLE OF WIGHT— 14-15

JERSEY— 16-17

POOLE—18-19

PORTSMOUTH— 20-24

SALISBURY— 25-26

SOUTHAMPTON— 27-32

WINCHESTER— 32-36

STATISTICS - 37-38

Important dates: (taken from Wessex Foundation School website—http://www.nesc.nhs.uk)

Phase 2: - 25 January 2010—The deadline for ranking ALL Wessex programmes in order of preference. - 16th February 2010—Applicants receive notification of trust / programme allocation via email.

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BASINGSTOKE

BASINGSTOKE: What is your rotation?

- 6 months medicine , 3 months surgery, 3 months ortho and trauma

How is your job banded?

- 40% all year

Did you get into your first choice of hospital/trust to work in?

Yes

What are the best bits about where you are?

- Great hospital, great people. Good teaching (available every lunchtime if you want it

with free food). Many practical learning opportunities.

What are the worst bits?

- That there are 30 F1 posts and only 18 F2 so 12 people have to leave. OK if you want

to leave, or enough others do, but if not, you have to go through the interview process

and could end up having to move hospitals to anywhere in Wessex.

How many F1s are there working in your hospital?

- 30

Is there a close team feeling amongst F1's in the hospital?

Yes

- There is a great working and social environment

How are F1's treated by the rest of the staff in the hospital?

- Really well. If you work hard and are a good team player, you'll fit in brilliantly

What are your responsibilities as an F1 in your hospital?

- Have a good idea of what’s happening with all patients on your team, and to arrange

and follow up all inv/bloods/Rx etc. You're on call approx 1 in 4 or 5 weekends, and

spend a week each month on MAU clerking patients. It is a great balance between

acute medicine and day to day inpatient.

Do you have a clinical supervisor?

Yes

- We have a clinical supervisor (the consultant who's team you work for), and an

educational supervisor (a named consultant for the whole yr). Both offer great advice

and support, and Basingstoke encourage you to meet up with each at regular intervals

to monitor progress through the yr.

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BASINGSTOKE

Is there an active Doctor's Mess?

Yes

What events are run by the mess?

- Usually a night out every pay day, and various other nights out throughout the yr,

including a xmas and summer ball.

What are the facilities like in the Doctors Mess and how much does it cost to

be a member?

- £10/month: daily papers, sky TV, Wii, Tea, coffee, crisps, biscuits, toast and fellow

colleagues :)

How much is the rent for the hospital accommodation?

- I'm not sure as live out and commute in. I think about £400/month

What are the accommodation facilities like? (i.e. bedrooms, lounge, kitchen)

- Ensuite bedrooms in flats of 4 in new blocks of flats. Located onsite. All have a lounge

but not all have a TV etc. I've heard it's improved a lot since previous yrs.

Do most people choose to stay in the offered accommodation?

No

- Quite a few commute in, or have moved out locally with fellow F1s. I think this is

mainly because some live with partners, or feel that £400 /month is quite a lot and you

can rent a house between a few of you for not much than that a month.

Would you recommend your job to those applying now?

Yes

- Definitely. Since being a student here last yr I have totally loved it. Its great fun, lots

of support, and great learning opportunities.

Any other comments you would like to know about life as an F1 in your

hospital?

Nil

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BOURNEMOUTH

BOURNEMOUTH: What is your rotation?

- Medicine for the Elderly, gastroenterology, colorectal surgery, urology.

- 6 months Medicine and 6 months Surgery

- Upper GI, Cardiology, AAU and breast surgery

- Breast/Rheumatology/Respiratory

- 3m cardio, 3m endo, 3m medicine for the elderly, 3m colorectal

How is your job banded?

50% (1a)

Did you get into your first choice of hospital/trust to work in?

6 x Yes

What are the best bits about where you are?

- Good support in the rotations I have had so far. Lots of learning opportunities.

Consultants and registrars are approachable (mostly). On call covers 3 weeks with an

average of one working weekend a month.

- Not a huge hospital like SGH so you get to know more people. The surgeons are a

really nice bunch of people to work for. You live by the sea, which can be really nice in

summer but packed out by the tourists. A good hospital at night team.

- Good support from clinical supervisors.

- Very sociable, friendly hospital. Near the beach!

- Friendly staff, good banding, well organised post-graduate education centre

- Friendly hospital, nice nurses, most of the consultants are very friendly and down to

earth, tight knit f1 community, fifty percent banding which means decent pay and also

nights weekend and late experience, often for a day or several hours you are the only

doctor on call for your section

What are the worst bits?

- Work load and support vary considerably depending on where you're working. I had

good cover so I can't complain but others were left on busy wards to do the rounds

themselves in the first couple of weeks of starting. In general there's usually someone

to call for help if you need it.

- In surgery you are really quite on your own. There are other F1s on your firm usually

and good nurse practitioners, but often your SpRs are in theatre and you don't have

SHOs, so you find yourself having to make difficult decisions in the interim until you can

reach help. I understand that there is more support in Medicine. The roads to

Bournemouth can be quite difficult at times and not as conveniently situated as hospitals

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BOURNEMOUTH

on the M3 and M27. There is no paeds and obs & gynae here. If you want an A&E

attachment in F2, then Bournemouth isn't ideal.

- For me, I commute, I wish it was closer

- Can't think of any

- Too quiet by far, surgical rotations unsupported as juniors though I got along fine.

Most importantly the hospital accommodation is appallingly managed - AVOID AT ALL

COSTS

- Doctor’s rooms are next to an incinerator, which can be noisy. Mediocre

accommodation is £350 a month (they even had the audacity to try and increase this)

which we have had to move out of four times in as many months because they have

decided to renovate without consulting us.

How many F1s are there working in your hospital?

Approx 30

Is there a close team feeling amongst F1's in the hospital?

5 x yes, 1 x no

- Everyone bands around when someone’s had a bad day. Living in the accommodation

helps (but is expensive for what is offered)

- I don't know, I think so, there is a quite a lot of good feelings within teams, but as I

live out I don’t do a lot of the evening stuff with the F1s unless I can find a place to stay

over.

- For those that live on-site, yes. Those off-site are involved but not as much.

- We are friendly and everyone knows each other. Everyone says hello to each other in

hospital, and we all stick together looking out for one another and listening to each

others groans. We are sometimes a bit lame in joining Poole for communal events. But

we do care and regularly go out drinking and other stuff together.

How are F1's treated by the rest of the staff in the hospital?

- Well

- As always you can't paint all the staff with the same brush. Some of the staff are lovely

and I would be willing to call them my friends. However as with everywhere there are

some staff members who can be unpleasant, but thankfully there aren't many.

- As well as can be expected for F1s! Generally well

- Treated very well, have some great SHOs and registrars

- Well. On most of the wards the nurses are very reasonable towards you. On CDU they

seem to be nicer and more amenable to you as you find your confidence. The nurses on

ward 21 and especially ward 22 are the best in the world. Consultants are generally a

very decent and down to earth bunch indeed.

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BOURNEMOUTH

What are your responsibilities as an F1 in your hospital?

- Vary depending on who is around but assessing patients, keeping seniors informed of

developments, requesting and reviewing investigations, procedures, etc.

- I imagine they are the same as in other hospitals. I have the responsibility of doing all

of the ward jobs when they come up. I also have to manage the take, requesting

investigations often before anyone senior has reviewed them. Pre-clerking is a drag but

vital. On calls at night are fun, but weekends are generally unpleasant.

- Depends on your job!

- Day to day ward rounds and ward jobs. Assisting in theatre (when on surgery).

Clerking in acute surgical presentations. Time on CDU - clerking in medical cases. And

on call responsibilities (in surgery there are no SHOs, so just you and your registrar on

at night).

- RBH - paper work, clerking, bloods/cannulae, Christchurch - clerking, tea making

There are opportunities to do central line and chest drain courses, depending on your

luck of the draw, there are good opportunities to do these things as an F1.

Do you have a clinical supervisor?

Yes

- They are there to advise on anything to do with the hospital and guide you in terms of

what you should aim to achieve during each placement and the year.

- Tends to be the consultant of the firm you are working for. In mine and others

experience you don't tend to see that much of them unless you have a problem.

- Her door is always open

- Meetings to monitor progress, a person to talk to if have problems or need advise

- Careers advice, planning for the future, where to develop skills further

- Just a paperwork exercise really.

Is there an active Doctor's Mess?

- Yes including weekly shop done by the doctors (rotation) and paid for by the mess.

Fee is £15 a month.

- Yes although the nights out are a bit lame, with sporadic attendance.

What events are run by the mess?

- Evening gatherings including balls, boat parties.

- Mainly to do with alcohol, good if that's your thing. They do tend to try and organise

sporty

- Lack of thought into events. Mainly involve drinking

- Boat cruises, dogs, nights out

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BOURNEMOUTH

What are the facilities like in the Doctors Mess and how much does it cost to

be a member?

- Large TV, computers (I think there's a printer), sofas, food.

- Not great. There is a kitchen which is restocked once a week. The mess is in need of a

bit of a tidy and revamp. It costs £15/month

- £15 a month. Get kitchen (no toaster though), TV room with sky and Xbox. Also

budget of £100 pounds spent each week on food/drink in the mess.

- Poor. Does have Sky TV on a 42" flat screen. Otherwise old sofas, wobbly pool table

with incomplete balls, 1 computer with no seat to use at terminal, no working printer,

kitchen with 2 spoons and host of forks. £15/month

- Relaxed atmosphere to talk with other docs in the hospital.

How much is the rent for the hospital accommodation?

- £345 at the moment. To be increased to £400 per month.

What are the accommodation facilities like? (i.e. bedrooms, lounge, kitchen)

- Single bed room, 4 bedroom flats, sink in room, shared kitchen, shower room (no

bath), toilet and lounge.

- AWFUL. The accommodation office has no regard for the doctors that stay in the

accommodation. There have been multiple issues since we started in August. They

refurbished the rooms that we were given, however did this AFTER we had moved in.

We were each given 1 weeks notice to move out back into worse student

accommodation, still being charged the same rent, and then 10days notice to move

back. The accommodation office don't care and the FY1 management team don't appear

very interested in helping. Kitchen and bathroom have been redone and are a lot nicer,

but the lounge is cold and lifeless. Rooms are a decent size and always warm.

- I stayed there as a med student and I felt like that must be how prison feels. There

isn't even a table in the kitchen and I never found a common room if one exists. I know

they have had a few problems this year.

- Poor. Same as/worse than student accommodation. Small single bedroom, 80s decor,

poor winter insulation & cold, shared kitchen and bathroom - between 4 to 6 persons.

Currently no lounge available. Those with lounges have simple table, simple chairs & nil

else.

Mediocre, next to an incinerator. New kitchen but minimal compensation for the way we

are treated.

Do most people choose to stay in the offered accommodation?

5 x yes, 1 x no

- Initially yes. There have been about 20 of us in there. However after all the grief many

are moving out when the 6 month contract comes to an end.

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BOURNEMOUTH

- People who are already married, have families and mortgages or long term partners or

who are generally older tend to live out.

- I haven't as live with partner in different hospital

- Initially, but on-site tenants are unhappy and this is about to change to the minority

staying in the hospital accommodation.

Would you recommend your job to those applying now?

4 x yes, 2 x not sure

- I think that overall the hospital is good. It's a good place to be a junior and get

experience.

- I'm not overly enjoying my job and in all likelihood would have applied somewhere

different to Bournemouth. It does depend on what your looking for. I think I just had a

very difficult start to working life with the staffing situation on my first firm.

- Its buy but that’s a great way to learn

- Great rotations and really nice atmosphere in hospital

- Depends what you're looking for. My ward at Christchurch is closing and there will be

no Rheumatology job after mine. Too quiet and I find my job a bore. Grossly lacks

challenge.

-Good general medicine, friendly bosses (except Dr Rozkovec, a little scary!!!)

Any other comments you would like to know about life as an F1 in your

hospital?

- Regardless of where you are, it's always going to be hard when you first start, with the

feeling of being dropped in the deep end. It will get better and can do quickly if you

have some brilliant staff around you to support you. Make sure that you request

feedback because often being an F1 can be a pretty thankless task. It does initially help

to be somewhere that you know and have been on placement at, but make sure that

this is not the only reason for choosing that hospital. Living and working at the hospital

can become your life and you need to make sure that you have other interests outside

of work that you can get involved in. If there are locations where you can't do this, then

stick to locations where you can access your chosen activity. Friends and family are also

very important during this time, so don't forget where they are either.

- Life is good. Nearby gym and bar at the Village Hotel. Good access to town via Wessex

Way. Nearby large Tesco for shopping. Beaches not too far away. Friendly staff

members on the whole. Almost as though I've retired.

- We're a tight knit bunch which is lovely

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DORCHESTER

DORCHESTER: What is your rotation?

- 4*3 month rotations

- Urology, upper gi/breast surgery, cardiology, elderly care

- 3 months upper gi+breast surgery, ortho resp renal

- Elderly care, Colorectal, respiratory

- Colorectal, Respiratory, Palliative care/ITU

- Renal/ITU/Palliative/Colorectal

How is your job banded?

- Mix of 40% (1b) and 50% (1a)

- ITU and palliative basic

Did you get into your first choice of hospital/trust to work in?

4 x yes, 4 x no (2nd choice, 226th 3rd,5th)

What are the best bits about where you are?

- Great atmosphere, friendly staff, lots of support from seniors. Not too busy, not too

boring! Chance to do acute medicine/take. Really nice town and surroundings. Good

accommodation.

- Good work force. Good senior support

- Very friendly atmosphere, beautiful countryside,

- Small hospital get to know everyone good teams/consultants, supportive nurses

- Small friendly hospital. Nice location

- Very friendly staff, lots of time and effort into teaching and letting you get experience

of procedures.

- Very social hospital environment. Nice consultants

- Nice hospital. Quality of medicine practiced of a high standard. Work load not too

crazy. Nice part of the country. Most of the F1s live beside the hospital which is very

sociable.

What are the worst bits?

- Quite a long way to the nearest city for things like clothes shopping etc.

- Location - far from home

- Lack of good teaching

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DORCHESTER

- Poor teaching for F1's. Politics. Lack of money. Short staffed. Unable to get annual

leave when you want it. Poor supervision on some rotations HORRIFIC accommodation

not meeting BMA standards

- Do way more hours than we should. It's noticed and appreciated by other medics but

you just get harassed by others for it.

- As an orthopaedic F1 you have essentially an F2/SHO's job which requires a lot of

knowledge, difficult to get senior support at times, however, makes you learn a lot faster

- No more free accommodation. Trust’s financial problems - whilst not affecting us

directly at the moment, in the future this is likely to cause a reduction in services,

especially elective surgery hence less opportunity for training. I'm not sure if I like the

look of the F2 rotations apart from the 6 months of Anaesthetics. Some firms a bit quiet

at times.

How many F1s are there working in your hospital?

30

Is there a close team feeling amongst F1's in the hospital?

8 x yes

- We all live in the accommodation which is set in a square with a communal garden.

Really supportive group. Lots of socials.

- We all live together, and because it's dorch (nothing else here) we all socialise together

- Most live on-site, within a team you usually work with F1s or F2s. There is an active

doctor’s mess.

- Lots of socialising, no real divide between us all and good integration between all

grades. Even socialise with our consultants.

- We’re all pretty good mates.

How are F1's treated by the rest of the staff in the hospital?

- Very well - great support.

- Varies. Most accept we are still very newly qualified and don’t have high expectations.

Some nurses can be rude but they are few and far between. Always included in hospital

social occasions.

- My experience is that I have been respected as a colleague.

- Appreciated and helped by other medics. Like naughty children who don't know a thing

by some of the nurses but on the whole things are really friendly and you just have to

grit your teeth through the unpleasant minority.

- Very well

- Treated with respect by nurses and consultants. Of course it pays to be nice to nurses

as with any hospital - it makes your life so much easier.

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DORCHESTER

What are your responsibilities as an F1 in your hospital?

- Clerking new patients, member of the ward round (paperwork mostly although

occasionally doing your own round), clinical skills (venflons, abgs etc), evenings,

weekends and nights. Reviewing patients.

- ward jobs, preassessments, f1 ward rounds sometimes.

- On calls, nights, assisting in theatre, anaesthetic pre-assessment clerking, ward cover

at weekends/nights.

-Ward jobs, on-call days (involves admission clerking) and weekends and nights, pre-

anaesthetic clerking, discharge summaries.

- List, preparing for wards rounds, writing in the notes, taking down and then organising

investigations, chasing and recording results and bringing them to the attention of

seniors, clerking in patients when on call.

- Ward cover. On-call - generally taking GP calls/ ward referrals/ A+ E referrals. Booked

in theatre assisting time.

- Daily reviews of patients, ordering investigations and bloods. Sorting out referrals.

Keeping the list up to date. Attending ward rounds. Reviewing sick patients when asked

to and responding appropriately. On call work (medicine - haven't done surgery yet) -

basically holding the bleep and doing ward jobs e.g. taking bloods, venflons, warfarins,

basic prescribing + reviews of patients (some shifts you wont have many reviews to do

just mundane jobs but on some you will encounter plenty of sick patients - it really does

vary)

Do you have a clinical supervisor?

Yes

- Meetings/appraisals every other month to see how I am getting on and if I am having

any problems. Career advice.

- Varies... Of the two rotations I have done one was supportive but did not really have

a clue what the job entailed. Second rotation I doubt consultant even knows he is my

clinical supervisor or what that entails!

- Meetings once per 4 month job, sometimes hard to get as many as required by

foundation programme (3 per 4 month attachment!). Careers advice.

- Varied support. Careers advice mainly. Most are approachable for help and advice but

often you will ask your reg.

- Guidance on career choices and help if you are in difficulty at the hospital.

- They don’t do very much. I suppose if you got into difficulty that's what they are there

for. I meet my educational supervisor regularly.

Is there an active Doctor's Mess?

Yes - monthly events. £10 a month. Tea, coffee, fridge full of goodies, snackettes!

- Very. Very active, good social life but few different activities for winter.

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DORCHESTER

What events are run by the mess?

- Weekly badminton and football. Book club. Socials. Christmas ball.

- Monthly pub crawls, visits to local places in Poole/Bournemouth, sports events.

- Pizza bought for the on-call weekend team. Food for the mess bought weekly by F1s.

Christmas ball

- Something happens every Thursday. Mostly drinks and a boogie but we have organised

day trips and trips to splash down. Just had our winter ball which was really good.

- Mess parties every month, sometimes more regular than that.

What are the facilities like in the Doctors Mess and how much does it cost to

be a member?

-There are 2 doctors’ messes - and indoor one based in the hospital with sofas, TV, sky

and food; and an outdoor one with a bar and sofas for socials. It costs 10 pounds a

month to be

- £10 a month. Large room, kitchen including microwave, 2 computers, sofas, large TV

with sky, snooker and table football.

- Good. £10 a month. Snacks, sky TV, large common room, drinks and a party every so

often, usually fancy dress.

- 10 quid a month. There is a mess at the accommodation and a mess in the hospital - it

is pretty decent actually

How much is the rent for the hospital accommodation?

- £275 a month (though currently not paying)

- Now it is zero as they failed the BMA standards - increasing to 275/month in feb as

they are kicking us out into somewhere nicer which is a bit annoying actually - they

could have handled the situation much better.

What are the accommodation facilities like? (i.e. bedrooms, lounge, kitchen)

- New accommodation is good - 3 bedrooms (large, but single beds, with a sink and a

desk), 2 bathrooms, lounge/dining room and a kitchen. All clean and modern. Daily

cleaners.

- SHOCKINGLY BAD!! Single paned glass windows, poor kitchen, small rooms, mis-

matching

- Here its ok, dated a bit substandard but I’m happy staying here for free

Do most people choose to stay in the offered accommodation?

8 x yes

- Most people are not local to the area who come to Dorset so do it as no other option.

- Cheaper than living out. Right on site. A lot more sociable.

- this may change as they are starting to charge.

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DORCHESTER

Would you recommend your job to those applying now?

8 x yes

- I really enjoy my job!

- Enjoy the people I work with and like the variety of work on nights and weekends.

- I love the job even though it's harder then I anticipated and the hours are longer than

they're meant to be.

Any other comments you would like to know about life as an F1 in your

hospital?

- Really great, friendly atmosphere. Everyone wants to help you. So many opportunities

for learning and getting involved in interesting cases. Lots of opportunities and support

to build on your CV and further applications.

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ISLE OF WIGHT

ISLE OF WIGHT: What is your rotation?

- General Surgery/Orthopaedics/Resp Med/ Cardio

How is your job banded?

- 40% for surgery, 50% for medicine.

Did you get into your first choice of hospital/trust to work in?

Yes

What are the best bits about where you are?

- Small intake so more opportunities for learning and hands on stuff.

What are the worst bits?

- Ferry Prices.

How many F1s are there working in your hospital?

- 22

Is there a close team feeling amongst F1's in the hospital?

Yes

- I only really see the current surgical F1s often (with a few exceptions) so half yes.

How are F1's treated by the rest of the staff in the hospital?

- Very well.

What are your responsibilities as an F1 in your hospital?

Directing ward rounds, scribe, filling in forms, pre-admission clinics, assisting in theatre.

ward jobs. (on-call; admitting/assessing patients to hospital)

Do you have a clinical supervisor?

Yes

- Currently CBD sessions, letting me attend clinics with him and letting me clerk and

examine patients with good feedback. The last one didn't do much.

Is there an active Doctor's Mess?

- Not really. The finance department have frozen our mess funds due to tax problems in

the past. We don't contribute to mess funds but receive money from the private ward

for services.

What events are run by the mess?

- Theme party nights in the mess. meals etc.

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ISLE OF WIGHT

What are the facilities like in the Doctors Mess and how much does it cost to

be a member?

- Free. TV, Kettle, pool table.

How much is the rent for the hospital accommodation?

- I live off site.

What are the accommodation facilities like? (i.e. bedrooms, lounge, kitchen)

- Don't know.

Do most people choose to stay in the offered accommodation?

No

- It's cheaper and nicer to live off site.

Would you recommend your job to those applying now?

Yes - quieter than mainland posts so more time to get yourself sorted.

Any other comments you would like to know about life as an F1 in your

hospital?

Nil

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JERSEY

JERSEY: What is your rotation?

- Cardiology/Gen. surgery/Care of the elderly

How is your job banded?

- 50%

Did you get into your first choice of hospital/trust to work in?

- Yes

What are the best bits about where you are?

- The island is beautiful: amazing beaches and scenery, lots to do, especially in the

summer. There are lots of great restaurants, cinema, gyms, good shopping in St Helier,

lots of local produce and markets... Can't praise it enough! The hospital is relatively

small, probably quiet compared to the mainland, but everyone is friendly and even the

consultants are by and large very approachable, and the relative lack of middle-grade

staff mean that you get a lot of experience which, in a larger hospital, would be taken

by F2s or registrars. Currently, the pay is also good: accommodation is free, except for a

service charge, and relatively nice; banding is also high with a hefty island bonus. Living

costs are probably around the same as London, although there are benefits, such as no

VAT on purchases from Amazon, etc.

What are the worst bits?

- Very occasionally, it can be difficult to get off the island because of the weather. If

you're a big city person, St Helier might seem quiet to you. There is a lack of permanent

staff so sometimes teaching can be less that perfect. On the other hand, I don't have

any other experience of F1 hospital teaching to compare this with. On the whole

though, I've been very glad that I've moved to Jersey, and have very few complaints!

How many F1s are there working in your hospital?

- 14

Is there a close team feeling amongst F1's in the hospital?

- Yes, whilst not all the F1s mix, some preferring their own company, the group as a

whole is close-knit. We often go out for meals or occasionally mess nights, and all live in

the same accommodation block.

How are F1's treated by the rest of the staff in the hospital?

- On the whole well, especially once the other staff get used to you!

What are your responsibilities as an F1 in your hospital?

- Same as everywhere: mainly ward work, with rounds, taking bloods and other

procedures, etc. There are opportunities for going to theatre, clinics, etc.

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JERSEY

Do you have a clinical supervisor?

- Yes, there when I need advice.

Is there an active Doctor's Mess?

- Yes

What events are run by the mess?

- Occasional parties and outings

What are the facilities like in the Doctors Mess and how much does it cost to

be a member?

- £10/month buys access to the room and to Sky, Xbox, etc. There are also kitchen

facilities, tea & coffee and bread.

How much is the rent for the hospital accommodation?

- £0

What are the accommodation facilities like? (i.e. bedrooms, lounge, kitchen)

- Doctors get flats in an accommodation block opposite the hospital. These consist of a

bed/sitting room, kitchen and bathroom. They are quite large and can be made very

cosy!

Do most people choose to stay in the offered accommodation?

- Yes, because it's free. Rent in Jersey is not cheap for people newly arrived from the

mainland, so it is a very good deal!

Would you recommend your job to those applying now?

- Yes, Jersey is a great break from the mainland, as long as you're willing to enter into

the different pace of life, and it's full of nice people and great opportunities. I am very

glad I made the decision to come over here.

Any other comments you would like to know about life as an F1 in your

hospital?

Nil

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POOLE

POOLE:

What is your rotation?

- General surgery, respiratory medicine, endocrine

How is your job banded?

- 2b - which is 50% banding

Did you get into your first choice of hospital/trust to work in?

Yes

What are the best bits about where you are?

- The hospital is really friendly. Think the accommodation is pretty good, but there

is only one kitchen between everyone (about 20 of us). We are by the sea.

What are the worst bits?

- The hours are worse than in other hospitals, as in if u work a weekend it means

you work 12 days in a row, other hospitals give u some time off in the week. You

live on the top of the hospital which can be weird at times and gives u very little privacy.

How many F1s are there working in your hospital?

- Approx 25

Is there a close team feeling amongst F1's in the hospital?

Yes

- Think we know all the F1's and those that live in know each other pretty well as it

is a bit like being in halls again.

How are F1's treated by the rest of the staff in the hospital?

- Fine

What are your responsibilities as an F1 in your hospital?

- Just general stuff, depends on the job. Doing on calls, ward cover, nights,

Do you have a clinical supervisor?

Yes

- Guess that depends on how much u want, but u have an educational supervisor

who is your supervisor for 2 years, and u get a clinical supervisor for each attachment who u are supposed to meet with at the beginning, middle and end of

the attachment. but it kind of depends on who your supervisor is to how much u

meet up.

Is there an active Doctor's Mess?

Yes.

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POOLE

- The mess is situated on the top floor of the hospital. There is a mess party most Thursday nights; the big one is usually at the end of the month around pay day!

What events are run by the mess?

- We have had a boat party, a night at the dogs, a Halloween party, Christmas cocktail party.

What are the facilities like in the Doctors Mess and how much does it cost

to be a member?

- Costs more if u live in think its about £22 but comes straight out your pay check. There is a mess with TV and sky TV, it provides some food, toast, tea cereal etc.

We have had Christmas trees this year.

How much is the rent for the hospital accommodation?

£200 per month (this is because it's subsidised by the trust, and there is a chance it

will increase)

What are the accommodation facilities like? (i.e. bedrooms, lounge, kitchen)

- Most bedrooms are adequate size with an ensuite bathroom all the bedrooms are

singles. There is one lounge and one kitchen between everyone living in which can be annoying but usually is okay as people are working different shifts, i.e. lates,

nights etc.

Do most people choose to stay in the offered accommodation?

Yes

Would you recommend your job to those applying now?

Yes

- I have enjoyed it but then haven't worked anywhere else. a lot of the jobs have an unbanded part in the rotation, but this has the bonus of meaning you don’t have to

work weekends, nights or bank holidays, and time off becomes very important when

u are working.

Any other comments you would like to know about life as an F1 in your

hospital?

Nil

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PORTSMOUTH

PORTSMOUTH: What is your rotation?

- Surgery (2months colorectal, 2 months ortho), Acute care (with 1 month anaesthetics),

Medicine (2 months gastro, 2 months elderly)

- Upper GI surgery

- Colorectal acute cardiology and elderly care

- Urology, vascular, acute with anaesthetics, respiratory and elderly med (palliative

ward)

- Surgery, Acute Med + anesthetics, Medicine

- Respiratory Medicine - Elderly Care (Acute Stroke) - Orthopaedics - Colorectal - Acute

rotation with ITU

How is your job banded?

- 40% (1b) for medicine, 50% (1a) for surgery and acute rota

Did you get into your first choice of hospital/trust to work in?

7 x yes

What are the best bits about where you are?

- Varied jobs - lots of exposure to different specialties, not time to get bored. Very good

levels of support in progressing through foundation training.

- Busy hospital but support is generally good both during normal hours and during

oncalls/ nights. See a range of pathology at various stages of presentation. Friendly staff

- Great atmosphere. Very approachable staff. great learning environment. Enough F1s to

socialise. cheap accommodation

- Large hosp with lots of variety. Really, really friendly colleagues

- Very friendly staff, supportive teams, good learning opportunities, busy hospital - able

to see varied illnesses, great social life - everyone seems to know one other!!

- Busy hospital, good exposure to interesting patients and you learn to work under

pressure. - Lots of support for junior trainees.

What are the worst bits?

-Busy, busy, busy - making it hard to fit in all the extra-curricular bits of stuff (I'm

writing this from one of the ward computers on a day of annual leave where I've come

in to catch up on all e-portfolio stuff, etc)

- May not get as much hands on experience as you may do in a smaller hospital. This is

especially true during on calls where the SHOs may carry out procedures such as LPs,

chest drains etc as they have not carried out many during their training. Despite this

there are opportunities to perform some procedures but this may be rotation dependant.

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PORTSMOUTH

- Portsmouth is very busy. Work often over hours. Not that many places to go out in.

Very busy, often feel like you are just "fire fighting"

- Can be a bit unsupported at times, especially when doing nights (which are few and

far between!) Busy hospital - so sometimes can't give patients the time they require, as

there's more patients coming in through the door (but also a good thing as you get to

do and see lots). Only do each rotation for 2 months, so can feel you've only got used

to the job before moving onto the next specialty.

- Sometimes you feel like the 'jobs monkey' - just doing bloods/cannulas/paperwork etc

- as there are lots of SHOs that want to do the more interesting procedures, so you have

to be very keen!

How many F1s are there working in your hospital?

- Between 40 and 50

Is there a close team feeling amongst F1's in the hospital?

7 x yes

- Very close in the dr accommodation. Lots of social activities.

- Lots of nights out organised with not only the F1's but all ranks and even nurses!

Everyone seems to know everyone and people stop in corridors to take time out for a

chat! Very friendly hospital!

- Mainly because most of us have graduated from Southampton University so we know

each other quite well.

How are F1's treated by the rest of the staff in the hospital?

- Fine. Hard to compare with other hospitals, obviously, but I've not been bullied or

abused (other than when I deserved it!).

- Largely very well (I have had no bad experiences so far)

- You find occasional doctors that look down on you but you get that everywhere. The

feeling is completely different to being a medical student. You feel like you have a role

on day one

- Generally very well, quite well supported

- Very well, respected, our opinion is valued

- Bleeped a lot! But it is always busy and you learn to prioritise, otherwise very well,

given a lot of responsibility.

What are your responsibilities as an F1 in your hospital?

- General day-to-day ward work on medical and surgical blocks. On acute care clerking

unwell patients and starting initial management.

- Day to day management and organisation of the ward. Making and updating patient

lists, checking bloods and ensuring jobs are done in a timely manner. During on calls we

put in a lot of cannulas/ take blood, review X-rays and finish outstanding jobs from day

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PORTSMOUTH

teams. We also review patients on wards (although resp high care and CCU tend to call

the SHO) but each day (even weekends) every medical ward has an SHO covering from

0800 to 1630 and unwell patients get daily senior review. On surgery you are left to

review unwell patients but the SHO/ reg are happy to help if needed.

- Depends on firm. A little bit like secretarial work on surgery. But I’m on MAU at the

moment, and I have the same responsibilities as my SHOs

- The day to day care of patients on your ward. Weekends, nights and long shifts involve

care of far more patients.

- AM - prepare things for ward round: reading notes of new admissions overnight,

checking blood tests/investigation results - Ward round: presenting patients on round,

documenting decisions made - Coffee after ward round - Admin work: make sure any

urgent bloods/cannulas are done, write up TTO's, order investigations, follow-through

any plans made up on ward round - Lunch _ Post lunch: follow up all blood tests/

investigation results and decide on any action appropriately. Occasionally if you're on-

call, you may have to be the first person to see new admissions and order relevant

investigations. May also need to pre-op assess any patients awaiting surgery. - Ward

round to finish the day - this may just be a simple sit down chat to discuss any issues or

another quick ward round to see the patients - Hand over to the night team

- Responsibility for patients on your ward, on-call cover, taking part in MDTs, often have

to do talks during departmental teaching sessions.

Do you have a clinical supervisor?

Yes.

- To be honest they haven’t followed me all that closely although if I were to have any

problems I wouldn't hesitate to contact them.

- Able to answer most questions/ point you in the direction of some one who can if

needed. - Careers advice, advice on audits/ research available and feedback on your

progress

- Help on my e-portfolio and someone to talk to.

- Guidance on career choices, available for advice and help if you are struggling

- You get allocated an educational supervisor for the 2 year foundation programme, and

you should get a clinical supervisor for every job you do (but this is easier said than

done, especially as some jobs are only 2 months!). The educational supervisor provides

overall support and the clinical supervisors can help you complete parts of your e-

portfolio (CBDs, mini-CEXs etc).

Is there an active Doctor's Mess?

- Yes. But the actual room in the hospital is tiny and rubbish.

- Something almost every other week

- Quite a few socials, but the actual room of the mess is not very busy or relaxing or

particularly well stocked. A bit clinical feeling and quite far from anywhere to buy food

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PORTSMOUTH

- Yes - SKY TV, food, comfy sofas Not many of the F1's use it though - we seem to

accumulate in other "restaurant" areas of the hosp

What events are run by the mess?

- Pub quiz, nights out, weekly football, Christmas balls etc

- Usually one night out per month based around payday, winter and summer ball. So far,

also a joint event with SGH doctors mess, trip to a burlesque show.

What are the facilities like in the Doctors Mess and how much does it cost to

be a member?

- £10/ month Doctors mess is ok, fairly small but has TV, computers, table football tea/

coffee/ simple cooking facilities and a couple of sofas. It's part of the new hospital and

doesn't feel that well used by the doctors as yet.

How much is the rent for the hospital accommodation?

- £180/ month at the moment inc bills (washing machines/ drying cost extra)

What are the accommodation facilities like? (i.e. bedrooms, lounge, kitchen)

- Simple but clean (and cheap) Largely v sociable (3x people to a flat with kitchen,

living room, separate toilet/ bath/ shower rooms) 4x flat to one floor. Most FY1s in one

building but a few in separate building (only 50m away)

- Flats of 3 with a living room, bathroom, shower room, toilet and kitchen in each flat. in

tower blocks on site. Very clean and warm and well stocked with cutlery and bedding

etc.

Do most people choose to stay in the offered accommodation?

5 x yes, 1 x no

- Convenience.

- Many military doctors choose to stay in Fort Blockhouse in Gosport and a few stay in

Southampton/ around Portsmouth.

- Unless people have a family or their own house already most are staying in the accom.

- Cheap, opposite the hospital

Would you recommend your job to those applying now?

All yes

- So far I would recommend my rotation of elderly, resp, upper GI surgery, (urology

then acute block to follow).

- Really good training opportunities and you are encouraged to do things like

presentations, medical student teaching, audits etc. The FY1 rotations are good as

everyone has acute medical experience (MAU, SAU, ITU/anaesthetics).

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PORTSMOUTH

Any other comments you would like to know about life as an F1 in your

hospital?

- I think Portsmouth is great training hospital, lots of pathology and busy, perfect I

think!

- No parking on-site - must park in one of two designated car parks approx 5mins drive

away from QAH. Shuttle bus runs every 15 mins during peak times and 30 mins

thereafter. Stops at 22:00, which is annoying if you're working a twilight shift and

finishing at 23:00!!

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SALISBURY

SALISBURY: What is your rotation?

Urology / General Surgery; Elderly Care / Cardiology

How is your job banded?

- 40%

Did you get into your first choice of hospital/trust to work in?

Yes

What are the best bits about where you are?

- Really friendly hospital, small enough that everyone knows everyone but large enough

that we get loads of interesting cases and lots of different specialties. Brilliant support from all other members of the team, all the way up to consultant level. Regional centre

for burns and plastic surgery. Great opportunities to go to theatre if that's your thing. The only trust in Wessex to offer ophthalmology as an F2. Can also do plastic surgery as

an F2. Hospital accommodation is really good too, and it's in a lovely location with a great night life considering the size of Salisbury. We're probably more EWTD compliant

than most other trusts as well, so plenty of time to do extracurricular stuff / CV building.

Lovely little pub just down the road too.

What are the worst bits?

- The core teaching programme isn't great.

How many F1s are there working in your hospital?

- 20

Is there a close team feeling amongst F1's in the hospital?

Yes

How are F1's treated by the rest of the staff in the hospital?

- Fantastically. You get a real feeling that you are valued by the rest of the hospital, and there are always opportunities to get involved with more exciting things like theatre lists

etc.

What are your responsibilities as an F1 in your hospital?

- Lots of ward work but also occasionally help out in clinics and theatre lists. On calls are

the best bit, lots of responsibility but equally, lots of support if needed. We do surgical nights but no medical nights.

Do you have a clinical supervisor?

Yes

Is there an active Doctor's Mess?

Yes

What events are run by the mess?

- BBQs during summer, summer ball, regular pay-day nights out, Halloween etc. Also

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SALISBURY

some non alcoholic events such as surfing, paintballing, bowling... There are also several mess sports teams including hockey and football.

What are the facilities like in the Doctors Mess and how much does it cost to

be a member?

- Really good facilities - all inclusive Sky subscription, pool table, table tennis, food,

drink, comfy sofas. All within a few metres of the doctors accommodation. £15 per month.

How much is the rent for the hospital accommodation?

- £425 a month

What are the accommodation facilities like? (i.e. bedrooms, lounge, kitchen)

- Excellent. Comfy and spacious, and very close to the hospital without feeling that you are actually IN the hospital. The accommodation dept are a bit lazy, but with enough

bullying they'll fix stuff for you when it goes wrong.

Do most people choose to stay in the offered accommodation?

Yes

- It's about 50-50. People who move out usually do so due to significant others!

Would you recommend your job to those applying now?

- Yes

Any other comments you would like to know about life as an F1 in your

hospital?

- Best trust in Wessex, without doubt :)

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SOUTHAMPTON

SOUTHAMPTON: What is your rotation?

-6 months surgery, 6 months medicine

- O&G/ENT/AMU & elderly care

- 6 months general medicine, 6 months general surgery

- 6/12 Med (Resp / AMU / Gen Med - Endocrine / Resp) 6/12 Chir (UGI / SAU / T&O)

- Elderly med, O&G, general surgery

- Vascular, colorectal, E5 surgical admissions

How is your job banded?

- 1b (40%) for all general med and surgery 1a (50%) for O&G

Did you get into your first choice of hospital/trust to work in?

7 x yes, 5 x no

What are the best bits about where you are?

- Trained here so know hospital and some staff.

- Variety of work, get to see complexity of case, very busy so learn to multitask/prioritise quickly, builds confidence

- Comfortably demanding job - learn a lot, see and do a lot

- I really enjoy the job. Everyone has been really supportive

- You are never bored

- I've only worked in Medicine so far but pretty much all of the doctors are friendly and

good colleagues to work with. It is a busy hospital which means you get good exposure to a wide variety of cases - ranging from the standard medical conditions to the less

common and rare! - As a medical house officer you are generally well supported in Southampton and there hasn't been an occasion where I've personally felt out of my

depth and not had someone to ask and help me with a patient. Flexible leave whilst on

medical rotations. Opportunities for academic work in F2.

- Studied here so know the hospital and some staff. Also know the Southampton area.

To gain experience of busy hospital.

- Change of area. Meeting new people. Large hospital - lots of experience

- Large cohort. Learn a lot very quickly

- Big Busy Hospital with +++going on

- Good hospital size, can get to know everyone, but still plenty of new people.

- Vascular and colorectal have very good senior support and there is opportunity for learning throughout these attachments.

What are the worst bits?

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SOUTHAMPTON

- Move rotations a lot so constantly have to get used to new teams. Very busy and stressful. Poorly organised rota.

- Not the friendliest hospital due to size and probably not the best supported

- Can be too busy sometimes very occasionally lack of support

- It can be very hectic and involves lots of rushing around to get things done. Working longer hours than I should be.

- The management actively make life more difficult. There are not enough doctors and so you will have to work way more than the amount of hours you are paid for. The

holidays are fixed and rotas are not given out until the very last possible time. The rotas

have lots of gaps in them so you will regularly be understaffed to the point where it is dangerous.

- Hospital accommodation is located quite far away from the hospital itself and isn't amazing - much like halls of residence. This isn't a problem obviously if you rent/buy

your own place. It is a busy hospital and you will most likely have stay late from time to

time. Work is generally good but can be quite intense and challenging at times. The phlebotomy service was cancelled this year which means there are often quite a few

bloods to take most days that the medical assistants don't have time to do - I'm not sure whether this will be solved or not before next year. Fixed leave on surgical rotations

- Very busy and stressful. Rotate frequently so have to get used to new teams.

Southampton city isn't great. Doctor's Mess is awful Not good atmosphere for staff - large hospital, targets to be met, unresolved rota issues

- Long hours. Lack of support. Little teaching

- The rota. Trying to fit everything in. Not a great mess comparatively.

- Not knowing or being able to choose your surgery jobs until you start them

- Late finishes, a lot of on call hours. If you were to take an unbanded job with sociable

hours you could make the same money in the year by taking only 1 evening locum shift a week (only an extra 6 hours) and you wouldn't have to work any weekends.

How many F1s are there working in your hospital?

58

Is there a close team feeling amongst F1's in the hospital?

7 x yes, 4 x no

- Hospital too big to feel friendly as a whole however individual teams I have worked in

have been very friendly.

- 15-20 of us go out on regular basis bit difficult to get everyone involved as we don’t live in hospital accommodation

- All three f1s get on but I don’t think that everyone is as close as other people working in smaller hospitals.

- We are all suffering together

- It is very difficult to say yes or no to this but if I had to choose I would say no. That is not to say that there isn't a team feeling at all. We all get on well as F1s and have had

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SOUTHAMPTON

some good mess nights out, however it is probably not as close in Soton as in other hospitals

- Rubbish Doctor's mess. No good events for F1's to meet up with other F1's and other

health professionals.

- The FY1s tend to help each other out because there is often no senior support to help

FY1s when they're stuck.

- Distinct split between med and surgery - just never see some people. The mess is not fantastic.

- You make a lot of friends within your specialities but medicine and surgery f1s are

divided.

How are F1's treated by the rest of the staff in the hospital?

- Variable

- Well on the whole, haven't had any terrible experiences

- Very badly, particularly by management. Nursing staff are friendly

- Generally fairly well by most staff

- Varying - doctors seem to include us in the team, nurses mostly treat us with no

respect at all

- That depends on how the F1 chooses to act and treat them

- Very well in my experience, most registrars and consultants are supportive.

- As secretaries, most consultants I have worked with have been really good and offered teaching. Although its not enough for a teaching hospital.

What are your responsibilities as an F1 in your hospital?

- Looking after your team's patients on the ward, clerking in emergencies, admin tasks,

organising investigations

- Maintaining the ward list, doing all the ward jobs looking at MEWSing patient,

admitting patients, helping in theatre and to do procedures when have time.

- Ward round, making up the list, doing jobs, bloods, hmr, clerking in new patients

- Organising my team and taking bloods.

- Attend ward rounds, write in the notes, note down all the jobs for each patient and

ensure these are done e.g. requesting investigations, speaking to relatives, taking blood,, checking blood results at the end of the day. Clerking patients in, seeing

MEWSing patients, prescribing medication and fluids. Alerting your seniors when you are out of your depth

- Sorting the list, ward rounds (sometimes on your own depending which job you get),

doing all the jobs from the ward rounds, seeing sick patients, and on call weekend ward cover.

- Same as anywhere else! Medicine is one weekend on every 7 or 8, plus one late night

per fortnight.

- Maintain a patient list, know what's happening to them, and organise everything that

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SOUTHAMPTON

the team needs done.

Do you have a clinical supervisor?

Yes.

- Rarely see them only for mandatory assessments/reviews

- So far very little advice but this is because I have sought advice elsewhere. This question is irrelevant because one hospital will not have good supervisors against

another hospital with bad supervisors-there will be good and bad supervisors everywhere due to personality

- They offer you advice on your job and training if and when needed

- My supervisor has been very helpful

- What your goals should be in F1 and how to go about achieving them. Offer support with general work.

- Not a lot

- Meet once to sign e-portfolio form. If you are in real trouble they can help e.g. with serious untoward incidents etc

Is there an active Doctor's Mess?

- Yes - fairly active

- Yes but it is not that active! Once a month pay day socials that are attended only by F1s and a few SHOs.

What events are run by the mess?

- Very few events so far but the events that have been organised were good. Usually only subsidised though not money behind the bar.

- Nights out, balls, go-carting, bowling

- Not many- great xmas ball and occasional pub night

- Social events so far include: barbecue, bowling, clubbing, meals out, Christmas ball

What are the facilities like in the Doctors Mess and how much does it cost to

be a member?

- £5 a month. Mess room with computers, TV and pool table. Never really any food or drink though.

- Mess itself isn't that great compared to others I've seen, no real food preparation facilities. Has sky TV though!

- Not very good mess at all, only 5 pounds a month though.

How much is the rent for the hospital accommodation?

- £400 - bills included

What are the accommodation facilities like? (i.e. bedrooms, lounge, kitchen)

- New accommodation - comfy and clean rooms - en suite each room - spacious kitchen

lounge between 4 of you very close to town.

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- Like university halls of residence They are not on site and are about 10 mins by car or 30 minute walk

- Very nice accommodation but its in the city centre so 3 miles from the hospital .

There’s a shuttle that runs from the accommodation to the hospital but the times are not that convenient. We al moved in for 3 months and then made friends with other F1s and

moved out.

Do most people choose to stay in the offered accommodation?

3 x yes, 7 x no

- Noisy, not near hospital, dodgy area of town

- Because of distance to hospital most people didn't think people would be staying there

- Its at Orions point.

- Yes to start with as that is the only option, but then they move out with people to get

a house nearer the hospital

- All the F1s who trained at other deaneries moved into accommodation, but most of the people who trained at Southampton lived in a house.

- It really isn't great and is relatively expensive

Would you recommend your job to those applying now?

8 x yes, 2 x no, 1 x Not sure

- Gynae brilliant for seeing emergencies and get to consult patients on your own in EPU

clinic. Great confidence builder, also lovely friendly unit, was very sad to leave! ENT brilliant job - very hands on, get to see a lot and do a lot, (other jobs in general surgery

under-appreciated and mainly admin jobs) well looked after by ENT team - highly recommended. Cannot comment on medicine yet.

- Learnt a lot done a lot feel that the demanding times were manageable and taught me

a lot. Looks good on CV to be in teaching hospital. Quite lot of experience with surgical procedures and operations

- Unless you have a very good personal reason to work in Southampton my advice

would be to steer well clear.

- Be prepared to be working in a very large hospital with a high turnover of patients. I

would recommend the job but maybe not the place.

- It is such long hours without a break compared to other hospitals, and it is very busy and stressful... BUT you learn a lot very quickly (you have to!) and you know that if you

can deal with being an F1 in some of the jobs here, that you will never struggle again, i.e. your SHO job will never be worse than this!

- Depending on the individual and where they want to go with their career

Any other comments you would like to know about life as an F1 in your hospital?

- In summary, not the friendliest hospital but this is to be expected due to its size. I

think the amount of stuff you get to see and the confidence it gives you outweighs this, as generally teams are very friendly within themselves. I would pick Southampton again,

but I would always go for one of the 3 x 4 month rotations with O&G in it over the 6

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month rotations as you have a greater variety plus you don't have to do as many nights and no pre-assessment block in surgery.

- You'll enjoy where ever you go. I know no-one who hasn’t enjoyed it whether they got

their first or last choice.

- I would recommend my job in Southampton to those applying for F1. It can be busy

and slightly stressful at times, but I think that is true for most hospitals. The social scene is fairly good, a lot of it is what you make of it, and as long as you get some good

accommodation it is a good city to work in.

- Enjoy the F1 year. Medical school doesn't prepare you for life as an F1 but within a week or two you will settle in and get the hang of things

- This is a busy hospital, be prepared to see a lot of patients, if you want a more relaxed

teaching friendly experience then go for a district hospital

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WINCHESTER: What is your rotation?

- Upper GI surgery, orthopaedics, gastroenterology medicine

- Gastro, orthopaedics, ENT

How is your job banded?

- 1b (Basic + 40%)

Did you get into your first choice of hospital/trust to work in?

6 x yes, 1 x no

What are the best bits about where you are?

- Very friendly - small enough so that you will get know and be known by most staff.

You will get the opportunity to get to theatre - no chance if an F1 in Southampton.

Winchester is beautiful to live in and around and only 50 minutes from waterloo station!

- Friendly Staff. Great Foundation Programme coordinator. She helps you a lot. Very

Good Consultants. Very Approachable and always willing to help in career progression.

- Not only is Winchester a lovely place to live, but the hospital is amazing. Very

supportive throughout F1 year with opportunities to learn throughout. In 5 months on

resp firm I have learnt a great deal about managing patients. People from other teams

are accommodating in allowing you to gain experience in other areas if needed.

- Friendly work environment on the ward, you get to know people around you. Good

variety of acute medical conditions. Occasional opportunity to practice procedures -

although this depends on how keen your SHO is to do the procedures themselves.

- Small hospital, get to know everybody really well, lots of chances to assist in theatre.

Good location, close to the city centre, 1hr to London etc.

- Work ethos at the hospital - very friendly and supportive. Dr's Mess.

What are the worst bits?

- F2 rotations are not the best

- Restaurant- terrible timings. You could go with out food when you are on call due to

the strict timings. -Medical Staffing- They do really try, but not up to the mark yet.

- Doctors Accommodation - Supposed to be cheap and cheerful but it’s dull and not

cheap at all.

There are no worst bits about being at Winchester, for us, it's the worry that there aren't

enough jobs for F2, Which hopefully won't be a problem this year.

- Lack of support from the medical director regarding discrepancies in the rota e.g some

F1s have more than twice the number of nights than other F1s on the same banding.

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- Limited clerking experience as when you are on the EMAU you are often doing jobs

while the more senior doctors clerk in patients and then hand over the new jobs to you.

- Can have a limited amount of experience in niche specialties

How many F1s are there working in your hospital?

Approx 27

Is there a close team feeling amongst F1's in the hospital?

6 x yes, 1 x no

- Great doctors mess - monthly parties, seasonal balls

- The right answer will be I am not sure. Previous Mess parties didn’t have the turn out

you would expect. There looks to be a divide between the Medical and Surgical F1s but I

guess it’s because they come in more contact with each other while doing medicine and

surgery respectively. Guess that explains the turn out at the mess parties.

- We have a great mess, and with only 27 F1s everyone is friendly and knows each other

well socially and at work. This makes the working environment great fun and supportive

when needed.

How are F1's treated by the rest of the staff in the hospital?

- You feel valued.

- With respect you would expect as an F1 doctor. It’s really wonderful to work with good

qualified staff. It makes us as F1s more productive.

- Very well supported

- Friendly environment.

- Very well

- Well. Usually always thanked by other staff when jobs are done.

What are your responsibilities as an F1 in your hospital?

- Like everywhere else - mostly ward based. Weekly on-calls, about 1 in 6 on-call

weekends 1 in 12 nights. Often clerk patents in A+E when on-call. Frequently asked to

help in theatre. Perform pre-assessments of elective surgical patients

- Day to day running of your team. You are responsible for making a list of all the

patients under the consultant(s) you work for, participating in ward round, requesting

investigations, chasing them up, interpreting them to the best of your ability and

forming a treatment plan together with your team for the patient. You also have

responsibilities such as pre-assessment clinics, on calls and weekly/monthly meetings/

journal clubs together with once a week bleep free teaching sessions.

- We have day to day jobs on the wards and then on calls- carry crash bleep and cover 7

wards as a medical F1.

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WINCHESTER

- Preparing for the ward rounds, going on the ward round and doing jobs. Often there’s

an F1 & SHO managing a ward of 26 patients. On nights the F1 manages the wards

while the SHO & Reg are primarily on EMAU.

- Mainly ward jobs. Not much clerking experience of new admissions etc. Manage ward

patients.

Do you have a clinical supervisor?

Yes,

- Always available for advice about career

- The clinical supervisor is like your God Father who watches over you. You can

approach them for any advice or feedback. They will support you with audits,

presentations et al. You need to keep your meetings with your Clinical Supervisor and

have targets that you should achieve in your F1 year.

- Career guidance. Support and advice.

Is there an active Doctor's Mess?

- Yes. There is an active doctor’s mess. Tea, Coffee, Toast and assorted sweet and

savory snacks. Pool table and Sky TV (currently not working for past 2 months)

- Yes, great fun, we pay £17 a month which goes towards food/drink and parties in the

mess.

What events are run by the mess?

- Monthly pay day socials, seasonal balls, regular barbecues in summer.

- Monthly mess parties. Social events. Day to day running of the mess.

- The mess pay day parties. The Christmas and summer ball.

- Parties, go-karting , fire works, pub crawls etc

- Mess parties, trips, xmas party etc something bout once a month

What are the facilities like in the Doctors Mess and how much does it cost to

be a member?

- £17 per month! Free filter coffee, tea, toast, jam, cereals, cheap canned drinks.

Kitchen internet access pool table, sky satellite, sofas and crocket lawn

- Very good, very cozy. Nice safe haven to relax off the wards

- On-call rooms, showers, daily papers/magazines.

How much is the rent for the hospital accommodation?

- £300 a month – gone up to £350

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What are the accommodation facilities like? (i.e. Bedrooms, lounge, kitchen)

- Meager

- Fairly basic to be honest, haven't been updated for a while (look a bit 1960ish)

- Not seen them as I live in private accommodation. Although other F1s report the

accommodation is not great, as evidenced by more than 50% of the F1s living in private

accommodation.

- 6 rooms to 1 shower and 1 toilet and 1 kitchen. 1 lounge for the whole block bit

rubbish

Do most people choose to stay in the offered accommodation?

- No, only about 50% do.

- Meager accommodation and not so cheap price. It is however, just a stones throw

from the hospital and is very convenient.

- To be honest at £300 a month or a bit more, you can get a nice room in a shared

house. Or, of course others have commitments such as husbands/families to live with

Would you recommend your job to those applying now?

5 x yes, 1 x not sure

- Upper GI very busy but learn lots. Ortho you have more support and daily trauma

meetings are much more constructive teaching than at other hospitals - supportive

seniors and opportunity to perform operations!

- Great Place to work. Good opportunities for career progression. However you may

want to live outside if you can afford it.

- Currently understaffed hence the job is harder than it should be. With a full team it

would be a great job though.

Any other comments you would like to know about life as an F1 in your

hospital?

- Very daunting in the first week or so but colleagues are supportive – especially F2’s

- Exciting, good to be finally doing all that you learnt in med school within capacity of

course. - It is important to have a good life work balance because you can sometimes

end up getting so engrossed into your work ( always to your benefit due to the

experience and knowledge you accumulate ) but it is important to have a good work-life

balance.

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STATISTICS

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STATISTICS

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THANKS

THANKS:

We would like to thank the following people for their co-operation allowing us to make this document:

Dr Chris Stephens

Dr Malvena Stuart Taylor

Foundation Programme Directors within the

Wessex Foundation School.

All FY1’s who found the time to respond.

We wish all final years the best of luck with their job applications and hope that this document will you to rank the jobs within Wessex.

Thanks,

MEDSOC