North Bristol Placement Desc - Foundation - Home - Severn Deanery

Severn Foundation SchoolIndividual Placement Description

North Bristol NHS Trust

Placement F1 Anaesthetics/ITUThe department Anaesthetics/ITU, Southmead Hospital, North

Bristol NHS TrustThe type of work to expect andlearning opportunities

Care of patients in Intensive Care andlearning about the perioperative care ofpatients

Where the placement is based Southmead HospitalClinical Supervisor(s) for theplacement

Dr Mark Dirnhuber

Main duties of the placement Supernummary in Intensive Care and in theoperating Theatre. In ITU, The F1 is expected toarrive on the unit in time for the start of the ICUround. They will take an active role in the wardround, examining patients, completing the dailyICU paperwork and understanding themanagement plans for the day. They will assistthe ICU resident trainee in performing dailyduties such as ordering investigations andensuring the results are followed up and writtenin the notes. They will have the opportunity togain experience in practical procedures such asinsertion of invasive monitoring lines, vascathsand airway management. They will accompanymembers of the ICU team to cardiac arrests, inreviewing critically ill patients on the ward and infollowing up ICU patients who have beendischarged back to the ward. During their timeon ICU they will gain an understanding of thekind of patient who is appropriate for ICUadmission and how to stabilise and manage acritically ill patient. They will also gainexperience in the principles of organ support andmonitoring. They will attend daily microbiologyrounds, weekly radiology meetings and weeklyICU teaching. In the operating theatres the F!will be expected to be in theatre well before thestart of the list and to have seen the patientspre-operatively with the Consultant. During thelist they will gain experience in anaesthetic care,gaining further skills in vascular access andcontrol of the airway. They will become familiarwith the anaesthetic process and also the care inthe postoperative period especially in Recovery.They will not be expected to take responsibilityof any patient under anaesthesia. During thesesessions they will receive appropiate teachingand learn the basics of regional, local andcentral nervous blockade and the maangementof patients with concurrent illness

Typical working pattern in thisplacement

Placed either in Intensive Care or withConsultants in operating theatre, written on the

anaesthetic rota and will be released for centralFoundation teaching and have separateteaching from Clinical Supervisor

Employer information North Bristol NHS Trust is one of the largestNHS Trusts in the Country serving a communityof around 500,000 people. We are currentlybased on two sites, Frenchay Hospital which hasspecialist services such are Neurosciences,Plastics and the Major Trauma Centre status forthe Southwest region; and Southmead Hospitalwhich has other specialist services such asRenal & Transplant Services, Urology andMaternity. The Trust is in the bringing all of itsservices and facilities together in a state of theart new hospital which is currently being built onthe Southmead site and will open in the Springof 2014. In addition the Trust is in the process ofapplying for Foundation Trust status.

Please note: posts are subject to change dueto potential reconfiguration of services anddepartmental moves.

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



Placement F1 CardiologyThe department The department of cardiology consists of ward

2/CCU at Southmead Hospital and ward 103 atFrenchay Hospital. There are 3 ConsultantCardiologists working at each site. There is acatheter laboratory at Frenchay hospital wherediagnostic angiography, angioplasty and pacingprocedures are carried out. The ED departmentand acute medical admissions unit are located atFrenchay hospital. Direct admissions areaccepted between working hours onto ward 2.Both sites have a cardiac investigations unit fornon invasive tests such as echocardiography,ECG monitoring and exercise stress testing.

The type of work to expect andlearning opportunities

All Foundation Doctors in hospital posts willgenerally be ward based during the ‘normal’working day and expected to deliver the dailymedical care of all the patients on their wardirrespective of specialty. Whilst on call in theacute admissions unit, the F1 will be involvedwith the generic clerking of patients beingadmitted and the ongoing care of the patients inthe unit.

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

Take a history and examine a patient Formulate a differential diagnosis Prescribe safely Keep an accurate and relevant medical

record Manage time and clinical priorities

effectively Communicate effectively with patients,

relatives and colleagues Use evidence, guidelines and audit to

benefit patient care Act in a professional manner at all times Cope with ethical and legal issues which

occur during the management of patientswith general medical problems

Educate patients effectivelyBecome life-long learners and teachers.

Where the placement is based Wards 2 at Southmead Hospital and Ward 103at Frenchay Hospital

Clinical Supervisor(s) for theplacement

Dr Shahid Aziz, Dr Andrew Skyrme Jones, DrPaul Walker, Dr Phil Boreham, Dr Ben Farrowand Dr Mark Papouchado.

Main duties of the placement The F1 doctor is responsible with other staff for

the ward care of patients and the maintenanceof the patient’s medical record. They areexpected to attend the structured teachingprogrammes provided by the department andgrand rounds.


Mainly ward based from 9am-5pm apart from oncall duties.






Placement F1 Care of the Elderly / General (Internal)Medicine

The department The Department of Medicine for the Elderly/Care of the Elderly in North Bristol NHS Trust islargely based in specialty specific wards on bothmain sites, Wards 205 and 106 at Frenchay, andElgar Wards 3 and 4 and Malvern ward atSouthmead. All consultants work as GeneralPhysicians and Geriatricians, and each has anarea of special expertise, such as Cardiology,Parkinson’s disease, bone health &orthogeriatrics, respiratory disease, dementiaetc.


All F1 Doctors in hospital posts will generally beward based during the ‘normal’ working day andexpected to deliver the daily medical care of allthe patients on their ward irrespective ofspecialty. Whilst in the AAU (on call shifts) theF1 will be involved with the generic clerking ofpatients being admitted and the ongoing care ofthe patients in the medical wards.The overall educational objectives of the F1 yearare to provide the trainee with the knowledge,skills and attitudes to be able to

Take a history and examine a patient Identify and synthesise problems Perform IV cannulation and other

appropriate procedures Prescribe safely Keep an accurate and relevant medical






Educate patients effectively Become life-long learners and teachers.

In addition, trainees in the department willdevelop skills in:

The diagnosis and management ofdelirium in older people

The diagnosis and management of

dementias The recognition of non specific

presentations of acute conditions inolder people

The management of hospitalacquired infections on older people,and the consequences of prolongedhospital stays

Assessment of capacity, deprivationof liberty safeguards, enduring powerof attorney, and the Court ofProtection.

Multidisciplinary team working Early Discharge planning Palliation for terminal illnesses in old

age, and advanced care planning atthe end of life.

Where the placement is based Medical wards at Frenchay and Southmeadhospitals, NBT


Drs.: R.D. BarberM.G. CheesmanK.A. NeubauerJ.C. PounsfordS. SrivastavaS.K. Wensley

Main duties of the placement The F1 doctor will be responsible with other stafffor the ward care of patients and themaintenance of the patient’s medical records,including drug charts and discharge information.They will attend the “Board Rounds” and willhave opportunity to work with the consultants onWard rounds at least twice weekly, and also takeresponsibility for problems arising in patients onthe ward. They are expected to attend thestructured teaching programmes provided by thedepartment and the Directorate/ Academy/learning centre. The doctor will be responsiblefor such other specific clinical duties as allocatedby consultants including performing other dutiesin occasional emergencies and unforeseencircumstances.


Daily: 0900 Ward ‘Board’ round09.30 – 17.00 Ward work/ rounds1700 Handover

Mon: am RDB Ward Round13.00 – 14.00 Grand Roundpm SKW Ward Round

Tues: 13.00 – 14.00 Formal TeachingProgramme (mandatory) or Journal club

1400-1600 MDMWeds. 1400 SpR Ward RoundThurs: 13.00 G(I)M Journal club

14.00 SKW Ward RoundFriday 09.30 RDB ward roundSat: On call shifts as rosteredSun: On call shifts as rosteredOn call requirements:48 hr.EWTD compliant shift rota over 9 weekcycle



Placement F1 Diabetes & endocrinology/ generalmedicine

The department The Department of Diabetes and endocrinologyis within the Directorate of Medicine. Staffincludes 4 consultants, including a Professor ofDiabetic medicine, 2 specialty registrars, onelecturer/ registrar, core medical trainees,diabetes specialist nurses, podiatrists anddietitians. All aspects of inpatient and outpatientdiabetes and endocrinology are dealt with. Thedepartment is currently based across 2 hospitalsites (Southmead and Frenchay hospitals) with asingle specialty inpatient ward at Frenchay.


Foundation doctors are ward based and deliverdaily medical care to all patients under theircare, unless on emergency medical take. Themain workload, as with all medical specialties, isacute general medicine. This is enriched withpatients with diabetes and endocrine disordersbecause of the specialty bed base.The overall educational objectives of the F1 yearare to provide the trainee with the knowledge,skills and attitudes to be able to

Take a history and examine a patient Identify and synthesise problems Prescribe safely Keep an accurate and relevant medical







There are huge learning opportunities inmanaging diabetes in hospital inpatients,common endocrine problems and generalmedicine.Specialty specific learning objectives in theseposts include the following:Management of diabetic emergencies such asdiabetic ketoacidosis, hyperosmolar

hyperglycaemic syndrome, hypoglycaemia,acute diabetic foot problems.Management of diabetes in hospital inpatients,including IV insulin sliding scales, patients nil bymouth & on NG feeding.When workload permits, sit in on diabetic andendocrine clinics, attend Tuesday lunchtimediabetes MDMs (Frenchay Diabetes Centre)when the diabetes nurses discuss diabeticinpatients with Dr Parfitt, observe inpatientdiabetes nurses educating patients and startingthem on insulin, observe diabetes chiropodiststreating diabetic foot inpatients, be in attendancewhen consultants and/ or registrars seeendocrine or diabetic ward referrals.Read the integrated care pathway for diabeteson the Bristol diabetes websitewww.avondiabetes.nhs.uk.

Where the placement is based Ward 106, Frenchay Hospital, Bristol.Clinical Supervisor(s) for theplacement

Professor Polly Bingley, Dr Vernon Parfitt, DrAndrew Johnson.These 3 consultants cover the wards for blocksof 6 weeks on rotation and the coveringconsultant will be the Clinical Supervisor at thattime.

Main duties of the placement To provide the daily ward care to the teamspatients on ward 106 (typically 13) andoccasional outlying patients on ward 203.To attend and present patients at consultant andregistrar ward rounds, carry out instructions,maintain the patients’ medical records, generatedischarge summaries, liaise with patients andrelatives and GPs, make referrals as requested,attend the weekly Multi-Disciplinary Teammeeting.When on emergency take to clerk and sortinvestigations for emergency admissions.


Monday: am: consultant ward roundLunchtime: Medical grand round.Pm: ward work.Tuesday:Am: ward work or registrar round.Pm: Multi-Disciplinary Team meeting/ ward work.Wednesday: am: ward work.Pm: registrar round or ward work.Thursday: am: consultant ward round or wardworkPm: ward work.Friday: am: Consultant ward round or ward work.Pm: ward work.On Call requirements:

Employer information North Bristol NHS Trust is one of the largestNHS Trusts in the Country serving a communityof around 500,000 people. We are currentlybased on two sites, Frenchay Hospital which hasspecialist services such are Neurosciences,Plastics and the Major Trauma Centre status forthe Southwest region; and Southmead Hospitalwhich has other specialist services such asRenal & Transplant Services, Urology and

Maternity. The Trust is in the bringing all of itsservices and facilities together in a state of theart new hospital which is currently being built onthe Southmead site and will open in the Springof 2014. In addition the Trust is in the process ofapplying for Foundation Trust status.





Placement F1 Gastroenterology and General InternalMedicine.

The department The Dept of Gastroenterology comprises 5Consultant Gastroenterologists four of whom doacute General Internal Medicine (GIM) on-call.There are interests in Inflammatory boweldisease, advanced nutrition, small bowel,obscure GI bleeding & hepatobiliary. All generalgastroenterology and general internal medicine(except stroke) is represented.The department serves the local population ofBristol South Gloucestershire and NorthSomerset..


All F1 Doctors will be ward based during the‘normal’ working day and expected to deliver thedaily medical care of all the patients on theirward. They will also get involved withGastroenterology patients seen at the DayHospital. Whilst on call for GIM the F1 will beinvolved with the generic clerking of patientsbeing admitted, presentation to the on callconsultant, initiation of their investigations &management and hand over to the next on callor ward based team.The overall educational objectives of the F1 yearare to provide the trainee with the knowledge,skills and attitudes to be able to








Where the placement is based Frenchay Hospital; Ward 206 initially. Willrelocate to a ward in the new SouthmeadHospital in 2014

Clinical Supervisor(s) for the Dr Przemioslo and Dr Abid Mohsini

placementMain duties of the placement The F1 doctor is responsible with other staff for

the ward care of patients and the maintenanceof the patient’s medical record. They areexpected to attend the teaching programmesprovided by the Trust and department. Thedoctor will be responsible for such other specificclinical duties as allocated by consultantsincluding performing other duties in occasionalemergencies and unforeseen circumstances.


Daily: Ward round1700 Handover

Mon: 1315 Grand roundTues: 10.30 Ward MDM

1300 F1 teaching programme / GI x-raymeetingThurs: 1300 GIM journal clubFri: 0800 Departmental teaching

12.45 Gastro histol meeting/journal club

On call requirements:1 in 9 days and 1 in 18 nights










Take a history and examine a patient

Identify and synthesise problems

Prescribe safely

Keep an accurate and relevant medicalrecord

Manage time and clinical prioritieseffectively

Communicate effectively with patients,relatives and colleagues

Use evidence, guidelines and audit tobenefit patient care

Act in a professional manner at all times

Cope with ethical and legal issues whichoccur during the management of patientswith general medical problems

Educate patients effectively

Become life-long learners and teachers.Where the placement is based Frenchay Hospital; Ward 206 initially. Will

relocate to a ward in the new SouthmeadHospital in 2014


Dr Robert Przemioslo and Dr Abid Mohsini

Main duties of the placement The F1 doctor is responsible with other staff forthe ward care of patients and the maintenanceof the patient’s medical record. They areexpected to attend the teaching programmesprovided by the Trust and department. Thedoctor will be responsible for such other specificclinical duties as allocated by consultantsincluding performing other duties in occasionalemergencies and unforeseen circumstances.
















Take a history and examine a patient

Identify and synthesise problems

Prescribe safely

Keep an accurate and relevant medicalrecord

Manage time and clinical prioritieseffectively

Communicate effectively with patients,relatives and colleagues

Use evidence, guidelines and audit tobenefit patient care

Act in a professional manner at all times

Cope with ethical and legal issues whichoccur during the management of patientswith general medical problems

Educate patients effectively

Become life-long learners and teachers.Where the placement is based Frenchay Hospital; Ward 206 initially. Will

relocate to a ward in the new SouthmeadHospital in 2014


Dr Peter Marden & Dr Melanie Lockett

Main duties of the placement The F1 doctor is responsible with other staff forthe ward care of patients and the maintenanceof the patient’s medical record. They areexpected to attend the teaching programmesprovided by the Trust and department. Thedoctor will be responsible for such other specificclinical duties as allocated by consultantsincluding performing other duties in occasionalemergencies and unforeseen circumstances.












Placement F1 Infectious diseases & HIVThe department There is 1 Consultant who works in Infectious

diseases, including HIV & general medicine, and2 consultants in immunology & HIV (onecurrently on maternity leave). Junior staffinclude 1 FY1 trainee, 1 CMT, and one SpR inGU medicine. We are responsible for the careof medical patients on the K ward, the ID/ HIVunit, and K ward Annexe, with 11 generalmedical patients


As an F1 in ID/ HIV, you will be expected todeliver the daily medical care for the inpatients onthe wards.

Inpatient Care▪You will often attend Consultant or Registrar ward rounds, although sometimes you will beexpected to conduct your own ward round▪Typically each day you will be responsible for the care of 10 -22 inpatients.▪ID & HIV medicine will give you the opportunity tomanage a wide variety of infectious & tropicaldiseases, these are not rare, but you may not seemore than one or 2 of the same condition in your3 months with us.▪Sometimes patients have complicated and prolonged admissions, which will require carefuldischarge documentation, and telephonecommunication with GP. You will get theopportunity to learn about the management ofHIV, including issues of confidentiality, disclosure,testing, new diagnoses, and longtermcomplications. You will also learn themanagement of TB in the context of HIV and non-HIV infected patients. .

Clerking▪You will have ample opportunity to assess and manage acutely unwell patients with a variety ofconditions on take, and directly from clinic▪You will be expected to present these patients to the on call Consultant on the post take wardround, the ID consultant, or the on call HIVconsultant.

For all kinds of work, senior review (SHO,registrar or consultant) is readily available andshould be easily accessible. HIV senior advice isavailable out of hours by contacting the on-callconsultant through switchboard.

Where the placement is based Southmead Hospital – K ward & K ward AnnexeClinical Supervisor(s) for theplacement

Southmead Hospital – K ward & K ward Annexe

Main duties of the placement ▪To ensure the safe clinical management of each patient under your care (with senior support)▪To carry out jobs from the ward round and liaise with other specialties as necessary▪To ensure handover and discharge documentation is complete and accurate▪To review patients when asked ▪To ensure that your documentation in the medical notes is thorough, accurate and legible.


Mon –Fri 09:00 to 17:00On take at Southmead for direct respiratorycardiology & ID/HIV admissions on the F1 rota





North Bristol Trust

Placement F1 - General Adult Inpatient PsychiatryThe department Lime unit is a 23 bed acute psychiatric inpatient

unit. It primarily caters for patients from theSouth of Bristol. The patient care is broadlymixed, involving all acute and major psychiatricdisorders as well as dual diagnosis, borderlinelearning disabilities, physical morbidity andcomplex formulations involving personalitydisorder diagnosis. The acute inpatient unit isplaced within the care pathway of the functionalmodel hence very close collaboration with allother psychiatric teams takes place on a regularbasis e.g. through the CPA and ward roundprocess. We work particularly closely with theBristol Intensive Team (BIT) which provide crisisresolution and home treatment and partlyoperates from the ward, including facilitation ofearly discharge. The unit is supported by a fulltime staff and associate specialist doctor, whoworks across Lime and Silver Birch wards.

The type of work to expect andlearning opportunities The F1 trainee attached to the unit will have

ample opportunity to develop their skills inassessing and managing all major psychiatricdisorders in the acute phase. There will also beopportunities to see recurrent or chronicallyunwell patients experiencing a relapseThere is a regular academic programme and thetrainees meet regularly in peer supervision,journal club and Balint groups. Regulareducational supervision will be provided by theconsultant.

Where the placement is based Callington Road Hospital on Lime unit.


Dr Alcuin Wilkie

Main duties of the placement Admitting patients: to include taking a fullpsychiatric history, mental state examination,collateral information from other professionalsand relatives involved in care; physicalexamination, performing necessaryinvestigations and initiating treatment,assessment, regular follow up in 1:1 sessionsand physical care will be provided by the juniordoctor under the supervision of the consultant.The trainee will attend ward rounds, document inthe multi-disciplinary notes and to liaise bothwritten and orally with external agencies e.g.

general hospitals and GP’s. This would alsoinclude provision of the discharge summary andother relevant letters.

Callington Road Hospital has an active ECTsuite. The trainee has the opportunity to gaincompetency in the application of ECT.


There is no on call.

Employer information




Placement F1 Renal medicineThe department The department of renal medicine comprises 12

consultant nephrologists, all of whom participatein a specialist renal on call service. Renalmedicine is a tertiary referral specialty. Thedepartment provides renal services to Bristol,South Gloucestershire, Bath and North EastSomerset and Wiltshire. In addition it providestransplantation for Dorset, Gloucester and NorthDevon.The department provides a comprehensive renalreplacement therapy programme to approx 1200patients comprised of 530 patients on dialysisand 700 renal transplant recipients. Thedepartment performs about 100 adult transplantsa year.


All F1 doctors in renal medicine are ward basedduring the normal working day and provide thedaily medical care of all patients in the renal unitunder their Firm. There are two Firms ofconsultants providing inpatient care.There are learning opportunities on the twiceweekly consultant lead ward rounds, the X-raymeeting, in house renal tutorials, biopsymeetings and in the course of the job as there isa high level of support provided by the renalregistrars.F1s will be involved in the care of patients withacute kidney injury, chronic dialysis patients,newly transplanted patients and acutely unwellimmunosuppressed patients.There are no out of hours or on call duties, butduring the day they may clerk in new admissionsif they wish to do so.

Where the placement is based The Richard Bright Renal Unit, SouthmeadHospital, Bristol, BS10 5NB


Dr Chris DudleyProfessor Steven HarperDr Charlie TomsonDr Fergus CaskeyDr Rommel RavananDr Richard SmithDr Karen AndersonDr Alison ArmitageDr Helen CampbellDr Uday UdayarajDr Simon Satchell

Main duties of the placement Together with the registrar for the respective

inpatient firm and 3 F2/CMT1/CMT2 leveldoctors the F1 is responsible for the ward careof patients and the maintenance of the patient’smedical record. As the F1 does not do out ofhours work they play an important role inmaintaining daily continuity of care. The F1 isalso very important to the discharge process andliaison with the patients GPs. They are expectedto attend the in house renal tutorials and attendthe F1 teaching programme.


Daily8.30 - 9 am handover from the night team.9am board round.9.30 onwards ward round

Monday Consultant ward round,1-2pm x-raymeetingTuesday 12-1 renal tutorial, 1-2 renal biopsymeeting.Wednesday 10 am vascular ward round withsurgeons. 12 noon multidisciplinary teammeeting.Thursday Consultant wards round.Friday 8.45-10 am Grand Round






Placement F1 Respiratory MedicineThe department North Bristol Lung Centre, Respiratory MedicineThe type of work to expect andlearning opportunities

The assessment and day to daymanagement of patients with acuterespiratory disorders. This includes over30 different kinds of respiratory disordersranging from COPD, asthma, pneumonia,lung cancer, pleural disease, andalveolitis, through to managing acuterespiratory failure with non invasiveventilation, assessment of blood gases,and management of patients in thepalliative/terminal stages of chronicrespiratory disease.

Where the placement is based On the two respiratory wards at SouthmeadHospital – North Bristol Lung Centre.


One of the seven respiratory consultants atNorth Bristol Lung Centre who will be allocatedby the specialty training lead (currently DrAndrew Medford).

Main duties of the placement Clerking and day to day assessment of patient’sprogress with up to date neatly written entries inthe notes detailing the patient’s progress andfuture intended plans and investigations. Liaisonwith senior members of the team, specifically thespecialist registrar and consultant, specialistphysiotherapist, dietician, pharmacist,occupational therapist, senior nurses, andpalliative care team. There will be daily wardrounds; twice a week from the consultant, oncea week from the specialist registrar, andotherwise with more senior trainees.


Daily ward round to assess patient’s progressand keep the patient’s notes up to date withdetails of their progress and any importantresults and future plans.




Placement F1 Short stay medicineThe department Short stay medicine is closely allied to the

Department of Acute Medicine which has 3consultants. Ward 15 is a short stay medicalward for male patients. There are 17 beds(including 2 side rooms). Half of the ward islooked after by the Acute Medicine consultants,the other half by the admitting consultant.


As the F1 in Short Stay Medicine, you will beexpected to work with a CMT trainee to deliverthe daily medical care for the 17 ward patients.There will be times when the CMT trainee is oncall, nights or leave. However other seniorsupport should always be readily available,either from the Acute Medicine consultants andregistrars (on wards 105/107) or from theadmitting consultants’ teams.▪Patients under Acute Medicine will have daily consultant ward rounds providing plenty oflearning opportunities.▪You will also have the opportunity to conduct

ward rounds on your own with senior supportavailable as necessary.▪Much of your time will be spent liaising with

other specialties, including radiology, to ensurethat each patient’s care is managed smoothly.▪Sometimes there is a rapid turnover of patients. There are ample opportunities therefore todevelop skills in safe and efficient handover,particularly with regards to dischargedocumentation.▪From time to time you will have the opportunity to assess and manage acutely unwell patientson the ward under appropriate supervision

Where the placement is based Frenchay Hospital, Ward 15 (currently)Clinical Supervisor(s) for theplacement

Dr Sam Patel/ Dr John Ho/ Dr MadhuWickremaratchi

Main duties of the placement ▪To ensure the safe clinical management of each patient under your care (with senior support)▪To carry out jobs from the ward round and liaise with other specialties (including radiology)as necessary▪To ensure discharge documentation is complete and accurate▪To review patients when asked to by nursing staff▪To ensure that your documentation in the medical notes is thorough, accurate and legible


Mon – Fri 09:00 to 17:00

Employer information North Bristol NHS Trust is one of the largest

NHS Trusts in the Country serving a communityof around 500,000 people. We are currentlybased on two sites, Frenchay Hospital which hasspecialist services such are Neurosciences,Plastics and the Major Trauma Centre status forthe Southwest region; and Southmead Hospitalwhich has other specialist services such asRenal & Transplant Services, Urology andMaternity. The Trust is in the bringing all of itsservices and facilities together in a state of theart new hospital which is currently being built onthe Southmead site and will open in the Springof 2014. In addition the Trust is in the process ofapplying for Foundation Trust status.


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



Placement F1 Stroke medicine – Frenchay HospitalThe department Wards 18/19 have acute stroke beds

Patients with a diagnosis of stroke (cerebralinfarction, Haemorrhage or TIA are admittedto the wards directly from ED. If due to bedpressures patients are on a different wardthey are still looked after by this team. Allpatients who have had thrombolysis will beadmitted directly the neuroscience HDU andafter 24 hours transferred to the wards18/19. Supervised experience of seeingpatients in HDU will be available

There will also be some other Neurologypatients on the wards 18/19. These patientsremain under the admitting Neurology /Medical consultant.

Our target is that 90% of patients with acutestroke should spend 90% of their stay on astroke ward.


Board rounds – Mon- Fri at 9.00- 9.15. Quickcatch up of current issues and newadmissions working closely with nursing andprofessions allied to medicine.

Daily Consultant led Ward Rounds – There isa consultant led ward round every morning at9.30 on Wards 18/19 & outliers to see allnew admissions and Stroke inpatients. Thereare daily opportunities for case baseddiscussion (CBD) and evaluation of skills.(mini-CX & DOPS).

Opportunities for skills training such a lumbarpuncture, iv, ia puncture. Management of strokerelated complications

Multi-Disciplinary Meeting (MDM) ~EveryWeek

The details of discussions are noted down onthe yellow sheets in section 4 of the notes.

A representative from all teams tries to bepresent so that all aspects of each patientscare can be discussed. Action plans,discharge planning and estimated dischargedates (EDD) are agreed for each patient.The MDM is chaired by the consultant,registrar or senior nurse depending on

availability. All ward staff present help withdocumentation in the MDM to maintainspeed and efficiency

Progress Meetings

Patients with potentially complex dischargeplans may require a progress meeting, sothat the team can discuss with the patient,family and other carers the progress thepatient has made so far, and set goalstowards discharge planning. It is important tohave the 1st meeting within 2 weeks ofadmission to hospital.You may be asked to give an overview of thepatient’s medical condition and prognosis.Patients and their relatives may alsoapproach you at separate times to discussissues. The consultants are all happy todiscuss with relatives if necessary,particularly for those who have a poorerprognosis - please organise this through thesecretaries.Supervised training in generic skills e.g.Breaking bad news. Prescribing and drugsmanagement.Care planning meetingsLed by the social worker to plan placement/packages of care.DischargesPatients TTAs need to be written and inpharmacy ideally in the morning but at verylatest by 3pm on the day of (or prior to ifappropriate) to discharge. Compliance aids(Dossett boxes etc) require at least 24 hoursnotice.

It is important to ensure that secondaryprevention is addressed as an inpatient, andpatients are medically ready for discharge(investigations done, warfarin etc) in line withthe expected discharge date.

We do not provide routine follow up- onlythose with outstanding medical issues. Allother patients should be directed to their GP.It is important that the discharge summary isexplicit in any follow up requirements.

Most patients on wards 18/19 will requiretherapy input (OT, PT, SLT etc) prior todischarge. Please check the notes fortherapy discharge plans.

The Multi-Disciplinary TeamOne of the key points to remember on theunit is that we function as a team. You mayfrequently find that the therapists who workclosely with the patients are often the bestsource of information about progress etc andcan help your management of the patient.

Equally, they may come to you for advice asto the best way to manage a patient. It isespecially important to remember thatpatients may not be fit for discharge justbecause all their medical problems havebeen addressed. The team comes to aconsensus on issues such as these, whichare discussed regularly at the multi-disciplinary meeting (MDM).

Foundation doctors weekly teaching/trainingsession.Neuro/Stroke X ray meeting weekly Wednesday.Stroke specific training (Friday 12.30 followed bystroke MDM.

Where the placement is based Wards 18/19Clinical Supervisor(s) for theplacement

Dr Ian Ormerod is C/S for Foundation Traineeswith important input also from Dr Neil Baldwin,Dr Justin Pearson, Dr Rose Bosnell, Dr RichardHardie & Dr James Stevens (November 2012).

Main duties of the placement Patient careMedical notes entriesArranging appropriate investigationsManaging acute ischaemic stroke including roleof thrombolysisManagement if ICHManaging complications of acute strokeStroke secondary preventionCare of the elderly issuesOn call dutiesJoint meetingsInvolvement in communication with patients,their families, other doctors, members of thehealth care team


Normal daytime ward cover 9am – 5pmPartial shift general medical on call






Placement F1 General and transplant surgeryThe department The Dept of general surgery comprises 19

consultant surgeons including 3 general andtransplant surgeons, the general and transplantsurgeons take in part in the acute transplantsurgery on-call with 3 vascular and transplantsurgeons. There are interests in laparoscopicsurgery, living kidney donor transplant, vascularaccess, endocrine and bariatric surgery.The department covers part of Bristol, NorthSomerset and South Gloucestershire with acatchment population of 500,000.The catchment area for renal transplantation is2 000,000


F1 Doctors in hospital posts will generally beteam based during the ‘normal’ working day andexpected to deliver the daily medical care of allsurgical patients irrespective of specialty. Whilston-call the F1 will be involved with the genericclerking of surgery & urology patients beingadmitted and the ongoing care of the patients inthe unit.The overall educational objectives of the F1 yearare to provide the trainee with the knowledge,skills and attitudes to be able to








Where the placement is based North Bristol NHS, Southmead Hospital wards J,L1, U and woodlands.


Mr N Kadi, Mr J Morgan, Locum.

Main duties of the placement The F1 doctor is responsible with other staff forthe team care of patients and the maintenanceof the patient’s medical record. They will haveopportunity to work with the consultants in

theatres and outpatients clinics, and also takeresponsibility for problems arising in surgicalpatients on the ward. They are expected toattend the teaching program provided by thedepartment. The doctor will be responsible forsuch other specific clinical duties as allocated byconsultants including performing other duties inoccasional emergencies and unforeseencircumstances.


Daily: 0800 Ward round1700/2100 Handover

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

On call requirements:

Full shift 1:6 twilight weekdays and longweekends






Placement F1 Vascular surgeryThe department The Dept of general surgery comprises 19

consultant surgeons including 4 vascularsurgeons, the vascular surgeons take in part inthe acute city wide vascular surgery on-call alsothey contribute to the renal transplant on-call.There are interests in endovascular surgery,living kidney donor transplant, and vascularaccess surgery.The department covers part of Bristol, NorthSomerset and South Gloucestershire with acatchment population of 700,000.The catchment area for renal transplantation is2 000,000.


F1 Doctors in hospital posts will generally beteam based during the ‘normal’ working day andexpected to deliver the daily medical care of allsurgical patients irrespective of specialty. Whilston-call the F1 will be involved with the genericclerking of surgery & urology patients beingadmitted and the ongoing care of the patients inthe unit.The overall educational objectives of the F1 yearare to provide the trainee with the knowledge,skills and attitudes to be able to










Mr D Mitchell, Mr A Baker, Mr W Neary and Mr AWeale.

Main duties of the placement The F1 doctor is responsible with other staff forthe team care of patients and the maintenanceof the patient’s medical record. They will have

opportunity to work with the consultants intheatres and outpatients clinics, and also takeresponsibility for problems arising in surgicalpatients on the ward. They are expected toattend the teaching program provided by thedepartment. The doctor will be responsible forsuch other specific clinical duties as allocated byconsultants including performing other duties inoccasional emergencies and unforeseencircumstances.


Daily: 0800 Ward round1200/1700/2100 Handover

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


Full shift 1:6 twilight weekdays and longweekends






Placement F1 GI surgeryThe department The Dept of general surgery comprises 19

consultant surgeons including 4 upper GIsurgeons; the upper GI surgeons take in part inthe acute general surgery on-call. There areinterests in benign upper GI, gallstones surgery,anti-reflux surgery and bariatric surgery.The department covers part of Bristol, NorthSomerset and South Gloucestershire with acatchment population of 500,000.


F1 Doctors in hospital posts will generally beteam based during the ‘normal’ working day andexpected to deliver the daily medical care of allsurgical patients irrespective of specialty. Whilston-call the F1 will be involved with the genericclerking of patients being admitted and theongoing care of the patients in the unit.The overall educational objectives of the F1 yearare to provide the trainee with the knowledge,skills and attitudes to be able to








Where the placement is based North Bristol NHS, Frenchay Hospital wards 207,205and 203.


Mr C Armstrong, Miss S Norton, Mr C Wong, MrJ Hewes.

Main duties of the placement The F1 doctor is responsible with other staff forthe team care of patients and the maintenanceof the patient’s medical record. They will haveopportunity to work with the consultants intheatres and outpatients clinics, and also takeresponsibility for problems arising in surgicalpatients on the ward. They are expected toattend the teaching program provided by the

department. The doctor will be responsible forsuch other specific clinical duties as allocated byconsultants including performing other duties inoccasional emergencies and unforeseencircumstances.



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

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

On call requirements:Full shift 1:8 nights and long days and 1:17 shortday weekend.






Placement F1 Colorectal surgeryThe department The Dept of general surgery comprises 19

consultant surgeons including 6 Colorectalsurgeons, All colorectal consultants take in partin the acute General surgery on-call. There areinterests in benign and malignant colorectaldiseases, colorectal laparoscopic surgery,inflammatory bowel disease and pelvic floorsurgery.The department covers part of Bristol, NorthSomerset and South Gloucestershire with acatchment population of 500,000.


F1 Doctors in hospital posts will generally beteam based during the ‘normal’ working day andexpected to deliver the daily medical care of allsurgical patients irrespective of specialty. Whilston-call the F1 will be involved with the genericclerking of patients being admitted and theongoing care of the patients in the unit.The overall educational objectives of the F1 yearare to provide the trainee with the knowledge,skills and attitudes to be able to








Where the placement is based North Bristol NHS, Frenchay Hospital wards207-205 & 203.


Mr A Roe, Miss A Lyons, Miss A Pullyblank, MrA Dixon, Miss C Burt, K McCarthy.

Main duties of the placement The F1 doctor is responsible with other staff forthe team care of patients and the maintenanceof the patient’s medical record. They will haveopportunity to work with the consultants intheatres and outpatients clinics, and also takeresponsibility for problems arising in surgical

patients on the ward. They are expected toattend the teaching program provided by thedepartment. The doctor will be responsible forsuch other specific clinical duties as allocated byconsultants including performing other duties inoccasional emergencies and unforeseencircumstances.



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

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

On call requirements:Full shift 1:8 nights and long days and 1:17 shortday weekend.






Placement F1 Trauma and OrthopaedicsThe department The Department of Orthopaedics and Trauma

Surgery at Frenchay comprises 13 Consultantson the Acute Trauma on call rota (in team basedworking A-D = Mon –Thurs) and 2 additionalConsultant Spinal Surgeons. The departmentprovides the regional pelvic fracture andacetabular reconstruction service as well ascomplex tertiary referral spinal surgery. All adultand paediatric trauma pathologies areencountered and consultant sub-specialistinterests also include shoulder & elbow, hip,knee and foot & ankle. There are consultant ledfracture clinics & all day trauma operating lists364 days per year as well as trauma day caselists 3 days per week and follow-up fractureclinics mon-thurs. The department works closelywith our affiliated Ortho-Geriatricians and thePlastics Surgery and Neurosurgery departments.There is a well established trauma researchteam who are busy coordinating numerousresearch projects and overseeing audit activity.There is a trauma coordinator and specialist hipfracture and spinal surgery nurses.


All F1 Doctors in hospital posts will generally beward based during the ‘normal’ working day andexpected to deliver the daily medical care of allthe patients on their ward irrespective ofspecialty. Whilst in the T&O Surgery attachmentthe F1 will be involved with the generic clerkingof patients being admitted and the ongoing careof the patients in the unit.The overall educational objectives of the F1 yearare to provide the trainee with the knowledge,skills and attitudes to be able to








Where the placement is based Frenchay Hospital, BristolClinical Supervisor(s) for theplacement

Teams: A – Mr IN Packham; B – Mr JCJ Webb;C – Mr SJ Eastaugh-Waring; D – Mr TJ Chesser;Spines – Mr IW Nelson

Main duties of the placement Each F1 doctor will be attached to a team(Trauma A-D or Spines) which comprises 3 or 4consultants who attend on their trauma day anda specialist registrar and 1 or 2 SHO’s (CoreTrainee, Clinical Fellow or F2) who arepermanently in the department. They will beinvolved in the day-to-day ward care of patientsand the contemporaneous medical note keepingduring daily business ward rounds and weeklyconsultant ward rounds (especially post-take).They will join the Consultant Ortho-Geriatricianson their weekly ward-rounds and liaise with thespecialist nurses as required. Whilst on call theF1 doctor will work closely with the SHO andSpR in assessing, admitting and managingacute cases presenting to the EmergencyDepartment or Fracture Clinic. They will have theopportunity to shadow a consultant or registrar innew & follow up fracture clinics and they arestrongly encouraged to attend either the maintrauma list or day case list to assist a widevariety of cases and be taught some basicsurgical skills such as suturing, metalworkremoval, insertion of a screw or fixation of afracture. Each F1 should arrange a session withthe technicians in the Plaster Room and they willhave the opportunity to partake in or undertakean Audit project the results of which they willpresent to the Department. They will beexpected to present their team’s M&M data atthe end of their 4 month attachment. They areexpected to attend the structured teachingprogramme provided by the department and theTrust. The doctor will be responsible for suchother specific clinical duties as allocated byconsultants including performing other duties inoccasional emergencies and unforeseencircumstances.


Daily: 0800 daily trauma xray meeting0900 ward round1200/1700/2000 HandoverOn call 1 in 5

Mon: Am fracture clinicPm ward work

Tues: 1300-1400 F1 formal teachingWeds: Am ward work

Pm main theatreThurs: Am Day case theatre

Pm ward workFri: 0800-0900 weekly departmental

teaching/clinical governance meeting1000 Orthogeriatric ward round

Employer information North Bristol NHS Trust is one of the largest

NHS Trusts in the Country serving a communityof around 500,000 people. We are currentlybased on two sites, Frenchay Hospital which hasspecialist services such are Neurosciences,Plastics and the Major Trauma Centre status forthe Southwest region; and Southmead Hospitalwhich has other specialist services such asRenal & Transplant Services, Urology andMaternity. The Trust is in the bringing all of itsservices and facilities together in a state of theart new hospital which is currently being built onthe Southmead site and will open in the Springof 2014. In addition the Trust is in the process ofapplying for Foundation Trust status.





Placement F1 UrologyThe department UrologyThe type of work to expect andlearning opportunities

Ward work, preoperative preparation,postoperative care, clinic consultations,attendance at operating lists. Ward-based andinteractive teaching

Where the placement is based Urology, Southmead HospitalClinical Supervisor(s) for theplacement

Urology consultants

Main duties of the placement Ward work, preoperative preparation,postoperative care, clinic consultations,attendance at operating lists.


Daily schedule, with night shifts within surgicaldirectorate






Placement F2 – Academic Foundation Program in Child &Adolescent Heath

The department School of Child & Adolescent Health

The type of work toexpect and learningopportunities

The post will provide the opportunity to undertake aresearch project supervised by one of the principalinvestigators in the School. .You will work as part of a team with otherprofessionals/scientists, often working on a component of alarger program of investigation.There is a weekly taught research methods course. You willalso have the opportunity to gain teaching experiencethrough the delivery of tutorial sessions to undergraduatemedical students.One clinical day per week will be spent on the wards atNorth Bristol NHS Trust where you will be able to maintainand develop your clinical skills and achieve competencies.

Where the placementis based

EducationalSupervisor for theplacement

Department of Child & Adolescent Health, University ofBristol and North Bristol NHS Trust.

Your Educational Supervisor will be an accreditedEducation Supervisor. It is your responsibility to ensure thatyou have a beginning, midway and end of placementmeeting with your allocated Educational Supervisor to setlearning objectives and monitor and assess your progress.

Clinical Supervisor(s)for the placement

Each F2 will be in an approved teaching placement, whereyour supervisor will be an accredited Clinical Supervisorwho may also be your project supervisor.

Main duties of theplacement

Your duties will include:

Planning and literature review for project + ethicalsubmission where requiredUndertake experimental protocols and analyze dataDevelop statistical / analysis / IT and presentation skillsWrite/present abstracts/communications attend meetingsContribute to draft paper / grant proposalClinical work on day back in hospital.

Your primary contact will be your project supervisor.

These activities will allow the F2 to achieve thecompetencies set out for AFP trainees by the UKFPO

Typical workingpattern in this

4 full academic days (including taught program)1 day/week clinical placement including some

placement night/weekend shifts

Employer information North Bristol NHS Trust is one of the largest NHS Trusts inthe Country serving a community of around 500,000 people.We are currently based on two sites, Frenchay Hospitalwhich has specialist services such are Neurosciences,Plastics and the Major Trauma Centre status for theSouthwest region; and Southmead Hospital which has otherspecialist services such as Renal & Transplant Services,Urology and Maternity. The Trust is in the bringing all of itsservices and facilities together in a state of the art newhospital which is currently being built on the Southmead siteand will open in the Spring of 2014. In addition the Trust isin the process of applying for Foundation Trust status.

Please note: posts are subject to change due topotential reconfiguration of services and departmentalmoves.




Placement F2 Academic Foundation Program in Primary Care.The department School of Primary CareThe type of work toexpect and learningopportunities




Department of Primary Care, University of Bristol and NorthBristol NHS Trust.






- Planning and literature review for project + ethicalsubmission where required

- Undertake experimental protocols and analyze data- Develop statistical / analysis / IT and presentation

skills- Write/present abstracts/communications attend

meetings- Contribute to draft paper / grant proposal- Clinical work on day back in hospital.



Typical workingpattern in thisplacement

4 full academic days (including taught program)1 day/week clinical placement including somenight/weekend shifts

Employer information North Bristol NHS Trust is one of the largest NHS Trusts inthe Country serving a community of around 500,000 people.We are currently based on two sites, Frenchay Hospitalwhich has specialist services such are Neurosciences,

Plastics and the Major Trauma Centre status for theSouthwest region; and Southmead Hospital which has otherspecialist services such as Renal & Transplant Services,Urology and Maternity. The Trust is in the bringing all of itsservices and facilities together in a state of the art newhospital which is currently being built on the Southmead siteand will open in the Spring of 2014. In addition the Trust isin the process of applying for Foundation Trust status.


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



Placement F2 Academic Foundation Programme inPsychiatry – Research Placement

The department School of Social and Community Medicine,University of Bristol


There are two options: 1) participating in aresearch project under the supervision of aSenior staff, or 2) undertaking your ownresearch under the supervision of a seniormember of staff prior approval of the educationalsupervisor.

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

There will be opportunities to learn basicresearch methods including data analysis

Where the placement is based The placement is based in Oakfield House,Oakfield Grove, Bristol BS8 2BN. If the personchooses to do fieldwork the placement will bebased wherever the research site is located.


This is a research post so there are no clinicalsupervisors. Nonetheless officially designatedclinical supervisors remain in place for clinicalduties undertaken in parallel with this post.

Educational Supervisor for theplacement

Your Educational Supervisor will be anaccredited Education Supervisor. It is yourresponsibility to ensure that you have abeginning, midway and end of placementmeeting with your allocated EducationalSupervisor to set learning objectives and monitorand assess your progress.

Academic Supervisorfor the placement

Each F2 will be supervised by an academicfoundation supervisor, who is approved inacademic education and who has a Universityposition.

The Academic Supervisor is Professor R Arayawho will help to identify a research supervisor

Main duties of the placement - Planning and undertaking a critical appraisalof the literature for project and ethicalsubmission if required

- Learn how to use statistical software (Stata)and write analysis programs

- Develop and undertake statistical analysispresentation skills

- Write/present abstracts/communicationsattend meetings

- Lead on writing a paper for publication- Clinical work on day back in hospital.

Your primary contact will be your projectsupervisor.

These activities will allow the F2 to achieve thecompetencies set out for AFP trainees by theUKFPO


4 full academic days (including taughtprogramme)

1 day/week clinical placement includingsome night/weekend shifts






Placement F2 Academic Foundation Program in Public Health.

The department School of Public Health





Department of Public Health, University of Bristol and NorthBristol NHS Trust.






- Planning and literature review for project + ethicalsubmission where required

- Undertake experimental protocols and analyze data- Develop statistical / analysis / IT and presentation

skills- Write/present abstracts/communications attend

meetings- Contribute to draft paper / grant proposal- Clinical work on day back in hospital.



Typical working 4 full academic days (including taught program)

pattern in thisplacement

1 day/week clinical placement including somenight/weekend shifts



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



Placement F2 Academic Foundation Program in Surgery.

The department Academic Unit of Surgical Research, School of Social &Community Medicine, University of Bristol


The post will provide the opportunity to undertake aresearch project supervised by one of the principalinvestigators in the Academic unit. You will work as part of ateam with other professionals/scientists, often working on acomponent of a larger program of investigation. Theresearch will be linked to methodology in randomisedsurgical trials and the subspecialty can be discussed withthe leader to select a topic that suits the AF2. There is aweekly taught research methods course. One clinical dayper week will be spent on the wards at University HospitalsBristol NHS Trust linked to the Upper GI Surgical teamwhere you will be able to maintain and develop your clinicalskills and achieve competencies within the time frameallocated.



Academic Unit of Surgical Research, University of Bristol,University Hospitals Bristol NHS Foundation Trust andNorth Bristol NHS Trust.





Your duties will include:- Planning and literature review for project + ethical

submission where required- Writing a research protocol, collecting and analyzing

data- Develop statistical / analysis / IT and presentation

skills- Present abstracts/communications/attend meetings- Contribute to draft paper / grant proposal- Clinical work on day back in hospital.



Typical workingpattern in thisplacement

4 full academic days (including taught program) 1 day/week clinical placement including some

night/weekend shifts






Placement F2 Anaesthetics/ITUThe department Southmead & FrenchayNorth Bristol NHS TrustThe type of work to expect andlearning opportunities

Care of critically ill patients. Assessing andstabilising critically ill patients on the ward andmanaging their care on the intensive care unit.

Where the placement is based Southmead & Frenchay hospitalClinical Supervisor(s) for theplacement

Dr Jasmeet Soar – SouthmeadDr Ian Thomas – Frenchay

Main duties of the placement The F2 is an integral member of the ICU team.They take an active role in the ward round,examining patients, completing the ICUpaperwork and understanding the managementplans for the day. They perform the ward workduties such as ordering investigations andensuring the results are followed up and writtenin the notes. They carry the cardiac arrest bleepand attend cardiac arrests supported, wheneverpossible, by the anaesthetic registrar. Theyreview critically ill patients on the ward and learnabout appropriateness of admission to ICU,stabilisation and transportation of critically illpatients. They have the opportunity to gainexperience in practical procedures such asinsertion of invasive monitoring lines, vas cathsand airway management, both on the ICU and intheatres. During their time on ICU they will learnabout the principles of organ monitoring andorgan support. They will attend dailymicrobiology rounds, weekly radiology meetingsand weekly formal ICU teaching.


They work a full shift system on a 1 in 6 rota,working a short day, long day, night shift, or ‘dayoff’. They work under the close supervision ofthe ICU consultant. They will be expected toattend foundation teaching, ICU teaching andwill be supervised by their Clinical Supervisor.



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



Placement F2 CardiologyThe department The department of cardiology consists of ward

2/CCU at Southmead Hospital and ward 103 atFrenchay Hospital. There are 3 ConsultantCardiologists working at each site. There is acatheter laboratory at Frenchay hospital wherediagnostic angiography, angioplasty and pacingprocedures are carried out. The ED departmentand acute medical admissions unit are located atFrenchay hospital. Direct admissions areaccepted between working hours onto ward 2.Both sites have a cardiac investigations unit fornon invasive tests such as echocardiography,ECG monitoring and exercise stress testing.


All Foundation Doctors in hospital posts willgenerally be ward based during the ‘normal’working day and expected to deliver the dailymedical care of all the patients on their wardirrespective of specialty. Whilst on call in theacute admissions unit, the F2 will be involvedwith the ongoing care of the patients in the unit.The overall educational objectives of the F2 yearare to provide the trainee with the knowledge,skills and attitudes to be able to

Take a history and examine a patient Formulate a differential diagnosis Prescribe safely Keep an accurate and relevant medical







Where the placement is based New hospital siteClinical Supervisor(s) for theplacement

Dr Shahid Aziz, Dr Andrew Skyrme Jones, DrPaul Walker, Dr Phil Boreham, Dr Ben Farrowand Dr Mark Papouchado.

Main duties of the placement The F2 doctor is responsible with other staff forthe ward care of patients and the maintenanceof the patient’s medical record. They areexpected to attend the structured teaching

programmes provided by the department andgrand rounds.


Mainly ward based from 9am-5pm apart from oncall duties.






Placement F2 Care of the Elderly / General (Internal)Medicine

The department The Department of Medicine for the Elderly/Care of the Elderly in North Bristol NHS Trust islargely based in specialty specific wards on bothmain sites, Wards 205 and 106 at Frenchay, andElgar Wards 3 and 4 and Malvern ward atSouthmead. All consultants work as GeneralPhysicians and Geriatricians, and each has anarea of special expertise, such as Cardiology,Parkinson’s disease, bone health &orthogeriatrics, respiratory disease, dementiaetc.


All F2 Doctors in hospital posts will generally beward based during the ‘normal’ working day andexpected to deliver the daily medical care of allthe patients on their ward irrespective ofspecialty. Whilst in the AAU (on call shifts) theF2 will be involved with the generic clerking ofpatients being admitted and the ongoing care ofthe patients in the medical wards.The overall educational objectives of the F2 yearare to provide the trainee with the knowledge,skills and attitudes to be able to

Take a history and examine a patient Identify and synthesise problems Perform IV cannulation and other

appropriate procedures Prescribe safely Keep accurate and relevant medical

records Manage time and clinical priorities


relatives and colleagues Supervise and provide support and

guidance for F1 doctors Use evidence, guidelines and audit to




In addition, trainees in the department willdevelop skills in:

The diagnosis and management of

delirium in older people The diagnosis and management of

dementias The recognition of non specific

presentations of acute conditions inolder people

The management of hospitalacquired infections on older people,and the consequences of prolongedhospital stays

Assessment of capacity, deprivationof liberty safeguards, enduring powerof attorney, and the Court ofProtection.

Multidisciplinary team working Early Discharge planning Palliation for terminal illnesses in old

age, and advanced care planning atthe end of life.

Where the placement is based Medical wards at Frenchay and Soutmeadhospitals, NBT


Drs.: R.D. BarberM.G. CheesmanK.A. Neubauer

J.C. PounsfordS. SrivastavaS.K. Wensley

Main duties of the placement The F2 doctor will be responsible with other stafffor the ward care of patients and themaintenance of the patient’s medical records,including drug charts and Discharge information.They will have opportunity to work with theconsultants on Ward rounds at least twiceweekly, and also take responsibility for problemsarising in patients on the ward. They areexpected to attend the structured teachingprogrammes provided by the department andthe Directorate/ Academy/ learning centre. Thedoctor will be responsible for such other specificclinical duties as allocated by consultantsincluding performing other duties in occasionalemergencies and unforeseen circumstances.


Daily: 0900 Ward ‘Board’ round09.30 – 17.00 Ward work/ rounds1700 Handover

Mon: am RDB Ward Round13.00 – 14.00 Grand Roundpm SKW Ward Round

Tues: 13.00 – 14.00 CoE Journal club1400-1600 MDM

Wed: 1400 SpR Ward Round

Thurs: 13.00 G(I)M Journal club14.00 SKW Ward Round

Fri: am RDB ward round

Sat: On call shifts as rosteredSun: On call shifts as rostered

On call requirements:48 hr.EWTD compliant shift rota over 9 weekcycle






Placement F2 Diabetes & endocrinology/ generalmedicine

The department The Department of Diabetes and endocrinologyis within the Directorate of Medicine. Staffincludes 4 consultants, including a Professor ofDiabetic medicine, 2 specialty registrars, onelecturer/ registrar, core medical trainees,diabetes specialist nurses, podiatrists anddietitians. All aspects of inpatient and outpatientdiabetes and endocrinology are dealt with. Thedepartment is currently based across 2 hospitalsites (Southmead and Frenchay hospitals) with asingle specialty inpatient ward at Frenchay.


Foundation doctors are ward based and deliverdaily medical care to all patients under theircare, unless on emergency medical take. Themain workload, as with all medical specialties, isacute general medicine. This is enriched withpatients with diabetes and endocrine disordersbecause of the specialty bed base.The overall educational objectives of the F1 yearare to provide the trainee with the knowledge,skills and attitudes to be able to








There are huge learning opportunities inmanaging diabetes in hospital inpatients,common endocrine problems and generalmedicine.Specialty specific learning objectives in theseposts include the following:Management of diabetic emergencies such asdiabetic ketoacidosis, hyperosmolarhyperglycaemic syndrome, hypoglycaemia,

acute diabetic foot problems.Management of diabetes in hospital inpatients,including IV insulin sliding scales, patients nil bymouth & on NG feeding.When workload permits, sit in on diabetic andendocrine clinics, attend Tuesday lunchtimediabetes MDMs (Frenchay Diabetes Centre)when the diabetes nurses discuss diabeticinpatients with Dr Parfitt, observe inpatientdiabetes nurses educating patients and startingthem on insulin, observe diabetes chiropodiststreating diabetic foot inpatients, be in attendancewhen consultants and/ or registrars seeendocrine or diabetic ward referrals.Read the integrated care pathway for diabeteson the Bristol diabetes websitewww.avondiabetes.nhs.uk.

Where the placement is based Ward 106, Frenchay Hospital, Bristol.Clinical Supervisor(s) for theplacement

Professor Polly Bingley, Dr Vernon Parfitt, DrAndrew Johnson.These 3 consultants cover the wards for blocksof 6 weeks on rotation and the coveringconsultant will be the Clinical Supervisor at thattime.

Main duties of the placement To provide the daily ward care to the teamspatients on ward 106 (typically 13) andoccasional outlying patients on ward 203.To attend and present patients at consultant andregistrar ward rounds, carry out instructions,maintain the patients’ medical records, generatedischarge summaries, liaise with patients andrelatives and GPs, make referrals as requested,attend the weekly Multi-Disciplinary Teammeeting.When on emergency take to clerk and sortinvestigations for emergency admissions.


Monday: am: consultant ward roundLunchtime: Medical grand round.Pm: ward work.Tuesday:Am: ward work or registrar round.Pm: Multi-Disciplinary Team meeting/ ward work.Wednesday: am: ward work.Pm: registrar round or ward work.Thursday: am: consultant ward round or wardworkPm: ward work.Friday: am: Consultant ward round or ward work.Pm: ward work.On Call requirements:

Employer information North Bristol NHS Trust is one of the largestNHS Trusts in the Country serving a communityof around 500,000 people. We are currentlybased on two sites, Frenchay Hospital which hasspecialist services such are Neurosciences,Plastics and the Major Trauma Centre status forthe Southwest region; and Southmead Hospitalwhich has other specialist services such asRenal & Transplant Services, Urology andMaternity. The Trust is in the bringing all of its

services and facilities together in a state of theart new hospital which is currently being built onthe Southmead site and will open in the Springof 2014. In addition the Trust is in the process ofapplying for Foundation Trust status.





Placement F2 -Emergency MedicineThe department Busy Emergency Department/Trauma Centre.

90,000 ED Attendances per annum, very highproportion of unwell majors patients and lowerthan average ‘see and treat’ numbers. Very lowproportion of primary care attendances. 18,000paediatric attendances. Proportion of majortrauma cases expected to rise sharply.


Assessing and treating medical, surgical,trauma and paediatric emergencies. You will bedirectly supervised by a consultant 0900-2300weekdays and 0900 – 1800 at weekends, by aregistrar at other times. You will be trained infocused history and examination, emergencytreatment and investigation, and a range ofprocedures. These are likely to include: jointreduction, biers block, nerve blocks, airwayskills, sedation, NIV.

Where the placement is based Emergency DepartmentClinical Supervisor(s) for theplacement

ED Consultants

Main duties of the placement Assessing and treating the full range ofattendees under the supervision of EDconsultants, good notekeeping, discussion andsafe handover of patients.


Full Shift – Early, Mid, Late and night shifts.Roughly half your time will be spent in the seeand treat area, half in majors/ resus.

Employer information North Bristol NHS Trust is one of the largestNHS Trusts in the Country serving a communityof around 500,000 people. We are currentlybased on two sites, Frenchay Hospital which hasspecialist services such are Neurosciences,Plastics and the Major Trauma Centre status forthe Southwest region. And Southmead Hospitalwhich has other specialist services such asRenal & Transplant Services, Urology andMaternity. The Trust is in the bringing all of itsservices and facilities together in a state of theart new hospital which is currently being built onthe Southmead site and will open in the Springof 2014. In addition the Trust is in the process ofapplying for Foundation Trust status. Pleasenote: posts are subject to change due topotential reconfiguration of services anddepartmental moves.







The F2 Doctor will be ward based during the‘normal’ working day and expected to deliver thedaily medical care of all the patients on theirward. They will also get involved withGastroenterology patients seen at the DayHospital. Whilst on call for GIM the F2 will beinvolved with the generic clerking of patientsbeing admitted, presentation to the on callconsultant, initiation of their investigations &management and hand over to the next on callor ward based team.The overall educational objectives of the F2 yearare to provide the trainee with the knowledge,skills and attitudes to be able toTake a history and examine a patientIdentify and synthesise problemsRecognise & manage acutely ill patientsContribute to the cardiac arrest team & getinvolved with DNAR decisionsPerform practical procedures including ascitictaps/drainsPrescribe safelyKeep an accurate and relevant medical recordManage time and clinical priorities effectivelyCommunicate effectively with patients, relativesand colleaguesUse evidence, guidelines and audit to benefitpatient careAct in a professional manner at all timesCope with ethical and legal issues which occurduring the management of patients with generalmedical problemsEducate patients effectivelyBecome life-long learners and teachers.

Where the placement is based Frenchay Hospital; Ward 206. Will relocate tonew Southmead hospital in 2014.

Clinical Supervisor(s) for the Dr Peter Marden & Dr Melanie Lockett

placementMain duties of the placement The F2 doctor is responsible with other staff for

the ward care of patients and the maintenanceof the patient’s medical record. They areexpected to attend the teaching programmesprovided by the Trust and department. Thedoctor will be responsible for such other specificclinical duties as allocated by consultantsincluding performing other duties in occasionalemergencies and unforeseen circumstances.




1300 GI x-ray meetingWed 1400 Gastro clinicThurs: 1300 GIM journal clubFri: 0800 Departmental teaching

12.45 Gastro histol meeting/journal club1300 F2 teaching programme

On call requirements:1 in 7 days and 1 in 10.5 nights






Placement F2 GP Practice

The department Primary Care


The GP is the first point of contact for most medicalservices. Most work is carried out during consultations in thesurgery and some during home visits.GPs and their GP F2s provide a complete spectrum of carewithin the local community. You will need to deal withproblems that often combine physical, psychological andsocial components.You will work in teams with other professions, helpingpatients to take responsibility for their own health.In your GP attachment, you will build on your knowledge ofmedical conditions, your ability to assess a problem, andyour skills in deciding on the appropriate course of action.You will learn how and when to intervene, throughtreatment, prevention and education, to promote the healthof your patients and families.The wide mix of General Practice is one of the majorattractions. There can be huge variation in the needs ofindividual patients during a single surgery.


GP training practices in the Severn area.


Each GP F2 will be in an approved teaching practice, whereyour supervisor will be an accredited GP Trainer or GPClinical Supervisor.


Your duties will include:- seeing patients in surgeries- responding to health problems presented by patients,including history-taking, investigation, diagnosis, andmanagement- practicing preventative medicine- promoting health education- working closely with other health professionals- helping with repeat prescriptions and other administrativeaspects 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 ITsystem- attending the practice's clinical meetings- you may also be asked to make domiciliary visits, if yourGP Supervisor feels this is appropriate

Typical workingpattern in this

Morning surgery: followed by discussion patients seen withSupervisor.

placement 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 mayask you to work the same pattern that most GPs do, withlonger working days but time off in lieu.

On call requirements: While it may be in your contract to doon-call hospital work during your GP attachment, there willbe no GP on-call requirements.






Placement MAU – F2 in Acute MedicineThe department There are 3 Consultants who work in Acute

Medicine. We are responsible for the care ofmedical patients on the two AAUs (Wards 105and 107). This includes inpatients as well asambulatory care patients in the lounge/seatedassessment area.

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

The lounge has day attenders who often willneed a medical review.


As an F2 in Acute Medicine, you will beexpected to deliver the daily medical care for theinpatients on the AAUs, as well as providingmedical reviews for lounge patients. For oneweek in six you will spend your days clerkingpatients.

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

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

Clerking▪You will have ample opportunity to assess and manage acutely unwell patients with a variety ofconditions▪You will be expected to present these patients

to the on call Consultant on the post take wardround

For all kinds of work, senior review (registrar orconsultant) is readily available and should beeasily accessible.

Where the placement is based Frenchay Hospital, Wards 105 and 107. In 2014all services move to the new hospital site inSouthmead.


Dr Sam Patel/ Dr John Ho/ Dr MadhuWickremaratchi

Main duties of the placement ▪To ensure the safe clinical management of each patient under your care (with senior support)▪To carry out jobs from the ward round and liaise with other specialties as necessary▪To ensure handover and discharge documentation is complete and accurate▪To review patients when asked (either inpatient or ambulatory care)▪To ensure that your documentation in the medical notes is thorough, accurate and legible


Mon –Fri 09:00 to 17:00 (including handoverfrom 09:00 to 09:30) One week in six this will bespent clerking. The rest of the time you will belooking after inpatients on the AAUs.Evenings One in six weekdays you will work til22:00Weekends One in six 09:00 to 22:00






Placement Neurology – F2The department Neurology, Frenchay Hospital

NBTThe department is a regional centre forneurology with inpatient and outpatient work.There are a number of aspects specialistneurology in the department including neuro-inflammatory disease, multiple sclerosis, stroke,epilepsy, movement disorders, Parkinson’sdisease, dementia and cognitive impairment,neuro-ophthalmology, motor neurone disease


Admission and care of patients on wardsWard roundsAttend outpatient clinicsWeekly academic meetings. Neuroradiologymeetings.Teaching programme for Trainees

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

The overall educational objectives of the F2 yearare to provide the trainee with the knowledge,skills and attitudes to be able toElicit a history and undertake a comprehensiveexamination of the neurology patientIdentify and synthesize neurosurgical andneurological problemsPrescribe safelyKeep an accurate, contemporaneous andrelevant medical recordManage time and clinical priorities effectivelyCommunicate effectively with patients, relativesand colleaguesUse evidence, guidelines and audit to benefitpatient careAct in a professional manner at all timesEducate patients effectively on general medicalissues

F2 doctors will also have the opportunity to learnward-based neurology procedures, includinglumbar puncture and visual fields. They areextensively exposed to neuroradiology, and willhave the opportunity to start to learn to interpretcranial and spinal CT and MR images. They areencouraged to undertake audits and participatein research.

Where the placement is based Frenchay Hospital (NBT) inpatients are mainly

on wards 18 and 19 but on other Neuroscienceward also (including Ward 12)


A consultant Neurologist will be appointed asClinical Supervisor

Main duties of the placement To work with other members of the neurologymedical team and other colleagues inNeuroscience DirectorateTo carefully plan holiday and other leave andliaise with colleagues and Supervisors inadvance. Obtain signed approval for leavesignificantly in advance.To care for patients on the wards as appropriateand to liaise with other neurology staff if thereare concerns or uncertainty about diagnosis,management, care and investigations.There needs to be daily meetings with membersof staff and daily handover of information andrequired work to be done by the team startingduty at night or in the dayArranging investigations for patients asappropriate.Obtaining consent from patients as appropriatefor medical care, investigations andmanagement.Daytime and on-call duty


A full programme will be provided by your firm.You will also be notified of on-call duties inadvance.






Placement F2- NeurosurgeryThe department The department of neurosurgery is a tertiary

referral unit serving the counties ofGloucestershire, Somerset and Wiltshire inaddition to the city of Bristol. It is one of thelargest neurosurgical units in the country. Over2600 emergency and elective neurosurgicalprocedures are performed each year. There are13 consultant neurosurgeons and all the majorneurosurgical sub-specialties are represented.The department consists of two male and twofemale adult neurosurgical wards with a total of67 beds, 12 of which comprise the Neuro HighDependency Unit. There are four neurosurgicaltheatres; one is dedicated to emergencyprocedures.

The department is located in close proximity tothe Emergency Department, two Intensive CareUnits and the Neuroradiology department withaccess two CT scanners, two angiogram suitesand three MRI scanners, including a new 3Tesla scanner.

Emergency referrals are dealt with by an ‘on call’team consisting of a consultant neurosurgeon, aspecialist registrar (who is the first line ofcontact) and a senior house officer grade doctorproviding ward cover.

The type of work to expect andlearning opportunities The work is primarily ward-based, although there

will be opportunities to attend theatre and out-patient clinics. Within a team structure led byconsultants and registrars, F2 doctors will havethe opportunity to deliver medical care toneurosurgical patients, pre- and post-operatively. Most of the work is defined in astructured daily morning ward round. Mostelective patients are pre-clerked in theneurosurgical pre-admission clinics. Patientstransferred to the unit on an emergency basiswill require review and initial evaluation onadmission, under the supervision of the on callregistrar and consultant.

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

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

Elicit a history and undertake acomprehensive examination of theneurosurgical patient

Identify and synthesize neurosurgical andneurological problems

Prescribe safely Keep an accurate, contemporaneous and

relevant medical record Manage time and clinical priorities



benefit patient care Ensure the required discharge

documentation has been prepared whenpatients are discharged home ortransferred to other units

Act in a professional manner at all times Educate patients effectively on general

medical issues

F2 doctors will also have the opportunity to learnward-based neurosurgical procedures, includinglumbar puncture, management of externalventricular drains, access of ventricular accessdevices, and insertion of lumbar drains. They areextensively exposed to neuroradiology, and willhave the opportunity to learn to interpret cranialand spinal CT and MR images. They areencouraged to attend theatre lists, undertakeaudits and participate in research.

Where the placement is based Wards 1, 2, 3, 4, 18 and 19, Frenchay Hospital(currently)

Clinical Supervisor(s) for theplacement A consultant neurosurgeon will be allocated to

act as the clinical supervisor for each of the F2doctors.

Main duties of the placementTogether with the other junior doctors (ST1 andST2), higher specialist trainees and consultants,F2 doctors are responsible for the day to daycare of patients on the wards. They attend themorning departmental hand over with the on callteam at 08.00 and participate in the ward roundson the high-dependency units and on the wards.They assist with the organization ofhaematological and radiological investigations,and the preparation of patients for theatre. Theyare involved in the care of the post-operativepatient. F2 doctors are expected to attend thestructured teaching sessions, covering aspectsof neurosurgical and neurological care, held onTuesdays, between 1 and 2 pm. They shouldalso attend and contribute to the department’sclinical governance meetings, held every two

months.


08.00 Departmental handover meeting08.40 Team-based ward rounds13.00 – 14.00 (Tuesday) teaching11.00 – 12.30 (Wednesday) Regionalneurosciences meeting20.00 Evening handover

On call rota:Joint cover with neurology;1 week of nights, 20.00 – 08.00, Monday toThursday, approximately 1 in 10, followed by 1week off;1 weekend of nights, 20.00 – 08.00, Friday toSunday, approximately 1 in 10, followed byMonday and Tuesday off;1 weekend of days, 08.00 – 20.00, Saturday andSunday, approximately 1 in 10;1 weekend of days, 08.00 – 17.00, Saturday andSunday, approximately 1 in 10.On call rota 17.00 – 20.00 during weekdays.






Placement F2 Obstetrics and Gynaecology.The department The department has 13 consultants. We are a

busy teaching hospital with about 6,000deliveries a year.


The position offers a broad range of experiencein both obstetrics and gynaecology. The doctorswill have the opportunity to develop their skills inthe admission of emergency patients, practicalskills and outpatient sessions. There is a strongemphasis on team working and communicationwithin our department.

Where the placement is based Department of women’s health, SouthmeadHospital, Bristol.


Dr Jane Mears, Consultant Obstetrician andGynaecologist

Main duties of the placement Obstetrics – Antenatal clinics, reviewingadmissions in the day assessment unit,participating in the oncall team for delivery suite.Reviewing postnatal patients.Gynaecology – on-call duties, reviewing referralsto our emergency clinic, outpatient sessions,assisting in theatre – gaining operating skills asappropriate


Our rota is EWTD compliant. It is a rolling rotawith 14 juniors. We have 3 on-call for a long dayeach day including weekends and a split week ofnights every 14 weeks.






Placement F2 Palliative MedicineThe department 8-bed NHS Inpatient Unit for specialist Palliative

Care. Taking patients for symptom controlproblems and end of life care.

One consultant and a specialist registrar whoare on the ward each day but also covering theHospital advisory team


Ward-based work, covering the daily review ofall patients, clerking in of emergencyadmissions, reassessment of patientstransferred from other wards, full involvement indischarge planning, maintenance of medicalrecords and drug charts, writing dischargeletters, meeting with families as appropriate,liaison with community services and otherspecialties within North Bristol NHS Trust

Take a history and examine patient Arrange appropriate investigations with

an understanding of the benefits andburdens of each of these

Make a management plan for patient Prescribe safely including safe

prescribing of opioid drugs and end of lifecare drugs

Gain experience of dealing with difficultpain and symptom problems

Keep accurate medical records Communicate effectively within the team

and to colleague Develop good communication skills with

the patients and families, especially aroundbreaking bad news and end of life decisionmaking

Reflect and learn on the ethical and legalissues that arise

Opportunity to teach nursing staff andmedical students

Where the placement is based Macmillan Unit, Frenchay Hospital, BristolClinical Supervisor(s) for theplacement

Dr Rebecca Tunstall

Main duties of the placement Included in other textTypical working pattern in thisplacement

9-5 ward work as above, 2 weeks out of 3 theywork one day on the acute assessment unit

Monday am ward round with consultant/registrar, ward workLunchtime medical grand round

pm ward workTuesday am work round with consultant/registrar,pm ward workWednesday multidisciplinary team meeting,opportunity for medical student teachingpm 2 weeks out of 3 AAUThursday am ward round with consultant/registrarpm ward workFriday am ward round with consultant/ registrarpm consultant ward roundOn-call for the acute medical take, 1b banding





North Bristol Trust

Placement F2 - General Adult Inpatient PsychiatryThe department Southmead Hospital (Bristol) on Oakwood ward,

a mixed sex, acute admission ward with rapidthroughput.


General Adult inpatient psychiatry.

Where the placement is based Southmead Hospital (Bristol) on Oakwood wardClinical Supervisor(s) for theplacement

Dr Basit Hussain

Main duties of the placement Trainees will support the day to dayadministration of admissions and discharges ofpatients and the coordination of aspects of carewhile patients are on the ward. The case mix isof psychosis, mood disorders, anxiety disordersand personality disorders with occasionalorganic problems. Trainees are well supported,with consultant or senior trainee ward roundsthree times a week and weekly supervision withDr Hussain.

There is an academic meeting on Tuesdayafternoon (journal club and case presentation).


On call is 1:9 for weekends and evenings - theon call finishes at 9.15 pm and is non-residential.There is additionally a week of waking nightshifts, 1:18 weeks – followed by daytime off-duty- based at Colston Fort with the Crisis Team,covering all Bristol inpatient units. The F2 is thejunior trainee, supported by a more seniortrainee (CT1-2), an advanced trainee onoccasion, and a consultant.

The F2 will need to be able to travel betweenCallington Road, Blackberry Hill, Southmeadand Colston Fort during nights shifts. There arepool cars available to use during nights shifts butthe driver must have held a driving license formore than 1 year to be able to utilise these.

Employer information North Bristol Trust, seconded to Avon andWilthshire Partnership (AWP) Mental HealthNHS Trust.



North Bristol Trust

Placement F2 – Inpatient Psychiatry Later LifeThe department There are 2 F2 posts based with Dr West,

consultant old age psychiatrist, who isresponsible for the in patient care of mental illelderly from the South Gloucestershire sector.Inpatient beds are shared with Bristol mentalhealth services and are located at The Coppiceunit, Callington Road Hospital Bristol. AspenWard is a mixed sex unit and manages patientswith Psychosis, Depression, Anxiety, Mania andany associated cognitive problems. Laurel Wardis also a mixed sex unit and manages patientswith dementia.


The posts will provide experience in the care ofpatients suffering from severe depression,bipolar disorder, psychosis and the behaviouraland psychiatric symptoms of dementia.

There is regular teaching at Callington RoadHospital on a Wednesday morning including aBalint Group, Journal Club and CasePresentations.

Foundation training is run at Frenchay /Southmead hospitals once a month on aThursday.

Where the placement is based Aspen and Laurel Wards at the Coppice,Callington Road Hospital, Brislington, Bristol.


Dr West, Consultant old age psychiatrist

Main duties of the placement Trainees will support the day to dayadministration of admissions and discharges ofpatients and coordinate all aspects of careincluding physical care while patients are on thewards. Trainees are well supported withConsultant or senior trainee ward rounds at leasttwice a week and weekly supervisions with DrWest. The F2s will be responsible for clerkingand reviewing these patients who almostuniversally will have complex physical co-morbidity. There will be opportunities to observememory clinic assessments, assessments in thecommunity and Electroconvulsive therapy.

There is weekly teaching at Callington RoadHospital Journal Club, Lunch time presentations,psychotherapy and group discussions of issues.

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


On-Call is based around a 1:9 rota and includesevening on-call (5-9pm) and weekend days (9am-9.15pm): These on-calls can be providedremotely (i.e. from home). Doctors provide on-call cover for any issues on general adult andolder adult inpatient wards at Callington RoadHospital and also clerk any out-of-hoursadmissions. Nights: usually one set of 7 nightshifts from 9.15pm - 9am. These are wakingnights based in Colston Fort, Bristol. F2s will besupported by a senior SHO, sharing ward coverand admissions for psychiatry units acrossBristol. There is always consultant on-call coveravailable.

The F2 will need to be able to travel betweenCallington Road, Blackberry Hill, Southmeadand Colston Fort during nights shifts. There arepool cars available to use during nights shifts butthe driver must have held a driving license formore than 1 year to be able to utilise these.

Employer information North Bristol Trust, seconded to Avon andWilthshire Partnership (AWP) Mental HealthNHS Trust.




Placement F2 – Inpatient Psychiatry Later LifeThe department Aspen Ward is a mixed sex unit and manages

patients with Psychosis, Depression, Anxiety,Mania and any associated cognitive problems.Laurel Ward is also a mixed sex unit andmanages patients with dementia includingAlzheimer's Disease, Vascular Dementia, LewyBody Disease, Frontotemporal Dementia,Normal Pressure Hydrocephalus and PrimaryProgressive Aphasia.


There is regular teaching at Callington RoadHospital on a Wednesday morning including aBalint Group, Journal Club and CasePresentations. Foundation training is run atFrenchay Hospital on Thursday lunchtimes.

Where the placement is based Aspen and Laurel Wards at the Coppice,Callington Road Hospital, Brislington, Bristol.


Dr West, Consultant old age psychiatrist

Main duties of the placement Trainees will support the day to dayadministration of admissions and discharges ofpatients and coordinate all aspects of careincluding physical care while patients are on thewards. Trainees are well supported withConsultant or senior trainee ward rounds at leasttwice a week and weekly supervisions with DrWest. Opportunities to work in the ECT Clinicwith Dr Hewitt and additional experiences withinOld Age Psychiatry can be arranged dependingon the interest of the individual trainee.


On-Call is based around a 1:9 rota and includesevening on-call (5-9pm) and weekend days:These on-calls can be provided remotely (i.e.from home). Doctors provide on-call cover forany issues on general adult and older adultinpatient wards at Callington Road Hospital andalso clerk any out-of-hours admissions. Nights:usually one set of 7 night shifts from 9.15pm -9am. These are waking nights based in ColstonFort, Bristol. F2s will be supported by a seniorSHO, sharing ward cover and admissions forpsychiatry units across Bristol. There is alwaysconsultant on-call cover available.

Employer information North Bristol NHS Trust is one of the largestNHS Trusts in the Country serving a communityof around 500,000 people. We are currentlybased on two sites, Frenchay Hospital which hasspecialist services such are Neurosciences,Plastics and the Major Trauma Centre status for

the Southwest region; and Southmead Hospitalwhich has other specialist services such asRenal & Transplant Services, Urology andMaternity. The Trust is in the bringing all of itsservices and facilities together in a state of theart new hospital which is currently being built onthe Southmead site and will open in the Springof 2014. In addition the Trust is in the process ofapplying for Foundation Trust status.





Placement F2 Renal medicineThe department The department of renal medicine comprises 12

consultant nephrologists, all of whom participatein a specialist renal on call service. Renalmedicine is a tertiary referral specialty. Thedepartment provides renal services to Bristol,South Gloucestershire, Bath and North EastSomerset and Wiltshire. In addition it providestransplantation for Dorset, Gloucester and NorthDevon.The department provides a comprehensive renalreplacement therapy programme to approx 1200patients comprised of 530 patients on dialysisand 700 renal transplant recipients. Thedepartment performs about 100 adult transplantsa year.


All F2 doctors in renal medicine are ward basedduring the normal working day and provide thedaily medical care of all patients in the renal unitunder their Firm. There are two Firms ofconsultants providing inpatient care. F2s willalso spend long days on call for renal medicinefrom 8.30 am to 9pm, and blocks of nightsparticipating in Hospital at Night.There are learning opportunities on the twiceweekly consultant lead ward rounds, the X-raymeeting, in house renal tutorials, biopsymeetings and in the course of the job as there isa high level of support provided by the renalregistrars.F2s will be involved in the care of patients withacute kidney injury, chronic dialysis patients,newly transplanted patients and acutely unwellimmunosupressed patients.

Where the placement is based The Richard Bright Renal Unit, SouthmeadHospital, Bristol, BS10 5NB


Dr Chris DudleyProfessor Steven HarperDr Charlie TomsonDr Fergus CaskeyDr Rommel RavananDr Richard SmithDr Karen AndersonDr Alison ArmitageDr Helen CampbellDr Uday UdayarajDr Simon Satchell

Main duties of the placement Together with the registrar for the respective

inpatient firm, the F1 and 2 other junior doctors,the F2 is responsible for the ward care ofpatients and the maintenance of the patientsmedical record. They are expected to attend thein house renal tutorials and attend the F2teaching programme. When on call for renal theywill clerk in new patients who will be reviewed bya registrar. Out of hours they will also care forunwell ward patients needing review. F2s willhave the opportunity to admit patients forcadaveric and live donor kidney transplantation.


Daily8.30 - 9 am handover from the night team.9am board round.9.30 onwards ward round

Monday Consultant ward round,1-2pm x-raymeetingTuesday 12-1 renal tutorial, 1-2 renal biopsymeeting.Wednesday 10 am vascular ward round withsurgeons. 12 noon multidisciplinary teammeeting.Thursday consultant wards round.Friday 8.45-10 am Grand RoundSaturday 8.30 – 9pm 1 in 6Sunday 8.30-9pm 1 in 6Hospital at Night 1 in 14






Placement F2 - Respiratory medicineThe department North Bristol Lung Centre, Respiratory

MedicineThe type of work to expectand learning opportunities

The assessment and day to daymanagement of patients with acuterespiratory disorders. This includes over 30different kinds of respiratory disordersranging from COPD, asthma, pneumonia,lung cancer, pleural disease, and alveolitis,through to managing acute respiratory failurewith non invasive ventilation, assessment ofblood gases, and management of patients inthe palliative/terminal stages of chronicrespiratory disease.

Where the placement isbased

On the two respiratory wards at SouthmeadHospital – North Bristol Lung Centre.


One of the seven respiratory consultants atNorth Bristol Lung Centre who will beallocated by the specialty training lead(currently Dr Andrew Medford).

Main duties of the placement Clerking and day to day assessment ofpatient’s progress with up to date neatlywritten entries in the notes detailing thepatient’s progress and future intended plansand investigations. Liaison with seniormembers of the team, specifically thespecialist registrar and consultant, specialistphysiotherapist, dietitian, pharmacist,occupational therapist, senior nurses, andpalliative care team. There will be daily wardrounds; twice a week from the consultant,once a week from the specialist registrar, andotherwise with more senior trainees.

Typical working pattern inthis placement

Daily ward round to assess patient’s progressand keep the patient’s notes up to date withdetails of their progress and any importantresults and future plans.

Employer information North Bristol NHS Trust is one of the largestNHS Trusts in the Country serving acommunity of around 500,000 people. Weare currently based on two sites, FrenchayHospital which has specialist services suchare Neurosciences, Plastics and the MajorTrauma Centre status for the Southwestregion; and Southmead Hospital which hasother specialist services such as Renal &Transplant Services, Urology and Maternity.The Trust is in the bringing all of its servicesand facilities together in a state of the art new

hospital which is currently being built on theSouthmead site and will open in the Spring of2014. In addition the Trust is in the processof applying for Foundation Trust status.

Please note: posts are subject to changedue to potential reconfiguration ofservices and departmental moves.




Placement F2 Stroke medicine – Frenchay HospitalThe department Wards 18/19 have acute stroke beds

Patients with a diagnosis of stroke (cerebralinfarction, Haemorrhage or TIA are admitted tothe wards directly from ED. If due to bedpressures patients are on a different ward theyare still looked after by this team. All patientswho have had thrombolysis will be admitteddirectly the neuroscience HDU and after 24hours transferred to the wards 18/19.Supervised experience of seeing patients inHDU will be available

There will also be some other Neurologypatients on the wards 18/19. These patientsremain under the admitting Neurology / Medicalconsultant.

Our target is that 90% of patients with acutestroke should spend 90% of their stay on astroke ward.

The type of work to expect andlearning opportunities Board rounds – Mon- Fri at 9.00- 9.15. Quick

catch up of current issues and new admissionsworking closely with nursing and professionsallied to medicine.Daily Consultant led Ward Rounds – There is aconsultant led ward round every morning at 9.30on Wards 18/19 & outliers to see all newadmissions and Stroke inpatients. There aredaily opportunities for case based discussion(CBD) and evaluation of skills. (mini-CX &DOPS).Opportunities for skills training such a lumbarpuncture, iv, ia puncture. Management of strokerelated complicationsMulti-Disciplinary Meeting (MDM) ~Every WeekThe details of discussions are noted down onthe yellow sheets in section 4 of the notes.A representative from all teams tries to bepresent so that all aspects of each patients carecan be discussed. Action plans, dischargeplanning and estimated discharge dates (EDD)are agreed for each patient.The MDM is chaired by the consultant, registraror senior nurse depending on availability. Allward staff present help with documentation inthe MDM to maintain speed and efficiency

Progress MeetingsPatients with potentially complex dischargeplans may require a progress meeting, so thatthe team can discuss with the patient, family andother carers the progress the patient has madeso far, and set goals towards dischargeplanning. It is important to have the 1st meetingwithin 2 weeks of admission to hospital.You may be asked to give an overview of thepatient’s medical condition and prognosis.Patients and their relatives may also approachyou at separate times to discuss issues. Theconsultants are all happy to discuss withrelatives if necessary, particularly for those whohave a poorer prognosis - please organise thisthrough the secretaries.Supervised training in generic skills e.g.Breaking bad news. Prescribing and drugsmanagement.Care planning meetingsLed by the social worker to plan placement/packages of care.DischargesPatients TTAs need to be written and inpharmacy ideally in the morning but at verylatest by 3pm on the day of (or prior to ifappropriate) to discharge. Compliance aids(Dossett boxes etc) require at least 24 hoursnotice.It is important to ensure that secondaryprevention is addressed as an inpatient, andpatients are medically ready for discharge(investigations done, warfarin etc) in line with theexpected discharge date.We do not provide routine follow up- only thosewith outstanding medical issues. All otherpatients should be directed to their GP. It isimportant that the discharge summary is explicitin any follow up requirements.Most patients on wards 18/19 will requiretherapy input (OT, PT, SLT etc) prior todischarge. Please check the notes for therapydischarge plans.The Multi-Disciplinary TeamOne of the key points to remember on the unit isthat we function as a team. You may frequentlyfind that the therapists who work closely with thepatients are often the best source of informationabout progress etc and can help yourmanagement of the patient. Equally, they maycome to you for advice as to the best way tomanage a patient. It is especially important toremember that patients may not be fit fordischarge just because all their medicalproblems have been addressed. The teamcomes to a consensus on issues such as these,which are discussed regularly at the multi-disciplinary meeting (MDM).Foundation doctors weekly teaching/trainingsession.

Neuro/Stroke X ray meeting weekly Wednesday.Stroke specific training (Friday 12.30 followed bystroke MDM.

Where the placement is based Wards 18/19Clinical Supervisor(s) for theplacement

Dr Ian Ormerod is C/S for Foundation Traineeswith important input also from Dr Neil Baldwin,Dr Justin Pearson, Dr Rose Bosnell, Dr RichardHardie & Dr James Stevens (November 2012).

Main duties of the placement Patient careMedical notes entriesArranging appropriate investigationsManaging acute ischaemic stroke including roleof thrombolysisManagement if ICHManaging complications of acute strokeStroke secondary preventionCare of the elderly issuesOn call dutiesJoint meetingsInvolvement in communication with patients,their families, other doctors, members of thehealth care team


Normal daytime ward cover 9am – 5pmPartial shift general medical on call






Placement F2 Vascular surgeryThe department The Dept of general surgery comprises 19

consultant surgeons including 4 vascularsurgeons, the vascular surgeons take in part inthe acute city wide vascular surgery on-call alsothey contribute to the renal transplant on-call.There are interests in endovascular surgery,living kidney donor transplant, and vascularaccess surgery.The department covers part of Bristol, NorthSomerset and South Gloucestershire with acatchment population of 700,000.The catchment area for renal transplantation is2 000,000.


F2 Doctors in hospital posts will generally beteam based during the ‘normal’ working day andexpected to deliver the daily medical care of allsurgical patients irrespective of specialty. Whilston-call the F2 will be involved with the genericclerking of surgery & urology & orthopaedicpatients being admitted and the ongoing care ofthe patients in the unit.The overall educational objectives of the F2 yearare to provide the trainee with the knowledge,skills and attitudes to be able to










Mr D Mitchell, Mr A Baker, Mr W Neary and Mr AWeale.

Main duties of the placement The F2 doctor is responsible with other staff forthe team care of patients and the maintenanceof the patient’s medical record. They will have

opportunity to work with the consultants intheatres and outpatients clinics, and also takeresponsibility for problems arising in surgicalpatients on the ward. They are expected toattend the teaching program provided by thedepartment. The doctor will be responsible forsuch other specific clinical duties as allocated byconsultants including performing other duties inoccasional emergencies and unforeseencircumstances.



The vascular team runs a weekly team palmingmeeting, this is to cover elective work in the unitand it includes:

Mon: 0800 – 1700 theatreTues: 0800 - 1700 theatre 1:2

0800 – 1230 day case theatre1400 – 1700 outpatient clinic

Wed: 0830 Xray meeting0900 vascular ward round0900 outpatient clinic1330 – 1700 theatre

Thurs: 0800 – 1700 theatre0800 - 1330 days case theatre

Fri: 0800 – 1700 theatre 1:2Sat: 0900 – 2100 2:18Sun: 0900 – 2100 2:18


Full shift 2:18 nights and long days






Placement F2 GI surgeryThe department The Dept of general surgery comprises 19

consultant surgeons including 4 upper GIsurgeons; the upper GI surgeons take in part inthe acute general surgery on-call. There areinterests in benign upper GI, gallstones surgery,anti-reflux surgery and bariatric surgery.The department covers part of Bristol, NorthSomerset and South Gloucestershire with acatchment population of 500,000.


F2 Doctors in hospital posts will generally beteam based during the ‘normal’ working day andexpected to deliver the daily medical care of allsurgical patients irrespective of specialty. Whilston-call the F2 will be involved with the genericclerking of surgery & urology & orthopaedicpatients being admitted and the ongoing care ofthe patients in the unit.The overall educational objectives of the F2 yearare to provide the trainee with the knowledge,skills and attitudes to be able toTake a history and examine a patientIdentify and synthesise problemsPrescribe safelyKeep an accurate and relevant medical recordManage time and clinical priorities effectivelyCommunicate effectively with patients, relativesand colleaguesUse evidence, guidelines and audit to benefitpatient careAct in a professional manner at all timesCope with ethical and legal issues which occurduring the management of patients with generalmedical problemsEducate patients effectivelyBecome life-long learners and teachers

Where the placement is based North Bristol NHS, Frenchay Hospital wards207, 205and 203.Elective surgery is on Southmead site.


Mr C Armstrong, Miss S Norton, Mr C Wong, MrJ Hewes.

Main duties of the placement The F2 doctor is responsible with other staff forthe team care of patients and the maintenanceof the patient’s medical record. They will haveopportunity to work with the consultants intheatres and outpatients clinics, and also takeresponsibility for problems arising in surgicalpatients on the ward. They are expected toattend the teaching program provided by thedepartment. The doctor will be responsible for

such other specific clinical duties as allocated byconsultants including performing other duties inoccasional emergencies and unforeseencircumstances.



The upper GI team runs a weekly team palmingmeeting, this is to cover elective work in the unitand it includes:

Mon: 0800 - 1700 theatre Southmead1300– 1700 endoscopy Frenchay

Tues: 0830–1230 outpatient clinic Frenchay0830–1230 Day case theatres Frenchay0800 – 1700 theatre Southmead

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

Thurs: 0830–1230 endoscopy Southmead0830–1230 outpatient clinic Frenchay0800 – 1700 : theatre Southmead

Fri: 0800 –1230 theatre Southmead 1:2Sat: 0800 – 2100 1 in 17Sun: 0800 – 2100 1 in 17On call requirements:Full shift 1:8 nights and long days and 1:17 shortday.






Placement F2 Colorectal surgeryThe department The Dept of general surgery comprises 19

consultant surgeons including 6 Colorectalsurgeons, All colorectal consultants take in partin the acute General surgery on-call. There areinterests in benign and malignant colorectaldiseases, colorectal laparoscopic surgery,inflammatory bowel disease and pelvic floorsurgery.The department covers part of Bristol, NorthSomerset and South Gloucestershire with acatchment population of 500,000.


F2 Doctors in hospital posts will generally beteam based during the ‘normal’ working day andexpected to deliver the daily medical care of allsurgical patients irrespective of specialty. Whilston-call the F2 will be involved with the genericclerking of surgery & urology & orthopaedicpatients being admitted and the ongoing care ofthe patients in the unit.The overall educational objectives of the F2 yearare to provide the trainee with the knowledge,skills and attitudes to be able toTake a history and examine a patientIdentify and synthesise problemsPrescribe safelyKeep an accurate and relevant medical recordManage time and clinical priorities effectivelyCommunicate effectively with patients, relativesand colleaguesUse evidence, guidelines and audit to benefitpatient careAct in a professional manner at all timesCope with ethical and legal issues which occurduring the management of patients with generalmedical problemsEducate patients effectivelyBecome life-long learners and teachers

Where the placement is based North Bristol NHS, Frenchay Hospital wards207-205 & 203.Some of the elective surgery is on Southmeadsite


Mr A Roe, Miss A Lyons, Miss A Pullyblank, MrA Dixon, Miss C Burt, Miss K McCarthy.

Main duties of the placement The F2 doctor is responsible with other staff forthe team care of patients and the maintenanceof the patient’s medical record. They will haveopportunity to work with the consultants intheatres and outpatients clinics, and also takeresponsibility for problems arising in surgicalpatients on the ward. They are expected to

attend the teaching program provided by thedepartment. The doctor will be responsible forsuch other specific clinical duties as allocated byconsultants including performing other duties inoccasional emergencies and unforeseencircumstances.



The colorectal team runs a weekly team palmingmeeting, this is to cover elective work in the unitand it includes:Mon: 0830 – 1230 Day case theatres Frenchay

0830 – 1230 endoscopy Southmead0800 - 1700 theatre Frenchay1330 – 1700 outpatient clinic Crossham

Tues: 0800 - 1700 theatres Frenchay1330 – 1700 endoscopy Frenchay

Wed: 0800 - 1700 theatre Frenchay0800 – 1700 theatre Southmead 1:40830 – 1230 endoscopy Southmead0830 – 1230 endoscopy Frenchay0830 – 1230 Day case Frenchay1330 – 1700 clinic Frenchay

Thurs: 0800 - 1700 theatre Frenchay0830 – 1230 endoscopy Southmead

0830 – 1230 day case Frenchay1330 -1700 outpatient clinic Southmead1330 -1700 outpatient clinic Frenchay1330 -1700 endoscopy Frenchay

Fri: 0800 - 1700 theatres Frenchay0800 – 1230 outpatient clinic Frenchay

Sat: 0800 – 2100 1 in 17Sun: 0800 – 2100 1 in 17

On call requirements:Full shift 1:8 nights and long days and 1:17 shortday.






Placement F2 Elective Orthopaedics, Avon OrthopaedicCentre, Southmead Hospital, North BristolNHS Trust

The department The Department of Orthopaedic Surgery at theAvon Orthopaedic Centre, Southmead Hospitalcomprises 30 Consultants the majority of whomare North Bristol NHS Trust (Southmead andFranchay Hospitals) based but also consultantsbased at the Bristol Royal Infirmary who havetheir elective operating lists and pre-operativeassessment clinics at the AOC. Consultant sub-specialist interests include young adult/adolescent, hands, shoulder & elbow, spine, hip,knee and foot & ankle. There are consultant ledpre-operative assessment clinics and all dayoperating lists in 5 operating theatres as well aselective orthopaedic outpatient clinics every dayof the week. The department works closely withthe affiliated physiotherapy & occupationaltherapy departments. There is a well establishedUniversity research team (Bristol ImplantResearch Centre) who are busy coordinatingnumerous research projects and specialistnurses overseeing audit activity.


F2 Doctors in this department will generally besplit between ward based work and introductionto outpatient clinic and operating theatre workduring the ‘normal’ working day and expected todeliver the daily medical care of the inpatients.Whilst in the Orthopaedic Surgery attachmentthe F2 will be involved with the generic clerkingof patients being admitted and the ongoing careof the patients in the unit.The overall educational objectives of the F2 yearare to provide the trainee with the knowledge,skills and attitudes to be able to







Educate patients effectively Become life-long learners and teachers

Where the placement is based Southmead Hospital, BristolClinical Supervisor(s) for theplacement

Mr IN Packham, 2 BRI consultants TBC

Main duties of the placement Each F2 doctor will be attached to 2 or 3consultants who attend the AOC on their pre-opassessment and operating days. Eachconsultant has a registrar +/- fellow who arepermanently in the department and may work for1 or 2 consultants. There is always a Registraron call covering the unit during the day until 9pmafter which time any queries can be directed tothe on call registrar at Frenchay Hospital. The F2will be involved in the day-to-day ward care ofpatients and the contemporaneous medical notekeeping during daily business ward rounds andweekly consultant ward rounds. Whilst on callthe F2 doctor will cover the AOC wards and referup to the on call registrar or liaise with medicalcolleagues as required. They will rotate throughweeks of night shifts during which time they willbe part of the Hospital at Night team. They willhave the opportunity to shadow a consultant orregistrar in new & follow up outpatient clinics andthey are expected to attend the main operatinglist or day case list to assist a wide variety ofcases and be taught some basic surgical skillssuch as carpal tunnel decompression, soft tissuehandling, suturing and basic arthroscopic skills.Each F2 will rotate with their ‘SHO’ colleagues incovering the Nurse-led Pre-operativeAssessment Clinic and Ward-based cover. Theywill have the opportunity to partake in orundertake an Audit project the results of whichthey will present to the Department. They areexpected to attend the structured teachingprogramme provided by the department and theTrust. The doctor will be responsible for suchother specific clinical duties as allocated byconsultants including performing other duties inoccasional emergencies and unforeseencircumstances.


Daily: 0800 daily business ward round1200/1700/2100 HandoverOn call 1 in 10

Mon: Am theatrePm ward work/ outpt clinic

Tues: Am Preop clinic1300-1400 F2 formal teaching

Weds: All Day theatreThurs: Am theatre

Pm ward workFri: 1230-1330 weekly departmental

teaching1415-1700 optional Regional

Postgraduate training programme



Placement F2 Trauma and Orthopaedics, FrenchayThe department The Department of Orthopaedics and Trauma

Surgery at Frenchay comprises 13 Consultantson the Acute Trauma on call rota (in team basedworking A-D = Mon –Thurs) and 2 additionalConsultant Spinal Surgeons. The departmentprovides the regional pelvic fracture andacetabular reconstruction service as well ascomplex tertiary referral spinal surgery. All adultand paediatric trauma pathologies areencountered and consultant sub-specialistinterests also include shoulder & elbow, hip,knee and foot & ankle. There are consultant ledfracture clinics & all day trauma operating lists364 days per year as well as trauma day caselists 3 days per week and follow-up fractureclinics mon-thurs. The department works closelywith our affiliated Ortho-Geriatricians and thePlastics Surgery and Neurosurgery departments.There is a well established trauma researchteam who are busy coordinating numerousresearch projects and overseeing audit activity.There is a trauma coordinator and specialist hipfracture and spinal surgery nurses.


F2 Doctors in this department will generally besplit between ward based work and introductionto outpatient clinic and operating theatre workduring the ‘normal’ working day and expected tosupervise F1’s and help deliver the daily medicalcare of all the inpatients. Whilst in the T&OSurgery attachment the F2 will be involved withthe generic clerking of patients being admittedand the ongoing care of the patients in the unit.The overall educational objectives of the F2 yearare to provide the trainee with the knowledge,skills and attitudes to be able to








Where the placement is based Frenchay Hospital, Bristol (currently). Will moveto new hospital at Southmead in 2014


Mr JCJ Webb, Mr TJ Chesser & Mr MKatsimihas

Main duties of the placement Each F2 doctor will be attached to a team(Trauma A-D or Spines) which comprises 3 or 4consultants who attend on their trauma day anda specialist registrar, 1 or 2 SHO’s (CoreTrainee, Clinical Fellow or F2) and an F1 whoare permanently in the department. They will beinvolved in the day-to-day ward care of patientsand the contemporaneous medical note keepingduring daily business ward rounds and weeklyconsultant ward rounds (especially post-take).They will supervise the F1 doctors and liaise withthe specialist nurses as required. Whilst on callthe F2 doctor will work closely with SpR inassessing, admitting and managing acute casespresenting to the Emergency Department orFracture Clinic. They will have the opportunity toshadow a consultant or registrar in new & followup fracture clinics and they are stronglyencouraged to attend either the main trauma listor day case list to assist a wide variety of casesand be taught some basic surgical skills such assuturing, metalwork removal, insertion of a screwor fixation of a fracture. Each F2 should arrangea session with the technicians in the PlasterRoom and they will have the opportunity topartake in or undertake an Audit project theresults of which they will present to theDepartment. They are expected to attend thestructured teaching programme provided by thedepartment and the Trust. The doctor will beresponsible for such other specific clinical dutiesas allocated by consultants including performingother duties in occasional emergencies andunforeseen circumstances.

Typical working pattern in thisplacement Daily: 0800 daily trauma xray meeting

0900 ward round1200/1700/2000 HandoverOn call 1 in 7

Mon: Am day case theatrePm ward work

Tues: Am ward workPm fracture clinic

Weds: Am day case theatreThurs: 1300-1400 F2 formal teachingFri: 0800-0900 weekly departmental

teaching/clinical governance meeting

Employer information North Bristol NHS Trust is one of the largestNHS Trusts in the Country serving a community

of around 500,000 people. We are currentlybased on two sites, Frenchay Hospital which hasspecialist services such are Neurosciences,Plastics and the Major Trauma Centre status forthe Southwest region; and Southmead Hospitalwhich has other specialist services such asRenal & Transplant Services, Urology andMaternity. The Trust is in the bringing all of itsservices and facilities together in a state of theart new hospital which is currently being built onthe Southmead site and will open in the Springof 2014. In addition the Trust is in the process ofapplying for Foundation Trust status.



North Bristol Placement Desc - Foundation - Home - Severn Deanery

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