Oxford Foundation School Prospectus

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to the Oxford Deanery Foundation School prospectus. My name is Anne Edwards, I’m the Director of the Foundation School, as well as a Consultant in

GUM and Lecturer at the University. This is the fi rst time we have done this, and it’s because we want you, the brightest and best

medical graduates.

The UKFPO allows you total freedom to apply wherever you choose, and we know we can’t sit back on an old reputation and wait for the best applicants.

We’d like to show you why this is the place for the next stage of your medical career.

Our programme goes beyond the minimum competencies set by the Foundation curriculum. We offer clinical experience in internationally renowned centres of excellence. Our links to the University dissolve the barriers to getting

involved with cutting edge research and publication, and there is an eager student population who engage with teaching. The Trusts within the Deanery

actively encourage juniors to engage in improving the health service at all levels. In the Oxford Deanery, we aim make you as competitive as possible for

applications to specialty training; the only limit is your enthusiasm!

Modern Foundation training is the gateway to the rest of your career in medicine. No matter where you studied, whether or not you have plans for

specialty training, and where you want to end up working, the Oxford Deanery is the best place to get you started.

This prospectus gives a fl avour of what we have to offer: come join us!

Welcome

BrASeNoSe college on radcliffe sQuare, oxford

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OxfOrd fOundatiOn SchOOl PrOSPectuS 2013

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1. Introduction Page 1 Welcome

Page 4 Working in the Oxford Foundation SchoolWho’s whoEquality and diversityWelfareContact details

Page 7 Academic Medicine in Oxford

2. Oxford University Hospitals

Page 8 Working in...

Page 13 Green Templeton College Management in Medicine Programme

Page 14 Job Descriptions

3. Royal Berkshire 8 Working in...


4. Buckinghamshire Healthcare



Page 49 Competition to win career guidance books

5. Milton Keynes Hospital Page 50 Working in...


6. Heatherwood and Wexham Park Hospitals



7. Interesting Information Page 72 Explaining the ePortfolio

Page 74 Finance Tips

Page 75 Admin Advice

8. Pertinent Policies Page 76 Annual Leave

Page 76 Job Swaps

Page 76 F2 Abroad

Page 77 Study Leave and Study Budget

9. The Big Grid Page 78 The Big Grid

Contents.

Where do youwant to go?

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Page 78

Page 76 Page 72

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have any queries about your post or rotations, including special circumstances and plans you might have for taking time out. The FSM works extremely closely with the FSD and also with the postgraduate centre administrators in various Trusts in which you will be working.

Please do not hesitate to make contact with the FSM if you have any queries and she will do her best to fi nd out the answers for you as quickly as possible.

Contact details are available at the end of this article.

Foundation Training Programme Director (FTPD)

In all the acute Trusts the Deanery appoints Foundation Training Programme Directors

(FTPD) who have special responsibility for between 20 and 40 trainees in any one Trust. The FTPDs will usually introduce themselves to you at induction, and if not at induction will make sure that you know who they are and how to contact them. The FTPDs work closely with the FSD and FSM to ensure your smooth progress through the Foundation Programme. They appoint your Educational Supervisor (ES) for each year of training. The ES will meet you regularly to ensure your smooth progress through foundation training.

Again, if you have any problems, anxieties or concerns, they are very happy to help and provide appropriate support.


Foundation Programme Lead (FPL)

In the Oxford Health NHS Foundation Trust, Dr Susan Shaw is the Foundation Programme

Lead (FPL) and will provide help and informa-tion to anyone working as a Foundation Doctor within the Trust.

In the Primary Care Trust in Oxford where there are a small number of foundation trainees, Dr Premila Webster is the FPL and is very happy to provide help and support to trainees coming in to public health.

In General Practice, you will normally be

allocated a clinical supervisor (CS) during your time. The CS will link up to the FTPD in the area in which you are working. Again, all of our trainers are supportive and helpful and you will be advised closer to the time that you take up your General Practice appointment who your CS will be. In addition, Mr Richard Mumford is the FPL for GP and works with GP practices and the Foundation School.

For Academic foundation trainees Prof. Chris Pugh is currently the FPL and is available to provide trainees with advice and support throughout their programme.


Medical Education Managers (MEM)

(ForMerLY postgraduate centre managers)

Your local Medical Education Manager (MEM) is responsible for the smooth running of

postgraduate training (including foundation) in your Trust. They are responsible for organising induction, the teaching sessions, monitoring how your assessments are going and helping with any problems that might arise. If you need help support or advice your local MEM will often be the fi rst port of call.


Foundation School Board: F1 and F2 representatives

The Foundation School Board meets 2 - 3 times per year and is a multidisciplinary

forum in which we discuss any matters relating to the Oxford Foundation School. There are rep-resentatives from the Medical School, F1 and F2 intakes. Your representatives will be in touch before Board meetings to ask you if there are any issues you might wish to raise.

Equality and diversity

The Oxford Foundation School aims to remove any barriers which might deter

people of the highest ability from applying to it as junior doctors. The Foundation School seeks to provide an inclusive environment which values diversity and maintains a training envi-ronment in which the rights and dignity of all its junior doctors are respected to assist them in reaching their full potential.

No prospective or actual junior doctor will be treated less favourably than any other, whether before, during or after their period of training on one or more of the following grounds, except when such treatment is within the law and determined by lawful requirements: age; colour; disability; ethnic origin; marital status; nationality; national origin; parental status; race; religion or belief; gender; or sexual ori-entation.

The Foundation School has approved a separate Equality and Diversity Policy to meet the specifi c obligations of equality legislation. If you have a complaint relating to your training on any of the above grounds you should inform your Foundation Training Programme Director (FTPD) immediately and also the Foundation School Director (FSD).

Welfare

Happily most of our trainees will enjoy the challenges presented by their foundation training and progress through their programme without problems. However from time to time the unex-

pected happens and help may be needed. We are fortunate in having an excellent team supporting the foundation programme throughout our Trusts and other partners. Any of these individuals would be well equipped to advise and support you. In addition the Deanery foundation team is always happy to be contacted and/or visited. We aim to be fl exible and sympathetic to trainees who fi nd themselves in situations that may interfere with their ability to complete the programme, or who are struggling for whatever reason. We would always encourage you to alert us to potential problems sooner rather than later. Similarly if you are concerned for a colleague please do not hesitate to seek advice.

tHe foundation programme has the founda-tion doctor at its core, supported by the clinical and educational superVisors. in turn, they are supported by the ftpds and the directors of medical education. all these roles are further supported by the oxford foundation school within the oxford deanery structure.

FoUNDAtioN doctor

CLiNiCAL and educational superVisors

FoUNDAtioN training programme directors, directors of

medical education

FoUNDAtioN school

DeANerY

4

Oxford Foundation School

ADDitioNAL useful information

Oxford Foundation Schoolhttp://www.oxforddeanery.nhs.uk/specialty_schools/foundation_school.aspxCareer Workshopshttp://www.oxforddeanery.nhs.uk/recruitment__careers.aspxCareer Development Unithttp://www.oxforddeanerycdu.org.uk/Medic Supporthttp://www.oxforddeanerycdu.org.uk/health/help_for_trainees/medic_support.html Foundation School Director

(FSD)

The Foundation School Director (FSD), Dr

Anne Edwards, is an Associate Dean based

in the Oxford Deanery. Dr Edwards is also a

consultant/honorary senior lecturer in Geni-

tourinary Medicine and Fellow of Brasenose

Colege. She spends her clinical time working at

the Churchill Hospital.

The FSD has overall

responsibility for the Foundation

School

and works very closely with the Foundation

Training Programme Directors based in the

Acute Trusts and with Foundation Leads based

in the Mental Health Trust and in Primary Care

and other settings. She is always happy to be

approached about any problem or issue that

you may not be able to resolve locally or where

you would prefer advice, help and support

outside the hospital in which you are working.

If you are planning to take time out from the

programme or you would like to move abroad

for your F2 year or if for any other reason you

feel that you may be doing something outside

the ordinary, please do get in touch earlier

rather than later. It is much easier to plan for

change in advance and you will fi nd that this

helps ensure that everything works smoothly

for you.Contact details are available at the end of

this article.

Foundation School Manager (FSM)

The Foundation School Manager (FSM), Ann

Spafford, is responsible for overall admin-

istration of the Foundation Programme and

should be your fi rst point of contact if you

We very much look forward to working with you in the two years that you will spend in

the Oxford Foundation School.The vast majority of you will enjoy a straight-

forward progression through your training and through the different Trusts and specialties that you expect to be working in.

This introductory article has been designed to give you some simple and clear information about who works within the Foundation School, the roles and responsibilities and where you can turn to for help and support.

Opposite is a chart showing the organisa-tional structure for the Foundation School.

The text below provides a little more detail about the individuals whom you are most likely to come into contact with during your founda-tion training.

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Academic Medicine in Oxford: how to get involved

Academic Foundation Programme Application enquiriesCheck website and if necessary contact Ann Spafford

[email protected] for information:

- On the Academic Foundation Programme- On other academic opportunities within the deanery

Contact Denise Best who will forward messages to relevant [email protected]

Academic point of contact- For those appointed to the Academic Foundation Programme

Contact Academic Foundation Lead, currently Chris [email protected]

Future advances in patient care, basic under-standing of disease processes as well as the

encouragement and education of successive generations of doctors largely lie in the hands of medical academics or academic medics. We are very fortunate in Oxford in having a

long history of success in medical academia

and strong support for trainees from the Deanery (www.oxforddeanery.nhs.uk/). We currently have a large and vibrant medical academic community running a huge range of basic and applied projects housed in first rate clinical and scientific facilities within both hos-pital and University premises (see http://www.ox.ac.uk/divisions/medical_sciences.html and http://www.ouh.nhs.uk/). The recent award of a further five year National Institute for Health Research Biomedical Research Centre further strengthens the environment and the scien-tific opportunities available (see http://www.oxfordbrc.org/).

Anybody appointed to a clinical job in Oxford who is

excelling at their clinical compe-tencies is encouraged to survey

the wide range of research opportunities available

and try to get involved in projects that interest them. This is obviously facilitated for those who have jobs in the Academic Founda-tion, Academic Clinical Fellowship and Clinical Lecturer schemes because they have protected

time for this purpose. However, research opportunities are available to all willing to show the ability, perseverance, determina-tion and commitment to make things work. Indeed, in addition to those appointed directly into Academic Foundation posts we have recently launched a scheme whereby those on the standard Foundation programme were able to apply retrospectively for conversion into Academic Foundation posts for FY2. Four indi-viduals were successful in 2012 and it is hoped that more posts of this nature will be available from 2013. Research funding opportunities also exist via the Oxfordshire Health Services Research Committee which offers grants for one year pump priming Fellowships and also research bursaries. Over the next year

we are going to expand the scheme of research bursaries to facilitate funding more high

quality projects,

whether they are proposed by individuals in ‘Academic’ jobs or not.

One route to identifying research opportuni-ties in Oxford is the regular Academic Medical Forum programme which is widely advertised and open to all (to be added to the mailing list please contact ****). New initiatives are being introduced to further disseminate knowledge of research projects including weekly poster sessions in conjunction with the Medical and Surgical Grand Rounds, databases of active research projects and named contact people for trainees to approach in each University Depart-ment and Clinical specialty which we will make available via the Oxford University Clinical

Academic Graduate School (OUCAGS) website (http://www.oucags.ox.ac.uk). In addition each autumn our Foundation trainees have run a highly successful scientific evening conference under the title ‘Research in Clinical Practice’, attracting attendees from across the country. Selected abstracts from this conference have been published in the Quarterly Journal of Med-icine. For more information about this year’s event see *****

Across all specialties many of the

academic opportunities for trainees are co-ordinated and

run by the OUCAGS.

Further details are available via the OUCAGS website which highlights that ‘OUCAGS pro-vides seminars, an accredited programme of research training, offers overseas academic and clinical placements, and assists in identi-fying funding opportunities.

We also support development of clinical competencies by close liaison with clinical supervisors to ensure our academic doctors achieve at a consistently high level, so deliv-ering the greatest benefit to their patients.’

With this support many of our trainees are high achievers, able to publish the results of their projects and go on to further academic posts either in Oxford or elsewhere.

Research opportunities within Oxford, and how

Foundation trainees can make the most of them

Chris PughAcademic Foundation Lead, Oxford Deanery

Name Title Location Email addressDr Anne Edwards FSD Oxford Deanery, The Triangle, Roosevelt Drive [email protected]

Miss Ann Spafford FSM Oxford Deanery, The Triangle, Roosevelt Drive [email protected]

Miss Jenny Arthur OFS Administrator Oxford Deanery, The Triangle, Roosevelt Drive [email protected]

Mr Bolaji Jegede Project Support Officer Oxford Deanery, The Triangle, Roosevelt Drive [email protected]

Mr Jas Kalsi FTPD (F1) Heatherwood and Wexham Park [email protected]

Mr Ram Moorthy FTPD (F2) Heatherwood and Wexham Park [email protected]

Dr Marc Davison FTPD Buckinghamshire [email protected]

Dr Simon Bays FTPD Buckinghamshire [email protected]

Dr Yaw Duodu FTPD Milton Keynes [email protected]

Dr Helen Allott FTPD Royal Berkshire [email protected]

Dr Stuart Benham FTPD OUH (Oxford) [email protected]

Dr Kenny McCormick FTPD OUH (Oxford) [email protected]

Dr Andrew Woodhouse FTPD OUH (Oxford) [email protected]

Dr Alex Lee FTPD OUH (Oxford) [email protected]

Dr Sue Burge FTPD OUH (Oxford) [email protected]

Dr Mike Ward FTPD OUH (Banbury) [email protected]

Dr Susan Shaw FPL (Psychiatry) Oxford Health NHS Foundation Trust [email protected]

Dr Premila Webster FPL (Public Health) Oxfordshire PCT [email protected]

Mr Richard Mumford FPL (GP) Oxfordshire PCT [email protected]

Prof. Chris Pugh FPL (Academic) OUH (OUCAGS) [email protected]

Ms Chantal Vermenitch MEM OUH (Oxford) [email protected]

Ms Liz Clarke MEM OUH (Banbury) [email protected]

Ms Teresa Harvey MEM Royal Berkshire [email protected]

Mrs Marilyn Hopkins MEM Milton Keynes [email protected]

Mrs Virginia Poole MEM Buckinghamshire [email protected]

Ms Maura Stock MEM Heatherwood and Wexham Park [email protected]

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Restaurants:Al-Andalus: Tapas in Jericho on a pretty

street. A nice place for a big group.Quod: Not a place to wear trainers but excel-

lent British food (think braised lamb shanks). On a Sunday evening there is jazz.

Shangai 30s: Exquisite Chinese food and hilarious artwork.

Lankwaifong: A delicious yet reasonably priced Chinese and Thai restaurant.

Kazbar: Perfect location for a fi rst date. Spanish tapas in a Moroccan themed den.

Gee’s: The high end of Oxford. A classy modern British restaurant in a beautiful con-servatory in North Oxford

Turl Street Kitchen: A central location for good home-cooked food with a seasonal menu and in aid of a local charity. Good food, doing good.

Cafes:G&Ds: 3 locations around Oxford serving

home-made ice cream between 08:00 and midnight every day of the week. A popular spot to meet up or do some work

The Missing Bean: Oxford’s best inde-pendent coffee shop on Turl Street in the centre of town. Get there early, it gets very busy and uncomfortably hot in the summer but their Latte art is to die for

Zappi’s Bicycle Café: A lesser known Oxford haunt above the Bike Zone shop on St Michael’s street. Very cool, very on trend.

Banbury

Banbury is located between Oxford and Bir-mingham and is a town most known for the

nursery rhyme ‘Ride a Cock Horse to Banbury Cross’, and also Banbury Cakes, a spiced cur-rant-fi lled pastry.

Facilities include an Odeon Cinema, Banbury Museum, shopping centre, “Spiceball park” gym and swimming pool and numerous pubs and bars,

Banbury is also conveniently located for exploring historic ‘stone’ villages.

Transport links: Oxford

The John Radcliffe, Churchill, NOC and the Warneford are all located in Headington, an

area of Oxford which becomes the main route East. Oxford is well connected to London by the Oxford Tube coach, a service which runs 24/7 with a travel time of approximately 90 minutes. There is a stop on London Road in Headington,

The Ashmoleon: This is like the British Museum of Oxford. You could spend hours here without realising until the hunger pangs kick in. Then head upstairs to the top fl oor Dining Room;

on a sunny day sunbathe on its rooftop lawn. Opening hours Tuesday - Sunday 10am-6pm. If a special exhibition is on this will incur a charge, otherwise entrance is free

University Parks: Be one of many taking a stroll through this beautiful park or soaking up the atmosphere from the lawns and lakeside benches. Absolutely brilliant in the summer

Theatre: http://www.oxfordcityguide.com/ee2/index.php?/SeeDo/theatre

Shopping: There is a high street and a pedestrian street with regular shops

Cinema:• Odeon, George Street• Odeon, Magdalen Street• Phoenix Picture House, Jericho• The Ultimate Picture Palace, Cowley Road• VUE Cinema

Bowling: http://www.bowlplex.co.uk/locations/oxford/oxford.aspx This is a bit pricey but defi nitely a trip down memory lane!

Ice Skating: Oxpens Road, 01865 467000. Open most days from 10am-12pm, 2-4pm, 5:45-7:15pm, 8-10:30pm. Admission £5.60/£4.30 for skaters, £1.00 for a non-skating guardian

Punting:• Magdalen Bridge Boat House, High Street 202643 - £10 per hour • Cherwell Boat House, Bardwell Road, 01865 515978 - £8/hour week-

days, £10/hour weekends

Gym: Ferry fusion leisure centre. Gym, swimming, classes, badminton. Many locations around Oxford. £36 per month with nhs discountOthers: David Lyold, LA fi tness

Buy a bicycle, it is a very cycle friendly city.

Oxford ‘must do’

tHe Jr hospital seen from marston

88888

Oxford University Hospitals

Introduction to the Trust

The Oxford University Hospitals NHS Trust (OUH) is one of the largest acute teaching

trusts in the UK. The trust is made up of four hospitals: the John Radcliffe Hospital (which also includes the Children’s Hospital and the West Wing containing specialties such as neu-rosurgery and otorhinolaryngology), Churchill Hospital and the Nuffi eld Orthopaedic Centre, all located in Oxford and the Horton General Hospital in Banbury in the north of Oxfordshire.

The OUH form a major tertiary centre, not only covering the local population (c. 135,000), but also the surrounding regional DGHs. This includes hospitals in areas such as Aylesbury (Stoke Mandeville), Banbury (Horton General), High Wycombe, Milton Keynes, Reading (Royal Berkshire), Slough (Wexham Park) and Swindon (Great Western).

The centre of Oxford is beautifully unique

fi lled with narrow cobblestoned streets leading to the various Colleges, as well as to a vast number of pubs, bars, coffee shops and restaurants. The main hospitals are located to the East, up the hill in Headington (where many

doctors choose to live). Oxford is a tiny place and cycling is certainly the quickest way to get around. Buses are plentiful, parking is not, and shuttle buses operate between the JR and Churchill Hospitals.

Introduction to the Hospitals

The John Radcliffe hospital is the largest hospital in Oxfordshire and is also a tertiary

referral centre for certain specialities across many counties. There are many specialist areas within the JR including the Children’s Hospital, the Women’s Centre, the Eye Hospital and the Cardiac Centre. It houses the main A&E in Oxfordshire, and has been designated as one of the new regional trauma centres. The JR, and the trust as a whole, is linked with Oxford Uni-versity and much teaching and research takes place here.

The Churchill hospital contains many spe-cialist units, including oncology, renal, trans-plant, dermatology, infectious diseases, chest medicine, genetics and palliative care. Also on site is the OCDEM (Oxford Centre for Diabetes, Endocrinology and Metabolism), which is a joint NHS and Oxford University specialist research centre.

The Warneford hospital, also based in Head-ington, is one of the major psychiatric hospitals serving Oxfordshire. It is part of Oxford Health NHS Foundation Trust, Oxfordshire and Buck-inghamshire’s joint mental health trust, sepa-rate from OUH.

The Nuffi eld Orthopaedic Centre is a tertiary specialist centre containing orthopaedics, rheu-matology and other related specialties.

The Horton hospital in Banbury is a dis-trict general hospital with an A&E department and provides general clinical services such as surgery, medicine, O&G and paediatrics.

HoSPitAL contact details

John Radcliffe HospitalHeadley Way, HeadingtonOxford OX3 9DUTel: 01865 741166Churchill HospitalOld Road, HeadingtonOxford OX3 7LETel: 01865 741841Nuffi eld Orthopaedic CentreWindmill Road, HeadingtonOxford OX3 7HETel: 01865 741155Horton GeneralOxford RoadBanbury OX16 9ALTel: 01295 275500


CoNtACt details

Dr Stuart Benham – Foundation Training Programme Director (Oxford)[email protected] Sue Burge– Foundation Training Programme Director (Oxford)[email protected] Andrew Woodhouse– Foundation Training Programme Director (Oxford)[email protected] Kenny McCormick– Foundation Training Programme Director (Oxford)[email protected] Richard Mumford– Foundation Programme Lead (General Practice)[email protected] Alex Lee – Foundation Training Programme Director (Oxford)[email protected] Chris Pugh– Foundation Programme Lead (Academic)[email protected] Susan Shaw– Foundation Programme Lead (Psychiatry)[email protected] Mike Ward – Foundation Training Programme Director (Banbury)[email protected] Premila Webster– Foundation Programme Lead (Public Health)[email protected]

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residents. Chartwell House costs £369 per month for a single room and Randolph Court is £460 per month for en suite rooms inclusive of all bills.

hOrtOn hOSPital accOMMOdatiOn in banbury

A variety of rooms: one bed fl ats, single rooms, three or four bed houses. Located

onsite. Single rooms have shared facilities. Prices range from £242 per month (single rooms) to £763 a month for a three bedroom house. Rooms are very basic, but very reason-ably priced.

These are all run by A2 dominion housing.

PriVate hOuSinG

Useful websites for private housing options include “Dailyinfo” and “This is Oxfordshire”

which is specifi c to Oxford, as well as the usual sites such as Gumtree. Average weekly rent is £80-90, with utility bills on top of this. There are many lodging rooms available also, and frequent advertising of spare rooms of houses.

Many doctors choose to live in the hospital area

(Headington)

close to work which is also a popular student area, particularly for Oxford Brookes students so there is a high turnover of property with many 4-bed student-type houses available to rent. Other areas of Oxford which are popular for FY1/2s include Cowley Road which is an up-and-coming area with many bars and res-taurants which is attractive for both young pro-fessionals and students alike and offers an easy commute to the hospitals. Also Summertown and Jericho, which are more wealthy areas and a 20-30 minute commute to the hospitals.

The Doctors’ Mess

The Doctors’ Mess covers the JR and Churchill; the Horton in Banbury has its own

mess. Subscription is £7 a month at the moment.

You sign up by fi lling in a form at induction or from the mess itself (on Level 3 JR).

Benefi ts of membership include access to the mess on level 3 of the JR, which is quite big with lots of comfy chairs and a kitchen. The money goes towards daily newspaper subscrip-tions and the Sky TV package. There are also Payday parties at the end of every month which are normally well attended and good fun! They happen at a different bar each month, and if you’re a mess member you’ll often get at least one free drink on the night.

There are Summer and Winter Balls each year,

which are well organised and elaborate affairs. The Winter Ball 2011 was held at Blen-heim Palace, a stunning evening.

If you want to get involved in the The Doctors’ Mess, email the mess president at the start of the year.

Parking

Parking permits at the John Radcliffe and Churchill sites are annual and based on

your salary – so £138 for the year 2010/11 for most junior doctors salaries (which can be paid via payroll). Car parks fi ll up quickly, consider arriving early to guarantee a space.

The Horton has a smaller car park with approximately 300 spaces, and permits are also available here.

Food and drink

JR: The main hospital has two newsagents, a coffee shop and canteen. The West Wing also has its own newsagent, coffee shop and canteen. The post-graduate centre café is very popular with medical staff and serves a range of hot and cold food at reasonable prices given the fantastic quality, open from 6am-4:30pm week days only. The main canteen on Level 3 serves hot food and stays open until 8pm daily. A vending machine by the mess offers micro-wave-type meals for out-of-hours.

Churchill: The hospital canteen is open from 7am-7pm; there is also a cafeteria situ-ated near the main entrance, and a well as League of Friends shop and a newsagent

NOC: The NOC offers a restaurant, open 8am-3pm on weekdays, and League of Friends coffee shop.

Warneford: One cafeteria, open 9am-5pm on weekdays. Close to the Churchill so you can share the facilities here.

Banbury: The Horton canteen is open 7.30am-4pm on weekdays, and there is a League of Friends coffee shop also open on weekdays. For out-of-hours and week-ends there are vending machines serving hot drinks and snacks.

Personal Development

learninG OPPOrtunitieS

There is mandatory F1 teaching for an hour a week where as F2 teaching takes place once

monthly and is a half-day session. You need to attend a minimum of 70% of these, or do online modules to compensate if you can’t. Topics vary and are generally quite useful, covering things from common medical conditions to specifi cs in the hospital (e.g. DNAR, analgesia).

Everyone has to complete an ALERT course in F1 (covering management of acute medical conditions), a simulation day (really useful, again acute presentations on simulators) and either ILS by the end of F1 or ALS by the end of F2.

There’s also a compulsory Careers Manage-ment Workshop which is mandatory for sign off.

Other than that learning opportunities vary a lot between fi rms. You might have compulsory Case Presentation meetings, or MDTs which can sometimes be useful.

There are courses and conferences adver-tised throughout the year, but this depends on your ability to negotiate annual or study leave for those days with your fi rm.

teachinG

All the hospitals have medical students from Oxford University, to varying degrees

depending on the placement – for example general medicine and surgery will have per-manent student placements, whereas some of the more specialist rotations will only have students at certain times of years for Special Study Modules.

You are actively encouraged to teach the students on each rotation, and if possible to provide a more formal session

once weekly.

There is also an opportunity to get involved

can share the facilities here.: The Horton canteen is

open 7.30am-4pm on weekdays, and there is a League of Friends coffee shop also open on weekdays. For out-of-hours and week-ends there are vending

HogWArtS, not part of the oxford deanery

a 5-10 minute walk from the hospitals, as well as stops in the centre of town and at the Thorn-hill Park & Ride. Tickets cost £16 return.

The train station in Oxford is a 20 minute bus journey from the Hospitals, and there are frequent trains to London, Reading, Birmingham and Hereford. There are four Park & Rides situ-ated around Oxford, with buses to the hospitals. There are many local bus services that serve the JR, connecting it with the town centre, train station and local districts. The Churchill, NOC and Warneford are also on bus routes and are close to London Road which is well served by buses.

Taxis are reliable on the whole and cost approximately £8 for a journey to the town centre. London to Headington by car or coach1.5-3 hours (traffi c dependent)London to Oxford by train1 hour, then 20-30 minutes from train station to Headington.

Transport links:Banbury

Banbury is on the train line from London Marylebone to Birmingham. The train

station is in the centre and there are 5 buses running between the centre and the Horton or it is a 20 minute walk.London to Banbury by train1 hourOxford to Banbury by car45 minutesOxford to Banbury via train20 minutes plus journey times from train station (see above).

Accommodation

Ouh SiteS

Arthur Sanctuary House: onsite at the John Radcliffe Hospital; a newly refurbished block which is compliant with GMC regulations. There are a variety of rooms, with en suite or shared bathroom facilities. Kitchen facilities are shared. There are no parking facilities available. The waiting list for rooms is long, and priority is

given to those who do not already have a place in hospital accommodation in Oxford (ie non-transfers). A laundry room with coin-operated washing machines and tumble driers is shared by the residents.

Ivy Lane: onsite at the John Radcliffe. More basic facilities than ASH. Benefi ts are locality to the JR. Shared kitchen and bathroom facilities. A laundry room with coin-operated washing machines and tumble driers is shared by the

residents. Rent is £385 per month for a single room.

Chartwell Flats and Randolph Court: Onsite at the Churchill. Randolph Court is a popular choice with foundation doctors; it offers en suite facilities with a fully equipped kitchen shared with four others. Internet facili-ties are pay-by-month, cable connection. A laundry room with coin-operated washing machines and tumble driers is shared by the

M40 to Oxford30 miles - 0hr 45minM40 to London80 miles - 1hr 30min

Oxford £5.60 rtn - 0hr 20minMarylebone £25.00 rtn - 1hr 00minBirmingham £13.00 rtn - 1hr 00min

SpiceballCountryPark

Castle QuayShopping Centre

Sainsbury’s

The Oxford University Hospitals

Paddington £22.50 rtn - 1hr 00minBirmingham £33.00 rtn - 1hr 10minSwindon £9.90 rtn - 0hr 45minBristol £21.00 rtn - 1hr 45min

Summertown

Cowley

Iffley

Marston

Headington

Barton

City CentreBotley

� e John Radcli� e & West Wing� e Churchill� e Nu� eld Orthopaedic� e Warneford

Jericho

M40 to London60 miles - 1hr 20min

A420 to Swindon30 miles - 0 hr 55min

M40 to Birmingham80 miles - 1hr 25min

M4 to Bristol85 miles - 1hr 40minA4074 to Reading26 miles - 0hr 50min

G&Ds

G&Ds

G&Ds

The Rose tearoom

Dong Dong’s

Gee’s

Quod

Kazbar

UniversityParks

The Wine Cafe

laundry room with coin-operated washing machines and tumble driers is shared by the

HoSPitALS of the ouh trust (left to right): John radcliffe, horton, John radcliffe, churchill, nuffield orthopaedic centre

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The Management in Medicine (MiM) pro-gramme was set up by Green Templeton

College (GTC) to help trainee doctors develop their management and leadership skills and to better equip them to meet the challenges of working in 21st century healthcare organisa-tions.

Most doctors do not want to become full-time managers, but many will become involved in some aspect of leadership and management as part of their clinical work.

There is now increasing recognition that involving doctors in leading and managing healthcare organisations is vital to the improve-ment of healthcare services, with a growing body of published evidence showing that, at least in an acute setting, the quality of health-care delivery improved when clinicians become involved in leading services. GTC’s academic and professional expertise in medicine, health, social sciences, business and management, makes it a unique “hub” of resources within Oxford able to offer top-quality management training to doctors.

“The MiM programme has helped me develop essential

skills around how to lead and change organisations. I have par-

ticipated in a number of excel-lent seminars and workshops

and was also able to carry out a small research project, which led onto a much larger piece of work

at the John Radcliffe Hospital. This meant that I was able to put some of the skills and knowledge that I developed in the workshops

into practice.” A second year foundation doctor

Who is MiM for?

GTC students, in the main clinical medics, and GTC alumni who are now doctors in training

Doctors in training from the Oxford deanery

Said Business School students/MBAs who are also doctors

Clinical medical students from other col-leges

Doctoral students with an interest in a healthcare / healthcare management related subjects

What does MiM offer?

Workshops from experts in various areas of management and leadership. Past themes include:

Working with othersFinancial skillsLeading changePersonal qualities

Shadowing of NHS managers, including:NHS Trusts Chairs and Chief ExecutivesMedical DirectorsDirector of Social Services

Small-scale healthcare management research projects undertaken by medical trainees and doctors

Seminars on important issues relating to managing healthcare for better patient experi-ences, jointly organized with the Health Experi-ences Institute (HEXI).

The MiM programme is now entering in its third year and will be looking to expand its activities.

For more information:Our website http://mim.gtc.ox.ac.ukGreen Templeton College http://www.gtc.ox.ac.ukTo join the MiM mailing list for future activities:Ruth Loseby [email protected]

The GTC Management in Medicine programme

MANAgeMeNt in medicine workshop held in green templeton college common room

with delivering small group tutorials, clinical teaching or lectures formally via the Medical School and academic departments. The Medical School run a Teacher Development Programme in which four hours of teacher training are offered in exchange for a commit-ment to become involved in structured Medical Student teaching; contact Helena McNally ([email protected])

The Oxford Foundation Symposium is a regular, regional teaching programme for foundation doctors from across the Deanery to present clinical cases, audits, research or topics of interest to an audience of colleagues and consultants. Email [email protected].

It is also possible to present at hospital grand rounds; there is a weekly surgical and weekly medical GR. Within each rotation there are opportunities, again to varying degrees, to present to colleagues and seniors at formal meetings such as M&M (morbidity and mor-tality), audit meetings, speciality teaching ses-sions.

audit and reSearch

Audit: There are plenty of opportunities to undertake audit projects during your time in

Oxford. The best way of doing this, as always, is to spot something in your department that is a) easily measurable and b) could be done better. Approach the rest of your team; perhaps they have an existing project that they need help with, or an idea that they are looking for help with?

Make sure you chose something simple and easy to

quantify

or else you will not be able to complete your data collection and analysis within your three or four month rotation. Always aim to present your audit at a departmental meeting; fi nd out which SpR arranges teaching, they are always on the lookout for people to present. Most departmental guidelines can now be found on the intranet. If you fi nd something, then speak to the Consultant who wrote the guideline and see if you can get involved in updating it based upon the results of your audit. If the topic is simple, then you could ideally get the person following you in your rotation to repeat the audit further down the line so that you can both get a complete audit cycle out of the work.

Research: With the ‘University of Oxford Hos-pitals’ affi liation, there are probably far more

opportunities to undertake research projects in the Trust than there are in other areas. Most departments have Clinical Fellows or Research SpRs undertaking a mixture of clinical and aca-

demic work, and they are ideal to approach for ideas. The key is to pick something manage-able within a small timeframe so that you have something concrete such as a presentation, poster or publication within the year.

If you are after something more basic science-based, then you can always approach any of

the University’s research departments directly;

look on the University’s website for links to individual research teams and departments.

ManaGeMent and leaderShiP

Green Templeton College in Oxford offers a ‘Management in Medicine’ programme

which aims to help trainee doctors to improve their management and leadership skills. This has four aspects: a series of workshops, a lecture series, shadowing opportunities and also resources available for those interested in fi nding out more about management/leadership opportunities.

There is an Oxford Foundation Trainee Group with an elected committee which discusses topical issues for foundation doctors. Through this there is the opportunity to attend an annual Leadership and Quality Improvement Confer-ence

Contact details for audit: Cardiac, Thoracic and Vascular, Emergency Medicine, Therapies and Ambulatory

[email protected]

01865 (2)22614

Neurosciences, Trauma and Specialist Surgery, Surgery and Oncology

[email protected]

01865 (2)22858

Children and Women, Critical Care, Theatres, Diagnostics and Pharmacy

[email protected]

01865 (2)22859

Or, if you are unsure which division your unit belongs to:

Clinical Audit Dept, Level 3, Academic Block, John Radcliffe Hospital, Oxford

[email protected]

CoNtACt details, continued from chapter title page

Ms Chantal Vermenitch – Medical Education Manager (Oxford)[email protected] Liz Clarke – Medical Education Manager (Banbury) [email protected]

Chris Shields – Medical [email protected] Gray– Surgical [email protected]

tHe radcliffe camera cake

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Team Approx 15 consultants and 15 registrars. 3 teams: imaging and heart failure, intervention, electrophysiology. 6 SHOs with one on each team at any time. One SHO then covers CCU which is the medical part of cardiac ITU. One on lates, one usually on annual leave

Banding 1B (40%)

nighTs None! Only 3 weeks worth of lates until 22:00

Weekends 3 in 4 months

Leave 10 days in 4 months. Non fixed, but rota is such that it is difficult foreveryone to get all of their leave (although not impossible)

average LisT size

8 - 16

CaTh LaB LisTs

5 cathlabs every day

inpaTienT admissions

4 - 5 per team per day

TeaChing Formal SpR teaching 1hour per week. Informal teaching on ward rounds and in cath lab etc. Lots of SpRs not very busy and willing to teach most of the time. No medical students attachments

roLes Ward work, ward rounding, clerking new admissions, arranging discharges and writing TTOs. Some acute cardiology, some opportunity to spend time with on call SpROn take All the time for cardiology. No gen medOn calls Ward cover and admissions (often elective rather than emergency). No gen med on call

CaTh LaB exposure

Can attend cath lab anytime

roTa Normal day 08:00 - 17:00On calls 3 weekends and 3 sets of late shifts in 4 month rotation 08:00 - 22:00

Team Chem Path 2 consultants, 4 registrars and 1 F2. On calls for gastroenterology

Banding 1A (50%)

nighTs None

Weekends One in 6 for gastro, none for chem path

Leave Non-fixed; 9 days in 4 months; need to swap on-calls to get a whole week off in one go

average LisT size

Chem path N/A. Gastro about 24


Gastro on call: approx 1 per evening or 3 per day at a weekend

TeaChing Informal

roLes Chem Path ‘on-call’ involves checking all abnormal blood results and ringing through any urgent ones and running any xanthochromias that come in. The rest of the time is for projects/research/clinicsGastro out of hours on call: ward and admissions

CLiniC exposure

Approx once a week in chem path, things like neuroendocrine clinic, bone clinic and lipid clinic

roTa Chem Path 2 half day on calls per week, one 08:30 - 13:00, the other 13:00 - 17:00. Gastro one evening per week 17:00 - 21:30, though often finish late

Linked roTaTions

Clinical Contact

Rota Coordinator/Pre-employment [email protected] (Junior medical staffing co-ordinator)

Linked roTaTions

Clinical [email protected] (Consultant)Rota Coordinator/Pre-employment enquiries

John radCLiffe

John radCLiffe

Cardiology

Chemical Pathology

F2

F2

1.4

1.5

Team 5 Cardiac consultants, 2 Thoracic Consultants, 7 Registrars, 7 SHOs (FY2 and CT), No F1s

Banding 1A (50%)

nighTs None (Twilights until Midnight)

Weekends One in 7

Leave Fixed on Rota, one in 7

average LisT size

20 - 25 patients

operaTing LisTs

2 - 3 per day


4 - 6 per day

TeaChing Weekly Critical Care Peer-led Teaching; Biweekly Thoracic Journal Club. No medical students attachments

roLes Largely ward based: 3 SHOs on ward day-to-day, one holds bleep, other may go to theatre or clinic (preference to CTs). Pre-assessment clinic once per week. One week in 7 on Cardiac Critical Care

TheaTre and CLiniC

Averages ~1.5 days per week, but negotiable with colleagues

roTa 7 week rolling rota for 7 SHOs, with different roles. Ward and theatre 07:45 - 16:45, 3 SHOs at one time, one to hold the bleep and cover the ward, others to help with jobs, but will also be assigned to operating lists to assist; Criticial care one week in 7, 07:30 - 20:00, working with the anaesthetic team, essentially an ITU SHO; Pre-assessment clinic, about one per week, 10:00 - 14:00, seeing pre-op patients and ensuring the have all investigations etc.; Lates 15:00 - 00:00, word cover and preparing pre-ops for theatre the next day; and fixed leave one week in 7, swappable, but very difficult to get leave outside of this e.g. study leave, days in lieu

Team 2 F1s, 1 F2, 3 SHOs (mixture of CMT and GP VTS trainees), 1 SpR& 1 consultant of the week. Note that there are around 30 Clinical and Medical Oncology consultants that rotate on the wards on a weekly basis. Most consultants that are not ‘on-call’ will still pop up on the ward and are contactable to see their admitted patients (either directly or via their SpRs)

Banding 1B (40%)

nighTs FY1 none, FY2 yes

Weekends Roughly one per month; FY1 09:00 - 17:00, FY2 09:00 - 21:30

Leave Non-fixed, 9 days in 4 months. FY2s get ‘zero’ days after weekends and nights

average LisT size

20-30 patients


0 - 9 per day including elective and emergency admissions

TeaChing Weekly SpR or Consultant led teaching (Friday morning from 08:30 – 09:30). Encouraged to attend Medical Grand Round (via video link) and to participate in Monday morning departmental presentations to wider Consultant/SpR team (08:30 – 09:30)

roLes Normal day is ward based. Daily ward round, ward jobs shared between FY1s and SHOs. Lots of MDT input and end of life issues. The ‘academic day release’ FY1 has the same role as the non-academic FY1, but with a few additional days that can be taken off as ‘academic days’ in order to attend educational events and plan academic placement.On call for oncology ward (and occasionally Sobell House Hospice). Clerking elective, e.g. for chemotharapy, and emergency, direct-to-ward or acute triage, admissions. Usually 1 - 2 daytimes (from 09:00) and evenings (until 21:30) per week. Good opportunity to clerk patients presenting with oncological emergencies, e.g. neutropenic sepsis, or general medical presentations.On call rota is also shared with Haematology, but FY1s are never expected to cover Haematology: there will always be an SHO (ST1) available covering haematology at the same time

CLiniC exposure

Supposed to have an outpatient clinical timetable but this can be tricky on busy days when fewer people are around

roTa Normal day 09:00 - 17:00On call usually 1 - 2 evenings per week 17:00 - 21:30

Linked roTaTions

GP and Paediatrics (x2)Psychiatry and Emergency Dept (x2)

Clinical [email protected] (Lead consultant)Rota Coordinator/Pre-employment [email protected] (Junior medical staffing co-ordinator)

Linked roTaTions

Clinical [email protected] (Dr Kinnari Patel, lead consultant for rotas)[email protected] (Dr Elaine Sugden, lead consultant for teaching)Dr Clare Blesing is departmental headRota Coordinator/Pre-employment [email protected] (Dr Kinnari Patel, lead consultant for rotas)

John radCLiffe

ChurChiLL

Cardiothoracic Surgery

Clinical Oncology

F21.5

F21.4F1

seT up Academic jobs are varied throughout the trust. There are 18 positions and 6 different rotations. Most academic rotations include a dedicated 4-month block in FY2 but this is slightly different for Public Health and actually can vary every year. All academic rotations give a good range of general medical and surgical experience as they are usually paired with busy, acute general medical or surgical wards (i.e. AGM or SEU at John Radcliffe). They also all have one FY1 job which is unbanded and supernumerary (e.g. psychiatry) or a banded job is given academic day release.

Whilst there are some set specialties (e.g. Public Health, Dermatology and Orthopaedics) most academic jobs are free reign and doctors can choose whatever speciality they wish to undertake academic work. This is quite different to most academic jobs in the country and can be very useful but at the same time slightly difficult to organise and find supervisors. The academic programme in Oxford is well established and most departments are aware of academic FY2 doctors undertaking placements.

FY1 is quite limited in terms of extra academic activities. There are monthly forums which allow trainees to present any ideas or work in a semi-formal setting. Every September OUCAGS organises a poster evening where trainees display their work. Social events are limited to small or large group dinners organised by OUCAGS at one of Oxford’s colleges for trainees of all levels to socialise. The University also organises regular teaching courses for academics in the trust. These range from courses such as generic presentation and research skills to week long SPSS courses. They are free for Academics but you may find it is difficult to get the time to attend these during FY1

Team ICU 1 consultant, 2-4 Registrars (ST3+), 2-3 F1s / F2s. Anaesthetics 1 consultant

Banding FY1 unbanded, FY2 banded

nighTs FY1 None

Weekends FY1 None

Leave 7 - 9 days depending on whether on 3 or 4 month rotation respectively, flexible but several weeks notice required

average LisT size

ICU 12 - 14. Anaesthetics depends on specialty or case complexity, usually 4 - 5 cases per day


ICU 2 - 3 per day on average. Anaesthetics N/A

TeaChing Informal

roLes ICU daily reviews, ward jobs, practical procedures. Anaesthetics anaesthetic pre-assessment, assisting with administration and maintenance of anaesthesia

FY2 on calls in A&E and on the medical wards

TheaTre/ CLiniC exposure

Anaesthetics daily. ICU N/A

roTa ICU 08:30-18:00. Anaesthetics 07:30- 17:30. Both 1 prearranged day off per week

Linked roTaTions

Clinical Contact

Rota Coordinator/Pre-employment enquiries

Linked roTaTions

Clinical [email protected] (Nicky Beale, consultant anaesthetist)Rota Coordinator/Pre-employment enquiries

John radCLiffe

John radCLiffe

Academic Medicine

Anaesthetics & ITU

F1

F1F2

1.0

1.0Team 1 team: 1 consultant, 1 SpR, 1 SHO, 1 FY1

Banding Unbanded

nighTs None

Weekends None

Leave Non-fixed, arranged amongst team

average LisT size

20 patients


Variable: approximately 3-4 per week, low turnover

TeaChing Weekly teaching; impromptu microbiology and infectious disease teaching; opportunity to present and clinical governance and M&M meetings; there are often medical students on the ward

roLes Ward based job; opportunity for clerking although often done by orthopaedic juniors; medical management of patients who frequently have complicated medical histories

TheaTre and CLinC

None

roTa 09:00 - 17:00 Monday to Friday

Linked roTaTions

Clinical Contact


Linked roTaTions

Clinical [email protected] or [email protected] (Lead consultants)Rota Coordinator/Pre-employment enquiries

horTon

noC

Anaesthetics & ITU

Bone Infection Unit

F1

F1

1.0

1.0

oops! We don’t have any info on this rotation...Yikes! Sorry.

It’s probably similar to “Anaesthetics and ITU F1” at the John Radcliffe

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Team There are 2 teams, each composed of 2 consultants, 2 full-time registrars (one senior and one junior) and one or 2 Core Medical Trainees and an academic FY1The Red Team covers Hepatobiliary Medicine and is led by Dr Roger Chapman and Dr Jane Collier. This is certainly the busier team with a larger number of acute admissions, more day case patients and a larger turnover of patientsThe Blue Team covers Luminal Medicine, which is predominantly Crohn’s Disease and Ulcerative Colitis. It is led by Dr Satish Keshav and Dr Simon Travis. There are fewer patients and a mixture of acute admissions and patients admitted for management of chronic disease

Banding 1C

nighTs None

Weekends None

Leave Non fixed, 9 days per 4 month job

average LisT size

Red team 10 - 20 patients. Blue team 5 - 10 patients, with some of the patients staying for much longer


Patients are either admitted from home or clinic or from the Day Case Unit. They are clerked either in Surgical Emergency Unit Triage or on the ward. The FY1 and CMTs tend to do the initial full clerking before senior review

day Case admissions

Day Case Ward (5E) that sees patients due for endoscopic procedures or infusions. The FY1 is expected to do a brief clerking, cannulate, prescribe or insert an abdominal ascitic drain as necessary

TeaChing Departmental teaching on Thursdays. This comprises of a medical student presentation followed by a 30 minute presentation by an allocated member of the Gastroenterology department.Weekly hospital medical grand round followed by one hour of gastroenterology case based teaching aimed at CMTs, which the FY1 also attends.Medical students: 2 per week, though as gastroenterology is a special selected module, their presence is not consistent.

roLes Clerking patients, ward jobs, ward rounds (sometimes independently), paracentesis, presenting at M&Ms and attending MDTs

roTa 08:30 – 17:00 Monday to Friday, though the FY1 will often finish significantly later especially on the Red team. Since the FY1 posting is only filled by academic trainees, there is opportunity to take time for academic commitments each week

Linked roTaTions

Clinical [email protected] (Consultant)Rota Coordinator/Pre-employment [email protected] (Consultant)

Linked roTaTions

Clinical Contact


John radCLiffe

John radCLiffe

Gastroenterology

Gen Med/ Geriatrics

F1

F2

1.2Team 8 teams, each of which has 2 F1s, an SHO (either FY2 or CT1/2), SpR and consultant

Banding 1B (40%)

nighTs Typically once every 2 months. 4 nights in a row, or 3 weekend nights. You have an SHO with you

Weekends One in 4, usually very hectic. No time off before or after

Leave 2-week block in 4 months (not flexible). No zero days after weekends. Time off after nights varies, it might be built into your 2 week block of leave

average LisT size

15 - 40. Varies widely according to firm and where you are in the rota, and time of year

TeaChing Depends on your consultant in terms of on the job teaching. Case meetings once per week, radiology MDT once per week. Weekly hospital medical grand round. Lots of opportunities to fulfil eportfolio requirements. Monthly mandatory F1 teaching.

roLes Normal day ward based over 6 wards, lots of general admin workOn calls medical ward cover. Usually once per week 17:00 - 22:00. Usually very hectic too!On take clerking new patients and presenting. Approx twice per week. Average intake is 15 patients per take. Good learning experience

roTa Normal day is meant to be 09:00 - 17:00, but often 08:30 - 18:00 depending on your firmOn calls and on take 1 to 2 evening shifts until 22:00 per weekWeekends 08:30 - 22:30 Friday, Saturday, and Sunday. And back to work Monday!On for 6 weeks as outlined above, off for 2 weeks, back on for 6 weeks

CLiniCaL seT up

The crucial difference from the JR is that Abingdon Community Hospital is a nurse-led unit. The main aim of the hospital is for the rehabilitation of generally medically stable patients, although this has started to change recently so that more medically unfit patients are managed on-site. The attachment will allow you to work with a much higher degree of autonomy, and there is good consultant contact time with good bedside teaching

Team 2 - 3 consultants, 1 - 2 registrars, 2 - 3 FY2s, 2 wards per site. Abingdon also has an Emergency Multidisciplinary Unit (EMU)

Banding Unbanded

nighTs None

Weekends None

Leave 9 days per 4 month job, non fixed

average LisT size

18 - 20 per ward

admissions 1 - 2 per day

TeaChing Weekly consultant contact at ward rounds and clinics

roLes Most of your working time will be spent on the in-patient wards: Ward 1 has a focus on rehabilitation of stroke patients whilst Ward 2 is primarily set up for rehabilitation of patients who have suffered a fractured neck of femur. Roles include ward-based care of stroke, fractured neck of femur and generic rehabilitation patients; assessment of the frail elderly in the emergencymultidisciplinary unit and rapid access clinic (see below)

CLiniC exposure

Occasional participation in an outpatient clinic, EMU or weekly rapid access clinic in Abingdon with SHO list. EMU: 08:00 - 18:00, weekdays, staffed by a senior doctor who takes GP referrals, and dedicated nursing staff, physiotherapists, occupational therapists, and a social worker. 5 in-patient beds at Abingdon are allocated to patients under the care of EMU staff. EMU occassionally ring/page for an SHO to attend if it becomes busy. Rapid Access Clinic: with a consultant, one registrar and one SHO. You see new GP referrals rather than follow-ups. This gives you the opportunity to review patients on your own, formulate a management plan, and discuss with a senior colleague before the patient leaves clinic, not to mention a source of useful opportunities for ePortfolio assessments.

roTa 09:00 - 17: 00 Monday to Friday. Weekly timetable for team: 1 consultant ward round, 1 MDT meeting +/- 1 morning clinic

Linked roTaTions

Clinical Contact

Rota Coordinator/Pre-employment [email protected]

Linked roTaTions

Clinical [email protected] (Consultant, Abingdon)[email protected] (Lead Consultant)Rota Coordinator/Pre-employment [email protected] (Lead Consultant)

John radCLiffe

aBingdon and WiTney CommuniTy hospiTaLs

Gen Med

Geriatric Med Community

F1

F2

1.4

1.0oops! We don’t have any info on this rotation...

Yikes! Sorry.

It’s probably similar to “Gen Med F2” at the John Radcliffe

Team 7 - 8 Consultants, 4 Registrars, 2 GP trainees, 1 F1

Banding Unbanded

nighTs None

Weekends None

Leave 9 days per 4 months, non fixed, negotiated with the GP trainees

average LisT size

1 or 2 in-patients maximum, mainly outpatient clinics

operaTing LisTs

Minor operations list specifically for you once a week


1 or 2 per week

TeaChing AMAZING teaching opportunities, regional meeting every month, impromptu teaching throughout clinic, often academic meetings at lunchtimes, Tuesday afternoon: Reg teaching (you can often attend), Friday mornings: SHO teaching, Thursday afternoon: academic/teaching

roLes Normal day Seeing patients in clinic and minor ops. All supervised by consultantOn calls You carry the SHO bleep every other day and the Registrar bleep twice a weekOn take Only patients who are referred to you specifically

TheaTre and CLiniC

SHO list on Wednesday mornings, difficult to squeeze in any other time as busy with clinics

roTa 08:00 or 09:00 - 17:00 Monday to FridayAcademic F1 have one day off per week

Team On an average shift, 1 Consultant, 2 or 3 Registrars, 2 CT1s, 2 FY2s (at night, 1 - 2 Regs and 2 Juniors)

Banding 1A (50%)

nighTs Sets of 3 or 4 nights, plus a lot of 13:00 - 22:00 and 16:00 - 01:00 (very rarely on day shifts, maybe 1 week in 6 or 7 weeks, but no real pattern as there is not a rolling rota: the rota is new for every rotation)

Weekends From every other weekend to most weekends, depending on rota

Leave Non fixed

average LisT size

VERY busy department in general. You can see anything between 3 and 10 patients per shift in Majors and lots more in Minors!

TeaChing Monthly teaching day in place of F2 teaching but rare that you get to go to it. Small teaching case at 4pm every day in handover

roLes Clerking and managing patients who present, including referrals or discharge, discussing and asking for advice from seniors when necessary

roTa New rota for each 4 month job to accomodate everyone’s leave, so is quite a random mix of 08:00 - 17:00, 10:00 - 19:00, 13:00 - 22:00, 16:00 - 01:00, 22:00 - 06:00, 23.30 - 08:30 shifts, although most end up being from 13:00 onwards, rarely on days

Linked roTaTions

Clinical [email protected] Coordinator/Pre-employment [email protected]

Linked roTaTions


ChurChiLL

John radCLiffe

Dermatology

Emergency Medicine

F1

F2

1.0

1.5

Team 5 FY2s, 2 GPVTS, middle grades (mostly locums, few regulars), Dr George (consultant), some consultants from JR do weekly on calls/weekend cover

Banding 1B (40%)

nighTs See example rota below

Weekends See example rota below

Leave 14 days in total. Weekends are booked off as annual leave. You can request and they try and allocate

TeaChing Friday morning paediatric emergencies, Emergency dept teaching, radiology teaching

roLes Seeing minor, major and resus patients, referring to specialities, practical procedures, lots of suturing

roTa Example rolling rota:

Week Mon Tues Wed Thurs Fri Sat Sun

1 Off Off 16:00 - 00:00

14:00 - 22:00

09:00 - 22:00

16:00 - 00:00

16:00 - 00:00

2 16:00 - 00:00

16:00 - 00:00

Off Off 09:00 - 17:00

09:00 - 17:00

09:00 - 17:00

3 19:00 - 06:00

19:00 - 06:00

19:00 - 06:00

19:00 - 16:00

Off Off Off

4 09:00 - 17:00

09:00 - 17:00

09:00 - 17:00

09:00 - 17:00

19:00 - 06:00

19:00 - 06:00

19:00 - 06:00

Team 4 - 6 SHOs (F2s, GP VTS, core-trainees), many SpRs and Consultants. All SHOs cover all consultants’ patients (no set teams)

Banding 1B (40%)

nighTs 3 - 5 blocks per 4 month rotation

Weekends Approx. 1 per month

Leave 9 days per 4 month job, non-fixed. Need to coordinate with other SHOs to ensure on-calls are covered. 1 - 2 days off after nights

average LisT size

10 - 30

operaTing LisTs

Many consultants and daily lists so new post-op patients appear on the ward anytime. Most day-cases stay in a separate, adjacent unit (you may be asked to do jobs for these patients, but most of the medications/TTOs are done directly in theatre)


Via A&E/GP referrals, direct from clinic, transfers, or elective direct-to-ward admissions peri-operatively

TeaChing Approach SpRs and Consultants for teaching. Occasional formal teaching is arranged. Can present audits/projects at departmental meetings. No formal clinic time, but there are opportunities to go to clinics/theatre on days the ward is well-staffed

roLes Normal day Ward based most of the time. Also involves seeing patients in adult pre-op clinics where the pre-op nurses have queries. SHO-run paediatric pre-op clinic (with variable numbers of patients) on Wednesdays and Fridays. The Wednesday clinic is in ENT outpatients, the Friday clinic is in the Children’s Hospital Outpatients. There is a nurse led clinic occurring at the same time so you may get asked to review some of these patientsOn call Cover new admissions. Usually see upto 5 new patients per on-call, but many more are dealt with over the phone (you hold the bleep for GP referrals). GP referrals are ‘ENT expected’ so will not be seen by A&E

TheaTre and CLinC

No formal SHO lists or clinics (the SpRs now run the ‘E’ (emergency) clinic), but plenty of theatre lists and clinics to attend if well-staffed on the ward. Try to go to the E-clinic

roTa

Linked roTaTions

GP and Paediatric SurgeryGP and Paediatric Trauma & Ortho

Community Geriatrics and OrthopaedicsGP & Cardiothoracic surgery

Clinical [email protected] or 01295 229720, Dr Grizelda George (Consultant)Rota Coordinator/Pre-employment [email protected], Dr Bryan Todd

Linked roTaTions

Clinical ContactMr Pablo Martinez-Devesa (Consultant, overall lead for SHO leave)Rota Coordinator/Pre-employment [email protected] (HR rota co-ordinator)

horTon

John radCLiffe

Emergency Medicine

ENT

F2

F2

1.4

1.4

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Team 2 teams: Lymphoma and Leukaemia. Each team has 2 consultants, 1 registrar, 2 SHOs

Banding 1A (50%)

nighTs Variable: 7 - 14 over a 4 month job

Weekends Variable: 4 - 5 in 4 months (may include nights over weekend)

Leave Annual leave: non fixed, 9 days per 4 months. 4 zero days

average LisT size

15 - 20 patients

TeaChing Wednesday mornings 08:30 – 09:00. Monthly mandatory F2 teaching

roLes Normal day Daily ward rounds, ward cover, Tuesday afternoon out-patient clinic, triage admissions. On calls Ward cover, admissions. Overnight support from Hospital At Night team and non-resident on call Haem SpR. On take variable number of elective admissions for chemo or stem cell transplant, and emergency admissions e.g. neutropenic sepsis

CLiniC exposure

Tuesday afternoon out-patient clinic with Dr Littlewood (consultant haematologist)

Linked roTaTions

Clinical [email protected] (Consultant)Rota Coordinator/Pre-employment [email protected]

Linked roTaTions

Clinical Contact


ChurChiLL

ChurChiLL

Haematology

Head & Neck Onc

F2

F2

1.5Team 2 Consultants, 1 Registrar, 1 SHO (FY2)

Banding 1B (40%)

nighTs None

Weekends One in 5

Leave Annual leave: non-fixed, 9 days over 4 months. Study leave: 30 days study leave allowance for the year. No compensatory rest after on calls. The department is very flexible with leave

TeaChing Both Consultants give weekly informal tutorials and presentations

roLes Normal day: Patients are divided into haemophilia and thrombosis clinics. Your role as SHO is to review routine and emergency haemophilia patients, initially under the guidance of the SpR and/or Consultant and as you feel more confident, alone. You will also clerk, discuss and initiate treatment for patients referred to the clinic with a positive DVT. There is constant support and guidance from a superb clinical team of doctors and specialist nurses. On calls: No on calls for haemophilia but you are part of the medical Emergency Assessment Unit (EAU) cover rota (John Radcliffe Hospital): one weekday evening 17:00 - 22:00 every week and one weekend in 5. This involves clerking and post take ward rounds as part of the acute medical take

CLiniC exposure

Morning and afternoon clinics: Haemophilia clinic 7 - 10 patients; thrombosis clinic 3 - 7 (varies daily based on referrals)

Team Approx. 15 Consultants, 7 Specialist trainees (various grades), 1 FY2

Banding Unbanded

nighTs None

Weekends None

Leave non-fixed, 9 days per 4 months. Entirely flexible

TeaChing There are opportunities to teach medical students on their Laboratory medicine course - there are small group teaching sessions and gross pathology teaching sessions that you can get involved in

roLes You are a supernumerary member of the team and the department is very happy for you to get what you need/ want from the placement. For example if you want to be a Neurosurgeon they would be happy for you to spend the rotation with the Neuropathologists. If you are keen to see/ do autopsy, they will support that. More generally and if you have no particular preferences, you are placed with a different speciality each fortnight and will join the Registrar or Consultant to do ‘Cut-up’ of the specimens sent to the lab. You then report the cases you have cut up with the Consultant, once they have been processed in the lab. You could expect to report around 100 cases in 4 months. There are opportunities for audit and research but these must be particularly sought, they are unlikely to be offered

roTa 09:00 - 17:00 (also flexible e.g. 08:00 - 16:00) Monday to Friday

Linked roTaTions

Clinical [email protected] (Consultant haematologist)Rota Coordinator/Pre-employment [email protected] (for Haemophilia issues)[email protected] (EAU rota co-ordinator)

Linked roTaTions

Clinical [email protected] (Consultant Dermatopathologist, Clinical Supervisor for the F2s)Rota Coordinator/Pre-employment enquiries

ChurChiLL

John radCLiffe

Haemophilia

Histopathology

F2

F2

1.4

1.0


It’s probably similar to “Max Facs F2” at the John Radcliffe

Team Location example Abingdon Surgery: 12,000 patients, 5 GP partners, 1 salaried GP, 1 GP trainee, 1 FY2, medical students

Banding Unbanded (take home monthly salary after tax approx. £1500)

nighTs None

Weekends None

Leave 9 days per 4 month job, non-fixed

operaTing LisTs

Some practices offer minor operations such as removal of BCC’s, joint injections and cryotherapy

TeaChing Weekly teaching session with GP tutor. Opportunity to teach medical students

roLes Roughly first 2 weeks: observe working of surgery (sitting in with GP, practice nurses, district nurses, mid wife, secretaries). Thereafter start to do own clinics: 30 minute appointment slots, providing opportunity to discuss the patient with the supervising GP. With increasing experience appointment slots generally reduce to 20 minutes. There are normally 6 patients in the morning and 6 in the evening. Other roles incude paperwork: hospital referrals, repeat prescriptions, incoming mail such as discharge summaries

roTa Example: First appointment 08:40, morning surgery finishes at 11:00. Afternoon surgery starts at 16:00, finish at 6pm. Every Wednesday half day.

Linked roTaTions

Clinical Contact


Linked roTaTions

Clinical Contact


John radCLiffe

oxfordshire

Geriatric Medicine

General Practice

F2

F2

1.4

1.0

Team 6 consultants, approx. 6 registrars, approx. 6 SHOs, 6 F1s

Banding 1B (40%)

nighTs Equivalent of 1 full week of nights every 9 weeks (with 1 week off between Monday to Thursday nights and Friday to Sunday)

Weekends Approx one in 4

Leave Fixed, any flexibility coming from swaps with other F1s. 10 days in 9 weeks

average LisT size

Approx. 12 - 18 patients

TeaChing 1 hour lunchtime meeting held daily except Fridays. Case discussion meetings. F1- or SHO-led journal club presentations. Weekly compulsory F1 teaching. Case-based presentations by F1s or SHOs

roLes Normal day ward-based for F1s with limited opportunities to clerk patientsOn calls & take: mostly ward cover, approx. one evening per week plus nights and weekends

roTa Normal days 09:00 - 17:00 with evening on calls approx once per week until 21:30, for 6 weeks; followed by nights Monday to Thursday 21:30 - 09:30; 1 week off; nights Friday to Sunday then another week off

Team Multidisciplinary clinic working closely with nursing staff and health advisers. The medical team consists of one F2, one GPVST1, 2 Specialist Registrars, several staff grades, some of whom are GPs with a special interest in GUM and family planning, and 3 consultants

Banding Unbanded

nighTs None

Weekends None

Leave 9 days per 4 month job, non fixed

TeaChing Weekly departmental teaching session on Wednesday mornings. There are often guest speakers talking on a wide range of issues relating to HIV and GUM. Registrars are also happy to arrange tutorials to cover topics in more depth. There are also good opportunities for clinical teaching to medical students. This is a good job in which to undertake an audit as clinical notes are readily accessible and presentation at the departmental meeting is actively encouraged by the department

roLes The job consists of drop-in and appointment based GUM clinics. You work individually from a clinic room but with plenty of opportunity to ask for advice and have patients reviewed by senior colleagues. There is lots of exposure to GU skin conditions and sexually transmitted infections as well as contraceptive issues. Practical skills include male and female GU examination and investigation, and cryotherapy. Although the F2s do not generally work in the HIV clinic, there are some opportunities to shadow in these clinics

roTa Each day is divided into 3 clinics from 09:15 - 18:30 or 19:00. The rota is very variable so you work an average of 2 clinics per day, but this is balanced over the week. Clinic sizes can be unpredictable as many or drop-in services so workload fluctuates. The clinic is tied to the Banbury GUM clinic so once per week or less you work in Banbury alongside a consultant or registrar. In addition to clinics there are some additional duties within the rota such as checking and acting upon results. The academic day is usually a Thursday, although this is negotiable

Linked roTaTions

Clinical Contact


Linked roTaTions

Clinical [email protected] and [email protected] (Consultants)Rota Coordinator/Pre-employment [email protected] (Consultant, rota co ordinator)

horTon

ChurChiLL

GIM & Geriatrics

GUM

F1

F2

1.4

1.0


It’s probably similar to “Gen Med F2” at the John Radcliffe

20


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Team 4 teams (red, green, blue, purple/orange), multiple consultants per team, 4 Registrars (one per team), 7 SHOs (FY2 and CT), No FY1s

Banding 1B (40%)

nighTs Block of 7 nights, one or 2 blocks per 4 month rotation

Weekends One in 7

Leave Non-fixed, 9 days per 4 months arranged amongst SHOs

average LisT size

6 - 8 patients


Variable between teams: 5 - 6 per week, high turnover; 1 - 2 per week long term

day Case admissions

3 - 5 per week

TeaChing Weekly neuroradiology teaching; weekly neurology grand round; many medical students; monthly mandatory FY2 teaching

roLes Normal day: Largely ward based; 1 - 2 SHOs per team; clerking day and ward admissions; practical procedures including lumbar punctures. On call evenings and weekends: neurology ward cover (SpR covers referrals). Nights: ward cover for both neurology and neurosurgery, including clerking elective and emergecy admissions. Senior support from neurology (non-resident) and neurosurgical (resident) SpRs

CLiniC exposure

Approx. 0.5 days per week, but negotiable with colleagues

roTa Normal day 08:30 - 17:00. Early (to receive hand over from night SHO) 07:00 - 17:00, approx. 1x per week. Late 16:00 - 20:00, approx 1x per week. Weekends 07:30 - 20:00 Saturday and Sunday, one in 7. Nights 20:00 - 08:00, 7-night block Friday to Thursday, one or 2 blocks per 4 month job

Linked roTaTions

Clinical Contact


Linked roTaTions

Old-age psychiatry and Maxfacs (x2)O&G and Public Health (x2)

Clinical [email protected] (Lead Consultant)Rota Coordinator/Pre-employment [email protected] (Lead Consultant)

John radCLiffe

John radCLiffe

Medicine

Neurology F21.4

Team 6 Consultants, Rotating cohort of Anaesthetic SpRs completing Neuroanaesthesia block, 1.5 SHOs (NICU FY2, AICU FY2 alternate weeks)

Banding 1B (40%)

nighTs One in 12 (covering ENT/Plastic surgery SHO on-call rota)

Weekends One in 12 (covering ENT/Plastic surgery SHO on-call rota)

Leave Non fixed, 9 days per 4 months. Flexible leave outside of on-call commitments as unit can function without SHO. Compensatory leave around on-call commitments as per EWTD

average LisT size

Neuro ICU has 14 bedsOn calls: SSIP unit has 40 beds and high turnover of ENT/Plastic surgical patients

operaTing LisTs

Lists running daily in two designated neurosurgical theatres and angiography suite

TeaChing Consultant led unit which guarantees cased based tutorials; learning points arise on a daily basis. Strong provision of senior support, guidance and teaching. Involvement in ENT and Plastic surgery SHO teaching

roLes NICU: Daily reviews and implementation of care for critically unwell neurosurgical patients in an intensive care setting. On calls: as ENT/ Plastics SHO covering speciality admissions and ward of 30 - 40 (plus paediatric outliers). First point of contact for ENT and Plastics in a quaternary referral centre

TheaTre and CLiniC

No clinic commitments. Opportunity to ‘follow patients through’ to angiography suite, Neurosurgical theatre or ENT theatre from both an anaesthetic and surgical view point

roTa Normal NICU day 07:30 - 17:00On-call day comprises 07:30 - 17:00 NICU, 17:00 - 20:30 ENT/PlasticsOn-call night (including weekends) comprises 20:00 - 08:30 ENT/PlasticsWeekend day on-call comprises 2 SHOs (1x designated ENT, 1x designated Plastics), one working short day 08:00 - 16:00 and one working long day 08:00 - 20:30 as per rota allocation

Team 3 F2s, 6 other SHOs, 9 registrars, 9 consultants (adult neurosurgery) and 3 paediatric consultants. 2 teams for adult patients, roughly equal list sizes

Banding 1B (40%)

nighTs Block of 7 nights, one or 2 blocks per 4 month rotation

Weekends 2 - 3 weekends in 4 months

Leave Non fixed, 9 days in 4 months

average LisT size

Varies between 15 and 45 patients per team

operaTing LisTs

Daily elective and emergency lists. Exact schedule depends on individual consultant. Generally considerable overlapping at SHO level (ie you can attend lists of other consultants as well)


1 in 9 takes on the consultant rota. Average 1-2 patients each day on take although consultants can sometimes be on take for several days at a time. Elective admissions: 2 - 15 depending on the op list for the next day. Emergency admissions: 0 - 2, and up to 8 per day, depending on bed availability

TeaChing Weekly neurosurgery SHO teaching every Friday morning. Weekly neuroradiolagy SHO teaching every Monday morning. Opportunistic teaching on the ward

roLes Early on call: 07:30 - 17:00, main duty is to run the pre-op assessment clinic. Otherwise stay with your own team for usual day to day jobs. Late on call: 14:00 - 20:00, main role is to clerk in and ensure pre-op preparations (e.g. necessary investigations) are completed for patients on the next day’s elective lists. Includes ward cover 17:00 - 20:00. May need to clerk in and manage emergency admissions, although all of these would have been accepted by the registrars prior to transfer to the unit. Registrars will review all emergency admissions. Nights: as per late on-calls, plus covering neurology in-patients. Weekends: Daily ward rounds of all neurosurgical in-patients; ward cover; clerking of elective and emergency admissions as per late and night on call

roTa Early on call: 07:30 - 17:00, once in every 1 - 2 weeks. Late on call: 14:00 - 20:00, once in every 1 - 2 weeks. Nights: 20:00 - 08:00, 7-night block Friday to Thursday, one or 2 blocks per 4 month job. Weekends: 08:00 - 20:00 Saturday and Sunday, 2 - 3 weekends in 4 months

Linked roTaTions

Clinical [email protected] (Consultant intensivist, NICU Clinical Lead)[email protected] (Consultant plastic surgeon, runs on call rota)Rota Coordinator/Pre-employment enquiries

Linked roTaTions


John radCLiffe

John radCLiffe

Neuro ICU

Neurosurgery

F2

F2

1.4

1.4

F21.4F1

Team 8 teams, each of which has 2 F1s, an SHO (either FY2 or CT1/2), SpR and consultant

Banding 1B (40%)

nighTs Typically once every 2 months. 4 nights in a row, or 3 weekend nights. You have an SHO with you

Weekends One in 4, usually very hectic. No time off before or after

Leave 2-week block in 4 months (not flexible). No zero days after weekends. Time off after nights varies, it might be built into your 2 week block of leave

average LisT size

15 - 40. Varies widely according to firm and where you are in the rota, and time of year

TeaChing Depends on your consultant in terms of on the job teaching. Case meetings once per week, radiology MDT once per week. Weekly hospital medical grand round. Lots of opportunities to fulfil eportfolio requirements. Monthly mandatory F1 teaching.

roLes Normal day ward based over 6 wards, lots of general admin workOn calls medical ward cover. Usually once per week 17:00 - 22:00. Usually very hectic too!On take clerking new patients and presenting. Approx twice per week. Average intake is 15 patients per take. Good learning experience

roTa Normal day is meant to be 09:00 - 17:00, but often 08:30 - 18:00 depending on your firmOn calls and on take 1 to 2 evening shifts until 22:00 per weekWeekends 08:30 - 22:30 Friday, Saturday, and Sunday. And back to work Monday!On for 6 weeks as outlined above, off for 2 weeks, back on for 6 weeks

Team 1 FY1, 2 registrars, 3 consultants and 4 specialist nurses

Banding Unbanded

nighTs None

Weekends None

Leave Non fixed, 9 days per 4 months

average LisT size

15 patients for venom clinic, 6 for infusion clinics and 2 in-patient referrals per week

admissions Nil. However all immunology patients admitted under other teams must be reviewed

TeaChing Many opportunities. Thursday afternoon, discussion on interesting patients plus presentation by clinical and lab staff. Weekly journal club meeting

roLes FY1 must run venom clinic (bee and wasp venom desensitisation) with specialist nurse. Two weekly infusion clinics where FY1 clerks patients before infusion. FY1 also receives telephone calls from patients and from GPs. Additionally, the FY1 is expected to make referrals and do any general jobs such as bloods etc

CLiniC exposure

Primary immunodeficiency clinic: assessing new patients and managing patients on established therapy. Additionally the FY1 attends the paediatric infectious disease and immunodeficiency clinic

roTa Monday 08:00 - 16:00, morning venom clinic. Tuesday 09:00 - 17:00, morning Paeds infectious disease and immunology clinic. Wednesday 08:30 - 16:30, morning Infusion clinic. Thursday 09:00 - 17:00, afternoon clincial meeting. Friday 08:30 - 16:30, afternoon infusion clinic. At other times the FY1 is available for patient and GP calls.

Team 9 consultants, 4 Registrar, 9 SHO (3 medical FY2s and 6 dental ‘DF2’) no FY1

Banding 1A (50%)

nighTs Approx 2 sets of 7 nights per 4 month job.

Weekends 1 - 2 per 4 month job, excluding nights

Leave Annual leave: fixed in rota. One zero day before nights and after weekends.

average LisT size

8 - 10

operaTing LisTs

Each consultant has their own list with specific types of oral surgery. This includes oncology as well as TMJ surgery or other less exciting (removal of teeth). Each consultant has an SHO so you will have time to work with the consultant. When you are attached to that particular week, you have the opportunity to sit in on clinics or go to theatre


0 - 4 per day

TeaChing Monthly audit day; weekly SpR-led teaching; ad hoc teaching in theatre or clinic; monthly mandatory FY2 teaching

roLes Day ward cover (08:00 - 20:00): Leads morning ward round; is responsible for in-patients; takes over day on call bleep 17:00 - 20:00 and over weekends. Day on call (08:00 - 17:00): referrals from Dentists, GPs, A&E, and other hospitals including Reading, Horton, Bucks. Involves giving telephone advice, booking patients in to urgent out-patient clinics, assessing patients in A&E, and practical procedures such as suturing facial lacerations in A&E and assisting in theatre. New admissions are taken at any time of the night or day; Max facs alternate weeks with Plastics to cover facial lacerations. Trauma SHO: Works with Ms Dhariwal and goes to theatre and attends clinics. Deformity: Work with Mr Mcleod and goes to theatre and attends clinics. Oncology: Major head and neck cancer cases. These usually take a whole day. Your responsibility is to ensure pre-op, notes in order, no glitches before theatre! MOS: Minor operations-these include biopsies, teeth extractions.

roTa Normal hours 08:00 - 17:00. Day ward cover 08:00 - 20:00, Monday to Thursday; day on call 08:00 - 17:00; weekend ward cover 08:00 - 20:00, Friday to Sunday; Nights 20:00 - 08:00, Friday to Thursday; approx. x2 of each per 4 months. Other weeks spent on Trauma, Deformity or Oncology (see above)

Linked roTaTions


Linked roTaTions

Clinical [email protected] (Consultant, Clinical Supervisor for FY2s)Rota Coordinator/Pre-employment enquiries

John radCLiffe

John radCLiffe

Immunology

Max facs

F1

F2

1.0

1.5Team 2 gastroenterology consultants, 2 stroke/elderly medicine consultants, 1 respiratory consultant,

1 cardiology consultant, 1 ID/micro consultant. Approx 1 registrar, SHO and FY1 per consultant

Banding 1A (50%)

nighTs One full week per 8 weeks, split into Monday - Thursday and Friday - Sunday

Weekends One in 8

Leave Fixed, 9 days per 8 weeks

average LisT size

10 - 25 patients

admissions 2 - 6 per day

TeaChing Weekly journal club. Weekly case-based discussion. Monthly grand round. Monthly mandatory FY1 teaching

roLes Ward-based SHO 09:00 - 17:00. When not on call, the FY1 and SHO work together on the wards. When on-call, night or day, the SHO covers EAU with the registrar and the HO covers the ward patients. The on-call SHO works with the on-call registrar to clerk all new admissions from A&E and direct GP referrals to MAU, and is responsible for them until they are allocated to a consultant at post-take the following morning. Usual 24h take size 10-20 patients. This means that for an FY1, day on call effectively means 5-9.30, while the FY2 would expect to be clerking new admissions from late morning onwards. The on-call FY1 manages all ward-based patients out of hours

roTa Same for FY1 and FY2: 8 week rolling rota with fixed leave - very inflexible; swaps must be organised directly with other FY1s or SHOs and cleared with the team. Normal day 09:00 - 17:00. Day on call 09:00 - 21:30. Night shift 21:30 - 09:00

Mon Tues Wed Thurs Fri Sat Sun1 Day Day Day Day2 Day3 Day4 Day56 Night Night Night Night7 Leave Leave Leave Leave Night Night Night8 Leave Leave Leave Leave Leave

Linked roTaTions

Clinical Contact


Linked roTaTions

Clinical [email protected] (Lead Consultant)Rota Coordinator/Pre-employment [email protected] (Senior Medical Secretary and Rota Coordinator)

John radCLiffe

horTon

ICU

Medicine

F2

F21.5F1


It’s probably similar to “Anaesthetics and ITU F2” at the John Radcliffe

22


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Team 7 consultants, 15 registrars, 1 FY2

Banding Unbanded

nighTs None

Weekends None

Leave Non fixed, 9 days per 4 months

average LisT size

2 - 3

operaTing LisTs

2 theatres lists daily, average 10 patients each. On average about 2 patients per day will be admitted, but often no-one is admitted

admissions 4 - 5 admissions to ward per week

TeaChing Weekly monday afternoons departmental teaching, plenty of opportunity for self-directed learning

roLes Largely ward based, occasional pre-operative assessments, eye casualty sessions and diabetic retinal screening clinic. The norm is to have about 2 - 3 patients to be looking after at one time as most pateitns are reviewd and discharged day 1 post op. There are timetabled clinics every morning (apart from thurs when its oculoplastics list) and 3 afternoons a week

TheaTre and CLiniC

Officially 1 day per week occuloplastics list, but flexible

roTa Monday: morning eye casualty, afternoon department teaching. Tuesday: Neuro-ophthalmology ward round & paediatric pre-operative assessment clinic. Wednesday: morning diabetic screening clinic, afternoon paediatric neurology clinic. Thursday: morning occuloplastics list. Friday: Eye casualty

Team 11 Consultants, 4 GP ST1/2 trainees, 3 F2s

Banding 1B (40%)

nighTs One week in 6 (7 nights)

Weekends One weekend in 6

Leave Fixed in rota, 10 days post nights (at the end of 7 nights following 12 days stretch)

average LisT size

5 - 20


3 - 4, and upto 10 per day

TeaChing 3 lunchtimes per week

roLes Ward work; admissions; special care baby unit; on-call for deliveries for one week every 6 weeks; bloods; outpatient clinics

CLiniC exposure

One or 2 every 6 weeks

roTa Week 1: on-call for post-natal/ deliveries bleep (one day on-call 13:00 - 21:00)Week 2: special care baby unit (one day on-call 13:00 - 21:00)Week 3: children’s ward including weekend (one day on-call 13:00 - 21:00)Week 4: children’s ward (one day on-call 13:00 - 21:00)Week 5: week of nightsWeek 6: off

Linked roTaTions


Linked roTaTions


John radCLiffe

horTon

Ophthalmology

Paediatrics

F2

F2

1.0

1.4

Team 7 teams, 2 - 4 consultants per team, 7 - 9 Fellows/ Registrars (one to 2 per team), 8 SHOs (FY2 and CT/ GPST), 2 F1s

Banding Unbanded

nighTs None

Weekends None

Leave Non fixed

average LisT size

10 - 20 patients

operaTing LisTs

4 - 6 full day lists per team per week


Variable between teams: approx. 16 per week, high turnover; 1 - 2 per week long term

TeaChing Weekly orthopaedic teaching on Wednesdays; medical students frequently around; opportunities to become involved in audit and research

roLes Largely ward based; 1 - 2 juniors per team; pre-op assessment clinics; regular assistance required in theatre

TheaTre and CLiniC

Averages 1 - 2 days per week, more is desired and negotiable with colleagues

roTa 08:00 - 17:00 Monday to Friday. One half day per week for research offered, often not taken as there is time during most weekdays to complete additional work

Team One acute team with a minimum of 2 SHOs (F1, F2 or GP trainees), speciality teams with one SHO (usually ST2, although you may be asked to cover). There is at least one registrar for each team. There is also an SHO covering A&E (16:00 - 22:00) and one who does the afternoon shift (14:30 - 21:30)

Banding 1A (50%)

nighTs 2 sets of 7 nights within the 4 month rotation. Followed by at least a week off

Weekends At least 2 within a 4 month block

Leave 1 week is added to your post nights leave giving a 2-week break. The other 4 days are up to you to arrange

average LisT size

Varies massively depending on the time of year. 20 would be about average across all the wards


Daily, at least 2 - 3 children

day Case admissions

More relevant if you are covering one of the paeds sub-specialities

TeaChing 1 hour per week SHO teaching. Child protection forum monthly and infectious diseases seminar every week. There is a weekly radiology meeting

roLes Reviewing patients on the ward, bloods and other ward based skills. When you are down in A&E you are responsible for clerking patients and initial management. Roles are the same for F1 and F2

CLiniC exposure

If the ward is quiet you are more than welcome to go to clinic

roTa 2 weeks of A and E (4-11pm), 2 weeks of nights (9pm-9am), 2 weeks of afternoons (2:30-9:30pm) and the rest are standard day shifts 8:30-5:00 acute team, 9-5:30 other teams. Rota is same for F1 and F2

Linked roTaTions

Clinical Contact


Linked roTaTions


noC

John radCLiffe

Ortho with academic interest

Paediatrics

F11.0

F21.5F1

Team 2 SHOs (one CT, one FY2), 2 consultants

Banding 1B (40%)

nighTs One set of 4 nights (Monday - Thursday), one set of 3 nights (Friday - Sunday) per 4 month job

Weekends One or 2 per 4 month job

Leave Non-fixed, 9 days per 4 months. Very flexible with annual and study leave

average LisT size

10 - 15 patients


3 - 4 per week

TeaChing Weekly Psychiatry department teaching followed by SHO reflection group, Tuesday mornings. Impromtu consultant teaching on ward and in clinic. Monthly mandatory FY2 teaching. Medical students often attached to ward

roLes Ward based: clerking new admissions, regular mental state review of in patients, weekly ‘ward round’ [large MDT meeting to discuss progress of all in patients], assessment and management of medical issues, including referral to different specialties, occassionally referring for acute medical or surgical admission e.g. sepsis, fractured neck of femur. SHO’s responsibility to take bloods, do ECGs and often measure and record vital signs. No provision on ward for IV medication or oxygen. Clinic: usually seeing new referrals: assessment and provisional management plan, always discussed with consultant. Home visits: Usually with a consultant although opportunity to do these alone if appropriate. ECT: Attending ECT morning sessions, increasing responsibilty from observing to administering. On call: Either ‘wards’: covering all adult psychiatric wards in Oxford [at different sites including Warneford hospital (adults and eating disorder), Fulbrook centre (old-age), and Littlemore (forensic, high dependence and learning disabilities)]; or ‘Barnes’: liaison for all OUH hospitals, usually involves seeing self harm or overdose attendances in JR or Horton A&E [expected to drive or taxi to Banbury from Oxford if called to Horton]

CLiniC exposure

Out-patient clinics take place in Abingdon Community Hospital. Approx. one half day clinic and/ or a half day home visit session per week

roTa Normal day 09:00 - 17:00. Evening on call 17:00 - 21:00, 4x per 4 month job. Weekend on call 09:00 - 21:00, 1 or 2x per 4 month job. Monday off after weekend on call. Nights 21:00 - 09:00, 1x Monday - Thursday and 1x Friday - Sunday per 4 month job. Monday and Tuesday off after weekend nights

Linked roTaTions

Clinical Contact


Linked roTaTions

Clinical Contact

Rota Coordinator/Pre-employment [email protected]@oxfordhealth.nhs.uk

noC

oxford heaLTh nhs foundaTion TrusT: fuLBrook CenTre, ChurChiLL

Nuffield Ortho Centre

Old Age Psychiatry

F1

F21.4

Linked roTaTions

Clinical Contact


John radCLiffe

ChurChiLL

O&G

Oncology

F21.5

Team 2 F1s, 1 F2, 3 SHOs (mixture of CMT and GP VTS trainees), 1 SpR & 1 consultant of the week. Note that there are around 30 Clinical and Medical Oncology consultants that rotate on the wards on a weekly basis. Most consultants that are not ‘on-call’ will still pop up on the ward and are contactable to see their admitted patients (either directly or via their SpRs)

Banding 1B (40%)

nighTs FY1 none, FY2 yes

Weekends Roughly one per month; FY1 09:00 - 17:00, FY2 09:00 - 21:30

Leave Non-fixed, 9 days in 4 months. FY2s get ‘zero’ days after weekends and nights

average LisT size

20 - 30 patients


0 - 9 per day including elective and emergency admissions

TeaChing Weekly SpR or Consultant led teaching (Friday morning from 08:30 – 09:30). Encouraged to attend Medical Grand Round (via video link) and to participate in Monday morning departmental presentations to wider Consultant/SpR team (08:30 – 09:30)

roLes Normal day is ward based. Daily ward round, ward jobs shared between FY1s and SHOs. Lots of MDT input and end of life issues. The ‘academic day release’ FY1 has the same role as the non-academic FY1, but with a few additional days that can be taken off as ‘academic days’ in order to attend educational events and plan academic placement.On call for oncology ward (and occasionally Sobell House Hospice). Clerking elective, e.g. for chemotharapy, and emergency, direct-to-ward or acute triage, admissions. Usually 1 - 2 daytimes (from 09:00) and evenings (until 21:30) per week. Good opportunity to clerk patients presenting with oncological emergencies, e.g. neutropenic sepsis, or general medical presentations.On call rota is also shared with Haematology, but FY1s are never expected to cover Haematology: there will always be an SHO (ST1) available covering haematology at the same time

CLiniC exposure

Supposed to have an outpatient clinical timetable but this can be tricky on busy days when fewer people are around

roTa Normal day 09:00 - 17:00On call usually 1 - 2 evenings per week 17:00 - 21:30

Linked roTaTions

Clinical [email protected] (Dr Kinnari Patel, lead consultant for rotas)[email protected] (Dr Elaine Sugden, lead consultant for teaching)Dr Clare Blesing is departmental headRota Coordinator/Pre-employment [email protected] (Dr Kinnari Patel, lead consultant for rotas)

F21.4F1


It’s might be similar to “Ortho with academic interest F1” at the NOC


It’s probably not similar to any other F2 job! We hear it’s busy but a good learning experience

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Team Public health consultants and team, registrars, administrators

Banding 1B (40%)

nighTs None

Weekends One in 5 for general medicine admissions (Emergency Assessment Unit, EAU)

Leave 9 days per 4 month job; easy to take

TeaChing Monthly mandatory FY2 teaching and informal sessions within Public Health

roLes Public Health: Office based work e.g. literature reviews, treatment requests and commissioning, freedom to pursue own projects of interest. On call: in EAU, John Radcliffe: evening shifts and weekends clerking medical admissions

roTa Normal day: 09:00 - 17:00 Monday to FridayOn call: EAU evening shifts 17:00 - 22:00 once per week, weekends 09:00 - 22:00 one in 5

Linked roTaTions

Clinical ContactDesignated supervisor depending on placementRota Coordinator/Pre-employment enquiriesPublic Health: designated supervisorEAU: [email protected] (medical rota co-ordinator)

oxford heaLTh nhs foundaTion TrusT: Warneford, oxford

oxford

Pyschiatry

Public Health F21.4

LoCaTion Public Health as an F1 currently involves working at the Health Protection Agency in Didcot, though this may be subject to change in the future. This is about 45mins - 1 hour’s drive from Oxford, or 2 hours by public transport

Team

Banding Unbanded

nighTs None

Weekends None

Leave Non-fixed, 9 days per 4 month job

TeaChing There are weekly teaching sessions for an afternoon, and the opportunity to do small presentations to the department. Monthly mandatory F1 teaching in the John Radcliffe

roLes The HPA is involved in managing outbreaks of infectious diseases amongst other things (see their website). As an F1 you will spend time answering phones from GPs and other health professionals who notify the HPA about cases of particular diseases (called ‘notifiable’ diseases). The job involves following particular protocols for managing these cases e.g. tracing contacts, advising about prophylaxis, looking for potential sources (e.g. following where patients last ate in the case of food poisoning). You will also spend some time working on audits and other projects within the department. If you wish to spend a day or two in the PCT, you can request to do this when you are there.Advantages of this job:- a good chance to get a taste for public health (though only one aspect of it)- friendly atmosphere and generally helpful people in the department- good opportunity to do audits and other small projects for your portfolio/CV- chance to do small presentations- useful teaching on public health- 9 to 5pm, no weekends or nightsDisadvantages of this job:- travelling distance- it can be a little mundane at times- only get to see one aspect of public health

roTa 09:00 - 17:00 Monday to Friday

Team 6 consulants, 7 SpRs, 6 SHOs no F1s

Banding 1B (40%)

nighTs 2x Monday - Thursday and 2x or 3x Friday - Sunday nights per 4 month job

Weekends 2 weekends per 4 month job

Leave 9 days per 4 months, no zero hours after nights

average LisT size

12

operaTing LisTs

No theatre lists but can assist with line insertion for dialysis if time allows


0 - 4 per day

TeaChing Weekly consultant or SpR led teaching on renal topics; monthly mandatory F2 teaching; medical students attached to the firm

roLes Time split between 4 main tasks: ward patients: acute and chronic, including ward cover and clerking new admissions; dialysis cover: general management of dialysis day admissions including dealing with both chronic conditions and acute illness e.g. MI whilst on dialysis; Day case patients for blood or iron transfusion, preparation for renal biopsy or line insertion, or blood tests; one SHO on Float to account for leave

CLiniC exposure

Daily consultant clinic

roTa Rolling rota managed by one of the SHO so can vary. Normally 2 weeks on chronic 2 weeks acute with the weekend cover in one of these. Then week nights with 2 weeks day hospital, 2 weeks dialysis, 2 weeks float. As the task of allocating is given to one of the SHO this is very variable but more than 2 weeks on chronic can be draining.SpR support: one SpR on ward cover, one for day case, one for dialysis, one covers the surgical transplant team rounds, one for referrals. Depending on leave and nights, more than one duty may be covered by a single SpR

Linked roTaTions

Clinical Contact


Linked roTaTions

Clinical [email protected] and [email protected] (Consultants)Rota Coordinator/Pre-employment enquiries

oxford

ChurChiLL

Public Health

Renal Medicine

F2 F1

F2

1.4 1.0

1.4

Team One or 2 SHOs attached to one SpR and one consultant

Banding 1B (40%)

nighTs One set of 4 nights (Monday - Thursday), one set of 3 nights (Friday - Sunday) per 4 month job

Weekends One or 2 per 4 month job


average LisT size

10 - 15 patients

TeaChing Weekly Psychiatry department teaching followed by SHO reflection group, Tuesday mornings. Impromtu consultant teaching on ward and in clinic. Monthly mandatory FY2 teaching. Medical students often attached to ward

roLes Ward based: clerking new admissions, regular mental state review of in patients, assessment and management of medical issues, including referral to different specialties, occassionally referring for acute medical or surgical admission. SHO’s responsibility to take bloods, do ECGs and measure and record vital signs if needed. No provision on ward for IV medication or oxygen. On call: Either ‘wards’: covering all adult psychiatric wards in Oxford [at different sites including Warneford hospital (adults and eating disorder), Fulbrook centre (old-age), and Littlemore (forensic, high dependence and learning disabilities)]; or ‘Barnes’: liaison for all OUH hospitals, usually involves seeing self harm or overdose attendances in JR or Horton A&E [expected to drive or taxi to Banbury from Oxford if called to Horton]

roTa Normal day 09:00 - 17:00. Evening on call 17:00 - 21:00, 4x per 4 month job. Weekend on call 09:00 - 21:00, 1 or 2x per 4 month job. Monday off after weekend on call. Nights 21:00 - 09:00, 1x Monday - Thursday and 1x Friday - Sunday per 4 month job. Monday and Tuesday off after weekend nights

Linked roTaTions

Clinical Contact


Team 7 consultants, 8 registrars, 9 SHOs (3 FY1, 3 FY2, 3 CT all on same rota)

Banding 1A (50%)

nighTs 2 lots (7 shifts each) of nights per 4 month rotation

Weekends One in 8


average LisT size

Total inpatients 15 - 20

operaTing LisTs

Each consultant once per week, plus emergency lists


2 - 3 per day

TeaChing Friday teaching morning: teaching presentations by registrars and SHOs, teaching ward rounds with consultants; journal club. Occasional medical students in clinics

roLes Each day begins with handover followed by ward rounds of your consultants patients. Then you will either have theatre (both elective lists and CEPOD emergency lists) or outpatient clinics, ward jobs to do, or you will be on call. Theatre role includes scrubbing in as an assistant and doing end-of-procedure paperwork. Outpatient clinics you will generally have your own clinic room and see new referrals or follow ups and then discuss these cases with the registrar or consultant. On call involves clerking new patients in A&E, seeing patients in day care and doing some ward jobs. In out-of-hours, it will also involve assisting in theatre if there are emergency cases. Roles are same for both FY1 and FY2

TheaTre and CLiniC

At least one day per week, more if your consultant is on call as there will be emergency theatre lists

roTa SHOs and FY1s on the same rota. Normal days 07:45 - 16:45; Long days 07:45 - 20:00 Monday - Thursday; Weekend: on call 07:45 - 20:00 Friday - Sunday; Nights: on call 20:00 - 08.00 (7 shifts in a row). 3 days off post-nights. Half day at end of week of long days, and on the Monday following a weekend

Linked roTaTions


Linked roTaTions

Clinical Contact


John radCLiffe

John radCLifee

Paediatric Surgery

Plastics F2

Team 12 (+1 locum) Consultants / 11 Registrars / 5 SHOs (FY2 - CT2) / 1 FY1

Banding Unbanded

nighTs None

Weekends None


average LisT size

10 - 25 patients

operaTing LisTs

2 - 3 Consultant lists per day, plus registrar-lead trauma list plus registrar-lead local surgery list


8 - 10 per day. A mixture of elective and trauma cases which is consistent most days due to the quick turn-over of the patients

TeaChing Informal teaching opportunities each morning in the trauma meeting. Consultants and registrars very keen to teach in theatre. Monthly audit day with teaching throughout the whole day. There are also lots of medical students who provide opportunities for the FY1 to teach

roLes Mostly ward based as the FY1. There is often an SHO to help with ward jobs as well. There are pre-assessment clinics running every day and the FY1 often has to go and see patients in these. No on call done by FY1. FY1 will however help out clerking new admissions to the ward or transfers from other hospitals

TheaTre exposure

Lots of opportunity to assist in theatre if the ward work is complete

roTa FY1 does not have a specific rota. Contracted to work 08:00 - 17:00 (4 days per week) but often the day is longer due to number of patients and people coming back late from theatre. Leave can be taken at any time as long as there is appropriate ward cover. As an academic post FY1 is entitled to 1 day academic leave per week. The day taken is usually negotiable with SHOs

Linked roTaTions


John radCLiffe

oxford heaLTh nhs foundaTion TrusT: Warneford, oxford

Plastics

Psychiatry

F1

F1

1.0

1.0

F21.5F1

Team One or 2 SHOs attached to one SpR and one consultant

Banding Unbanded

nighTs None

Weekends None


average LisT size

10 - 15 patients

TeaChing Weekly Psychiatry department teaching followed by FY1 and SHO reflection group, Tuesday mornings. Impromtu consultant teaching on ward and in clinic. Monthly mandatory FY1 teaching. Medical students often attached to ward

roLes Ward based: clerking new admissions, regular mental state review of in patients, assessment and management of medical issues, including referral to different specialties, occassionally referring for acute medical or surgical admission. SHO’s responsibility to take bloods, do ECGs and measure and record vital signs if needed. No provision on ward for IV medication or oxygen

roTa 09:00 - 17:00 5 days per week

Linked roTaTions

Clinical Contact



It’s probably similar to “ENT F2”

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Team No specific teams, multiple consultants, 4 SpRs (plus several clinical research fellows), 4 SHOs (FY2 and CT1 and 2x CT2), No FY1s

Banding 1A (50%)

nighTs 7-night stretch, one in 8 (cross-cover urology)

Weekends One in 8 (cross-cover urology)

Leave Non-fixed, 9 days per 4 months, arranged amongst SHOs

average LisT size

operaTing LisTs

Elective vascular access and living-related donor lists, emergency lists for transplant 24 hours per day

day Case admissions

Up to 20 per week

TeaChing Surgery grand round; weekly transplant/renal teaching

roLes Normal day: largely ward based; clerking ward admissions. On call: ward cover and new admissions, including urology cross-cover

TheaTre exposure

Average 1 week per month

roTa 8 week rolling rota for 4 SHOs (theatre/ float/ ward/ theatre/ float/ ward/ nights/ week off). Normal day 08:00 - 17:00; approx. 1x ‘late’ 08:00 - 20:30 per week. Nights 20:30 - 08:30

Linked roTaTions

Clinical Contact


Linked roTaTions


ChurChiLL

ChurChiLL

Urology

Urology & Transplant

F1

F21.5

Team Junior team: 2 FY1s, one FY2, one CT1, one CT2 and +/- one ACF. Then 5 or 6 registrars. 6 - 8 consultants. FYs cover the ward and everyone’s patients. The CTs and registrars are nominally attached to consultant firms but often help out the other teams. There is an on call registrar each week who covers all the ward patients and is therefore the immediate senior for the foundation doctors

Banding 1A (50%)

nighTs One in eight weeks: 7 nights on call and a week off afterwards

Weekends One in eight

Leave Annual leave: 9 days per 4 month job. 1 week off after nights. One half day each week plus one half day after on calls

average LisT size

26 beds on the ward plus outliers

operaTing LisTs

Daily lists AM and PM


Approx. 1 - 2 urology admissions per day and 0 - 3 transplant admissions overnight

TeaChing Students are regularly attached to the ward and FY1s often appreciate teaching, so ad hoc opportunities are available. Team meetings Friday morning

roLes Normal day: Ward work and seeing new admissions, plus potential to attend theatre and clinics when things aren’t busy on the ward.On calls: Approx. one evening per week. The urology SHOs share on calls with the transplant SHOs, so cover both urology and transplant on call. Roles are ward cover and new admissions

TheaTre and CLiniC

Nominally timetabled one theatre session and one clinic per week, which you can attend provided the ward has reasonable cover. Occassional opportunity to assist in flexible cystoscopy lists

roTa Normal day: ward work every day 08:00 - 17:00. Tuesday PM: clinic. One other full day: theatre list. Friday AM: team meeting. Evening on call: 17:00 - 21:00, approx once per week. Weekend: 08:00 - 21:00, one in 8. Nights: 20:30 - 08:30, one in 8. Off: half day per week and one week post nights. This timetable is flexible and not particularly rigidly adhered to

Linked roTaTions

Clinical [email protected] (Consultant, FY2 clinical supervisor)Rota Coordinator/Pre-employment [email protected]

ChurChiLLUrology F2


Yikes! Sorry.Team 6 F1s, 5 SHOs and 1 registrar (although SpR works the same rota as the SHOs so often, the SHOs

are the most senior trainees in the team)

Banding 1A (50%)

nighTs 7 nights, every 6 weeks

Weekends One in 3

Leave Non-fixed, 13.5 days per 6 months

average LisT size

30 patients, although at nights you are also expected to cover orthopaedics, which is another 30 patients

operaTing LisTs

Emergency list every day, then visiting consultants from the JR from various specialities do lists once per week


15 - 20 per week

day Case admissions

40 - 50 per week, with around 5 of these remaining on the ward as expected admissions and 2 - 3 as unexpected admissions

TeaChing Once per week F1 teaching. Once weekly orthopaedic teaching. Once weekly general surgical teaching, where either an F1 or SHO present. Grand rounds are somewhat sporadic!

roLes 2 - 4 on calls per week, working 08:00 to 20:00, taking GP referrals and seeing new patients in A&E with the SHO on call. Otherwise on ward dutyOverall, an enjoyable rotation with lots of flexibility in terms of leave. You get to know your team very well and it’s a lot of fun!

TheaTre exposure

Virtually none. Occasionally if it is outside of 09:00 - 17:00, you will get to assist in a surgery but usually the SHOs are the ones in theatre. Being a DGH, there is very little operating on weekends or after 17:00

roTa 6 week rolling rota. First week: 2 on calls, 3 normal days. Second week: 4 on calls (including Friday - Sunday) and 3 normal days. Third week: Tuesday OFF, Friday 1/2 day (if ward is not too busy), one on call and 2 normal days. Fourth week: normal days. Fifth week: nights. Sixth week: OFF

Team 8 trauma consultants, 5 spinal consultants, 1-2 orthogeriatric consultants, 8 trauma registrars, 1 spinal fellow, 1 orthogeriatric registrar, 7 SHOs (FY2s & LAS), no FY1s. 2 trauma wards with outliers all over the hospital

Banding 1A (50%)

nighTs 2x or 3x stretches of 7 nights (Monday to Sunday) per 4 months, 21:00 - 09:00

Weekends 3 weekends in 4 months. 08:00 - 22:00 Saturday and Sunday

Leave Fixed, 2 weeks per 7 weeks

average LisT size

60 - 80 patients

operaTing LisTs

1 - 2 lists per day, with 4 - 6 patients per list, from 08:30 - 21:00


8 - 10 per day. Tertiary centre, registrars accepts referrals from regional DGHs

TeaChing Weekly SHO teaching every Wednesday morning after handover. Weekly timetable: daily radiology meeting at 0800, daily hot rounds at 0700h & 2100, daily consultant or registrar (trauma, spinal,orthogeriatric) ward rounds, weekly departmental meeting on Wednesday mornings

roLes You are ward based during a normal day and cover all consultants, including the spinal team patients. There are 2 trauma wards in the trauma unit with approximately 26 patients on each ward. One SHO is assigned to each ward with each usually having an additional 5 - 15 outliers (i.e. paediatrics, plastics, medical wards). Orthogeriatric team review appropriate new admissions and on request. SHO attends weekly Orthogeriatric Consultant ward round. 2 SHOs are on call on alternate days and 1 SHO is on post nights leave. Based mostly on the trauma unit which has two wards, xray department and fracture clinic with plaster room. On calls: 3 weeks per 7 weeks, covering admissions from A&E, pre-operative assessments in fracture clinic and 60 - 80 ward patients

TheaTre exposure

1.5 days in 7 weeks, but negotiable with colleagues

roTa 7 week rolling rota for 7 SHOs, with different roles. A & B weeks (0800-1600h, weekdays, wards); C & D weeks (0800-2200h, 4-5 days/week, day on-call with scheduled theatre time), E week (2100-0900h, Monday to Sunday, night on-call), F & G weeks (fixed leave)

Linked roTaTions

AGM 6/12 (x 2)AGM 4/12 and Academic 4/12 (x2)

AGM 4/12 and Immunology 4/12 (x1)Urology 3/12, Bone Infection Unit 3/12 and AGM 3/12 (x1)


Linked roTaTions

Clinical [email protected] (Lead Consultant)Rota Coordinator/Pre-employment enquiries

horTon

John radCLiffe

Surgery

Trauma & Ortho

F1

F2

1.5

1.5

LoCaTion Lower GI Surgery, Surgical Emergency Unit (SEU), John Radcliffe Hospital (JRH)6 month placement split into 3 months on SEU at the JRH and 3 months at the Churchill Hospital(The following descriptions are based on working on SEU at the JRH as opposed to the Churchill Hospital, unless otherwise stated)

Team 4x FY1s (2 on the ward each day, 1 on a weekend), no FY2s, junior registrars, senior registrars, clinical fellows, consultants. Generally only the 2 FY1s are on the ward whilst seniors are in theatreOnly one FY1 on the ward at the Churchill Hospital

Banding 1A (50%)

nighTs Either 4 nights mid-week Monday to Thursday, or 3 nights on a weekend Friday to SundayApprox one set of nights every 4 weeksCover lower GI and vascular surgery on a night at the JRHCover lower GI, oesophagogastric and hepatobiliary surgery at the Churchill HospitalThe upper GI FY1 covers UGI and triage on a night, therefore there will be 2 of you on the ward at the JRH on a night

Weekends Approx 10 weekends in a 6 month placement (including weekend nights)

Leave Fixed, usually on the rota as: 7 days off after working Monday to Sunday, weekend off after working Monday to Friday and Friday to Sunday off after working mid-week nights

average LisT size

25 - 30 patients


On Take split between lower GI and upper GI, usually on alternate days. Take size can be anything from 5 - 15 patients. Only on take at the JRH

TeaChing Monthly mandatory FY1 teaching. Medical students and nurses to teach

roLes Ward-based, although occassionally called to help in theatre. Extremely busy job involving note-taking on a ward round, booking scans and listing patients for theatre, discussing patients with radiologists and referring to other teams. High turnover therefore many TTOs to do, ward-based practical procedures, opportunity to assist in theatre if possible, attending acutely unwell patients on the ward. Working at the Churchill Hospital can sometimes be less busy than at the JRH.Patients who are admitted onto SEU from their GP or A&E are clerked by the triage FY1 and then put onto the list for whichever team is on take that day at the JRH

roTa One week Monday to Sunday 07:45 - 19:15 followed by Monday to Sunday on leave, Monday to Thursday nights 19:00 - 08:00, weekend off, Monday to Friday 07:45 - 17:30 and so on

Linked roTaTions

Clinical Contact


Linked roTaTions

Clinical Contact


John radCLiffe and ChurChiLL

noC

Surgery

Trauma & Ortho

F1

F2

1.5

1.4


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but there are many decent chain restaurants at the Oracle (Giraffe, Pizza Express, Browns, Jamie’s Italian, Café Rouge, Strada, Bella Italia). While there are approximately three hundred Starbucks in Reading, it is sorely lacking in inti-mate, independent cafes, although The Work-house on the main street brews a decent mug of coffee and has a good selection of cakes too.



• Weekly medical and surgical teaching for one hour

• Simulation sessions offered throughout the year

• Departmental meetings within teams • Weekly Grand Round

teachinG

Reading has a decent cohort of 4th and 6th year students from Oxford most year round

so there are good opportunities for teaching if you arrange it yourself. There is no dedicated system for juniors to teach each other, although foundation doctors are strongly encouraged to present at the weekly Grand Rounds.

audit and reSearch

There is a central audit offi ce in RBH with a list of available audits should you fail to be

inspired enough to invent your own.

OxfOrd fOundatiOn SchOOl PrOSPectuS 2013OxfOrd fOundatiOn SchOOl PrOSPectuS 2013

Royal Berkshire

into town so while popping out for lunch isn’t

really an option, an after work drink or shop-

ping at the Oracle (see below) is very conven-

ient.The large number of foundation doctors on

one site gives RBH a very social feel meaning

new recruits get to know a lot of people very

quickly. As a result, the Doctors’ Mess is

strong, organising 2 events a month, one

raucous Payday Party and a more relaxed mid-

month get-together.

RBH is actually a pretty great

hospital,

winning the CHKS

Quality of Care award in

2010,

beating all other hospitals in

England and Wales in a variety of

measures (search Care Award for Royal

Berkshire Hospital on Youtube). The hos-

pital is currently attempting to implement

Electronic Patient Records (EPR) at time

of writing, with May 2012 as the current

estimated due date (although this has

been postponed multiple times). Already

in operation is a computerised Hospital At

Night bleep system whereby nursing staff

put jobs for the juniors onto a computer

system rather than bleeping them directly.

This means less important calls such as

rewriting drug charts or fl uid prescriptions

can be saved up and polished off in one fell

swoop, allowing tired juniors to maximise

valuable sleeping time in the mess.

Introduction to the Town

Reading is a 15 minute walk away from the

hospital and, while boasting no spectacular

attractions, provides everything you could

need, with London a 30 minute train ride away

for everything else.


The Royal Berkshire Foundation Trust is based in the town of Reading and employs

45 F1s and 36 F2s, mostly at the Royal Berk-shire Hospital (RBH), with a handful working at nearby Prospect Park psychiatric hospital. The Trust serves the majority of Berkshire, receiving patients from a variety of backgrounds from urban Reading to the predominantly Caucasian towns of Henley-on-Thames etc. Reading is close to London and Oxford with good transport links to both.

Introduction to the Hospital

Almost all foundation doctors are at RBH, with 2 F1s and an F2 at Prospect Park at

any one time. All F1 jobs bar psychiatry are 1a banded (50%).

The RBH is a fairly large district general hospital, housing

813 inpatient beds.

The hospital has been expanded several times with the result that each ‘block’ feels dif-ferent and navigating its labyrinthine corridors can be daunting at fi rst. It’s a 15 minute walk


Royal Berkshire HospitalLondon RoadReading RG1 5ANTel: 0118 322 5111Prospect Park HospitalHoney End Lane, TilehurstReading RG30 4EJTel: 0118 960 5000

CoNtACt details

Dr Helen Allott– Foundation Training Programme [email protected]

Teresa Harvey– Medical Education [email protected] Jarnak– Foundation years administratormedicaleducation.administrator@royalberkshire.nhs.uk

Ian Stephenson– Medical [email protected]

28

The shopping and restaurant focus of Reading is ‘The Oracle’. Situated next to the canal, this large shopping centre houses a wide-range of high street chains and a waterside complex of restaurants and bars; think Jamie’s, Browns, Pizza Express. Anyone searching for fi ner dining is going to struggle, the only real gem being the classy and not-too-expensive London Street Brasserie, a stone’s throw from the Oracle. The centre of Reading is very pleasant but unexciting with a large pedestrianized area and a plethora of coffee shop chains.

Nightlife in Reading consists of numerous small clubs and bars. Those used to trendy big city venues may feel unfulfi lled but it is still

very easy to have a good time.

Special mention should go to the recent infl ux of new Irish nurses/physios/OTs who can always be relied upon to propel any night to wilder heights…

Cultural events are something of a rarity in Reading, with the Hexagon Arts Centre hosting some big name comedy and musical acts. Having said that there are very frequent trains to London and Oxford for those who yearning for more high-brow entertainment.

The Doctors’ Mess

The Doctors’ mess is on the fi rst fl oor adja-cent to the Mortuary (!). It’s small but does

contain a pool table and a freezer stocked with microwave meals for peckish night-shift workers. There is always a decent crowd at lunch time and the free tea or coffee, biscuits

and toast make it a worthwhile post-ward round stop for those too tight-fi sted to visit AMT coffee. Membership is £10/month which pays for food and drink and a sizeable bar tab at most mess events.

Food and Drink

hOSPital

There are several lunch options at RBH. The on-site M&S Simply Food is a huge bonus

but the canteen deserves a mention for turning out wholly agreeable hot meals at a reasonable price. Other options include Pumpkin Café, a newsagent’s and the fridge and microwave in the mess. Also indispensable is the AMT stall for the obligatory post-ward round coffee (bought by the seniors, naturally). During the night, the only options are the aforementioned mess meals and ordering in Dominos, open until 5am (other takeaway pizza chains are available).

tOWn

The Lyndhurst Pub, 5 minutes from the hospital is the doctors’ favourite and most

nights at least one table will be populated by RBH workers. They have a good selection of drinks and the food is rather good, with daily deals (especially two-for-one Mondays) making it an economical choice too. It is also a Mess favourite, hosting welcome drinks in August and kicking off many Mess nights. Other notable watering holes include Sahara (excellent cock-tails) and the Pitcher and Piano.

For eating, the aforementioned London Street

Brasserie is the highlight,

The Lyndehurst

HMRC

Museum ofEnglish Rural Life

The Oracle

London StreetBrasserie

Sahara

Royal Berkshire Hospital


A4074 to Oxford26 miles - 0hr 50min

M4 to Swindon40 miles - 0hr 50min

M3/A33 to Southampton48 miles - 1hr 05minN1 to South Africa10,708 miles - 237hr 00min

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Banding 1A (50%)

nighTs 3 - 7 nights

Weekends 4

Leave As per General Medicine Rota

average LisT size

28 patients


3 - 4 new patients a day

TeaChing On ward rounds and weekly lunch time teaching – each junior is expected to do 2 presentations on care of the elderly topics

roLes Managing the ward with the SHO: Ward rounds, liaising with MDT (and once weekly MDT meetings), acute management of patients, ward round jobs, discussions with relativesOn-call on the General Medicine Rota

TheaTre and CLiniC

None

royaL Berkshire

royaL Berkshire

Anaesthetics

Care of the elderly

F2

F11.5

Team 1 consultant, 1 Reg, 1 SHO, 2.5 FY1s (1 academic FY1 comes 2 days a week)

Banding 1A (50%)

nighTs 4 night stretch - 2 blocks every 15 weeks

Weekends 3 in 15 weeks

Leave 10 days pre-allocated only during the CDU bit, no leave allowed during the ward-half

average LisT size

21 patients


While in CDU ~ 25 patients

TeaChing Grand round weekly, bedside teaching from most of the consultants

roLes 2 months in CDU: 5/8 weeks on call: various shifts a) 09:00 - 22:00, b) 08:00 - 21:00, c) 13:00 - 22:002 months on the wards: 1/8 week on call 17:00 - 22:00 (after work), consultant does ward round twice a week, registrar is around most of the time

TheaTre and CLiniC

None

Linked roTaTions

T&O, Lower GI surgeryClinical ContactDr SimmonsRota Coordinator/Pre-employment enquiriesDr Simmons and Dr Zurech

Linked roTaTions

Clinical Contact

Rota Coordinator/Pre-employment enquiriesIan Stephenson

royaL Berkshire

royaL Berkshire

Cardiology

Care of the elderly

F1

F21.5




Anaesthetics and ITU - 50% of both

Team Anaesthetics – N/AICU – team rotates but at any one time there are 1 - 2 consultants, 0 - 1 Registrars, 3 SHOs and 1 FY1 (supernumerary). No students

Banding 1A (50%)

nighTs (Surgical rota) 20:00 - 8:00 3 - 4 nights per ~ 6 weeks

Weekends (Surgical rota) 08:00 - 20:00 ~ 1 in 6

Leave 9 days plus bank holidays

average LisT size

Anaesthetics – N/AICU – there are 11 beds and these are generally filled

TeaChing Every Tuesday morning there is (optional) journal club 07:30 - 08:00 and junior members are encouraged to present. From 08:00 - 12:00 there is then anaesthetic department teaching aimed at anaesthetic membership exams but accessible and interesting to FY1s. This covers a lot of physiology useful to any doctor. In theatre there is a lot of downtime during cases when you have an anaesthetic consultant at your disposal to teach you on a subject of your choosing

roLes On-calls (Surgical rota) – Long days (08:00 - 20:00) either clerking admissions or evening ward cover on average ~ 1 day/weekAnaesthetics – F1s are supernumerary with the exception of surgical on-calls and this is best thought of as a training post for those with an interest in anaesthetics. However, you are expected to arrive at 07:30 and see the patients preoperatively for the list you are assigned to that day. In theatre, F1s insert lines, perform airway procedures and try to be as useful as possible in theatre. You are encouraged to think how best to manage patients but the decision will always be made by your superior ICU – Supernumerary, but here F1s perform jobs in common with general medical/surgical jobs – practical procedures, organising investigations, assessing patients and presenting at the ward round. ICU is a consultant-led unit and as such there is very little decision making

TheaTre and CLiniC

In addition to the above there is opportunity to attend pre-op assessment clinic, and to spend time with the pain team and critical care outreach team

royaL Berkshire

royaL Berkshire

A&E

Acute Medicine

F2

F2

Linked roTaTions

Upper GI surgery, CardiologyClinical ContactDr Kathy Krzeminska [email protected] Coordinator/Pre-employment [email protected]

royaL Berkshire

royaL Berkshire

Academic Geriatric Medicine

Anaesthetics

F1

F11.5

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Banding Unbanded

nighTs None

Weekends None

Leave 9 days and Bank Holidays - very flexible as you are supernumerary

average LisT size

Usually see approximately 15 patients a day

TeaChing Most practices organise teaching sessions and opportunities to sit in with other members of practice team eg midwife

roLes Holding own surgeries, seeing and managing patients in primary care setting.

royaL Berkshire

royaL Berkshire

Gastroenterology

General Practice

F1

F21.0

royaL Berkshire

royaL Berkshire

Geriatric Medicine

Haematology

F2

F2

Team 2 ward consultants, 2 SpRs, 1 SHO and 1 FY1

Banding 1A (50%)

nighTs As per General Medicine Rota

Weekends 1 in 4

Leave

average LisT size

10 - 20 patients


Very variable

TeaChing Somewhat limited. Informal teaching on ward rounds and a weekly X-Ray meeting

roLes During the Winter, based on outlier ward. The rest of the year is based on CDU (in a supernumerary role).On-call as per General Medicine Rota

TheaTre and CLiniC

Limited but possible

Team 5 ENT consultants, 3 registrars, 3 staff grades, 3 FY2s. no FY1s

Banding 1A (50%)

nighTs A set of 4: Thursday - Sunday, followed by a set of 3: Monday – Wednesday, every 6 weeks (general surgery)

Weekends Friday - Sunday 08:00 - 20:30. On general surgical on-call, 1 in 10

Leave Flexible, arranged amongst the team

average LisT size

5 - 10 patients


1 - 2 per day

TeaChing Weekly FY2 mandatory teaching and weekly general surgical teaching. ENT teaching every Tuesday morning with an opportunity to have CBDs

roLes Ward based in the mornings, then cover acute referral clinic from 09:30 to 12:30, carry on call bleep for any referrals (A&E, GP or ward).Afternoons depending on workload: acute referral clinic, main ENT clinics, theatre and ward duties. If all 3 of the SHOs are on, the workload can be easily shared and you can get to all day theatre lists (Wednesday) and specialist clinics, working it out amongst yourselves



Linked roTaTions

Breast surgery, AnaestheticsClinical ContactDr Hugh SimpsonRota Coordinator/Pre-employment enquiries

royaL Berkshire

royaL Berkshire

Community Paediatrics

Emergency Medicine

F2

F2

Linked roTaTions

Clinical [email protected] (Educational/Clinical Supervisor)Rota Coordinator/Pre-employment enquiriesMr Raman ENT staff grade

royaL Berkshire

royaL Berkshire

Diabetes & Endocrinology

ENT

F1

F2

1.5

1.5

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royaL Berkshire

royaL Berkshire

Palliative Medicine

Psychiatry

F2

F2

Team Consultant, senior registrar, F1 (another registrar present for half the placement)

Banding Unbanded

nighTs No

Weekends No

Leave 9 days, not fixed. Arranged with your consultant

average LisT size

10 - 20 patients


Varies from approx 4-7 a week. About half of these will stay for at least 2 weeks

TeaChing Plenty. 1 hour supervision with consultant weekly at least as an opportunity to fill out eportfolio requirements. One morning a week for junior doctor and trust-wide teaching or case histories. Daily informal teaching between seeing patient cases

roLes Reviewing patient’s mental states, clerking in new patients and performing basic physical exams or investigations. Tending to any physical health problems whilst an inpatient

TheaTre and CLiniC

None

Linked roTaTions

General surgery (colorectal), care of the elderlyClinical [email protected] Coordinator/Pre-employment enquiries

prospeCT park hospiTaL

royaL Berkshire

Psychiatry

Public Health

F11.0

F2

Team 8 Consultant Obstetricians, 4 Consultant Gynaecologists, 9 registrars and staff grades, 3 ST1, 3 FY2s, 4 GPVTS and no FY1

Banding 1A (50%)

nighTs A set of 4: Monday - Thursday, and a set of 3: Friday – Sunday, total of 14 nights over a 4 month rotation; Obstetrics covering labour ward, no gynaecology nights

Weekends Gynaecology: Friday – Sunday (Thursday and Tuesday off), 1 in 10Obstetrics: Friday – Sunday (Wednesday, Thursday and Monday off) 1 in 11

Leave Flexible, arranged amongst the team

average LisT size


5 - 10 a day via DAU and 1 - 5 a day via EGC

TheaTre LisTs 1 – 2 patients on a gynae list, 1 Elective C-section list per day plus the emergency list covered by SHO covering labour ward

TeaChing The weekly FY2 mandatory teaching, weekly sessions allocated for SHOs to meet one of the obstetricians to get Mini-CEX and CBDs done and weekly O&G teachings

roLes Obstetrics and gynaecology 50:50Mornings are ward based you see post-operative patients, or pre-ops if covering Gynae or elective C-section list. Every day is divided into am and pm duties composing of the following:Maternity day assessment unit (DAU): jobs include clerking GP referrals, self-referrals and pre-ops. Post-natal wards: neonatal checks, reviewing post C-section ladies. Antenatal clinic: an opportunity to see patients and get WBAs done. Elective C-section list: first assistant. Emergency gynae clinic (EGC): GP referrals predominantly early pregnancy issues. ERPC list


Team 9 Consultants (including 2 Acute Oncology Consultants), 1 Associate Specialist, 2-4 Registrars, 1 SHO and 1 F1

Banding 1A (50%)

nighTs As per Medical on-call rota

Weekends As per Medical on-call rota

Leave As per Medical on-call rota

average LisT size

About 16 patients


From CDU, A&E or clinic as well as transfers from other wards (usually 2 - 3 per day). Usually 1 - 2 chemotherapy admissions per week and 1 - 2 admissions per week for blood transfusions or ascitic drains

TeaChing 1 hr a week dedicated oncology teaching time given by registrars, consultants, palliative care team, outpatient chemotherapy and radiotherapy staff

roLes Ward based 08:30 - 17:00. Daily ward round to see new admissions or sick patients with Acute Oncology Consultant every morning, then complete ward round with SHO. Clerk any patients coming in for chemotherapy, transfusions or ascitic drains.Registrars only on ward if called for problems. Some consultants do a weekly ward round of their patients

TheaTre and CLiniC

Consultants very keen for juniors to attend clinic but opportunity rare due to workload on ward

Team 2 FY1s, 1 FY2 (foundation doctors are on the same rota), 8 SHOs, 5 Registrars, 6 Consultants

Banding 1A (50%)

nighTs No

Weekends 1 in 4, 12 hour shifts both weekend days with Monday off

Leave Very flexible. Can take on clinic weeks easily, also on ward weeks if adequate cover. Easy to swap A&E weeks among FY trainees to facilitate leave

average LisT size

Very variable between 15 - 35 patients

TeaChing Weekly journal club. Opportunities to teach Oxford medical students on attachment

roLes Clerking when on A&E weeks. General ward work other weeks

roTa Essentially supernumerary. Always must be one foundation trainee in paediatric A&E. The other 2 FYs are either on the ward, clinic or annual leave. For FY1s 1 week per month is A&E (but actually works out a little more than this), 1 week is clinic week where you have the opportunity to sit in on clinics if the wards aren’t excessively busy and a full complement of SHOs are on the ward

TheaTre and CLiniC

4 clinic weeks over the attachment

Linked roTaTions

Clinical [email protected] (Educational/Clinical Supervisor/Foundation Programme Director)Rota Coordinator/Pre-employment enquiries

Linked roTaTions

Urology, Elderly CareClinical ContactDr James Gildersleve (Lead Consultant) [email protected] Coordinator/Pre-employment enquiriesDr James Gildersleve (Lead Consultant) [email protected]

Linked roTaTions

Clinical Contact

Rota Coordinator/Pre-employment enquiriesDr Pritchard [email protected]

royaL Berkshire

royaL Berkshire

Neonates

Oncology

F2

F11.5

royaL Berkshire

royaL Berkshire

Obs & Gynae

Paediatrics

F2

F1

1.5

1.5

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Team 4 teams each with 1 F1 and 1 F2. Each team looks after the patients of 4 - 5 consultants who each have their own middle grade

Banding 1A (50%)

nighTs 2 blocks of 3 or 4 nights (20:00 - 08:00)

Weekends 1 in 9, Friday - Sunday 07:45 - 20:15

Leave 9 days leave, not fixed. Get additional week(s) off (zero hour) after weekend nights

average LisT size

Very variable, 8 - 25 depending if team is on take


5 - 10

TheaTre LisTs Daily trauma list plus various elective lists

TeaChing Weekly junior led departmental teaching

roLes Mainly ward based with F1 day-to-day. Clerking in A&E when on-call. Team on-call 1 in 4

TheaTre and CLiniC

Some opportunities if keen but no allocated time

royaL Berkshire

royaL Berkshire

Surgery

Trauma & Ortho

F2

F2

1.5

1.5

Team 2 consultants, 2 registrars, 2 SHOs, 3 FY1s (one shared with the breast team)

Banding 1A (50%)

nighTs 3 sets of either 3 or 4 nights

Weekends 3 per rotation (08:00 - 20:0)

Leave 21 days including zero days

average LisT size

15 patients


7 - 8 daily when on take, 2 - 3 elective patients

TeaChing Both consultants willing to teach in their free time, journal club every Friday

roLes Ward based, 1 Reg, 1 SHO, 2 FY1s are usually around. Team on take every other week

TheaTre and CLiniC

Limited theatre exposure, no clinic exposure

Team Four teams (1 SHO, 1 F1 working for 4 consultants)

Banding 1A (50%)

nighTs None

Weekends 1 in 4 (07:45 - 17:00)

Leave 9 days

average LisT size

Varies incredibly 0 - 50


Variable depending on if the team is on take

TheaTre LisTs Variable, trauma and elective

TeaChing Weekly teaching, peer led

roLes One in four weeks of lates 13:00 - 22:00. Team on take 1/4 days and weekends.

TheaTre and CLiniC

Little

Team 4 full time consultants, 3 part time consultants, 3 registrars, 3 CTs, 4 F1s

Banding 1A (50%)

nighTs None

Weekends 12:00 - 21:00 shift includes Sunday and is one in four Sundays

Leave 10 days

average LisT size

20 - 25 patients


2 - 5 patients each day through CDU or A&E. Excludes elective operations

TeaChing Monthly M and M meeting, no medical student attachments

roLes Largely ward based. On call involves taking GP referrals and clerking them in in CDU or A&E, pre-op admissions clerking.On call 1 in 4 for Urology. 3 shift patterns; one F1 works 12:00 - 21:00 (Sunday-Thursday with Friday off), one F1 works 07:00 - 16:00, two F1s work 08:00 - 17:00. Rotate between shifts each week

TheaTre and CLiniC

None

Linked roTaTions

Care of the elderly, Rheumatology/General MedicineClinical ContactHarry Brownlow (orhtopaedic consultant)Rota Coordinator/Pre-employment enquiries

Linked roTaTions

Medicine, T&OClinical ContactMr FaroukRota Coordinator/Pre-employment [email protected]

Linked roTaTions

Clinical ContactThere isn’t one, the F1 rota is sorted out amongst the F1s!Rota Coordinator/Pre-employment enquiries

Linked roTaTions

GP, Gastroenterology : General surgery, Elderly careClinical ContactMr Brownlow [email protected] Coordinator/Pre-employment enquiries

royaL Berkshire

royaL Berkshire

Trauma & Ortho

Urology

F11.5

F11.5

Team 6 consultants, 4 registrars, 1 SHO, 2 FY1s

Banding 1A (50%)

nighTs 3 - 7 nights per rotation

Weekends 4

Leave 3 weeks fixed leave + maximum 7 zero days

average LisT size

22


3 - 4

TeaChing Medical students shadow the team but time dedicated to teaching is limitedYou are required to present once on a topic of your choice at the weekly renal teaching

roLes Scribing on ward round. Doing ABGs, bloods, cannulas and discharge letters.Over 4 months you do alternate weeks of normal ward duties (08:00 - 17:00) and on-call commitments. On calls include: ward cover (12:00 - 22:00), a week of clinical decision unit (CDU) (08:30 - 21:30), nights (set of 3 or 4) and CDU weekend clerking and weekend ward cover

TheaTre and CLiniC

None

Team 4 consultants, 2 - 3 registrars, 1 SHO, 2 F1s

Banding 1A (50%)

nighTs 3 - 7 nights per rotation

Weekends 4

Leave General Medicine Rota

average LisT size

27


3 - 4

TeaChing Medical students shadow the team but time dedicated to teaching is limitedYou are required to present once on a topic of your choice at the monthly meeting

roLes Scribing on ward round. Doing ABGs, bloods, cannulas and discharge letters

TheaTre and CLiniC

Option to perform supervised pleural aspirates and chest drains

Team 3 consultants (2 on acute take rota, 1 just elective surgery), 1 registrar, 2 CT1/2 and 2 FY1s

Banding 1A (50%)

nighTs 3 sets of nights (08:00 - 20:00) over 4 months. Each set is 3-4 nights

Weekends 5 weekends during a 4 month rotation

Leave 9 days annual leave plus 14 zero days

average LisT size

Variable - Ranges from 5-30


Variable-approximately 10 a day when team is on take

TheaTre LisTs 2 per day

TeaChing Good ‘on the job’ learning opportunities

roLes Largely ward based. Clerking new admissions when on take, ordering and interpreting appropriate investigations, completing discharge paperwork. Average of once a fortnight evening cover (until 20:00) and once a fortnight on call for the day and evening (08:00 - 20:00) taking GP referrals and clerking patients. Team is on take 25% of the time

TheaTre and CLiniC

Minimal, you are usually busy on the ward but if you wish to go to theatre occasionally you are welcome


Linked roTaTions

General Surgery, Geriatrics, RheumatologyClinical Contact


Linked roTaTions

Clinical [email protected] Coordinator/Pre-employment enquiries

royaL Berkshire

royaL Berkshire

Renal

Rheumatology

F1

F1

1.5

Linked roTaTions

Cardiology, Anaesthetics/ICU : Paediatrics, Haematology, GPClinical ContactMr M BoothRota Coordinator/Pre-employment enquiriesSusan Gobardansingh [email protected]

royaL Berkshire

royaL Berkshire

Respiratory

Surgery

F1

F1

1.5

1.5

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Accommodation

£300/month but poor quality. All rooms are en-suite, share a small kitchen with

approx 5 others (probably not other doctors), no internet access, on hospital site, parking permit £20/month, rooms are cleaned, coin operated laundry. One communal area for whole block.

Parking is diffi cult after 8.15 in the morning, permits are £20/month.

Wycombe Doctors’ Mess

Wycombe Doctors Mess is conveniently tucked away down the end of a corridor

on the ground fl oor of the hospital. The mess has several large sofas, a choice of daily news-papers, free tea & coffee, sandwiches put aside for people on-call and sky TV. It in renowned for ‘pizza Fridays’: every Friday lunchtime take-away pizzas are delivered to the mess; a great social opportunity that gets everyone together. In terms of other social events, the calendar varies year-year depending on what the mess president and committee decide up on. Often socials are joined up with the Stoke Mess.

The Mess is run by its president who is usually an FY1

doctor.

Jenny Denholm, who works in the educa-tion centre, helps the president to run the mess smoothly. Jenny oversees fi nancial transac-tions, sets up mess cards for staff and keeps notes of all members. She is a valuable aid for any president. If you are keen to get involved in running the mess please contact her in advance of starting: [email protected]. Getting involved in the mess is a great opportunity to meet others from all departments and grades, as well as a way to enhance your CV.

If you decide to join the mess you will need to pay a £5 refundable deposit for your mess card. A £10 deduction is then taken from your monthly wage to pay for the running of the mess.

Food and Drink

The Doctors’ Mess is always a good source of food and drink provided

free of charge for its members. Should you wish for something more substan-tial there are two main food outlets. In the main building there is a small restaurant ‘Deli Marche’ which sells a selection of 3 different hot meals a day plus sandwiches, paninis, cakes and croissants, plus ‘Costa coffee’. The hot meals are reasonably priced and have

generous portions. In the Education Centre is located the ‘Windsor Dining Room’ which only caters for trust employees. This serves eve-rything from sandwiches to pasta and jacket potatoes to chicken fajitas. Again good value for money but be aware you will be evicted if you attempt to enter in surgical scrubs!

The above outelets are only open during normal working hours (including weekends). Out of hours, the range of food and drink is limited to several vending machines and what is provided in the mess.

Stoke Mandeville Hospital

Stoke Mandeville hospital is situated just outside the town of Aylesbury and provides

a wide range of services to the local community. Some of its more specialised services include the eye hospital, oral surgery department, labour ward and large haematology and cancer centre. It is the regional burns and plastics unit. Florence nightingale hospice is also onsite.

Stoke Mandeville hospital is best known for its internationally acclaimed spinal unit and is thought to be the birthplace of the Paralympic games. Professor Sir Ludwig Guttmann became the head of the national spinal unit in 1943 and used sport as a key to rehabilitation in spinal injuries. In 1948 he hosted a competition for paralysed patients known as the Stoke Man-deville games which coincided with the opening of the London Olympics that year. By 1960 his games had become international and were part of the Rome Olympics.

To mark the birthplace of the Paralympics, the Stoke

Mandeville stadium, situated next to the hospital, was built. It is the national centre for disability sport

in the UK.

There is a large educational centre attached to the hospital, with a medical library acces-sible to staff. Regular resuscitation courses are run within the education centre see http://www.resus.org.uk/pages/courses.htm for upcoming dates. Other facilities on site include a cash point, restaurant and numerous coffee shops. Jimmy’s café is located in the heart of the spinal unit and is named after the late Sir Jimmy Saville to recognise all the fundraising he did for the spinal unit.

Visit www.buckshealthcare.nhs.uk for more information on the services offered at Stoke Mandeville Hospital.

Aylesbury

Aylesbury is a market town in Buckingham-shire situated approximately 41 miles north

west of London. It is conveniently located for travelling to London, Oxford and the midlands.

It is located within the Chilterns an area of ‘outstanding

natural beauty’.

The centre of Aylesbury houses all the regular shops and restaurants. There is an Odeon cinema, a couple of nightclubs and a new theatre. The Waterside theatre opened in 2010 and is part of the Ambassador Theatre Group. Legally blonde, That’ll be the Day and South Pacifi c are amongst some of the produc-tions put on at the theatre this year.

There are some lovely county pubs to be found in the surrounding Aylesbury vale. Thame, Wendover and Aston Clinton are some of the many lovely villages and small towns to be visited. Thame high street is particularly quaint with lovely cafes, restaurants and pubs. Thame hosts various festivals throughout the year, the one not to miss is the food festival held every September.

WYCoMBe hospital

‘FooD and drink 1’ courtesy of pmg

Buckinghamshire Healthcare

provides specialist cancer and urological serv-ices with around 250 beds. The hospital sees more than 36,000 inpatients and 150,000 out-patients a year, and it’s surgical teams carry out around 25,000 operations per year. Recently, many medical services have moved from Wycombe Hospital to Stoke Mandeville Hospital in Aylesbury.

High Wycombe

High Wycombe lies midway between Oxford and London, and has excellent rail links to

London on the Chiltern line.

It is a large industrial and market town with a population of around 100,000 enriched with a

variety of cultures and faiths.

The town has recently undergone a large redevelopment programme to establish the Eden shopping centre which incorporates hotels, restaurants, take-aways and entertain-ment complexes including a Cineworld cinema.

Transport Links

Approx 40min drive from Oxford (diffi cult by public transport), 30min train from London

Marylebone. There is no direct train from Oxford.

Bu c k i n g h a m s h i r e Healthcare is a split

site trust, with most services provided by Wycombe and Stoke

Mandeville hospitals. There are also several community hospitals, but

foundation year doctors do not work in these. Buckinghamshire is well located

between Oxford and London, and both hospi-tals are about 30 miles from Oxford. There are good connections to the rest of the country via the M40. The Chiltern Hills can be found in this region and, whilst being fairly rural, it is also a culturally diverse area. Buckinghamshire has low unemployment fi gures, low crime rates, excellent educational rankings and high GVA index per person.

Wycombe Hospital

Wycombe General Hospital is situated in the centre of High Wycombe, near to the

junction of the M40 and a ten minute walk from the train station. It offers a wide range of surgical services, specialist medical depart-ments including chest, stroke and cardiology, and 24-hour emergency medical centre which mainly sees minor injuries. The hospital also


Wycombe HospitalQueen Alexandra RoadHigh Wycombe HP11 2TTTel: 01494 526161Stoke Mandeville HospitalMandeville RoadAylesbury HP21 8ALTel: 01296 315000

4141

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Transport Links

The hospital is about a 40 minute drive from Oxford. The journey is diffi cult by public

transport, the only method being by a slow bus. The nearest train station is Stoke Mandev-ille station, 1.5 miles away. Trains to London Marylebone depart every half an hour and take approx 50 minutes. There are no direct trains to Oxford. A parking permit costs £20/month and fi nding a space is not usually a problem.

Accommodation

The hospital accommodation is very new, of high quality and on the hospital site. It

is divided into fl ats of four en-suite rooms per kitchen, and each kitchen also has a com-munal area with a television. There is however no internet access, and with dongle reception being unreliable this is a signifi cant downside. It is a 30 minute walk, or ten minute drive to the centre of Aylesbury. The doctors’ mess is situ-ated in the same building. Rent is £300/month including all bills.

Stoke Mandeville Doctors’ Mess

The doctors’ mess is on the ground fl oor of the accommodation building. It is a large

room with pool table, wide screen television and a small kitchen. Membership costs £8/month and activity varies year on year. There is usually one mess event per month.

Buckinghamshire healthcare

Stoke Mandeville Hospital

Wycombe Hospital

High Wycombe

Aylesbury

A418/A40 to Oxford28 miles - 0hr 50min

A41 to London42 miles - 1hr 10min

A4010 to High Wycombe17 miles - 0hr 30min


M40 to Oxford30 miles - 0hr 40min

A404 to Reading19 miles - 0hr 40min

Marylebone £18.50 - 1hr 0minHigh Wycombe £7.60 - 0hr 40minOxford £21.00 - 1hr 30min (no direct train)

Marylebone £16.50 - 0hr 26minAylesbury £7.60 - 0hr 35minOxford £25.50 - 1hr 20min (no direct train)

Waterside Thteatre

Stoke MandevilleStadium

Never KnowinglyUndersold

Eden Centre

Asda

CoNtACt details

Dr Simon Bays and Dr Marc Davison– Foundation Training Programme [email protected]@buckshealthcare.nhs.uk

Mrs Virginia Poole– Medical Education [email protected]

Food and Drink

The main restaurant at Stoke Mandeville is located in the front entrance. It serves a wide

selection of both cold and hot food throughout the day and weekend including its own version of subway sandwiches. Not too pricey and the selection of hot food is varied with some good vegetarian options included. A good place for snacks, meals or coffees is ‘Jimmy’s’ restau-rant located in the spinal injuries centre.

Named after its patron the late Jimmy Saville,

you will fi nd many a team getting their fi ll of tea cakes, cooked breakfasts and hot drinks at around 11am. It has a nice conservatory to sit in and also a large screen TV showing the news and sports.

‘trANSPort 1: paris beetle’ courtesy of thb

StoKe mandeVille hospital

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CLiniCaL seT up

Whilst Stoke Mandeville has an accident and emergency department Wycombe has an Emergency Medical Centre. The main difference is that Wycombe is not designed to receive trauma, paediatrics, surgical or obstetric patients, although Wycombe will take these patients for stabilisiation if paramedics feel they are too unstable to travel further afield. Equally, despite numerous advertising campaigns educating the local population about the services available at the ‘Emergency Medical Centre’ patients often walk in with the above problems. Wycombe, like stoke also has a minor injuries unit which is run by emergency nurse practitioners during the day, and covered by Doctors at night

Go to ‘A&E’ for full job description

Team Variable

Banding Unbanded

nighTs None

Weekends None

Leave Non-fixed, 9 days per 4 months

TeaChing You are expected to return to hospital for FY2 teaching every other Wednesday lunch time. Within your working week your GP supervisor should set aside some one to one teaching As part of the placement some practices offer leave to attend a 3 day palliative care course at the local hospice

roLes The role of the FY2 will vary from practice to practice. In general, you spend a couple of weeks at the beginning of the placement shadowing the GPs and allied health professionals before running your own clinics. When you run your own clinic the time allowed per patient is approximately 30 minutes initially then reduced as time progresses (this is doctor and surgery dependent). Each patient that you see must be discussed with one of the GPs (they have allocated slots in their surgeries for you to discuss with them). Some GPs may like to debrief at the end of surgery or at the end of each patient. There is often a large gap in the middle of the day for you to be making referrals, dictating letters and doing home visits

roTa 09:00 - 17:00 or 18:00; depending on the hours you work each day, you may be entitled to a half day or full day off per week

Linked roTaTions

Clinical [email protected] (Lead Consultant)Rota Coordinator/Pre-employment [email protected] (SpR in charge of producing the rota)[email protected] (point of contact for all other issues)

Linked roTaTions

Clinical ContactDifferent for each practiceRota Coordinator/Pre-employment [email protected] (Foundation Trainee co-ordinator)

WyComBe

BuCkinghamshire

Emergency Medicine

General Practice

F2

F2

1.5

1.0Team 2 teams, each with 1 consultant, 1 SpR or senior SHO, 1 SHO (FY2 or GP trainee)

and 1 FY1

Banding 1B (40%)

nighTs F1s: noneF2s: 1x Monday - Thursday, 1x Friday - Sunday in 14 weeks


Leave Non-fixed. Must be co-ordinated with team, including on-call swaps. Rare that a leave period cannot be organised as desired

average LisT size

Usually 15 - 20 patients per team; extremes of 10 - 30

TeaChing Compulsory, 2 hours every fortnight, weekly grand round and journal club

roLes F1: Normal day ward jobs. On-call admission clerking and ward coverF2: Normal day often leads ward rounds and may get involved in MDT, family meetings and discharge planning. On-call sees new medical admissions and covers the wards overnight

roTa Normal day 09:00 - 17:00 Monday - FridayOn-call roles:‘Long Day’ (F1 & F2) (09:00 - 22:00; 4x isolated weekdays, 1x Friday - Sunday in 14 weeks): Medical admissions and 1st and 2nd on-call for ward-cover‘Short Stay Ward’ (F2 only) (0800-1600; 7 days Tuesday - Monday): 1 SHO to cover newly admitted medical patients predicted to be short stay‘Late’ (F2 only) (15:00 - 22:00 Monday - Thursday; 11:00 - 19:00 Friday): medical admissions‘Nights’ (F2 only) (21:30 - 09:30): Medical admissions plus ward cover

Linked roTaTions

Clinical Contact


Linked roTaTions

Clinical Contact

Rota Coordinator/Pre-employment [email protected] (Medical Staffing co-ordinator)

sToke mandeviLLe or WyComBe

WyComBe

Gastroenterology

Geriatric Medicine

F2

F21.4F1


It’s probably similar to “Cardiology F2”

Team 6 consultants and 17 middle grades split across both sites. 8 SHO’s at Wycombe and 8 at Stoke

Banding 1A (50%)

nighTs On average, 2 blocks of 4 nights and 2 blocks of 3 nights in the 4 month period. Some SHOs may do an extra block depending on where they start in the rota. From 2am there is one SHO and one registrar on at each site. Post weekday nights you get the weekend off. Post weekend nights you get the Monday and Tuesday off, you will be expected to attend teaching on the Wednesday and then start back in A&E on the Thursday

Weekends Approximately 9 weekends in 4 months

Leave Annual leave is fixed. If you have any leave requests get them in months in advance as it becomes difficult to swap shifts once the rota is done. You get 2x 1 week off in the 4 month rota, someone will start on annual leave

roTa SHO shift Patterns are as follows: 20:00 - 1700 Monday - Friday (08:00 - 18:00 Saturday & Sunday), 11:00 - 20:00 Monday - Friday (12:00 - 22:00 Saturday & Sunday), 15.00 - 00:00 Monday – Friday, 17.00 - 02.00 Monday - Friday (16.00-02.00 Saturday & Sunday) and 00.00 - 09.00 Monday - Friday (22.00 - 08.00 Saturday & Sunday)

TeaChing There is SHO teaching every Wednesday and everyone must attend except those working nights. At the end of the placement each SHO is expected to present a case and their chosen audit. There is plenty of opportunity to teach medical students whilst working in A&E

Team 4 Cardiology consultants, 3 Registrars, 3 SHOs (2 FY2 and 1 CT2), 3 FY1s. Day on-call team: 1 F1, 1 ‘late’ SHO, 1 SpR. Night on-call team: 1 SpR

Banding 1B (40%)

nighTs 1x Monday - Thursday, 1x Friday - Sunday in 14 weeks


Leave Non-fixed, 9 days in the 4-month rotation

average LisT size

20 - 25 patients, 22-bed CCU plus out-liers

CaTh LaB LisTs

All day Monday - Friday, includes elective, in-patient and primary PCI cases


Variable, depending on acute medical admissions

TeaChing Fortnightly mandatory Foundation Programme Teaching; Weekly Combined medical/surgical grand rounds; Ward-based teaching on senior-led ward rounds

roLes Normal day: largely ward based. On-call: medical admissions and ward cover support (see Rota)

CaTh LaB exposure

Available Mon-Fri, depending on ward duties, informal arrangements

roTa 14-week rolling rota (on-call for Medicine)Normal day 07:30 - 17:00 Monday - FridayOn-call roles: ‘Short Stay Ward’ (0800-1600; 7 days Tuesday - Monday): one SHO to cover newly admitted medical patients predicted to be short stay‘Long Day’ (09:00 - 22:00; 4x isolated weekdays, 1x Friday - Sunday in 14 weeks): Medical admissions and SHO advice to ward-cover FY1. You are expected to present patients on consultant post-take ward round next morning at 09:00.‘Late’ (15:00 - 22:00 Monday - Thursday; 11:00 - 19:00 Friday): medical admissions.‘Nights’ (21:30 - 09:30): Medical admissions plus ward cover

Linked roTaTions

Clinical [email protected] (Lead Consultant)Rota Coordinator/Pre-employment [email protected] (SpR in charge of producing the rota)[email protected] (point of contact for all other issues)

Linked roTaTions

GP and A&E (x1)Rheum and A&E (x1)

Clinical [email protected] (Consultant)Rota Coordinator/Pre-employment [email protected] (Medical Staffing co-ordinator)

sToke mandeviLLe

WyComBe

A&E

Cardiology

F2

F2

1.5

1.4

Team Many consultants, registrars and SHOs (CT), 1 F1 in SMH, 2 in WH. F1s are allocated to either WH or SMH for the 4 month placement

Banding Unbanded

nighTs None

Weekends None

Leave Non-fixed and very flexible

average LisT size

9 beds in WH ITU,11 in SMH


ITU admissions: 1-3/day

TeaChing Plenty of on-the-job teaching (often one-on-one with consultant during theatre lists). Once weekly SHO teaching

roLes TU role: Daily review of patients with other members of the team, attend crash calls, see ward referrals with SHO/reg, opportunity for practical skills such as arterial/central line insertion. Anaesthetics role: Assist with pre-op clerking, drawing up drugs, airway management and intra-op care

TheaTre When on anaesthetics, in theatre all day every day

roTa WH: alternate weeks/fortnights of ITU and theatre with the other FY1 (WH is only for elective surgery). SMH: 3 months of ITU followed by one month theatre (emergency cases and obstetrics are in SMH). Working day is 08:00 – 16:30 with one half day per week

Linked roTaTions

General surgery and medicine

Clinical [email protected] (Educational supervisor for anaesthetics F1s)[email protected] (Wycombe)[email protected] Coordinator/Pre-employment [email protected] (Anaesthetics rota co-ordinator)

Linked roTaTions

Clinical Contact




Anaesthetics & ITU

Diabetes

F1

F2

1.0



44


45

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Team 11 Acute Consultants, 2 Community Consultants, 10 Registrars, 4 specialty doctors, 18 SHOs (2 FY2, 8 GPVTS, 8 Paediatric trainees), No F1s

Banding 1A (50%)

nighTs 1 in 9 (2 weeks per 4 month rotation), grouped in 3 and 4 night blocks

Weekends 5 in 18 (approx. 1 in 3)

Leave Fixed on rota: 2 separate blocks of leave, one of 5 days and one of 4 days

average LisT size

20 - 25 patients on Paediatrics, 10 - 15 on NICU

admissions 8 - 12 per day on Paediatrics, 3 - 5 per day on NICU

TeaChing Weekly Journal Club; weekly Radiology MDT meeting; weekly consultant or registrar led SHO teaching; monthly Academic Half Day . Occasional medical students attached to team

roLes Time spread evenly between Paediatrics and Neonatology, approximately 2 months in each area. Paediatrics work includes ward work, allocated days clerking patients in Paediatric Assessment Unit, allocated days to attend clinics, evening ward cover and overnight ward cover. It also includes one week in Community Paediatrics in either the High Wycombe area or Aylesbury area, and one week in Wycombe Ambulatory Children’s Unit. Neonatology work includes ward-based work in NICU, attending deliveries and baby checks on the post-natal ward, and is all based at Stoke Mandeville Hospital

CLiniC exposure

Allocated days in clinic, approximately one day every 2 weeks during the paediatric but not the neonatology block

roTa 18 week rolling rota for 18 SHOs, with different roles. Paediatrics cover is usually 2 - 3 SHOs on the ward, one SHO clerking in PDU, one SHO on nights, one SHO on long days in Wycombe Acute Children’s Unit, one SHO in clinics and one SHO in the community. Neonatology cover is usually 3 SHOs in NICU including one SHO covering the delivery bleep, 2 SHOs on the postnatal ward and one SHO on nights. There is fixed annual leave scheduled in the rota

Team Several consultants, registrars and SHOs (CT), 2 F1s

Banding 1B (40%)

nighTs One block in 6 weeks, part of general surgery rota. Blocks are weekend (Friday - Sunday) and weekday (Monday - Thursday)

Weekends One in 6, part of general surgery rota

Leave Non-fixed – both F1s to arrange between themselves

average LisT size

15 - 20 patients

operaTing LisTs

Lists all day every day (emergency and elective)


Approx 20 per week including day cases

TeaChing No formal F1 teaching

roLes Ward based (general plastic surgery) with general surgical on calls. Fairly quiet with time for attending theatre if keen. This is usually a 2 or 3 month job allocated to two of the general surgery F1s at a time. There is a burns department, but an SHO is based on the unit

TheaTre exposure

Depending on ward workload, should be possible to attend theatre several times a week if interested. Not compulsory

roTa Normal day is 08:00 – 16:30. Varying on-call shifts as per general surgery (see Surgery)

Linked roTaTions

Rheum/General Medicine and A&E (Wycombe) (x3)Obstetrics & Gynaecology and Orthopaedics (x3)

Clinical [email protected] (Consultant)Rota Coordinator/Pre-employment [email protected] (Consultant, Junior Medical Staffing co-ordinator)[email protected] (Secretary)

Linked roTaTions

MedicineMedicine and anaesthetics

Medicine and psychiatryMedicine and trauma and orthopaedics

Rheumatology and dermatology, and trauma and orthopaedics

Clinical Contact

Rota Coordinator/Pre-employment [email protected] (rota-co-ordinator)

sToke mandeviLLe

sToke mandeviLLe

Paediatrics

Plastics

F2

F1

1.5

1.4Team 6 Psychiatry consultants, 8 SHOs (CT & GPVTS).

Tindal Centre: 2 SHOs & 2 FY1s on site 09:00 – 17:00

Banding Unbanded

nighTs None

Weekends None

Leave Non-fixed, 9 days per 4 months

average LisT size

25 patients, split between separate Male and Female wards

TeaChing Tuesday mornings and Wednesday afternoons

roLes There is a lot of support available and consultants are approachable. On site SHOs and FY1s are generally split into two teams of 1 SHO and 1 FY1, each pair managing one ward. You will often need to cross-cover the other teams due to leave / absence.FY1s are responsible for 2 ward rounds each week – your role is to type the notes into a laptop and then act on plans made during the ward rounds. During the week you are responsible for the medical care of the patients (eg coughs, muscoluskeletal injuries). You also perform MMSE pre and post ECT.

roTa 09:00 – 17:00 5 days per week

Linked roTaTions

Clinical Contact


Linked roTaTions

Clinical Contact


WyComBe

oxford heaLTh nhs foundaTion TrusT: TindaL CenTre, ayLesBury

Palliative care/ Rheum/ Rehab

Psychiatry

F2

F11.0


It’s probably similar to “Cardiology F2 and Rheumatology F2”

CLiniCaL seT up

Medicine at Wycombe involves 6 main specialities:Cardiology (3 FY1s)Respiratory (3 FY1s)Diabetes/Rheumatology (2 FY1s)Medicine for older people (2FY1s)Stroke (2 FY1s)Gastro/renal (3 FY1s)

Banding 1B (40%)

nighTs None

Weekends One in every 4-5

Leave Non-fixed

roLes A medical job involves being attached to one team and carrying out your normal day to day ward jobs/rounds plus on call shifts. Approximately one day a week will be spent on call plus one in every 4-5 weekends. The work load varies substantially based on whether or not your team is ‘on take’ accepting emergency general medical admissions, usually once every week or two

On call shifts involve either ward cover or a shift in the Emergency Medical Centre (EMC). During your medicine rotation you will experience both of these. Ward cover during the week involves working with your usual team until 17:00 and then covering the medical wards until handover to the night team at 22:00. During the weekend there are two FY1s on ward cover and the hours are 10:00 - 22:00

EMC shifts involve working from 09:00 in EMC clerking in new admissions, arranging appropriate investigations and presenting them to the consultant on call. You work in a team of 1 FY1, 1-2 SHOs and a Registrar. As an FY1 you will also cover the DVT clinic which is an emergency next day service for patients with suspected DVTs

roTa Normal day shifts run 09:00 - 17:00, however some specialities (in particular cardiology) have different requirements, for example 07:30 - 17:00 each day, with a half day each week to compensate. Approximately one day a week will be spent on call 09:00 or 10:00 - 22:00

Team 5 full-time Consultants, 1 SpR, 1 SHO and 1 FY1

Banding Unbanded

nighTs None

Weekends None

Leave Non-fixed, organised with rota co-ordinator

average LisT size

5 - 7 patients


2 - 3 per week

TeaChing Once weekly allocated consultant-led teaching sessions covering a wide variety of topics and providing the chance to discuss patients whom you have seen (see Clinic exposure below). Plenty of opportunity to get involved in audit

roLes Twice weekly discussions via webcam and MDT meetings take place at Stoke Mandeville. FY1s are expected to present cases to all consultants via webcam. You are expected to clerk patients, organise their work-up for chemotherapy and expected to follow hospital protocols on different chemotherapy regimes. There is also ample opportunity to practice more technically difficult clinical skills like lumbar puncture and bone marrow aspirates

CLiniC exposure

There are opportunities to attend out-patient clinics at the cancer care & haematology unit (CCHU). You will see patients yourself, develop a working management plan and relay back to the consultant. Sometimes, you may want to discuss this at the weekly teaching session to further enhance your knowledge and take the opportunity to ask questions

roTa 09:00 - 17:00 5 days per week. Daily consultant ward round at 09:00

Linked roTaTions

Clinical Contact

Rota Coordinator/Pre-employment [email protected] (Medical rota co-ordinator)

Linked roTaTions

General Surgery, Trauma and Orthopaedics and Medicine (x4)


WyComBe

sToke mandeviLLe

GIM

Haematology

F1

F1

1.4

1.0

Team Ten medical teams; Microbiology (x1) Haematology (x1); Endocrine and Diabetes (x2); Medicine for Older People (x3); Gastroenterology (x2); Rheumatology/Dermatology (x1)

Banding All of the Jobs are 1B (40%), except for Haematology, which is not banded

nighTs None

Weekends One in 4

Leave Non-fixed, 6.5 days per 3 month rotation. Furthermore, each FY1 is entitled to two allocated half days each month (except for Haematology)

average LisT size

5-25 patients


0-4 per day

TeaChing Once weekly journal club meeting and registrar led medical teachingOnce weekly radiology meeting and grand round teachingOnce fortnightly mandatory foundation programme teachingAdditional sub-speciality teaching takes place within individual teams

roLes Largely ward based. However, some positions will require regular attendance to out-patients clinics. There are 1 - 3 FY1 doctors per team.On call roles:Ward cover: the on-call doctor will be covering all medical in-patients at SMH.EMC (Emergency medical care): will involve clerking and managing new medical admissions in A&E, and presenting these cases to the medical registrar and consultant on-call

roTa 13 week rolling rota for 13 FY1s. The normal working day is 09:00 - 17:00. An approximation of the on-call rota, per 13 weeks, for banded positions is given below;4x Weekday ward cover (10:00 - 22:00) 1x Weekend ward cover; Friday, Saturday and Sunday (10:00 - 22:00)1x Weekend ward cover; Saturday and Sunday (10:00 - 17:00)4x EMC Weekdays (09:30 - 22:00)1x EMC Weekend; Friday, Saturday and Sunday (09:30 - 22:00)

Team Large department with 11 consultants, 3 staff grades, 8 registrars, 13 SHOs (F2, GPVTS, CT), no F1s. The SHOs do not work for a specific consultant or registrar with the rota constructed to ensure exposure to the broad range of activities in obstetrics and gynaecology. Each SHO is allocated a consultant as their supervisor

Banding 1B (40%)

nighTs Blocks of 3 or 4 nights, approx 3 sets in 4 months

Weekends One in 4

Leave 9 days per 4 months, non-fixed. ‘OFF’ days in rota: approximately one every 3 weeks. Half day on the Monday after working the weekend

average LisT size

Busy labour ward which is typically full. 20-30 post-natal inpatients and 10-20 antenatal inpatients with rapid turn-over. 10 – 20 gynaecology inpatients including both elective and emergency admissions

TeaChing Weekly SHO teaching. Daily morning meeting to discuss cases. Opportunities to learn about specialist areas such as colposcopy, hysteroscopy, ultrsound scanning etc built into the rota

roLes Rolling rota with a variety of duties including ward cover for both gynaecology and post-natal wards, on-call for gynaecology and obstetrics, theatre lists, elective caesarean lists, gynaecology and antenatal clinics. Large number of SHOs to cover the rota so predominantly well-staffed with opportunities for learning practical skillsOn calls: Approx one day per week on either labour ward emergencies and admissions or gynaecology on-call (08:00 – 18:00). One week in eight on evening cover covering admissions and ward bewteen 18:00 and 22:00, one SHO to cover each of obstetrics and gynaegology on this shift. 2 SHOs per weekend, one to cover gynaecology wards and admissions and one for post-natal wards and labour ward attenders.On take: 5 - 10 gynaecology admissions per day and 3 - 8 labour ward attenders. These patients are seen by the on-call gynaecology or obstetric SHO respectively

TheaTre and CLinC

Scheduled theatre time, both gynaecology lists and elective caesarean lists on average one list per week per SHO. Experience with a variety of consultants with interests in gynae-oncology, laparoscopic surgery, high-rist obstetrics etc.

roTa Normal ward/theatre/clinic day 08:00 – 17:00. On-call (see Roles above) approx one day per week, 08:00 – 18:00, one week in 8 14:00 – 22:00 (including on-call 18:00 – 22:00), weekend 08:00 – 20:00, nights 20:00 – 08:00. Allocated duties for normal days vary from week to week and are issued on a weekly basis

Linked roTaTions

Clinical Contact

Rota Coordinator/Pre-employment [email protected] (Medical rota co-ordinator)

Linked roTaTions


sToke mandeviLLe

sToke mandeviLLe

GIM

O&G

F1

F2

1.4

1.4

46


47

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Team Rheumatology 2 Consultants, 3 Specialist Nurses, 2 Registrars, 2 SHOs (one GPVTS on Rheum/Derm, one FY2 on Rheum/Rehab), 1 FY1. Dermatology 4+ Consultants, 2 Specialist Nurses, 2 - 3 associate specialist doctors, 1 Registrar, 1 SHO (GPVTS on Rheum/Derm), 1 FY1

Banding 1B (40%)

nighTs None

Weekends One in 4 (General medical rota, see ‘GIM’ Stoke Mandeville F1)

Leave Non-fixed, easily arranged with consultants from either Rheum or Derm

average LisT size

No in patients for Rheum or Derm. Approx 2 - 3 ward rounds per week to review rheum and derm ward referrals. Usually around 4 or 5 patients to be reviewed per ward round

TeaChing Fortnightly mandatory Foundation Programme Teaching. Medical Grand Round with Radiology meeting (Wednesday mornings). Rheumatology journal club presentation and case topic presentations (by juniors every Thursday lunchtime). Regional rheumatology meetings (monthly), and audit meetings (monthly). Weekly consultant teaching ward rounds; informal teaching and feedback from consultant during clinics

roLes Rheum & Derm: along with the GPVTS trainee, you are split between Rheumatology (Tuesday, Thursday, Friday am) and Dermatology (Monday, Wednesday, Friday pm). Roles inlcude out-patient clinics, including Monday afternoon, nurse-led minor ops clinic where nurse will assist you in punch biopsies, cautery and curettage; ward rounds (see above); and administrative work including checking bloods, investigation results, dictating and checking clinic letters for each patient you seeGeneral medical on calls: clerking new admissions and ward cover

CLiniC exposure

Approx 3 - 4 Dermatology clinics per week. Approx 3 Rheumatology clinics per week

roTa Rheum and Derm: Mondays: Derm clinic (am), SHO teaching (lunchtime), Derm clinic or minor ops clinic (pm); Tuesdays: Rheum clinic (am), journal club (lunchtime), Rheum clinic (pm); Wednesdays: Derm clinic (am), fortnightly mandatory F1 teaching (12:00 - 14:00), Derm histopathology meeting and ward round of inpatient referrals (pm); Thursdays: Rheum paper work (am), case presentation and journal club (lunchtime), ward round of Rheum inpatient referrals (pm); Fridays: Rheum clinic (am), Derm clinic (pm)General medical on calls: See ‘GIM’ Stoke Mandeville F1

Team 2 teams (red & blue), one consultant per team, several registrars but one on-call/ ward cover each day, SHOs (FY2 and CT) as per reg, 11 F1s (split between 2 teams)

Banding 1B (40%)

nighTs Blocks of weekends (Friday - Sunday) and weekdays (Monday - Thursday), one block in 6 weeks

Weekends One in 6 including weekend nights

Leave Non-fixed. Maximum of two F1s can be off at any one time

average LisT size

15-20 patients per team

operaTing LisTs

Emergency theatre runs all day every day


High turnover, approx 30/week

TeaChing Weekly F1-led teaching

roLes The two teams alternate between “on-take” (receiving all new patients) and “off-take” (only dealing with remaining patients from previous weeks) on alternate weeks. Work is ward based. When on-call, receive GP referrals and clerk all new admissions. During nights and weekends both clerking new patients and ward work. This job is emergency surgery, so patients are generally those presenting with an acute abdomen/vascular problem

TheaTre exposure

Negotiable with colleagues depending on ward workload

roTa Normal day 08:00 – 16:30. In a 4 month job, on-call shifts 1x weekend 10:30 - 22:30, 1x weekend 08:00 - 21:00, 2x blocks weekday 14:00 - 21:00, 1x block weekday 08:00 – 18:00 during the week. 2x blocks weekend nights and 1x block weekday nights 20:00 – 08:30

Linked roTaTions

Gastro Medicine, Trauma and Orthopaedics, General Surgery (x4)

Clinical [email protected] (Rheumatology Consultant)[email protected] (Dermatology Consultant)Rota Coordinator/Pre-employment [email protected] (Medical Rota Coordinator)

Linked roTaTions

Medicine and anaestheticsMedicine and psychiatry

Medicine, Rheum & Derm and Trauma & OrthoMedicine

Clinical [email protected] (lead consultant)Rota Coordinator/Pre-employment [email protected] (rota-co-ordinator)

sToke mandeviLLe

sToke mandeviLLe

Rheum & Derm

Surgery

F1

F1

1.4

1.4

Team 6 Spinal Injuries Consultants, 3 Trust registrars, 6 SHOs (1 CT1, 2 FY2s and 3 Trust Grade SHOs), No F1s

Banding 1A (50%)

nighTs 1 - 2x 24 hour on call shifts per week, with a day off afterwards

Weekends One in 5, 48 hours on call Saturday and Sunday with Monday off

Leave Non-fixed, although cannot take whilst on St Andrew’s Ward (Acute Spinal ward) for 6 back-to-back weeks at some point during the 4 month attachment

average LisT size

20 patients per SHO

operaTing LisTs

2 per week


1 - 2 per week

TeaChing Weekly departmental teaching. Radiology meeting on Wednesdays. Stoke Mandeville weekly medical teaching and medical grand round. Stoke Mandeville FY2 teaching fortnightly. No medical student attachments

roLes Ward based. The on call SHO takes referrals via the on call bleep. SHOs are expected to clerk new admissions to the unitSHOs are divided between the various wards and rotate every 6 weeks. Each have a period on St Andrew’s ward (acute unit), which has multiple ventilated patients, and SHOs are trained in the basics of ventilator management. The other wards are: St Patrick’s (largely patients admitted for elective surgery), St David’s & St George’s (rehab wards), St Francis’s (paediatric ward) and St Joseph’s (pre-discharge ward). There is patchy middle-grade cover on the rehab wards, St Andrew’s & St Patrick’s normally have a Trust registrar covering the 2 wards

TheaTre No formal exposure, but easily negotiable

roTa Normal days 08:30 - 16:30. On call lasts 24 hours. When on call, the SHO is expected to be resident between 0830 and 2100, after this time you can be up to 20 minutes away and your bleep is diverted to the nurse in charge of the unit who can contact you on your mobile via switchboard. Weekends are 48 hours, with a similar non-resident system at night and for a few hours each afternoon

Team Attached to breast/endocrine firm with 2 consultants (General surgery has approx 8-10 other consultant teams)

Banding 1A (50%)

nighTs 1 week of nights and 2 weeks of twilights (20:00 – 01:00) in 4 months

Weekends 5 weekends in 4 months

Leave 9 days in 4 months

average LisT size

N/A day to day, on call 30 - 50

operaTing LisTs

2.5 days per week

TeaChing Teaching in theatre and clinics, nil formal sessions arranged by team. Mandatory fortnightly foundation teaching

roLes When not on call are attached to two consultants (Mr McLaren and Mr Taylor) and attend their clinics and theatre lists as well as visiting the ward to review any in patients from previous operating lists. When on call are responsible for acute surgical admissions for Buckinghamshire Trsut, based at Stoke Mandeville hospital. When on call overnight you cross cover plastics and Trauma & Ortho (admissions and ward patients) from 01:00 – 08:00

TheaTre and CLiniC

‘Day job’ includes 4 clinics plus 2.5 days theatre lists per week

roTa Normal day 09:00 – 17:00 (roughly) if in clinic, 08:00 – 17:00 or 18:00 if in theatre. On call days, 2 blocks of 7 days in 4 months 08:00 - 20:00, nights are 20:00 – 08: 00 and twilights are 20:00 – 01:00

Linked roTaTions

GP (Buckinghamshire) and Medicine (Wycombe)

Clinical [email protected] (Consultant in charge of rotas and leave)Rota Coordinator/Pre-employment [email protected] (Operations Manager)

Linked roTaTions

Trauma & Ortho and O&G

Clinical [email protected] (Lead Consultant)Rota Coordinator/Pre-employment [email protected]

sToke mandeviLLe


Spinal Medicine

Surgery

F2

F2

1.5

1.5

Team Stoke Mandeville: 2 Rheumatology consultants, 2 Rheum Registrars, 2 SHOs (1 FY2 and 1 GPVTS-1), 1 FY1. Amersham: 2 Rheum/NeuroRehab consultants, 2 SHOs (1 FY2, 1 GPVTS)

Banding 1B (40%)

nighTs 1x Monday - Thursday, 1x Friday - Sunday in 14 weeks (General medical rota)

Weekends 3 in 14 weeks (General medical rota)

Leave Standard 9 days in the 4-month rotation, non-fixed

average LisT size

Stoke Mandeville: No rheumatology in patients. Ward referrals are reviewed on Rheuamtology ward rounds. Usually around 4 or 5 patients to be reviewed per ward round. Amersham: 17 beds at Bucks Neurorehabilitation Unit; full capacity at most times

TeaChing Fortnightly mandatory Foundation Programme Teaching; Medical Grand Round with Radiology meeting (Wednesday mornings); Consultant teaching ward rounds once weekly; Rheumatology journal club presentation and case topic presentations (by juniors every Thursday lunchtime). Regional rheumatology meetings (monthly), audit meetings (monthly)

roLes Stoke Mandeville:Rheumatology Clinics: Tuesday all day, Wednesday morning, Friday mornings. Opportunity to see new patients, follow-ups and perform intra-articular steroid injections. Ward Rounds: Wednesday afternoon and Thursday morningAdministration (GP correspondence, checking investigation results)

On call:Short Stay Ward: one SHO to cover newly admitted medical patients with expected stay < 48 hoursLong Day: Medical admissions and provide senior advice for ward cover FY1s out-of-hours. You are expected to present patients on consultant post-take ward round next morning at 09:00. Other members of team: 1FY1, 1 Late SHO, 1 Med RegLate: medical admissions, team as for long dayNights: Medical admissions plus ward cover during the night with 1 medical registrar. Assistance (e.g. cannulation, death verification, falls assessment) from on-duty night nurse practitioner

Amersham Hospital:Neurorehabilitation Medicine: Mondays. Assist fellow SHO (GP trainee who is based at Amersham Monday - Fridays) on a Monday in ward rounds, ward jobs, attending case conferences and MDT. When that SHO is away on annual leave etc you are expected to go to Amersham to carry the crash bleep that day. Hours at Amersham: 9am-6pm.

roTa Normal day 09:00 - 17:00 (Stoke Mandeville) or - 18:00 (Amersham)Short Stay Ward 08:00 - 16:00; 7 days, Tuesday until Following Monday, 1x in 14 weeksLong Day 09:00 - 22:00; 4x single weekdays, 1x Friday - Sunday weekend in 14 weeksLate 15:00 - 22:00 Monday - Thursday; 11:00 - 19:00 Friday, 1x in 14 weeksNights 21:30 - 09:30, 1x Monday - Thursday, 1x Friday - Sunday in 14 weeks

Linked roTaTions

Clinical Contact


Linked roTaTions

Clinical Contact

Rota Coordinator/Pre-employment [email protected] (Medical Staffing co-ordinator)

Linked roTaTions

Cardiology and A&E (x1)

Clinical [email protected] (Rheumatology consultant)[email protected] (Neurorehab consultant)Rota Coordinator/Pre-employment [email protected] (Medical staffing co-ordinator Stoke Mandeville)[email protected] (Medical Staffing co-ordinator Wycombe and Amersham)

WyComBe

sToke mandeviLLe and amershamRehab Medicine

Respiratory

RheumatologyF2

F2

F21.4




It probably goes together with “Rheumatology F2”

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ttthhheeessseee GGGrrrreeererrer aaaaeae tttataataata TTTiiiTiTTiT ttttlllleeeess!! bbbiiitttt...lllyyyylyllyl ////ffffoooofoffof uuunnndddaaattttiiii


ff ttthhheeessseee GGGrrrreeererrer aaaaeae tttataataata TTTiiiTiTTiT ttttlllleeeess!! bbbiiitttt...lllyyyylyllyl ////ffffoooofoffof uuunnndddaaattttiiii


ooff ttthhheeessseee GGGrrrreeererrer aaaaeae tttataataata TTTiiiTiTTiT ttttlllleeeess!! bbbiiitttt...lllyyyylyllyl ////ffffoooofoffof uuunnndddaaattttiiii


nnee ooff ttthhheeessseee GGGrrrreeererrer aaaaaeae tttataataata TTTiiiTiTTiT ttttlllleeeess!! bbbiiitttt...lllyyyylyllyl ////ffffoooofoffof uuunnndddaaattttiiii


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The ubiquitous feedback form - did you know there is a chapter of the GMC’s Duties of a Doctor devoted feedback? True story... and the generous people at OUP have provided us with a number of prizes to sweeten the deal:

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Team 8 consultants, 8 SpRs, 7 SHOs (FY2 and CT), 5 FY1s

Banding 1B (40%)

nighTs 2 blocks of weekday nights only (Monday -Thursday) in 3 months, 20:00 - 08:00

Weekends 2 in 3 months

Leave As organised with rota co-ordinator, only one FY1 at any time

average LisT size

50-60 patients

operaTing LisTs

2 per day


7 - 15 per day

TeaChing Once weekly every Tuesday (consultant-led)

roLes Manage patients on wards 1 and 2 (lead by SHOs or SpRs), present on ward rounds, manage patients’ medical problems, liaise with physiotherapists and OTs to help organise discharge planning. Furthermore, you are expected to make referrals to other specialities and present at weekly M&M (mortality and morbidity) meetings every Friday afternoon

TheaTre and CLiniC

Averages one hour per week in clinics or theatres (usually during half-day), usually only SHOs attend

roTa Upto 3 FY1s cover wards 1 and 2 with one FY1 on nights and one on evening on call from 14:00 - 20:00 (except Fridays when evening on call is 13:00 - 20:00). There is one SHO and one FY1 covering all patients at weekends from 08:00 - 21:00. 1 in 5 weekends and 1 in 5 nights (Monday - Thursday), no weekend nights

Linked roTaTions

Clinical [email protected] (Lead Consultant)Rota Coordinator/Pre-employment [email protected] (rota-co-ordinator)

sToke mandeviLLeTrauma & Ortho F1

1.4Team Multiple orthopaedic consultants, on call team changes weekly and 2 consultants are on call at

any time. 5 F1s on team (solely on emergency site) and 11 SHOs (3 core trainees, 1 GP trainee and 7 F2s)

Banding 1A (50%)

nighTs Approximately 1 week of nights, 1 week of twilights (20:00 – 01:00) in 4 months

Weekends 5 - 7 weekends in 4 months

Leave 9 days in 4 months

average LisT size

30 – 50 on emergency site (Stoke Mandeville), 5 – 20 on elective site (Wycombe hospital)

operaTing LisTs

1 trauma list daily in Stoke Mandeville, 2 – 3 elective lists daily in Wycombe

CLiniCs Daily fracture clinic, 2 – 4 elective clinics daily across 2 sites

TeaChing Weekly lunchtime teaching session on Tuesday, learning opportunities in clinics. 10 allocated “internal study leave” days to enable visits to clinic and theatre

roLes When not on call, cover wards in Wycombe (elective patients) or Stoke Mandeville (trauma patients). Also responsible for liaising with orthogeriatrics team and acting as their SHO for trauma patients on their list. On call: trauma admissions to Stoke Mandeville, mainly clerking patients in A&E. At night cross cover plastics and general surgery from 01:00 - 08:00

TheaTre and CLiniC

10 allocated days to allow exposure to clinic and theatre over 4 months

roTa Normal day 07:45 – 17:00 (roughly) if ward based, 07:45 – 17:00 or 18:00 if in theatre.On call either 3 or 4 day blocks, approximately 3 blocks during 4 months in addition to nights (above). On call days are 08:00 - 20:00, nights are 20:00 – 08:00 and twilights are 20:00 – 01:00. When covering elective patients in Wycombe days are either ‘short’ (07:45 – 17:00) or ‘long’ (07:45 – 20:00). If working long days in Wycombe, cover the weekend also

Linked roTaTions

General surgery and O&GGeneral medicine and A&EGeneral medicine and O&G

GP and general medicine

Clinical [email protected] (Lead Consultant)[email protected] (rota enquiries)Rota Coordinator/Pre-employment [email protected]

sToke mandeviLLe and WyComBeTrauma & Ortho F2

1.5

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After a year in Milton Keynes you’ll feel ready to take

on any role in the NHS.


Some of the patients you may speak to at Milton Keynes remember when it was just

a large fi eld with a wooden sign in the middle marked “Milton Keynes Town”. Designed as a commuter town to help the congestion in London, it is situated in leafy Buckinghamshire, surrounded by beautiful villages and the towns of Bedford, Luton and Northampton.

Milton Keynes itself is a behemoth of mod-ernist, brutal architecture, a designed town with the scope to become a city. Planned around a rather infuriating grid and roundabout system, it is a hub for surrounding smaller conurbations as a centre for shopping, entertainment, theatre and dining. The town itself houses almost 300,000 people and counting. It is in need of expansion, as is its hospital.

It is actually quite a charming town with a plethora of

activities:

large multi screen cinema, a huge shopping centre, plenty of choice in terms of eating, the Xscape which houses a real snow indoor ski slope, theatres (MK Theatre and Stables) and comedy clubs and a huge stadium (The Bowl) which hosts large summer music events. Just like every modern English town Milton Keynes has numerous pubs and clubs. For the sporty, there are lots of running and bicycle routes and the town has its own football (MK Dons League 1), ice hockey (MK Lightning) and basketball (MK Lions) teams. There are leisure centres, a David Lloyd Racquet and Fitness Centre and a large water sports facility (Willen Lake). The National Badminton Centre is sited in Milton Keynes and there is a major equestrian centre nearby. There are public and private golf courses to suit all abilities.

Milton Keynes is very accessible: a half hour to London

Euston and bus links to local towns such as Oxford and

Bedford.

The roads, whilst hypnotically confusing are hardly ever congested, and getting around is easy by car, taxi and bicycle. The bus system can be confusing and a little unreliable.

Milton Keynes has a mixed reputation and

it does deserve it to some extent! It is not a perfect town, and working in its hospital will show you the problems that it faces. But hit a few mess parties, go shopping, participate in some multi-disciplinary football and go to a basketball match and you might just change your mind.

Transport Links

Milton Keynes has fantastic transport links. Famous for its prolifi c number of rounda-

bouts

it is both very easy to get around and to get out to visit

friends in other locations.

The hospital is located about 2 miles out of the centre of Milton Keynes directly south along one of the main arterial routes making getting around a very simple and painless process. Below we’ve summarised the options for dif-ferent modes of transport.

buS Or cOach

Local buses run all across Milton Keynes via an extensive (and somewhat complex network). Effectively you can get anywhere you want with a bit of planning and buses run from the outside the hospital to the centre of Milton Keynes every 10-15 minutes. These cost about £1.50 for a single and £4.00 for a day travel card.

Further afi eld, Milton Keynes’ location close to the M1 means that it has good coach access to the rest of the country. The Broadway Coach Station (about 15 minutes from the hospital) forms part of the focus of the National Express network and offers cheap and affordable travel to all ends of the country. The X5 runs from the centre to Oxford and Cambridge with buses coming every thirty minutes and taking either 1.5 or 2 hours to reach their destination respectively. Costing roughly £10 these are quicker and cheaper than the trains.

‘trANSPort 2: ducati in paris’ courtesy of thb

best meet the needs of the local community.

Although our strategy is to grow services, we

intend to remain a general provider of services

rather than become a tertiary provider.

Our vision is to be the healthcare provider of

choice to our local population and therefore our

endeavours will continue as we move forward

to ensure we continue to improve the quality,

range and responsiveness of our services.

The hospital is located on the southern

borders of the town just a 5 minute drive or

30 minute walk from the town centre. Milton

Keynes Hospital has strong links with Oxford

Hospitals and Medical School.

The Foundation rotations include posts

in Milton Keynes Hospital, Campbell Centre

(Mental Health), Willen Hospice (Palliative Care)

and local GP Practices.


Milton Keynes Hospital NHS Foundation Trust provides a comprehensive range

of services to the local population. The vast majority of our activity comes from the imme-diate local area of Milton Keynes and our vision as an organisation is to be the health care pro-vider of choice.

Milton Keynes Hospital has come a long way in a short amount of time. We are a relatively new hospital, opened in 1984 following a successful campaign by local people to secure a hospital for Milton Keynes which had been established as a new town. Since then, the town has continued to grow at a rapid pace. Our local catchment population now stands at 267,000 and is forecast to grow to 412,000 by 2031. A key part of our service strategy therefore is to grow our services in response to the population growth in order that we can

Milton Keynes Hospital


Milton Keynes HospitalStanding WayMilton Keynes MK6 5LDTel: 01908 660033

CoNtACt details

www.mkpostgrad.co.uk

Dr Yaw Duodu– Foundation Programme Training [email protected] Peter Thomas– Associate Medical Director (Medical Education)[email protected]

Mrs Marilyn Hopkins– Medical & Dental Education [email protected] Jenkins– Foundation Programme [email protected]

Miss Debbie Phillips– Clinical lead for [email protected] Rabinder Randhawa– Rota consultant for [email protected] Amanda Taylor– Rota co-ordinator for [email protected]

Introduction to the Hospital

Milton Keynes Hospital is a fantastic place to start your career as an F1. It is a medium

size hospital and currently has around 500 inpatient beds. Whilst this may sound large,

it feels small enough to have a community feel about it.

By the end of the year you’ll be walking the corridors recognizing fellow doctors, nurses, and even patients around town! Whilst the hos¬pital itself is typical of the NHS, with its strange colour palate and chipping paint you’ll soon fi nd yourself calling it home.

Situated in the southern part of Milton Keynes, it is a cheap, 5 minute taxi ride into town where you will fi nd quite of a lot of things to do, although you may fi nd its grid system and endless round¬abouts unnerving; it is very easy to get lost. The town was designed with car in mind - a car can make things easier.

The hospital has an excellent Postgraduate Education Centre where you will fi nd the fan-tastic supportive staff that will always help if needed.

A great “Mess” in the main hospital provides large sofas, a TV and a good place to have breakfast in the morning after

your ward round.

Whilst the restaurant does offer a selection of hot and cold food, it is occasionally unin-spiring. Small changes are however being made to diversify what is currently available. A League of Friends shop at the main entrance supplies a good range of snacks/drinks/chocolate/comfort food to get you through any on-call. The Post-graduate Education Centre houses a café (The Eatery) open during the day.

There are currently 9 medical wards and 3 main surgical wards; the other beds are split between obstetrics, gynaecology, new ambula-tory care unit and paediatrics. There is a nurse/GP led Urgent Care Centre and large outpatient department. Whilst the hospital offers many services, you will have to refer some patients to tertiary care services in other Trusts. The Trust itself is under huge pressures, fi nancially and from the population that it serves. As a trainee here you will have your part to play in helping the Trust deliver excellent patient care, save money and increase effi ciency. In turn you will get to work in a genuine district general with an excellent community feel, good training oppor-tunities and senior support.

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from 5pm to close. The Postgraduate Education centre houses a café (The Eatery) open during the day.

The League of Friends shop at the main entrance is best for snacks, chocolate and has recently started to offer hot sandwiches and paninis. It closes at 7.30pm and is not open on Sunday.

The Mess offers microwave meals in its freezer, and 24 hour tea/coffee/cereal/toast. Out of hours, it is quite diffi cult to get a hot meal, you are usually advised to bring your own in with you.

tOWn

Within Milton Keynes town, you will fi nd the usual fare. Chain restaurants dominate the scene and these are clustered within the shop-ping centre, Xscape and the Hub. Expect things like Zizzi, GBK, Wagamama, Nandos and so on. A fi ve minute walk from the hospital houses a Subway, decent kebab house and fried chicken even though it is in a less reputable part of town!



Regular foundation teaching takes place on Tuesday lunchtimes in Milton Keynes and

is aimed at covering the wide range of topics necessary to complete sign off for ePortfolio. Running for an hour, it is often followed up with further

X-ray teaching delivered by the radiology department

which covers an area in which trainees are less confi dent.

An active Education centre advertises addi-tional courses regularly, offering seminars on career development as well as locally run courses such as surgical skills, medical inter-ventional procedures and trauma.

Outside of this, the majority of learning is achieved via self-directed learning on the ward. Other opportunities are however offered within the categories outlined below.

teachinG

Like all hospitals within the Oxford Deanery, Milton Keynes receives medical students from Oxford and other Universities, regularly allowing those that are interested to become involved in teaching. This is mainly coordinated by Dr Smith with the majority being ward based prac-tical sessions that help improve the students’ clinical skills.

The Surgical Department also runs a Thursday teaching session in which you will be asked to present a sub-specialty of general surgery to your peers. These sessions provide

a good opportunity to improve your presentation skills

as well as to receive structured feedback from the organising registrar to help you com-plete the teaching section of your foundation programme eportfolio.

In Medicine regular journal clubs are held during which the foundation doctor is asked to present papers. Once again this provides a structured and organised environment for you to improve your presentation skills as well as to help teach you about critical appraisal of papers and evidence published in medical journals.

audit and reSearch

As a DGH, opportunities available within the Trust for audit and research are often perceived

ENIGMA

Milton Keynes General Hospital

A421 to Oxford40 miles - 1hr 10min


M1 to Northampton20 miles - 0hr 30min

Oxford £43.80 - 2hr 30min (no direct train)Euston £14.50 - 0hr 40minBirmingham £13.50 - 0hr 55min

XXSCAPE

Gullivers LandTheme Park

White CapWatersportCentre

OuzelValleyPark

to be fewer than those that exist at the larger teaching hospitals, yet

involvement is actively encouraged across all specialties and the small, friendly nature of the hospital facilitates this well.

Focused mainly on audit, monthly clinical governance meetings are held across both Medicine and Surgery and within the fi rst few weeks of your placement you will be given compulsory projects to complete to help within the departments you are placed. As these are always within the hospital’s regular programme the changes that you recommend are often implemented and acted upon. The programme is set up to also encourage you to present your work to peers and receive active feedback from senior consultants.

ManaGeMent and leaderShiP

For those interested in improving their management and leadership skills there are a number of positions and roles available in which junior doctors can participate. Active involvement of trainees is sought across all areas including foundation year representation at regular Forum meetings with the Programme Directors to discuss the delivery of training and various roles sitting on panels to discuss the management and organisation of the hospital structure in general.

car

As mentioned above, proximity to the M1 enables quick and easy access to the national network. Driving is a good way to get around Milton Keynes itself. For those without use of a car, a large number of taxi fi rms operate locally. Rates vary with fi rm but generally a taxi from the hospital to the centre of town on a night out is about £5.

train

Milton Keynes Central train station is about a 5 minute taxi ride from the hospital and similarly to the buses offers good access to a range of locations. Trains to London run every 15 minutes and take between 30-60 minutes depending on the number of stops. You can also get direct trains to Birmingham in an hour and Manchester in 90 minutes.

Accommodation

Built in 2006 Milton Keynes accommodation is actually some of the best in the South-

East. Just over 50% of new doctors choose to live in the accommodation and

it is often a very sociable place and an extremely

convenient four minute walk from the hospital.

As an F1 or F2 you will be guaranteed the newer ‘Lister Close’ accommodation, a series of four buildings around a quiet quad. Each of the buildings is divided into six fl ats and each fl at has four rooms. Most fl ats have three or four long term residents and now and again they use one of the rooms for on-call personnel to stay overnight.

The members of each fl at are allocated randomly and multidisciplinary teams are put together, although if you want to transfer to another fl at with friends and a space becomes available they are often happy to meet that

request with a £25 charge. Rent is currently £430/month and includes all bills and a slow but steady internet connection. Single-occu-pant fl ats are available, which two could live in, for around the £700/month mark but often the waiting list is longer.

Each single-bed room has its own ‘capsule’ bath (wet)

room, which is actually surprisingly well constructed.

It has all the mod-cons, with lockable room, cupboard and external doors. Cleaners come once weekly and change your sheets and clean the bathroom, but do not hoover. Each fl at is equipped with both a washer and separate dryer for your laundry.

Parking at the accommodation is £6/month or £73 for the year, well supervised in the middle of the housing quad and always with available parking spaces. Overall the accommodation is a safe, relatively quiet and extremely convenient. For any problems the accommodation offi ce is open Mon-Fri 9-5pm and they are fairly quick to respond to any urgent calls. In summary the housing is far more pleasant than the rest of the Oxfordshire Dean-eries offerings, and if you do not like it, the notice period is two weeks.

Parking

Milton Keynes has a 1000 space multi-storey car park

for staff and visitors, which is secure and a two minute walk from the hos¬pital. Permits are available for a price of around £12-13/month for staff and there is no need to contest your eligibility.

The Doctors’ Mess

Milton Keynes Mess is run by a president and small com-

mittee, and whoever wants to be involved is more than welcome! The fees are generally set at £15/month which can come straight from your payslip. This allows you access to the Mess (swipe is denied if you are not a member) and free entry to all events. The Mess itself is a very typical area, slightly dilapidated by the end of the day but probably above standard for Oxfordshire. One good point about it is the

constant supply of coffee, tea, cereal, bread and

chocolate

that our dedicated president organises, which hopefully will continue in future years when someone else takes up the role. Above this it is a very sociable place and with a wide-screen TV and couple of computers, and the comfy seats make it often a welcome break. In summer the doors open up to picnic benches outside. The mess does not provide its own catering but is a twenty second walk from the hospital restaurant.

There is a Mess night out on the last Thursday of each month that normally has a generous bar tab. Events often kick off around 8pm with people joining whenever they fi nish or want to. Recent events have included a pub-crawl around Stony Stratford (beautiful fl ag-stoned local town) and joint events with the A&E and ophthalmology departments. There are normally two Balls a year as well and BBQs in the summer, with reduced rates or free for all members.

In fairness, for most F1 or F2s, come to a couple of events and it more than pays for itself!

The Mess also runs a football club on a Tuesday evening with doctors of every grade turning up to play (even consultants) and a yearly tour. It is well attended and often gets a bit competitive! In previous years there has been a badminton and squash club, which the Mess are more than happy to fund if there is interest. Overall this society is very much worth the money and an important part of hospital life.

Food and Drink

hOSPital

There are two main food outlets in the hospital. The restaurant is open from 8am to

7pm and offers hot and cold meals, salad bar, and sandwich/baguette area. It serves lunch from 12pm to 2pm. After this time, it is diffi -cult to get a proper hot meal. Dinner is served

MiLtoN keynes hospital

‘FooD and drink 2’ courtesy of thb

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Team 4 rotating consultants, 2 registrars, 2 SHOs, 1 F1

Banding 1B (40%)

nighTs Yes, on general medical rota (see below)

Weekends One in four

Leave Negotiable with team

average LisT size

20 patients, ward rounds can be very busy catching up with previous night’s team


All previous day’s admissions and CDU patients still on the ward to cover

TeaChing F2 teaching every Thursday, Grand Round every Wednesday, Journal club every Friday

roLes Up to 24 patients based on ward, multiple outliers in AU and elsewhere. Has been very busy

TheaTre and CLiniC

None as part of rota or clinical duties

roTa 8 week rolling rota for F2s. Weekdays: Either 08:00 - 16:00 or 09:00 - 17:00 daily with one evening on call per week.General medical on-call responsibility is 14 nights in 4 months, 1 evening on call per week and 1 weekend day on-calls per 4 month rotation. Also 2 lots of 4 ‘1st on-call; 12:00 - 23:00 and 4 ‘2nd’ on-calls 09:00 - 21:30 during 4 month

miLTon keynes

miLTon keynes

Cardiology

Clinical Decision Unit

F2

F21.4

Team 4 consultants, 3 registrars, 2 SHOs, 1 F1

Banding 1B (40%)

nighTs None

Weekends One in six


average LisT size

16 - 20 patients


As per discharges. Usually 1 - 2 a day

TeaChing F1 teaching every Tuesday, Grand Round every Wednesday, Journal club every Friday usually presented by F1s

roLes Entirely ward based. Coronary Care Unit is run by registrars but F1 called for TTOs or bloods if nurses unable

TheaTre and CLiniC


roTa 6 week rolling rota for F1s. Weekdays: first F1 on call during day working 09:00 - 17:00 clerking in new patients in clinical decisions units (CDU) and then covering wards 17:00 – 22:00. Second F1 changes everyday and does normal ward work 09:00 – 17:00 and then clerks in new patients 17:00 - 22:00. Weekends: first on call covers the wards doing ward jobs with the SHO. Second on call covers CDU clerking in new patients all day. Structure: One weekend every 6 weeks, one Monday - Thursday every 6 weeks and then one month covering CDU 17:00 - 22:00 once a wee

Team 3 consultants, 4 registrars, 2 SHOs, 4 F1s

Banding 1A (50%)

nighTs Yes, 20:00 - 08:00. Either Monday - Thursday or Friday - Sunday

Weekends One in six

Leave Fixed on rota. Day off prior to weekend on call. Day off before and after nights

average LisT size

15 - 60 patients depending on take

TheaTre LisT Elective lists on Monday - Wednesday


Elective admissions Monday - Wednesday. Consultants are on take Monday - Thursday or Friday - Sunday (once every 2 weeks). On take days expect up to 10 patients daily - the list can reach 60+ patients

TeaChing F1 teaching every Tuesday, Mortality & Morbidity meeting every second Thursday presented by F1s, F1 led teaching every Thursday afternoon, Colorectal meeting every Thursday morning, Colorectal MDT every Thursday afternoon

roLes Mostly ward work but may be required in theatre intermittently. Clerking in elective admissions for colorectal lists

TheaTre and CLiniC

Theatre as required, usually more so on nights and on calls

roTa One in six; within every three month placement expect one set of weekday nights, one set of weekend nights, one set of weekday day on call, one set of weekend day on call. Nights 20:00 - 08:00, Days 08:00 - 20:00. Days involve clerking in GP referrals with some involvement in theatre as needed. On nights you are additionally providing ward cover. F1 receives GP referrals; SHO receives A&E referrals

Linked roTaTions

Clinical [email protected] (Lead Consultant for Medicine)Rota Coordinator/Pre-employment [email protected] (Junior Medical Staffing co-ordinator)

Linked roTaTions

Clinical [email protected] (Consultant)Rota Coordinator/Pre-employment [email protected] (Junior Medical Staffing co-ordinator for surgery and consultant surgeon)

miLTon keynes

miLTon keynes

Cardiology

Colorectal Surgery

F11.4

F11.5

Team 6 consultants, 8 middle grades, 8 SHOs, 3 ENPs

Banding 1A (50%)

nighTs 27 in 4 months, 1 other SHO and registrar present overnight

Weekends Up to 1 in 2

Leave Opportunity to pick 1 of 4 slots beforehand. Negotiable with team, organised before beginning of rotation and lots of opportunity to swap

admissions Very busy A&E department

TeaChing F2 and special A&E teaching every Thursday

roLes See mainly majors and some minors patients. Called into resus but with senior support for any trauma calls

roTa 8 week rolling rota. Shifts 22:15-08:15, 17:00-23:00, 09:00-17:00 or 12:30-22:30

Team 1 consultant, 1 registrar, 2 SHOs, 1 F1

Banding 1B (40%)

nighTs None

Weekends One in six

Leave Negotiable with team, senior members take priority

average LisT size

20 - 28 patients


Depends on discharges - very high patient turnover, can be up to 10-15 new patients daily

TeaChing F1 teaching every Tuesday, Grand Round every Wednesday, Journal club every Friday (usually presented by F1s)

roLes 20-28 patients based on CDU intake. CDU is an assessment unit and patient turnover is very high as patients are sent to wards as beds come up. Work with on call team but post take patients who have been seen in previous day. Clinical skill opportunities are dependent on patients

TheaTre and CLiniC


roTa 6 week rolling rota for F1s. Weekdays: first F1 on call during day working 09:00 - 17:00 clerking in new patients in clinical decisions units (CDU) and then covering wards 17:00 - 22:00. Second F1 changes everyday and does normal ward work 09:00 - 17:00 and then clerks in new patients 17:00 - 22:00. Weekends: first on call covers the wards doing ward jobs with the SHO. Second on call covers CDU clerking in new patients all day. Structure: One weekend every 6 weeks, one Monday-Thursday every 6 weeks and then one month covering CDU 17:00 - 22:00 once a week

Linked roTaTions

Clinical [email protected] (Lead Consultant)Rota Coordinator/Pre-employment [email protected] (Junior Medical Staffing co-ordinator)

Linked roTaTions


miLTon keynes

miLTon keynes

A&E

Acute Medicine

F2

F1

1.5

1.4


It’s probably similar to “Acute Medicine F1”

Team 2 consultants, 2 registrars, 1 SHO, 2 F1s

Banding 1A (50%)

nighTs 20:00 - 08:00

Weekends One in six

Leave Fixed on rota. Day off prior to weekend on call. Day off before and after nights

average LisT size

10 - 15 patients

TheaTre LisTs Monday, Tuesday and Thursday all day


Usually 3 - 4 per week unless on take (once a month) in which case can have 10 patients per day

TeaChing F1 teaching every Tuesday, Mortality & Morbidity meeting every second Thursday presented by F1s. F1 led teaching every Thursday afternoon

roLes Mostly ward work but may be required in theatre intermittently. Clerking in elective admissions for breast lists

TheaTre and CLinC

Theatre as required, usually more so on nights and on calls

roTa One in six; within every three month placement expect one set of weekday nights, one set of weekend nights, one set of weekday day on call, one set of weekend day on call. Nights 20:00 - 08:00, Days 08:00 - 20:00. Days involve clerking in GP referrals with some involvement in theatre as needed. On nights you are additionally providing ward cover. F1 receives GP referrals; SHO receives A&E referrals

Linked roTaTions


miLTon keynes

miLTon keynes

Acute Medicine

Breast Surgery

F2

F11.5

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Allocated to one of three local practices (furthest 15 minutes from the hospital by car)

Team 4 - 7 partner practices, large support team

Banding Unbanded

nighTs No

Weekends No

Leave Negotiable with partners, you are supernumerary so very flexible. Easy to negotiate study leave

TeaChing F2 teaching Thursdays and one tutorial per week with a GP partner. Often extra sessions with multidisciplinary team available; e.g. minor ops, nurse-led clinics, community cardiology

roLes First 1 - 2 weeks spent observing then start your own clinics with 30 minute appointments (plent of time to ask for advice). Appointments shortened over the rotation to 15 or 20 minutes

roTa Monday - Friday. Often long lunchbreaks (but may need to do home visits). Half day once per week

Team 1 consultant, 1 registrar, 1 SHO, 1 F1

Banding 1B (40%)

nighTs No

Weekends One in six

Leave Negotiable with team, seniors take priority

average LisT size

12 - 14 patients


As per discharges, usually 1 - 2 daily


roLes Completely ward based looking after patients. No elective admissions. SHO and registrar cover clinics as required. Some opportunity to gain competency in advanced procedures such as lumbar puncture and inserting drains

TheaTre and CLiniC


roTa 6 week rolling rota for F1s. Weekdays: first F1 on call during day working 09:00 - 17:00 clerking in new patients in clinical decisions units (CDU) and then covering wards 17:00 – 22:00. Second F1 changes everyday and does normal ward work 09:00 – 17:00 and then clerks in new patients 17:00 - 22:00. Weekends: first on call covers the wards doing ward jobs with the SHO. Second on call covers CDU clerking in new patients all day. Structure: One weekend every 6 weeks, one Monday - Thursday every 6 weeks and then one month covering CDU 17:00 - 22:00 once a week

Linked roTaTions


miLTon keynes

miLTon keynes

General Medicine

General Practice

F1

F2

1.4

1.0Team 6 consultants, 5 registrars, 6 SHOs, 1 F1 (supernumerary)

Banding 1B (40%)

nighTs No

Weekends No

Leave Negotiable with team, flexible as you are supernumerary

average LisT size

10 - 20 patients

TheaTre LisT Daily


Gynaecology get their own referrals from GP and A&E, this runs on a take system shared between 6 consultants - team usually on take once every 3 weeks. Up to 10 patients a day can be admitted when on take

TeaChing F1 teaching every Tuesday, Mortality & Morbidity meeting every second Thursday presented by F1s, F1 led teaching every Thursday afternoon

roLes Mostly ward work but may be required in theatre intermittently. Clerking in elective admissions for gynaecology lists. The F1 in gynaecology is supernumerary. Choice of when to be on call (ideally once a week)

TheaTre and CLiniC

As required in theatre, usually more so on call

roTa 08:00 - 17:00 normal working day, on calls are usually by choice, usually once a week

Linked roTaTions


Linked roTaTions


miLTon keynes

miLTon keynes

General Surgery

Gynaecology

F1

F11.4

oops! See individual surgical specialitiesTeam 1 consultant, 1 registrar, 1 SHO, 1 F1

Banding 1B (40%)

nighTs No

Weekends One in six


average LisT size

12 - 14 patients

admissions As per discharges, usually 1 - 2 daily


roLes Completely ward based looking after patients. Mostly general medicine, some endocrine. Some elective admissions for endocrine tests. SHO and registrar cover clinics as required. Some opportunity to gain competency in advanced procedures such as lumbar puncture and inserting drains

TheaTre and CLiniC



Linked roTaTions


miLTon keynes

miLTon keynes

Diabetes & Endocrine

Gastroenterology

F1

F2

1.4

Team 3 consultants, 2 registrars, 2 speciality doctors, 2 SHOs, 2 F1s

Banding 1B (40%)

nighTs No

Weekends One in six


average LisT size

12 - 16 patients


Usually 1 - 2 per day


roLes Ward based. Clerking in elective patients for MRCP, ERCP, scoping, liver biopsy or ascitic drains who occupy beds in ambulatory care unit (ACU) or ward. Lot of opportunity to gain competency in ascitic drains and taps. Work closely with dieticians and nutrition specialists

TheaTre and CLinC



Team 2 consultants, 2 registrars, 1 SHO

Banding 1A (50%)

nighTs 14 in 4 months


Leave Negotiable with team, if on general surgical on call will need to swap

average LisT size

1 - 5 inpatients, mainly clinics and day cases

TheaTre LisTs Most days


Approximately 1 daily, most referrals from GP, few from A&E. Team usually on take once every 3 weeks

TeaChing F2 teaching every Thursday

roLes Mostly clinic work but should look after inpatients and see referrals. Often very quiet ‘on calls’ for ENT

TheaTre and CLinC

Registrar takes priority in theatre but exposure definitely available if proactive

roTa 08:00 - 17:00 normal working day, on calls 08:00 - 20:00

Linked roTaTions


miLTon keynes

miLTon keynes

ENT

Gastroenterology

F2

F1

1.5


Yikes! Sorry.

It’s probably similar to “Gastroenterology F1”

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Team 4 consultants, 2 middle grades, 1 SHO

Banding Unbanded

nighTs No

Weekends No

Leave Pretty much as required, as you will be supernumerary, easy to negotiate study leave. One half-day per week

TeaChing F2 teaching on Thursdays

roLes Some ward rounds in Campbell centre, asked to see on-call patients in A&E or CDU. Senior always contactable

Team 3 consultants, 3 registrars, 4 SHOs

Banding 1A (50%)

nighTs Yes 09:00 - 21:00, mix between neonatal cover and paediatrics

Weekends One in three, heavy on call duties

Leave Some room for negotiation, early requests best put in before starting if possible

average LisT size

20 - 30 patients


Quite busy on-call, GP referrals taken by registrar but will be asked to patients in paediatric A&E or labour ward for neonatal resuscitation. Technically always on ‘take’ from A&E/ GP. Rolling rota of duties including ward cover, baby checks and helping in clinic. Also present at C-sections and on-call for problem births

TeaChing F2 teaching every Thursday, 1 dedicated paediatric session per week

Linked roTaTions

Clinical Contact


miLTon keynes

miLTon keynes

Paediatrics

Psychiatry

F2

F2

1.5

1.0

Team 4 consultants, 2 middle grades, 1 SHO

Banding Unbanded

nighTs No

Weekends No

Leave Pretty much as required, as you will be supernumerary, easy to negotiate study leave. One half-day per week


Between 0 - 3 daily

TeaChing F2 teaching on Thursdays

roLes Daily ward round of approximately 16 patients, and help with admissions

Linked roTaTions

Clinical Contact


miLTon keynes

miLTon keynes

Palliative Medicine

Respiratory

F21.0

F2


It’s probably similar to “Respiratory F1”

Team 3 consultants, 1 registrara, 1 SHO, 1 F1

Banding 1B (40%)

nighTs No

Weekends One in six

Leave Neogtiable with team, seniors take priority

average LisT size

10 - 15 patients

in paTienT admissions

As per discharges, but usually 1 - 3 per day

TeaChing F1 teaching every Tuesday, Grand Round every Wednesday, Journal clib every Friday usually presented by F1s

roLes 10 - 15 patients based on ward. List tends to be small, but patients are very unwell. Consultant haematologists are always on call for advice

TheaTre and CLiniC



Linked roTaTions

Clinical Contact


miLTon keynes

miLTon keynes

Haematology

Medicine CDU

F1

F1

1.4

Team 6 consultants, 6 SpRs, 2 GP trainees, 4 F2s, 1 F1, many midwives

Banding 1A (50%)

nighTs 14 in 4 months (Monday - Wednesday or Thursday - Sunday). 1 SHO and 1 registrar present overnight


Leave Negotiable with team but do it early – complicated process of running past secretary then emailing consultants. Room for study leave


Can be busy anywhere between none and 8 - 10 a day for gynae or obs, no pattern to it!

TeaChing F2 teaching on Thursday and special O&G teaching Friday afternoon

roTa Rotating rota of on-call during day (08:30 - 21:00) for obs or gynae (1 - 2 per week) doing ward round and clerking in new patients admitted via A&E. Otherwise helping on SAU, ACU, covering antenatal day assessment unit (ADAU) or in clinic. One half-day per week. Theatre time very available with timetabling into elective C-section lists (as well as emergency whilst on-call) and gynaecology lists

Linked roTaTions

Clinical Contact

Rota Coordinator/Pre-employment [email protected] (Registrar)

miLTon keynes

miLTon keynes

ITU

O&G

F1

F21.5


It’s probably similar to “Clinical Decision Unit F2”


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Team 3 consultants, 3 registrars, 1 SHO, 2 F1s

Banding 1A (50%)

nighTs Yes, 20:00 - 08:00

Weekends One in six

Leave Fixed on rota. Day off prior to weekend on call, day off before and after nights

average LisT size

10 - 20 patients

TheaTre LisTs Daily


As per referrals and relevant admissions - as on take every day, can be up to 5 per day but usually only 1 - 2 a day


roLes Mostly ward work but may be required in theatre intermittently. Clerking in elective admissions for urology lists

TheaTre and CLiniC

As required in theatre, usually more so on nights an on calls

roTa One in six: within every three month placement expect one set of weekday nights, one set of weekend nights, one set of weekday day on call, one set of weekend day on call. Nights – 20:00 - 08:00, day 08:00 - 20:00. Nights involve ward cover and clerking in GP referrals with some involvement in theatre as needed. Days involve clerking in GP referrals with theatre involvement as needed. F1 receives GP referrals; SHO receives A&E referrals

Linked roTaTions

Clinical [email protected] (Lead Consultant)Rota Coordinator/Pre-employment [email protected] (Junior Medical Staffing co-ordinator for surgery and consultant surgeon)

Linked roTaTions

Clinical [email protected] (Lead Consultant)Rota Coordinator/Pre-employment [email protected] (Junior Medical Staffing co-ordinator for surgery and consultant surgeon)

miLTon keynesUrology F1

1.5Team 3 consultants, 4 registrars, 2 SHOs, 4 F1s

Banding 1A (50%)

nighTs Yes, 20:00 - 08:00. Monday - Thursday or Friday - Sunday

Weekends One in six

Leave Fixed on rota. Day off prior to weekend on call, day off before and after nights

average LisT size

10 - 20 patients

TheaTre LisTs Monday, Tuesday and Friday all day


As per referrals and relevant admissions – roughly 2 - 3 a week unless on take where you can expect up to ten patients a day. On take once every 4 weeks


roLes Mostly ward work but may be required in theatre intermittently. Clerking in elective admissions for vascular lists

TheaTre and CLiniC

As required in theatre, usually more so on nights and on calls

roTa One in six: within every three month placement expect one set of weekday nights, one set of weekend nights, one set of weekday day on call, one set of weekend day on call. Nights – 20:00 - 08:00, day 08:00 - 20:00. Nights involve ward cover and clerking in GP referrals with some involvement in theatre as needed. Days involve clerking in GP referrals with theatre involvement as needed. F1 receives GP referrals; SHO receives A&E referrals

miLTon keynes

Vascular Surgery F11.5

Team 3 consultants, 2 registrars, 2 SHOs, 3 F1s

Banding 1B (40%)

nighTs No

Weekends One in six


average LisT size

15 - 20 patients

in paTienT admissions

As per discharges, but usually 1 - 3 per day


roLes 15-25 patients based on the wards 4 high dependency beds for patients on CPAP/BIPAP. Mostly ward work – some clerking and discharging in Bronchoscopy. Opportunities for pleural taps and drains with senior assistance

TheaTre and CLiniC



miLTon keynes

miLTon keynes

Respiratory

Surgery

F1

F2

1.4

1.5

Linked roTaTions

Clinical Contact


miLTon keynes

miLTon keynes

Stroke

Trauma & Ortho

F1

F2

1.4

Linked roTaTions


Linked roTaTions


Team 2 consultants, 1 registrar, 1 SHO, 1 F1

Banding 1B (40%)

nighTs No

Weekends One in six


average LisT size

16 - 20 patients and up to 6 medical patients


Low turnover due to nature of job


roLes 16-20 patients based on the ward. Completely stroke based. Transfers post-thrombolysis for rehabilitation. Some general medical beds open up on ward if bed situation worsens

TheaTre and CLiniC



Team 2 - 3 consultants each team, 1 - 2 registrars each, 2 SHOs, normally 4 F1s

Banding 1A (50%)

nighTs 14 in 4 months


Leave Negotiable with team, if on general surgical on-call we need to swap

average LisT size

15 - 20 patients, less for breast

TheaTre LisTs Monday, Tuesday and Wednesday for colorectal and vascular, 3 x week for breast


Can be very busy, on-take up to 10 - 12 admissions per day. Take shared by 8 consultants, team usually on take once every 3 weeks

TeaChing F2 teaching every Thursday, Mortality & Morbidity meeting every second Thursday presented by F1s

roLes Required more in theatres especially for on-call lists, otherwise mostly ward work and helping F1

TheaTre and CLiniC

as required in theatre, usually more so on nights and on calls. Can help in clinic but not expected to run it

roTa 08:00 - 17:00 normal working day, on call one evening (until 20:00) per week. General surgical on-call rota includes 2 lots of Monday - Thursday day on-call and Friday - Sunday day on-call during 4 month rotation, interspersed with 14 nights overall


62


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of a new Tesco superstore. Direct trains lines go to Reading, Oxford and London Paddington. one train stop away from Windsor and Eton Central station.

Only a few miles away from Slough is the affl uent suburban town of Windsor. Home to the royals, the surrounding region has some of the most expensive and desirable housing areas in the country. Windsor Castle overlooks the quiant town centre with its restaurants and cafes. Other nearby attractions include Legoland and Eton College.

Transport Links:Wexham Park Hospital

buS

Direct 10 minute bus service (WP1) from Slough bus station to Wexham Park Hospital every 15 minutes between 6.30am to 10pm Monday to Friday (single £2, return £2.90).

Other bus links to Slough, Maidenhead, Bracknell and Chalfonts available.

train

London Paddington to Slough 35 minOxford to Slough40 minsReading to Slough15 mins

Connections from the hopsital to to Slough train station by bus.

car

From London 20 milesduration variable; M4 or M40.From Oxford 40 miles1 hour; M40 then take the A355.From Reading 25 miles35 minutes; M4.

bicycle

10 minute bicycle ride from Slough town centre or train station. Bike racks available at Main Entrance.

Accommodation

On-site hospital accomodation (approx £ 390 pcm), 4-person fl ats with shared kitchen

and bathroom. Ensuite available. Internet and laundry facilities included.

Parking permits available for residents on request. Cost of permit: 1% of staff income.

Private rental of fl ats in Slough/Windsor approx £650-800 pcm (1-person fl at) excluding bills and council tax.

Parking

Plentiful staff parking on site.Staff permits: eligibility: must live more

than 1.5 miles from site, must regularly work on site (i.e. > 3 times a week). Cost of permit: 1% of staff income. Valid for Wexham Park and/or Heatherwood (same price).

The Doctors’ Mess

At the ‘crossroads’ of the hospital (see site map). Free tea, coffee and toast. Mess

fees £10 per month. Monthly doctor’s mess parties and annual ball.

Food and Drink

hOSPital

Main hospital restaurant and three WRVS cafes, meals approx £2.80-3.50 (staff

prices). Restaurant closes at 7pm, vending machines available for food/drink.tOWn

Slough: Red Lion pub (5 minutes away from hospital), a local favourite. Good food and drink with fi replace.

Windsor: Brown’s by the Riverside, Thai Place, the usual chains (Strada, Cafe Rouge, Pizza Express, Wetherspoons).

Staff Benefi ts

Trust employees are eligible to join a number of discount card schemes -

most offer either discount or cashback with major retailers, restaurant chains or service providers.

NHS cashback Black Card (save up to 5% in a large range of high street stores)

Medic Care NHS staff discount (savings on over 200 brands and dis-counts with local businesses; holidays and travel; and insurance and fi nancial products in Slough, Maidenhead and the whole of Berkshire.)

Red Guava www.redguava.co.ukChildcare Co-ordinator employed to

act as a source of expertise and support for all employees with care requirements.

Nursery Discounts for NHS Staff (50 nurseries in Bracknell, Slough, Reading, Maidenhead and Windsor).

Lifestyle Fitness: membership for £34 per month.



Weekly compulsory F1 and F2 teaching ses-sions as per deanery policy. Some slots

are used for simulation training in the WexSim suite. Many of the jobs have additional regular teaching by consultants or in more formalised settings such as journal clubs (see various sep-arate job descriptions).

teachinG

Medical students do come through Wexham (not usually Oxford students, but South-

ampton, London and US international students can often be found attached to General Medi-

cine, Surgery and Paediatrics), and will require teaching by junior doctors on the team. Foundation programme directors are very keen to support if you have an idea for teaching your foundation programme colleagues.

audit and reSearch

Variable, depending on workload and other colleagues in the department, but generally

self-organised. Some bosses will expect you to have something on the go (e.g. orthopae-dics) while others will only come up with ideas if you ask. If you are keen to organise things yourself, the pathology, radiology, and medical records departments will bend over backwards to help you learn your way around the otherwise impenetrable computer systems.

Monthly compulsory academic half days occur and are great opportunities to present to your department.

‘FooD and drink 3’ courtesy of pmg

FireWorKS courtesy of pmg

62


Heatherwood and Wexham Park Hospitals


Heatherwood HospitalLondon RoadAscot SL5 8AATel: 01344 623333Wexham Park HospitalWexhamSlough SL2 4HLTel: 01753 634825

Introduction to the Hospitals

WexhaM Park hOSPital

Main hospital where foundation jobs are based. 2 miles north of Slough town

centre and train station. Has a wide range of services including A&E. A friendly DGH with postgraduate centre and library.

heatherWOOd hOSPital

Small, friendly hospital near Ascot. Provides both inpatient and outpatient services; no

A&E. One would expect to be timetabled half a day there once every few weeks.


Slough is a borough in Berkshire 22 miles west of central London. It is one of the most

ethnically diverse areas outside of London. Despite its social problems, Slough has seen major redevelopment of the town centre with revamping of the shopping centre and building


Heatherwood and Wexham Park Hospital is a district general hospital near Slough

that gained foundation trust status in 2007. It is divided between two sites: Wexham Park (Slough) and Heatherwood (Ascot). Outpatient services are also provided by King Edward VII Hospital (Windsor) and St Mark’s Hospital (Maid-enhead). The trust covers a large and diverse population in Ascot, Bracknell, Maidenhead, Slough, south Buckinghamshire and Windsor. Approximately 30 languages are spoken in the area, the top 6 (excluding English) being Hindi, Polish, Urdu, Somali, Romanian and Punjabi.

CoNtACt details

Mr Jas Kalsi and Mr Ram Moorthy– Foundation Training Programme [email protected]@hwph-tr.nhs.ukDr Richard Russell– Director of Medical [email protected]

Miss Maura Stock– Medical Education [email protected] Stallwood– Foundation Programme [email protected] Patel– Foundation years [email protected]

65

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Highly variable depending on which GP practice one is allocated to. Practices include: Datchet Health Centre, The Village Medical Centre (Cippenham), The Medical Centre (Cookham)

Team GP partner as supervisor. All other GPs in the practice takes responsibility to supervise each F2 surgery session

Banding Unbanded

nighTs No

Weekends No

Leave Very flexible as you are supernumerary

TeaChing Half day tutorial weekly with GP mentor

roLes Usually a comprehensive induction to the practice and catchment area in the first week. Expected to see patients independently thereafter, with each appointment shortening from 20 mins to 15 mins each, depending of progress. Every session is supervised by a salaried GP or partner and ‘debrief’ available between patients should any queries or problems arise. Some practices may allow or need you to do home visits, depending of staffing arrangements

roTa Surgeries run daily 09:00 - 17:00, or 09:00 - 18:00 with a half day off per week. Half a day of tutorial per week. Some practices timetable in half a day of ‘study session’. Expected to attend central teaching in Wexham Park Hospital postgrad centre on Wednesday lunchtimes

heaTherWood & Wexham park


General Surgery/Urology

General Practice

F1F2

F2

1.4

1.0

Team 6 teams (3 Lower GI, 1 Upper GI, 2 Urology) – one consultant, SpR, SHO and F1 for every team

Banding 1B (40%)

nighTs Not in F1 one in eight in F2. Three or four day stretch, 20:00 - 08:00

Weekends One in eight, 08:00 - 20:00

Leave Day off before and after nights. Annual leave very flexible, simply need to inform rota coordinator. Just make sure there is some junior cover for the team (F1 or SHO).

average LisT size

Highly variable due to ‘rolling’ system. Up to 30-40 for rolling team. Non-rolling teams have an average of 3 patients, although can easily be down to zero patients


Average admisisons 10-20 per day

roLes On call one in eight, F2 takes all GP and A&E admissions. F1: 11:00 - 23:00, F2: 08:00 - 20:00. ‘Rolling’ system where all new admissions come under the on call consultant. Each consultant is on call for Monday - Thursday or Friday - Sunday. When the next consultant takes over the on call, all these patients get ‘rolled’ onto the new consultant’s list and are taken care by the new team. Consultants on call every 2-3 weeks. ‘Rolling’ team usually very busy therefore other teams are all expected to help. F1s welcomed to theatre, although seldom practically possible due to large workload from rolling team

TheaTre and CLiniC

Timetabled theatre session once a week for F2 and one clinic session. None for F1

roTa 08:00 - 17:00F1: ward jobs and rolling team tasks, occasionally needed in pre-assessment clinicF2: One clinic session a week, 1-1.5 theatre days. Occasionally half-day clinic in King Edward VII, or theatre session in Heatherwood

Team 4 consultants, no registrars or SHOs, 1 F1 (supernumerary)

Banding Unbanded

nighTs No

Weekends No


TeaChing One to one consultant teaching every week, good educational opportunities

roLes Discussing blood culture results with consultant, preparing results for ITU patients for daily consultant review

TheaTre and CLiniC

Twice a week. Lab experience optional

roTa Monday - Friday 09:00 - 17:00

Linked roTaTions

Clinical Contact


Linked roTaTions


Linked roTaTions

Clinical Contact


Linked roTaTions

Clinical [email protected] Coordinator/Pre-employment enquiries



Geriatric Medicine

Infectious Disease

F2

F11.0

Team 6 – 10 Consultants (including locums), Middle Grades/Registrars, 12 SHOs (FY2 and GPSTs), No F1s

Banding 1A (50%)

nighTs 2 out of 9 shifts

Weekends See rota below

Leave Flexible: can take leave on first 6 days of 9 day rolling rota (excludes 17:00 - 02:00 shift and nights) and get 3 days off post nights

admissions 95,000 a year!

TeaChing Weekly SHO and registrar teaching in A&E seminar room on separate days

roLes SHO in accident & emergency role involves clerking a variety of patients from minor injuries to majors and resuscitation (allocated to an area for your shift). Also will be at times asked to be involved in trauma calls. From time to time may be allocated to be the SHO on EDDU (emergency department decisions unit) which involves day-to-day ward duties

roTa 9 day rolling rota for all 12 SHOs. Involves doing the following shifts; 2 x 08:00 - 16:00, 12:00 - 20:00, 14:00 - 22:00, 2 x 16:00 - 00:00, 17:00 - 02:00, 2 x night shifts (22:00 - 08:00). 3 days off after night shifts

Team 5 consultants, 1 registrar, 1 staff grade, 1 F2

Banding Unbanded

nighTs No

Weekends No


average LisT size

Usually 4-8 in-patients. Day unit run by registrar, usually F2 doesn’t have any input. Admissions are either semi-elective (based on patients’ blood results), via the day unit or via A&E

TeaChing Abundant! 2 hours scheduled teaching every afternoon from 14:00 - 16:00: Monday – Radiology, Tuesday – Microbiology, Wednesday – Biochemistry, Thursday – Histopathology, Friday – Haematology

roLes Ward round every morning with consultant or registrar, followed by ward jobs. Teaching from 14:00 - 16:00, then back to the wards for an hour to tidy things up before home

TheaTre and CLiniC

Not really, as ward round and teaching sessions clash with clinics. However if you really wanted to, you’d be welcomed


Team 5 consultants & 3 registrars (1 senior staff grade, 2 registrars) have lists & clinics at multiple sites across trust (Wexham, Heatherwood, King Edward’s, St Marks). SHOs (1 CT, 1GPSTA1, 2 F2s) are entirely based at Wexham

Banding 1B (40%)

nighTs Yes, cross-covering Plastics (& Orthopaedics after midnight – reg bleep held). Registrars provide off-site cover for both Wexham & Reading, so not always immediately to hand. Either Monday - Tursday or Friday - Sunday (whole week off outside annual leave after weekend nights)

Weekends Yes. Monday off after weekend

average LisT size

4-10 inpatients (high volume of day-case patients who may require SHO input)


Planned admissions for larger elective surgery, also sometimes day cases stay overnight if not ready to be discharged. NB: oncology at Wexham is mainly benign OR thyroid: all other head & neck cancers go to Northwick Park. A&E admissions 09:00 - 17:00 and out-of-hours A&E every other week.

TeaChing Weekly consultant-led teaching, plus informal registrar teaching

roLes Bleep held every day for new admissions or ward referrals until 17:00. 1 evening shift (17:00 - 20:00) every fortnight, always cross-covering plastics. Out-of-hours on-take shared with Reading (alternate weeks). Patients transferred between sites to on-call admitting A&E department.

TheaTre and CLiniC

As time allows. Core trainees have scheduled theatre time - other SHOs welcomed when possible

roTa 09:00 - 17:00 Monday - Friday: F2s and GP trainees hold bleep between themOut of hours (cross-covering Plastics & orthopaedics): 1 in 9 weekday evenings 17:00 - 20:00 (roughly 1 a fortnight), 1 in 9 blocks of nights (so roughly 1 set per month of weekend or weekday)1 in 9 weekend days. Alternate weeks: RBH take all ENT referrals so on-calls in these weeks are solely covering plastics and orthopaedics. Urgent ward referrals in these weeks will warrant discussion with RBH ENT registrar on-call who will come over if necessary

Linked roTaTions

Clinical Contact

Rota Coordinator/Pre-employment enquiriesDr Omar Ghazanfar - [email protected]

Linked roTaTions

Clinical ContactDr Garcia - MicrobiologyRota Coordinator/Pre-employment enquiries

Linked roTaTions

Clinical ContactMr Ram Moorthy [email protected] Coordinator/Pre-employment [email protected]


Wexham park

A&E

ENT

F2

F2

1.5

1.4



Clinical Haem/Path/Radiology

Gastro/Rheum

F2

F2

1.0

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Team 6 - 7 consultants, an army of staff grade registrars, 11 - 12 SHOs (4 O&G trainees, 1 FTSTA, 5 GP trainees and 2 F2s)

Banding 1B (40%)

nighTs Yes, Monday - Thursday or Friday - Sunday

Weekends Yes roughly 1 per month

Leave No fixed leave. After weekend nights, you get the following Monday and Tuesday off

average LisT size

20 - 40 patients

TeaChing Some set teaching with consultants

roLes On call long days 09:00 - 21:00, 1 - 2 per week. During this time, you hold either the gynae bleep (covering postnatal, antenatal and gynae wards) or the obstetric bleep (covering labour ward, birth centre, triage and fetal assessment units), as well as taking referrals from A&E. Usually very busy

heaTherWood & Wexham parkObs & Gynae F2

1.4

Team 5 consultants, 1 staff grade, 3 registrars, 4 CTs, 1 F2. Consultants & regs have lists & clinics at multiple sites across trust (Wexham, Heatherwood, King Edward’s, St Mark’s), SHOs entirely based at Wexham

Banding 1B (40%)

nighTs Yes, cross-covering ENT(& Orthopaedics after midnight – reg bleep held). Registrars provide off-site cover, so not always immediately to hand. Either Monday - Tursday or Friday - Sunday (whole week off outside annual leave after weekend nights).

Weekends Yes. Monday off after weekends

Leave

average LisT size

10-20 inpatients (high volume of day-case patients who may require SHO input)

TheaTre LisT When not on-call, SHOs scheduled to be in theatre Monday - Friday. On-call SHO uses unsupervised minor ops room for daily assessment clinic and minor ops referrals. On-call weekend SHO may be summoned to theatre to help

TeaChing Weekly consultant-led teaching, plus weekly registrar teaching and journal club

roLes 1 week on-call holding bleep or new admission and ward referrals until 17:00. 1 evening shift (17:00 - 20:00) every fortnight, always cross-covering ENT

TheaTre and CLiniC

When not on-call, scheduled theatre/clinic allocations

roTa Monday - Friday office hours: theatre or wardsOut of hours (cross-covering ENT & orthopaedics): 1:9 weekday evenings 5-8pm (roughly 1 a fortnight), 1:9 blocks of nights (so roughly 1 set per month of weekend or weekday), 1:9 weekend days

Linked roTaTions

Clinical ContactDr Jo Aspel [email protected] Coordinator/Pre-employment enquiriesLyn Stephenson [email protected]

Linked roTaTions

Clinical ContactMr UppalRota Coordinator/Pre-employment [email protected]

Linked roTaTions

Clinical [email protected] or [email protected] Coordinator/Pre-employment enquiriesBali Nandra


Wexham park

Neonates

Plastic Surgery

F21.5

F21.4

Team This is a very large department:9 consultants (5 general paediatrics, 4 neonatal, though all cross-cover on the same on-call rota. All have special interests e.g. respiratory, oncology, endocrinology, cardiology and they try to pick up these patients) & 9 registrars (who are assigned to paeds or neonates but cross-cover on-call)Juniors are split into General Paeds or Neonates, though both do postnatal and PAU shifts as part of their rota. They rotate round clinical areas and are not allocated to specific consultants:6 Paediatrics trainees (ST1-3), 4 GP trainees (who are all predominantly general paediatrics), 5 F2s (1 general Paediatrics, 4 Neonatal), 2 supernumerary F1s (who are unbanded and essentially work 09:00 - 17:00 with no on-call responsibilities.)

Banding 1A (50%)

nighTs Yes, Monday - Thursday or Friday - Sunday. 1 set of each per 8-week cycle of the rota

Weekends Yes, either full weekend of long days 09:00 - 21:30 (ward & PAU for paeds, NICU for neonatal), or 1 Saturday or Sunday shift (covering Postnates & being 2nd on-call for PAU). 1 full weekend and 1 one-day (Sat or Sun) shift per 8 weeks

Leave Leave can only be requested in ‘cover weeks’. 1 day off post-nights and weekends

average LisT size

General Paediatrics: 10 - 30, high turnover with around 2 - 5 new admissions daily.NICU: 20 bed neonatal unit, around 1 new admission daily. Very preterm babies can stay for months

TeaChing Weekly SHO-led journal club and SHO consultant teaching, as well as weekly X-ray meetings and monthly academic half-days. Sometimes quite difficult to attend this and F2 teaching due to the workload

roLes You carry the on-call bleep for on-site cover for the clinical area you are on that week:Paediatrics SHOs hold one of the bleeps when on Ward cover or PAU long days.Neonates SHOs hold bleeps when on: NICU (‘hot room’) long days 09:00 - 21:30 (though the SCBU (‘cold room’) SHO holds it during the morning ward round), Postnates 08:00 - 17:00, PAU 14:00 - 22:00. Consultants have a week on the wards at a time, when new admissions would go under them, unless previously seen in another consultant’s clinic or if one of the other consultants’ special interests would be more appropriate e.g. new diabetics to Dr Huma (endo) or cystic fibrosis to Dr Sebire (CF/resp). Neonatal patients are allocated amongst the neonatal consultants for follow-up by postcode.PAU SHOs admits all children >5 days old, and may review 10-30 patients per day from GPs or A&E. Chronic patients are often ‘open access’ and can just turn up for review (after parents ringing ahead). Postnates SHO reviews and admits community referrals <5 days old to the postnatal ward during 08:00 - 17:00. NICU SHO admits neonates to SCBU/NICU from labour ward (and postnatal wards out-of-hours)

TheaTre and CLiniC

SHOs can sit in on clinics, but only when on cover weeks and not needed to help out on wards

roTa 8 week rolling rota:6 weeks on wards (with roughly 1-week blocks on PAU, postnates and weekend nights, long days, nights & wards/SCBU),2 weeks on cover (if not needed to cover absences, can go to clinic or take leave)


You may learn something from reading “Neonates F2”


It’s probably similar to “Medicine F1”

Team F1s are allocated and rotated around 2 paired specialties in 6 months to one of the following 9 specialised medical firms: Gastroenterology & Rheumatology, Respiratory & Cardiology, Endocrine & Acute Medical Unit, Geriatrics & Renal. Haematology & Oncology is separate 4 month rotation. All jobs are busy with high patient turnover. Large amount of variability between workload and staffing levels between teams. Broadly speaking, each team is visibly consultant-led, with varying levels of registrar and SHO (mix of F2/GPSTA1/CT trainees) support.E.g. Gastroenterology – one F1, one F2, one GPST1, one permanent locum, one SpR reg, one staff grade, one consultant. Rheumatology – two F1s, one CT1, one SpR, one consultant

Banding 1B (40%)

nighTs Yes. Ward cover nights, very busy.

Weekends Yes. F1 does clerking, ward cover all done by SHOs with a dedicated ward cover SpR

Leave Arranged within your team having been approved by consultant and rota coordinator, not set leave. 1 day off after nights. No rest days after weekend on call

average LisT size

Variable – average 20-25

TeaChing Case presentation at weekly medical meeting – F1s and F2s encouraged to present

roLes Long days on-call 09:00 - 21:00 (clerking until 17:00, ward cover after). Whilst on call you are part of the crash team and hold the crash bleep. The team you will be on call with are not your usual ward based team and the consultant you are working under when you are on call is not usually your usual consultant. All patients admitted from A&E or GP are clerked in by the on call F1/SHO and initially admitted to the Acute Medical Unit before being seen on the post take ward round and sent on to other specialty specific wards.Normal working day is ward based.

TheaTre and CLiniC

None. Could in theory if adequate cover and very keen

roTa In 6 months, 2 sets of weekend days, 3 blocks of nights (Monday - Thursday or Friday - Sunday). Average 1 long-day on-call per week

Linked roTaTions

Clinical ContactDr Richard Russell [email protected] (clinical head of department)Rota Coordinator/Pre-employment enquiriesMarion Elder [email protected]




Infectious Disease with Resp

Neonates & Paediatrics

Medicine

F1

F1

F11.4


Combination of anaesthetics and ITU for 3 + 1 months or 2 + 2 months

Team 1 ITU consultant on each day, 3 staff grades/SpR/SHO, 1 F2 (supernumerary)

Banding Unbanded

nighTs No

Weekends No


average LisT size

6 - 12 patients

TeaChing Weekly ITU teaching, consultant led

roLes Anaesthetics: paired up with a consultant or staff grade. Pre-operative anaesthetic assessment of the patients on the theatre list, then anaesthetising patients under supervisionITU: Daily consultant WR in the morning, you will get assigned 2 - 3 patients for a full review and assessment of, which will be reported back to the registrar. Consultant does another ward round in the afternoon with a consultant microbiologist. Any jobs tied off in the afternoon

roTa 08:00 - 17:00 Monday - Friday

Linked roTaTions

Clinical [email protected], [email protected] Coordinator/Pre-employment enquiries



Intensive Care

Medicine

F2

F2

1.0

71

Meet your hospital training needs with the MDU

Your local Hospital LiaisonManager:Fraser [email protected] 342 403

Your local Student and Foundation Liaison Manager:Zaina [email protected] 608 062

The MDU offers a series of FREE hospital-basedseminars which address the needs of allhospital doctors including foundation doctors,specialty training post doctors and consultants.

These educational seminars are suitable forprotected teaching time and focus on areas ofcurrent relevance to secondary care includingdealing with difficult patients, GMC fitness topractise and good record keeping.

If you are interested in holding one ormore of these seminars at your hospitalor require support with departmental ormess meetings, please contact yourlocal MDU hospital liaison team whosedetails are below.

MDU Services Limited (MDUSL) is authorised and regulated by the Financial Services Authority in respect of insurance mediation activities only. MDUSL is an agent for The Medical Defence Union Limited (the MDU). The MDU is not an insurance company. The benefits of membership of the MDU are all discretionary and are subject to the Memorandum and Articles of Association. MDU Services Limited registered in England 3957086. Registered Office: 230 Blackfriars Road London SE1 8PJ. © 2012 TG/030x/0612

Freephone membership helpline0800 716 376

Calling from a mobile or overseas+44 (0)20 7022 2210

Member ship email [email protected]

Websitethe-mdu.com

TG030x0612:Layout 1 26/06/2012 16:44 Page 1

70


Team 7 consultants, 10 registrars (under named consultants), 1 permanent locum SHO, (no CTs) 2 F2s, 4 F1s. F1s cover 2 consultants’ team each, SHO float between teams. 1 orthogeriatric consultant and registrar present from 09:00 - 17:00

Banding 1A (50%)

nighTs None (cross-covered by ENT and Plastics SHOs)

Weekends Yes, long days 08:00 - 20:00

Leave

average LisT size

Huge variation, 5 - 30 (if just been on-take). F2s often allocated to help if your list size is very large after being on take

TheaTre LisTs Daily trauma lists in addition as daily elective lists. Not a huge amount of elective surgery most elective surgery is carried out at Heatherwood hospital generally only high risk patients operated on at Wexham. Certain consultants have more elective admission than others

TeaChing Daily trauma meeting (juniors present x-rays). Informal teaching. Weekly consultant teaching

roLes On a daily basis ward cover. The consultants do a ward round to see their patients 1 - 2 times a week, on other days F1s are expected to see the patients by themselves. On call rotas for F1/F2 are the same and the role is also the same. Whilst on call you accompany the registrar on call to see referrals and clerk them in and cover the ward out of hours. Also attend trauma calls. If on an early shift you are expected to generate the daily trauma operating list and print copies for the trauma meeting and for theatre. SHOs can be called to assist in theatre if free on the wards.Monday - Friday weeks of twilight on-calls (15:00 - 00:00) or short days (07:00 - 15:00). Consultants’ teams each have 1 day on-take a week. When your consultant is on take all the patients admitted that day or night come under his name and are therefore added to your list

TheaTre and CLiniC

SHOs have dedicated rota slots for assisting at both Wexham Park & Heatherwood sites

roTa F1s and F2s are on same on-call rota: over 3 months, 2 weeks long days, 2 weeks of twilights, and 2 weeks short days and 2 weekends of long days

Linked roTaTions

Clinical ContactMr Rakesh Kucheria [email protected] Coordinator/Pre-employment enquiriesDeborah Wheeler [email protected]

F2



Respiratory Medicine

Trauma & Ortho

F2

F11.5


Team 6 teams (3 Lower GI, 1 Upper GI, 2 urology) – one consultant, SpR, SHO and F1 for every team

Banding 1B (40%)

nighTs One in eight. Three or four day stretch 20:00 - 08:00

Weekends One in eight. 08:00 - 20:00

Leave Day off before and after nights. Annual leave very flexible, simply need to inform rota coordinator. Just make sure there is some junior cover for the team (F1 or SHO)

average LisT size

highly variable due to ‘rolling’ system. Up to 30-40 for rolling team. Non-rolling teams have an average of 3 patients, although can easily be down to zero patients


Average 10 - 20 per day

TeaChing Teaching opportunities on the team

roLes On call one in eight, F2 takes all GP and A&E admissions. Take based on a ‘Rolling’ system where all new admissions come under the on-call consultant. Each consultant is on call for 4 (Monday - Thursday) or 3 (Friday - Sunday) days. When the next consultant takes over the on-call, all these patients get ‘rolled’ onto the new consultant’s list and are taken care by the new team. Consultants on call every 2-3 weeks. ‘Rolling’ team usually very busy therefore other teams are all expected to help

TheaTre and CLinC

1 day per week for each consultant, F2 expected to attend

roTa One clinic session a week, 1 - 1.5 theatre days. Occasionally half-day clinic in King Edward VII, or theatre session in Heatherwood

Linked roTaTions


heaTherWood & Wexham parkSurgery F2

1.4

73

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How to make yourself look good!

During your FY2 year you will likely want to apply for core or specialist training; there-

fore it is advisable to start planning for this early on. This section suggests some extra achieve-ments that are relevant when applying for further training, all of which may be recorded in the appropriate section of the ePortfolio.

General Extras

Audit: Make it relevant to clinical prac-tice. Suggest change, put it into practice and re-audit after the changes

Presentation: clinical case, audit or research, as a poster or oral presentation at an international, national, regional or local confer-ence

Publish a paper in peer-reviewed journal

Attend conferences relevant to what you want to do as a career

‘Tasters’ in subjects of interests. You can use study leave for this in FY1 and FY2

Teaching: important to get feedback and show you have acted on this. Teaching other junior doctors e.g. journal clubs. Teaching students e.g. bedside teaching. Teaching courses e.g. teacher development programme, UNICON (2-day course)

Internet learning e.g. BMJ learning modules

Achievements outside of medicine. Show relevance to your training

Optional Extras

Description Minimum number required

Supervised learning Events (SLEs) Direct observation of doctor-patient interaction, followed by

discussion with ‘supervisor’. The following four categories...

Mini-Clinical Evaluation Exercises (mini-CEX)

Usually for history taking and examination. Supervisor: Core Trainee or above

6 per year

Directly Observed Patient Encounters (DOPS)

Usually for an observed skill. Supervisor: anyone trained for that skill.

3 per year

Case Based Discussions (CBDs) Discussion of a case and its assessment and management. Supervisor: SpR or above

6 per year

Developing the Clinical Teacher Observed delivery of teaching event. Supervisor: SpR or above

1 per year

Core procedures (FY1 only) 15 core skills e.g. cannulation, ABG. Supervisor: anyone trained for that skill

All 15 must be signed off

Team Assessment of Behaviour (TAB)

10 – 15 multi-disciplinary colleagues complete a brief review of your professional behaviour e.g. communication skills, time keeping (Other foundation doctors can’t respond)

2 per year (each with minimum of 10 responses, set criteria as to number of responses from each group eg. doctors, nurses, allied health professionals)

Interim Training Reviews (ITR) Review of your progress at Trust level

1 - 2 per year

Immediate Life Support (ILS, in FY1) or Advanced Life Support (ALS, in FY2)

Resus Council standardised courses

ILS required for FY1ALS required for FY2

Evidence that the curriculum has been covered

Each curriculum item linked to an SLE or other log, and signed off by your Educational Supervisor

Study leave and sick leave docu-mented

At the end of the year your Educational Supervisor (or Clinical Supervisor for each placement) must sign off to account for all study leave and sick leave taken

Attendance at education pro-gramme

Weekly or monthly mandatory training (dependant on Trust). Be sure to sign in when you attend!

Minimum 70% attendance. If fall below 70%, must be topped up with relevant elearning modules e.g. BMJ elearning or e-learning for healthcare

Conduct and write-up an audit To be achieved by the time of FY2 sign off

1 first round audit

Other instructions from the deanery Details available towards the time of sign off

e.g. GMC survey, online modules to complete

By the end of the year...

www.nhseportfolios.org (1)

Subject specific Extras

Because let’s face it, not everyone wants to be a med reg, and some would rather pull

out their own teeth than help with an 8 hour laparotomy…. If you already know what you want to do as a career, try to direct your achieve-ments during the foundation year towards this. Here are a few ideas to add to those you already may have:

72

Explainingthe

ePo

rtfolio

The ePortfolio is an online tool designed to help foundation doctors “demon-strate the attainment of the attitudes, skills and knowledge that they need to

complete the Foundation Programme.”(1) You need to complete the ePortfolio curriculum, and a number of mandatory assessments to progress at the end of both foundation years. The ePortfolio is also useful for planning further develop-ment and demonstrating any additional achievements during your foundation years, both of which are vital when applying for further training.

Due to the large number of requirements, some junior doctors find the ePort-folio difficult to keep on top of. This sometimes leads to problems come the end of the year, which could have been easily prevented.

This article sets out what you need to do to progress through FY1 and FY2 in the Oxford Deanery. It also provides suggestions on how to make your ePortfolio stand out, and a few extra hints and tips on how to get it right first time!

Compulsory sign-off requirements; jumping the hoops…You must complete the following to pass each year. There will be extra

requirements from each trust, but the sections below are core to the Oxford Deanery.

NB: when we say ‘sign’, this is done electronically by simply ticking a box and confirming

Beginning of the Year

Attend trust induction

Sign educational agreements, health and probity declarations

Induction meeting with Educational Supervisor, the consultant who will oversee your progress for the whole year and help with any problems

Induction meeting with Clinical Super-visor, the consultant who will supervise you for a particular job, so will change each placement

Initial meeting with your Educational Supervisor

Clinical Supervisor’s report for the posi-tion: review of performance in your current posi-tion, highlighting areas of excellence or concern which may require educational support. Written by your clinical supervisor with input from other members of a multi-disciplinary ‘Placement Supervision Group’

End of placement review with your Educational Supervisor; can be combined with initial meeting for next placement

Each Placement


74


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department in your Trust to send you the policy and guidelines, and for who to get in contact with. Expenses in our Deanery are dealt with centrally in Birmingham.

A brief warning: you've only got three months to claim, so act sharpish.

Study budget

Your postgraduate centre will have a few hundred pounds scurried away somewhere

for you in your F2 year. It’s to be used for things relevant to the curriculum, including to pay towards courses, conference fees, and associ-ated travel and accommodation. See Pertinent Policies: Study Leave, for details of how much each Trust has to offer.

Tax

Someday, someone obnoxious will square up to you and tell you that they "pay your

wages". Don't take it to heart: you will prob-ably pay more of your wages than they do. We mustn't grumble about tax: it funds the NHS. It is important to check you are paying the right amount though.

The amount of tax you pay is determined by your personal allowance, and your earnings

The current personal allowance is £8,105, which means you are able to earn that much in a year and not have to pay tax on it. Above that, you pay 20p per pound up to £34,370, and 40p per pound on any earnings above £34,371 up to £150,000.

To work out how much tax you owe, they need accurate information on how much you earn: if you only work for one trust, with no extra income, it's really rather straight forwards. When you start a first job, or leave a job for a new one, you will need to fill out a P45 or P46 form. These help your employer and HMRC know how much you earned and how much tax

has been deducted already that year, so they can tax you appropriately for the rest of the financial year. At the end of the tax year, your Trust send you a P60 form which summarises how much you've earned and how much tax you've paid. If the numbers aren't quite right, it's time to talk to the taxman to find out why: you may have to pay more, or they might owe you some, but it's best to sort it early!

Equally, if you earn extra money through other means e.g. locums as an F2, crem forms, lecturing, or surgical assisting fes it's important you declare it to HMRC: not only is it wrong not to, but they'll find out eventually, and you'll be left with a big lump sum to pay.

'Claiming tax back' is the holy grail

Some costs which you incur “wholly and exclusively” because of your work, such as GMC and BMA membership, professional indemnity, or Royal College fees are tax deduct-ible. That means tax you paid on the money for those fees can come back to you. Just tell the taxman how much you pay in relevant fees, and they will increase your personal allowance, even over the phone.

Our life runs from August to August, whereas that of the taxman runs April to April. If you over or underpay, this will often be sorted in the fol-lowing tax year, by altering your tax code so you spread the burden. Do discuss this with HMRC, as if they send you an invoice to settle in a lump sum, it will accrue interest if you don't pay up. And don't forget, you generally have 7 years to claim back on your tax if you think it's been done wrong.

I need help

Maybe we are too lazy, maybe we are too stupid, or maybe we have too much cash

to splash around, but at some point you might want to consider getting an accountant: espe-cially if you start doing private work, having multiple income streams, and increasingly complicated tax affairs.

Before starting work your employing Trust will require you to com-

plete various administrative tasks in order for you to be set up ‘on the system’ and ready to go in August. the Medical Education Manager for your trust should be in touch by email well in advance of you starting work to instruct you on their specific require-ments and how to go about submit-ting these various bits of paperwork. Although not exhaustive, the following checklist highlights the main bits and pieces to get organised.

Nationwide:• GMC registration plus payment• Medical Indemnity: MPS or MDU• CRB check certificate

Individual trust essentials:• Payroll form: bank account details for

salary payment• Occupational Health: record of

immunity or negative result; usually includes MMR, Varicella, Hep B, HIV

• Registration forms for electronic logins e.g. Electronic Patient Records, Smart Card, blood results system, PACS

Individual trust optional requirements may include:

• Contact details form: email address, mobile number, next of kin

• Parking permit form• Accommodation form• Doctors’ mess membership form

Documents to have to hand:• Passport• Driving licence• 2x proof of address documents

Admin AdviceFinance

Tips

Medicine:MRCP may do part 1 and higher during FY2ALS do this early before further applications

Surgery:MRCS may do part A and higher at any time

(even during FY1)Basic surgical skills courseAdvanced Trauma and Life Support (ATLS)Log book of operations assisted in

Paeds:Paediatric and neonatal resus coursesPart 1a MRCPCHVoluntary work with children or charity

Obs and Gynae:Basic Surgical SkillsObstetric emergency courseDiploma RCOG may do at any time

Acute medicine/anaesthetics:Advanced Trauma and Life Support (ATLS)ALS instructor course

Radiology: MRCP or MRCSBIR or SRT courses

Ophthalmology:Microsurgical skills

Keep up to date! People who leave their ePortfolio until the last minute are much more likely to have problems. Your clinical supervisor from a job you did 8 months ago will be difficult to hunt down…

Create a PDP (personal development plan) at the beginning of the year, this will help to focus your efforts

If you are not sure what to do, contact your educational supervisor, they are there to help

If you still need some help, the postgrad-uate advisors will likely be able to assist you

Enjoy your foundation years!

General Hints and Tips

Wages and banding

Salary for NHS doctors is well structured from FY1 to Consultancy, and you can read a very

boring document published annually called the ‘NHS Pay Circular’ if you want up to the minute details. On top of your basic wage you should receive a banding supplement, an additional 20 - 50%, to represent the burden of evenings, nights and weekends.

No matter what your banding, due to EWTD, you

should not be working more than 48 hours per week, averaged

over 17 weeks

See our policies section for more informa-tion about rules surrounding working hours.

Expenses

It may not be the company Amex that your City friends wave around, but ‘expenses’ are avail-

able in the NHS. They do tend to make you really fight for it (no duck islands, sorry) but cash for reasonable expenses resulting from your work can be claimed back. At its most basic, it covers costs incurred in the line of your work or reloca-tion in taking up an appointment.

If you have to move house as a result of your new post, or the distance between posts means you have to drive, it's worth asking the HR

WritteN by dr ben wildblood, fy2

Money is a dirty word in medicine

For most of you, starting work as a foun-dation doctor will be the best paid job

you've had; and for some, that deposit on the last Thursday in August, the first pay-packet ever. Don't be ashamed about it: we're about to talk Money.

roWiNg courtesy of pmg

77

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Annual Leave

Typically, you’ll have 9 days per 4 month post - use it wisely! Most posts in the Deanery

have fl exible leave with ‘prospective cover’: that means if you swap out of your on-call commit-ments, and there are enough people around to cover the team’s day-to-day work, then as long as your Consultant (who has to authorise your leave) is happy, there is no obstacle. In prac-tise, there needs to be at least one junior around to look after a team’s patients. It’s vital to discuss your leave with your col-leagues: booking it and claiming it’s their problem won’t make you any friends, plus it’s strictly not true. If you book leave, but can’t take it because your col-league is on nights, that’s your problem.

Some posts in the Deanery still do unfortunately have fi xed leave (annual leave that is set as part of the rota): this is less than ideal, and can be diffi cult to swap with people. If you have an important commitment, it’s best to discuss with the rota co-ordinator early to ensure you are on a rota line where the fi xed leave works for you. The fl ip side is that with fi xed leave you are guaranteed to get all of your time off, and often more than 9 days per 4 months.

Finally, some posts will give you ‘zero hours’, essentially extra days off after nights or week-ends to make you EWTD compliant. If you are lucky, these are bunched together.

Job Swaps

The likelihood is you will have some posts in your two foundation years that aren’t

to your liking, either personally or professionally; but the foundation programme is meant to give you a ‘foundation’ to allow you to progress in all areas of medicine, not to prime you to be a child & adolescent psychiatrist, neonatal cardiologist, or oncoplastic breast surgeon. Swaps in FY1 are, to all intents and purposes, impossible. In FY2, however, if a number of conditions are met, it is possible to swap with another FY2. If you can fi nd another FY2 in the Foundation School, who is willing to swap the whole FY2 rotation i.e. all three or four posts, and you can both clear it with your Programme Directors, swaps can be arranged.

The Deanery even runs a ‘Swap Shop’ to match interested parties. As long as your swap means that both of you have ‘educationally balanced’ foun-

dation programmes, by which we mean you have enough opportunity to cover all areas of the curriculum, the process is straightforward. Where there’s a will, there’s a way. If you are keen to swap a FY2 rotation, get

active on the swap shop early, raise it with your educational super-visor and FTPD, and make sure it’s all sorted by the deadline: April

in FY1!

Pertinent Policies

Annual Leave Job swaps FY2 Abroad Study Leave


FY2 Abroad

Start early if you want approval to do your FY2 year in another country: applications have to be in by Feb-

ruary of your FY1 year. It’s your responsibility to arrange a placement that is educationally equivalent to the FY2 post in the UK, which means demonstrating you are going to a hospital that can provide high quality training, exposure to 2 - 4 subspecialties, including at least one acute post, fi nding an educational supervisor locally who would be willing to commit to our curriculum, opportunities to fulfi l FY2 competencies, and fi nally submitting it to the Founda-tion School Director for approval. It sounds daunting, but it’s often easier if you tread a path that has been forged before, as both the Deanery here and hospital there know what will be expected.

If you can’t arrange a suitable post abroad for FY2, don’t lose heart; it is also possible to take a ‘gap year’ between FY1 and FY2, or after FY2.

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Surgery Rheumatology/ Dermatology Trauma and Ortho GP Gastroenterolgy Obs and Gynae

Trauma and Ortho Surgery Rheumatology/ Dermatology Obs and Gynae GP Gastroenterology

Surgery Medicine GP Surgery ENT

Surgery Medicine ENT GP Surgery

Surgery Medicine GP Geriatric Medicine ENT

Surgery Medicine ENT GP Geriatric Medicine

Surgery Medicine Geriatric Medicine ENT GP

Medicine Surgery Trauma and Ortho Neonates GP

Medicine Surgery GP Trauma and Ortho Neonates

Medicine Surgery Neonates GP Trauma and Ortho

Medicine Surgery Psychiatry Emergency Medicine Anaesthetics

Medicine Surgery Anaesthetics Psychiatry Emergency Medicine

Rheumatology/ Dermatology Trauma and Ortho Surgery Public Health Emergency Medicine Surgery

Trauma and Ortho Medicine Surgery Surgery Public Health Emergency Medicine

Surgery Trauma and Ortho Medicine Emergency Medicine Surgery Public Health

Medicine Surgery Trauma and Ortho Emergency Medicine Anaesthetics Psychiatry

GIM and Cardiology Adult Psychiatry Medicine Care of the Elderly Neonates Obs and Gynae

Medicine GIM and Cardiology Adult Psychiatry Obs and Gynae Care of the Elderly Neonates

Adult Psychiatry Medicine GIM and Cardiology Neonates Obs and Gynae Care of the Elderly

Respiratory medicine Old Age Psychiatry Medicine Trauma and Ortho Cardiology Gastroenterology

Medicine Respiratory medicine Old Age Psychiatry Gastroenterology Trauma and Ortho Cardiology

Old Age Psychiatry Medicine Respiratory medicine Cardiology Gastroenterology Trauma and Ortho

GIM and Gastroenterology Geriatric medicine Psychiatry Gen Med/ Geriatrics JR Plastocs JR Head and Neck Onc Churchill

Psychiatry GIM and Gastroenterology Geriatric medicine Head and Neck Onc Churchill Gen Med/ Geriatrics JR Plastics JR

Geriatric medicine Psychiatry GIM and Gastroenterology Plastics JR Head and Neck Onc Churchill Gen Med/ Geriatrics JR

Medicine CDU Intensive Care Gynaecology GP Emergency Medicine Horton Paediatric surgery JR

Gynaecology Medicine CDU Intensive Care Cardiology JR Paediatric surgery JR Public Health

Intensive Care Gynaecology Medicine CDU GP Trauma and Ortho NOC Cardiothoracic surgery JR

General Medicine General Surgery Ortho NOC Geriatric medicine (community) Emergency Medicine Horton

General Medicine General Surgery Emergency Medicine Horton Ortho NOC Geriatric medicine (community)

General Medicine General Surgery Geriatric medicine (community) Emergency Medicine Horton Trauma and Ortho NOC

General Medicine General Surgery Obs and Gynae JR Trauma and Ortho NOC GP

General Medicine General Surgery GP Obs and Gynae JR Trauma and Ortho NOC

General Medicine General Surgery Ortho NOC GP Obs and Gynae JR

General Medicine General Surgery Paediatrics Horton Haemtology Churchill GP

General Medicine General Surgery GP Paediatrics Horton Haemtology Churchill

General Medicine General Surgery Haemtology Churchill GP Paediatrics Horton

General Medicine General Surgery GP Cardiology A&E

General Medicine General Surgery Surgery Obs and Gynae Trauma and Ortho

General Medicine General Surgery Trauma and Ortho Paediatrics Obs and Gynae

General Surgery General Medicine Obs and Gynae Trauma and Ortho

General Surgery General Medicine A&E Respiratory medicine GP

General Surgery General Medicine GP A&E Respiratory medicine

General Surgery General Medicine Obs and Gynae Trauma and Ortho Paediatrics

General Surgery General Medicine Trauma and Ortho Surgery Obs and Gynae

General Surgery General Medicine Respiratory medicine GP A&E

General Surgery General Medicine Acute Medicine Trauma and Ortho Haematology

General Surgery General Medicine Haematology Acute Medicine Trauma and Ortho

General Surgery General Medicine Trauma and Ortho Haematology Acute Medicine

General Surgery General Medicine Trauma and Ortho Community Paediatrics Anaesthetics

General Surgery General Medicine Anaesthetics Trauma and Ortho Community Paediatrics

General Surgery General Medicine Community Paediatrics Anaesthetics Trauma and Ortho

F1 F2

Surgery Medicine Anaesthetics Ophthalmology JR Medicine Horton Psychiatry

Medicine Anaesthetics Surgery Medicine JR Psychiatry Ophthalmology JR

Anaesthetics Surgery Medicine Psychiatry Ophthalmology Medicine Horton

Surgery Medicine Adult Psychiatry Neurosurgery JR GP ENT JR

Adult Psychiatry Surgery Medicine ENT JR Neurosurgery JR GP

Medicine Adult Psychiatry Surgery Head and Neck Onc Churchill Histopathology JR General Medicine JR

Trauma and Ortho Medicine Haematology Obs and Gynae JR Neurology JR Public Health

Surgery Medicine GP Plastics JR Trauma and Ortho JR

Surgery Medicine Trauma and Ortho JR GP Plastics JR

Medicine Surgery Plastics JR Trauma and Ortho JR GP

Medicine Surgery GP Paediatrics Horton Cardiothoracic surgery JR

Medicine Surgery Paediatrics Horton Cardiothoracic surgery JR GP

Medicine Surgery Cardiothoracic surgery JR GP Paediatrocs Horton

Medicine Surgery Community Geriatrics Trauma and Ortho JR Cardiology JR

Surgery Medicine Cardiology JR Community Geriatrics Trauma and Ortho JR

Surgery Medicine Trauma and Ortho JR Cardiology JR Community Geriatrics

Medicine Surgery Neurology JR Public Health Obs and Gynae JR

Medicine Surgery Public health Obs and Gynae JR Neurology JR

Haematology Trama and Ortho Medicine Emergency Medicine Horton Paediatric surgery JR GP

Surgery Medicine Cardiology JR Obs and Gynae JR GP

Surgery Medicine Obs and Gynae JR GP Cardiology JR

Surgery Medicine GP Cardiology JR Obs and Gynae JE

Medicine Surgery General Medicine JR Head and Neck Onc Churchill Histopathology JR

Surgery Medicine Histopathology JR General Medicine JR Head and Neck Onc Churchill

Surgery Medicine Anaesthetics Community Geriatrics Neurosurgery JR Cardiothoracic surgery JR

Anaesthetics Surgery Medicine Cardiothoracic surgery JR Community Geriatrics Neurosurgery JR

Medicine Anaesthetics Surgery Neurosurgery JR Cardiothroacic surgery JR Community Geriatrics

Surgery Medicine Anaesthetics GP ENT JR Neurosurgery JR

Anaesthetics Surgery Medicine Maxillofacial surgery JR Old Age Psychiatry Churchill Neurology JR

Medicine Anaesthetics Surgery Old Age Psychiatry Churchill Neurology JR Maxillofacial surgery JR

Medicine Haematology Trauma and Ortho Neurology JR Maxillofacial surgery JR Old Age Psychiatry Churchill

Oxford University Hospitals

Buckinghamshire Healthcare

Heatherwood and Wexham Park

Milton Keynes

Hospital

Royal Berkshire

Welcome to the Big Grid

This will help you answer the question: ‘What do I want to do and where?’Below is a full list of the rotations the 2012-2014 intake of Founda-

tions doctors were able to pick from. What will 2013-2015 be like? Hon-estly, we can’t say. Populations change, as do the Trusts that serve them. What we can tell you is that these represent the typical mix and number of posts and locations within the Deanery to allow every trainee the access they need to clinical, research, teaching and management opportunities, and that won’t fundamentally alter over the next year.

When you apply to the Oxford Deanery, once you recieve a place for Foundation training, a new updated selection of rotations to rank will come your way, and despite any variations, we hope you will find useful the next part of the prospectus which explains what each post really entails.

The needs of our patients are constantly evolving, and we can be sure things will change, but below is a fair flavour of what you could be choosing from for 2013-2015.

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Medicine JR Surgery JR Intensive Care medicine A&E Surgery

Medicine JR Surgery JR Obs and Gynae Trauma and Ortho Medicine

Medicine JR Surgery JR Medicine Obs and Gynae Trauma and Ortho

Medicine JR Surgery JR Trauma and Ortho Medicine Obs and Gynae

Surgery JR Medicine Horton Adult Psychiatry Abingdon Gastro/ Rheum GP Surgery

Adult Psychiatry Abingdon Surgery JR Medicine Horton Surgery Gastro/ Rheum GP

Medicine Horton Adult Psychiatry Abingdon Surgery JR GP Surgery Gastro/ Rheum

Urology Churchill GIM and Geriatrics Horton Anaesthetics and ITU Horton Cardiology A&E GP

Anaesthetics and ITU Horton Urology Churchill GIM and Geriatrics Horton A&E GP Cardiology

GIM and Geriatrics Horton Anaesthetics and ITU Horton Urology Churchill Diabetes A&E Rehab medicine

Ortho with Academic NOC Paediatrics JR Anaesthetics and ITU JR Rehab medicine Diabetes A&E

Anaesthetics and ITU JR Ortho with Academic NOC Paediatrics JR A&E Rehab medicine Diabetes

Paediatrics JR Anaesthetics and ITU JR Ortho with Academic NOC Obs and Gynae A&E GP

Anaesthetics and ITU JR Bone Infection Unit NOC Clinical Oncology Churchill GP Obs and Gynae A&E

Clinical Oncology Churchill Anaesthetics and ITU JR Bone Infection Unit NOC A&E GP Obs and Gynae

Bone Infection Unit NOC Clinical Oncology Churchill Anaesthetics and ITU JR Gastroenterology Obs and Gynae GP

Surgery Care of the Elderly Paediatrics Emergency Medicine Horton Trauma and Ortho NOC GP

Paediatrics Surgery Care of the Elderly GP Emergency Medicine Horton Trauma and Ortho NOC

Care of the Elderly Paediatrics Surgery Trauma and Ortho NOC GP Emergency Medicine Horton

Surgery Gastroenterology Trauma and Ortho Cardiothoracic surgery JR Old Age Psychiatry Emergency Medicine Horton

Trauma and Ortho Surgery Gastroenterology Emergency Medicine Horton Cardiothoracic surgery JR Old Age Psychiatry

Gastroenterology Trauma and Ortho Surgery Old Age Psychiatry Emergency Medicine Horton Cardiothoracic surgery JR

Surgery Renal medicine Care of the Elderly Cardiology JR Geriatric medicine JR ENT JR

Care of the Elderly Surgery Renal medicine ENT JR Cardiology JR Geriatric medicine JR

Renal medicine Care of the Elderly Surgery Geriatric medicine JR ENT JR Cardiology JR

Surgery Care of the Elderly Urology GP Paediatrics JR Trauma and Ortho JR

Urology Surgery Care of the Elderly Trauma and Ortho JR GP Paediatrics JR

Care of the Elderly Urology Surgery Paediatrics JR Trauma and Ortho JR GP

Surgery Renal medicine Rheumatology General Medicine JR GP Chemical Pathology JR

Rheumatology Surgery Renal medicine GP Chemical Pathology JR General Medicine JR

Renal medicine Rheumatology Surgery Chemical Pathology JR General Medicine JR GP

Surgery Care of the Elderly Trauma and Ortho ENT Neonatology GP

Trauma and Ortho Surgery Care of the Elderly GP ENT Neonatology

Care of the Elderly Trauma and Ortho Surgery Neonatology GP ENT

Surgery Gastroenterology Respiratory medicine A&E Neonates GP

Respiratory medicine Surgery Gastroenterology GP A&E Neonates

Gastroenterology Respiratory medicine Surgery Neonates GP A&E

Academic Geriatric medicine Surgery Psychiatry A&E Clinical Haem/ Path/ Radiol Respiratory medicine

Surgery Psychiatry Academic Geriatric medicine Clinical Haem/ Path/ Radiol Respiratory medicine A&E

Psychiatry Academic Geriatric medicine Surgery Respiratory medicine A&E Clinical Haem/ Path/ Radiol

Surgery Diabetes and Endocrinology Anaesthetics Acute medicine A&E Palliative medicine

Anaesthetics Surgery Diabetes and Endocrinology Palliative medicine Acute medicine A&E

Diabetes and Endocrinology Anaesthetics Surgery A&E Palliative medicine Acute medicine

Urology Respiratory medicine Paediatrics Surgery ENT GP

Respiratory medicine Paediatrics Urology GP Surgery ENT

Paediatrics Urology Respiratory medicine ENT GP Surgery

Care of the Elderly Trauma and Ortho Rheumatology Obs and Gynae Platics GP

Trauma and Ortho Rheumatology Care of the Elderly GP Obs and Gynae Plastics

Rheumatology Care of the Elderly Trauma and Ortho Plastics GP Obs and Gynae

Care of the Elderly Urology Oncology Diabetes Emergency medicine Palliative care/ Rheum/ Rehab

Urology Oncology Care of the Elderly Palliative care/ Rheum/ Rehab Diabetes Emergency medicine

Oncology Care of the Elderly Urology Emergency medicine Palliative care/ Rheum/ Rehab Diabetes

F1 F2

Surgery JR Medicine JR Paediatric surgery JR A&E Trauma and Ortho Geriatric medicine

Paediatric surgery JR Surgery JR Medicine JR Trauma and Ortho Geriatric medicine A&E

Medicine JR Paediatric surgery JR Surgery JR Geriatric medicine A&E Trauma and Ortho

Surgery JR Medicine JR Paediatric surgery JR Trauma and Ortho Gastroenterology GP

Paediatric surgery JR Surgery JR Medicine JR GP Trauma and Ortho Gestroenterology

Medicine JR Paediatric surgery JR Surgery JR Gastroenterology GP Trauma and Ortho

Surgery JR Medicine JR Paediatric surgery JR GP Spinal medicine Respiratory medicine

Paediatric surgery JR Surgery JR Medicine JR Respiratory medicine GP Spinal medicine

Medicine JR Paediatric surgery JR Surgery JR Spinal medicine Respiratory medicine GP

Surgery Horton Medicine Horton Immunology JR Paediatrocs Rheumatology A&E

Immunology JR Surgery Horton Medicine Horton A&E Paediatrics Rheumatology

Medicine Horton Immunology JR Surgery Horton Rheumatology A&E Paediatrics

Medicine JR Surgery JR Paediatrics Obs and Gynae Trauma and Ortho

Medicine JR Surgery JR GP Geriatric medicine ENT

Medicine JR Surgery JR ENT GP Geriatric medicine

Medicine JR Surgery JR Geriatric medicine ENT GP

Medicine JR Surgery JR Spinal medicine Diabetes GP

Surgery JR Medicine JR GP Spinal medicine Diabetes

Surgery JR Medicine JR Diabetes GP Spinal medicine

Surgery JR Paediatrics JR Anaesthetics and ITU JR GP Obs and Gynae ENT

Anaesthetics and ITU JR Surgery JR Paediatrics JR ENT GP Obs and Gynae

Paediatrics JR Anaesthetics and ITU JR Surgery JR Obs and Gynae ENT GP

Medicine Horton Adult Psychiatry Warneford Urology Churchill Trauma and Ortho Geriatric medicine A&E

Urology Churchill Medicine Horton Adult Psychiatry Warneford A&E Trauma and Ortho Geriatric medicine

Adult Psychiatry Warneford Urology Churchill Medicine Horton Geriatric medicine A&E Trauma and Ortho

Surgery JR Medicine Horton Public Health Surgery Trauma and Ortho Geriatric medicine

Public Health Surgery JR Medicine Horton Geriatric medicine Surgery Trauma and Ortho

Medicine Horton Public Health Surgery JR Trauma and Ortho Geriatric medicine Surgery

Surgery Horton Medicine Horton Ortho with academic NOC Acute Medicine Obs and Gynae A&E

Ortho with academic NOC Surgery Horton Medicine Horton Obs and Gynae A&E Acute Medicine

Medicine Horton Ortho with academic NOC Surgery Horton A&E Acute Medicine Obs and Gynae

Surgery JR Medicine JR Cardiology Paediatrics Obs and Gynae

Surgery JR Medicine JR Paediatrics Obs and Gynae Cardiology

Surgery JR Medicine JR Obs and Gynae Cardiology Paediatrics

Surgery JR Medicine JR Gastroenterology A&E Obs and Gynae

Surgery JR Medicine JR A&E Obs and Gynae Gastroenterology

Surgery JR Medicine JR Obs and Gynae Gastroenterology A&E

Surgery JR Medicine JR Trauma and Ortho Respiratory medicine Psychiatry

Surgery JR Medicine JR Respiratory medicine Psychiatry Trauma and Ortho

Surgery JR Medicine JR GP A&E Obs and Gynae

Surgery JR Medicine JR Obs and Gynae GP A&E

Surgery JR Medicine JR A&E Obs and Gynae GP

Surgery JR Medicine JR Suregy ENT GP

Surgery JR Medicine JR Psychiatry Respiratory medicine Trauma and Ortho

Medicine JR Surgery JR Geriatric medicine Neonatology GP

Medicine JR Surgery JR GP Geriatric medicine Neonatology

Medicine JR Surgery JR Neonatology GP Geriatric medicine

Medicine JR Surgery JR A&E ENT Neonatology

Medicine JR Surgery JR ENT Neonatology A&E

Medicine JR Surgery JR Neonatology A&E ENT

Medicine JR Surgery JR Surgery Intensive Care medicine A&E

Surgery JR Medicine JR A&E Surgery Intensive Care medicine

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Care of the Elderly Trauma and Ortho Psychiatry Plastics JR Urology Churchill Oncology Churchill

Trauma and Ortho Psychiatry Care of the Elderly Oncology Churchill Plastics JR Urology Churchill

Psychiatry Care of the Elderly Trauma and Ortho Urology Churchill Oncology Churchill Plastics JR

Surgery Cardiology Urology Psychiatry ENT JR Emergency Medicine JR

Urology Surgery Cardiology Emergency Medicine JR Psychiatry ENT JR

Cardiology Urology Surgery ENT JR Emergency Medicine JR Psychiatry

Surgery Cardiology Anaesthetics Community Geriatrics Neuro ICU JR Urology/ Transplant Churchill

Anaesthetics Surgery Cardiology Urology/ Transplant Churchill Community Geriatrics Neuro ICU JR

Cardiology Anaesthetics Surgery Neuro ICU JR Urology/ Transplant Churchill Community Geriatrics

Gen Surg/ Urology Traume and Ortho Medicine A&E Palliative medicine Obs and Gynae

Gen Surg/ Urology Traume and Ortho Medicine Obs and Gynae A&E Palliative medicine

Gen Surg/ Urology Traume and Ortho Medicine Palliative medicine Obs and Gynae A&E

Trauma and Ortho Gen Surg/ Urology Medicine Traume and Ortho Gastroenterology GP

Trauma and Ortho Gen Surg/ Urology Medicine Gastroenterology GP Trauma and Ortho

Trauma and Ortho Gen Surg/ Urology Medicine GP Trauma and Ortho Gastroenterology

Medicine Gen Surg/ Urology Trauma and Ortho Surgery A&E GP

Medicine Gen Surg/ Urology Trauma and Ortho GP Surgery A&E

Medicine Gen Surg/ Urology Trauma and Ortho A&E GP Surgery

Medicine Trauma and Ortho Gen Surg/ Urology Community Geriatrics Paediatric surgery JR Haematology Churchill

Medicine Trauma and Ortho Gen Surg/ Urology Haematology Churchill Community Geriatrics Paediatric surgery JR

Medicine Trauma and Ortho Gen Surg/ Urology Paediatric surgery JR Haematology Churchill Community Geriatrics

Gen Surg/ Urology Traume and Ortho Medicine Intensive Care JR ENT JR Psychiatry

Gen Surg/ Urology Traume and Ortho Medicine Psychiatry Intensive Care JR ENT JR

Trauma and Ortho Gen Surg/ Urology Medicine ENT JR Psychiatriy Intensive Care JR

Trauma and Ortho Gen Surg/ Urology Medicine Emergency Medicine GP Haemophilia Churchill

Medicine Gen Surg/ Urology Trauma and Ortho Haemophilia Churchill Emergency Medicine Horton GP

Medicine Gen Surg/ Urology Trauma and Ortho GP Haemophilia Churchill Emergency Medicine Horton

Medicine Trauma and Ortho Gen Surg/ Urology Renal medicine Churchill Geriatric medicine JR Maxillofacial surgery JR

Medicine Trauma and Ortho Gen Surg/ Urology Maxillofacial surgery JR Renal medicine Churchill Geriatric medicine JR

Medicine Gen Surg/ Urology ID and Respiratory Public Health Cardiology JR Paediatric surgery JR

Medicine ID and Respiratory Gen Surg/ Urology Paediatric surgery JR Public Health Cardiology JR

Gen Surg/ Urology ID and Respiratory Medicine Geriatric medicine JR Maxillofacial surgery JR Renal medicine Churchill

ID and Respiratory Gen Surg/ Urology Medicine Paediatrics JR Neurosurgery JR Trauma and Ortho JR

Gen Surg/ Urology Medicine Infectious Diseases Trauma and Ortho JR Paediatrics JR Neurosurgery JR

Infectious Diseases Gen Surg/ Urology Medicine Neurosurgery JR Trauma and Ortho JR Paediatrics JR

Medicine Infectious Diseases Gen Surg/ Urology Paediatric surgery JR GP Emergency Medicine Horton

Neonates and Paediatrics Medicine Cardiothoracic surgery JR GP Trauma and Ortho NOC

Medicine Neonates and Paediatrics Orthopaedics NOC Cardiothoracic surgery JR GP

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Oxford Foundation School Prospectus

Documents

Transcript of Oxford Foundation School Prospectus