Rotation 1
Geriatric Medicine (COTE)
Dr Sion Jones / Dr Sally Jones / Dr S Elghenzai
ES/CS:
What type of work to expect and learning opportunities:
• General Medicine • MDT working • Medical Grand Rounds • Ward Rounds • COTE Teaching • Acute unselected takes • Medical Emergencies
In Older adults care we offer an experience in older people Neurological disease like Parkinson's disease, Dementia , Multisystem atrophy and Neuro-psychological disorders in older people. Acute Stroke care, some of the F1 may be given the opportunity to spend some time in the Excellent Acute Stroke Unit in YG.
You will learn about Thrombolysis in stroke, Thrombectomy and treatments of acute TIA, Stroke Complications and rehabilitation techniques etc.
You will also learn about CT interpretations.
Your Main Duties: • MDTs • Managing acute medical problems • Ward Rounds • Managing frailty and complexity • Discharge Planning
Your typical working pattern in this placement could be:
Typical working pattern in this post e.g. ward rounds, clinics, theatre sessions Daily/weekly/monthly (if applicable)
Monday
Ward Round (Independent) Ward Work
Tuesday
Consultant Ward Round MDT COTE Teaching Ward Work
Wednesday Thursday Friday
Ward Round (Independent) Ward Work
Thursday
Middle Grade Ward Round, Ward Work
Friday
Consultant Ward Round, Grand Round
On call duties will be as part of the acute, unselected medical take.
There are no night duties and it will attract a 1B banding.
It is important to note that this description is a typical example of your placement and may be subject to change.
Rotation 2
Respiratory Medicine
ES/CS:
Dr N Skehan
What type of work to expect and learning opportunities:
During your time with us you will work as part of a friendly team on a busy General Internal Medicine and Respiratory ward. You will learn about the management of acute and chronic respiratory diseases in a supportive training environment.
Your typical working pattern in this placement could be:
Monday
Consultant Ward Round
Tuesday
Ward Work/ Mandatory Training
Wednesday
Board Round/ Ward Work
Thursday
Consultanty Ward Round/Radiology
Friday
Ward Duties/ Grand Round
On call duties will be as part of the acute, unselected medical take.
There are no night duties and it will attract a 1B banding.
It is important to note that this description is a typical example of your placement and may be subject to change.
Rotation 3
Colorectal Surgery
ES/CS:
Mr B Chaudhary / Mr A Lala / Mr C Holden / Mr G Whiteley / Mr T Garsaa / Mr N Abdullah
What type of work to expect and learning opportunities:
The Department of General and Colorectal Surgery comprises of 8 consultants. There are 4 F1s in the
department, each of whom is allocated to a team of two consultants. During this rotation you will gain
experience in the management of common acute and elective General and Colorectal conditions. The
placement will allow you to develop the majority of the competencies required in the F1 curriculum.
Clinical duties are as follows:
• Initial assessment and management of emergency surgical admissions
• Maintaining hospital notes and drug charts
• Prescribing drugs and IV fluids
• Requesting referrals to other services
• Exposure to surgery in the operating theatre
• Initial assessment and management of ward patients who become unwell
• Assisting with ward rounds
• Preparing discharge summaries
• Preparing patients for surgery
• Participation in audit and morbidity /mortality presentations
• Communication with patients and their relatives
• Requesting investigations, documenting results and acting upon them
• Team working • Fulfil requirements of the placement e.g. CBD, mini CEX, DOPs
Your typical working pattern in this placement could be:
You will participate in a 1 in 8 on-call day time rota with your own team and remain with the same team to
support post-take ward work. This allows you to experience the whole patient journey while managing
common acute surgical conditions. Once every 4 weeks, you will be allocated time to join the operating
theatres, endoscopy and clinics with your clinical supervisor.
There are no night duties and this post attracts a 1B banding.
It is important to note that this description is a typical example of your placement and may be subject to change.
F2
Post Numbers:
103a
103b
103c
Rotation 1
Emergency Medicine (ED)
ES/CS:
Dr R Talbot / Dr R Griffiths / Dr R Perry
What type of work to expect and learning opportunities:
You will work as part of the Emergency Department’s multi-disciplinary team which includes consultants, SHOs (F2, ACCS, GP training and “F3”), Middle grades/Registrars, Emergency and Advanced Nurse Practitioners, Physiotherapists and many more.
You will see patients with a wide range of acute and emergency presentations and have the opportunity to experience everything from the management of minor injuries to the resuscitation of some of the sickest patients in the hospital. Getting to see everything from small babies to the old and frail, this post will give any doctor a good foundation for their future career.
You will be encouraged to attend the department’s weekly junior doctor teaching programme as well as being given opportunities to be involved in monthly mortality and morbidity meetings, audit and other governance related activities.
Your Main Duties:
In the morning, you will accompany the consultant on the department’s five bedded observation unit ward round. Once the ward round is done and any jobs completed, there should plenty of time for you to see new patients in the Emergency Department (ED), under supervision. Depending on the day you could be working in Minors, Paediatrics, Majors or Resus.
Your typical working pattern in this placement could be:
In the morning, you will accompany the consultant on the department’s five bedded observation unit ward round. Once the ward round is done and any jobs completed, there should plenty of time for you to see new patients in the Emergency Department (ED), under supervision. Depending on the day you could be working in Minors, Paediatrics, Majors or Resus.
This job is 9-5 Monday to Friday and therefore unbanded. There is sadly no possibility for you to pick up locum shifts in the ED, however there may possibilities for extra internal locum F1 shifts in medicine or surgery if they are short.
It is important to note that this description is a typical example of your placement and may be subject to change.
Rotation 2
Intensive Care
ES/CS:
Dr C Thorpe
What type of work to expect and learning opportunities:
4 months in intensive care will give you the chance to join an enthusiastic cheerful team and develop your skills in looking after critically ill patients.
You will be extremely well supported and will be an integral part of the team. You will learn loads and have a great time – the unit is a perfect size and we see a wide range of patients but not be overwhelming.
It is important to note that this description is a typical example of your placement and may be subject to change.
Rotation 3
Psychiatry
ES/CS:
Dr E Van Diepen
What type of work to expect and learning opportunities:
During this placement, you will be exposed to 2.5 days of Liaison Psychiatry( assessing and reviewing people presenting with mental health issues in A&E and general wards at Ysbyty Gwynedd) and 2 days of Forensic Psychiatry(reviewing inpatients in the medium secure unit in Ty Llwellyn and opportunities to shadow consultant assessing people in other settings including prisons). During your on-calls you will be involved in the care of inpatients, provide support to the liaison and home treatment team.
You are expected to work with curiosity and exhibiting genuine interest in the lives of the people that you
review; becoming involved in the multidisciplinary working as a valued team member. There will be opportunity to be involved in medical education (presenting cases/papers in the divisional teaching session, providing teaching sessions to medical students and nurse prescribers) and quality improvement project.
There is also weekly supportive Balint Group for you and the other junior doctors
(https://balint.co.uk/about/introduction/).
It is important to note that this description is a typical example of your placement and may be subject to change.