Peninsula Foundation School Individual Placement Descriptions ...

Peninsula Foundation School 

Individual Placement Descriptions – South Devon 

Placement 

The department 

The type of work to expect 

and learning opportunities 

Acute Medicine (Emergency Assessment Unit) 

The EAU houses patients admitted under the care of medicine, 

surgery or the emergency department. The priority is care of the 

patient at the early part of their stay, which begins with their initial 

admission assessment and continues through to patient discharge 

or specialty ward transfer with appropriate discharge 

summary/handover. EAU juniors work with on-call staff, nursing 

teams and the multi-disciplinary team to support this patient 

pathway within the Emergency Department and EAU. Admission 

avoidance rapid assessment medical clinics are also run on EAU. 

Core principals of EAU include good communication, multidisciplinary 

working, safe care for all patients, quality improvement 

and the adoption of best practice. 

Staffing: 12 EAU F1s and 4 acute medical consultants make up 

the immediate team. However, this sits within a larger team of 

EAU/Emergency Department nurses and doctors. There is also a 

unit based team of therapists, health and social care workers, 

pharmacists and pharmacy technicians. Visiting specialty doctors 

and specialty nurses also support and advise the team. 

To be able to assess patients using history-taking and 

examination 

To identify diagnoses and problems and initiate appropriate 

management 

To prescribe safely and keep an accurate and relevant 

medical record 

To communicate and handover effectively using the Trust 

communication tool (SBAR- situation, background, 

assessment and recommendation) 

To recognise and manage the deteriorating patient 

To take an active role in discharge planning and 

communication with GPs and community services 

To access specialist services for patients when required 

To support the safety agenda of EAU via good practice e.g. 

completion of venous thromboembolism assessments and 

prescriptions 

To work with visiting specialist doctors and nurses to 

provide patient care 

To assist in the development of new systems or processes

that improve patient care 

To help in improving the function of the unit. This includes 

being aware of the productive unit project goals. 

To embrace new guidelines or systems being piloted or 

rolled-out on EAU 

To support medical students and 6 th form students working 

on the unit 

To prepare and present a case/topic at the EAU weekly 

educational session 

To participate in morbidity and mortality data review 

To work flexibly across EAU roles when needed 

Educational/Learning Opportunities: 

Daily consultant supervision from acute medical and emergency 

department consultants on EAU provides consistent on-the-job 

teaching. The daily multi-disciplinary board rounds are a unique 

opportunity to learn from other specialists and allied healthcare 

professionals. There is a dedicated F1 teaching session weekly at 

which each F1 presents. F1s are encouraged to attend the medical 

directorate educational meeting each Monday, which includes 

sessions on clinical audit and clinical governance. There are also 

opportunities to present at this meeting. We encourage 

participation in quality improvement projects while working on EAU 

and provide support and advice for F1s completing these. We 

have a track record of F1s presenting their work within the hospital 

at both clinical and service development forums and also 

presenting at national conferences. 

Where the placement is 

based 

Clinical Supervisor(s) for 

the placement 

Typical working pattern in 

this placement 

Employer information 

Torbay Hospital, Lawes Bridge, Torquay TQ2 7AA 

To be confirmed on commencement 

Fixed 12 week rota covering surgical admissions, medical 

admissions and care of Emergency Assessment Unit patients. 

Combination of early and late shifts on weekdays. 1 in 6 cover of 

medical/surgical admissions at weekends and a 1 in 12 

commitment to weekend cover of medical ward patients. Out of 

hours work is always supported by on-site SHO and SpR. Acute 

medicine consultants provide senior EAU cover on Saturdays and 

Bank Holidays with plans to make this cover 7 days a week in 

2012. 

Please see separate information sheet ‘general trust information’ 

http://www.sdhct.nhs.uk/ 

Placements are all subject to change.


Cardiology 

The department The Cardiology Department at Torbay Hospital provides a 24/7 

specialty on-call service and has a busy programme of elective, 

urgent and emergency angiography, angioplasty, temporary and 

permanent pacing, and cardioversion as well as additional 

diagnostic services such as echocardiography and CT coronary 

angiography. Patients are looked after by the Cardiology service 

in the Coronary Care Unit, Chest Pain Unit and the cardiology beds 

on Dunlop ward. The CCU is used predominantly for patients with 

high risk acute coronary syndromes, life threatening arrhythmias 

and acute, severe heart failure. Patients with lower risk acute 

coronary syndromes or unexplained chest pain are typically 

admitted to the CPU. Dunlop ward is used for patients leaving the 

CCU or CPU, or patients with chronic heart failure, endocarditis, 

non-threatening arrhythmias and general medical problems. 

Staffing: Six Consultants; Dr C Carey, Dr P Keeling, Dr I Mahy, Dr 

G Gribbin, Dr D Felmeden and Dr W Taggu 

The type of work to expect 

and learning opportunities 

Two Specialty trainees, four SHO equivalents and two F1 doctors 

The primary role of the F1 trainee in the department is to care for 

the Cardiology patients on Dunlop ward. This role includes: 

Liaison with the nursing staff on arrival to determine clinical 

priorities for the day 

Updating of the ward patient lists 

Preparing the cases of new patients for presentation on the 

daily consultant ward rounds 

Recording the diagnoses reached and actions required on 

the consultant ward round 

Reviewing any patient not seen on the daily consultant 

round either independently or with the ward based SHO or 

registrar 

Creating, recording and enacting a list of tasks required for 

each patient 

Seeking help as and when the clinical situation requires 

more senior input – IF IN DOUBT, ASK 

Responding to test results with further action as appropriate 

Planning and requesting the blood tests required over the 

following day or days 

In addition the role requires clerking patients admitted via the 

angiography suite for elective cardiac procedures


In addition to the generic skills associated with hospital medicine 

this post offers the opportunity to become familiar with common 

cardiac conditions and their management. There are also 

opportunities to: 

Observe cardiac procedures 

Become directly involved in the Cardioversion service 

Present cases/articles/research at the departmental meeting 

Where the placement is 

based 

Clinical Supervisor(s) for 

the placement 

Typical working pattern in 

this placement 




There is no commitment to the Cardiology on-call service but the 

role does involve contributing to the medical on-call service 

Please see separate information sheet ‘general trust information’ 


Placements all subject to change



Colorectal Surgery 

The Colorectal Department at Torbay Hospital is a thriving 

and successful department. It consists of 5 consultant 

surgeons and an appropriate junior medical team. We are 

well staffed with Nurse consultants, specialist nurse 

practitioners, biofeedback nurses, stoma care nurses, 

cancer support staff and secretarial support. 

We cover all aspects of colorectal surgery and 

coloproctology including colorectal cancer, inflammatory 

bowel disease and pelvic floor disorders. All aspects of 

open, laparoscopic and robotic surgery are offered. We 

work closely with the gastroenterolgy department and are 

well supported in this area, including a nutrition team. The 

Endoscopy department is a particular strength as a 

training and pilot centre for screening. There are weekly 

academic meetings and multidisciplinary team meetings 

for cancer and IBD patients. Pelvic floor MDT meetings 

take place monthly. 

In addition to the elective workload the department takes 

5/7 of the emergency workload on a weekly "hot week" 

system. This gives good exposure to emergency and 

elective work. Part of the trainees timetable is a CEPOD 

day of protected operating incorporated into the hot week 

system, there are no other commitments on this day. 

Staffing: Mr Defriend, Consultant 

Mr Mitchell, Consultant 

Mr Kenefick, Consultant 

2 x F1s 

1 x F2 

1 x CT1 

2 x SpRs 

The type of work to expect and 

learning opportunities 

Update the patient list in preparation for the daily 

ward round starting at 8am. 

Include any ‘hot week’ patients on the list as well 

as the Colorectal patients. 

Carry out the F1 jobs listed in the Surgical Doctors 

Book on the ward.

Take bloods. 

Copy bloods in to the Blood Folder. 

Attend theatre/clinics 


To take a history and conduct a clinical 

examination relevant to patients with lower GI 

disease. 

To understand the important interaction of nutrition 

and lower GI surgery and the methods of 

assessing nutritional status and providing 

nutritional support. 

To understand the role of endoscopic and 

radiological investigation of the lower GI tract. 

To work as part of a multidisciplinary team and 

understand the roles of specialist nursing 

colleagues, gastroenterologists, radiologists, 

pathologists and oncologists in managing the 

common benign and malignant lower GI diseases. 

To learn to identify co morbidity and risk factors 

important in the causation of lower GI disease and 

the outcomes of surgical management. 

Where the placement is based 

Clinical Supervisor(s) for the 

placement 

Typical working pattern in this 

placement 




EWTD compliant 

Please see separate information sheet ‘general trust 

information’ 


Placement subject to change



Gastroenterology 

The Gastroenterology Team are based on Allerton Ward 

with outliers on Cromie Ward. The team is led by 5 

Consultants. Each Consultant is rostered as the ‘GOD’ 

Gastroenterologist of the Day. 

The Endoscopy Unit carries out a full range of diagnostic 

and therapeutic endoscopic procedures, as well as other, 

non-endoscopic procedures for both outpatients and 

inpatients. 

The diagnostic and therapeutic upper and lower 

gastrointestinal endoscopy procedures are carried out by 

Gastroenterologists, Surgeons, and Nurse Endoscopists 

and GP practitioners. 

Staffing: Dr Lowes, Consultant 

Dr George, Consultant 

Dr Feeney, Consultant 

Dr Edwards, Consultant 

Dr Elamin, Consultant 

Dr Ramnarace, Consultant 

2 x F1s 

3 x F2s 

1 x CT1 

2 x SpRs 



Ward cover of Allerton Ward. 

Start at approx. 8.15am/8.30am each day. 

Start each day by going up to the ward and printing 

off the patient list, adding any patients that were 

admitted overnight. 

Check the patient’s notes to prepare for the Ward 

Round. 

Check patients on the outlier ward. 

Present patients at the Consultant ward rounds – 

Daily run by the SpR or Consultant. 

Check the ‘Medical Job’s book’ on the ward.

Update the Blood results folder. 

Attend Radiology Meeting every Thursday at 

8.30am. 


To provide the trainee with specific clinical skills, 

knowledge and attitude to be able to treat common 

gastrointestinal emergencies e.g. 

• liver failure 

• GI haemorrhage 

• Acute colitis 


knowledge and attitude to be able to investigate 

common gastrointestinal symptoms e.g. 

• Diarrhoea 

• Weight loss 

• Anaemia 

• Abdominal pain. 

To appreciate the harmful effects of alcohol and to 

be able to counsel regarding safe drinking levels. 

To understand the principles of, complications of 

and different routes of nutritional support provided 

on the GI ward in conjunction with the Nutrition 

support team. 



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The department ensures the F1 post will comply with all 

the standards agreed in the PGMDE contract and will fulfill 

the EWTD and New Deal hour’s requirements. 




Placements subject to change





General Internal Medicine (Care of the Elderly and 

General Medicine) 

28 bedded ward looking after acutely ill elderly and 

general medical patients. 2 consultants will be caring for 

patients on the ward at any one time. Firm is split into two 

teams with 14 beds each. Also look after outlying medical 

patients on 3 other wards, in conjunction with the other 

elderly care team and the stroke team. Consultants do 2 

formal ward rounds each week and see new and sick 

patients daily. Consultants are readily contactable by 

phone and cover each others problems when required. 

Staffing: 2 Consultants, 1 Registrar, 1 ST2, 1GPST2, 1 

F2, 2F1s 

Day to day management of patients on the ward. (Review 

patients, request test, check and interpret results, review 

drug charts and prescribe medications and IV fluids) 

Perform practical procedures (good opportunity for DOPS) 

Present brief summary of cases at the daily board round 

(daily MDT meeting for planning discharge and care) 

Liaise with Nursing staff and other members of the MDT 

(physio, OT, SALT, Pharmacist) 

Talk to patients and relatives 

Discuss cases with other specialities (radiology/ 

microbiology etc) 

Maintain ward patient list 

Talk to GPs to gain information about patient or inform 

about discharge plans/problems 

Keep consultants appraised of problems (especially if you 

are worried) 

ENJOY THE FIRM 


1. Monday 8.30 am X-Ray meeting – good 

opportunity to learn about interpretation of x-ray 

and imaging. Helps improve knowledge about 

value of various tests and how best to investigate 

problems. 

2. Monday 13.00 Medical unit educational meeting, 

Case presentation, Audit and Mortality/ Morbidity 

meeting 

3. Thursday 12.00-14.00 F1 Teaching

(Compulsory!!!) 

4. Friday 13.00 COTE meeting - Presentations by 

different members of the team (on subject of their 

choice). Good opportunity to improve presentation 

skills in a friendly environment (also good way of 

covering some of the non-clinical subject on the 

portfolio!). 

5. Teaching on ward rounds;- ask questions and 

discuss management options. 

6. To provide the trainee with specific clinical skills, 

knowledge and attitude to be able to 

investigate/treat common care of the elderly 

problems e.g. 

• Acute and chronic confusion 

• Recurrent Falls 

• Polypharmacy 

• Dementia 

• Parkinson’s Disease 

• Multiple pathology 

• Osteoporosis 

7. To enable the trainee to appreciate:- 

• the multi-disciplinary nature of 

COTE care 

• end of life issues 



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• non-specific presentation of disease 

in elderly 




the standards agreed in the PGMDE contract and will fulfil 







Geriatric Medicine (Care of the Elderly and General 

Medicine) 

The department 28 bedded ward looking after acutely ill elderly patients. 3 

consultants, two of whom will be caring for patients on the 

ward at any one time. Firm is split into two teams with 14 

beds each. Also look after outlying medical patients on 3 

other wards. Consultants do 2 formal ward rounds each 

week and see new and sick patients daily. Consultants 

are readily contactable by phone and cover each other’s 

problems when required. 



Staffing: 3 Consultants, 1 Registrar, 1 ST2, 1GPST2, 1 

F2, 2F1s 

Day to day management of patients on the ward. (Review 

patients, request test, check and interpret results, review 

drug charts and prescribe medications and IV fluids) 

Perform practical procedures (good opportunity for DOPS) 

Present brief summary of cases at the daily board round 

(daily MDT meeting for planning discharge and care) 

Liaise with Nursing staff and other members of the MDT 

(physio, OT, SALT, Pharmacist) 

Talk to patients and relatives 

Discuss cases with other specialities (radiology/ 

microbiology etc) 

Maintain ward patient list 

Talk to GPs to gain information about patient or inform 

about discharge plans/problems 

Keep consultants appraised of problems (especially if you 

are worried) 

ENJOY THE FIRM 


3. Monday 8.30 am X-Ray meeting – good 

opportunity to learn about interpretation of x-ray 

and imaging. Helps improve knowledge about 

value of various tests and how best to investigate 

problems. 

4. Monday 13.00 Medical unit educational meeting, 

Case presentation, Audit and Mortality/ Morbidity 

meeting 

8. Thursday 12.00-14.00 F1 Teaching 

(Compulsory!!!)

9. Friday 13.00 COTE meeting - Presentations by 

different members of the team (on subject of their 

choice). Good opportunity to improve presentation 

skills in a friendly environment (also good way of 

covering some of the non-clinical subject on the 

portfolio!). 

10. Teaching on ward rounds; ask questions and 

discuss management options. 

11. To provide the trainee with specific clinical skills, 

knowledge and attitude to be able to 

investigate/treat common care of the elderly 

problems e.g. 

• Acute and chronic confusion 

• Recurrent Falls 

• Polypharmacy 

• Dementia 

• Parkinson’s Disease 

• Multiple pathology 

• Osteoporosis 

12. To enable the trainee to appreciate:- 

• the multi-disciplinary nature of 

COTE care 

• end of life issues 



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• non-specific presentation of disease 

in elderly 









Placement subject to change



General Surgery (Vascular) 

Managing patients with vascular conditions such as: 

Aneurysm: Open + EVAR 

Carotid Artery Surgery 

Peripheral vascular disease 

Venous pathology 

Staffing: 

Mr Ian Currie, Consultant 

Mr Rob McCarthy, Consultant 

1 x SpR 

1 x CT 

1 x F1 

1 x Vascular Practitioner 

1 x Vascular Nurse 



Vascular Imaging Department 

The F1 will be based on Forrest Ward and take part in the 

on call rota for general surgery. The F1 is responsible for 

the vascular inpatients and the other general surgery 

patients on the ward. 



examination relevant to patients with peripheral 

vascular and venous disease. 

To identify relevant coexisting conditions which 

may be associated with the causation of vascular 

disease or affect vascular surgical outcomes. 

To understand the positive and negative outcomes 

associated with screening for aortic aneurysms. 

To work as part of a multidisciplinary team 

alongside specialist nursing and radiological / 

general medical colleagues. 

Attendance at departmental teaching (currently 

Thursday mornings). 

Experience of general surgery – especially

emergency surgery. 



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Attend Vascular clinics for one to one supervision 

and teaching. 



Routine 8am-5pm plus on-calls as per the general surgery 

rota. 







Haematology (Haematology and Oncology) 

The Haematology department treats inpatient and 

outpatient patients with blood cell cancers, clotting 

disorders, haemoglobinopathies, immune blood disorders, 

other bone marrow disorders and bone marrow 

transplantation. The team also manages a haematology 

laboratory running routine tests such as blood counts as 

well as more specialised tests such as thrombophilia 

screens. 

The oncology department treats patients with a wide 

range of cancers both with chemotherapy and 

radiotherapy. 

The team are based on Turner Ward, the haematology 

and oncology ward and the Ricky Grant Day Centre Unit, 

providing treatment such as chemotherapy and review of 

cancer patients receiving treatment. 

Staffing: 

Dr Steve Smith, Consultant 

Dr Deborah Turner, Consultant 

Dr Patrick Roberts, Consultant 

Dr Nichola Rymes, Consultant 

1 x Associate Specialist 

1 x Staff Grade 

Oncologists 

1 x F1 

2 x F2 

1 x GPST2 

1 x CT2 



1 x SpR 

Clerking and presenting patients on Turner Ward – ward 

rounds are typically every Monday, Wednesday and 

Friday. 

Daily review of patients on the ward. 

Carrying out patient reviews on Ricky Grant. 

Ordering blood products and platelets.

Organise bloods to be taken (list of different bloods for 

different days). 

Review bloods. 

Attend MDT meetings on Wednesdays. 

Teaching and supporting medical students. 

Medical on-call. 


To provide the trainee with the knowledge, skills and 

attitude to be able to break bad news. 


knowledge and attitude to be able to:- 

Manage emergencies, e.g. cord compression, neutropenic 

sepsis, hypercalcaemia. 

Venepuncture and cannulation. 

Basic understanding of non-malignant haematological 

problems, e.g. transfusion, anticoagulation. 

Basic understanding of malignancies, haematology and 

oncology. 

By attending out patients, have an introduction to chronic 

haematological diseases and long term monitoring of 

patients. 



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9am-5pm, Monday to Friday. 

Medical on-call – lates and weekends out of hours. One 

weekend a month. 







Intensive Care (ICU) 

F1’s in the Peri-Operative Care post will be part of the 

Critical Care Team, but have the opportunity to work in a 

variety of clinical settings. 

Critical Care Unit and Outreach: Day starts with a ward 

round where you will gain experience of reviewing critically 

ill patients and liasing within a multidisciplinary team. 

Specific tasks may be allocated at this time, such as 

organising investigations and liaison with other specialties. 

The post also offers many opportunities for gaining 

experience and confidence with a variety of clinical 

procedures. The F1 may be part of the cardiac arrest 

team, and attend all arrest calls during normal working 

hours when on call. The Peri-Operative F1will have also 

have the opportunity to accompany the Critical Care 

Outreach team and help undertake the assessment of 

acutely ill medical and surgical patients on the wards. 

Theatres: During the attachment F1’s will be encouraged 

to attend theatre sessions under the supervision of a 

consultant anaesthetist in order to gain insight into the pre, 

peri and post operative management of elective and 

emergency surgical patients. Some of this time will 

hopefully be spent in the Day Surgery Unit in order to 

highlight the differences between inpatient and day 

surgery pathways. 

Pre-operative Assessment Clinic: This will include 

attending nurse run clinics and consultant run high-risk 

assessment clinics. 

Acute Pain Team: By accompanying the acute pain team 

the F1 will gain an insight into the options for management 

of post operative pain. 

Staffing: 

Dr Campbell – Clinical Director 

Critical Care Consultants – Dr Walker / Dr Swart / Dr 

Ingham / Dr Carlisle / Dr Mercer / Dr Halkes / Dr Snow / Dr 

Montgomery / Dr Halkes/ Dr Guest 

Critical Care Associate Specialist: Dr Wright 

Anaesthetists – Dr Ali / Dr Ackers / Dr Bainton / Dr 

Blackshaw / Dr Campbell / Dr Fearnley / Dr Gunatilleke / / 

Dr Hearn / Dr Houghton / Dr Human / Dr Ingham / Dr 

Islam / Dr Magides / Dr Matthews / Dr Mercer / Dr 

Montgomery / Dr Natusch / Dr Norley / Dr Norman / Dr

Snow / Dr Stocker / Dr Swart / Dr Thorn / Dr Varvinskiy / 

Dr Walker / Dr Islam / Dr Margetts / Dr Griffin 

3 Associate Specialists 

2 Staff Grades 

9 Specialists Registrars 



Critical Care Unit and Outreach: Day starts with a ward 

round where you will gain experience of reviewing critically 

ill patients and liasing within a multidisciplinary team. 

Specific tasks may be allocated at this time, such as 

organising investigations and liaison with other specialties. 

The post also offers many opportunities for gaining 

experience and confidence with a variety of clinical 

procedures. The F1 may be part of the cardiac arrest 

team, and attend all arrest calls during normal working 

hours when on call. The Peri-Operative F1will have also 

have the opportunity to accompany the Critical Care 

Outreach team and help undertake the assessment of 

acutely ill medical and surgical patients on the wards. 


To gain the knowledge, competencies and skills to 

recognise the critically ill and:- 

• Immediately assess and 

resuscitate if necessary. 

• Formulate a differential 

diagnosis and refer as appropriate. 

• Select appropriate 

investigations and interpret results. 

• Communicate the diagnosis 

and prognosis reassess as 

appropriate. 

To understand and respect the role of other 

professions and specialties in the initial 

management of acutely ill patients. 

Practical skills such as pleural aspiration, taking 

and interpreting blood gases, lumbar puncture, 

central venous access, advanced airway 

management. 

Gain knowledge and understanding of the 

principles and practice of the organisation of Day 

Surgery management. 

Pre-operative assessment and 

preparation/resuscitation for theatre. 

Pre-operative care, including airway control and 

fluid management. 

Post-operative care, oxygen and fluid therapy; 

analgesia including PCA and epidural 

management. 

Communication skills: including history taking,

ward-round presentation, and imparting 

information to patients, discussions with medical 

and nursing staff. 

Practical procedures: i.v. Cannulation, arterial and 

CVP line insertion, advanced airway skills, lumbar 

puncture, and chest drains insertion. 

Interdisciplinary clinical care within the critical care 

environment. 



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Paediatrics 

Acute hospital services and community child health 

services. 

In patient care on 22 bed paediatric ward, including 2 

paed HDU beds and 6 bedded adolescent area. 

10 bedded Special Care Baby Unit which forms part of the 

South West Peninsula Neonatal Network. Neonatal 

resuscitation, stabilisation and intensive care provided 

prior to retrieval of very premature and exceedingly sick 

infants by Peninsula Retrieval Team. Routine neonatal 

care provided in Torbay for the less premature and less 

sick infants. 

Children’s Assessment Unit for paediatric outpatient 

investigations and treatments. 

Extensive paediatric outpatient service with specialist 

clinics supported by visiting tertiary specialists. 

Child development centre providing means for 

multidisciplinary assessment and management of children 

with developmental impairment. 

Children’s community nursing team caring for those with 

life limiting/life threatening conditions. 

Staffing: 

8 acute paediatric consultants, 1 community paediatrician, 

various associate specialists in community 

6 middle grade paediatric trainees, 2 staff grades 



9 junior trainees: 1 xF1, 3 x F2, 3 x GPST, 2 x paediatric 

ST 

The F1 works alongside the other junior doctors in all 

areas of paediatrics, allowing close supervision and 

support whilst developing competencies and being able to 

work more independently as they progress. The F1 is not 

rostered to any particular duty such that they can take 

whatever learning opportunities that arise. 

Assessment and initiation of treatment of children referred 

by GP and presenting to emergency dept requiring 

paediatric medical assessment/treatment. 

Ongoing inpatient care (ward rounds, taking blood, 

ordering tests etc). 

Outpatient tests and reviews on Children’s Assessment

Unit. 

Attendance at complex deliveries, initiation of neonatal 

care, ongoing in-patient neonatal care (ward rounds, 

taking blood, ordering tests) and routine postnatal 

examination of newborns. 


Attendance at paediatric outpatient clinics is encouraged 

along with observation of multidisciplinary teams in action. 

Full departmental teaching programme with specific 

weekly 1 hour junior teaching mapped against paediatric 

competencies/curriculum. 

Established regular clinical governance/ audit/critical case 

review programme. 

Hospital F1 teaching programme. 

All trainees will have at least one opportunity to attend 

simulation training which is likely to be in situ in the clinical 

environment. 



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9-5 Mon-Fri paediatric work. 

The Paediatric F1 participates in the surgical on-call rota 

doing nights, twilights and weekend work. 

Paediatric 3 tier cover 24 hrs with on-site middle grade 

and consultant 9am -10pm; middle grade on-site 

overnight, consultant on-call from home. 







Respiratory Medicine 

A dynamic inpatient and outpatient department led by four 

consultants; Drs Goldman, Sinclair, Dobson and Ginn. We 

are supported by specialist nurses including THORT, TB, 

lung cancer, cystic fibrosis, asthma specialists. We also 

have a very involved discharge coordinator, expert 

respiratory physiotherapists and occupational therapists. 

We also have an excellent pulmonary function lab. 

As a unit we strive to provide high quality care for the wide 

range of respiratory patients. 

We have beds on both Midgely and Dunlop wards. 



To work within the multidisciplinary team to provide 

high quality care to respiratory inpatients and their 

families or carers. 

To facilitate timely investigations and discharge 

from the hospital and provide CPSs to GPs on 

discharge. 

We are very keen to communicate key issues with 

primary care especially regarding those patients 

with chronic conditions. 

To liase with the other member s of the team 

where required. 

To follow their personal development plan whilst attached 

to the respiratory unit and gain as much as possible from 

their time with us. 


Experience managing chronic lung conditions e.g. 

COPD 

Aware of the challenges regarding lung cancer and 

symptom control 

Appreciate key features of non-invasive ventilatory 

support 

Have an understanding of common radiological 

features within respiratory medicine 

Appreciate the role of the multidisciplinary team

Practical skills including pleural aspiration, NIV, 

chest drain insertion 

Safe oxygen prescription 



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Common use of inhaled therapies and how to 

assess inhaler techniques 



Care of inpatients on Midgely and Dunlop (respiratory) 

wards, attendance (voluntary) at weekly radiology 

meeting, on-calls as rota dictate. 







Women’s Surgery (Breast and Gynaecology) 

This post covers 2 specialities – breast surgery and 

obstetrics/gynaecology. The patients are situated on 

McCallum Ward. 

The gynaecology service provides a comprehensive range 

of women’s health services, with clinical care being 

provided in a number of settings. 

The breast care service provides services for the 

management of breast problems in general, and more 

specifically in the treatment of breast cancer. 

Staffing: 

Breast Care – 2 x Consultants, 1 x F1, 1 x SpR, 1 x SAS 

O&G – 6 x Consultants, 1 x F1, 3 x F2’s, 1 x ST1, 1 x 

GPST1, 1 x ST2, 1 x GPST2, 5 x SpR’s, 2 x LAT’s, 1 x 

SAS 



To take a history and carry out clinical examination 

of patients. 

To arrange investigations. 

Seek appropriate senior advice as and when 

required. 

Attend the breast and gynaecology Ward rounds. 

Attend the breast ward round every day as no 

SHO cover. 

Assist regularly in theatre. 

Attend Clinics and MDT’s. 


Learn the basic management of breast and 

gynaecology patients. 

Learn basic post-operative care. 

Follow through the whole breast care patient 

journey. 

Learn to communicate sensitively and effectively. 



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Participate in departmental teaching. 


To be confirmed on commencement


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Time is split between the 2 specialities, generally with one 

week in each, alternating throughout the post. 

Gynae - Full shift with 6 Trainee’s covering the rota. 







Urology (General Surgery/Urology) 

The Urology Department deals with all common urological 

problems, with the exception of specialised paediatric 

urology, renal transplantation and pelvic cancer surgery. It 

has a high throughput for patients requiring prostatic 

surgery, and in dealing with large number of urological 

cancers. 

It has a busy out-patient department with general clinics 

as well specialised clinics for haematuria and prostate 

biopsies. There are 5 elective in-patient theatre lists and 3 

Day surgery lists a week. A large proportion of the 

surgery is done endoscopically, but there are a significant 

number of open and laparoscopic cases. 

The department is receiving emergency admissions on 

daily basis, and the junior team for on-call is shared with 

the General Surgical team. 

The post is based in Cromie ward, which is the main ward 

for urology patients, but there is also a significant number 

of emergency general surgical patients and some medical 

patients admitted to this ward, and the post-holder will be 

expected to look after all patients in the ward with the help 

and support of the relevant teams. 

Staffing: 

3 consultants (Mr SM MacDermott, Mr RG Mason and Mr 

MM Kirollos). One SpR, one F1, one F2, one ST1. One 

Nurse Practitioner who has in-patient as well as outpatient 

duties, 3 out-patient senior nurses, 3 secretaries 



To provide good clinical care to all patients under 

his/her care, and to communicate with more senior 

colleagues and other health professionals to 

achieve this goal. 


examination relevant to the patients clinical 

problem 

To ensure proper documentation of clinical events, 

results of investigations, decisions during ward 

rounds and any relevant discussions with patients 

or relatives. 

To arrange investigations as appropriate

To prescribe safely 

To ensure generation of timely appropriate 

discharge information 

To communicate any concerns to relevant 

colleagues 


Weekly meeting for Foundation year doctors 

(bleep free), on Thursday 12-2 pm at the Horizon 

centre. 

This covers the topics required to be covered in the 

Foundation year programme and is delivered by the 

appropriate speakers/trainers. Attendance is monitored 

and 70% attendance is required. 

Weekly meeting for all members of the General 

Surgery and Urology Directorate on Thursday 

8.30-9.30 at the Horizon centre. 

This covers multiple topics including monthly mortality and 

morbidity. It also provides an opportunity for juniors to 

exercise their presentation skills and participate in audit 

projects, etc. 

Foundation year doctors are also directed towards 

on-line sites that can provide them with resources 

and evidence for completing the necessary 

modules. This includes e-learning for health and 

BMA modules. 

On-the-job learning is an essential part of 

education and is provided mostly during ward 

rounds with more senior members of the team/s. 



placement 


placement 




The post is compliant with EWTD, 48h/week averaged 

over 16 weeks' cycle. 

The post is based in Cromie ward, with some 

commitments to the on-call team. 

During that period the F1 is expected to join the hot-week 

team twice and the twilight team for week days and weekends. 

Compensatory periods of rest are provided 

according to the rules. During on-call periods they are 

supported by a full team of more senior doctors. 

Please see separate information sheet ‘general trust


http://www.sdhct.nhs.uk/

Peninsula Foundation School Individual Placement Descriptions ...

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