This document contains four General Surgery placement descriptions:

Transcription

1 This document contains four General Surgery descriptions: North Central Thames Foundation School Individual Placement Description - Basildon and Thurrock University Hospitals NHS Foundation Trust Placement F1 General Surgery BTUH NHS Foundation Trust is a University Hospital affiliated to UCL, situated 30 miles to department the east of London on the North Bank of the Thames Estuary. Trust has an established reputation amongst the surgical community for the delivery of supervised training and is popular amongst the trainees. Basildon is the largest teaching hospital outside London for UCL students, consequently there are many opportunities to participate and deliver teaching to medical students. General Surgical department provides General Surgical on call services for the population of Basildon and Thurrock and Elective surgical services in Upper GI, Colorectal, Vascular, Breast, Endocrine, Urology and Paediatrics. General Surgical department is structured into three superfirms, each has two or more Consultants supported by at least one Specialty Doctor, two Specialist Registrars, 2 F2/Core trainees and F1s. re are a number of specialty nurses who also support the Multidisciplinary services. firms are Colorectal, Vascular and Upper GI with Breast. re is a separate Urology Firm with 3 Consultants, 2 Specialty Doctors, one SpR, one F2 and 4 F1s. type of F1s are attached to specific surgical firms and expected to take an active role in the day to work to day management of the firm. y are responsible for documenting progress in the expect and Clinical Record, organising investigations requested by the team and collating and learning communicating the results of those investigations. FY1s are expected to undertake simple opportunities ward based procedures with supervision as necessary, but are also encouraged to attend the operating theatre. Simulation centre training is available for a wide range of surgical skills from simple iv cannulation to laparoscopic and endoscopic simulation. Once competent in simulation these skills can be transferred to clinical practice. re are regular educational meetings within the department, in addition to the F1 programme lectures held on a Monday. This includes a monthly M&M and Surgical audit meeting, and weekly SpR led MRCS teaching on a Thursday morning. National courses are also held in the simulation centre, these include Basic Surgical Skills, Advanced Trauma Life Support, the Basildon Trauma Course and Core Laparoscopic skills. Location Basildon and Thurrock University Hospital NHS FT, Wards: Burstead/ SRU/ Elsdon/ BDU Supervisor(s) Miss Bryony Lovett Main duties When on call the F1 is responsible for the management of the surgical inpatients. F1s are of the also encouraged to participate in the assessment and management of emergency admissions and are expected to attend all trauma calls, where acting as the scribe they observe and record the activities of the trauma team. All documentation is subsequently reviewed by the trauma team leader which allows an excellent learning opportunity. Each F1 is allocated a clinical and educational supervisor. Within the department F1s are encouraged to develop independence at a level commensurate with their competence and confidence. As the year progresses F1s are allowed increasing levels of responsibility Typical whilst still being offered close Consultant lead support and teaching. Mon Fri: Ward Rounds consultant led/jobs/clerking Mon: F1 mandatory bleep free generic teaching programme Fri: pm MDT Meeting

2 diagnostic services (x-ray and phlebotomy) at the St. Andrew's Centre, Billericay Basildon and Thurrock University Hospitals NHS Foundation Trust primarily serves a We provide an extensive range of acute medical services at Basildon and Orsett Hospitals, plus x-ray and blood testing facilities at the St Andrew's Centre in Billericay. We also provide dermatology services across the whole of south Essex. Foundation status gives us have more control over how we spend our money and plan our services. We remain firmly part of the NHS and are subject to NHS standards, performance ratings and inspections. It is important to note that description is a typical example of your and may be subject Placement department type of work to expect and learning opportunities F1 General Surgery w/ Breast Mr Salih/Mr Chicken are Breast and General Surgeons, Mr Taylor who also undertakes colorectal surgery works in the breast unit with the addition of a Locum Specialist. firm currently has one SpR equivalent, one F2 and one F1. F1s are attached to specific surgical firms and expected to take an active role in the day to day management of the firm. y are responsible for documenting progress in the Clinical Record, organising investigations requested by the team and collating and communicating the results of those investigations. F1s are expected to undertake simple ward based procedures with supervision as necessary, but are also encouraged to attend the operating theatre. Simulation centre training is available for a wide range of surgical skills from simple iv cannulation to laparoscopic and endoscopic simulation. Once competent in simulation these skills can be transferred to clinical practice. When on call the F1 is responsible for the management of the surgical inpatients. F1s are also encouraged to participate in the assessment and management of emergency admissions and are expected to attend all trauma calls, where acting as the scribe they observe and record the activities of the trauma team. All documentation is subsequently reviewed by the trauma team leader which allows an excellent learning opportunity. Each F1 is allocated a clinical and educational supervisor. Within the department F1s are

3 Location encouraged to develop independence at a level commensurate with their competence and confidence. As the year progresses F1s are allowed increasing levels of responsibility whilst still being offered close Consultant lead support and teaching. Basildon and Thurrock University Hospital NHS FT Ward: Bulphan/Burstead and outliers Supervisor(s) Mr Hugo Taylor/Miss Bryony Lovett at present Main duties of the Typical breast unit sees 2 week wait cancer and symptomatic breast patients every week. y are seen within a multidisciplinary one stop clinic, with radiology, histopathology and oncology support. unit performs primary reconstructions with the support of the plastic surgeons from Broomfield. Mr Salih and Mr Chicken participate in the General Surgical on call rota so the trainees benefit from the exposure to the normal range of emergency admissions. Typical post e.g. ward rounds, clinics, theatre sessions Daily/weekly/monthly (if applicable) Mon: Ward round/ jobs/ clerking F1 generic teaching. Tues: Ward R/ jobs/ clerking Wed: Consultant led Ward R. Thurs: MDT am/ Ward R /jobs/ clerking Fri: Ward R/jobs/clerking Pre-assessment clinic 1 per month. Teaching during Ward round and clinics. diagnostic services (x-ray and phlebotomy) at the St. Andrew's Centre, Billericay Basildon and Thurrock University Hospitals NHS Foundation Trust primarily serves a We provide an extensive range of acute medical services at Basildon and Orsett Hospitals, plus x-ray and blood testing facilities at the St Andrew's Centre in Billericay. We also provide dermatology services across the whole of south Essex.

4 Foundation status gives us have more control over how we spend our money and plan our services. We remain firmly part of the NHS and are subject to NHS standards, performance ratings and inspections. It is important to note that description is a typical example of your and may be subject Placement F1 General Surgery w/ Colorectal re are 5 Colorectal surgeons, Mr Taylor, Mr Ashraf, Miss Lovett, Mr Zammit and department Locum Consultant. y are supported by 2 Associate specialists, 3 SpRs, 1 core trainee, 3 F2s and 5 F1s. type of unit performs over 200 colorectal procedures for Cancer per annum. recent work to appointment of two new laparoscopic surgeons will increase the percentage of cases expect and performed laparoscopically. learning Basildon is a Bowel Cancer Screening Centre and there is a close relationship opportunities with the gastroenterology firms. weekly Colorectal cancer MDT is attended by surgeons, physicians, oncology, pathology and radiology and supported by the Colorectal nurse practitioners. re is also a fortnightly Inflammatory Bowel Disease MDT where complex patients are reviewed with radiology and histopathology support and management planned. SpRs attend endoscopy lists, undertake regular operating and Consultant led clinics. Location Basildon and Thurrock University Hospital NHS FT Wards: Burstead/ Elsdon & SRU Supervisor(s) Mr Hugo Taylor/ Miss Bryony Lovett/ Mr Zammit/Mr Ashraf Main duties F1s are encouraged to work independently on the wards following the guidance of of the senior staff. y are encouraged to attend theatre whenever possible. y are allocated to pre-assessment clinics which are proforma driven, supported by dedicated nurse Typical practitioners and supervised by a Consultant anaesthetist. Mon Fri: 8am Ward rounds/jobs/clerking Wed: Consultant led WR Thurs: Reg teaching during Ward Round and Breakfast club Fri: MDT Weekly: half day pre admission clinic (specific to colorectal) Outpatient clinics & atres: alternate weeks diagnostic services (x-ray and phlebotomy) at the St. Andrew's Centre, Billericay

5 Basildon and Thurrock University Hospitals NHS Foundation Trust primarily serves a We provide an extensive range of acute medical services at Basildon and Orsett Hospitals, plus x-ray and blood testing facilities at the St Andrew's Centre in Billericay. We also provide dermatology services across the whole of south Essex. Foundation status gives us have more control over how we spend our money and plan our services. We remain firmly part of the NHS and are subject to NHS standards, performance ratings and inspections. It is important to note that description is a typical example of your and may be subject Placement F1 General Surgery w/ Upper Gastrointestinal General Surgical department provides General Surgical on call services for the department population of Basildon and Thurrock and Elective surgical services in Upper GI, Colorectal, Vascular, Breast, Endocrine, Urology and Paediatrics. General Surgical department is structured into three superfirms, each has two or more Consultants supported by at least one Specialty Doctor, two Specialist Registrars, 2 F2/Core trainees and F1s. re are a number of specialty nurses who also support the Multidisciplinary services. firms are Colorectal, Vascular and Upper GI with Breast. type of When on call the F1 is responsible for the management of the surgical inpatients. F1s are work to also encouraged to participate in the assessment and management of emergency expect and admissions and are expected to attend all trauma calls, where acting as the scribe they learning observe and record the activities of the trauma team. All documentation is subsequently opportunities reviewed by the trauma team leader which allows an excellent learning opportunity. Each F1 is allocated a clinical and educational supervisor. Within the department F1s are encouraged to develop independence at a level commensurate with their competence and confidence. As the year progresses F1s are allowed increasing levels of responsibility whilst still being offered close Consultant lead support and teaching. re are regular educational meetings within the department, in addition to the F1 programme lectures held on a Monday. This includes a monthly M&M and Surgical audit meeting, and weekly SpR led MRCS teaching on a Thursday morning. National courses are also held in the simulation centre, these include Basic Surgical Skills, Advanced Trauma Life Support, the Basildon Trauma Course and Core Laparoscopic skills. Location Basildon and Thurrock University Hospital NHS FT Wards Elsdon/Burstead & outliers Supervisor(s) Miss Bryony Lovett/Mr Zammit/Locum Consultant Main duties F1s are attached to specific surgical firms and expected to take an active role in the day to of the day management of the firm. y are responsible for documenting progress in the Clinical Record, organising investigations requested by the team and collating and communicating the results of those investigations. F1s are expected to undertake simple ward based procedures with supervision as necessary, but are also encouraged to attend the operating theatre. Simulation centre training is available for a wide range of surgical

6 Typical skills from simple iv cannulation to laparoscopic and endoscopic simulation. Once competent in simulation these skills can be transferred to clinical practice. Mon Fri: Ward rounds, consultant led varies/jobs/ Mon: F1 mandatory generic bleep free teaching (protected) Wed & Fri: am MDTs Teaching in theatre varies diagnostic services (x-ray and phlebotomy) at the St. Andrew's Centre, Billericay Basildon and Thurrock University Hospitals NHS Foundation Trust primarily serves a We provide an extensive range of acute medical services at Basildon and Orsett Hospitals, plus x-ray and blood testing facilities at the St Andrew's Centre in Billericay. We also provide dermatology services across the whole of south Essex. Foundation status gives us have more control over how we spend our money and plan our services. We remain firmly part of the NHS and are subject to NHS standards, performance ratings and inspections. It is important to note that description is a typical example of your and may be subject