These posts are not recognised by the West Midlands Deanery for Training and are not designed for doctors with Full GMC registration.
The posts available are as follows:
Otolaryngology PRH, Geriatric Medicine PRH, Obstetrics and Gynaecology PRH
1 Geriatric Medicine PRH, Urology RSH, Respiratory Medicine PRH
2 Anaesthetics PRH, Colorectal Surgery RSH, Respiratory Medicine PRH
3 Colorectal Surgery RSH, Endocrinology RSH, Emergency Medicine RSH
4 Respiratory Medicine PRH, Vascular Surgery RSH, Gastroenterology PRH
5 Gastroenterology PRH, Respiratory Medicine PRH, Vascular Surgery RSH
6 Renal Medicine RSH, Gastroenterology RSH, Vascular Surgery RSH
7 Respiratory RSH, Psychiatry Redwoods, Upper GI Surgery RSH
THE POSTS/THE ROTATIONS
Each post in the rotation is for a period of four months and has a full-time workload. Each FY1 will have a named Educational Supervisor for the whole rotation, generally being the first Consultant they work with.
THE WORK OF THE DEPARTMENTS
SURGERY & UROLOGY - RSH
There are sub-speciality teams within the department, although all the surgeons maintain an interest in general surgery and all participate in the acute surgical take. There is a separate department of Urology, but the ST3+ and ST1/2 in this discipline do not take part in the general surgery emergency rota. The holder of the FY1 on-call bleep is on call for all emergencies including Urology and Vascular.
The FY1s are responsible for the initial assessment of the acute medical patients during the take days. With the advice of the ST3+ and ST1/2, the FY1 will be concerned with the immediate management of a wide range of acute medical problems admitted on take. Patients are admitted from out patients, referred by GP's and by A&E. In addition, you will have responsibility for in-patient care of patients admitted under your team on the medical wards. All specialities have their own ward base. The FY1 has an ST1/2 or ST3+ available for immediate assistance along with a Consultant on call. Duties during on call will include seeing emergency admissions on the MAU, and take responsibility for Ward calls.
The FY1s work on a 1:9 full shift emergency intake rota (including a week of night duty) for General Medicine. Additional Duty Hours have been calculated to include prospective cover for colleagues on annual leave. A medicine meeting is held each Monday at 08.30am to review staffing levels across each ward and provide updates and information on medical issues as required.
ANAESTHETICS - PRH
The anaesthetic department is located close to main theatres and the intensive therapy unit. The department library is housed in the seminar room and contains a comprehensive and up-to-date selection of text books and journals related to anaesthesia and intensive care.
This post is entirely supernumerary. The four months allow the holder to become familiar with the treatment of the acutely ill patient using attachment to the resuscitation service and possibly the high dependency team.
HEAD & NECK SURGERY - PRH
The Head & Neck Unit includes ear, nose and throat surgery, maxillo-facial surgery and ophthalmology. This department has a very large patient base.
Educational activity within all departments is very active and this takes place both formally and informally at outpatients and operating theatre lists. The work within these departments is relevant to both general practice and other hospital specialities. Participation in audit and X-ray meetings is normally expected at all levels.
OBSTETRICS & GYNAECOLOGY - PRH
FY1 will be based on the gynaecology ward from Monday to Friday each week and is supervised by a resident ST1/2, ST4 or above, SAS doctor or consultant, at all times.. The duties include ward rounds, the care of acute and elective admissions, writing of ward notes and discharge letters to General Practitioners and general administration.
There is an opportunity to attend operating theatre sessions (day cases and in-patient surgery), labour ward and out-patient clinics (gynaecological and antenatal) during which the FY1 can expect to widen his or her experience of the management of obstetric and gynaecological cases. Training is provided in acute obstetric emergencies.
This is a non-banded post working 40 hours from Monday to Friday and shifts are between 0730 and 1730 hours.
All rotas in this hospital have been designed to be fully compliant with New Deal and EWTD for both shift length and for total hours. The taking of a natural break after approximately 4 hours of duty is a New Deal rest requirement. It is your professional responsibility to observe this for natural breaks unless there is a sound clinical reason for you to delay it.
If you are interested please send your Cv to Kate.Clarke@Medacs.com