Employer Information

Royal United Hospitals Bath NHS Foundation Trust is a medium sized acute Trust and provides an extensive range of secondary services for the local population of approximately 500,000.

Psychiatry and GP Placements

Royal United Hospitals Bath NHS Foundation Trust will remain your employer during your psychiatry or GP placement.

Psychiatry placements are with Avon and Wiltshire Mental Health Partnership NHS Trust (AWP), a significant provider of specialist mental health services to adults and older people in: Bath and North East Somerset (BANES), Bristol, North Somerset, South Gloucestershire, Wiltshire and Swindon.

They provide specialist drug and alcohol services and specialist and secure mental health services including prison mental health services, to people living across a wider area.

Increasingly AWP provide treatment and care in people’s own homes and other community settings, reflecting the preferences of our service users. AWPs community services are supported by high quality inpatient services that provide short term assessment, treatment and care.

F2 Placement Descriptions

Information on the placements that make up the F2 rotations at Royal United Hospitals Bath NHS Foundation Trust. Click on the specialty to learn more.

F2 Acute internal medicine

Placement	F2 Acute internal medicine (MAU) Royal United Hospital
The department	Acute Medicine is a busy department, based around the Medical Assessment Unit and Short Stay Unit. The MAU is co-located with the Emergency Department with whom there is a close working relationship. The team is consultant-led with a variety of specialist interests represented including cardiology, endocrinology and respiratory medicine.
The type of work to expect and learning opportunities	The F2 doctors will be involved with the initial clerking of patients being assessed for possible admission, presenting these patients on ward rounds and the ongoing care of patients until discharge or transfer to another ward. They will also gain experience on the Medical Short Stay ward. Educational opportunities in this placement include: Take a history and examine a patient Make a diagnosis and formulate a management plan Prescribe safely Keep an accurate and relevant medical record Use simple medical devices safely Carry out clinical procedures under appropriate supervision Recognise and manage acutely ill patients Take part in resuscitation process and discuss DNAR decisions Manage time and clinical priorities effectively Communicate effectively with patients, relatives and colleagues Use evidence, guidelines and audit to benefit patient care
Where the placement is based	Royal United Hospital Bath: MAU, MSS
Clinical Supervisors for the placement	Consultants in the department
Main duties of the placement	The F2 doctors are responsible for the initial assessment of patients referred to acute medicine, and their on-going care as directed following review by registrars or consultants. They will take part in post-take ward rounds and undertake tasks generated therein, and be responsible for patients within their ward areas. At night they will review and manage patients throughout the hospital on request, liaising with colleagues where appropriate. They are expected to attend the structured teaching programme provided by the departments. They will be responsible for such other specific clinical duties as allocated by consultants including performing other duties in occasional emergencies and unforeseen circumstances.
Typical working pattern in this placement	TBC
Community Facing Opportunities

It is important to note that this description is a typical example of your placement and may be subject to change.

F2 Cardiology

Placement	F2 Cardiology Royal United Hospital
The department	The Cardiology department provides a full inpatient and outpatient service with full invasive and non-invasive provision, based around the CCU, cardiology ward, catheter labs, and outpatient department. Primary PCI is performed Mon-Fri 7am to 7pm.
The type of work to expect and learning opportunities	F2 doctors in cardiology are based on the CCU and cardiology ward, and are involved in the day to day care of all patients there. Educational opportunities in this placement include: Take a history and examine a patient Make a diagnosis and formulate a management plan Prescribe safely Keep an accurate and relevant medical record Use simple medical devices safely Recognize and manage acutely ill patients Take part in the resuscitation process and discuss DNAR decisions Manage time and clinical priorities effectively Communicate effectively with patients, relatives and colleagues Use evidence, guidelines and audit to benefit patient care Discharge planning Educate patients
Where the placement is based	Royal United Hospital Bath: CCU and Cardiac ward.
Clinical Supervisor(s) for the placement	Consultants in the department
Main duties of the placement	The F2 doctors are responsible for the day to day care of patients on their ward, under the supervision of more experienced doctors. They will carry out ward rounds daily, usually with others members of the team, assessing patients, requesting and interpreting tests and keeping notes up to date. When on ‘cover’ duty out of hours they will assess and manage problems in patients on the wards they are covering at the request of nursing staff, liaising with more senior members of the team as necessary. They are expected to attend the structured teaching programme provided by the department as well as the weekly F2 teaching. They will be responsible for such other specific clinical duties as allocated by consultants including performing other duties in occasional emergencies and unforeseen circumstances.
Typical working pattern in this placement	TBC
Community Facing Opportunities	There is an opportunity to engage with the Cardiac Rehabilitation and Heart Failure Teams and to appreciate the challenges of managing some patients discharged into the community with advanced cardiac disease

It is important to note that this description is a typical example of your placement and may be subject to change.

F2 Emergency medicine

Placement	F2 Emergency medicine Royal United Hospital
The department	The Emergency Department (ED) is very busy and provides emergency care to a large catchment population of around 500,000 people in Bath and the surrounding towns and villages in North East Somerset and Western Wiltshire. There is a helipad outside which enables patients in the far to reach areas of Somerset and west Wiltshire to receive care in a timely fashion. The department is built around a majors area (18 beds), minors area (8 beds) a paediatric area (6 beds), highcare (6 beds), resus (4 beds) and an observation ward consisting of 8 beds. Consultants provide senior on site supervision 8am till 10.00pm 7 days a week. A consultant is always available for advice or to attend if necessary. Further on-site senior medical cover is provided 24hrs a day by the team of higher specialist trainees & specialty doctors not in training in Emergency Medicine. All junior training doctors will be fixed to a 16 week rolling rota which consists of day shifts 0800-1700, 0900-1900, 1200-2100, twilight shifts 1600-2400, 1700-0200, and night shifts 2100-0900, 2200-1000. There is also compulsory teaching on a Wednesday morning between 0800-1000. This is an extremely useful time for all doctors in training to learn from each other with interesting cases and an hour tutorial from a consultant and another from a senior registrar.
The type of work to expect and learning opportunities	Take a history and examine a patient Identify problems Initiate time critical interventions and procedures Devise effective management plans Prescribe safely Keep an accurate and relevant medical record Manage time and clinical priorities effectively Communicate effectively with patients, relatives and colleagues Use evidence, guidelines and audit to benefit patient care Act in a professional manner at all times Cope with ethical and legal issues which occur during the management of patients with general medical problems Educate patients effectively Become life-long learners and teachers
Where the placement is based	Royal United Hospital Bath: Emergency Department, Observation Ward, RUH,Bath
Clinical Supervisor(s) for the placement	Consultants in the Department
Main duties of the placement	The F2 doctors are responsible for the acute assessment of patients presenting to the ED. Under the supervision of more experienced doctors they will initiate interventions, request and interpret diagnostic tests, formulate management plans, discharge home or transfer care to specialty in-patient teams, whilst keeping notes up to date. They are expected to attend the structured teaching programme provided by the department, and maintain a close professional relationship with their assigned clinical supervisor. They will be responsible for such other specific clinical duties as allocated by consultants including performing other duties in occasional emergencies and unforeseen circumstances.
Typical working pattern in this placement	Shift pattern of work. Rota details available on request.
Community Facing Opportunities	The ED is an essential interface for the health community between secondary and primary/community care. As such all of the doctors in training are constantly exposed to healthcare in the community, how it results in a hospital presentation and how it impacts on whether patients receive in-patient or community based care. The foundation doctors are constantly required to have a dialogue with GPs and community services to ensure a high quality service and appropriate care for the patients. It is essential to develop a good working knowledge of services offered in the community and develop awareness of how care is delivered out of hospital. With the new Urgent Care Centre on-site, foundation doctors now have the opportunity to experience the full capability of primary care, including the limits of acuity and case mix that community practitioners are able to manage.

It is important to note that this description is a typical example of your placement and may be subject to change.

F2 Endocrinology and diabetes mellitus

Placement	F2 Endocrinology and diabetes mellitus Royal United Hospital
The department	The Diabetes and Endocrinology department provides a full service which is both ward based and within the Diabetes Centre. The Consultants are supported by 2 registrars, 2 SHO-grades, 2 F1 doctors and a number of nurse practitioners/specialist nurses. There are joint clinics with the vascular team and a number of general and specialist diabetic and endocrine clinics. The wards have mainly diabetic or general medical patients with a large variety of problems particularly renal medicine.
The type of work to expect and learning opportunities	F2 doctors in diabetes and endocrinology are involved in the day to day care of all patients on the ward as well as those in the linked outlying wards. Educational opportunities in this placement include: Take a history and examine a patient Make a diagnosis and formulate a management plan Prescribe safely Keep an accurate and relevant medical record Use simple medical devices safely Recognise and manage acutely ill patients Take part in resuscitation process and discuss DNAR decisions Manage time and clinical priorities effectively Communicate effectively with patients, relatives and colleagues, including general practitioners Use evidence, guidelines and audit to benefit patient care Discharge planning with community partners Educate patients
Where the placement is based	Royal United Hospital Bath, Diabetes and Endocrinology wards and Diabetes Centre
Clinical Supervisor(s) for the placement	Consultants in the department.
Main duties of the placement	The F2 doctors are responsible for the day to day care of patients on their ward, under the supervision of more experienced doctors. They will carry out ward rounds daily, usually with others members of the team, assessing patients, requesting and interpreting tests and keeping notes up to date. They are also involved in outpatient endocrine testing. When on ‘cover’ duty out of hours they will assess and manage problems in patients on the wards they are covering at the request of nursing staff, liaising with more senior members of the team as necessary. They are expected to attend the structured teaching programme provided by the department as well as the weekly F2 teaching and F2 Regional Teaching Programme. They will be responsible for such other specific clinical duties as allocated by consultants including performing other duties in occasional emergencies and unforeseen circumstances.
Typical working pattern in this placement	TBC
Community Facing Opportunities	Multidisciplinary meeting with community partners Liaising with GPs about patients Sitting in outpatient clinics Working with Diabetes Specialists Nurses

It is important to note that this description is a typical example of your placement and may be subject to change.

F2 Gastroenterology

Placement	F2 Gastroenterology Royal United Hospital
The department	The Gastroenterology department provides a full inpatient and outpatient service and, additionally, an endoscopy suite service. The department is accredited for bowel cancer screening. The ward has a high throughput of patients with a variety of gastroenterological and general medical problems.
The type of work to expect and learning opportunities	F2 doctors in gastroenterology are based on Haygarth ward, and are involved in the day to day care of all patients there, as well as those in the linked outlying wards. Educational opportunities in this placement include: Take a history and examine a patient Make a diagnosis and formulate a management plan Prescribe safely Keep an accurate and relevant medical record Use simple medical devices safely Recognise and manage acutely ill patients Take part in resuscitation process and discuss DNAR decisions Manage time and clinical priorities effectively Communicate effectively with patients, relatives and colleagues Use evidence, guidelines and audit to benefit patient care Discharge planning Educate patients
Where the placement is based	Royal United Hospital Bath, Bath: Haygarth ward.
Clinical Supervisor(s) for the placement	Consultants in the department
Main duties of the placement	The F2 doctors are responsible for the day to day care of patients on their ward under the supervision of more experienced doctors. They will carry out ward rounds daily, usually with others members of the team, assessing patients, requesting and interpreting tests and keeping notes up to date. When on ‘cover’ duty out of hours they will assess and manage problems in patients on the wards they are covering at the request of nursing staff, liaising with more senior members of the team as necessary. They are expected to attend the structured teaching programme provided by the department, as well as the weekly F2 teaching and the F2 Regional Teaching Programme. They will be responsible for such other specific clinical duties as allocated by consultants including performing other duties in occasional emergencies and unforeseen circumstances.
Typical working pattern in this placement	TBC
Community Facing Opportunities	F2 doctors in gastroenterology will have the opportunity to: Interact with community support services including the alcohol liaison team and mental health liaison team Attend gastroenterology outpatient clinics Participate in complex discharge planning in conjunction with the MDT

It is important to note that this description is a typical example of your placement and may be subject to change.

F2 General practice

Placement	F2 General practice
The type of work to expect and learning opportunities	Educational opportunities include: Taking a history and examining a patient Making diagnoses, requesting appropriate investigations and formulating management plans Recognising acutely unwell adults and children and when to refer to hospital Deciding when it is appropriate to refer a patient on to another specialty Prescribing safely and effectively, as well as considering costs of medications Keeping accurate and relevant medical records within the computer system Using simple medical devices safely Managing time effectively Communicating effectively with patients, relatives and colleagues Using evidence, guidelines and audit to benefit patient care Educating patients Managing chronic disease in the community Providing reassurance and supporting patients Providing continuity of care for patients Following patients up after discharge from hospital – changing medications, requesting investigations, reviewing them, as required.
Where the placement is based	Various GP surgeries
Clinical Supervisor(s) for the placement	Experienced GP trainers
Main duties of the placement	Initially there will be a full introduction to how the practice is run and sessions where you can sit in with GPs, nurses, therapists and other healthcare professionals who work from the practice. You will then progress to conducting your own surgery sessions – usually two a day, with the backing of a designated GP for each session. You are expected to conduct a full consultation with each patient and formulate a differential diagnosis and possible options for investigations and management. Anything you are unsure of should be discussed with the designated GP during the time the patient is at the surgery – if required - the GP can join you for a part of the consultation. You are expected to recognise the limitations of your knowledge and experience and to seek help when these occasions arise. Most referrals should also be discussed. Notes are all computerized and the records should be kept up-to-date, including performing opportunistic medication reviews when patients present. There are opportunities to observe and then be observed performing practical procedures e.g. cervical smears/immunisations/joint injections. These can then be done during your own surgery once you are confident. Home visits occur daily, after morning surgery has ended. These are basically a consultation in the patient’s own home, for those who are housebound or are in residential or nursing homes. Often the reason for the visit will be known in advance. Checking and signing repeat prescriptions, dictating referrals and checking these, as well as telephoning patients on the telephone appointments list, also occur between morning and afternoon surgeries.
Typical working pattern in this placement	Weekdays 09.00 – 17.00: sitting in on GP surgeries/some nurse-led clinics and learning from consultation skills/individual cases, going out on home visits during lunch period - initially with the GPs but then alone, running own surgeries, with the backing of one of the practice GPs. No out of hours work is mandatory, but you can accompany a practice GP during their out of hours work if you wish to.
Community Facing Opportunities	As this is a community based placement, the F2 has lots of opportunities to interact with community services.

It is important to note that this description is a typical example of your placement and may be subject to change.

F2 Genitourinary medicine (as part of GP rotation)

Placement	F2 Genitourinary medicine (as part of GP rotation) Royal United Hospital
The department	The Sexual Health & HIV Medicine department is situated at the RUH and delivers out-patient care through a combination of booked and walk-in clinics. In the event of in-patient admission of HIV patients, liaison and shared care with ward teams is expected. The service is consultant-led and delivered through a multidisciplinary team approach. Trainee doctors form an integral part of this team.
The type of work to expect and learning opportunities	F2 doctors in GUM are based in primary care 3 days a week with 2 days spent in the Sexual Health & HIV Medicine clinic. The job is based at the RUH Educational opportunities in this placement include: Take a history and examine a patient, with particular emphasis on sexual history and genital examination Make a diagnosis and formulate a management plan Prescribe safely Keep an accurate and relevant medical record Use simple medical devices safely Manage time and clinical priorities effectively Communicate effectively with patients, relatives and colleagues Use evidence, guidelines and audit to benefit patient care Educate patients
Where the placement is based	Royal United Hospital Bath
Clinical Supervisor(s) for the placement	Consultants in the department
Main duties of the placement	Duties as above, plus: Expected to attend weekly Medical Grand Round and on site generic F2 teaching. Responsible for such other specific clinical duties as allocated by consultants including performing other duties in occasional emergencies and unforeseen circumstances.
Typical working pattern in this placement	The foundation doctor will spend two full days each week in the sexual health & HIV medicine clinic with a variety of booked and walk-in sessions allocated. Following completion of induction, the F2 will see patients independently with senior support always readily available.
Community Facing Opportunities	As this is a community based placement, the F2 will have opportunities to interact with community based services as well as getting involved in Sexual Health and HIV Medicine clinics on a weekly basis.

It is important to note that this description is a typical example of your placement and may be subject to change.

F2 General psychiatry (Bath)

Placement	F2 General Adult Psychiatry – Intensive Service
The department	The Intensive Service is a community mental health service base out of Hillview Lodge, on the Royal United Hospital site in Bath. This service provides daily support, 24 hour rapid assessment and treatment for those in crisis, “gate keeping” admissions and supporting discharge for patients leaving Inpatient services. The average caseload is between 15 and 25 but the turnover is often high with patients entering and leaving the Team each day. The case mix is adults with acute presentations including psychosis, affective disorders and personality disorders often with associated substance misuse, physical health problems and social difficulties. The Team assesses patients in their own homes or at Hillview Lodge depending on clinical circumstances.
The type of work to expect and learning opportunities	The F2 will work within the multidisciplinary team (Doctors, RMNs, OTs, Social Workers, Clinical Psychologist and allied HCPs) covering the caseload and is well supported by the Consultant Psychiatrist. The F2 supports the day-to-day running of the team including assessments, reviews, referrals, discharges and liaison with other services. There is daily team discussion of all patients on the caseload and the opportunity to observe Mental Health Act assessments. The local in-house teaching includes monthly journal clubs and a fortnightly academic programme (guest speaker, case presentation) as well as participation in a Balint group and Peer Teaching. The F2 receives clinical supervision with the Intensive Service consultant psychiatrist (Mon-Weds) and IS specialty doctor (Weds-Fri) with opportunity to complete Work Place Based Assessments and discuss clinical and other issues as determined by the trainee’s learning objectives. The F2 can also attend the hospital mental health liaison team supervision group. The F2 will gain valuable experience in the assessment, formulation and management of a range of mental disorders. There are opportunities for teaching, audit/QIP and management experience, and participation is encouraged and supported. The F2 is typically allocated as mentor for one of the 4^th year medical students during their psychiatry placement. Educational opportunities in this placement include: Take a history and examine a patient Make a diagnosis and formulate a management plan Perform a risk assessment Prescribe safely Keep an accurate and relevant medical record Manage time and clinical priorities effectively Communicate effectively with patients, relatives and colleagues Use evidence, guidelines and audit to benefit patient care Discharge planning Educate patients, relatives and MDT Mentor medical students
Where the placement is based	Royal United Hospital Bath, Bath: Hillview Lodge
Clinical Supervisor(s) for the placement	Dr Chris Lucchese (Mon-Weds - principle Clinical Supervisor) Dr Troy Reviere (Weds-Fri) – awaiting restart of CS training, with other locality CSs available to provide input as needed throughout week.
Main duties of the placement	The F2 doctor is responsible for assisting the team with the clinical management of patients on the team caseload. They are expected to attend the structured teaching programme provided by the locality, as well as their weekly F2 teaching. They will be responsible for such other specific clinical duties as allocated by consultants, including performing other duties in occasional emergencies and unforeseen circumstances. As a Foundation doctor working in psychiatry, you would not normally be expected to initiate complex physical treatments. If you are uncertain about appropriate physical care of an individual, you should always discuss this issue with a senior psychiatry colleague, who may be the local core/advanced trainee in your unit or your consultant or the consultant on-call. It may be useful to contact the GP or a specialist team in the general hospital for advice, but where a complex decision is being made this should always be shared with senior colleagues in the psychiatric team, who will be responsible for the treatment if the patient is in a psychiatric hospital setting. Note that discussion of the physical problems with a more senior psychiatric colleague is not generally to get expert medical advice but to bring the concerns to their attention so they can advise on the need to contact local acute medical/surgical services and how best to do this.
Typical working pattern in this placement	Weekdays 09.00 - Team handover meeting and allocation of visits / reviews / assessments / jobs. 09.30 to 14.00 – Visits / reviews / allocated clinical work 14.00 – Team handover meeting and allocations. 14.30 to 17.00 - Visits / reviews / allocated clinical work Regular events Alternate Wednesday (1^st/3^rd) 13.30 - Journal Club / QIP meetings Alternate Wednesday (2^nd/4^th) 13.30-15.30 – Local Academic Programme Weekly F2 Academic Programme Balint Group Peer Teaching Clinical Supervision On Calls The on-call rota is 1:7 non-residential and provides cover for two psychiatry wards. Weekdays 17:00 – 09:00 Weekends 09.00 – 09:00

It is important to note that this description is a typical example of your placement and may be subject to change.

F2 General psychiatry (Devizes)

Placement	F2 General psychiatry Green Lane Hospital, Devizes
The department	Poppy Ward The post provides good experience in inpatient psychiatry in a busy 20 bed acute psychiatric unit for adults of working age. The focus of the team’s work is adults with mental health problems who require inpatient interventions and support, with an emphasis on helping individual patients make a recovery and then be stepped-down to community care. Close working with the Intensive Service is essential in this process. The team mainly sees adults of working age but the Trust is promoting an ageless service and consequently some patients will be over 65 as long as their problems are not primarily organic.	North Wiltshire Intensive Service The NWIS team is a general adult community team for working age adults previously known as the Crisis Home Treatment Team. The NWIS is a 24 hours service, gate-keeping beds and facilitating early discharge in daily liaison with the Inpatient Units.
The type of work to expect and learning opportunities	The placement is shared between Poppy Ward and the Intensive Service, so two foundation doctors will alternate between the two services. For example, week 1 with Imber Ward, week 2 with I.S. There will be opportunity to have individual or joint supervision with the two Consultants according to wish/need. The two Consultants provide reciprocal cover for each other and when one is away, the other will provide supervision to both foundation doctors. The F2s and the Core doctor in training will provide cover 9-5 for the ward between them.
The type of work to expect and learning opportunities	Educational opportunities in this placement include: Take a history and examine a patient Make a diagnosis and formulate a management plan Prescribe safely Keep an accurate and relevant medical record Manage time and clinical priorities effectively Communicate effectively with patients, relatives and colleagues Use evidence, guidelines and audit to benefit patient care Discharge planning Educate patients Support and Supervision: The F2 doctor will be supported by a small team of senior clinical staff including a full time consultant psychiatrist. There will be weekly one hour supervision sessions with the consultant. Doctors in training are expected to attend postgraduate meetings which take place every Wednesday, a.m. and p.m., at Green Lane Hospital and RUH, Bath, and to attend Foundation Training programme one session each week at RUH.	To provide medical and psychiatric services to the NWIS team. The NWIS team is a general adult community team for working age adults previously known to the Crisis Home Treatment Team. The NWIS is a 24 hours service, gate-keeping beds and facilitating early discharge in daily liaison with the Inpatient Units. Educational opportunities in this placement include: Take a history and examine a patient Make a diagnosis and formulate a management plan Assessment of psychiatric emergencies and risk assessment and management Prescribe safely Keep an accurate and relevant medical record Manage time and clinical priorities effectively Communicate effectively with patients, relatives and colleagues Use evidence, guidelines and audit to benefit patient care Management of acute psychiatric illness in the community Experience of Mental Health Act Assessments Opportunity to gain experience with Primary Care Liaison service (PCLS) Support and Supervision: The F2 doctor will be supported by a full time consultant psychiatrist. There will be weekly one hour supervision sessions with the consultant. Doctors in training are expected to attend postgraduate meetings which take place every Wednesday, a.m. and p.m., at Green Lane Hospital and RUH, Bath, and to attend Foundation Training programme one session each week at RUH.
Where the placement is based	Green Lane Hospital, Devizes PLEASE NOTE Green Lane Hospital is 22miles from Bath RUH and is located in a semi-rural location with home visits also required. Public transport links between Bath and Devizes are available but limited. It is advisable that foundation doctors consider their options for traveling to and from Devizes prior to accepting this rotation.
Clinical Supervisor(s) for the placement	The foundation doctor will work under the clinical and educational supervision of Inpatient Consultant, Dr Cohen. Dr Cohen works full time, her reciprocal cover for leave is Dr Angelika Luehrs and Dr Panos Prevezanos of the Intensive Service. There is also currently a psychiatric doctor in training working on the ward as well as an experienced specialty doctor.
Main duties of the placement	Responsibilities of F2 doctor: The foundation doctor will attend ward rounds/reviews with the consultant and also review patients independently in between, accompanied by nursing staff if appropriate. Ward doctors also provide some cover to the Bluebell 136 suite which is adjacent to the ward. Bluebell is a 4-bedded health-based place of safety. It provides a safe environment to conduct mental health act (MHA) assessments for people who have been detained by the police under S136 of the Mental Health Act, due to concerns that they are suffering from a mental disorder that may require further assessment or treatment. Such a MHA assessment is conducted within 24 hours of the person’s detention, and can result in a plan for community treatment or a hospital admission. The foundation doctor in this post will be asked to review and prescribe detainees’ regular medication (in collaboration with their GP) and will also be the first point of call if detainees develop any new physical health symptoms while awaiting assessment. More importantly, they will be encouraged to attend MHA assessments as observers, which will allow them to become familiar both with acute presentations of mental disorder and with the medico-legal framework for psychiatric practice. There is also the opportunity for joint work with other members of the multi-disciplinary team, and this is encouraged as it is an invaluable source of experience. The foundation doctor may be able to accompany the clinical supervisor at Mental Health Act assessments if appropriate and feasible. The F2 participates in the full shift after hours roster. Admitting patients: to include taking a full psychiatric history, mental state examination, collateral information from other professionals and relatives involved in care; physical examination, performing necessary investigations and initiating treatment having discussed with nursing staff/seniors. Regular review of inpatients, usually before ward review Attendance at ward reviews and contemporaneous recording of discussion and care plans on RIO (electronic patient record). Preparation of admission/discharge summaries Assessment of Medically Ill Patients: Guidance for Foundation Doctors. As a Foundation doctor, you may be called on to assess patients who are medically unfit either in the psychiatry in-patient units or possibly in the community. It is important to be aware that psychiatric hospitals do not have facilities to support patients with serious physical health problems and you are not in a position working in these settings to facilitate urgent investigation, or initiate immediate and complex treatment such as IV support, catheterisation. In many respects the support available may even be less than in a standard community setting as there is a lack of access to GP level medical advice. In the event that a patient needs more immediate and complex physical assessment, it is advisable to discuss with a senior psychiatry colleague and it is generally necessary to have these individuals seen in the nearest A&E department. It would of course be helpful if a patient was referred, to discuss the case with the casualty team, while the transfer is being organised. This would normally require an ambulance, which the in-patient team would generally organise. As a Foundation doctor working in psychiatry, you would not normally be expected to initiate complex physical treatments. If you are uncertain about appropriate physical care of an individual, you should always discuss this issue with a senior psychiatry colleague, who may be the local core/advanced trainee in your unit or your consultant or the consultant on-call. It may be useful to contact the specialist team in the general hospital for advice, but where a complex decision is being made this should always be shared with senior colleagues in the psychiatric team, who will be responsible for the treatment while the patient is in a psychiatric hospital. Note that discussion of the physical problems with a more senior psychiatric colleague is not generally to get expert medical advice (bearing in mind that as the psychiatric specialists become more senior their physical medicine skills tend to become out of date), but to bring the concerns to their attention so they can advise on the need to contact local acute medical/surgical services and how best to do this.	Responsibilities of F2 doctor: Assessment of patients under the supervision of the Consultant. Assessment will include taking a full psychiatric history, mental state examination, obtaining collateral information from other professionals and relatives involved in the patients care; Liaising with Primary care regarding physical health issues, performing and requesting necessary investigations and initiating treatment having discussed with the Consultant. The foundation doctor will join the NWIS on daily assessments and management of service users in the community. The foundation doctor will be expected to attend the daily handover meeting at 14.00 in the NWIS office. The foundation doctor is encouraged to accompany the consultant on Mental Health Act Assessments. The foundation doctor would have the opportunity to join the Primary Liaison Team on their assessments. There is an opportunity to teach medical students as the supervisor is Undergraduate Tutor. Audit and research will be encouraged and supervised. Assessment of Medically Ill Patients: Guidance for Foundation Doctors. As a Foundation doctor, you may be called on to assess patients who are medically unfit either in the psychiatry in-patient units or possibly in the community. It is important to be aware that psychiatric hospitals do not have facilities to support patients with serious physical health problems and you are not in a position working in these settings to facilitate urgent investigation, or initiate immediate and complex treatment such as IV support, catheterisation. In many respects the support available may even be less than in a standard community setting as there is a lack of access to GP level medical advice. In the event that a patient needs more immediate and complex physical assessment, it is advisable to discuss with a senior psychiatry colleague and it is generally necessary to have these individuals seen in the nearest A&E department. It would of course be helpful if a patient was referred, to discuss the case with the casualty team, while the transfer is being organised. This would normally require an ambulance, which the in-patient team would generally organise. As a Foundation doctor working in psychiatry, you would not normally be expected to initiate complex physical treatments. If you are uncertain about appropriate physical care of an individual, you should always discuss this issue with a senior psychiatry colleague, who may be the local core/advanced trainee in your unit or your consultant or the consultant on-call. It may be useful to contact the specialist team in the general hospital for advice, but where a complex decision is being made this should always be shared with senior colleagues in the psychiatric team, who will be responsible for the treatment while the patient is in a psychiatric hospital. Note that discussion of the physical problems with a more senior psychiatric colleague is not generally to get expert medical advice (bearing in mind that as the psychiatric specialists become more senior their physical medicine skills tend to become out of date), but to bring the concerns to their attention so they can advise on the need to contact local acute medical/surgical services and how best to do this.
Typical working pattern in this placement	Weekdays 09.00 – 17.00: ward rounds and associated jobs. On Call Weekdays: 09.00 – 17.00 - 1:7 Weekends: 09.00 Sat – 09.00 Sun - 1:7	Weekdays 09.00 – 17.00: ward rounds and associated jobs. On Call Weekdays: 09.00 – 17.00 - 1:7 Weekends: 09.00 Sat – 09.00 Sun - 1:7

It is important to note that this description is a typical example of your placement and may be subject to change.

F2 General surgery

Placement	F2 General surgery Royal United Hospital
The department	The Surgical Directorate at RUH Bath is a busy surgical unit which cares for elective and urgent general surgical admissions. Sub-specialty interests include: colorectal; benign upper GI; breast and endocrine surgery
The type of work to expect and learning opportunities	F2 doctors in surgery are involved in the day to day care of the firm’s patients on the inpatient wards as well as the Day Surgery Unit and the Surgical Admissions Unit. We have tried hard to maintain a traditional ‘firm’ structure in the Directorate of Surgery in RUH, Bath. Each firm is led by two or three consultants with support from registrar, senior house officer and Foundation grades. We believe this remains the most supportive learning environment for doctors in training. Educational opportunities in this placement include: Take a history and examine a patient Make a diagnosis and formulate a management plan Prescribe safely Keep an accurate and relevant medical record Use simple medical devices safely Recognise and manage acutely ill patients Manage time and clinical priorities effectively Communicate effectively with patients, relatives and colleagues Use evidence, guidelines and audit to benefit patient care Discharge planning and summaries Educate patients Attend the operating theatre Generic and surgical teaching sessions
Where the placement is based	Royal United Hospital Bath
Clinical Supervisor(s) for the placement	Consultants in the department.
Main duties of the placement	The F2 doctors are responsible for the day to day care of patients on their wards, under the supervision of more experienced surgeons. You will take part in daily ward rounds, usually with others members of the team; assessing patients; requesting and interpreting tests and keeping notes up to date. When on ‘cover’ duty out of hours you will assess and manage problems in patients on the wards you are covering at the request of nursing staff, liaising with more senior members of the team as necessary. You are expected to attend the structured surgical teaching programme as well as the weekly F2 teaching and F2 Regional Teaching Programme. You will be responsible for other specific clinical duties as allocated by consultants including helping out in occasional emergencies and unforeseen circumstances.
Typical working pattern in this placement	TBC
Community Facing Opportunities	There are opportunities to be involved in the team planning placement of post surgical patients in the community. This may require involvement with specialised teams such as stoma care, nutrition and wound care and their community counterparts. Whilst in surgery junior doctors will also have an opportunity to be involved with the ESAC clinic helping to manage semi emergency surgical conditions in the community.

It is important to note that this description is a typical example of your placement and may be subject to change.

F2 Geriatric medicine

Placement	F2 Geriatric medicine Royal United Hospital
The department	The Care of the Elderly department is a dynamic needs-related service, based around 5 wards in the Older Persons Unit including an Acute Stroke Unite and the Hip Fracture Unit. A number of specialist clinics are provided such as movement disorder, falls, memory, and TIA clinics, as well as general clinics in and around Bath.
The type of work to expect and learning opportunities	F2 doctors in Care of the Elderly are based on one of the main wards and are involved in the day to day care of all patients there, as well as those in the linked outlying wards. Educational opportunities in this placement include: Take a history and examine a patient Make a diagnosis and formulate a management plan Prescribe safely Keep an accurate and relevant medical record Use simple medical devices safely Recognise and manage acutely ill patients Take part in resuscitation process and discuss DNAR decisions Manage time and clinical priorities effectively Communicate effectively with patients, relatives and colleagues Use evidence, guidelines and audit to benefit patient care Discharge planning Educate patients
Where the placement is based	Royal United Hospital Bath, Bath: OPU, ACE Unit, HFU and ASU
Clinical Supervisor(s) for the placement	Consultants in the department
Main duties of the placement	The F2 doctors are responsible for the day to day care of patients on their ward and any ‘outliers’, under the supervision of more experienced doctors. They will carry out ward rounds daily, usually with others members of the team, assessing patients, requesting and interpreting tests and keeping notes up to date. When on ‘cover’ duty out of hours they will assess and manage problems in patients on the wards they are covering at the request of nursing staff, liaising with more senior members of the team as necessary. They are expected to attend the structured teaching programme provided by the department, as well as the weekly F2 teaching. They will be responsible for such other specific clinical duties as allocated by consultants including performing other duties in occasional emergencies and unforeseen circumstances.
Typical working pattern in this placement	TBC
Community Facing Opportunities	F2 doctors will regularly liaise with the community teams to plan ongoing care and safe discharges from hospital. The geriatric consultants also perform regular ward rounds at local community hospitals. There is opportunity to attend these ward rounds on an ad hoc basis if ward staffing allows. A number of specialist clinics (movement disorders, falls and syncope) are held in community hospitals with extensive input from the community therapy and nursing teams. F2 doctors can arrange to attend these community clinics.

It is important to note that this description is a typical example of your placement and may be subject to change.

F2 Obstetrics and gynaecology

Placement	F2 Obstetrics and gynaecology Royal United Hospital
The department	The O&G department provides a full inpatient and outpatient service, based around CDS (Central Delivery Suite), Mary Ward (Antenatal & postnatal), Day Assessment Unit, Charlotte Ward (Gynaecology) and clinics.
The type of work to expect and learning opportunities	F2 doctors in O&G are based in Princess Anne Wing and rotate around the different areas within O&G: Obstetrics, Gynaecology and emergency clinic. Educational opportunities in this placement include: Take a history and examine a patient Make a diagnosis and formulate a management plan Prescribe safely Keep an accurate and relevant medical record Use simple medical devices safely Recognise and manage acutely ill patients Take part in resuscitation process and discuss DNAR decisions Manage time and clinical priorities effectively Communicate effectively with patients, relatives and colleagues Use evidence, guidelines and audit to benefit patient care Discharge planning Educate patients Opportunity to attend specialist clinics in gynaecology in all subspecialized areas.
Where the placement is based	Royal United Hospital Bath, Bath: Princess Anne Wing
Clinical Supervisor(s) for the placement	Consultants in the department
Main duties of the placement	The F2 doctors are responsible for the patients on Charlotte ward, carrying out daily ward rounds, clerking gynae referrals in ED, reviewing post natal patients on Mary ward, seeing patients who attend CDS, assisting with elective and emergency C-sections, running EPAC (Early Pregnancy clinic) and GEAC (Gynae Emergency clinic). There will always be an on call registrar and on call consultant who will be available to help with any queries and will review patients if necessary.
Typical working pattern in this placement	TBC
Community Facing Opportunities	During the placement doctors have the opportunity to work in both gynaecological and antenatal clinics under consultant supervision. This provides experience in how to manage many problems which are often dealt with in the community. For example period-problems, female incontinence and HRT issues as well as routine AN care. Our department works closely with the community midwives and there are opportunities for doctors in training to visit any of the four midwifery-led units in our area. They can also gain experience in caring for women with drug, alcohol and social problems, teenage pregnancy and unwanted pregnancy.

It is important to note that this description is a typical example of your placement and may be subject to change.

F2 Otolaryngology

Placement	F2 Otolaryngology (ENT) Royal United Hospital
The department	The ENT team cares for elective and emergency patients with a wide variety of ENT problems.
The type of work to expect and learning opportunities	F2 doctors are based in the ENT outpatient area and are involved in the day to day care of the firm’s patients on the Day Surgery Unit, the Surgical Admission Unit, Emergency Dept, Paediatric Unit and other wards. Educational opportunities in this placement include: Take a history and examine a patient Make a diagnosis and formulate a management plan Prescribe safely Keep an accurate and relevant medical record Use simple medical devices safely (drainage of quinsy, nose cautery) Recognise and manage acutely ill patients Manage time and clinical priorities effectively Communicate effectively with patients, relatives and colleagues Use evidence, guidelines and audit to benefit patient care Discharge planning Educate patients
Where the placement is based	Royal United Hospital Bath, Bath: ENT outpatient area
Clinical Supervisor(s) for the placement	Consultants in the department
Main duties of the placement	The F2 doctors are responsible for the day to day care of patients on their wards under the supervision of more experienced doctors. They will carry out ward rounds daily, usually with others members of the team, assessing patients, requesting and interpreting tests and keeping notes up to date. When on ‘cover’ duty out of hours they will assess and manage problems in patients on the wards they are covering at the request of nursing staff, liaising with more senior members of the team as necessary. They are expected to attend the structured teaching programme provided by the department as well as the weekly F2 teaching. They will be responsible for such other specific clinical duties as allocated by consultants including performing other duties in occasional emergencies and unforeseen circumstances.
Typical working pattern in this placement	TBC
Community Placement Opportunities	Whilst doing ENT F2s are closely involved in the discharge planning of patients. We run a mutli-disciplinary service in which head and neck specialist nurses, dieticians, speech and language therapists and head neck specialist nurses all contribute to patient journey once they leave hospital. The junior medical staff are an integral part of this team. In addition, the F2 doctors take part in our emergency clinic service which requires them to liaise closely with local GPs both before and after the patient encounter.

It is important to note that this description is a typical example of your placement and may be subject to change.

F2 Paediatrics

Placement	F2 Paediatrics Royal United Hospital
The department	The Royal United Hospital in Bath is a busy district general hospital. The area serves a population of approximately 500,000 and has 5,500 births a year. The Children’s Centre comprises a purpose built outpatient department, pre-school assessment centre, and a 38 bed Paediatric ward including an acute assessment area, which takes all medical and surgical in-patient admissions. The neonatal unit, designated as a Local Neonatal Unit, has 21 cots and works as part of the Western Neonatal network with the smallest and most unwell babies being transferred to the lead centres by the network transport team. In summer 2011 we moved into a new purpose built neonatal unit. This is a unique sustainable building, which has won several awards. The department has established a neonatal nursing outreach service to support early discharge of small infants. General paediatrics is busy and varied. General paediatric outpatient clinics are provided both at the RUH and throughout the Bath clinical area. There is also an urgent outpatient service triaged by the consultant of the week. The paediatric department works closely with tertiary services, predominantly in Bristol and a number of specialist clinics are held in Bath including Paediatric cardiology, rheumatology, dermatology, oncology, nephrology, urology, cystic fibrosis, allergy, immunology, tuberous sclerosis and epilepsy. Community Child Health services are provided by Sirona Care and Health with whom the department has a close working relationship. All the consultants have an interest in research and a local research fund, the ‘Bath Unit for Research in Paediatrics’, has supported many projects. The Dyson Foundation has also funded research into the impact of the new NICU on parent, staff and environmental factors. The department works closely with Consultant Community paediatricians and staff from Sirona Care and Health Social Enterprise who are responsible for community paediatrics and social care locally. There are a number of visiting consultants from Bristol Children’s Hospital who do regular clinics. Middle Grade cover The middle grade cover is provided by eight posts. Individual posts may be occupied by two flexible doctors in training as a slot-share. SHOs/Foundation There are 9 ST1-3 posts, 4 are attached to GP vocational training schemes, the others are Paediatric specialty trainees, plus 2 F2 posts. Together these post-holders provide the first tier on call - All junior staff posts are recognised for training.
The type of work to expect and learning opportunities	Main duties are detailed as below. Senior support is always available. Seniors appreciate that you are used to ‘adult’ medicine and have little/no experience of paediatrics, and will therefore guide you with decision making, are always open to questions and will help whenever asked. Objectives are to gain enough experience to: Take a history and examine a child Identify medical and psychosocial problems Prescribe safely in children Keep an accurate and relevant medical record Manage time and clinical priorities effectively Communicate effectively with patients, relatives and colleagues Use evidence, guidelines and audit to benefit patient care Act in a professional manner at all times Cope with ethical and legal issues which occur during the management of patients with paediatric medical problems Educate patients effectively Become life-long learners and teachers Develop paediatric clinical skills such as cannulation, venipuncture, lumbar puncture and neonatal resuscitation There are twice weekly tutorials for the F2s/GPVTS/ST1-3s in “bleep free time". There is a weekly ST4-8 training afternoon. There are monthly X-ray and perinatal mortality meetings. Clinical governance and audit meetings are held every other month. Twice a year joint educational meetings are held with the Department of Paediatrics of the North Bristol Trust. There are monthly meetings with the Obstetricians and Radiologists. There is a monthly Grand round often presented by invited external speakers. There is an induction programme for all staff.
Where the placement is based	RUH Bath – Paediatric unit and NICU
Clinical supervisors	Consultants in the department
Main duties	Rota covers both Paediatrics and neonates. Paediatrics – main responsibilities:- Ward:- Consultant/registrar ward round and doing any jobs needed (bloods/TTAs/discharge summaries/organizing and chasing investigations) Acute admissions:- Clerk patient, formulate differential diagnosis and then normally have discussion/review with registrar, formulate a management plan and carry out any required investigations. Jaundice clinic:- Clerk babies referred from community with jaundice and arrange appropriate blood tests NICU – main responsibilities – covering NICU ward round jobs and deliveries, and reviewing any babies that the midwives have concerns about on Mary Ward. CDS bleep:- Attend deliveries and provide resus support if required. (Registrar will come to first few with you).
Working pattern	TBC
Community Facing Opportunities	One GP post has a day a week of community placements. This post also covers the paediatric assessment unit 4 days a week, thereby freeing up the other STs and F2s to have days that they can use to attend clinics or community based placements such as days with health visitors, school nursing service, paediatric lifetime nursing service etc.

It is important to note that this description is a typical example of your placement and may be subject to change.

F2 Respiratory medicine

Placement	F2 Respiratory medicine Royal United Hospital
The department	The Respiratory department provides a full inpatient and outpatient service, based around the respiratory ward and outpatient department. The ward has a high-care bay for NIV, there is a large lung cancer workload, and specialist interests include pulmonary hypertension, cystic fibrosis, and COPD.
The type of work to expect and learning opportunities	F2 doctors training in respiratory are based on the respiratory ward, and are involved in the day to day care of all patients there, as well as those in the linked outlying wards. Educational opportunities in this placement include: Take a history and examine a patient Make a diagnosis and formulate a management plan Prescribe safely Keep an accurate and relevant medical record Use simple medical devices safely Recognise and manage acutely ill patients Take part in resuscitation process and discuss DNAR decisions Manage time and clinical priorities effectively Communicate effectively with patients, relatives and colleagues Use evidence, guidelines and audit to benefit patient care Discharge planning Educate patients
Where the placement is based	Royal United Hospital Bath: respiratory ward.
Clinical Supervisor(s) for the placement	Consultants in the department
Main duties of the placement	The F2 doctors are responsible for the day to day care of patients on their ward, under the supervision of more experienced doctors. They will carry out ward rounds daily, usually with others members of the team, assessing patients, requesting and interpreting tests and keeping notes up to date. When on ‘cover’ duty out of hours they will assess and manage problems in patients on the wards they are covering at the request of nursing staff, liaising with more senior members of the team as necessary. They are expected to attend the structured teaching programme provided by the department, as well as the weekly F2 teaching and F2 Regional Teaching Programme. They will be responsible for such other specific clinical duties as allocated by consultants including performing other duties in occasional emergencies and unforeseen circumstances.
Typical working pattern in this placement	TBC
Community Facing Opportunities	Many of the departments’ patients require chronic disease management and thus there are several community facing opportunities including Liaising with the IMPACT team – a multidisciplinary community based COPD intermediate care team that inreach and expedite discharges Weekly social MDT where all inpatients’ discharge arrangements are discussed in presence of social worker and therapists Liaising with other community healthcare providers, including GPs, mental health liaison, palliative care, drug and alcohol liaison services etc.

It is important to note that this description is a typical example of your placement and may be subject to change.

F2 Rheumatology

Placement	F2 Rheumatology
The department	The Rheumatology department is based at the Royal National Hospital for Rheumatic Diseases which, following its move in 2019, now sits on the main RUH site. It operates a mixture of secondary and tertiary care level outpatient services and covers the breadth of rheumatology sub-specialty disciplines. The department provides an acute rheumatology in-reach service to the RUH inpatient wards, reviews urgent day cases and supports an on-site Spondyloarthritis rehabilitation programme.
The type of work to expect and learning opportunities	FY2s will work primarily as part of the Acute Rheumatology Team (ART). The ART comprises of a Registrar, Internal Medicine/General Practice trainee and our Medical Nurse Practitioner in addition to the FY2 trainee. It is supervised by 2 consultants of the day covering general rheumatology and connective tissue diseases. Learning opportunities include the following areas: Assessment of acute rheumatological presentations including Giant Cell Arteritis (GCA), Connective Tissue Disorders, Inflammatory Arthritis and Crystal Arthropathies. Development of knowledge of common rheumatological conditions and their management (caring for patients with long term conditions). Understanding of common pathways involving rheumatological care including the GCA referral pathway. Quality Improvement/Audit opportunities. Potential to attend outpatient clinics. Potential to develop clinical skills including intra-articular/soft tissue injection. Attendance at weekly rheumatology postgraduate education programme with dedicated weekly SHO teaching. Participation in acute medical on call rota.
Where the placement is based	Royal United Hospital, Bath
Clinical supervisors	Dr Andrew Allard (Specialty Tutor) or nominated other
Main duties of the placement	The FY2 doctor will be responsible for supporting the Acute Rheumatology Team. They will help to provide continuity of care to in-patients and assess day cases presenting with acute rheumatological conditions as part of a Multidisciplinary Team. They are expected to attend the structured teaching program provided by the department, as well as the weekly FY2 teaching. Further opportunities to gain outpatient experience including attendance at rheumatology clinics, injection clinics and musculoskeletal ultrasound lists can be arranged if desirable.
Working pattern	Weekdays 09.00 – 17.00: In patient reviews and day cases. Out of hours: As per Acute Medical on call rota

It is important to note that this description is a typical example of your placement and may be subject to change.

F2 Stroke Medicine

Placement	F2 Stroke Medicine Royal United Hospital
The department	The acute stroke unit is a 26 bedded ward (including a hyperacute bay) which looks after patients with acute stroke, including those who have received thrombolysis and thrombectomy. We have a cohesive team of 5 stroke consultants, 3 SAS doctors, 1 IM3 and 6 MNPs who the rotating FY2 will work alongside.
The type of work to expect and learning opportunities	FY2s will work as part of the ASU multidisciplinary team and will take an active part in daily whiteboard round meetings. F2s will attend daily consultant ward round of the hyperacute bay and new patients and have the opportunity to lead independent ward rounds during the week with close supervision by SAS doctors and consultants. Learning opportunities include the following areas: Stroke risk factors and secondary prevention Complications of acute stroke and their prevention/treatment Communicating important information to Primary Care Discussing lifestyle change with patients in an accurate and evidence-based way Communicating challenging information to patients/families about severe stroke including setting appropriate ceilings of treatment Discussing anticoagulation in atrial fibrillation with patients and their families Prescribing safe anti-coagulation with warfarin and DOACS Screening for dysphagia at the bedside Undernutrition, nutritional supplements and refeeding syndromes Managing delirium using non-drug and drug approaches Making plans for end of life care and using the EOL documentation Reducing polypharmacy Assessing mental capacity for discharge decision making Nasogastric feeding process Managing medical complexity
Where the placement is based	Royal United Hospital Bath
Clinical Supervisor(s) for the placement	Dr Andrew Stone
Main duties of the placement	The F2 doctors are responsible for the day-to-day care of patients on their wards, under the supervision of more experienced doctors. They will carry out ward rounds daily, with the on call consultant or with SAS doctors/independently assessing patients, prescribing medicines, requesting and interpreting tests and keeping notes up to date. They are expected to attend the structured teaching program provided by the department, as well as the weekly F2 teaching.
Typical working pattern in this placement	Weekdays 08.00 – 17.00: ward rounds and associated jobs, ward work. Out of hours: TBC – as per rota
Employer information	The employer for this post is The Royal United Hospital Bath NHS Foundation Trust. The hospital is a medium sized acute Trust and provides an extensive range of secondary services for the local population of approximately 450,000.

It is important to note that this description is a typical example of your placement and may be subject to change.

F2 Trauma and Orthopaedic Surgery

Placement	F2 Trauma and orthopaedic surgery Royal United Hospital
The department	The Trauma & Orthopaedics department is a busy unit which cares for a variety of elective and non-elective orthopaedic patients, and emergency trauma patients.
The type of work to expect and learning opportunities	F2 doctors training in T+O are based mainly on Forrester Brown and Philip Yeoman wards, and are involved in the day to day care of the firm’s patients there. Occasionally patients are cared for on the Day Surgery Unit. Educational opportunities in this placement include: Take a history and examine a patient Make a diagnosis and formulate a management plan Prescribe safely Keep an accurate and relevant medical record Use simple medical devices safely Recognise and manage acutely ill patients Manage time and clinical priorities effectively Communicate effectively with patients, relatives and colleagues Use evidence, guidelines and audit to benefit patient care Discharge planning Educate patients Opportunity for theatre work/ basic surgical skills
Where the placement is based	Royal United Hospital Bath: Forrester Brown, Philip Yeoman wards
Clinical Supervisor(s) for the placement	Consultants in the department
Main duties of the placement	The F2 doctors are responsible for the day-to-day care of patients on their wards, under the supervision of more experienced doctors. This may include cross-cover for other orthopaedic teams if required. They will carry out ward rounds daily, usually with others members of the team, assessing patients, requesting and interpreting tests and keeping notes up to date. When on ‘cover’ duty out of hours they will assess and manage problems in patients on the wards they are covering at the request of nursing staff, liaising with more senior members of the team as necessary. They are expected to attend weekly F2 teaching and Regional Teaching Programme. They will be responsible for such other specific clinical duties as allocated by consultants including performing other duties in occasional emergencies and unforeseen circumstances.
Typical working pattern in this placement	TBC
Community Facing Opportunities	F2 doctors will attend the morning Trauma Meeting at which the admissions will be discussed including their social circumstances. This helps to guide early and effective discharge planning. Trauma patients often have complex needs at discharge, and F2s will work closely with other Health Professionals such as Physiotherapists and Occupational Therapist to ensure clear and timely communication between the hospital and the Community teams.

It is important to note that this description is a typical example of your placement and may be subject to change.

F2 Urology

Placement	F2 Urology Royal United Hospital
The department	The urology team cares for elective and emergency patients with a wide variety of urological problems. 10 consultants are supported by a team including registrars, an SHO-grade, 2 F1 doctors, specialist nurses and nurse practitioners.
The type of work to expect and learning opportunities	F2 doctors in urology cover patients on all the surgical wards, and are involved in the day to day care of the firm’s patients. Educational opportunities in this placement include: Manage common urological problems in ward inpatients Prescribe safely Keep an accurate and relevant medical record Acquire practical clinical skills e.g. urethral catheterisation Potential to assist in theatre Recognise and manage acutely ill patients Manage time and clinical priorities effectively Communicate effectively with patients, relatives and colleagues Use evidence, guidelines and audit to benefit patient care Discharge planning Educate patients
Where the placement is based	Royal United Hospital Bath
Clinical Supervisor(s) for the placement	TBC
Main duties of the placement	The F2 doctors are responsible for the day-to-day care of patients on their wards, under the supervision of more experienced doctors. They will carry out ward rounds daily, with the on call consultant or registrar, assessing patients, prescribing medicines, requesting and interpreting tests and keeping notes up to date. When on ‘cover’ duty out of hours they will assess and manage problems in patients on the wards they are covering at the request of nursing staff, liaising with more senior members of the team as necessary. They are expected to attend the structured teaching program provided by the department, as well as the weekly F2 teaching. They will be responsible for such other specific clinical duties as allocated by consultants including performing other duties in occasional emergencies and unforeseen circumstances as well as occasionally assisting in theatre.
Typical working pattern in this placement	Weekdays 08.00 – 17.00: ward rounds and associated jobs, ward work. Out of hours: TBC – as per rota
Employer information	The employer for this post is The Royal United Hospital Bath NHS Foundation Trust. The hospital is a medium sized acute Trust and provides an extensive range of secondary services for the local population of approximately 450,000.

It is important to note that this description is a typical example of your placement and may be subject to change.

This page was last updated March 31st 2022 (2 years ago)