Oxford Foundation School Prospectus

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to the Oxford Deanery Foundation School prospectus. My name is Anne
Edwards, Im the Director of the Foundation School, as well as a Consultant in
GUM and Lecturer at the University. This is the frst time we have done this, and
its because we want you, the brightest and best
medical graduates.
The UKFPO allows you total freedom to apply wherever you choose, and
we know we cant sit back on an old reputation and wait for the best applicants.
Wed like to show you why this is the place for the next
stage of your medical career.
Our programme goes beyond the minimum competencies set by the
Foundation curriculum. We offer clinical experience in internationally renowned
centres of excellence. Our links to the University dissolve the barriers to getting
involved with cutting edge research and publication, and there is an eager
student population who engage with teaching. The Trusts within the Deanery
actively encourage juniors to engage in improving the health service at all
levels. In the Oxford Deanery, we aim make you as competitive as possible for
applications to specialty training; the only limit is your enthusiasm!
Modern Foundation training is the gateway to the rest of your career
in medicine. No matter where you studied, whether or not you have plans for
specialty training, and where you want to end up working,
the Oxford Deanery is the best place to get you started.
This prospectus gives a favour of what we have to offer: come join us!
Welcome
BRASENOSE COLLEGE ON RADCLIFFE SQUARE, OXFORD
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OXFORD FOUNDATION SCHOOL PROSPECTUS 2013
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1. Introduction
Page 1 Welcome
Page 4 Working in the Oxford Foundation School
Whos who
Equality and diversity
Welfare
Contact details
Page 7 Academic Medicine in Oxford
2. Oxford University
Hospitals
Page 8 Working in...
Page 13 Green Templeton College
Management in Medicine Programme
Page 14 Job Descriptions
3. Royal Berkshire
4. Buckinghamshire
Healthcare
Page 49 Competition to win career guidance books
5. Milton Keynes Hospital
6. Heatherwood and
Wexham Park Hospitals
7. Interesting Information
Page 72 Explaining the ePortfolio
Page 74 Finance Tips
Page 75 Admin Advice
8. Pertinent Policies
Page 76 Annual Leave
Page 76 Job Swaps
Page 76 F2 Abroad
Page 77 Study Leave and Study Budget
9. The Big Grid
Page 78 The Big Grid
Contents.
Where do you
want to go?
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have any queries about your post or rotations,
including special circumstances and plans
you might have for taking time out. The FSM
works extremely closely with the FSD and also
with the postgraduate centre administrators in
various Trusts in which you will be working.
Please do not hesitate to make contact with
the FSM if you have any queries and she will
do her best to fnd out the answers for you as
quickly as possible.
Contact details are available at the end of
this article.
Foundation Training
Programme Director (FTPD)
I
n all the acute Trusts the Deanery appoints
Foundation Training Programme Directors
(FTPD) who have special responsibility for
between 20 and 40 trainees in any one Trust.
The FTPDs will usually introduce themselves
to you at induction, and if not at induction will
make sure that you know who they are and
how to contact them. The FTPDs work closely
with the FSD and FSM to ensure your smooth
progress through the Foundation Programme.
They appoint your Educational Supervisor (ES)
for each year of training. The ES will meet
you regularly to ensure your smooth progress
through foundation training.
Again, if you have any problems, anxieties
or concerns, they are very happy to help and
provide appropriate support.
this article.
Foundation Programme
Lead (FPL)
I
n the Oxford Health NHS Foundation Trust, Dr
Susan Shaw is the Foundation Programme
Lead (FPL) and will provide help and informa-
tion to anyone working as a Foundation Doctor
within the Trust.
In the Primary Care Trust in Oxford where
there are a small number of foundation trainees,
Dr Premila Webster is the FPL and is very happy
to provide help and support to trainees coming
in to public health.
In General Practice, you will normally be
allocated a clinical supervisor (CS) during your
time. The CS will link up to the FTPD in the
area in which you are working. Again, all of our
trainers are supportive and helpful and you will
be advised closer to the time that you take up
your General Practice appointment who your
CS will be. In addition, Mr Richard Mumford is
the FPL for GP and works with GP practices
and the Foundation School.
For Academic foundation trainees Prof.
Chris Pugh is currently the FPL and is available
to provide trainees with advice and support
throughout their programme.
this article.
Medical Education
Managers (MEM)
(FORMERLY POSTGRADUATE CENTRE MANAGERS)
Y
our local Medical Education Manager (MEM)
is responsible for the smooth running of
postgraduate training (including foundation) in
your Trust. They are responsible for organising
induction, the teaching sessions, monitoring
how your assessments are going and helping
with any problems that might arise. If you need
help support or advice your local MEM will
often be the frst port of call.
this article.
Foundation School Board: F1
and F2 representatives
T
he Foundation School Board meets 2 - 3
times per year and is a multidisciplinary
forum in which we discuss any matters relating
to the Oxford Foundation School. There are rep-
resentatives from the Medical School, F1 and
F2 intakes. Your representatives will be in touch
before Board meetings to ask you if there are
any issues you might wish to raise.
Equality and diversity
T
he Oxford Foundation School aims to
remove any barriers which might deter
people of the highest ability from applying to it
as junior doctors. The Foundation School seeks
to provide an inclusive environment which
values diversity and maintains a training envi-
ronment in which the rights and dignity of all its
junior doctors are respected to assist them in
reaching their full potential.
No prospective or actual junior doctor will be
treated less favourably than any other, whether
before, during or after their period of training
on one or more of the following grounds,
except when such treatment is within the law
and determined by lawful requirements: age;
colour; disability; ethnic origin; marital status;
nationality; national origin; parental status;
race; religion or belief; gender; or sexual ori-
entation.
The Foundation School has approved a
separate Equality and Diversity Policy to meet
the specifc obligations of equality legislation. If
you have a complaint relating to your training
on any of the above grounds you should inform
your Foundation Training Programme Director
(FTPD) immediately and also the Foundation
School Director (FSD).
Welfare
H
appily most of our trainees will enjoy the challenges presented by their foundation training and
progress through their programme without problems. However from time to time the unex-
pected happens and help may be needed. We are fortunate in having an excellent team supporting
the foundation programme throughout our Trusts and other partners. Any of these individuals
would be well equipped to advise and support you. In addition the Deanery foundation team is
always happy to be contacted and/or visited. We aim to be fexible and sympathetic to trainees
who fnd themselves in situations that may interfere with their ability to complete the programme,
or who are struggling for whatever reason. We would always encourage you to alert us to potential
problems sooner rather than later. Similarly if you are concerned for a colleague please do not
hesitate to seek advice.
THE FOUNDATION PROGRAMME HAS THE FOUNDA-
TION DOCTOR AT ITS CORE, SUPPORTED BY THE
CLINICAL AND EDUCATIONAL SUPERVISORS. IN
TURN, THEY ARE SUPPORTED BY THE FTPDS
AND THE DIRECTORS OF MEDICAL EDUCATION.
ALL THESE ROLES ARE FURTHER SUPPORTED BY
THE OXFORD FOUNDATION SCHOOL WITHIN THE
OXFORD DEANERY STRUCTURE.
FOUNDATION
DOCTOR
CLINICAL AND EDUCATIONAL
SUPERVISORS
FOUNDATION TRAINING PROGRAMME
DIRECTORS, DIRECTORS OF
MEDICAL EDUCATION
FOUNDATION SCHOOL
DEANERY
Oxford
Foundation School
ADDITIONAL USEFUL INFORMATION
Oxford Foundation School
http://www.oxforddeanery.nhs.uk/specialty_schools/foundation_school.aspx
Career Workshops
http://www.oxforddeanery.nhs.uk/recruitment__careers.aspx
Career Development Unit
http://www.oxforddeanerycdu.org.uk/
Medic Support
http://www.oxforddeanerycdu.org.uk/health/help_for_trainees/medic_support.html Foundation School Director
(FSD)
T
he Foundation School Director (FSD), Dr
Anne Edwards, is an Associate Dean based
in the Oxford Deanery. Dr Edwards is also a
consultant/honorary senior lecturer in Geni-
tourinary Medicine and Fellow of Brasenose
Colege. She spends her clinical time working at
the Churchill Hospital.
The FSD has overall
responsibility for the Foundation
School
and works very closely with the Foundation
Training Programme Directors based in the
Acute Trusts and with Foundation Leads based
in the Mental Health Trust and in Primary Care
and other settings. She is always happy to be
approached about any problem or issue that
you may not be able to resolve locally or where
you would prefer advice, help and support
outside the hospital in which you are working.
If you are planning to take time out from the
programme or you would like to move abroad
for your F2 year or if for any other reason you
feel that you may be doing something outside
the ordinary, please do get in touch earlier
rather than later. It is much easier to plan for
change in advance and you will f nd that this
helps ensure that everything works smoothly
for you.
this article.
Foundation School Manager
(FSM)
T
he Foundation School Manager (FSM), Ann
Spafford, is responsible for overall admin-
istration of the Foundation Programme and
should be your f rst point of contact if you
W
e very much look forward to working with
you in the two years that you will spend in
the Oxford Foundation School.
The vast majority of you will enjoy a straight-
forward progression through your training and
through the different Trusts and specialties that
you expect to be working in.
This introductory article has been designed
to give you some simple and clear information
about who works within the Foundation School,
the roles and responsibilities and where you
can turn to for help and support.
Opposite is a chart showing the organisa-
tional structure for the Foundation School.
The text below provides a little more detail
about the individuals whom you are most likely
to come into contact with during your founda-
tion training.
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Academic Medicine in
Oxford: how to get involved
Academic Foundation Programme Application enquiries
Check website and if necessary contact Ann Spafford
ann.spafford@oxforddeanery.nhs.uk
Requests for information:
- On the Academic Foundation Programme
- On other academic opportunities within the deanery
Contact Denise Best who will forward messages to relevant colleagues
denise.best@medsci.ox.ac.uk
Academic point of contact
- For those appointed to the Academic Foundation Programme
Contact Academic Foundation Lead, currently Chris Pugh
cpugh@well.ox.ac.uk
F
uture advances in patient care, basic under-
standing of disease processes as well as the
encouragement and education of successive
generations of doctors largely lie in the hands
of medical academics or academic medics. We
are very fortunate in Oxford in having a
long history of success in
medical academia
and strong support for trainees from the
Deanery (www.oxforddeanery.nhs.uk/). We
currently have a large and vibrant medical
academic community running a huge range
of basic and applied projects housed in frst rate
clinical and scientifc facilities within both hos-
pital and University premises (see http://www.
ox.ac.uk/divisions/medical_sciences.html and
http://www.ouh.nhs.uk/). The recent award of
a further fve year National Institute for Health
Research Biomedical Research Centre further
strengthens the environment and the scien-
tifc opportunities available (see http://www.
oxfordbrc.org/).
Anybody appointed to
a clinical job in Oxford who is
excelling at their clinical compe-
tencies is encouraged to survey
the wide range of research
opportunities available
and try to get involved in projects that
interest them. This is obviously facilitated for
those who have jobs in the Academic Founda-
tion, Academic Clinical Fellowship and Clinical
Lecturer schemes because they have protected
time for this purpose. However, research
opportunities are available to all willing to
show the ability, perseverance, determina-
tion and commitment to make things work.
Indeed, in addition to those appointed directly
into Academic Foundation posts we have
recently launched a scheme whereby those
on the standard Foundation programme were
able to apply retrospectively for conversion into
Academic Foundation posts for FY2. Four indi-
viduals were successful in 2012 and it is hoped
that more posts of this nature will be available
from 2013. Research funding opportunities
also exist via the Oxfordshire Health Services
Research Committee which offers grants for
one year pump priming Fellowships and also
research bursaries. Over the next year
we are going to expand the
scheme of research bursaries
to facilitate funding more high
quality projects,
whether they are proposed by individuals in
Academic jobs or not.
One route to identifying research opportuni-
ties in Oxford is the regular Academic Medical
Forum programme which is widely advertised
and open to all (to be added to the mailing list
please contact ****). New initiatives are being
introduced to further disseminate knowledge
of research projects including weekly poster
sessions in conjunction with the Medical and
Surgical Grand Rounds, databases of active
research projects and named contact people for
trainees to approach in each University Depart-
ment and Clinical specialty which we will make
available via the Oxford University Clinical
Academic Graduate School (OUCAGS) website
(http://www.oucags.ox.ac.uk). In addition each
autumn our Foundation trainees have run a
highly successful scientifc evening conference
under the title Research in Clinical Practice,
attracting attendees from across the country.
Selected abstracts from this conference have
been published in the Quarterly Journal of Med-
icine. For more information about this years
event see *****
Across all specialties many of the
academic opportunities
for trainees are co-ordinated and
run by the OUCAGS.
Further details are available via the OUCAGS
website which highlights that OUCAGS pro-
vides seminars, an accredited programme of
research training, offers overseas academic
and clinical placements, and assists in identi-
fying funding opportunities.
We also support development of clinical
competencies by close liaison with clinical
supervisors to ensure our academic doctors
achieve at a consistently high level, so deliv-
ering the greatest beneft to their patients.
With this support many of our trainees are
high achievers, able to publish the results of
their projects and go on to further academic
posts either in Oxford or elsewhere.
Research opportunities
within Oxford, and how
Foundation trainees can make
the most of them
Chris Pugh
Academic Foundation Lead, Oxford Deanery
Name Title Location Email address
Dr Anne Edwards FSD Oxford Deanery, The Triangle, Roosevelt Drive maureen.frostick@ouh.nhs.uk
Miss Ann Spafford FSM Oxford Deanery, The Triangle, Roosevelt Drive ann.spafford@oxforddeanery.nhs.uk
Miss Jenny Arthur OFS Administrator Oxford Deanery, The Triangle, Roosevelt Drive jenny.arthur@oxforddeanery.nhs.uk
Mr Bolaji Jegede Project Support Offcer Oxford Deanery, The Triangle, Roosevelt Drive bolaji.jegede@oxforddeanery.nhs.uk
Mr Jas Kalsi FTPD (F1) Heatherwood and Wexham Park jas.kalsi@hwph-tr.nhs.uk
Mr Ram Moorthy FTPD (F2) Heatherwood and Wexham Park ram.moorthy@hwph-tr.nhs.uk
Dr Marc Davison FTPD Buckinghamshire marc.davison@buckshealthcare.nhs.uk
Dr Simon Bays FTPD Buckinghamshire simon.bays@buckshealthcare.nhs.uk
Dr Yaw Duodu FTPD Milton Keynes yaw.duodu@mkhospital.nhs.uk
Dr Helen Allott FTPD Royal Berkshire helen.allott@royalberkshire.nhs.uk
Dr Stuart Benham FTPD OUH (Oxford) stuart.benham@nda.ox.ac.uk
Dr Kenny McCormick FTPD OUH (Oxford) kenny.mccormick@ouh.nhs.uk
Dr Andrew Woodhouse FTPD OUH (Oxford) andrew.woodhouse@ouh.nhs.uk
Dr Alex Lee FTPD OUH (Oxford) alex.lee@ouh.nhs.uk
Dr Sue Burge FTPD OUH (Oxford) sue.burge@nda.ox.ac.uk
Dr Mike Ward FTPD OUH (Banbury) simon.ward@ouh.nhs.uk
Dr Susan Shaw FPL (Psychiatry) Oxford Health NHS Foundation Trust susan.shaw@oxfordhealth.nhs.uk
Dr Premila Webster FPL (Public Health) Oxfordshire PCT premila.webster@dph.ox.ac.uk
Mr Richard Mumford FPL (GP) Oxfordshire PCT rmumford@nhs.net
Prof. Chris Pugh FPL (Academic) OUH (OUCAGS) cpugh@well.ox.ac.uk
Ms Chantal Vermenitch MEM OUH (Oxford) chantal.vermenitch@ouh.nhs.uk
Ms Liz Clarke MEM OUH (Banbury) liz.clarke-pgec@ouh.nhs.uk
Ms Teresa Harvey MEM Royal Berkshire teresa.harvey@royalberkshire.nhs.uk
Mrs Marilyn Hopkins MEM Milton Keynes marilyn.hopkins@mkhospital.nhs.uk
Mrs Virginia Poole MEM Buckinghamshire virginia.poole@buckshealthcare.nhs.uk
Ms Maura Stock MEM Heatherwood and Wexham Park maura.stock@hwph-tr.nhs.uk
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Restaurants:
Al-Andalus: Tapas in Jericho on a pretty
street. A nice place for a big group.
Quod: Not a place to wear trainers but excel-
lent British food (think braised lamb shanks). On
a Sunday evening there is jazz.
Shangai 30s: Exquisite Chinese food and
hilarious artwork.
Lankwaifong: A delicious yet reasonably
priced Chinese and Thai restaurant.
Kazbar: Perfect location for a frst date.
Spanish tapas in a Moroccan themed den.
Gees: The high end of Oxford. A classy
modern British restaurant in a beautiful con-
servatory in North Oxford
Turl Street Kitchen: A central location for
good home-cooked food with a seasonal menu
and in aid of a local charity. Good food, doing
good.
Cafes:
G&Ds: 3 locations around Oxford serving
home-made ice cream between 08:00 and
midnight every day of the week. A popular spot
to meet up or do some work
The Missing Bean: Oxfords best inde-
pendent coffee shop on Turl Street in the centre
of town. Get there early, it gets very busy and
uncomfortably hot in the summer but their Latte
art is to die for
Zappis Bicycle Caf: A lesser known
Oxford haunt above the Bike Zone shop on St
Michaels street. Very cool, very on trend.
Banbury
B
anbury is located between Oxford and Bir-
mingham and is a town most known for the
nursery rhyme Ride a Cock Horse to Banbury
Cross, and also Banbury Cakes, a spiced cur-
rant-flled pastry.
Facilities include an Odeon Cinema, Banbury
Museum, shopping centre, Spiceball park
gym and swimming pool and numerous pubs
and bars,
Banbury is also conveniently located for
exploring historic stone villages.
Transport links:
Oxford
T
he John Radcliffe, Churchill, NOC and the
Warneford are all located in Headington, an
area of Oxford which becomes the main route
East. Oxford is well connected to London by the
Oxford Tube coach, a service which runs 24/7
with a travel time of approximately 90 minutes.
There is a stop on London Road in Headington,

The Ashmoleon: This is like the British Museum of Oxford. You could spend
hours here without realising until the hunger pangs kick in. Then head
upstairs to the top foor Dining Room;
on a sunny day sunbathe on its rooftop lawn.
Opening hours Tuesday - Sunday 10am-6pm. If a special exhibition is on this
will incur a charge, otherwise entrance is free
University Parks: Be one of many taking a stroll through this beautiful
park or soaking up the atmosphere from the lawns and lakeside benches.
Absolutely brilliant in the summer
Theatre: http://www.oxfordcityguide.com/ee2/index.php?/SeeDo/theatre
Shopping: There is a high street and a pedestrian street with regular shops
Cinema:
Odeon, George Street
Odeon, Magdalen Street
Phoenix Picture House, Jericho
The Ultimate Picture Palace, Cowley Road
VUE Cinema
Bowling: http://www.bowlplex.co.uk/locations/oxford/oxford.aspx This is a bit
pricey but defnitely a trip down memory lane!
Ice Skating: Oxpens Road, 01865 467000. Open most days from 10am-
12pm, 2-4pm, 5:45-7:15pm, 8-10:30pm. Admission 5.60/4.30 for
skaters, 1.00 for a non-skating guardian
Punting:
Magdalen Bridge Boat House, High Street 202643 - 10 per hour
Cherwell Boat House, Bardwell Road, 01865 515978 - 8/hour week-
days, 10/hour weekends
Gym: Ferry fusion leisure centre. Gym, swimming, classes, badminton. Many
locations around Oxford. 36 per month with nhs discount
Others: David Lyold, LA ftness
Buy a bicycle, it is a
very cycle friendly city.
Oxford must do
THE JR HOSPITAL SEEN FROM MARSTON
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Oxford University
Hospitals
Introduction to the Trust
T
he Oxford University Hospitals NHS Trust
(OUH) is one of the largest acute teaching
trusts in the UK. The trust is made up of four
hospitals: the John Radcliffe Hospital (which
also includes the Childrens Hospital and the
West Wing containing specialties such as neu-
rosurgery and otorhinolaryngology), Churchill
Hospital and the Nuffeld Orthopaedic Centre,
all located in Oxford and the Horton General
Hospital in Banbury in the north of Oxfordshire.
The OUH form a major tertiary centre, not
only covering the local population (c. 135,000),
but also the surrounding regional DGHs. This
includes hospitals in areas such as Aylesbury
(Stoke Mandeville), Banbury (Horton General),
High Wycombe, Milton Keynes, Reading (Royal
Berkshire), Slough (Wexham Park) and Swindon
(Great Western).
The centre of Oxford is
beautifully unique
flled with narrow cobblestoned streets
leading to the various Colleges, as well as to
a vast number of pubs, bars, coffee shops and
restaurants. The main hospitals are located to
the East, up the hill in Headington (where many
doctors choose to live). Oxford is a tiny place
and cycling is certainly the quickest way to
get around. Buses are plentiful, parking is not,
and shuttle buses operate between the JR and
Churchill Hospitals.
Introduction to the Hospitals
T
he John Radcliffe hospital is the largest
hospital in Oxfordshire and is also a tertiary
referral centre for certain specialities across
many counties. There are many specialist areas
within the JR including the Childrens Hospital,
the Womens Centre, the Eye Hospital and the
Cardiac Centre. It houses the main A&E in
Oxfordshire, and has been designated as one of
the new regional trauma centres. The JR, and
the trust as a whole, is linked with Oxford Uni-
versity and much teaching and research takes
place here.
The Churchill hospital contains many spe-
cialist units, including oncology, renal, trans-
plant, dermatology, infectious diseases, chest
medicine, genetics and palliative care. Also on
site is the OCDEM (Oxford Centre for Diabetes,
Endocrinology and Metabolism), which is a joint
NHS and Oxford University specialist research
centre.
The Warneford hospital, also based in Head-
ington, is one of the major psychiatric hospitals
serving Oxfordshire. It is part of Oxford Health
NHS Foundation Trust, Oxfordshire and Buck-
inghamshires joint mental health trust, sepa-
rate from OUH.
The Nuffeld Orthopaedic Centre is a tertiary
specialist centre containing orthopaedics, rheu-
matology and other related specialties.
The Horton hospital in Banbury is a dis-
trict general hospital with an A&E department
and provides general clinical services such as
surgery, medicine, O&G and paediatrics.
HOSPITAL CONTACT DETAILS
John Radcliffe Hospital
Headley Way, Headington
Oxford OX3 9DU
Tel: 01865 741166
Churchill Hospital
Old Road, Headington
Oxford OX3 7LE
Tel: 01865 741841
Nuffeld Orthopaedic Centre
Windmill Road, Headington
Oxford OX3 7HE
Tel: 01865 741155
Horton General
Oxford Road
Banbury OX16 9AL
Tel: 01295 275500
CONTACT DETAILS
Dr Stuart Benham
Foundation Training Programme Director
(Oxford)
stuart.benham@nda.ox.ac.uk
Dr Sue Burge
(Oxford)
sue.burge@nouh.nhs..uk
Dr Andrew Woodhouse
(Oxford)
sue.burge@nouh.nhs.uk
Dr Kenny McCormick
(Oxford)
kenny.mccormick@ouh.nhs.uk
Dr Richard Mumford
Foundation Programme Lead (General
Practice)
rmumford@nhs.net
Mr Alex Lee
(Oxford)
alex.lee@ouh.nhs.uk
Professor Chris Pugh
Foundation Programme Lead (Academic)
cpugh@well.ox.ac.uk
Dr Susan Shaw
Foundation Programme Lead (Psychiatry)
susan.shaw@oxfordhealth.nhs.uk
Dr Mike Ward
(Banbury)
simon.ward@ouh.nhs.uk
Dr Premila Webster
Foundation Programme Lead (Public Health)
premila.webster@dph.ox.ac.uk
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residents. Chartwell House costs 369 per
month for a single room and Randolph Court
is 460 per month for en suite rooms inclusive
of all bills.
HORTON HOSPITAL ACCOMMODATION IN BANBURY
A
variety of rooms: one bed fats, single
rooms, three or four bed houses. Located
onsite. Single rooms have shared facilities.
Prices range from 242 per month (single
rooms) to 763 a month for a three bedroom
house. Rooms are very basic, but very reason-
ably priced.
These are all run by A2 dominion housing.
PRIVATE HOUSING
U
seful websites for private housing options
include Dailyinfo and This is Oxfordshire
which is specifc to Oxford, as well as the usual
sites such as Gumtree. Average weekly rent is
80-90, with utility bills on top of this. There
are many lodging rooms available also, and
frequent advertising of spare rooms of houses.
Many doctors choose to
live in the hospital area
(Headington)
close to work which is also a popular student
area, particularly for Oxford Brookes students
so there is a high turnover of property with
many 4-bed student-type houses available to
rent. Other areas of Oxford which are popular
for FY1/2s include Cowley Road which is an
up-and-coming area with many bars and res-
taurants which is attractive for both young pro-
fessionals and students alike and offers an easy
commute to the hospitals. Also Summertown
and Jericho, which are more wealthy areas and
a 20-30 minute commute to the hospitals.
The Doctors Mess
T
he Doctors Mess covers the JR and
Churchill; the Horton in Banbury has its own
mess.
Subscription is 7 a month at the moment.
You sign up by flling in a form at induction or
from the mess itself (on Level 3 JR).
Benefts of membership include access to
the mess on level 3 of the JR, which is quite
big with lots of comfy chairs and a kitchen. The
money goes towards daily newspaper subscrip-
tions and the Sky TV package. There are also
Payday parties at the end of every month which
are normally well attended and good fun! They
happen at a different bar each month, and if
youre a mess member youll often get at least
one free drink on the night.
There are Summer and
Winter Balls each year,
which are well organised and elaborate
affairs. The Winter Ball 2011 was held at Blen-
heim Palace, a stunning evening.
If you want to get involved in the The
Doctors Mess, email the mess president at the
start of the year.
Parking
P
arking permits at the John Radcliffe and
Churchill sites are annual and based on
your salary so 138 for the year 2010/11 for
most junior doctors salaries (which can be paid
via payroll). Car parks fll up quickly, consider
arriving early to guarantee a space.
The Horton has a smaller car park with
approximately 300 spaces, and permits are
also available here.
Food and drink
JR: The main hospital has two newsagents,
a coffee shop and canteen. The West Wing
also has its own newsagent, coffee shop and
canteen. The post-graduate centre caf is very
popular with medical staff and serves a range
of hot and cold food at reasonable prices given
the fantastic quality, open from 6am-4:30pm
week days only. The main canteen on Level 3
serves hot food and stays open until 8pm daily.
A vending machine by the mess offers micro-
wave-type meals for out-of-hours.
Churchill: The hospital canteen is open
from 7am-7pm; there is also a cafeteria situ-
ated near the main entrance, and a well as
League of Friends shop and a newsagent
NOC: The NOC offers a restaurant, open
8am-3pm on weekdays, and League of Friends
coffee shop.
Warneford: One cafeteria, open 9am-5pm
on weekdays. Close to the Churchill so you
can share the facilities here.
Banbury: The Horton canteen is
open 7.30am-4pm on weekdays, and
there is a League of Friends coffee
shop also open on weekdays.
For out-of-hours and week-
ends there are vending
machines serving hot
drinks and snacks.
Personal Development
LEARNING OPPORTUNITIES
T
here is mandatory F1 teaching for an hour a
week where as F2 teaching takes place once
monthly and is a half-day session. You need to
attend a minimum of 70% of these, or do online
modules to compensate if you cant. Topics vary
and are generally quite useful, covering things
from common medical conditions to specifcs in
the hospital (e.g. DNAR, analgesia).
Everyone has to complete an ALERT course
in F1 (covering management of acute medical
conditions), a simulation day (really useful,
again acute presentations on simulators) and
either ILS by the end of F1 or ALS by the end
of F2.
Theres also a compulsory Careers Manage-
ment Workshop which is mandatory for sign off.
Other than that learning opportunities vary a
lot between frms. You might have compulsory
Case Presentation meetings, or MDTs which
can sometimes be useful.
There are courses and conferences adver-
tised throughout the year, but this depends on
your ability to negotiate annual or study leave
for those days with your frm.
TEACHING
A
ll the hospitals have medical students
from Oxford University, to varying degrees
depending on the placement for example
general medicine and surgery will have per-
manent student placements, whereas some
of the more specialist rotations will only have
students at certain times of years for Special
Study Modules.
You are actively
encouraged to teach the students
on each rotation, and if possible
to provide a more formal session
once weekly.
There is also an opportunity to get involved
HOGWARTS, NOT PART OF THE OXFORD DEANERY
a 5-10 minute walk from the hospitals, as well
as stops in the centre of town and at the Thorn-
hill Park & Ride. Tickets cost 16 return.
The train station in Oxford is a 20 minute
bus journey from the Hospitals, and there are
frequent trains to London, Reading, Birmingham
and Hereford. There are four Park & Rides situ-
ated around Oxford, with buses to the hospitals.
There are many local bus services that serve
the JR, connecting it with the town centre, train
station and local districts. The Churchill, NOC
and Warneford are also on bus routes and are
close to London Road which is well served by
buses.
Taxis are reliable on the whole and cost
approximately 8 for a journey to the town
centre.
London to Headington by car or coach
1.5-3 hours (traffc dependent)
London to Oxford by train
1 hour, then 20-30 minutes from train station
to Headington.
Transport links:
Banbury
B
anbury is on the train line from London
Marylebone to Birmingham. The train
station is in the centre and there are 5 buses
running between the centre and the Horton or it
is a 20 minute walk.
London to Banbury by train
1 hour
Oxford to Banbury by car
45 minutes
Oxford to Banbury via train
20 minutes plus journey times from train
station (see above).
Accommodation
OUH SITES
Arthur Sanctuary House: onsite at the
John Radcliffe Hospital; a newly refurbished
block which is compliant with GMC regulations.
There are a variety of rooms, with en suite or
shared bathroom facilities. Kitchen facilities are
shared. There are no parking facilities available.
The waiting list for rooms is long, and priority is
given to those who do not already have a place
in hospital accommodation in Oxford (ie non-
transfers). A laundry room with coin-operated
washing machines and tumble driers is shared
by the residents.
Ivy Lane: onsite at the John Radcliffe. More
basic facilities than ASH. Benefts are locality to
the JR. Shared kitchen and bathroom facilities.
A laundry room with coin-operated washing
machines and tumble driers is shared by the
residents. Rent is 385 per month for a single
room.
Chartwell Flats and Randolph Court:
Onsite at the Churchill. Randolph Court is a
popular choice with foundation doctors; it
offers en suite facilities with a fully equipped
kitchen shared with four others. Internet facili-
ties are pay-by-month, cable connection. A
laundry room with coin-operated washing
machines and tumble
driers is shared by the
M40 1o Oxvovn
30 - 0 45
M40 1o Ioxnox
80 - 1 30
Oxford 5.60 rtn - 0hr 20min
Marylebone 25.00 rtn - 1hr 00min
Birmingham13.00 rtn - 1hr 00min
Spiceball
Country
Park
Castle Quay
Shopping Centre
Sainsburys
Tnv Oxvovn Uxivvvsi1s Hosvi1zis
Paddington 22.50 rtn - 1hr 00min
Birmingham33.00 rtn - 1hr 10min
Swindon 9.90 rtn - 0hr 45min
Bristol 21.00 rtn - 1hr 45min
Suxxvv1owx
Cowivs
Ivvivs
Mzvs1ox
Hvznixc1ox
Bzv1ox
Ci1s Cvx1vv
Bo1ivs
Te John Radcline 8 West Wing
Te Churchill
Te Num eld Orthopaedic
Te Warneford
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M40 1o Ioxnox
60 - 1 20
A420 1o Swixnox
30 - 0 55
M40 1o Bivxixcnzx
80 - 1 25
M4 1o Bvis1oi
85 - 1 40
A404 1o Rvznixc
26 - 0 50
G&Ds
G&Ds
G&Ds
The Rose tearoom
Dong Dongs
Gees
Quod
Kazbar
University
Parks
The Wine
Cafe
HOSPITALS OF THE OUH TRUST (LEFT TO RIGHT): JOHN RADCLIFFE, HORTON, JOHN RADCLIFFE, CHURCHILL, NUFFIELD ORTHOPAEDIC CENTRE
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T
he Management in Medicine (MiM) pro-
gramme was set up by Green Templeton
College (GTC) to help trainee doctors develop
their management and leadership skills and to
better equip them to meet the challenges of
working in 21st century healthcare organisa-
tions.
Most doctors do not want to become full-
time managers, but many will become involved
in some aspect of leadership and management
as part of their clinical work.
There is now increasing recognition that
involving doctors in leading and managing
healthcare organisations is vital to the improve-
ment of healthcare services, with a growing
body of published evidence showing that, at
least in an acute setting, the quality of health-
care delivery improved when clinicians become
involved in leading services. GTCs academic
and professional expertise in medicine, health,
social sciences, business and management,
makes it a unique hub of resources within
Oxford able to offer top-quality management
training to doctors.
The MiM programme
has helped me develop essential
skills around how to lead and
change organisations. I have par-
ticipated in a number of excel-
lent seminars and workshops
and was also able to carry out a
small research project, which led
onto a much larger piece of work
at the John Radcliffe Hospital.
This meant that I was able to put
some of the skills and knowledge
that I developed in the workshops
into practice.
A SECOND YEAR FOUNDATION DOCTOR
Who is MiM for?
GTC students, in the main clinical medics,
and GTC alumni who are now doctors in training
Doctors in training from the Oxford
deanery
Said Business School students/MBAs
who are also doctors
Clinical medical students from other col-
leges
Doctoral students with an interest in a
healthcare / healthcare management related
subjects
What does MiM offer?
Workshops from experts in various areas
of management and leadership. Past themes
include:
Working with others
Financial skills
Leading change
Personal qualities
Shadowing of NHS managers, including:
NHS Trusts Chairs and Chief Executives
Medical Directors
Director of Social Services
Small-scale healthcare management
research projects undertaken by medical
trainees and doctors
Seminars on important issues relating to
managing healthcare for better patient experi-
ences, jointly organized with the Health Experi-
ences Institute (HEXI).
The MiM programme is now entering in
its third year and will be looking to expand
its activities.
For more information:
Our website
http://mim.gtc.ox.ac.uk
Green Templeton College
http://www.gtc.ox.ac.uk
To join the MiM mailing list for future activities:
Ruth Loseby
ruth.loseby@gtc.ox.ac.uk
The GTC
Management in
Medicine programme
MANAGEMENT IN MEDICINE WORKSHOP HELD IN GREEN TEMPLETON COLLEGE COMMON ROOM
with delivering small group tutorials, clinical
teaching or lectures formally via the Medical
School and academic departments. The
Medical School run a Teacher Development
Programme in which four hours of teacher
training are offered in exchange for a commit-
ment to become involved in structured Medical
Student teaching; contact Helena McNally
(Helena.McNally@medsci.ox.ac.uk)
The Oxford Foundation Symposium is
a regular, regional teaching programme for
foundation doctors from across the Deanery
to present clinical cases, audits, research or
topics of interest to an audience of colleagues
and consultants. Email oxfordfoundationsympo-
sium@gmail.com.
It is also possible to present at hospital
grand rounds; there is a weekly surgical and
weekly medical GR. Within each rotation there
are opportunities, again to varying degrees, to
present to colleagues and seniors at formal
meetings such as M&M (morbidity and mor-
tality), audit meetings, speciality teaching ses-
sions.
AUDIT AND RESEARCH
A
udit: There are plenty of opportunities to
undertake audit projects during your time in
Oxford. The best way of doing this, as always,
is to spot something in your department that
is a) easily measurable and b) could be done
better. Approach the rest of your team; perhaps
they have an existing project that they need
help with, or an idea that they are looking for
help with?
Make sure you chose
something simple and easy to
quantify
or else you will not be able to complete your
data collection and analysis within your three
or four month rotation. Always aim to present
your audit at a departmental meeting; fnd out
which SpR arranges teaching, they are always
on the lookout for people to present. Most
departmental guidelines can now be found on
the intranet. If you fnd something, then speak
to the Consultant who wrote the guideline and
see if you can get involved in updating it based
upon the results of your audit. If the topic is
simple, then you could ideally get the person
following you in your rotation to repeat the audit
further down the line so that you can both get a
complete audit cycle out of the work.
R
esearch: With the University of Oxford Hos-
pitals affliation, there are probably far more
opportunities to undertake research projects in
the Trust than there are in other areas. Most
departments have Clinical Fellows or Research
SpRs undertaking a mixture of clinical and aca-
demic work, and they are ideal to approach for
ideas. The key is to pick something manage-
able within a small timeframe so that you have
something concrete such as a presentation,
poster or publication within the year.
If you are after something
more basic science-based, then
you can always approach any of
the Universitys research
departments directly;
look on the Universitys website for links to
individual research teams and departments.
MANAGEMENT AND LEADERSHIP
G
reen Templeton College in Oxford offers
a Management in Medicine programme
which aims to help trainee doctors to improve
their management and leadership skills. This
has four aspects: a series of workshops, a
lecture series, shadowing opportunities and
also resources available for those interested in
fnding out more about management/leadership
opportunities.
There is an Oxford Foundation Trainee Group
with an elected committee which discusses
topical issues for foundation doctors. Through
this there is the opportunity to attend an annual
Leadership and Quality Improvement Confer-
ence
Contact details for audit:
Cardiac, Thoracic and Vascular, Emergency
Medicine, Therapies and Ambulatory
Katerina.Vernicos@orh.nhs.uk
01865 (2)22614
Neurosciences, Trauma and Specialist
Surgery, Surgery and Oncology
Adeeba.Asif@orh.nhs.uk
01865 (2)22858
Children and Women, Critical Care,
Theatres, Diagnostics and Pharmacy
Jo.Lewis-Wood@orh.nhs.uk
01865 (2)22859
Or, if you are unsure which division your unit
belongs to:
Clinical Audit Dept, Level 3, Academic Block,
John Radcliffe Hospital, Oxford
Clinical.audit@orh.nhs.uk
CONTACT DETAILS, CONTINUED FROM CHAPTER TITLE PAGE
Ms Chantal Vermenitch
Medical Education Manager (Oxford)
chantal.vermenitch@ouh.nhs.uk
Ms Liz Clarke
Medical Education Manager (Banbury)
liz.clarke-pgec@ouh.nhs.uk
Chris Shields
Medical rotations
chris.shields@ouh.nhs.uk
Julie Gray
Surgical rotations
Julie.gray@ouh.nhs.uk
THE RADCLIFFE CAMERA CAKE
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Team Approx 15 consultants and 15 registrars. 3 teams: imaging and heart failure, intervention,
electrophysiology. 6 SHOs with one on each team at any time. One SHO then covers CCU which is
the medical part of cardiac ITU. One on lates, one usually on annual leave
Banding 1B (40%)
nighTs None! Only 3 weeks worth of lates until 22:00
Weekends 3 in 4 months
Leave 10 days in 4 months. Non fxed, but rota is such that it is diffcult for
everyone to get all of their leave (although not impossible)
average
LisT size
8 - 16
CaTh LaB
LisTs
5 cathlabs every day
inpaTienT
admissions
4 - 5 per team per day
TeaChing Formal SpR teaching 1hour per week. Informal teaching on ward rounds and in cath lab etc. Lots
of SpRs not very busy and willing to teach most of the time. No medical students attachments
roLes Ward work, ward rounding, clerking new admissions, arranging discharges and writing TTOs.
Some acute cardiology, some opportunity to spend time with on call SpR
On take All the time for cardiology. No gen med
On calls Ward cover and admissions (often elective rather than emergency). No gen med on call
CaTh LaB
exposure
Can attend cath lab anytime
roTa Normal day 08:00 - 17:00
On calls 3 weekends and 3 sets of late shifts in 4 month rotation 08:00 - 22:00
Team Chem Path 2 consultants, 4 registrars and 1 F2. On calls for gastroenterology
Banding 1A (50%)
nighTs None
Weekends One in 6 for gastro, none for chem path
Leave Non-fxed; 9 days in 4 months; need to swap on-calls to get a whole week off in one go
average
LisT size
Chem path N/A. Gastro about 24
inpaTienT
admissions
Gastro on call: approx 1 per evening or 3 per day at a weekend
TeaChing Informal
roLes Chem Path on-call involves checking all abnormal blood results and ringing through any
urgent ones and running any xanthochromias that come in. The rest of the time is for projects/
research/clinics
Gastro out of hours on call: ward and admissions
CLiniC
exposure
Approx once a week in chem path, things like neuroendocrine clinic, bone clinic and lipid clinic
roTa Chem Path 2 half day on calls per week, one 08:30 - 13:00, the other 13:00 - 17:00. Gastro one
evening per week 17:00 - 21:30, though often fnish late
Linked roTaTions
Clinical Contact
Rota Coordinator/Pre-employment enquiries
ken.dallas@ouh.nhs.uk (Junior medical staffng co-ordinator)
Linked roTaTions
Clinical Contact
brian.shine@ouh.nhs.uk (Consultant)
John radCLiffe
John radCLiffe
Cardiology
Chemical Pathology
F2
F2
1.4
1.5
Team 5 Cardiac consultants, 2 Thoracic Consultants, 7 Registrars, 7 SHOs (FY2 and CT), No F1s
Banding 1A (50%)
nighTs None (Twilights until Midnight)
Weekends One in 7
Leave Fixed on Rota, one in 7
average
LisT size
20 - 25 patients
operaTing
LisTs
2 - 3 per day
inpaTienT
admissions
4 - 6 per day
TeaChing Weekly Critical Care Peer-led Teaching; Biweekly Thoracic Journal Club. No medical students
attachments
roLes Largely ward based: 3 SHOs on ward day-to-day, one holds bleep, other may go to theatre or clinic
(preference to CTs). Pre-assessment clinic once per week. One week in 7 on Cardiac Critical Care
TheaTre and
CLiniC
Averages ~1.5 days per week, but negotiable with colleagues
roTa 7 week rolling rota for 7 SHOs, with different roles. Ward and theatre 07:45 - 16:45, 3 SHOs
at one time, one to hold the bleep and cover the ward, others to help with jobs, but will also be
assigned to operating lists to assist; Criticial care one week in 7, 07:30 - 20:00, working
with the anaesthetic team, essentially an ITU SHO; Pre-assessment clinic, about one per
week, 10:00 - 14:00, seeing pre-op patients and ensuring the have all investigations etc.; Lates
15:00 - 00:00, word cover and preparing pre-ops for theatre the next day; and fxed leave one
week in 7, swappable, but very diffcult to get leave outside of this e.g. study leave, days in lieu
Team 2 F1s, 1 F2, 3 SHOs (mixture of CMT and GP VTS trainees), 1 SpR& 1 consultant of the week.
Note that there are around 30 Clinical and Medical Oncology consultants that rotate on the wards
on a weekly basis. Most consultants that are not on-call will still pop up on the ward and are
contactable to see their admitted patients (either directly or via their SpRs)
Banding 1B (40%)
nighTs FY1 none, FY2 yes
Weekends Roughly one per month; FY1 09:00 - 17:00, FY2 09:00 - 21:30
Leave Non-fxed, 9 days in 4 months. FY2s get zero days after weekends and nights
average
LisT size
20-30 patients
inpaTienT
admissions
0 - 9 per day including elective and emergency admissions
TeaChing Weekly SpR or Consultant led teaching (Friday morning from 08:30 09:30). Encouraged to
attend Medical Grand Round (via video link) and to participate in Monday morning departmental
presentations to wider Consultant/SpR team (08:30 09:30)
roLes Normal day is ward based. Daily ward round, ward jobs shared between FY1s and SHOs. Lots
of MDT input and end of life issues. The academic day release FY1 has the same role as the
non-academic FY1, but with a few additional days that can be taken off as academic days in
order to attend educational events and plan academic placement.
On call for oncology ward (and occasionally Sobell House Hospice). Clerking elective, e.g. for
chemotharapy, and emergency, direct-to-ward or acute triage, admissions. Usually 1 - 2 daytimes
(from 09:00) and evenings (until 21:30) per week. Good opportunity to clerk patients presenting
with oncological emergencies, e.g. neutropenic sepsis, or general medical presentations.
On call rota is also shared with Haematology, but FY1s are never expected to cover Haematology:
there will always be an SHO (ST1) available covering haematology at the same time
CLiniC
exposure
Supposed to have an outpatient clinical timetable but this can be tricky on busy days when fewer
people are around
On call usually 1 - 2 evenings per week 17:00 - 21:30
Linked roTaTions
GP and Paediatrics (x2)
Psychiatry and Emergency Dept (x2)
Clinical Contact
rana.sayeed@ouh.nhs.uk (Lead consultant)
ken.dallas@ouh.nhs.uk (Junior medical staffng co-ordinator)
Linked roTaTions
Clinical Contact
kinnari.patel@ouh.nhs.uk (Dr Kinnari Patel, lead consultant for rotas)
elaine.sugden@ouh.nhs.uk (Dr Elaine Sugden, lead consultant for teaching)
Dr Clare Blesing is departmental head
John radCLiffe
ChurChiLL
Cardiothoracic Surgery
Clinical Oncology
F2
1.5
F2 1.4
F1
seT up Academic jobs are varied throughout the trust. There are 18 positions and 6 different rotations.
Most academic rotations include a dedicated 4-month block in FY2 but this is slightly different for
Public Health and actually can vary every year. All academic rotations give a good range of general
medical and surgical experience as they are usually paired with busy, acute general medical
or surgical wards (i.e. AGM or SEU at John Radcliffe). They also all have one FY1 job which is
unbanded and supernumerary (e.g. psychiatry) or a banded job is given academic day release.
Whilst there are some set specialties (e.g. Public Health, Dermatology and Orthopaedics) most
academic jobs are free reign and doctors can choose whatever speciality they wish to undertake
academic work. This is quite different to most academic jobs in the country and can be very
useful but at the same time slightly diffcult to organise and fnd supervisors. The academic
programme in Oxford is well established and most departments are aware of academic FY2
doctors undertaking placements.
FY1 is quite limited in terms of extra academic activities. There are monthly forums which
allow trainees to present any ideas or work in a semi-formal setting. Every September OUCAGS
organises a poster evening where trainees display their work. Social events are limited to small
or large group dinners organised by OUCAGS at one of Oxfords colleges for trainees of all levels
to socialise. The University also organises regular teaching courses for academics in the trust.
These range from courses such as generic presentation and research skills to week long SPSS
courses. They are free for Academics but you may fnd it is diffcult to get the time to attend
these during FY1
Team ICU 1 consultant, 2-4 Registrars (ST3+), 2-3 F1s / F2s. Anaesthetics 1 consultant
Banding FY1 unbanded, FY2 banded
nighTs FY1 None
Weekends FY1 None
Leave 7 - 9 days depending on whether on 3 or 4 month rotation respectively, fexible but several
weeks notice required
average
LisT size
ICU 12 - 14. Anaesthetics depends on specialty or case complexity, usually 4 - 5 cases
per day
inpaTienT
admissions
ICU 2 - 3 per day on average. Anaesthetics N/A
TeaChing Informal
roLes ICU daily reviews, ward jobs, practical procedures. Anaesthetics anaesthetic pre-
assessment, assisting with administration and maintenance of anaesthesia
FY2 on calls in A&E and on the medical wards
TheaTre/
CLiniC
exposure
Anaesthetics daily. ICU N/A
roTa ICU 08:30-18:00. Anaesthetics 07:30- 17:30. Both 1 prearranged day off per week
Linked roTaTions
Clinical Contact
Linked roTaTions
Clinical Contact
njbeale@doctors.org.uk (Nicky Beale, consultant anaesthetist)
John radCLiffe
John radCLiffe
Academic Medicine
Anaesthetics & ITU
F1
F1
F2
1.0
1.0
Team 1 team: 1 consultant, 1 SpR, 1 SHO, 1 FY1
Banding Unbanded
nighTs None
Weekends None
Leave Non-fxed, arranged amongst team
average
LisT size
20 patients
inpaTienT
admissions
Variable: approximately 3-4 per week, low turnover
TeaChing Weekly teaching; impromptu microbiology and infectious disease teaching; opportunity to present
and clinical governance and M&M meetings; there are often medical students on the ward
roLes Ward based job; opportunity for clerking although often done by orthopaedic juniors; medical
management of patients who frequently have complicated medical histories
TheaTre and
CLinC
None
roTa 09:00 - 17:00 Monday to Friday
Linked roTaTions
Clinical Contact
Linked roTaTions
Clinical Contact
tony.berendt@noc.nhs.uk or ivor.byren@ouh.nhs.uk (Lead consultants)
horTon
noC
Anaesthetics & ITU
Bone Infection Unit
F1
F1
1.0
1.0
oops! We dont have any info on this rotation...
Yikes! Sorry.
Its probably similar to Anaesthetics and ITU F1 at the John Radcliffe
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Team There are 2 teams, each composed of 2 consultants, 2 full-time registrars (one senior and one
junior) and one or 2 Core Medical Trainees and an academic FY1
The Red Team covers Hepatobiliary Medicine and is led by Dr Roger Chapman and Dr Jane
Collier. This is certainly the busier team with a larger number of acute admissions, more day case
patients and a larger turnover of patients
The Blue Team covers Luminal Medicine, which is predominantly Crohns Disease and
Ulcerative Colitis. It is led by Dr Satish Keshav and Dr Simon Travis. There are fewer patients and a
mixture of acute admissions and patients admitted for management of chronic disease
Banding 1C
nighTs None
Weekends None
Leave Non fxed, 9 days per 4 month job
average
LisT size
Red team 10 - 20 patients. Blue team 5 - 10 patients, with some of the patients staying for
much longer
inpaTienT
admissions
Patients are either admitted from home or clinic or from the Day Case Unit. They are clerked
either in Surgical Emergency Unit Triage or on the ward. The FY1 and CMTs tend to do the initial
full clerking before senior review
day Case
admissions
Day Case Ward (5E) that sees patients due for endoscopic procedures or infusions. The FY1
is expected to do a brief clerking, cannulate, prescribe or insert an abdominal ascitic drain as
necessary
TeaChing Departmental teaching on Thursdays. This comprises of a medical student presentation followed
by a 30 minute presentation by an allocated member of the Gastroenterology department.
Weekly hospital medical grand round followed by one hour of gastroenterology case based
teaching aimed at CMTs, which the FY1 also attends.
Medical students: 2 per week, though as gastroenterology is a special selected module, their
presence is not consistent.
roLes Clerking patients, ward jobs, ward rounds (sometimes independently), paracentesis, presenting
at M&Ms and attending MDTs
roTa 08:30 17:00 Monday to Friday, though the FY1 will often fnish signifcantly later especially on
the Red team. Since the FY1 posting is only flled by academic trainees, there is opportunity to
take time for academic commitments each week
Linked roTaTions
Clinical Contact
jane.collier1@nhs.net (Consultant)
jane.collier1@nhs.net (Consultant)
Linked roTaTions
Clinical Contact
John radCLiffe
John radCLiffe
Gastroenterology
Gen Med/ Geriatrics
F1
F2
1.2
Team 8 teams, each of which has 2 F1s, an SHO (either FY2 or CT1/2), SpR and consultant
Banding 1B (40%)
nighTs Typically once every 2 months. 4 nights in a row, or 3 weekend nights. You have an SHO with you
Weekends One in 4, usually very hectic. No time off before or after
Leave 2-week block in 4 months (not fexible). No zero days after weekends. Time off after nights varies,
it might be built into your 2 week block of leave
average
LisT size
15 - 40. Varies widely according to frm and where you are in the rota, and time of year
TeaChing Depends on your consultant in terms of on the job teaching. Case meetings once per week,
radiology MDT once per week. Weekly hospital medical grand round. Lots of opportunities to fulfl
eportfolio requirements. Monthly mandatory F1 teaching.
roLes Normal day ward based over 6 wards, lots of general admin work
On calls medical ward cover. Usually once per week 17:00 - 22:00. Usually very hectic too!
On take clerking new patients and presenting. Approx twice per week. Average intake is 15
patients per take. Good learning experience
roTa Normal day is meant to be 09:00 - 17:00, but often 08:30 - 18:00 depending on your frm
On calls and on take 1 to 2 evening shifts until 22:00 per week
Weekends 08:30 - 22:30 Friday, Saturday, and Sunday. And back to work Monday!
On for 6 weeks as outlined above, off for 2 weeks, back on for 6 weeks
CLiniCaL
seT up
The crucial difference from the JR is that Abingdon Community Hospital is a nurse-led unit. The
main aim of the hospital is for the rehabilitation of generally medically stable patients, although
this has started to change recently so that more medically unft patients are managed on-site.
The attachment will allow you to work with a much higher degree of autonomy, and there is good
consultant contact time with good bedside teaching
Team 2 - 3 consultants, 1 - 2 registrars, 2 - 3 FY2s, 2 wards per site. Abingdon also has an Emergency
Multidisciplinary Unit (EMU)
Banding Unbanded
nighTs None
Weekends None
Leave 9 days per 4 month job, non fxed
average
LisT size
18 - 20 per ward
admissions 1 - 2 per day
TeaChing Weekly consultant contact at ward rounds and clinics
roLes Most of your working time will be spent on the in-patient wards: Ward 1 has a focus on
rehabilitation of stroke patients whilst Ward 2 is primarily set up for rehabilitation of patients who
have suffered a fractured neck of femur. Roles include ward-based care of stroke, fractured neck
of femur and generic rehabilitation patients; assessment of the frail elderly in the emergency
multidisciplinary unit and rapid access clinic (see below)
CLiniC
exposure
Occasional participation in an outpatient clinic, EMU or weekly rapid access clinic in
Abingdon with SHO list. EMU: 08:00 - 18:00, weekdays, staffed by a senior doctor who
takes GP referrals, and dedicated nursing staff, physiotherapists, occupational therapists,
and a social worker. 5 in-patient beds at Abingdon are allocated to patients under the
care of EMU staff. EMU occassionally ring/page for an SHO to attend if it becomes busy.
Rapid Access Clinic: with a consultant, one registrar and one SHO. You see new GP
referrals rather than follow-ups. This gives you the opportunity to review patients on your own,
formulate a management plan, and discuss with a senior colleague before the patient leaves
clinic, not to mention a source of useful opportunities for ePortfolio assessments.
roTa 09:00 - 17: 00 Monday to Friday. Weekly timetable for team: 1 consultant ward round, 1 MDT
meeting +/- 1 morning clinic
Linked roTaTions
Clinical Contact
Linked roTaTions
Clinical Contact
sarah.smith2@ouh.nhs.uk (Consultant, Abingdon)
sudhir.singh@ouh.nhs.uk (Lead Consultant)
sudhir.singh@ouh.nhs.uk (Lead Consultant)
John radCLiffe
aBingdon and WiTney CommuniTy hospiTaLs
Gen Med
Geriatric Med Community
F1
F2
1.4
1.0
Yikes! Sorry.
Its probably similar to Gen Med F2 at the John Radcliffe
Team 7 - 8 Consultants, 4 Registrars, 2 GP trainees, 1 F1
Banding Unbanded
nighTs None
Weekends None
Leave 9 days per 4 months, non fxed, negotiated with the GP trainees
average
LisT size
1 or 2 in-patients maximum, mainly outpatient clinics
operaTing
LisTs
Minor operations list specifcally for you once a week
inpaTienT
admissions
1 or 2 per week
TeaChing AMAZING teaching opportunities, regional meeting every month, impromptu teaching throughout
clinic, often academic meetings at lunchtimes, Tuesday afternoon: Reg teaching (you can often
attend), Friday mornings: SHO teaching, Thursday afternoon: academic/teaching
roLes Normal day Seeing patients in clinic and minor ops. All supervised by consultant
On calls You carry the SHO bleep every other day and the Registrar bleep twice a week
On take Only patients who are referred to you specifcally
TheaTre and
CLiniC
SHO list on Wednesday mornings, diffcult to squeeze in any other time as busy with clinics
roTa 08:00 or 09:00 - 17:00 Monday to Friday
Academic F1 have one day off per week
Team On an average shift, 1 Consultant, 2 or 3 Registrars, 2 CT1s, 2 FY2s (at night, 1 - 2 Regs and
2 Juniors)
Banding 1A (50%)
nighTs Sets of 3 or 4 nights, plus a lot of 13:00 - 22:00 and 16:00 - 01:00 (very rarely on day shifts,
maybe 1 week in 6 or 7 weeks, but no real pattern as there is not a rolling rota: the rota is new
for every rotation)
Weekends From every other weekend to most weekends, depending on rota
Leave Non fxed
average
LisT size
VERY busy department in general. You can see anything between 3 and 10 patients per shift in
Majors and lots more in Minors!
TeaChing Monthly teaching day in place of F2 teaching but rare that you get to go to it. Small teaching case
at 4pm every day in handover
roLes Clerking and managing patients who present, including referrals or discharge, discussing and
asking for advice from seniors when necessary
roTa New rota for each 4 month job to accomodate everyones leave, so is quite a random mix of
08:00 - 17:00, 10:00 - 19:00, 13:00 - 22:00, 16:00 - 01:00, 22:00 - 06:00, 23.30 - 08:30
shifts, although most end up being from 13:00 onwards, rarely on days
Linked roTaTions
Clinical Contact
sue.cooper@ouh.nhs.uk
sue.cooper@ouh.nhs.uk
Linked roTaTions
Clinical Contact
melanie.darwent@ouh.nhs.uk
charlotte.ridewood@ouh.nhs.uk
ChurChiLL
John radCLiffe
Dermatology
Emergency Medicine
F1
F2
1.0
1.5
Team 5 FY2s, 2 GPVTS, middle grades (mostly locums, few regulars), Dr George (consultant), some
consultants from JR do weekly on calls/weekend cover
Banding 1B (40%)
nighTs See example rota below
Weekends See example rota below
Leave 14 days in total. Weekends are booked off as annual leave. You can request and they try and
allocate
TeaChing Friday morning paediatric emergencies, Emergency dept teaching, radiology teaching
roLes Seeing minor, major and resus patients, referring to specialities, practical procedures, lots of
suturing
roTa Example rolling rota:
Week Mon Tues Wed Thurs Fri Sat Sun
1 Off Off 16:00 -
00:00
14:00 -
22:00
09:00 -
22:00
16:00 -
00:00
16:00 -
00:00
2 16:00 -
00:00
16:00 -
00:00
Off Off 09:00 -
17:00
09:00 -
17:00
09:00 -
17:00
3 19:00 -
06:00
19:00 -
06:00
19:00 -
06:00
19:00 -
16:00
Off Off Off
4 09:00 -
17:00
09:00 -
17:00
09:00 -
17:00
09:00 -
17:00
19:00 -
06:00
19:00 -
06:00
19:00 -
06:00
Team 4 - 6 SHOs (F2s, GP VTS, core-trainees), many SpRs and Consultants. All SHOs cover all
consultants patients (no set teams)
Banding 1B (40%)
nighTs 3 - 5 blocks per 4 month rotation
Weekends Approx. 1 per month
Leave 9 days per 4 month job, non-fxed. Need to coordinate with other SHOs to ensure on-calls are
covered. 1 - 2 days off after nights
average
LisT size
10 - 30
operaTing
LisTs
Many consultants and daily lists so new post-op patients appear on the ward anytime. Most day-
cases stay in a separate, adjacent unit (you may be asked to do jobs for these patients, but most
of the medications/TTOs are done directly in theatre)
inpaTienT
admissions
Via A&E/GP referrals, direct from clinic, transfers, or elective direct-to-ward admissions peri-
operatively
TeaChing Approach SpRs and Consultants for teaching. Occasional formal teaching is arranged. Can present
audits/projects at departmental meetings. No formal clinic time, but there are opportunities to go
to clinics/theatre on days the ward is well-staffed
roLes Normal day Ward based most of the time. Also involves seeing patients in adult pre-op clinics
where the pre-op nurses have queries. SHO-run paediatric pre-op clinic (with variable numbers of
patients) on Wednesdays and Fridays. The Wednesday clinic is in ENT outpatients, the Friday clinic
is in the Childrens Hospital Outpatients. There is a nurse led clinic occurring at the same time so
you may get asked to review some of these patients
On call Cover new admissions. Usually see upto 5 new patients per on-call, but many more are
dealt with over the phone (you hold the bleep for GP referrals). GP referrals are ENT expected
so will not be seen by A&E
TheaTre and
CLinC
No formal SHO lists or clinics (the SpRs now run the E (emergency) clinic), but plenty of theatre
lists and clinics to attend if well-staffed on the ward. Try to go to the E-clinic
roTa
Linked roTaTions
GP and Paediatric Surgery
GP and Paediatric Trauma & Ortho
Community Geriatrics and Orthopaedics
GP & Cardiothoracic surgery
Clinical Contact
grizelda.george@ouh.nhs.uk or 01295 229720, Dr Grizelda George (Consultant)
bryan.todd@ouh.nhs.uk, Dr Bryan Todd
Linked roTaTions
Clinical Contact
Mr Pablo Martinez-Devesa (Consultant, overall lead for SHO leave)
liz.hedinger@orh.nhs.uk (HR rota co-ordinator)
horTon
John radCLiffe
Emergency Medicine
ENT
F2
F2
1.4
1.4
18
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Team 2 teams: Lymphoma and Leukaemia. Each team has 2 consultants, 1 registrar, 2 SHOs
Banding 1A (50%)
nighTs Variable: 7 - 14 over a 4 month job
Weekends Variable: 4 - 5 in 4 months (may include nights over weekend)
Leave Annual leave: non fxed, 9 days per 4 months. 4 zero days
average
LisT size
15 - 20 patients
TeaChing Wednesday mornings 08:30 09:00. Monthly mandatory F2 teaching
roLes Normal day Daily ward rounds, ward cover, Tuesday afternoon out-patient clinic, triage
admissions. On calls Ward cover, admissions. Overnight support from Hospital At Night team
and non-resident on call Haem SpR. On take variable number of elective admissions for chemo
or stem cell transplant, and emergency admissions e.g. neutropenic sepsis
CLiniC
exposure
Tuesday afternoon out-patient clinic with Dr Littlewood (consultant haematologist)
Linked roTaTions
Clinical Contact
andy.peniket@ouh.nhs.uk (Consultant)
andy.peniket@ouh.nhs.uk
Linked roTaTions
Clinical Contact
ChurChiLL
ChurChiLL
Haematology
Head & Neck Onc
F2
F2
1.5
Team 2 Consultants, 1 Registrar, 1 SHO (FY2)
Banding 1B (40%)
nighTs None
Weekends One in 5
Leave Annual leave: non-fxed, 9 days over 4 months. Study leave: 30 days study leave allowance for the
year. No compensatory rest after on calls. The department is very fexible with leave
TeaChing Both Consultants give weekly informal tutorials and presentations
roLes Normal day: Patients are divided into haemophilia and thrombosis clinics. Your role as SHO
is to review routine and emergency haemophilia patients, initially under the guidance of the SpR
and/or Consultant and as you feel more confdent, alone. You will also clerk, discuss and initiate
treatment for patients referred to the clinic with a positive DVT. There is constant support and
guidance from a superb clinical team of doctors and specialist nurses. On calls: No on calls for
haemophilia but you are part of the medical Emergency Assessment Unit (EAU) cover rota (John
Radcliffe Hospital): one weekday evening 17:00 - 22:00 every week and one weekend in 5. This
involves clerking and post take ward rounds as part of the acute medical take
CLiniC
exposure
Morning and afternoon clinics: Haemophilia clinic 7 - 10 patients; thrombosis clinic 3 - 7 (varies
daily based on referrals)
Team Approx. 15 Consultants, 7 Specialist trainees (various grades), 1 FY2
Banding Unbanded
nighTs None
Weekends None
Leave non-fxed, 9 days per 4 months. Entirely fexible
TeaChing There are opportunities to teach medical students on their Laboratory medicine course - there are
small group teaching sessions and gross pathology teaching sessions that you can get involved in
roLes You are a supernumerary member of the team and the department is very happy for you to get
what you need/ want from the placement. For example if you want to be a Neurosurgeon they
would be happy for you to spend the rotation with the Neuropathologists. If you are keen to see/
do autopsy, they will support that. More generally and if you have no particular preferences, you
are placed with a different speciality each fortnight and will join the Registrar or Consultant to do
Cut-up of the specimens sent to the lab. You then report the cases you have cut up with the
Consultant, once they have been processed in the lab. You could expect to report around 100
cases in 4 months. There are opportunities for audit and research but these must be particularly
sought, they are unlikely to be offered
roTa 09:00 - 17:00 (also fexible e.g. 08:00 - 16:00) Monday to Friday
Linked roTaTions
Clinical Contact
paul.giangrande@ndm.ox.ac.uk (Consultant haematologist)
paul.giangrande@ndm.ox.ac.uk (for Haemophilia issues)
chris.shields@ouh.nhs.uk (EAU rota co-ordinator)
Linked roTaTions
Clinical Contact
ruth.asher@ouh.nhs.uk (Consultant Dermatopathologist, Clinical Supervisor for the F2s)
ChurChiLL
John radCLiffe
Haemophilia
Histopathology
F2
F2
1.4
1.0
Yikes! Sorry.
Its probably similar to Max Facs F2 at the John Radcliffe
Team Location example Abingdon Surgery: 12,000 patients, 5 GP partners, 1 salaried GP, 1 GP trainee,
1 FY2, medical students
Banding Unbanded (take home monthly salary after tax approx. 1500)
nighTs None
Weekends None
Leave 9 days per 4 month job, non-fxed
operaTing
LisTs
Some practices offer minor operations such as removal of BCCs, joint injections and cryotherapy
TeaChing Weekly teaching session with GP tutor. Opportunity to teach medical students
roLes Roughly frst 2 weeks: observe working of surgery (sitting in with GP, practice nurses, district
nurses, mid wife, secretaries). Thereafter start to do own clinics: 30 minute appointment slots,
providing opportunity to discuss the patient with the supervising GP. With increasing experience
appointment slots generally reduce to 20 minutes. There are normally 6 patients in the morning
and 6 in the evening. Other roles incude paperwork: hospital referrals, repeat prescriptions,
incoming mail such as discharge summaries
roTa Example: First appointment 08:40, morning surgery fnishes at 11:00. Afternoon surgery starts at
16:00, fnish at 6pm. Every Wednesday half day.
Linked roTaTions
Clinical Contact
Linked roTaTions
Clinical Contact
John radCLiffe
oxfordshire
Geriatric Medicine
General Practice
F2
F2
1.4
1.0
Team 6 consultants, approx. 6 registrars, approx. 6 SHOs, 6 F1s
Banding 1B (40%)
nighTs Equivalent of 1 full week of nights every 9 weeks (with 1 week off between Monday to Thursday
nights and Friday to Sunday)
Weekends Approx one in 4
Leave Fixed, any fexibility coming from swaps with other F1s. 10 days in 9 weeks
average
LisT size
Approx. 12 - 18 patients
TeaChing 1 hour lunchtime meeting held daily except Fridays. Case discussion meetings. F1- or SHO-led
journal club presentations. Weekly compulsory F1 teaching. Case-based presentations by F1s
or SHOs
roLes Normal day ward-based for F1s with limited opportunities to clerk patients
On calls & take: mostly ward cover, approx. one evening per week plus nights and weekends
roTa Normal days 09:00 - 17:00 with evening on calls approx once per week until 21:30, for
6 weeks; followed by nights Monday to Thursday 21:30 - 09:30; 1 week off; nights Friday to
Sunday then another week off
Team Multidisciplinary clinic working closely with nursing staff and health advisers. The medical team
consists of one F2, one GPVST1, 2 Specialist Registrars, several staff grades, some of whom are
GPs with a special interest in GUM and family planning, and 3 consultants
Banding Unbanded
nighTs None
Weekends None
Leave 9 days per 4 month job, non fxed
TeaChing Weekly departmental teaching session on Wednesday mornings. There are often guest speakers
talking on a wide range of issues relating to HIV and GUM. Registrars are also happy to arrange
tutorials to cover topics in more depth. There are also good opportunities for clinical teaching
to medical students. This is a good job in which to undertake an audit as clinical notes are
readily accessible and presentation at the departmental meeting is actively encouraged by the
department
roLes The job consists of drop-in and appointment based GUM clinics. You work individually from a
clinic room but with plenty of opportunity to ask for advice and have patients reviewed by senior
colleagues. There is lots of exposure to GU skin conditions and sexually transmitted infections
as well as contraceptive issues. Practical skills include male and female GU examination and
investigation, and cryotherapy. Although the F2s do not generally work in the HIV clinic, there are
some opportunities to shadow in these clinics
roTa Each day is divided into 3 clinics from 09:15 - 18:30 or 19:00. The rota is very variable so you
work an average of 2 clinics per day, but this is balanced over the week. Clinic sizes can be
unpredictable as many or drop-in services so workload fuctuates. The clinic is tied to the Banbury
GUM clinic so once per week or less you work in Banbury alongside a consultant or registrar. In
addition to clinics there are some additional duties within the rota such as checking and acting
upon results. The academic day is usually a Thursday, although this is negotiable
Linked roTaTions
Clinical Contact
suemedicine.turner@ouh.nhs.uk
Linked roTaTions
Clinical Contact
jackiesherrard@doctors.org.uk and anne.edwards@ouh.nhs.uk (Consultants)
jackiesherrard@doctors.org.uk (Consultant, rota co ordinator)
horTon
ChurChiLL
GIM & Geriatrics
GUM
F1
F2
1.4
1.0
Yikes! Sorry.
Its probably similar to Gen Med F2 at the John Radcliffe
20
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Team 4 teams (red, green, blue, purple/orange), multiple consultants per team, 4 Registrars (one per
team), 7 SHOs (FY2 and CT), No FY1s
Banding 1B (40%)
nighTs Block of 7 nights, one or 2 blocks per 4 month rotation
Weekends One in 7
Leave Non-fxed, 9 days per 4 months arranged amongst SHOs
average
LisT size
6 - 8 patients
inpaTienT
admissions
Variable between teams: 5 - 6 per week, high turnover; 1 - 2 per week long term
day Case
admissions
3 - 5 per week
TeaChing Weekly neuroradiology teaching; weekly neurology grand round; many medical students; monthly
mandatory FY2 teaching
roLes Normal day: Largely ward based; 1 - 2 SHOs per team; clerking day and ward admissions;
practical procedures including lumbar punctures. On call evenings and weekends:
neurology ward cover (SpR covers referrals). Nights: ward cover for both neurology and
neurosurgery, including clerking elective and emergecy admissions. Senior support from
neurology (non-resident) and neurosurgical (resident) SpRs
CLiniC
exposure
Approx. 0.5 days per week, but negotiable with colleagues
roTa Normal day 08:30 - 17:00. Early (to receive hand over from night SHO) 07:00 - 17:00,
approx. 1x per week. Late 16:00 - 20:00, approx 1x per week. Weekends 07:30 - 20:00
Saturday and Sunday, one in 7. Nights 20:00 - 08:00, 7-night block Friday to Thursday, one
or 2 blocks per 4 month job
Linked roTaTions
Clinical Contact
Linked roTaTions
Old-age psychiatry and Maxfacs (x2)
O&G and Public Health (x2)
Clinical Contact
jane.adcock@ouh.nhs.uk (Lead Consultant)
jane.adcock@ouh.nhs.uk (Lead Consultant)
John radCLiffe
John radCLiffe
Medicine
Neurology
F2
1.4
Team 6 Consultants, Rotating cohort of Anaesthetic SpRs completing Neuroanaesthesia block, 1.5 SHOs
(NICU FY2, AICU FY2 alternate weeks)
Banding 1B (40%)
nighTs One in 12 (covering ENT/Plastic surgery SHO on-call rota)
Weekends One in 12 (covering ENT/Plastic surgery SHO on-call rota)
Leave Non fxed, 9 days per 4 months. Flexible leave outside of on-call commitments as unit can function
without SHO. Compensatory leave around on-call commitments as per EWTD
average
LisT size
Neuro ICU has 14 beds
On calls: SSIP unit has 40 beds and high turnover of ENT/Plastic surgical patients
operaTing
LisTs
Lists running daily in two designated neurosurgical theatres and angiography suite
TeaChing Consultant led unit which guarantees cased based tutorials; learning points arise on a daily basis.
Strong provision of senior support, guidance and teaching. Involvement in ENT and Plastic surgery
SHO teaching
roLes NICU: Daily reviews and implementation of care for critically unwell neurosurgical patients in an
intensive care setting. On calls: as ENT/ Plastics SHO covering speciality admissions and ward
of 30 - 40 (plus paediatric outliers). First point of contact for ENT and Plastics in a quaternary
referral centre
TheaTre and
CLiniC
No clinic commitments. Opportunity to follow patients through to angiography suite, Neurosurgical
theatre or ENT theatre from both an anaesthetic and surgical view point
roTa Normal NICU day 07:30 - 17:00
On-call day comprises 07:30 - 17:00 NICU, 17:00 - 20:30 ENT/Plastics
On-call night (including weekends) comprises 20:00 - 08:30 ENT/Plastics
Weekend day on-call comprises 2 SHOs (1x designated ENT, 1x designated Plastics), one
working short day 08:00 - 16:00 and one working long day 08:00 - 20:30 as per rota allocation
Team 3 F2s, 6 other SHOs, 9 registrars, 9 consultants (adult neurosurgery) and 3 paediatric consultants.
2 teams for adult patients, roughly equal list sizes
Banding 1B (40%)
nighTs Block of 7 nights, one or 2 blocks per 4 month rotation
Weekends 2 - 3 weekends in 4 months
Leave Non fxed, 9 days in 4 months
average
LisT size
Varies between 15 and 45 patients per team
operaTing
LisTs
Daily elective and emergency lists. Exact schedule depends on individual consultant. Generally
considerable overlapping at SHO level (ie you can attend lists of other consultants as well)
inpaTienT
admissions
1 in 9 takes on the consultant rota. Average 1-2 patients each day on take although consultants
can sometimes be on take for several days at a time. Elective admissions: 2 - 15 depending on
the op list for the next day. Emergency admissions: 0 - 2, and up to 8 per day, depending on
bed availability
TeaChing Weekly neurosurgery SHO teaching every Friday morning. Weekly neuroradiolagy SHO teaching
every Monday morning. Opportunistic teaching on the ward
roLes Early on call: 07:30 - 17:00, main duty is to run the pre-op assessment clinic. Otherwise
stay with your own team for usual day to day jobs. Late on call: 14:00 - 20:00, main role
is to clerk in and ensure pre-op preparations (e.g. necessary investigations) are completed for
patients on the next days elective lists. Includes ward cover 17:00 - 20:00. May need to clerk
in and manage emergency admissions, although all of these would have been accepted by the
registrars prior to transfer to the unit. Registrars will review all emergency admissions. Nights:
as per late on-calls, plus covering neurology in-patients. Weekends: Daily ward rounds of all
neurosurgical in-patients; ward cover; clerking of elective and emergency admissions as per late
and night on call
roTa Early on call: 07:30 - 17:00, once in every 1 - 2 weeks. Late on call: 14:00 - 20:00, once
in every 1 - 2 weeks. Nights: 20:00 - 08:00, 7-night block Friday to Thursday, one or 2 blocks
per 4 month job. Weekends: 08:00 - 20:00 Saturday and Sunday, 2 - 3 weekends in 4 months
Linked roTaTions
Clinical Contact
hiliary.madder@ouh.nhs.uk (Consultant intensivist, NICU Clinical Lead)
lucy.cogswell@ouh.nhs.uk (Consultant plastic surgeon, runs on call rota)
Linked roTaTions
Clinical Contact
stana.bojanic@ouh.nhs.uk (Consultant)
John radCLiffe
John radCLiffe
Neuro ICU
Neurosurgery
F2
F2
1.4
1.4
F2 1.4
F1
Team 8 teams, each of which has 2 F1s, an SHO (either FY2 or CT1/2), SpR and consultant
Banding 1B (40%)
nighTs Typically once every 2 months. 4 nights in a row, or 3 weekend nights. You have an SHO with you
Weekends One in 4, usually very hectic. No time off before or after
Leave 2-week block in 4 months (not fexible). No zero days after weekends. Time off after nights varies,
it might be built into your 2 week block of leave
average
LisT size
15 - 40. Varies widely according to frm and where you are in the rota, and time of year
TeaChing Depends on your consultant in terms of on the job teaching. Case meetings once per week,
radiology MDT once per week. Weekly hospital medical grand round. Lots of opportunities to fulfl
eportfolio requirements. Monthly mandatory F1 teaching.
roLes Normal day ward based over 6 wards, lots of general admin work
On calls medical ward cover. Usually once per week 17:00 - 22:00. Usually very hectic too!
On take clerking new patients and presenting. Approx twice per week. Average intake is 15
patients per take. Good learning experience
roTa Normal day is meant to be 09:00 - 17:00, but often 08:30 - 18:00 depending on your frm
On calls and on take 1 to 2 evening shifts until 22:00 per week
Weekends 08:30 - 22:30 Friday, Saturday, and Sunday. And back to work Monday!
On for 6 weeks as outlined above, off for 2 weeks, back on for 6 weeks
Team 1 FY1, 2 registrars, 3 consultants and 4 specialist nurses
Banding Unbanded
nighTs None
Weekends None
Leave Non fxed, 9 days per 4 months
average
LisT size
15 patients for venom clinic, 6 for infusion clinics and 2 in-patient referrals per week
admissions Nil. However all immunology patients admitted under other teams must be reviewed
TeaChing Many opportunities. Thursday afternoon, discussion on interesting patients plus presentation by
clinical and lab staff. Weekly journal club meeting
roLes FY1 must run venom clinic (bee and wasp venom desensitisation) with specialist nurse. Two
weekly infusion clinics where FY1 clerks patients before infusion. FY1 also receives telephone
calls from patients and from GPs. Additionally, the FY1 is expected to make referrals and do any
general jobs such as bloods etc
CLiniC
exposure
Primary immunodefciency clinic: assessing new patients and managing patients on established
therapy. Additionally the FY1 attends the paediatric infectious disease and immunodefciency
clinic
roTa Monday 08:00 - 16:00, morning venom clinic. Tuesday 09:00 - 17:00, morning Paeds infectious
disease and immunology clinic. Wednesday 08:30 - 16:30, morning Infusion clinic. Thursday
09:00 - 17:00, afternoon clincial meeting. Friday 08:30 - 16:30, afternoon infusion clinic. At other
times the FY1 is available for patient and GP calls.
Team 9 consultants, 4 Registrar, 9 SHO (3 medical FY2s and 6 dental DF2) no FY1
Banding 1A (50%)
nighTs Approx 2 sets of 7 nights per 4 month job.
Weekends 1 - 2 per 4 month job, excluding nights
Leave Annual leave: fxed in rota. One zero day before nights and after weekends.
average
LisT size
8 - 10
operaTing
LisTs
Each consultant has their own list with specifc types of oral surgery. This includes oncology as
well as TMJ surgery or other less exciting (removal of teeth). Each consultant has an SHO so you
will have time to work with the consultant. When you are attached to that particular week, you
have the opportunity to sit in on clinics or go to theatre
inpaTienT
admissions
0 - 4 per day
TeaChing Monthly audit day; weekly SpR-led teaching; ad hoc teaching in theatre or clinic; monthly
mandatory FY2 teaching
roLes Day ward cover (08:00 - 20:00): Leads morning ward round; is responsible for in-patients;
takes over day on call bleep 17:00 - 20:00 and over weekends. Day on call (08:00 - 17:00):
referrals from Dentists, GPs, A&E, and other hospitals including Reading, Horton, Bucks. Involves
giving telephone advice, booking patients in to urgent out-patient clinics, assessing patients
in A&E, and practical procedures such as suturing facial lacerations in A&E and assisting in
theatre. New admissions are taken at any time of the night or day; Max facs alternate weeks
with Plastics to cover facial lacerations. Trauma SHO: Works with Ms Dhariwal and goes to
theatre and attends clinics. Deformity: Work with Mr Mcleod and goes to theatre and attends
clinics. Oncology: Major head and neck cancer cases. These usually take a whole day. Your
responsibility is to ensure pre-op, notes in order, no glitches before theatre! MOS: Minor
operations-these include biopsies, teeth extractions.
roTa Normal hours 08:00 - 17:00. Day ward cover 08:00 - 20:00, Monday to Thursday; day on call
08:00 - 17:00; weekend ward cover 08:00 - 20:00, Friday to Sunday; Nights 20:00 - 08:00,
Friday to Thursday; approx. x2 of each per 4 months. Other weeks spent on Trauma, Deformity
or Oncology (see above)
Linked roTaTions
Clinical Contact
smita.patel@orh.nhs.uk (Consultant)
liz.henley@orh.nhs.uk
Linked roTaTions
Clinical Contact
kunmi.fasanmade@ouh.nhs.uk (Consultant, Clinical Supervisor for FY2s)
John radCLiffe
John radCLiffe
Immunology
Max facs
F1
F2
1.0
1.5
Team 2 gastroenterology consultants, 2 stroke/elderly medicine consultants, 1 respiratory consultant,
1 cardiology consultant, 1 ID/micro consultant. Approx 1 registrar, SHO and FY1 per consultant
Banding 1A (50%)
nighTs One full week per 8 weeks, split into Monday - Thursday and Friday - Sunday
Weekends One in 8
Leave Fixed, 9 days per 8 weeks
average
LisT size
10 - 25 patients
admissions 2 - 6 per day
TeaChing Weekly journal club. Weekly case-based discussion. Monthly grand round. Monthly mandatory
FY1 teaching
roLes Ward-based SHO 09:00 - 17:00. When not on call, the FY1 and SHO work together on the
wards. When on-call, night or day, the SHO covers EAU with the registrar and the HO covers
the ward patients. The on-call SHO works with the on-call registrar to clerk all new admissions
from A&E and direct GP referrals to MAU, and is responsible for them until they are allocated
to a consultant at post-take the following morning. Usual 24h take size 10-20 patients. This
means that for an FY1, day on call effectively means 5-9.30, while the FY2 would expect to be
clerking new admissions from late morning onwards. The on-call FY1 manages all ward-based
patients out of hours
roTa Same for FY1 and FY2: 8 week rolling rota with fxed leave - very infexible; swaps must be
organised directly with other FY1s or SHOs and cleared with the team. Normal day 09:00 - 17:00.
Day on call 09:00 - 21:30. Night shift 21:30 - 09:00
Mon Tues Wed Thurs Fri Sat Sun
1 Day Day Day Day
2 Day
3 Day
4 Day
5
6 Night Night Night Night
7 Leave Leave Leave Leave Night Night Night
8 Leave Leave Leave Leave Leave
Linked roTaTions
Clinical Contact
Linked roTaTions
Clinical Contact
neil.stewart@ouh.nhs.uk (Lead Consultant)
suemedicine.turner@ouh.nhs.uk (Senior Medical Secretary and Rota Coordinator)
John radCLiffe
horTon
ICU
Medicine
F2
F2 1.5
F1
Yikes! Sorry.
Its probably similar to Anaesthetics and ITU F2 at the John Radcliffe
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Team 7 consultants, 15 registrars, 1 FY2
Banding Unbanded
nighTs None
Weekends None
Leave Non fxed, 9 days per 4 months
average
LisT size
2 - 3
operaTing
LisTs
2 theatres lists daily, average 10 patients each. On average about 2 patients per day will be
admitted, but often no-one is admitted
admissions 4 - 5 admissions to ward per week
TeaChing Weekly monday afternoons departmental teaching, plenty of opportunity for self-directed learning
roLes Largely ward based, occasional pre-operative assessments, eye casualty sessions and diabetic
retinal screening clinic. The norm is to have about 2 - 3 patients to be looking after at one time
as most pateitns are reviewd and discharged day 1 post op. There are timetabled clinics every
morning (apart from thurs when its oculoplastics list) and 3 afternoons a week
TheaTre and
CLiniC
Offcially 1 day per week occuloplastics list, but fexible
roTa Monday: morning eye casualty, afternoon department teaching. Tuesday: Neuro-ophthalmology
ward round & paediatric pre-operative assessment clinic. Wednesday: morning diabetic screening
clinic, afternoon paediatric neurology clinic. Thursday: morning occuloplastics list. Friday: Eye
casualty
Team 11 Consultants, 4 GP ST1/2 trainees, 3 F2s
Banding 1B (40%)
nighTs One week in 6 (7 nights)
Weekends One weekend in 6
Leave Fixed in rota, 10 days post nights (at the end of 7 nights following 12 days stretch)
average
LisT size
5 - 20
inpaTienT
admissions
3 - 4, and upto 10 per day
TeaChing 3 lunchtimes per week
roLes Ward work; admissions; special care baby unit; on-call for deliveries for one week every 6 weeks;
bloods; outpatient clinics
CLiniC
exposure
One or 2 every 6 weeks
roTa Week 1: on-call for post-natal/ deliveries bleep (one day on-call 13:00 - 21:00)
Week 2: special care baby unit (one day on-call 13:00 - 21:00)
Week 3: childrens ward including weekend (one day on-call 13:00 - 21:00)
Week 4: childrens ward (one day on-call 13:00 - 21:00)
Week 5: week of nights
Week 6: off
Linked roTaTions
Clinical Contact
victor.chong@eye.oxford.ac.uk (Consultant)

Linked roTaTions
Clinical Contact
justin.sims@ouh.nhs.uk
luan.fredericks@ouh.nhs.uk
John radCLiffe
horTon
Ophthalmology
Paediatrics
F2
F2
1.0
1.4
Team 7 teams, 2 - 4 consultants per team, 7 - 9 Fellows/ Registrars (one to 2 per team), 8 SHOs (FY2
and CT/ GPST), 2 F1s
Banding Unbanded
nighTs None
Weekends None
Leave Non fxed
average
LisT size
10 - 20 patients
operaTing
LisTs
4 - 6 full day lists per team per week
inpaTienT
admissions
Variable between teams: approx. 16 per week, high turnover; 1 - 2 per week long term
TeaChing Weekly orthopaedic teaching on Wednesdays; medical students frequently around; opportunities
to become involved in audit and research
roLes Largely ward based; 1 - 2 juniors per team; pre-op assessment clinics; regular assistance
required in theatre
TheaTre and
CLiniC
Averages 1 - 2 days per week, more is desired and negotiable with colleagues
roTa 08:00 - 17:00 Monday to Friday. One half day per week for research offered, often not taken as
there is time during most weekdays to complete additional work
Team One acute team with a minimum of 2 SHOs (F1, F2 or GP trainees), speciality teams with one
SHO (usually ST2, although you may be asked to cover). There is at least one registrar for each
team. There is also an SHO covering A&E (16:00 - 22:00) and one who does the afternoon shift
(14:30 - 21:30)
Banding 1A (50%)
nighTs 2 sets of 7 nights within the 4 month rotation. Followed by at least a week off
Weekends At least 2 within a 4 month block
Leave 1 week is added to your post nights leave giving a 2-week break. The other 4 days are up to
you to arrange
average
LisT size
Varies massively depending on the time of year. 20 would be about average across all the wards
inpaTienT
admissions
Daily, at least 2 - 3 children
day Case
admissions
More relevant if you are covering one of the paeds sub-specialities
TeaChing 1 hour per week SHO teaching. Child protection forum monthly and infectious diseases seminar
every week. There is a weekly radiology meeting
roLes Reviewing patients on the ward, bloods and other ward based skills. When you are down in
A&E you are responsible for clerking patients and initial management. Roles are the same for
F1 and F2
CLiniC
exposure
If the ward is quiet you are more than welcome to go to clinic
roTa 2 weeks of A and E (4-11pm), 2 weeks of nights (9pm-9am), 2 weeks of afternoons (2:30-
9:30pm) and the rest are standard day shifts 8:30-5:00 acute team, 9-5:30 other teams. Rota
is same for F1 and F2
Linked roTaTions
Clinical Contact
Linked roTaTions
Clinical Contact
dominic.kelly@ouh.nhs.uk (Consultant)
dominic.kelly@ouh.nhs.uk (Consultant)
noC
John radCLiffe
Ortho with academic interest
Paediatrics
F1
1.0
F2 1.5
F1
Team 2 SHOs (one CT, one FY2), 2 consultants
Banding 1B (40%)
nighTs One set of 4 nights (Monday - Thursday), one set of 3 nights (Friday - Sunday) per 4 month job
Weekends One or 2 per 4 month job
Leave Non-fxed, 9 days per 4 months. Very fexible with annual and study leave
average
LisT size
10 - 15 patients
inpaTienT
admissions
3 - 4 per week
TeaChing Weekly Psychiatry department teaching followed by SHO refection group, Tuesday mornings.
Impromtu consultant teaching on ward and in clinic. Monthly mandatory FY2 teaching. Medical
students often attached to ward
roLes Ward based: clerking new admissions, regular mental state review of in patients, weekly ward
round [large MDT meeting to discuss progress of all in patients], assessment and management of
medical issues, including referral to different specialties, occassionally referring for acute medical
or surgical admission e.g. sepsis, fractured neck of femur. SHOs responsibility to take bloods, do
ECGs and often measure and record vital signs. No provision on ward for IV medication or oxygen.
Clinic: usually seeing new referrals: assessment and provisional management plan, always
discussed with consultant. Home visits: Usually with a consultant although opportunity to do
these alone if appropriate. ECT: Attending ECT morning sessions, increasing responsibilty from
observing to administering. On call: Either wards: covering all adult psychiatric wards in
Oxford [at different sites including Warneford hospital (adults and eating disorder), Fulbrook centre
(old-age), and Littlemore (forensic, high dependence and learning disabilities)]; or Barnes:
liaison for all OUH hospitals, usually involves seeing self harm or overdose attendances in JR or
Horton A&E [expected to drive or taxi to Banbury from Oxford if called to Horton]
CLiniC
exposure
Out-patient clinics take place in Abingdon Community Hospital. Approx. one half day clinic and/ or
a half day home visit session per week
roTa Normal day 09:00 - 17:00. Evening on call 17:00 - 21:00, 4x per 4 month job.
Weekend on call 09:00 - 21:00, 1 or 2x per 4 month job. Monday off after weekend on call.
Nights 21:00 - 09:00, 1x Monday - Thursday and 1x Friday - Sunday per 4 month job. Monday
and Tuesday off after weekend nights
Linked roTaTions
Clinical Contact
Linked roTaTions
Clinical Contact
sophy.daley@oxfordhealth.nhs.uk
vicki.bartlett@oxfordhealth.nhs.uk
noC
oxford heaLTh nhs foundaTion TrusT: fuLBrook CenTre, ChurChiLL
Nuffeld Ortho Centre
Old Age Psychiatry
F1
F2
1.4
Linked roTaTions
Clinical Contact
John radCLiffe
ChurChiLL
O&G
Oncology
F2
1.5
Team 2 F1s, 1 F2, 3 SHOs (mixture of CMT and GP VTS trainees), 1 SpR & 1 consultant of the week.
Note that there are around 30 Clinical and Medical Oncology consultants that rotate on the wards
on a weekly basis. Most consultants that are not on-call will still pop up on the ward and are
contactable to see their admitted patients (either directly or via their SpRs)
Banding 1B (40%)
nighTs FY1 none, FY2 yes
Weekends Roughly one per month; FY1 09:00 - 17:00, FY2 09:00 - 21:30
Leave Non-fxed, 9 days in 4 months. FY2s get zero days after weekends and nights
average
LisT size
20 - 30 patients
inpaTienT
admissions
0 - 9 per day including elective and emergency admissions
TeaChing Weekly SpR or Consultant led teaching (Friday morning from 08:30 09:30). Encouraged to
attend Medical Grand Round (via video link) and to participate in Monday morning departmental
presentations to wider Consultant/SpR team (08:30 09:30)
roLes Normal day is ward based. Daily ward round, ward jobs shared between FY1s and SHOs. Lots
of MDT input and end of life issues. The academic day release FY1 has the same role as the
non-academic FY1, but with a few additional days that can be taken off as academic days in
order to attend educational events and plan academic placement.
On call for oncology ward (and occasionally Sobell House Hospice). Clerking elective, e.g. for
chemotharapy, and emergency, direct-to-ward or acute triage, admissions. Usually 1 - 2 daytimes
(from 09:00) and evenings (until 21:30) per week. Good opportunity to clerk patients presenting
with oncological emergencies, e.g. neutropenic sepsis, or general medical presentations.
On call rota is also shared with Haematology, but FY1s are never expected to cover Haematology:
there will always be an SHO (ST1) available covering haematology at the same time
CLiniC
exposure
Supposed to have an outpatient clinical timetable but this can be tricky on busy days when fewer
people are around
On call usually 1 - 2 evenings per week 17:00 - 21:30
Linked roTaTions
Clinical Contact
elaine.sugden@ouh.nhs.uk (Dr Elaine Sugden, lead consultant for teaching)
Dr Clare Blesing is departmental head
F2 1.4
F1
Yikes! Sorry.
Its might be similar to Ortho with academic interest F1 at the NOC
Yikes! Sorry.
Its probably not similar to any other F2 job! We hear its busy but a good learning experience
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Team Public health consultants and team, registrars, administrators
Banding 1B (40%)
nighTs None
Weekends One in 5 for general medicine admissions (Emergency Assessment Unit, EAU)
Leave 9 days per 4 month job; easy to take
TeaChing Monthly mandatory FY2 teaching and informal sessions within Public Health
roLes Public Health: Offce based work e.g. literature reviews, treatment requests and
commissioning, freedom to pursue own projects of interest. On call: in EAU, John Radcliffe:
evening shifts and weekends clerking medical admissions
roTa Normal day: 09:00 - 17:00 Monday to Friday
On call: EAU evening shifts 17:00 - 22:00 once per week, weekends 09:00 - 22:00 one in 5
Linked roTaTions
Clinical Contact
Designated supervisor depending on placement
Public Health: designated supervisor
EAU: chris.shields@ouh.nhs.uk (medical rota co-ordinator)
oxford heaLTh nhs foundaTion TrusT: Warneford, oxford
oxford
Pyschiatry
Public Health
F2
1.4
LoCaTion Public Health as an F1 currently involves working at the Health Protection Agency in Didcot, though
this may be subject to change in the future. This is about 45mins - 1 hours drive from Oxford, or
2 hours by public transport
Team
Banding Unbanded
nighTs None
Weekends None
Leave Non-fxed, 9 days per 4 month job
TeaChing There are weekly teaching sessions for an afternoon, and the opportunity to do small presentations
to the department. Monthly mandatory F1 teaching in the John Radcliffe
roLes The HPA is involved in managing outbreaks of infectious diseases amongst other things (see their
website). As an F1 you will spend time answering phones from GPs and other health professionals
who notify the HPA about cases of particular diseases (called notifable diseases). The job
involves following particular protocols for managing these cases e.g. tracing contacts, advising
about prophylaxis, looking for potential sources (e.g. following where patients last ate in the case
of food poisoning). You will also spend some time working on audits and other projects within
the department. If you wish to spend a day or two in the PCT, you can request to do this when
you are there.
Advantages of this job:
- a good chance to get a taste for public health (though only one aspect of it)
- friendly atmosphere and generally helpful people in the department
- good opportunity to do audits and other small projects for your portfolio/CV
- chance to do small presentations
- useful teaching on public health
- 9 to 5pm, no weekends or nights
Disadvantages of this job:
- travelling distance
- it can be a little mundane at times
- only get to see one aspect of public health
roTa 09:00 - 17:00 Monday to Friday
Team 6 consulants, 7 SpRs, 6 SHOs no F1s
Banding 1B (40%)
nighTs 2x Monday - Thursday and 2x or 3x Friday - Sunday nights per 4 month job
Weekends 2 weekends per 4 month job
Leave 9 days per 4 months, no zero hours after nights
average
LisT size
12
operaTing
LisTs
No theatre lists but can assist with line insertion for dialysis if time allows
inpaTienT
admissions
0 - 4 per day
TeaChing Weekly consultant or SpR led teaching on renal topics; monthly mandatory F2 teaching; medical
students attached to the frm
roLes Time split between 4 main tasks: ward patients: acute and chronic, including ward cover and
clerking new admissions; dialysis cover: general management of dialysis day admissions
including dealing with both chronic conditions and acute illness e.g. MI whilst on dialysis; Day
case patients for blood or iron transfusion, preparation for renal biopsy or line insertion, or
blood tests; one SHO on Float to account for leave
CLiniC
exposure
Daily consultant clinic
roTa Rolling rota managed by one of the SHO so can vary. Normally 2 weeks on chronic 2 weeks acute
with the weekend cover in one of these. Then week nights with 2 weeks day hospital, 2 weeks
dialysis, 2 weeks foat. As the task of allocating is given to one of the SHO this is very variable but
more than 2 weeks on chronic can be draining.
SpR support: one SpR on ward cover, one for day case, one for dialysis, one covers the surgical
transplant team rounds, one for referrals. Depending on leave and nights, more than one duty
may be covered by a single SpR
Linked roTaTions
Clinical Contact
Linked roTaTions
Clinical Contact
philip.mason@ouh.nhs.uk and edward.sharples@ouh.nhs.uk (Consultants)
oxford
ChurChiLL
Public Health
Renal Medicine
F2 F1
F2
1.4 1.0
1.4
Team One or 2 SHOs attached to one SpR and one consultant
Banding 1B (40%)
nighTs One set of 4 nights (Monday - Thursday), one set of 3 nights (Friday - Sunday) per 4 month job
Weekends One or 2 per 4 month job
average
LisT size
10 - 15 patients
TeaChing Weekly Psychiatry department teaching followed by SHO refection group, Tuesday mornings.
Impromtu consultant teaching on ward and in clinic. Monthly mandatory FY2 teaching. Medical
students often attached to ward
roLes Ward based: clerking new admissions, regular mental state review of in patients, assessment
and management of medical issues, including referral to different specialties, occassionally
referring for acute medical or surgical admission. SHOs responsibility to take bloods, do ECGs and
measure and record vital signs if needed. No provision on ward for IV medication or oxygen. On
call: Either wards: covering all adult psychiatric wards in Oxford [at different sites including
Warneford hospital (adults and eating disorder), Fulbrook centre (old-age), and Littlemore
(forensic, high dependence and learning disabilities)]; or Barnes: liaison for all OUH hospitals,
usually involves seeing self harm or overdose attendances in JR or Horton A&E [expected to drive
or taxi to Banbury from Oxford if called to Horton]
roTa Normal day 09:00 - 17:00. Evening on call 17:00 - 21:00, 4x per 4 month job.
Weekend on call 09:00 - 21:00, 1 or 2x per 4 month job. Monday off after weekend on call.
Nights 21:00 - 09:00, 1x Monday - Thursday and 1x Friday - Sunday per 4 month job. Monday
and Tuesday off after weekend nights
Linked roTaTions
Clinical Contact
Team 7 consultants, 8 registrars, 9 SHOs (3 FY1, 3 FY2, 3 CT all on same rota)
Banding 1A (50%)
nighTs 2 lots (7 shifts each) of nights per 4 month rotation
Weekends One in 8
average
LisT size
Total inpatients 15 - 20
operaTing
LisTs
Each consultant once per week, plus emergency lists
inpaTienT
admissions
2 - 3 per day
TeaChing Friday teaching morning: teaching presentations by registrars and SHOs, teaching ward rounds
with consultants; journal club. Occasional medical students in clinics
roLes Each day begins with handover followed by ward rounds of your consultants patients. Then you
will either have theatre (both elective lists and CEPOD emergency lists) or outpatient clinics, ward
jobs to do, or you will be on call. Theatre role includes scrubbing in as an assistant and doing
end-of-procedure paperwork. Outpatient clinics you will generally have your own clinic room and
see new referrals or follow ups and then discuss these cases with the registrar or consultant. On
call involves clerking new patients in A&E, seeing patients in day care and doing some ward jobs.
In out-of-hours, it will also involve assisting in theatre if there are emergency cases.
Roles are same for both FY1 and FY2
TheaTre and
CLiniC
At least one day per week, more if your consultant is on call as there will be emergency theatre
lists
roTa SHOs and FY1s on the same rota. Normal days 07:45 - 16:45; Long days 07:45 - 20:00
Monday - Thursday; Weekend: on call 07:45 - 20:00 Friday - Sunday; Nights: on call 20:00
- 08.00 (7 shifts in a row). 3 days off post-nights. Half day at end of week of long days, and on
the Monday following a weekend
Linked roTaTions
Clinical Contact
alex.lee@ouh.nhs.uk
maurizio.pacilli@ouh.nhs.uk
Linked roTaTions
Clinical Contact
John radCLiffe
John radCLifee
Paediatric Surgery
Plastics
F2
Team 12 (+1 locum) Consultants / 11 Registrars / 5 SHOs (FY2 - CT2) / 1 FY1
Banding Unbanded
nighTs None
Weekends None
average
LisT size
10 - 25 patients
operaTing
LisTs
2 - 3 Consultant lists per day, plus registrar-lead trauma list plus registrar-lead local surgery list
inpaTienT
admissions
8 - 10 per day. A mixture of elective and trauma cases which is consistent most days due to the
quick turn-over of the patients
TeaChing Informal teaching opportunities each morning in the trauma meeting. Consultants and registrars
very keen to teach in theatre. Monthly audit day with teaching throughout the whole day. There are
also lots of medical students who provide opportunities for the FY1 to teach
roLes Mostly ward based as the FY1. There is often an SHO to help with ward jobs as well. There are
pre-assessment clinics running every day and the FY1 often has to go and see patients in these.
No on call done by FY1. FY1 will however help out clerking new admissions to the ward or transfers
from other hospitals
TheaTre
exposure
Lots of opportunity to assist in theatre if the ward work is complete
roTa FY1 does not have a specifc rota. Contracted to work 08:00 - 17:00 (4 days per week) but often
the day is longer due to number of patients and people coming back late from theatre. Leave
can be taken at any time as long as there is appropriate ward cover. As an academic post FY1 is
entitled to 1 day academic leave per week. The day taken is usually negotiable with SHOs
Linked roTaTions
Clinical Contact
lucy.cogswell@ouh.nhs.uk (Consultant)
plasticsrota@googlemail.com
John radCLiffe
oxford heaLTh nhs foundaTion TrusT: Warneford, oxford
Plastics
Psychiatry
F1
F1
1.0
1.0
F2 1.5
F1
Team One or 2 SHOs attached to one SpR and one consultant
Banding Unbanded
nighTs None
Weekends None
average
LisT size
10 - 15 patients
TeaChing Weekly Psychiatry department teaching followed by FY1 and SHO refection group, Tuesday
mornings. Impromtu consultant teaching on ward and in clinic. Monthly mandatory FY1 teaching.
Medical students often attached to ward
roLes Ward based: clerking new admissions, regular mental state review of in patients, assessment
and management of medical issues, including referral to different specialties, occassionally
referring for acute medical or surgical admission. SHOs responsibility to take bloods, do ECGs
and measure and record vital signs if needed. No provision on ward for IV medication or oxygen
roTa 09:00 - 17:00 5 days per week
Linked roTaTions
Clinical Contact
Yikes! Sorry.
Its probably similar to ENT F2
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Team No specifc teams, multiple consultants, 4 SpRs (plus several clinical research fellows), 4 SHOs
(FY2 and CT1 and 2x CT2), No FY1s
Banding 1A (50%)
nighTs 7-night stretch, one in 8 (cross-cover urology)
Weekends One in 8 (cross-cover urology)
Leave Non-fxed, 9 days per 4 months, arranged amongst SHOs
average
LisT size
operaTing
LisTs
Elective vascular access and living-related donor lists, emergency lists for transplant 24 hours
per day
day Case
admissions
Up to 20 per week
TeaChing Surgery grand round; weekly transplant/renal teaching
roLes Normal day: largely ward based; clerking ward admissions. On call: ward cover and new
admissions, including urology cross-cover
TheaTre
exposure
Average 1 week per month
roTa 8 week rolling rota for 4 SHOs (theatre/ foat/ ward/ theatre/ foat/ ward/ nights/ week off). Normal
day 08:00 - 17:00; approx. 1x late 08:00 - 20:30 per week. Nights 20:30 - 08:30
Linked roTaTions
Clinical Contact

Linked roTaTions
Clinical Contact
james.gilbert@ouh.nhs.uk (Consultant)
james.gilbert@ouh.nhs.uk (Consultant)
ChurChiLL
ChurChiLL
Urology
Urology & Transplant
F1
F2
1.5
Team Junior team: 2 FY1s, one FY2, one CT1, one CT2 and +/- one ACF. Then 5 or 6 registrars. 6 - 8
consultants. FYs cover the ward and everyones patients. The CTs and registrars are nominally
attached to consultant frms but often help out the other teams. There is an on call registrar each
week who covers all the ward patients and is therefore the immediate senior for the foundation
doctors
Banding 1A (50%)
nighTs One in eight weeks: 7 nights on call and a week off afterwards
Weekends One in eight
Leave Annual leave: 9 days per 4 month job. 1 week off after nights. One half day each week plus one
half day after on calls
average
LisT size
26 beds on the ward plus outliers
operaTing
LisTs
Daily lists AM and PM
inpaTienT
admissions
Approx. 1 - 2 urology admissions per day and 0 - 3 transplant admissions overnight
TeaChing Students are regularly attached to the ward and FY1s often appreciate teaching, so ad hoc
opportunities are available. Team meetings Friday morning
roLes Normal day: Ward work and seeing new admissions, plus potential to attend theatre and clinics
when things arent busy on the ward.
On calls: Approx. one evening per week. The urology SHOs share on calls with the transplant
SHOs, so cover both urology and transplant on call. Roles are ward cover and new admissions
TheaTre and
CLiniC
Nominally timetabled one theatre session and one clinic per week, which you can attend provided
the ward has reasonable cover. Occassional opportunity to assist in fexible cystoscopy lists
roTa Normal day: ward work every day 08:00 - 17:00. Tuesday PM: clinic. One other full
day: theatre list. Friday AM: team meeting. Evening on call: 17:00 - 21:00, approx once
per week. Weekend: 08:00 - 21:00, one in 8. Nights: 20:30 - 08:30, one in 8. Off: half day
per week and one week post nights. This timetable is fexible and not particularly rigidly adhered to
Linked roTaTions
Clinical Contact
mark.sullivan@ouh.nhs.uk (Consultant, FY2 clinical supervisor)
carolyn.nelson@ouh.nhs.uk
ChurChiLL
Urology
F2
1.5
Yikes! Sorry.
Team 6 F1s, 5 SHOs and 1 registrar (although SpR works the same rota as the SHOs so often, the SHOs
are the most senior trainees in the team)
Banding 1A (50%)
nighTs 7 nights, every 6 weeks
Weekends One in 3
Leave Non-fxed, 13.5 days per 6 months
average
LisT size
30 patients, although at nights you are also expected to cover orthopaedics, which is another
30 patients
operaTing
LisTs
Emergency list every day, then visiting consultants from the JR from various specialities do lists
once per week
inpaTienT
admissions
15 - 20 per week
day Case
admissions
40 - 50 per week, with around 5 of these remaining on the ward as expected admissions and
2 - 3 as unexpected admissions
TeaChing Once per week F1 teaching. Once weekly orthopaedic teaching. Once weekly general surgical
teaching, where either an F1 or SHO present. Grand rounds are somewhat sporadic!
roLes 2 - 4 on calls per week, working 08:00 to 20:00, taking GP referrals and seeing new patients in
A&E with the SHO on call. Otherwise on ward duty
Overall, an enjoyable rotation with lots of fexibility in terms of leave. You get to know your team
very well and its a lot of fun!
TheaTre
exposure
Virtually none. Occasionally if it is outside of 09:00 - 17:00, you will get to assist in a surgery but
usually the SHOs are the ones in theatre. Being a DGH, there is very little operating on weekends
or after 17:00
roTa 6 week rolling rota. First week: 2 on calls, 3 normal days. Second week: 4 on calls (including
Friday - Sunday) and 3 normal days. Third week: Tuesday OFF, Friday 1/2 day (if ward is not
too busy), one on call and 2 normal days. Fourth week: normal days. Fifth week: nights. Sixth
week: OFF
Team 8 trauma consultants, 5 spinal consultants, 1-2 orthogeriatric consultants, 8 trauma registrars,
1 spinal fellow, 1 orthogeriatric registrar, 7 SHOs (FY2s & LAS), no FY1s. 2 trauma wards with
outliers all over the hospital
Banding 1A (50%)
nighTs 2x or 3x stretches of 7 nights (Monday to Sunday) per 4 months, 21:00 - 09:00
Weekends 3 weekends in 4 months. 08:00 - 22:00 Saturday and Sunday
Leave Fixed, 2 weeks per 7 weeks
average
LisT size
60 - 80 patients
operaTing
LisTs
1 - 2 lists per day, with 4 - 6 patients per list, from 08:30 - 21:00
inpaTienT
admissions
8 - 10 per day. Tertiary centre, registrars accepts referrals from regional DGHs
TeaChing Weekly SHO teaching every Wednesday morning after handover. Weekly timetable: daily radiology
meeting at 0800, daily hot rounds at 0700h & 2100, daily consultant or registrar (trauma, spinal,
orthogeriatric) ward rounds, weekly departmental meeting on Wednesday mornings
roLes You are ward based during a normal day and cover all consultants, including the spinal team
patients. There are 2 trauma wards in the trauma unit with approximately 26 patients on each
ward. One SHO is assigned to each ward with each usually having an additional 5 - 15 outliers
(i.e. paediatrics, plastics, medical wards). Orthogeriatric team review appropriate new admissions
and on request. SHO attends weekly Orthogeriatric Consultant ward round. 2 SHOs are on call
on alternate days and 1 SHO is on post nights leave. Based mostly on the trauma unit which has
two wards, xray department and fracture clinic with plaster room. On calls: 3 weeks per 7
weeks, covering admissions from A&E, pre-operative assessments in fracture clinic and 60 - 80
ward patients
TheaTre
exposure
1.5 days in 7 weeks, but negotiable with colleagues
roTa 7 week rolling rota for 7 SHOs, with different roles. A & B weeks (0800-1600h, weekdays, wards);
C & D weeks (0800-2200h, 4-5 days/week, day on-call with scheduled theatre time), E week
(2100-0900h, Monday to Sunday, night on-call), F & G weeks (fxed leave)
Linked roTaTions
AGM 6/12 (x 2)
AGM 4/12 and Academic 4/12 (x2)
AGM 4/12 and Immunology 4/12 (x1)
Urology 3/12, Bone Infection Unit 3/12 and AGM 3/12 (x1)
Clinical Contact
carl.griffths@ouh.nhs.uk (Consultant)
Linked roTaTions
Clinical Contact
john.mcmaster@ouh.nhs.uk (Lead Consultant)
horTon
John radCLiffe
Surgery
Trauma & Ortho
F1
F2
1.5
1.5
LoCaTion Lower GI Surgery, Surgical Emergency Unit (SEU), John Radcliffe Hospital (JRH)
6 month placement split into 3 months on SEU at the JRH and 3 months at the Churchill Hospital
(The following descriptions are based on working on SEU at the JRH as opposed to the Churchill
Hospital, unless otherwise stated)
Team 4x FY1s (2 on the ward each day, 1 on a weekend), no FY2s, junior registrars, senior registrars,
clinical fellows, consultants. Generally only the 2 FY1s are on the ward whilst seniors are in theatre
Only one FY1 on the ward at the Churchill Hospital
Banding 1A (50%)
nighTs Either 4 nights mid-week Monday to Thursday, or 3 nights on a weekend Friday to Sunday
Approx one set of nights every 4 weeks
Cover lower GI and vascular surgery on a night at the JRH
Cover lower GI, oesophagogastric and hepatobiliary surgery at the Churchill Hospital
The upper GI FY1 covers UGI and triage on a night, therefore there will be 2 of you on the ward
at the JRH on a night
Weekends Approx 10 weekends in a 6 month placement (including weekend nights)
Leave Fixed, usually on the rota as: 7 days off after working Monday to Sunday, weekend off after working
Monday to Friday and Friday to Sunday off after working mid-week nights
average
LisT size
25 - 30 patients
inpaTienT
admissions
On Take split between lower GI and upper GI, usually on alternate days. Take size can be anything
from 5 - 15 patients. Only on take at the JRH
TeaChing Monthly mandatory FY1 teaching. Medical students and nurses to teach
roLes Ward-based, although occassionally called to help in theatre. Extremely busy job involving note-
taking on a ward round, booking scans and listing patients for theatre, discussing patients with
radiologists and referring to other teams. High turnover therefore many TTOs to do, ward-based
practical procedures, opportunity to assist in theatre if possible, attending acutely unwell patients
on the ward. Working at the Churchill Hospital can sometimes be less busy than at the JRH.
Patients who are admitted onto SEU from their GP or A&E are clerked by the triage FY1 and then
put onto the list for whichever team is on take that day at the JRH
roTa One week Monday to Sunday 07:45 - 19:15 followed by Monday to Sunday on leave, Monday to
Thursday nights 19:00 - 08:00, weekend off, Monday to Friday 07:45 - 17:30 and so on
Linked roTaTions
Clinical Contact
Linked roTaTions
Clinical Contact
John radCLiffe and ChurChiLL
noC
Surgery
Trauma & Ortho
F1
F2
1.5
1.4
Yikes! Sorry.
29
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but there are many decent chain restaurants
at the Oracle (Giraffe, Pizza Express, Browns,
Jamies Italian, Caf Rouge, Strada, Bella Italia).
While there are approximately three hundred
Starbucks in Reading, it is sorely lacking in inti-
mate, independent cafes, although The Work-
house on the main street brews a decent mug
of coffee and has a good selection of cakes too.
Weekly medical and surgical teaching
for one hour
Simulation sessions offered throughout
the year
Departmental meetings within teams
Weekly Grand Round
TEACHING
R
eading has a decent cohort of 4th and 6th
year students from Oxford most year round
so there are good opportunities for teaching if
you arrange it yourself. There is no dedicated
system for juniors to teach each other, although
foundation doctors are strongly encouraged to
present at the weekly Grand Rounds.
AUDIT AND RESEARCH
T
here is a central audit offce in RBH with a
list of available audits should you fail to be
inspired enough to invent your own.
Royal Berkshire
into town so while popping out for lunch isnt
really an option, an after work drink or shop-
ping at the Oracle (see below) is very conven-
ient.
The large number of foundation doctors on
one site gives RBH a very social feel meaning
new recruits get to know a lot of people very
quickly. As a result, the Doctors Mess is
strong, organising 2 events a month, one
raucous Payday Party and a more relaxed mid-
month get-together.
RBH is actually a pretty great
hospital,
winning the CHKS
Quality of Care award in
2010,
beating all other hospitals in
England and Wales in a variety of
measures (search Care Award for Royal
Berkshire Hospital on Youtube). The hos-
pital is currently attempting to implement
Electronic Patient Records (EPR) at time
of writing, with May 2012 as the current
estimated due date (although this has
been postponed multiple times). Already
in operation is a computerised Hospital At
Night bleep system whereby nursing staff
put jobs for the juniors onto a computer
system rather than bleeping them directly.
This means less important calls such as
rewriting drug charts or f uid prescriptions
can be saved up and polished off in one fell
swoop, allowing tired juniors to maximise
valuable sleeping time in the mess.
Introduction to the Town
R
eading is a 15 minute walk away from the
hospital and, while boasting no spectacular
attractions, provides everything you could
need, with London a 30 minute train ride away
for everything else.
T
he Royal Berkshire Foundation Trust is
based in the town of Reading and employs
45 F1s and 36 F2s, mostly at the Royal Berk-
shire Hospital (RBH), with a handful working at
nearby Prospect Park psychiatric hospital. The
Trust serves the majority of Berkshire, receiving
patients from a variety of backgrounds from
urban Reading to the predominantly Caucasian
towns of Henley-on-Thames etc. Reading is
close to London and Oxford with good transport
links to both.
Introduction to the Hospital
A
lmost all foundation doctors are at RBH,
with 2 F1s and an F2 at Prospect Park at
any one time. All F1 jobs bar psychiatry are 1a
banded (50%).
The RBH is a fairly large
district general hospital, housing
813 inpatient beds.
The hospital has been expanded several
times with the result that each block feels dif-
ferent and navigating its labyrinthine corridors
can be daunting at frst. Its a 15 minute walk
Royal Berkshire Hospital
London Road
Reading RG1 5AN
Tel: 0118 322 5111
Prospect Park Hospital
Honey End Lane, Tilehurst
Reading RG30 4EJ
Tel: 0118 960 5000
CONTACT DETAILS
Dr Helen Allott
Foundation Training Programme
Director
helen.allott@royalberkshire.nhs.uk
Teresa Harvey
Medical Education Manager
teresa.harvey@royalberkshire.nhs.uk
Debbie Jarnak
Foundation years administrator
medicaleducation.administrator@
royalberkshire.nhs.uk
Ian Stephenson
Medical Rotations
ian.stephenson@royalbekshire.nhs.uk
28
The shopping and restaurant focus of
Reading is The Oracle. Situated next to the
canal, this large shopping centre houses
a wide-range of high street chains and a
waterside complex of restaurants and bars;
think Jamies, Browns, Pizza Express. Anyone
searching for fner dining is going to struggle,
the only real gem being the classy and not-too-
expensive London Street Brasserie, a stones
throw from the Oracle. The centre of Reading
is very pleasant but unexciting with a large
pedestrianized area and a plethora of coffee
shop chains.
Nightlife in Reading consists of numerous
small clubs and bars. Those used to trendy big
city venues may feel unfulflled but it is still
very easy to have a good
time.
Special mention should go to the recent
infux of new Irish nurses/physios/OTs who can
always be relied upon to propel any night to
wilder heights
Cultural events are something of a rarity in
Reading, with the Hexagon Arts Centre hosting
some big name comedy and musical acts.
Having said that there are very frequent trains
to London and Oxford for those who yearning
for more high-brow entertainment.
The Doctors Mess
T
he Doctors mess is on the frst foor adja-
cent to the Mortuary (!). Its small but does
contain a pool table and a freezer stocked
with microwave meals for peckish night-shift
workers. There is always a decent crowd at
lunch time and the free tea or coffee, biscuits
and toast make it a worthwhile post-ward
round stop for those too tight-fsted to visit AMT
coffee. Membership is 10/month which pays
for food and drink and a sizeable bar tab at
most mess events.
Food and Drink
HOSPITAL
T
here are several lunch options at RBH. The
on-site M&S Simply Food is a huge bonus
but the canteen deserves a mention for turning
out wholly agreeable hot meals at a reasonable
price. Other options include Pumpkin Caf, a
newsagents and the fridge and microwave in
the mess. Also indispensable is the AMT stall for
the obligatory post-ward round coffee (bought
by the seniors, naturally). During the night,
the only options are the aforementioned mess
meals and ordering in Dominos, open until 5am
(other takeaway pizza chains are available).
TOWN
T
he Lyndhurst Pub, 5 minutes from the
hospital is the doctors favourite and most
nights at least one table will be populated by
RBH workers. They have a good selection of
drinks and the food is rather good, with daily
deals (especially two-for-one Mondays) making
it an economical choice too. It is also a Mess
favourite, hosting welcome drinks in August and
kicking off many Mess nights. Other notable
watering holes include Sahara (excellent cock-
tails) and the Pitcher and Piano.
For eating, the
aforementioned London Street
Brasserie is the highlight,
The Lyndehurst
HMRC
Museum of
English Rural Life
The Oracle
London Street
Brasserie
Sahara
Roszi Bvvxsnivv Hosvi1zi
M4 1o Ioxnox
41 - 0 55
A404 1o Oxvovn
26 - 0 50
M4 1o Swixnox
40 - 0 50
M3/A33 1o Sou1nzxv1ox
48 - 1 05
N1 1o Sou1n Avvicz
10,708 - 237 00
30
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Yikes! Sorry.
Yikes! Sorry.
Banding 1A (50%)
nighTs 3 - 7 nights
Weekends 4
Leave As per General Medicine Rota
average
LisT size
28 patients
inpaTienT
admissions
3 - 4 new patients a day
TeaChing On ward rounds and weekly lunch time teaching each junior is expected to do 2 presentations
on care of the elderly topics
roLes Managing the ward with the SHO: Ward rounds, liaising with MDT (and once weekly MDT
meetings), acute management of patients, ward round jobs, discussions with relatives
On-call on the General Medicine Rota
TheaTre and
CLiniC
None
royaL Berkshire
royaL Berkshire
Anaesthetics
Care of the elderly
F2
F1
1.5
Team 1 consultant, 1 Reg, 1 SHO, 2.5 FY1s (1 academic FY1 comes 2 days a week)
Banding 1A (50%)
nighTs 4 night stretch - 2 blocks every 15 weeks
Weekends 3 in 15 weeks
Leave 10 days pre-allocated only during the CDU bit, no leave allowed during the ward-half
average
LisT size
21 patients
inpaTienT
admissions
While in CDU ~ 25 patients
TeaChing Grand round weekly, bedside teaching from most of the consultants
roLes 2 months in CDU: 5/8 weeks on call: various shifts a) 09:00 - 22:00, b) 08:00 - 21:00, c)
13:00 - 22:00
2 months on the wards: 1/8 week on call 17:00 - 22:00 (after work), consultant does ward round
twice a week, registrar is around most of the time
TheaTre and
CLiniC
None
Linked roTaTions
T&O, Lower GI surgery
Clinical Contact
Dr Simmons
Dr Simmons and Dr Zurech
Linked roTaTions
Clinical Contact
Ian Stephenson
royaL Berkshire
royaL Berkshire
Cardiology
Care of the elderly
F1
F2
1.5
Yikes! Sorry.
Yikes! Sorry.
Yikes! Sorry.
Anaesthetics and ITU - 50% of both
Team Anaesthetics N/A
ICU team rotates but at any one time there are 1 - 2 consultants, 0 - 1 Registrars, 3 SHOs and
1 FY1 (supernumerary). No students
Banding 1A (50%)
nighTs (Surgical rota) 20:00 - 8:00 3 - 4 nights per ~ 6 weeks
Weekends (Surgical rota) 08:00 - 20:00 ~ 1 in 6
Leave 9 days plus bank holidays
average
LisT size
Anaesthetics N/A
ICU there are 11 beds and these are generally flled
TeaChing Every Tuesday morning there is (optional) journal club 07:30 - 08:00 and junior members are
encouraged to present. From 08:00 - 12:00 there is then anaesthetic department teaching aimed
at anaesthetic membership exams but accessible and interesting to FY1s. This covers a lot of
physiology useful to any doctor. In theatre there is a lot of downtime during cases when you have
an anaesthetic consultant at your disposal to teach you on a subject of your choosing
roLes On-calls (Surgical rota) Long days (08:00 - 20:00) either clerking admissions or evening ward
cover on average ~ 1 day/week
Anaesthetics F1s are supernumerary with the exception of surgical on-calls and this is best
thought of as a training post for those with an interest in anaesthetics. However, you are expected
to arrive at 07:30 and see the patients preoperatively for the list you are assigned to that day. In
theatre, F1s insert lines, perform airway procedures and try to be as useful as possible in theatre.
You are encouraged to think how best to manage patients but the decision will always be made
by your superior
ICU Supernumerary, but here F1s perform jobs in common with general medical/surgical jobs
practical procedures, organising investigations, assessing patients and presenting at the ward
round. ICU is a consultant-led unit and as such there is very little decision making
TheaTre and
CLiniC
In addition to the above there is opportunity to attend pre-op assessment clinic, and to spend time
with the pain team and critical care outreach team
royaL Berkshire
royaL Berkshire
A&E
Acute Medicine
F2
F2
Linked roTaTions
Upper GI surgery, Cardiology
Clinical Contact
Dr Kathy Krzeminska Kathy.Krzeminska@royalberkshire.nhs.uk
Lenka.Nevolna@royalberkshire.nhs.uk
royaL Berkshire
royaL Berkshire
Academic Geriatric Medicine
Anaesthetics
F1
F1
1.5
32
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Yikes! Sorry.
Yikes! Sorry.
Yikes! Sorry.
Banding Unbanded
nighTs None
Weekends None
Leave 9 days and Bank Holidays - very fexible as you are supernumerary
average
LisT size
Usually see approximately 15 patients a day
TeaChing Most practices organise teaching sessions and opportunities to sit in with other members of
practice team eg midwife
roLes Holding own surgeries, seeing and managing patients in primary care setting.
royaL Berkshire
royaL Berkshire
Gastroenterology
General Practice
F1
F2
1.0
royaL Berkshire
royaL Berkshire
Geriatric Medicine
Haematology
F2
F2
Team 2 ward consultants, 2 SpRs, 1 SHO and 1 FY1
Banding 1A (50%)
nighTs As per General Medicine Rota
Weekends 1 in 4
Leave
average
LisT size
10 - 20 patients
inpaTienT
admissions
Very variable
TeaChing Somewhat limited. Informal teaching on ward rounds and a weekly X-Ray meeting
roLes During the Winter, based on outlier ward. The rest of the year is based on CDU (in a supernumerary
role).
On-call as per General Medicine Rota
TheaTre and
CLiniC
Limited but possible
Team 5 ENT consultants, 3 registrars, 3 staff grades, 3 FY2s. no FY1s
Banding 1A (50%)
nighTs A set of 4: Thursday - Sunday, followed by a set of 3: Monday Wednesday, every 6 weeks
(general surgery)
Weekends Friday - Sunday 08:00 - 20:30. On general surgical on-call, 1 in 10
Leave Flexible, arranged amongst the team
average
LisT size
5 - 10 patients
inpaTienT
admissions
1 - 2 per day
TeaChing Weekly FY2 mandatory teaching and weekly general surgical teaching.
ENT teaching every Tuesday morning with an opportunity to have CBDs
roLes Ward based in the mornings, then cover acute referral clinic from 09:30 to 12:30, carry on call
bleep for any referrals (A&E, GP or ward).
Afternoons depending on workload: acute referral clinic, main ENT clinics, theatre and ward
duties.
If all 3 of the SHOs are on, the workload can be easily shared and you can get to all day theatre
lists (Wednesday) and specialist clinics, working it out amongst yourselves
Yikes! Sorry.
Yikes! Sorry.
Linked roTaTions
Breast surgery, Anaesthetics
Clinical Contact
Dr Hugh Simpson
royaL Berkshire
royaL Berkshire
Community Paediatrics
Emergency Medicine
F2
F2
Linked roTaTions
Clinical Contact
rogan.corbridge@royalberkshire.nhs.uk (Educational/Clinical Supervisor)
Mr Raman ENT staff grade
royaL Berkshire
royaL Berkshire
Diabetes & Endocrinology
ENT
F1
F2
1.5
1.5
34
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Yikes! Sorry.
Yikes! Sorry.
Yikes! Sorry.
royaL Berkshire
royaL Berkshire
Palliative Medicine
Psychiatry
F2
F2
Team Consultant, senior registrar, F1 (another registrar present for half the placement)
Banding Unbanded
nighTs No
Weekends No
Leave 9 days, not fxed. Arranged with your consultant
average
LisT size
10 - 20 patients
inpaTienT
admissions
Varies from approx 4-7 a week. About half of these will stay for at least 2 weeks
TeaChing Plenty. 1 hour supervision with consultant weekly at least as an opportunity to fll out eportfolio
requirements. One morning a week for junior doctor and trust-wide teaching or case histories.
Daily informal teaching between seeing patient cases
roLes Reviewing patients mental states, clerking in new patients and performing basic physical exams
or investigations. Tending to any physical health problems whilst an inpatient
TheaTre and
CLiniC
None
Linked roTaTions
General surgery (colorectal), care of the elderly
Clinical Contact
james.jeffs@oxfordhealth.nhs.uk
prospeCT park hospiTaL
royaL Berkshire
Psychiatry
Public Health
F1
1.0
F2
Team 8 Consultant Obstetricians, 4 Consultant Gynaecologists, 9 registrars and staff grades, 3 ST1, 3
FY2s, 4 GPVTS and no FY1
Banding 1A (50%)
nighTs A set of 4: Monday - Thursday, and a set of 3: Friday Sunday, total of 14 nights over a 4 month
rotation; Obstetrics covering labour ward, no gynaecology nights
Weekends Gynaecology: Friday Sunday (Thursday and Tuesday off), 1 in 10
Obstetrics: Friday Sunday (Wednesday, Thursday and Monday off) 1 in 11
Leave Flexible, arranged amongst the team
average
LisT size
inpaTienT
admissions
5 - 10 a day via DAU and 1 - 5 a day via EGC
TheaTre LisTs 1 2 patients on a gynae list, 1 Elective C-section list per day plus the emergency list covered
by SHO covering labour ward
TeaChing The weekly FY2 mandatory teaching, weekly sessions allocated for SHOs to meet one of the
obstetricians to get Mini-CEX and CBDs done and weekly O&G teachings
roLes Obstetrics and gynaecology 50:50
Mornings are ward based you see post-operative patients, or pre-ops if covering
Gynae or elective C-section list.
Every day is divided into am and pm duties composing of the following:
Maternity day assessment unit (DAU): jobs include clerking GP referrals, self-referrals and pre-
ops. Post-natal wards: neonatal checks, reviewing post C-section ladies. Antenatal clinic: an
opportunity to see patients and get WBAs done. Elective C-section list: frst assistant. Emergency
gynae clinic (EGC): GP referrals predominantly early pregnancy issues. ERPC list
Yikes! Sorry.
Team 9 Consultants (including 2 Acute Oncology Consultants), 1 Associate Specialist, 2-4 Registrars,
1 SHO and 1 F1
Banding 1A (50%)
nighTs As per Medical on-call rota
Weekends As per Medical on-call rota
Leave As per Medical on-call rota
average
LisT size
About 16 patients
inpaTienT
admissions
From CDU, A&E or clinic as well as transfers from other wards (usually 2 - 3 per day). Usually
1 - 2 chemotherapy admissions per week and 1 - 2 admissions per week for blood transfusions
or ascitic drains
TeaChing 1 hr a week dedicated oncology teaching time given by registrars, consultants, palliative care
team, outpatient chemotherapy and radiotherapy staff
roLes Ward based 08:30 - 17:00. Daily ward round to see new admissions or sick patients with Acute
Oncology Consultant every morning, then complete ward round with SHO. Clerk any patients
coming in for chemotherapy, transfusions or ascitic drains.
Registrars only on ward if called for problems. Some consultants do a weekly ward round of
their patients
TheaTre and
CLiniC
Consultants very keen for juniors to attend clinic but opportunity rare due to workload on ward
Team 2 FY1s, 1 FY2 (foundation doctors are on the same rota), 8 SHOs, 5 Registrars, 6 Consultants
Banding 1A (50%)
nighTs No
Weekends 1 in 4, 12 hour shifts both weekend days with Monday off
Leave Very fexible. Can take on clinic weeks easily, also on ward weeks if adequate cover. Easy to swap
A&E weeks among FY trainees to facilitate leave
average
LisT size
Very variable between 15 - 35 patients
TeaChing Weekly journal club. Opportunities to teach Oxford medical students on attachment
roLes Clerking when on A&E weeks. General ward work other weeks
roTa Essentially supernumerary. Always must be one foundation trainee in paediatric A&E. The other 2
FYs are either on the ward, clinic or annual leave. For FY1s 1 week per month is A&E (but actually
works out a little more than this), 1 week is clinic week where you have the opportunity to sit in
on clinics if the wards arent excessively busy and a full complement of SHOs are on the ward
TheaTre and
CLiniC
4 clinic weeks over the attachment
Linked roTaTions
Clinical Contact
helen.allott@royalberkshire.nhs.uk (Educational/Clinical Supervisor/Foundation Programme Director)
Linked roTaTions
Urology, Elderly Care
Clinical Contact
Dr James Gildersleve (Lead Consultant) james.gildersleve@royalberkshire.nhs.uk
Dr James Gildersleve (Lead Consultant) james.gildersleve@royalberkshire.nhs.uk
Linked roTaTions
Clinical Contact
Dr Pritchard nicola.pritchard@royalberkshire.nhs.uk
royaL Berkshire
royaL Berkshire
Neonates
Oncology
F2
F1
1.5
royaL Berkshire
royaL Berkshire
Obs & Gynae
Paediatrics
F2
F1
1.5
1.5
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Team 4 teams each with 1 F1 and 1 F2. Each team looks after the patients of 4 - 5 consultants who
each have their own middle grade
Banding 1A (50%)
nighTs 2 blocks of 3 or 4 nights (20:00 - 08:00)
Weekends 1 in 9, Friday - Sunday 07:45 - 20:15
Leave 9 days leave, not fxed. Get additional week(s) off (zero hour) after weekend nights
average
LisT size
Very variable, 8 - 25 depending if team is on take
inpaTienT
admissions
5 - 10
TheaTre LisTs Daily trauma list plus various elective lists
TeaChing Weekly junior led departmental teaching
roLes Mainly ward based with F1 day-to-day. Clerking in A&E when on-call. Team on-call 1 in 4
TheaTre and
CLiniC
Some opportunities if keen but no allocated time
royaL Berkshire
royaL Berkshire
Surgery
Trauma & Ortho
F2
F2
1.5
1.5
Team 2 consultants, 2 registrars, 2 SHOs, 3 FY1s (one shared with the breast team)
Banding 1A (50%)
nighTs 3 sets of either 3 or 4 nights
Weekends 3 per rotation (08:00 - 20:0)
Leave 21 days including zero days
average
LisT size
15 patients
inpaTienT
admissions
7 - 8 daily when on take, 2 - 3 elective patients
TeaChing Both consultants willing to teach in their free time, journal club every Friday
roLes Ward based, 1 Reg, 1 SHO, 2 FY1s are usually around. Team on take every other week
TheaTre and
CLiniC
Limited theatre exposure, no clinic exposure
Team Four teams (1 SHO, 1 F1 working for 4 consultants)
Banding 1A (50%)
nighTs None
Weekends 1 in 4 (07:45 - 17:00)
Leave 9 days
average
LisT size
Varies incredibly 0 - 50
inpaTienT
admissions
Variable depending on if the team is on take
TheaTre LisTs Variable, trauma and elective
TeaChing Weekly teaching, peer led
roLes One in four weeks of lates 13:00 - 22:00. Team on take 1/4 days and weekends.
TheaTre and
CLiniC
Little
Team 4 full time consultants, 3 part time consultants, 3 registrars, 3 CTs, 4 F1s
Banding 1A (50%)
nighTs None
Weekends 12:00 - 21:00 shift includes Sunday and is one in four Sundays
Leave 10 days
average
LisT size
20 - 25 patients
inpaTienT
admissions
2 - 5 patients each day through CDU or A&E. Excludes elective operations
TeaChing Monthly M and M meeting, no medical student attachments
roLes Largely ward based. On call involves taking GP referrals and clerking them in in CDU or A&E,
pre-op admissions clerking.
On call 1 in 4 for Urology.
3 shift patterns; one F1 works 12:00 - 21:00 (Sunday-Thursday with Friday off), one F1 works
07:00 - 16:00, two F1s work 08:00 - 17:00. Rotate between shifts each week
TheaTre and
CLiniC
None
Linked roTaTions
Care of the elderly, Rheumatology/General Medicine
Clinical Contact
Harry Brownlow (orhtopaedic consultant)
Linked roTaTions
Medicine, T&O
Clinical Contact
Mr Farouk
hayley.doyle@royalberkshire.nhs.uk
Linked roTaTions
Clinical Contact
There isnt one, the F1 rota is sorted out amongst the F1s!
Linked roTaTions
GP, Gastroenterology : General surgery, Elderly care
Clinical Contact
Mr Brownlow harry.brownlow@royalberkshire.nhs.uk
royaL Berkshire
royaL Berkshire
Trauma & Ortho
Urology
F1
1.5
F1
1.5
Team 6 consultants, 4 registrars, 1 SHO, 2 FY1s
Banding 1A (50%)
nighTs 3 - 7 nights per rotation
Weekends 4
Leave 3 weeks fxed leave + maximum 7 zero days
average
LisT size
22
inpaTienT
admissions
3 - 4
TeaChing Medical students shadow the team but time dedicated to teaching is limited
You are required to present once on a topic of your choice at the weekly renal teaching
roLes Scribing on ward round. Doing ABGs, bloods, cannulas and discharge letters.
Over 4 months you do alternate weeks of normal ward duties (08:00 - 17:00) and on-call
commitments.
On calls include: ward cover (12:00 - 22:00), a week of clinical decision unit (CDU) (08:30 -
21:30), nights (set of 3 or 4) and CDU weekend clerking and weekend ward cover
TheaTre and
CLiniC
None
Team 4 consultants, 2 - 3 registrars, 1 SHO, 2 F1s
Banding 1A (50%)
nighTs 3 - 7 nights per rotation
Weekends 4
Leave General Medicine Rota
average
LisT size
27
inpaTienT
admissions
3 - 4
TeaChing Medical students shadow the team but time dedicated to teaching is limited
You are required to present once on a topic of your choice at the monthly meeting
roLes Scribing on ward round. Doing ABGs, bloods, cannulas and discharge letters
TheaTre and
CLiniC
Option to perform supervised pleural aspirates and chest drains
Team 3 consultants (2 on acute take rota, 1 just elective surgery), 1 registrar, 2 CT1/2 and 2 FY1s
Banding 1A (50%)
nighTs 3 sets of nights (08:00 - 20:00) over 4 months. Each set is 3-4 nights
Weekends 5 weekends during a 4 month rotation
Leave 9 days annual leave plus 14 zero days
average
LisT size
Variable - Ranges from 5-30
inpaTienT
admissions
Variable-approximately 10 a day when team is on take
TheaTre LisTs 2 per day
TeaChing Good on the job learning opportunities
roLes Largely ward based. Clerking new admissions when on take, ordering and interpreting appropriate
investigations, completing discharge paperwork. Average of once a fortnight evening cover (until
20:00) and once a fortnight on call for the day and evening (08:00 - 20:00) taking GP referrals
and clerking patients. Team is on take 25% of the time
TheaTre and
CLiniC
Minimal, you are usually busy on the ward but if you wish to go to theatre occasionally you are
welcome
Yikes! Sorry.
Linked roTaTions
General Surgery, Geriatrics, Rheumatology
Clinical Contact
Linked roTaTions
Clinical Contact
chris.davies@royalberkshire.nhs.uk
royaL Berkshire
royaL Berkshire
Renal
Rheumatology
F1
F1
1.5
Linked roTaTions
Cardiology, Anaesthetics/ICU : Paediatrics, Haematology, GP
Clinical Contact
Mr M Booth
Susan Gobardansingh susan.gobardansingh@royalberkshire.nhs.uk
royaL Berkshire
royaL Berkshire
Respiratory
Surgery
F1
F1
1.5
1.5
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Accommodation
300/month but poor quality. All rooms

are en-suite, share a small kitchen with
approx 5 others (probably not other doctors), no
internet access, on hospital site, parking permit
20/month, rooms are cleaned, coin operated
laundry. One communal area for whole block.
Parking is diffcult after 8.15 in the morning,
permits are 20/month.
Wycombe Doctors Mess
W
ycombe Doctors Mess is conveniently
tucked away down the end of a corridor
on the ground foor of the hospital. The mess
has several large sofas, a choice of daily news-
papers, free tea & coffee, sandwiches put aside
for people on-call and sky TV. It in renowned for
pizza Fridays: every Friday lunchtime take-
away pizzas are delivered to the mess; a great
social opportunity that gets everyone together.
In terms of other social events, the calendar
varies year-year depending on what the mess
president and committee decide up on. Often
socials are joined up with the Stoke Mess.
The Mess is run by its
president who is usually an FY1
doctor.
Jenny Denholm, who works in the educa-
tion centre, helps the president to run the mess
smoothly. Jenny oversees fnancial transac-
tions, sets up mess cards for staff and keeps
notes of all members. She is a valuable aid for
any president. If you are keen to get involved in
running the mess please contact her in advance
of starting: jenny.denholm@buckshealthcare.nhs.
uk. Getting involved in the mess is a great
opportunity to meet others from all departments
and grades, as well as a way to enhance your
CV.
If you decide to join the mess you will need
to pay a 5 refundable deposit for your mess
card. A 10 deduction is then taken from your
monthly wage to pay for the running of the
mess.
Food and Drink
T
he Doctors Mess is always a good
source of food and drink provided
free of charge for its members. Should
you wish for something more substan-
tial there are two main food outlets.
In the main building there is a small
restaurant Deli Marche which sells a
selection of 3 different hot meals a day
plus sandwiches, paninis, cakes and
croissants, plus Costa coffee. The hot
meals are reasonably priced and have
generous portions. In the Education Centre is
located the Windsor Dining Room which only
caters for trust employees. This serves eve-
rything from sandwiches to pasta and jacket
potatoes to chicken fajitas. Again good value for
money but be aware you will be evicted if you
attempt to enter in surgical scrubs!
The above outelets are only open during
normal working hours (including weekends).
Out of hours, the range of food and drink is
limited to several vending machines and what
is provided in the mess.
Stoke Mandeville Hospital
S
toke Mandeville hospital is situated just
outside the town of Aylesbury and provides
a wide range of services to the local community.
Some of its more specialised services include
the eye hospital, oral surgery department,
labour ward and large haematology and cancer
centre. It is the regional burns and plastics unit.
Florence nightingale hospice is also onsite.
Stoke Mandeville hospital is best known for
its internationally acclaimed spinal unit and is
thought to be the birthplace of the Paralympic
games. Professor Sir Ludwig Guttmann became
the head of the national spinal unit in 1943 and
used sport as a key to rehabilitation in spinal
injuries. In 1948 he hosted a competition for
paralysed patients known as the Stoke Man-
deville games which coincided with the opening
of the London Olympics that year. By 1960 his
games had become international and were part
of the Rome Olympics.
To mark the birthplace
of the Paralympics, the Stoke
Mandeville stadium, situated next
to the hospital, was built. It is the
national centre for disability sport
in the UK.
There is a large educational centre attached
to the hospital, with a medical library acces-
sible to staff. Regular resuscitation courses
are run within the education centre see http://
www.resus.org.uk/pages/courses.htm for
upcoming dates. Other facilities on site include
a cash point, restaurant and numerous coffee
shops. Jimmys caf is located in the heart of
the spinal unit and is named after the late Sir
Jimmy Saville to recognise all the fundraising
he did for the spinal unit.
Visit www.buckshealthcare.nhs.uk for more
information on the services offered at Stoke
Mandeville Hospital.
Aylesbury
A
ylesbury is a market town in Buckingham-
shire situated approximately 41 miles north
west of London. It is conveniently located for
travelling to London, Oxford and the midlands.
It is located within the
Chilterns an area of outstanding
natural beauty.
The centre of Aylesbury houses all the
regular shops and restaurants. There is an
Odeon cinema, a couple of nightclubs and a
new theatre. The Waterside theatre opened in
2010 and is part of the Ambassador Theatre
Group. Legally blonde, Thatll be the Day and
South Pacifc are amongst some of the produc-
tions put on at the theatre this year.
There are some lovely county pubs to
be found in the surrounding Aylesbury vale.
Thame, Wendover and Aston Clinton are some
of the many lovely villages and small towns
to be visited. Thame high street is particularly
quaint with lovely cafes, restaurants and pubs.
Thame hosts various festivals throughout the
year, the one not to miss is the food festival held
every September.
WYCOMBE HOSPITAL
FOOD AND DRINK 1 COURTESY OF PMG
Buckinghamshire
Healthcare
provides specialist cancer and urological serv-
ices with around 250 beds. The hospital sees
more than 36,000 inpatients and 150,000 out-
patients a year, and its surgical teams carry out
around 25,000 operations per year. Recently,
many medical services have moved from
Wycombe Hospital to Stoke Mandeville Hospital
in Aylesbury.
High Wycombe
H
igh Wycombe lies midway between Oxford
and London, and has excellent rail links to
London on the Chiltern line.
It is a large industrial and
market town with a population of
around 100,000 enriched with a
variety of cultures and faiths.
The town has recently undergone a large
redevelopment programme to establish the
Eden shopping centre which incorporates
hotels, restaurants, take-aways and entertain-
ment complexes including a Cineworld cinema.
Transport Links
A
pprox 40min drive from Oxford (diffcult by
public transport), 30min train from London
Marylebone.
There is no direct train from Oxford.
B
u c k i n g h a ms h i r e
Healthcare is a split
site trust, with most services
provided by Wycombe and Stoke
Mandeville hospitals. There are
also several community hospitals, but
foundation year doctors do not work in
these. Buckinghamshire is well located
between Oxford and London, and both hospi-
tals are about 30 miles from Oxford. There are
good connections to the rest of the country via
the M40. The Chiltern Hills can be found in this
region and, whilst being fairly rural, it is also a
culturally diverse area. Buckinghamshire has
low unemployment fgures, low crime rates,
excellent educational rankings and high GVA
index per person.
Wycombe Hospital
W
ycombe General Hospital is situated in
the centre of High Wycombe, near to the
junction of the M40 and a ten minute walk
from the train station. It offers a wide range
of surgical services, specialist medical depart-
ments including chest, stroke and cardiology,
and 24-hour emergency medical centre which
mainly sees minor injuries. The hospital also
Wycombe Hospital
Queen Alexandra Road
High Wycombe HP11 2TT
Tel: 01494 526161
Stoke Mandeville Hospital
Mandeville Road
Aylesbury HP21 8AL
Tel: 01296 315000
41 41
BLACKWELLS BOOKSHOP IN OXFORD HAS
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A VAST RANGE OF BOOKS - WE CARRY A WIDE SPECTRUM OF
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AUTHOR EVENTS, READING GROUPS AND WALKING TOURS. TO
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Oxford.
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Main switchboard:
01865 333630
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40
Transport Links
T
he hospital is about a 40 minute drive from
Oxford. The journey is diffcult by public
transport, the only method being by a slow
bus. The nearest train station is Stoke Mandev-
ille station, 1.5 miles away. Trains to London
Marylebone depart every half an hour and take
approx 50 minutes. There are no direct trains to
Oxford. A parking permit costs 20/month and
fnding a space is not usually a problem.
Accommodation
T
he hospital accommodation is very new,
of high quality and on the hospital site. It
is divided into fats of four en-suite rooms per
kitchen, and each kitchen also has a com-
munal area with a television. There is however
no internet access, and with dongle reception
being unreliable this is a signifcant downside. It
is a 30 minute walk, or ten minute drive to the
centre of Aylesbury. The doctors mess is situ-
ated in the same building. Rent is 300/month
including all bills.
Stoke Mandeville
Doctors Mess
T
he doctors mess is on the ground foor of
the accommodation building. It is a large
room with pool table, wide screen television and
a small kitchen. Membership costs 8/month
and activity varies year on year. There is usually
one mess event per month.
Bucxixcnzxsnivv nvzi1nczvv
S1oxv Mzxnvviiiv Hosvi1zi
Wscoxnv Hosvi1zi
Hicn Wscoxnv
Asivsnuvs
A418/A40 1o Oxvovn
28 - 0 50
A41 1o Ioxnox
42 - 1 10
A4010 1o Hicn Wscoxnv
17 - 0 30
M40 1o Ioxnox
30 - 0 45
M40 1o Oxvovn
30 - 0 40
A404 1o Rvznixc
19 - 0 40
Marylebone 18.50 - 1hr 0min
High Wycombe 7.60 - 0hr 40min
Oxford 21.00 - 1hr 30min (no direct train)
Marylebone 16.50 - 0hr 26min
Aylesbury 7.60 - 0hr 35min
Waterside
Thteatre
Stoke Mandeville
Stadium
Never Knowingly
Undersold
Eden Centre
Asda
CONTACT DETAILS
Dr Simon Bays and Dr Marc Davison
Foundation Training Programme Directors
simon.bays@buckshealthcare.nhs.uk
marc.davison@buckshealthcare.nhs.uk
Mrs Virginia Poole
virginia.poole@buckshealthcare.nhs.uk
Food and Drink
T
he main restaurant at Stoke Mandeville is
located in the front entrance. It serves a wide
selection of both cold and hot food throughout
the day and weekend including its own version
of subway sandwiches. Not too pricey and the
selection of hot food is varied with some good
vegetarian options included. A good place for
snacks, meals or coffees is Jimmys restau-
rant located in the spinal injuries centre.
Named after its patron
the late Jimmy Saville,
you will fnd many a team getting their fll of
tea cakes, cooked breakfasts and hot drinks at
around 11am. It has a nice conservatory to sit
in and also a large screen TV showing the news
and sports.
TRANSPORT 1: PARIS BEETLE COURTESY OF THB
STOKE MANDEVILLE HOSPITAL
42
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CLiniCaL
seT up
Whilst Stoke Mandeville has an accident and emergency department Wycombe has an
Emergency Medical Centre. The main difference is that Wycombe is not designed to receive
trauma, paediatrics, surgical or obstetric patients, although Wycombe will take these patients
for stabilisiation if paramedics feel they are too unstable to travel further afeld. Equally, despite
numerous advertising campaigns educating the local population about the services available at
the Emergency Medical Centre patients often walk in with the above problems. Wycombe, like
stoke also has a minor injuries unit which is run by emergency nurse practitioners during the day,
and covered by Doctors at night
Go to A&E for full job description
Team Variable
Banding Unbanded
nighTs None
Weekends None
Leave Non-fxed, 9 days per 4 months
TeaChing You are expected to return to hospital for FY2 teaching every other Wednesday lunch time. Within
your working week your GP supervisor should set aside some one to one teaching As part of the
placement some practices offer leave to attend a 3 day palliative care course at the local hospice
roLes The role of the FY2 will vary from practice to practice. In general, you spend a couple of weeks at
the beginning of the placement shadowing the GPs and allied health professionals before running
your own clinics. When you run your own clinic the time allowed per patient is approximately 30
minutes initially then reduced as time progresses (this is doctor and surgery dependent). Each
patient that you see must be discussed with one of the GPs (they have allocated slots in their
surgeries for you to discuss with them). Some GPs may like to debrief at the end of surgery or at
the end of each patient. There is often a large gap in the middle of the day for you to be making
referrals, dictating letters and doing home visits
roTa 09:00 - 17:00 or 18:00; depending on the hours you work each day, you may be entitled to a
half day or full day off per week
Linked roTaTions
Clinical Contact
stewart.mcmorran@buckshealthcare.nhs.uk (Lead Consultant)
michael.kazer@buckshealthcare.nhs.uk (SpR in charge of producing the rota)
diane.ramsden@buckshealthcare.nhs.uk (point of contact for all other issues)
Linked roTaTions
Clinical Contact
Different for each practice
virginia.poole@buckshealthcare.nhs.uk (Foundation Trainee co-ordinator)
WyComBe
BuCkinghamshire
Emergency Medicine
General Practice
F2
F2
1.5
1.0
Team 2 teams, each with 1 consultant, 1 SpR or senior SHO, 1 SHO (FY2 or GP trainee)
and 1 FY1
Banding 1B (40%)
nighTs F1s: none
F2s: 1x Monday - Thursday, 1x Friday - Sunday in 14 weeks
Leave Non-fxed. Must be co-ordinated with team, including on-call swaps. Rare that a leave period
cannot be organised as desired
average
LisT size
Usually 15 - 20 patients per team; extremes of 10 - 30
TeaChing Compulsory, 2 hours every fortnight, weekly grand round and journal club
roLes F1: Normal day ward jobs. On-call admission clerking and ward cover
F2: Normal day often leads ward rounds and may get involved in MDT, family
meetings and discharge planning. On-call sees new medical admissions and covers the
wards overnight
roTa Normal day 09:00 - 17:00 Monday - Friday
On-call roles:
Long Day (F1 & F2) (09:00 - 22:00; 4x isolated weekdays, 1x Friday - Sunday in 14 weeks):
Medical admissions and 1st and 2nd on-call for ward-cover
Short Stay Ward (F2 only) (0800-1600; 7 days Tuesday - Monday): 1 SHO to cover newly
admitted medical patients predicted to be short stay
Late (F2 only) (15:00 - 22:00 Monday - Thursday; 11:00 - 19:00 Friday): medical
admissions
Nights (F2 only) (21:30 - 09:30): Medical admissions plus ward cover
Linked roTaTions
Clinical Contact
Linked roTaTions
Clinical Contact
sally.biffa@buckshealthcare.nhs.uk (Medical Staffng co-ordinator)
sToke mandeviLLe or WyComBe
WyComBe
Gastroenterology
Geriatric Medicine
F2
F2 1.4
F1
Yikes! Sorry.
Its probably similar to Cardiology F2
Team 6 consultants and 17 middle grades split across both sites. 8 SHOs at Wycombe and 8 at Stoke
Banding 1A (50%)
nighTs On average, 2 blocks of 4 nights and 2 blocks of 3 nights in the 4 month period. Some SHOs may
do an extra block depending on where they start in the rota. From 2am there is one SHO and one
registrar on at each site. Post weekday nights you get the weekend off. Post weekend nights you
get the Monday and Tuesday off, you will be expected to attend teaching on the Wednesday and
then start back in A&E on the Thursday
Weekends Approximately 9 weekends in 4 months
Leave Annual leave is fxed. If you have any leave requests get them in months in advance as it becomes
diffcult to swap shifts once the rota is done. You get 2x 1 week off in the 4 month rota, someone
will start on annual leave
roTa SHO shift Patterns are as follows: 20:00 - 1700 Monday - Friday (08:00 - 18:00 Saturday &
Sunday), 11:00 - 20:00 Monday - Friday (12:00 - 22:00 Saturday & Sunday), 15.00 - 00:00
Monday Friday, 17.00 - 02.00 Monday - Friday (16.00-02.00 Saturday & Sunday) and
00.00 - 09.00 Monday - Friday (22.00 - 08.00 Saturday & Sunday)
TeaChing There is SHO teaching every Wednesday and everyone must attend except those working nights.
At the end of the placement each SHO is expected to present a case and their chosen audit. There
is plenty of opportunity to teach medical students whilst working in A&E
Team 4 Cardiology consultants, 3 Registrars, 3 SHOs (2 FY2 and 1 CT2), 3 FY1s. Day on-call team: 1
F1, 1 late SHO, 1 SpR. Night on-call team: 1 SpR
Banding 1B (40%)
nighTs 1x Monday - Thursday, 1x Friday - Sunday in 14 weeks
Leave Non-fxed, 9 days in the 4-month rotation
average
LisT size
20 - 25 patients, 22-bed CCU plus out-liers
CaTh LaB
LisTs
All day Monday - Friday, includes elective, in-patient and primary PCI cases
inpaTienT
admissions
Variable, depending on acute medical admissions
TeaChing Fortnightly mandatory Foundation Programme Teaching; Weekly Combined medical/surgical
grand rounds; Ward-based teaching on senior-led ward rounds
roLes Normal day: largely ward based. On-call: medical admissions and ward cover support (see Rota)
CaTh LaB
exposure
Available Mon-Fri, depending on ward duties, informal arrangements
roTa 14-week rolling rota (on-call for Medicine)
Normal day 07:30 - 17:00 Monday - Friday
On-call roles:
Short Stay Ward (0800-1600; 7 days Tuesday - Monday): one SHO to cover newly admitted
medical patients predicted to be short stay
Long Day (09:00 - 22:00; 4x isolated weekdays, 1x Friday - Sunday in 14 weeks): Medical
admissions and SHO advice to ward-cover FY1. You are expected to present patients on
consultant post-take ward round next morning at 09:00.
Late (15:00 - 22:00 Monday - Thursday; 11:00 - 19:00 Friday): medical admissions.
Nights (21:30 - 09:30): Medical admissions plus ward cover
Linked roTaTions
Clinical Contact
stewart.mcmorran@buckshealthcare.nhs.uk (Lead Consultant)
michael.kazer@buckshealthcare.nhs.uk (SpR in charge of producing the rota)
diane.ramsden@buckshealthcare.nhs.uk (point of contact for all other issues)
Linked roTaTions
GP and A&E (x1)
Rheum and A&E (x1)
Clinical Contact
soroosh.froozan@buckshealthcare.nhs.uk (Consultant)
sToke mandeviLLe
WyComBe
A&E
Cardiology
F2
F2
1.5
1.4
Team Many consultants, registrars and SHOs (CT), 1 F1 in SMH, 2 in WH. F1s are allocated to either WH
or SMH for the 4 month placement
Banding Unbanded
nighTs None
Weekends None
Leave Non-fxed and very fexible
average
LisT size
9 beds in WH ITU,11 in SMH
inpaTienT
admissions
ITU admissions: 1-3/day
TeaChing Plenty of on-the-job teaching (often one-on-one with consultant during theatre lists). Once weekly
SHO teaching
roLes TU role: Daily review of patients with other members of the team, attend crash calls, see ward
referrals with SHO/reg, opportunity for practical skills such as arterial/central line insertion.
Anaesthetics role: Assist with pre-op clerking, drawing up drugs, airway management and intra-op
care
TheaTre When on anaesthetics, in theatre all day every day
roTa WH: alternate weeks/fortnights of ITU and theatre with the other FY1 (WH is only for
elective surgery). SMH: 3 months of ITU followed by one month theatre (emergency
cases and obstetrics are in SMH). Working day is 08:00 16:30 with one half day
per week
Linked roTaTions
General surgery and medicine
Clinical Contact
patrick.strube@buckshealthcare.nhs.uk (Educational supervisor for anaesthetics F1s)
louise.dodds@buckshealthcare.nhs.uk (Wycombe)
denise.stott@buckshealthcare.nhs.uk
yvonne.lacey@buckshealthcare.nhs.uk (Anaesthetics rota co-ordinator)
Linked roTaTions
Clinical Contact
Anaesthetics & ITU
Diabetes
F1
F2
1.0
Yikes! Sorry.
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Team 11 Acute Consultants, 2 Community Consultants, 10 Registrars, 4 specialty doctors, 18 SHOs (2
FY2, 8 GPVTS, 8 Paediatric trainees), No F1s
Banding 1A (50%)
nighTs 1 in 9 (2 weeks per 4 month rotation), grouped in 3 and 4 night blocks
Weekends 5 in 18 (approx. 1 in 3)
Leave Fixed on rota: 2 separate blocks of leave, one of 5 days and one of 4 days
average
LisT size
20 - 25 patients on Paediatrics, 10 - 15 on NICU
admissions 8 - 12 per day on Paediatrics, 3 - 5 per day on NICU
TeaChing Weekly Journal Club; weekly Radiology MDT meeting; weekly consultant or registrar led SHO
teaching; monthly Academic Half Day . Occasional medical students attached to team
roLes Time spread evenly between Paediatrics and Neonatology, approximately 2 months in each area.
Paediatrics work includes ward work, allocated days clerking patients in Paediatric Assessment
Unit, allocated days to attend clinics, evening ward cover and overnight ward cover. It also includes
one week in Community Paediatrics in either the High Wycombe area or Aylesbury area, and one
week in Wycombe Ambulatory Childrens Unit. Neonatology work includes ward-based work in
NICU, attending deliveries and baby checks on the post-natal ward, and is all based at Stoke
Mandeville Hospital
CLiniC
exposure
Allocated days in clinic, approximately one day every 2 weeks during the paediatric but not the
neonatology block
roTa 18 week rolling rota for 18 SHOs, with different roles. Paediatrics cover is usually 2 - 3 SHOs on
the ward, one SHO clerking in PDU, one SHO on nights, one SHO on long days in Wycombe Acute
Childrens Unit, one SHO in clinics and one SHO in the community. Neonatology cover is usually 3
SHOs in NICU including one SHO covering the delivery bleep, 2 SHOs on the postnatal ward and
one SHO on nights. There is fxed annual leave scheduled in the rota
Team Several consultants, registrars and SHOs (CT), 2 F1s
Banding 1B (40%)
nighTs One block in 6 weeks, part of general surgery rota. Blocks are weekend (Friday - Sunday) and
weekday (Monday - Thursday)
Weekends One in 6, part of general surgery rota
Leave Non-fxed both F1s to arrange between themselves
average
LisT size
15 - 20 patients
operaTing
LisTs
Lists all day every day (emergency and elective)
inpaTienT
admissions
Approx 20 per week including day cases
TeaChing No formal F1 teaching
roLes Ward based (general plastic surgery) with general surgical on calls. Fairly quiet with time for
attending theatre if keen. This is usually a 2 or 3 month job allocated to two of the general surgery
F1s at a time. There is a burns department, but an SHO is based on the unit
TheaTre
exposure
Depending on ward workload, should be possible to attend theatre several times a week if
interested. Not compulsory
roTa Normal day is 08:00 16:30. Varying on-call shifts as per general surgery (see Surgery)
Linked roTaTions
Rheum/General Medicine and A&E (Wycombe) (x3)
Obstetrics & Gynaecology and Orthopaedics (x3)
Clinical Contact
atanu.Dutta@buckshealthcare.nhs.uk (Consultant)
gopa.sarkar@buckshealthcare.nhs.uk (Consultant, Junior Medical Staffng co-ordinator)
katie.watts@buckshealthcare.nhs.uk (Secretary)
Linked roTaTions
Medicine
Medicine and anaesthetics
Medicine and psychiatry
Medicine and trauma and orthopaedics
Rheumatology and dermatology, and trauma and orthopaedics
Clinical Contact
david.cobley@buckshealthcare.nhs.uk (rota-co-ordinator)
sToke mandeviLLe
sToke mandeviLLe
Paediatrics
Plastics
F2
F1
1.5
1.4
Team 6 Psychiatry consultants, 8 SHOs (CT & GPVTS).
Tindal Centre: 2 SHOs & 2 FY1s on site 09:00 17:00
Banding Unbanded
nighTs None
Weekends None
Leave Non-fxed, 9 days per 4 months
average
LisT size
25 patients, split between separate Male and Female wards
TeaChing Tuesday mornings and Wednesday afternoons
roLes There is a lot of support available and consultants are approachable. On site SHOs and FY1s are
generally split into two teams of 1 SHO and 1 FY1, each pair managing one ward. You will often
need to cross-cover the other teams due to leave / absence.
FY1s are responsible for 2 ward rounds each week your role is to type the notes into a laptop
and then act on plans made during the ward rounds. During the week you are responsible for
the medical care of the patients (eg coughs, muscoluskeletal injuries). You also perform MMSE
pre and post ECT.
roTa 09:00 17:00 5 days per week
Linked roTaTions
Clinical Contact
Linked roTaTions
Clinical Contact
WyComBe
oxford heaLTh nhs foundaTion TrusT: TindaL CenTre, ayLesBury
Palliative care/ Rheum/ Rehab
Psychiatry
F2
F1
1.0
Yikes! Sorry.
Its probably similar to Cardiology F2 and Rheumatology F2
CLiniCaL
seT up
Medicine at Wycombe involves 6 main specialities:
Cardiology (3 FY1s)
Respiratory (3 FY1s)
Diabetes/Rheumatology (2 FY1s)
Medicine for older people (2FY1s)
Stroke (2 FY1s)
Gastro/renal (3 FY1s)
Banding 1B (40%)
nighTs None
Weekends One in every 4-5
Leave Non-fxed
roLes A medical job involves being attached to one team and carrying out your normal day to day ward
jobs/rounds plus on call shifts. Approximately one day a week will be spent on call plus one in
every 4-5 weekends. The work load varies substantially based on whether or not your team is on
take accepting emergency general medical admissions, usually once every week or two
On call shifts involve either ward cover or a shift in the Emergency Medical Centre (EMC). During
your medicine rotation you will experience both of these. Ward cover during the week involves
working with your usual team until 17:00 and then covering the medical wards until handover to
the night team at 22:00. During the weekend there are two FY1s on ward cover and the hours
are 10:00 - 22:00
EMC shifts involve working from 09:00 in EMC clerking in new admissions, arranging appropriate
investigations and presenting them to the consultant on call. You work in a team of 1 FY1, 1-2
SHOs and a Registrar. As an FY1 you will also cover the DVT clinic which is an emergency next
day service for patients with suspected DVTs
roTa Normal day shifts run 09:00 - 17:00, however some specialities (in particular cardiology) have
different requirements, for example 07:30 - 17:00 each day, with a half day each week to
compensate. Approximately one day a week will be spent on call 09:00 or 10:00 - 22:00
Team 5 full-time Consultants, 1 SpR, 1 SHO and 1 FY1
Banding Unbanded
nighTs None
Weekends None
Leave Non-fxed, organised with rota co-ordinator
average
LisT size
5 - 7 patients
inpaTienT
admissions
2 - 3 per week
TeaChing Once weekly allocated consultant-led teaching sessions covering a wide variety of topics and
providing the chance to discuss patients whom you have seen (see Clinic exposure below). Plenty
of opportunity to get involved in audit
roLes Twice weekly discussions via webcam and MDT meetings take place at Stoke Mandeville. FY1s
are expected to present cases to all consultants via webcam. You are expected to clerk patients,
organise their work-up for chemotherapy and expected to follow hospital protocols on different
chemotherapy regimes. There is also ample opportunity to practice more technically diffcult
clinical skills like lumbar puncture and bone marrow aspirates
CLiniC
exposure
There are opportunities to attend out-patient clinics at the cancer care & haematology unit
(CCHU). You will see patients yourself, develop a working management plan and relay back to the
consultant. Sometimes, you may want to discuss this at the weekly teaching session to further
enhance your knowledge and take the opportunity to ask questions
roTa 09:00 - 17:00 5 days per week. Daily consultant ward round at 09:00
Linked roTaTions
Clinical Contact
sally.biffa@buckshealthcare.nhs.uk (Medical rota co-ordinator)
Linked roTaTions
General Surgery, Trauma and Orthopaedics and Medicine (x4)
Clinical Contact
jonathan.pattinson@buckshealthcare.nhs.uk (Consultant)
diana.blakey@buckshealthcare.nhs.uk
WyComBe
sToke mandeviLLe
GIM
Haematology
F1
F1
1.4
1.0
Team Ten medical teams; Microbiology (x1) Haematology (x1); Endocrine and Diabetes (x2); Medicine for
Older People (x3); Gastroenterology (x2); Rheumatology/Dermatology (x1)
Banding All of the Jobs are 1B (40%), except for Haematology, which is not banded
nighTs None
Weekends One in 4
Leave Non-fxed, 6.5 days per 3 month rotation. Furthermore, each FY1 is entitled to two allocated half
days each month (except for Haematology)
average
LisT size
5-25 patients
inpaTienT
admissions
0-4 per day
TeaChing Once weekly journal club meeting and registrar led medical teaching
Once weekly radiology meeting and grand round teaching
Once fortnightly mandatory foundation programme teaching
Additional sub-speciality teaching takes place within individual teams
roLes Largely ward based. However, some positions will require regular attendance to out-patients
clinics. There are 1 - 3 FY1 doctors per team.
On call roles:
Ward cover: the on-call doctor will be covering all medical in-patients at SMH.
EMC (Emergency medical care): will involve clerking and managing new medical admissions in
A&E, and presenting these cases to the medical registrar and consultant on-call
roTa 13 week rolling rota for 13 FY1s. The normal working day is 09:00 - 17:00. An approximation of
the on-call rota, per 13 weeks, for banded positions is given below;
4x Weekday ward cover (10:00 - 22:00)
1x Weekend ward cover; Friday, Saturday and Sunday (10:00 - 22:00)
1x Weekend ward cover; Saturday and Sunday (10:00 - 17:00)
4x EMC Weekdays (09:30 - 22:00)
1x EMC Weekend; Friday, Saturday and Sunday (09:30 - 22:00)
Team Large department with 11 consultants, 3 staff grades, 8 registrars, 13 SHOs (F2, GPVTS, CT),
no F1s. The SHOs do not work for a specifc consultant or registrar with the rota constructed
to ensure exposure to the broad range of activities in obstetrics and gynaecology. Each SHO is
allocated a consultant as their supervisor
Banding 1B (40%)
nighTs Blocks of 3 or 4 nights, approx 3 sets in 4 months
Weekends One in 4
Leave 9 days per 4 months, non-fxed. OFF days in rota: approximately one every 3 weeks. Half day on
the Monday after working the weekend
average
LisT size
Busy labour ward which is typically full. 20-30 post-natal inpatients and 10-20 antenatal
inpatients with rapid turn-over. 10 20 gynaecology inpatients including both elective and
emergency admissions
TeaChing Weekly SHO teaching. Daily morning meeting to discuss cases. Opportunities to learn about
specialist areas such as colposcopy, hysteroscopy, ultrsound scanning etc built into the rota
roLes Rolling rota with a variety of duties including ward cover for both gynaecology and post-natal
wards, on-call for gynaecology and obstetrics, theatre lists, elective caesarean lists, gynaecology
and antenatal clinics. Large number of SHOs to cover the rota so predominantly well-staffed with
opportunities for learning practical skills
On calls: Approx one day per week on either labour ward emergencies and admissions or
gynaecology on-call (08:00 18:00). One week in eight on evening cover covering admissions
and ward bewteen 18:00 and 22:00, one SHO to cover each of obstetrics and gynaegology on
this shift. 2 SHOs per weekend, one to cover gynaecology wards and admissions and one for
post-natal wards and labour ward attenders.
On take: 5 - 10 gynaecology admissions per day and 3 - 8 labour ward attenders. These
patients are seen by the on-call gynaecology or obstetric SHO respectively
TheaTre and
CLinC
Scheduled theatre time, both gynaecology lists and elective caesarean lists on average one list
per week per SHO. Experience with a variety of consultants with interests in gynae-oncology,
laparoscopic surgery, high-rist obstetrics etc.
roTa Normal ward/theatre/clinic day 08:00 17:00. On-call (see Roles above) approx one
day per week, 08:00 18:00, one week in 8 14:00 22:00 (including on-call 18:00 22:00),
weekend 08:00 20:00, nights 20:00 08:00. Allocated duties for normal days vary from
week to week and are issued on a weekly basis
Linked roTaTions
Clinical Contact
diana.blakey@buckshealthcare.nhs.uk (Medical rota co-ordinator)
Linked roTaTions
Clinical Contact
felicity.ashworth@buckshealthcare.nhs.uk
deborah.beesley@buckshealthcare.nhs.uk
sToke mandeviLLe
sToke mandeviLLe
GIM
O&G
F1
F2
1.4
1.4
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Team Rheumatology 2 Consultants, 3 Specialist Nurses, 2 Registrars, 2 SHOs (one GPVTS on
Rheum/Derm, one FY2 on Rheum/Rehab), 1 FY1. Dermatology 4+ Consultants, 2 Specialist
Nurses, 2 - 3 associate specialist doctors, 1 Registrar, 1 SHO (GPVTS on Rheum/Derm), 1 FY1
Banding 1B (40%)
nighTs None
Weekends One in 4 (General medical rota, see GIM Stoke Mandeville F1)
Leave Non-fxed, easily arranged with consultants from either Rheum or Derm
average
LisT size
No in patients for Rheum or Derm. Approx 2 - 3 ward rounds per week to review rheum and derm
ward referrals. Usually around 4 or 5 patients to be reviewed per ward round
TeaChing Fortnightly mandatory Foundation Programme Teaching. Medical Grand Round with Radiology
meeting (Wednesday mornings). Rheumatology journal club presentation and case topic
presentations (by juniors every Thursday lunchtime). Regional rheumatology meetings (monthly),
and audit meetings (monthly). Weekly consultant teaching ward rounds; informal teaching and
feedback from consultant during clinics
roLes Rheum & Derm: along with the GPVTS trainee, you are split between Rheumatology
(Tuesday, Thursday, Friday am) and Dermatology (Monday, Wednesday, Friday pm). Roles
inlcude out-patient clinics, including Monday afternoon, nurse-led minor ops clinic where
nurse will assist you in punch biopsies, cautery and curettage; ward rounds (see above);
and administrative work including checking bloods, investigation results, dictating and
checking clinic letters for each patient you see
General medical on calls: clerking new admissions and ward cover
CLiniC
exposure
Approx 3 - 4 Dermatology clinics per week. Approx 3 Rheumatology clinics per week
roTa Rheum and Derm: Mondays: Derm clinic (am), SHO teaching (lunchtime), Derm clinic
or minor ops clinic (pm); Tuesdays: Rheum clinic (am), journal club (lunchtime), Rheum clinic
(pm); Wednesdays: Derm clinic (am), fortnightly mandatory F1 teaching (12:00 - 14:00), Derm
histopathology meeting and ward round of inpatient referrals (pm); Thursdays: Rheum paper work
(am), case presentation and journal club (lunchtime), ward round of Rheum inpatient referrals
(pm); Fridays: Rheum clinic (am), Derm clinic (pm)
General medical on calls: See GIM Stoke Mandeville F1
Team 2 teams (red & blue), one consultant per team, several registrars but one on-call/ ward cover each
day, SHOs (FY2 and CT) as per reg, 11 F1s (split between 2 teams)
Banding 1B (40%)
nighTs Blocks of weekends (Friday - Sunday) and weekdays (Monday - Thursday), one block in 6 weeks
Weekends One in 6 including weekend nights
Leave Non-fxed. Maximum of two F1s can be off at any one time
average
LisT size
15-20 patients per team
operaTing
LisTs
Emergency theatre runs all day every day
inpaTienT
admissions
High turnover, approx 30/week
TeaChing Weekly F1-led teaching
roLes The two teams alternate between on-take (receiving all new patients) and off-take (only
dealing with remaining patients from previous weeks) on alternate weeks. Work is ward based.
When on-call, receive GP referrals and clerk all new admissions. During nights and weekends
both clerking new patients and ward work. This job is emergency surgery, so patients are
generally those presenting with an acute abdomen/vascular problem
TheaTre
exposure
Negotiable with colleagues depending on ward workload
roTa Normal day 08:00 16:30. In a 4 month job, on-call shifts 1x weekend 10:30 - 22:30,
1x weekend 08:00 - 21:00, 2x blocks weekday 14:00 - 21:00, 1x block weekday 08:00 18:00
during the week. 2x blocks weekend nights and 1x block weekday nights 20:00 08:30
Linked roTaTions
Gastro Medicine, Trauma and Orthopaedics, General Surgery (x4)
Clinical Contact
sally.edmonds@buckshealthcare.nhs.uk (Rheumatology Consultant)
sophie.grabczynska@buckshealthcare.nhs.uk (Dermatology Consultant)
diana.blakey@buckshealthcare.nhs.uk (Medical Rota Coordinator)
Linked roTaTions
Medicine and anaesthetics
Medicine and psychiatry
Medicine, Rheum & Derm and Trauma & Ortho
Medicine
Clinical Contact
Arnold.goede@buckshealthcare.nhs.uk (lead consultant)
sToke mandeviLLe
sToke mandeviLLe
Rheum & Derm
Surgery
F1
F1
1.4
1.4
Team 6 Spinal Injuries Consultants, 3 Trust registrars, 6 SHOs (1 CT1, 2 FY2s and 3 Trust Grade SHOs),
No F1s
Banding 1A (50%)
nighTs 1 - 2x 24 hour on call shifts per week, with a day off afterwards
Weekends One in 5, 48 hours on call Saturday and Sunday with Monday off
Leave Non-fxed, although cannot take whilst on St Andrews Ward (Acute Spinal ward) for 6 back-to-
back weeks at some point during the 4 month attachment
average
LisT size
20 patients per SHO
operaTing
LisTs
2 per week
inpaTienT
admissions
1 - 2 per week
TeaChing Weekly departmental teaching. Radiology meeting on Wednesdays. Stoke Mandeville weekly
medical teaching and medical grand round. Stoke Mandeville FY2 teaching fortnightly. No medical
student attachments
roLes Ward based. The on call SHO takes referrals via the on call bleep. SHOs are expected to clerk
new admissions to the unit
SHOs are divided between the various wards and rotate every 6 weeks. Each have a period on
St Andrews ward (acute unit), which has multiple ventilated patients, and SHOs are trained in
the basics of ventilator management. The other wards are: St Patricks (largely patients admitted
for elective surgery), St Davids & St Georges (rehab wards), St Franciss (paediatric ward) and
St Josephs (pre-discharge ward). There is patchy middle-grade cover on the rehab wards, St
Andrews & St Patricks normally have a Trust registrar covering the 2 wards
TheaTre No formal exposure, but easily negotiable
roTa Normal days 08:30 - 16:30. On call lasts 24 hours. When on call, the SHO is expected to be
resident between 0830 and 2100, after this time you can be up to 20 minutes away and your
bleep is diverted to the nurse in charge of the unit who can contact you on your mobile via
switchboard. Weekends are 48 hours, with a similar non-resident system at night and for a few
hours each afternoon
Team Attached to breast/endocrine frm with 2 consultants (General surgery has approx 8-10 other
consultant teams)
Banding 1A (50%)
nighTs 1 week of nights and 2 weeks of twilights (20:00 01:00) in 4 months
Weekends 5 weekends in 4 months
Leave 9 days in 4 months
average
LisT size
N/A day to day, on call 30 - 50
operaTing
LisTs
2.5 days per week
TeaChing Teaching in theatre and clinics, nil formal sessions arranged by team. Mandatory fortnightly
foundation teaching
roLes When not on call are attached to two consultants (Mr McLaren and Mr Taylor) and attend their
clinics and theatre lists as well as visiting the ward to review any in patients from previous
operating lists. When on call are responsible for acute surgical admissions for Buckinghamshire
Trsut, based at Stoke Mandeville hospital. When on call overnight you cross cover plastics and
Trauma & Ortho (admissions and ward patients) from 01:00 08:00
TheaTre and
CLiniC
Day job includes 4 clinics plus 2.5 days theatre lists per week
roTa Normal day 09:00 17:00 (roughly) if in clinic, 08:00 17:00 or 18:00 if in theatre.
On call days, 2 blocks of 7 days in 4 months 08:00 - 20:00, nights are 20:00 08: 00 and
twilights are 20:00 01:00
Linked roTaTions
GP (Buckinghamshire) and Medicine (Wycombe)
Clinical Contact
mofd.saif@bucksheathcare.nhs.uk (Consultant in charge of rotas and leave)
aimee.portersmith@buckshealthcare.nhs.uk (Operations Manager)
Linked roTaTions
Trauma & Ortho and O&G
Clinical Contact
andrew.mclaren@buckshealthcare.nhs.uk (Lead Consultant)
sophie.whitton@buckshealthcare.nhs.uk
sToke mandeviLLe
Spinal Medicine
Surgery
F2
F2
1.5
1.5
Team Stoke Mandeville: 2 Rheumatology consultants, 2 Rheum Registrars, 2 SHOs (1 FY2 and 1
GPVTS-1), 1 FY1. Amersham: 2 Rheum/NeuroRehab consultants, 2 SHOs (1 FY2, 1 GPVTS)
Banding 1B (40%)
nighTs 1x Monday - Thursday, 1x Friday - Sunday in 14 weeks (General medical rota)
Weekends 3 in 14 weeks (General medical rota)
Leave Standard 9 days in the 4-month rotation, non-fxed
average
LisT size
Stoke Mandeville: No rheumatology in patients. Ward referrals are reviewed on Rheuamtology
ward rounds. Usually around 4 or 5 patients to be reviewed per ward round. Amersham: 17
beds at Bucks Neurorehabilitation Unit; full capacity at most times
TeaChing Fortnightly mandatory Foundation Programme Teaching; Medical Grand Round with Radiology
meeting (Wednesday mornings); Consultant teaching ward rounds once weekly; Rheumatology
journal club presentation and case topic presentations (by juniors every Thursday lunchtime).
Regional rheumatology meetings (monthly), audit meetings (monthly)
roLes Stoke Mandeville:
Rheumatology Clinics: Tuesday all day, Wednesday morning, Friday mornings. Opportunity
to see new patients, follow-ups and perform intra-articular steroid injections.
Ward Rounds: Wednesday afternoon and Thursday morning
Administration (GP correspondence, checking investigation results)
On call:
Short Stay Ward: one SHO to cover newly admitted medical patients with expected stay
< 48 hours
Long Day: Medical admissions and provide senior advice for ward cover FY1s out-of-hours.
You are expected to present patients on consultant post-take ward round next morning at 09:00.
Other members of team: 1FY1, 1 Late SHO, 1 Med Reg
Late: medical admissions, team as for long day
Nights: Medical admissions plus ward cover during the night with 1 medical registrar. Assistance
(e.g. cannulation, death verifcation, falls assessment) from on-duty night nurse practitioner
Amersham Hospital:
Neurorehabilitation Medicine: Mondays. Assist fellow SHO (GP trainee who is based
at Amersham Monday - Fridays) on a Monday in ward rounds, ward jobs, attending case
conferences and MDT. When that SHO is away on annual leave etc you are expected to go to
Amersham to carry the crash bleep that day. Hours at Amersham: 9am-6pm.
roTa Normal day 09:00 - 17:00 (Stoke Mandeville) or - 18:00 (Amersham)
Short Stay Ward 08:00 - 16:00; 7 days, Tuesday until Following Monday, 1x in 14 weeks
Long Day 09:00 - 22:00; 4x single weekdays, 1x Friday - Sunday weekend in 14 weeks
Late 15:00 - 22:00 Monday - Thursday; 11:00 - 19:00 Friday, 1x in 14 weeks
Nights 21:30 - 09:30, 1x Monday - Thursday, 1x Friday - Sunday in 14 weeks
Linked roTaTions
Clinical Contact
Linked roTaTions
Clinical Contact
Linked roTaTions
Cardiology and A&E (x1)
Clinical Contact
malgorzata.magliano@buckshealthcare.nhs.uk (Rheumatology consultant)
mathew.koshy@buckshealthcare.nhs.uk (Neurorehab consultant)
diana.blakey@buckshealthcare.nhs.uk (Medical staffng co-ordinator Stoke Mandeville)
sally.biffa@buckshealthcare.nhs.uk (Medical Staffng co-ordinator Wycombe and Amersham)
WyComBe
sToke mandeviLLe and amersham
Rehab Medicine
Respiratory
Rheumatology
F2
F2
F2
1.4
Yikes! Sorry.
Yikes! Sorry.
It probably goes together with Rheumatology F2
48
49
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a
The ubiquitous feedback form - did you know there is a chapter of
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Competition
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Team 8 consultants, 8 SpRs, 7 SHOs (FY2 and CT), 5 FY1s
Banding 1B (40%)
nighTs 2 blocks of weekday nights only (Monday -Thursday) in 3 months, 20:00 - 08:00
Weekends 2 in 3 months
Leave As organised with rota co-ordinator, only one FY1 at any time
average
LisT size
50-60 patients
operaTing
LisTs
2 per day
inpaTienT
admissions
7 - 15 per day
TeaChing Once weekly every Tuesday (consultant-led)
roLes Manage patients on wards 1 and 2 (lead by SHOs or SpRs), present on ward rounds, manage
patients medical problems, liaise with physiotherapists and OTs to help organise discharge
planning. Furthermore, you are expected to make referrals to other specialities and present at
weekly M&M (mortality and morbidity) meetings every Friday afternoon
TheaTre and
CLiniC
Averages one hour per week in clinics or theatres (usually during half-day), usually only SHOs
attend
roTa Upto 3 FY1s cover wards 1 and 2 with one FY1 on nights and one on evening on call from
14:00 - 20:00 (except Fridays when evening on call is 13:00 - 20:00). There is one SHO and one
FY1 covering all patients at weekends from 08:00 - 21:00. 1 in 5 weekends and 1 in 5 nights
(Monday - Thursday), no weekend nights
Linked roTaTions
Clinical Contact
alastair.graham@buckshealthcare.nhs.uk (Lead Consultant)
sToke mandeviLLe
Trauma & Ortho
F1
1.4
Team Multiple orthopaedic consultants, on call team changes weekly and 2 consultants are on call at
any time. 5 F1s on team (solely on emergency site) and 11 SHOs (3 core trainees, 1 GP trainee
and 7 F2s)
Banding 1A (50%)
nighTs Approximately 1 week of nights, 1 week of twilights (20:00 01:00) in 4 months
Weekends 5 - 7 weekends in 4 months
Leave 9 days in 4 months
average
LisT size
30 50 on emergency site (Stoke Mandeville), 5 20 on elective site (Wycombe hospital)
operaTing
LisTs
1 trauma list daily in Stoke Mandeville, 2 3 elective lists daily in Wycombe
CLiniCs Daily fracture clinic, 2 4 elective clinics daily across 2 sites
TeaChing Weekly lunchtime teaching session on Tuesday, learning opportunities in clinics. 10 allocated
internal study leave days to enable visits to clinic and theatre
roLes When not on call, cover wards in Wycombe (elective patients) or Stoke Mandeville (trauma
patients). Also responsible for liaising with orthogeriatrics team and acting as their SHO for trauma
patients on their list. On call: trauma admissions to Stoke Mandeville, mainly clerking patients in
A&E. At night cross cover plastics and general surgery from 01:00 - 08:00
TheaTre and
CLiniC
10 allocated days to allow exposure to clinic and theatre over 4 months
roTa Normal day 07:45 17:00 (roughly) if ward based, 07:45 17:00 or 18:00 if in theatre.
On call either 3 or 4 day blocks, approximately 3 blocks during 4 months in addition to nights
(above). On call days are 08:00 - 20:00, nights are 20:00 08:00 and twilights are 20:00
01:00. When covering elective patients in Wycombe days are either short (07:45 17:00) or
long (07:45 20:00). If working long days in Wycombe, cover the weekend also
Linked roTaTions
General surgery and O&G
General medicine and A&E
General medicine and O&G
GP and general medicine
Clinical Contact
alastair.graham@buckshealthcare.nhs.uk (Lead Consultant)
orthorota@gmail.com (rota enquiries)
jan.foyson-spaull@buckshealthcare.nhs.uk
sToke mandeviLLe and WyComBe
Trauma & Ortho
F2
1.5
50
51
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After a year in Milton
Keynes youll feel ready to take
on any role in the NHS.
S
ome of the patients you may speak to at
Milton Keynes remember when it was just
a large feld with a wooden sign in the middle
marked Milton Keynes Town. Designed as
a commuter town to help the congestion in
London, it is situated in leafy Buckinghamshire,
surrounded by beautiful villages and the towns
of Bedford, Luton and Northampton.
Milton Keynes itself is a behemoth of mod-
ernist, brutal architecture, a designed town with
the scope to become a city. Planned around a
rather infuriating grid and roundabout system, it
is a hub for surrounding smaller conurbations
as a centre for shopping, entertainment, theatre
and dining. The town itself houses almost
300,000 people and counting. It is in need of
expansion, as is its hospital.
It is actually quite a
charming town with a plethora of
activities:
large multi screen cinema, a huge shopping
centre, plenty of choice in terms of eating, the
Xscape which houses a real snow indoor ski
slope, theatres (MK Theatre and Stables) and
comedy clubs and a huge stadium (The Bowl)
which hosts large summer music events. Just
like every modern English town Milton Keynes
has numerous pubs and clubs. For the sporty,
there are lots of running and bicycle routes and
the town has its own football (MK Dons League
1), ice hockey (MK Lightning) and basketball
(MK Lions) teams. There are leisure centres,
a David Lloyd Racquet and Fitness Centre
and a large water sports facility (Willen Lake).
The National Badminton Centre is sited in
Milton Keynes and there is a major equestrian
centre nearby. There are public and private golf
courses to suit all abilities.
Milton Keynes is very
accessible: a half hour to London
Euston and bus links to local
towns such as Oxford and
Bedford.
The roads, whilst hypnotically confusing are
hardly ever congested, and getting around is
easy by car, taxi and bicycle. The bus system
can be confusing and a little unreliable.
Milton Keynes has a mixed reputation and
it does deserve it to some extent! It is not a
perfect town, and working in its hospital will
show you the problems that it faces. But hit a
few mess parties, go shopping, participate in
some multi-disciplinary football and go to a
basketball match and you might just change
your mind.
Transport Links
M
ilton Keynes has fantastic transport links.
Famous for its prolifc number of rounda-
bouts
it is both very easy to get
around and to get out to visit
friends in other locations.
The hospital is located about 2 miles out of
the centre of Milton Keynes directly south along
one of the main arterial routes making getting
around a very simple and painless process.
Below weve summarised the options for dif-
ferent modes of transport.
BUS OR COACH
Local buses run all across Milton Keynes via
an extensive (and somewhat complex network).
Effectively you can get anywhere you want with
a bit of planning and buses run from the outside
the hospital to the centre of Milton Keynes every
10-15 minutes. These cost about 1.50 for a
single and 4.00 for a day travel card.
Further afeld, Milton Keynes location close
to the M1 means that it has good coach access
to the rest of the country. The Broadway Coach
Station (about 15 minutes from the hospital)
forms part of the focus of the National Express
network and offers cheap and affordable
travel to all ends of the country. The X5 runs
from the centre to Oxford and Cambridge with
buses coming every thirty minutes and taking
either 1.5 or 2 hours to reach their destination
respectively. Costing roughly 10 these are
quicker and cheaper than the trains.
TRANSPORT 2: DUCATI IN PARIS COURTESY OF THB
best meet the needs of the local community.
Although our strategy is to grow services, we
intend to remain a general provider of services
rather than become a tertiary provider.
Our vision is to be the healthcare provider of
choice to our local population and therefore our
endeavours will continue as we move forward
to ensure we continue to improve the quality,
range and responsiveness of our services.
The hospital is located on the southern
borders of the town just a 5 minute drive or
30 minute walk from the town centre. Milton
Keynes Hospital has strong links with Oxford
Hospitals and Medical School.
The Foundation rotations include posts
in Milton Keynes Hospital, Campbell Centre
(Mental Health), Willen Hospice (Palliative Care)
and local GP Practices.
M
ilton Keynes Hospital NHS Foundation
Trust provides a comprehensive range
of services to the local population. The vast
majority of our activity comes from the imme-
diate local area of Milton Keynes and our vision
as an organisation is to be the health care pro-
vider of choice.
Milton Keynes Hospital has come a long
way in a short amount of time. We are a
relatively new hospital, opened in 1984
following a successful campaign by local
people to secure a hospital for Milton
Keynes which had been established as
a new town. Since then, the town has
continued to grow at a rapid pace.
Our local catchment population now
stands at 267,000 and is forecast
to grow to 412,000 by 2031. A
key part of our service strategy
therefore is to grow our services
in response to the population
growth in order that we can
Milton Keynes
Hospital
Milton Keynes Hospital
Standing Way
Milton Keynes MK6 5LD
Tel: 01908 660033
CONTACT DETAILS
www.mkpostgrad.co.uk
Dr Yaw Duodu
Foundation Programme Training Director
yaw.duodu@mkhospital.nhs.uk
Dr Peter Thomas
Associate Medical Director
(Medical Education)
peter.thomas@mkhospital.nhs.uk
Mrs Marilyn Hopkins
Medical & Dental Education Manager
marilyn.hopkins@mkhospital.nhs.uk
Yvonne Jenkins
Foundation Programme Administrator
yvonne.jenkins@mkhospital.nhs.uk
Miss Debbie Phillips
Clinical lead for surgery
debbie.phillips@mkhospital.nhs.uk
Dr Rabinder Randhawa
Rota consultant for medicine
rabinder.randhawa@mkhospital.nhs.uk
Miss Amanda Taylor
Rota co-ordinator for surgery
amanda.taylor@mkhospital.nhs.uk
Introduction to the Hospital
M
ilton Keynes Hospital is a fantastic place to
start your career as an F1. It is a medium
size hospital and currently has around 500
inpatient beds. Whilst this may sound large,
it feels small enough to have
a community feel about it.
By the end of the year youll be walking the
corridors recognizing fellow doctors, nurses,
and even patients around town! Whilst the
hospital itself is typical of the NHS, with its
strange colour palate and chipping paint youll
soon fnd yourself calling it home.
Situated in the southern part of Milton
Keynes, it is a cheap, 5 minute taxi ride into
town where you will fnd quite of a lot of things
to do, although you may fnd its grid system
and endless roundabouts unnerving; it is very
easy to get lost. The town was designed with
car in mind - a car can make things easier.
The hospital has an excellent Postgraduate
Education Centre where you will fnd the fan-
tastic supportive staff that will always help if
needed.
A great Mess in the main
hospital provides large sofas,
a TV and a good place to have
breakfast in the morning after
your ward round.
Whilst the restaurant does offer a selection
of hot and cold food, it is occasionally unin-
spiring. Small changes are however being made
to diversify what is currently available. A League
of Friends shop at the main entrance supplies a
good range of snacks/drinks/chocolate/comfort
food to get you through any on-call. The Post-
graduate Education Centre houses a caf (The
Eatery) open during the day.
There are currently 9 medical wards and 3
main surgical wards; the other beds are split
between obstetrics, gynaecology, new ambula-
tory care unit and paediatrics. There is a nurse/
GP led Urgent Care Centre and large outpatient
department. Whilst the hospital offers many
services, you will have to refer some patients to
tertiary care services in other Trusts. The Trust
itself is under huge pressures, fnancially and
from the population that it serves. As a trainee
here you will have your part to play in helping
the Trust deliver excellent patient care, save
money and increase effciency. In turn you will
get to work in a genuine district general with an
excellent community feel, good training oppor-
tunities and senior support.
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from 5pm to close. The Postgraduate Education
centre houses a caf (The Eatery) open during
the day.
The League of Friends shop at the main
entrance is best for snacks, chocolate and has
recently started to offer hot sandwiches and
paninis. It closes at 7.30pm and is not open
on Sunday.
The Mess offers microwave meals in its
freezer, and 24 hour tea/coffee/cereal/toast.
Out of hours, it is quite diffcult to get a hot
meal, you are usually advised to bring your own
in with you.
TOWN
Within Milton Keynes town, you will fnd
the usual fare. Chain restaurants dominate the
scene and these are clustered within the shop-
ping centre, Xscape and the Hub. Expect things
like Zizzi, GBK, Wagamama, Nandos and so on.
A fve minute walk from the hospital houses a
Subway, decent kebab house and fried chicken
even though it is in a less reputable part of
town!
R
egular foundation teaching takes place on
Tuesday lunchtimes in Milton Keynes and
is aimed at covering the wide range of topics
necessary to complete sign off for ePortfolio.
Running for an hour, it is often followed up with
further
X-ray teaching delivered
by the radiology department
which covers an area in which
trainees are less confdent.
An active Education centre advertises addi-
tional courses regularly, offering seminars
on career development as well as locally run
courses such as surgical skills, medical inter-
ventional procedures and trauma.
Outside of this, the majority of learning is
achieved via self-directed learning on the ward.
Other opportunities are however offered within
the categories outlined below.
TEACHING
Like all hospitals within the Oxford Deanery,
Milton Keynes receives medical students from
Oxford and other Universities, regularly allowing
those that are interested to become involved
in teaching. This is mainly coordinated by Dr
Smith with the majority being ward based prac-
tical sessions that help improve the students
clinical skills.
The Surgical Department also runs a
Thursday teaching session in which you will
be asked to present a sub-specialty of general
surgery to your peers. These sessions provide
a good opportunity to
improve your presentation skills
as well as to receive structured feedback
from the organising registrar to help you com-
plete the teaching section of your foundation
programme eportfolio.
In Medicine regular journal clubs are held
during which the foundation doctor is asked
to present papers. Once again this provides a
structured and organised environment for you
to improve your presentation skills as well as to
help teach you about critical appraisal of papers
and evidence published in medical journals.
AUDIT AND RESEARCH
As a DGH, opportunities available within the
Trust for audit and research are often perceived
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to be fewer than those that exist at the larger
teaching hospitals, yet
involvement is actively
encouraged across all specialties
and the small, friendly nature of
the hospital facilitates this well.
Focused mainly on audit, monthly clinical
governance meetings are held across both
Medicine and Surgery and within the frst few
weeks of your placement you will be given
compulsory projects to complete to help within
the departments you are placed. As these are
always within the hospitals regular programme
the changes that you recommend are often
implemented and acted upon. The programme
is set up to also encourage you to present your
work to peers and receive active feedback from
senior consultants.
MANAGEMENT AND LEADERSHIP
For those interested in improving their
management and leadership skills there are
a number of positions and roles available in
which junior doctors can participate. Active
involvement of trainees is sought across all
areas including foundation year representation
at regular Forum meetings with the Programme
Directors to discuss the delivery of training and
various roles sitting on panels to discuss the
management and organisation of the hospital
structure in general.
CAR
As mentioned above, proximity to the M1
enables quick and easy access to the national
network. Driving is a good way to get around
Milton Keynes itself. For those without use of a
car, a large number of taxi frms operate locally.
Rates vary with frm but generally a taxi from
the hospital to the centre of town on a night out
is about 5.
TRAIN
Milton Keynes Central train station is about
a 5 minute taxi ride from the hospital and
similarly to the buses offers good access to a
range of locations. Trains to London run every
15 minutes and take between 30-60 minutes
depending on the number of stops. You can also
get direct trains to Birmingham in an hour and
Manchester in 90 minutes.
Accommodation
B
uilt in 2006 Milton Keynes accommodation
is actually some of the best in the South-
East. Just over 50% of new doctors choose to
live in the accommodation and
it is often a very sociable
place and an extremely
convenient four minute walk from
the hospital.
As an F1 or F2 you will be guaranteed the
newer Lister Close accommodation, a series
of four buildings around a quiet quad. Each of
the buildings is divided into six fats and each
fat has four rooms. Most fats have three or
four long term residents and now and again
they use one of the rooms for on-call personnel
to stay overnight.
The members of each fat are allocated
randomly and multidisciplinary teams are put
together, although if you want to transfer to
another fat with friends and a space becomes
available they are often happy to meet that
request with a 25 charge. Rent is currently
430/month and includes all bills and a slow
but steady internet connection. Single-occu-
pant fats are available, which two could live in,
for around the 700/month mark but often the
waiting list is longer.
Each single-bed room
has its own capsule bath (wet)
room, which is actually
surprisingly well constructed.
It has all the mod-cons, with lockable room,
cupboard and external doors. Cleaners come
once weekly and change your sheets and clean
the bathroom, but do not hoover. Each fat is
equipped with both a washer and separate
dryer for your laundry.
Parking at the accommodation is 6/month
or 73 for the year, well supervised in the middle
of the housing quad and always with available
parking spaces. Overall the accommodation is a
safe, relatively quiet and extremely convenient.
For any problems the accommodation offce is
open Mon-Fri 9-5pm and they are fairly quick
to respond to any urgent calls. In summary the
housing is far more pleasant than
the rest of the Oxfordshire Dean-
eries offerings, and if you do not
like it, the notice period is two
weeks.
Parking
M
ilton Keynes has a 1000
space multi-storey car park
for staff and visitors, which is secure and a two
minute walk from the hospital. Permits are
available for a price of around 12-13/month
for staff and there is no need to contest your
eligibility.
The Doctors Mess
M
ilton Keynes Mess is run by
a president and small com-
mittee, and whoever wants to be
involved is more than welcome! The
fees are generally set at 15/month
which can come straight from your
payslip. This allows you access to
the Mess (swipe is denied if you
are not a member) and free entry to
all events. The Mess itself is a very
typical area, slightly dilapidated by
the end of the day but probably
above standard for Oxfordshire. One
good point about it is the
constant supply of
coffee, tea, cereal, bread and
chocolate
that our dedicated president organises,
which hopefully will continue in future years
when someone else takes up the role. Above
this it is a very sociable place and with a wide-
screen TV and couple of computers, and the
comfy seats make it often a welcome break. In
summer the doors open up to picnic benches
outside. The mess does not provide its own
catering but is a twenty second walk from the
hospital restaurant.
There is a Mess night out on the last
Thursday of each month that normally has a
generous bar tab. Events often kick off around
8pm with people joining whenever they fnish
or want to. Recent events have included a pub-
crawl around Stony Stratford (beautiful fag-
stoned local town) and joint events with the
A&E and ophthalmology departments. There
are normally two Balls a year as well and BBQs
in the summer, with reduced rates or free for
all members.
In fairness, for most F1 or
F2s, come to a couple of events
and it more than pays for itself!
The Mess also runs a football club on a
Tuesday evening with doctors of every grade
turning up to play (even consultants) and a
yearly tour. It is well attended and often gets
a bit competitive! In previous years there has
been a badminton and squash club, which the
Mess are more than happy to fund if there is
interest. Overall this society is very much worth
the money and an important part of hospital life.
Food and Drink
HOSPITAL
T
here are two main food outlets in the
hospital. The restaurant is open from 8am to
7pm and offers hot and cold meals, salad bar,
and sandwich/baguette area. It serves lunch
from 12pm to 2pm. After this time, it is diff-
cult to get a proper hot meal. Dinner is served
MILTON KEYNES HOSPITAL
FOOD AND DRINK 2 COURTESY OF THB
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Yikes! Sorry.
Team 4 rotating consultants, 2 registrars, 2 SHOs, 1 F1
Banding 1B (40%)
nighTs Yes, on general medical rota (see below)
Weekends One in four
Leave Negotiable with team
average
LisT size
20 patients, ward rounds can be very busy catching up with previous nights team
inpaTienT
admissions
All previous days admissions and CDU patients still on the ward to cover
TeaChing F2 teaching every Thursday, Grand Round every Wednesday, Journal club every Friday
roLes Up to 24 patients based on ward, multiple outliers in AU and elsewhere. Has been very busy
TheaTre and
CLiniC
None as part of rota or clinical duties
roTa 8 week rolling rota for F2s. Weekdays: Either 08:00 - 16:00 or 09:00 - 17:00 daily with one
evening on call per week.
General medical on-call responsibility is 14 nights in 4 months, 1 evening on call per week and
1 weekend day on-calls per 4 month rotation. Also 2 lots of 4 1st on-call; 12:00 - 23:00 and 4
2nd on-calls 09:00 - 21:30 during 4 month
miLTon keynes
miLTon keynes
Cardiology
Clinical Decision Unit
F2
F2
1.4
Team 4 consultants, 3 registrars, 2 SHOs, 1 F1
Banding 1B (40%)
nighTs None
Weekends One in six
average
LisT size
16 - 20 patients
inpaTienT
admissions
As per discharges. Usually 1 - 2 a day
TeaChing F1 teaching every Tuesday, Grand Round every Wednesday, Journal club every Friday usually
presented by F1s
roLes Entirely ward based. Coronary Care Unit is run by registrars but F1 called for TTOs or bloods if
nurses unable
TheaTre and
CLiniC
roTa 6 week rolling rota for F1s. Weekdays: frst F1 on call during day working 09:00 - 17:00 clerking
in new patients in clinical decisions units (CDU) and then covering wards 17:00 22:00. Second
F1 changes everyday and does normal ward work 09:00 17:00 and then clerks in new patients
17:00 - 22:00. Weekends: frst on call covers the wards doing ward jobs with the SHO. Second
on call covers CDU clerking in new patients all day. Structure: One weekend every 6 weeks, one
Monday - Thursday every 6 weeks and then one month covering CDU 17:00 - 22:00 once a wee
Team 3 consultants, 4 registrars, 2 SHOs, 4 F1s
Banding 1A (50%)
nighTs Yes, 20:00 - 08:00. Either Monday - Thursday or Friday - Sunday
Weekends One in six
Leave Fixed on rota. Day off prior to weekend on call. Day off before and after nights
average
LisT size
15 - 60 patients depending on take
TheaTre LisT Elective lists on Monday - Wednesday
inpaTienT
admissions
Elective admissions Monday - Wednesday. Consultants are on take Monday - Thursday or Friday
- Sunday (once every 2 weeks). On take days expect up to 10 patients daily - the list can reach
60+ patients
TeaChing F1 teaching every Tuesday, Mortality & Morbidity meeting every second Thursday presented by
F1s, F1 led teaching every Thursday afternoon, Colorectal meeting every Thursday morning,
Colorectal MDT every Thursday afternoon
roLes Mostly ward work but may be required in theatre intermittently. Clerking in elective admissions
for colorectal lists
TheaTre and
CLiniC
Theatre as required, usually more so on nights and on calls
roTa One in six; within every three month placement expect one set of weekday nights, one set of
weekend nights, one set of weekday day on call, one set of weekend day on call. Nights 20:00
- 08:00, Days 08:00 - 20:00. Days involve clerking in GP referrals with some involvement in
theatre as needed. On nights you are additionally providing ward cover. F1 receives GP referrals;
SHO receives A&E referrals
Linked roTaTions
Clinical Contact
yaw.duodu@mkhospital.nhs.uk (Lead Consultant for Medicine)
anita.basudev@mkhospital.nhs.uk (Junior Medical Staffng co-ordinator)
Linked roTaTions
Clinical Contact
debbie.phillips@mkhospital.nhs.uk (Consultant)
amanda.taylor@mkhospital.nhs.uk (Junior Medical Staffng co-ordinator for surgery and consultant
surgeon)
miLTon keynes
miLTon keynes
Cardiology
Colorectal Surgery
F1
1.4
F1
1.5
Team 6 consultants, 8 middle grades, 8 SHOs, 3 ENPs
Banding 1A (50%)
nighTs 27 in 4 months, 1 other SHO and registrar present overnight
Weekends Up to 1 in 2
Leave Opportunity to pick 1 of 4 slots beforehand. Negotiable with team, organised before beginning of
rotation and lots of opportunity to swap
admissions Very busy A&E department
TeaChing F2 and special A&E teaching every Thursday
roLes See mainly majors and some minors patients. Called into resus but with senior support for any
trauma calls
roTa 8 week rolling rota. Shifts 22:15-08:15, 17:00-23:00, 09:00-17:00 or 12:30-22:30
Team 1 consultant, 1 registrar, 2 SHOs, 1 F1
Banding 1B (40%)
nighTs None
Weekends One in six
Leave Negotiable with team, senior members take priority
average
LisT size
20 - 28 patients
inpaTienT
admissions
Depends on discharges - very high patient turnover, can be up to 10-15 new patients daily
TeaChing F1 teaching every Tuesday, Grand Round every Wednesday, Journal club every Friday (usually
presented by F1s)
roLes 20-28 patients based on CDU intake. CDU is an assessment unit and patient turnover is very high
as patients are sent to wards as beds come up. Work with on call team but post take patients who
have been seen in previous day. Clinical skill opportunities are dependent on patients
TheaTre and
CLiniC
in new patients in clinical decisions units (CDU) and then covering wards 17:00 - 22:00. Second
F1 changes everyday and does normal ward work 09:00 - 17:00 and then clerks in new patients
Monday-Thursday every 6 weeks and then one month covering CDU 17:00 - 22:00 once a week
Linked roTaTions
Clinical Contact
peter.thomas@mkhospital.nhs.uk (Lead Consultant)
ezeilio.ikenna@mkhospital.nhs.uk (Junior Medical Staffng co-ordinator)
Linked roTaTions
Clinical Contact
miLTon keynes
miLTon keynes
A&E
Acute Medicine
F2
F1
1.5
1.4
Yikes! Sorry.
Its probably similar to Acute Medicine F1
Team 2 consultants, 2 registrars, 1 SHO, 2 F1s
Banding 1A (50%)
nighTs 20:00 - 08:00
Weekends One in six
Leave Fixed on rota. Day off prior to weekend on call. Day off before and after nights
average
LisT size
10 - 15 patients
TheaTre LisTs Monday, Tuesday and Thursday all day
inpaTienT
admissions
Usually 3 - 4 per week unless on take (once a month) in which case can have 10 patients per day
F1s. F1 led teaching every Thursday afternoon
for breast lists
TheaTre and
CLinC
Theatre as required, usually more so on nights and on calls
roTa One in six; within every three month placement expect one set of weekday nights, one set of
- 08:00, Days 08:00 - 20:00. Days involve clerking in GP referrals with some involvement in
theatre as needed. On nights you are additionally providing ward cover. F1 receives GP referrals;
SHO receives A&E referrals
Linked roTaTions
Clinical Contact
surgeon)
miLTon keynes
miLTon keynes
Acute Medicine
Breast Surgery
F2
F1
1.5
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Allocated to one of three local practices (furthest 15 minutes from the hospital by car)
Team 4 - 7 partner practices, large support team
Banding Unbanded
nighTs No
Weekends No
Leave Negotiable with partners, you are supernumerary so very fexible. Easy to negotiate study leave
TeaChing F2 teaching Thursdays and one tutorial per week with a GP partner. Often extra sessions with
multidisciplinary team available; e.g. minor ops, nurse-led clinics, community cardiology
roLes First 1 - 2 weeks spent observing then start your own clinics with 30 minute appointments (plent
of time to ask for advice). Appointments shortened over the rotation to 15 or 20 minutes
roTa Monday - Friday. Often long lunchbreaks (but may need to do home visits). Half day once per week
Team 1 consultant, 1 registrar, 1 SHO, 1 F1
Banding 1B (40%)
nighTs No
Weekends One in six
Leave Negotiable with team, seniors take priority
average
LisT size
12 - 14 patients
inpaTienT
admissions
As per discharges, usually 1 - 2 daily
presented by F1s
roLes Completely ward based looking after patients. No elective admissions. SHO and registrar cover
clinics as required. Some opportunity to gain competency in advanced procedures such as lumbar
puncture and inserting drains
TheaTre and
CLiniC
Monday - Thursday every 6 weeks and then one month covering CDU 17:00 - 22:00 once a week
Linked roTaTions
Clinical Contact
miLTon keynes
miLTon keynes
General Medicine
General Practice
F1
F2
1.4
1.0
Team 6 consultants, 5 registrars, 6 SHOs, 1 F1 (supernumerary)
Banding 1B (40%)
nighTs No
Weekends No
Leave Negotiable with team, fexible as you are supernumerary
average
LisT size
10 - 20 patients
TheaTre LisT Daily
inpaTienT
admissions
Gynaecology get their own referrals from GP and A&E, this runs on a take system shared between
6 consultants - team usually on take once every 3 weeks. Up to 10 patients a day can be admitted
when on take
F1s, F1 led teaching every Thursday afternoon
for gynaecology lists. The F1 in gynaecology is supernumerary. Choice of when to be on call
(ideally once a week)
TheaTre and
CLiniC
As required in theatre, usually more so on call
roTa 08:00 - 17:00 normal working day, on calls are usually by choice, usually once a week
Linked roTaTions
Clinical Contact
Linked roTaTions
Clinical Contact
surgeon)
miLTon keynes
miLTon keynes
General Surgery
Gynaecology
F1
F1
1.4
oops! See individual surgical specialities Team 1 consultant, 1 registrar, 1 SHO, 1 F1
Banding 1B (40%)
nighTs No
Weekends One in six
average
LisT size
12 - 14 patients
admissions As per discharges, usually 1 - 2 daily
presented by F1s
roLes Completely ward based looking after patients. Mostly general medicine, some endocrine. Some
elective admissions for endocrine tests. SHO and registrar cover clinics as required. Some
opportunity to gain competency in advanced procedures such as lumbar puncture and inserting
drains
TheaTre and
CLiniC
Linked roTaTions
Clinical Contact
miLTon keynes
miLTon keynes
Diabetes & Endocrine
Gastroenterology
F1
F2
1.4
Team 3 consultants, 2 registrars, 2 speciality doctors, 2 SHOs, 2 F1s
Banding 1B (40%)
nighTs No
Weekends One in six
average
LisT size
12 - 16 patients
inpaTienT
admissions
Usually 1 - 2 per day
presented by F1s
roLes Ward based. Clerking in elective patients for MRCP, ERCP, scoping, liver biopsy or ascitic drains
who occupy beds in ambulatory care unit (ACU) or ward. Lot of opportunity to gain competency in
ascitic drains and taps. Work closely with dieticians and nutrition specialists
TheaTre and
CLinC
Team 2 consultants, 2 registrars, 1 SHO
Banding 1A (50%)
nighTs 14 in 4 months
Leave Negotiable with team, if on general surgical on call will need to swap
average
LisT size
1 - 5 inpatients, mainly clinics and day cases
TheaTre LisTs Most days
inpaTienT
admissions
Approximately 1 daily, most referrals from GP, few from A&E. Team usually on take once every
3 weeks
TeaChing F2 teaching every Thursday
roLes Mostly clinic work but should look after inpatients and see referrals. Often very quiet on calls
for ENT
TheaTre and
CLinC
Registrar takes priority in theatre but exposure defnitely available if proactive
roTa 08:00 - 17:00 normal working day, on calls 08:00 - 20:00
Linked roTaTions
Clinical Contact
miLTon keynes
miLTon keynes
ENT
Gastroenterology
F2
F1
1.5
1.4
Yikes! Sorry.
Its probably similar to Gastroenterology F1
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Team 4 consultants, 2 middle grades, 1 SHO
Banding Unbanded
nighTs No
Weekends No
Leave Pretty much as required, as you will be supernumerary, easy to negotiate study leave. One
half-day per week
TeaChing F2 teaching on Thursdays
roLes Some ward rounds in Campbell centre, asked to see on-call patients in A&E or CDU. Senior
always contactable
Team 3 consultants, 3 registrars, 4 SHOs
Banding 1A (50%)
nighTs Yes 09:00 - 21:00, mix between neonatal cover and paediatrics
Weekends One in three, heavy on call duties
Leave Some room for negotiation, early requests best put in before starting if possible
average
LisT size
20 - 30 patients
inpaTienT
admissions
Quite busy on-call, GP referrals taken by registrar but will be asked to patients in paediatric A&E
or labour ward for neonatal resuscitation. Technically always on take from A&E/ GP. Rolling rota
of duties including ward cover, baby checks and helping in clinic. Also present at C-sections and
on-call for problem births
TeaChing F2 teaching every Thursday, 1 dedicated paediatric session per week
Linked roTaTions
Clinical Contact
miLTon keynes
miLTon keynes
Paediatrics
Psychiatry
F2
F2
1.5
1.0
Team 4 consultants, 2 middle grades, 1 SHO
Banding Unbanded
nighTs No
Weekends No
Leave Pretty much as required, as you will be supernumerary, easy to negotiate study leave. One
half-day per week
inpaTienT
admissions
Between 0 - 3 daily
TeaChing F2 teaching on Thursdays
roLes Daily ward round of approximately 16 patients, and help with admissions
Linked roTaTions
Clinical Contact
miLTon keynes
miLTon keynes
Palliative Medicine
Respiratory
F2
1.0
F2
Yikes! Sorry.
Its probably similar to Respiratory F1
Team 3 consultants, 1 registrara, 1 SHO, 1 F1
Banding 1B (40%)
nighTs No
Weekends One in six
Leave Neogtiable with team, seniors take priority
average
LisT size
10 - 15 patients
in paTienT
admissions
As per discharges, but usually 1 - 3 per day
TeaChing F1 teaching every Tuesday, Grand Round every Wednesday, Journal clib every Friday usually
presented by F1s
roLes 10 - 15 patients based on ward. List tends to be small, but patients are very unwell. Consultant
haematologists are always on call for advice
TheaTre and
CLiniC
Linked roTaTions
Clinical Contact
miLTon keynes
miLTon keynes
Haematology
Medicine CDU
F1
F1
1.4
Team 6 consultants, 6 SpRs, 2 GP trainees, 4 F2s, 1 F1, many midwives
Banding 1A (50%)
nighTs 14 in 4 months (Monday - Wednesday or Thursday - Sunday). 1 SHO and 1 registrar present
overnight
Leave Negotiable with teambut do it early complicated process of running past secretary then emailing
consultants. Room for study leave
inpaTienT
admissions
Can be busy anywhere between none and 8 - 10 a day for gynae or obs, no pattern to it!
TeaChing F2 teaching on Thursday and special O&G teaching Friday afternoon
roTa Rotating rota of on-call during day (08:30 - 21:00) for obs or gynae (1 - 2 per week) doing ward
round and clerking in new patients admitted via A&E. Otherwise helping on SAU, ACU, covering
antenatal day assessment unit (ADAU) or in clinic. One half-day per week. Theatre time very
available with timetabling into elective C-section lists (as well as emergency whilst on-call) and
gynaecology lists
Linked roTaTions
Clinical Contact
joyce.elliot@mkhospital.nhs.uk (Registrar)
miLTon keynes
miLTon keynes
ITU
O&G
F1
F2
1.5
Yikes! Sorry.
Its probably similar to Clinical Decision Unit F2
Yikes! Sorry.
60
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Team 3 consultants, 3 registrars, 1 SHO, 2 F1s
Banding 1A (50%)
nighTs Yes, 20:00 - 08:00
Weekends One in six
Leave Fixed on rota. Day off prior to weekend on call, day off before and after nights
average
LisT size
10 - 20 patients
TheaTre LisTs Daily
inpaTienT
admissions
As per referrals and relevant admissions - as on take every day, can be up to 5 per day but
usually only 1 - 2 a day
for urology lists
TheaTre and
CLiniC
As required in theatre, usually more so on nights an on calls
roTa One in six: within every three month placement expect one set of weekday nights, one set of
- 08:00, day 08:00 - 20:00. Nights involve ward cover and clerking in GP referrals with some
involvement in theatre as needed. Days involve clerking in GP referrals with theatre involvement
as needed. F1 receives GP referrals; SHO receives A&E referrals
Linked roTaTions
Clinical Contact
debbie.phillips@mkhospital.nhs.uk (Lead Consultant)
surgeon)
Linked roTaTions
Clinical Contact
debbie.phillips@mkhospital.nhs.uk (Lead Consultant)
surgeon)
miLTon keynes
Urology
F1
1.5
Banding 1A (50%)
nighTs Yes, 20:00 - 08:00. Monday - Thursday or Friday - Sunday
Weekends One in six
Leave Fixed on rota. Day off prior to weekend on call, day off before and after nights
average
LisT size
10 - 20 patients
TheaTre LisTs Monday, Tuesday and Friday all day
inpaTienT
admissions
As per referrals and relevant admissions roughly 2 - 3 a week unless on take where you can
expect up to ten patients a day. On take once every 4 weeks
for vascular lists
TheaTre and
CLiniC
As required in theatre, usually more so on nights and on calls
roTa One in six: within every three month placement expect one set of weekday nights, one set of
- 08:00, day 08:00 - 20:00. Nights involve ward cover and clerking in GP referrals with some
involvement in theatre as needed. Days involve clerking in GP referrals with theatre involvement
as needed. F1 receives GP referrals; SHO receives A&E referrals
miLTon keynes
Vascular Surgery
F1
1.5
Banding 1B (40%)
nighTs No
Weekends One in six
average
LisT size
15 - 20 patients
in paTienT
admissions
As per discharges, but usually 1 - 3 per day
presented by F1s
roLes 15-25 patients based on the wards 4 high dependency beds for patients on CPAP/BIPAP. Mostly
ward work some clerking and discharging in Bronchoscopy. Opportunities for pleural taps and
drains with senior assistance
TheaTre and
CLiniC
miLTon keynes
miLTon keynes
Respiratory
Surgery
F1
F2
1.4
1.5
Linked roTaTions
Clinical Contact
miLTon keynes
miLTon keynes
Stroke
Trauma & Ortho
F1
F2
1.4
Linked roTaTions
Clinical Contact
Linked roTaTions
Clinical Contact
Team 2 consultants, 1 registrar, 1 SHO, 1 F1
Banding 1B (40%)
nighTs No
Weekends One in six
average
LisT size
16 - 20 patients and up to 6 medical patients
inpaTienT
admissions
Low turnover due to nature of job
presented by F1s
roLes 16-20 patients based on the ward. Completely stroke based. Transfers post-thrombolysis for
rehabilitation. Some general medical beds open up on ward if bed situation worsens
TheaTre and
CLiniC
Team 2 - 3 consultants each team, 1 - 2 registrars each, 2 SHOs, normally 4 F1s
Banding 1A (50%)
nighTs 14 in 4 months
Leave Negotiable with team, if on general surgical on-call we need to swap
average
LisT size
15 - 20 patients, less for breast
TheaTre LisTs Monday, Tuesday and Wednesday for colorectal and vascular, 3 x week for breast
inpaTienT
admissions
Can be very busy, on-take up to 10 - 12 admissions per day. Take shared by 8 consultants, team
usually on take once every 3 weeks
TeaChing F2 teaching every Thursday, Mortality & Morbidity meeting every second Thursday presented
by F1s
roLes Required more in theatres especially for on-call lists, otherwise mostly ward work and helping F1
TheaTre and
CLiniC
as required in theatre, usually more so on nights and on calls. Can help in clinic but not expected
to run it
roTa 08:00 - 17:00 normal working day, on call one evening (until 20:00) per week. General surgical
on-call rota includes 2 lots of Monday - Thursday day on-call and Friday - Sunday day on-call
during 4 month rotation, interspersed with 14 nights overall
Yikes! Sorry.
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of a new Tesco superstore. Direct trains lines
go to Reading, Oxford and London Paddington.
one train stop away from Windsor and Eton
Central station.
Only a few miles away from Slough is the
affuent suburban town of Windsor. Home to
the royals, the surrounding region has some
of the most expensive and desirable housing
areas in the country. Windsor Castle overlooks
the quiant town centre with its restaurants
and cafes. Other nearby attractions include
Legoland and Eton College.
Transport Links:
Wexham Park Hospital
BUS
Direct 10 minute bus service (WP1) from
Slough bus station to Wexham Park Hospital
every 15 minutes between 6.30am to 10pm
Monday to Friday (single 2, return 2.90).
Other bus links to Slough, Maidenhead,
Bracknell and Chalfonts available.
TRAIN
London Paddington to Slough
35 min
Oxford to Slough
40 mins
Reading to Slough
15 mins
Connections from the hopsital to to Slough
train station by bus.
CAR
From London 20 miles
duration variable; M4 or M40.
From Oxford 40 miles
1 hour; M40 then take the A355.
From Reading 25 miles
35 minutes; M4.
BICYCLE
10 minute bicycle ride from Slough town
centre or train station. Bike racks available at
Main Entrance.
Accommodation
O
n-site hospital accomodation (approx 390
pcm), 4-person fats with shared kitchen
and bathroom. Ensuite available. Internet and
laundry facilities included.
Parking permits available for residents on
request. Cost of permit: 1% of staff income.
Private rental of fats in Slough/Windsor
approx 650-800 pcm (1-person fat) excluding
bills and council tax.
Parking
P
lentiful staff parking on site.
Staff permits: eligibility: must live more
than 1.5 miles from site, must regularly work on
site (i.e. > 3 times a week). Cost of permit: 1%
of staff income. Valid for Wexham Park and/or
Heatherwood (same price).
The Doctors Mess
A
t the crossroads of the hospital (see site
map). Free tea, coffee and toast. Mess
fees 10 per month. Monthly doctors mess
parties and annual ball.
Food and Drink
HOSPITAL
M
ain hospital restaurant and three WRVS
cafes, meals approx 2.80-3.50 (staff
prices). Restaurant closes at 7pm, vending
machines available for food/drink.
TOWN
Slough: Red Lion pub (5 minutes away from
hospital), a local favourite. Good food and drink
with freplace.
Windsor: Browns by the Riverside, Thai
Place, the usual chains (Strada, Cafe Rouge,
Pizza Express, Wetherspoons).
Staff Benefts
T
rust employees are eligible to join a
number of discount card schemes -
most offer either discount or cashback
with major retailers, restaurant chains or
service providers.
NHS cashback Black Card (save up to
5% in a large range of high street stores)
Medic Care NHS staff discount
(savings on over 200 brands and dis-
counts with local businesses; holidays
and travel; and insurance and fnancial
products in Slough, Maidenhead and the
whole of Berkshire.)
Red Guava www.redguava.co.uk
Childcare Co-ordinator employed to
act as a source of expertise and support
for all employees with care requirements.
Nursery Discounts for NHS Staff (50
nurseries in Bracknell, Slough, Reading,
Maidenhead and Windsor).
Lifestyle Fitness: membership for 34
per month.
W
eekly compulsory F1 and F2 teaching ses-
sions as per deanery policy. Some slots
are used for simulation training in the WexSim
suite. Many of the jobs have additional regular
teaching by consultants or in more formalised
settings such as journal clubs (see various sep-
arate job descriptions).
TEACHING
M
edical students do come through Wexham
(not usually Oxford students, but South-
ampton, London and US international students
can often be found attached to General Medi-
cine, Surgery and Paediatrics),
and will require teaching by junior
doctors on the team. Foundation
programme directors are very
keen to support if you have an
idea for teaching your foundation
programme colleagues.
AUDIT AND RESEARCH
V
ariable, depending on workload and other
colleagues in the department, but generally
self-organised. Some bosses will expect you
to have something on the go (e.g. orthopae-
dics) while others will only come up with ideas
if you ask. If you are keen to organise things
yourself, the pathology, radiology, and medical
records departments will bend over backwards
to help you learn your way around the otherwise
impenetrable computer systems.
Monthly compulsory academic half days
occur and are great opportunities to present to
your department.
FOOD AND DRINK 3 COURTESY OF PMG
FIREWORKS COURTESY OF PMG
Heatherwood
and
Wexham
Park
Hospitals
Heatherwood Hospital
London Road
Ascot SL5 8AA
Tel: 01344 623333
Wexham Park Hospital
Wexham
Slough SL2 4HL
Tel: 01753 634825
Introduction to the Hospitals
WEXHAM PARK HOSPITAL
M
ain hospital where foundation jobs are
based. 2 miles north of Slough town
centre and train station. Has a wide range of
services including A&E. A friendly DGH with
postgraduate centre and library.
HEATHERWOOD HOSPITAL
S
mall, friendly hospital near Ascot. Provides
both inpatient and outpatient services; no
A&E. One would expect to be timetabled half a
day there once every few weeks.
S
lough is a borough in Berkshire 22 miles
west of central London. It is one of the most
ethnically diverse areas outside of London.
Despite its social problems, Slough has seen
major redevelopment of the town centre with
revamping of the shopping centre and building
H
eatherwood and Wexham Park Hospital
is a district general hospital near Slough
that gained foundation trust status in 2007.
It is divided between two sites: Wexham Park
(Slough) and Heatherwood (Ascot). Outpatient
services are also provided by King Edward VII
Hospital (Windsor) and St Marks Hospital (Maid-
enhead). The trust covers a large and diverse
population in Ascot, Bracknell, Maidenhead,
Slough, south Buckinghamshire and Windsor.
Approximately 30 languages are spoken in the
area, the top 6 (excluding English) being Hindi,
Polish, Urdu, Somali, Romanian and Punjabi.
CONTACT DETAILS
Mr Jas Kalsi and Mr Ram Moorthy
jas.kalsi@hwph-tr.nhs.uk
ram.moorthy@hwph-tr.nhs.uk
Dr Richard Russell
Director of Medical Education
richard.russell@hwph-tr.nhs.uk
Miss Maura Stock
maura.stock@hwph-tr.nhs.uk
Jackie Stallwood
Foundation Programme Coordinator
jackie.stallwood@hwph-tr.nhs.uk
Rupal Patel
Foundation years administrator
rupal.patel@hwph-tr.nhs.uk
65
For more information
Visit www.mps.org.uk
Call 0845 718 7187
Email member.help@mps.org.uk
MEDICAL PROTECTION SOCIETY
PROFESSIONAL SUPPORT AND EXPERT ADVICE
The best protection
MPS members have access to a wide range of
benefits designed to help with the legal and ethical
problems that can arise from professional practice.
I Medicolegal advice available in an
emergency 24/7
I Legal representation first-class specialist
legal advice and representation
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We encourage members to get in touch on
0845 605 4000 if they are in any doubt over
a medicolegal issue.
MPS Educational Services
We have developed a range of highly rated
publications, workshops, conferences and
e-learning resources to help promote good
medical practice and minimise the risk of clinical
mishaps. More than 4,000 doctors in the UK
have already benefited from attending an MPS
workshop. www.mps.org.uk/education
Working overseas?
MPS has over 270,000 members in more than 40
countries. If you are planning to work overseas we
can usually help.
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MPS is not an insurance company. All the benefits of membership of MPS are discretionary as set out in the Memorandum and Articles of Association.
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MPS understands the importance of giving members access to a
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3921 MPS A4 Advert V2.indd 1 10/03/2011 10:47
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Confused and stressed by the latest round
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THE STUDIES THAT SHAPED MEDICINE
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66
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Yikes! Sorry.
Highly variable depending on which GP practice one is allocated to. Practices include: Datchet
Health Centre, The Village Medical Centre (Cippenham), The Medical Centre (Cookham)
Team GP partner as supervisor. All other GPs in the practice takes responsibility to supervise each F2
surgery session
Banding Unbanded
nighTs No
Weekends No
Leave Very fexible as you are supernumerary
TeaChing Half day tutorial weekly with GP mentor
roLes Usually a comprehensive induction to the practice and catchment area in the frst week. Expected
to see patients independently thereafter, with each appointment shortening from 20 mins to 15
mins each, depending of progress. Every session is supervised by a salaried GP or partner and
debrief available between patients should any queries or problems arise. Some practices may
allow or need you to do home visits, depending of staffng arrangements
roTa Surgeries run daily 09:00 - 17:00, or 09:00 - 18:00 with a half day off per week. Half a day of
tutorial per week. Some practices timetable in half a day of study session. Expected to attend
central teaching in Wexham Park Hospital postgrad centre on Wednesday lunchtimes
heaTherWood & Wexham park
General Surgery/Urology
General Practice
F1
F2
F2
1.4
1.0
Team 6 teams (3 Lower GI, 1 Upper GI, 2 Urology) one consultant, SpR, SHO and F1 for every team
Banding 1B (40%)
nighTs Not in F1 one in eight in F2. Three or four day stretch, 20:00 - 08:00
Weekends One in eight, 08:00 - 20:00
Leave Day off before and after nights. Annual leave very fexible, simply need to inform rota coordinator.
Just make sure there is some junior cover for the team (F1 or SHO).
average
LisT size
Highly variable due to rolling system. Up to 30-40 for rolling team. Non-rolling teams have an
average of 3 patients, although can easily be down to zero patients
inpaTienT
admissions
Average admisisons 10-20 per day
roLes On call one in eight, F2 takes all GP and A&E admissions. F1: 11:00 - 23:00, F2: 08:00 - 20:00.
Rolling system where all new admissions come under the on call consultant. Each consultant is
on call for Monday - Thursday or Friday - Sunday. When the next consultant takes over the on call,
all these patients get rolled onto the new consultants list and are taken care by the new team.
Consultants on call every 2-3 weeks. Rolling team usually very busy therefore other teams are
all expected to help. F1s welcomed to theatre, although seldom practically possible due to large
workload from rolling team
TheaTre and
CLiniC
Timetabled theatre session once a week for F2 and one clinic session. None for F1
roTa 08:00 - 17:00
F1: ward jobs and rolling team tasks, occasionally needed in pre-assessment clinic
F2: One clinic session a week, 1-1.5 theatre days. Occasionally half-day clinic in King Edward VII,
or theatre session in Heatherwood
Team 4 consultants, no registrars or SHOs, 1 F1 (supernumerary)
Banding Unbanded
nighTs No
Weekends No
TeaChing One to one consultant teaching every week, good educational opportunities
roLes Discussing blood culture results with consultant, preparing results for ITU patients for daily
consultant review
TheaTre and
CLiniC
Twice a week. Lab experience optional
roTa Monday - Friday 09:00 - 17:00
Linked roTaTions
Clinical Contact
Linked roTaTions
Clinical Contact
stephen.baxter@hwph-tr.nhs.uk
sonia.mahandru@hwph-tr.nhs.uk
Linked roTaTions
Clinical Contact
marion.elder@hwph-tr.nhs.uk
Linked roTaTions
Clinical Contact
jackie.stallwood@hwph-tr.nhs.uk
Geriatric Medicine
Infectious Disease
F2
F1
1.0
Team 6 10 Consultants (including locums), Middle Grades/Registrars, 12 SHOs (FY2 and GPSTs),
No F1s
Banding 1A (50%)
nighTs 2 out of 9 shifts
Weekends See rota below
Leave Flexible: can take leave on frst 6 days of 9 day rolling rota (excludes 17:00 - 02:00 shift and
nights) and get 3 days off post nights
admissions 95,000 a year!
TeaChing Weekly SHO and registrar teaching in A&E seminar room on separate days
roLes SHO in accident & emergency role involves clerking a variety of patients from minor injuries to
majors and resuscitation (allocated to an area for your shift). Also will be at times asked to be
involved in trauma calls. From time to time may be allocated to be the SHO on EDDU (emergency
department decisions unit) which involves day-to-day ward duties
roTa 9 day rolling rota for all 12 SHOs. Involves doing the following shifts; 2 x 08:00 - 16:00, 12:00
- 20:00, 14:00 - 22:00, 2 x 16:00 - 00:00, 17:00 - 02:00, 2 x night shifts (22:00 - 08:00). 3
days off after night shifts
Team 5 consultants, 1 registrar, 1 staff grade, 1 F2
Banding Unbanded
nighTs No
Weekends No
average
LisT size
Usually 4-8 in-patients. Day unit run by registrar, usually F2 doesnt have any input. Admissions
are either semi-elective (based on patients blood results), via the day unit or via A&E
TeaChing Abundant! 2 hours scheduled teaching every afternoon from 14:00 - 16:00: Monday Radiology,
Tuesday Microbiology, Wednesday Biochemistry, Thursday Histopathology, Friday
Haematology
roLes Ward round every morning with consultant or registrar, followed by ward jobs. Teaching from
14:00 - 16:00, then back to the wards for an hour to tidy things up before home
TheaTre and
CLiniC
Not really, as ward round and teaching sessions clash with clinics. However if you really wanted
to, youd be welcomed
Yikes! Sorry.
Team 5 consultants & 3 registrars (1 senior staff grade, 2 registrars) have lists & clinics at multiple sites
across trust (Wexham, Heatherwood, King Edwards, St Marks). SHOs (1 CT, 1GPSTA1, 2 F2s) are
entirely based at Wexham
Banding 1B (40%)
nighTs Yes, cross-covering Plastics (& Orthopaedics after midnight reg bleep held). Registrars provide
off-site cover for both Wexham & Reading, so not always immediately to hand. Either Monday -
Tursday or Friday - Sunday (whole week off outside annual leave after weekend nights)
Weekends Yes. Monday off after weekend
average
LisT size
4-10 inpatients (high volume of day-case patients who may require SHO input)
inpaTienT
admissions
Planned admissions for larger elective surgery, also sometimes day cases stay overnight if not
ready to be discharged. NB: oncology at Wexham is mainly benign OR thyroid: all other head &
neck cancers go to Northwick Park. A&E admissions 09:00 - 17:00 and out-of-hours A&E every
other week.
TeaChing Weekly consultant-led teaching, plus informal registrar teaching
roLes Bleep held every day for new admissions or ward referrals until 17:00. 1 evening shift (17:00 -
20:00) every fortnight, always cross-covering plastics. Out-of-hours on-take shared with Reading
(alternate weeks). Patients transferred between sites to on-call admitting A&E department.
TheaTre and
CLiniC
As time allows. Core trainees have scheduled theatre time - other SHOs welcomed when possible
roTa 09:00 - 17:00 Monday - Friday: F2s and GP trainees hold bleep between them
Out of hours (cross-covering Plastics & orthopaedics): 1 in 9 weekday evenings 17:00 - 20:00
(roughly 1 a fortnight), 1 in 9 blocks of nights (so roughly 1 set per month of weekend or weekday)
1 in 9 weekend days. Alternate weeks: RBH take all ENT referrals so on-calls in these weeks
are solely covering plastics and orthopaedics. Urgent ward referrals in these weeks will warrant
discussion with RBH ENT registrar on-call who will come over if necessary
Linked roTaTions
Clinical Contact
Dr Omar Ghazanfar - oghazanfar@nhs.net
Linked roTaTions
Clinical Contact
Dr Garcia - Microbiology
Linked roTaTions
Clinical Contact
Mr Ram Moorthy ram.moorthy@hwph-tr.nhs.uk
Wexham park
A&E
ENT
F2
F2
1.5
1.4
Clinical Haem/Path/Radiology
Gastro/Rheum
F2
F2
1.0
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Team 6 - 7 consultants, an army of staff grade registrars, 11 - 12 SHOs (4 O&G trainees, 1 FTSTA, 5
GP trainees and 2 F2s)
Banding 1B (40%)
nighTs Yes, Monday - Thursday or Friday - Sunday
Weekends Yes roughly 1 per month
Leave No fxed leave. After weekend nights, you get the following Monday and Tuesday off
average
LisT size
20 - 40 patients
TeaChing Some set teaching with consultants
roLes On call long days 09:00 - 21:00, 1 - 2 per week. During this time, you hold either the gynae bleep
(covering postnatal, antenatal and gynae wards) or the obstetric bleep (covering labour ward, birth
centre, triage and fetal assessment units), as well as taking referrals fromA&E. Usually very busy
Obs & Gynae
F2
1.4
Team 5 consultants, 1 staff grade, 3 registrars, 4 CTs, 1 F2. Consultants & regs have lists & clinics
at multiple sites across trust (Wexham, Heatherwood, King Edwards, St Marks), SHOs entirely
based at Wexham
Banding 1B (40%)
nighTs Yes, cross-covering ENT(& Orthopaedics after midnight reg bleep held). Registrars provide off-
site cover, so not always immediately to hand. Either Monday - Tursday or Friday - Sunday (whole
week off outside annual leave after weekend nights).
Weekends Yes. Monday off after weekends
Leave
average
LisT size
10-20 inpatients (high volume of day-case patients who may require SHO input)
TheaTre LisT When not on-call, SHOs scheduled to be in theatre Monday - Friday. On-call SHO uses
unsupervised minor ops room for daily assessment clinic and minor ops referrals. On-call
weekend SHO may be summoned to theatre to help
TeaChing Weekly consultant-led teaching, plus weekly registrar teaching and journal club
roLes 1 week on-call holding bleep or new admission and ward referrals until 17:00. 1 evening shift
(17:00 - 20:00) every fortnight, always cross-covering ENT
TheaTre and
CLiniC
When not on-call, scheduled theatre/clinic allocations
roTa Monday - Friday offce hours: theatre or wards
Out of hours (cross-covering ENT & orthopaedics): 1:9 weekday evenings 5-8pm (roughly 1 a
fortnight), 1:9 blocks of nights (so roughly 1 set per month of weekend or weekday), 1:9 weekend
days
Linked roTaTions
Clinical Contact
Dr Jo Aspel johanna.aspel@hwph-tr.nhs.uk
Lyn Stephenson lyn.stephenson@hwph-tr.nhs.uk
Linked roTaTions
Clinical Contact
Mr Uppal
Linked roTaTions
Clinical Contact
abdul.wagley@hwph-tr.nhs.uk or fatima.hussain@hwph-tr.nhs.uk
Bali Nandra
Wexham park
Neonates
Plastic Surgery
F2
1.5
F2
1.4
Team This is a very large department:
9 consultants (5 general paediatrics, 4 neonatal, though all cross-cover on the same on-call rota.
All have special interests e.g. respiratory, oncology, endocrinology, cardiology and they try to pick
up these patients) & 9 registrars (who are assigned to paeds or neonates but cross-cover on-call)
Juniors are split into General Paeds or Neonates, though both do postnatal and PAU shifts as
part of their rota. They rotate round clinical areas and are not allocated to specifc consultants:
6 Paediatrics trainees (ST1-3), 4 GP trainees (who are all predominantly general paediatrics), 5
F2s (1 general Paediatrics, 4 Neonatal), 2 supernumerary F1s (who are unbanded and essentially
work 09:00 - 17:00 with no on-call responsibilities.)
Banding 1A (50%)
nighTs Yes, Monday - Thursday or Friday - Sunday. 1 set of each per 8-week cycle of the rota
Weekends Yes, either full weekend of long days 09:00 - 21:30 (ward & PAU for paeds, NICU for neonatal), or
1 Saturday or Sunday shift (covering Postnates & being 2nd on-call for PAU). 1 full weekend and
1 one-day (Sat or Sun) shift per 8 weeks
Leave Leave can only be requested in cover weeks. 1 day off post-nights and weekends
average
LisT size
General Paediatrics: 10 - 30, high turnover with around 2 - 5 new admissions daily.
NICU: 20 bed neonatal unit, around 1 new admission daily. Very preterm babies can stay for
months
TeaChing Weekly SHO-led journal club and SHO consultant teaching, as well as weekly X-ray meetings
and monthly academic half-days. Sometimes quite diffcult to attend this and F2 teaching due
to the workload
roLes You carry the on-call bleep for on-site cover for the clinical area you are on that week:
Paediatrics SHOs hold one of the bleeps when on Ward cover or PAU long days.
Neonates SHOs hold bleeps when on: NICU (hot room) long days 09:00 - 21:30 (though the
SCBU (cold room) SHO holds it during the morning ward round), Postnates 08:00 - 17:00, PAU
14:00 - 22:00. Consultants have a week on the wards at a time, when new admissions would go
under them, unless previously seen in another consultants clinic or if one of the other consultants
special interests would be more appropriate e.g. new diabetics to Dr Huma (endo) or cystic fbrosis
to Dr Sebire (CF/resp). Neonatal patients are allocated amongst the neonatal consultants for
follow-up by postcode.
PAU SHOs admits all children >5 days old, and may review 10-30 patients per day from GPs or
A&E. Chronic patients are often open access and can just turn up for review (after parents ringing
ahead). Postnates SHO reviews and admits community referrals <5 days old to the postnatal ward
during 08:00 - 17:00. NICU SHO admits neonates to SCBU/NICU from labour ward (and postnatal
wards out-of-hours)
TheaTre and
CLiniC
SHOs can sit in on clinics, but only when on cover weeks and not needed to help out on wards
roTa 8 week rolling rota:
6 weeks on wards (with roughly 1-week blocks on PAU, postnates and weekend nights, long days,
nights & wards/SCBU),
2 weeks on cover (if not needed to cover absences, can go to clinic or take leave)
Yikes! Sorry.
You may learn something from reading Neonates F2
Yikes! Sorry.
Its probably similar to Medicine F1
Team F1s are allocated and rotated around 2 paired specialties in 6 months to one of the following 9
specialised medical frms:
Gastroenterology & Rheumatology, Respiratory & Cardiology, Endocrine & Acute Medical Unit,
Geriatrics & Renal. Haematology & Oncology is separate 4 month rotation. All jobs are busy with
high patient turnover. Large amount of variability between workload and staffng levels between
teams. Broadly speaking, each team is visibly consultant-led, with varying levels of registrar and
SHO (mix of F2/GPSTA1/CT trainees) support.
E.g. Gastroenterology one F1, one F2, one GPST1, one permanent locum, one SpR reg, one staff
grade, one consultant. Rheumatology two F1s, one CT1, one SpR, one consultant
Banding 1B (40%)
nighTs Yes. Ward cover nights, very busy.
Weekends Yes. F1 does clerking, ward cover all done by SHOs with a dedicated ward cover SpR
Leave Arranged within your team having been approved by consultant and rota coordinator, not set
leave. 1 day off after nights. No rest days after weekend on call
average
LisT size
Variable average 20-25
TeaChing Case presentation at weekly medical meeting F1s and F2s encouraged to present
roLes Long days on-call 09:00 - 21:00 (clerking until 17:00, ward cover after). Whilst on call you are
part of the crash team and hold the crash bleep. The team you will be on call with are not your
usual ward based team and the consultant you are working under when you are on call is not
usually your usual consultant. All patients admitted from A&E or GP are clerked in by the on call
F1/SHO and initially admitted to the Acute Medical Unit before being seen on the post take ward
round and sent on to other specialty specifc wards.
Normal working day is ward based.
TheaTre and
CLiniC
None. Could in theory if adequate cover and very keen
roTa In 6 months, 2 sets of weekend days, 3 blocks of nights (Monday - Thursday or Friday - Sunday).
Average 1 long-day on-call per week
Linked roTaTions
Clinical Contact
Dr Richard Russell richard.russell@hwph-tr.nhs.uk (clinical head of department)
Marion Elder marion.elder@hwph-tr.nhs.uk
Infectious Disease with Resp
Neonates & Paediatrics
Medicine
F1
F1
F1
1.4
Yikes! Sorry.
Combination of anaesthetics and ITU for 3 + 1 months or 2 + 2 months
Team 1 ITU consultant on each day, 3 staff grades/SpR/SHO, 1 F2 (supernumerary)
Banding Unbanded
nighTs No
Weekends No
average
LisT size
6 - 12 patients
TeaChing Weekly ITU teaching, consultant led
roLes Anaesthetics: paired up with a consultant or staff grade. Pre-operative anaesthetic assessment of
the patients on the theatre list, then anaesthetising patients under supervision
ITU: Daily consultant WR in the morning, you will get assigned 2 - 3 patients for a full review and
assessment of, which will be reported back to the registrar. Consultant does another ward round
in the afternoon with a consultant microbiologist. Any jobs tied off in the afternoon
roTa 08:00 - 17:00 Monday - Friday
Linked roTaTions
Clinical Contact
niamh.feely@hwph-tr.nhs.uk, pushkar.dadarkar@hwph-tr.nhs.uk
Intensive Care
Medicine
F2
F2
1.0
71
Meet your hospital training needs with
the MDU
Your local Hospital Liaison
Manager:
Fraser Coleman
colemanf@the-mdu.com
07734 342 403
Your local Student and
Foundation Liaison Manager:
Zaina Reinink
reininkz@the-mdu.com
07989 608 062
The MDU offers a series of FREE hospital-based
seminars which address the needs of all
hospital doctors including foundation doctors,
specialty training post doctors and consultants.
These educational seminars are suitable for
protected teaching time and focus on areas of
current relevance to secondary care including
dealing with difficult patients, GMC fitness to
practise and good record keeping.
If you are interested in holding one or
more of these seminars at your hospital
or require support with departmental or
mess meetings, please contact your
local MDU hospital liaison team whose
details are below.
MDU Services Limited (MDUSL) is authorised and regulated by the Financial Services Authority in respect of insurance mediation activities only. MDUSL is an agent for The Medical Defence Union Limited (the MDU).
The MDU is not an insurance company. The benefits of membership of the MDU are all discretionary and are subject to the Memorandum and Articles of Association.
MDU Services Limited registered in England 3957086. Registered Office: 230 Blackfriars Road London SE1 8PJ. 2012 TG/030x/0612
Freephone membership helpline
0800 716 376
Calling from a mobile or overseas
+44 (0)20 7022 2210
Member ship email
membership@the-mdu.com
Website
the-mdu.com
TG030x0612:Layout 1 26/06/2012 16:44 Page 1
70
Team 7 consultants, 10 registrars (under named consultants), 1 permanent locum SHO, (no CTs) 2 F2s,
4 F1s. F1s cover 2 consultants team each, SHO foat between teams. 1 orthogeriatric consultant
and registrar present from 09:00 - 17:00
Banding 1A (50%)
nighTs None (cross-covered by ENT and Plastics SHOs)
Weekends Yes, long days 08:00 - 20:00
Leave
average
LisT size
Huge variation, 5 - 30 (if just been on-take). F2s often allocated to help if your list size is very
large after being on take
TheaTre LisTs Daily trauma lists in addition as daily elective lists. Not a huge amount of elective surgery most
elective surgery is carried out at Heatherwood hospital generally only high risk patients operated
on at Wexham. Certain consultants have more elective admission than others
TeaChing Daily trauma meeting (juniors present x-rays). Informal teaching. Weekly consultant teaching
roLes On a daily basis ward cover. The consultants do a ward round to see their patients 1 - 2 times a
week, on other days F1s are expected to see the patients by themselves. On call rotas for F1/F2
are the same and the role is also the same. Whilst on call you accompany the registrar on call
to see referrals and clerk them in and cover the ward out of hours. Also attend trauma calls. If
on an early shift you are expected to generate the daily trauma operating list and print copies for
the trauma meeting and for theatre. SHOs can be called to assist in theatre if free on the wards.
Monday - Friday weeks of twilight on-calls (15:00 - 00:00) or short days (07:00 - 15:00).
Consultants teams each have 1 day on-take a week. When your consultant is on take all the
patients admitted that day or night come under his name and are therefore added to your list
TheaTre and
CLiniC
SHOs have dedicated rota slots for assisting at both Wexham Park & Heatherwood sites
roTa F1s and F2s are on same on-call rota: over 3 months, 2 weeks long days, 2 weeks of twilights,
and 2 weeks short days and 2 weekends of long days
Linked roTaTions
Clinical Contact
Mr Rakesh Kucheria rakesh.kucheria@hwph-tr.nhs.uk
Deborah Wheeler deborah.wheeler@hwph-tr.nhs.uk
F2
Respiratory Medicine
Trauma & Ortho
F2
F1
1.5
Yikes! Sorry.
Team 6 teams (3 Lower GI, 1 Upper GI, 2 urology) one consultant, SpR, SHO and F1 for every team
Banding 1B (40%)
nighTs One in eight. Three or four day stretch 20:00 - 08:00
Weekends One in eight. 08:00 - 20:00
Leave Day off before and after nights. Annual leave very fexible, simply need to inform rota coordinator.
Just make sure there is some junior cover for the team (F1 or SHO)
average
LisT size
highly variable due to rolling system. Up to 30-40 for rolling team. Non-rolling teams have an
average of 3 patients, although can easily be down to zero patients
inpaTienT
admissions
Average 10 - 20 per day
TeaChing Teaching opportunities on the team
roLes On call one in eight, F2 takes all GP and A&E admissions. Take based on a Rolling system
where all new admissions come under the on-call consultant. Each consultant is on call for 4
(Monday - Thursday) or 3 (Friday - Sunday) days. When the next consultant takes over the on-call,
all these patients get rolled onto the new consultants list and are taken care by the new team.
Consultants on call every 2-3 weeks. Rolling team usually very busy therefore other teams are
all expected to help
TheaTre and
CLinC
1 day per week for each consultant, F2 expected to attend
roTa One clinic session a week, 1 - 1.5 theatre days. Occasionally half-day clinic in King Edward VII,
or theatre session in Heatherwood
Linked roTaTions
Clinical Contact
stephen.baxter@hwph-tr.nhs.uk
Surgery
F2
1.4
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How to make yourself look good!
D
uring your FY2 year you will likely want to
apply for core or specialist training; there-
fore it is advisable to start planning for this early
on. This section suggests some extra achieve-
ments that are relevant when applying for
further training, all of which may be recorded in
the appropriate section of the ePortfolio.
General Extras
Audit: Make it relevant to clinical prac-
tice. Suggest change, put it into practice and
re-audit after the changes
Presentation: clinical case, audit or
research, as a poster or oral presentation at an
international, national, regional or local confer-
ence
Publish a paper in peer-reviewed journal
Attend conferences relevant to what you
want to do as a career
Tasters in subjects of interests. You can
use study leave for this in FY1 and FY2
Teaching: important to get feedback and
show you have acted on this. Teaching other
junior doctors e.g. journal clubs. Teaching
students e.g. bedside teaching. Teaching
courses e.g. teacher development programme,
UNICON (2-day course)
Internet learning e.g. BMJ learning
modules
Achievements outside of medicine. Show
relevance to your training
Optional Extras
Description Minimum number required
Supervised
learning Events (SLEs)
Direct observation of doctor-patient interaction, followed by
discussion with supervisor. The following four categories...
Mini-Clinical Evaluation Exercises
(mini-CEX)
Usually for history taking and
examination. Supervisor: Core
Trainee or above
6 per year
Directly Observed Patient Encounters
(DOPS)
Usually for an observed skill.
Supervisor: anyone trained for
that skill.
3 per year
Case Based Discussions (CBDs) Discussion of a case and its
assessment and
management. Supervisor:
SpR or above
6 per year
Developing the Clinical Teacher Observed delivery of teaching
event. Supervisor: SpR or
above
1 per year
Core procedures (FY1 only) 15 core skills e.g.
cannulation, ABG. Supervisor:
anyone trained for that skill
All 15 must be signed off
TeamAssessment of Behaviour
(TAB)
10 15 multi-disciplinary
colleagues complete a brief
review of your professional
behaviour e.g. communication
skills, time keeping (Other
foundation doctors cant
respond)
2 per year (each with
minimum of 10 responses,
set criteria as to number of
responses from each group
eg. doctors, nurses, allied
health professionals)
InterimTraining Reviews (ITR) Review of your progress at
Trust level
1 - 2 per year
Immediate Life Support (ILS, in FY1)
or Advanced Life Support (ALS,
in FY2)
Resus Council standardised
courses
ILS required for FY1
ALS required for FY2
Evidence that the curriculum has
been covered
Each curriculum item linked
to an SLE or other log, and
signed off by your Educational
Supervisor
Study leave and sick leave docu-
mented
At the end of the year your
Educational Supervisor (or
Clinical Supervisor for each
placement) must sign off to
account for all study leave
and sick leave taken
Attendance at education pro-
gramme
Weekly or monthly mandatory
training (dependant on Trust).
Be sure to sign in when you
attend!
Minimum 70% attendance.
If fall below 70%, must be
topped up with relevant
elearning modules e.g. BMJ
elearning or e-learning for
healthcare
Conduct and write-up an audit To be achieved by the time of
FY2 sign off
1 frst round audit
Other instructions from the deanery Details available towards the
time of sign off
e.g. GMC survey, online
modules to complete
By the end of the year...
WWW.NHSEPORTFOLIOS.ORG (1)
Subject specifc Extras
B
ecause lets face it, not everyone wants to
be a med reg, and some would rather pull
out their own teeth than help with an 8 hour
laparotomy. If you already know what you
want to do as a career, try to direct your achieve-
ments during the foundation year towards this.
Here are a few ideas to add to those you already
may have:
72
Explaining
the
e
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f
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T
he ePortfolio is an online tool designed to help foundation doctors demon-
strate the attainment of the attitudes, skills and knowledge that they need to
complete the Foundation Programme.(1) You need to complete the ePortfolio
curriculum, and a number of mandatory assessments to progress at the end of
both foundation years. The ePortfolio is also useful for planning further develop-
ment and demonstrating any additional achievements during your foundation
years, both of which are vital when applying for further training.
Due to the large number of requirements, some junior doctors fnd the ePort-
folio diffcult to keep on top of. This sometimes leads to problems come the end
of the year, which could have been easily prevented.
This article sets out what you need to do to progress through FY1 and FY2 in
the Oxford Deanery. It also provides suggestions on how to make your ePortfolio
stand out, and a few extra hints and tips on how to get it right frst time!
Compulsory sign-off requirements; jumping the hoops
You must complete the following to pass each year. There will be extra
requirements from each trust, but the sections below are core to the Oxford
Deanery.
NB: WHEN WE SAY SIGN, THIS IS DONE ELECTRONICALLY BY SIMPLY TICKING A BOX AND CONFIRMING
Beginning of the Year
Attend trust induction
Sign educational agreements, health
and probity declarations
Induction meeting with Educational
Supervisor, the consultant who will oversee
your progress for the whole year and help with
any problems
Induction meeting with Clinical Super-
visor, the consultant who will supervise you for
a particular job, so will change each placement
Initial meeting with your Educational
Supervisor
Clinical Supervisors report for the posi-
tion: review of performance in your current posi-
tion, highlighting areas of excellence or concern
which may require educational support. Written
by your clinical supervisor with input from other
members of a multi-disciplinary Placement
Supervision Group
End of placement review with your
Educational Supervisor; can be combined
with initial meeting for next placement
Each Placement
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department in your Trust to send you the policy
and guidelines, and for who to get in contact
with. Expenses in our Deanery are dealt with
centrally in Birmingham.
A brief warning: you've only got three months
to claim, so act sharpish.
Study budget
Y
our postgraduate centre will have a few
hundred pounds scurried away somewhere
for you in your F2 year. Its to be used for things
relevant to the curriculum, including to pay
towards courses, conference fees, and associ-
ated travel and accommodation. See Pertinent
Policies: Study Leave, for details of how much
each Trust has to offer.
Tax
S
omeday, someone obnoxious will square
up to you and tell you that they "pay your
wages". Don't take it to heart: you will prob-
ably pay more of your wages than they do. We
mustn't grumble about tax: it funds the NHS. It
is important to check you are paying the right
amount though.
The amount of tax you pay
is determined by your personal
allowance, and your earnings
The current personal allowance is 8,105,
which means you are able to earn that much in
a year and not have to pay tax on it. Above that,
you pay 20p per pound up to 34,370, and 40p
per pound on any earnings above 34,371 up
to 150,000.
To work out how much tax you owe, they
need accurate information on how much you
earn: if you only work for one trust, with no
extra income, it's really rather straight forwards.
When you start a frst job, or leave a job for
a new one, you will need to fll out a P45 or
P46 form. These help your employer and HMRC
know how much you earned and how much tax
has been deducted already that year, so they
can tax you appropriately for the rest of the
fnancial year. At the end of the tax year, your
Trust send you a P60 form which summarises
how much you've earned and how much tax
you've paid. If the numbers aren't quite right,
it's time to talk to the taxman to fnd out why:
you may have to pay more, or they might owe
you some, but it's best to sort it early!
Equally, if you earn extra money through
other means e.g. locums as an F2, crem forms,
lecturing, or surgical assisting fes it's important
you declare it to HMRC: not only is it wrong not
to, but they'll fnd out eventually, and you'll be
left with a big lump sum to pay.
'Claiming tax back' is
the holy grail
Some costs which you incur wholly and
exclusively because of your work, such as
GMC and BMA membership, professional
indemnity, or Royal College fees are tax deduct-
ible. That means tax you paid on the money for
those fees can come back to you. Just tell the
taxman how much you pay in relevant fees,
and they will increase your personal allowance,
even over the phone.
Our life runs from August to August, whereas
that of the taxman runs April to April. If you over
or underpay, this will often be sorted in the fol-
lowing tax year, by altering your tax code so you
spread the burden. Do discuss this with HMRC,
as if they send you an invoice to settle in a lump
sum, it will accrue interest if you don't pay up.
And don't forget, you generally have 7 years
to claim back on your tax if you think it's been
done wrong.
I need help
M
aybe we are too lazy, maybe we are too
stupid, or maybe we have too much cash
to splash around, but at some point you might
want to consider getting an accountant: espe-
cially if you start doing private work, having
multiple income streams, and increasingly
complicated tax affairs.
B
efore starting work your employing
Trust will require you to com-
plete various administrative tasks in
order for you to be set up on the
system and ready to go in August.
the Medical Education Manager for
your trust should be in touch by email
well in advance of you starting work to
instruct you on their specifc require-
ments and how to go about submit-
ting these various bits of paperwork.
Although not exhaustive, the following
checklist highlights the main bits and
pieces to get organised.
Nationwide:
GMC registration plus payment
Medical Indemnity: MPS or MDU
CRB check certifcate
Individual trust essentials:
Payroll form: bank account details for
salary payment
Occupational Health: record of
immunity or negative result; usually
includes MMR, Varicella, Hep B, HIV
Registration forms for electronic
logins e.g. Electronic Patient
Records, Smart Card, blood results
system, PACS
Individual trust optional requirements
may include:
Contact details form: email address,
mobile number, next of kin
Parking permit form
Accommodation form
Doctors mess membership form
Documents to have to hand:
Passport
Driving licence
2x proof of address documents
Admin
Advice
Finance
Tips
Medicine:
MRCP may do part 1 and higher during FY2
ALS do this early before further applications
Surgery:
MRCS may do part A and higher at any time
(even during FY1)
Basic surgical skills course
Advanced Trauma and Life Support (ATLS)
Log book of operations assisted in
Paeds:
Paediatric and neonatal resus courses
Part 1a MRCPCH
Voluntary work with children or charity
Obs and Gynae:
Basic Surgical Skills
Obstetric emergency course
Diploma RCOG may do at any time
Acute medicine/anaesthetics:
Advanced Trauma and Life Support (ATLS)
ALS instructor course
Radiology:
MRCP or MRCS
BIR or SRT courses
Ophthalmology:
Microsurgical skills
Keep up to date! People who leave their
ePortfolio until the last minute are much more
likely to have problems. Your clinical supervisor
from a job you did 8 months ago will be diffcult
to hunt down
Create a PDP (personal development plan)
at the beginning of the year, this will help to
focus your efforts
If you are not sure what to do, contact your
educational supervisor, they are there to
help
If you still need some help, the postgrad-
uate advisors will likely be able to assist you
Enjoy your foundation years!
General Hints and Tips
Wages and banding
S
alary for NHS doctors is well structured from
FY1 to Consultancy, and you can read a very
boring document published annually called the
NHS Pay Circular if you want up to the minute
details. On top of your basic wage you should
receive a banding supplement, an additional
20 - 50%, to represent the burden of evenings,
nights and weekends.
No matter what your
banding, due to EWTD, you
should not be working more than
48 hours per week, averaged
over 17 weeks
See our policies section for more informa-
tion about rules surrounding working hours.
Expenses
I
t may not be the company Amex that your City
friends wave around, but expenses are avail-
able in the NHS. They do tend to make you really
fght for it (no duck islands, sorry) but cash for
reasonable expenses resulting from your work
can be claimed back. At its most basic, it covers
costs incurred in the line of your work or reloca-
tion in taking up an appointment.
If you have to move house as a result of your
new post, or the distance between posts means
you have to drive, it's worth asking the HR
WRITTEN BY DR BEN WILDBLOOD, FY2
Money is a dirty word
in medicine
F
or most of you, starting work as a foun-
dation doctor will be the best paid job
you've had; and for some, that deposit on
the last Thursday in August, the frst pay-
packet ever. Don't be ashamed about it:
we're about to talk Money.
ROWING COURTESY OF PMG
77
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Annual Leave
T
ypically, youll have 9 days per 4 month post
- use it wisely! Most posts in the Deanery
have fexible leave with prospective cover: that
means if you swap out of your on-call commit-
ments, and there are enough people around to
cover the teams day-to-day work, then as long
as your Consultant (who has to authorise your
leave) is happy, there is no obstacle. In prac-
tise, there needs to be at least
one junior around to look after
a teams patients. Its vital to
discuss your leave with your col-
leagues: booking it and claiming
its their problem wont make
you any friends, plus its strictly
not true. If you book leave, but
cant take it because your col-
league is on nights, thats your
problem.
Some posts in the Deanery
still do unfortunately have fxed
leave (annual leave that is set
as part of the rota): this is less
than ideal, and can be diffcult
to swap with people. If you have
an important commitment, its
best to discuss with the rota
co-ordinator early to ensure you are on a rota
line where the fxed leave works for you. The fip
side is that with fxed leave you are guaranteed
to get all of your time off, and often more than 9
days per 4 months.
Finally, some posts will give you zero hours,
essentially extra days off after nights or week-
ends to make you EWTD compliant. If you are
lucky, these are bunched together.
Job Swaps
T
he likelihood is you will have some
posts in your two foundation years that arent
to your liking, either personally or professionally; but the
foundation programme is meant to give you a foundation to
allow you to progress in all areas of medicine, not to prime you
to be a child & adolescent psychiatrist, neonatal cardiologist, or
oncoplastic breast surgeon. Swaps in FY1 are, to all intents and
purposes, impossible. In FY2, however, if a number of conditions
are met, it is possible to swap with another FY2. If you can fnd
another FY2 in the Foundation School, who is willing to swap the
whole FY2 rotation i.e. all three or four posts, and you can both
clear it with your Programme Directors, swaps can be arranged.
The Deanery even runs a Swap Shop to match interested parties. As long
as your swap means that both of you have educationally balanced foun-
dation programmes, by which we mean you have enough opportunity to
cover all areas of the curriculum, the process is straightforward. Where
theres a will, theres a way. If you are keen to swap a FY2 rotation, get
active on the swap shop early, raise it with your educational super-
visor and FTPD, and make sure its all sorted by the deadline: April
in FY1!
Pertinent
Policies
Annual Leave Job swaps FY2 Abroad Study Leave
FY2 Abroad
S
tart early if you want approval to do your FY2 year in
another country: applications have to be in by Feb-
ruary of your FY1 year. Its your responsibility to arrange a
placement that is educationally equivalent to the FY2 post
in the UK, which means demonstrating you are going to
a hospital that can provide high quality training, exposure
to 2 - 4 subspecialties, including at least one acute post,
fnding an educational supervisor locally who would be
willing to commit to our curriculum, opportunities to fulfl
FY2 competencies, and fnally submitting it to the Founda-
tion School Director for approval. It sounds daunting, but
its often easier if you tread a path that has been forged
before, as both the Deanery here and hospital there know
what will be expected.
If you cant arrange a suitable post abroad for FY2,
dont lose heart; it is also possible to take a gap year
between FY1 and FY2, or after FY2.
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Surgery Rheumatology/ Dermatology Trauma and Ortho GP Gastroenterolgy Obs and Gynae
Trauma and Ortho Surgery Rheumatology/ Dermatology Obs and Gynae GP Gastroenterology
Surgery Medicine GP Surgery ENT
Surgery Medicine ENT GP Surgery
Surgery Medicine GP Geriatric Medicine ENT
Surgery Medicine ENT GP Geriatric Medicine
Surgery Medicine Geriatric Medicine ENT GP
Medicine Surgery Trauma and Ortho Neonates GP
Medicine Surgery GP Trauma and Ortho Neonates
Medicine Surgery Neonates GP Trauma and Ortho
Medicine Surgery Psychiatry Emergency Medicine Anaesthetics
Medicine Surgery Anaesthetics Psychiatry Emergency Medicine
Rheumatology/ Dermatology Trauma and Ortho Surgery Public Health Emergency Medicine Surgery
Trauma and Ortho Medicine Surgery Surgery Public Health Emergency Medicine
Surgery Trauma and Ortho Medicine Emergency Medicine Surgery Public Health
Medicine Surgery Trauma and Ortho Emergency Medicine Anaesthetics Psychiatry
GIM and Cardiology Adult Psychiatry Medicine Care of the Elderly Neonates Obs and Gynae
Medicine GIM and Cardiology Adult Psychiatry Obs and Gynae Care of the Elderly Neonates
Adult Psychiatry Medicine GIM and Cardiology Neonates Obs and Gynae Care of the Elderly
Respiratory medicine Old Age Psychiatry Medicine Trauma and Ortho Cardiology Gastroenterology
Medicine Respiratory medicine Old Age Psychiatry Gastroenterology Trauma and Ortho Cardiology
Old Age Psychiatry Medicine Respiratory medicine Cardiology Gastroenterology Trauma and Ortho
GIM and Gastroenterology Geriatric medicine Psychiatry Gen Med/ Geriatrics JR Plastocs JR Head and Neck Onc Churchill
Psychiatry GIM and Gastroenterology Geriatric medicine Head and Neck Onc Churchill Gen Med/ Geriatrics JR Plastics JR
Geriatric medicine Psychiatry GIM and Gastroenterology Plastics JR Head and Neck Onc Churchill Gen Med/ Geriatrics JR
Medicine CDU Intensive Care Gynaecology GP Emergency Medicine Horton Paediatric surgery JR
Gynaecology Medicine CDU Intensive Care Cardiology JR Paediatric surgery JR Public Health
Intensive Care Gynaecology Medicine CDU GP Trauma and Ortho NOC Cardiothoracic surgery JR
General Medicine General Surgery Ortho NOC Geriatric medicine (community) Emergency Medicine Horton
General Medicine General Surgery Emergency Medicine Horton Ortho NOC Geriatric medicine (community)
General Medicine General Surgery Geriatric medicine (community) Emergency Medicine Horton Trauma and Ortho NOC
General Medicine General Surgery Obs and Gynae JR Trauma and Ortho NOC GP
General Medicine General Surgery GP Obs and Gynae JR Trauma and Ortho NOC
General Medicine General Surgery Ortho NOC GP Obs and Gynae JR
General Medicine General Surgery Paediatrics Horton Haemtology Churchill GP
General Medicine General Surgery GP Paediatrics Horton Haemtology Churchill
General Medicine General Surgery Haemtology Churchill GP Paediatrics Horton
General Medicine General Surgery GP Cardiology A&E
General Medicine General Surgery Surgery Obs and Gynae Trauma and Ortho
General Medicine General Surgery Trauma and Ortho Paediatrics Obs and Gynae
General Surgery General Medicine Obs and Gynae Trauma and Ortho
General Surgery General Medicine A&E Respiratory medicine GP
General Surgery General Medicine GP A&E Respiratory medicine
General Surgery General Medicine Obs and Gynae Trauma and Ortho Paediatrics
General Surgery General Medicine Trauma and Ortho Surgery Obs and Gynae
General Surgery General Medicine Respiratory medicine GP A&E
General Surgery General Medicine Acute Medicine Trauma and Ortho Haematology
General Surgery General Medicine Haematology Acute Medicine Trauma and Ortho
General Surgery General Medicine Trauma and Ortho Haematology Acute Medicine
General Surgery General Medicine Trauma and Ortho Community Paediatrics Anaesthetics
General Surgery General Medicine Anaesthetics Trauma and Ortho Community Paediatrics
General Surgery General Medicine Community Paediatrics Anaesthetics Trauma and Ortho
F1 F2
Surgery Medicine Anaesthetics Ophthalmology JR Medicine Horton Psychiatry
Medicine Anaesthetics Surgery Medicine JR Psychiatry Ophthalmology JR
Anaesthetics Surgery Medicine Psychiatry Ophthalmology Medicine Horton
Surgery Medicine Adult Psychiatry Neurosurgery JR GP ENT JR
Adult Psychiatry Surgery Medicine ENT JR Neurosurgery JR GP
Medicine Adult Psychiatry Surgery Head and Neck Onc Churchill Histopathology JR General Medicine JR
Trauma and Ortho Medicine Haematology Obs and Gynae JR Neurology JR Public Health
Surgery Medicine GP Plastics JR Trauma and Ortho JR
Surgery Medicine Trauma and Ortho JR GP Plastics JR
Medicine Surgery Plastics JR Trauma and Ortho JR GP
Medicine Surgery GP Paediatrics Horton Cardiothoracic surgery JR
Medicine Surgery Paediatrics Horton Cardiothoracic surgery JR GP
Medicine Surgery Cardiothoracic surgery JR GP Paediatrocs Horton
Medicine Surgery Community Geriatrics Trauma and Ortho JR Cardiology JR
Surgery Medicine Cardiology JR Community Geriatrics Trauma and Ortho JR
Surgery Medicine Trauma and Ortho JR Cardiology JR Community Geriatrics
Medicine Surgery Neurology JR Public Health Obs and Gynae JR
Medicine Surgery Public health Obs and Gynae JR Neurology JR
Haematology Trama and Ortho Medicine Emergency Medicine Horton Paediatric surgery JR GP
Surgery Medicine Cardiology JR Obs and Gynae JR GP
Surgery Medicine Obs and Gynae JR GP Cardiology JR
Surgery Medicine GP Cardiology JR Obs and Gynae JE
Medicine Surgery General Medicine JR Head and Neck Onc Churchill Histopathology JR
Surgery Medicine Histopathology JR General Medicine JR Head and Neck Onc Churchill
Surgery Medicine Anaesthetics Community Geriatrics Neurosurgery JR Cardiothoracic surgery JR
Anaesthetics Surgery Medicine Cardiothoracic surgery JR Community Geriatrics Neurosurgery JR
Medicine Anaesthetics Surgery Neurosurgery JR Cardiothroacic surgery JR Community Geriatrics
Surgery Medicine Anaesthetics GP ENT JR Neurosurgery JR
Anaesthetics Surgery Medicine Maxillofacial surgery JR Old Age Psychiatry Churchill Neurology JR
Medicine Anaesthetics Surgery Old Age Psychiatry Churchill Neurology JR Maxillofacial surgery JR
Medicine Haematology Trauma and Ortho Neurology JR Maxillofacial surgery JR Old Age Psychiatry Churchill
Oxford
University
Hospitals
Buckinghamshire
Healthcare
Heatherwood
and Wexham Park
Milton
Keynes
Hospital
Royal
Berkshire
Welcome to
the Big Grid
T
his will help you answer the question: What do I want to do and where?
Below is a full list of the rotations the 2012-2014 intake of Founda-
tions doctors were able to pick from. What will 2013-2015 be like? Hon-
estly, we cant say. Populations change, as do the Trusts that serve them.
What we can tell you is that these represent the typical mix and number of
posts and locations within the Deanery to allow every trainee the access
they need to clinical, research, teaching and management opportunities,
and that wont fundamentally alter over the next year.
When you apply to the Oxford Deanery, once you recieve a place for
Foundation training, a new updated selection of rotations to rank will come
your way, and despite any variations, we hope you will fnd useful the next
part of the prospectus which explains what each post really entails.
The needs of our patients are constantly evolving, and we can be sure
things will change, but below is a fair favour of what you could be choosing
from for 2013-2015.
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Medicine JR Surgery JR Intensive Care medicine A&E Surgery
Medicine JR Surgery JR Obs and Gynae Trauma and Ortho Medicine
Medicine JR Surgery JR Medicine Obs and Gynae Trauma and Ortho
Medicine JR Surgery JR Trauma and Ortho Medicine Obs and Gynae
Surgery JR Medicine Horton Adult Psychiatry Abingdon Gastro/ Rheum GP Surgery
Adult Psychiatry Abingdon Surgery JR Medicine Horton Surgery Gastro/ Rheum GP
Medicine Horton Adult Psychiatry Abingdon Surgery JR GP Surgery Gastro/ Rheum
Urology Churchill GIM and Geriatrics Horton Anaesthetics and ITU Horton Cardiology A&E GP
Anaesthetics and ITU Horton Urology Churchill GIM and Geriatrics Horton A&E GP Cardiology
GIM and Geriatrics Horton Anaesthetics and ITU Horton Urology Churchill Diabetes A&E Rehab medicine
Ortho with Academic NOC Paediatrics JR Anaesthetics and ITU JR Rehab medicine Diabetes A&E
Anaesthetics and ITU JR Ortho with Academic NOC Paediatrics JR A&E Rehab medicine Diabetes
Paediatrics JR Anaesthetics and ITU JR Ortho with Academic NOC Obs and Gynae A&E GP
Anaesthetics and ITU JR Bone Infection Unit NOC Clinical Oncology Churchill GP Obs and Gynae A&E
Clinical Oncology Churchill Anaesthetics and ITU JR Bone Infection Unit NOC A&E GP Obs and Gynae
Bone Infection Unit NOC Clinical Oncology Churchill Anaesthetics and ITU JR Gastroenterology Obs and Gynae GP
Surgery Care of the Elderly Paediatrics Emergency Medicine Horton Trauma and Ortho NOC GP
Paediatrics Surgery Care of the Elderly GP Emergency Medicine Horton Trauma and Ortho NOC
Care of the Elderly Paediatrics Surgery Trauma and Ortho NOC GP Emergency Medicine Horton
Surgery Gastroenterology Trauma and Ortho Cardiothoracic surgery JR Old Age Psychiatry Emergency Medicine Horton
Trauma and Ortho Surgery Gastroenterology Emergency Medicine Horton Cardiothoracic surgery JR Old Age Psychiatry
Gastroenterology Trauma and Ortho Surgery Old Age Psychiatry Emergency Medicine Horton Cardiothoracic surgery JR
Surgery Renal medicine Care of the Elderly Cardiology JR Geriatric medicine JR ENT JR
Care of the Elderly Surgery Renal medicine ENT JR Cardiology JR Geriatric medicine JR
Renal medicine Care of the Elderly Surgery Geriatric medicine JR ENT JR Cardiology JR
Surgery Care of the Elderly Urology GP Paediatrics JR Trauma and Ortho JR
Urology Surgery Care of the Elderly Trauma and Ortho JR GP Paediatrics JR
Care of the Elderly Urology Surgery Paediatrics JR Trauma and Ortho JR GP
Surgery Renal medicine Rheumatology General Medicine JR GP Chemical Pathology JR
Rheumatology Surgery Renal medicine GP Chemical Pathology JR General Medicine JR
Renal medicine Rheumatology Surgery Chemical Pathology JR General Medicine JR GP
Surgery Care of the Elderly Trauma and Ortho ENT Neonatology GP
Trauma and Ortho Surgery Care of the Elderly GP ENT Neonatology
Care of the Elderly Trauma and Ortho Surgery Neonatology GP ENT
Surgery Gastroenterology Respiratory medicine A&E Neonates GP
Respiratory medicine Surgery Gastroenterology GP A&E Neonates
Gastroenterology Respiratory medicine Surgery Neonates GP A&E
Academic Geriatric medicine Surgery Psychiatry A&E Clinical Haem/ Path/ Radiol Respiratory medicine
Surgery Psychiatry Academic Geriatric medicine Clinical Haem/ Path/ Radiol Respiratory medicine A&E
Psychiatry Academic Geriatric medicine Surgery Respiratory medicine A&E Clinical Haem/ Path/ Radiol
Surgery Diabetes and Endocrinology Anaesthetics Acute medicine A&E Palliative medicine
Anaesthetics Surgery Diabetes and Endocrinology Palliative medicine Acute medicine A&E
Diabetes and Endocrinology Anaesthetics Surgery A&E Palliative medicine Acute medicine
Urology Respiratory medicine Paediatrics Surgery ENT GP
Respiratory medicine Paediatrics Urology GP Surgery ENT
Paediatrics Urology Respiratory medicine ENT GP Surgery
Care of the Elderly Trauma and Ortho Rheumatology Obs and Gynae Platics GP
Trauma and Ortho Rheumatology Care of the Elderly GP Obs and Gynae Plastics
Rheumatology Care of the Elderly Trauma and Ortho Plastics GP Obs and Gynae
Care of the Elderly Urology Oncology Diabetes Emergency medicine Palliative care/ Rheum/ Rehab
Urology Oncology Care of the Elderly Palliative care/ Rheum/ Rehab Diabetes Emergency medicine
Oncology Care of the Elderly Urology Emergency medicine Palliative care/ Rheum/ Rehab Diabetes
F1 F2
Surgery JR Medicine JR Paediatric surgery JR A&E Trauma and Ortho Geriatric medicine
Paediatric surgery JR Surgery JR Medicine JR Trauma and Ortho Geriatric medicine A&E
Medicine JR Paediatric surgery JR Surgery JR Geriatric medicine A&E Trauma and Ortho
Surgery JR Medicine JR Paediatric surgery JR Trauma and Ortho Gastroenterology GP
Paediatric surgery JR Surgery JR Medicine JR GP Trauma and Ortho Gestroenterology
Medicine JR Paediatric surgery JR Surgery JR Gastroenterology GP Trauma and Ortho
Surgery JR Medicine JR Paediatric surgery JR GP Spinal medicine Respiratory medicine
Paediatric surgery JR Surgery JR Medicine JR Respiratory medicine GP Spinal medicine
Medicine JR Paediatric surgery JR Surgery JR Spinal medicine Respiratory medicine GP
Surgery Horton Medicine Horton Immunology JR Paediatrocs Rheumatology A&E
Immunology JR Surgery Horton Medicine Horton A&E Paediatrics Rheumatology
Medicine Horton Immunology JR Surgery Horton Rheumatology A&E Paediatrics
Medicine JR Surgery JR Paediatrics Obs and Gynae Trauma and Ortho
Medicine JR Surgery JR GP Geriatric medicine ENT
Medicine JR Surgery JR ENT GP Geriatric medicine
Medicine JR Surgery JR Geriatric medicine ENT GP
Medicine JR Surgery JR Spinal medicine Diabetes GP
Surgery JR Medicine JR GP Spinal medicine Diabetes
Surgery JR Medicine JR Diabetes GP Spinal medicine
Surgery JR Paediatrics JR Anaesthetics and ITU JR GP Obs and Gynae ENT
Anaesthetics and ITU JR Surgery JR Paediatrics JR ENT GP Obs and Gynae
Paediatrics JR Anaesthetics and ITU JR Surgery JR Obs and Gynae ENT GP
Medicine Horton Adult Psychiatry Warneford Urology Churchill Trauma and Ortho Geriatric medicine A&E
Urology Churchill Medicine Horton Adult Psychiatry Warneford A&E Trauma and Ortho Geriatric medicine
Adult Psychiatry Warneford Urology Churchill Medicine Horton Geriatric medicine A&E Trauma and Ortho
Surgery JR Medicine Horton Public Health Surgery Trauma and Ortho Geriatric medicine
Public Health Surgery JR Medicine Horton Geriatric medicine Surgery Trauma and Ortho
Medicine Horton Public Health Surgery JR Trauma and Ortho Geriatric medicine Surgery
Surgery Horton Medicine Horton Ortho with academic NOC Acute Medicine Obs and Gynae A&E
Ortho with academic NOC Surgery Horton Medicine Horton Obs and Gynae A&E Acute Medicine
Medicine Horton Ortho with academic NOC Surgery Horton A&E Acute Medicine Obs and Gynae
Surgery JR Medicine JR Cardiology Paediatrics Obs and Gynae
Surgery JR Medicine JR Paediatrics Obs and Gynae Cardiology
Surgery JR Medicine JR Obs and Gynae Cardiology Paediatrics
Surgery JR Medicine JR Gastroenterology A&E Obs and Gynae
Surgery JR Medicine JR A&E Obs and Gynae Gastroenterology
Surgery JR Medicine JR Obs and Gynae Gastroenterology A&E
Surgery JR Medicine JR Trauma and Ortho Respiratory medicine Psychiatry
Surgery JR Medicine JR Respiratory medicine Psychiatry Trauma and Ortho
Surgery JR Medicine JR GP A&E Obs and Gynae
Surgery JR Medicine JR Obs and Gynae GP A&E
Surgery JR Medicine JR A&E Obs and Gynae GP
Surgery JR Medicine JR Suregy ENT GP
Surgery JR Medicine JR Psychiatry Respiratory medicine Trauma and Ortho
Medicine JR Surgery JR Geriatric medicine Neonatology GP
Medicine JR Surgery JR GP Geriatric medicine Neonatology
Medicine JR Surgery JR Neonatology GP Geriatric medicine
Medicine JR Surgery JR A&E ENT Neonatology
Medicine JR Surgery JR ENT Neonatology A&E
Medicine JR Surgery JR Neonatology A&E ENT
Medicine JR Surgery JR Surgery Intensive Care medicine A&E
Surgery JR Medicine JR A&E Surgery Intensive Care medicine
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Care of the Elderly Trauma and Ortho Psychiatry Plastics JR Urology Churchill Oncology Churchill
Trauma and Ortho Psychiatry Care of the Elderly Oncology Churchill Plastics JR Urology Churchill
Psychiatry Care of the Elderly Trauma and Ortho Urology Churchill Oncology Churchill Plastics JR
Surgery Cardiology Urology Psychiatry ENT JR Emergency Medicine JR
Urology Surgery Cardiology Emergency Medicine JR Psychiatry ENT JR
Cardiology Urology Surgery ENT JR Emergency Medicine JR Psychiatry
Surgery Cardiology Anaesthetics Community Geriatrics Neuro ICU JR Urology/ Transplant Churchill
Anaesthetics Surgery Cardiology Urology/ Transplant Churchill Community Geriatrics Neuro ICU JR
Cardiology Anaesthetics Surgery Neuro ICU JR Urology/ Transplant Churchill Community Geriatrics
Gen Surg/ Urology Traume and Ortho Medicine A&E Palliative medicine Obs and Gynae
Gen Surg/ Urology Traume and Ortho Medicine Obs and Gynae A&E Palliative medicine
Gen Surg/ Urology Traume and Ortho Medicine Palliative medicine Obs and Gynae A&E
Trauma and Ortho Gen Surg/ Urology Medicine Traume and Ortho Gastroenterology GP
Trauma and Ortho Gen Surg/ Urology Medicine Gastroenterology GP Trauma and Ortho
Trauma and Ortho Gen Surg/ Urology Medicine GP Trauma and Ortho Gastroenterology
Medicine Gen Surg/ Urology Trauma and Ortho Surgery A&E GP
Medicine Gen Surg/ Urology Trauma and Ortho GP Surgery A&E
Medicine Gen Surg/ Urology Trauma and Ortho A&E GP Surgery
Medicine Trauma and Ortho Gen Surg/ Urology Community Geriatrics Paediatric surgery JR Haematology Churchill
Medicine Trauma and Ortho Gen Surg/ Urology Haematology Churchill Community Geriatrics Paediatric surgery JR
Medicine Trauma and Ortho Gen Surg/ Urology Paediatric surgery JR Haematology Churchill Community Geriatrics
Gen Surg/ Urology Traume and Ortho Medicine Intensive Care JR ENT JR Psychiatry
Gen Surg/ Urology Traume and Ortho Medicine Psychiatry Intensive Care JR ENT JR
Trauma and Ortho Gen Surg/ Urology Medicine ENT JR Psychiatriy Intensive Care JR
Trauma and Ortho Gen Surg/ Urology Medicine Emergency Medicine GP Haemophilia Churchill
Medicine Gen Surg/ Urology Trauma and Ortho Haemophilia Churchill Emergency Medicine Horton GP
Medicine Gen Surg/ Urology Trauma and Ortho GP Haemophilia Churchill Emergency Medicine Horton
Medicine Trauma and Ortho Gen Surg/ Urology Renal medicine Churchill Geriatric medicine JR Maxillofacial surgery JR
Medicine Trauma and Ortho Gen Surg/ Urology Maxillofacial surgery JR Renal medicine Churchill Geriatric medicine JR
Medicine Gen Surg/ Urology ID and Respiratory Public Health Cardiology JR Paediatric surgery JR
Medicine ID and Respiratory Gen Surg/ Urology Paediatric surgery JR Public Health Cardiology JR
Gen Surg/ Urology ID and Respiratory Medicine Geriatric medicine JR Maxillofacial surgery JR Renal medicine Churchill
ID and Respiratory Gen Surg/ Urology Medicine Paediatrics JR Neurosurgery JR Trauma and Ortho JR
Gen Surg/ Urology Medicine Infectious Diseases Trauma and Ortho JR Paediatrics JR Neurosurgery JR
Infectious Diseases Gen Surg/ Urology Medicine Neurosurgery JR Trauma and Ortho JR Paediatrics JR
Medicine Infectious Diseases Gen Surg/ Urology Paediatric surgery JR GP Emergency Medicine Horton
Neonates and Paediatrics Medicine Cardiothoracic surgery JR GP Trauma and Ortho NOC
Medicine Neonates and Paediatrics Orthopaedics NOC Cardiothoracic surgery JR GP
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300/month but poor quality. All rooms

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