Terence Mortimer Education CentreHorton General HospitalOxford RoadBanburyOxfordshire, OX16 9ALTel: 01295 229314
These are summaries of our hospital rotations written by our current trainees as well as learning outcomes for each post. The details are correct at the time of writing but are subject to change.
This post is split into 3 months Ambulatory Medicine (see below) and 3 months Medicine (see medicine in hospital rotations). Working with a variety of Medical Consultants. Daily review of day hospital patients. Regular review of patients on emergency assessment unit (EAU). Daily rapid access clinic patients referred from GPs. Clerking of new ambulatory referrals.
This is an acute medicine job managing patients who need secondary care investigations and treatment but don't need admission to a hospital bed. You will clerk new referrals from GPs and sometimes from ED. Patients return over a number of days for further tests and treatments so it's a bit like having a virtual ward. There are also follow-up reviews of patients recently discharged from the wards and EAU.
The evening shifts in EAU are clerking on the medical take.
The weekend shifts are primarily based on the medical wards. There will be a list of patients needing more senior review over the weekend. You will also support the F1 covering the wards. If time allows you will also clerk on EAU.
Rowan Ambulatory Unit
The Horton General Hospital, Banbury
Normal working days of 8 hours with varied start times between 8am and 10am agreed with other team members.
One late shift (5-10pm) on EAU per week (1 in 5).
Weekend ward cover 9am-7pm on one in five rota.
When needed liaise closely with radiology, cardiac investigations and specialist consultants. This can ensure better outcomes for patients, avoid admissions and also give you lots of advice and tips about managing cases.
This was a very busy job but it was also good fun and I learnt a lot. Many of the cases are just beyond the management options of primary care so it's still very relevant for GP training and helps you to see things which could have been done differently or earlier which might have avoided the need to refer to secondary care.
There is always consultant cover but you have the opportunity to work very independently forming management plans and discharging patients so it’s really important to be confident but also to know your limitations.
The details are correct at the time of writing but are subject to change.
The majority of the time is spent in out-patients clinics which are a great opportunity for learning.
The team is also responsible for the care of a small number of dermatology inpatients.
There are daily minor operations lists which give you the opportunity to learn practical skills.
Time is allocated in the rota for administration.
GP trainees also take part in the general medical on call rota covering the Churchill Hospital.
The Churchill Hospital, Oxford (mainly), the John Radcliffe Hospital, Oxford (Friday paediatric clinic) and the Horton General Hospital, Banbury (Mondays).
1 Long day per week.
1 Week of nights in approximately 4 months.
2 Weekends in approximately 4 months
On call evenings - cover ID, respiratoryOn call nights - cover ID, respiratory, endocrinology and renal
Many opportunities for learning through consultant teaching in clinics.
Minor surgery skills.
Teaching for half an hour 2-3 times each week focused on trainee learning. Including Friday morning case based learning and Tuesday lunchtime meetings and presentations.
Excellent consultants, very willing to teach.
Lots of clinical experience very relevant to general practice.
Very organised department
Dermatology is very specialised so starting as a trainee with no previous experience can be challenging with a steep learning curve initially.
You do a mixture of majors and minors
There is the opportunity to do procedures
There is very good senior support from registrars and consultants
There is a daily 4pm team meeting handover meeting
Shift patterns for emergency medicine are currently under review - details TBC.
Lots of teaching including protected trainee teaching every week Friday mornings 9-12am which includes ED, paediatrics and radiology.
Well supported emergency unit
A nice environment to work in, very sociable
Predominantly ward SHO work
On calls days and nights are spent in EAU clerking new admissions
Weekend on calls spend on EAU or rarely on the ward
Laburnum ward specialises in cardiology and CVAs, Juniper ward in ID and gastroenterology. The medical short stay ward is for general medicine and is attached to EAU. Over a six month period you will rotate through each ward. You will cover one team per ward.
10 week rotation
Fixed annual leave as part of the rota
Approximately 1 in 5 weekends worked - either day or night
Approximately 1 in 6 on calls
Long shifts/on calls are 13 ½ hours Weekends on call mean 12 days in a row
Nights are split across four weeks with post nights recovery and annual leave between weekend and week of nights. This means you do weekend nights then have almost two weeks off prior to starting weekday nights.
There is general medical teaching for trainees once a week
There is the opportunity to attend clinics but this needs to be organised to ensure day to day duties are covered
Lots of pathology
Recurrent exposure to common medical problems that will be seen in GP leads to confidence building
Friendly teams, friendly consultants, small community
Rotations around the different wards varies exposure
Sometimes it can be difficult to attend teaching or clinics due to ward commitments
Balancing on call and ward duties can be challenging. It can be difficult to get out on time.
Swapping shifts is difficult
Rarely have full team due to rota for on calls and annual leave.
Community obs and gynae placement. Variety of labour ward, post-natal ward, gynae ward, early pregnancy unit, antenatal clinic, GP gynae clnics, hospital gynae clinics, GUM clinics. Also opportunities for other opportunities depending on interest - pelvic pain clinic, breast clinic, theatre
Horton General Hospital, Banbury
John Radcliffe Hospital, Churchill Hospital Oxford
Orchard Health Centre, Banbury
Three local GP surgeries (Shipton under Wychwood, Shipston upon Stour and Chipping Norton Health Centre)
No nights or weekends. The daytime shifts may vary in length and start and finish time.
The wide variety of opportunities – means you can really make the most of the placement
Practical aspects – lots of procedures and hands on experience available The chance to work in different GP practices and see how they vary.
You can be doing gynae one day and then family planning clinic the next
Stay organised and focused to make sure you make the most of the opportunities!
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