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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 11am and varied finish times between 4pm and 7pm. Start and finish times are agreed together with the team - you are a constant member of the team and so are in charge of coordinating the weekly rota.
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 renal and palliative care at 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.
Approximately 8 sets of weekday / weekend nights and weekend long days in 6 months
On call evenings, nights and weekends are covering renal and palliative care at the Churchill Hospital.
Top tips for extra opportunities (e.g. teaching / skills )
Many opportunities for learning through consultant teaching in clinics.
Minor surgery skills.
Teaching 2-3 times each week focused on trainee learning. Including Tuesday morning 8am tutorials and Tuesday afternoon 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.
If a trainee is away you can end up covering all the tumour clinics and therefore not be able to go to other clinics during this time.
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
The rota follows a 1 in 6 pattern:
Week 1 - Monday-Thursday nights 2200-0830.
Week 2 - Monday, Tuesday early shifts 0800-1700, Wednesday zero day, Thursday late shift 1600-0100, Friday-Sunday nights.
Week 3 - Wednesday-Friday early shifts.
Week 4 - Monday, Tuesday late shift, Wednesday, Thursday zero days, Friday-Sunday late shifts.
Week 5 - Monday zero day, Tuesday-Friday early shifts.
Week 6 - Monday-Thursday late shifts, Friday mid shift 1200-2200.
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
The rota coordinators are really flexible and helpful in organising leave
Usually a high intensity of work
The rota can be tiring if you don't use your leave effectively!
Predominantly ward SHO work
On calls days and nights are spent in EAU clerking new admissions
Weekend on calls spent 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
Approximately 1 in 5 weekends worked - either day or night
Approximately 1 in 6 on calls
Long shifts/on calls are 13 ½ hours Nights are split so that you do weekend nights, then post nights recovery, then a float week which often people take annual leave, followed by weekday nights. This can mean 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
Book leave early!
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
Rotation around the different wards varies exposure
Lack of continuity and working with different colleagues frequently - makes handover very important
High turnover of patients
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, early pregnancy unit, antenatal clinic, GP gynae clnics, hospital gynae clinics, GUM clinics, theatres and hysteroscopy.Also opportunities for other opportunities depending on interest - pelvic pain clinic, breast clinic.
Horton General Hospital, Banbury
John Radcliffe Hospital, Churchill Hospital Oxford
Shaw Clinic, High Wycombe
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.
Covers a lot of different areas e.g. obstetrics, antenatal, general gynaecology, urogynae, GUM.
Practical aspects – lots of procedures and hands on experience available.The chance to work in different GP practices and see how they vary.
Very relevant to GP as primary care centred.
Easy to take annual leave.
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!
This means there is lots of travelling to different places.