12 different healthcare professionals (for Mini PAT) and 10 different healthcare professionals (for TAB) including the Educational Supervisor
different clinicians for each
different healthcare professionals for each
different clinicians for each
3. Meetings with Trainees
You need to meet with each trainee 3 times during a rotation, at the beginning, mid-point and at the end.
Initial Meeting (all page numbers refer to the learning portfolio)
check the trainee has received a local induction, all documentation, including clinical competency checklists have been completed and induction recorded on STARS
discuss the trainees self-appraisal form (p 9) career intentions, learning needs, how these will be developed and agree the personal development plan - PDP(p 11)
Agree and sign the educational agreement (p17)
c) discuss the types of evidence the trainee might collect for their portfolio to demonstrate they have achieved competency. Agree what assessment methods will be used to evaluate whether the trainee is achieving the competencies (i.e. DOPS, Mimi-CEX, Mini-PAT, CBD) and write this up on the induction meeting form (p18).
provide support to the trainee.
review the trainees progress and provide support to them for the development of
ensure trainees are engaging in the assessments process, have completed an appropriate number and range of assessments and they are achieving the competencies.
Check attendance at educational opportunities
complete the mid-point review form (p19)
Final Review Meeting
examine the assessments undertaken and reflective practice recorded (p22) and compare against the PDP.
Re-visit the self-appraisal form (p9), self-appraisal of learning form (p23) and discuss how competence has developed.
Discuss any concerns and areas for further development .e. additional work and assessment to address shortcomings in performance in next placement, including any additional assessment required.
Inform the FTP Director if any concerns have been highlighted.
e) Complete the end of placement final review form (p20)
4. 4. Doctors in Difficulty If you have any concerns about trainees, please discuss these with the Foundation Training Programme Director(s).
Section 2 - Foundation Programme Organisational Structure
Responsible for administration for the 2 year foundation programme
Some admin support for the F1 year
Ext 72 5764
Firms 1 to5
Overall responsibility for the education and development of foundation trainees allocated to the specialty.
Ext 4370 / Sec. Ext 3519
Firms 1 to5
Ext 4437 / Sec Ext 4801
Firms 1 to5
Ext 4428 / Sec Ext 3339
Sec Ext 1306
Sec Ext 1728
Prof. Anne Greenough
Sec Ext: 3037
Medicine Firm 1
Ext 6142 / Sec Ext 6058
Medicine Firm 1
Medicine Firm 1
Sec Ext 6085
Prof. A McGregor
Medicine Firm 2
Medicine Firm 2
Ext 4585 / Sec Ext 2997
Medicine Firm 2
Ext 1352 / Sec Ext 1735
Tel No: 020 7716 7060
Modernising Medical Careers - Foundation Training Programme Guidance for Speakers Background
‘Modernising Medical Careers’ begins across the country in August this year. Doctors coming out of medical school will take part in a two year Foundation Programme; the first year, equivalent to the PRHO year, will to be called F1 and the second, F2.
The Foundation Programme has a Curriculum (www.mmc.nhs.uk) which has much to commend it and gives trainees and their trainers a pretty clear picture of what the trainees should know and be able to do by the end of F1 and then F2. Regular assessment of trainees’ competences is a key feature of the Foundation Programme.
Teaching for Foundation Year 1
The Tuesday lunchtime teaching programme for the coming year has been specifically drawn from the Foundation curriculum. The principal objectives of the F1 year are care of the acutely ill patient and generic skills. The focus of acute care is symptom based rather than disease based; this seems appropriate as on the whole PRHO’s are bleeped to “please see this patient with chest pain, confusion etc.” rather than “please manage this patient’s asthma, bowel obstruction etc.”.
Preparing your Teaching Session
We are very keen the teaching sessions should be as interactive as possible and not too lecture-like; in theory they should have had plenty of those at medical school.
We would tentatively suggest the use of real or imaginary scenarios that you could go through with the whole group (38 F1s in total) or ask them to discuss the scenarios in small groups initially and then open it up for whole group discussion.
Prescribing is a vital task for PRHO’s and we would ask you to include basic drugs and their doses whenever appropriate in your teaching session.
Include relevant bits of generic knowledge and skills from the curriculum which apply generally to acute care (see overleaf).
GENERIC KNOWLEDGE AND SKILLS FOR ACUTE CARE (from section 7.1 of the Foundation Curriculum)
Common presenting symptoms and signs of acute illness including breathlessness, hypoxaemia, hypotension, oliguria, chest or abdominal pain, nausea, vomiting, headache, and confusion or coma.
Frequently occurring causes of the above.
Clinical interpretation of acutely abnormal physiology with a clear understanding of the boundaries of normality.
Identify, assess, and initiate treatment in critically ill patients appropriate to the site of care (e.g. hospital, home, GP surgery).
Promptly assess the airway, breathing and circulation in the collapsed patient.
Establish venous access with attention to infection control measures.
Deliver a fluid challenge safely to acutely ill patients to optimise cardiac output.
Document acutely abnormal physiology.
Reassess acutely ill patients within an appropriate period following initiation of treatment.
Undertake a focused history and examination to establish a differential diagnosis including difficult circumstances.
Select appropriate initial investigations to explore the differential diagnosis.
Request senior or more experienced help when appropriate.
Succinctly present the relevant clinical details of an acutely ill patient to a senior doctor.
Communicate effectively with other specialties when appropriate.
Ensure own safety and that of team members as well as the patient when dealing with disturbed patients.
Post Title: Pre-Registration House Officer (12 Month Rotation Post)
Grade: F1 Doctor
Rotations: 3 x 4 Month Rotation ( GP attachment only) or
4 x 3 Month Rotation
Departments: General Medicine (Firm M1 & M2)
General Surgery (Firms S1, S2, S3, S4 & S5)
Location: King's College Hospital NHS Trust
Hours/Rota: Banding as at start date of contract
King's College Hospital NHS Trust (www.kingsch.nhs.uk)
King's College Hospital NHS Trust provides healthcare and emergency services for a cosmopolitan and ethnically diverse community in South East London which accounts for 70% of its work. It is also a major academic centre with close links to King's College University of London under whose auspices the new Medical and Dental Schools, known as the Guy's King's and St. Thomas' Hospitals Schools of Medicine and Dentistry, came into being on 1st August 1998. This union has heralded the many changes which will take place over the next few years within education and research which in turn will have some effect upon the service. The opportunity is to create a world class medical centre between King's College and the two teaching hospital Trusts.
King's College Hospital is renowned for those specialties which attract referrals from all over the United Kingdom and abroad, and also supports leading edge research and an undergraduate medical school. Examples of such specialist work include liver (with the largest liver transplant programme in Europe), renal and cardiac services, and pioneering work in neonatal medicine and diabetes. King's College Hospital also encompasses the Neurosciences Centre for South East England. However King's provides vital and extensive acute hospital services to the residents of S.E. London and this element has always been the bedrock of teaching and research programmes.
King's College Hospital employs some 4,200 people and currently has two inpatient sites - at Denmark Hill and Mapother House.
The Trust's mission statement is: "Achieving Excellence in Patient Care" Department of Postgraduate Medical & Dental Education
The Department of Postgraduate Medical & Dental Education has overall responsibility for ensuring the provision of education and training for postgraduate doctors and dentists within King’s meets the educational standards as prescribed by the SELWDC & London Deanery. The department delivers a wide range of generic courses which are popular and free to King's doctors and dentists, manages junior doctors study leave, organises protected teaching sessions for foundation programme doctors, manages the induction process for doctors & dentists as well as have responsibility for a number of other key educational functions.
KCL Library & Information Services Centre
The information service centre at King's is open Monday to Saturday and has study desks, photocopiers, TV/video players, microfilm reader/printer, scanner and a hot drinks machine. In addition, the ISC has subscription to 252 print journals, a further 4,850 full text electronic journals and holds approximately 20,500 books. There are also 67 computers linked to KCL network with Microsoft office packages, EMBASE, Medline and PsycINFO. Internet access is also available.
1. JOB SUMMARY
This approved training post provides a range of practical and educational opportunities for the first year of a two year foundation programme. The postholder will develop a variety of generic and acute care competencies that focus upon the appropriate skills, knowledge and attitudes required in order to ensure high quality & safe care is experienced by every patient. Achievement of these competencies will be further developed during the second year of the foundation programme.
The postholder will be required to attend medical induction on their first day of employment and receive a local induction and orientation on the first day to each attachment.
The postholder will rotate through 3 to 4 of the attachments listed below (please see appendix one for details of individual posts and rotations).
2. ATTACHMENTS AND CORE DUTIES & RESPONSIBILITIES a) Medicine The medical care group is currently undergoing organisational change and the existing 3 firm structure will move to 2 firms. It is hoped that all new arrangements are finalised by April 2005 but consultants will work in the following firms:
General Medicine Firm 1 (General Medicine, Healthcare of the Elderly, Rheumatology & Respiratory)
You will work with one or more of these consultants:
Dr Barker/Dr Gray/Dr Blackburn/Professor Moxham/Professor Jackson/Dr Lyall/Dr Bryant/Dr Cormican/Dr Gordon
Duties: The postholder will be expected to clerk patients admitted on emergency take days, manage patients' medical illnesses under supervision, assess medical patients arriving in A&E under supervision, request investigations / treatments for patients, take patients' histories and carry out routine patient examinations, communicate with patients, attend and undertake ward rounds as required, provide cover for colleagues in an emergency and when on annual / study leave, participate in the training of medical students attached to the Firm, provide discharge summaries etc. to promote good liaison with General Practitioners, liaise with patients' relatives and provide on-call services as required.
(Posts 4, 6, 10 & 13)
Duties: The postholder will be expected to assist the Paediatric SHOs, manage children attending A&E, present cases on ward rounds, organise investigations and treatment of children on wards, clerk children prior to elective surgery and prepare theatre lists, write discharge letters/prescriptions when children are discharged, communicate with parents on the ward, attend and contribute to ward meetings and provide some on-call.
Intensive Care Unit
(Posts 7, 8, 11 & 19)
Duties: The postholder will be expected to attend daily wards rounds, under close supervision carry out diagnosis and treatment planning, participate in data collection and processing, use electronic patient database and acquire the basic clinical skills for ICU.
Dr Hopkin-Jones - Keston House Surgery, Purley (Posts 1, 2 & 3)
Duties: The postholder will be expected to take surgeries after appropriate induction, deal with patients who have chronic and terminal conditions, carry out home visits, provide out of hours care with a GP Principal, discuss cases following all consultations and experience all clinical work of the practice.
b) Surgery Firm 1
Mr Roberts/Mr Schulte/Ms Marsden. - General Surgery with an interest in Breast & Endocrine Surgery
(Posts 23, 34, 36, 37 & 38)
Mr Jones/Mr Rashid/Mr Edmondson/Mr Baskerville - Vascular Surgery
(Posts 4, 5, 6, 7, 8, 9 & 10)
Mr Bowles/Mr Patel/Ms Psalia - General Surgery with an interest in Hepatobiliary, Pancreatic & Laparoscopic Surgery
(Posts 5, 9, 20, 23, 24, 26, 37 & 38)
Duties: The postholder will be expected to take patients' histories and carry out routine patient examinations, communicate with patients', provide day to day medical care under supervision, clerk patients admitted on emergency take days, run pre-assessment clinics, prepare and submit theatre lists, participate in in-patient and day surgery operating lists, request investigations / treatments for patients, attend and undertake ward rounds as required, provide cover for colleagues in an emergency and when on annual / study leave, participate in the training of medical students attached to the Firm, provide discharge summaries etc. to promote good liaison with General Practitioners, liaise with patients' relatives, provide on-call services as required and participate in data collection and processing
3. LEARNING OBJECTIVES During the year you will be given appropriate opportunities in order to develop and achieve each of the competencies identified below to F1 level (see foundation curriculum). This will be necessary in order to progress to Year 2 of the Foundation Programme