Hospital Rotations

GP VTS St1-2 hospital posts

IAPT

  • No on calls
  • Multidisciplinary working
  • Good insight into another healthcare sector
  • Great CBT opportunities including Live Well, long term conditions, group sessions
  • Can learn to help deliver computerised, telephone and face to face guided self help
  • Community OPA 1-5 days per week

BNRU

  • Based at Amersham
  • Inpatient neuro rehab unit
  • Involves looking after in patients with 2 consultants
  • Good MDT working
  • Cardiology, rheumatology and neuro clinics are held weekly and are a good source of GP focussed learning
  • General and rheumatology teaching is very good
  • A well supported job. Useful for GP in a friendly environment

Psychiatry

  • Based at Whiteleaf centre, Aylesbury or Valley Centre, Wycombe
  • On calls are at Whiteleaf
  • Placements include old age, community, acute and general adult psychiatry
  • Good exposure to drugs including side effects and monitoring, drug and alcohol services, assessment and management of acute presentations
  • Useful exposure to OOH problems.

Derm/ Rheum

  • Time is divided between both jobs
  • Unbanded. All at Stoke Mandeville
  • Derm: time in clinics and minor ops, lots of practical support. 2 ward rounds per week, responsible for helping junior colleagues
  • Rheum: mostly clinic based, good learning opportunities, includes xray meetings and rheumatology meetings. Good practical skills teaching including joint injections
  • An audit is expected and presented
  • Well supportive team.

Palliative Care

  • Hospice based on Stoke Mandeville site
  • Integrated with ½ day per week in GP and in ENT clinic
  • On call from home 1 per week and 1:5 weekends
  • Very well supported and organised
  • Journal club and teaching
  • Experience in lymphoedema clinic and day hospice
  • Fully banded but flexible
  • Highly recommended

Obstetrics and Gynaecology

  • Stoke Mandeville for clinics, day surgery at Wycombe general
  • Obs: labour ward, antenatal admissions, obstetric emergencies. Antenatal clinics, post natal ward cover. Am and pm shifts.
  • Gynae: ward cover, clinics and theatre
  • On calls: 1 : 4 weekends
  • Twilight shifts Monday- Thursday 1-8 once a month + nights
  • Teaching: weekly SpR. Monthly educational half day. Perinatal mortality meetings, audit is required

Accident and Emergency

  • Based at SMH
  • Resus, minors, majors and paediatric assessment. You will work across all areas. Minors is usually covered by ENPs
  • Variety of shifts
  • 2-3 weekends per month
  • Protected teaching time weekly
  • Good practical skills learning opportunities
  • Well supported department.

Paediatrics

  • Divided between neonates and general paeds
  • Neonates: attend NICU, high risk deliveries. Useful for learning about baby checks and identifying the sick neonate
  • General: divided between wards, clinics and community
  • Good senior support
  • During community paeds 1 week is spent on ward 7 WGH paediatric day unti
  • Shift based jobs
  • Journal club and weekly teaching

Stroke

  • CSRU – acute day cases only. Very good job – acute cardiac cases and stroke (regional stroke centre).
  • Two stroke wards – rehab and acute ward.
  • Lots of experience managing stroke and its complications.
  • Also work along with stroke rehab.
  • On-calls – one in four, well supported by reg/consultant. Cover cardiology as well as stroke (no F1 over night)
  • Weekly student directed teaching

Diabetes 

  • General medical job (SMH)
  • Unbanded (no on calls)
  • F1 and F2 on ward (big team) – 30+ patients – dedicated ward.
  • Limited clinic exposure but lots of experience on the wards.
  • Weekly hospital teaching and grand round

MFoP

  • Based at SMH
  • Red team ward 8 (Dr Yau/ Dr Hasan)
  • Blue team ward 9 (Dr Durkin/ Dr Frang)
  • 3 months unbanded
  • 3 months banded – oncalls (ward cover and medical take clerking in A&E)
  • 1 week of nights in 6 months
  • 3 weekends in 6 months (2 days 1 nights)
  • Red team – consultant ward rounds 2-3 times per week
  • Blue team – 1-2 consultant ward rounds per week
  • Friday lunchtime teaching MFoP
  • Wednesday morning general medicine teaching 8.30 start in postgrad centre
  • Approachable for workplace based assessments