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    Charing Cross Charing Cross Document Transcript

    • F1 Questionnaire 2009/10<br />Please would you assist by providing brief information on the last speciality of your F1 post.<br />Charing Cross/Hammersmith Hospital – Foundation Year 1 Rotation – 001<br />Acute Medicine/General Medicine, Endocrinology, Rheumatology/General, Vascular Surgery/General Surgery, Urology<br />Mr Argawal/Ms Gibbons/Mr Hrouda/Mr Shamsuddin/Mr Carter/Mr Winkler/Mr Bellringer<br />Urology is a high pressured environment with a high turnover. There is plenty of support available from senior colleagues, the SpR and the Consultants. The team is approachable and helpful. Overall, a good teamwork set-up, good organisation, and a good handover from colleagues.<br />Charing Cross/Hammersmith Hospital – Foundation Year 1 Rotation – 002<br />Rheumatology and Endocrinology/Acute Medicine/Urology/Vascular Surgery<br />Mr Franklin<br />There is an MDT on Wednesdays and a Diabetic foot meeting on Fridays. There are two consultant ward rounds per week, and three registrar ward rounds per week.<br />Charing Cross/Hammersmith Hospital – Foundation Year 1 Rotation – 003<br />General, Vascular Surgery/General Surgery, Urology/Acute Medicine/General Medicine, Endocrinology, Rheumatology<br />Prof Meeran/Dr Hatfield/Dr Dhillo/Prof Venables/Dr Abraham/Prof Taylor<br />It would be useful to obtain a timetable of the firm including additional meetings and formal clubs. <br />Charing Cross/Hammersmith Hospital – Foundation Year 1 Rotation – 004<br />Urology/Vascular Surgery/Endocrinology & Rheumatology/Acute Medicine<br />Mr Agarwal/Mr Franklin/Prof Meeran/Prof Taylor<br />You rotate through different wards each week, including 5 West, (either as 1st on or 2nd on), 5 South-HDU and EAU. There are different shift times according to rota and ward, but you generally start at 8am. You work for many different consultants, and there is opportunity for practical procedures. You are allocated annual leave.<br />Charing Cross/Hammersmith Hospital – Foundation Year 1 Rotation – 006<br />Care of the Elderly/Acute Medicine/Urology/Vascular Surgery<br />Mr Franklin<br />There are ward rounds at 8am daily, and an MDT at 1pm on Wednesday, for which you need to prepare slides and present patients. There is a theatre list on Thursdays, which you may need to assist with, and you need to discuss the patients for the theatre list with the anaesthetists on Wednesday evenings. There is also a Diabetic foot MOT at 12.30pm on Fridays, for which you need to prepare slides, present patients and keep minutes/outcomes for your patients.<br />Charing Cross/Hammersmith Hospital – Foundation Year 1 Rotation – 007<br />Vascular Surgery/Urology Surgery/Acute Medicine/Medicine for the Elderly<br />Dr Brice<br />This was a very educational post. There is formal teaching every Tuesday, an X-ray meeting every Thursday, and a Consultant ward round twice a week, on top of normal FY1 teaching. The post is also well supported, and you usually have 2 SHO’s and 1 Registrar on the ward with you.<br />Charing Cross/Hammersmith Hospital – Foundation Year 1 Rotation – 008<br />Urology/Vascular Surgery/Care of the Elderly/Acute Medicine<br />Mr Carter/Mr Franklin/Dr Brice<br />This was a very enjoyable post with good opportunity for clerking patients and getting practical experience.<br />Charing Cross/Hammersmith Hospital – Foundation Year 1 Rotation – 010<br />General Medicine, Respiratory/Acute Medicine/General, GI Surgery/General, Vascular Surgery<br />Professor Davies<br />Before starting the job, there were a lot of rumours about how tough it is, but the reality is quite different. The Registrars are very friendly, and the Professor doesn’t usually mind as long as things go smoothly. There are long hours involved sometimes, but there are also many days which are quiet, so it balances out. There are a lot of secretarial jobs, such as finding notes for meetings and preparing for MOT’s (3 per week). Overall it’s not the clinical work that is tasking, but the organisation, and demands for meetings which can get frustrating.<br />Charing Cross/Hammersmith Hospital – Foundation Year 1 Rotation – 012<br />General GI Surgery/General, Vascular Surgery, General Medicine, Respiratory/Acute Medicine<br />Acute Medicine is a very good post for doing practical procedures as well as experiencing how different consultants and registrars approach patient care. Because you rotate through a variety of jobs, make sure you know what you are doing on the morning that you start your job. Certain things such as patient lists should be ready for the ward round on time, regardless of whether it’s your first day.<br />Charing Cross/Hammersmith Hospital – Foundation Year 1 Rotation – 013<br />Acute Medicine/General Medicine, Cardiology/General, Breast Surgery/General GI Surgery<br />Mr AR Ahmed<br />This is a busy job, the team consists of one FY1, one SpR and one consultant. There is an SHO, but they cover all five consultants who do General Surgery. You are required to work one weekend every six weeks, and spend one evening on-call each week. You do alternate weekends/evenings on-call between covering Vascular, Urology or General Surgery. There is a fair amount of admin involved, and bariatrics had a lot of pre- and post-op protocols to follow. Pay is banded at 50%. If the ward work is done, you are welcome to go to the theatre; there are 3-4 sessions weekly, mainly laparoscopic.<br />Charing Cross/Hammersmith Hospital – Foundation Year 1 Rotation – 014<br />General Medicine, Cardiology/Acute Medicine/General, GI Surgery/General, Breast Surgery<br />Mrs K Hogben/Mrs J Lewis<br />Breast Surgery at Charing Cross Hospital is an interesting, enjoyable post and there is plenty of opportunity to assist in theatre in a variety of operations. You share the workload with another FY1, which is reassuring for the both of you at the start of the FY1 year! We have several administrative duties including presenting the weekly MDT for those patients operated on in the previous week, organising the operating lists, and arranging scans and pre-operative procedures. Occasionally we perform pre-operative assessments for patients due to have surgery. The Breast Surgery team are post-take once a fortnight, and this provides the opportunity to see General Surgical patients.<br />I would have liked to have known more information about the administrative side of the job prior to starting. It does seem a little overwhelming to begin with, however it soon becomes familiar. Overall, this well supported post provides a range of surgical experiences which the majority of F1’s find very rewarding.<br />Charing Cross/Hammersmith Hospital – Foundation Year 1 Rotation - 015<br />General Breast Surgery/General GI Surgery/Acute Medicine/General Medicine, Cardiology<br />Mr Shogben/Mr Ahmed/Dr Fox/Dr Connolly<br />This is a really good rotation. Surgery is hard work and more of an outside scheduled hours time commitment is required. Always carry out basic protocol card and don’t be ashamed of checking the BNF and asking questions that may seem stupid.<br />Charing Cross/Hammersmith Hospital – Foundation Year 1 Rotation – 016<br />General GI Surgery/General Breast Surgery/General Medicine, Cardiology/Acute Medicine<br />Mr Millington/Dr Probst/Dr Taneja/Professor Venables/Dr Brice/Dr Chopra/Dr Sanders<br />The rota consists of one week as 1st on team, one week as 2nd on team, one week HDU and one week EAU. There are long hours, but plenty of rota time off. The team is constantly changing and includes consultants, registrars, SHO’s, pharmacists, physiotherapists, OT’s, etc. All medical admissions pass through the team. The post provides a good chance to practice practical skills, and there is a good array of clinical problems. <br />Charing Cross/Hammersmith Hospital – Foundation Year 1 Rotation – 017<br />Acute Medicine/Care of the Elderly/Vascular Surgery/General Surgery<br />Dr Miskelly/Prof Davies/Mr Springall<br />Acute Medicine was well supported and a good post to start with. The Care of the Elderly attachment had a good deal of autonomy, but support was readily available. The Vascular Surgery job was busy, but had good clinic and theatre exposure, while the General Surgery post provided good theatre experience.<br />Charing Cross/Hammersmith Hospital – Foundation Year 1 Rotation – 018<br />General Medicine, Medicine for the Elderly/Acute Medicine/General GI Surgery/General Vascular Surgery<br />Prof Davies<br />It would be useful to get information about an average week and the on-call rota.<br />Charing Cross/Hammersmith Hospital – Foundation Year 1 Rotation – 019<br />Vascular Surgery/Colorectal Surgery/Acute Medicine/Care of the Elderly<br />Prof Davies/Mr Springall, Dr Martin/Dr Miskelly<br />In this post you work with another FY1, an SHO and a Registrar, with a Consultant ward round once a week. There is plenty of opportunity to attend teaching sessions and there is flexibility to be autonomous with clinical decision making. You gain good experience of general medicine, common conditions, and multidisciplinary working, i.e. OT/Physio and other medical/surgical specialists.<br />Charing Cross/Hammersmith Hospital – Foundation Year 1 Rotation – 020<br />General GI Surgery/General Vascular Surgery/General Medicine, Medicine for the Elderly/Acute Medicine<br />The job changes each week, so it is very hard to know anything in advance.<br />Charing Cross/Hammersmith Hospital – Foundation Year 1 Rotation – 021<br />Gastroenterology/General Vascular Surgery/Acute Medicine<br />Dr Miskelly/Dr Jansi/Dr Taneja<br />Once you understand how the firm is organised, it is a varied, fun attachment. However, it would be an easier transition with a formal handover form the outgoing F1. You could also do with written information on how to organise lists, etc.<br />Charing Cross/Hammersmith Hospital – Foundation Year 1 Rotation – 022<br />General, Vascular Surgery/Acute Medicine/Gastroenterology<br />Dr Devinder Bansai/Dr Geoff Smith/Dr Ayaru/Dr Chopra/Dr Andrew Thillainayagam/Dr John Martin<br />The FY1 post for Gastroenterology is busy. As the FY1 you are in charge of the patients that need to come into planned investigation unit electively. You will need to book outpatient investigations and you also take part in the care of the inpatients acutely admitted. It is a busy firm, but there is a great deal of support from the registrars and the Consultant. It is a great firm.<br />Charing Cross/Hammersmith Hospital – Foundation Year 1 Rotation – 023<br />Acute Medicine/Gastroenterology/Vascular Surgery<br />Professor Nigel Standfield/Prof Das/Mr Nott<br />The rotation is based on 4 South, the main vascular surgery ward. The job involves care of patients with vascular surgery problems, especially ward work with inpatients, focussed on the issues of acutely ischaemic limbs, acute or chronic ischaemia, diabetic foot complications and complications of venous insufficiency. The job also involves work up of patients prior to surgery and arranging elective admissions. The approach of the vascular surgery unit is very multidisciplinary, with strong collaboration with the diabetes specialists, pain team, vascular scientists and tissue viability team, to name but a few.<br />The firm is very friendly and supportive, and, in addition to the Consultants, consists of 2 registrars, 1SHO and 2 F1’s. There is sufficient opportunity to get involved in audits and pursue academic interests.<br />Charing Cross/Hammersmith Hospital – Foundation Year 1 Rotation – 024<br />General Surgery/Endocrinology/Rheumatology/Acute Medicine<br />Mr Gordon Buchanan/Prof Karim Meeran<br />It would be good to find out the responsibilities and details of day-to-day ward work, the working hours, and details about weekend shifts and responsibilities.<br />Charing Cross/Hammersmith Hospital – Foundation Year 1 Rotation – 025<br />Endocrinology/Rheumatology/Acute Medicine/General Surgery<br />Prof Meeran/Dr Hatfield/Prof Venables/Mr Buchanan<br />The Endocrine department at Charing Cross are a delight and a pleasure to work for. They teach and are hugely supportive. Acute Medicine is very good for learning procedures. The General Surgery Department are short-staffed, (down two registrars), and so there is greater pressure on the SHO’s, and this is often taken out on the House Officers. <br />Charing Cross/Hammersmith Hospital – Foundation Year 1 Rotation – 026<br />Acute Medicine/General Surgery/Endocrinology & Rheumatology<br />Prof Meeran/Mr Buchanan/Prof Venables/Dr Hatfield/Dr Ahmed<br />Acute Medicine is fast paced with a good range of cases, although poor follow-up. It is good for practical procedures and for encouraging you to recall/learn basic Acute Medicine.<br />General Surgery is very fast paced. Really a placement is what you make of it. If you want to do surgery, this gives you a good opportunity to learn basic surgical skills and brush up on colorectal cases.<br />In Endocrinology and Rheumatology, you work with great teams and legendary professors. This is an area greatly lacking at University, so it is a great opportunity to learn and brush up. It is mostly General Medicine though.<br />Charing Cross/Hammersmith Hospital – Foundation Year 1 Rotation – 027<br />Acute Medicine/Breast Surgery/Obstetrics and Gynaecology<br />Miss Mandish Dhanjal/Miss Catriona Stalder/Mr D. K. Edwards/Mr Alan Farthing/Mr Peter Mason<br />This was an unbanded, (supernumerary), post which I wasn’t aware of from the outset. My job is put on the SHO rota, so I am expected to fill the gaps when the SHO’s are away/sick, which is hard when most of the team are not used to having F1’s around. I did not obtain much clinical experience; the majority of the time is spent in pre-clerking clinics, (for pre-op patients), or doing TTA’s on the ward. Occasionally I got called to do blood tests/cannulas, but not often. There was minimal hands-on in theatre, even though ample time was spent in observation. Gynaecology was by far the most fun – I felt like a member of the team and was heavily involved in patient care.<br />Charing Cross/Hammersmith Hospital – Foundation Year 1 Rotation – 028<br />Acute Surgery/Obstetrics & Gynaecology/Acute Medicine<br />Dr Walters/Dr Ind/Dr Dickinson/Dr Brannigan/Dr Agranoff<br />There is a large turnover of patients and lots of TTA’s. FY1’s need to be proactive in gaining clinical experience, e.g. seeing patients in A&E to present on the ward rounds.<br />Charing Cross/Hammersmith Hospital – Foundation Year 1 Rotation – 029<br />Obstetrics and Gynaecology/Elderly and Acute Medicine/Breast Surgery<br />Ms Mandish Dhoujal/Catnana Stalder/Dr Edward Dickinson/Mrs Katy Hogban/Mrs Jackie Lewis<br />This is a very good FY1 post; however there is a lot of admin work. There are no SHO’s on this job which enables the FY1 to go to theatre, where you have the opportunity to develop practical skills. Breast Surgery also takes part in General Surgery on-calls, so you also get to help manage General Surgery patients. It is busy, but enjoyable, and the team is lovely.<br />Charing Cross/Hammersmith Hospital – Foundation Year 1 Rotation – 030<br />Acute Medicine/Acute Surgery/Renal Medicine<br />Prof David Taube/Dr Tom Cairns<br />This post is 40% banded, with an optional nights/weekend system. You will work largely with seniors on the team, there is only 1 other FY1 and you won’t work together. There are four wards of varying levels, including MDU, General and Day Unit. You need to seek out your own learning opportunities, e.g. clinics, but there is a lot of scope and a lot of formal teaching.<br />Charing Cross/Hammersmith Hospital – Foundation Year 1 Rotation - 035<br />HPB Surgery/Obstetrics & Gynaecology/Acute Medicine/Renal Medicine<br />Dr Jani<br />The hours were Monday 8am to 7pm, and Tuesday to Friday 8am-5.30pm, with one zero hour day each week. A normal day consisted of a morning ward round with a consultant, followed by jobs. Then there was an opportunity to clerk medical patients in A&E and to present on the afternoon ward round at 5pm.<br />Charing Cross/Hammersmith Hospital – Foundation Year 1 Rotation – 036<br />Obstetrics & Gynaecology/Acute Medicine/Renal Medicine/HPB Surgery<br />Mr Jiao/Prof Habib<br />This role involves looking after patients for liver/pancreas surgery. In addition to the usual ward duties, there is a pre-op assessment clinic and opportunities to go to theatre. <br />Charing Cross/Hammersmith Hospital – Foundation Year 1 Rotation – 037<br />Acute Medicine/Respiratory/Colorectal Surgery/ENT Surgery<br />Mr Sandhu/ Mr Mace/Clarke/Prof Howard/Grant/Benjamin<br />Advance information is not needed, as Yvette (the ‘Doctor Support Worker’) helps the FY1 through the post.<br />Charing Cross/Hammersmith Hospital – Foundation Year 1 Rotation – 038<br />Respiratory/Acute Medicine/General Surgery/ENT<br />Dr A. Cummin/Dr G. Wilson/Dr F. Bowen/Dr S. Brice/Dr D. Tanejt/Dr D. Fitch/Prof Mierssn/Mr G. Sanditu/Prof Howard/Mr P. Ciarue/Mr A. Mace/Mr H. Saleh<br />I feel I received all the information needed. There was an excellent post-grad team who were very welcoming, enthusiastic and keen to teach. Would recommend this post to any foundation doctor regardless of future career choice!<br />Charing Cross/Hammersmith Hospital – Foundation Year 1 Rotation – 039<br />Colorectal Surgery/ENT Surgery/Acute Medicine/Respiratory Medicine<br />Mr Pockney/Mr Sandhu/Dr Cummins<br />This is a good General Medicine experience. Lots of social sorting out can delay discharges. There is opportunity to practice practical skills, e.g. Chest Drains.<br />Charing Cross/Hammersmith Hospital – Foundation Year 1 Rotation – 040<br />ENT/General Surgery/Respiratory Medicine/Acute Medicine<br />This post provides opportunities to experience Acute Medicine in multiple settings from A&E and MAU, right through to the wards and Medical HDU. As such it has a lot of variety and there are opportunities for clerking new patients, and for procedures. There is emphasis on key skills such as handover, working as a team and helping your colleagues out as the workload can vary, and another day they may be helping you out in return. Overall there is exposure to a variety of presentations, opportunities and team-working, and I found it very enjoyable.<br />Charing Cross/Hammersmith Hospital – Foundation Year 1 Rotation – 042<br />Medicine for the Elderly/Acute Medicine/Vascular Surgery/Neurosurgery<br />Peterson/Nair/Nandi/O’Neill/Mendoza<br />You are the only FY1 on this rotation, so you end up doing a most of the admin based jobs that more senior doctors don’t want to do. There is opportunity for theatre/clinic attendance, but only after your other duties, (pre-admission clerking, submitting theatre lists, submitting CD’s for upload to imaging software, etc) are finished. There is very little contact with ward patients. <br />Charing Cross/Hammersmith Hospital – Foundation Year 1 Rotation – 043<br />Neurosurgery/Vascular Surgery/Acute Medicine/Medicine for the Elderly<br />Dr Miskelly<br />This post is a great learning experience for F1’s. You gain experience at managing chronic illness and a chance to improve your communication skills by talking to relatives and their families. It is a great introduction to General Medicine.<br />Charing Cross/Hammersmith Hospital – Foundation Year 1 Rotation – 044<br />Vascular Surgery/Neurosurgery/Care of the Elderly/Acute Medicine<br />Dr Miskelly/Prof Venables/Dr Smith/Dr Chopra<br />The rota is well organised and adheres well to the EWTD, and so the annual leave is generous, although these dates are fixed. The post provides good opportunities for clerking patients, practical procedures and exposure to HDU.<br /> <br />