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Foundation Training – Job Description

General information about how foundation training is organised in Health Education

Yorkshire and the Humber

Allocation process Based on applicant scores in the national application process and the expressed order of preference of rotation; Health Education Yorkshire and the Humber (HEYH) allocates all foundation doctors to a 2 year rotation prior to the start of the Foundation Programme.

Key school personnel

Postgraduate Dean Mr David Wilkinson

Foundation Schools Director Dr Catherine Dickinson

Deputy Foundation School Directors Mr Craig Irvine (WYFS) Medical Workforce Manager Mrs Sue Reid

WYFS Administration Team Programme Support Coordinator Mrs Naomi Koziol

Programme Support Officer Miss Amanda Cartwright

Programme Support Assistant Miss Beata Powierza

Information events / Open days for potential applicants

HEYH deliver presentations to 3a medical students & a final year talk regarding the application process and progression into Foundation.

Rotation information: Information about the rotation, location and content of placements is given in a separate document.

Foundation doctor engagement

HEYH encourages foundation doctors to contribute to, and participate in trainee engagement activities, including through the local forums. Representatives from F1, F2 and the academic programme are elected to sit on each Foundation School Committee(s) and the Foundation School Board(s)

Additionally, there are national forums conducted by the UKFPO that foundation trainees are encouraged to attend.

Time Out of Foundation

Programme (TOFP)

Foundation doctors contemplating requesting TOFP should check the relevant guidance in the Key Documents section of the UKFPO website:

http://www.foundationprogramme.nhs.uk/pages/home/key-documents#ifst

The School runs a local process to allow a limited number of trainees the opportunity for a TOFP. More information is on our website. Applications must be approved and signed by the trainees local Foundation Training Programme Director (FTPD) and the Foundation School Director (FSD) or Deputy Director.

F2 outside the UK HEYH does not support or accredit doctors who wish to undertake their F2 year outside the UK.

Flexible training (Less than full time)

Please follow the link to the HEYH website for information on our flexible training policy.

http://www.yorksandhumberdeanery.nhs.uk/policies/ltft.aspx

Study leave Study leave will be at the discretion of the trainees employer and is only permitted during the F2 year. It is not available during F1. Dates are sent in

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advance to the Trusts to allow rotas to accommodate F1 time to attend the mandatory PDP days. Special arrangements can also be made for F1 doctors who wish to arrange career “taster” sessions in other specialties during their F1 year.

Inter Foundation School Transfer (IFST)

Foundation doctors contemplating requesting an IFST should check the relevant “Guidance for Applicants” in the Key Documents section of the UKFPO website:

http://www.foundationprogramme.nhs.uk/pages/home/key-documents#ifst. Applications can only be considered if the applicant meets the criteria and must be approved and signed by the local Foundation Training Programme Director and the Foundation School Director.

In all circumstances, although allocated to HEYH through the matching process, the

trainees’ employer is the Trust where their training rotation takes place e.g. Hull and East

Yorkshire Hospitals.

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Employment Information

Name of Trust

Airedale NHS Foundation Trust

Key Personnel Director of Medical Education: Ms Meg Crossley Foundation Training Programme Directors:

Martin Kelsey F1 Richard Keeble F2

Foundation School Administrator: Judith Craven Terms and

Conditions of employment

The post will be subject to the Terms and Conditions of Service of Hospital Medical and Dental Staff as modified from time to time. Current copies of these Terms and conditions may be seen in the Personnel Office of your employing organisation or available online from www.nhsemployers.org

Induction/shadowing The Leeds School of Medicine requires all students to complete a 3 week shadowing programme prior to graduation. All other successful candidates are encouraged to complete a two week shadowing programme. In addition there is a National mandatory Induction/Shadowing period 4 days prior to start of F1 commencing Thurs 28th July 2016 to Tues 2nd August 2016.

Further information will be available on our website.

Employment start date

Wednesday 3rd August 2016 (this start date may be earlier as part of local induction/shadowing arrangements)

Salary The salary scale will be set out in the Terms and Conditions of your employment.

Annual leave Your annual leave entitlement will be set out in the Terms and Conditions of your employment.

Right to work /Leave to remain

Confirmation of right to work in the UK, or leave to remain, will be required for newly appointed non-UK/EEA employees in line with current UK Border Agency (UKBA) requirements on migration status.

The employing organisation is unable to employ or continue to employ the applicant/post holder if they require but do not have the right to work or leave to remain in the UK.

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West Yorkshire Foundation School (WYFS) Airedale Hospital

Individual Placement Description: Stroke / Neuro Rehab FY2

Grade FY2

Placement / Post Number Stroke / Neuro / Rehab

Department Stroke / Neuro / Rehab

Type of work to expect and learning opportunities

The stroke medicine team works collaboratively with rehabilitation medicine and neurology based on a specialist unit. There are close links to the acute medical and elderly medical teams, as well as to the Medical Admissions Unit (MAU), from whom most of the acute admissions are received. In addition there are elective admissions relevant to the specialty which will be under the care of the ward-based team.

Departmental Teaching Grand round / Xray Meeting

Where the placement is based

Ward 5 AGH

Educational Supervisor(s) for the placement

TBC

Clinical Supervisor(s) for the placement

TBC

Training Programme Director for the placement

Dr R Keeble

Main duties of the placement The FY2 doctor attached to the stroke unit will share responsibility for patients under all consultants on the ward with the FY1 doctor, supported by middle grade staff for each specialty. Each ward has a mixture of specialties represented, providing broad experience. This ward-based approach limits the number of patients / clinical areas FY2 doctors are responsible for and they operate in a ‘team based’ mode. Responsibilities include:

Day to day care of all patients on the ward (admission clerking and assessment, daily or more frequent clinical review, legible notes in medical records, prescribing, requesting investigations and actioning results,)

Ward Rounds

Discharge planning and e-discharge notifications

Maintaining patient safety by abiding by the Medicines Code, Infection Prevention procedures and Medical Equipment/Devices policy

On-Call responsibilities (nights & lates)

Clerking of new admissions and other ward-based duties as above Reviewing of sick patients of other teams and specialties & inputting into their care.

FY2 doctors will, on occasion, be required to provide cover for other wards / specialties as the doctor dictates.

Typical working pattern in this placement

Typical working pattern in this post e.g. ward rounds, clinics, theatre sessions

Employer information Airedale Hospital

It is important to note that this description is a typical example of your placement and may be subject to change.

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Foundation Programme Curriculum 2012 - Placement Matrix

The following table provides an indication as to what extent the Foundation Programme Curriculum 2012 syllabus areas may be met during a specific placement.

Placement details: Stroke / Neuro / Rehab

_______________________________________________________________________________

Key:

None of the syllabus areas should be expected to be met in this placement

To some extent/limited opportunity (please note that this may be positive or negative e.g. positive in that you may be able to experience this outcome)

To a great extent/ample opportunities

Syllabus Syllabus details Expect to

achieve 1 Professionalism Behaviour in the workplace, Time management, Continuity of

care, Team-working and Leadership 2 Relationship and

communication with patients

Treating the patient as the centre of care within a consultation, Communication with patients, Communication in difficult circumstances, Complaints, Consent

3 Safety and clinical governance

Risks of fatigue, ill health and stress and Quality and safety improvement

4 Ethical and legal issues Medical ethical principles and confidentiality, Legal framework of medical practice and Comprehension of relevance of outside bodies to professional life

5 Teaching and training 6 Maintaining good

medical practice

Lifelong learning and Evidence, guidelines, care protocols and research

7 Good Clinical Care Makes patient safety a priority in clinical practice, History and examination, Diagnosis and clinical decision making, Undertakes regular patient review, Safe prescribing, Safe use of medical devices, Infection control and hygiene, Medical record-keeping and correspondence and Interface with different specialties and with other professionals

8 Recognition and management of the acutely ill patient

Promptly assesses the acutely ill, collapsed or unconscious patient, Responds to acutely abnormal physiology, Manages patients with impaired consciousness, including seizures, Manages pain, Manages sepsis and Manages acute mental disorder and self-harm

9 Resuscitation and end of life care

Resuscitation and End of life care and appropriate use of Do Not Attempt Resuscitation (DNAR) orders/advance decisions

10 Patients with long term conditions

Manages patients with long term conditions, Supporting patient decision making, Nutrition, Discharge planning and Health promotion, patient education and public health

11 Investigations

12 Procedures Venepuncture, IV cannulation, prepared and administered IV medications, injections and fluids, arterial puncture in an adult, blood culture (peripheral), IV infusion including prescription of fluids, IV infusion of blood and blood products, injection of local anaesthetic to skin, subcutaneous injection, intramuscular injection, perform and interpret an ECG, perform and interpret peak flow, urethral catheterisation in adult females and males, airway care including simple adjuncts.

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