Foundation 1 Doctor - T&O

at  North Bristol NHS Trust

F1 Doctors will attend the morning Trauma meeting and then be ward based during the ‘normal’ working day, expected to deliver the daily medical care of all the patients on their allocated ward. Whilst in the T&O attachment the F1s will be involved with the clerking of patients being admitted and the ongoing care of the patients in the unit. F1’s are encouraged to take opportunities to attend theatre and clinic.

The overall educational objectives of the F1 year are to provide the trainee with the knowledge, skills and attitudes to be able to:

• Take a history and examine a patient
• Identify and synthesise problems
• Prescribe safely
• Keep an accurate and relevant medical record
• Manage time and clinical priorities effectively
• Communicate effectively with patients, relatives and colleagues
• Use evidence, guidelines and audit to benefit patient care
• Act in a professional manner at all times
• Cope with ethical and legal issues which occur during the management of patients with general medical problems
• Educate patients effectively
• Become life-long learners and teachers.

Daily: 0800 daily trauma meeting
0900 ward round
Daily MDT Board rounds
On call 1 in 5
Orthogeriatric Ward rounds
Tues: 1300-1400 F1 formal teaching
Weekly departmental teaching
Clinical governance meeting alternate months
The Musculoskeletal Directorate manages the elective and trauma orthopaedic services based at the Brunel Building, Southmead Hospital. Southmead is a centre of excellence in the Southwest and consultant sub-specialist interests include shoulder, elbow, hand, spine, hip, knee, foot & ankle and major trauma. Southmead Hospital is a Level 1 Trauma Centre and provides the regional pelvic fracture and acetabular reconstruction service. 17 Consultants participate in the Acute Trauma on-call rota in a team-based system (Teams A-D = Mon –Thurs). There is an additional Spinal on-call rota. Consultant led fracture clinics & trauma operating lists are run 364 days per year. There are combined ortho-plastics lists 3 days per week and follow-up fracture clinics mon-thurs. The department works closely with our affiliated Ortho-Geriatricians and the Plastics and Neuro-surgery departments. There are well established trauma and elective research teams who are busy coordinating numerous research projects and overseeing audit activity. There is a trauma coordinator, specialist hip fracture and spinal surgery nurses.
Attend the daily morning trauma meeting.
F1’s will be involved in the day-to-day ward care of patients and be responsible for contemporaneous medical note keeping during daily business ward rounds and weekly consultant ward rounds (especially post-take). They will participate in Orthopaedic ward rounds as well as join the Consultant Ortho-Geriatricians on their ward-rounds and liaise with the specialist nurses as required. Whilst on call the F1 doctor will work closely with the F2, Junior clinical fellows, Core trainees and SpR. They will have the opportunity to shadow a consultant or registrar in new & follow up fracture clinics and they are strongly encouraged to attend either the main trauma list or day case list to assist a wide variety of cases and be taught some basic surgical skills such as suturing, metalwork removal, insertion of a screw or fixation of a fracture. Each F1 should arrange a session with the technicians in the Plaster Room and they will have the opportunity to partake in or undertake an Audit project the results of which they will present to the Department. They are expected to attend the structured teaching program provided by the department and the Trust. The doctor will be responsible for such other specific clinical duties as allocated by consultants including performing other duties in occasional emergencies and unforeseen circumstances

Please refer the Job description for details