Hospital and Innovative Posts
Your will complete your hospital posts during your ST1 year. The vast majority of these posts are always 3 x 4 months blocks.
During your ST2 year you will complete an innovative training post (ITP). These posts are 6 months in duration. During this time you will spend 2 days per week in the innovative post and the rest of your time in your allocated GP surgery. A small number of the posts run over a 12 month period where you spend 1 day per week in the innovative post.
Hospital posts are selected prior to starting your training. These posts are fixed and cannot be changed.
Obstetrics and Gynaecology
Paediatrics
Emergency Medicine
Geriatrics
Stroke medicine
Acute Internal Medicine
General Internal Medicine
This placement integrates both sexual health and contraceptive services. Led by a sexual health consultant this placement will be of interest to those may be keen to undertake their diploma in reproductive and sexual health. This is the only diploma that receives and financial support from the deanery.
Your will sit in on clinics and have the opportunity to consult with patients with supervision. There ought to be opportunity as part of this to sit in on both the sexual health clinics and the family planning sessions.
This post will be working within the ENT department at Peterborough City Hospital. The role will involve working predominantly within the clinics – having the opportunity to see patients with supervision from seniors. There may be some acute ENT work via on-call work which will occur during the 9am – 5pm period.
During this post you will get to see common presentations of ENT conditions and how they are managed. This will enable you to have a greater knowledge of managing ENT conditions. You may get the opportunity to learn certain procedures such as the Epley manoeuvre and nasal cautery.
This post will be based at a local hospice in Peterborough. This post will encompass inpatient palliative care where you will have the opportunity to experience and be part of a holistic package of care to those who are at the end of life. You will participate in ward rounds, assessing patients who are admitted and dealing with day-to-day management of their symptoms. This will be done with the support and supervision of senior team members. In addition, there are regular MDTs to attend during the working hours.
Greater Peterborough Network (GPN) is a GP federation that brings together all the practices around the Peterborough area. It provides services to patients and staff in clinical areas which include virtual wards, home visiting services and caring for some of the most vulnerable (homeless, eating disorder patients and those with severe enduring mental illness).
The innovative post with Greater Peterborough Network would be ideal for someone interested in management and leadership. The job will Involve shadowing other GP leaders in the organisation and helping with thinking through clinical and governance initiatives that help improve the services GPN provides as well as contributing to the clinical services to gain experience of these services where suitable.
In PCH you would be based in ED assessing frail patients and on the 5 bed frailty unit based on short stay. The emphasis is on admission avoidance/ Comprehensive geriatric assessment/ community liaison. There will also be an opportunity to take part in GPN virtual ward rounds (twice a week) and hold the frailty phone.
- the trainee will be an extra so won’t be overwhelmed by service provision
- Lots of one-to-one time with consultants.
- MDT working with clinical nurse specialists and physician associates
- Dedicated weekly tutorial time
- Leadership development opportunities
- Audit/ QIA/ QIP opportunities alongside service development- There’s a PCH transformation group developing the frailty unit - experience of PDSA cycles etc.
- Governance experience
- Cross system working - we’re developing virtual wards with GPN and there’s a new North alliance frailty group developing frailty services across the patch.
This post takes place as one day per week for the full year. For these posts you will be based at either Boroughbury medical centre or Thistlemoor centre. Depending upon the practice you will have slightly different options (though there is the opportunity to get some experience of all elements of health equity:
Working alongside GPs who attend the garden centre which provides services to the homeless population.
Aspire – providing services to those with drug (recreational and prescription) and alcohol addiction.
Mental health outreach to the vulnerable populations.
Health outreach bus – providing services such as nursing, podiatry, etc. Within the community
Frequent attenders project – working on motivational interviewing to spend longer appointments with patients to look at why they are frequently attending the GP and ED (if they do not have long term conditions) and supporting them to look at the variety of services they can access for additional support such as social prescribers.
There is a lot of opportunity to develop new QIPs and develop greater knowledge of general practice systems and the wider management system in primary care.
This will be an integrated post between Wansford Surgery and Wansford Research Unit, Wansford is an established Training Practice with 4 Trainers and including Primary Care Specialists Clinics in Cardiology, Family Planning and Menopause, Dermatology) in addition this post will incorporate exposure to Primary Care Research. There would be regular research commitment of 1-2 sessions per week depending on the current study portfolio and encompass training in Research Method (including GCP) and the opportunity to become a Sub-Investigator in active studies. These may be both Academic, under the umbrella of the National Institute of Health Research (NiHR) e.g. SAFER, OPTIMISE or Commercial – Currently NOVA 301 (Norovirus Vaccine) and Fluent 1010 (novel mRNA Influenza vaccine), Victorion – 1 – Prevent (Inclisaran in high CVD Risk individuals looking at Cardiovascular Endpoints) . You will be supported by an established Research Team
The usual working day would be 0900-1700. You will be working from the virtual ward office at PCH. You would be expected to participate in the following activities but the exact duties will vary day by day:
- Attend the virtual ward board round on MS Teams normally at 13.00-14.00
- Contacting patients on the virtual ward – at the direction of the virtual ward consultant patients will be allocated to the doctor. Following contact with the patient issues can be discussed with the consultant. Any documentation is done in the electronic patient record.
- Contacting health professionals -the doctor may be asked to obtain advice from specialty teams in the hospital, or to discuss patients with GPs or other community care professionals involved in the care.
- Reviewing referrals and identifying suitable patients for virtual wards – assisting the virtual ward nurses in reviewing referrals that come in. This may involve visiting the ward to discuss the referral with staff looking after the patient. The doctor may also assist the nurses in identifying suitable patients by attending whiteboard rounds on wards and suggesting referral when appropriate.
- Discharge letters – the consultant may identify patients for discharge that day. The resident doctor can help prepare some of the discharge letters.
- Face to face contacts – with consultant supervision the doctor will be asked to see patients brought back to hospital for a clinician review
- Prescriptions –the consultant may identify that a patient needs a prescription issuing and ask the resident doctor to implement that. At present these are paper prescriptions but in future with hope to have access to electronic prescribing.
- Requesting tests – again under consultant supervision the resident doctor may be asked to arranging imaging and other tests for patients on the ward. Simple requests such as blood tests and cultures are arranged by our nursing staff.
- We do not expect our resident doctors to visit patients in their homes unless they are accompanied by a senior.
- The doctor will have the opportunity to participate in audit or quality improvement projects (such as developing new patient pathways).
- The doctor will have the opportunity to participate in educational sessions with other members of the virtual ward MDT.