psychiatrynorthwest - specialist registrar training in general adult psychiatry in the north west of england
   
 
Dr Ticehurst, Consultant Psychiatrist. Click here to enlarge photograph.

  
Dr A. Jayasekera

Department of Psychiatry
Rivington Unit
Royal Bolton Hospital
Minerva Road
Farnworth
Bolton BL4 0JR

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SPR Post details (August 2012-August 2013)

Name of the Supervisor: Dr A. Jayasekera
Location of Post: Royal Bolton Hospital
Telephone Number: 01204390283

1. Details of this post

This is a core placement in General Adult Psychiatry with both inpatient, outpatient and community experience in a well defined catchment area and involving experience with a multi-disciplinary team. 11% of Bolton population is made of ethnic groups, which offers opportunities to manage patients from diverse cultural backgrounds. This Trust is undergoing a number of changes in line with the national transformation agenda giving opportunities to be involved in service improvement.

Core placement: Yes
Endorsement: No
Supervisor availability: Full time

2. DUTIES OF TRAINEE AND EXPERIENCE GAINED

Outpatient clinics: The SpR will run the outpatient clinic atleast twice a week with a good mix of new and follow up patients.

Inpatient management: ward rounds are conducted twice a week, with the SPR running one ward round independently under supervision of the consultant. This gives opportunities to work with clinicians from different backgrounds such as AOT staff, MAPPA teams etc.

Community psychiatry: The SpR will be actively with the Community Mental Health Team. This will involve attending the weekly team meetings, liaising with the teams to arrange domiciliary visits, attending safeguarding meetings and carrying out mental health act assessments for their patients.

Medico-legal work: As a part of inpatient commitments SPRs will be involved in assessing and managing patients under the mental health act. This will involve writing tribunal reports and giving evidence in MHA tribunals. There will be opportunities to manage patients under the community treatment order.

Liaison work: currently Bolton does not have a liaison team for working age patients, which is offered by consultants for patients under their catchment area. Trainees interested in this area will have opportunities to work with consultants and manage patients with physical co-morbidities.

Crisis management: This post gives opportunities to manage ones own patients during crisis with crisis team /HBT approach along with input from crisis team staff.

3. Junior trainee / medical student support and supervision

This post has F2-CT3 trainee, which helps in gaining experience in junior trainee supervision and teaching. Medical students are regularly allocated to this post as a part of their psychiatry placements, and senior trainees are encouraged to be involved in their teaching and supervision.

4. ON CALL COMMITMENT

The SpR will participate in a 1:7 rotation with consultant cover.
1B banding.

5. TEACHING / ACADEMIC EXPERIENCE

• Medical students
• Foundation trainees
• ST trainees
The SpR will be encouraged to become involved in the teaching program for psychiatric trainees, foundation year doctors and medical students.

6. RESEARCH OPPORTUNITIES
The SpR will be encouraged to complete an audit project. You will be supported by the Audit Department with the Mental Health Trust in completing the project. The SpRs will be supported in continuing their research and special interest as part of their SpR training.

7. MANAGEMENT TRAINING
The SpR will be encouraged to be involved in developments of psychiatric services involving the ongoing changes of psychiatric practice. The SpR will be encouraged to attend the consultant meetings within the department.

8. IMPORTANT ADDITIONAL DETAILS (FACILITIES etc)
SPR will have a dedicated room with secretarial support from the consultant’s secretary. Attendance of CMHT meetings and domiciliary visits involves travelling locally within Bolton borough. Trainees will have to apply for car permit to be able to park on the premises of Royal Bolton Hospital.

PROBABLE TRAINEE TIMETABLE: (Fixed commitments in bold)

 
Example of Trainee's Timetable
AM
PM
MON
Follow up and New Patient Clinic
Supervision with Consultant 2-3 pm.
Attendance of General Adult Consultant Forum monthly
TUE
Special Interest
Special Interest
WED
Ward Round on General psychiatry ward and PICU
Department Teaching 1-3pm.
Teaching medical students
THU
Attendance at CMHT meeting
Follow up and New patient clinic
FRI
Research
Research