StR/ SpR POST DETAILS 2009-2010
DESCRIPTION OF PLACEMENT:
The post combines working on a male acute admission ward and also
a male Psychiatric Intensive Care Unit. The Post offers the opportunity
to lead multidisciplinary Ward reviews semi-independently from the
consultant. The post includes weekly supervision sessions and sessions
for research and special interests. There is also allocated time
for the weekly postgraduate educational meetings. The SpR has opportunity
to supervise a junior trainee and trust Grade Doctor.
ROLE OF TRAINEE:
The trainee will gain experience working as a member of a multidisciplinary
team which has worked as a functional dedicated in-patient team
since Dec 2006. The Team also looks after a 6 bed male PICU. The
majority of patients are detained, so it follows that the trainee
will gain supervised experience of assessments, hearings, and report
writing for the purposes of the Mental Health Act. The Trainee will
function as a quasi consultant alongside the trainer.
Suitably experienced trainees will be encouraged to lead their
own ward reviews on a weekly basis semi independently from the Consultant.
The trainee will have ample opportunity to clinically supervise
junior trainees and the team Trust Grade Doctor.
The trainee will attend the weekly postgraduate educational meetings
and will be encouraged to participate in the management of these
meetings.
A ST1-3 doctor is a member of the acute ward team and a trust grade
doctor on the PICU.
This post is a core placement.
ON CALL COMMITMENT:
The SpR participates in a 1:7 rota intermediate tier on call rota
across East Lancashire.
There is no day time on call in this post. Feedbacks from trainees
suggest the on call experience is about right i.e neither too much
nor too little experience.
RESEARCH OPPORTUNITIES:
The trainee will be encouraged to use 2 sessions for research and
or special interest sessions. Although the trainer has limited personal
research opportunities, he does give practical support and guidance
to trainees in this area.
MANAGEMENT TRAINING:
There are ample opportunities for management opportunities through
groups such as the locality in-patient governance group, the trust
wide PICU Governance Network and Locality consultant meetings.
ADDITIONAL EXPERIENCE AVAILABLE:
An integral part of the post concerns working on a busy male PICU
which serves a population of 500000+. The multidisciplinary team
on the PICU is mature and effective despite it’s limited size.
The trainee will gain expertise in this area , including the management
of violence including rapid tranquillisation and the use of a seclusion
facility. The unit liaises regularly with local secure services.
The trainer is recognised locally as having special expertise in
psychopharmacology and evidence-based medicine generally and rapid
tranquillisation specifically.
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Example
of Specialist Registrar's Timetable |
AM |
PM |
MON |
Ward Business
meetings followed by PICU MDT reviews |
Supervision
+ ward work or management |
TUE |
Trainee led
MDT acute ward reviews |
Ward work
or management |
WED |
Special interest
session
|
Post graduate
meeting |
THU |
PICU MDT reviews |
Research |
FRI |
Acute ward
MDT reviews |
Mental health
Act work |
IMPORTANT ADDITIONAL DETAILS:
The trainer recognises the importance of other training opportunities
through the use of research time and special interest sessions.
Because of the dedicated nature of the in-patient post, none of
the time table is rigidly fixed for this post holder. They can therefore
fit the work around their other commitments if necessary.
The trainee will have their own personal office and access to the
team medical secretary.
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