StR/ SPR POST DEATIALS
2009/2010
DESCRIPTION OF PLACEMENT:
Stepping Hill Hospital is a large DGH serving a population of 300,000
and covering Stockport and High Peak. The Stockport area is divided
into three sectors with seven Consultant patches. There is a variety
of deprivation and affluence and a range of urban to rural settings.
There are two adult general in-patient wards with 46 beds, a 10
bedded PICU, an 15 bedded step-down older peoples rehabilitation
unit on site. There is also a 19 bedded step-down intensive rehabilitation
unit at Heathfield House. This is a general adult placement involving
multi-disciplinary working with the various Community Teams and
the Crisis Team.
ROLE OF TRAINEE:
• Three out-patient clinics each week consisting of new and
follow-up and emergency appointments
• Monitoring of in-patients and attending weekly ward rounds
• Weekly CPA review meetings
• Management meetings with the Community Teams/Consultant
meeting
• Supervision and training of core trainees
• Teaching of core trainees and medical students
• Chairing journal club and case conferences
CORE CLINICAL WORK:
• Out-patient assessments
• Drawing up management plans for both out-patients and in-patients
• Supervision of CT1-CT3 trainees
• CPA reviews
• Mental Health Act Assessments, reports and giving evidence
at Tribunals
• Chairing/attending MDT ward rounds
TRAINEE'S TIMETABLE:
| |
Example
of Specialist Registrar's Timetable |
| AM |
PM |
MON |
Admin
12.30 – 2.30 p.m.
Journal Club/Case Conference
|
Out-patient
Clinic (SHH)
3 follow-up
1 new patient
|
|
TUE |
CMHT Team
Meeting and
CPA review meetings at Torkington Lodge
1.00-2.00 p.m. Consultants Meeting
|
New patient
clinic
2 patients (SHH)
|
|
WED |
MDT Ward Round
(SHH)
|
Admin
3.00 - 4.00 p.m. Educational Supervision
|
THU |
Special Interest
Session |
Research session
|
FRI |
Out-patient
clinic
6 follow-up
2 urgent reviews (SHH)
|
Ward work
Supervision of core trainee
|
ON CALL:
1 in 8 : 24 hour on call covering the hospital catchment areas,
on call supervision of CT1-CT3 trainee with Consultant cover.
ST4-ST6 are 2nd tier on call.
FACILITIES:
A large office shared by two ST4-ST6 trainees.
Computer access.
Library.
SUPERVISION ARRANGEMENTS:
Weekly programmed educational supervision.
Ample clinical supervision/support, both formal and informal.
TEACHING/ACADEMIC EXPERIENCE:
Weekly journal club and case conference.
Attendance at SpR training days.
Opportunities to train both CT trainees and medical students.
Supervision of CT trainees (first year) whilst on call.
AUDIT/RESEARCH OPPORTUNITIES:
Opportunity to participate in department audits.
One session dedicated to research.
MANAGEMENT TRAINING:
Attending weekly Consultant meetings.
Chairing CPAs/Community Team meetings/ward rounds.
Opportunity to shadow the Lead Consultant.
DESCRIPTION OF ANY SPECIAL INTEREST SESSIONS OFFERED:
• Adult ADHD Clinic
• PICU
• Access to CBT/Psychodynamic therapy supervision
• One session per week is set aside for developing special
interest
• Rehabilitation Units – for older people and adults
|