StR/ SpR POST DETAILS 2009-2010

DESCRIPTION OF PLACEMENT:

The post is in Rehabilitation Psychiatry in the community based at Millbrook Independent Hospital and Douglas House. There is an additional responsibility for a defined group of inpatients in Bronte 1 ward in Laureate House, Wythenshawe Hospital.

Millbrook Independent Hospital (57 Wastdale Rd, Wythenshawe, Manchester) and Douglas House (54 Barlow Moor Rd, Withington, Manchester) are community rehabilitation units, which are projects of Alternative Futures and Turning Point respectively. These are independent 12 bedded hospitals (mixed facility for people between 18-60 years) in the community which accept patients with enduring and severe mental illness requiring long term care, support and supervision facilitating rehabilitation, re-socialisation and integration, achieving maximum potential for each patient. It works in bio psychosocial framework with inputs from Consultant Psychiatrist (the trainer, Dr Jones), SpR, SHO, nurses, art therapists, psychologists and psychosocial interventions.

The inpatient work is based at Bronte 1 ward for 8-10 patients requiring acute stabilisation of mental state looking at prompt discharge to the community, working closely with the CRHT and relevant CMHT.

There is no out patient or CMHT based work in the post.

ROLE OF THE TRAINEE:

Rehabilitation units:- The trainee will be a member of the multidisciplinary team involved in the assessment of patients referred for rehabilitation services and will participate in weekly multidisciplinary ward rounds in the two units. She/he will lead ward rounds under supervision and use various standardised scales to measure the psychopathology, social function and side effects of medication in both assessment and management. She/he will also attend monthly city-wide rehabilitation team meetings contributing and gaining team management.

Inpatient work:- The trainee will supervise inpatients, attend weekly multi-disciplinary ward round and lead it under supervision. She/he will be expected to make some reports and represent the medical team for the Managers Hearing and MHRT.

Supervision 1 hour a week: Tuesday afternoons.

ON CALL COMMITMENTS:

One session a week, ie. 4 hrs/week for Wythenshawe daytime on call.
Out of hours on call: currently 1 in 17 city-wide rota.

TEACHING EXPERIENCE:

• Medical Students from University of Manchester on rotation
• CT doctor (CT1-3) trainees attached to the team and to the department

Opportunity to present audits/research at weekly meetings.
Opportunities for OSCE’s, PBL, lectures and small group teaching.

RESEARCH OPPORTUNITIES:

Audit/research: 1-2 sessions a week.
Multiple ongoing Trust audits.

MANAGEMENT TRAINING:

Opportunity to be rota master, SpR rep, teaching coordinator, to attend consultant meetings and in my case, take part in management project.

ADDITIONAL TRAINING AVAILABLE:

Lots of time to supervise/teach SHOs.

Plenty of opportunity to genuinely work as part of a team and to spend time working with patients.
This placement is ideal for a general adult SpR aiming to gain experience in rehabilitation psychiatry.

Apart from the two sites for which Dr Jones is responsible, one gets the experience in the work going on across the city and other rehab units. One has the perfect combination of slow paced rehab units dealing with real psychiatric patients and on the other hand the opportunity to deal with acute inpatients. Dr Jones is very encouraging and supportive trainer, extremely flexible to the trainees needs and would definitely recommend this post to the trainees.

PROBABLE TRAINEE TIMETABLE:

IMPORTANT ADDITIONAL DETAILS:

This post offers an endorsement in rehabilitation psychiatry. If needed this post could be modified to become a core training post, links with another consultant could be developed to give outpatient experience.