Post Category: » Hospital Posts
Location(s): » York District Hospital
There are five teams, with each team headed by a Consultant Physician with a particular interest, and the rest of the team comprising a Registrar or ST and a Foundation doctor. In addition, Senior Registrars on rotation work in some of the teams.
The Consultant Physicians have a particular interest in the following specialities:
Cardiology - Maurice Pye, Rob Crook, Nigel Durham, Sanjay Gupta, Chris Gale & Simon Megarry
Chest Medicine - Becky Thomas, Caroline Everett, Kirsty Rodger & John White
Endocrinology - Paul Jennings, Jonathon Thow & Vijay Jayagopal
Gastroenterology Alastair Turnbull, Sean Kelly & James Turvill, Gerry Robins, Simon Smale
Renal Medicine David Worth, Colin Jones, Dave Border, Nilar Than, Donald Richardson & Paul Laboi
Dermatology Julia Stainforth, Allan Highet, Ann Myatt, Calum Lyon, Kathryn Thomson
The junior medical staff establishment is currently comprised of 10 SpRs, 10 STrs and 2 GPSTrs, 8 FY1s, all working.
During the six month attachment, the GP SHO will be ward based but attached to one firm with regards Out Patient exposure, supervision and support. This gives considerable experience in a wide spectrum of medicine, including the Coronary Care Unit and also more detailed training in an individual specialty.
During the six month attachment with the Endocrine firm it is expected that the post holder will attend one Out Patient clinic in Diabetes per week and also when possible one General Medical/Endocrine clinic. The Diabetes clinic will provide an opportunity to become familiar with the working of the Diabetes MDT, use of insulin regimens and management of people with diabetes related complications. Trainees are encouraged to spend some time with the Diabetes Specialist Nurse and dietician to familiarise themselves with home blood glucose monitoring, the different insulin pens, witness insulin initiation and to understand the rationale of carbohydrate estimation and insulin dose adjustment. The Endocrine clinic will provide experience in the investigation and treatment of conditions such as weight loss, fatigue and thyroid disorders.
During the six month Dermatology attachment, there will be Dermatology Out Patient clinics most mornings, when the postholder is not on acute on call. There will be the opportunity to gain experience in most common dermatological conditions and become familiar with their investigation and treatment. There will be training in basic cutaneous surgery. By the end of the attachment, most trainees are able to excise simple lesions, perform biopsies and treat with cryotherapy. There is a regular program of formal tutorials in dermatology which will generally be written around the on call commitments to facilitate attendance.
During attachments of on call to the Acute Medical Unit the acute physicians contribute to training. This is an excellent opportunity for training and feedback of all patients seen by trainees. Drs Waring Moonie & Richardson are the consultants managing the Acute Medical Unit and short stay wards. The extended MDT on the AMU and SSW provide the opportunity to be involved in the rapid assessment, management and turn-round in the acute hospital setting of a wide range of medical / elderly take patients.
There are excellent IT facilities, including : Internet, email, and a developing electronic inpatient and outpatient care record, which includes pathology, XRay filmless technology with reports and patient letters.
The post is designated non-resident but resident accommodation is available.