|
||
|
|
|
|
||
 |
Rotations for the Oxford GP Training Programme |
 |
There are currently 16 3-year posts plus 2 4-year academic posts in the Oxford District programme.GP trainees in Oxford District spend eighteen months in hospital posts and eighteen months in general practice. The general practice component is split into six and twelve months in two different practices. All rotations end with 12 months in general practice, but the other six month GP component may occur at any stage of the first two years. Hospital rotations include the following placements and trainees have the chance to express their preferred rotations, once they are appointed, though note that not all specialties may be available to all trainees: A&E You will be working in three main areas: minor, major and resuscitation. This is a busy job but there is lots of variety, as you are treating both adults and children. It is a full-shift 8-hour rota with set holiday times. You may need to be proactive in finding relevant experience within the job. Adult Psychiatry There are 3 six months psychiatry posts based at the Warneford Hospital which give a wide experience to adult general psychiatry. Chest/Respiratory Medicine Based at the Churchill Hospital, most of this 6 month post is spent on Geoffrey Harris Ward. Patients are admitted directly from the Treatment Centre, following procedures, or after emergency assessment; from other hospitals as tertiary referrals or from other wards in the ORH. There is a good mixture of patients with various respiratory conditions, as well as cardiovascular and other medical conditions. On-call work covers I.D., and at night renal medicine and endocrinology as well. There is also a chance to work on the treatment centre, reviewing patients sent in by GPs, observing procedures, and sitting in clinics. The job is hard work, but an excellent learning experience. Dermatology This mainly consists of helping in dermatology general clinics as well as tumouor clinic and patch testing clinic. There is also the opportunity to learn minor surgery and care for in-patients. You provide evening, weekend and night cover for the Churchill Hospital medical on-call rota. Endocrinology and Diabetes This job is based at the Oxford Centre for Diabetes, Endocrinology and Metabolism at the Churchill Hospital. You will cover both endocrine and diabetic in-patients, diabetic foot clinic and have some opportunity to sit in at clinics. You will be involved in weekly team meetings and patient presentations. The department is very supportive of any research and audit projects you might wish to do. You will also cover renal, chest and infectious diseases when on-call which will give some wider experience. ENT The ENT job is based in the West Wing at the JR Hospital; in the specialist surgery ward, paediatrics ward and downstairs in the ENT out-patients department. The bulk of the job involves managing ward patients. Other aspects include seeing ENT referrals around the hospital and in A&E, carrying out paediatric pre-assessment clinic and helping out with e-clinic (emergency referrals) under the supervision of the registrar. As there are three posts, you should get the opportunity to attend theatre or sit in on clinics if you want to. When on-call, you are responsible for the ENT and Plastic Surgery patients on the specialist surgery ward and your duties are also to clerk in ENT and Plastics admissions to the ward and see referrals in A&E (which will already have been discussed with, and accepted by, the ENT/Plastics registrar). Geratology and General Medicine This currently consists of 4 months Geratology on Level 4 of the JR, in the Adams and Bedford Ward, and 2 months general medicine. There is a lot of responsibility for trainees on the geratology ward. The general medicine, which takes place all over the hospital, was rated as a very useful experience, especially the day hospital. The rota is currently 1 in 7. GUM Genito-Urinary Medicine is based at the Churchill Hospital and there is no in-patient or HIV responsibility, though you can sit in on HIV meetings. Clinics are 9-12, 12-4 and 4-6/7pm. There is no medical on-call and the job is unbanded (which will obviously have an impact on your pay during this post), so trainees get time off to compensate. There is a clinical meeting once a week. Trainees do practical procedures themselves, including swabs and microscope work. Staff from the GUM department also run family planning clinics, so it is possible to do the DFSRH whilst you are working there. It is also possible to sit in on other clinics e.g. relationship, penile and vulval. Musco-Skeletal Medicine This job is based around the orthopaedic service and you will be either in foot and ankle, or shoulder/upper limb, or spinal. You may also do some paediatrics at the Nuffield. You will be attached to one team but you will be able to go to all clinics. The orthopaedic service is provided by a mixture of orthopaedic specialist trainees and GPStRs so you will have the opportunity to concentrate on the medical & GP aspects of care of individuals with musculoskeletal problems rather than spending hours in theatre. Obstetrics & Gynaecology This attachment is split into two three-month blocks on two gynaecology teams. There is also experience in emergency gynaecology clinic and general out-patients as well as on delivery suite and the ante-natal and post-natal wards. Many GP ST1 and ST2s do the DRCOG during this time. Oncology You will be under several consultants so you will see patients on your own ward round, and need to structure your own day after discussion with nurses. There is very good oncology teaching and you deal with a wide variety of patients, from the very sick to the more well patients in the chemotherapy clinic. You learn how to handle oncology emergencies, patients following radiotherapy and chemotherapy, and this post is also good for general medicine experience. There is a certain amount of autonomy since there is often no F1 doctor, so oncology nurses are a hugely valuable resource. Paediatrics This job is based at the JR Children's Hospital. You will spend time attached to paediatric subspeciailties such as gastroenterology, neurology, cardiology and oncology. You will also spend time doing acute paediatrics in A&E and on the wards. Palliative Care A three month period spent as part of the team at Sobell House, caring for patients in need of palliative care. You provide evening, weekend and night cover for the Churchill Hospital medical on-call rota. Psychological Medicine This involves treating in-patients in the Oxford Hospitals (JR, Churchill or NOC) who also present with acute psychiatric problems and making psychiatric assessments of people in A&E or on the wards who staff feel require psychiatric assessments. You are very well supported by the Barnes Unit. Rehabilitation The post is based at the Oxford Centre for Enablement, a tertiary referral unit for neuro-rehabilitation. You will see a variety of pathologies including stroke, MS, hypoxic and traumatic brain injury, and spinal cord problems. It is a good post for honing your neurological examination skills. Although much of the work is at a very specialist level, there is plenty to take away for future GP work. The job involves clerking new patients, managing evolving medical issues on the ward and there is the opportunity to become as involved as you like in clinics. There are likely to be plenty of opportunities to get involved in research and audit or to revise for exams. On call commitments - you are part of the NOC SHO rota and cover the OCE and the NOC when on call (late days, nights and weekends). Renal Medicine Excellent experience of the main acute medical emergencies, which are common in primary care, so particularly useful experience. You cover haemodialysis and deal with non-renal medical conditions e.g. skin problems, leg problems (often one day per week in renal). Also cover on-call infectious diseases and chest medicine. Rheumatology You will be based in the Nuffield Orthopaedic Hospital, where you can do out-patient clinics and lots of ward work. This involves lots of general medicine and you cover both orthopaedic and rheumatology on-call at night and post-op. Consultants are reportedly friendly and you can make of the job what you want. There are opportunities to attend orthopaedic out-patients, paediatrics out-patients and rheumatology out-patients. If you do not have a paediatrics rotation, then useful paediatrics experience can be gained here. The posts are based at hospitals of the Oxford University Hospitals Trust, with some posts at the John Radcliffe, some at the Churchill Hospital, including Sobell House, and the Oxford Centre for Enablement and some at the Nuffield Orthopaedic Centre. Psychiatry is based in the Oxfordshire and Buckinghamshire Mental Health Trust and is located at the Warneford Hospital. All of these hospitals are located in Headington, Oxford, within about 2 miles of one another. |
 |
||
 |
 |
|
Site created by Akriga |
||