NW Thames Foundation School
Individual Placement Description
Placement
F1 Paediatric Surgery with General
Paediatrics on Paediatric Short Stay Unit (2
months)
The department
The department of Paediatric Surgery at St
Mary’s Hospital currently comprises a SASG
Paediatric Surgeon, a registrar (changes daily)
and the F1. Paediatric Surgeon including
consultants and registrars from Chelsea and
Westminster Hospital run weekly outpatient
clinics in the department and also have
operating lists that take place on this site.
Paediatric Short Stay Unit is the base for short
stay cases referred from A&E and for Great
Western Ward day case follow up. This is the
area in which we are developing our
integrated Paediatric work pathways. Including
hospital at home, rapid referral clinics, email
and phone advice service supported by its
own team of Registar, F2, F1 and nurses.
Trust & Site
Imperial College Healthcare NHS Trust- St
Mary’s Hospital London
The type of work to expect and
learning opportunities
The F1 doctor is supernumary working from
8.30 till evening handover.
Learning opportunities include:
 Weekly protected 2 hours teaching time
on Thursdays and registrar led resus
teaching every Friday morning
 Consultant review of any surgical
patients
 Opportunities to examine and formulate
management plans
 Paediatric prescribing skills
 Manage time and clinical priorities
effectively
 Communicate effectively with children
and their parents/relatives
 Opportunity to assess and review
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patients independently in the pre-op
assessment clinic
Opportunity to lead the prolonged
jaundice babies clinic - from diagnosis
to management, and follow up
Opportunity to develop surgical skills by
attending theatre
Use evidence, guidelines and audit to
benefit patient care
Community experience offered in this
placement includes:
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Clinical Supervisor(s)
placement
for
Main duties of the placement
Close liaison with community services
around complex discharges and
ongoing community care
Weekly MDT to discuss complex
patients moving between primary
secondary and tertiary care
Opportunity to follow patients home
with AHPs for follow up experience post
discharge
Opportunity for community visits with
AHPs and community Paediatricians
Working within innovative hospital to
home service
the Dr Tagore Charles,
Consultant Paediatrician
The F1s main duties include:
Leading the prolonged jaundice clinic for
babies, assisted by the consultant.
Running the Paediatric Surgery pre-op
assessment clinic on Tuesday and Friday
morning, daily review of any surgical inpatients with the consultant and completing
jobs for these patients if needed. The
Paediatric Surgical F1 is required to complete
the Paediatric surgical EDCs for patients on
Westway who have come in for day case
procedures. Other duties include arranging for
patients to be put on the emergency theatre
lists. Any other time should be spent on the
Paediatric Short Stay Unit (PSSU) assisting
the team managing the patients. There is
opportunity to join the team in the Monday
outpatient clinic and to go to theatre. Along
with the F1 in General Paediatrics, the
Surgical F1 should attend the chronic patient
meeting on Thursday, all teaching sessions,
educational meetings and formal handover
which takes place every morning and evening.
Typical working pattern in this Daily:
placement
08:30-09:15 Handover/Teaching/Meeting
9:15-9:30 PSSU meeting
9:30-11:30 PSSU ward round
11:30-16:45 PSSU reviews
16:45-17:30 Handover
Monday:
08:30-09:30 Handover between all
subspecialties
12:30-13:30 Paediatric Grand Round
13:30-17:00 Prolonged jaundice clinic
Tuesday:
08:30-09:15 X-ray meeting
09:30-12:30 Pre-Assessment clinic
Wednesday:
1300-1500- Formal F1 teaching
Thursday:
11:30-13:00 Complex patients meeting
15:00-17:00 Protected paediatric teaching for
all juniors
Friday:
08:30-09:15 Simulation/resus teaching A&E
09:30-12:30 Pre-Assessment clinic
Employer information
Imperial College Healthcare NHS Trust
It is important to note that this description is a typical example of your placement and may be
subject to change.