NW Thames Foundation School Individual Placement Description Placement F2 Vascular Surgery The department The Vascular Surgery department is a regional referral centre for North West Thames and is a National referral centre for specialist conditions such as thoraco-abdominal aortic aneurysms. The department is staffed by 11 consultant vascular surgeons. Trust & Site Imperial College Healthcare NHS Trust, St Mary’s Campus The type of work to expect and learning opportunities The department has a specialist interest in aneurysm surgery, carotid surgery, diabetic foot disease and venous disease. The department manages its own 5 bedded HDU unit, giving unique learning opportunities. In particular the department receives patients to be considered for thoracoabdominal aneurysm surgery from around the UK. In research the department is internationally renowned for its clinical and research based publications on technology, simulation and error in surgery. The department is strongly involved in the teaching programme of undergraduates and hosts a number of postgraduate specialist courses The overall educational objectives of the F2 year are to provide the trainee with the knowledge, skills and attitudes to be able to: Take a history and examine a patient in the elective and emergency setting Gain experience in an HDU setting Identify and synthesise problems Clinical Supervisor(s) placement for Prescribe safely Keep an accurate and relevant medical record Manage time and clinical priorities effectively Communicate effectively with patients, relatives and colleagues Use evidence, guidelines and audit to benefit patient care Act in a professional manner at all times Cope with ethical and legal issues which occur during the management of patients with general medical problems Educate patients effectively Become life-long learners and teachers. the Michael Jenkins (Chief of Consultant Vascular Surgeon) service and Colin Bicknell (Senior Lecturer and Consultant Vascular Surgeon) Richard Gibbs (Consultant Vascular Surgeon) Main duties of the placement To manage elective and emergency patients on the ward including HDU, with the support of senior staff The consultants are divided roughly into 2 separate teams, red and blue. Blue team: Prof Nigel Stanfield Mr Colin Bicknell Mr Maz Mireskendari Prof Alun Davies Red team: Mr Richard Gibbs Mr Ian Franklin Mr Michael Jenkins Mr David Nott There are 7x F1s, 5x F2s. 4x F1s and 3x F2s for red team, 3x F1s and 2x F2s for blue team. F1s are expected to cover all ward duties. This includes jobs generated from the ward round. They also clerk in elective patients and help in the pre-operative assessment clinic (which is on the ward) on a daily basis F2s are responsible for the vascular HDU cover. They also cover clinics and are expected to help in theatre. Typical working pattern in this Everyday there is a ward round by the placement consultant of the week at 0800 and another board round at 1600. All patients on HDU, Zachary Cope and Samuel Lane wards are seen. There is also a registrar of the week rota Timetable: Mon: Mr Gibbs theatre list all day Prof Stanfield clinic pm at HH Tues: Prof Davies theatre list all day Mr Jenkins clinic morning 0900 FY2 teaching Wed: Mr Jenkins theatre all day Mr Bicknell clinic morning 1300 FY1 Teaching Mr Franklin clinic at CXH all day Thurs: Mr Franklin theatre all day Mr Bicknell theatre all day Mr Gibbs clinic am Fri: 0930 MDT meeting (SHOs have responsibility to prepare a case on each patient for this meeting) On call requirements: F2s carry the bleep. This covers HDU duties and answer to referrals from A+E F2 at night also covers the major trauma ward Employer information Imperial College Healthcare NHS Trust was created on October 1, 2007 by merging St Mary’s NHS Trust and Hammersmith Hospitals NHS Trust and integrating with the faculty of medicine at Imperial College London. Now one of the largest NHS trusts in the country, we have come together with the College to establish one of the UK’s first academic health science centres (AHSCs). The department receives referrals from NW London sector as a regional referral unit as well as Nationally for specialist referrals. It is important to note that this description is a typical example of your placement and may be subject to change.