Bolton NHS Foundation Trust
Minerva Road
Bolton
BL4 0JR
Academic Foundation Lead - Professor Paul Baker
Foundation Programme Director - Dr Mayen Egbe
As an academic trainee at Bolton you will spend one session per week, usually Thursday afternoon, on your academic activities. During the FY2 Acute Medicine post you will be allocated an additional session and will spend 2 sessions per week, usually all day Tuesday, on your academic activities.
You will be required to undertake research, publication of papers and presentations at academic meetings. Whilst attaining all the usual foundation competencies, you will be expected to acquire extra experience and expertise in academic skills. This will include some responsibilities in organisation and delivery of teaching.
Although the attachment in which most time is allocated to academic activity is in the FY2 year, you will be required to make contact with your academic supervisor as soon as possible on arrival (if not before) and to maintain contact throughout FY1. Preparatory work can begin as soon as possible to make your stay more fruitful and by FY2 you should have ample opportunity to plan, deliver and present your own project related to education and training. Submission to National and International academic meetings for presentation would be expected.
Track Details
Colorectal
Surgery
Respiratory
Medicine
Laboratory
Medicine
FY1
Laboratory
Medicine
Colorectal
Surgery
Respiratory
Medicine
ACADEMIC TRACK
Respiratory
Medicine
Emergency
Medicine
Laboratory
Medicine
Colorectal
Surgery
General
Practice
Academic/
Acute
Medicine
FY2
Academic/
Acute
Medicine
Emergency
Medicine
General
Practice
General
Practice
Academic/
Acute
Medicine
Emergency
Medicine
Academic Foundation – Royal Bolton Hospital – August 2013

POST DETAILS - YEAR 1
FY1 Colorectal/General Surgery Placement
The department
Where the placement is based
General/Emergency Surgery in a busy District
General Hospital.
Ward based.
Clinical Supervisor for the placement Mr P Harris
Main duties of the placement Care of elective/emergency ward patients.
Typical working pattern in this placement
Typical working pattern in this post e.g. ward rounds, clinics, theatre sessions
Daily/weekly/monthly (if applicable)
Mon: Ward
Tues: Ward
Wed: (AM) Ward round (PM) Foundation
Teaching
Thurs: (AM) Ward (PM) Academic Work
Fri: Ward
Sat
– Sun:
On call requirements: 1:11
Academic Foundation – Royal Bolton Hospital – August 2013

POST DETAILS - YEAR 1
Placement
The department
FY1 Lab Medicine
NHS hospital laboratory including histopathology/cytology, haematology, clinical chemistry, and medical microbiology.
Laboratory work, clinics, ward rounds and some on call commitments
The type of work to expect and learning opportunities
Where the placement is based Mainly laboratory, some clinic and diabetes centre sessions, also ward rounds.
Clinical Supervisor for the placement Dr Bisset
Main duties of the placement 4 months histopathology with time spent in clinical chemistry, haematology and microbiology
Typical working pattern in this placement
Typical working pattern in this post e.g. ward rounds, clinics, theatre sessions
Daily/weekly/monthly (if applicable)
The working pattern will vary throughout the 4 month attachment, but is essentially normal office hours, supplemented by 2 weeks of on call no later than midnight, and 2 weekend work sessions, spread across the whole 4 months.
The work will include ward work and clinics
(mainly haematology). Laboratory and post mortem room work, attendance at cancer MDT meetings.
On call requirements: as above
Academic Foundation – Royal Bolton Hospital – August 2013

POST DETAILS - YEAR 1
Placement
The department
The type of work to expect and learning opportunities
FY1 Respiratory Medicine
Two busy wards with 26 beds each. Fast turnover of Respiratory and General Medical patients. Multidisciplinary approach
Ward rounds and ward work. Practical procedures. Opportunity to teach and present.
Audit
Where the placement is based Respiratory Wards
Clinical Supervisor for the placement Dr Ibrahim, Dr Allen, Dr Raza
Main duties of the placement
Typical working pattern in this placement
Ward rounds. Day to day work on busy wards.
Practical procedures. Teaching of undergraduates. Participation in Respiratory teaching. Audit. Daily MDT meeting.
Appropriate supervision for all duties.
Typical working pattern in this post e.g. ward rounds, clinics, theatre sessions
Mon: Ward round with consultant. Ward MDT meeting. Lung cancer MDT. Ward work
Tues: Ward round with consultant. Ward MDT meeting. Lunchtime Respiratory teaching. Ward work.
Wed: Ward round with consultant. Ward MDT meeting. Ward work. Afternoon of Grand round and Foundation teaching
Thurs: Ward round with consultant. Ward MDT meeting. Ward work
Fri: Ward round with consultant. Ward MDT meeting. Ward work
Sat/Sun: Only when on-call, according to rota
On call requirements: As per general medical rota
Academic Foundation – Royal Bolton Hospital – August 2013

POST DETAILS - YEAR 2
Placement
The department
The type of work to expect and learning opportunities
FY2 Emergency Medicine
Last year we saw over 110 000 new patients and around 5000 in the review clinics, so this is a busy department!
Of these patients about ¼ are children and over
¼ of all patients arrive by ambulance.
There are five separate functional areas:

Resuscitation area with 4 beds

Majors (the Quad) with 12 cubicles

Minors with 4 separate cubicles

Paediatric ED with 2 resus beds, 5 cubicles and 4 observation areas

Review clinic area – which has 3 cubicles.
There is also a psychiatric assessment room, and a separate ENT / eye room.
Medical Staff:
There are 7 WTE consultants with a range of different interests within emergency medicine.
They provide shop floor cover from around
0830 to 2200 during the week and are also in the department at the weekends. They are oncall overnight to deal with any problems that arise.
Nine middle grades, a combination of specialty doctors, clinical fellows and specialist registrars on the North West rotation, provide a senior presence in the department 24 hours a day
There are currently 13 STs and 3 FY1s on a composite rotation. The ST posts are made up of two ACCS trainees, four FY2s, seven GP specialist trainees.
Initial assessment and management of acute illness and injury in adults and children.
Academic Foundation – Royal Bolton Hospital – August 2013

Where the placement is based Emergency Department
Clinical Supervisor for the placement Dr Damian Bates
Main duties of the placement
Opportunity to develop acute skills across all specialties, reinforce history taking and examination and develop some early decision making skills.
Participation in audit and teaching is always encouraged.
Typical working pattern in this placement: See attached rota
Initial assessment and management of acute illness and injury in adults and children.
A
B
C
D
E
F
G
H
MON
HOL/SB
HOL/SB
08-16
22-08
16-24
OFF
08-16
16-24
TUE
HOL/SB
HOL/SB
08-16
22-08
16-24
OFF
08-16
16-24
WED
HOL/SB
HOL/SB
08-16
22-08
16-24
OFF
08-16
16-24
THUR
HOL/SB
HOL/SB
22-08
OFF
16-24
08-16
08-16
16-24
I
J
K
L
M
OFF
08-16
16-24
16-24
22-08
OFF
08-16
16-24
16-24
22-08
16-24
08-16
OFF
16-24
22-08
16-24
08-16
OFF
OFF
22-08
16-24
08-16
OFF
OFF
22-08
Emergency Department Royal Bolton Hospital
Medical Staff Rota
June 2010
FRI
HOL/SB
HOL/SB
22-08
OFF
16-24
08-16
08-16
16-24
SAT
HOL/SB
HOL/SB
22-08
OFF
12-22
08-18
OFF
14-24
OFF
10-20
OFF
22-08
OFF
10-20
08-16
22-08
OFF
SUN
HOL/SB
HOL/SB
22-08
OFF
12-22
08-18
OFF
14-24
OFF
Academic Foundation – Royal Bolton Hospital – August 2013

POST DETAILS - YEAR 2
Placement FY2 Acute Medicine
The department
The type of work to expect and learning opportunities
Assessment and management of acute illness.
Opportunity to develop acute skills, reinforce history taking and examination and develop some early decision making skills.
Where the placement is based
Assessment Unit for unselected acute medical admissions via A&E or GP referral
Acute Medical Receiving Unit and Short Stay
Unit
Clinical Supervisor(s) for the placement Dr Basu, Dr Thapa, Dr Zachariades
Main duties of the placement Very busy unit. Supervised clerking and management of acute medical emergencies
Typical working pattern in this placement
Typical working pattern in this post e.g. ward rounds, clinics, theatre sessions
Daily/weekly/monthly (if applicable)
Mon –Friday: Morning ward round. Clerking and managing patients. Continual senior presence on unit
Sat-Sun: Only on-call commitments
On call requirements: 11 nights in 4 months.
1 weekend in 4 months. Sporadic 0900-
2100 daytime on-call
Academic Foundation – Royal Bolton Hospital – August 2013

POST DETAILS - YEAR 2
Placement
The department
Typical working pattern in this placement
FY2 General Practice
General Practice Surgery in the Bolton area
Where the placement is based Heaton Medical Centre, Bolton
Clinical Supervisor(s) for the placement A named clinical supervisor will be allocated
Main duties of the placement Provision of general medical services to the practice population. Patients will be seen in surgeries and on home visits for treatment, investigation and referral as appropriate. The trainee will also work with other members of the primary care team (nurses, health visitors, reception staff) and help participate in the running of the practice (audit, QOF, business meetings)
Typical working pattern in this post e.g. ward rounds, clinics, theatre sessions
Daily/weekly/monthly (if applicable)
Mon-Fri: Surgeries, Home Visits, Practice
Meetings, Teaching Sessions
On call requirements: None
It is important to note that these job descriptions are a typical example of your placements and may be subject to change.
Academic Foundation – Royal Bolton Hospital – August 2013