East Lancashire Hospitals NHS Trust
Foundation Trainees
General Information
This Document describes the Foundation Year training posts for East Lancashire Hospitals
NHS Trust. All posts are for 24 months subject to satisfactory progress and are 6 x 4
month rotations. All tracks include a 4 month placement in primary care during the second
12 months.
The East Lancashire Hospitals NHS Trust and Primary Care Trusts provide services to the
population of East Lancashire of about 510,000 people. Geographically it covers the
Blackburn, Burnley, Hyndburn, Pendle, Ribble Valley and Rossendale areas.
The posts are based in the Royal Blackburn Hospital and Burnley General Hospital. The
hospitals offer a comprehensive range of in and out-patient services, including in-patient
psychiatry, young disabled facilities and outpatient clinics from a range of visiting
specialities from tertiary referral centres. There are full diagnostic and scanning services,
with both sites fully supported by Postgraduate Medical and Dental facilities, fully equipped
libraries and subsidised staff gyms.
The Trust has undergone a major new review involving relocation of services between the
two hospitals and now includes The Lancashire Women and Newborn Centre which is the
culmination of more than five years’ work and brings together all East Lancashire’s of
Womens and Newborn services in one place, enabling the delivery of the best possible
care. The state-of-the-art building located on the Burnley General Hospital site includes:
• A Central Birth Suite providing hi-tech facilities for complex births
• An alongside midwife-led Birth Centre offering a relaxed environment where healthy
women can go through labour naturally and at their own pace in homely rooms with
ensuite facilities
• A Neonatal Intensive Care Unit caring for premature newborns from across North and
East Lancashire and providing high level care including whole-body cooling treatments for
the most poorly babies,.
• A purpose-built gynaecology unit incorporating separate areas for services such as
oncology, urogynaecology, fertility treatment, and termination of pregnancy.
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East Lancashire Hospitals NHS Trust
Royal Blackburn Hospital
This new build hospital completed in 2006 and is
located approximately 1 mile outside of the town centre.
There is a regular bus service operates past the main
entrance. Acute services are based at this site including
emergency medicine, surgical emergencies, high risk surgery and a helipad. There is an
extensive dining room serving breakfast, lunch and evening meal with specialist diets and
out of hours catered for. There is also a newsagents, hairdressers, cafe, and subsidised
staff gym. In the ‘Learning Centre’ we have a fully equipped library, seminar rooms and a
large auditorium all fitted with visualising equipment. We have a large clinical skills lab
with kitchen and a 3G simman room with a new state of the art doll which can be
programmed to simulate clinical emergencies.
Burnley General Hospital
The large district hospital is situated 2 miles from the town
centre and a regular bus service operates past the main
entrance. Since the mid 1960’s there has been extensive
development and refurbishment – including the new main
entrance ‘Phase Five.’ When current developments are complete elective surgery, maternity,
gynaecology and the neonatal unit is now on this site. There is also a psychiatry department
which specialises in child and adolescent psychiatry and an urgent care centre for minor
injuries. As a Foundation Trainee you will be expected to work on both sites as your rotation
requires you to.
Pendle Community Hospital
An excellent small community hospital which was opened in 1991. Pendle Community
Hospital provides a wide range of services for the population of Pendle.
For further information about:
East Lancashire Hospitals
www.elht.nhs.uk
Hospital Internet
www.hospitalsineastlancs.nhs.uk
North-western Deanery
www.nwpgmd.nhs.uk
Blackburn with Darwen Council
www.blackburn.gov.uk
Blackburn with Darwen Tourist
Information
Burnley Council
www.visitblackburn.co.uk
Burnley Tourist Information
www.visitburnley.com
www.burnley.gov.uk
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East Lancashire Hospitals NHS Trust
Feedback from Trainees
When asked about their experience at East Lancashire current trainees to the Trust have
commented….
“The area is deprived but the people make up for it, it would be difficult to find more
helpful, nicer people than those in East Lancs.”
“Good mix of town life & country life.”
“Doesn’t take long to get back to Manchester as the traffic is often going the opposite
way.”
“Surrounded by beautiful countryside.”
“Good training with fixed sessions & well supported.”
“Thorough training & a good student: teacher ratio.”
“A lot of interesting pathology. ‘Normal for East Lancs’ describes the strange pathologies
you will see which you probably wouldn’t elsewhere.”
“You’re encouraged to do a lot of procedures & get a lot of clinical exposure & there’s
never a dull moment. I feel very well prepared for further training as I’ve been stretched &
well supported.”
“Of you are interested in something, make it known & you will probably see something
done about it.”
“The Medical & Dental Education Team are very supportive, approachable & open. They
are always there when you need help & make an effort to learn your name.”
We have also commonly found that 88% of East Lancashire Foundation Trainees have
achieved their first choice of Specialty Training posts.
Teaching
Teaching is held weekly at either the Blackburn or Burnley sites, you will have plenty of
notice of the session and where it is being held. There will be no teaching the day
following any bank holiday. Apart from lecture based teaching we also include group work
and practical sessions such as back-care and ANTT. The educational facilities include two
large lecture theatres, smaller seminar rooms, a skills laboratory, 3G simman room and a
practical training room.
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East Lancashire Hospitals NHS Trust
Example Teaching Programmes
FY1 Teaching Programme August 2009-July 2010
Aside from the programme below you also have protected teaching time on a Tuesday
12:30-13:30 for case presentations. These are also mandatory along with your
Thursday teaching sessions.
DATE
SESSION ONE
SESSION TWO
SESSION THREE
11.08.09
12:30-13:30
Hospital 24
13.08.09
2pm - 5pm
Welcome Meeting - Horus/Assessments/Appraisals/Portfolios/VLE
18.08.09
12.30-13:30
Audit – The Basics
20.08.09
2pm - 3pm
Death Certification
12.30-13:30
Surviving the FY1 Year
25.08.09
27.08.09
2pm - 3pm
Casenotes & Wardrounds etc
01.09.09
03.09.09
15:15-17:15
Standards of Prescription Writing
15:15-17:15
Standards of Prescription Writing
No Teaching
2pm - 3pm
TTO Discharges
15.30-16:30
Diabetes
16:30-17:30
Pre-Op Emergencies
12:30-13:30
Presentation by Dr Littley
08.09.09
10.09.09
2pm - 3pm
ALERT
15:00-16:30
Initial Assessment of Acutely Ill
17.09.09
2pm-3pm
Obs & Gynae Emergencies
3pm-4pm
ABD of Paediatrics
24.09.09
2pm-4pm
Blood Transfusion Issues
01.10.09
16:00-16:30
Pharmacy Update
Teaching cancelled due to The Deans Visit
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East Lancashire Hospitals NHS Trust
16:30-17:30
Child Protection
08.10.09
2pm-4pm
Management of Acute Pain
16:00-16:30
Pharmacy Update
16:30-17:30
ABC of Rheumatology
12:00-14:45
Focusing on Advancing Quality
13.10.09
15.10.09
15:00-16:00
Delirium
4pm-5pm
Palliative Care Service
22.10.09
2pm-3pm
Cardiology
15:15-17:15
Standards of Prescription Writing
Pharmacy Prescribing Workshops
29.10.09
2pm-4pm
IV Prescribing & Preparation
16:00-16:30
Foundation Rep Feedback
16:30-17:30
Clostridium Difficile &
MRSA
05.11.09
2pm-3pm
ABC of Gastroenterology
3pm-4pm
Major Incident
4pm-5pm
Management of
Common Orthopaedic
Fractures
12.11.09
2pm-3pm
Consent
15:00-15:30
Pharmacy Bruce
15:30-17:00
Whistleblowing
19.11.09
2pm-3pm
Heart Failure
26.11.09
2pm-3pm
Falls & Fractures in Older People
3pm-4pm
Acute Medical Management
03.12.09
3pm-4pm
Dermatology
4pm-5pm
Post-op Emergencies
No teaching as it is rotation week
10.12.09
2pm-3pm
Clostridium Difficile & MRSA
3pm-4pm
DVT/Thrombosis
4pm-5pm
Interpretation of Chest
X-rays
17.12.09
2pm-3pm
Allergies & Anaphylaxis
15:00-15:30
Pharmacy Update
15:30-16:30
Haematology
21.12.09
Christmas & New Year
28.12.09
07.01.10
14.01.10
21.01.10
2pm-3pm
Acute Abdomen - How to Proceed
4pm-5pm
Mountain Medicine
2pm-3pm
Common Radiological Investigations
3pm-4pm
Portfolios
4pm-5pm
Symptom Control
2pm-3pm
15:00-15:30
Pharmacy Update
4pm-5pm
Surgical Emergencies
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East Lancashire Hospitals NHS Trust
Working with injecting drug users
28.01.10
2pm-4pm
GCS Assessments
4pm-5pm
Psychiatric Emergencies
4pm-5pm
Initial Management of
Acute Coronary
Syndrome
04.02.10
3pm-4pm
Inflammatory Bowel Disease Surgical Options
11.02.10
2pm-3pm
Nutrition
18.02.10
2pm-3pm
ABC of ENT
15:00-15:30
Pharmacy Update
16:00-17:00
Essential advice for
your FY2 year
25.02.10
2pm-3pm
Dermatology
3pm-4pm
Head Injury
4pm-5pm
Cardiac Arrest in
Pregnancy
04.03.10
2pm-3pm
Reading & Understanding ECGs
3pm-4pm
Pharmacy Update
4pm-5pm
Acute Breathlessness
11.03.10
2pm-3pm
Keeping Medical Records/Best
practice
3pm-4pm
Death Certificates & Coroners
Reports
4pm-5pm
Neurological
Emergencies
18.03.10
2pm-3pm
Breaking Bad News
15:00-15:30
Pharmacy Update
15:30-16:30
Parasuicide
25.03.10
2pm-5pm
Group 1
Windmills Career training
14:00-15:30
Group 3
Back Care & Safer Handling
Group 2
Self Study
01.04.10
2pm-5pm
Group 2
Windmills Career training
14:00-15:30
Group 1
Back Care & Safer Handling
Group 3
Self Study
08.04.10
15:00-15:30
Pharmacy Update
3pm-4pm
Acute Renal Failure
No teaching as it is rotation week
15.04.10
2pm-3pm
Surviving Sepsis
22.04.10
2pm-3pm
End of life care & Prescribing
15:00-15:30
Pharmacy Update
15:30-16:30
Acute pain
management update
29.04.10
2pm-3pm
Ophthalmology
3pm-4pm
Rheumatoid Arthritis
4pm-5pm
Upper GI Disease
Foundation Presentation Evening
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East Lancashire Hospitals NHS Trust
06.05.10
13.05.10
2pm-5pm
Group 3
Windmills Career training
14:00-15:30
Group 2
Back Care & Safer Handling
2pm-4pm
Whistle Blowing & Defensible Documentation
Group 1
Self Study
4pm-5pm
Cardio Vascular Risk
20.05.10
2pm-3pm
Thyroid Disorder
3pm-4pm
Professionalism
4pm-5pm
Tissue Viability
27.05.10
2pm-3pm
Stroke medicine
3pm-4pm
Acute/Chronic Hepatitis
4pm-5pm
Medicine in the TA
03.06.10
2pm-4pm
Care & Maintenance of Central Lines
12:30-13:30
Foundation Forum
08.06.10
10.06.10
2pm-3pm
Introduction to the Medical
Leadership
17.06.10
2pm-3pm
Sports Medicine
15:00-15:30
Cancer Services
08.07.10
15:30-17:30
Self Study
3pm-5pm
Thacheostomies - Care & Management of
2pm-5pm
Preparation for Shadowing
24.06.10
01.07.10
4pm-5pm
Recognition of the Sick Child
2pm-3pm
Specialty Training Applications
3pm-4pm
Supporting the Assessment
of People With Learning
Disabilities in Acute Hospital
settings
2pm-3pm
Mental Capacity Act
4pm-5pm
A Career in Emergency
Medicine
3pm-4pm
Sports medicine Imaging
15.06.10
2pm-3pm
Organ Donation
22.06.10
Shadowing Scenarios - FY1s
29.06.10
Shadowing Scenarios - FY1s
FY2 Teaching Programme August 2009-July 2010
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East Lancashire Hospitals NHS Trust
DATE
11.08.09
18.08.09
SESSION ONE
SESSION TWO
9.30 – 12.15
Introduction to FY2 Year & Team Building
SESSION THREE
12.15 – 12.45
Hospital 24
9.30 – 10.30
GROUP 1 :Careers
10.30 – 11.30
GROUP 2 :Careers
GROUP 2: Algorithms &
Practical Training
GROUP 1: Algorithms &
Practical Training
25.08.09
9.30 – 12.30
Competency Mapping
01.09.09
NO TEACHING
11.30 – 12.30
Post Op Issues
08.09.09
9.30 – 10.30
Case/Poster Presentations
10.30 – 11.30
Sepsis
15.09.09
9.30 – 10.00
Pharmacy Update
10.00 – 11.30
Rheumatology Update
11.30 – 12.30
Case Presentations
22.09.09
9.30 – 10.30
Case Presentations
10.30 – 11.30
Chest Trauma
11.30 – 12.30
Stabilisation of Fractures
10.30 – 11.30
Gynaecology Emergencies
11.30 – 12.30
Obstetric Emergencies
10.30 – 11.30
TBC
11.30 – 12.30
Orthopaedics & Trauma
29.09.09
06.10.09
13.10.09
20.10.09
27.10.09
9.30 – 10.00
Pharmacy
Update
10.00 – 10.30
Case
Presentations
9.30 – 10.30
Case Presentations
9.30 – 10.00
Pharmacy
Update
Pharmacist
10.00 – 10.30
Case
Presentations
9.30 – 10.30
Stabilisation of Fractures
9.30 – 10.00
Pharmacy
Update
10.00 – 10.30
Case
Presentations
10.30 – 12.00
Non Accidental Injuries
12.00 – 12.30
Case Presentations
10.30 – 12.30
CV Writing Techniques
9.30 – 12.30
GP Specialty Training Application Workshop
27.10.09
03.11.09
10.30 – 12.30
CV Writing Techniques
9.30 – 10.30
Case Presentations
10.30 – 12 noon
Cause of Death & Post Mortems and A Career in Pathology
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East Lancashire Hospitals NHS Trust
10.11.09
9.30 – 10.00
Pharmacy
Update
10.00 – 10.30
Case
Presentations
9.30 – 12.30
Portfolio
17.11.09
24.11.09
10.30 – 12.30
GROUP ONE: CV Writing Techniques
9.30 – 10.00
Pharmacy
Update
10.00 – 11.00
Anaesthetic Topics
11.00 – 12.00
Acute Medical
Management
24.11.09
10.00 – 12.30 (10 minute individual appointments)
Blood Transfusion Practical Session
01.12.09
GROUP ONE: Mandatory Training
GROUP TWO: Self Study
08.12.09
9.30 – 10.00
Pharmacy
Update
10.00 – 10.30
Case
Presentations
10.30 – 11.30
Reflective Practice
08.12.09
10.00 – 12.30 (10 minute individual appointments)
Blood Transfusion Practical Session
15.12.09
GROUP ONE: Self Study
GROUP TWO: Mandatory Training
22.12.09
12.00 – 12.30
Case
Presentations
Namal
TBC
NO TEACHING
29.12.09
05.01.10
10.30 – 12.30
Group One: Interview Skills
12.01.10
10.30 – 12.30
Group Two: Interview Skills
19.01.10
9.30 – 10.00
Pharmacy
Update
10.00 – 10.30
Case
Presentations
11.30 – 12.30
Patient Safety
10.30 – 12.30
Group Three: Interview Skills
26.01.10
02.02.10
10.30 – 11.30
Heart Failure
9.30 – 10.00
Pharmacy
Update
10.00 – 10.30
Case
Presentations
10.30 – 11.30
ENT Problems
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East Lancashire Hospitals NHS Trust
11.30 – 12.30
Fluid Balance
09.02.10
9.30 – 10.30
Paediatric Emergencies
10.30 – 11.30
Whistle Blowing
16.02.10
TEACHING CANCELLED
23.02.10
9.30 – 10.00
Case Presentations
02.03.10
9.30 – 10.00
Pharmacy Update
09.03.10
9.30 – 10.00
Case Presentations
10.00 – 12.30
Equality & Diversity
10.00 – 10.30
Hours
Monitoring
10.30 – 11.30
Acute Pain
Management
10:00 – 10.30
Diabetes Investigated
11.30 – 12.30
Management of Risk
11.30 – 12.30
Vascular Emergencies
16.03.10
9.30 – 10.00
Pharmacy Update
10.00 – 12.30
Major Incident
23.03.10
09.30 – 09.45
Venous Thromboembolism
Dr I Stanley
09.45 – 10.45
Case Presentations
30.03.10
9.30 – 10.00
Pharmacy Update
10.00 – 10.30
Case Presentation
06.04.10
13.04.10
20.04.10
27.04.10
NO TEACHING
9.30 – 10.00
Pharmacy
Update
10.00 – 10.30
Red Cross,
Cancer
Services
18.05.10
25.05.10
10.30 – 11.30
Case Presentations
09.30 – 10.00
Case Presentations
11.30 – 12.30
Transition from FY2 to
GPVTS
10.00 - 12.00
Alcohol Abuse
9.30 – 10.00
Pharmacy Update
04.05.10
11.05.10
10.30 – 12.30
Life Coaching / NLP
10:00 – 12:00
Communication with Children
NO TEACHING
9.30 – 10.00
Pharmacy Update
10.00 – 11.00
Dementia
09.30 – 10.30
Case Presentations
09:30 – 10:30
Case Presentations
11.00 – 12.00
Renal failure
10.30 – 12.30
Donor Transplants
10:30 – 12:00
Blood Transfusions
01.06.10
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East Lancashire Hospitals NHS Trust
NO TEACHING
08.06.10
9.30 – 10.00
Pharmacy
Update
10.00 – 11.00
Transition from FY2 to Specialty Training
11.00 – 12.30
Whistle
Blowing
12:30 – 1330
Foundation
Forum
15.06.10
09:30 – 10:30
Management of Maxillo-Facial
Emergencies
10.30 – 11.30
Digestive Problems
11:30 – 12:30
Case Presentations
22.06.10
9.30 – 10.00
Pharmacy Update
10.00 – 11.00
Orthopaedics ATLS
11.00 – 12.00
Ophthalmology
09:30 – 12:30
Drug Misuse, Prevention and Viral Hepatitis
29.06.10
06.07.10
9.30 – 10.00
Pharmacy Update
10.00 – 11.00
O&G
13.07.10
09:30 – 10:30
Case Presentations
10:30 – 11:30
Army Medical Services TA
11:30 – 12:30
Medical ethics/DNAR decisions
20.07.10
9.30 – 10.00
Pharmacy Update
10:00 – 11:00
Case Presentations
11:00 – 12:00
How to Access the Acute
Abdomen
27.07.10
09:30-12:30
Case Presentations
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East Lancashire Hospitals NHS Trust
11:00 – 12:00
Chronic
Respiratory
Problems
12:30-13:30
Foundation
Forum
Medical & Dental Education Team
Director of Medical Education
Dr Malcolm Littley
Foundation Year 1 Programme
Director
Dr Javed Iqbal
Foundation Year 2 Programme
Director
Miss Fiona Clarke
Medical & Dental Education Manager
Mrs Linda Whitfield
Deputy Medical & Dental Education Manager
Mrs Melanie Stuart
Foundation Year 1 Foundation Year 2 Specialty Training
Administrator
Administrator
Administrator
Mrs Frances
Mrs Joanne
Mrs Becca Marr
Bradley
Oldfield
Medical & Dental
Education
Administrators
Mrs Jemma Byrom
Miss Holly Holme
Opportunities Available
As part of your Foundation Year 1 you will be expected to have completed Immediate Life
Support a One-day course accredited by the Resuscitation Council (UK) and ALERT
(acute life threatening events recognition & treatment).
As part of Foundation Year Two you will complete Advanced Life Support a two day
course accredited by the Resuscitation Council (UK.
During Foundation year 2 you may also partake in….
Basic Surgical Skills
Hosted at Royal Blackburn Hospital during October
Three-day course accredited by the Royal College of Surgeons
Paediatric Life Support (PLS)
One-day course accredited by the Advanced Life Support Group which you can do in your
paediatric rotation
Advanced Paediatric Life Support (APLS)
Three-day course accredited by the Advanced Life Support Group
Advanced Trauma Life Support
Three-day course accredited by the Royal College of Surgeons
Newborn Life Support
One-day course accredited by the Resuscitation Council
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East Lancashire Hospitals NHS Trust
Postgraduate Teaching project
Scheme for organising and participating in the teaching of Undergraduate Medical
Students
Shadowing
Before new Foundation Trainees start with the Trust we hold a shadowing period which
you will have a chance to be involved with and have your own trainee shadow you in your
work.
Taster Sessions
If you have not had chance during your rotations to gain experience in a department you
are interested in, a weeks taster session can be arranged so you gain this valuable
experience and broaden your knowledge.
For all courses you will have to apply for study leave and will be supported by the
Medical & Dental Education Department.
Job Descriptions
Integrated Medicine
The department of Medicine has a full team of on-site Consultant Physicians covering
General Medicine, Endocrinology, Gastroenterology, Elderly Medicine, Cardiology,
Respiratory Medicine, Rheumatology, Dermatology, and Genito-urinary Medicine.
You will gain experience in both an in patient and out patient setting with appropriate
exposure to emergencies and will be part of a team including Consultants and SpR’s. The
posts in FY1 are currently attached to the following departments – Diabetes, Stroke
Medicine, Gastroenterology, Respiratory Medicine, Cardiology, Endocrinology and
Rheumatology. In addition FY2 posts are currently attached to General, Rehabilitation,
and Stroke Medicine. You will be expected to attend, and participate in, educational
activities including grand rounds and audit presentations; it is planned that posts will
include a six week block on the Medical Admissions Unit. The rotas are full shift and are
compliant with the EWTD.
The competencies attained in Integrated Medicine will include:
~ History taking
~ Examination and selection of appropriate investigations
~ Clinical skills e.g., lumbar puncture, chest and peritoneal drains and central lines
~ Acute assessment of medical problems
~ Co-ordinating treatment and investigations
~ On-going management of patients including liaison with other teams and discharge
planning
Genito-Urinary Medicine / General Pathology
This innovative FY1 post will involve work both in the GU Medicine Department and the
Pathology Department. This post will be unbanded.
The competencies attained in these departments will include:
GU Medicine:
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East Lancashire Hospitals NHS Trust
~
~
~
~
Taking sexual histories
Examination of male and female genitalia
Contact tracing
Understanding sexual health strategies
Pathology:
~ Working alongside the different members of the pathology team
~ Shadowing the Consultants
~ Participating in clinical meetings/Cancer MDTs/other MDTs
~ Attending post mortems.
Psychiatry (Lancashire Care Trust)
The Psychiatry element of the FY2 tracks will be fully integrated in the duties and working
patterns of colleagues in the Lancashire Care NHS Trust. All duties are worked on a full
shift system which includes out of hours. The Trust covers a number of sites and provides
psychiatric services to in and out patients, and in addition to working in specialist units you
will carry out assessments in acute settings and in the community, working with General
Practitioners. There is a full supporting Consultant and Middle Grade team, together with
hospital and community based specialist nurses and support workers.
The competencies attained in Psychiatry will include:
~ assessment and management of psychiatric illness
~ management of acute illness (including acute confusional state and acute psychosis)
~ prioritisation of work-load
~ discharge planning
~ risk assessment
~ understanding the life style effects on health from alcohol and drug usage
Paediatrics and Neonates
There are Foundation Year posts available in FY1 and FY2. The department offers a wide
experience over a range of Paediatric interests and includes exposure to NICU, paediatric
medicine and paediatric sub specialties, including out patients.
There is full Consultant, SpR and specialist nurse support at all times to all trainees. The
FY 1 posts are based in Paediatrics and are unbanded. The FY2 rotas are full shift and
compliant with the EWTD. With the opening of the new Women’s and Newborn unit it is
expected that the FY 2 posts will be based in the Neonatal Unit.
The competencies attained in Paediatrics and Neonates will include:
~ management and care of the acutely unwell child
~ resuscitation of the new-born and children
~ drug-dosing
~ cannulation and airway management of the new-born and children
~ vaccination policies
~ communicating with children and parents.
Obstetrics and Gynaecology
The department delivers over 6,000 women per year. There are 13 Consultants working
within the department whose special interests cover maternal medicine, foetal medicine,
minimal access surgery, infertility, gynaecological oncology, ultrasound, uro-gynaecology,
colposcopy, early pregnancy problems and medical education. You will be part of a team,
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East Lancashire Hospitals NHS Trust
including Consultants, Middle Grades and SpR’s and you will be based at the new unit at
Burnley. The posts are available in FY1 (unbanded) and FY2 which are full shift and
compliant with the EWTD.
The competencies attained in Obstetrics & Gynaecology will include:
~ communication skills
~ breaking bad news
~ care of the pregnant women
~ management of acute emergencies, especially haemorrhagic shock
~ management of early pregnancy problems.
There is a strong educational programme within the departments.
Surgery
The department covers general surgery, vascular surgery and urology. There are a full
range of sub-specialities within the department. You will be part of a team, including
Consultants and SPR’s. The posts are available in FY1 and FY2. The FY1 posts include a
two week placement in critical care. The FY2 rotas are full shift and are compliant with the
EWTD.
The competencies attained in Surgery will be in the areas of:
Out patients:
~ Developing history taking skills by seeing new and follow up patients under the direct
supervision of a Consultant/Registrar
~ Physical examination skills
~ Clinical assessment skills
~ Investigations and treatment planning
~ Follow up arrangements and overall clinical judgement
In patients:
~ Assessment of surgical patients with team members
~ Develop general surgical skills
~ Communication skills
~ Time management, organisation and prioritisation skills
~ Efficient clinical care for pre and post operative patients
~ General professional skills
Operating Theatre/On-Call:
~ Development of informed consent skills
~ Aseptic techniques
~ Seeking help for urgent admissions and post-operative acute management
~ Understanding of indications, anatomy and technique procedures
~ Professionalism
~ Communication skills.
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East Lancashire Hospitals NHS Trust
Emergency Department
The posts are available in FY1 and FY2. The FY 1 posts are unbanded. The FY 2 rotas
are full shift and involve day, twilight and night duties. They are also compliant with the
EWTD.
The work will involve seeing, diagnosing and managing all types of patients under the
direct supervision of a senior colleague, arranging any necessary investigations, instituting
appropriate treatment and the disposal of the patients appropriately, whether by discharge
or by referral to other specialities. The experience involves trivial minor injuries to major
life threatening illnesses and trauma and there may be opportunities for day secondments
to the ambulance service, the plaster room etc.
The competencies attained in Emergency Medicine will include:
~ safe assessment and discharge of all patient groups
~ management of minor injuries
~ practical skills (e.g., cannulation, CPR, insertion of chest drains, suturing)
~ radiological interpretation skills (e.g., CXR, AXR, fractures)
~ critical care skills
~ understanding of ethical and legal issues
~ care of the unconscious patient
~ management of shock
Trauma and Orthopaedic Surgery
The posts are available in FY1 and FY2. The FY 1 posts are unbanded. The FY 2 rotas
are full shift and compliant with the EWTD.
The units undertake major joint and revision surgery, specialist techniques and run
separate trauma lists. You will be part of a team, including Consultants and Middle
Grades. You will be expected to undertake an audit project whilst in the unit and will have
the opportunity for exposure to all of the work of the department.
The competencies attained in Orthopaedics will include:
~ undertaking of out-patient investigations and treatment
~ pre-operative assessment
~ assisting with operations and carrying out minor operations under supervision
~ suturing techniques
~ understanding post-operative care and nutrition
~ resuscitation of the acutely ill
~ management of trauma and assessment of fractures
~ application and removal of casts and the use of slings/splints/walking aids.
Otolaryngology (ENT)
You will work in a team with the support of Consultants and SpR’s. Your duties will include
emergency work both in the ENT casualty clinic, out-of-hours and routine care of pre and
post operative patients on the ward. The timetable also includes attendance at operating
theatre lists and general and specialised out-patient clinics. The on-call is full shift.
The competencies attained in ENT will include:
~ use of otoscope for the diagnosis of ear disease
~ undertaking clinical tests of hearing, including tuning fork tests and voice testing
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East Lancashire Hospitals NHS Trust
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interpretation of audiograms
microsuction of ears
nasal packing by various methods for epistaxis
removal of foreign bodies from the ear, nose and throat
pre and post operative care of surgery patients.
Critical Care/Anaesthetics
There will be opportunities to work in theatre on both hospital sites. The posts are
available in FY1 (unbanded) and are compliant with the EWTD.
In the Critical Care Unit you will be directly supervised by the Consultant for that week.
You will be expected to attend ward rounds and carry out clinical examinations, recording
and collating the information on the individual patients. You will have no direct
responsibility for clinical decisions, but will be expected to take part in a regular teaching
programme and to make use of what educational opportunities are available.
In Anaesthesia, you will be expected to accompany the Consultant whose list you are
allocated to on pre-operative visits, and to assist in theatre with general anaesthesia, and
procedures associated with this. You will be required to follow up patients, where
appropriate. At no time will you be expected to be responsible for anaesthetising a patient.
You are similarly required to take part in educational opportunities available.
You will have a learning contract and regular appraisal, with this feeding into your overall
appraisal for the year.
As well as the 4 month post the department also rotates all foundation doctors through a 2
week placement in Critical Care to facilitate junior doctors obtaining skills in care of the
acutely unwell patient.
Ophthalmology
The department comprises of several sub specialities which include Cataracts, Glaucoma,
Oculoplastics, Ophthalmic Paediatrics, Medical and Surgical Retina, External Eye
Disease, Botulin Toxin Injections, some Refractive Surgery and General Ophthalmology.
Duties include clerking in and seeing ophthalmic cases for theatre, emergency cases and
ward patients. There would also be the opportunity of helping out in clinic.
This is a team of seven Ophthalmic Consultant Surgeons supported by one Associate
Specialist, six Staff Grades, two SpR, seven Clinical Fellows/ Trust doctors. This team
provides a comprehensive ophthalmic service including a daily dedicated Accident &
Emergency clinic.
Teaching is carried out with compulsory half day teaching sessions each month for
educating doctors led by one of the Consultants and a half day audit held on a monthly
basis.
Radiology
During your working week you will have the opportunity to work alongside different
members of the imaging team including both Radiologists and Radiographers. You will be
expected to participate in clinical meetings including cancer MDT’s.
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East Lancashire Hospitals NHS Trust
The competencies attained in Radiology will include:
~ interpretation of plain film, CXR and abdomen
~ awareness of appropriate modalities for investigation and the limitations of these
modalities.
The trainee will gain experience in the role of medical staff within the Department of
Radiology setting and their role in the management of patients and insight into the
technical work carried out in the department.
General Practice
During your FY2 placement in General Practice you will develop key skills including
communication skills, team work, triage and problem solving. Your understanding of
clinical governance and risk management in primary care and the development of critical
appraisal and management skills will be developed.
You will also develop an
understanding of the primary and secondary care roles, responsibilities and understand
how they interact.
The competencies attained in General Practice will include:
~ being able to consult, visit and prescribe alone with surgeries of 6 -8 patients at
intervals of no less than 15 minutes per patient
~ start to manage both acute and chronic illness in the community
~ understand the care and referral pathways
~ have an evidence based framework for the management of common problems such as,
“tired all the time”, headaches, back pain, breathlessness
~ being able to perform a risk assessment in the context of clinical risk or risk in the
workplace
~ understand the roles and responsibilities and interact with the Primary Health Care
Team
The posts in General Practice are unbanded.
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