Northern Deanery Foundation School
Individual Placement Description
Placement : F1 General Psychiatry
The department: Crisis and Liaison self –harm mental health teams.
Main duties of the placement:
The F1 trainee will work as part of the Liaison Self-Harm Team across four
sessions a week. Initially undertaking self-harm assessments in the acute
trust under close supervision; ongoing supervision will be provided by the
primary educational and clinical supervisor; the Consultant Psychiatrist for
the Sunderland Crisis Team.
The other clinical sessions of the week will be attached to the Sunderland
Crisis Team. Under initial close supervision they will work with the
multidisciplinary team undertaking assessments and home treatment visits of
patients referred for management of acute mental health Crises. Prescribing
and other key management decisions will be taken under the supervision of
the team senior medics.
Typical working pattern in this post e.g ward rounds, clinics, theatre sessions
Daily:
Mon:
Tues:
Wed:
Thurs:
Fri:
Sat:
Sun:
Liaison Self-harm: 2 sessions
Liaison Self-Harm. 2 sessions
Crisis Team am, Educational Supervision and Admin, pm
Admin and Teaching am; Crisis Team pm
Crisis Team 2 Sessions
NA
NA
On call requirements: On-call shift rota will be a 1 in 13 pattern of day-time,
(9am-9pm), and weeks of nights. They will be on-call with the CT1-3/VTS/F2
on-call and jointly supervised by the second on-call and Consultant.
Clinical Supervisor(s) for the placement: Dr Paul Brown
Where the placement is based: CRHT, Cherry View, Cherry Knowle Hospital,
Sunderland
Employer Information: NTW NHS Foundation Trust
Northern Deanery Foundation School
Foundation Placement Competence Matrix
POST :
F1 General Psychiatry
_________________________________________________
The following table gives an indication to what extent the following competence areas of the National
Foundation Curriculum can be met in this post.
KEY
Red:
Not at all
Amber:
To some extent/limited opportunities
Green:
To a great extent/ample opportunities
Curriculum competences (and any additional competences such as audit etc) expected to be
achieved:
Section
Outcome
Professionalism
Behaviour in the workplace
Health and handling stress and fatigue
Time management and continuity of care
Eliciting a history
(Mental State) Examination
Diagnosis and clinical decision-making
Safe prescribing
Medical record keeping and correspondence
Safe use of medical devices
Promptly assesses the acutely ill or collapsed
patient
Identifies and responds to acutely abnormal
physiology
Where appropriate, delivers a fluid challenge
safely to an acutely ill patient
Reassesses ill patients appropriately after
starting treatment
Undertakes a further patient review to
establish a differential diagnosis
Obtains an arterial blood gas sample safely,
interprets results correctly
Manages patients with impaired
consciousness, including convulsions
Uses common analgesic drugs safely and
effectively
Understands and applies the principles of
managing a patient with acute mental
disorder including self harm
Ensures safe continuing care of patients on
handover between shifts, on call staff or with
Good clinical care
Recognition and
management of the
acutely ill patient
Expect to
achieve
Green:
Green:
Green:
Green:
Green:
Amber
Amber
Green:
Red:
Red:
Red:
Red:
Red:
Green:
Red:
Red:
Red:
Green:
Green:
Section
Resuscitation
Discharge and
planning for chronic
disease management
Relationship with
patients and
communication skills
Patient safety within
clinical governance
Infection control
Nutritional care
Health promotion,
patient education and
public health
Ethical and legal
issues
Maintaining good
medical practice
Teaching and Training
Working with
colleagues
Other (non curricula)
Outcome
Expect to
achieve
‘hospital at night‘ team by meticulous
attention to detail and reflection on
performance
Resuscitation
Discusses Do Not Attempt Resuscitation
(DNAR) orders/advance directives
appropriately
Discharge planning
Amber
Planning for chronic disease management
Within a consultation
Amber
Green:
Breaking bad news
Treats the patient as the centre of care
Makes patient safety a priority in own clinical
practice
Promotes patient safety through good teamworking
Understands the principles of quality and
safety improvement
Complaints
Infection control
Nutritional care
Educating patients
Environmental, biological and lifestyle risk
factors
Smoking
Alcohol
Epidemiology and screening
Medical ethical principles and confidentiality
Valid consent
Legal framework of medical practice
Relevance of outside bodies
Lifelong learning
Research, evidence, guidelines and care
protocols
Audit
Teaching and training
Communication with colleagues and
teamwork for patient safety
Interface with different specialties and with
other professionals
Green:
Green:
Green:
Amber
Green:
Green:
Amber
Amber
Red:
Green:
Green:
Amber
Green:
Amber
Green:
Green:
Green:
Green:
Green:
Green:
Amber
Amber
Green:
Green:
Trainer CV:
Dr Paul Brown; Consultant Psychiatrist Sunderland Crisis Team.
Current Role:
I am the lead Consultant for the Sunderland Crisis Mental Health Service for the whole
Sunderland population, working alongside one Specialty Grade Doctor and a large team of
senior psychiatric nurses who operate the service 24/7.
I am also currently Acting Lead Consultant for our organisation’s Crisis, Liaison Psychiatry,
ECT and Acute Day Hospital services in the South of Tyne Region.
I have been Sunderland College Tutor for nearly one year and also currently Educationally
Supervise one the inpatient Core Psychiatry Trainees, who is currently clinically supervised
by a Locum Consultant.
Educational Experience:
I have the Post Graduate Certificate of Clinical Education from Newcastle University and have
provided a wide range of teaching sessions/ experiences to Undergraduates, Trainees from
other specialties, non-medical specialists as well as Psychiatry trainees.
I am currently on the National Clinical Leadership Fellowship Course; organised and run by
the National Leadership Council/ Department of Health with Educational input from the
University of Manchester and the Kings Fund.
I have undertaken specific training on: Educational Supervision, In-training assessments, the
ARCP process and Managing Doctors in Difficulty as well as a range of other relevant
courses. Most of these courses I have attended are organised by the Northern Deanery.