MERSEY Deanery Foundation School Individual Placement Description Placement Mersey Care NHS Trust – F1 The department General Adult Psychiatry, Broadoak Unit. The type of work to expect and learning opportunities Albert ward is a busy acute male inpatient ward dealing with general adult psychiatry. It takes referrals from many sources including A+E, GP’s and the Crisis and Home Treatment teams. Patients on the ward are often well known to psychiatric services but new presentations of mental ill health are also reasonably common. On the ward you will be responsible for the physical health of the patients, as well as being expected to clerk new admissions and attend ward reviews. You are expected to assess and be actively involved in patients’ management. You will be the most visible from the medical team on the ward and so have a good opportunity to spend time talking to patients. You will also be responsible for completing ward discharge summaries once patients are discharged. Albert ward, Broadoak Unit. Where the placement is based Clinical Supervisor(s) for the Dr. Indira Vinjamuri placement Main duties of the placement There will be an expectation that you attend local postgraduate teaching programmes, as well as specific programmes that are available. Hospital Teaching Program Opportunities exist to attend and present at Academic meetings Individual supervision – weekly 1 hour by Dr. Vinjamuri Opportunities exist for shadowing Clinical Psychologist, occupational therapist and Advocacy Regular opportunities exist to teach medical students and other clinical observers attached to the team Opportunities to gain knowledge of Mental Health Act (1983) and Mental Capacity Act (2005). Opportunity and supervision is available to undertake an audit project. Typical working pattern in this See timetable placement Employer information Please see Trainee Handbook for your area at the link below: http://www.merseycare.nhs.uk/Working_for_Us/Medical_Trainees/Junior_Doctors_H andbooks.aspx It is important to note that this description is a typical example of your placement and may be subject to change. Trainee’s Timetable Monday Tuesday Wednesday Thursday Friday A.M. Ward reviews Academic meeting Admin Admin/MDT Admin/ Ward work P.M. Admin/Ward work Ward work Ward reviews Ward work Ward reviews Appendix D – Competence Matrix (Individual placement format – Template) Mersey Deanery Foundation School Foundation Placement Competence Matrix PLACEMENT: The following table gives an indication to what extent the following competence areas of the Foundation Programme Curriculum (2010)** can be met in this post. KEY Red: Amber: Green: Not at all To some extent/limited opportunities (please note that this may be a positive or negative recording e.g. positive in that you may be able to experience this outcome) To a great extent/ample opportunities ** The FP Curriculum 2010 is due to be revised for 2012/13 – this may impact the list of outcomes given below. 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 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 Good clinical care Recognition and management of the acutely ill patient Expect to achieve in placement √ √ √ √ √ √ √ √ √ √ √ 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) 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 ‘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 Planning for chronic disease management Within a consultation 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 team-working 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 √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √