Dr Guntis Vinjamuri - Mersey Care NHS Trust

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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
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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
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