Abertawe Bro Morgannwg University NHS Trust (West Division) Information Pack Wales Foundation School Profile Swansea is wonderful place to be a foundation trainee. It is a lively city surrounded by beautiful countryside situated on one of the finest coastlines in the country. It is a major regional centre with three large hospitals which cover almost all adult medical specialties. A medical school opened in 2004 and the number of academic departments is increasing rapidly. Swansea has a excellent culture of undergraduate and postgraduate education and has always been a popular place with trainees The City of Swansea and surrounding area The City of Swansea and surroundings is a wonderful place to live and work, offering a mixture of dramatic coastlines, open countryside, rural villages and a modern city with a current population of 225,500. Swansea has a flourishing cultural scene, a plenty of leisure and recreational areas along with a lively city centre and shopping facilities. The Gower Peninsula was the first designated area of outstanding beauty with stunning scenery and unspoilt beaches. The Gower Peninsula is a great place to fish and there are many superb bays for canoeing, surfing, water-skiing and sailing. Walkers and ramblers are spoilt for choice, from dramatic cliff tops, coastal walks and paths through peaceful wooded valleys punctuated by waterfalls. The Brecon Beacon Mountains are easily accessible, as are many holiday resorts in the neighbouring area of Carmarthenshire. Swansea offers a diverse programme of entertainment within the theatres, concert halls and cinemas available, and will soon become the home of a brand new casino. The Brangwyn hall also plays host to the London Symphony Orchestra and other classical performances. Being a regional centre, Swansea boasts a wide range of famous brand stores, as well as a selection of smaller specialist shops, including a choice of oriental suppliers. Swansea houses a wide range of pubs, clubs and restaurants. French, Italian, Spanish, Indian, Thai and Chinese cuisine being just a small sample of the type of restaurants available. The newly built Liberty Stadium is the home of Swansea City Football Club and the Neath Swansea Ospreys. On the waterfront Swansea’s Maritime Quarter (pictured above) has a continental air in which you can enjoy a meal, a cappuccino or a cocktail, whilst watching the elegant craft in the marina. The Maritime Quarter is the home of the Maritime and Industrial Museum, as well as the diversity of shops, restaurants, pubs and nightlife. Head for Mumbles to the West of Swansea Bay and experience the charms of this little seaside village, discovered by the Victorians. The view of the Swansea Bay can be best appreciated from the 900ft Victoria pier at Mumbles Head. The Norman keep of the Oystermouth Castle overlooks the famous ‘Mumbles Mile’ of pubs and first class restaurants. Mumbles can also boast a ‘Good Food Circle’ to delight all food and drink enthusiasts. The Gower Peninsula Gower was the first area in the UK to be designated as an Area of Outstanding Natural Beauty. The magnificent ‘Worms Head’ (below) snaking out to sea is one of the Peninsula’s finest views – it guards Gower’s only West facing beach – a four mile stretch of sand known as Rhosilli Bay. (Above: Worms Head, Rhossilli Bay) Abertawe Bro Morgannwg NHS (West Division) Trust The Abertawe Bro Morgannwg NHS (West Division) Trust comprises the larger acute hospitals at Morriston (850 beds) and Singleton (600 beds), together with comprehensive Community and Mental Health Services. Abertawe Bro Morgannwg NHS (West Division) Trust has an annual income of £240 million (Financial year 2004-2005) and is a major employer in South and West Wales with almost 7500 employees. The specialities available between the two acute hospital sites cover almost all areas of Medicine and Surgery with the number of major regional and tertiary specialities, such as Burns and Plastics Surgery, Cardiac Surgery, Renal Medicine, Neurosurgery, and Oncology. Morriston also has a major Accident and Emergency Department for South and West Wales with over 70,000 attendance’s annually. Morriston Hospital A General and Specialist Hospital with over 850 beds situated on the Northern outskirts of the City of Swansea, adjacent to the M4 motorway. In addition to the General Hospital Services it provides for the local population, which includes large departments of General Medicine, General Surgery, Trauma and Orthopaedics, Urology, Radiology, Anaesthetics, Burns and Plastics Surgery and Medicine for Elderly People. It also provides a range of specialist services for a wider catchment area, including subspecialties for Neuroscience’s, Renal Medicine, Cardiology and Cardiac Surgery and Oral Surgery. The Hospital has the largest Maxillofacial Surgery Department in Europe and the only Burns and Plastics Surgery Unit in Wales. Morrison Hospital also incorporates the major Accident and Emergency Department for the Swansea area and it is anticipated that it will be designated in due course, a Major Trauma (Above: Swansea Bay) Centre. It has more critical care beds than any other hospital in the UK. Singleton Hospital Singleton Hospital (pictured above) is a large general hospital of approximately 600 beds, which provides a range of acute clinical services. It was opened in the late 1960’s and has significantly developed in recent years. It includes the Departments of General Medicine, General Surgery, Obstetrics and Gynaecology, Paediatrics - including a Special Baby Care Unit, Oncology, Ophthalmology and Otolaryngology, Intensive Care and High Dependency Unit, Coronary Care, as well as Casualty. Dermatology, Gastroenterology, Rheumatology, Haematology, Neurology, GU Medicine and Rehabilitation beds are accommodated in the Medical Unit. The Department of Medical Physics, Oncology and Neonatal Medicine provide a service for South West Wales. The Outpatients Department at Singleton is extremely busy and sees over 167,000 patients per year. The South West Wales Cancer Centre is based at Singleton Hospital. The Cancer Centre serves a population of 800,000 across South West Wales. Cefn Coed Hospital This Psychiatric Hospital provides health service for the population and County of Swansea, and has 264 in-patient beds. Psychiatric Services for the elderly are also provided out of Garngoch Hospital. The School of Medicine A 4 year graduate-entry medical school opened in Swansea in 2004. This development has provide a huge boost to all levels of medical education in Swansea. There have been a large number of new academic appointments, medical and non-medical, which has resulted in an increase in the number of talented teachers for postgraduate education. Medical students from Cardiff also do attachments in Swansea so there are always plenty of students present which makes for a lively atmosphere and an excellent educational culture. The School of Medicine is located in the University of Swansea’s main campus which is adjacent to Singleton Hospital. There are also new Clinical School buildings with excellent teaching facilities on all 3 main hospital sites. There are fully equipped clinical skills laboratories at both Morriston and Singleton hospitals. Postgraduate Education Swansea has always had an excellent record in the provision of postgraduate medical education. As a busy regional centre and local NHS Trust, there are a lot of patients to provide good clinical experience. Great emphasis is placed on the provision of bleep-free teaching, grand rounds, journal clubs, X-ray meetings etc. Good food is provided at most of these so trainees are able to eat free of charge most days of the week. The Postgraduate Centres on all 3 sites are in need of replacement but they are well equipped and well used. The library service is arguably the best in Wales. An online system is available for the provision of guidelines and educational material from any computer in the Trust. Full text access to almost 3000 biomedical journals is also available online. The Foundation Programme. The Foundation Programme in Swansea has proved extremely popular, the trainees seem to enjoy the combination of plenty of clinical experience, good postgraduate education and an excellent social life. Separate education programmes for 1st year foundation trainees (FP1s) run weekly at both Morriston and Singleton hospitals. These have been co-ordinated so trainees who rotate between hospitals will not miss out or duplicate topics. These are in addition to the regular postgraduate programme. Swansea was a pilot site for the new foundation year 2 (FP2) programme. An education programme has been developed in which both generic topics and core clinical skills are taught. During the pilot programme experience was gained in the assessment, appraisal and supervision of foundation trainees. Mechanisms have been developed to ensure that any trainee with difficulties is identified early so appropriate support can be provided. The Foundation Programme in Swansea was assessed in 2006 by a joint visiting committee from the Postgraduate Education and Training Board and the General Medical Council. They reported that Swansea was an excellent place to be a foundation trainee. Mess life and accommodation The on-call accommodation in Singleton Hospital is excellent and that in Morriston is pretty good. The much derided accommodation block in Morriston has recently been demolished. There is a junior staff mess in both main sites. There is an active mess social life with many organised events.