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Lancashire Teaching Hospitals NHS Foundation Trust HEALTH ECONOMY: Lancashire Teaching Hospitals, Education Centre, Royal Preston Hospital, Sharoe Green Lane, Fulwood, Preston, PR2 9HT FOUNDATION PROGRAMME DIRECTOR: Dr M Markides Associate Foundation Programme Directors: Dr Andrew Haughton and Dr Alison Gale Academic Track commencing August 2011 Foundation Year Two Track Post 1 Post 2 Post 3 4 Medicine/ GP Academic O&G Post details Placement: Educational supervisor: Academic Respiratory Medicine: Dr Stephen Fowler Obs and Gynae: Dr Pierre Martin-Hirsch Outline of duties These academic foundation posts are supervised by two academic consultants with active research links to the nearby Universities of Central Lancashire, Lancaster and Manchester . The academic posts are linked to two posts in Medicine and one in Obstetrics and Gynaecology. There are several on-going research programmes available to the successful candidates. The two mentors will supervise the junior doctors from the onset of the programme and in particular the four-month dedicated research period. It is hoped to have projects that will run for over a year so that meaningful data can be obtained and papers published. The academic foundation candidates will receive a good grounding in research methodologies and we aim for them to have submitted papers in peer reviewed journals and / or for presentation at national / international meetings by the end of the F2 track. The four-month period dedicated to the academic element of the track will enable the Foundation doctor to dedicate themselves to their research project. Although working independently the F2 will be closely supervised and well supported by their Educational Supervisor and will continue to attend the monthly F2 organised teaching programme Placement: Educational supervisor: Medicine (Respiratory and Acute) Dr Stephen Fowler Outline of duties The division of general medicine serves a population of 350,000. The general medical firms have sub specialty interest including gastroenterology, respiratory medicine, endocrinology, DMFE and renal medicine. The trainees are attached to acute firms, which perform unselected general medical takes of around 40 patients. They have supervision during on calls by the SpR who has no other commitments during his/her on call day. There are also twice daily consultant ward rounds, which add a significant educational remit to the acute take. The F2 trainees will attend respiratory / general medical clinics seeing both new and follow up patients under consultant supervision. They will have day to day responsibilities for managing in-patients with their firms. There will be consultant led ward rounds twice a week Trainees will be expected to participate in educational activities of the department, including grand rounds, MDT and research meetings and to perform an audit. Competencies gained will include communication skills, multidisciplinary team-working skills, assessment and management of a vast range of medical elective and emergency conditions, data interpretation, and time management and prioritisation skills. There are protected teaching sessions for foundation year programme trainees. The job is EWTD compliant. Placement: Educational supervisor: Obstetrics and Gynaecology Dr Pierre Martin -Hirsch Outline of duties The Obstetric and Gynaecology Department is one of the largest in the North West Region. It has over 4,000 deliveries and a purpose built unit on the main site. It provides neonatal and obstetrics support and back up for our neighbouring units. In addition, we are the regional cancer centre. We provide a full spectrum of specialist clinics in obstetrics including maternal high risk, diabetes, endocrine and neurological diseases. In gynaecology, we have specialist clinics in gynaecological oncology, infertility, urodynamics and colposcopy. Each foundation post is allocated to a particular consultant and should gain them broad based experience as well as attending specialist clinics. They would also be supported by the nominated registrar of that team. Training would include communication skills, assessment of acutely ill patients and initial management and treatment of both gynaecological and obstetric emergencies. They would gain regular surgical experience in theatre and post operative management. They would need to liaise closely with community based teams and the midwifery service. There is also an active audit programme in addition to their F2 training day. There are three F2 posts as part of a 1 in 10 rota reflecting a spectrum of G.P. trainees and career Obstetricians/Gynaecologists. They would work a partial shift system, which is well within the European Working Time Directive and they would be able to take their full study leave entitlement if required. Placement: Clinical supervisor: General Practice GP Trainer This is a formal attachment to one of our local training practices. The post covers all aspects of Primary Care work. There is regular exposure to patients with face to face consultations on clinical matters. In addition, the F2 gains competencies such as organisational skills, and multi-disciplinary team working in primary care. The F2 attends and contributes to Practice meetings and gains an overview of the management organisation in General Practice. This post includes work with Primary Care Trusts as well as liaising with Hospital Trusts when required. There is currently no provision of Out of Hours and this is not a requirement for these posts. All of our GP posts are within Training Practices so there is AV equipment available to use to support training in Consultation skills. Many of the Practices already have experience of training GP Registrars. The F2 doctors receive guidance and training form the Practice management team along with other clinicians such as Nurse Practitioners. There is also the opportunity to gain exposure to GPs working with speciality interests by working with other Partners within the Practices. We encourage regular feedback from the practices on the progress of the F2 doctors and support is still available centrally from the Postgraduate Team. Study leave is supported where appropriate. The protected teaching programme occurs for one whole day once a month where F2s in GP will return to the Trust to be tutored with the rest of their F2 colleagues.