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Scottish Medical Training

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Individual Placement Description
Placement Hospital at Home
Programme S2,S8
Year F2
Region South-East
Hospital(s) Queen Margaret Hospital, Dunfermline
Main Duties of Placement

The Hospital at Home service aims to deliver the type of acute care that is usually only possible in hospital. The aim is to keep frail, vulnerable, older people at home to avoid all the possible complications associated with hospital admission.

The role of the FY2 doctor is to help with initial assessments of patients at home; to review all blood/investigation results, to formulate treatment plans for patients and occasionally lead unsupervised virtual ward rounds.

Typical common conditions we deal with include infections (UTI, chest, cellulitis), delirium, falls, COPD, heart failure and dehydration. However there can be a great variety of presentations.

We have 3 Hospital at Home teams based out of Queen Margaret Hospital (Dunfermline), Whyteman’s Brae Hospital (Kirkcaldy) and Adamson Hospital (Cupar). FY2s are attached to one team but usually prefer to rotate during their attachment.

Typical Work Pattern

The daytime duties are Monday to Friday 9am to 5pm. On-call work is within medical admissions unit, one evening per week and one weekend day per month.

Learning Opportunities

Ward rounds several times per week; often 1:1 direct supervision with the consultant. Opportunities to see own patients in day hospital clinics.

Hospital FY2 teaching programme 1 hr/week. 

Unique Selling Points

Unique experience working in a new service with variety of home visits and acute medicine. Chance to work within a small team of nurse practioners, nurses and healthcare support workers. Attend outpatient clinics at community day hospitals.

Employer Information
It is important to note that this description is a typical example of your placement and may be subject to change.

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