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Scottish Medical Training

Scotland - the home of medical excellence

Individual Placement Description
Placement Base Hospital - Victoria Hospital, Kirkcaldy with rotation to Queen Margaret Hospital, Dunfermline and Adamson Hospital, Cupar
Year F2
Region South-East
Hospital(s) Victoria Hospital, Kirkcaldy
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 attend twice weekly consultant ward rounds plus 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.

FY2s are attached to Victoria Hospital, Kirkcaldy but will 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, 2 of which will be with a consultant; often 1:1 direct supervision with the consultant.

Opportunities to see own patients in day hospital clinics. 

Teaching

Mandatory protected teaching time for:

  • NHS Fife Medical Education Services FY2 Core Education Programme delivering 1 hour per week.
  • NHS Fife Medical Education Services FY2 Core Simulation Programme delivering 3 sessions per block.

Departmental teaching:

  • Medicine for the Elderly weekly educational meeting
  • Hospital Grand Round on Wednesdays
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 advanced nurse practitioners, nurses and healthcare support workers with excellent continuity of care.

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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