| Placement |
Community Geriatrics
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| Year | F2 |
| Region | West |
| Hospital(s) |
University Hospital Hairmyres, East Kilbride, South Lanarkshire
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| Main Duties of Placement
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- You will be based in a pro-active Care of the Elderly department and gain experience in the management of patients under your care.
- You will receive training in a variety of different settings including acute geriatric assessment (frailty) wards and other clinical areas that interface with the community. This will involve a heavy focus with working in a multi-disciplinary team.
- UHH has developed a Frailty at the Front Door service that is consultant led reviews people referred in to hospital in the ED with a view to discharging where safe to do so
- You will also get experience in the Hospital@Home team: here we manage acute referrals to hospital in their own home providing diagnostics and acute management (eg of pneumonia, sepsis, IV therapy for heart failure etc)
- At the core of all training will be managing acutely unwell older people with frailty as well as managing other common “Geriatric Giants” including falls, delirium, immobility and training in the principles of rehabilitation and in the management of chronic conditions both in an inpatient setting (COPD, heart failure, dementia) and in an outpatient setting (Parkinson’s disease clinics, stroke clinics, falls clinics)
- You will get training and experience in medications management for older people
- There will Training in medical ethics/medico-legal issues such as DNACPR, Adults With Incapacity and Anticipatory care planning – specifically the focus here is very much realistic Medicine
- Duties include participation in ward rounds, organising relevant investigations, making appropriate referrals and discharge planning and communicating with relatives and GPs.
- On-call will cover acute medicine and give training in common medical emergence including acute assessment of medical emergency admissions during receiving blocks.
- You will be part of the cardiac arrest team when on call.
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| Typical Work Pattern
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Work pattern is hybrid of full and partial shift. This is mixture of ward-based work with receiving shifts, clinics and some time in H@H. On-call is shared with medicine. |
| Learning Opportunities
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- Regular informal teaching on ward rounds.
- Opportunities to learn how to do practical procedures.
- Management of medicines and polypharmacy
- You are expected to attend teaching sessions with 2 hours of protected teaching per week as noted below.
- On-site library facilities available 24/7.
- Excellent computer access for e-learning and online modules
- Trainee led M&M meeting (run by Chief Residents)
- QI Fridays to support you to implement QI projects
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| Teaching
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- Informal on ward rounds and at MDT meetings.
- Dedicated FY1 teaching on Tuesday lunchtime (Protected teaching time).
- Postgraduate Medical Education meetings on Wednesday lunchtime (Protected teaching time).
- Weekly Departmental meetings (Consultant teaching, case presentations, journal club, mortality & morbidity) on Monday lunch-time for CoTE and Thursday lunch time for General medicine.
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| Unique Selling Points
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- Excellent induction and handovers.
- Good support and educational supervision from Seniors.
- Good teaching programme.
- Training and experience in Comprehensive Geriatric Assessment and principles of rehabilitation
- Exposure to how to manage ethical issues guided by principles of Realistic Medicine, as well as assessment of Mental capacity and AWI
- Excellent support working alongside experienced multi-disciplinary team, the Acute Care of the Elderly (ACE) nurses and MINTs Major Nurses in AMRU.
- Opportunity to learn procedures.
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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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