Clinical Fellow in Obstetrics
6 months ago
**Clinical**: On call and Emergency cover Out of hours (on call) there is a 1:10/1:11 rota for middle grade doctors. Handover is 08:30 and 20:30 hours. For out of hours (20:30 - 09:00 hours) there is a resident ST grade or Speciality Doctor covering Delivery Suite, Maternity Inpatients, as well as Gynaecology Emergencies and Inpatients. This role is supported by a junior grade doctor resident, and a Consultant on call (non-resident).
During normal working hours 08:00-17:30, the emergency duties are shared between a middle grade for Delivery Suite and a Middle Grade for Wards and Gynaecology Emergencies. From 17:30 the Gynaecology Middle Grade will handover care to the Obstetric/Labour Ward Registrar. A Consultant is resident in the hospital for Delivery Suite and Ward Round from 08:30 20:30 hours The on call/emergency cover role takes precedence over all other clinical work and you are expected to remain within the hospital grounds when you are the duty registrar. At changeover time there should be a face to face handover of clinical cases and the bleep on the Delivery Suite.
**Obstetrics**: Ward Rounds on the Maternity Ward both antenatal and postnatal patients Antenatal Clinic Maternity Triage and Antenatal Assessment Unit Delivery Suite Management Elective Caesarean Section Lists Accept referrals and review Obstetric patients admitted to other parts of the hospital Gynaecology: Ward Rounds and assessment of patients on the Gynaecology Ward for both acute admissions and elective surgical cases Gynaecology Theatre Inpatient and Day case Lists (level of supervision as appropriate to surgical cases and experience of the doctor), Robotic and Laparoscopic theatre assistants opportunities can be discussed to train as assistant. And to attain Laparoscopic competencies Gynaecology Outpatients Emergency Gynaecology assessment and initial management of acute/emergency attendances both on Gynaecology Ward as direct referrals and in Accident and Emergency Department Accept referrals and review Gynaecology patients admitted to other parts of the hospital Rapid Access Clinic Gynaecology Ultrasound scanning, Out-patient hysteroscopy Colposcopy Supervision and Support of Colleagues The Department is supported by a number of junior grade doctors at various levels - ST1/2 in O&G, GPST, and foundation year doctors. The role of the middle grade doctors as their immediate senior, is to provide support and supervision in caring for patients in both Obstetrics and Gynaecology. With the transition of ST2 to ST3 in Obstetrics and Gynaecology Speciality training, the department runs a system of on call resident middle grade support for the ST3s for their first 6 months on the middle grade rota.
The speciality grade doctors have previously supported the junior grades in this transition by being resident on call while they do their nights.
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