Vocational Training for General Practice based in Northallerton, North Yorkshire.
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Vocational Training for General Practice based in Northallerton, North Yorkshire.
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Hospital Based Specialist posts that are available for General Practice Specialist Trainees (GPSTs) on the Vocational Training Scheme.
Paediatrics (Northallerton) Paediatric acute services at the Friarage are
integrated with the community services.
Doctors and nurses in the paediatric department work as a team and many
have responsibility in the community as well as the hospital. GPST are expected to spend time in hospital
and the community, where they will gain hands on experience in baby clinics,
immunisation clinics and school medicine. There is a new 20-bedded children’s ward to which all children under 16 are
admitted. There is a 10 cotted special
care baby unit, with 2 cots designated for short stay neo-natal intensive
care. Adjacent to the children's ward
is the paediatric OPD, where in addition to general clinics there are clinics
in paediatric orthopaedics, surgery, cardiology, neurology, genetics, urology
and endocrinology with attending consultants from the regional centres. Out reach children's clinics are also held
in surrounding villages.
A child development centre and
child and family psychiatric unit are in two large town houses near the
hospital. Regular formal and informal
teaching sessions are held in the department, where it is felt that a good
basic training is given in general paediatrics, without overwork or sleep
deprivation to those with a good sense of humour and the ability to work as
part of a team. Obstetrics and Gynaecology (Northallerton)
There is a departmental teaching session every week which is attended by
all medical staff, as well as regular perinatal, gynae, pathology and
ultrasound meetings. Peripheral clinics
are held in Richmond, Stokesley, Catterick and Thirsk. Obstetrics and Gynaecology (James Cook University Hospital) The obstetrics and gynaecology unit was built in 1988, with 25 in-patient and 6 day-case gynaecological beds and 69 (in total) obstetric beds. The number of deliveries for 1998 was 3517. Subspeciality training opportunities include colposcopy and gynaecological oncology; minimal access gynaecological surgery, infertility and assisted conception, obstetric ultrasound and feto-maternal medicine and urogynaecology. In addition specialist services which GPST have dedicated exposure to as a training opportunity include – early pregnancy assessment including the medical management of miscarriages, genito-urinary medicine, family planning and pregnancy advisory service As
well as the above training opportunities there is dedicated teaching time in
the Orthopaedics (Northallerton)
Mental Health (Northallerton CMHT)
The
mental health unit is located in a new purpose built facility opened in 1992
and houses 25 acute beds on 2 wards, together with adult and elderly day
wards. The service is delivered through
multi-disciplinary community teams, each led by a consultant, comprising a team
secretary, a psychologist, CPN’s, occupational therapists and an approved
social worker. There are close links
with the voluntary sector. GPSTs
work either in an adult team or jointly in 2 teams (1 adult, 1 old age), in
order to gain broad experience of mental health in a community setting. Commended by the mental health act commission as a model of good practice, the unit is one of a few in the U.K. with a computerised system for the care programme approach. As well as individual supervision from their consultant, GPSTs receive weekly tutorials aimed exclusively at the educational needs of the GP Trainee. In addition attendance at the VTS study programme is compulsory and there are opportunities to attend most of the half-day academic programmes at York run by the North Yorkshire Training Scheme in Psychiatry. Most GPSTs also take several days study leave on appropriate courses. The on-call rota is 1 in 5 with prospective cover. A&E with ENT (Darlington) In this post 3 months is spent in ENT and 3 months in the A&E
department of the hospital, which is 16 miles from Northallerton.
The A&E department handles 38,000
patients a year, is designated a major trauma centre and a major
accident-receiving centre. There is on site CT and MRI scanning. Experience
is wide, varied and well supervised.
There are daily teaching sessions in the department. The weekly schedule allows for attendance at
the weekly VTS study afternoon. General Medicine (Northallerton) The department
provides acute care for adults of all ages across the entire spectrum of
clinical medicine. Care is organised by
means of an integrated service.
Patients with purely acute needs are nursed in 1 of 2 acute medical
wards with 22 beds in each, whilst those with both acute and rehabilitation
needs are cared for in the multiple needs medical unit with 46 beds. There is also a 3 bed CCU that provides
monitoring for an additional 8 telemetry channels. The consultant staff of the department have varied interests,
including cardiology, respiratory medicine, gastroenterology,
diabetes/endocrinology, rheumatology, haematology and rehabilitation. Each GPST spends 3 months attached to an
acute medical ward and 3 months to the multiple needs unit. On-call duties involve cover for the whole
unit. |
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This is a modern and progressive unit, with
12 gynaecology beds and 31 maternity beds.
form of one session per month for departmental audit and postgraduate
teaching.
The department has 28 orthopaedic beds, I4
arthroplasty beds and 6 paediatric beds. The work of the unit covers orthopaedics in its broader perspective -
including trauma, elective adult and paediatric surgery (nurse practitioners do
pre-admission clinics), orthopaedic and fracture clinics and theatre work.
Experience is gained in all
aspects of ENT work, including emergency admissions.