Surgery – Clinical work and support
The core surgical course involves trainees working in Orthopaedics and General Surgery.
In General Surgery, there are multiple firms each comprising of a registrar, core trainee/FY2 and an FY1.
Core trainees responsibilities include regular daily ward rounds and the management of in-patients, they are regularly expected to attend theatres and clinics with optional attendance in the endoscopy suite. They get a broad exposure to various major and minor surgical operations in which they actively take part according to their abilities, the consultants are very supportive in teaching and training, most of the core trainees feel that their surgical experience enhances steadily during the job.
While on call they cover all acute surgical in-take, they are responsible for taking calls from the General Practitioners and admitting the patients with the help of F1. They make initial management plans supervised by the registrars. We have a consultant of the week on call rota system and we provide twice daily ward rounds which are consultant led, especially the morning ones. As all acute patients are discussed on these ward rounds this provides an excellent opportunity for further learning and development. The core trainees are well supported in the team by consultant, registrar and F1s.
While on call they also get ample opportunity to scrub for acute cases in theatres and progressively do more and more parts of the operations.
Trainees are allocated an Educational Supervisor at the start of the programme who will meet regularly with the trainee to discuss progress in the training programme.
In orthopaedics all the elective joint replacements are currently being done at St. Richards hospital, however Worthing still provides all emergency orthopaedic cover. There is a daily emergency trauma list with daily consultant ward rounds. Trauma lists provides an excellent opportunity to see emergency orthopaedic cases and for the core trainees to assist and participate according to their level. We work closely with the care for the elderly team and already have a consultant orthogeriatrician in place that helps with the post-operative management of our elderly population.
Next: Shift practice and rota