Rotherham Student Doctor

Phase 3b - Acute / General / Specialties

Phase 3b is a section of your training that provides exposure to a very wide range of medicine and numerous clinical scenarious for you to engage with and learn from. Rotherham Hospital provides attachments for 3 out of the 5 modules within this block (the 2 not covered at Rotherham but provided elsewhere being Community and Palliative Care and the Elective).

Acute and Critical Care

A total of 8 students will be on attachment for this module at any one time. During this module you will be based for half of your time in A+E (Dr Daniel Stephenson) and the other half in anaesthetics (Dr Pete Matthews). Both of these consultants have been closely involved in the design of your attachment. You will learn some of the skills that an A+E doctor needs to know by shadowing A+E SHOs and some of the skills used by an anaesthetist. However, they will not be training you in becoming a doctor in A+E or an anaesthetist as the aim of the module is that you get some understanding in recognising and treating the acutely ill patient in whatever area of the hospital they are. The opportunities available to you in your timetables include -

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n	Clinical skills - venous cannulation, ivs, airway management, suturing etc
n	Resuscitation - local training as well as visit to Simulation Centre
n	Outreach Team - reviewing patients on general wards who may need critical care
n	Teaching sessions - iv fluids, blood loss, acute pain etc
n	Tutorials - sessions based around clinical scenarios in addition to ILA sessions
n	Other staff - time with nursing staff, ambulance staff, plaster technicians etc
n	Areas with critically ill patients - ITU, HDU, operating theatres

General Clinical Care

Rotherham provides attachments in 3 out of the 5 specialties included in this module. Students are allocated in pairs to cardiology, rheumatology and orthopaedics. You will have a timetable for each specialty.

Cardiology

The Cardiology attachment is lead by a consultant cardiologist (Dr Muthusamy). The opportunities available to you in your timetables include -

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Specialty Clinical Care

n	Daily ward round on the Coronary Care Unit (CCU)
n	Cardiology patients on general wards and OPD
n	Cardiology investigations - ECGs, Exercise Tolerance Tests, Echocardiograms, Angiography etc
n	Tutorials with other medical staff

Rheumatology

The Rheumatology attachment is lead by 3 consultants, Dr Holt, Dr Smith and Dr Fawthrop. The opportunites available to you in your timetables include -

n	OPD work - New patient / follow ups / monitoring / drug counselling
n	Bone Health Clinic and bone density scanner
n	Clinical skills - injections
n	In patient work on ward B7
n	Tutorials with other medical staff
n	Other staff - time with Occupational Therapist

Orthopaedics

The Orthopaedic attachment is lead by Mr Alex Kocheta with many other staff from the department involved in your timetable -

n	OPD work - General and specialist clinics - knee, hand, shoulder, children
n	Theatre sessions
n	Ward based work
n	Team meetings and teaching

Rotherham provides attachments in 5 of the 7 specialties within this module. The time that you have on peripheral attachment with us for a specialty within this module is short, so you need to make the most of the opportunities provided within the timetables that each area provides for you.

Dermatology

The dermatology attachment is provided by Dr Wood. The attachment is only for 2 days (Thursday and Friday) so you'll need to make the most of this limited time.

n	OPD work - consultant and specialist nurse
n	Treatment clinic
n	Skin surgery
n	Ward based work and ward referrals

Haematology

The haematology attachment is provided by Dr Taylor and Dr Barker. The attachment is for 3 days (Tuesday, Wednesday, Thursday)

n	OPD work
n	Ward based work and ward rounds
n	Laboratory - haematology investigations and blood products

Urology

The urology attachment is lead by Mr Parys with time also spent with Mr Abbassi and Mr Edhem. The Monday morning and Friday afternoon are spent in Sheffield but the rest of the week is timetabled for the attachment at Rotherham.

n	OPD work - BPH, catheter, ED clinics
n	Theatre
n	Ward based work and case presentation
n	Investigations - urodynamics, cystoscopy

Ophthalmology

The ophthalmology attachment is provided by Mr Jabir and colleagues. The attachment at Rotherham is for 3 days (Wednesday, Thursday, Friday)

n	OPD work - diabetic and orthoptic clinics
n	Ophthalmic A+E
n	Theatre
n	Tutorials

ENT

The ENT attachment is lead by Mr Harkness with time also spent with Mr Lancer. The attachment at Rotherham is for 3 days (Tuesday, Wednesday and Thursday).

n	OPD work
n	Day surgery
n	Theatre