Hospital, Hospice, and Psychiatry Posts



Paediatrics

Dr Venkatesh, Dr Mazen Qunibi, Dr Kirsten Mack and Dr Ibrahim Rawashdeh

This post provides good general paediatric experience.  The registrar is involved with acute and list medical admissions, acute surgical admissions, out-patient clinics and neonates, including helping to run the Special Care Baby Unit.

The staffing within the department comprises seven Consultants, 2 Community Paediatricians, one Staff Grade, and seven PRHO.  Senior Clinical Medical Officers provide the School Health Service.

There are opportunities during the six-month period to work alongside the Community Paediatrician, and there is currently the development taking place of a new Child Health Service Unit.

Registrars will gain experience, under appropriate supervision, in the resuscitation and post-natal care of babies in the Delivery Suite and the Neonatal Unit.  They will gain excellent experience of a wide range of childhood problems on the Children’s Ward.

There is a regular weekly teaching programme within the Department where the time is protected, as well as the opportunity to attend the weekly GP half-day release sessions.

Medicine for the Elderly

Dr Ed Jones, Dr Olympio D’Souza, Dr Imola Bargaoanu, Dr Wanda Michalska, Dr Ranjit Perera

This post is based at Scarborough Hospital where the Care of the Elderly Department has acute inpatient beds.

During the day the GP Registrar will work solely for the Care of the Elderly Department where they will deal with acute admissions and care for inpatients.  There is also the opportunity to join the Consultants in attending out-patient clinics (Parkinson’s, falls and general geriatrics) as well as participating in the orthogeriatrics and ED in-reach frailty service.

The out-of-hours work is cross covered with General Medicine where the registrar will be ‘first on-call’ with Medical registrar support.

There are regular weekly protected teaching programmes within the elderly and general medicine departments and the registrar is also given the opportunity to attend GP teaching days.

Updated Jan 2017

Emergency Department

(Updated Jan 2017) Dr Ed Smith, Mr Andy Volans,  Ms Joan Clancy, Dr Phil Jones (Locum Consultant)

Working in Scarborough Hospital Emergency Department allows the post-holder to gain experience of the widest possible range of acute and emergency presentations. This is because of the way the hospital is organised (single front door model) and the co-location of an  Primary Care delivered Urgent Care Centre with which we work extremely closely, to share expertise and training opportunities.
The locality of Scarborough means that all patients with appropriate needs present to the hospital 24 hours a day (with the exception of some Major Trauma cases and patients with STEMI for PCI).  This has the advantage of delivered improved opportunities with respect to experience and training compared with other departments.
Scarborough Hospital has all major inpatient specialties on site, with support for more specialist presentations available in the out of hours period from York Hospital (eg Ophthalmology, ENT and Maxillofacial surgery). Other tertiary specialty support is provided predominantly by Hull.
Senior support is present  in the form of Specialty Doctors and Specialist Trainees in Emergency Medicine who are present in the department 24/7. Consultants are also present for a minimum of 0900-1900 weekdays, 0900-1400 weekends. However the nature of the work means that they are likely to be present much more frequently and can attend the department within 15 minutes of being called in.
This is an exciting time to be working at Scarborough Hospital as we are part of a national project looking at the way in which care is delivered in rural hospitals in England. We are developing new ways of working and roles, including Advanced Clinical Practitioners and permanent GP/Emergency Medicine posts. We are always looking to develop relationships with local Primary Care (and have had success in this area in the past) and look forward to meeting you!
Updated Jan 2017

Rehab Medicine

(Updated)  Dr J Paterson

Working in the acute stroke unit in Scarborough Hospital offers the opportunity of dealing with acute presentations of cerebrovascular disease and also being involved with the multi-disciplinary team, particularly in regard to the start of rehabilitation therapy.
There is an opportunity to become acquainted with the basics of CNS imaging and hyperacute stroke therapies. The post also offers the opportunity to liaise with the many services working in the community to support patients with residual stroke disabilities  and there is involvement of course with the inpatient and outreach physiotherapy and occupational therapy teams.

Psychiatry

Dr Mayfield. Dr Leigh-Hunt

There are  two posts available for GP trainees every six months.  Both are based at the Princess Road clinic in Malton. Dr Mayfield supervises a post in general adult psychiatry and Dr Leigh Hunt a post in Old age psychiatry. The trainees participate in the on-call rota for the in patient beds at Cross Lane, Scarborough.

Job descriptions can be viewed here –

http://scarboroughgpvts.co.uk/wp-content/uploads/2015/12/Dr-Mayfield-2016-inc-updated-curriculum.doc

http://scarboroughgpvts.co.uk/wp-content/uploads/2015/12/Dr-Leigh-Hunt-2016-inc-updated-curriculum.doc

The trainees are encouraged to attend weekly psychiatric teaching at York DGH on a Wednesday morning (9.15 – 11.15 a.m.).  All trainees are expected to present one case and one journal club meeting each year at the scheme academic morning, which is attended by the core trainees across the scheme and consultants from the locality. There will be further opportunities for local teaching of peers and other staff. Trainees are encouraged and supported to provide teaching for Hull York medical students on placement in the locality and to act as a mentor for one student whilst they are on placement here. Time is also allocated for GP trainees to attend monthly day release GP teaching.

The Consultants provide weekly supervision for one hour. This is essentially trainee-led but could include a list of set topics to discuss. GP trainees are granted study leave to attend educational courses. GP trainees are also encouraged to carry out an audit involving a primary care mental health issue and present this (alongside psychiatric trainees) to a multi-disciplinary audience at the end of their six months. 

Joint work with community psychiatric nurses is encouraged by the Consultants. Trainees will also have the opportunity to work with psychologists attached with the teams for a better understanding and familiarity with psychological interventions.

Cross Lane Hospital has its own library which includes up-to-date text books and a video collection. There is internet access available on site, including access to Medline, etc. Facilities for video taping consultations are also available with feedback provided by Consultants and senior psychiatric trainees.

Updated Nov 17

Obstetrics & Gynaecology

Mr Andy Booth, Ms Louise Hayes, Mrs Shanthi Ramaswarmy & Dr Kavita Verma (9/1/14) 

The Department of Obstetrics and Gynaecology has a designated gynaecological ward, a delivery ward with integral operating theatre, obstetric ward and an excellent Special Care Baby Unit.

The SHOs gain experience in all aspects of care of mothers with normal and abnormal pregnancies and in all aspects of gynaecology.  The registrars are taught and are expected to undertake minor practical procedures in both disciplines.  There is excellent support from the Paediatric, Anaesthetics and Pathology units and the registrars work very closely with the midwifery department.

There are regular weekly protected teaching programmes as well as “mock” examinations and also the opportunity to attend the weekly GP half-day release sessions.  The posts are recognised for DRCOG.

Palliative Care

(Updated)  Dr Carina Saxby, Dr Hannah Zacharias, Dr Sarah Callin

This Post is based at St Catherine’s Hospice, Scarborough.

St Catherine’s has 20 in patient beds and 350 admissions per year. In view of the very large geographical area covered there is considerable emphasis on domiciliary services from both consultants and Macmillan nurses, and close liaison with primary care. The hospice runs out patient clinics, day care services and the regional lymphoedema clinic service. There is a satellite day hospice, run by St Catherine’s, in Whitby and one in Ryedale. There are a further four general palliative care beds in Whitby and two in Bridlington.

Whilst working in palliative care a holistic approach is essential with consideration of patients’ physical, mental and spiritual well-being.  Teaching is on going in clinics and ward work.  There is a formal tutorial once a week.

There are light on call commitments and full access to STS activities.