STUFF YOU NEED TO KNOW…

This booklet contains important information, so have a read and keep it

to hand during your CR3 placement.

Newham University HospitalCR3 Student Handbook

READ ME!

We hope that you find your time with us both enjoyable and rewarding. Please read this handbook carefully. All the information you need should be here, but if not, feel free to speak to us. Your first point of contact should be one of the undergraduate coordinators or one of the teaching fellows, who can all be found in the education centre (for contact details see ‘Who’s Who?’).

WELCOME TO NEWHAM

WHO’S WHO?

Course coordinatorProf Susan Gelding susan.gelding@bartshealth.nhs.uk(associate Dean)

CR3 Module leadDr Kula Ranjan (Consultant kula.ranjan@bartshealth.nhs.uk Cardiologist)

CR3 Link Teaching Fellow Dr Shameer Mehta shameer.mehta@bartshealth.nhs.uk

Other Teaching Fellows

Miss Sandy Abeysiri sandaruwani.abeysiri@bartshealth.nhs.ukDr Girish Rayanagoudar girish.rayanagoudar@ bartshealth.nhs.ukDr Kirun Gunganah kirun.gunganah@bartshealth.nhs.ukDr Catherine Gouveia c.gouveia@qmul.ac.ukOffice 7 (ground floor, education centre)

WHO’S WHO?

Deputy Medical Education ManagerAeesha Bhaiyat aeesha.bhaiyat@bartshealth.nhs.ukPhone: 020 73638143Office 4 (education centre)

Undergraduate ProgrammeCoordinatorAfsana Begum afsana.begum@bartshealth.nhs.uk Phone: 020 7363 8349Mobile: 07944033041Office 2 (education centre)

Clinical Skills CoordinatorHelen Mills helen.mills@bartshealth.nhs.uk

Teaching PharmacistUzma Shaikh uzma.shaikh@bartshealth.nhs.uk

The generic email address to use in order to contact the entire team is:

medicalundergraduateteachingteam@bartshealth.nhs.uk

Things to NoteTravel ArrangementsThe nearest underground station to NUH is Plaistow on the District and Hammersmith and City Lines: NUH is a 5-10 minute bus ride from the station (bus routes 262 or 473) or a 20 minute walk.

Outpatient clinics take place in Health Central at Zone 6. The Newham site also includes the Gateway Surgical Centre where most of the day surgery and elective surgery takes place.

Diabetes and chest clinics are located at the Shrewsbury Centre, about 2 miles from NUH and a 5 minute walk from East Ham Tube station (District line). The 376 bus from the hospital main entrance also takes you to Shrewsbury Centre.

If travelling by car, please note that Newham’s Visitors car park is “pay and display”. The fees are displayed and there are no waivers for students. Please use visitor parking spaces and NOT the staff spaces.

LibraryThere is a well stocked library located on the first floor of the Education Centre which you are encouraged to use. The staff of the library will give you any help needed. There are very good computer facilities for literature searches, a Cyber room with 6 terminals, scanner and printer all accessible via library services.

TelephonesMost Telephones on the wards, corridors and Education Centre are connected directly to the switchboard at NUH. Dial the extension directly if you know it, or Dial 0 to contact the operator.Dial 3133 for security.

To Bleep Dial 66: wait for the announcement then type in the bleep number, tel extension, # and replace the receiver. Wait by the phone for the person you have bleeped to call you back. Please be patient.

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Things to NoteLockers and FacilitiesLockers are available in the Education Centre at the end of the ground floor corridor, between the Lecture theatre and Events room. You will have to provide your own padlock and key. Please remember to clear your locker and take your padlock when you leave.There is a major problem with Theft in any hospital so you are encouraged to make the best use of the lockers.

The Education Centre doors lock automatically so please note following times:-Ground Floor 0.745 – 19.00-Rear doors (access to stairs) Mon-Fri 0745 – 1730

If you get locked out/in please contact security on x3133 to help, though please bear in mind this can take some time so do not make a habit of leaving your possessions behind.

Please keep the locker room tidy – DO NOT LEAVE THEATRE BLUES IN THE ROOM. THIS IS A HEALTH AND SAFETY HAZARD

Toilets are located on the Ground Floor of the Education Centre, in the main corridor out side the Education Centre and outside the restaurant in zone 4.

There are two Cash Machines on site: located in the Ground Floor Corridor of the main hospital (these machines charge a small fee). Always be discreet when using the machines and ensure no one can see your pin.

The nearest post office, newsagents and chemist are on Prince Regent Lane, 5 minutes walk away.Unfortunately the doctors Mess at NUH is not large enough to accommodate students.

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Things to NoteRestaurants and Coffee ShopsThe restaurant is located on the 1st floor – Zone 4, at NUH.The restaurant stays open most of the day till 8pm (though does not serve hot food between 11.30-12.00 and 17.30-18.00). There is an adjacent coffee lounge with vending machines.

There is Costa Coffee Shop in the Health Central (opening times 08:00-18:00), as well as a coffee shop in the Gateway Surgical Centre.

FOR SECURITYAN ID BADGE WILL BE PROVIDE D TO FACILITATE ACCESS INTO WARDS. YOU ARE REQUIRED TO DEPOSIT £10 WHICH WILL BE REFUNDED ON RETURNING THE BADGE AT THE END OF PLACEMENT. PLEASE WEAR YOUR ID & MEDICAL SCHOOL BADGES AT ALL TIMES – for security purposes in clinical areas.

Things to NoteTwitter

For those with a twitter account, we highly recommend you follow us on @newhameducation. For those without, please do create an account via www.twitter.com (it only takes a few seconds).

This is an excellent way to let you know of any potential late changes to your teaching schedule, to avoid missing sessions.

We also provide many helpful tips and advice on medical matters, which previous students have found very useful.

Please remember to ‘Turn On Notifications’ from our profile when you follow us so that you can stay up to date with all developments in the department.

@newhameducation

MAP OF NEWHAM HOSPITAL

TEACHING SESSIONS

Firm-based teaching forms the main part of your curriculum.Additional teaching sessions are as follows:

• Bedside teaching - Monday mornings , 10am-12pmMeet outside teaching fellows’ office. Note: it is your responsibility to find and consent suitable patients before the session. ONE PATIENT PER STUDENT

• PBL – Monday afternoons, 2-4pm

• Generic topic teaching – Tuesday lunchtimes (see timetable)

• Clinical skills – see timetable on noticeboard

• Pharmacy teaching – see dates later in pack

Note: attendance is mandatory for all sessions.Timetables for teaching sessions are available in this booklet or on the student notice board in the education centre.

Teaching Website – additional teaching resources (including tutorials, examination atlases and quizzes) are available at: www.newhamuniversityhospital.nhs.uk/mededlearning

WHAT YOU CAN EXPECT FROM US

WHAT WE EXPECT FROM YOUAttendance – this is a full time course, and attendance is compulsory. You should inform the undergraduate coordinator and your consultant of any unavoidable absences.You must sign in every morning after 08.30 with your swipe card on the barcode reader located on the ground floor of the Education Department outside Office 2. We also keep registers for teaching sessions. Attendance is reported to the Medical School.

Be punctual.

Patient contact – we are fortunate to look after patients who have a wide variety of clinical pathology here at Newham. Please do use this to your advantage and maximise every opportunity to learn from our patients, but remember to always treat them with respect.

Patient clerkings – you must perform a full history and full examination of at least 5 patients per week.

Written clerkings - you should submit 5 written clerkings to your firm during your time at Newham. These will form part of your end-of-firm assessment.

On calls – attend at least 4 on calls with junior doctors from your team, and attend the post-take ward round when your consultant has been on call.Note: It may be more useful to attend on calls with your FY2 or registrar than your FY1, who is likely to have mainly ward jobs to attend to.

Outpatient clinics – discuss appropriate times to attend with your consultant. These are a really useful opportunity to see clinical signs and clerk patients.

Logbooks – complete tasks required by the medical school as detailed in your log books.

SSC – one half day a week can be used for SSC-related work. Details of SSC requirements can be found in your medical school handbook.

WHAT HAPPENS NEXT?

You will spend 9 weeks at Newham University Hospital, divided into:• 3-5 weeks cardiology• 3-5 weeks respiratory• 1 week anaesthetics

Step 1:Induction day – Monday 7th October 2013, 09.30 Medical Education Centre

Step 2: First firm (+/- anaesthetics) – from 8th October 2013Groups A & B: Cardiology (Dr Ranjan)Group C: Respiratory (Dr Ahmed / Dr. Jayasekera)Group D: Respiratory (Dr O’Shaughnessy)

Step 3:Mid-firm appraisal – 29th October 13.30

Step4:Second firm (+/- anaesthetics) – from 4th NovemberGroup A: Respiratory (Dr Packe / Dr. Ahmed)Group B: Respiratory (Dr O’Shaughnessy)Groups C & D: Cardiology (Dr Ranjan)

Step 5:End of firm assessment – Friday 29th November & Monday 2nd December

Remember:

SSC: Agree arrangements by 11th October Submission to consultant by 29th November Email copy to school office by 20th December

Names of students in each group can be found on the back of this booklet

TIMETABLE - INDUCTION DAY Monday 7th Oct 2013Lecture TheatreTime Activity

9:15-9:30 Registration

9:30-10:00 Welcome from Prof Gelding & Module Leads

10:00-10.30 Introduction to Newham

10:30-10.45 Coffee break

10:45-11:00 ‘Ask One Question’

11:00-12.00 History Taking

12:00-12:20 Lunch

12:20-13:30 Grand Round

13:30-15:30 Clinical Examination

15:30-1600 Hospital Tour

16:00 Meet your Firm

Group allocations:

Group AMarek Perera m.n.perera@smd10.qmul.ac.uk Francesca Bonora f.bonora@smd11.qmul.ac.uk Mohammed Iqbal m.h.iqbal@smd11.qmul.ac.uk

Group B Isobel Marks i.h.marks@smd12.qmul.ac.uk Olivia Martin o.j.m.martin@smd12.qmul.ac.uk Muhammad Shahid m.q.shahid@smd11.qmul.ac.uk

Group CKirsty Benton k.benton@smd11.qmul.ac.uk Lucy Gwernan-Jones l.gwernan-jones@smd11.qmul.ac.uk Rishita Shah rishita.shah@smd11.qmul.ac.uk

Group D

Naomi Adey n.r.c.adey@smd12.qmul.ac.uk Peter Browne p.browne@smd12.qmul.ac.uk Hannah Parker h.parker@smd11.qmul.ac.uk

CR3 Firm Allocations

8th october – 3rd November:Groups A & B – Cardiology (Dr. Ranjan)Group C – Respiratory (Dr. Ahmed)Group D – Respiratory (Dr. O’Shaughnessy)

4th November – 8th December:Group A- Respiratory (Dr. Ahmed)Group B – Respiratory (Dr. O’Shaughnessy)Groups C & D – Cardiology (Dr. Ranjan)

9th December – 13th December:Public Health

FIRM TIMETABLESDr Ranjan

Mon Tues Weds Thurs Fri

8am CCU WR CCU WR CCU WR CCU WR CCU WR

AM Ward work

OPD NGH Pacemaker clinic

Ward work

12-2 Chest pain clinic

Chest pain clinic

Chest pain clinic

Chest pain clinic

Chest pain clinic

PM CCU teaching

Teaching Ward work

Dr Ahmed

Mon Tues Weds Thurs Fri

AM WR OPD Shrewsbury

Bronchoscopy – alt weeks

WR OPD Shrewsbury

PM WR, NIV teaching

Ward work OPD Shrewsbury

Radiology meeting, ward work

Ward work

Dr Jayase - kera

Mon Tues Weds Thurs Fri

AM WR Plashet

OPD Shrewsbury

WR Plashet

OPD Health Central

PM TB OPD Shrewsbury

Bronchoscopy

Ward work

Ward work

Dr O’Shaug - hnessy

Mon Tues Weds Thurs Fri

AM NGH clinic

Barts OPD Shrewsbury

Bronch list

OPD Shrewsbury

PM WR WR / XRay OPD Shrewsbury

Xray / WR

OPD Shrewsbury

Anaesthetics Placements

These placements last for 1 week and are allocated as follows:

Week starting: Student 1 Student 2

14th October Marek PereraFrancesca Bonora

21st October Mohammed Iqbal

Isobel Marks

28th October Olivia martin Muhammad Shahid

4th November Kirsty Benton Lucy Gwernan-Jones

11th November Rishita Shah Naomi Adey

18th November Peter Browne Hannah ParkerOn the first morning of your Anaesthetics placement please attend the Anaesthetics department at 9am to meet Dr Mohr, Anaesthetics consultant. You will be given a timetable for your placement by at this point

Bedside Teaching Timetable

Date 10-11 am 11-12 am Topic

14th October A and B C and D Respiratory

21st October C and D A and B Abdominal

4th November A and B C and D Cardiovascular

11th November C and D A and B Peripheral Nervous system

18th November A and B C and D Cranial Nerves

It is your responsibility to identify suitable patients, and ask their consent to be examined PRIOR to the bedside teaching sessions. Please report to the Teaching Fellow Office on the ground floor of the Education Centre at your allotted time.

PBL Timetable

Any amendments to this timetable will be posted on the notice board, and tweeted (@newhameducation). Please check the notice board daily for changes.

Date Time PBL Topic 1 PBL Topic 2 Room

14th October 2-4 pm PBL 1 & 2 Seminar room 4/5

21st October 2-4 pm Feedback 1 & 2 PBL 3 Seminar

room 4/5

4th November 2-4 pm Feedback 3 PBL 4 & 5 Seminar room 4/5

11th November 2-4 pm Feedback 4 &

5 PBL 6 Seminar room 4/5

18th November 2-4 pm Feedback 6 PBL 7 & 8 Seminar

room 4/525th November 2-4 pm Feedback 7 &

8Seminar room 4/5

3rd Year Generic Topic Teaching Time-table

It is mandatory to attend all generic topic teaching sessions.Date and time Session Tutor Venue

08/10/201312:30 – 13:30

ECG - BasicsDr Girish RayanagoudarTeaching Fellow

Events Room

15/10/201312:30 – 13:30

Shock/SepsisDr Dolores Mateo, Consultant ITU

Events Room

22/10/201313:00 – 14:00

Introduction to Anaesthesia and Pre-operative Care

Dr Otto Mohr Consultant, Anaesthesia

Events Room

29/10/201312:30 – 13:30

X - Ray - BasicsDr Kai Lee TanConsultant, Radiology

Events Room

12/11/201312:30 – 13:30

Pyrexia of Unknown Origin

Dr Simon LimbConsultant Events Room

19/11/201312:30 – 13:30

CTI/MRI-BasicsDr Kai Lee TanConsultant, Radiology

Events Room

26/11/201313:30 – 14:30

Acute Confusion

Dr Babalal Depala

Associate Specialist, COE

Events Room

Please check the notice board and Twitter (@newhameducation) for any updates on the Clinical Skills Teaching Sessions

3rd Year Clinical Skills Teaching sessionsAll sessions delivered in the clinical skills suite, first floor education centrePlease note there is only session per skill. Hence attendance to all sessions is mandatory

Please check the notice board and Twitter (@newhameducation) for any updates on the Clinical Skills Teaching Sessions

MET3B

Date Time Skills

Tuesday 8th October 09.00 – 11.00

Hand washing & scrubbingUrinary catheterisation

Wednesday 16th October 11.00 – 12.00 Venepuncture &

Cannulation

Wednesday 23rd October 11.00 – 12.00 im, sc, iv

injections

Wednesday 20th November 11.00 – 12.00 NG tube

insertion

Tuesday 26th November 14.00 – 16.00 A-E assessment

and O2

CR3 Pharmacy Teaching Sessions

Date Time Venue

1/11/13 09:00 -12:00 Seminar Room 3

22/11/13 09:00 – 12:00

Seminar Room 1

29/11/13

09:00 – 12:00

Seminar Room 1

GP Placements

Perera, Marek Harold Hill HC

Bonora, Francesca Harold Hill HC

Iqbal, Mohammed Harold Hill HC

Marks, Isobel Harold Hill HC

Martin, Olivia Vicarage Lane Medical Centre

Shahid, Muhammad Vicarage Lane Medical Centre

Benton, Kirsty Vicarage Lane Medical Centre

Gwernan-Jones, Lucy Vicarage Lane Medical Centre

Shah, Rishita Wanstead Place Surgery

Adey, Naomi Wanstead Place Surgery

Browne, Peter Wanstead Place Surgery

Parker, Hannah Wanstead Place Surgery

Placement days are:

Thursday 17th OctoberThursday 24th OctoberThursday 31st OctoberThursday 7th November

The end of firm sign off in your medical school log book will be done by Dr Ranjan. This assessment will be based on the following:

• Attendance and performance within each firm, as assessed by the Consultant for that firm – assessment forms for each of your 3 placements (Cardiology, Respiratory, Anaesthetics) have been provided at the end of this handbook, and should be signed by the appropriate consultant at the end of your attachment with their firm.

• Medical School log books – you should have histories, clinical examinations etc signed off as detailed in the log book.

• Attendance and performance at teaching sessions.

• Written clerkings.

• Professionalism and conduct.

• End of firm assessment performance:• Data interpretation exam• Clinical examination OSCE• Clinical skills OSCE

ASSESSMENT

NEWHAM ASSESSMENT FORM 1

Student name………………….. Speciality CARDIOLOGY

Dates…………………………. to …………………………………..

Circle the appropriate grades below (Commendation/Pass/Fail):

Attendance C P FKnowledge C P F

Examination skills C P FPractical skills C P F

Clinical reasoning C P F

Professionalism Satisfactory Unsatisfactory

Overall grade:

Commendation PassFail

General comments. Please comment on any favourable areas, or areas to which the student should be asked to pay special attention. A comment must be entered for all failed students.

Name of assessor.............................................Date…………………

Signature of assessor……………………………………………………………..

Signature of student……………………………..Date………………….

NEWHAM ASSESSMENT FORM 2

Student name………………….. Speciality RESPIRATORY

Dates…………………………. to …………………………………..

Circle the appropriate grades below (Commendation/Pass/Fail):

Attendance C P FKnowledge C P F

Examination skills C P FPractical skills C P F

Clinical reasoning C P F

Professionalism Satisfactory Unsatisfactory

Overall grade:

Commendation PassFail

General comments. Please comment on any favourable areas, or areas to which the student should be asked to pay special attention. A comment must be entered for all failed students.

Name of assessor.............................................Date…………………

Signature of assessor……………………………………………………………..

Signature of student……………………………..Date………………….

NEWHAM ASSESSMENT FORM 3

Student name………………….. Speciality ANAESTHETICS

Dates…………………………. to …………………………………..

Circle the appropriate grades below (Commendation/Pass/Fail):

Attendance C P FKnowledge C P F

Examination skills C P FPractical skills C P F

Clinical reasoning C P F

Professionalism Satisfactory Unsatisfactory

Overall grade:

Commendation PassFail

General comments. Please comment on any favourable areas, or areas to which the student should be asked to pay special attention. A comment must be entered for all failed students.

Name of assessor.............................................Date…………………

Signature of assessor……………………………………………………………..

Signature of student……………………………..Date………………….

Medicine Attachment Date

Case Summary

Reflective Writing

Consultant’s Signature

Appendix A On Call Reflective Practice Diaries

Medicine Attachment Date

Case Summary

Reflective Writing

Consultant’s Signature

Appendix A On Call Reflective Practice Diaries

Medicine Attachment Date

Case Summary

Reflective Writing

Consultant’s Signature

Appendix A On Call Reflective Practice Diaries

Medicine Attachment Date

Case Summary

Reflective Writing

Consultant’s Signature

Appendix A On Call Reflective Practice Diaries

Student name:

Consultant:

Year Date

Patient Initial: Gender: Age: Presenting Complaint

History of Presenting Complaint

Examination Findings

Appendix B Medical Student Worksheet (Post Take WR)

Differential Diagnoses

Investigations

Initial Management

Outcome

Consultant Comments

Student Signature: Date:

Consultant Signature: Date: