Teaching
Curriculum based training sessions take place in Oxford each month for an extended half day and a wide variety of educational activities are available in all the hospitals on the rotation.
AGM – John Radcliffe Hospital
AGM operates traditional consultant-led firms as opposed to ‘triage and transfer’. Patients have continuity of care, being admitted, managed and discharged by a single firm. There are no resident acute physicians on the Emergency Assessment Unit but the on-take physicians provide approximately 12h consultant presence each day. Registrars are on-call with their firm 1 in 4 over a period of 8 weeks, before spending 4 weeks on leave and undertaking night duties. Annual leave is fixed in the rota. Banding is presently 1A (50%).
ITU – John Radcliffe Hospital
Registrars spend at least 3 months in ITU gaining basic competencies and are always on duty with an airway competent senior trainee. Banding is presently 1A (50%).
AGM – Horton Hospital, Banbury
Eight consultant firms operate at the Horton Hospital with a ‘physician of the day’ model and triage to the care of ward-based teams. Registrars are typically attached to a firm specialising in general medicine or elderly care. 1 trainee from the scheme works in Banbury at any point in time and banding is presently 1A (50%).
Wexham Park Hospital, Slough
An acute medicine model with 4 dedicated acute physicians operates at Wexham Park with triage from the AMU to the care of ward-based teams. Registrars are attached to firms specialising in cardiology, respiratory medicine and acute medicine. 3 trainees from the scheme work in Wexham at any point in time. Banding is presently 1B (40%).
Milton Keynes General Hospital
An acute medicine model with dedicated acute physicians operates in MK with triage from the CDU to the care of ward-based teams. Registrars are attached to firms specialising in rheumatology and acute medicine. Particular opportunities exist to develop expertise in ambulatory care and VTE follow-up clinics. 2 trainees from the scheme work in Milton Keynes at any point in time and banding is presently 1B (40%).
Stoke Mandeville Hospital, Aylesbury
An acute medicine model operates with the physician of the day triaging patients from AMU to the care of ward-based teams. The registrar from this scheme is attached to a firm specialising in gastroenterology and 1 trainee from the scheme works in Stoke at any point in time. Banding is presently 1A (50%).