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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 [email protected](Associate Dean)
CR3 Module leadDr Kula Ranjan (Consultant [email protected] Cardiologist)
CR3 Link Teaching Fellow Dr Shameer Mehta [email protected]
Other Teaching Fellows
Miss Sandy Abeysiri [email protected] Girish Rayanagoudar girish.rayanagoudar@ bartshealth.nhs.ukDr Nazri Hashim [email protected] Catherine Gouveia [email protected] Fellow Office (ground floor, education centre)
WHO’S WHO?
Deputy Medical Education ManagerAeesha Bhaiyat [email protected]: 020 73638143Office 4 (ground floor, education centre)
Undergraduate ProgrammeCoordinatorAfsana Begum [email protected] Phone: 020 7363 8349Mobile: 07944033041Medical education Office (first floor, education centre)
Clinical Skills CoordinatorJudith Dale [email protected] Mills [email protected]
Teaching PharmacistUzma Shaikh [email protected]
The generic email address to use in order to contact the entire team is:
Things to Note
Travel 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 on 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 the following times:-Ground Floor 0745 – 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 Note
Restaurants 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 Note
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 Meet 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
• Generic topic teaching – Tuesday lunchtimes (see timetable)
• Clinical skills – see timetable later in handbook
• Pharmacy teaching – see timetable later in handbook
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: http://qmplus.qmul.ac.uk/course/view.php?id=2996
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 6th October, 09.30 Medical Education Centre
Step 2: First firm (+/- anaesthetics) – from 7th October 2014Group A: Respiratory (Dr. Jayasekera)Group B: Respiratory (Dr O’Shaughnessy)Groups C & D: Cardiology (Dr Ranjan)
Step 3:Mid-firm appraisal – ______________ (Events Room)
Step4:Second firm (+/- anaesthetics) – from 3rd November 2014Groups A & B: Cardiology (Dr Ranjan)Group C: Respiratory (Dr. Jayasekera)Group D: Respiratory (Dr O’Shaughnessy)
Step 5:End of firm assessment – 1st & 2nd December 2014
Remember:
SSC: Submission to medical school by __________
Names of students in each group can be found on the back of this booklet
TIMETABLE - INDUCTION DAY Monday 6th October 2014Lecture Theatre
Time Activity
09:15 - 09:30
Registration
09:30 - 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 – 16.00
Hospital Tour
16.00 Meet your firms
Group allocations:
Group APoojani Ajulraja [email protected] D’Abrantes r [email protected] Francis Pollock [email protected]
Group BNicholas Harrison [email protected] Flora Hearn [email protected] Johnson [email protected]
Group CKatie Jane Lock [email protected] Manoj Mehta [email protected] Mahinder Gupta [email protected]
Group DLeanna Ruprai [email protected] Sritharan [email protected] Tween [email protected]
CR3 Firm Allocations
6th October – 3rd November:Groups A - Respiratory (Dr. Jayasekera)Group B – Respiratory (Dr. O’Shaughnessy)Group C & Group D – Cardiology (Dr. Ranjan)
3rd November – 5th December:Groups A & B – Cardiology (Dr. Ranjan)Group C - Respiratory (Dr. Jayasekera)Group D – Respiratory (Dr. O’Shaughnessy)
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 Consultant WR
OPD Shrewsbury
Ward work TB ClinicShrewsbury
Ward work
PM TB OPD Shrewsbury
Bronchoscopy
Consultant WR
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
13th October Pooja AjulrajaRamiro
D’Abrantes
20th October Charlotte Pollock Nicholas Harrison
27th October Amy Hearn Oliver Johnson
3rd November Katie Lock Zanak Mehta
10th November Amit Gupta Leanna Ruprai
17th November Prasanth Sritharan
Suzanne Tween
On 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 at this point.
Bedside Teaching Timetable
Date 10.00-11.15 11.15-12.30 Topic
13th October A and B C and D Respiratory
27th October C and D A and B Abdominal
3rd November A and B C and D Cardiovascular
10th November C and D A and B
Peripheral Nervous system
17th 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 both daily for changes.
Date Time PBL Topic 1 PBL Topic 2 Room
13th October 2-4 pm PBL 1 & 2Seminar room 4/5
27th October 2-4 pmFeedback 1 & 2 PBL 3
Seminar room 4/5
3rd November
2-4 pm Feedback 3 PBL 4 & 5 Seminar room 4/5
10th November
2-4 pm Feedback 4 & 5
PBL 6 Seminar room 4/5
17th November
2-4 pm Feedback 6 PBL 7 & 8 Seminar room 4/5
24th November
2-4 pm Feedback 7 & 8
Seminar room 4/5
3rd Year Generic Topic Teaching Time-table
It is mandatory to attend all generic topic teaching sessions.
Please check the notice board and Twitter (@newhameducation) for any updates
Date and time
Session Tutor Venue
14/10/201412:30 – 13:30
Introduction to Anaesthesia and Pre-operative Care
Events Room
21/10/201412:30 – 13:30
Pyrexia of Unknown Origin
Events Room
28/10/201412:30 – 13:30
Shock & Sepsis
Events Room
04/11/201412:30 – 13:30
Xray Basics Events Room
11/11/201412:30 – 13:30
CTI/MRI-Basics Events Room
18/11/201412:30 – 13:30
Acute Confusion
Events Room
25/11/201412:30 – 13:30
ECG Basics Events Room
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 the Clinical Skills Teaching timetable
CR3 Pharmacy Teaching Sessions
Date Time Venue
09:00 -12:00 Seminar Room 3
09:00 – 12:00
Seminar Room 1
09:00 – 12:00
Seminar Room 1
GP Placements
1 Custom House Surgery
2 Custom House Surgery
3 Custom House Surgery
4 Custom House Surgery
5 Elmhurst Practice
6 Elmhurst Practice
7 Elmhurst Practice
8 Elmhurst Practice
9 St Stephen's Health Centre
10 St Stephen's Health Centre
11 St Stephen's Health Centre
12 St Stephen's Health Centre
Placement Dates
Students 1-8:Students 9-12:
Thursday 16th Oct Thursday 13th NovThursday 23rd Oct Thursday 20th NovThursday 30th Oct Thursday 27th NovThursday 6th Nov
Thursday 4th Dec
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:
