The department works a needs related, ward-based policy providing comprehensive geriatric assessment for frail elderly as well as taking part in unselected medical on-calls and providing a Stroke Service including 24/7 thrombolysis. At the Royal Surrey there are two dedicated acute elderly care wards and a twenty bed Stroke Unit and an Ortho-geriatric Unit. Currently, Consultant-led community rehabilitation beds are at Milford Hospital and Farnham Hospital, with out-patient clinics at RSCH, Haslemere and Cranleigh Hospitals. There are two active Day Hospitals providing multi-disciplinary rapid assessment for out-patients in close liaison with the community rehabilitation services.
There are six Consultants, two SpRs, six SHOs (FY2/GPST1/CT1) and six FY1 doctors working as part of multi-disciplinary teams on each of the wards, and reviewing referrals for elderly care or rehabilitation. Junior doctors are ward-based working for three consultants. Duties include care of the ward patients, seeing referrals prior to consultant review and taking part in the weekly multi-disciplinary team meeting. The on-call is full-shift system, based in a dedicated Medical Assessment Unit (MAU) with a Hospital at Night team supported by Sight Nurse Practitioners and Critical Outreach Nurses. There is a weekly programme of geriatric medicine tutorials as well as a weekly radiology meeting attended by all medical staff in the department. The Medical Directorate has a weekly Journal Club/Grand-round meeting and a monthly Educational Half Day. Monthly ward-based multi-disciplinary teaching also takes place.
In addition to broad experience in geriatric medicine, the department provides excellent exposure to a range of subspecialties, namely Stroke Medicine, Orthogeriatrics and movement disorders/Parkinson’s Disease.
Shift Practice and Rota
A full shift on call rota is in place. The frequency of on is calls:1 in 10 for SpRs1 in 8 for FY2s/ Core Trainees
Education and Study Schedule
Educational Supervisor is responsible for overseeing training and making sure that trainees are making the necessary clinical and educational progress. Trainees are encouraged to have regular feedback from their Educational / Clinical Supervisors.
Leads for Stroke Medicine: Dr Adrian Blight and Dr Kath Pasco
Leads for Orthogeriatrics: Dr Helen Wilson and Dr Hiro Khoshnaw
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