Phase 2B: Clinical Experience in Medicine and SurgeryPhase 2b provides your first extended period in a clinical setting. Although during your time in this phase you will continue to need to use written resources the key objectives will be learnt in the clinical arena and not from spending all your time with the text books.
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Phase 2b provides you with your first Longitudinal Integrated Clinical Placement (LICP1). By the end of Phase 2b you should have acquired history taking skills and learnt the basic techniques of clinical examination. In addition you should have acquired some practical skills and be developing your communication skills and professional behaviour.
Find out more about our Departments of General Medicine and General Surgery:
Prior to coming out to Rotherham you will have spent four weeks in Sheffield in the Foundation Clinical Skills course which will give you a grounding in these areas to take into the clinical arena. When you come out to Rotherham you will be in a group of 28 Phase 2b students (there will be other students from Phase 3a and 3b also on site whilst you are in the hospital).
During your attachment you will be assigned in pairs or threes to a Clinical Team with a designated consultant; you will usually be informed which team before you start your attachment. You will normally spend your mornings based with the clinical team to whom you are attached undertaking a specific role, giving you the opportunity to become an active member of the Team and in particular see what the F1 doctor does as in a few years time this is the type of job you will be doing. This is a great asset if you get it right! However, remember that he / she and other members of the Clinical Team may be very busy so be prepared for some times when you're not going to be with them. Use this time wisely. If you are not taking a history or examining a patient then look at other aspects of their care e.g.
As well as the time you spend on the wards with your Clinical Team we will also organise Clinical Skills sessions and teaching sessions which we hope you will find useful. The majority of these will be clinically based with dedicated teaching at the bedside sessions with experienced medical and surgical staff. You will also be able to sign up for planned integrated experiences and attend planned educational activities (PIEs and PEAs!), so that you get to see a wide range of patients during your time at Rotherham.
You should be proactive in your time here and seek out the learning opportunities available. In particular you may find some clinical areas more suited for teaching at different times and not necessarily restricted to a ‘9-5’ learning experience. Do consider and make the most of working with your Teams out of hours.
During your attachment you will be assigned in pairs or threes to a Clinical Team with a designated consultant; you will usually be informed which team before you start your attachment. You will normally spend your mornings based with the clinical team to whom you are attached undertaking a specific role, giving you the opportunity to become an active member of the Team and in particular see what the F1 doctor does as in a few years time this is the type of job you will be doing. This is a great asset if you get it right! However, remember that he / she and other members of the Clinical Team may be very busy so be prepared for some times when you're not going to be with them. Use this time wisely. If you are not taking a history or examining a patient then look at other aspects of their care e.g.
- Do you know what those drugs are on the Drug Kardex? Get to know the ward Pharmacist.
- What are the different fluids going into the patient and why?
- What pain relief is the patient getting and why? Get to know the Acute Pain Team.
- What about all the other charts at the end of the patient's bed - fluid balance etc?
- Why has that test been requested and what does that lab result mean?
- Do you know about the other investigations - ECGs, X-rays etc?
- What other healthcare professionals are involved in the care of the patient and how do medical staff interact with them?
As well as the time you spend on the wards with your Clinical Team we will also organise Clinical Skills sessions and teaching sessions which we hope you will find useful. The majority of these will be clinically based with dedicated teaching at the bedside sessions with experienced medical and surgical staff. You will also be able to sign up for planned integrated experiences and attend planned educational activities (PIEs and PEAs!), so that you get to see a wide range of patients during your time at Rotherham.
You should be proactive in your time here and seek out the learning opportunities available. In particular you may find some clinical areas more suited for teaching at different times and not necessarily restricted to a ‘9-5’ learning experience. Do consider and make the most of working with your Teams out of hours.
