Phase 4: Clinical Experience in Medicine and SurgeryPhase 4 provides you with the final block of clinical attachments prior to your final exams and the Student Assistantship period.
It is an opportunity for you to identify and address gaps in your clinical knowledge and to start to work like a junior doctor. We will help you with this to ensure you get the most out of your time here with us.
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When you come out to Rotherham you will be in a group of 24 Phase 4 students (there will be other students from Phase 3 also on site whilst you are in the hospital). The group of 24 will then be divided into 2 groups of 12. One group will be in Medicine and the other in Surgery.
During your attachment in either Medicine or Surgery you will usually be assigned in pairs to a Clinical Team with a designated consultant - you'll be told which Team at Induction. We will aim to allocate students so that you will spend about half of your time with a Medical Team and the other half with a Surgical Team. In addition we will also aim for you to have other rotations to other clinical Teams so that you get to see a wide range of patients during your time at Rotherham
Aim to become an active member of the Team and in particular see what the F1 doctor does as in a few months 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 eg
As well as the time you spend on the wards with your Clinical Team we will also organise teaching sessions which we hope you will find useful. Because this is the final stage in your undergraduate training we have made the majority of these clinically based with dedicated teaching at the bedside sessions with experienced medical and surgical staff.
We will also provided you with Clinical Skills sessions, Simulation scenarios (read more about Simulation Courses) and teaching about Laboratory and Radiology investigations.
As part of the revision towards your final OSCE we will provide a Revision OSCE. This will enable you to experience what an OSCE is like and in addition to receive immediate feedback and teaching to provide a valuable learning experience.
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.
Aim to become an active member of the Team and in particular see what the F1 doctor does as in a few months 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 eg
- 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 teaching sessions which we hope you will find useful. Because this is the final stage in your undergraduate training we have made the majority of these clinically based with dedicated teaching at the bedside sessions with experienced medical and surgical staff.
We will also provided you with Clinical Skills sessions, Simulation scenarios (read more about Simulation Courses) and teaching about Laboratory and Radiology investigations.
As part of the revision towards your final OSCE we will provide a Revision OSCE. This will enable you to experience what an OSCE is like and in addition to receive immediate feedback and teaching to provide a valuable learning experience.
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.
