Senior staff continuation is choppy: there is a locum consultant covering all week and four consultants from another Trust covering Tuesday-Thursday rotating weekly. There are lots of departmental changes at present to improve senior clinical management/leadership.
Foundation Years cover Medicine on-calls; FY1s cover medical ward cover.
Foundation Programme Year One (FY1)
St Mary's Hospital
Senior support varies as there is not a fixed consultant. Usually have visiting consultants from Portsmouth who support in-hours work, otherwise the consultants are locums who might stay for a few months or so.
Out of hours, thrombolysis calls are run by the med reg on call - Portsmouth stroke consultant on-call is contactable for advice.
The stroke nurse specialists are really helpful and know their stuff. They tend to see the patient in the ED before the consultant goes down.
The stroke ward nurses are also lovely and I've found they're more pro-active than nurses in some of the other wards. They help with bloods if you're pressed for time, and can usually put in cannulas, catheters, NG tubes independently.
Out of hours, you cover the other medical wards too (not just stroke).
St Mary's Hospital
Stroke Unit is a mix of stroke patients and general medical patients, usually around 50/50 (24 patients in total).
Very good. Usually two stroke consultants (one local consultant and one of four consultants who rotate weekly from Queen Alexandra Hospital in Portsmouth). Very consultant-led. Workload is reasonable (each junior goes with one of the two consultants so has around 6 patients on any given day). Almost always finish on time. No formal departmental teaching but lots of impromptu bedside / radiology teaching. You learn a lot.
Bad. Usually "led" by a random outlier consultant which changes quite often and also usually has to cover other wards as well so often disappears from the ward. Pure service provision. No educational value at all.
Good rotation but do not get dragged onto the medical side