A tertiary centre the size of a DGH. The priority of this hospital is given to the outpatients, which is understandable given that the bulk of patients pass through here. Unfortunately this can leave ward patients in the hands of the resident SHO. There are no FY1's at this hospital, which is understandable given the complexities of the patients admitted here.
As an SHO, the normal ward day consists of dividing the ward patients between you and the other SHO's and seeing your patients individually. There is no ward round. A Board Round with a consultant takes place on a daily basis and patients new to the ward will always be seen first by a senior, so support is available if needed.
The speciality team that the patient is under can be contactable, but the approachability of the team varies between specialties. Some specialties will visit their patients in a daily basis, whilst others can go up to a month without seeing their patients. Most seniors are friendly, whilst a handful are not.
The ward nursing staff are, in general, more skilled than in other hospitals, however the same frustrations do crop up here. Staffing of doctors on the ward can vary from feast to famine. Taking annual leave isn't too difficult, as roots managers are friendly enough to try to help you. Teaching takes place twice a week. There are opportunities to be involved in audits and clinics, though these have to be sought after.
There were previously concerns about the rota being non-compliant, however these have been dealt with and the rest after a block of on calls is much more reasonable. There didn't used to be a Registrar on site on a night shift previously, though this has changed as well.
Overall, a far better experience of being a junior doctor than other hospitals, bearing in mind the the standard of job satisfaction for junior doctors is already rock bottom. Working here has persuaded some juniors to go into Oncology, and it can be understood why.