Worked here as both an FY1 and SHO.
Supportive department with accessible senior support, and an approach to rota management that values trainee well-being. Lots of in-department teaching covering a wide variety of topics related to Medicine and MOE. I would recommend it to anyone.
Some of the (medically) best-staffed wards I have worked on. There is, however, a large amount of administrative and non-clinical work involved that eats into staff time.
Foundation Programme Year One (FY1)
Western General Hospital
I did this job as an FY1. F1s spend their time between MAU and the general medical wards. There are no nights which is a bonus! The rota was pretty generous and easy to swap if needed.
All MAU shifts are long days. You work directly with one consultant so are typically really well supported. It is a busy job in terms of discharge letters, specialty referrals etc and you may spend a lot of the day ward rounding new patients, depending on who you are working with. The consultants changeover fairly frequently which can mean you finish a ward round with one consultant and shortly after start with a new consultant who wants completely different plans and jobs. However, the majority of consultants are really supportive and I had no difficulty getting SLEs. The nurses are great and will do the majority of bloods, cannulas, ecgs etc. Out of hours is no different to the day job. I always felt supported and rarely left late.
The other half of the job is spent on the gen med wards. There are two wards and two teams on each. With MAU shifts as well, this means there is really little continuity and you are working with a new team almost every day (consultants and SHOs also frequently rotate). The ward job consists of normal day shifts and a few longs, where you stay until 7 (alongside an SHO who stays until 9) to provide evening ward cover. The wards are really well staffed in the day, and again the job is mostly ward rounds and admin jobs. The only time I felt unsupported was on ward weekends; you have a registrar to ward round with but are then alone for the rest of the day and it can be quite difficult to get help when needed. Having said that, the patients on these wards are usually quite stable and the difficulty is in the amount of jobs and discharges rather than in managing unwell patients.
General (internal) Medicine
Western General Hospital
Supportive department to work in with accessible seniors, you always know who to escalate to and where to turn if you need help.
Quite a social job where there seems to be a good relationship between medical and nursing staff.
Very proactive and supportive rota management
Easy to get clinic hours in because they always need junior cover in ambulatory care.
Workload can be very intense at times - either being the SHO on the medical wards, which can either have nothing going on, or be absolute chaos.
Working in acute receiving is always heaving, with high turnover, high number of tasks per patient, which makes it difficult to see "a patient each hour". I remember being pulled up for how slow I was with patients, but when they looked at the data, I was one of the fastest in my cohort - so perhaps unrealistic expectations with how fast you can work through the complex patients who are coming through.
A majority of your shifts in this job as an SHO in acute receiving, which combined with the high workload, makes it a very hard job if you are not a front-end person.
Not very much in the way of departmental teaching, and if there is, good luck getting away to it!