Moore Firm Timetable for ST and CT doctors and Trust registrars

At a glance Moore Firm Timetable with greater detail below

Monday – 8am ward round RSCH and all day elective operating lists both RSCH and PRH and firm on-call

Tuesday – 8am consultant ward round RSCH and all day emergency operating list RSCH and morning endoscopy list RSCH

Wednesday – 8am colorectal firm meeting RSCH then ward round then anal and colorectal cancer MDT at 11am and elective operating list RSCH at 1pm

Thursday – 8am Mr Lamah ward round then Mr Lamah clinic morning and Mr Lamah endoscopy list afternoon

Friday – 8am Mr Moore ward round then Mr Moore clinic morning then departmental meetings afternoon

The firm is on-call 1 in 4 weekends with a post take consultant ward round and all day emergency operating list the following Monday

MOORE FIRM TIMETABLE

Mr Moore works a rotating Week 1 and Week 2 timetable.  Please ask Mr Moore if you have any questions.

Week 1 (RSCH and on-call week)

MONDAY

8.00am 9AS firm ward round.  Meet the team and first off check that there aren’t any problems with any of the elective operating list patients.  Check that the weekend team did not have any problems with any of the Moore patients.

All day elective operating list RSCH (covered by Mr Lamah if Mr Moore is away)

Make sure that you have read the operating list patient’s notes and that you have checked their latest blood results and PACS reports.  Make sure that you have read up on the operations to be conducted.  Let the theatre team know your bleep number so that they can bleep you when the patient has been anaesthetised so that you are in theatres with Mr Moore for the start of the operation.  Make sure that you let Mr Moore know what your educational and training aspirations are for each case.  Mr Moore can then use this information along with all of the other numerous factors involved with a major elective operating list to decide on the likely progress of the list.

ON-CALL FOR EMERGENCY GENERAL SURGERY PATIENTS

TUESDAY

8.00am Post take consultant ward round level 9A Bridge followed by consultant ward round of all Mr Moore and Mr Lamah patients. Please make sure that the medical students are ready to present one patient each on the ward round. Students should ideally take their own history and examination of a patient after obtaining the patient’s consent. They should then review the hospital notes and write up their clerking to assist them in their presentation.  Students should mention a patient’s age and a brief rounding-up summary should be given at the end.  The presentation can then be used as a springboard to further medical discussion and teaching.

All day CEPOD emergency operating list RSCH

WEDNESDAY

8.00am Colorectal firm meeting (Moore/Lamah/Clark/Uheba), level 4 theatre handover room, RSCH

9.30am 9AS firm ward round (Mr Moore often does medical student, F1, CT and ST teaching on this ward round)

11.00am Anal and Colorectal cancer multi-disciplinary team meeting, Sussex Cancer Centre, RSCH

1.00pm Elective operating list RSCH

THURSDAY

8.00am 9AS firm ward round

Mr Moore all day private patient operating list and private patient clinic, Nuffield Health Hospital Brighton or Spire Montefiore Hospital Hove

When Mr Moore has private patient commitments his specialist and core trainees should be pro-active in conducting one of a number of beneficial activities that they can carry out.  They can ask Mr Moore if there is operating assisting, educational or training activity to be had.  They can conduct NHS patient reviews and lead the F2s and F1s in high quality patient managment.  They can deliver a teaching or training session to medical students, F1s or F2s or other registrars.  They can work on an audit or research project.  They can spend time studying in the excellent Audrey Emerton building library at RSCH.  They can get involved with other activities happening with Mr Lamah or on the other firms, for instance in the operating theatre or clinic.  This list is not exhaustive and trainees should feel free to discuss further with Mr Moore.

FRIDAY

8.00am 9AS Mr Moore consultant ward round starting in his office level 9AE

Make sure that every in-patient has a weekend plan sheet completed in their hospital notes.

Make sure that the RSCH Monday operating list has been submitted with correct order of patients (ask Mr Moore) and that recent blood tests and X-Rays have been checked for each patient to make sure that there are no abnormalities, such as low blood count, that require correction before surgery.  It is imperative that everything is in order as much as possible so that the Monday and Wednesday RSCH operating lists run efficiently and smoothly.  Urgently phone the consultant if a problem is identified and leave a message with your contact details if you are diverted to answer machine and the consultant will ring you back as soon as they can.

9.00am to 1.00pm Mr Moore and registrar clinic RDDC, RSCH

(12.30pm Inflammatory Bowel Disease multi-disciplinary team meeting, seminar room, RDDC, RSCH)

1.30pm Departmental meetings (Academic, Trainee and Management meeting first Friday of the month, Colorectal Surgery Team meeting second Friday of the month, Clinical Governance and Morbidity and Mortality meeting third Friday of the month (except August and December) and no departmental meeting fourth and sometimes fifth Friday of the month).

Week 2 (PRH week)

MONDAY

8.00am All day elective operating list PRH (meet PRH core surgical trainee doctors on Ansty ward for consent ward round)

1 in 8 Mondays post weekend take Mr Moore consultant ward round 8am level 9A Bridge RSCH instead followed by all day CEPOD emergency operating list

Mr Moore covers Mr Lamah RSCH all day operating list instead if Mr Lamah is away

TUESDAY

8.00am 9AS firm ward round

9.00am Mr Moore endoscopy list RDDC, RSCH

Prospective cover for Mr Lamah’s post take ward round and all day CEPOD emergency operating list when he is on leave.  If this occurs then the endoscopy list is cancelled.

The endoscopy list is also cancelled if Mr Moore has been on-call the previous weekend (1 in 8)

WEDNESDAY

8.00am Colorectal firm meeting (Moore/Lamah/Clark/Uheba), level 4 theatre handover room, RSCH

9.30am 9AS firm ward round (Mr Moore often does medical student, F1, CT and ST teaching on this ward round)

11.00am Anal and Colorectal cancer multi-disciplinary team meeting, Sussex Cancer Centre, RSCH

1.00pm Elective operating list RSCH

THURSDAY

8.00am 9AS firm ward round

Mr Moore all day private patient operating list and private patient clinic, Nuffield Health Hospital Brighton or Spire Montefiore Hospital Hove

When Mr Moore has private patient commitments his specialist and core trainees should be pro-active in conducting one of a number of beneficial activities that they can carry out.  They can ask Mr Moore if there is operating assisting, educational or training activity to be had.  They can conduct NHS patient reviews and lead the F2s and F1s in high quality patient managment.  They can deliver a teaching or training session to medical students, F1s or F2s or other registrars.  They can work on an audit or research project.  They can spend time studying in the excellent Audrey Emerton building library at RSCH.  They can get involved with other activities happening with Mr Lamah or on the other firms, for instance in the operating theatre or clinic.  This list is not exhaustive and trainees should feel free to discuss further with Mr Moore.

FRIDAY

8.00am 9AS Mr Moore consultant ward round starting in his office level 9AE

Make sure that every in-patient has a weekend plan sheet completed in their hospital notes.

Make sure that the RSCH Monday operating list has been submitted with correct order of patients (ask Mr Moore) and that recent blood tests and X-Rays have been checked for each patient to make sure that there are no abnormalities, such as low blood count, that require correction before surgery.  It is imperative that everything is in order as much as possible so that the Monday and Wednesday RSCH operating lists run efficiently and smoothly.  Urgently phone the consultant if a problem is identified and leave a message with your contact details if you are diverted to answer machine and the consultant will ring you back as soon as they can.

9.00am  to 1.00pm Mr Moore and registrar clinic RDDC, RSCH

(12.30pm Inflammatory Bowel Disease multi-disciplinary team meeting, seminar room, RDDC, RSCH)

1.30pm Departmental meetings (Academic, Trainee and Management meeting first Friday of the month, Morbidity and Mortality meeting second Friday of the month, Clinical Governance meeting third Friday of the month (except August and December) and no departmental meeting fourth and sometimes fifth Friday of the month).

WEEKEND

1 in 10 weekends there is a 8.00am consultant ward round starting on the level 9A Bridge on both Saturday and Sunday when Mr Moore is on-call for emergency surgery patients

KEY

9AS = ward 9A south (main nurses’ station) RDDC, Millennium Wing, RSCH

Level 9A Bridge = the walk way with great views between level 9A ward and the Digestive Diseases out-patients and endoscopy departments

RDDC = Regency Digestive Diseases Centre, level 9, Millennium Wing and Tower Block

RSCH = Royal Sussex County Hospital, Brighton

CEPOD = confidential enquiry into patient outcomes and deaths, a national government led study which RSCH uses to label its daily emergency operating list (usually in theatre 4)

PRH = Princess Royal Hospital, Haywards Heath

BSUH = Brighton and Sussex University Hospitals NHS Trust

IBD MDT = Inflammatory bowel disease multi-disciplinary team meeting

Mr Moore also conducts private practice clinics and operating sessions during the week at the Nuffield Health Brighton Hospital and the Spire Montefiore Hospital Hove.  Even though he may be working in the private sector, he is always happy to be contacted about urgent NHS queries by asking RSCH or PRH hospital switchboard to contact his mobile phone or by liaising with his NHS or private secretaries (see contact details below).

Medical students, F1 doctors and SHO/ST/middle grade doctors are always welcome to ask Mr Moore for any sort of advice, no matter how trivial they might be worried it may seem.  The consultant ward round is the best time to ask general questions but more private discussions can be arranged by asking the consultant when a good time for a discussion would be on the consultant ward round (often there is time at the end of the ward round for informal chats away from the ward), by looking in the consultants’ office at any time to see if they are free to talk or by making an appointment with the consultants’ secretary (see contact numbers below).

Medical students and firm doctors should remember that they are also able to use their time to seek out learning opportunities with other firms on the wards, in endoscopy, in clinic and in theatres.  They should use some of their time every week for private study and remember that there are excellent libraries at PRH and RSCH.  Medical students should approach any firm doctor for a tutorial about any medical topic that they are finding it difficult to get to grips with.  Firm doctors should seek out opportunities to conduct audit and research during their time on the firm and they can ask the consultants for advice about this.  Mr Moore is currently clinical audit lead for RDDC and is therefore well placed to help with audit activity.  It is also important to remember that you are a human being and that you require feeding and watering to keep yourself fit!  On very busy days taking a short break can work wonders to rejuvenate yourself before you get back to work again.  You will be no use to your patients if you do not try to keep yourself healthy.

Welcome to the team and feel free to ask about anything that you do not understand