Mr Moore Firm Timetable for Medical Students

Summary of the Activities of Mr Moore Surgical Firm for Medical Students

Medical students should wear their identity badge at all times in hospital buildings
Timetable in brief here with more detailed timetable below
Please ask the firm doctors if you have any questions

8am consultant ward round then all day elective operating list
1 in 5 Mondays in addition 8am post weekend on-call consultant ward round then all day emergency operating list

8am consultant ward round then all day emergency operating list and morning elective endoscopy list

8am colorectal firm meeting then consultant ward round then cancer clinic then cancer multi-disciplinary meeting then afternoon elective operating list

8am consultant ward round

8am consultant ward round then morning clinic then afternoon departmental meetings

8.00am 9AS firm ward round RDDC

9.00 All day elective operating list RSCH (Mr Moore and Mr Lamah alternate weekly). The non-RSCH consultant conducts an all day operating list instead at PRH.  Medical students should check the operation title and ideally know something about the patient being operated on.  They should introduce themselves to a member of the theatre staff on entering theatre and they should not shy away from asking any questions that they would like to ask.  They should also consider joining the anaesthetic team in the anaesthetic room or in theatre and asking them questions because this is just as important a part of the medical student surgical experience as the operating itself.  Students should not be worried that once in theatre they will have to stick out the entire operation that may last up to 6 hours and instead they can watch only part of the operation if they feel queezy in theatres or if they have another commitment.

In addition 1 in 5 Mondays post weekend take consultant ward round 8am followed by CEPOD operating list.

ON-CALL FOR EMERGENCY GENERAL SURGERY – Medical students should try to ensure that they have one patient that they have taken a history from and examined and that they can present on the post take consultant ward round.  Medical students on the same attachment should check with their colleagues that they have not all chosen the same patient because only one student can present to the consultant.  Medical students can identify acute surgical patients by talking to the on-call surgical doctor team.  They can also come in at 7am and bleep the on-call surgical F1 doctor to ask if there is a suitable patient to clerk.  They can then see a patient in time for the 8am consultant ward round.  On another day they can leave earlier to make up for the early start if they want to!  Students should make sure that they also review the hospital notes and that they take note of the emergency doctor comments.  It is certainly not cheating to read the hospital notes and it is important for the student to present to the consultant the full history, examination, investigation results, differential diagnoses and any treatment or surgery given or planned.

8.00am 9A bridge Consultant post take ward round

Mr Moore consultant teaching post take ward round. Students should be ready to present a patient to Mr Moore on the ward round. It is important for students to start practising formal ward round presentations as soon as possible as their competence in this is required in exams and in future professional communications.  Students should enlist the help of the Moore firm doctors to be ready to present their patient to Mr Moore.  They should ideally take their own history and examination of a Mr Moore 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.  It is certainly not cheating to check what the on-call surgical team have written in the notes because it is important that medical students get as much of an overall picture of their patient as possible.  They should note any investigation results and any working or differential diagnoses written by the doctor team.  Students should mention a patient’s age, what has happened to the patient and a brief rounding-up summary of one sentence should be given at the end.  Mr Moore can then use the presentation as a springboard to further medical discussion and teaching.

After the post take ward round the consultant will then review all of the other Lamah-Moore firm in-patients.

9.00am All day CEPOD operating list RSCH (theatre 4). Medical students are welcome to enter theatre 4 to gain experience of emergency operations and should try to see at least one abscess operation and one appendicectomy operation.  They should introduce themselves on entering the theatre to one of the members of staff and they can find out what is on the emergency list that day.

9.00am Endoscopy list, RDDC, RSCH (medical students should attend the post take ward round first and should not worry if they do not make it to this session)

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

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

11.00am to 1.00pm Anal and Colorectal cancer multi-disciplinary team meeting, Sussex Cancer Centre, RSCH (medical students should attend one of these meetings to give them an experience of the workings of an anal and colorectal cancer multi-disciplinary team meeting)

1.00pm Elective operating list RSCH

8.00am 9AS firm ward round

8.00am 9AE consultant ward round

9.00am to 1.00pm Mr Moore clinic RDDC, RSCH

(12.30pm IBD MDT 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).

1 in 5 weekends there is a 8.00am consultant ward round 9ASSW on both Saturday and Sunday when Mr Moore firm is on-call for emergency surgery patients

9AS = ward 9A south (main nurses’ station) RDDC, Millennium Wing, RSCH
9A bridge = the walk way between 9A ward and the Digestive Diseases out-patient and endoscopy departments with lovely views
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 Meeting

Mr Moore also conducts private practice clinics and operating sessions during the week.  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 consultant’s office at any time to see if they are free to talk or by making an appointment with the consultant’s 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.