postgraduate education centre, st peter’s hospital programme · a career in the nhs tuesday 22nd...
TRANSCRIPT
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A Career in the NHS
Tuesday 22nd October at 4.00 pmPostgraduate Education Centre, St Peter’s Hospital
PROGRAMME
4.00 PM : Refreshments
4.10 pm : Welcome
4.15 pm : Presentation - Speakers:
1. Louise McKenzie – Director of Workforce Transformation
2. Dr Paul Murray, Lead Consultant in Respiratory Medicine
3. Justine Hillier, Associate Director of Nursing, Medicine and Emergency Services
4. Sue Harris, Lead Nurse, Tissue Viability
5. Paul Wills, Resuscitation Services Manager
6. Fatemah Jalali & Radhika Sanghani , Pre-Registration Pharmacists
7. Debbie Moyse, Specialist Dietitian for Obesity
5.30 pm : Questions from the audience
6.00 pm : CLOSE
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My path in MedicinePaul Murray
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Who am I……?
MBBS, MD, FRCP, (MA)Consultant Chest Physician since 2003
ASPH NHS Foundation TrustClinical lead for Respiratory Medicine
Cancer LeadHDU lead
Flu leadNIV lead
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Where have I come from….?
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My Education Catholic comprehensive system
3 schools
Very science orientated
1974 – 1987
10 ‘O’ levels, 2 CSEs, 3 ‘A’ levels
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Why Medicine?
Career advice
My mum
Time
Science
Geek
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Applying for University
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KCSMD
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KCSMD
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KCSMD
1987 – 1992
Full Grant
Strand campus – other students
Lived in Halls for 2 years
Peckham and Camberwell
Worked in pubs to raise cash
4 boy firm
Elective in Jamaica
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Qualified 1992
20 years ago……
WORK !!!
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Training
1992 - 2003
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Why Respiratory Medicine….?
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Driving Test
1996
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Consultant 2003
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What do I do……?
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What is Medicine…..?
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Hippocratic Oath(modern version 1964 Lasagna)
I will respect the hard-won scientific gains ofthose physicians in whose steps I walk, andgladly share such knowledge as is mine withthose who are to follow
I will remember that there is an art to medicineas well as science, and that warmth, sympathyand understanding may outweigh the surgeon’sknife and the chemist’s drug.
I will not be ashamed to say “I know not”, norwill I fail to call my colleagues when the skills ofanother are needed for a patients recovery
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GMC
Good Medical Practice
duties of a doctor
Caring for pts is no 1 concern
Protect and promote health
Maintain excellent standards of care
Respect dignity
Work in partnership
Work with honesty and integrity
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Medicine is a….
Passion
Vocation
Life long commitment
Responsibility
Never ending path of learning
Invaluable gift
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Medicine is an Art……
Communication
People skills
Team work
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Medicine
Clinician
Teacher
Manager
Leader
Expert
Advocate
Learner
Role-model
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Regrets…..?“Youth is wasted on the young” George Bernard Shaw
Rushing
Humanities
Exploitation of all opportunities
No gap year
No Intercalated BSc
Not a PhD
………
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Specialist Nurse Role
Sue Harris MSc., BSc (Hons)., RN
Lead Nurse Tissue Viability
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Why I became a Nurse?
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My Career
Why nursing
Student Nurse 1983-1986
Staff Nurse
Deputy Sister
Ward Sister
Deputy Head of Practice Development
Senior Specialist Nurse in Wound Management
BSc Hons
MSc
Debriding Course
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Making a difference every day
Still enjoy what I do after 30 years
Nursing now
Fundamentals remain the same
University degree
Requires 3 x A levels at B grade
Being a nurse
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Why Specialise
Remain a nurse
Challenge
Improve patient care
Self development
Autonomous
Training self- others
Personal satisfaction
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What I do
See patients with complex wounds – see the whole of the person not justthe hole in the person
Listening Empathising What one thing would make it better
Teaching and training
Audit
To be able to heal your body must be able to heal – nutrition, smoking
Use wound dressings such as maggots
Gory pictures coming up showing different types of wounds I see
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Pressure ulcer
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Pressure ulcer
Caused by laying in oneposition for a long time
Superman
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Diabetic foot ulcer
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Gangrenous toes
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Leg ulcer
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Maggots
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Maggots on an amputation site
A reason not
to smoke
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Diabetic foot wound
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An abdominal wound
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An Introduction to Dietetics
Deborah MoyseSpecialist Bariatric Dietitian
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What does a Dietitian do?
Translate the science of nutrition into practicalinformation about food
Work with people of all ages to:
promote nutritional well-being
prevent food related problems
treat disease
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Areas Of Work
Hospital
Community - clinics/schools/education
Research
Food retailers
Food manufacturers
Charities
Freelance
Sports
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Hospital Work
Malnutrition
Diabetes
ITU/Critical Care
Paediatrics
Gastroenterology
Obesity & BariatricSurgery
Cancer
HIV/AIDS
Cystic Fibrosis
Health Promotion
Kidney (Renal)
Liver
Food Allergy
Mental Health
Eating Disorders
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Most Frequent Advice?
Nutritional Support
Food Fortification
Supplements
Tube feeding
IV feeding
Weight Loss
Diabetic diets
Allergy e.g. cow’s milkprotein, lactose, nuts,wheat, eggs
Gluten free
Fibre modification
Micronutrientcorrection - Phosphate,Potassium, Sodium orsalt
Healthy Eating
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For most of us: Healthy Eating
Low fat, high fibre, low sugar, low salt
Balanced diet – 5 food groups• Bread, potatoes and other cereals
• Fruit and vegetables
• Meat, fish and alternative proteins
• Milk and dairy products
• Fats and sugars
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Hospital Patients Assessment
Dietary Assessment
Diet history
Food frequency
Food beliefs
Eating pattern
Snacks
Calorie sources
Medical Assessment Increased requirements:
Cancer, burns
Increased losses• Vomiting, diarrhoea
Impaired nutrientabsorption
• Coeliac, bowel resection,
Adverse effects ofmedication
• Vomiting, diarrhoea,nausea, dry mouth
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Other Considerations
Physical
Mobility
Mood - depression,anxiety, confusion
Swallowing difficulties- limited choice
Physical problems -unable to feed self,poor dentition, soremouth
Social
Who cooks at home?
What are the cookingfacilities like?
Foodbeliefs/constraints
Amount of Moneyavailable for food
Number of trips toshops/week
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Supporting Inpatients’ Nutrition
Food First, if still not enough….consider
Oral supplements
Artificial enteral nutrition
Parenteral nutrition (IV nutrition)
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Interested in becoming a Dietitian?
Entry Requirements
Under-graduate:
Five GCSE passes including Maths and English
Minimum 2 A level passes including chemistry andanother science or accepted BTEC course
Entry requirements vary from course to course
4 year course, including hospital experience
Post-graduate:
relevant degree course required including adequatebiochemistry or human biology courses
2 year course, including hospital experience
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Dietetic ‘Schools’
Include:
Scotland - * Edinburgh, * Glasgow, Aberdeen
England – Coventry, Guildford, Hertfordshire,Nottingham Plymouth, *Kings, * London Met,*Chester, * Leeds
Wales - * Cardiff
Ireland - * Ulster
*Some of these do offer post-grad courses
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Course Contents
Physiology
Biochemistry
Microbiology
Food Science
Health Education
Catering
Psychology/Sociology
Human Nutrition
Genetics
Public Health
Communication
Clinical Medicine
Chemistry
3 hospital placements
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Any Questions?
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PHARMACY CAREERS
Radhika Sanghani & Fatemeh JalaliPre-registration Pharmacists
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What ?
Ensuring the Safe &Efficient Supply and
administration ofmedicines
WHY ?
• Give back to the community• Work closely with different
professionals• Work in a range of settings
• Everyday is different
AREAS
• Hospital• Community
• Industry
• Hospital• Community
• IndustryJOBS
• PHARMACIST• TECHNICIANS• ASSISTANTS
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Community Pharmacy Clinical screening, symptom response, sale of over the counter sales, dispensing of
repeat medication. Enhanced services such as New Medicines Scheme, andMedicine Use Reviews. Also specialist clinics e.g. anticoagulant clinics and diabeticclinics, cholesterol and blood pressure monitoring and counselling.
Positions: Pharmacists, Pharmacy Technicians, Pharmacy Assistants
Hospital Pharmacy Looking after patients in hospital, clinical screening prescription to check medication
is safe and appropriate to ensure optimised outcome. Medication supply, give adviceto doctors and other members of the MDT on the appropriateness of medication.Work in specific areas e.g. cancer, haematology, aseptic and extemporouspreparation, medicines information.
Positions: Pharmacists, Pharmacy Technicians, Pharmacy Assistants
Industry & Academia Research (drug design, formulation etc), medicines information services, teaching
(universities, research institute, other organisations), mentoring. Positions: Pharmacists
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Entry requirements• Some GCSEs C+, some post require specific qualifications e.g. A-C in
English, Maths and Science;• Training – Level 2 NVQ in pharmacy service skills;
Roles/ Responsibility• Range of roles and responsibilities e.g. handling prescriptions, dispense,
manage stock levels. Work alongside pharmacy technicians.
Career prospects• Senior pharmacy assistant;• Trainee pharmacy technician.
Salary• £14,000-19,000 p/a
‘I enjoy rotating though different departments within the pharmacyas a whole, and everyday is different…’ Pharmacy assistant ASPH
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Entry requirements and training• 4 GCSEs C+ in english, maths and science
• Start as a Trainee
• Register complete qualification which includes level 3 NVQ Diploma in PharmacyService Skills (QCF) + level 3 Diploma in Pharmaceutical Science.
• Training – 2 years combination of study either at a college or by open learning, +PRACTICAL work experience.
Roles/ Responsibility• Supply of medication and products to patient, under the supervision of
pharmacist and a range of other roles e.g. dispensing, communicating withpatients, technical services, safe medicine administration, over the counteradvice.
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Career prospects• Several GRADES for technicians that can specialise in areas e.g.
medicines management, quality control, education and training, can alsobecome an accredited checking technician.
• In hospital, can move up the bands to become band 6,7.
Salary• £19,000-35,000 p/a
‘I like being able to interact with various people, from clinical staffto the patient, I also like how everyday is different and that atcollege we are taught the theory behind what we see and so canunderstand why certain medicines are given…’ Pre-registrationPharmacy Technician ASPH
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University Requirements and Training
• GCSEs A-C;• A levels: A*-B (including chemistry + biology/ maths/ physics)• 4 years (Under review) Masters of Pharmacy (MPharm);• Undertake 1 year training/paid work experience (pre-registration training);• Sit Exam set by the General Pharmaceutical Council (GPhC)to REGISTER as PHARMACIST.
Salary• £21,000-80,000 p/a
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Roles and responsibilities of a pharmacist
Working as part of the multidisciplinary team, clinically screeningprescriptions and drug charts to ensure safety and appropriatenessof medication. Ensuring efficient supply of medication to patients.Counsel patients on medication and offer lifestyle advice;
Acting as the Expert in Medicines ensuring that the Right Patient isgiven the Right Medication at the Right Dose at the Right Time viathe Appropriate Route;
Ensuring patients have MAXIMUM benefit from their medication
Continue professional development, develop skills and knowledge –keep up to date.
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ANY QUESTIONS ?