1. STUFF YOU NEED TO KNOW… Newham University Hospital
CR3 Student Handbook
STUFF
YOU NEED
TO KNOW…
READ ME!
This booklet contains important information, so have a read and keep it to hand during your CR3 placement.

2. WELCOME TO NEWHAM
We hope that you find your time with us both enjoyable and rewarding. Please read this handbook carefully. All the information you need should be here, but if not, feel free to speak to us. Your first point of contact should be one of the undergraduate coordinators or one of the teaching fellows, who can all be found in the education centre (for contact details see ‘Who’s Who?’).

3. WHO’S WHO? Course coordinator
Prof Susan Gelding
(associate Dean)
CR3 Module lead
Dr Kula Ranjan (Consultant Cardiologist)
CR3 Link Teaching Fellow
Dr Shameer Mehta
Other Teaching Fellows
Miss Sandy Abeysiri
Dr Girish Rayanagoudar bartshealth.nhs.uk
Dr Kirun Gunganah
Dr Catherine Gouveia
Office 7 (ground floor, education centre)

4. WHO’S WHO? Deputy Medical Education Manager
Aeesha Bhaiyat
Phone:
Office 4 (education centre)
Undergraduate Programme
Coordinator
Afsana Begum
Phone:
Mobile:
Office 2 (education centre)
Clinical Skills Coordinator
Helen Mills
Teaching Pharmacist
Uzma Shaikh
The generic address to use in order to contact the entire team is:
?link teaching fellow

5. Things to Note Travel Arrangements
The nearest underground station to NUH is Plaistow on the District and Hammersmith and City Lines: NUH is a 5-10 minute bus ride from the station (bus routes 262 or 473) or a 20 minute walk.
Outpatient clinics take place in Health Central at Zone 6. The Newham site also includes the Gateway Surgical Centre where most of the day surgery and elective surgery takes place.
Diabetes and chest clinics are located at the Shrewsbury Centre, about 2 miles from NUH and a 5 minute walk from East Ham Tube station (District line). The 376 bus from the hospital main entrance also takes you to Shrewsbury Centre.
If travelling by car, please note that Newham’s Visitors car park is “pay and display”. The fees are displayed and there are no waivers for students. Please use visitor parking spaces and NOT the staff spaces.
Library
There is a well stocked library located on the first floor of the Education Centre which you are encouraged to use. The staff of the library will give you any help needed. There are very good computer facilities for literature searches, a Cyber room with 6 terminals, scanner and printer all accessible via library services.
Telephones
Most Telephones on the wards, corridors and Education Centre are connected directly to the switchboard at NUH. Dial the extension directly if you know it, or Dial 0 to contact the operator.
Dial 3133 for security.
To Bleep Dial 66: wait for the announcement then type in the bleep number, tel extension, # and replace the receiver. Wait by the phone for the person you have bleeped to call you back. Please be patient. .
?gateway, health central clinics

6. Things to Note Lockers and Facilities
Lockers are available in the Education Centre at the end of the ground floor corridor, between the Lecture theatre and Events room. You will have to provide your own padlock and key. Please remember to clear your locker and take your padlock when you leave.
There is a major problem with Theft in any hospital so you are encouraged to make the best use of the lockers.
The Education Centre doors lock automatically so please note following times:
Ground Floor – 19.00
Rear doors (access to stairs) Mon-Fri 0745 – 1730
If you get locked out/in please contact security on x3133 to help, though please bear in mind this can take some time so do not make a habit of leaving your possessions behind.
Please keep the locker room tidy – DO NOT LEAVE THEATRE BLUES IN THE ROOM. THIS IS A HEALTH AND SAFETY HAZARD
Toilets are located on the Ground Floor of the Education Centre, in the main corridor out side the Education Centre and outside the restaurant in zone 4.
There are two Cash Machines on site: located in the Ground Floor Corridor of the main hospital (these machines charge a small fee). Always be discreet when using the machines and ensure no one can see your pin.
The nearest post office, newsagents and chemist are on Prince Regent Lane, 5 minutes walk away.
Unfortunately the doctors Mess at NUH is not large enough to accommodate students. .

7. Things to Note FOR SECURITY
Restaurants and Coffee Shops
The restaurant is located on the 1st floor – Zone 4, at NUH.
The restaurant stays open most of the day till 8pm (though does not serve hot food between and ). There is an adjacent coffee lounge with vending machines.
There is Costa Coffee Shop in the Health Central (opening times 08:00-18:00), as well as a coffee shop in the Gateway Surgical Centre.
FOR SECURITY
AN ID BADGE WILL BE PROVIDE D TO FACILITATE ACCESS INTO WARDS. YOU ARE REQUIRED TO DEPOSIT £10 WHICH WILL BE REFUNDED ON RETURNING THE BADGE AT THE END OF PLACEMENT. PLEASE WEAR YOUR ID & MEDICAL SCHOOL BADGES AT ALL TIMES – for security purposes in clinical areas.

8. Things to Note @newhameducation Twitter
For those with a twitter account, we highly recommend you follow us For those without, please do create an account via (it only takes a few seconds).
This is an excellent way to let you know of any potential late changes to your teaching schedule, to avoid missing sessions.
We also provide many helpful tips and advice on medical matters, which previous students have found very useful.
Please remember to ‘Turn On Notifications’ from our profile when you follow us so that you can stay up to date with all developments in the department.
@newhameducation

9. MAP OF NEWHAM HOSPITAL

10. WHAT YOU CAN EXPECT FROM US
TEACHING SESSIONS
Firm-based teaching forms the main part of your curriculum.
Additional teaching sessions are as follows:
Bedside teaching - Monday mornings , 10am-12pm
Meet outside teaching fellows’ office. Note: it is your responsibility to find and consent suitable patients before the session. ONE PATIENT PER STUDENT
PBL – Monday afternoons, 2-4pm
Generic topic teaching – Tuesday lunchtimes (see timetable)
Clinical skills – see timetable on noticeboard
Pharmacy teaching – see dates later in pack
Note: attendance is mandatory for all sessions.
Timetables for teaching sessions are available in this booklet or on the student notice board in the education centre.
Teaching Website – additional teaching resources (including tutorials, examination atlases and quizzes) are available at:

11. WHAT WE EXPECT FROM YOU
Attendance – this is a full time course, and attendance is compulsory. You should inform the undergraduate coordinator and your consultant of any unavoidable absences.
You must sign in every morning after with your swipe card on the barcode reader located on the ground floor of the Education Department outside Office 2.
We also keep registers for teaching sessions. Attendance is reported to the Medical School.
Be punctual.
Patient contact – we are fortunate to look after patients who have a wide variety of clinical pathology here at Newham. Please do use this to your advantage and maximise every opportunity to learn from our patients, but remember to always treat them with respect.
Patient clerkings – you must perform a full history and full examination of at least 5 patients per week.
Written clerkings - you should submit 5 written clerkings to your firm during your time at Newham. These will form part of your end-of-firm assessment.
On calls – attend at least 4 on calls with junior doctors from your team, and attend the post-take ward round when your consultant has been on call.
Note: It may be more useful to attend on calls with your FY2 or registrar than your FY1, who is likely to have mainly ward jobs to attend to.
Outpatient clinics – discuss appropriate times to attend with your consultant. These are a really useful opportunity to see clinical signs and clerk patients.
Logbooks – complete tasks required by the medical school as detailed in your log books.
SSC – one half day a week can be used for SSC-related work. Details of SSC requirements can be found in your medical school handbook.

12. WHAT HAPPENS NEXT?
You will spend 9 weeks at Newham University Hospital, divided into:
3-5 weeks cardiology
3-5 weeks respiratory
1 week anaesthetics
Step 1:
Induction day – Monday 7th October 2013, Medical Education Centre
Step 2:
First firm (+/- anaesthetics) – from 8th October 2013
Groups A & B: Cardiology (Dr Ranjan)
Group C: Respiratory (Dr Ahmed / Dr. Jayasekera)
Group D: Respiratory (Dr O’Shaughnessy)
Step 3:
Mid-firm appraisal – 29th October 13.30
Step4:
Second firm (+/- anaesthetics) – from 4th November
Group A: Respiratory (Dr Packe / Dr. Ahmed)
Group B: Respiratory (Dr O’Shaughnessy)
Groups C & D: Cardiology (Dr Ranjan)
Step 5:
End of firm assessment – Friday 29th November & Monday 2nd December
Remember:
SSC: Agree arrangements by 11th October
Submission to consultant by 29th November
copy to school office by 20th December
Names of students in each group can be found on the back of this booklet

13. TIMETABLE - INDUCTION DAY Monday 7th Oct 2013 Lecture Theatre
Activity
9:15-9:30
Registration
9:30-10:00
Welcome from Prof Gelding & Module Leads
10:
Introduction to Newham
10:
Coffee break
10:45-11:00
‘Ask One Question’
11:
History Taking
12:00-12:20
Lunch
12:20-13:30
Grand Round
13:30-15:30
Clinical Examination
15:
Hospital Tour
16:00
Meet your Firm

14. Group allocations: Group A Group B Group C Group D
Marek Perera
Francesca Bonora
Mohammed Iqbal
Group B
Isobel Marks
Olivia Martin
Muhammad Shahid
Group C
Kirsty Benton
Lucy Gwernan-Jones
Rishita Shah
Group D
Naomi Adey
Peter Browne
Hannah Parker

15. CR3 Firm Allocations 8th october – 3rd November:
Groups A & B – Cardiology (Dr. Ranjan)
Group C – Respiratory (Dr. Ahmed)
Group D – Respiratory (Dr. O’Shaughnessy)
4th November – 8th December:
Group A- Respiratory (Dr. Ahmed)
Group B – Respiratory (Dr. O’Shaughnessy)
Groups C & D – Cardiology (Dr. Ranjan)
9th December – 13th December:
Public Health

16. FIRM TIMETABLES Dr Ranjan Mon Tues Weds Thurs Fri 8am CCU WR AM
Ward work
OPD NGH
Pacemaker clinic
12-2
Chest pain clinic PM
CCU teaching
Teaching
Dr Ahmed
Mon
Tues
Weds
Thurs
Fri AM WR
OPD Shrewsbury
Bronchoscopy – alt weeks PM
WR, NIV teaching
Ward work
Radiology meeting, ward work
Dr Jayase - kera
Mon
Tues
Weds
Thurs
Fri AM
WR Plashet
OPD Shrewsbury
OPD Health Central PM
TB OPD Shrewsbury
Bronchoscopy
Ward work
Dr O’Shaug - hnessy
Mon
Tues
Weds
Thurs
Fri AM
NGH clinic
Barts
OPD Shrewsbury
Bronch list PM WR
WR / XRay
Xray / WR

17. Anaesthetics Placements
These placements last for 1 week and are allocated as follows:
Week starting:
Student 1
Student 2
14th October
Marek Perera
Francesca Bonora
21st October
Mohammed Iqbal
Isobel Marks
28th October
Olivia martin
Muhammad Shahid
4th November
Kirsty Benton
Lucy Gwernan-Jones
11th November
Rishita Shah
Naomi Adey
18th November
Peter Browne
Hannah Parker
On the first morning of your Anaesthetics placement please attend the Anaesthetics department at 9am to meet Dr Mohr, Anaesthetics consultant. You will be given a timetable for your placement by at this point

18. Peripheral Nervous system
Bedside Teaching Timetable
Date
10-11 am
11-12 am
Topic
14th October
A and B
C and D
Respiratory
21st October
Abdominal
4th November
Cardiovascular
11th November
Peripheral Nervous system
18th November
Cranial Nerves
It is your responsibility to identify suitable patients, and ask their consent to be examined PRIOR to the bedside teaching sessions.
Please report to the Teaching Fellow Office on the ground floor of the Education Centre at your allotted time.

19. PBL Timetable
Date
Time
PBL Topic 1
PBL Topic 2
Room
14th October
2-4 pm
PBL 1 & 2
Seminar room 4/5
21st October
Feedback 1 & 2
PBL 3
4th November
Feedback 3
PBL 4 & 5
11th November
Feedback 4 & 5
PBL 6
18th November
Feedback 6
PBL 7 & 8
25th November
Feedback 7 & 8
Any amendments to this timetable will be posted on the notice board, and tweeted Please check the notice board daily for changes.

20. 3rd Year Generic Topic Teaching Time-table
It is mandatory to attend all generic topic teaching sessions.
Date and time
Session
Tutor
Venue
08/10/2013
12:30 – 13:30
ECG - Basics
Dr Girish Rayanagoudar
Teaching Fellow
Events Room
15/10/2013
Shock/Sepsis
Dr Dolores Mateo,
Consultant ITU
22/10/2013
13:00 – 14:00
Introduction to Anaesthesia and Pre-operative Care
Dr Otto Mohr
Consultant, Anaesthesia
29/10/2013
X - Ray - Basics
Dr Kai Lee Tan
Consultant, Radiology
12/11/2013
Pyrexia of Unknown Origin
Dr Simon Limb
Consultant
19/11/2013
CTI/MRI-Basics
26/11/2013
13:30 – 14:30
Acute Confusion
Dr Babalal Depala
Associate Specialist, COE
Please check the notice board and Twitter for any updates on the Clinical Skills Teaching Sessions

21. 3rd Year Clinical Skills Teaching sessions
All sessions delivered in the clinical skills suite, first floor education centre
Please note there is only session per skill. Hence attendance to all sessions is
mandatory
MET3B
Date
Time
Skills
Tuesday 8th October
09.00 – 11.00
Hand washing & scrubbing
Urinary catheterisation
Wednesday 16th October
11.00 – 12.00
Venepuncture & Cannulation
Wednesday 23rd October
im, sc, iv injections
Wednesday 20th November
NG tube insertion
Tuesday 26th November
14.00 – 16.00
A-E assessment and O2
Please check the notice board and Twitter for any updates on the Clinical Skills Teaching Sessions

22. CR3 Pharmacy Teaching Sessions
Date
Time
Venue
1/11/13
09:00 -12:00
Seminar Room 3
22/11/13
09:00 – 12:00
Seminar Room 1
29/11/13

23. GP Placements Placement days are: Thursday 17th October
Perera, Marek
Harold Hill HC
Bonora, Francesca
Iqbal, Mohammed
Marks, Isobel
Martin, Olivia
Vicarage Lane Medical Centre
Shahid, Muhammad
Benton, Kirsty
Gwernan-Jones, Lucy
Shah, Rishita
Wanstead Place Surgery
Adey, Naomi
Browne, Peter
Parker, Hannah
Placement days are:
Thursday 17th October
Thursday 24th October
Thursday 31st October
Thursday 7th November

24. ASSESSMENT
The end of firm sign off in your medical school log book will be done by Dr Ranjan. This assessment will be based on the following:
Attendance and performance within each firm, as assessed by the Consultant for that firm – assessment forms for each of your 3 placements (Cardiology, Respiratory, Anaesthetics) have been provided at the end of this handbook, and should be signed by the appropriate consultant at the end of your attachment with their firm.
Medical School log books – you should have histories, clinical examinations etc signed off as detailed in the log book.
Attendance and performance at teaching sessions.
Written clerkings.
Professionalism and conduct.
End of firm assessment performance:
Data interpretation exam
Clinical examination OSCE
Clinical skills OSCE

25. NEWHAM ASSESSMENT FORM 1
Student name………………….. Speciality CARDIOLOGY
Dates…………………………. to …………………………………..
Circle the appropriate grades below (Commendation/Pass/Fail):
Attendance C P F Knowledge C P F
Examination skills C P F Practical skills C P F
Clinical reasoning C P F
Professionalism Satisfactory Unsatisfactory
Overall grade:
Commendation Pass Fail
General comments. Please comment on any favourable areas, or areas to which the student should be asked to pay special attention. A comment must be entered for all failed students.
Name of assessor Date…………………
Signature of assessor……………………………………………………………..
Signature of student…………………………….. Date………………….

26. NEWHAM ASSESSMENT FORM 2
Student name………………….. Speciality RESPIRATORY
Dates…………………………. to …………………………………..
Circle the appropriate grades below (Commendation/Pass/Fail):
Attendance C P F Knowledge C P F
Examination skills C P F Practical skills C P F
Clinical reasoning C P F
Professionalism Satisfactory Unsatisfactory
Overall grade:
Commendation Pass Fail
General comments. Please comment on any favourable areas, or areas to which the student should be asked to pay special attention. A comment must be entered for all failed students.
Name of assessor Date…………………
Signature of assessor……………………………………………………………..
Signature of student…………………………….. Date………………….

27. NEWHAM ASSESSMENT FORM 3
Student name………………….. Speciality ANAESTHETICS
Dates…………………………. to …………………………………..
Circle the appropriate grades below (Commendation/Pass/Fail):
Attendance C P F Knowledge C P F
Examination skills C P F Practical skills C P F
Clinical reasoning C P F
Professionalism Satisfactory Unsatisfactory
Overall grade:
Commendation Pass Fail
General comments. Please comment on any favourable areas, or areas to which the student should be asked to pay special attention. A comment must be entered for all failed students.
Name of assessor Date…………………
Signature of assessor……………………………………………………………..
Signature of student…………………………….. Date………………….

28. On Call Reflective Practice Diaries
Appendix A
On Call Reflective Practice Diaries
Medicine Attachment
Date
Case Summary
Reflective Writing
Consultant’s Signature

29. On Call Reflective Practice Diaries
Appendix A
On Call Reflective Practice Diaries
Medicine Attachment
Date
Case Summary
Reflective Writing
Consultant’s Signature

30. On Call Reflective Practice Diaries
Appendix A
On Call Reflective Practice Diaries
Medicine Attachment
Date
Case Summary
Reflective Writing
Consultant’s Signature

31. On Call Reflective Practice Diaries
Appendix A
On Call Reflective Practice Diaries
Medicine Attachment
Date
Case Summary
Reflective Writing
Consultant’s Signature

32. Medical Student Worksheet (Post Take WR)
Appendix B
Medical Student Worksheet (Post Take WR)
Student name:
Consultant:
Year
Date
Patient Initial: Gender: Age:
Presenting Complaint
History of Presenting Complaint
Examination Findings

33. Differential Diagnoses
Investigations
Initial Management
Outcome
Consultant Comments
Student Signature: Date:
Consultant Signature: Date: