Moore-Ridings Firm Timetable
Summary of the Activities of the Moore-Ridings Surgical Firm
MOORE-RIDINGS FIRM TIMETABLE
MONDAY
8.00am 9AS registrar ward round Mr Ridings patients followed by Mr Moore consultant teaching 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-Ridings 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. Students should mention a patient's age, what has happened to the patient over the weekend and a brief rounding-up summary should be given at the end. Mr Moore can then use the presentation as a springboard to further medical discussion and teaching.
8.30am Consultants meet for endoscopy diary meeting and surgery meeting RDDC
1 in 4 Mondays post weekend take consultant ward round 8am 9ASSW followed by CEPOD operating list
2.00pm Mr Ridings clinic PRH
TUESDAY
8.00am 9AS Mr Ridings consultant ward round followed by registrar ward round of Mr Moore patients
9.00am Mr Moore endoscopy list (fortnightly), RDDC, RSCH
9.00am Mr Ridings endoscopy list, RDDC, RSCH
1.30pm Mr Moore day surgery list (fortnightly) RSCH
WEDNESDAY
8.15am X-Ray meeting, seminar room, RDDC, RSCH
11.30am Colorectal cancer multi-disciplinary team meeting, Sussex Cancer Centre, RSCH with video-link to postgraduate skills room PRH
8.00am Operating list PRH (Mr Moore and Mr Ridings alternate weekly)
9.00am Operating list RSCH theatre 3 (Mr Moore and Mr Ridings alternate weekly)
ON-CALL FOR EMERGENCY SURGERY PATIENTS
THURSDAY
8.00am Post take consultant ward round 9ASSW followed by consultant ward round of Moore-Ridings patients. Students should be ready to present a patient on the ward round. Students should enlist the help of the Moore-Ridings firm doctors to be ready to present their patient. They 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. Relevant investigation results should be included. The presentation can then be used to start further medical discussion and teaching.
9.00am All day CEPOD operating list RSCH (theatre 4)
8.30am Mr Ridings day surgery (fortnightly) list LVH
2.00pm Mr Moore clinic (fortnightly) PRH
FRIDAY
8.00am 9AS registrar ward round
8.30am Mr Moore (weekly) and Mr Ridings (fortnightly) clinic RDDC, RSCH
2.00pm Mr Moore endoscopy list, RDDC, RSCH
1.30pm 1 in 4 Fridays Academic Afternoon, seminar room, RDDC, RSCH followed by management meeting for consultants
WEEKEND
1 in 4 weekends there is a 8.00am consultant ward round 9ASSW on both Saturday and Sunday when the Moore-Ridings firm is on-call for emergency surgery patients
KEY
9AS = ward 9A south (main nurses' station) RDDC, Millennium Wing, RSCH
RDDC = Regency Digestive Diseases Centre, level 9, Millennium Wing and Tower Block
RSCH = Royal Sussex County Hospital, Brighton
9ASSW = 9A short stay ward, RDDC, Millennium Wing, RSCH
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
LVH = Lewes Victoria Hospital
Mr Moore and Mr Ridings also conduct private practice clinics and operating sessions during the week. Even though they may be working in the private sector, they are always happy to be contacted about urgent NHS queries by asking RSCH or PRH hospital switchboard to contact their mobile phones or by liaising with their 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 or Mr Ridings 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. Mr Ridings is currently the BSUH surgical tutor and so will be up-to-date with all of the sweeping changes currently going on in UK surgical education. 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.