Perioperative Medicine: OUH has an established perioperative medicine service in the acute Surgical Emergency Unit (SEU) and hip fractures. Over the last few years our services have expanded to provide consultant-led medical perioperative care to the major trauma, elective orthopaedics and the vascular services. We also form a part of the TAVI MDT. We particularly focus on older patients having emergency surgery, and patients with complex co-morbidities. General Internal Medicine: Each appointee will spend 8 weeks each year in Acute General Medicine (AGM) on the Horton Hospital in Banbury. AGM on both hospital sites has recently undergone reconfiguration with a greater focus of the acute medical teams on Acute Medicine (first 72hrs of care) and Complex Medicine (anticipated LOS >72hrs). The Horton is a District General Hospital in Banbury with an Emergency Department admitting a largely unselected medical take, although some specialist services (e.g. STEMIs, acute general surgery) go directly to John Radcliffe. There is a team of at least 8 general physicians based at the Horton operating a team with ward-based structure, with on-call currently 1 in 8. Ambulatory Units: based at Horton and the John Radcliffe Hospitals, these offer senior clinician-led multidisciplinary assessment and ambulatory treatment. All areas have access to point of care testing as well as plain radiology. You will be expected to coordinate and review the care of up to 25 patients per day and supervise advanced care practitioners and junior doctors. Direct phone support to local GPs is provided. Over 80% of patients are managed on an ambulatory basis. Complex Medicine Units: At the John Radcliffe Hospital site; four wards managing acutely unwell patients with the support of a true multidisciplinary team. Common presentations are geriatric syndromes of falls, delirium and immobility for which the underlying aetiology is to be worked up and managed in conjunction with preventing further harms of in-hospital stays.