Appendix C–Individual placement description

NorthWesternFoundationSchool

Salford Royal NHS Foundation Trust

Programme

Individual Placement Description

All information to be completed by the LEP.

Placement / FY1 Gastroenterology
The department / The gastroenterology department at Hope hospital is divided between the endoscopy unit and the ward L2 and some outlying patients. On a regular basis patients are admitted to the medical investigation unit from Mondays to Fridays .A considerable number of investigations including contrast studies, ultrasound and MRI scanning are performed in the Radiology department
Within the department there are 7 consultants, 2 specialist registrars, 3 ST2 trainees and 2 Foundation year 1 trainees. The FY1 and 2 of the ST2 doctors are ward based, whilst the other ST2 covers the surgical outliers. The SpRs rotate between the ward, the endoscopy unit and the IFU.
The type of work to expect and learning opportunities / Day to day assessment and management of inpatient gastroenterology patients under consultant supervision.
Where the placement is based / Ward L2
Clinical Supervisor(s) for the placement / Dr P Paine
Main duties of the placement / The FY1 works for the consultants on a rotational basis. The ward is currently divided (approximately) into two eight bedded male bays, and one 8 bedded female bay and 3 isolation rooms. Your main role is to manage patients on the ward and ensure that their care was continued to discharge
Within your role:
  • Daily ward round either on my own or with ST2, SpR or consultant. There are usually 4 consultant ward rounds and one SPR ward round per week.
  • As part of my ward round I would do daily assessments of newly transferred patients and daily reviews of the remaining patients.
  • Optimisation of medical management of various medical conditions.
  • Arrange appropriate investigations such as endoscopy barium studies, scans etc.
  • Perform routine physical investigations including venepuncture, arterial blood gases, cannulation and male urinary catheterisation.
  • You should be able to perform a number of abdominal paracenteses for ascites
  • Liaise with other medical professionals, patients, carers and relatives.
  • Produce discharge and transfer summaries.
  • Attend weekly gastroenterology meeting and medical grand rounds.

Typical working pattern in this placement / Am ward round every day
Mon: am ward round - pm ward round - lunch MDT
Tues: am ward round - teaching - lunch MDT
Wed: am ward round – ward work - lunch MDT
Thurs: am ward round – ward work - lunch Pathology
Fri: am ward round – ward work, Lunch grand round
Sat:
Sun:
On call requirements:
Employer information / Salford Royal NHS Foundation Trust is a large teaching trust with approximately 850 in patient beds, employing over 4,600 staff and treating in the region of 400,000 patients per year. We provide a comprehensive range of services to the 220,000 population of Salford as well as a wider range of services across Greater Manchester, the North West and nationally. We are proud to be recognised as one of the best hospitals in the NHS and have clear plans to become the safest. We aim to provide safe, clean and personal care, to every patient, every time. We have an excellent track record; having the highest consistent rating for service quality coupled with one of the highest sets of patient and staff satisfaction scores

It is important to note that this description is a typical example of your placement and may be subject to change.

Appendix D – Syllabus

(Individual placement format – Template)

NorthWesternFoundationSchool

Foundation Placement Syllabus

Placement :

The activities in this matrix will enable the acquisition of curriculum competencies. For this placement please indicate to what extent the following activities

can be experienced using the following key:

Red: Not at all

Amber: To some extent/ limited opportunities

Green: To a great extent/ ample opportunities

History taking / G
Examination / G
Diagnosis and clinical decision making / G
Safe prescribing / G
Medical record-keeping, letters, etc / G
Time management and organizational decision-making / G
Understanding and applying the basis of maintaining good quality care / G
Ensuring and promoting patient safety / G
Reducing the risk of cross-infection / G
Clinical governance / A
Quality improvement activities / G
Ensuring basic nutritional care / G
Effective education of patients for example:
Dealing with ethical and legal issues e.g. confidentiality, consent / G
Development of the skills to undertake self-directed life-long learning / G
Use of evidence and guidelines that will benefit patient care. / G
Involvement and use of audit to improve patient care / G
Opportunity to undertake teaching and presentations / G
Effective communication within a consultation / G
Breaking bad news / A
Dealing with complaints / A
Development of teamwork skills / G
Communication with colleagues and teamwork / G
Interface with different specialties / G
Interface with other professionals / G
Interface with external bodies e.g. police, social services / G
Understanding of the relevance of outside bodies / A
Development of the Doctor-patient relationships / G
Handling stress / G
Assessment of the acutely ill or collapsed patient / G
Identify and respond to acutely abnormal physiology / G
Delivery of a fluid challenge safely to an acutely ill patient / G
Reassessment of ill patients appropriately after starting treatment / G
Request senior or more experienced help when appropriate / G
Undertake a secondary survey to establish differential diagnosis / G
Obtain an arterial blood gas sample safely, and interpret results / G
Management of patients with impaired consciousness, including convulsions / G
Use of common analgesic drugs safely and effectively / G
Management of a patient following self-harm / G
Management of a patient with an acute confusional state or psychosis / G
Handover between shifts, on call staff or with “hospital at night” team / G
Consideration of the appropriateness of interventions according to patients’ wishes, severity of illness and chronic or co-morbid diseases / G
Recognition of critically ill patients, / G
Take part in advanced life support / G
Initiation of ALS and leading a resuscitation team / G
Discussion of Do Not Attempt Resuscitation (DNAR) / G
Participation as part of an acute ‘take’ team / G
Discharge planning starting from the point of admission and taking into account the effects of any chronic disease / G

For this placement please indicate whether there will be the opportunity to select, appropriately request and accurately interpret reports of the frequently used investigations listed below

Full blood count / G
Urea and electrolytes / G
Blood glucose / G
Cardiac markers / G
Liver function tests / G
Amylase / G
Calcium and phosphate / G
Coagulation studies / G
Arterial blood gases / G
Inflammatory markers / G
12 lead ECG / G
Peak flow, spirometry / G
Chest X-ray / G
Abdominal X-ray / G
Trauma radiography / R
Ultrasound, CT and MRI / G
Microbiological samples / G

Within this placement please indicate whether there will be the opportunity to undertake the following practical procedures

Venepuncture and IV cannulation / G
Local anaesthetics / R
Arterial puncture in an adult / G
Blood cultures from peripheral and central sites / G
Subcutaneous, intradermal, intramuscular and intravenous injections / G
IV medications
Intravenous infusions, including the / G
Prescription of fluids, blood and blood products / G
ECG / G
Spirometry and peak flow / G
Urethral catheterisation / G
Airway care, including simple adjuncts / G
Nasogastric tube insertion / A
Aspiration of pleural fluid or air / A
Skin suturing / R
Lumbar puncture / A
Insertion of a central venous pressure line / R
Aspiration of a joint effusion / A