Appendix C – Individual placement description
North Western Foundation School
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
placement
Main duties of the placement
the Dr P Paine
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 Am ward round every day
Mon: am ward round - pm ward round placement
Employer information
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:
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)
North Western Foundation School
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
Examination
Diagnosis and clinical decision making
Safe prescribing
Medical record-keeping, letters, etc
Time management and organizational decision-making
Understanding and applying the basis of maintaining good quality care
Ensuring and promoting patient safety
Reducing the risk of cross-infection
Clinical governance
Quality improvement activities
Ensuring basic nutritional care
Effective education of patients for example:
Dealing with ethical and legal issues e.g. confidentiality, consent
Development of the skills to undertake self-directed life-long learning
Use of evidence and guidelines that will benefit patient care.
Involvement and use of audit to improve patient care
Opportunity to undertake teaching and presentations
Effective communication within a consultation
Breaking bad news
Dealing with complaints
Development of teamwork skills
Communication with colleagues and teamwork
Interface with different specialties
Interface with other professionals
G
G
G
G
G
G
G
G
G
A
G
G
Interface with external bodies e.g. police, social services
Understanding of the relevance of outside bodies
Development of the Doctor-patient relationships
G
A
G
G
G
G
G
G
G
A
A
G
G
G
G
G
Handling stress
Assessment of the acutely ill or collapsed patient
Identify and respond to acutely abnormal physiology
Delivery of a fluid challenge safely to an acutely ill patient
Reassessment of ill patients appropriately after starting treatment
Request senior or more experienced help when appropriate
Undertake a secondary survey to establish differential diagnosis
Obtain an arterial blood gas sample safely, and interpret results
Management of patients with impaired consciousness, including
convulsions
Use of common analgesic drugs safely and effectively
Management of a patient following self-harm
Management of a patient with an acute confusional state or psychosis
Handover between shifts, on call staff or with “hospital at night” team
Consideration of the
appropriateness of interventions according to
patients’ wishes, severity of illness and chronic or co-morbid diseases
Recognition of critically ill patients,
Take part in advanced life support
Initiation of ALS and leading a resuscitation team
Discussion of Do Not Attempt Resuscitation (DNAR)
Participation as part of an acute ‘take’ team
Discharge planning starting from the point of admission and taking into
account the effects of any chronic disease
G
G
G
G
G
G
G
G
G
G
G
G
G
G
G
G
G
G
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
Urea and electrolytes
Blood glucose
Cardiac markers
Liver function tests
Amylase
Calcium and phosphate
Coagulation studies
Arterial blood gases
Inflammatory markers
12 lead ECG
Peak flow, spirometry
Chest X-ray
Abdominal X-ray
Trauma radiography
Ultrasound, CT and MRI
Microbiological samples
G
G
G
G
G
G
G
G
G
G
G
G
G
G
R
G
G
Within this placement please indicate whether there will be the opportunity to
undertake the following practical procedures
Venepuncture and IV cannulation
Local anaesthetics
Arterial puncture in an adult
Blood cultures from peripheral and central sites
Subcutaneous, intradermal, intramuscular and intravenous injections
IV medications
Intravenous infusions, including the
Prescription of fluids, blood and blood products
ECG
Spirometry and peak flow
Urethral catheterisation
Airway care, including simple adjuncts
Nasogastric tube insertion
Aspiration of pleural fluid or air
Skin suturing
Lumbar puncture
Insertion of a central venous pressure line
Aspiration of a joint effusion
G
R
G
G
G
G
G
G
G
G
G
A
A
R
A
R
A