North Central Thames Foundation School (NCTFS)
Individual Placement Description - East and North Herts NHS Trust
Placement
The department
The type of work
to expect and
learning
opportunities
Location
Supervisor(s)
Main duties of
the placement
Typical working
pattern in this
placement
Employer
information
F1 Rheumatology
Rheumatology/ General medicine
 This is an innovative team set up to provide care to all medical outliers under one team.
Inpatient numbers range between 10 – 30 but tend to spread over various wards. The
team has one of the highest levels of consultant supervision with 3 consultants sharing
the patient care. There are ward rounds for new and complex patients daily and full ward
rounds at least 3 times weekly.
 A comprehensive ward round takes place at 0800 on Monday mornings.
 The team provides in-reach support for surgical specialties providing broad experience in
management of complex medical co-morbidity. The patient group is entirely unselected.
 Consultant and registrar ward rounds
 Assessment of acutely ill and stable ward patients
 General medical on call with cardiac arrest responsibilities
 Ward jobs and procedures e.g. Venflons, ABGs
 Writing discharge letters and TTO’s
 Requesting and reviewing investigations
 Rewriting drug charts
 Daily MDT meetings( usually consultant led)
 Communicating with patients / families /Nurses /Ward staff and community based
medical practitioners
 Experience in wide range of medical pathology including elderly medicine and
rheumatology conditions
 Experience in assessment of patients with delirium and dementia
 Opportunity to attend Rheumatology clinics (If interest is expressed)
 Gain experience in audit and case reports
 Weekly team based consultant led teaching in the format of Morning report where a
case from the ward will be discussed in detail.
 Formal FY1 teaching programme
Lister Hospital Tower Block covering various wards
Dr Spencer Ellis
 Ward rounds – 4 – 5 days weekly with consultant for new admissions
 Ward work
 Attend daily handover at 0830 (shared among the team members)
 Clerking patients
 Patient assessment and management
 Prescribing
 Phlebotomy, cannulas, ABGs other procedures
 Arranging investigations
 Managing acutely unwell patients
 Assessing and planning management for patients with Chronic disease.
 Assessing and planning care for patients with dementia and delirium
 Assessing and providing on-going care for surgical patients with medical co-morbidity
 Discharge planning and summarising care for discharge letters
 TTOs
 Certifying death and writing death certificates
 Liaison with relatives and patients and dealing with “bad news”
 Daily MDT meetings involving Physio /OT and discharge coordinator
 Taking part in resuscitation of patients
 Supervision of medical students and shadowing for final year medical students
Mon & Wed:
0800 – 1700
Tues/Thurs/Fri:
0830 – 1730
On call requirements: Clerking patients – “work – up”
Further managements
Ward cover
Nights, weeks on call, weekends on call with days off before and after
East and North Herts NHS Trust
It is important to note that this description is a typical example of your placement and may be subject
to change.