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
F2 General Practice
General Practice
 All specialties. Especially management of chronic medicine. Paediatrics,
geriatrics, women’s health and family planning (O&G). Endocrine (diabetes,
thyroid), rheumatology, minor injuries. Mental health, neurology, orthopaedics,
ENT.
 Run own surgery on a daily basis
 Supervised by a GP
 Lunchtime meetings daily
 Trainee teaching for 1 hour once a week
 Telephone consultation
 Monitoring / follow-up patient
 Management in primary health care
 Morning and afternoon surgeries fully independently
Various practices in East and North Herts
Various at different practices
 Running own morning and afternoon surgery and helping with the emergency
lists at the end of both clinics
 Taking a history
 Examination of a patient
 Ordering and interpreting investigations for a patient in the practice
(temperature, bp, bm, inr, peak flow, ecg, urinalysis, otology, ophthalmology,
blood tests, smears, high vaginal swabs) and ordering tests at the hospital xrya, mri, uss.
 Referring into hospital immediately, 2 week wait, or routine. Referral for
physhio opd/day centre
 Discussing patients with colleagues in general practice and hospital
 Reviewing patients
 Telephone consultation
 Lunchtime meeting
 Evening surgery
 Reviewing hospital correspondence from referrals and investigations
 Routine follow-up of patient in primary care, sending investigation as
necessary, management of primary care, referral if necessary and follow-up
 Normally only book on the day patients, so usually just acute problems
 Review patients after clinic with clinical supervisors
WEEKLY TIMETABLE – VARIOUS EXAMPLES BELOW
Mon: 0830 – 1130 routine appointments
1130 – 1300 extras, de-briefing, correspondence, telephone calls and
occasional visit (carefully selected)
1300 – 1530 free time for study etc. or catching up on paperwork
1530 – 1730 routine appointments
1730 – 1830 extras and de-briefing
(It would be unusual to work continuously from 0830 until 1830)
Also it is unusual to have a full day each week for F2 teaching – it probably averages
as half a day per week (plus the half day e-portfolio time as already recorded)
Mon: 0830 – 1300 morning surgery and emergency list
1300 – 1530 lunch / paperwork/referrals reviewing investigations de-briefing
with GP re: am clinic
1530 – 1830 afternoon surgery and emergency list and de-brief with GP
Tue: same as above
Wed: same as above
Thurs: same as above
Fri:
0830 – 1300 morning surgery and emergency list, paperwork, referrals and
de-brief with GP then study leave
Sat & Sun:
off
Mon: 0900 – 1100 morning surgery
1130 – 1300 Telephone cons
1300 – 1400 lunchtime meeting
1400 – 1600 home visits – supervised
1600 – 1830 evening surgery
Tues: same as Monday
Wed: day off for F2 based teaching
Thurs: eportfolio time in morning (1600 afternoon surgery)
Fri:
same as Monday
No on-calls but may help with emergency list at end of morning and evening surgery
Mon: 0830 – 1130 routine appointments
1130 – 1300 extras, de-briefing, correspondence, telephone calls and visits
(carefully selected)
1300 – 1530 free time for study etc. or catching up on paperwork
1530 – 1730 routine appointments
1730 – 1830 extras and de-briefing
Tue: Same as above or Nursing Home Visit with Nursing Home GP
Wed: Morning as above PM Off (Afternoon off may take place on a different day)
Thurs: Same as above
Fri:
0830 – 1300 morning surgery and emergency list, paperwork, referrals and
de-brief with GP then study leave
No on-calls but may help with emergency list at end of morning and evening surgery
Mon: as above
Tue: morning as above. Afternoon tutorial +/- short surgery
Wed: morning as above. Afternoon FY2 teaching
Thurs: as above
Fri: morning as above. Afternoon e- portfolio time.
Mon: morning as above. Afternoon tutorial+/- short surgery
Tue: morning as above. Afternoon e-portfolio time
Wed: morning tutorial. Afternoon FY2 teaching or as above
Thurs: as above
Fri: as above
Mon: 0830 – 1030 routine appointments length shortening with experience
aiming for 15 mins consultations by the end of the placement.
1100 –1130
coffee and general discussion wit hpartners
1130 – 1300 extras, de-briefing, correspondence, telephone calls and
occasional visit (carefully selected), lunch
1300 – 1500 free time for study etc. or catching up on paperwork
1500 – 1700 routine appointments
1730 – 1830 extras and de-briefing
Tue: same as above
Wed: same as above
Thurs: same as above
Fri:
0830 – 1300 morning surgery and emergency list, paperwork, referrals and
de-brief with GP, practice meeting then study leave
No on-calls but may help with emergency list at end of morning and evening surgery
East and North Herts NHS Trust
Employer
information
It is important to note that this description is a typical example of your placement and may be subject
to change.