North Central Thames Foundation School (NCTFS)
Individual Placement Description - Luton and Dunstable Hospital NHS Foundation 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 Gastroenterology
Gastroenterology
Trainees will get exposure to the management of a range of acute medical and
gastrointestinal emergency admissions, including patients with GI Bleeds, Liver Disease and
Acute Severe Colitis. They will also gain some experience of caring for patients with
conditions such as Crohn’s disease, Irritable Bowel Syndrome and patients with Nutritional
problems. The ward also takes patients with other general medical problems. The F1 trainee
will be responsible for the ward care of patients, shared with other members of staff. They will
have the opportunity to develop their team working and organisational skills, as well as other
general medicine based skills such as; safe prescribing, updating and maintaining accurate
patient records and communicating with patients and their families. The Gastro Team at any
one time comprises of one of the Consultants, who are on the ward each day, two Specialist
Registrars, two Core Medical Trainees and two F1 doctors. Senior support is therefore always
available but there is also the opportunity to review patients independently within certain
parameters.
Luton and Dunstable Hospital- Ward 11
Dr Anthony Griffiths
 Attending Morning Handover, Post-Take and Consultant led ward rounds
 Undertake routine jobs such as bloods/ cannulae, liase with other specialties and
attend to any jobs identified during ward round
 Undertaking procedures such as ascetic taps and drains
 Book & review investigations
 Review patients and write up electronic discharge letters
 Updating drug charts, prescribing overnight fluids, warfarin and insulin
 Engaging in discussions with patients and their families
Gastroenterology Ward
Mon:
Consultant WR am
Medical Meeting 1400 – 1500,
Ward work
Tues:
Consultant Board Round and New patient review am,
Grand Round 1400 – 1500,
Ward work pm
Wed:
Consultant Board Round and New patient review am,
Ward work pm
Thurs:
Consultant WR am
Gastro MDT lunchtime
Ward work pm
Fri
Consultant Board Round and New patient review am,
Ward work pm
Across all rotations – there are on-calls as per rota
Mon-Fri:
0900 – 2200 – 0900-1600 base wards – 1600 – 2200 EAU clerking
0900 – 2200 EAU clerking (to be confirmed)
Sat/Sun:
0900 – 2200 – Ward cover weekends
(Jobs, review of sick patients)
Sat/Sun:
0830 – 1600 – Weekend ward cover
(EAU post take ward round, jobs, clerking)
Nights:
2030 – 0900 – Fri-Sun or Mon-Thurs
(covering 12 medical wards, ward jobs, unwell patients etc.)
Rotas:
F1 ward based rota is a 1:20 full-shift rota.
The employer for this post is Luton & Dunstable Hospital NHS Foundation Trust which is a
highly rated acute hospital located conveniently close to major hubs in South Bedfordshire.
We serve a local population of over 350,000 from Luton, Dunstable, together with other towns
and villages in the South Bedfordshire & North Hertfordshire region. About 30% of Luton’s
population are from cultural and ethnic minority backgrounds and this coupled with the high
deprivation found in Luton means our local population display diseases and conditions which
are more usually associated with those of an inner city area.
It is important to note that this description is a typical example of your placement and may be subject
to change.