North Central Thames Foundation School (NCTFS)
Individual Placement Description - Royal Free London NHS Foundation Trust
Placement
The
department
F2 Respiratory Medicine
The respiratory department cares for inpatients with a full range of acute and chronic
respiratory conditions. There are consultants with interests in COPD, asthma, TB, NIV,
lung infection, lung cancer, pleural disease. There are nurse specialists in asthma,
COPD, lung cancer and TB and a specialist respiratory physiotherapy team. The
department is active in undergraduate training and research. The F2 doctor is a crucial
part of this team who needs to support and manage the F1 doctors
The type of
 Board rounds
work to expect
 Ward rounds
and learning
 Bloods
opportunities
 ABG’s
 TTAs
 Opportunity to insert chest drains
 Teaching sessions and x-ray meetings weekly
 Teaching medical students
Location
Royal Free London NHS Foundation Trust
Supervisor(s)
Dr Paul Dilworth
Main duties of
 Take responsibility for support, guidance and management of the F1 doctors
the placement
 Attend all ward rounds which occur daily, and assist with the jobs generated
 To perform several ABGs per day, analyse results and treat the
patient accordingly- with advice and recommendations from the team
 To make referrals to other specialities
 To write the medical sections of rehab/hospice referral forms
 To attend the weekly X ray and Respiratory team meetings
 To assist with discharge summaries
 To attend daily board rounds on MAU and communicate info about each patient
including outstanding investigations and EDDs
 To arrange inpatient/outpatient investigations including sleep studies, pulmonary
function tests, on-ward spirometry
 To make referrals to the Respiratory CNS’s/Physios
Typical
Mon:
Every day from 0845 – 1745
working
Tues:
pattern in this
Wed:
placement
Thurs:
Fri:
Sat:
Sun:
On call requirements: Cover cardiology.
 Variable working pattern- number of patients is very variable, often depending
on time of year (i.e. more acute Respiratory patients in Winter months).
 Hours are typically 0900 – 1800
 Typically 2 on call weekends for Cardiology.
Employer
The Royal Free London NHS Foundation Trust is a high-performing trust with some of
information
the best clinical outcomes in the country.
The trust has around 900 beds and sees about 700,000 patients a year from all over the
world. We employ around 5,500 people and have a turnover of about £550m.
We are Dr Foster's 'large trust of the year' for 2010 and the organisation particularly
praised our patient safety and infection control record. We are ranked among the best
English trusts for mortality rates - our rate is 29 per cent below the national average. We
have the lowest MRSA bacteraemia rate among London teaching hospitals and are on
target to reduce rates of c.difficile infections.
Our mission is to be in the top 10 hospitals in England for clinical quality, customer
satisfaction, staff satisfaction and financial performance. We want to give patients the
best possible care in a safe, clean and welcoming environment.
It is important to note that this description is a typical example of your placement and may be
subject to change.