North Central Thames Foundation School (NCTFS)
Individual Placement Description - Royal Free London NHS Foundation Trust
Placement
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to expect and
learning
opportunities
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Employer
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F1 Rheumatology
The Centre for Rheumatology in The Royal Free Hospital is a highly renowned unit of
excellence in clinical care and research. This job provides an excellent opportunity to get to
understand and treat the less common rheumatological diseases, not least because The Royal
Free is a tertiary centre for Scleroderma. Several Consultants, two Registrars, an ST2/SHO,
clinical fellows and an FY1 make up a team caring for patients on the ward, in specialist clinics
and those on PITU [Patient Intervention and Treatment Unit]. Working with patients on PITU
provides better acquaintance with Biological therapies, Immunosuppressives including
cytotoxic agents and other anti-rheumatic treatments.
The F1 trainee will be provided the opportunity to further hone their knowledge, skills and
attributes to be able to:
 Take a history and examine a patient
 Identify and synthesise problems
 Prescribe safely
 Keep an accurate and relevant medical record
 Manage time and clinical priorities effectively.
 Communicate effectively with patients, relatives and colleagues.
 Use evidence, guidelines and audit to benefit patient care
 Act in a professional manner at all times
 Educate patients effectively
Royal Free London NHS Foundation Trust
Dr. Richard Stratton
 Provide daily care for Rheumatology Day cases + Inpatients
 To participate in the HSEP on call rota [Health Service for Elderly People]
 To attend Morning Report [General Medical teaching] + Rheumatology post-graduate
teaching
Rheumatology Mon/Wed/Fri 0900 – 1700,
Tue/Thurs
0800 – 1700.
HSEP on call rota – one weekday per week: 1700 – 2200 + one weekend every month: 0900 –
1800.
Mon:
Clerking Iloprost patients on PITU + Registrar ward round of inpatients
Tue:
Morning report + Registrar ward round of inpatients +
F1 ward round of PITU patients
1200 – 1300
TTA meeting
1300 – 1400
F1 Teaching
Wed:
Rheumatology Xray meeting + Scleroderma ward round +
Registrar ward round of remaining inpatients
Thurs:
Morning report + Dr Stratton Consultant ward round +
Lumbar epidurals on PITU + Registrar ward round of remaining inpatients
Fri:
Regstrar ward round + PITU Iloprost Discharge summaries.
The Royal Free London NHS Foundation Trust is a high-performing trust with some of 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 organization particularly praised our
patient safety and infection control record. We are ranked among the best English trusts for
mortality rates - our rate is 29 percent below the national average. We have the lowest MRSA
bacteremia 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.