Individual Placement Description - University College London Hospitals NHS Foundation Trust
Placement F2 Haematology
The department Cancer Services. 17 Haematology ST3+ ; 6 Core Medicine Trainees (ST1-2)
The type of work to expect and learning opportunities
Location
Supervisor(s)
Main duties of the placement
Typical working pattern in this placement
Ward work of patients on Haematology wards
- Care of haematology patients (including acutely unwell patients) to facilitate rapid investigation, treatment and discharge
- Close relationship with the MDT
- Opportunities for procedures and wide exposure to a vast array of haematological conditions, including laboratory training if they so wish.
Admitting acutely unwell patients from daycare, ambicare or the ED
2 clinic days per rotation
Now that many haematology patients are looked after in ambulatory care, juniors covering inpatient wards can expect to see a wide variety of acutely unwell patients. That is, unless a patient is acutely very unwell, they do not get an inpatient bed, so there is much to learn and experience from each patient admission.
Given the nature of these disorders and their treatments, junior doctors get a significant exposure to a broad variety of acute medical complications on a daily basis. The inpatient unit is staffed by dedicated ST1/2 and ST3+ registrars, organised in inpatient teams with consultant leadership, so support and supervision is constantly available. This gives an excellent environment in which to learn to manage various emergency situations.
The unit also treats the full range of haematological disorders- malignant, coagulation, general haematology, haemoglobinopathies- so giving invaluable exposure to problems that will be encountered throughout medical training and beyond.
University College London Hospital
Dr Trompeter, Dr Lambert, Dr Thomson, Dr Rabin, Dr Popat
Duties include
Clerking patients and initiating their investigation and treatment with supervision
Ward cover for the Haematology wards
Ward rounds
Effective liaison with the hospital multidisciplinary team and primary care
Participation in department audit, quality improvement and clinical governance.
The overall educational objectives are to provide the trainee with the knowledge, skills and attitudes to be able to:
Take a history and examine a patient at F2 level
Manage many of the acute medical and haematological emergencies
Identify and synthesise diagnostic and management problems
Prescribe safely including understanding renal dosing
Keep an accurate and relevant medical record
Manage time and clinical priorities effectively
Communicate effectively with patients, relatives and colleagues within a multidisciplinary working environment
Use evidence, guidelines and audit to benefit patient care
Participate in audit and quality improvement projects
Act in a professional manner at all times
Cope with ethical and legal issues which occur during the management of patients with general medical problems, and be supported in professional development in these areas
Educate patients effectively
Become life-long learners and teachers
Ward round at 0900 every day.
Mon : registrar ward round
Tues :
Wed : consultant ward round, lunchtime teaching registrar ward round, Grand round
Thurs :
Fri : registrar ward round. lunchtime teaching consultant ward round
Teaching:
Weekly teaching is available at the following times:
Tues: 1230 – 1330 Morning Report
Wed: 1300 – 1400 Grand Round
Thurs:
Thurs:
1300
0800
– 1400 Haematology
– 0900 Clinical governance (once a month)
In addition, twice a month there is three-hour mandatory F2 teaching session. This is protected time, and bleep free.
Leave: Annual leave is built into the rota.
Employer information
University College London Hospitals NHS Foundation Trust (UCLH), situated in the West
End of London, is one of the largest NHS trusts in the United Kingdom and provides first class acute and specialist services both locally and to patients from throughout the UK and abroad.
The new state-of-the-art University College Hospital which opened in 2005, is the focal point of the Trust and is the workplace for this post. UCLH was one of the first trusts to gain foundation status. The building of the UCH MacMillan Cancer Centre in 2012, the movement of RFH malignant haematology to UCLH in 2015 and the forthcoming phase 4 building works promises to further add to the calibre and reputation of the haematology department
The Trust has an international reputation and a tradition of innovation. Our excellence in research and development was recognized in December 2006 when it was announced that, in partnership with University College London (UCL), we would be one of the country’s five comprehensive biomedical research centres.
Our relationship with the world leading UCL and Royal Free medical school, offers the very best in training and education.
It is important to note that this description is a typical example of your placement and may be subject to change.