North Central Thames Foundation School (NCTFS)
Individual Placement Description - Whittington Hospital 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 Respiratory Medicine
Respiratory ward Nightingale (21 beds) with occasional medical outliers during winter months.
Two Respiratory teams led by Drs Patel/Kaiser and Dr Lock/Dr Restrick. Patients equally divided
between the two teams depending on whom patient is known to through previous admissions or
outpatients.
Respiratory teams work daily with ward nurses, respiratory nurse specialists, physiotherapists,
occupational therapists, dieticians, speech and language therapists, smoking cessation advisors
and psychologists.
Community Respiratory Team (CORE), TB nurses, lung function team, and liaise closely with
ITU.
All F2 Doctors will generally be ward based during the ‘normal’ working day and expected to
deliver the daily medical care of all the patients on their ward irrespective of specialty.
During this placement F2 will
 Take history’s and examine patients
 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
 Cope with ethical and legal issues which occur during the management of patients with
general medical problems
 Educate patients effectively
 Become life-long learners and teachers.
 Present/teach at Respiratory department lunchtime meeting on Monday at least once
during 4 month attachment
 Able to confidently do spirometry and interpret
 Perform ABG’s and interpret
 Knowledge of NIV use/indications and optimization of settings
 Multidisciplinary team working skills
 Increased confidence in interpreting CXR’s and HRCT/CTPA’s.
 Increased knowledge and practice of acute and chronic COPD/Asthma management
In particular F2’s will be responsible for presenting patients on the consultant ward round, and at
the Wed morning Lung Cancer MDT or respiratory meeting in radiology seminar room,
sometimes doing a ward round independently and discussing patients with consultant or
registrar (if senior colleagues are offsite or in clinic).
Nightingale Ward, Whittington Hospital
Dr Lock/Dr Restrick, Drs Patel/Kaiser
The F2 doctor is responsible with other staff for the ward care of patients will clerk new
admissions, see and assess patients under their care on a daily basis and undertake practical
procedures. They are also responsible for maintenance of the patients medical record.
Mon:
Board round then ward work,
Respiratory meeting/teaching 1pm (1 hour)
Tues:
Board round, ward work then Consultant ward round at 1400
Wed:
Respiratory/Lung MDT 0900 till 1030
board round 1045 then ward work.
Thurs:
Board round, ward work,
then lunchtime teaching and ward work
Fri:
Board round ward then Consultant ward round,
weekend handover
On call requirements: Generally one ward cover evening per week 1700 – 2100.
Weekend ward cover 1 in 6 weekends Saturday and Sunday 0900 – 2100
Employer
The Whittington Health is a medium sized district teaching hospital.
information
The hospital is proud of its tradition of providing high quality medical education. We seek to
provide academic and clinical excellence without losing sight of our role as a community based
hospital supporting our local GPs.
We are located in Archway, North London and have traditionally served the populations of North
Islington and West Haringey. Our catchment population is around 240,000 and the communities
we serve embrace Highgate, Finchley, Haringey, Camden and Islington. We have close working
relations with tertiary centres at the Royal Free Hospital and the UCLH group of hospitals.
It is important to note that this description is a typical example of your placement and may be subject to
change.