NW Thames Foundation School
Individual Placement Description
Placement
F2 Gastroenterology & General Internal
Medicine
The department
At St. Mary’s, there are five Consultant
Physicians who lead the Gastroenterology /
General Medical team. They work closely with
administrative staff, clinical nurse specialists, a
gastrointestinal physiologist and the staff of
the endoscopy unit.
The hospital is part of the wider Imperial
College Healthcare NHS Trust, along with the
Hammersmith Hospital and Charing Cross
Hospital – there are close links between the
gastroenterology, hepatology and
hepatopancreatobiliary teams within the Trust.
There are also particularly close links with the
radiology and histopathology departments, as
well as the surgical teams and the department
of nutrition and dietetics.
Trust & Site
St Mary’s Hospital, Imperial College
Healthcare NHS Trust.
The type of work to expect and
learning opportunities
The Gastroenterology team is one of five
medical firms which participate in the acute
medical take and manage admitted patients.
The F2 will manage patients with acute and
chronic gastrointestinal disease (such as
inflammatory bowel disease, gastrointestinal
haemorrhage, gastrointestinal infection and
cancer, motility and functional disorders) along
with patients with general medical problems.
This includes the management of patients on
the Medical High Dependency Unit (HDU).
They will participate in the acute medical take
(including night shifts) and in the ongoing care
of patients admitted via the take until their
discharge or triage to a different medical team.
The F2 will provide out-of-hours ward cover on
an on-call rota.
They will be expected to take an active role in
education, audit and research. This will involve
teaching medical students and completing one
or more audits / research projects. They will
have opportunities to present at departmental
meetings, and potentially at the hospital Grand
round.
The overall educational objectives of the F2
year are to provide the trainee with the
knowledge, skills and attitudes to be able to:
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Take a history and examine a patient in
the elective and emergency setting
Gain experience in an HDU setting
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.
In this post the F2 will have opportunities to
build on skills and experiences developed in
their F1 year and will lead independent ward
rounds and be supported in the transition into
a more senior medical role.
In addition, in this post the F2 will gain
experience of performing procedures under
supervision such as lumbar puncture, arterial
cannulation, central venous line insertion,
intercostal aspiration and drainage and the
use of non-invasive ventilation.
Clinical Supervisor(s)
placement
for
the Consultant Physicians: Professor Tim Orchard
Dr. Jonathan Hoare, Dr Julian Teare and Dr
Horace Williams.
Main duties of the placement
As part of the Gastroenterology team, along
with the F1, CT2 and SpRs (STs), the F2 will
be responsible for the care of patients with
acute and chronic gastrointestinal disease and
patients with other general medical problems
requiring inpatient care.
They will be expected to ensure that the
medical records of these patients are
accurately maintained.
The F2 will be expected to attend the
structured teaching programmes provided.
They will participate in the acute medical take
and provide ward cover according to the oncall rota.
The F2 will be responsible for other specific
clinical duties as allocated by consultants
including performing other duties in occasional
emergencies and unforeseen circumstances.
Typical working pattern in this The F2 will participate in daily ward rounds of
placement
the in-patients, including at least two
Consultant ward rounds per week. Timings of
Consultant ward rounds will vary depending
on which Consultant is leading the ward team.
Ward work will be carried out with the other
team members.
They will attend the weekly departmental
radiology / histopathology meeting (08:00am
on Mondays).
On call requirements:
Acute medical take 1 in 10; ward cover
approximately 1 in 20, night shifts
approximately 1 in 20.
Employer information
Imperial College Healthcare NHS Trust was
created on October 1, 2007 by merging St
Mary’s NHS Trust and Hammersmith
Hospitals NHS Trust and integrating with the
faculty of medicine at Imperial College
London. Now one of the largest NHS trusts in
the country, we have come together with the
College to establish one of the UK’s first
academic health science centres (AHSCs).
It is important to note that this description is a typical example of your placement and may be
subject to change.