Appendix C – Individual placement description
North Western Foundation School
Stockport NHS Foundation Programme
Individual Placement Description
All information to be completed by the LEP.
Placement
F1 Respiratory Medicine
The department
Busy department. 3 consultants 1 staff
grade 1 Specialty registrar , specialist
nurses 2 SHOs and 3 FY1s
More broadly the team also includes, a
ward based pharmacist, lung cancer
specialist Nurse
Outpatient clinics, Regular weekly
departmental teaching, 2 weekly
bronchoscopy sessions, Chest
Radiology weekly.
 Wide variety of patients with acute
and chronic Respiratory and general
medical conditions. Some patients
with specific problems in Respiratory
medicine i.e Management of pleural
diseases, Pneumonias, Non invasive
ventilation etc.
 Patients often have multiple
pathologies, trainees learn to
prioritise and initiate appropriate
investigations, how to manage
patients as part of a multidisciplinary
team and see how long term care is
integrated with in acute inpatient
care in the clinic setting. They also
learn how to adopt a patient centred
approach, when not to treat and
when investigations are
inappropriate i.e. not simply blindly
following integrated care pathways
and procedures just because they
exist.
 Opportunities available on call to
learn how to assess and manage
acute medical admissions and
emergencies.
 Trainees are on the front line dealing
with patients and relatives and
backed up by senior staff. There are
frequently confused or demanding
patients and relatives on the ward
requiring high levels of interpersonal
The type of work to expect and
learning opportunities
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skills to manage.
Working as part of a team is central
to the experience, there is also a
high turn over of patients requiring
good working relations to maintain
good clinical care and patient safety.
Trainees rapidly learn to integrate
their working patterns with others
and when to ask for help. Outside of
the medical team there is the
multidisciplinary team that trainees
need to coordinate with, in order
care for the patient during their
hospital stay and insure a safe
discharge
Trainee
have
regular
weekly
protected teaching times, ward
based teaching by consultants and
speciality trainees, and have regular
formal reviews by their clinical and
educational supervisors. They also
have the opportunity to teach
medical students attached to the
team.
Weekly Respiratory specific teaching
Weekly Radiology Meetings
Trainees participate in the on call
rota for acute medical admissions
dealing with a wide variety of acute
medical problems.
Patients admitted to the ward from
the admissions unit have ongoing
problems that need treatment e.g.
the patient with pneumonia isn’t just
cured after the first 24 hours on the
admission unit.
Patients requiring acute respiratory
care are often transferred to the
ward within a few hours of admission
giving the opportunity to be proficient
in managing acute respiratory
illnesses such Asthma pneumonia
pneumothorax etc
Weekly half day protected teaching
Thurs pm
Twice a week lunch time medical
meetings Mon and Fri.
Access to subspecialty weekly
teaching e.g. heart hour, chest
medicine/radiology meeting etc.
Grand round meetings every 6
weeks.
Chest Clinics, Bronchoscopy, lung
cancer MDT
Where the placement is based
Clinical Supervisor(s) for the
placement
Main duties of the placement
Typical working pattern in this
placement
Employer information
Respiratory ward A15 30 bedded ward
with access to outpatients and noninvasive and invasive respiratory
investigation
Non invasive ventilation in Respiratory
failure and pleural procedures are
routinely carried out on the ward
Dr R Nadama, Dr S Das, Dr D Dev
Look after ward patients under
supervision of consultants, SpR and
ST1.
Participate in on call including
assessment of acute admission on
GPAU, AMU.
Can attend clinics, bronchoscopy and
lung cancer MDT if free from wards for
learning experience.
Mon: Ward round 9-12 noon, Dr Dev
(Chest Clinic pm optional to attend)
Tues: Ward round 9 – 12 noon, Dr
Nadama/Dr S Das
Wed: Ward round 9 – 12 noon, SpR 125pm Staff grade
Thurs: Ward round 9 – 12 noon Dr Dev
Fri: Ward round 9 – 12 pm Dr Nadama
Sat:
Sun:
On call requirements: see rota from HR
dept. or Medical Directorate Rota
Manager
The employer for this post is Stockport
NHS Foundation Trust. The Trust has
Associate Teaching Hospital status.
The post will be based in Stepping Hill
Hospital which provides health care
services to both the local population of
290,000 and to residents of several
areas on the periphery of the district
It is important to note that this description is a typical example of your placement and may be
subject to change.