Appendix C – Individual placement description
North Western Foundation School
Salford Royal NHS Foundation Trust
Programme
Individual Placement Description
All information to be completed by the LEP.
Placement
Diabetes
The department
This is a 24 bedded medical post-acute
ward also taking patients with Diabetes,
Obesity and Endocrine disease with acute
in-patient requirements. The ward is covered
by 3 Consultants on a rotational basis, one
ST 2 and one ST1 trainee. There are 6 other
departmental consultants who manage outpatient services. There are also 3 full-time
and one part time ST3+ level Specialty
trainees (who provide cover for the ward on
a rotational basis, each for a four month
block, with cross-cover).
This is a busy department with a rich multidisciplinary working environment with
weekly meetings with radiologists, endocrine
surgeons, bariatric surgeons, pituitary
surgeons, surgical podiatrists, obstetricians
and biochemists. In-patients on ward L6
comprise Salford residents, admitted as
emergencies and requiring post-acute inpatient care but also some tertiary referral
patients with diabetes/endocrine problems
requiring admission and some specialty
patients requiring in-patient care with
medical problems following bariatric surgery.
The type of work to expect and
learning opportunities
General internal medicine with varied case
mix; dedicated in-patient ward with
additional exposure to diabetes, endocrine
and weight management. Endocrine MIU
with 1 hour results meeting weekly. Grand
rounds and dedicated PGME teaching
weekly.
Opportunities to attend several specialty
activities including out-patient clinics/MDT
meetings.
Where the placement is based
Salford Royal NHS Foundation Trust- Ward
L6
Clinical Supervisor(s) for
placement
Main duties of the placement
the Dr A Mukherjee/ Dr L Summers / Dr A Syed
The foundation doctor’s role is ward based
on ward L6. Their duties include daily
clerking of patients, ordering and checking
investigation, recording patient data
including admission, health issues, expected
discharge dates and discharge summaries.
The trainees work within a well established
MDT. The trainees are closely supervised
during the daily running of the ward and
during all practical procedures and
resuscitation of the critically ill. They are
responsible for helping to update written
handover information. The trainees are
involved in care of the dying.
Full shift with 1b banded hours
Typical working pattern in this
placement
Salford Royal NHS Foundation Trust is a
Employer information
large teaching trust with approximately 850
in patient beds, employing over 4,600 staff
and treating in the region of 400,000
patients per year. We provide a
comprehensive range of services to the
220,000 population of Salford as well as a
wider range of services across Greater
Manchester, the North West and nationally.
We are proud to be recognised as one of the
best hospitals in the NHS and have clear
plans to become the safest. We aim to
provide safe, clean and personal care, to
every patient, every time. We have an
excellent track record; having the highest
consistent rating for service quality coupled
with one of the highest sets of patient and
staff satisfaction scores
It is important to note that this description is a typical example of your placement and
may be subject to change.
Appendix D – Syllabus
(Individual placement format – Template)
North Western Foundation School
Foundation Placement Syllabus
Placement :
The activities in this matrix will enable the acquisition of curriculum competencies.
For this placement please indicate to what extent the following activities
can be experienced using the following key:
Red: Not at all
Amber: To some extent/ limited opportunities
Green: To a great extent/ ample opportunities
History taking
Examination
Diagnosis and clinical decision making
Safe prescribing
Medical record-keeping, letters, etc
Time management and organizational decision-making
Understanding and applying the basis of maintaining good quality care
Ensuring and promoting patient safety
Reducing the risk of cross-infection
Clinical governance
Quality improvement activities
Ensuring basic nutritional care
Effective education of patients for example:
Dealing with ethical and legal issues e.g. confidentiality, consent
Development of the skills to undertake self-directed life-long learning
Use of evidence and guidelines that will benefit patient care.
Involvement and use of audit to improve patient care
Opportunity to undertake teaching and presentations
Effective communication within a consultation
Breaking bad news
Dealing with complaints
Development of teamwork skills
Communication with colleagues and teamwork
Interface with different specialties
Interface with other professionals
G
G
G
G
G
G
G
G
G
G
G
G
G
G
G
G
G
G
G
G
A
G
G
G
G
Interface with external bodies e.g. police, social services
Understanding of the relevance of outside bodies
Development of the Doctor-patient relationships
A
A
G
G
Handling stress
Assessment of the acutely ill or collapsed patient
Identify and respond to acutely abnormal physiology
Delivery of a fluid challenge safely to an acutely ill patient
Reassessment of ill patients appropriately after starting treatment
Request senior or more experienced help when appropriate
Undertake a secondary survey to establish differential diagnosis
Obtain an arterial blood gas sample safely, and interpret results
Management of patients with impaired consciousness, including
convulsions
Use of common analgesic drugs safely and effectively
Management of a patient following self-harm
Management of a patient with an acute confusional state or psychosis
Handover between shifts, on call staff or with “hospital at night” team
Consideration of the
appropriateness of interventions according to
patients’ wishes, severity of illness and chronic or co-morbid diseases
Recognition of critically ill patients,
Take part in advanced life support
Initiation of ALS and leading a resuscitation team
Discussion of Do Not Attempt Resuscitation (DNAR)
Participation as part of an acute ‘take’ team
Discharge planning starting from the point of admission and taking into
G
G
G
G
G
G
G
G
G
G
G
G
G
G
G
A
G
G
G
account the effects of any chronic disease
For this placement please indicate whether there will be the opportunity to select,
appropriately request and accurately interpret reports of the frequently used
investigations listed below
Full blood count
Urea and electrolytes
Blood glucose
Cardiac markers
Liver function tests
Amylase
Calcium and phosphate
Coagulation studies
Arterial blood gases
Inflammatory markers
12 lead ECG
Peak flow, spirometry
Chest X-ray
Abdominal X-ray
Trauma radiography
Ultrasound, CT and MRI
Microbiological samples
G
G
G
G
G
G
G
G
G
G
G
G
G
G
G
G
G
Within this placement please indicate whether there will be the opportunity to
undertake the following practical procedures
Venepuncture and IV cannulation
Local anaesthetics
Arterial puncture in an adult
Blood cultures from peripheral and central sites
Subcutaneous, intradermal, intramuscular and intravenous injections
IV medications
Intravenous infusions, including the
Prescription of fluids, blood and blood products
ECG
Spirometry and peak flow
Urethral catheterisation
Airway care, including simple adjuncts
Nasogastric tube insertion
Aspiration of pleural fluid or air
Skin suturing
Lumbar puncture
Insertion of a central venous pressure line
Aspiration of a joint effusion
G
G
G
G
G
G
G
G
G
G
G
G
G
G
R
G
A
G