F1 Post in Respiratory Medicine
This post will be based on Ward 10, a 30-bedded Respiratory Unit with 2 consultant
physicians Dr Mark Shipley and Dr Liz Fuller. Dr Bone is a 3rd Consultant Respiratory
Physician who is currently working on a part time basis pending the appointment of a
3rd substantive full time Consultant Respiratory Physician.
The ward accepts direct elective admissions from the community and emergency
admissions via the AMAU/HDU/ITU with an average turnover of 5 – 8
admissions/24hours. The respiratory service is also supported by the Acute
Respiratory Assessment Service (ARAS) Specialist Nurses who provide in-patient
assessment and advice, community follow-up and out-patient clinic services for many
respiratory patients.
The medical staffing of the ward in August 2013 will comprise:
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2 F1 trainees
1 F2 trainee
1 ST1 or ST2 trainee
1 FTSTA (4 month rotational post)
1 ST3+ trainee
2 Consultant Physicians with an interest in Respiratory Medicine
The F1 trainees will gain experience in the management of patients with all forms of
respiratory disease including lung cancer, chronic obstructive pulmonary disease,
pneumonia, asthma, pleural effusions, pneumothoraces and fibrotic lung disease.
The trainee will develop close links and communication with the Lung Cancer MDT,
the bronchoscopy unit, the Respiratory Specialist Nurse team and radiology.
The F1 trainees will be expected to review all new patients admitted to the ward
within the previous 24 hours or over the weekend and be able to provide a summary
of the diagnosis and initial management to their senior colleagues. They will provide
prospective cover for other colleagues who may be absent from the ward. They will
share responsibility for arranging investigations (and reviewing the results) and
documenting management plans with the other members of the ward medical staff.
The F1 trainees will also undertake day-time and out-of-hours on-call work on the
Integrated Emergency Care Centre admitting and treating unselected acute medical,
surgical and orthopaedic emergencies under appropriate clinical supervision.
The on call frequency is:
1 in 10.5 weekday daytime 0800 – 2030 (2 on-call shifts in every 21 weekdays)
1 in 7 weekend daytime 0800 - 2030
1 in 10.5 split weeks of nightshift (Monday to Thursday 2000 – 0830 and Friday to
Sunday 2000 – 0830). The post is EWTD compliant.
F1 Job Description in Respiratory Medicine (Ward 10) 2013
Generic Skills
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Clinical method (history taking, examination and differential diagnosis) and
diagnostic testing
Assessment of unselected acutely ill patients arriving on the ward, including
acute management of all potential medical problems, patient counselling,
therapeutics and appropriate liaison with allied health professionals including
specialist nurses.
Co-ordinating treatment and investigative schedules
Arranging appropriate tests for the patients and checking results
Multidisciplinary working with professions allied to medicine and social work.
Team working including handovers and presentations.
Communication skills.
Liaison with the wider hospital teams such as laboratories, radiology, endoscopy,
critical care, pain team, infection control, palliative care and oncology.
Liaison with primary care teams via telephone and written communication
Playing a central role in co-ordinating discharge planning for the patient
Dictation skills
Note keeping
Medico-legal issues.
Understanding clinical governance and the role of audit
Death confirmation, certification and the role of the coroner
Ethical issues surrounding treatment of the disabled and elderly, for example
DNR orders, nutrition and end of life issues.
Specific skills
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Management of acute asthma.
Management of exacerbations of COPD.
Management of pneumothoraces and pleural effusions including practical skills of
supervised pleural aspiration, intercostals drain insertion and pleurodesis.
Management and investigation of lung cancer.
Assessment and management of patients requiring non-invasive ventilation.
Role of imaging and lung function testing in respiratory disease including
bronchoscopy.
Role of the Respiratory Cancer Multi-Disciplinary Team.
Multi-disciplinary working with the Respiratory Specialist Nurses.
Management of chronic diseases and longitudinal care of in-patients
Palliative care of patients with end-stage respiratory disease
Clinical Supervisor: Dr Mark Shipley (1 trainee) and Dr Liz Fuller (1 trainee)
Post Banding: 1B
2
F1 in Respiratory Medicine / GIM Provisional Timetable (Ward 10)
0900 1230
MONDAY
Consultant
Ward Round
Dr
Shipley/Fuller
Protected F1
Teaching
(Education
Centre)
12 – 2pm
Lunch
1400 1700
TUESDAY
F1/F2/ST1/ST
3+
Ward Round
Administration
Ward Work
Ward Work
WEDNESDAY
F1/F2/ST1
Ward Round
Ward MDT
11.30am
Respiratory
XRM/teaching
Trust Grand
Round
12:30 – 2
(Education
Centre)
THURSDAY
Consultant Ward
Round
Dr Shipley/Fuller
FRIDAY
F1/F2/ST1
Ward Round
TEACHING
Final yr medical
students
Medical
Departmental
Meeting
(Education Centre)
1300 – 1400
Ward Work
CPD/Audit
Ward Work
(Weekly
Radiology
Meeting)
Monthly Clinical
Governance
Meeting
12:30 - 2
Ward Work
3