Taster week in Respiratory and General Internal Medicine (GIM), 2013-2014
Supervisor: Dr Rosalind Green (RMG), Consultant in GIM with special interest in
respiratory medicine
GIM/respiratory physicians at ELHT:
Dr Stephen Wilson (SWI)
Dr Saumitra Baksi
Dr Saif Khalid
Dr Irfan Hafeez
Dr Fawad Zaman
Example timetable (may vary dependent on leave and consultant availability). Most
sessions at RBH unless otherwise specified.
08:00-12:30
12:30-13:30
13:30-17:00
Monday
2 week rule lung cancer clinic Radiology meeting,
BGH (SWI)
BGH or RBH
depending on lung
function site
availability
Attend lung function
department (BGH or
RBH varies)
RBH- meet
RMG:Plan for week discuss objectives
Pleural list at BGH
(SWI)
Tuesday
Ward round (RMG)
Travel to BGH
Wednesday
Ward round (RMG)
12:15 respiratory
teaching (location
varies)
Thursday
Ward round (RMG)
Friday
Ward round to 09:30(RMG)
Bronchoscopy list (RMG) in
endoscopy at RBH
**12:00 start
Lung cancer MDT,
level 2 seminar room
at RBH
Ward round (RMG) Ward round (RMG)
Medical grand round
then variable
management
meetings. Prepare
cases for lung cancer
MDT
TB clinic (SWI) RBH
Learning Objectives for Taster week:
 Gain a greater understanding of the working pattern in GIM and respiratory
medicine.
 To appreciate the multidisciplinary working involved in respiratory and GIM: ward
teams, community respiratory teams, TB teams, lung cancer teams, working with
respiratory physiology and radiology colleagues. (1.4, 7.9)
 Take part in a TB clinic and understand the importance of community nurse
support, treatment monitoring, contact tracing and other public health issues. (1.4,
7.7)
 Know the criteria for referral of patients with pleural effusions and what can be
offered as outpatient diagnostics, ambulatory care, palliative care. (6.2, 7.9)
 Know how to assess a patient with breathlessness. (7.2, 7.3, 8.1, 8.2)
 Take part in 2WW clinic where patients are investigated and advised about
probable lung cancer. (7.2,7.3, 2.2)
 Understand the importance of communication skills in difficult situations (2.2)
 Observe breaking bad news (2.3)
 Observe the importance of patient understanding in decision making when there is
more than one option available to patients (2.3)
 Observe how management plans for lung cancer are individualised to take in to
account the patient’s needs and wishes (2.3)
 Appreciates how co-morbidity can restrict the options available to patients with
otherwise potentially curable lung cancer. (10.5)
 Appreciate the holistic approach to respiratory care (2.1)
 Observe patients being consented for bronchoscopy and invasive pleural
procedures (2.5)
 Follow an aseptic technique when inserting intercostals drains (7.7)
 Contributes to the MDT meeting (1.4)
 Take part in ward rounds (7.3, 7.4)
 Reviewing patients needing acute non invasive ventilation for respiratory/ventilatory
failure (6.2, 8.1)