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 / Neurology
The department / The Greater Manchester Neuroscience centre provides acute and continuing care across the major neuroscience disciplines for a population of approximately 3.5 million people. The neurology component of this comprises inpatient and specialist outpatient care located at Hope hospital and general outpatient services which are distributed throughout the region’s district hospitals. The inpatient beds are made up of a 27 bed acute neurology unit (ANU) and a 22 bed programmed investigation/ treatment unit. There is a nearby 10 bedded acute stroke ward (ASW), run by the trusts stroke service, in the near future the stroke centre will be expanded into a regional thrombolysis centre. Traditionally these wards have been staffed with ST’s and the unit would provide an FY2 doctor with an excellent environment in which to gain experience in the management of acute and chronic neurological patients.
The type of work to expect and learning opportunities
Where the placement is based / Ward C1/ANU
Clinical Supervisor(s) for the placement / Dr M. Silverdale
Main duties of the placement / The doctor will be attached to one of the clinical firms and will have day to day responsibilities for patients admitted under this team on both ANU and ward C1, including:-
·  Undertake clinical assessment of patients admitted under team including detailed history and full neurological examination.
·  Attendance at teaching orientated outpatient clinic.
·  Regular review of inpatients on consultant and registrar ward rounds including formal presentation of cases.
·  Arranging appropriate investigations, Neuro-imaging etc.
·  Performing routine medical investigations, blood gases etc.
·  Performing specialised investigations such as lumbar puncture.
·  Accurate recording of clinical information.
·  Liaising with other members of clinical staff, carers and relatives.
·  Prescribing of medication.
·  Participation in multidisciplinary team meetings.
·  Providing discharge summaries when patients leave department.
Typical working pattern in this placement / Mon: AM Ward Round, teaching (consultant lead) PM Ward Work
Tues: AM Ward Round PM Ward Work
Wed: AM Ward Work. Lunchtime Jefferson Lecture. PM Teaching (Deanery)
Thurs: AM Ward Round PM Ward Work
Fri: AM Neuroradiology Meeting, Ward Round PM Grand Round
Sat:
Sun:
On call requirements:
Employer information / Salford Royal NHS Foundation Trust is a 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 / G
Examination / G
Diagnosis and clinical decision making / G
Safe prescribing / G
Medical record-keeping, letters, etc / G
Time management and organizational decision-making / G
Understanding and applying the basis of maintaining good quality care / G
Ensuring and promoting patient safety / G
Reducing the risk of cross-infection / G
Clinical governance / R
Quality improvement activities / R
Ensuring basic nutritional care / R
Effective education of patients for example: / R
Dealing with ethical and legal issues e.g. confidentiality, consent / R
Development of the skills to undertake self-directed life-long learning / R
Use of evidence and guidelines that will benefit patient care. / R
Involvement and use of audit to improve patient care / R
Opportunity to undertake teaching and presentations / R
Effective communication within a consultation / G
Breaking bad news / G
Dealing with complaints / R
Development of teamwork skills / G
Communication with colleagues and teamwork / G
Interface with different specialties / G
Interface with other professionals / G
Interface with external bodies e.g. police, social services / R
Understanding of the relevance of outside bodies / R
Development of the Doctor-patient relationships / G
Handling stress / G
Assessment of the acutely ill or collapsed patient / R
Identify and respond to acutely abnormal physiology / G
Delivery of a fluid challenge safely to an acutely ill patient / R
Reassessment of ill patients appropriately after starting treatment / G
Request senior or more experienced help when appropriate / G
Undertake a secondary survey to establish differential diagnosis / R
Obtain an arterial blood gas sample safely, and interpret results / R
Management of patients with impaired consciousness, including convulsions / G
Use of common analgesic drugs safely and effectively / G
Management of a patient following self-harm / R
Management of a patient with an acute confusional state or psychosis / G
Handover between shifts, on call staff or with “hospital at night” team / R
Consideration of the appropriateness of interventions according to patients’ wishes, severity of illness and chronic or co-morbid diseases / G
Recognition of critically ill patients, / G
Take part in advanced life support / R
Initiation of ALS and leading a resuscitation team / R
Discussion of Do Not Attempt Resuscitation (DNAR) / G
Participation as part of an acute ‘take’ team / R
Discharge planning starting from the point of admission and taking into account the effects of any chronic disease / G

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 / G
Urea and electrolytes / G
Blood glucose / G
Cardiac markers / G
Liver function tests / G
Amylase / G
Calcium and phosphate / G
Coagulation studies / G
Arterial blood gases / G
Inflammatory markers / G
12 lead ECG / G
Peak flow, spirometry / G
Chest X-ray / G
Abdominal X-ray / G
Trauma radiography / R
Ultrasound, CT and MRI / G
Microbiological samples / G

Within this placement please indicate whether there will be the opportunity to undertake the following practical procedures

Venepuncture and IV cannulation / G
Local anaesthetics / R
Arterial puncture in an adult / G
Blood cultures from peripheral and central sites / G
Subcutaneous, intradermal, intramuscular and intravenous injections / G
IV medications / G
Intravenous infusions, including the / G
Prescription of fluids, blood and blood products / G
ECG / G
Spirometry and peak flow / G
Urethral catheterisation / G
Airway care, including simple adjuncts / G
Nasogastric tube insertion / G
Aspiration of pleural fluid or air / R
Skin suturing / R
Lumbar puncture / G
Insertion of a central venous pressure line / R
Aspiration of a joint effusion / R